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Patients with arthritis are often first diagnosed with psoriasis. In this excerpt from a Dermatology Times DermView video episode1, 2 physicians explored the relationship between the skin and joint disorders, why the two are often related, and some of the medications that may bring relief for patients with both conditions.

About a third of our [patients with psoriasis] go on to psoriatic arthritis [PsA]...and we know there are certain risk factors that increase the likelihood that a patient is going to develop psoriatic arthritis. That includes factors such as nail disease, inverse psoriasis, scalp psoriasis, more severe psoriasis, obesity, and family history of psoriatic arthritis, specifically in a first- or second-degree [relative], said Joseph Merola MD, MMSc, vice chair of clinical trials and innovation in the Department of Dermatology, director of the Clinical Unit for Research Innovation and Trials, and director of the Center for Skin and Related Musculoskeletal Diseases at Brigham and Womens Hospital and associate professor of dermatology and rheumatology at Harvard Medical. Although there may be a genetic risk factor, with overlap-ping risks between skin and joint disease, environmental factors can also trigger the immune response that becomes psoriasis and leads to psoriatic arthritis.

Mark Lebwohl, MD, dean of clinical therapeutics at the Kimberly and Eric J. Waldman Department of Dermatology at Icahn School of Medicine at Mount Sanai in New York, New York, noted that 70% of patients with arthritis are first diagnosed with psoriasis and that arthritis occurs before psoriasis 15% of the time. Plaque psoriasis is the predominant presenting form of psoriasis.

Lebwohl then explained the domains of the disease and the different preexisting conditions that dermatologists see in many patients before a diagnosis, including nail disease, scalp disease, or inverse and intertriginous psoriasis. I would say close to 20% come in with guttate psoriasis. [Pustular psoriasis and erythrodermic psoriasis are exceedingly rare], but those are deadly ones.... And of course, in plaque [psoriasis] we include inverse palm and sole psoriasis, [which is] less common than just plaque psoriasis.

Some patients also show signs of other types of arthritis, including the following:

The treatments for PsA also work for psoriasis. The physicians discussed a few widely used treatments such as TNF- blockers, IL-17 blockers, and Janus kinase inhibitors. Several Janus kinase inhibitors were approved in 2022 for the treatment of psoriasis and PsA, and Lebwohl said they work well, despite some boxed warnings that come with the drugs. He added that doctor involvement is key. It is up to the physician to ask questions to help the patient pinpoint the source of pain or stiffness. The physicians discussed the reasons a physician may choose one category of drug over another. They agree that TNF- blockers have the best evidence to date that they prevent heart attacks. For patients who have preexisting heart conditions, a drug in that category would be the first line of defense. Lebwohl explained this is important because of a marked increase in the risk of heart attacks in patients with psoriasis. If a patient has or had skin cancer, a TNF- blocker would not likely be the first choice, because a side effect is an increased risk of squamous cells.

In addition, they mentioned that patients with PsA who are pregnant could benefit from certolizumab pegol (Cimzia), a drug that does not contaminate breast milk and therefore will not cross the placenta. Dermatologists often start women of childbearing years on certolizumab pegol for that reason.

The patients weight also factors into some treatment plans. We know that one of the unique aspects of some of our infusion therapies, in particular infliximab (Remicade; Janssen Biotech, Inc), is that it is weight-based dosing, Merola said. It does offeralbeit off-labeldose flexibility around frequency dosing, IV [intravenous] dosing that is...weight based but has flexibility around frequency. I can do it every 4 weeks, every 8 weeks. I can do 5 mg/kg. I can do 10 mg/kg.

Merola noted that some of the highest efficacy in PsA was shown in findings from the GO-VIBRANT trial (NCT02181673) that examined intravenous golimumab (Simponi Aria).

The physicians also mentioned treatment options when a drug fails to yield positive results. Lebowhl and Merola described primary failure as the ineffectiveness of a drug; no history of a response. A secondary failure, they said, indicates a lack of response after an initial period of success. A practitioner may prescribe a new classification of drugs for a patient who experiences primary failure. In a secondary failure, the doctor may have to increase the dosing or move to a new treatment plan. Merola said that one cause for secondary failure is due to the patients development of antibodies; they would then have to prescribe an additional medication to suppress their formation.

Both physicians agreed that the number of drugs available for PsA is always increasing, which means more access for doctors and patients. We have robust data from studies that support that switching [medications] seems to be well tolerated, seems to continue efficacy for our patients with these disorders, Merola said. However, patients often have negative expectations about what changing drugs means, which may lead to confusion, more calls to the office, or failure to take the drugs.

Merola and Lebwohl concluded by talking about the importance of regular screenings for PsA or psoriasis patients. Merola suggested a frequency of every 6 months to record new or worsening symptoms and to keep track of disease progression.

Transcript edited for clarity and conciseness.

Reference

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Exploring the Relationship Between Psoriatic Arthritis and Psoriasis - Dermatology Times

Rumor has it that eating too many tomatoes causes inflammation in the body, which can lead to arthritis symptoms. But are tomatoes really to blame? Should everyone with arthritis swear off the vegetable (or fruit, depending on who you ask)? Good thing you asked because its time to officially debunk this myth.

Arthritis is the degeneration and inflammation of the joints that causes uncomfortable symptoms like joint swelling, stiffness, and decreased range of motion. There isnt a cure for arthritis, but diet *can* play a major role in mitigating inflammation and managing symptoms, says Melinda Ring, MD, an integrative medicine physician at Northwestern Medicine.

Certain foods are more likely to trigger inflammation in the body, she says. And while the foods you do or do not eat won't cure or eliminate all your arthritis troubles, they can make an impact.

More From Women's Health

Read on to see what foods pass the inflammation test, and if tomatoes are in or out.

In short, no. There is really minimal scientific data that supports the elimination of tomatoes, or nightshades, by looking at inflammation markers or symptoms, says Dr. Ring. It is not an across the board statement that nobody with arthritis should eat them, because in fact, nightshade vegetables are rich in lots of really healthy phytonutrients.

So, why do tomatoes get such a bad rep? Nightshades, which are a family of plants including tomatoes, potatoes, peppers, and eggplant, naturally produce a toxin called solanine, which is long believed to trigger inflammation and joint pain. But there is actually no scientific or medical link between the two. Instead, studies actually show that tomatoes can reduce systemic inflammation, and that solanine does not directly cause inflammation in humans. It's true purpose: to protect plants against animals and harmful fungi.

That being said, people do have individual sensitivities or intolerances to different foods, and tomatoes can potentially trigger arthritis symptoms in some, says Dr. Ring. If you find your joints are extra sore, swollen, or stiff after eating tomatoes (or any food for that matter), try an elimination diet.

If someone wants to see if they have a reaction to a food, including the nightshade category, eliminate [a specific food] for a couple of weeks, says Dr. Ring. Then, add it back into your diet, and see if you notice a different response in terms of pain.

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In other words, if arthritis symptoms disappear or lessen with the elimination of nightshades, it might be your bodys way of telling you to scale back.

Arthritis is a chronic inflammatory disorder, but if you experience an immediate or severe reaction to a specific food, its time to check-in with your doctor or an allergist. Severe allergies or anaphylactic reactions to nightshades are rare, but if you have trouble breathing, or experience throat swelling or difficulty swallowing, stop eating immediately and seek medical care.

Simply put, yes. Sugar, processed foods, alcohol, charred foods, meats, additives, and gluten can cause inflammatory responses and can sometimes be avoided to minimize arthritis symptoms, says Dr. Ring.

But dont panic! Certain foods can trigger an inflammatory response for some and not others, so there is not one cure-all eating plan. However, a good rule of thumb for someone with arthritis is a plant-forward, Mediterranean diet, that focuses on whole and not processed foods, stresses Dr. Ring.

Certain foods can also help quench inflammation, she says, including foods that are rich in anti-inflammatory omega-3 fatty acids. Flax seeds, chia seeds, and fish like salmon and sardines, along with vegetables and fruits are rich in antioxidants also help with inflammation in the body, she says. In addition, turmeric, ginger, green tea, and fermented foods have also been shown to promote a healthy gut, support the body, and lower chronic inflammation, she explains.

But remember that not everyone reacts the same to all foods, and eating habits are extremely personalized. Ultimately, food should still be something that somebody enjoys and sees as pleasurable and nourishing, says Dr. Ring. While we should always be striving to improve our diet, we should also enjoy the food we eat.

Andi Breitowich is a Chicago-based writer and graduate student at Northwestern Medill. Shes a mass consumer of social media and cares about womens rights, holistic wellness, and non-stigmatizing reproductive care. As a former collegiate pole vaulter, she has a love for all things fitness and is currently obsessed with Peloton Tread workouts and hot yoga.

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Are Tomatoes Bad For Arthritis? Here's What An MD Has To Say - Women's Health

Adverse events related to immune checkpoint inhibitor (ICI) therapy lack alternative treatments outside of glucocorticoids, which themselves may reduce the efficacy of ICI therapy in patients with cancer. Researchers in the COLAR trial examined whether interleukin-6 blockade with tocilizumab reduced ICI-induced colitis and arthritis and concluded that tocilizumab had promising efficacy and manageable safety profiles for this population.

The clinical trial, published in the Journal for Immunotherapy of Cancer, enrolled 20 patients. Participants had solid cancers and met Common Terminology Criteria for Adverse Events (CTCAE) for grade >1 ICI-induced colitis/diarrhea (n=9), arthritis (n=9), or both (n=2).

Patients ICI treatments included pembrolizumab (n=10), nivolumab (n=4), or combined ipilimumab and nivolumab (n=5), and tocilizumab was administered at 8 mg/kg every 4 weeks. The primary end point of the study was improvement in colitis or arthritis.A total of 19 patients were included in the final analysis after 1 exclusion due to pancreatic insufficiency-induced diarrhea.

According to the researchers, 15 out of 19 (79%) patients achieved the primary end point of a 1 or greater reduction in CTCAE score within 8 weeks. One further patient achieved the primary end point at week 10, and one other maintained stable symptoms. Additionally, at week 24, 12 patients had ongoing improvement without glucocorticoids and 10 had complete remissions of ICI-induced colitis or arthritis.

In closing, the authors summarized that that tocilizumab demonstrated promising efficacy with manageable toxicity in patients with ICI-induced colitis and arthritis (84% clinical benefit rate), and highlighted that half of their patients were able to continue ICI treatment alongside tocilizumab.

Further studies are required to confirm these results and to eventually compare efficacy of tocilizumab with currently standard approaches in the treatment of ICI-induced toxicities, the researchers closed.

Find More Recent Arthritis and Rheumatology Research

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Tocilizumab for Treating ICI-Induced Arthritis and Colitis - DocWire News

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Zimmer Biomet, a pioneer in making medical devices, is joining hands with Network18 to promote awareness about arthritis and bone health.

A right step towards educating people on arthritis

Arthritis is one of the most common medical conditions in India. More than 180 million people suffer from one of the numerous forms of the condition in the country. Arthritis is a general term that just refers to inflammation of a joint. The inflammation is often caused due to the gradual degeneration of the cartilage that covers and sheathes the joints. This results in irritation, pain, inflammation, stiffness and gradual loss of that joint.

With so many of us suffering from this debilitating disease, Zimmer Biomet, a pioneer in making medical devices, is joining hands with Network18 to promote awareness and talk about the concerns individuals regarding bone and joint health.

There are two main types of arthritis osteoarthritis and rheumatoid arthritis. In the former, damage to the cartilaginous tissue can occur from wear and tear. Injury, infection, lifestyle choices, age and genetic predisposition are some of the risk factors for osteoarthritis. It is the most frequent joint disease in the country with a prevalence of 22 percent to 39 percent, according to data from the National Health Portal.

Rheumatoid arthritis, on the other hand, is an autoimmune disease that causes the bodys immune system to attack the lining of the joint capsule, called the synovial membrane, which then causes damage to the cartilage and bone. The risk factors for rheumatoid arthritis include family history, age, genetic predisposition and gender.

Arthritis can mean lowered workplace productivity in high-income countries due to timely intervention and access to healthcare. In countries like India, arthritis can mean loss of livelihood entirely due to the disease not being treated in time in most cases. Rheumatoid arthritis can especially be threatening to livelihoods as it is more common in younger individuals than osteoarthritis. The disease can also significantly impact the lifestyles of individuals who suffer from it, with arthritis quickly emerging to be the fourth most common cause of disability in India.

As a result of changing lifestyles, growing population and increasingly sedentary activity levels, the prevalence of all types of arthritis is also increasing steadily. Incidentally, suffering from arthritis further increases the chances of an individual suffering from other lifestyle diseases like diabetes, obesity and cardiovascular issues due to plummeting activity levels.

Rheumatoid arthritis is diagnosed using tests like erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP), both of which show elevated levels when a patient suffers from the disease. Osteoarthritis is usually detected through imaging techniques like X-ray, magnetic resonance imaging (MRI), ultrasound, and arthroscopy along with complementary laboratory tests.

The most common medicinal intervention is the administration of nonsteroidal anti-inflammatory drugs (NSAIDs). These drugs not only help patients manage pain but also reduce other symptoms of the disease including inflammation and swelling.

Replacement arthroplasty, or joint replacement surgery, is also an electric surgical option that patients can opt for in case of severe damage to the joints, bone, or cartilage or in case of deformity of the joint. It is often considered a final option when other less invasive interventions are not working. Knee replacement surgeries alone in India hit the 2,00,000 mark in 2020, and the demand for joint replacement surgery is expected to grow in the country as advancements in science and surgery have made the procedure far more effective than before.

A joint replacement may be complete or partial and the life expectancy of the new artificial joints can be anywhere from a couple of years to decades depending on various other factors. Zimmet Biomets campaign with Network 18 will help readers educate themselves against the common disease and help explain options to existing patients. Through advancements in medical tech, holistic interventions have meant that arthritis patients are able to enjoy a better quality of life than ever before

First Published:Sep 30, 2022, 07:17 PM IST

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Why Arthritis Is A Clear And Present Danger, And How We Can Fight It - CNBCTV18

Arthritis is a condition that can be completely and utterly debilitating. According to Healthline, individuals can typically develop rheumatoid arthritis (RA) anywhere between 30 to 50 years of age, while osteoarthritis (OA) usually occurs after 50 or 60 years of age. Arthritis is not something you can always prevent, so it's essential to know every possible way to address the pain as effectively as possible. We're here to share some exercise habits for arthritis in your 50s that you should be aware of. Read further so you can start some helpful tricks today.

We reached out to Dr. Mike Bohl, the Director of Medical Content & Education at Ro and a certified personal trainer. He informs us, "Exercising with arthritis is all about starting off easy and gradually progressing workouts to be longer and more difficult, as tolerated." For instance, some people may be limited to performing exercises in a five-minute session at first and can increase the length of their workout slowly over time. Others may feel more comfortable performing their routine in a seated position. This is a great start, as they can gradually work up to a standing position.

Related: Bad Fitness Habits That Are Rapidly Aging Your Body, Trainer Reveals

Dr. Bohl offers more suggestions you'll want to keep handy. "When it comes to aerobic exercise, low-to-moderate intensity is best," he shares, adding, "When it comes to resistance training, it's important to start with low repetitions of low weight." As you start to become more comfortable, you can step up the total reps. Note that it's always wise to stick with a lower weight. According to Dr. Bohl, your overall goal can be something like this: "Start with low repetition/low weight and progress to high repetition/low weight."6254a4d1642c605c54bf1cab17d50f1e

Related: The #1 Strength Workout To Regain Muscle Mass as You Age, Trainer Says

Individuals who suffer from arthritis may have balance issues or be a tad weaker. If that's the case, Dr. Bohl says balance exercises, stretching, and core-strengthening movements must be top priorities in your regular fitness regimen.

Another one of the best exercise habits for arthritis that Dr. Bohl shares is this. Circuit training can be quite beneficial for individuals dealing with arthritis. Circuit training is performing many various exercises back to back, rather than dedicating your entire workout time to simply one to two parts of your body or types of exercise.

Dr. Bohl does warn that individuals with arthritic conditions stay away from doing high-load or high-intensity exercises. This means no lifting heavy weights, steering clear of vigorous aerobic activities, and avoiding plyometrics.

Additionally, it's wise to avoid working out first thing in the morning, as this is the time when you likely endure a greater amount of stiffness and inability to move well. He tells us, "People with arthritis should use pain as a guidedon't do anything outside of a comfortable range of motion, and if they're experiencing an acute flare-up of arthritis symptoms, it may be best to avoid exercising altogether."

Alexa Mellardo

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5 Exercise Habits for Arthritis in Your 50s - Eat This, Not That

Arthritis refers to a diverse set of conditions characterised by inflammation in the joints. Joint pain and stiffness are the hallmark signs of arthritis. Unfortunately, there's no cure for arthritis, but you can alleviate the symptoms and reduce your risk of developing arthritis by leading a healthy lifestyle. With this in mind, research makes a strong case for packing cruciferous vegetables into your diet.

Broccoli, Brussels sprouts, cabbage, bok choy and cauliflower are some of the best examples.

Evidence suggests a natural compound found in these cruciferous vegetables called sulforaphane explains this effect .

"Research on mice shows sulforaphane blocks the inflammatory process and might slow cartilage damage in osteoarthritis (OA)," reports health body Arthritis Foundation AF).

Osteoarthritis is the most common type of arthritis in the UK. It affects around a third of people aged 45 and over.

READ MORE:Arthritis: The 70p anticancer herb that may reverse painful inflammation in the joints

Indeed, the Mayo Clinic spent more than a decade studying the effects of antioxidant-rich cruciferous vegetables in preventing arthritis.

The study, published in the journal American Journal of Epidemiology, involved 29,368 women who were aged 55 to 69 years at the beginning of the study in 1986.

By the end of the study in 1997, 152 cases of rheumatoid arthritis were identified.

After controlling for other risk factors, cruciferous vegetables also "exhibited trends" toward a reduced risk of rheumatoid arthritis.

READ MORE:Arthritis: Certain seed has significant anti-inflammatory properties - study

In their conclusion, the researchers noted that a diet high in cruciferous vegetables, may be "protective against the development of rheumatoid arthritis".

While thin on the ground, more recent human studies have echoed these results.

Researchers in a 2014 study published in the Journal of the Academy of Nutrition and Dietetics evaluated associations of vegetable intake with a panel of inflammatory and oxidative stress markers among 1,005 middle-aged Chinese women.

Dietary intake of foods was assessed by a food frequency questionnaire.

The study suggested that the previously observed health benefits of cruciferous vegetable consumption may be partly associated with the anti-inflammatory effects of these vegetables.

The research to date is encouraging but human evidence remains scarce.

Further research must be conducted on human subjects before recommendations can be made.

Nonetheless, cruciferous vegetables are low-calorie, and rich in folate, vitamins C, E, and K, and fibre, making them essential to a healthy, balanced diet.

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Arthritis: Five cruciferous veg 'block inflammatory process' - backed by 10-year study - Express

Arthritis comes in many forms but one that commonly afflicts Britons is gout. As the Centers for Disease Control Prevention (CDC) explains, gout is a common form of inflammatory arthritis that is "very painful". It usually affects one joint at a time (often the big toe joint), the CDC notes. It may come as a surprise to hear that certain types of fish can trigger gout symptoms.

This effect owes to the purine content found in fish. The Arthritis Foundation (AF) explains: "Purine compounds, whether produced in the body or from eating high-purine foods, can raise uric acid levels.

"Excess uric acid can produce uric acid crystals, which then build up in soft tissues and joints, causing the painful symptoms of gout."

Given the risks posed by high-purine foods, gout sufferers should "strive to limit" them, says the AF.

Fish high in purine includes anchovies, sardines, herring, mussels, codfish, scallops, trout and haddock, adds the health body.

READ MORE:Arthritis symptoms: Three drinks proven to reduce inflammation ease sore joints

According to the NHS, eating a healthy, balanced diet can help to keep painful gout symptoms at bay.

"Your doctor may give you a list of foods to include or limit," notes the health body.

In general, a healthy, balanced diet means eating a wide variety of foods in the right proportions, and consuming the right amount of food and drink to achieve and maintain a healthy body weight.

"Most people in the UK eat and drink too many calories, too much saturated fat, sugar and salt, and not enough fruit, vegetables, oily fish or fibre," warns the NHS.

READ MORE:Arthritis warning: Refined carbohydrates directly 'cause' inflammation - 'avoid or limit'

Gout can be effectively treated and managed with medical treatment and self-management strategies.

"Treatment for flares consists of nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen, steroids, and the anti-inflammatory drug colchicine," explains the CDC.

According to the health body, making changes to your diet and lifestyle, such as losing weight, limiting alcohol, eating less purine-rich food (such as red meat or organ meat), may help prevent future attacks.

"Changing or stopping medications associated with hyperuricemia (like diuretics) may also help."

If you have frequent attacks or high levels of uric acid in your blood, you may need to take uric acid-lowering medicine, adds the NHS.

According to the health body, it's important to take uric acid-lowering medicine regularly, even when you no longer have symptoms.

It says to:

Do not put any pressure on the affected joint, the NHS adds.

Read the rest here:
Arthritis: 8 types of fish can cause acid crystals to build up in joints - 'very painful' - Express

The scientific committee of the European Medicines Agency (EMA) has issued a positive opinion of the type II variation application of filgotinib (Jyseleca, Galapagos NV) based on testicular function safety data from the MANTA and MANTA-RAy studies, a company press release indicates.

Filgotinib is a small molecule that selectively inhibits Janus kinase (JAK) type 1. It is approved in the European Union for treating adults with moderate to severe RA and adults with moderately to severely active ulcerative colitis.

The type II variation regulatory application was submitted to EMA in June 2022 in an effort to amend the European label of filgotinib based on data from the MANTA study in men with ulcerative colitis and Crohn's disease and the MANTA-RAy study in men with active rheumatoid arthritis (RA), psoriatic arthritis, ankylosing spondylitis, or nonradiographic axial spondylarthritis. Both studies are investigating the potential effect of filgotinib use on semen parameters and sex hormones.

"This positive CHMP (Committee for Medicinal Products for Human Use) opinion marks a key milestone for Jyseleca and provides important information for patients and physicians, given [filgotinib] is the only anti-inflammatory drug that has been evaluated in a robust large-scale, placebo-control trial program for the potential effect on male reproduction," Galapagos Chief Medical Officer Walid Abi-Saab, MD, said in a statement.

"We will now work to update all relevant label information and materials with the aim to increase access to Jyseleca so that European patients who may benefit from the treatment are able to receive it.

Following assessment of the interim data from MANTA, CHMP concluded that the data did not reveal a difference between treatment groups in the proportion of patients who had a 50% or more decrease from baseline in semen parameters at either week 13 or at week 26. At week 13, the pooled primary endpoint occurred in 6.7% of patients treated with filgotinib, compared with 8.3% of placebo controls.

Moreover, CHMP concluded that the interim MANTA data did not show any relevant changes in sex hormone levels or change from baseline in semen parameters across treatment groups. Overall, CHMP concluded that these clinical data were not suggestive of any filgotinib-related treatment effects on testicular function.

The design of the MANTA and MANTA-RAy studies were published in Advances in Therapy in June 2022. Both are phase 2 studies and include men between 21 and 65 years of age. Semen parameter values were sampled at baseline and included semen volume, total sperm/ejaculate count, sperm concentration and motility, and normal sperm morphology.

Each trial was initially carried out as a 13-week, randomized, double-blind, placebo-controlled period during which the effects of filgotinib 200 mg on semen parameters were compared with that of placebo. The study designs diverged owing to disease-specific consideration from week 13 onward, but all subjects with a 50% or greater decrease in sperm parameters will continue on until reversibility is shown or up to a maximum of 52 weeks, with standard of care as treatment.

Following the positive CHMP opinion, the language in the section of the special warnings and precautions will be removed from the Summary of Product Characteristics and the MANTA and MANTA-RAy studies will be removed from the Risk Management Plan.

In a review of currently available data, results from a phase 3 study in which patients with moderate to severe ulcerative colitis were treated with filgotinib showed that treatment is both effective and has a reassuring safety profile. Furthermore, treatment was not associated with a greater risk of thrombosis or herpes zoster infections, compared with other JAK inhibitors.

On the other hand, review authors did point out that preclinical studies reported impaired spermatogenesis and histopathologic effects on male reproductive organs in animals exposed to filgotinib, making it necessary to further explore this aspect of potential safety issue in human studies.

Galapagos is planning to publish the results of the MANTA and MANTA-RAy studies in a peer-reviewed journal next year.

For more news, follow Medscape on Facebook, Twitter, Instagram, and YouTube.

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EMA Issues Positive Opinion on the Safety of Filgotinib - Medscape

If youve ever seen Lamb of God live or watched an errant YouTube clip youll know that Willie Adler has the stiffest picking hand in all of metal. His forefinger bends around his plectrum so sharply that it looks like its been snapped in half. His remaining digits point rigidly downwards. And his elbows at a near-constant ninety degrees. Its a technique that heavy musics never seen before or since so, the second Guitar.com secures an interview, we have to ask him what the fucks up.

Im sure its gonna give me arthritis pretty soon, says Adler, laughing down the phone from his home in Richmond, Virginia. Believe you me, if I could do it any other way, where my hands were relaxed, then I would.

When Adler first picked up the guitar, he only had a few lessons before directing his focus entirely on metal, which meant he never received much tutelage. It all just grew out of comfortability and the way I wanted to speak through my guitar, he says, and the way I accomplished that was manipulating my right hand into the way its grown into. It was a very natural unnatural progression.

His technique may look odd but you cant argue with the results. Since the guitarist joined the band in 1999 and catalysed their name change from Burn the Priest, Lamb of God have blossomed into the USs mightiest extreme metal force. Alongside Slipknot, Machine Head and Killswitch Engage, they co-helmed the New Wave of American Heavy Metal. Between 2006 and 2015, everything they released cracked the Top 10 of the Billboardalbum chart. Theyve also accrued five Grammy nominations and gigged with every one from Slayer to Metallica.

Musically, Lamb of God have changed next to nothing since their explosion into the mainstream. When youre doing as well as they are, why would you need to? Frontman Randy Blythe has always snarled the most overtly political lyrics he can, famously targeting the Bush administration and Iraq war on 2004s Ashes of the Wake. The bands self-titled 2020 album shot from the hip at everything from the military industrial complex to an at best apathetic American healthcare system.

Lambs drumming first by co-founder and Willies brother Chris Adler, then, since 2019, Art Cruz has always simultaneously been effortlessly original. Meanwhile, Willie and fellow guitarist Mark Morton have long loved the same kind of riffs: fast-fingered dances across the low E.

I like the tonality of the low string: it just seems heavier to me, says Willie. And I was always fascinated by the guys who could do the super-techy riffs. I love [Megadeths 1990 album] Rust in Peaceand what Marty [Friedman] did on that record. He was just unbelievable in how he solod and riffed. Ive always gravitated towards the atonal Slayer-type riff too, where theres a lot of minor going and it doesnt necessarily conform to one theory or the other.

Image: Travis Shinn

After decades of sticking to the same guns, Lamb of God are deepening their arsenal on new album Omens. The last time they sounded this intrepid was on their debut. Lead single and opener Nevermoresignals from the off that something wickedly wacky this way comes, as it interrupts its own rolling riff with jagged squeals.

Adler laughs when we bring it up. That was one of the first songs that Mark sent me when we were talking about writing a new record, and I was like, What is this?! It sounded so great to me and so off-the-wall. It reminds me of an old A Life Once Lost riff: its super-chaotic and those piercing, stabbing chords are what make that riff. And they make that song, because it starts with them and comes back round to them. That song, to me, is like walking through an asylum.

Image: Steve Thrasher

Elsewhere, Denial Mechanismgoes full hardcore-punk mode, chords scurrying over the most simple but primal of drum beats. Thats before September Song ends Omenson its most evolutionary note. A barrage of clean hammer-ons and pull-offs commence the track with an aggressive blues lick, which naturally escalates to Lamb of Gods archetypal territory of riffs and roars albeit backed by classical strings. One last marathon of tapping builds to the albums climax. Its among Lamb of Gods most adventurous, bombastic and brilliant moments.

It unfolded in such a way that, when I wrote the demo for that song, it sounded nothing like where it ended up, Adler explains. Josh [Wilbur, Omens producer] had the idea of the symphonic parts and, at first, I was kind of unsure: it sounded like everything was fighting each other. I was just hearing it the way I heard it in my demo; I had to get my head out of that space and realise it had become a different song.

So why now? Lamb of God have been Lamb of God for 23 years and the furthest theyve pushed themselves since their debut is when Randy discovered melodic singing in time for 2015s VII: Sturm und Drang. According to Adler, its because they all recorded in the same place for a change.

Previously, recording for Lamb of God was an isolated process. Talking to Loudwirein 2015, Blythe described all five members in the studio together as a too many cooks scenario. You get half a line out and theyre like, Wait, wait, wait, wait! I dont go there when theyre tracking drums and, before theyre halfway through the first song, say, You missed something! You screwed something up! You gotta let me get my groove on. I gotta do my thing and flow.

Lamb of Gods Willie Adler and Mark Morton. Image: Press

Seven years later, hes clearly softened his stance. Willie says: The idea [of recording together] was presented to us and we were like, Why not? Knowing that the collaboration would continue when they started recording, Lamb of God had the freedom to enter the studio with incomplete ideas.

There were songs that we had been working on in pre-production where we didnt know how they were going to take shape, the guitarist continues. There were moments within songs, particularly September Song, that we didnt know how we were going to flesh out. We could not only sit together but, with the benefit of a studio, we could actually hear what everybody else wants.

Image: Press

Adler tracked Omensusing a plethora of ESP guitars, including two USA models, his signature model and another Evertune-equipped model tuned to E. Unsurprisingly, he feels a strong sense of loyalty to the Japanese brand. I remember the day when I fell in love with them: when the first one showed up at my house. It just felt natural. The fretboard, the way it played everything just felt super-smooth. I cant necessarily put it into anything tangible but that was just the way it felt it felt right.

Lamb of God are already touring to promote the album. The week before Guitar.coms talk with Willie, the band headlined Bloodstock Festival in Derbyshire to 15,000 people. Right now though, the guitarist is at home, with Vio-lence and former Machine Head player Phil Demmel filling in for him on the European dates.

Image: Steve Thrasher

I miss my dudes, says Adler. Its hard to think about them being on stage and me not being on stage with them. But at the same time its simply something I had to do. I really appreciate Phil for being able to fill in.

Theres been plenty of speculation as to why Willie has been missing shows. In an interview with KNAC.com, Vio-lence singer Sean Killian said Demmel was touring with Lamb of God because a couple of the guys in the band are not down with doing the vaxx. As much as wed have liked to, Lamb of Gods representatives forbade us from asking Willie why hes not on the road right now.

Instead, we ask if well see him when Lamb of God return to Europe in December, when the band headlines the State of Unrest tour with Kreator, Thy Art is Murder and Gatecreeper in support. Im not sure yet, he replies. Ive still got to figure that out.

While Willie mulls everything over and hopefully finds a path that lets him happily return to the road, he can at least take pride in the most boundary-breaking album Lamb of God have made in more than 20 years. Lamb of God to me is a band that doesnt necessarily stray from its roots but keeps you on your toes, he says. The biggest thing with Omensis to stay Lamb of God but stay fresh. I want kids to be like, Damn, they did it again!

Omens is out on 7th October via Roadrunner. Lamb of God tour the UK with Kreator, Thy Art Is Murder and Gatecreeper in December.

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Lamb of God's Willie Adler on their new album Omens - Guitar.com

It is estimated that sixty-seven percent of women over the age of 65 have osteopenia, or a reduction in bone mass. As a precursor to osteoporosis, where the bones become weak and brittle, this can lead to more serious issues like a hip fracture. In addition to bone loss, arthritis, the painful inflammation and stiffness of joints, affects 1 in 4 people in the United States. While this news may seem grim, the good news is that growing scientific evidence supports that what you eat can have a significant impact on both your risk of bone loss and joint inflammation.

Below are 6 Key Nutrients and a few supporting nutrients that you should incorporate into your diet to protect your bones and reduce inflammation.

Calcium is a mineral that has a well-established role in building strong bones. Calcium needs fluctuate for men and women over a life span. Adult men require 1,000-1,200 mg/day. Adult womens needs depend on age and pregnancy/lactation status and range from 1,000-1,300 mg/day. While cows milk, yogurt, and other dairy are good sources of calcium, they arent the only way to achieve adequate calcium in the diet. Other great sources of calcium include dark leafy green vegetables like kale, bok choy, and broccoli; tofu; oily fish with bones like sardines; sesame tahini; and calcium-fortified foods. If your dietary intake of calcium is low, supplementation may be necessary.

Low serum Vitamin D levels are associated with the risk of developing osteoarthritis. Many people have low serum vitamin D levels, so getting yours checked is important. Very few foods are rich in Vitamin D (oily fish and fortified milk). Coined the Sunshine Vitamin, our bodies are capable of metabolizing vitamin D through sun exposure. Unfortunately, the use of sunscreen interferes with vitamin D metabolism. This is not to discourage the use of sunscreen. However, most people should consider supplementing a minimum of 2,000 IU vitamin D daily. In addition, calcium and vitamin D supplementation should be taken in tandem, as vitamin D helps the body absorb calcium more effectively.

Research suggests that adding Magnesium to the diet can contribute to improved bone density and strength. Foods rich in magnesium include bananas, spinach, almonds, pumpkin seeds, cashews, beans, avocados, whole grains and dark chocolate.

Vitamin K is necessary for bone formation and mineralization. Vitamin K is obtained through dark, leafy green vegetables, including spinach, collards, and kale; Brussels sprouts; prunes; pumpkin and natto.

Boron is a trace element that supports vitamin D levels in the body, and helps to retain calcium and magnesium. Boron is found in raisins, prunes, apricots and avocados.

Zinc helps promote bone growth, mineralization and regeneration. It also helps to reduce inflammation and oxidative stress. Good sources of zinc include nuts, pumpkin seeds, beans, oysters, red meat, and poultry.

Other lesser-known players in bone health and inflammation include the following:

Omega-3 Fatty Acids benefit more than the heart: it may also reduce inflammation associated with rheumatoid arthritis. In addition to oily fish such as sardines, mackerel, salmon and tuna, other good sources of omega-3 fatty acids include seaweed, flaxseed, walnuts, chia seeds, edamame and wheat germ.

Another trace mineral, Silica plays a role in bone mineralization. Good sources include green beans, leafy greens, bananas, lentils, brown rice, and beer (in moderation).

Vitamin C is necessary for collagen synthesis. Collagen is essential for bone development. Vitamin C can be obtained through a variety of foods including citrus, tomatoes, orange and yellow peppers, kale and broccoli.

Popular in Indian and Middle-Eastern cuisine, Turmeric root has long been recognized has having anti-inflammatory and antioxidant benefits. Turmeric contains curcumin, which is the polyphenol possessing these anti-inflammatory properties. Studies have shown that supplementation with curcumin helps reduce pain associated with osteoarthritis at a level similar to over-the-counter non steroidal anti-inflammatory medications like ibuprofen.

Boswellia serrata is a plant that produces Indian frankincense, and has been used to reduce inflammation associated with arthritis. A recent meta-analysis has shown that four weeks of Boswellia supplementation reduced joint pain and stiffness in subjects with osteoarthritis.

Proteolytic enzymes are another alternative treatment to reducing joint pain and increasing joint function in those with osteoarthritis. Papain (found in papaya) and Bromelain (found in pineapple) are two proteolytic enzymes that have shown comparable benefits on reducing pain with nonsteroidal anti-inflammatories.

Protecting your bones and reducing joint inflammation is both possible and manageable through simple dietary changes. A diet rich in a variety of colorful plant-based foods like vegetables, fruits, nuts, seeds, and whole grains, with the addition of fatty, omega-3 rich fish can help minimize the risk of osteopenia and joint inflammation associated with arthritis. Couple these strategies with regular physical activity to maximize the benefits!

Melissa Ohlson, MS, RDN, LDN is a registered dietitian and Integrative Nutrition Health Coach available for nutrition consultations and coaching at Charleston Sports Medicine. She can be reached at eatwellcharleston@gmail.com.

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Eat Your Way to Stronger Bones & Healthy Joints - Daniel Island News

A number of factors may increase the risk of someone developing long COVID, aside from catching COVID itself. They include having asthma, Type 2 diabetes, or autoimmune conditions, and being female.

Now researchers think prior exposure to another coronavirusone that causes a common coldmay play a role in some patients.

In the new study by Harvard Universityaffiliated scientists, published Sept. 26 to Yale Universityaffiliated preprint server medRxiv, authors tested the blood of 43 patients who had arthritis or a similar condition before the pandemic.

Such patients who later developed long COVID showed evidence of an underwhelming antibody response to COVIDand of an overwhelming antibody response to OC43, one of several circulating coronaviruses that cause common colds.

The patients were likely infected with the cold at some point in their lives before they were infected with COVID, the authors theorize. When their bodies immune systems were exposed to the coronavirus SARS-CoV-2, which causes COVID, they responded with OC43 antibodies that, while similar, were less than ideal, leading to chronic inflammation and other long COVID symptoms.

Dr. Eric Topol, a professor of molecular medicine at Scripps Research and founder and director of the Scripps Research Translational Institute, said the new findings come in a very interesting report that adds to the possible underpinnings of long COVID.

Researchers have looked at prior infection with Epstein-Barr virus, a form of herpes that can cause mono, and other viruses as potentially contributing to the development of long COVID, Topol tweeted Sept. 26. But the new study is the first to look at the role a common cold might play.

There are thought to be multiple categories of long COVID with, perhaps, different triggers for each, aside from COVID. While prior infection with this common cold may play a role in arthritis patients with long COVID, it may or may not play a role in other categories of patients, the authors wrote.

But for arthritis patients in particular, the discovery could serve as a way to identify long COVID and potentially develop a treatment for it, they added.

Nearly 20% of American adults whove had COVIDan estimated 50 million Americansreport having long COVID symptoms after their infection resolves, according to data collected by the U.S. Census Bureau this summer.

Long COVID is roughly defined as symptoms that persist or appear long after the initial COVID infection is gone, but a consensus definition has not yet been broadly accepted.

Many experts contend that long COVID is best defined as a chronic-fatigue-syndrome-like condition that develops after COVID illness, similar to other post-viral syndromes like those that can occur after infection with herpes, Lyme disease, and even Ebola. Other post-COVID complications, like organ damage and post-intensive-care syndrome, should not be defined as long COVID, they say.

Coronaviruses, named for their crown-like appearance under a microscope, were discovered in the 1960s. Four types, including OC43, commonly circulate among humans, usually causing colds. Three additional coronaviruses involve more serious symptoms: MERS (Middle Eastern respiratory syndrome), which caused an epidemic in 2012; SARS (severe acute respiratory syndrome), which caused an epidemic in the early 2000s; and COVID.

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Long COVID could be linked to a totally different (and common) virus, new study finds - Fortune

TV presenter Kate Thornton has revealed that menopause left her too anxious to socialise as she was forgetting people.

Here, she bravely opens up about her perimenopausal symptoms in hope of helping other women.

5

Ive always been the type of person who makes lists when I finish work, I jot down everything I need to do the next day.

But when I went into perimenopause in summer 2020, my method started failing me.

All of a sudden, I started forgetting really basic things.

"Id walk into a supermarket and think: Why the hell am I here? Do I need milk? Ive got no idea.

Or Id be in the middle of interviewing someone and suddenly not remember what we were talking about and, in extreme cases, who they even were.

In an attempt to regain some control, I began sticking Post-Its all over my kitchen with reminders on things Id never had to think twice about before until my kitchen resembled a police incident room.

I felt like my mind was an Etch A Sketch.

Id be in the middle of a conversation and it was like someone would come along and wipe it all out.

It was bewildering.

The menopause is a bit like pregnancy you think you know what to expect, but nothing can prepare you for what its actually like.

My first real symptom was extreme body aches.

I woke up one morning and felt like Id done 18 hours in the gym.

The knee pain was so debilitating that I thought I had arthritis.

When I booked in for a scan, the technician said: Im telling younow, you havent got arthritis, youre perimenopausal.

"I see so many womenof your age.

Although joint aches are a symptom of perimenopause, there was no official information around how bad they could be, so I turned to forums for help.

In my job, Ive had to get good at researching things on the internet, but I felt like I was swimming through a sea of misinformation.

There has been so little research, it was difficult to distinguish the facts from opinions.

5

Not long after the body pains, I noticed my eyes would start streaming at 4pm every day.

Then came the weight gain I jumped two dress sizes in two months.

I was surprised how self-conscious it made me feel.

I attacked it by doing lots of HIIT workouts, which in hindsight was the worst thing I could have done, as it can affect your cortisol levels and make you retain fat.

Weirdly, I also started waking up at 4am every morning, too.

My mum Sandy wasnt even 40 when she started the menopause.

When she went to her GP for help, they told her: Youve got absolutely no oestrogen, OK, bye!

It makes me so angry.

As a teenager, I remember thinking it was like her light had gone out.

My mum, who was so full of life, became a shell of herself. I can really relate to that now.

Fabulous Menopause Matters

An estimated one in five of the UKs population are currently experiencing it.

Yet the menopause is still whispered in hush tones like its something to be embarrassed about.

The stigma attached to the transition means women have been suffering in silence for centuries.

The Sun are determined to change that, launching the Fabulous Menopause Matters campaign to give the taboo a long-awaited kick, and get women the support they need.

The campaign has three aims:

The campaign has been backed by a host of influential figures including Baroness Karren Brady CBE, celebrities Lisa Snowdon, Jane Moore, Michelle Heaton, Zoe Hardman, Saira Khan, Trisha Goddard, as well as Dr Louise Newson, Carolyn Harris MP, Jess Phillips MP, Caroline Nokes MP and Rachel Maclean MP.

Exclusive research commissioned by Fabulous, which surveyed 2,000 British women aged 45-65 who are going through or have been through the menopause, found that 49% of women suffered feelings of depression, while 7% felt suicidal while going through the menopause.

50% of respondents said there is not enough support out there for menopausal women, which is simply not good enough. Its time to change that.

The brain fog made me too nervous to socialise.

I used to enjoy catching up with friends on the phone, but I even stopped doing that as I couldnt trust what I was saying.

I felt like Id lost all the best bits of myself.

HRT has been life-changing.

Ive had to approach my menopause like the journalist I am Its about education and making a connection with a health professional who can guide you through a significant chapter in your life.

I was lucky to find Dr Naomi Potter in October 2020, after Lisa Snowdon mentioned her on Instagram.

She was the third doctor Id seen and it immediately felt like she understood what I was going through.

Shes got me on Lenzetto oestrogen spray and the Mirena coil to balance my progesterone.

I lost weight with gentle weight-lifting and doing at least 10,000 steps a day, and now I feel like Ive got my identity back.

As someone who works full-time, is a single parent to my son Ben [14], and has a full social life, I thrive on being busy.

So when I couldnt be that person, I didnt recognise myself.

Im not saying every woman should take HRT, but they should have the information to make an educated choice.

That education needs to be in schools, workplaces and in our healthcare system.

I hate the thought of other women going through what I did.

5

5

5

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My body hurt so much I thought I had arthritis & I started forgetting people it was the menopause, says K... - The Sun

A nan with painful arthritis that is made worse by the cold has said she cant afford to keep her heating on. Marianne Kiely, 59, has been wrapping herself in blankets to save pennies for her grandkids' Poundland Christmas presents.

Desperate to still be able to buy her grandkids presents, the loving nan from Willenhall, West Midlands, has been living without the warmth needed to soothe her arthritis. Marianne survives on Universal Credit as she is unable to work due to her health issues and has had to depend on a food bank.

Marianne told Birmingham Live: "We're having to keep the heating off. We've got no choice. I'm putting extra clothing on, to be honest. A couple of times already we have had to go without any electricity.

"I'll make sure the children have got presents, but it will be Poundland things. It won't be anything expensive as everything costs too much."

Marianne lives with her daughter who suffers with epilepsy and has applied for Personal Independence Payments (PIP) - but has so far been unsuccessful. Marianne says she has been left with no choice but to live without the heating for as long as she can bear.

The nan is terrified that things will get worse. She is scrimping on basics such as doing her washing just to keep costs down.

She said: "I'm turning everything off. Even the washing I'm letting it build up a bit more to save on electric and do it all in one go.

"I'm absolutely scared by how high everything is going to go. I don't know how I'm going to manage.

"I know the Government has helped with one-off payments but that's not going to go far in the long run. It's a scary situation."

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'Terrified' nan cant afford heating despite painful arthritis and will do 'Christmas shopping at Poundland' - Lincolnshire Live

Alex Moss, Dirt & Glory Medias account director started his career in the world of film, getting a taste for a multitude of roles in the industry before trying his hand at directing, learning that he wasnt a natural in the process. This didnt deter him from his love of storytelling, which he pursued by writing several shorts and features, picking up an award for one - titled Photo Finish - in 2015.

In the same year Alex joined D&G, attracted by the companys editorial approach and position that cut through the marketing speak to get to the real story, and creating a more personal connection between people and brands. In his role as account director, Alex oversees his clients spending to ensure that their budgets are maximised in the smartest way possible. He also runs some of his clients social media accounts, balancing a brands engaging voice with the potential feather-ruffling nature of the spaces his clients exist in, like the joint pain relief gel, FlexiSEQ.

Today, Alex chats to LBB about the shifting form of digital marketing, how hes helping clients meet the evolving challenges of content production, and why he finds the recent campaign for FlexiSeq, featuring footballer Alex Scott, hugely rewarding.

Alex> I worked in the film industry for many years and did everything from running, right through to assistant directing and even dabbling in a couple of short films I directed myself. They were not good. In realising I was not a natural director I learned that I did love to tell stories and so screenwriting was something that came naturally to me. I wrote several, unproduced, features and a lot of shorts, one of which won the Grand Prize at the Reed short film festival award in 2015.

Alex> I joined D&G in May 2015. I was drawn to the way they wanted to do PR and marketing differently. They wanted to help brands tell the stories that were important to them. It felt like a very natural and magnetic way to cut through a lot of the corporate noise at a time when people want to know what brands stand for.

Alex> The key thing is to help the client make their budget work as hard for them as possible. Our clients are always in a position of wanting more budget or not having enough. So the key for us is helping them maximise their return on investment. This varies from client to client, some might only be able to social spend, others will want above the line video and print advertising. Its my job to ensure I am advising them with all the expertise Dirt & Glory have acquired over the past eight years to achieve this.

Alex> When we first started we were primarily working in words and only words. Now, with the evolution of social media the way people are exposed to content 24/7 on their phones, weve had to adapt. Ensuring video, design and the right headlines to attract the right audience is always front and centre. Many clients want to do video content as they know it has huge power, especially with the way social media is going, but to do regular video content has huge production costs. So weve found ways to streamline this and rely on a huge pool of talented designers, editors and producers to help us ensure our clients are always providing relevant and cutting edge content.

Alex> The internet is no longer something new and shiny, its part of our day to day lives and as a result most people have become immune to traditional digital marketing. How many times do you see a pop-up or banner advert and simply scroll past or click to get rid of it obscuring your view for the reason youre actually there? An editorial approach is the reason someone is there. Because youre telling them a story; be it a testimonial, an incredible bit of expert advice or a story to inspire them. Telling stories was around centuries before marketing was, if we can draw people in with a fascinating narrative we raise their awareness of what a brand stands for and looks to achieve on a daily basis.

Alex> A client I have worked with for many years now is FlexiSEQ, which is a joint pain relief gel. From very early on we realised that many people with joint pain, and specifically arthritis, have been either dismissed by a lot of healthcare professionals or have tried so many treatments they have grown weary of things not working for them. What people living with an invisible illness like arthritis will do though is scour the internet looking for kernels of advice, the smallest of nuggets that could help them better live with joint pain.

We set about putting together a catalogue of tips pieces, speaking with arthritis charities and medical experts on ways people can reduce the pain of arthritis. The end goal was to get those living with the condition to come to the FlexiSEQ website to find out about these tips and tricks and in doing so raising their awareness of the products FlexiSEQ offered. By aligning FlexiSEQ as a brand who cares and wants to help those living with arthritis, people see them as a brand to trust. In turn they become more open and willing to try their product. Furthermore, those who use FlexiSEQ cannot sing its praises highly enough so weve created a bank of incredible testimonials to showcase the transformation the product has had on those who had otherwise given up on ever moving free of joint pain again.

This in turn has led to an incredibly friendly and very close community on the FlexiSEQ Facebook page. We see people offering up tips on top of the tips weve pulled together, looking to help others through their experiences of what works for them. Its a genuine highlight of my job seeing a community come together.

Alex> The very nature of the internet is you are always going to ruffle a few feathers. Its a place where people like to be offended. The key is to be more engaging than ruffling. You have to always ask yourself; what is the end goal here? It might be to get people to click a link, in which case you need to entice them, it might be you want people to comment and engage with a post, so how do you do that? It might be asking a pertinent question or challenging their way of thinking. Either way, its about knowing and understanding your audience. And this is done not as much through data but listening to them. Social allows us to do that, it allows us to really hear the voices of potential clients. You might ruffle a few feathers in the process but when you do its important to be the calm voice in the room.

Alex> A few years ago FlexiSEQ asked us to start looking for a new brand ambassador. Wed worked with Len Goodman for many years and he was great and really spoke to the older arthritis audience but we needed someone different, someone who could speak to a wide ranging demographic. Our number one choice was always former womens footballer Alex Scott. FlexiSEQ agreed she was perfect and so we negotiated to get her onboard. What made Alexs story so powerful was that despite being in her 30s she is already living with osteoarthritis. This was not something that Alex had ever really touched on in the past so to get to tell that story, via a beautiful brand film as well as various written interviews, was incredibly powerful. Alex was lovely to work with, so open and candid about her journey and to see it resonate with the FlexiSEQ audience was hugely rewarding.

Alex> There are two parts of my job I enjoy the most. The first is the team I work with. I love collaborating with them, creating a brief and then watching our amazing designers and copywriters bring it to life. Its very like being back in the film industry, youre all working towards this single vision and when it comes together in ways you never dreamed of its hugely satisfying. Of course, it helps if the client is blown-away by the end result. The second thing is hearing from actual customers. Working in marketing youre often asked to say and write a great deal on brands and products. When you speak with the people who actually use that product is when you get a crystal clear insight into what it means to them. Whenever I get to do testimonials and hear how a product, service or brand has had a real world impact on someone there is nothing more rewarding than that.

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Dirt & Glory's Alex Moss Cherishes the 'Real World Impact' of His Role | LBBOnline - Little Black Book - LBBonline

HighlightsCastor oil can reduce the pain of arthritis Castor oil can reduce swelling of joints

Benefit of Castor Oil in ArthritisArthritis means that the pain of arthritis can only be understood by the one who suffers it. The pain of arthritis in the joints of the body is unbearable. Due to the weakening of the bones, there is pain in the joints of the body. Apart from this, due to sudden injury, the pain of arthritis starts bothering again and again. Because of this, even walking becomes difficult. By the way, the pain of arthritis can be relieved in many ways. But the use of castor oil can give more benefits.

According to experts, this oil can be used to get relief from the pain of arthritis. Let us know how castor oil can be useful in arthritis.

Castor oil with special propertieshealth site According to this, castor oil is very useful for internal and external health of the body. The use of castor oil can be helpful in treating all kinds of diseases. Castor oil has anti-inflammatory, anti-oxidant, anti-bacterial and anti-fungal properties. Many natural elements are also present in it. Which provide relief from the pain of Arthritis.

Read also: Junk food and smoking increasing the risk of heart attack? Learn Reality

beneficial castor oilCastor oil is beneficial in relieving pain and swelling in joints and muscles.Castor oil can be used to strengthen the bones of the body of young children.After massaging with castor oil, it helps to improve blood circulation.

Castor Oil for ArthritisThe use of castor oil can be beneficial to get relief from the pain of arthritis. For its use, soak a cloth overnight in castor oil and then squeeze it and place it on the painful area. To get relief from pain, keep a hitting pad on it for half an hour. Apart from this, by doing this, joint pain can also be relieved.

Read also: Can eating non-veg cause obesity? Know the reality here

Castor oil can be useful in some way in arthritis. This can give relief in pain to a great extent.

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FIRST PUBLISHED : October 06, 2022, 23:30 IST

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Benefits of castor oil: Castor oil is very useful in arthritis, know its health benefits - Hunt Daily News

Rheumatoid arthritis (RA) is an autoimmune disease that causes inflammation, swelling, and pain in a persons joints. The condition is chronic and progressive and can be disabling. Symptoms develop over time, with early signs including fatigue, joint tenderness, and pain.

According to the Arthritis Foundation, 1.5 million people in the United States have RA. Biological females are three times more likely than biological males to develop RA.

This article looks at the early signs that a person might have RA. It also discusses later stage symptoms and when to speak with a doctor.

If a person has an autoimmune disease, such as RA, their immune system mistakes the bodys cells for foreign invading cells. Their immune system then releases inflammatory chemicals to attack them.

If someone has RA, their immune system attacks the tissue called synovium. This tissue lines the joints and produces fluid that helps them move smoothly.

RA most commonly affects the joints in the hands, wrists, and knees. It causes the lining of the joints to become inflamed, which can damage their tissues. The damage that RA causes can lead to a person developing long lasting or chronic pain. It may also cause deformities and a lack of balance.

RA may also affect other tissues in a persons body, including organs such as the heart, eyes, and lungs.

A person can develop RA at any stage in their life. However, the condition most commonly develops between the ages of 30 and 50 years old.

People with early stage RA may not see redness and swelling in their joints. However, they may experience some joint tenderness and pain. A general feeling of stiffness throughout the body in the morning may suggest a person has RA.

Someone with early stage RA may also experience fatigue. Fatigue can be both mental and physical and can cause a person to feel extremely tired, preventing them from performing their usual daily tasks.

The inflammation that comes with RA may cause a person to develop a fever. A person has a fever if their body temperature rises above the typical range of 98100F (36.737.7C). Fever is a common sign of inflammation in people with autoimmune diseases.

A person may also experience weight loss due to the inflammation from RA. In addition, someone with fatigue and fever may experience appetite loss, which can contribute to weight loss.

As the inflammatory process of RA progresses, symptoms can worsen. A person may experience more extreme fatigue and continue to have fevers and lose weight.

Common symptoms of RA include the below.

Joint pain and stiffness is the most common symptom of RA. The persons joints may become red, warm, swollen, and tender to touch.

Joint stiffness is often at its worst in the morning. It can last for several hours or the entire day, depending on the severity of the disease.

RA tends to cause pain and stiffness in the hands and feet first. However, a person may experience these symptoms in the knees or shoulders.

RA will often affect both sides of a persons body. In fact, finding symmetrical symptoms across the joints is key to how doctors diagnose RA.

RA can cause damage to a persons ligaments and tendons. This can make it more difficult for them to achieve a typical range of motion in the joints. This can result in a person being unable to bend or straighten certain joints.

This can have a negative effect on their quality of life, as it may restrict them from doing things they were once able to do.

Inflammation from RA can cause nerve compression, which can affect the nerves around the joints. This can cause a person to develop damaged nerves, called peripheral neuropathy.

This nerve damage can cause a loss of sensation, and people may experience numbness or a tingling sensation in their hands and feet.

Rheumatoid nodules are lumps that develop under a persons skin. They are a common symptom of RA.

These lumps often appear next to the joints that the RA is affecting. However, rheumatoid nodules do not require treatment and are not contagious or dangerous. They can sometimes indicate that a person could make improvements to how they manage their RA.

RA mostly affects a persons joints. However, the disease can also affect other parts of the body, including the heart, lungs, and eyes.

This can cause a variety of other symptoms, including the following.

RA can affect a persons eyes. This can cause them to have dry eyes, the most common type of eye involvement in RA. People with RA can also experience increased sensitivity to light and trouble seeing clearly.

They may also experience eye pain and redness of the eye when RA inflammation affects the eye tissues, such as the iris or the uvea. This involvement is called iritis or uveitis, respectively.

RA can cause a person to have a dry mouth and inflamed gums.

People may also develop irritated gums or a gum infection.

According to a 2020 meta-analysis of 18 studies, up to 19.5% of people with RA may also have Sjgrens disease. This is a chronic autoimmune disorder affecting the moisture-producing glands, including those in the mouth.

RA can cause damage to a persons lungs, particularly in the form of interstitial lung disease, an umbrella term for a group of conditions that cause inflammation and scarring in the lungs.

This can cause the person to experience shortness of breath and may lead to chronic lung disease.

Inflammation can affect a persons blood vessels.

This can cause damage to their skin and nerves, resulting from inflammation of the veins, arterioles, and venules. The latter involvement can develop as a peripheral neuropathy.

A person with RA may also have anemia or a lower than expected red blood cell count due to the chronic inflammation.

A person with RA may experience inflammation of the heart. This can damage the heart muscle and the surrounding areas.

The chronic inflammation that RA causes can also increase the risk of developing coronary artery disease (CAD).

The inflammation affects the lipid profile of people with RA, contributing to the onset of CAD. People with RA are almost twice as likely to experience heart conditions, such as angina and congestive heart failure, as those without.

Some people with RA experience weight loss.

However, others may find that painful joints make it hard to exercise.

This can cause the person to gain weight. People who maintain a moderate weight can reduce their risk of high cholesterol, heart disease, and high blood pressure.

To treat RA effectively, it is important that a person gets an accurate diagnosis as soon as possible. If they experience symptoms of RA, they should seek medical help.

If a doctor suspects RA, they may arrange for the person to consult a rheumatologist, a doctor with specialized training in treating arthritis.

A doctor will first ask about the persons medical history before discussing joint symptoms. They will want to know about any pain, tenderness, stiffness, and any mobility difficulties they might be experiencing.

The doctor may also want to know about any family history of autoimmune diseases.

They will then carry out a thorough physical examination, documenting vital signs, examining joints, and looking for tenderness, swelling, or warmth of the joints. The doctor may also order blood and imaging tests to support the suspected diagnosis.

RA is a chronic autoimmune condition.

If a person has RA, their immune system confuses the bodys own cells for foreign invading pathogens. This causes the immune system to attack its own cells.

The immune system will also attack synovium, the tissue that lines the joints and produces fluid that helps them move smoothly.

RA tends to affect the joints in the hands, wrists, and knees.

Common symptoms of RA include swelling and pain in the joints, fatigue, fever, decreased function of joints, and compromised mobility.

Anyone who thinks they may have RA should consult with a doctor as soon as possible.

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How to tell if you have rheumatoid arthritis - Medical News Today

Acquired hemophilia is a rare condition that is a disease of the immune system. With this condition, the bodys immune system targets clotting factors in the blood, such as factor VIII. Acquired hemophilia can occur in people that have rheumatoid arthritis and can have serious consequences.

Hemophilia is a disorder that stops the blood from clotting properly. For most people with the condition, it is an inherited disease. Reduced levels of certain blood clotting factors can cause bleeding and trigger serious health problems in some severe cases. There are two types of hemophilia: A and B. Both can be congenital, which means a person inherits it, or they can acquire it, meaning it develops later in life.

Rheumatoid arthritis is an autoimmune disease that mainly affects the joints. The bodys immune defenses mistakenly attack the joints in the hand, wrist, or knee, causing inflammation and damage. Besides chronic joint pain, balance problems, and deformed bones, the condition can also affect organs such as the lungs, heart, and eyes.

A link between both conditions exists. Acquired hemophilia has associations with rheumatoid arthritis in about 48% of cases, and people tend to have a poorer prognosis.

Keep reading to learn more about the link between hemophilia and rheumatoid arthritis, including diagnosing and treating both conditions.

Acquired hemophilia is similar to congenital hemophilia in that it can cause bleeding. However, the acquired form of the disease is a rare immune system disorder that involves the immune system attacking healthy cells.

Unlike congenital hemophilia, acquired hemophilia does not pass down through generations of a family. Additionally, congenital hemophilia only affects males, whereas acquired hemophilia can affect people of any sex.

In acquired hemophilia, the body makes antibodies that attack proteins, known as clotting factors. With these proteins depleted, the blood does not clot as it should. An example of an affected clotting factor is factor VIII. When blood clots, it clumps together at the site of a wound like a plug.

People who have acquired hemophilia can experience a range of serious complications of the disease due to atypical and uncontrolled bleeding into the soft tissue, skin, and muscles. Sometimes this happens spontaneously or due to surgery or trauma.

According to a recent case report, acquired hemophilia can have links to cancer, pregnancy, certain medications, or autoimmune conditions, including:

However, half of all cases of acquired hemophilia have no identifiable cause.

Both acquired hemophilia and rheumatoid arthritis are immune disorders, where the body attacks its own healthy cells.

Many people with a diagnosis of one autoimmune condition go on to develop other autoimmune disorders. Researchers working on a 2022 study found that people with rheumatoid arthritis often have polyautoimmunity.

Polyautoimmunity refers to the state in which a person has more than one autoimmune disease.

Symptoms can occur when the blood is not clotting properly. People with acquired hemophilia might experience the following:

According to a 2022 case report, a 69-year-old female, who had lived with rheumatoid arthritis for 25 years, experienced a severe nosebleed and bleeding into her muscles and skin. When doctors performed tests, they found that she had factor VIII clotting factors below healthy levels in her blood.

An older case report from 2016 involved another 69-year-old woman who required hospitalization. Doctors diagnosed her with rheumatoid arthritis 6 years before. Four months before the hospital admission, she experienced:

Doctors can diagnose both conditions by assessing their symptoms and results from the laboratory.

Doctors may diagnose acquired hemophilia if a person is experiencing atypical bleeding that has only started recently. They use a variety of specialized blood tests that measure how long it takes the persons blood to clot. Some tests might include:

People who are most susceptible to acquired hemophilia include the elderly and those who are about to or have recently given birth.

People with rheumatoid arthritis have swollen and tender small joints. Symptoms can include:

Diagnosing this condition involves reviewing the above symptoms, carrying out a physical examination, taking X-rays, and doing lab tests.

Learn more about how doctors diagnose rheumatoid arthritis.

The main goals of managing acquired hemophilia disease are:

As acquired hemophilia is rare, developing most therapies involves using anecdotal or small case reports. Treatments are highly specialized and depend on many factors, including age, overall health, tolerance for certain medications, and the underlying cause.

Some medications include:

When a persons acquired hemophilia has links to another autoimmune condition, such as rheumatoid arthritis, doctors most commonly write a combined prescription for methylprednisolone and cyclophosphamide. Both medications help prevent the overactive immune system from attacking healthy cells.

Research from 2018 shows that acquired hemophilia is a life threatening condition, and 515% of people with the disease die.

When doctors diagnose a person with acquired hemophilia early and take action to treat the condition sooner, a persons outlook can be more positive. However, some healthcare professionals can miss or misdiagnose the condition.

Additionally, treatment options come with risks. Therefore, people with acquired hemophilia need regular monitoring from their doctors.

Hemophilia may be congenital or acquired. People with acquired hemophilia can have other autoimmune conditions, such as rheumatoid arthritis, at the same time.

Many laboratory tests can help diagnose and treat this condition. Doctors prescribe medications to people with the following goals: controlling bleeding, eradicating the inhibitor, and treating the underlying disease where possible.

The sooner doctors diagnose and treat a person with acquired hemophilia secondary to rheumatoid arthritis, the better their chances of survival.

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What is the link between hemophilia and rheumatoid arthritis? - Medical News Today

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Most of the consequences of the Supreme Courts June ruling overturning the landmark Roe v. Wade decision will likely be less dramatic than the case of a 10-year-old girl from Ohio, a victim of rape, who was taken to Indiana for abortion care because of restrictions in her home state. But for the women, girls and others impacted, the results may be no less harmful and heartbreaking.

Already, we are seeing that states attempts to severely restrict abortion are impacting people who arent seeking abortions and, in fact, may never have them. Women in several states with bans or stringent restrictions on abortion are already finding it difficult to obtainmedication they need for every day living.

Drugs that help women live with cancer, lupus and arthritis are being restrictedbecause they can also be used to induce abortion or are part of the care after miscarriages and ectopic pregnancies.

One such drug is Methotrexate, a drug used to treat arthritis, lupus, cancer and Crohns disease.

Dana Chabot of Portland was diagnosed with juvenile arthritis before her third birthday. She has taken a combination of medications, sometimes including Methotrexate, to manage day-to-day living, such as getting out of bed, walking up and down stairs and attending college and now working.

If she is unable to obtain the medication her body needs, her life would deteriorate quickly.

Although Gov. Janet Mills and Democratic lawmakers have pledged to keep abortion legalin Maine, Chabot worries that such attitudes and laws can change with different people in office.

As of right now, Maine is a safe state. But, in the future, if Maine becomes one of those states that bans abortion and I cant get the proper medication, its going to be a really big issue, she said during a recent interview at her familys home in Portland. Her mother, Barbara, is a friend of mine from college.

I do worry that Maine will suddenly become a state I wont be able to live in, she added.

On the surface, life may look normal for Chabot, 22. She was a cheerleader at Deering High School and actively involved in theater. She graduated from college in May and works two jobs.

But, because of her arthritis, a day at work or a night out with friends can mean hours of pain and difficulty moving through her daily routine.

Like others with hidden disabilities, Chabot has had to endure doubts and insensitive advice from doctors, teachers and others. Suggestions that her illness is in her head are as frequent as they are mean. One school counselor told her to get a boyfriend so she could focus on him rather than her problems. Doctors have been dismissive as well.

Arthritis, and the health consequences that can come with it headaches, joint pain, imobility, even blindness in some cases are very real. One in four American adults have arthritisand 300,000 American children have juvenile arthritis. It takes medication, and a lot of careful planning, to keep the pain and loss of mobility at bay.

At times, it feels like doctors and insurance companies which have to approve any changes in medication or other therapies control her body, Chabot said.

Right now, I have very little control over my own body. and lawmakers are telling me there is even less I can do with my own body. Its awful, but I have to fight for the right to just function normally, she said.

We should all be able to agree that no one should have to fight for the right to function normally, that no one should have to fear that they cant get the medications that make their life liveable.

Supporters of bans on abortion will likely argue that this is not what they intended. But, the push to outlaw abortion without full consideration of the unintended consequences is irresponsible and cruel.

Girls like the 10-year-old in Ohio and women like Dana Chabot any humans, in fact should not have to live in fear that lawmakers, and not themselves, will control what happens to their bodies.

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Abortion bans are harming women with cancer and arthritis. A Portland woman fears it can happen here. - Bangor Daily News

improve thyroid gland function

Experts say that due to the deficiency of copper, thyroid glands malfunction. In this case, copper water balances the inefficiencies of the thyroid gland. If you have thyroid problems, drinking water in a copper vessel every day is a healthy option for you.

Copper water benefits your health by strengthening bones. This makes it an excellent treatment for arthritis. The anti-inflammatory effect of copper is of great benefit to individuals with arthritis. It also reduces the problem of joint pain.

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Copper water removes pollutants and harmful germs. Along with this, it reduces stomach irritation, and promotes metabolism and improves digestion.

Copper water promotes proper blood circulation. and dilates blood vessels. In this way the risk of heart related diseases is reduced.

Ayurveda experts state that the benefits of copper water include fighting the harmful effects of free radicals. Due to which the problem of aging is reduced.

Water stored in a copper vessel prevents oxidants from working faster or better, thereby reducing the risk of stroke.

The right amount of copper in the body works to increase your metabolism. It also helps in losing weight in a healthy way by burning fat.

Copper is an important mineral. The body requires it at the proper level to prevent hemoglobin related disorders.

According to experts, copper has natural antibacterial properties that can reduce infections. In such a situation, storing water in a copper vessel in the rain and drinking it can save you from the infection spreading in this season.

Disclaimer: This article is for general information only. It cannot in any way be a substitute for any medicine or treatment. Always contact your doctor for more details.

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These 10 diseases including thyroid-arthritis will remain under control, just drink water every day like this - News Day Express

Although there are several new technologies and techniques improving outcomes for sports medicine and orthopedic patients, many surgeons are not incentivized to use them, according to Kevin Stone, MD.

Dr. Stone is an orthopedic surgeon leading the Stone Clinic in San Francisco. He specializes in robotic-assisted surgeries and the use of biologics for joint preservation, holding more than 40 U.S. patents and lecturing worldwide on cartilage and meniscal treatments.

He recently spoke with Becker's about innovations shaping patient care and the roadblocks keeping providers from onboarding new technology and techniques.

Editor's note: Responses were lightly edited for clarity and length.

Question: What are the biggest challenges facing the industry right now?

Dr. Kevin Stone: The industry that I work in is in sports medicine and arthritis. So I see athletes of all ages, and I see people who are developing arthritis or developed arthritis and want to stay active and keep doing the sports they love to do. In my space of the world, it's really educating people that taking tissues out, such as the meniscus cartilage, or shaving the cartilage, the particular cartilage away, or leaving people with unstable knees leads them to arthritis. And we have developed the techniques now for replacing the meniscus, for regrowing the cartilage, for rebuilding the ligaments accurately so that if people and doctors knew that it's not a good idea to take someone's meniscus cartilage out for example, it's much better if it's damaged to repair it, to regrow it or to replace it then we would save tens of millions of people the arthritis they would later develop.

The biggest challenge is educating doctors and patients to repair and replace tissues, not to take them out. The second biggest part in the industry is the old thinking that artificial joint placement means patients can't return to sports or should stay home and rest their knee, or only do limited activities. That's simply not true anymore. In the age of robotics, what's happened is that robotics have permitted us to become much more precise as partial and total knee replacement surgeons. And when we do a total knee replacement now, we don't need to use cement anymore. So we don't need to limit the patient's activities because they're not going to knock the implant loose, and educating patients and doctors about that has been much harder than we ever thought, because so many patients are being told they can't be active and so many doctors are still doing procedures with old technology.

Q: What technologies and techniques are improving efficiency and quality of care?

KS: This is the era of growth factors and lubrication. So the injection therapy has gotten so good now that many people who once were being brought to surgery for certain types of injuries are being treated successfully with injections, and this is the abandoning of cortisone and then moving toward anabolic injections, growth factors and lubrication.

Q: How do you expect the industry to evolve in the next three to five years?

KS: We will start to get birth tissues approved, which will be much more potent anabolic therapies both with growth factors and anti-inflammatories and cellular recruitment factors, so that the injection therapies will become even more effective. Number two, robotics will expand and patients will demand they be treated with more modern techniques, and that will permit people to be returned to sports, and be much more active than they have been in the past. So I think those two things are probably the biggest changes.

Q: If you could change one thing about the industry, what would it be?

KS: I would improve the incentives for innovation, because right now doctors are not incented to innovate, and that inhibits a lot of the development of the technology and techniques that we would like to use and develop.

[This is partially due to] cost, because robotics are more expensive at first although they're cheaper in the long run and in part, health programs, insurance programs that do not encourage innovation. And because most people only stay with their healthcare plan for two or three years, the insurance companies and healthcare plans don't really care about the long-term outcomes for patients, because those people will not be their patients in the long term. So the incentive is all wrong.

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Repairing and replacing, not removing, is the future of orthopedics: Dr. Kevin Stone - Becker's Orthopedic & Spine