Thursday, February 6, 2025
Home Blog Page 1381

Roasted Asparagus Recipe – Love and Lemons

0

[ad_1]

This oven roasted asparagus recipe is an easy, delicious spring side dish. The spears are tender, juicy, and flavorful. Ready in 15 minutes!


Roasted Asparagus Recipe – Love and Lemons


Roasted asparagus is the best spring side dish! Ready in 15 minutes, it’s so easy to make. Just trim the asparagus’s woody ends, toss it with olive oil, salt, and pepper, and pop it in the oven.

Roasted asparagus is also delicious. The spears are juicy and tender (NOT stringy or mushy), and their tips are browned and crisp.

I could happily eat oven roasted asparagus straight off the baking sheet. But I love it even more when I season it with a squeeze of fresh lemon juice, a punchy sauce, or flavorful garnishes.

I’m sharing my simple roasted asparagus recipe below, along with my favorite seasoning ideas. I’ll be making it often this season, and I hope you will be too!


Recipe ingredients


Roasted Asparagus Recipe Ingredients

You only need 5 ingredients to make perfect roasted asparagus:

  • Asparagus, of course! I like to roast spears that range in size from medium to thick. Because they’re not too thin, they don’t get flimsy as they bake.
  • Extra-virgin olive oil, sea salt, and fresh black pepper – Roasting essentials!
  • Fresh lemon juice – Squeeze it over the roasted asparagus for a pop of bright flavor.

Find the complete recipe with measurements below.


Asparagus on a baking sheet


How to Roast Asparagus

My method for how to roast asparagus is super easy! Here’s how it goes:

First, trim the asparagus. Have you ever eaten a piece of asparagus and found yourself chewing…and chewing…and chewing? Chances are, you got a bite of the tough, woody end of a spear. These thick ends are too fibrous to eat, so you should always trim them off before you cook asparagus.

How to Trim Asparagus

You can trim asparagus in two ways:

1. With a knife. Lay the asparagus spears flat on a cutting board with the tips pointing in the same direction. Trim off 1 to 3 inches of the thick ends, cutting where the asparagus transitions from being thick and woody to juicy and crisp.

2. By hand. Hold a spear of asparagus by its thick end, and gently bend it until it breaks. It will naturally snap at the point where the tough, woody part of the stalk ends. Repeat with the remaining spears, and you’ll be ready to cook!


Hands seasoning asparagus with black pepper from a pepper mill


Next, season it. Transfer the asparagus to a rimmed baking sheet lined with parchment paper. Drizzle it with olive oil, sprinkle it generously with salt and pepper, and toss to coat.

Arrange the asparagus in a single layer on the baking sheet. If the spears are crowded together or overlapping, they’ll steam in the oven, and they won’t brown and crisp up as they bake.


Baked asparagus on a sheet pan


Finally, bake! Pop the sheet pan into a 425°F oven, and bake for 10 to 15 minutes, or until the spears are lightly crisp and tender. Squeeze the roasted asparagus with fresh lemon juice, and serve.


Roasted asparagus with dill sauce


How to Season Asparagus

I love oven roasted asparagus seasoned simply with olive oil, salt, pepper, and fresh lemon juice. But it’s delicious with other toppings and seasonings too!

Feel free to experiment. Here are a few ideas to get you started:

  • Sprinkle it with a few tablespoons of feta or freshly grated Parmesan cheese.
  • Top it with toasted nuts like almonds or pine nuts.
  • Drizzle it with dill sauce, green goddess dressing, or a balsamic vinegar reduction.
  • Shower it with chopped fresh herbs like parsley, dill, and/or mint.
  • Toss it with lemon zest, red pepper flakes, or finely grated garlic.

Serve the oven roasted asparagus with any protein you like, or pair it with a spring entree like my pesto pasta or spinach quiche.

How to Store Roasted Asparagus

Store leftovers in an airtight container in the refrigerator. They keep well for up to 3 days.

Reheat them in the microwave for a quick veggie side dish, or add them to a pasta, frittata, or omelet!


roasted asparagus recipe


More Easy Asparagus Recipes

If you love this oven roasted asparagus, try one of these easy asparagus recipes next:

Want to learn how to roast more vegetables? Try my roasted broccoli, roasted cauliflower, or roasted Brussels sprouts recipe!

Roasted Asparagus

Prep Time: 3 minutes

Cook Time: 12 minutes

Total Time: 15 minutes

Serves 2 to 4

This roasted asparagus recipe is easy and delicious! Ready in just 15 minutes, it’s a perfect spring side dish. Season it simply with salt, pepper, and lemon juice, or try one of the serving suggestions in the blog post above.

Prevent your screen from going dark

  • Preheat the oven to 425°F and line a baking sheet with parchment paper.

  • Toss the asparagus spears with olive oil, season with salt and pepper, and spread them evenly on the baking sheet. Bake for 10 to 15 minutes, or until lightly crisp and tender. Squeeze with lemon juice and serve.

[ad_2]

Birth Story: Preparing and Training for Birth! with Katie Lohiya

0

[ad_1]

We’re back with my favorite type of podcast episode, a birth story!  We’ve been able to create an amazing community of students here at PYC.  I see many of these students twice, sometimes three time a week.  I get to know them, hear their stories, listen to their concerns and I am able to share with them what I’ve learned.  Today we have Katie Lohiya, sharing her birth story.  She has been part of our PYC community since she was 13 weeks pregnant.  She attended class 2-3 times per week, even when she wasn’t in NYC she would join online, which I absolutely adored. I was able to get to know Katie well.  We have a similar background, we are both dancers and performers and I resonated with her.  When I asked her to share her birth story she said “absolutely.” Katie tells a beautiful birth story.  I am deeply honored that as she was explaining her story, her time at PYC was very much interwoven into her birth.  I am very appreciative that the time we spent together helped her throughout her labor experience. 

On today’s episode of Yoga | Birth | Babies, we’ve invited Katie Lohiya, one of our community members.  She is originally from Chicago but has lived in NYC for 14 years.  Katie graduated from Marymount Manhattan College with a BFA in Dance.  Before having her daughter, she danced professionally for a contemporary company (Lydia Johnson Dance) and has taught extensively throughout NYC.  She’s been married to her husband Vaibhav for 10 years and they live on the Upper West Side.

Katie recommends that parents trust their instincts when it comes to pregnancy, birth and parenthood.  She points out that there is so much information to sift through, that it helps to tap into their own intuition.  Whether it’s finding the right provider, advocating for themselves in labor, or getting a second opinion from a pediatrician, she believes that if parents trust their inner voice they will ultimately make the best decision for their family.  Katie’s story is heartfelt and candid.  I’m really excited for you to hear her story, it’s very special!

In this episode you will learn:

  • How she envisioned her birth and what contributed to that vision and idea. 
  • How her preexisting body awareness, as a dancer, helped her prepare for for the discomforts of an unmedicated birth.
  • How yoga and PYC helped prepare her for birth.
  • Where in her birth story a black bear shows up!
  • What coping skills she most gravitated towards.
  • About her experience during transition and how she got to the other side.
  • About something in her story that she will always remember.
  • About her postpartum experience.
  • A piece of advice Katie would like to offer new and expectant parents.

About Katie:

Katie Lohiya is originally from Chicago but has lived in NYC for 14 years.  She graduated from Marymount Manhattan College with a BFA in Dance.  Before having her daughter, she danced professionally for a contemporary company (Lydia Johnson Dance) and has taught extensively throughout NYC.  She’s been married to her husband Vaibhav for 10 years and they live on the Upper West Side.

Check out similar Yoga | Birth | Babies podcast episodes:

  • Don’t forget to grab your FREE guide, 5 Simple Solutions to the Most Common Pregnancy Pains HERE 
  • If you love what you’ve been listening to, please leave a rating and review! Yoga| Birth|Babies (Apple) or on Spotify!

To connect with Deb and the PYC Community: 

Instagram & Facebook: @prenatalyogacenter

Youtube: Prenatal Yoga Center

[ad_2]

carrot coconut baked donuts

0

[ad_1]

Carrot Coconut Baked DonutsCarrot Coconut Baked Donuts

Carrots and coconut are a magical and nutritious combination in this fiber-rich baked donut recipe.

carrot coconut baked donutsCarrot Coconut Baked Donuts teaspoonofspice.com @tspbasil

I’m not much of a carrot cake fan. I find it a bit too sweet and there’s just something I don’t like about carrot and pineapple together. I’m more of a butter/chocolate frosting gal.

But coconut + carrot? Bring it.

Last year, I finally bought a donut pan. I immediately made Gretchen @kumquat ‘s Totally Coconut Donuts and then went on a bit of a baked donut spree

But since then, the donut pan has been dormant for a while so I figured it was time to dust it off. And with spring finally in the air, I figured I’d do a take on carrots and coconut after seeing a few carrot quick bread recipes and a bunch of Easter coconut desserts.

So, these are my “Not Carrot Cake” Carrot Coconut Donuts.

Carrots and coconut are a magical and nutritious combination in this fiber-rich baked donut recipe. Recipe at Teaspoonofspice.com  #donuts #baked #carrots #coconut #bakeddonuts #carrotcakeCarrots and coconut are a magical and nutritious combination in this fiber-rich baked donut recipe. Recipe at Teaspoonofspice.com  #donuts #baked #carrots #coconut #bakeddonuts #carrotcake

I like baking with coconut flour as it produces a tender, fluffy result, is mild in flavor and is super rich in fiber (coconut flour has double the amount of fiber compared to whole wheat pastry flour!) It’s also a great option for those who need to follow a gluten-free diet. (Note: this recipe is NOT gluten-free as I did a mix of coconut and wheat flour.)

Between the flours, carrots and shredded coconut, each of these donuts provides over 6 grams of fiber. 

Not too shabby for a donut.

Print

clock clock iconcutlery cutlery iconflag flag iconfolder folder iconinstagram instagram iconpinterest pinterest iconfacebook facebook iconprint print iconsquares squares iconheart heart iconheart solid heart solid icon

Description

Carrots and coconut are a magical and nutritious combination in this fiber-rich baked donut recipe.


For the batter:

  • 2 teaspoons coconut oil
  • 2 cups shredded carrots
  • ½ cup shredded unsweetened coconut
  • 1 ¼ cups coconut flour
  • ¾ cup whole wheat pastry flour
  • 1 teaspoon baking powder
  • ½ teaspoon ground nutmeg
  • ¼ teaspoon baking soda
  • ¼ teaspoon salt
  • 1 (15 ounce) can light coconut milk
  • 2 eggs

For the frosting:

  • ¾ cup plain Greek low-fat or nonfat yogurt
  • 2 tablespoons powdered sugar
  • ¼ teaspoon vanilla extract


  1. Preheat oven to 375 degrees Fahrenheit.
  2. If coconut oil is in a solid state, place on baking tray and put in oven for a few minutes. Remove tray and add carrots and unsweetened coconut. Mix together and spread evenly on tray. Roast for about 8-10 minutes or until the coconut starts to turn golden brown. Remove from oven and set aside 1 cup of carrot/coconut mixture for frosting.
  3. Lower oven to 350 degrees Fahrenheit.
  4. In a large bowl, mix together remaining roasted carrot/coconut mixture, coconut flour, whole wheat pastry flour, baking powder, nutmeg, baking soda and salt.
  5. In a small bowl, whisk together coconut milk and eggs. Add to dry ingredients and beat until ingredients are just incorporated (batter will be thick and sticky.)
  6. Grease a 6-count donut pan with cooking spray. Fill each cavity with batter. Bake for 18 – 20 minutes or until batter starts to turn golden brown. Remove from pan and cool on a rack. Repeat with remaining batter.
  7. While donuts are cooling, in a small bowl, beat together yogurt, powdered sugar and vanilla.
  8. Once donuts are completely cool, one by one, dip top of donut into frosting to fully coat top. Dip into remaining carrot/coconut mixture. Store in air tight container in refrigerator for up to 2 days.

Carrots and coconut are a magical and nutritious combination in this fiber rich baked donut recipe. teaspoonofspice.com @tspbasilCarrots and coconut are a magical and nutritious combination in this fiber rich baked donut recipe. teaspoonofspice.com @tspbasil

 

[ad_2]

Advancing Health Equity in Health Care | Blogs

0

[ad_1]

Advancing Health Equity in Health Care | Blogs
Jacinda C. Abdul-Mutakabbir PharmD, MPH and Lauri Hicks, DO, FACP

In March 1966, Dr. Martin Luther King, Jr. said, “Of all the forms of inequality, injustice in health is the most shocking and the most inhuman.” Health equity is the state in which everyone has a fair and just opportunity to attain their highest level of health.  Health disparities and inequities in infectious diseases (ID) have existed throughout history, and ongoing inequities became more evident during the coronavirus disease 2019 (COVID-19) pandemic. Within the subspecialties of healthcare epidemiology, infection prevention and control, and antimicrobial stewardship, there is also evidence that certain patient populations are at increased risk for infectious complications during hospitalization, and antibiotic prescribing varies according to several factors, including patient race and ethnicity, geographic location, and type of prescriber.

To increase the publication and accessibility of ID-related Diversity, Equity, and Inclusion (DEI) content, the Infection Control and Hospital Epidemiology (ICHE) journal editors issued a call for DEI-focused manuscripts. Several scientific papers published as a part of the collection provide insights ranging from disease-related inequities based on socioeconomic status to antibiotic prescribing discordance based on race/ethnicity. Released in the April 2024 issue of ICHE, we authored Advancing Health Equity through Action in Antimicrobial Stewardship and Healthcare Epidemiology, which synthesized the valuable insights provided through the ICHE DEI collection. Additionally, we provided commentary on how individual clinicians, healthcare organizations, and the public health workforce can apply these findings to their healthcare epidemiology, infection prevention and control, and antimicrobial stewardship activities.

Everyone has a role to play in improving equity, whether you are providing clinical care or leading infection prevention and control, antimicrobial stewardship implementation, or an entire healthcare organization. The act of addressing the uncovered inequities may seem daunting. Nonetheless, we emphasize that making a personal commitment to equity is an important starting point. That commitment to mitigating disparities will hopefully create a forum to conduct an assessment of your practices, including assessing implicit biases and examining how social determinants of health may impact your patients and the community more broadly. This will aid in equitably addressing the needs of different populations.

Finally, the continued advancement of equitable interventions requires the inclusion of diverse individuals in the workforce. Thus, we all must acknowledge our role in advocating for the recruitment of marginalized individuals into infectious disease and public health roles. Moreover, we must also commit to providing these recruits with mentorship and support throughout their careers.

Improve Antibiotic Use, Improve Health Equity

Authors:

Jacinda C. Abdul-Mutakabbir PharmD, MPH, is an Assistant Professor of Clinical Pharmacy and Researcher at the University of California San Diego.  Her translational research program is focused on identifying inequities in antimicrobial resistance and stewardship to inform tailored interventions for vulnerable communities.

Lauri Hicks, DO, FACP is a Captain in the US Public Health Service and the Chief of the Medical Product Safety Branch in the Division of Healthcare Quality and Promotion at the U.S. Centers for Disease Control and Prevention in Atlanta.

[ad_2]

Social Security Payment Schedule: April 2024 Checks

0

[ad_1]

Anyone who is getting Social Security benefits should know the Social Security payment schedule for 2024. Knowing when you’ll receive your Social Security benefits each month will make it easier for you to budget your money, pay your bills, and make the benefits that you receive stretch as far as possible.

If you’re wondering, “When will I receive my Social Security benefits for April, 20024?” don’t worry. This guide has everything you need to know about the Social Security payment schedule in April and everything you need to know about when you will receive your Social Security benefits throughout the year.

Social Security Payment Schedule: April 2024 Checks

There are several factors that influence the Social Security payment schedule 2024. The type of benefits that you receive, the date of birth of the person receiving the benefits, and how many people in the household receive benefits can all impact when your Social Security benefits arrive. Holidays and other potential delays can also affect when you receive your Social Security disability benefits.

If you are receiving SSI benefits your April 2024 SSI payment will arrive on Monday, April 1st, 2024. Anyone who has a Direct Express® benefit card or has direct deposit of their benefit should see that money in their account on April 1st, 2024.

People who are receiving other types of Social Security benefits like retiree benefits, SSDI payments, or survivor’s benefits will receive their benefits according to the schedule created by the Social Security Administration. That schedule is based on the date that you were born. The April 2024 Social Security payment schedule is:

  • If your birth date is between the 1st and 10th of the month during which you were born, you will receive your payment from the Social Security Administration (SSA)on the second Wednesday of the month, April 10th.
  • If your birth date is between the 11th and the 20th of the month during which you were born, you will receive your payment from the Social Security Administration (SSA) on the third Wednesday of the month, April 17th.
  • If your birth date is between the 21st and 31st of the month during which you were born, you will receive your payment from the Social Security Administration (SSA)on the fourth Wednesday of the month, April 24th.

If you are a recipient of survivor’s benefits you need to remember that the date when the benefit money will arrive is based on the birth date of the primary recipient.

If you’re thinking when is my Social Security payment for April 2024 coming? Here are the exact Social Security payment dates for April 2024:

April 1st: You’ll receive a Social Security payment for April 2024 on Monday, April 1st if you receive SSI from the SSA.

If you meet one of these criteria you will receive your SSI payment on Friday, April 3rd:

  • You live outside of the U.S.
  • You receive both Supplemental Security Income (SSI) and Social Security benefits.
  • Your state pays your Medicare premiums.
  • You filed for Social Security benefits prior to 1997.

If you are receiving any kind of Social Security benefit payment that isn’t SSI you will receive your April, 2024 Social Security benefit payment on these dates:

April 10th: If your date of birth falls between the 1st and 10th of the month during which you were born, you will receive your April 2024 Social Security payment on the second Wednesday in April which is April 10th.

April 17th: If your date of birth falls between the 11th and 20th of the month during which you were born, you will get your April 2024 Social Security payment on the third Wednesday in April which is April 17th.

April 24th: If your date of birth falls on or after the 21st of the month during which you were born, you will receive your April 2024 Social Security payment on the fourth Wednesday in April which is April 24th.

How much Social Security benefit money will I get in April 2024?

How much will you receive from Social Security in April 2024? Typical April 2024 Social Security payments are:

SSDI

If you are getting SSDI payments from the SSA in April 2024 the maximum benefit amount that you can receive each month is $3,822.

SSI

If you are getting SSI from the SSA in April 2024 the monthly SSI payment maximum benefit that you can receive is:

  • For an individual: $943
  • For a couple: $1,415
  • For an essential person: $472

Retirement Benefits

If you are getting retirement benefit payments from the SSA in April 2024 the maximum benefit amount you’re able to receive each month is:

  • Full retirement age benefit: $3,822
  • Retired at age 62: $2,710
  • Retired at age 70: $4,873

Survivor Benefits

If you are getting survivor benefits from the SSA in April 2024 the maximum benefit amount you’re able to receive each month is:

  • Individual survivor, no children: $1,773
  • Survivor with two children: $3,653

These are just general amounts. The actual amount of money that you receive from Social Security may be higher or lower depending on factors like when your Social Security benefits were awarded. These amounts do include the 3.2% COLA increase that started on January 1, 2024.

To calculate exactly how much money you will receive from the SSA in April you can use our handy disability benefits calculator.

The April 2024 Social Security benefit payment schedule is usually accurate, but there are sometimes delays that can impact when your benefit payment arrives. If there is a Federal holiday during the month benefit payments may arrive late. Weekends can also affect when Social Security disability benefit payments arrive.

If your payment is due to arrive on a date that falls on a weekend, then your benefit payment should arrive the Friday before the weekend. Mail delays due to heavy traffic, storms, or understaffing can sometimes impact when payments arrive, but that’s unusual.

There are no major holidays in April 2024 that should impact when Social Security benefit payments arrive. Easter is on March 31st, but Social Security payments for April, including SSI payments, should be received on schedule in April.

If you live outside of the United States, if you receive both SSI and Social Security benefits, or if you filed for Social Security benefits before 1997, you should receive your April Social Security benefit payment on Wednesday, April 3rd.

Social Security Payment Schedule: Exactly When to Expect Your Checks in April 2024

Waiting for a Social Security benefit payment isn’t fun. It means putting off buying things you need like food or waiting to pay bills. That’s why people who are receiving Social Security benefits are encouraged to sign up for direct deposit.

If you have a checking or savings account at any bank or credit union you can have your monthly Social Security benefit payment deposited electronically into your account. The money will be deposited on the day that you should receive your payment based on the SSA’s 2024 Social Security payment schedule.

Another option to get your Social Security benefit payments faster is to sign up for the Social Security Administration’s Direct Express® card. The Direct Express® card is like a debit card. Your money will be deposited onto the card electronically each month. You can use the card like a debit or credit card to pay for things or to withdraw cash at an ATM. There may be fees for withdrawing cash, depending on the ATM that you use.

To sign up for either direct deposit or the Direct Express® card just go into your account on the SSA’s website and follow the prompts.

If you’re not sure when you will receive your Social Security benefit payment you can check your Social Security payment date online.

Knowing your payment date is very important so that you can budget your benefits and make arrangements to pay your bills. Knowing your payment date can help you avoid late fees, overdraft or NSF fees, and other fees that can eat into your benefits when you do receive them.
To find out when your April 2024 Social Security benefit payment date is just go into your account on the SSA’s website. Under your account information, it should list your payment date.

Sometimes it can feel like it takes forever to get Social Security benefit payments, especially if your application hasn’t been approved yet. It can take a long time to get your Social Security application approved, but once it’s approved you won’t have to wait very long to start getting benefits.

There is a five-month waiting period to start receiving Social Security benefits. However, if your application takes longer than five months to be approved you won’t have to wait another five months before you start getting your benefit payment.

If your application is approved in less than five months after you apply you will start receiving Social Security benefits the sixth month after your application was submitted. If your application is approved but it’s been more than six months since you applied you will start receiving benefits the next month. Your benefit payment will arrive according to the Social Security benefit payment schedule.

Back pay is paid differently than regular monthly benefits. You should receive your back pay in a lump sum within 60 days of your application being approved. But, back pay is only paid electronically. You will need to have your back pay deposited directly into a bank account or sign up for a Direct Express® card.

Social Security Benefits Payment Schedule 2024

You should receive your April 2024 Social Security benefit payments on time. There are no major holidays in April 2024, and no reason to think that payments should be delayed. If you want to double check your April 2024 Social Security payment date you can always log into your SSA account and check your payment date.

If you are concerned about getting your Social Security payments fast you should sign up for direct deposit or get a Direct Express® card from the Social Security Administration. Those are the fastest ways to get your money.

Check back often for any updates on the Social Security 2024 payment schedule so that you’ll always know when your Social Security payment is arriving. Knowing when your money will be in your account is important so that you can manage your money, pay your bills on time, and make sure that your rent or mortgage gets paid promptly.

If your claim for Social Security benefits was denied, or if you haven’t filed your Social Security application yet you should really speak with an attorney who specializes in Social Security claims. A Social Security lawyer can answer your questions, help you fill out your application, and help you if your claim is denied and you need to appeal.

To get personalized help with a Social Security claim or to get answers to your questions about Social Security benefits fill out a Free Case Evaluation now. You will be connected with an attorney who might be able to help you. You don’t have to pay anything upfront to get connected or speak with a Social Security attorney by filling out our form. This is because Social Security disabiliity lawyers only get paid if they are able to get you the benefits you may need.

[ad_2]

The tough sell of the third-party candidate

0

[ad_1]

This is an edition of The Atlantic Daily, a newsletter that guides you through the biggest stories of the day, helps you discover new ideas, and recommends the best in culture. Sign up for it here.

Third-party and independent candidates are never all that popular in American presidential elections. But this year, fear of handing the election to Donald Trump is making an outsider run radioactive.

First, here are four new stories from The Atlantic:


Outsider Attempts

The third-party presidential candidate is not a beloved figure in American life. Many of these contenders are ignored or mocked for their unrealistic ambitions—unless, in rare cases, they end up influencing a close race, at which point they are blamed for spoiling things for the major candidates.

This year, outsider candidates are trying their luck in a particularly high-stakes election—and facing major pushback from those who fear that a spoiler could hand the White House back to Donald Trump. That dynamic helped fuel the downfall of No Labels, a sincere and well-funded—though confusing and perhaps naive—attempt to get a centrist alternative on the presidential ballot. After months of courting various candidates (the list reportedly included Condoleezza Rice, Will Hurd, and Nikki Haley), collecting what it said in November of last year was $60 million in donations, and getting on 18 state ballots, the organization called it quits last week: It just couldn’t get a credible candidate to run on its ticket.

“Anyone who earnestly opposes Donald Trump—Democrat, Republican, independent, whatever—is terrified of participating in anything that will hasten Trump’s return to power,” my colleague John Hendrickson, who has covered No Labels, told me today. Even though No Labels itself insisted that its third-party bid would not be a spoiler in the race, John explained, many people saw it as just that.

A theoretical No Labels candidate sweeping the general election was never a realistic risk. Americans have never elected a third-party candidate—in part because such politicians don’t have the combination of fundraising machinery and party backing that Republicans and Democrats do, John told me. He explained that third-party candidates can also have a hard time getting on the ballot in various states, which have their own laws determined by politicians who are overwhelmingly members of either party. “We often think of presidential elections as ‘national’ elections, but the reality is that ballots are administered by states,” John said.

Still, there’s just enough precedent for “spoiler” candidates changing the game at the last minute to give pause to those who do not want Trump back in the White House. These candidates have siphoned votes in a few close races in the past—notably in the 2000 election when Ralph Nader nabbed about 97,000 votes in Florida, where Democratic candidate Al Gore lost by about 500 votes, and in 2016, when Jill Stein garnered some that could have gone toward Hillary Clinton. (Both candidates ran for the Green Party, so were likely more attractive to liberal voters or those who voted for Democrats.)

Many voters are unenthused—even distraught—about the major-party candidates on offer in this election. These negative feelings could inject real volatility into the race. My colleague Elaine Godfrey, who published an article this morning about a group of undecided women voters in the electorally vital suburbs of Philadelphia, found that some—appalled by Trump, wary of Joe Biden’s age—were casting about for other options. A few of them were checking out Robert F. Kennedy Jr., the former Democrat and conspiracy-minded political scion who has shown surprising momentum in his outsider bid.

RFK Jr.’s “We the People” Party is present only on the Utah ballot so far, but he is currently polling around 12 percent—well below either of the major-party candidates, but a number that distinguishes him as the highest-polling independent candidate since Ross Perot ran in 1992 (in what was then the most successful outsider bid in many decades). As John wrote of RFK Jr. last month: “His movement’s potential to ‘spoil’ the election remains very real.” He just announced his vice-presidential pick as Nicole Shanahan, a wealthy Silicon Valley lawyer who was until recently married to a Google co-founder, whom he selected from a bucket of contenders that reportedly included Aaron Rodgers, Tulsi Gabbard, and Killer Mike; Shanahan’s wealth and age (she is 38) could help RFK Jr. bring in new voters.

Some of the women Elaine interviewed did seem to think that RFK Jr. has a real shot at winning. But other Americans, as Jon Krosnick, a political-science professor at Stanford University, told me last fall, vote for an outside candidate not because they think that person has a chance but because they will feel better about themselves if they choose that person. Krosnick’s point is a reminder that voting is not only a political act—it is emotional, social, and deeply human.

Related:


Today’s News

  1. A total solar eclipse emerged along Mexico’s western coast and finished its path across continental North America in Newfoundland, Canada.
  2. In a new video, Donald Trump said he would leave the issue of abortion rights up to states’ discretion.
  3. President Biden outlined his plans to lower or cancel student-loan debt for more than 30 million Americans.

Dispatches

Explore all of our newsletters here.


Evening Read

Picture of Alex Garland
Photograph by Stephen Ross Goldstein for The Atlantic

Civil War Was Made in Anger

By David Sims

When the first trailer for Alex Garland’s new movie, Civil War—a harrowing depiction of conflict between American states in the near future—was revealed, a wave of bafflement spread across the internet. Incredulous articles questioned the conditions that would lead Texas and California to become allies against “loyalist states,” as was written on a promotional map. Others wondered how the film could dare to depict such conflict without really explaining its origins, given that Civil War takes place well into its titular war, with rebel forces descending on the White House to evict a president (played by Nick Offerman) who has refused to leave office.

This reaction only justified Garland’s reasons for making Civil War—not merely as a gnarly war drama, he told me in a recent interview, but as an argument against political polarization: “I find it interesting that people would say, ‘These two states could never be together under any circumstances.’ Under any circumstances? Any? Are you sure?”

Read the full article.

More From The Atlantic


Culture Break

A rainbow image with multiple faces of Dwayne Johnson
Illustration by Matteo Giuseppe Pani. Source: Getty.

Don’t blink. Because the Rock doesn’t either. Dwayne Johnson’s career is a parade of different personas and ventures, but if there’s one thing that unites it all, it’s that he will “always spin things his way,” Robin Sloan writes.

Watch. The SNL “Secretaries” sketch, starring the former cast member Kristen Wiig, knew just how to skewer mid-century office culture, Esther Zuckerman writes.

Play our daily crossword.


Stephanie Bai contributed to this newsletter.

When you buy a book using a link in this newsletter, we receive a commission. Thank you for supporting The Atlantic.



[ad_2]

EMA and delays in drug launch – Healthcare Economist

0

[ad_1]

For patients with serious illnesses, timeline access to efficacious medications is paramount. The European Medicines Agency (EMA) was created in part to help expedite drug approvals and insure these products are save and effective. As stated in a paper by Grünwald and Stargardt (2024):

The EMA [European Medicines Agency] was founded in 1995 primarily to harmonize the marketing authorization of pharmaceuticals in the EU and EEA…as there had been substantial differences among European countries in terms of launch delay and the availability of pharmaceuticals

The EMA had 3 key community procedures that grant access to the markets of some or all EU member countries simultaneously.

  • Centralized procedure (CP). If the EMA evaluates a pharmaceutical and grants it marketing authorization, this determination is binding all all European Union member states. CP was introduced in 1995 and was originally used only for “biotechnological processes, such as monoclonal antibodies, controlled gene expression or recombinant DNA technology”. The list of treamtents evaluated under CP has expanded to includeorphan drugs and substances against cancer, diabetes, and HIV/AIDS (in 2005), viral diseases and auto-immune diseases/dysfunctions (in 2008), and advanced therapy medicinal products (e.g., cell and gene-therapy) also in 2008.
  • Mutual recognition procedure (MRP). In this case, the assessment is performed by a reference member state, which the applicant can choose freely and whose decision is subsequently adopted by all other member states in which the applicant seeks market access. This procedure was adopted in 2001, and includes new treatments that are outside of the CP such as other pharmaceuticals and generics.
  • Decentralized procedure (DCP). Adopted in 2005, this would allow pharmaceutical manufacturers to seek country by country approval. This is only eligible for new substances not governed by CP or MRP.

To examine the impact of these procedures, Grünwald and Stargardt (2024) conduct a differences-in-differences analysis comparing countries subject to these community procedures against those who were not. Specifically, with EU enlargement, in 2004 the Czech Republic, Estonia, Hungary, Latvia, Lithuania, Poland, Slovakia and Slovenia (Cyprus and Malta also joined the EU on this date but the authors did not have data from these countries). In 2007, Bulgaria and Romania joined the EU and then Croatia joined in 2013. In contrast, Belarus, Bosnia and Herzegovina, Kazakhstan, Russia, Serbia, Switzerland , and Turkey never joined the EU. Using IQVIA sales data from 33 European countries, the authors examined (i) the launch delay and (ii) the availability of new active substances. The authors find that,

…countries experienced a mean decrease in launch delay of 10.9 months (p = 0.004) after joining the EU. Effects were higher among pharmaceuticals that belong to indications that might voluntarily participate in the CP but are not obliged to. These are often financially less attractive to manufacturers than pharmaceuticals within the compulsory scope. Availability of new pharmaceuticals launched remained unaffected. We found signs that the magnitude of the country-specific effect of centralized marketing authorization on launch delay may be influenced by strategic decisions of manufacturers at the national level (e.g., parallel trade or reference pricing).

EMA and delays in drug launch – Healthcare Economist
https://onlinelibrary.wiley.com/doi/full/10.1002/hec.4819

For more details, you can read the full article here.

[ad_2]

The Washington Post Thinks dietitians Are Making People Sicker. They’re Wrong.

0

[ad_1]

The Washington Post’s article, “As Obesity Rises, Big Food and Dietitians Push ‘Anti-Diet’ Advice.” is an example of what happens when journalists lose all nuance and common sense to sell a narrative that doesn’t quite add up.

Under the helm of Anahad O’Connor and ‘The Examination,’ the WaPo’s attack dog investigative team, the public is getting used to impotent and poorly constructed arguments against dietitians for actually doing their jobs.

To sum their argument up: dietitians are denouncing food shame and diets, and promoting foods that aren’t fruits and vegetables. Therefore, we are the reason for the high rates of obesity in the United States.

God forbid people have choices around their food AND don’t feel shame for what they eat. 

This latest piece begins with what the authors believe is a link between the anti-diet movement, and cereal maker General Mills’ ‘Derail the Shame’ campaign. 

Here, the authors attempt to convince readers that when dietitians promote the philosophy that all foods can fit, this is the same as us recommending that people should eat nothing but Lucky Charms. That anti food-shaming messaging by dietitians and companies is always opportunistic, and that it’s singularly responsible for the rising rates of obesity.

It’s a terrible argument. 

As you’ll see in a moment, a very small faction of RDs (and other influencers that WaPo conveniently doesn’t mention) have exploited the ‘anti-diet’ title to support unscientific ideas, but this isn’t what’s happening when dietitians – or General Mills – stand up and call out food shaming for the problem it is.

General Mills has donated a significant amount of money to No Kid Hungry, which works to improve kids’ food security in vulnerable neighborhoods around the country.

Let’s talk about shame for a moment, because in the process of panning legitimate anti food shaming efforts, the authors of this article are engaging in their own brand of shaming.

When we use words like ‘junk’ to describe food, it can lead to guilt and shame for people who eat those foods. It’s important to understand that food choices are highly personal, complex, and undeniably nuanced beyond just ‘eat this, not that.’

People get fatter when they’re shamed about their weight and their diet, and research proves this (and here)

People in larger bodies who feel guilt, shame, and disgust about themselves and their eating habits are more likely to binge eat, according to this 2022 study. And this one. And this one, too.

Telling people that they shouldn’t be eating a bowl of cereal because it’s ‘sugary junk’ is not going to help anyone lose weight, and it’s certainly not going to make a dent in the number of obese individuals in any country.

We’ve tried dieting. Not only does it not work, it has the opposite effect. The reason why people are fat is far more complex than a box of cereal. 

Senator Richard Blumenthal (D-Conn.) weighed in with this perfect example of an uneducated opinion: 

“I think it is really reprehensible for the food industry to prey on the vulnerabilities of people who suffer from diabetes or obesity or diseases that are caused by excessive sugar, fat and perhaps other ingredients that do them harm,” Blumenthal said. “To tell people they should be proud of eating the wrong things, that’s hardly doing them a service.”

I had no idea that General Mills advertises specifically to people who have obesity and diabetes.

And with all due respect, Senator, I’m sure the majority of dietitians don’t tell anyone to be proud of what they eat, be it vegetables or cereal. That’s because the flip side – people feeling ashamed of eating the foods that people like you call ‘wrong’ – is destructive and harmful.

Dietitians understand that morality-based judgements around food and being proud of yourself because you chose the ‘right’ things to eat that day are the hallmarks of a disordered relationship with food. Food is food. Period. 

Yes, some foods are more physically nourishing, others more emotionally nourishing. A healthy diet has both. So please, spare me your concern-trolling. People don’t need more judgement and more diets. They need change effected where it can actually help. 

The article goes on to name-drop dietitians who the journalists feel are professionally remiss for promoting foods like protein pancakes, pizza with chickpea flour crust, and grass-fed beef jerky sticks. 

Lauren Smith, who calls herself a “food freedom dietitian” on TikTok, has posted ads for frozen pizza from a gluten-free brand, Banza, and for a high-protein snack company, Lorissa’s Kitchen, to her more than 70,000 followers.

I take it that we can’t be free to eat without guilt and shame unless we’re eating the ‘right’ foods that have been approved by WaPo journalists?

Dietitian Colleen Christensen posted a video of herself eating rocky road ice cream on her TikTok account @no.food.rules, in which she mocks low-calorie alternatives. She has made ads for pancake makers Kodiak Cakes and Premier Protein for her 300,000 followers.

NOT FULL FAT ROCKY ROAD! OH MY GOD!

The pearl-clutching, performative outrage around these dietitians’ work is incredibly obtuse. It’s unrealistic to imply that dietitians who are promoting anything besides whole foods are somehow doing harm. 

Nobody’s diet consists exclusively of whole foods, even Senator Blumenthal’s, I’m sure. 

And again, who is determining that these foods are unworthy of dietitian support? What are the criteria being used here? No matter what food we promote, there will always be someone who believes that it’s ‘unhealthy.’ 

Content that communicates the messaging that we no longer have to punish ourselves with the ‘diet’ foods we feel we ‘should’ be eating, is helping people, not hurting them. It’s not the same as ‘promoting obesity’ or denying that being overfat comes with health risks. 

Only people who have no clue what it’s like to counsel clients for weight loss or to listen to individuals who have had decades of their lives ruined by diets and disordered eating, would ever create such a witless uproar over what these dietitians are doing. 

In fact, reading the allegations that these journalists are making about my colleagues is like watching a disaster in slow motion. It’s so utterly clueless, it’s painful. 

I have never, ever seen a dietitian – or General Mills, for that matter – tell anyone that they should replace all of their meals with ready to eat cereal.

Some people do eat cereal for each meal, but it’s likely because they lack the time, access, or money for anything else. Cereal is inexpensive, it’s convenient, it’s fortified with essential nutrients. It’s often given out at food pantries. It’s also delicious. 

And no, I did not get paid by Big Cereal to write that. 

Counselling thousands of people over my 24 years in practice as a dietitian has taught me that food insecurity is a real problem in our society. I believe that it, and other social determinants of health, are the real reason why so many people are suffering from weight-related issues.

Not because they’re eating the ‘wrong’ foods, but because society is failing them on the most basic levels. Telling people what not to eat isn’t the answer. What is? Improving access to health care and doing something about healthcare’s horrific racial (and here) and weight biases that lead to poor outcomes in these patients. Improving education, raising pay, and continuing to subsidize nourishing food among other things.

Read more about the Social Determinants of Health and how they affect us, here.

I find it particularly egregious that for a left-leaning paper that has historically championed inclusivity, exposed systemic shortcomings, and placed importance of telling the whole story, there was no mention in this piece about any of this. That is shameful.

One part of the article that I do agree with is where the authors write about the co-opting of the anti-diet, HAES (Health At Every Size), and intuitive eating movements by privileged individuals, dietitians, and influencers looking for attention and to profit. 

There is a group of dietitians whose extreme narrative is that any intentional weight loss is wrong and disordered, that diets cause more health problems than fatness does, and that fatness is not related to risk for disease.

For the record, I do not agree with any of this. 

The Washington Post was correct in calling these people out for their misinformation and science-denial, but these professionals are a small minority in the dietetics community. Dietetics is an evidence-based, regulated health profession. There’s not a lot of room to make up your own fantastical anti-science theories without either being ostracized or finding your license at risk for revocation. 

The majority of dietitians are helping people live better, healthier lives. We can effectively interpret and communicate science, and we are the most qualified profession in the world to counsel and advise individuals on what and how they should eat. 

If the Washington Post has no faith in the ethics of dietitians, who then is the public to trust for nutrition information? Naturopaths? Unregulated nutritionists or ‘nutritional therapists’? The harm of an article such as this WaPo one is that it erodes trust in dietetics professionals and drives the general public to seek the help of less qualified individuals.

I’m not sure why this outlet and these particular journalists seem obsessed with finding corruption in the dietetics community at large, when the evidence for this has remained elusive…even after now two ‘investigative’ pieces?

Perhaps it’s important to not paint an entire profession with the same brush, and to understand all facets of a complex situation before you report on it. 



[ad_2]

CBD for Runners: Does it Work or are the Claims Unsupported

0

[ad_1]

CBD has become an increasingly popular topic in the running and endurance world.

Claims range from direct performance improvements to improved recovery and better quality sleep.

But, are any of these claims backed by any research?

Well, that’s what we’re going to dive into in today’s article. We’ll look at…

  1. The differences between CBD, Hemp and THC
  2. The research on CBD for inflammation and recovery
  3. The science on CBD and sleep
  4. The best types and optimal dosages of CBD if you’re going to try it

Understanding the difference between CBD, Hemp, and THC

Not surprisingly, CBD is often directly associated with marijuana, which has historically resulted in a misunderstanding of how it works and what it does.

So, what exactly is the difference?

CBD is the non-psychoactive compound found in cannabis whereas THC is the psychoactive component found in cannabis.

Something like marijuana will contain both CBD and THC, which results in the “high” typically associated with the drug.

However, the CBD products you see used and marketed to athletes contain only trace amounts of THC (typically under 0.3% or less).

This means it does not result in getting high or feeling any psychoactive effects.

Now, you’ll often hear CBD discussed as or interchanged with hemp.

That’s because hemp is simply a variety of the cannabis plant and it’s usually the one used by CBD makers because it naturally contains only trace amounts of THC.

Research on CBD for Inflammation and Recovery

Now that we understand what exactly CBD is, let’s get into what the research says on how it might be able to help endurance athletes.

A review published in Frontiers in Pharmacology highlighted CBD’s anti-inflammatory properties, suggesting its potential to reduce exercise-induced inflammation and muscle soreness.

By interacting with the body’s endocannabinoid system (ECS), CBD may modulate pain perception and promote faster recovery following intense workouts.

A separate study published in the European Journal of Pain found that CBD applied topically reduced pain and inflammation in rats with arthritis, suggesting its potential for managing exercise-induced soreness in humans.

This is why CBD is often used as a natural way to relieve inflammation compared to using typical anti inflammatory medications.

CBD and Sleep Quality

My personal foray into CBD started as a way to help improve sleep quality and to help relax on nights that I did my workouts in the evening.

Since CBD interacts with the endocannabinoid system, which plays a crucial role in regulating circadian rhythms and sleep-wake cycles, CBD may help synchronize these rhythms, leading to more consistent and restorative sleep patterns over time.

In addition, CBD’s anxiolytic and analgesic properties may help reduce factors that disrupt sleep, such as anxiety.

By alleviating these symptoms, CBD may promote longer periods of uninterrupted sleep, allowing individuals to achieve deeper and more restful restorative sleep stages.

A study published in the Journal of Clinical Pharmacology found that CBD administration was associated with improvements in sleep quality and duration in individuals with insomnia, suggesting its potential as a therapeutic option for sleep disorders.

Furthermore, CBD may promote REM sleep by modulating serotonin levels in the brain, leading to more vivid dreams and improved cognitive processing during sleep.

By enhancing REM sleep, CBD may contribute to overall sleep quality and cognitive performance upon waking.

Finally, because CBD interacts with receptors in the brain involved in stress and anxiety regulation, promoting a sense of calmness and relaxation that can facilitate faster sleep onset.

By reducing racing thoughts and promoting mental tranquility, CBD may help individuals transition more quickly from wakefulness to sleep, shortening the time it takes to fall asleep.

By addressing both the physical and psychological components of sleep onset difficulties, CBD may offer a holistic approach to improving sleep latency.

Finding the right CBD for you

Just like any supplement, the quality of the CBD you choose and your dosage will have a pretty big impact on how it works for you. CBD also has the added decision of how you want to take it – eaten or topical.

Let’s look at all three elements…

CBD Dosage

The specific, efficacious dosage of CBD is probably one of the most difficult things to figure out when first trying CBD.

How your body reacts is going to be completely unique and based on a variety of factors.

Therefore, you should implement a “start low, go slow” strategy by first trying a low dosage (like 10mg) and increasing by 5-10mg per day and monitoring how you feel.

What you’re looking for is an “I feel great” response.

If the dosage is too low, you’ll likely feel wither very little or “good, but I could feel better”. If it’s too high, you’ll likely feel a little woozy, in which case take a step back in dosage.

That’s the reason I recommend Bace Health.

I had tried CBD a few times to help with sleep, but I really struggled with getting the dose right and either didn’t feel anything or basically felt knocked out.

Then I tried their “Discovery Pack” and it was just what I needed.

The Discovery Pack leads you through a 7-day experience for you to find your perfect dose by slowly increasing from 10mg to 50mg.

By allowing me to fine-tune the dose, Bace helped me find the perfect dosage to help me relax and fall asleep at night, even when I train in the evenings.

If you wan to check them out, you can get half off the Discovery Pack, alongside a FREE sample of their balm.

This makes the discovery pack just $12.50, which is a no-brainer if you wanted to try CBD.

Here’s the link to check out the discovery pack: BaceHealth.com/RunnersConnect.

Topical vs. Ingested

Let’s start with topical vs. ingested. In my opinion, topical vs. ingested comes down to your intended use.

Topical will work best if your main goal is pain or inflammation relief in a specific area.

Ingested CBD (in the form of capsules, gummies or drops) will generally be better if your goal is sleep improvement or whole body recovery.

I’ve tried both and I personally like using CBD more for the relaxation and sleep effects so prefer the ingested versions.

CBD quality

Like any supplement, the quality of ingredients and the manufacturing process will make a huge difference in the effects you experience.

There are many ways a company can extract the phytonutrients from the Hemp plant. In my testing, a non-chemical, natural process results in a significantly better experience.

As such, I recommend looking into the extraction process of any CBD product you want to take and make sure it’s as natural as possible.

Many companies also add terpenes to CBD to enhance or add additional, specific benefits.

I haven’t been able to uncover any research on how specific terpenes effect any of the outcomes an athlete would look for (recovery, performance, sleep, etc.), so whether to include them or not is more of a personal choice.

I hope this detailed breakdown gave you a better understanding of what CBD is (and isn’t) and how you might be able to use it.

Honestly, I’d heard about it for years but dismissed trying it out or even researching it due to the stigma.

But, I am happy I dug into the research because it’s been an amazing addition to my nighttime routine on days I train at night and made a huge difference in my sleep and recovery.



[ad_2]

Levelling Up: Community Hero – MAN v FAT

0

[ad_1]

What advice would you give to anyone who wants to get more involved in their MAN v FAT community?
Find causes that matter to your group. I’m not saying the big charities don’t need help, but quite often, the small charities get overlooked and they tend to be the ones doing the hardest work in your area.

Then, after that, it’s simple. Just get stuck in. The more people you can involve, the better.

Also, it doesn’t always have to be money. We’ve collected toys and Easter gifts for children’s hospitals, food for shelters and food banks.

What did it feel like being named the MAN v FAT 2023 Community Hero?
I said all along, the nomination felt amazing on its own and I never in a million years thought Bridgend would win it as we’re such a small (but mighty) group in comparison to some of our other clubs.

When my name was called I just remember the boys I attended with jumping all over me as I got emotional.

It’s important to say that I do believe individual names should be avoided for this award because it was a whole club at Bridgend that created such a storm, not just one person.

Why do you think the lads at Bridgend voted for you as their Community Hero?
I think it’s mainly because I’m the loudest. Everyone donates, contributes, helps and supports however they can. But you always need one idiot at the front who can voice and organise it.

I am that idiot.

[ad_2]