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56harrisond

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  4. What are ultra-processed foods? What should I eat instead? Ultra-processed foods are extra tasty concoctions that we eat every day. They are also linked with chronic diseases and a higher risk of early death. The Washington Post, By Anahad O'Connor, September 27, 2022 at 5:57 a.m. EDT Is your diet ultra-processed? In many households, ultra-processed foods are mainstays at the kitchen table. They include products that you may not even think of as junk food such as breakfast cereals, muffins, snack bars and sweetened yogurts. Soft drinks and energy drinks count, too. Sign up for the Well+Being newsletter for weekly tips on food, fitness and mental health These foods represent an increasingly large share of the world’s diet. Almost 60 percent of the calories that adults in America eat are from ultra-processed foods. They account for 25 to 50 percent of the calories consumed in many other countries, including England, Canada, France, Lebanon, Japan and Brazil. Every year, food companies introduce thousands of new ultra-processed foods with an endless variety of flavors and ingredients. These products deliver potent combinations of fat, sugar, sodium and artificial flavors. They are what scientists call hyper-palatable: Irresistible, easy to overeat, and capable of hijacking the brain’s reward system and provoking powerful cravings. Yet in dozens of large studies, scientists have found that ultra-processed foods are linked to higher rates of obesity, heart disease, hypertension, type 2 diabetes, and colon cancer. A recent study of more than 22,000 people found that people who ate a lot of ultra-processed foods had a 19 percent higher likelihood of early death and a 32 percent higher risk of dying from heart disease compared with people who ate few ultra-processed foods. So how do we break our dependence on ultra-processed foods? You can start by learning which foods in your diet count as ultra-processed. You don’t necessarily have to give them up. But once you know how to spot an ultra-processed food, it’s easy to find a less-processed substitute. This is your body on ultra-processed foods The growing focus on ultra-processed foods represents a paradigm shift in how the scientific and public health community is thinking about nutrition. Instead of focusing on the nutrients, calories or types of food, the emphasis instead is on what happens to the food after it’s grown or raised and the physical, biological and chemical processes that occur before we eat it. The best foods to feed your gut microbiome Foods can be unprocessed or minimally processed — like the whole fruits and vegetables, chilled or frozen meats, dairy products and eggs that we buy. Other foods go through a moderate amount of processing — you can usually spot these foods because they have only a few ingredients on the label. Think freshly made breads and cheeses, salted peanut butter, pasta sauce, bags of popcorn and canned fruits, fish and vegetables. Then there are ultra-processed foods. At their core, they are industrial concoctions containing a multitude of additives: salt, sugar and oils combined with artificial flavors, colors, sweeteners, stabilizers and preservatives. Typically they’re subjected to multiple processing methods that transform their taste, texture and appearance into something not found in nature. Think Frosted Flakes, Hot Pockets, doughnuts, hot dogs, cheese crackers and boxed macaroni & cheese. Research shows that our bodies seem to react differently to ultra-processed foods compared with similar foods that are not so highly processed. In a rigorously controlled clinical trial that was carried out by the National Institutes of Health, scientists compared what happened when they fed a group of people a diet of ultra-processed foods for two weeks and, on a separate occasion, a diet of matching meals that were mostly made from scratch. Both diets contained similar amounts of fat, sugar, sodium and fiber, and everyone was allowed to eat until they were satisfied. But to the researchers’ surprise, people ate substantially more calories when they were fed the ultra-processed foods. On average they ate about 500 more calories a day — roughly the amount in a large order of McDonald’s fries. On the diet of ultra-processed foods, the participants quickly gained weight and body fat. But on the unprocessed, homemade diet, the reverse happened: They lost weight, and they had reductions in cholesterol and an increase in their levels of an appetite-suppressing hormone called PYY. They experienced a drop in their levels of ghrelin, what is known as the hunger hormone. It’s not clear why the unprocessed and ultra-processed foods had such differing effects. “We can’t explain it yet,” said Kevin Hall, the lead author of the study and a scientist at the National Institute of Diabetes and Digestive and Kidney Diseases. “We have a dozen theories or more about what it is about ultra-processed foods that caused these effects.” Just one hour of extra sleep each night can lead to better eating habits Some experts argue that ultra-processed foods hook our brains and overwhelm our biology because they contain unnatural combinations of fat and carbs along with sodium and other flavor enhancers. Some nutrition scientists point to the texture of ultra-processed foods: They often contain little or no fiber and are easy to chew and digest rapidly despite being high in calories. Think of how easy it is to scarf down fast-food chicken nuggets or a moist blueberry muffin packed with sugar, flour and vegetable oils. These foods are quickly absorbed when they leave the stomach and enter the small intestine, which causes a spike in blood sugar, insulin and other hormones. “All the bad things happen from big rushes of nutrients into our bloodstream,” said Dariush Mozaffarian, a cardiologist and dean of the Friedman School of Nutrition Science and Policy at Tufts University. Many ultra-processed foods are made in industrial machines that subject grains, corn and other raw ingredients to extremely high pressures and temperatures. This can destroy micronutrients and create new compounds that can be harmful, including carcinogens, said Carlos A. Monteiro, an expert on ultra-processed foods and a professor of nutrition and public health at the School of Public Health at the University of Sao Paulo in Brazil. “These foods contain many chemical compounds that are not nutrients,” he added. Ultra-processed foods often contain an array of additives whose effects on our health we don’t yet fully understand, said Mozaffarian. “It’s not just the salt and sugar, which are the obvious ones, but the artificial sweeteners, artificial colors, emulsifiers, stabilizers, guar gum and xanthan gum,” he said. “We don’t know that they’re innocuous.” Get one quick, adaptable and creative recipe in your inbox Monday through Thursday to inspire delicious meals. Finding less processed substitutes The simplest way to cut ultra-processed foods from your diet is to buy fewer prepared and packaged foods and to consume more whole and minimally processed foods. Instead of buying sweetened fruit yogurts loaded with additives, buy plain yogurt and add berries, nut butter and honey if you like. Consider skipping the frozen chicken nuggets and making these baked nuggets at home, which don’t take much more time. You should also eliminate sugary sodas and sports drinks, which have many additives and little or no nutritional value. Substitute with sparkling water with lemon or lime, unsweetened teas, and plain water or water flavored with real fruit. If you need the convenience of ultra-processed foods, you can check labels and comparison shop. Try to pick the products with the fewest ingredients. For help while shopping, you can pull up a website on your phone called truefood.tech. On the site you can type in a food that you want to buy — such as chicken nuggets or breakfast cereal — and in response the site will show you dozens of brands and recommend the least processed versions. The site uses machine learning to rank foods on a scale of 1 to 100 based on factors such as how many additives they contain and their degree of processing. The lower the score the better. The site was created by Giulia Menichetti and Albert-László Barabási, two scientists at Northeastern University who study ultra-processed foods and developed a database of over 50,000 foods sold in grocery stores. You may be surprised by the wide variation in processing among different types of macaroni and cheese or that your favorite organic gluten-free chicken nuggets score higher than a standard recipe. Menichetti said that replacing some of the ultra-processed foods that are staples in your diet with unprocessed or less processed versions could lead to health benefits. “We’re not suggesting that you drastically change your diet,” she said. “We’re nudging you toward healthier eating patterns.” In the meantime, other experts have called for aggressive public policies such as stricter food labels and health warnings that might push the food industry to make healthier products. “It will take some time for people to change their diets,” Monteiro said. “But if people start to consume fewer ultra-processed foods, the food industry will be forced to produce more minimally processed foods.”
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  8. https://www.thedailybeast.com/spectrum-ny1-weatherman-erick-adame-fired-after-webcam-nudes-leak A TV weatherman in New York City was fired from his job after nude screenshots from an online video chat were sent by an anonymous user to his bosses at work as well as his own mother, court documents obtained by The Daily Beast show. Erick Adame, a two-time Emmy nominee who served as a NY1 meteorologist for about four years until he recently disappeared from the air, is now petitioning a Manhattan judge to force the owners of the internet forum—named in court papers as Unit 4 Media, Ltd.—to identify the people who leaked the NSFW material and deep-sixed his career. ...
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  11. Pain, Fear, Stigma: What People Who Survived Monkeypox Want You to Know Seven patients share their stories of devastating symptoms, their frustration over finding care and their efforts to help each other when doctors and officials have failed. By Liam Stack, Joseph Goldstein and Sharon OttermanPhotographs by Justin J Wee The New York Times Aug. 31, 2022 Updated 7:44 a.m. ET It began as an odd-looking pimple, or perhaps as a weird rash, or maybe as a sudden wave of fatigue in the middle of a hot summer day. The doctor was stumped, or said it was not a big deal, or — just maybe — identified it right away: monkeypox. New York City has been the epicenter of an outbreak of an old disease that has created new havoc. More than 18,000 cases have been identified across the United States, as of the end of August, and nearly 3,000 of them have been found in the city, mostly among men who have sex with men. Increased access to an effective antiviral medication called tecovirimat, or Tpoxx, and an effort to vaccinate thousands of people most at risk have led to eased symptoms for some. But not for everyone: Infected lesions and other complications still land some patients in the hospital. Even those with mild cases are forced to isolate at home for weeks, away from family, friends and pets. Many who recover carry psychological wounds or face social stigma. Others remain deeply frustrated with the sluggish public health response that has left so many in their community vulnerable. Monkeypox mainly spreads through close physical contact, including sexual contact, although it can also spread via bed linens or other materials used by an infected person. People with monkeypox often get rashes or lesions, and experience flulike symptoms. Fatalities from the disease have been rare. Still, more than a dozen people died of monkeypox globally this year and authorities are examining whether monkeypox caused the death of a person in Texas this month. And even as new cases of monkeypox have begun to decline in New York City and around the world, doctors and scientists warn that cases are still rising in some places and that the disease remains both dangerous and not very well understood. Whether monkeypox is eradicated in New York City or becomes endemic remains to be seen. Hazmat suits Boomer Banks Miguel Anda, a nightlife host and sex worker known professionally as Boomer Banks, hardly noticed the odd-looking pimple that appeared on his face on June 2, when New York City had fewer than a dozen diagnosed cases of monkeypox. He had read about monkeypox, however, and it worried him. Most New Yorkers did not have the virus on their radar at the start of the summer. But Mr. Anda remembers the AIDS crisis; he is H.I.V. positive. And as a sex worker, he said, he tries to be “more informed and more of an advocate” when it comes to sexual health. When a second strange pimple appeared on the palm of his hand, he started “freaking out.” Mr. Anda does not have health insurance, so he called the man who used to be his doctor, Demetre Daskalakis, a former New York City health official with a long history of activism in the L.G.B.T.Q. community who now works for the Centers for Disease Control and Prevention. (On Aug. 2, President Biden appointed him to help lead the national monkeypox response.) Dr. Daskalakis “was trying to console me and assure me that everything was going to be fine,” Mr. Anda said. The doctor urged him to contact his primary care provider, who told Mr. Anda to call the Department of Health, who told him to go to the emergency room, and then, when Mr. Anda pushed back, suggested a local clinic. When he arrived there, he found doctors and nurses waiting for him in full protective equipment, as if he had the plague. Some seemed scared, and all were “a little baffled,” he said. The medical staff stood in the doorway to speak to him from a distance. “They were in hazmat suits. It just felt very sci-fi.” Later, staff members told him he was the first person they tested for monkeypox. Some were caring, but others looked at him, he said, “like I could kill them.” Mr. Anda went home to Hell’s Kitchen, where he waited eight days for his test results. He found friends to babysit his dog during the month he spent in quarantine, out of fear he might infect his pet. New lesions appeared on his face on his 42nd birthday, and their extreme itchiness kept him awake for two days. The lesions left his face “ravaged,” he said. Two decades ago, Mr. Anda was addicted to meth, had AIDS and was hospitalized for a month with pneumonia. He has been sober and had an undetectable H.I.V. viral load since then, but monkeypox triggered painful memories. “Being scared, not knowing what was going on,” Mr. Anda said. “All the talking to doctors, and them not knowing what to do. It made me scared for me. It made me scared for my community.” Saturday night in the E.R. Taylor Minnis Taylor Minnis, 32, thought his monkeypox was getting better, right up until the moment he was admitted to the hospital. Mr. Minnis had been sick for two weeks, isolated at home in the East Village with exhaustion, flulike symptoms and lesions that spread “like wildfire” across his body. One day, he woke up in intense pain, with purple swelling above his genitals that spread toward his leg. He bundled up to cover the lesions and went to the emergency room. “Out of nowhere it was extremely infected,” he said, referring to the lesions. Instead of a quick visit, the doctors gave him a CT scan, OxyContin for the pain and bag after bag of intravenous antibiotics. “Saturday night in New York City in the emergency room — I’d rather be at the D.M.V.,” he said. Monkeypox patients can be hospitalized for a range of complications, usually related to lesions or swelling in the throat or rectum that can make it difficult to eat, drink or go to the bathroom. But Mr. Minnis was stricken by a complication — a skin infection — that doctors said can sometimes happen in monkeypox cases. When he first became ill, Mr. Minnis’s doctor said he wasn’t sick enough to justify giving him Tpoxx, the antiviral medicine. But two weeks later Mr. Minnis did some searching online and realized his doctor was wrong: He was eligible for Tpoxx because he had psoriasis, a skin condition that put him at risk for more severe complications. The discovery upset him — it felt like part of a larger pattern of medical authorities fumbling their response to the outbreak. “I honestly feel like my own doctor,” he said. “They just left this all on us, to figure out what to do.” At the hospital, doctors said he qualified for a Tpoxx study being conducted at NYU Langone Medical Center. The medicine helped, but Mr. Minnis was in the hospital for three days. “New lesions are still popping up here and there,” he said, interviewed from his hospital bed. Warning the ballroom scene Dominic Faison Dominic Faison, 35, is the father of the House of Ebony’s New York chapter, his group, or family, in the city’s competitive ballroom scene — a mostly Black and Latino L.G.B.T.Q. subculture of dance and fashion that has become more widely known in recent years through television shows like “Pose” and “Legendary.” Mr. Faison, who is known in the scene as Dominic Ebony, had competed at a ball on June 25. Balls are busy places, with lots of close contact. “There’s a lot of hugging,” he said, adding: “A lot of us like to put our arms around each other’s necks while we are talking.” But he hadn’t had sex for more than a month before his symptoms began. So, when the first bump appeared on Mr. Faison’s right temple, he scratched it, thinking it was a pimple, or maybe an allergic reaction to his new soap. Then a second bump appeared, on the side of his penis. He also felt nauseated and feverish, so he called Callen-Lorde, his sexual health clinic. On July 7, a doctor there swabbed his lesions for monkeypox. On July 11, he went to a local emergency room as his rash got worse. The staff there tested him again and sent him home. The original test finally came back that night; he was positive. Callen-Lorde then helped him sign up for Tpoxx, which he qualified for since he is H.I.V. positive. On July 14, a delivery service dropped the drug off on his doorstep. Mr. Faison spent two weeks in his room with the blinds closed, to avoid being seen. He said he felt like he had “chickenpox and the flu at the same time.” The mental toll of isolation, and seeing the ugly lesions on his body, he said, was as hard as the physical toll. His partner, who cared for him, also eventually got infected. The Tpoxx helped dry out his sores, and he took Benadryl to help with the itch. About three weeks after he got sick, he returned to his job at Boom Health in the Bronx, where he helps people get treatment for H.I.V./AIDS and hepatitis C. He said he was just glad to have gotten through it. Mr. Faison was one of the first in the ballroom scene to be public about his illness on Facebook. He said he found it frustrating that more people aren’t heeding his warnings and limiting their contact with others. The rash can be so subtle, he said, that sometimes people don’t even know they have it. “We can’t save everyone,” Mr. Faison said. “But if we can save the majority, or at least one, it is a step.” His doctor misdiagnosed him Brian Rice Aware of the growing risk of monkeypox for gay men, Brian Rice received his first dose of the monkeypox vaccine on July 13. Eight days later, he found a lesion near his genitals. When Mr. Rice, 43, went to his dermatologist that day for an annual cancer screening, he asked the doctor to take a look. The doctor peered at his sore through a magnifying glass, then gave Mr. Rice the all-clear. “He said, ‘No big deal, give it a couple of days, it should go away,’” said Mr. Rice, who is an H.I.V.-positive cancer survivor. But it did not go away. Instead, the lesion grew. By Monday, July 25, new symptoms had begun: pain, itchiness and swelling of his penis, as well as discharge. He made an appointment with his primary care provider. “The nurse practitioner looked at the lesion and said, ‘That looks like a classic monkeypox lesion,’” said Mr. Rice. Medical staff swabbed it and sent the sample off for testing, but because Mr. Rice’s H.I.V. status put him in a high risk category, he was told to start taking Tpoxx right away. “I was petrified,” he said. When Mr. Rice got home, he moved his stuff into the guest room of the home he shares with his husband, Jason, in Cliffside Park, N.J. He began using the guest bathroom and set aside kitchen towels for his own use. And he kept his dog at arm’s length, to the animal’s dismay and confusion. At first, the genital pain increased, making it harder to sleep, but the medicine soon had a dramatic effect. The pain and swelling eased, and his anxiety waned. He allowed the dog to lick his face again, but just his ear. Within a week, the monkeypox had almost totally cleared. The vaccine may have helped, he said, but the key was being prescribed Tpoxx right away. “If I waited,” he said, “this would have gone very, very differently for me.” Creating a Zoom community Jeffrey Galaise Every day at 6 p.m., Jeffrey Galaise turned on his webcam and started a Zoom call that had grown from a nightly check-in with a few sick friends into an online support group for dozens of people with monkeypox. Mr. Galaise had never met most of them. The call drew people from across the country (including one man from Poland) who had few resources, little social support and no idea what the future held. But they all needed someone to talk to. “I have story after story after story of people coming to me because they didn’t know where else to go,” said Mr. Galaise, who works for the New York City Department of Education. Some participants talked about the loneliness of quarantine. Others described homophobic experiences they had seeking help from doctors. Many were worried about telling their bosses, co-workers or others in their lives about why they had been out sick. Some kept their cameras off; others refused to tell anyone their names. “I can’t tell you the amount of times I’ve cried,” Mr. Galaise said. “The gravity of this is so complex. It’s more than just like, you know, covering itself up with a Band-Aid or, you know, getting through the day.” The nightly call was inspired by a popular gay doctor on social media who took the time to chat with Mr. Galaise when his own monkeypox symptoms began. And it was one of several rituals that occupied his days in quarantine. He began each morning by doing a thorough count of his lesions in the bathtub. At one point he had 65. “My routine was basically I would fill the bathtub, try to go to the bathroom, cry, scream on the ground, then I would jump right into the bath because I was so unbelievably itchy and in so much pain from trying to go to the bathroom,” Mr. Galaise said. After the bath, another routine began. Because he lives with a roommate, he would spend 30 minutes disinfecting the bathroom every time he used it, even with a 102-degree fever. “I would wipe everything down with the sanitizer, bleach everything, and then as I was leaving I would spray Lysol all over everything,” he said. Monkeypox shrunk Mr. Galaise’s world down to his bedroom in Hell’s Kitchen and that bleach-fumed bathroom. “The only reason I made it through the day was because I was talking to other people that were going through the same experience that I was,” he said. “Because one other sick person took their time to talk to me and I took my time to talk to them.” Doctor’s orders: Eat bacon Joshua Moran Joshua Moran’s prescription for Tpoxx came with surprising instructions: Take it with a meal of at least 600 calories and 25 grams of fat. (The fat helps the medication’s effectiveness.) “This is the only time a doctor will tell me to eat this poorly,” he recalled thinking. He cooked four strips of bacon and downed two Eggo waffles with extra butter and syrup. That feast was the high point in what had been a profound period of seclusion during quarantine. Though Mr. Moran finally got a vaccine on July 24, he took to his bed later that same afternoon, feeling hot and faint. Around that time, he noticed a small patch of irritated skin on his penis, and booked an appointment at Callen-Lorde. His doctor initially thought it was syphilis, but testing revealed it was a monkeypox lesion. Mr. Moran tried to keep his dog, a Chihuahua, at a distance. “He’s been a little sad,” he said. Mr. Moran turned 30 in early August, and had to celebrate over FaceTime with friends, with a slice of confetti cake with buttercream icing from Magnolia Bakery. As the days passed, he began to worry about how much sick time he would need to take from his job as an assistant store manager at a Starbucks on the Upper West Side. When he returned to work, he decided to tell his colleagues about his illness; he had been away so long, it felt weird not to. “Everyone was good about it,” he said. “No one was weird.” There was an unpleasant moment at work the following week, however. A customer overheard him telling a colleague about his recent bout with monkeypox, and asked why he was allowed to come to work. “It was clarified to them that I was cleared to come back,” Mr. Moran said. “I’ve been bullied my whole life,” he added. The encounter left him momentarily upset, but he let it go: “Some people are ignorant.” ‘I don’t want to infect others’ Oscar Diaz Oscar Diaz, a 30-year-old consultant and artist, stopped by a CVS on July 16 to pick up medicine for a sick friend. The friend had tested negative for Covid-19, and the virus seemed to be run-of-the-mill. The two shared a meal — “Chicken noodle soup for you,” Mx. Diaz recalled saying — and a hug. It was the sort of gesture Mx. Diaz, who is queer, transgender and nonbinary and who uses they/them pronouns, was determined to bring back with the Covid pandemic waning. But shortly after the visit, the friend developed a lesion on his knuckle and tested positive for monkeypox. For weeks, Mx. Diaz had been trying to get vaccinated against monkeypox, but because of widespread shortages, they’d had little success. “It was very inaccessible,” Mx. Diaz said. They were anxious for their own health after their friend’s positive test, but also at the possibility that they had unwittingly exposed their roommates in Brooklyn to the virus. Mx. Diaz spent hours calling clinics and refreshing the city’s online monkeypox vaccine finder. On July 22, they finally snagged an appointment. The day after the appointment, they woke up with a fever, swollen lymph nodes and what appeared to be an ingrown hair near their groin. The spot became a lesion, but the fever broke. Mx. Diaz wore a mask and carried a Lysol can whenever they ventured into the common areas of their home. They called everyone they’d come into contact with in the previous few weeks to let them know they may have been exposed to monkeypox. More than two weeks after Mx. Diaz’s first symptoms, their doctor gave them the green light to re-enter society. Mx. Diaz usually drops off their laundry, but plans to do the next few loads themselves, fearing the clothes could be infectious. “I don’t want to infect others,” Mx. Diaz said. “I want to make sure it’s done on high heat.” Around the time Mx. Diaz’s quarantine ended, they got a call from a government contact tracer planning to reach out to their contacts. “You don’t have to do this work, because I already did it,” Mx. Diaz responded. _ _ _ _ _ _ _ _ Liam Stack is a religion correspondent on the Metro desk, covering New York, New Jersey and Connecticut. He was previously a political reporter based in New York and a Middle East correspondent based in Cairo. @liamstack Joseph Goldstein covers health care in New York, following years of criminal justice and police reporting for the Metro desk. He also spent a year reporting on Afghanistan from The Times’s Kabul bureau. @JoeKGoldstein Sharon Otterman covers health care and the pandemic for the Metro desk. A reporter at The Times since 2008, she has also covered religion and education, and won a Polk Award for Justice Reporting for her role in exposing a pattern of wrongful convictions in Brooklyn. @sharonNYT
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  14. There's an option in the Buddy's section to sort/search by location.
  15. For anyone in Buffalo or Western New York, clinic on July 27 and 28, 2022. Sign up: https://apps2.health.ny.gov/doh2/applinks/cdmspr/2/counties?OpID=E443D239CC4203FCE0530A6C7C166040
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