The Truth about Generic Drugs

When you go to the grocery store, you can often buy “brand X” or the store’s own version of a variety of products ranging from potato chips, salsa and packaged or fresh cheese to bread, paper goods, laundry detergent, cosmetics and much more. These “generic” products are of varying quality, sometimes as good as the name-brand items you may have been purchasing for years, sometimes not as good. The price difference, however, is usually significant, and it’s often well worth the savings.

Can the same comparison be made for generic drugs?  Yes – but with a huge caveat:  What makes generic food and paper supplies different from generic drugs and medicines is strict federal oversight. The generic drugs often are being made by the same pharmaceutical companies as their more expensive brand-name cousins, or by other companies once patents on the brand-name drugs have expired. Proven quality, consistency, strength and testing by the Federal Food and Drug Administration (FDA) assures the consumer that the generic being substituted for the brand-name drug is safe, effective and just what the doctor ordered.

In fact, eight out of 10 brand-name drugs are now available in generic equivalents. Generics are, on average, 80 percent to 85 percent cheaper than brand-name drugs, saving U.S. consumers close to $200 billion annually.

Pharmaceutical companies mark up their proprietary brands to reflect the upfront costs involved in research, testing, clinical trials, manufacturing, distribution and marketing and advertising. Marketing and promotion is a huge expense, which is reflected in the purchase cost of brand-name drugs. Drug manufacturers are allowed to protect that brand for a certain number of years to recoup their investments. Once that patent protection expires, other companies are allowed to produce the product without the costly start-up charges or advertising, and the price drops due to competition.

When a generic drug product is approved, it has met rigorous standards established by the FDA with respect to identity, strength, quality, purity, and potency. However, some variability can and does occur during manufacturing, for both brand-name and generic drugs. When a drug, generic or brand name, is mass-produced, very small variations in purity, size, strength, and other parameters are permitted. FDA limits how much variability is acceptable, and monitors those differences.

Generic drugs are required to have the same active ingredient, strength, dosage form, and route of administration as the brand-name product. Generic drugs do not need to contain the same inactive ingredients as the brand-name product, though.

To ensure quality and performance, the generic drug manufacturer must prove its drug is the same as (or bioequivalent to) the brand-name drug. For example, after the patient takes the generic drug, the amount of drug in the bloodstream is measured.  If the levels of the drug in the bloodstream are the same as the levels found when the brand-name product is used, the generic drug will work the same. Through review of bioequivalence data, FDA ensures that the generic product performs the same as its respective brand-name product. This standard applies to all generic drugs, whether immediate or controlled release.

Additionally, all generic manufacturing, packaging, and testing sites must pass the same quality standards as those of brand-name drugs, and the generic products must meet the same exacting specifications as any brand-name product. In fact, many generic drugs are made in the same manufacturing plants as brand-name drug products.

When to be cautious

With the proliferation and availability of drugs sold online, consumers must be careful that the products they’re buying – especially those created and shipped from other countries – meet the same standards as American generic drugs. It’s one thing to apply an adhesive bandage made abroad, another to ingest a medicine critical to your recovery from an illness, maintenance meds for a chronic condition, or vitamins and supplements that could be harmful or result in death.

The reason for caution is that the FDA often does not regulate, review or test these drugs that come from potentially nefarious sources in India, China, South America and the Far East.  Oftentimes, drugs that are advertised “made in Canada,” for example, actually come from other countries. And manufacturers are expert at using similar-sounding names for better-known drugs to confuse consumers. They also prey on the elderly, less-educated and needy.

The cash price for online drugs might be right, but the physical price could be extremely costly. When in doubt, consumers can visit the U.S. Food and Drug Administration website for safety information, alerts and pharmaceutical product details.

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Be sure to check out the CBIA Healthy Connections wellness program at your company’s next renewal. It’s free as part of your participation in CBIA Health Connections!

Heart Health: About Cholesterol and Statins

Every February there’s plenty of talk about hearts – loving hearts, broken hearts, chocolate hearts and tiny candy hearts with heart emoticons and goofy sayings like “text me”– but there’s rarely talk about healthy hearts, and the things we can be doing to help keep them that way.

Coincidentally, February is American Heart Month and a perfect time to remind people of one of the major contributors to cardiovascular disease: Too much bad cholesterol, or not enough good cholesterol. It’s also important to talk about one of the primary medicines millions of Americans consume to help their bodies regulate or offset the negative effects of cholesterol – a widely prescribed class of drugs called statins.

A brief primer on cholesterol

Cholesterol is a waxy substance found in all parts of the body. It is critical to the normal function of all cells. The body needs cholesterol for making hormones, digesting dietary fats, building cell walls, and other important processes. Our body makes all the cholesterol it needs, but cholesterol is also in some of the foods we eat.

When there is too much cholesterol in our blood, it can build up on the walls of the arteries (blood vessels that carry blood from the heart to other parts of the body). This buildup is called plaque. Over time, plaques can cause narrowing or hardening of the arteries – a condition called atherosclerosis – which can clog our arteries and keep our heart from getting the blood it needs.

Keeping our cholesterol levels in check is one of the best ways to keep our hearts healthy, and to lower our chances of getting heart disease or having a stroke. The American Heart Association recommends all adults age 20 or older have their cholesterol, and other traditional risk factors, checked every four to six years. It typically only requires a simple blood test. Our total cholesterol and HDL (good) cholesterol are among numerous factors our doctors can use to predict our lifetime or 10-year risk for a heart attack or stroke. Other risks include family history, if you are a smoker, your diet, the amount you exercise, and if you have high blood pressure.

With HDL (or “good”) cholesterol, higher levels are better. Low HDL cholesterol puts us at higher risk for heart disease. People with high blood triglycerides usually also have lower HDL cholesterol. Genetic factors, type 2 diabetes, smoking, being overweight and being sedentary can all result in lower HDL cholesterol. A low LDL (“bad”) cholesterol level is considered good for our heart health.

Statin drugs work by blocking the action of the liver enzyme that is responsible for producing cholesterol. Statins lower LDL cholesterol and total cholesterol levels. At the same time, they lower triglycerides and raise HDL cholesterol levels. Triglycerides are another type of fat, and they’re used to store excess energy from our diet. High levels of triglycerides in the blood, which are associated with atherosclerosis, can be caused by being overweight or obese, physical inactivity, cigarette smoking, excess alcohol consumption and a diet very high in carbohydrates (more than 60 percent of total calories).

People with high triglycerides often have a high total cholesterol level, including a high LDL cholesterol (bad) level and a low HDL cholesterol (good) level. Many people with heart disease or diabetes also have high triglyceride levels.

Statins help stabilize plaques in the arteries. Since their arrival on the market, statins have been among the most prescribed drugs in the United States, with about 17 million users. The statin medications that are approved for use in the U.S. include Lipitor, Livalo, Mevacor (or Altocor), Zocor, Pravachol, Lescol and Crestor. There also are generic versions available.

The down side to statins

Most people who take statin drugs tolerate them very well. But some people experience side effects. The most common statin side effects include:

  • Headache
  • Difficulty sleeping
  • Flushing of the skin
  • Muscle aches, tenderness, or weakness
  • Drowsiness or dizziness
  • Nausea or vomiting
  • Abdominal cramping, pain, bloating or gas
  • Diarrhea or constipation

Statins also carry warnings that memory loss, mental confusion, high blood sugar, and type 2 diabetes are possible side effects. Due to the possibility of side effects that can damage the liver, patients taking statins are required to have periodic blood tests. It’s important to remember that statins may also interact with other medications.

If you experience any unexplained joint or muscle pain, tenderness, or weakness while taking statins, you should call your doctor immediately. Pregnant women or those with active or chronic liver disease should not use statins. Also, if you take a statin drug, tell your doctor about any over-the-counter or prescription drugs, herbal supplements, and vitamins you are currently taking or plan on taking.

Give yourself the best Valentine’s Day gift possible by keeping your heart and body healthy. Even if your physician recommends you take a statin, maintaining a healthy lifestyle while taking one of these drugs can improve its effectiveness. Be sure to eat a balanced, heart-healthy diet; get regular physical activity; limit alcohol intake; and avoid smoking. Over time – and with sustained healthy weight loss and regular exercise – some patients are able to go off statins, but always speak with your physician before stopping any prescribed medication.

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Be sure to check out the CBIA Healthy Connections wellness program at your company’s next renewal. It’s free as part of your participation in CBIA Health Connections!

The History of Valentine’s Day

Although February 14th may be welcomed by many and reviled by others, it’s hard to ignore.  In fact, it is hard to imagine another day in the year that is simultaneously revered and dreaded . . . and so misunderstood! Sure, we love the chocolate and flowers, romantic dinners and Hallmark missives. There also are plenty of closeted treasure chests filled with children’s painted hand prints and hand-drawn cards. But why does Valentine’s Day actually exist, other than as a blessing for retail stores and our economy?

The history of Valentine’s Day — and the story of its patron saint — is shrouded in mystery. February has long been celebrated as a month of romance, and St. Valentine’s Day, as we know it today, contains vestiges of both Christian and ancient Roman tradition.

The Catholic Church recognizes at least three different saints named Valentine or Valentinus, all of whom were martyred. One legend contends that Valentine was a priest who served during the third century in Rome. When Emperor Claudius II decided that single men made better soldiers than those with wives and families, he outlawed marriage for young men. Valentine allegedly defied Claudius and continued to perform marriages for young lovers in secret. When his actions were discovered, Claudius ordered that he be put to death.

Other stories suggest that Valentine may have been killed for attempting to help Christians escape harsh Roman prisons, where they were often beaten and tortured. According to one legend, an imprisoned Valentine actually sent the first “valentine” greeting himself after he fell in love with a young girl –possibly his jailor’s daughter — who visited him during his confinement. Before his death, it is alleged that he wrote her a letter signed “From your Valentine,” an expression that is still in use today.

Some historians claim that the Christian church may have decided to place St. Valentine’s feast day in the middle of February in an effort to upstage the pagan celebration of Lupercalia, a fertility festival dedicated to Faunus, the Roman god of agriculture, as well as to the Roman founders Romulus and Remus.

At the end of the fifth century, Pope Gelasius declared February 14 St. Valentine’s Day. It was not until much later, however, that the day became definitively associated with love. During the Middle Ages, it was commonly believed in France and England that February 14 was the beginning of birds’ mating season, which added to the idea that Valentine’s Day should be a day for romance.

Valentine greetings were popular as far back as the Middle Ages, though written valentines didn’t begin to appear until after 1400. The oldest known valentine still in existence today was a poem written in 1415 by Charles, Duke of Orleans, to his wife while he was imprisoned in the Tower of London following his capture at the Battle of Agincourt. And the expression, “wearing your heart on your sleeve” was because young men of that era would pin a piece of paper on their clothes with the name of a woman they were interested in, and parade outdoors.

In addition to the United States, Valentine’s Day is celebrated in Canada, Mexico, the United Kingdom, France and Australia. In Great Britain, Valentine’s Day began to be popularly celebrated around the 17th century. By the middle of the 18th, it was common for friends and lovers of all social classes to exchange small tokens of affection or handwritten notes, and by 1900 printed cards began to replace written letters due to improvements in printing technology.

Americans began exchanging hand-made valentines in the early 1700s. In the 1840s, Esther A. Howland began selling the first mass-produced valentines in America. Howland, known as the “Mother of the Valentine,” made elaborate creations with real lace, ribbons and colorful pictures known as “scrap.” Today, according to the Greeting Card Association, an estimated 1 billion Valentine’s Day cards are sent each year, making Valentine’s Day the second largest card-sending holiday of the year. Women purchase approximately 85 percent of all valentines.

Why chocolate?

In the 1840s, Richard Cadbury, descendant of a British chocolate manufacturing family, was responsible for sales at a crucial point in his company’s history. Cadbury had recently improved its chocolate-making technique to extract pure cocoa butter from whole beans, producing a more palatable drinking chocolate than most Britons had ever tasted. This process resulted in an excess amount of cocoa butter, which Cadbury used to produce many more varieties of what was then called “eating chocolate.” Cadbury recognized a great marketing opportunity for the new chocolates and started selling them in beautifully decorated boxes that he himself designed.

While Richard Cadbury didn’t actually patent the heart-shaped box, it’s widely believed that he was the first to produce one. Cadbury marketed the boxes as having a dual purpose: When the chocolates had all been eaten, the box itself was so pretty that it could be used again and again to store mementos, from locks of hair to love letters. The boxes grew increasingly elaborate until the outbreak of World War II, when sugar was rationed and Valentine’s Day celebrations were scaled down. But Victorian-era Cadbury boxes still exist, and many are treasured family heirlooms or valuable items prized by collectors.

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Be sure to check out the CBIA Healthy Connections wellness program at your company’s next renewal. It’s free as part of your participation in CBIA Health Connections!

Are You Maximizing Your Health Benefits?

Earlier this month, someone incredibly lucky – a $63 million lottery winner in California – failed to step up and claim his or her grand prize prior to the closing date, forfeiting the fortune. We can only speculate why they didn’t cash in. Maybe they were ill or had died. Maybe they didn’t need – or want – the money. Or maybe they just threw the winning ticket into the garbage accidentally, never checked the winning numbers, or washed it in their jeans.

Most of us will never walk away from a fortune, or even from an opportunity to save. We clip coupons, fight the Black Friday crowds, shop online, and check the prices of everything we consider purchasing. Yet, there’s one area where many people often fail to think about missed value, lost opportunities and missed savings – and that’s their health and wellness benefits.

Employers can reinforce the value of employees’ “hidden paycheck” through regular reminders, updates, benefit education sessions and by encouraging employees to touch base with their benefit provider’s website, telephone resources, and customer service support. The more employees understand their benefit offerings, the more they can utilize the full spectrum of valuable services, which can include annual health screenings, fitness center discounts, smoking-cessation programs, vaccinations, eye exams, nurse-call lines, disease-management programs and much more.

Most benefits providers reach out regularly to members. But employers also can encourage employees to visit their benefits websites and, if they haven’t already, establish an account. Suggest they review the full range of health and wellness benefits available throughout the year, instead of just tuning in during open-enrollment season. It’s easy to keep track of your progress against a benefits deductible, or to monitor how much you have in your health savings account. And there may well be unexpected surprises for those users willing to take a few minutes to review their plans in more detail.

Though benefits vary widely from plan to plan, here are a few examples of potential missed opportunities:

  • Keeping track of balances (deductibles, health savings accounts, etc.) and claims helps you monitor your healthcare spending, and know when insurance benefits will kick in more fully following completion of deductible requirements as applicable.
  • By knowing what your plan covers, in detail, you will be better able to take advantage of important benefits such as covered annual physicals, OB/GYN visits, mammograms, eye exams and more.
  • Pharmacy benefits such as tiered drug coverage, 90-day mail-order prescriptions, and generics can represent significant cost savings.
  • Many insurance benefits providers offer online or telephone-based services such as nurse help lines, online question and answer forums, and disease-management programs for medical conditions such as asthma, diabetes, heart disease and respiratory illness.
  • Many benefits providers offer obesity-reduction and nutritional information, educational materials for expectant or new mothers, stress-reduction guidance and a variety of classes.

Reminding employees to complete their online health assessment and access healthcare educational information are simple steps we all can take to become more engaged in helping to manage health and wellness for ourselves, our families, and our employees.

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If you’re not enjoying the benefits of a wellness program at your company, join CBIA Healthy Connections at your company’s next renewal. It’s free as part of your participation in CBIA Health Connections!

Got coffee?

When we were little tykes watching our parents drink coffee, they told us we couldn’t have any because the caffeine would stunt our growth. When we got a little older, they poured an ounce of coffee in a cup, filled the rest with milk, loaded in the sugar, and we thought we were big shots.  Later in the day, we may have drunk soda or eaten chocolate — which also have caffeine — but most of us grew up little the worse for the wear.

Adding to the mystery, the health benefits of caffeine often are touted, and myths abound about coffee’s healing properties for headaches, hangovers and as a tonic for keeping us awake. It’s easy to see why we grew up confused about this incredibly popular beverage.  So, is caffeine bad for us, and if so, why?

The answer, like the question, is complicated. But the bottom line is that – as in many things – moderation and information are the keys to healthy caffeine consumption.

Caffeine stimulates the central nervous system, alleviating fatigue, increasing wakefulness, and improving concentration and focus.  As a stimulant, regular use of caffeine does cause mild physical dependence. But caffeine doesn’t threaten our physical, social, or economic health the way addictive drugs do. For most healthy adults, moderate doses of caffeine – 200 to 300 milligrams (mg), or about two to four cups of brewed coffee a day – aren’t harmful. But some circumstances may warrant limiting or even ending our caffeine routine.

If you drink four or more cups a day, take note. Although moderate caffeine intake isn’t likely to cause harm, too much can lead to some unpleasant effects. Heavy daily caffeine use – more than 500 to 600 mg a day – may cause

  • Insomnia
  • Nervousness
  • Restlessness
  • Irritability
  • Stomach upset
  • Fast heartbeat
  • Muscle tremors

Coffee and caffeine in other forms — such as in tea, soda and chocolate — may make us jittery. Some people are more sensitive to caffeine than are others. If you’re susceptible to the effects of caffeine, just small amounts may prompt unwanted effects, such as restlessness and sleep problems.

How we react to caffeine may be determined in part by how much caffeine we’re used to drinking. Caffeine content can range from as much as 160 milligrams in some energy drinks to as little as 4 milligrams in a one-ounce serving of chocolate-flavored syrup. Even decaffeinated coffee isn’t completely free of caffeine. People who don’t regularly drink caffeine tend to be more sensitive to its negative effects. Other factors may include body mass, age, medication use and health conditions such as anxiety disorders or heart disease. Research also suggests that men are more susceptible to the effects of caffeine than are women.

Women who are pregnant often are advised to avoid or limit caffeine because some studies have indicated a higher potential incidence of miscarriage. People with high blood pressure should watch their caffeine intake, as it increases the risk of stroke; and because caffeine does act as a mild diuretic, it will cause us to urinate more often. But studies show drinking caffeinated drinks in moderation doesn’t actually cause dehydration, especially if we drink water and other liquids during the day.

And finally, as for stunting childrens’ growth, there’s an irony to that misconception:  The added sugar that children and many adults consume in flavored coffees and caffeinated energy drinks promotes obesity, and caffeine can aggravate anxiety or irritability, in children and in adults.

Caffeine and sleep

Most adults need seven to eight hours of sleep each night. But caffeine can interfere with this much-needed sleep. Chronically losing sleep – whether it’s from work, travel, stress or too much caffeine – results in sleep deprivation. Sleep loss is cumulative, and even small nightly decreases can add up and disturb your daytime alertness, overall health and performance.

Our body quickly absorbs caffeine. But it also gets rid of it quickly. Processed mainly through the liver, caffeine has a relatively short half-life. This means it takes about five to seven hours, on average, to eliminate half of it from our body. After eight to 10 hours, 75 percent of the caffeine is gone. For most people, a cup of coffee or two in the morning won’t interfere with sleep at night.

But using caffeine to mask sleep deprivation can create an unwelcome cycle. For example, we drink caffeinated beverages because we have trouble staying awake during the day. But the caffeine keeps us from falling asleep at night, shortening the length of time we sleep. Additionally, certain medications and herbal supplements may interact with caffeine, including some antibiotics and other specialty drugs, and certain herbal supplements like Echinacea, which people take to ward off colds.

Talk to your doctor or pharmacist about whether caffeine might affect your medications. He or she can say whether you need to reduce or eliminate caffeine from your diet.

Curbing our caffeine habit

Whether it’s for one of the reasons above – or because we want to trim spending on pricey coffee drinks – cutting back on caffeine can be challenging. An abrupt decrease in caffeine may cause caffeine withdrawal symptoms such as headaches, fatigue, irritability and nervousness. Fortunately, these symptoms are usually mild and resolve after a few days.

To change caffeine habits more gradually, try these tips:

  • Note intake. Start paying attention to how much caffeine you’re getting from foods and beverages. It may be more than you think. Read labels carefully. Even then, your estimate may be a little low because not all foods or drinks list caffeine. Chocolate, which has a small amount, doesn’t.
  • Cut back. But do it gradually. For example, drink one fewer can of soda or drink a smaller cup of coffee each day. Or avoid drinking caffeinated beverages late in the day. This will help your body get used to the lower levels of caffeine and lessen potential withdrawal effects.
  • Go decaf. Most decaffeinated beverages look and taste the same as their caffeinated counterparts.
  • Shorten the brew time or go herbal. When making tea, brew it for less time. This cuts down on its caffeine content. Or choose herbal teas that don’t have caffeine.
  • Check the bottle. Some over-the-counter pain relievers contain caffeine – as much as 130 mg of caffeine in one dose. Look for caffeine-free pain relievers instead.

For most adults, caffeine is a part of our daily routine. And most often it doesn’t pose a health problem. But curtailing our caffeine habits can be better for our health – and our wallets!

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Be sure to check out the CBIA Healthy Connections wellness program at your company’s next renewal. It’s free as part of your participation in CBIA Health Connections!

 

Understanding thyroid health

The thyroid — a small, butterfly-shaped gland located in our lower neck below our voice box — has enormous responsibility for our body’s metabolic processes. Specifically, our thyroid releases two primary hormones — triiodothyronine (T3) and thyroxine (T4) — that control metabolism.

When working properly, the T3 and T4 hormones travel through our bloodstream and help cells get energy from the food we eat. Thyroid hormones are also responsible for helping to regulate our body temperature and blood calcium levels, helping with growth and development and, during infancy, brain development.

For an estimated 27 million Americans, however, the thyroid produces either too much or too little hormone, which causes an array of health symptoms, some severe. January is Thyroid Awareness Month. Because thyroid disease is often misdiagnosed or simply overlooked, it’s estimated that more than half of affected Americans don’t know they have a problem.

The thyroid constantly releases hormones into the blood, helping to regulate many bodily functions.  Additional hormones are produced when the body needs more energy in certain situations.

Women are much more likely to have thyroid problems than men, and may have up to a one in five chance of developing thyroid problems during their lifetime. The risk increases with age and family history, as well as having an autoimmune disease or a close relative with one; through radiation exposure; by going through menopause or perimenopause; or following childbirth.

Hypothyroidism (underactive thyroid) accounts for the majority of thyroid disease cases — up to 80 percent according to some estimates. This condition occurs when our body produces too little thyroid hormone, leading to symptoms such as fatigue and general sluggishness; unexplained weight gain or increased sensitivity to cold; pain, stiffness or swelling in joints; muscle aches and weakness; heavy menstrual periods; depression; brittle hair and nails; and elevated blood cholesterol.

If left untreated, hypothyroidism can lead to obesity, joint pain, infertility, goiter (thyroid enlargement) and heart disease, but because the symptoms can mimic other diseases, or even be attributed to aging, many people do not realize the thyroid connection. Further, the symptoms may be mild at first, becoming increasingly severe only after a number of years, making them easy to overlook.

A blood test that measures our levels of thyroid-stimulating hormone (TSH) is typically used to diagnose hypothyroidism, and treatment usually involves taking a synthetic or natural thyroid hormone daily.

In contrast, hyperthyroidism results from an overactive thyroid. Symptoms include weight loss; nervousness, anxiety and irritability; increased perspiration; racing heart, hand tremors; difficulty sleeping; increased bowel movements; and muscle weakness, especially in the upper arms or thighs.

A TSH blood test can typically diagnose hyperthyroidism, and the condition is usually treated with anti-thyroid drugs that block the gland’s ability to produce thyroid hormone. Other treatments include surgery, or radioactive iodine, which destroys overactive thyroid cells.

Diet and thyroid health

As with virtually every bodily function, our diet plays a role in the health of our thyroid. There are some specific nutrients that the thyroid depends on and it’s important to include them in our diet:

  • Iodine: Our thyroid contains the only cells in our body that absorb iodine, which it uses to make critical hormones. Without sufficient iodine, the thyroid cannot produce adequate hormones to help our body function on an optimal level. Iodine deficiency is not that common in the United States because of the prevalent use of iodized salt. However, according to the CDC, up to 36 percent of women of childbearing age may not get enough iodine from their diets,and it’s thought that iodine deficiency is on a slow but steady rise.
  • Selenium: This mineral is critical for the proper functioning of our thyroid gland, and is used to produce and regulate an important hormone. Selenium can be found in foods such as shrimp, snapper, tuna, cod, halibut, calf’s liver, button and shitake mushrooms and Brazil nuts.
  • Zinc, Iron and Copper: These metals are needed in trace amounts for healthy thyroid function. Low levels of zinc have been linked to low levels of TSH, and iron deficiency has been linked to decreased thyroid efficiency. Copper is also necessary for the production of thyroid hormones.Foods such as calf’s liver, spinach, mushrooms, turnip greens and Swiss chard can help provide these trace metals in our diet.
  • Omega-3 Fats: These essential fats, which are found in fish or fish oil, play an important role in thyroid function, and many help our cells become sensitive to thyroid hormone.
  • Coconut Oil: Coconut oil is made up of mostly medium-chain fatty acids, which may help to increase metabolism and promote weight loss, along with providing other thyroid benefits.This is especially beneficial for those with hypothyroidism.
  • Antioxidants and B Vitamins: The antioxidant vitamins A, C and E can help our body neutralize oxidative stress that may damage the thyroid. In addition, B vitamins help to manufacture thyroid hormone and play an important role in healthy thyroid function.

Finally, there are certain foods that should be avoided to protect our thyroid function. These include:

  • Aspartame: There is concern that the artificial sweetener aspartame, sold under the brand name NutraSweet, may trigger Graves’ disease and other autoimmune disorders in some people. The chemical also may trigger an immune reaction that causes thyroid inflammation and thyroid autoantibody production.
  • Non-fermented Soy: Soy is high in isoflavones, which are goitrogens, or foods that interfere with the function of our thyroid gland. Soy, including soybean oil, soy milk, soy burgers, tofu and other processed soy foods, may lead to decreased thyroid function. Fermented soy products, including miso, natto, tempeh and traditionally brewed soy sauce are safe to eat, as the fermentation process reduces the goitrogenic activity of the isoflavones.
  • Gluten: Gluten is a potential goitrogen and can also trigger autoimmune reactions in people who are sensitive. Gluten is found in wheat, rye and barley, along with most processed foods.
  • Isothiocyanates found in cruciferous vegetables like broccoli, cauliflower, cabbage and Brussels sprouts are goitrogens as well. While large amounts of these vegetables, eaten raw, could interfere with thyroid function, they offer many other health benefits that make the benefits outweigh the risks for most people. If you know you have thyroid disease and want to be especially careful, steaming these vegetables will negate the goitrogenic effect, making them a healthy addition to your diet.

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Be sure to check out the CBIA Healthy Connections wellness program at your company’s next renewal. It’s free as part of your participation in CBIA Health Connections!

Resistance is not futile: Negating antibiotic myths

We all can relate to the telltale sounds of winter:  Fresh snow crunching under our feet, shovels sliding along sidewalks, ice scrapers chipping at frozen windshields  . . . and lots and lots of coughing and sneezing! It’s flu, ear, sinus and throat infection season in America, and decongestants, cough medicine and throat lozenges are jumping off the shelves as we also line up at the pharmacy to get our antibiotics.

With kids back in school, poor hand-washing habits, and everyone sneezing and snorting around us, our natural immunities to bacterial and viral infections are taxed, leaving us more likely to contract a variety of illnesses. But it’s important to know the difference between bacterial and viral maladies, and the best ways to fight those symptoms once we’re sick.

Bacteria are single-celled organisms usually found all over the inside and outside of our bodies, except in the blood and spinal fluid. Many bacteria are not harmful. In fact, some are actually beneficial. However, disease-causing bacteria trigger illnesses, such as strep throat and some ear infections. Viruses are even smaller than bacteria. A virus cannot survive outside the body’s cells. It causes illnesses by invading healthy cells and reproducing.

Antibiotics are drugs that fight infections caused by bacteria. After the first use of antibiotics in the 1940s, they transformed medical care and dramatically reduced illness and death from infectious diseases. The term “antibiotic” originally referred to a natural compound produced by a fungus or another microorganism that kills bacteria which cause disease in humans or animals.

Antibiotics are our chosen line of offense against many types of infections, but they don’t work against all. For example, we should not treat viral infections such as colds, the flu, sore throats (unless caused by strep), most coughs, and some ear infections with antibiotics. Although antibiotics have many beneficial effects, their use has contributed to the problem of antibiotic resistance.

Antibiotic resistance is nothing to sneeze at

Antibiotic resistance is a quickly growing, extremely dangerous problem. World health leaders have described antibiotic-resistant bacteria as “nightmare bacteria” that pose a catastrophic threat to people in every country in the world. Each year in the United States, at least two million people become infected with bacteria that are resistant to antibiotics, and at least 23,000 people die each year as a direct result of these infections. Many more people die from other conditions that were complicated by an antibiotic-resistant infection.

Antibiotic resistance is the ability of bacteria or other microbes to resist the effects of an antibiotic. When bacteria are exposed to antibiotics, they start learning how to outsmart the drugs. This process occurs in bacteria found in humans, animals, and the environment. Resistant bacteria can multiply and spread easily and quickly, causing severe infections. They can also share genetic information with other bacteria, making the other bacteria resistant as well. Each time bacteria learn to outsmart an antibiotic, treatment options are more limited, and these infections pose a greater risk to human health. These antibiotic-resistant bacteria can quickly spread to family members, schoolmates and co-workers, threatening the community with a new strain of infectious disease that is more difficult to cure and more expensive to treat.

Separating myth from truth

A report from the World Health Organization (WHO) released in late 2015 reports that 64 percent of people surveyed say they know antibiotic resistance is a problem, but they are less aware of how it affects them and what they can do about it. To reach these findings, the WHO surveyed 10,000 people in 12 different countries. They found that misunderstandings of antibiotic resistance were prevalent worldwide. Here are some common misconceptions that showed up in the survey results:

  • You don’t have to take all the antibiotics you’re prescribed. Among people surveyed, 32 percent said they thought you should stop taking antibiotics when you feel better, instead of completing the prescribed treatment plan. However the truth is that taking the full dose over the prescribed time frame is what’s recommended. Not doing so means an infection might not be fully treated, and can spur antibiotic resistance.
  • Antibiotic resistance means the body no longer responds to drugs. The WHO reports that 76 percent of people surveyed said antibiotic resistance is what happens when the body becomes resistant to antibiotics, when in fact it is the bacteria that becomes resistant and spreads illness.
  • Only people who use antibiotics regularly are at a risk for antibiotic resistance. Forty-four percent of people thought this was true, but in actuality, as the WHO points out, anyone can get an infection that’s resistant to antibiotics.
  • Antibiotics can be used to treat colds and flu. We can’t use antibiotics to treat the cold or flu. These are caused by viruses, and antibiotics are used to treat bacteria. Taking antibiotics when we don’t need them can lead to resistance problems. Despite that, 64 percent of people in the survey thought you could use them for colds or the flu.
  • There’s nothing we can do to lower our risk. There are things that both the medical community and patients can do to lower the risk antibiotic-resistance. The U.S. Centers for Disease Control and Prevention (CDC) says people should take their antibiotics exactly as the doctor prescribes them, should not share or use leftover antibiotics, should not ask for antibiotics if the doctor doesn’t think they’re necessary and should prevent infection by practicing good hygiene and getting vaccines.

So the next time you or someone you care for is sick, remember that taking antibiotics for viral infection such as colds, flu, most sore throats, bronchitis, and many sinus or ear infections will NOT cure the infection; will not keep other people from getting sick; will not help you, your partner or your child feel better; and may cause unnecessary and harmful side effects. Rest, fluids, and over-the-counter products may be your or your child’s best treatment option against viral infections.

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Be sure to check out the CBIA Healthy Connections wellness program at your company’s next renewal. It’s free as part of your participation in CBIA Health Connections!

Plan for a good, healthy year

There’s nothing like a clean slate to make you feel you can conquer the world! January is like a year of Mondays  . . . but instead of just having the entire, fresh week to look forward to, you have an entire year ripe with change, opportunity and the 20/20 vision you gained from the previous year’s successes, failures, good intentions or near misses!

January is when most people make – or kick off—their “new year’s resolutions.”  Most organizations do their business planning cyclically, or aligned to their fiscal calendar. But when it comes to employees’ personal health and wellness, this is when they’re typically thinking about losing weight, eating healthier, returning to the gym, taking fitness classes and otherwise looking to improve themselves. Why not tap that vein, metaphorically speaking, and join in the fun and wellness planning?

Employees appreciate their employers’ interests in their wellbeing, and when the workplace offers support and encouragement for helping workers achieve personal goals, it’s a winning combination. If you don’t have one already, this is a great time to establish a voluntary health and wellness committee, under the guidance of your Wellness Champion. Encouraging all employees to complete their CBIA Healthy Connections online healthcare assessment is low-hanging fruit, and as additional incentive, there’s a gift card for the employee when the assessment is complete, and a raffle opportunity for the employer.

Have your health and wellness team speak with their fellow workers to determine what’s foremost on everyone’s minds. Maybe they’d like to meet with a fitness expert, nutritionist or yoga instructor, or have a healthcare screening completed onsite. Team walks, runs, biking or other fitness activities that may also benefit select charities or organizations help build teamwork, reduce stress and improve morale. And when employees choose the topics and do the outreach and coordination, the chances of greater participation are increased.

Employers can help by instigating these activities, funding reasonable ideas, creating incentives for participation, setting goals, and offering gifts for completion or to reward competitors who outperform the rest.

Another way to build teamwork and improve morale is to remember that “giving” doesn’t occur only at the holidays. People need blood, clothes, food, shelter and support throughout the year. January is National Blood Donor Month – consider hosting a blood drive at your workplace. You also can plan food or clothing drives for people. Collect food for animals, and support or adopt a local shelter for animals and donations, or support for homeless individuals, vets and seniors.

Giving has been established as having positive emotional and physical health benefits. It makes people “feel good,” affects us chemically, and heightens our attachment to one another, as well as to the workplace that supports these efforts. And your efforts to encourage health and wellness planning for 2016 – and to reinforce and support these plans over the coming months – are great gifts for a healthy new year!

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If you’re not enjoying the benefits of a wellness program at your company, join CBIA Healthy Connections at your company’s next renewal. It’s free as part of your participation in CBIA Health Connections!