Health
Several groups say cannabis may help aging Americans manage pain
For the first time ever, more Americans are using marijuana daily than those who drink alcohol every day.
That’s according to the Society for the Study of Addiction.
One group that has sharply increased its marijuana use is senior citizens over the age of 65. Many are using the substance for ailments in place of prescription drugs, but they are having difficulty accessing medical cannabis.
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“There is very real psychopharmacology associated with cannabis, and I hadn’t learned anything about that in medical school,” said Dr. Zachary Palace, a board-certified geriatrician.
“As I started to learn more about it, I realized it’s a medication that can really be used very safely in the geriatric population.”
Palace is featured in a new video, alongside other physicians, patients and politicians, by the Commonwealth Project. Howard Kessler is founder of the effort, which is working to make medical marijuana more widely available, especially for senior citizens.
“Every day we are letting people suffer when we don’t have to,” Kessler said.
Other doctors are now specializing in treatment using cannabis. OB-GYN Dr. Melanie Bone says she sees success every day when it comes to treating senior citizens with marijuana.
Patients say it helps them sleep, makes them feel less drowsy than other prescription drugs — and others were able to stop taking morphine or opioids.
“Status quo was either to not teach at all or maybe a lecture,” she said. “It’s safe, it’s efficacious.” Her patients say it helps them sleep, makes them feel less drowsy than other prescription drugs and others were able to stop taking morphine or opioids.
“For 40 years, I always had pain with something, and now I don’t have it,” said one of Dr. Bone’s patients.
Since the Nixon administration, cannabis has been designated by law as a schedule 1 substance by the Drug Enforcement Association.
“America’s public enemy number one in the United States is drug abuse,” President Richard Nixon said in 1971 amid a crackdown on drug use.
Other schedule 1 substances include heroin, LSD and ecstasy.
“Schedule 1 says there’s no medical use for this substance, and it’s highly addictive and dangerous,” said Robert Kent, former White House general counsel of National Drug Control Policy.
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The classification is more restrictive than Schedule 2, which includes cocaine, fentanyl and meth.
Kent has helped develop drug policy for almost 20 years. He worked as part of President Joe Biden’s White House Office of National Drug Control Policy.
“Schedule 3 means there is a medical use,” former Massachusetts HHS Secretary Marylou Sudders said.
The Health and Human Services Department first recommended rescheduling for marijuana in August of last year. The agency determined cannabis had a use in the medical realm but that there were concerns about possible abuse or dependence on the substance.
“It’s an important move toward reversing longstanding inequities,” President Joe Biden said as the Drug Enforcement Administration moved to re-classify the drug in May.
The DEA announcement was the last major hurdle for rescheduling. The move becomes official after the Office of Management and Budget signs off, followed by a public comment period.
Kent has helped develop drug policy for almost 20 years. He worked as part of President Joe Biden’s White House Office of National Drug Control Policy.
“Everyone seems to be focused on commercial recreational marijuana. What I’ve been really hopeful for is it will open the door for so much more research to occur, and it’ll be much easier to do research,” Kent said.
“I’m particularly interested in research where we can look at use of cannabis, marijuana, as an alternative to prescribed opioids for treating pain and other medical conditions.”
“I’m particularly interested in research where we can look at use of cannabis, marijuana, as an alternative to prescribed opioids for treating pain and other medical conditions.”
Kent says some of the most promising benefits could be the reduction of overdoses.
“It is heartbreaking. Even [in] the most recent numbers from the federal CDC, we’re losing over 100,000 people a year to prescribed opioids,” Kent said.
Many senior citizens are now using cannabis to treat chronic pain, nausea from cancer treatment and other ailments.
“Geriatric patients can be on 10 or more meds very easily, and there’s such a high risk of side effects,” Palace said. “The most impactful effect we saw was pain management. In most cases, they were able to either eliminate or significantly reduce the amount of opioids they were taking, and we didn’t see any side effects.”
The Commonwealth Project proposes a large-scale demonstration model in the state of Massachusetts, similar to Medicare.
“The government takes full responsibility for the health care of people 65 and over, period,” Kessler said. “That’s their job.”
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Throughout the study, major payer providers would provide guidance and education to caregivers, pay for approved cannabis therapies for people 65 and over, and record the results.
“All it’s going to do is, in a structured, observed and controlled way, validate what we already know,” former Blue Cross Blue Shield Massachusetts CEO William Van-Faasen said.
Kessler says tens of millions of people could be helped with the project — but others say more evidence is needed.
“I’m not sure that rescheduling — a lot of people think we’re going to have research falling from the sky as a result. I hope they’re right. But I’m a little skeptical because I think it takes money, more than anything, for that research to happen. And so far, bio companies — they don’t see marijuana as a super viable product,” said Kevin Sabet, president and CEO of Smart Approaches to Marijuana.
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Sabet served as an adviser to the Clinton, Obama and Bush administrations. His organization believes cannabis should not be a substitute for medicine before treatments are FDA approved.
“Maybe it’s possible that the opioid manufacturers wouldn’t want it. I think we’re all open to it. Let’s study it, but let’s get the facts out right now. Seventy-five percent of people think that it’s harmless,” Sabet said.
“And they’re not realizing that it stays in your system for a while. It can cause these mental health breakdowns.”
Some doctors say rescheduling could lead to more studies and awareness about the benefits of cannabis.
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“I think the danger is right now, because you have so many states where there are products on the market,” Kent said.
“We should all understand there are seniors who are using — they’re going to these dispensaries in states that have legalized the use. And so it’s already occurring. I think actually Howard’s proposal would control it in a much more significant way.”
Health
Saunas have health benefits, but overuse is linked to dangerous health risks
Taking time to sit in a sauna can be a great way to decompress after a grueling workout or even a stressful day.
While in a sauna, you can add to the relaxation by reading your favorite book, listening to a motivational podcast or just by closing your eyes, taking deep breaths and sweating the stress away.
Saunas are commonly found at gyms and spas, but you can buy one for your home.
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A sauna offers health benefits, but it’s also important to be mindful of risks.
- What are the different types of saunas?
- What are the health benefits that come from sauna use?
- How long is it safe to go in the sauna?
- Are there any risks of sauna use I should be aware of?
1. What are the different types of saunas?
A sauna is “a specific room heated to about 150 to 195 (F) degrees, and where the temperature and humidity of the room can be controlled with sprinkling water on the rocks in the heater/stove,” according to the North American Sauna Society’s website.
Some of the most commonly found saunas are wood-burning saunas, electrically heated saunas, manufactured sauna rooms, smoke saunas, steam rooms and infrared rooms.
For the most part, many of the health benefits are consistent no matter what type of sauna you use.
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“While many benefits overlap, steam may be better for respiratory issues, far infrared for weight loss and recovery,” Dr. Brooke Jeffy, a board-certified dermatologist from Scottsdale, Arizona, and founder of youth skin care brand BTWN, told Fox News Digital via email.
2. What are the health benefits that come from sauna use?
There are several different health benefits that come along with sauna use.
“Both steam and dry saunas can have beneficial effects on respiratory conditions, cardiovascular disease and dementia,” Jeffy said.
“They also help stiff muscles and joints and increase circulation to the skin. Both steam and infrared saunas have beneficial effects on blood pressure. Infrared saunas may improve weight loss when combined with exercise and improve muscle recovery.”
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The time at which you use a sauna doesn’t matter, according to Jeffy. Either a morning sweat or a relaxing sit in the sauna before bed can boast health benefits.
Many people also choose to hop in a sauna after a workout.
“Post-workout sessions help improve weight control and muscle recovery,” Jeffy said.
3. How long is it safe to go in the sauna?
When in a sauna, make sure you keep track of how long you’ve been inside.
Many gym saunas have a clock, so you don’t have to take your phone inside, potentially causing it to overheat.
If there isn’t a timer or clock available, make sure to bring one with you or set an alarm to sound so you know when it’s time to exit.
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“The maximum time to spend in the dry sauna or steam room is about 15-20 minutes,” Jeffy said. “Infrared sauna can be used longer, anywhere from 20-40 minutes.”
4. Are there any risks of sauna use I should be aware of?
While sauna use does include benefits, there are also risks you should be aware of if you decide to add it to your routine.
The risks include dehydration, heat exhaustion and stroke, according to Jeffy.
To avoid potential dehydration, bring a bottle of water into the sauna with you.
If you aren’t a regular sauna user already, consider a slow progression to allow your body to adjust and slowly begin increasing the time you sit inside.
Lastly, if you are pregnant, sick, intoxicated or prone to dizziness, you should not use a sauna, according to Jeffy.
“Saunas should not be used if you have had a recent heart attack, or history of angina, aortic stenosis or congestive heart failure,” Jeffy added.
Health
‘Is it bad to skip breakfast if I’m not hungry?’: Ask a doctor
You’ve likely heard the old adage that breakfast is the most important meal of the day, but what if you’re just not hungry in the morning?
Is it OK to consistently skip the morning meal and hold off until lunch?
Fox News Digital asked some nutritionists about the potential ramifications of bypassing breakfast on a regular basis and their recommendations for optimizing metabolism with a healthy morning routine.
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While most experts agree it’s OK to skip breakfast once in a while, it’s generally beneficial to eat something within an hour or two of waking up.
“Skipping breakfast regularly could lead to some unwanted side effects,” Shelley Balls, registered dietitian and owner at Fueling Your Lifestyle in Smoot, Wyoming, told Fox News Digital.
“It can lead to an overconsumption of foods in the following meals throughout the day. You may think you’re eating fewer calories, but you might actually be binging at lunch or dinner,” she said.
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Never eating breakfast can also affect energy levels, she warned, as the body isn’t getting the carbohydrates and nutrients it needs to perform optimally.
There could also be a long-term effect of slowing down the metabolism, the expert said.
“Breakfast is meant to break the overnight fast, and can help jump-start your metabolism. So, over time, not eating breakfast could decrease your metabolism, as your body becomes more efficient with fewer calories,” Balls said.
Breakfast has been associated with a bevy of benefits, including better weight management, better cognitive function, increased metabolism, improved energy and reduced hunger, according to Vanessa King, registered dietitian nutritionist and media spokesperson for the Academy of Nutrition and Dietetics in Oahu, Hawaii.
“Breakfast gives you an energy boost to power-start your day,” King told Fox News Digital.
“Not eating breakfast could decrease your metabolism, as your body becomes more efficient on fewer calories.”
“Breaking an overnight fast with a balanced breakfast significantly impacts well-being and overall health,” she added. “It’s important for everyone. And for children and teens, eating breakfast has been associated with better behavior and academic performance.”
If you’re not hungry within an hour or two of waking up, King suggests looking at your eating pattern.
“Are you snacking at night and it’s leaving you full in the morning? Try lighter snacks and allow more time between your last meal and sleep,” she advised.
The fasting factor
For people who are following a plan of intermittent fasting or time-restricted feeding, eliminating breakfast is a common way to maintain a shorter eating window and a longer fasting stretch, according to Dr. Jennie Stanford, an obesity medicine physician in Pennsylvania and medical contributor for Drugwatch.
“One main determinant here is how someone feels later in the day,” she told Fox News Digital.
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If skipping breakfast makes you feel ravenous later in the day, ultimately causing you to overconsume at other meals, this is not recommended, the doctor said.
“However, if not eating breakfast doesn’t impact the calories and other macronutrients they consume as the day progresses, it may represent an opportunity to decrease overall calorie intake,” Stanford added.
Lighter options for when you’re not hungry
“If you’re not ready for a full meal, begin with something small within 30 to 60 minutes of waking,” recommends Chloë Ward, a functional diagnostic nutrition practitioner and certified integrative nutrition health coach in Santa Barbara, California.
“Even a light snack can help signal to your body that it’s time to start burning energy.”
Ward offers the following breakfast suggestions for someone who’s not generally hungry in the morning but wants to kick-start metabolism.
- Smoothies: A nutrient-dense smoothie with ingredients like spinach, a small amount of fruit, protein powder and healthy fats (like avocado or nut butter) can be a light yet satisfying option.
- Greek yogurt with berries: Greek yogurt is rich in protein and can be paired with a handful of berries and a sprinkle of nuts or seeds for added fiber and healthy fats.
- Overnight Oats: Preparing oats the night before with milk, chia seeds and a dash of cinnamon can create a light and easy-to-digest breakfast that’s ready when you wake up.
- Protein-rich snack: A hard-boiled egg, a piece of turkey or chicken, or a small serving of cottage cheese can be a quick and light protein boost.
- A piece of fruit with nut butter: Slices of apple or banana with a spoonful of almond or peanut butter offer a balance of carbs, protein and healthy fats without being too heavy.
Overall, experts agree that healthy options like fruits, whole grains, dairy, protein and vegetables provide the biggest benefit.
“Protein has a higher thermogenic effect than other macronutrients, meaning it requires more energy (heat) to break it down than either fats or carbohydrates,” Stanford told Fox News Digital.
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“As such, having protein in the morning usually leads to a higher calorie burn, at least temporarily.”
Protein also helps to reduce hunger later in the day, Stanford said.
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“Protein doesn’t have to mean meat, if it sounds too heavy in the morning,” she noted.
“Other good protein sources include low-sugar Greek yogurt, eggs, low-carb breakfast wraps, cheese, protein oats, protein shakes or clean protein bars.”
“Even a light snack can help signal to your body that it’s time to start burning energy.”
If you really can’t tolerate food in the morning, Ward suggests starting the day with a glass of warm water, possibly with lemon.
“Warm water helps wake up your digestive system, aids in hydration and can boost your metabolism after a night of fasting,” she said.
Health
Hit a Weight Loss Plateau? A Dietitian Reveals 3 Ways To Break It
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