#more usually it's reductive and just... not evidence based

[catominor]

you ever open a book and start reading and immediately think thaaaat sounds like bullshit

[scientia-rex]

I've been trying to figure out what the deal is with prediabetes so I can write a meaningful response to an ask I got about it, and I just keep going wait--okay--here's one paper--but here's another one--here's a Cochrane review--but here's a different meta-analysis--and here's newer data from an RCT...

It's nuts! It's bananas. And anybody who says we have good, crisp, clear guidelines around what prediabetes even IS, much less what to do about it, is FULL OF SHIT.

What I really need to know in order to feel more confident about my handle on whether to medicate pre-diabetes is the population incidence. Not prevalence. Because if I take the most optimistic studies about medication as an intervention, specifically, I could be looking at about a 30-40% reduction in risk of progression to diabetes. But! How many people is that, actually? Because medication is not without its harms! We need to compare number needed to treat with number needed to harm, we need to have high-quality evidence that says yes, if we give this medication to everyone who meets X level of criteria for pre-diabetes (it's different in different sources AND it's changed repeatedly over our lifetime!), we will see a level of benefit sufficient to justify making these other people who would not have progressed to diabetes without it endure the hassle and side effects of taking a medication for the rest of their lives.

AND HERE'S THE REAL FUN PART: we don't really know where tissue damage begins! We thought we did! 6.5-7ish A1c. But it turns out there is a marked risk of retinopathy beginning at 5.5! Which is considered normal. AND ALSO we should probably be thinking of it as at least three separate disease based on our current ability to measure--A1c is a broad marker that collapses multiple forms of dysregulated blood sugar, and when we use more fine-grained tests, we see meaningful distinctions that probably affect preferred treatments between people who have impaired fasting glucose, people who have abnormal values on an oral glucose tolerance test, and people who have both. We should treat these groups differently because they reflect different underlying pathways: elevated fasting glucose means your liver is breaking down too much glycogen while you sleep, which is one issue, while elevated post-prandial glucose means your skeletal muscles (OR SOMETHING ELSE they're not totally sure) are behaving abnormally in response to insulin. IT'S NOT THE SAME THING and people with both impaired fasting glucose and abnormal post-prandial glucose are at higher risk of progression to diabetes/tissue damage than people with just one of those. AND WHILE WE'RE AT IT, what is diabetes? What's the best cutoff? What's the best measure? How many underlying pathophysiologies are getting collapsed into the same group????

THE MORE I LEARN ABOUT THIS THE MORE QUESTIONS I HAVE and experts are all being serenely confident while contradicting each other so I have to actually dig in the data a lot harder than I usually do. I've been meaning to do this for months, but one of the presenters this morning made a comment about the benefits of putting prediabetics on metformin that made me go "hm, do I need to start doing that?" and I've gone from my kneejerk answer being "no, we studied this and it doesn't help" to "I don't fucking know and neither does anyone else."

...as always, Cochrane is probably right.

[hymn-to-mercury]

✨🪐Astro Notes and Observations #2🪐✨

These observations are all based off my own personal experience and are mostly generic - don't take it to heart if you disagree <3

✨Since I realised how much Mars influence translates into a persons physical appearance, I’ve been looking for evidence of this in other signs and planets, and I’ve namely found it in people with a lot of Moon influence in their chart! I’ve noticed they tend to have big, round features - especially in the face, think big, round eyes. Elsewhere it could mean a round body shape or big belly, even a decent bunda or pair of boobs tbh 😂 but that’s not a total given. There’s just something about them that’s quite… smoooooooooth, and soft looking.

(Zawe Ashton, Princess Diana, and Lana Del Rey are all Cancers!)

✨I find Taurus placements NOTORIOUS for giving unsolicited advice - what sucks most though is that 99% of the time it’s usually quite helpful so it’s hard to complain 😭

✨I know Aquarius’ are often seen as the activists of the zodiac, but in my experience a lot of them aren’t really all about that life. They might be quite forward thinkers, but they don’t usually care to argue - they’re not going to try and convince you about their opinion if they don’t think you’ll actually listen. They are probably willing to have a civil conversation, they’re GREAT conversationalists, but as soon as there’s any heat? They’re out. 

✨If you struggle to identify with your birth chart, try calculate it in Whole Signs according to traditional rulership, as opposed to Placidus with modern rulership! I switched recently, and it’s been a total game changer for me. I resonate with my house placements so much more now. 

✨Cancer Moon and Mars get the biggest ick from rudeness; the quickest way to get on these guys bad side is by being ill mannered. They are ALLL about good manners.

✨Scorpio and Leo in a chart together makes for the least mysterious scorpios ever LMAO just all the angst and non of the mystery - plus they reallyyyyy like to bask in their own misery, and trust, you will hear about it. 

✨Taurus stellium are always putting other people’s needs before their own, truly the mother of the friend group. 

✨Cancer and 4th house placements as the homebody nurturing mother archetype is suchhhh a lazy and reductive take - just because someones got cancer placements doesn’t automatically mean they want to be a parent and launch babies out their vagine till it doesn’t work anymore. Why does no one ever point out the way that Cancers absolutely do NOT play about their parents or their siblings? Or how much Cancers take pride in their home/living space? How inseparable they are with their pets? Or that they’re just as much foodies as Taurus! Especially with sweets, anything from Haribos to pastries. Cancers are more than just breeders.

[essektheylyss]

The reason that Ashton learning about the Luxon is interesting is not because it would change their stance on the pantheon (considering the Luxon is not of the pantheon and therefore any change in opinion on, say, Pelor, would be a false and reductive equivalence), but because their stance on religion as a whole is currently reductive in a deeply unproductive and, frankly, potentially dangerous way, and the Luxon's existence flies in the face of that.

Ashton has a basic but narrow view of how the gods operate: someone asks for something, and the gods answer. He may acknowledge that generally the answer is given as part of an exchange, but might also feel that the extent of his suffering is worth more than the offering usually made. This is a very valid and understandable position! They suffered under some destructive force of nature, and later under the general indifference of the world, and if there are gods who claim to do good in the world*, and suffering persists, how can those gods be considered just?

This is, I must make very explicit, an incredibly complex and old philosophical question in the real world even where the existence of gods is not a material reality, and not one that's going to be solved by a bunch of fandom bloggers, no matter how enlightened one thinks they are. It is also a question that is straight up not a concern in a lot of faiths, so by necessity, one cannot equate "in this context, are the gods just?" to the question of whether worship, as a practice, is just.

In any case, Ashton's concern is more personal than philosophical—his stance is borne not of any intensive questioning of the justice of gods, but because he's been hurt, and he wanted to be helped, and wasn't**. And this is valid, but the extrapolation to "the gods can die for all I care," does attempt to make that equivocation. In suggesting the removal of the source of worship of a large portion of the world, which at least something of the means to act upon that suggestion, they're implicitly taking the stance that their anger alone is worth more than the mundane benefits that collective portion of the population receives from their worship.

It bears noting here that this is specifically about his anger, and not his suffering, because the death of the gods won't change his history. In fact, nothing is going to change that! This is really where Ashton's anger lies, but the anger isn't actionable there, which is why it comes out elsewhere. When funneled in a reasonable and willful direction (such as towards Ludinus) anger can be very productive; this isn't to say that this emotion is the problem in itself. But directing it toward the gods will have a pointed negative impact on much of the world, and will likely not stop those worshippers who are enacting harm from finding other ways to do so, which means it's a net loss in terms of what Ashton wants, which is to keep people from harm.

And drawing attention to the anger is also relevant, because, well, that's where we get back to the Luxon.

Ashton's Rage mechanic is based explicitly in dunamis and, by extension, the Luxon itself. The ability is linked narratively to their fall at Jiana Hexum's house and subsequent patching up by Milo, who dumped a potion of possibility into their head. When Imogen and FCG have entered his mind, the description is similar to the description of concentrating on a Luxon beacon.

There's an argument to be made that dunamis itself more than the beacons individually is what comprises the entity known as the Luxon; the potions were distilled initially from a beacon, and we've seen other forms of the same thing, such as the purple gems in Aeor. We also know that the Luxon is an entity that may go back to before the Founding***, because Essek, a noted skeptic, found evidence of its existence as such in Aeor, an arcane society that attempted to kill the gods themselves.

The Luxon as a divine entity*** has not, as far as anyone has claimed, directly spoken to a mortal, follower or otherwise. The Dynasty believes it has sent messages that their umavi can divine and interpret into scripture, and in theory clerics that follow it can receive information via divination the same way as any other cleric, but none of these involve direct speech, and overall it's not clear that it is in fact an entity capable of communication as mortals would imagine communication.****

This is notably different than the Pantheon as a whole. The primary boon that the Dynasty believes the Luxon has given them, based on their ability with the beacon to escape Lolth's dominion, is to wield more control over one's own destiny. If we proceed under the assumption that this is how the Luxon brokers any relationship to mortals, then we end up back to the idea that the ability that Ashton has gained from the dunamis that was used to seal their wounds was control over, and the ability to act upon, the anger that they harbor.

It's in fact exactly what Ashton asked for, both in his past and now, in this past conversation with the party, suggesting that he'll actually hear out any god that actually suggests they want him. It's also clearly something they still want, given that they went looking for it in Issylra. No matter how disaffected Ashton may claim to be, his actions betray the fact that he does in some way want the acknowledgment of an entity larger than he is.

So whether or not Ashton changes their tune on the pantheon doesn't matter in the long run. What learning about the Luxon would do is force Ashton to confront the fact that, first, gods as a whole do not necessarily conform to the limited knowledge they've based their views on, and second, that maybe a god already gave them what they asked for.

And Ashton is still perfectly at liberty to ignore that without consequence—the use of dunamis has never been contingent on belief or worship, as evidenced by the numerous wizards who use it regardless. But it does raise the question for Ashton both of his own worth in the view of something larger than he is, regardless of whether he thinks the gods have already discarded him, and also the very premise on which he chooses where to direct his anger.

It's up to Ashton, as it's always been, to actually decide where to go from there.

*I won't interrogate this at length here because I don't think it's relevant, but I also don't believe the Prime Deities have ever claimed that their purpose, if they can be said to have a purpose, is to do good. Even the temples of Vasselheim orient themselves more toward the purpose of maintaining balance and order rather than any concept of "good", and many of the pantheon who are not explicitly included among the Betrayers have neutral alignment.

**For further commentary on the flaws in Ashton's assumptions around relationship to a god, see here.

***The question of whether or not the Luxon is A God is also irrelevant here, because it has been worshipped as such and confers power comparably to the Prime Deities, so we'll proceed without worrying about it.

****For further commentary on the nature of how the Luxon communicates and enacts its will in the Material Realm, see here.

For further commentary on the general tone of this post, see here.

[submarinerwrites]

v.c. andrews, flowers in the attic

★★★★☆

flowers in the attic is a classic of modern gothic fiction. published in 1979, it tells the story of the four dollanganger siblings and their imprisonment in the attic of their ancestral home.

my boyfriend and i picked this as our second bookclub book. i was extremely excited to read it since it’s been on my mental tbr since i heard about it in middle school, but i’d always been dissuaded from even purchasing the book by my mother, who found it deeply disturbing. i didn’t. in fact, there was something comforting about the story. flowers in the attic reminded me strongly of adolescence and the feeling of confinement that pervaded mine and so reading it was deeply cathartic in that sense.

andrews has an incredible sense of atmosphere. the entire novel feels like a fairytale—not, of course, a sanitized disney version but one of the real ones, with teeth. even at its most intense moments, the novel remains dreamy and somnolent, reminiscent of radcliffe’s seductively hypnotic prose (but probably honestly not as good), a sensation that’s enhanced by cathy’s deeply disturbing semi-prophetic dream sequences. this romantic fairytale atmosphere would be interesting to compare with the virgin suicides probably.

i will note that this is actually a story where i feel like the horror/terror distinction promogulated by radcliffe does actually make sense. flowers in the attic does not, in my opinion, ever actually reach the point of horror—it doesn’t paralyze your senses with fear, if that makes sense. you are always waiting for the other shoe to drop, which of course radcliffe argues is an atmosphere of terror. even the scenes that most align with the idea of horror end up closer to terror due to andrews’s frequent deescalation of the plot. before cathy and chris are forced to eat raw mice to survive, for instance, they discover the grandmother (supposedly, though based on later evidence i actually think it was more likely their mother) has left them their picnic basket of food. and again, even when horrific things happen, andrews’s prose decisions mean that they don’t feel like horror.

this is also an interesting novel to think about with respect to the male and female gothic, a distinction i think is usually reductive but which interests me here. andrews spent much of her life in a wheelchair while living with a mother who was ashamed of her. as such, much of the novel resonates with radcliffe’s concern about female dependency, consanguineal responsibility, and property rights. it’s very mysteries of udolpho of andrews tbh.

on the subject of consanguineal responsibility: typically, within the gothic, it’s the traitorous family member who commits the act of incest, because the incest is a metaphor for the way their familial responsibilities have been perverted. here, however, chris is not the villain, and cathy does love him, deeply and irrationally. it’s a neat kind of inversion: even though their incestuous relationship is a consequence of a lack of consanguineal responsibility, it’s not necessarily about chris’s specific role in that failure. andrews’s inversion of the concept keeps their relationship romantic, and enchanted, and almost sacred.

also!! hellOOO freudian attraction to the opposite sex parent!! not gonna get into it but it reminded me strongly of the idea that the relationship between fathers and daughters is always already erotically charged.

i will say that the intensity of this erotic parental relationship for both cathy and chris honestly makes the eventual transgression of the incest taboo seem less surprising? lmao. like their attraction to their parents is so intense that it makes sense for them to also be attracted to each other, especially since the book makes so much of them being their parents’s clones.

idk i just thought there should have been more guilt and angst over the incest, but really it felt like both cathy and chris accepted it as the natural course of things. which for them it was, and in some ways i was glad there wasn’t that much shame because there usually is with female teenage protagonists who have sex, even without the element of incest, but at the same time, the shame is what makes it delicious. so i do wish there were more.

and on a similar note, the fact that chris rapes cathy is soooo intensely romance novel coded. her desire for chris is obvious and intense and terrifying and i think in some ways the rape is meant to be the author’s gift to cathy. the onus of desire is taken off of her and she gets to have what she wants without having to ask for it or feel guilty for having it happen. idk much to think about here.

other things i loved: the blood-drinking!! holy shit, that was a good scene. as i think i’ve discussed before, cannibalism and incest have been inextricably symbolically linked since literally the eighteenth century, so i loved that andrews included it. but at the same time, that scene is incredibly tender and loving, which is such a delightful inversion.

as far as the prose goes, it was entertaining but not strictly speaking what i would call great or even especially good. it’s not bad, but it’s not even close to the most compelling thing about the novel: there are no lines that i feel really stuck out to me. it was just kind of... there. not necessarily in a bad way, but the content was clearly more important to andrews than the form.

overall, i really enjoyed the novel. i adore the gothic as a genre, and i can see why it became a cult classic. there’s so much about flowers in the attic that’s compelling, and compelling for young women in particular, and it’s honestly a novel i’d love to share with any future daughters.

[evidence-based-activism]

I love what you do! Have you made any posts about this claim I've seen come up a few times, that women's physical/mental "femininity" is partly influenced by males selecting mates for misogynistic standards? "Not true, that would also affect males" is the answer I've heard to that, and it makes sense, but I don't understand enough to be certain. Is there anything more to it?

Also for this Anon:

hi. there was this post going around that talked about how men have 'selectively bred us into frail neotenous creatures over centuries' and 'made sexual dimorphism worse though centuries old diet culture' and that really kind of pissed me off cuz I think its straight up pseudoscience. is there any truth to these statements?

---

I think the argument you're referencing here is the idea that male mate choice (i.e., men choosing among a group of potential female mates) has increased sexual dimorphism between men and women.

I should start out by saying that I'm fairly skeptical of most arguments centered around evolutionary biology/psychology, since I think they usually fall into the "Just So Fallacy", particularly if they fall into pop culture's hands. I discuss this a bit in this post and this post.

(To preempt possible confusion: I do not mean that I think evolution/natural selection hasn't played a role in sexual dimorphism/biology/psychology. Rather, I fully expect it has played a vital role. However, I find almost every argument that attempts to explain human behavior/biology from a purely evolutionary standpoint to be reductive and poorly structured.)

With all of that in mind, I have looked into the research on this topic and found some relevant information.

---

First, this argument is essentially about human sexual selection, which is similar to natural selection but emphasizes the traits needed to acquire a mate for reproductive success. The general understanding of human sexual selection is that, "men probably competed for mates mainly by excluding competitors by force or threat, and women probably competed primarily by attracting mates" [1, 2]. In other words, this theory suggests that men's secondary sex characteristics were beneficial for competing with other men, while women's secondary sex characteristics were beneficial for attracting male mates. Some work does suggest that this includes things like "gracile facial features, reduced body hair, and high voices."

However, to emphasize the issues with the current literature, these conclusions were drawn based on modern men's ratings of attractiveness to various female sex characteristics. These studies fail to consider the effect of socialization (e.g., pop culture beauty standards, porn exposure, etc.). The assumption here is that ancient men must have been attracted to the same things modern men are attracted to, but we do not have confirmatory evidence of this.

Some other work [2] discusses how men's larger size and greater aggression – while often discussed in reference to male-male competition – also afforded them an ability to sexually coerce women, going as far as to suggest "male mate choice was probably central in women's mating competition because ancestral females could not constrain the choices of larger and more aggressive males through force".

But this is not the only theory in this field. Another study [3] suggests that sexual selection instigated male sexual dimorphism, and natural selection instigated female sexual dimorphism. In particular, they suggest many of women's sexually dimorphic traits are related to increasing their and their children's survival during pregnancy/childbirth. In other words, intrasexual competition among men contributed to their secondary sex characteristics (e.g., body size, facial hair, etc.), whereas the dangers of pregnancy and childbirth contributed to women's secondary sex characteristics (e.g., fat distribution, relative fat mass, etc.). They specifically indicate "a large literature seems to have overemphasized the role of mate choice and underestimated the role of male contest competition for mates", indicating a possibility that "male mate choice" didn't truly drive women's secondary sex characteristics.

---

Still, other work discusses the impact of culture [4]. For example, one "analysis indicates that biological effects of sex-specific inequities can be linked to cultural influences at least as early as 7,000 yr ago, and culture, more than environment or genetics, drove height disparities in Early Neolithic Europe." This suggests that misogynistic culture has contributed – to some degree – in what we usually consider a biologically dimorphic trait.

Multiple analyses [5-7] have suggested ancient dietary differences between men and women supporting the possibility that misogynistic standards have restricted women's diet for millennia. This isn't really the same as modern-day diet culture – which specifically refers to the restriction of food despite availability and access and definitely disproportionately affects women and girls – but it does highlight how food has been central to the patriarchy for a very long time.

Still, this work is, at most, describing one contributing factor among many others. It also isn't really suggesting an evolutionary mechanism; these studies are all looking at dietary effects on stature at specific time points, not the additive effects (if there are any) across generations.

---

Finally, while some work [1, 2] does suggest that neoteny (appearing more infantile) in women is related to male mate choice, it is far from the only theory for this phenomenon. For example, a Scientific American article [8] suggests the possibility that "Being More Infantile May Have Led to Bigger Brains".

Work specifically on neoteny in the nervous system proposes the same [9], and other work suggests the many ways it may have conferred an adaptive advantage [10].

And importantly, in this field, men are also considered to display neoteny; the researchers are making comparisons between humans and other animals.

---

I hope this helps you both!

References under the cut:

Puts, D. (2016). Human sexual selection. Current opinion in psychology, 7, 28-32.

Puts, D. A. (2010). Beauty and the beast: Mechanisms of sexual selection in humans. Evolution and human behavior, 31(3), 157-175.

Lassek, W. D., & Gaulin, S. J. (2022). Substantial but misunderstood human sexual dimorphism results mainly from sexual selection on males and natural selection on females. Frontiers in Psychology, 13, 859931.

Cox, S. L., Nicklisch, N., Francken, M., Wahl, J., Meller, H., Haak, W., ... & Mathieson, I. (2024). Socio-cultural practices may have affected sex differences in stature in Early Neolithic Europe. Nature Human Behaviour, 8(2), 243-255.

Rey, L., Salazar-García, D. C., Chambon, P. H., Santos, F., Rottier, S., & Goude, G. (2019). A multi-isotope analysis of Neolithic human groups in the Yonne valley, Northern France: insights into dietary patterns and social structure. Archaeological and Anthropological Sciences, 11, 5591-5616.

Münster, A., Knipper, C., Oelze, V. M., Nicklisch, N., Stecher, M., Schlenker, B., ... & Alt, K. W. (2018). 4000 years of human dietary evolution in central Germany, from the first farmers to the first elites. PloS one, 13(3), e0194862.

Dong, Y., Morgan, C., Chinenov, Y., Zhou, L., Fan, W., Ma, X., & Pechenkina, K. (2017). Shifting diets and the rise of male-biased inequality on the Central Plains of China during Eastern Zhou. Proceedings of the National Academy of Sciences, 114(5), 932-937.

Choi, C. Q. (2009, July 1). Being more infantile may have led to bigger brains. Scientific American. https://www.scientificamerican.com/article/being-more-infantile/

Bufill, E., Agustí, J., & Blesa, R. (2011). Human neoteny revisited: The case of synaptic plasticity. American Journal of Human Biology, 23(6), 729-739.

Bjorklund, D. F. (1997). The role of immaturity in human development. Psychological bulletin, 122(2), 153.

[mariacallous]

As if Coca-Cola gave up making soft drinks, the Taliban announced to great fanfare last year that they were getting out of the drug business. The group that rode big opium profits to a takeover of Afghanistan in the summer of 2021 suddenly, seemingly, swore off the stuff. Poppy planting was banned and drugs were off the menu. Or that, at least, is what they want the world to believe.

And they actually are—sort of. Satellite images seem to show a sharp decline in poppy acreage and methamphetamine manufacture since Taliban Supreme Leader Haibatullah Akhundzada announced his ban on producing and trading drugs in April 2022. Some Western officials, diplomats, and analysts see it as a welcome counternarcotics move, achieving with a simple decree what billions of dollars in U.S.-funded programs couldn’t do in two decades.

In reality, though, the Taliban haven’t changed their stripes—just their product. The drugs trade was estimated to account for up to 14 percent of Afghanistan’s GDP last year, according to the U.N. Office on Drugs and Crime (UNODC). If new figures from the UNODC are to be believed, that’s about to get a lot higher.

The Taliban didn’t curtail the drug trade. They cornered it. And then they branched out. What the Taliban did with heroin was stand on the hose, driving up prices. Since Akhundzada’s decree—which did not apply until this year—opium prices have skyrocketed, rising a hundredfold in local markets in eastern and southern Afghanistan, the main growing regions. Seizures of heroin and meth are up, from Australia to India, the Gulf, Central Asia, and at European ports like Rotterdam, in the Netherlands, and Antwerp, in Belgium. Experts say the one-year lag between the decree’s announcement and enforcement gave producers and traffickers time to boost output and stockpiles, while stoking fears of a looming shortage that’s driven an inflationary panic-buying frenzy.

The Taliban are to heroin and meth what the Sinaloa cartel is to cocaine. Southeast Asia still makes a bit, but otherwise, Afghanistan has a stranglehold on the $55 billion-a-year heroin trade. Drug lord Bashir Noorzai, who was a major war financier and a close associate of the supreme leader, was greeted as a hero when he returned to Afghanistan last year upon early release from a life sentence in U.S. prison for heroin smuggling, swapped for an American hostage. Afghan sources say he is back in business.

But the Taliban are upscaling. While they had dabbled—and quite extensively—with meth in the past, they used plant-based precursors. But that takes labor. What’s easier, cheaper, quicker, and more profitable is chemical-based meth.

The UNODC annually assesses Afghanistan’s poppy acreage, opium yield and prices, and heroin production, though since the Taliban regained power, access and visibility, like the reports, are hamstrung. What does seem apparent is that the Taliban have cut down on poppy production. Recent satellite images provided by Alcis show a dramatic reduction in poppy planting. Anecdotal evidence from on-the-ground reporting backs up statements by Alcis researchers that poppy planting could have fallen by as much as 99 percent in some areas.

Afghan journalist Mirwais Khan said his sources in the southern Helmand province, where much of the country’s supply of heroin is sourced, tell him that poppy planting is close to zero for the current season. In the markets, he said, prices have surged from 30,000 Pakistani rupees, or about $100 a kilo a year ago, to 520,000 rupees. (Opium is priced in Pakistani rupees.) Last month, RFE/RL reported opium markets in Helmand and Kandahar operating as usual and said traffickers had amassed “strategic stockpiles” to take advantage of high prices.

Hans-Jakob Schindler, senior director of the Berlin- and New York-based Counter Extremism Project, doesn’t believe the ban is genuine, let alone long-term. He regards it as an attempt to maximize profits while lulling the international community into recognizing the Taliban. Or it’s a diversification play.

“If I was a Talib, I’d be getting into meth,” Schindler told Foreign Policy. The raw material for plant-based methamphetamine, ephedra, grows wild in Afghanistan. The Taliban have cracked down on that, too. But the drug can be synthesized simply and cheaply with easily acquired precursor chemicals and cooked in labs that are almost undetectable on satellite imagery. The costs and returns are many times that of heroin.

“They can ramp up meth production. You can tell [on satellite photos], but you have to know what you’re looking for, and at. It will be much harder to prove,” as the labs often look like any other building, Schindler said.

The UNODC agrees, with an assessment released on Sunday describing the illegal manufacture of meth in Afghanistan as a “growing threat” that is “changing illicit drug markets traditionally focused on the trafficking of opiates from Afghanistan.” Chemical precursors have become the main ingredient, the report said, derived from legally available sources like cold medicine or bulk industrial ephedrines that are smuggled into Afghanistan year-round. One kilogram of pure meth can be produced from less than 2 kilos of industrial ephedrine, compared to 200 kilos of ephedra plant that have to be harvested and prepared by human beings who like to get paid.

The Taliban have been moving into meth for some years, building markets by including it in shipments of heroin. Australian media has reported huge seizures of Afghan meth, sent through the mail from Pakistan to motorcycle gangs that dominate the trade. Compared to heroin, a little goes longer, and the UNODC report shows the Taliban are trading it to every corner of the world.

As industrial-scale manufacture of chemical drugs ramps up, the biggest losers are Afghanistan’s farmers, who languish at the bottom of the economic pyramid, among the poorest people in one of the world’s most indigent countries. For decades, they’ve been Taliban serfs, forced to grow poppies to help fund the war against the Western-backed Afghan state. The Taliban provided inputs, including seeds and fertilizer. Farmers found themselves in a debt trap they could and did pay off at times by fighting for the Taliban against Afghan and international coalition forces.

News footage of lathi-armed goon squads destroying poppy fields is a déjà vu of failed counternarcotics programs during the past two decades, which at least offered farmers alternatives, like growing wheat or saffron. Insurgent suicide bombers would destroy seed distribution centers, and Taliban operatives would sometimes even kill farmers who tried to make the switch. The U.S. Special Inspector General for Afghanistan Reconstruction reported that the U.S. government spent, between 2002 and 2017, about $8.6 billion on counternarcotics efforts. Opium remained Afghanistan’s largest cash crop.

But wheat and other crops are just not a viable option. “If they grow grain, they will starve,” Schindler said, as Afghan farmers need cash crops to cover their costs. A long-term drought has cut their ability to grow food. If the ban continues, many men will be forced off the land to look for work elsewhere, adding to the huge numbers of internally displaced and, potentially, to the numbers flooding out of the country—to Pakistan, Iran, and beyond—in search of work.

Little farmers and big landowners both stand to lose from the continued ban, even if that was the endgame of all those years of U.S. and international efforts. Akhundzada seems to have put his prestige on the line with the ban, regardless of the collateral damage.

“The economic shock and human suffering will continue and worsen as long as the ban is implemented,” warned William Byrd, an expert on Afghanistan at the U.S. Institute of Peace.

[thelaborganics]

Key Ingredients in Advanced Natural Skincare and Their Proven Benefits

Skincare is a whole lot more than just appearance these days. The emphasis is now on ingredients that are safe, smart, and effective for your skin and health. These are the areas of Advanced Natural Skincare.

In this new approach in skincare, natural really means the opposite-i.e., natural ingredients backed by science. These ingredients are carefully selected on the basis of scientific evidence that confirms they work better and penetrate deeper into the skin. Let's go through the major ingredients of advanced natural skincare and what they do for your complexion.

 Major Ingredients of Advanced Natural Skincare

1. Hyaluronic Acid (Plant-Based)  

What it does: Provides extreme hydration for the skin.  

Why it's phenomenal: Our skin needs to stay hydrated to retain its smooth texture. Hyaluronic acid can hold water up to 1,000 times its own weight. In advanced natural skincare, it is usually of plant origin-allied with corn or wheat, hence being skin-environment-friendly. 

Benefit: Smooth, fresh, and radiant skin.

2. Bakuchiol 

What it does: It acts similarly to retinol, but plant-based. 

Why it's phenomenal: Retinol, while it is a powerful age-fighting chemical, is more often considered irritating to the skin. Bakuchiol is derived from the babchi plant and provides the same anti-aging action minus the redness or drying. 

3. Vitamin C (Natural Source)

What it does: Skin brightening with spot-lightening capabilities. 

Why it’s great: It’s one of the best for even toned glowing skin. Derived from fruits like kakadu or citrus in advanced natural skincare. 

Benefit: Healthy glow and spot reduction over time. 

4. Niacinamide (Vitamin B3) 

What it does: Minimises pore size, uneven texture and redness. 

Why it’s great: Sounds chemical but niacinamide is actually vitamin B3. It’s found naturally in foods like green veggies and grains. It protects the skin barrier and smooths the texture. 

Benefit: Less redness, smaller pores and smoother skin. 

5. Green Tea Extract 

What it does: Protects against sun and pollution. 

Why it’s great: Green tea is packed with antioxidants that defend your skin against daily stressors like UV rays and smoke. Plus it calms irritated skin. 

Benefit: Fewer breakouts and healthier looking skin.

6. Rosehip Oil

What it does: Repairs and nourishes the skin.

 Why it’s amazing: Rosehip oil is rich in natural vitamins A and C. It’s great for healing scars, fine lines, and dry patches. It’s light, so it works for all skin types.

Benefit: Softer skin and a more even tone.

7. Aloe Vera

What it does: To soothe and cool the skin.

Why it’s amazing: Aloe has an ancient history when it came to calming burns and cuts. For skin, it works wonders in soothing sensitive skin while cutting down redness.

Benefit: Calm, happy skin that is refreshed.

The products shun poisonous chemicals and favor powerful plant-based ingredients that truly do the work. They are safe, smart, and kind to your skin and Mother Earth.

Look at ingredients when selecting skincare. The best products will tell you exactly what’s inside and why it works. That’s the beauty of advanced natural skincare – it’s simple, honest, and effective.

Conclusion

Start with one or two products like a serum or moisturizer that has the ingredients above. Give it time. With regular use, you’ll start to see your skin become healthier, clearer, and more radiant – the natural way.

Discover Advanced Natural Skincare at The Lab Organics. Explore our handpicked collection of advanced natural skincare products at The Lab Organics — where science meets nature. From plant-powered serums to deeply nourishing oils, we’ve got everything your skin will love. Shop now at The Lab Organics and give your skin the care it truly deserves.

[amplegracepsy]

Regain Your Calm with Expert Anxiety Treatment in New Hampshire

The first step to getting back in control of your thoughts, your emotions and your day to day life is seeking effective anxiety treatment in New Hampshire. Anxiety can show itself in different ways like incessant worry, feeling out of sorts, panic attack or phobia and if not addressed, can come in the way of work, relationships and one’s overall well being. Fortunately, there are now more tailored and evidence based treatments than ever for those looking for some peace and balance.

Understanding Anxiety and Its Impact

Among mental health problems of the U.S., anxiety disorders are highly reported. Generalized Anxiety Disorder (GAD), social anxiety, Panic Disorder and other kinds of phobias are examples of anxiety disorders. A little stress or jitters when it happens is normal, but clinical anxiety is always recurrent, always severe and may have no obvious trigger.

Possible symptoms are:

• A lot of time spent worrying

• Feeling irritated and restless

• Struggling to pay attention

• Sore muscles

• Trouble with sleep

Someone during a panic attack, could feel their heart racing or can’t breathe. Even if you notice early anxiety symptoms, always seek help so that you can recover faster and anxiety from getting worse..

Personalized Anxiety Treatment Plans

Care at Ample Grace Psychiatry is focused on what each patient needs. Once the patient has been medically and psychiatrically evaluated, a personalized treatment plan will be implemented which could entail some or all of the following: cognitive behavioral therapy (CBT); medication management; mindfulness based stress reduction; etc.

Treatment is tailored to the patient’s individual goals for feeling more confident in social settings, more concentrated at work or just able to enjoy life without always being afraid.

Embracing the Convenience of Virtual Support

Online therapy for anxiety in New Hampshire has made it simpler, more convenient and more discreet for patients. Because virtual therapy happens online, patients can get the necessary help while remaining in a familiar, safe setting.

Patients at Ample Grace Psychiatry are cared for through secure online platforms that are in line with confidentiality laws. Online services offer the same great care and medical guidance as found in a regular doctor’s office.

Local Support with a Personal Touch

Seeking anxiety counseling near you in Manchester NH offers reassurance because you can connect with nearby experts. Being supported locally helps patients establish a helpful relationship with someone familiar with their stresses, way of life and healthcare.

Counseling sessions usually consist of:

• Discovering what makes you anxious

• Changing negative ways of thinking

• Using different methods to handle stress

• Gradually exposing the individual to the feared situation

Counseling that continues over time helps people manage their anxiety and provides skills to use whenever needed.

Breaking the Stigma and Seeking Help

Anxiety is one of the biggest challenges to overcome when addressing mental health care and the stigma. A lot of people postpone treatment from being judged or dismissed. But the truth is that anxiety is a medical condition — just as hypertension and diabetes are — and it deserves to be taken and treated with the seriousness it deserves.

Not only is seeking professional help is a way to take charge of your mental health, but it also improves your quality of life and also pave a way for more meaningful relationships, productivity and personal peace.

Why Choose Ample Grace Psychiatry

Ample Grace Psychiatry provides both virtual and face-to-face treatments using a caring team of specialized mental health professionals. No matter if you are new to anxiety or have struggled with it for years, the friendly staff at the clinic are by your side throughout your experience.

A Healthier Tomorrow Starts Today

If you feel that anxiety is stopping you from living up to who you can really be, take action. Treating the symptoms is more than just the symptoms but it’s allowing you to find your calm, your safety and get clarity.

Ample Grace Psychiatry is here to help you take the first powerful step toward emotional wellness, by facilitating personalized support, providing expert counseling and convenience of online therapy.

[shafiedu-blog]

Behavioural Therapy in Brampton: A Path to Positive Change

Behavioural therapy is a powerful, evidence-based approach used to treat a wide range of mental health challenges by addressing the connection between thoughts, emotions, and behaviours. In Brampton, a growing number of individuals and families are turning to behavioural therapy to manage conditions such as anxiety, depression, phobias, trauma, anger, ADHD, and more.

At its core, Behavioural Therapy Brampton focuses on identifying and modifying negative patterns of behaviour that contribute to emotional distress or dysfunctional living. It helps clients replace unhelpful behaviours with healthier alternatives through structured sessions and practical techniques. Unlike traditional talk therapies that delve deeply into past experiences, behavioural therapy is often action-oriented and focuses on the present.

One of the most common forms used in Brampton clinics is Cognitive Behavioural Therapy (CBT), a structured, goal-oriented treatment that teaches individuals how to recognize negative thought patterns and reshape them. CBT has been widely validated by research and is recommended by mental health professionals worldwide. Whether someone is struggling with social anxiety or compulsive behaviours, CBT helps develop coping strategies and problem-solving skills.

Another effective branch of behavioural therapy is Dialectical Behaviour Therapy (DBT), particularly useful for individuals dealing with intense emotions, self-harm, or borderline personality disorder. DBT integrates mindfulness, distress tolerance, emotional regulation, and interpersonal effectiveness. Some Brampton therapists also incorporate Exposure Therapy for clients with specific phobias or PTSD, helping them gradually and safely face their fears.

Behavioural therapy is often tailored to suit different age groups. In Brampton, children and teens can benefit from Behavioural Intervention for issues such as tantrums, defiance, autism spectrum disorders, or school-related anxiety. Therapists often work closely with parents and teachers to reinforce positive behaviours across home and school environments. For adults, therapy might address long-standing patterns affecting work, relationships, or personal wellbeing.

Choosing the right therapist is a vital part of the process. Brampton offers a diverse pool of registered psychotherapists, clinical psychologists, and counsellors who are trained in Autism therapy near me. Many clinics offer both in-person and virtual sessions, allowing for flexible access depending on individual needs. Sessions are usually weekly or bi-weekly, and progress is often tracked through goal-setting, self-monitoring, and regular feedback.

The benefits of behavioural therapy go beyond symptom reduction. Over time, clients often report improved confidence, better stress management, stronger relationships, and a greater sense of control over their lives. It’s not just about solving problems—it’s about building lasting tools for emotional resilience.

In a culturally diverse city like Brampton, many therapists are also sensitive to cultural backgrounds, language preferences, and family dynamics, making therapy more inclusive and personalized. Whether you're seeking help for yourself, your child, or a loved one, behavioural therapy offers a structured path to healing and self-improvement.

If you're ready to take the first step toward positive change, behavioural therapy in Brampton may offer the guidance and support you need to live a more balanced and fulfilling life.

[drandrewrudin12]

Andrew Rudin Cardiology | Do You Really Need a Stent?

The Truth About Heart Disease Treatment You Won’t Hear in Every Exam Room

You go in for a routine check-up or stress test. Your doctor finds a blockage. The next thing you know, you're scheduled for a stent.

It feels urgent. It sounds lifesaving. And no one wants to take chances when it comes to the heart.

But what if, in many cases, stents don’t actually prevent heart attacks or save lives—at least not the way we’ve been led to believe?

“We’ve relied on stents as a reflex response to coronary artery disease, but the science now tells us we need to be more thoughtful,” says a spokesperson from Andrew Rudin Cardiology, a patient-focused cardiovascular practice that emphasizes evidence-based care.

In this article, we’ll unpack what stents really do, when they’re necessary, and why some patients may want to pause and think before proceeding.

What Is a Stent?

A coronary stent is a tiny mesh tube inserted into an artery to help keep it open. It’s usually placed during a procedure called angioplasty, where a balloon is inflated inside a blocked artery to restore blood flow.

This procedure is extremely common—and in certain cases, absolutely necessary, particularly during an acute heart attack, where every minute counts.

But here’s the catch: stents are also frequently used in non-emergency cases, such as when patients have stable angina (predictable chest pain) or no symptoms at all. And in these situations, the benefits of stents aren’t as clear as you might think.

What the Research Really Says

A groundbreaking study known as the ISCHEMIA trial, published in 2020, changed the game for cardiology.

Over 5,000 patients with moderate to severe coronary artery disease were followed. Half underwent invasive treatment (stents or bypass surgery), while the other half were managed with optimal medical therapy—medications, diet, exercise, and close monitoring.

The results? After several years, there was no significant difference in the rate of heart attacks or deaths between the two groups.

“This was a wake-up call,” explains a cardiologist affiliated with Andrew Rudin Cardiology. “We’ve learned that for stable patients, starting with non-invasive treatment is not only safe—it’s often just as effective.”

Why Heart Attacks Don’t Always Happen Where You Expect

Many people assume that a major blockage is what causes a heart attack. So it makes sense—fix the blockage, prevent the heart attack. But here’s the surprising truth:

Most heart attacks don’t happen at the site of the biggest blockage. They occur where smaller, unstable plaques rupture unexpectedly, triggering a clot that blocks blood flow.

A stent placed in a “tight” area doesn’t prevent this from happening somewhere else.

That’s why, according to Andrew Rudin Cardiology, the key to preventing heart attacks lies not in one procedure, but in treating the disease systemically—through medications, healthy habits, and long-term risk reduction.

When Is a Stent the Right Choice?

To be clear, stents are not bad—they're just overused.

They remain the gold standard in emergencies, including:

Heart attacks (STEMI/NSTEMI)

Unstable angina, where symptoms worsen quickly

High-risk blockages in critical areas

Persistent, lifestyle-limiting symptoms that don’t improve with medication

But for people with stable coronary artery disease, especially those not experiencing symptoms, it's often best to start with medical therapy first.

“In medicine, more isn’t always better,” says a physician from Andrew Rudin Cardiology. “Sometimes, the best thing we can do is educate the patient and empower them to make an informed decision.”

Risks You Should Know About

While generally safe, stents do come with risks:

Bleeding or complications during the procedure

Blood clots forming inside the stent

Re-narrowing of the artery (restenosis)

Side effects from medications, like long-term blood thinners

False sense of security, leading some to abandon lifestyle changes

The last point is critical. A stent may help symptoms, but it doesn’t cure heart disease—and without addressing the root causes, long-term risk remains.

What Works for Preventing Heart Attacks?

So if stents aren’t always the answer, what is?

The answer lies in comprehensive, preventive care, including:

Cholesterol management (statins or PCSK9 inhibitors)

Blood pressure control

Antiplatelet therapy (like aspirin)

Smoking cessation

Diet changes (such as a Mediterranean-style plan)

Consistent physical activity

Stress management and better sleep

These strategies don’t just relieve symptoms—they address the underlying disease.

At Andrew Rudin Cardiology, the emphasis is on partnership, guiding patients through these changes with education, compassion, and tailored care.

Questions to Ask Before Getting a Stent

If you're facing a decision about a stent and it's not an emergency, take a moment and ask:

Is this urgent, or do I have time to explore my options?

What are the risks and benefits of this procedure?

How might medical therapy compare to a stent in my case?

Am I treating a symptom, or solving a long-term problem?

Do I feel fully informed—or do I want a second opinion?

Your health is yours. You have every right to understand your treatment, explore your options, and choose what feels right for you.

“In cardiology, the best decisions are made not in a rush, but in thoughtful conversation,” says a patient education coordinator from Andrew Rudin Cardiology. “It’s not just about treatment—it’s about trust.”

The Bottom Line: Think Long-Term, Not Quick Fix

Stents are a powerful tool—but they’re not a cure-all. And in stable heart disease, they’re not always necessary.

What truly protects your heart is a long-term strategy: better habits, consistent medication, and a commitment to understanding your own health.

If you’ve been told you need a stent and you’re not having a heart attack, you have time. Time to ask questions, to weigh options, and to make an informed, empowered choice.

🫀 Take Control of Your Heart Health

Before you say yes to a stent, make sure you say yes to the full story.

If you’ve had experience with stents—or chose a different path—share your story below. Your voice might help someone else make a better decision.

Social Account: LinkedIn

[drsatyampainhealthcare]

Ankylosing Spondylitis Treatment in Varanasi—Expert Care at Dr. Satyam's Pain Healthcare

Ankylosing spondylitis (AS) is a chronic inflammatory illness that mostly affects the spine and sacroiliac joints. Increased stiffness, back pain, and limited mobility are symptoms of AS, which is sometimes misdiagnosed and misinterpreted. Controlling symptoms and improving the patient's quality of life require a comprehensive treatment plan and an early diagnosis.

Suppose you’re searching for ankylosing spondylitis treatment in Varanasi. Dr. Satyam’s Pain Healthcare offers a scientifically backed and patient-focused approach that combines physiotherapy, chiropractic care, osteopathy, and modern therapeutic techniques for optimal outcomes.

Understanding Ankylosing Spondylitis

Ankylosing Spondylitis is a form of axial spondyloarthritis. It primarily affects:

The spine

Sacroiliac joints (where the spine meets the pelvis)

In severe cases, the rib cage, hips, shoulders, and knees

AS is more common in men and usually begins in early adulthood. It is an autoimmune disorder, meaning the body’s immune system attacks its tissues, leading to inflammation and eventual fusion of the spine.

Common Symptoms of Ankylosing Spondylitis

Chronic lower back pain and stiffness

Pain that improves with exercise and worsens with rest

Morning stiffness lasting more than 30 minutes

Fatigue

Reduced flexibility and range of motion

Pain in the hips, shoulders, or knees

If left untreated, AS can cause permanent spinal fusion, leading to a hunched posture and reduced quality of life.

Why Choose Dr. Satyam’s Pain Healthcare for Ankylosing Spondylitis Treatment in Varanasi?

1. Expertise in Spine & Joint Disorders

At Dr. Satyam’s Pain Healthcare, we specialize in treating chronic pain conditions, especially spinal issues like ankylosing spondylitis. Our team includes the best chiropractor in Varanasi, experienced physiotherapists, and osteopathy experts who understand the complexity of autoimmune spinal conditions.

2. Multidisciplinary Approach

We combine

Manual Therapy

Posture Correction

Musculoskeletal Physiotherapy

Osteopathy (CST, MET, MFR)

Chiropractic Adjustments

Electrotherapy (TENS, IFT, Laser, Shockwave)

This integrative model helps reduce inflammation, relieve pain, and restore mobility without relying heavily on medications.

3. Customized Treatment Plans

Every patient is unique. We design personalized treatment plans after a detailed assessment that includes

Medical history review

Posture and gait analysis

Range of motion testing

Pain mapping

Advanced imaging, if required

4. Chiropractor Near Me with a Proven Track Record

Patients from across Varanasi and neighbouring areas trust us for back pain treatment, posture correction, and Ankylosing Spondylitis management. We’ve successfully treated hundreds of patients, helping them return to their daily lives pain-free.

Our Treatment Approach for Ankylosing Spondylitis in Varanasi

1. Pain Relief Through Electrotherapy

We use evidence-based modalities like

Interferential Therapy (IFT)

Transcutaneous Electrical Nerve Stimulation (TENS)

Laser Therapy

Shockwave Therapy

These methods reduce pain and muscle spasm, allowing patients to move more comfortably.

2. Physiotherapy and Exercise Therapy

Movement is medicine for AS. Our physiotherapy program includes:

Core-strengthening exercises

Stretching routines for the spine and hips

Postural correction techniques

Guided breathing exercises for rib cage flexibility

As the best physiotherapist in Varanasi, Dr. Satyam focuses on functional rehabilitation, ensuring that patients regain mobility without aggravating inflammation.

3. Chiropractic Care

Our chiropractic sessions focus on:

Gentle spinal adjustments

Pelvic alignment

Restoring spinal curvature

Relieving nerve impingement

Patients often report significant pain reduction and improved mobility within just a few sessions.

4. Osteopathy

Using techniques like Myofascial Release (MFR) and Muscle Energy Techniques (MET), our osteopaths treat muscular restrictions and improve circulation. Craniosacral Therapy (CST) is also used to promote deep healing and reduce systemic inflammation.

5. Posture Correction

People with AS tend to develop a stooped posture. We offer posture correction using:

Kinesiology taping

Core stability training

Ergonomic education for daily activities

Bracing support if needed

6. Lifestyle & Nutritional Counselling

Chronic inflammation can be controlled by anti-inflammatory diets. We guide patients on:

Omega-3 rich foods

Avoiding gluten and processed sugar

Incorporating turmeric, ginger, and green leafy vegetables

Supplements for Vitamin D, calcium, and magnesium

What Sets Us Apart?

 ✅ Spine-Specific Care ✅ Complete Pain Relief System ✅ State-of-the-art Equipment ✅ Non-invasive Techniques ✅ Homecare Physiotherapy Options ✅ Affordable & Accessible

At Dr. Satyam’s Pain Healthcare, we believe that healing is a journey, not a pill. Our mission is to offer natural, long-lasting solutions for chronic pain conditions like ankylosing spondylitis.

When to Seek Treatment?

Early intervention can slow down the progression of AS. Seek help if you:

Wake up with lower back pain that gets better after movement

Feel stiff in the back, especially in the morning

Have pain in your hips or shoulders

Experience fatigue without a clear reason

Notice a stooping posture or reduced flexibility

Conclusion

Ankylosing spondylitis doesn’t have to control your life. With the right treatment and consistent care, you can manage symptoms, stay active, and enjoy a pain-free future. At Dr. Satyam’s Pain Healthcare, we are committed to healing through movement, alignment, and holistic care.

If you’re searching for back pain treatment in Varanasi, a physiotherapist near me, or a chiropractor for ankylosing spondylitis, schedule your consultation with Dr. Satyam today and take the first step toward lasting relief.

Book Your Consultation Today

Dr. Satyam is only a phone call away if you’re looking for compassionate ankylosing spondylitis treatment in Varanasi. The clinic provides flexible appointment scheduling and is conveniently located in Varanasi, whether you are in Lanka, Sigra, Bhelupur, or any other area. 

✅Clinic Address: Sonkar market, D63/69-A, Sigra-Mahmoorganj Rd, Near Padmini Hotel, Sigra, Varanasi, Uttar Pradesh 221010

📞Call for Appointment: +91-081879 71516

🌐Website: www.drsatyampainhealthcare.com

                                  (FAQs)

Q1. What is the best treatment for ankylosing spondylitis in Varanasi?

Dr. Satyam’s Pain Healthcare offers the most comprehensive ankylosing spondylitis treatment in Varanasi using a blend of physiotherapy, chiropractic care, and osteopathy for long-term relief.

Q2. Can chiropractic care help with ankylosing spondylitis?

Yes. Gentle chiropractic adjustments improve spinal mobility, reduce stiffness, and align the spine without causing flare-ups.

Q3. How long does ankylosing spondylitis treatment take?

Treatment duration depends on the severity. Most patients begin to notice improvements within 2–4 weeks. Long-term management involves lifestyle changes and periodic therapy.

Q4. What lifestyle changes are recommended for AS?

Regular low-impact exercise (like swimming and stretching)

Healthy anti-inflammatory diet

Good posture habits

Avoiding smoking and stress

Q5. Can I visit for a second opinion?

Absolutely! If you’ve been struggling with chronic back pain or have already been diagnosed with AS, we welcome you for a detailed assessment and second opinion.

[hiringjournal]

Why Hiring Front End Developers from India Can Save You 60% on Development Costs

Hiring front end engineers from India is more important than ever as companies try to increase their tech expenses without sacrificing quality. Lower hourly rates aren’t the only thing at stake. You get time zone flexibility, experience working with international teams, and access to a vast pool of highly qualified individuals.

The cost savings — often up to 60% — cannot be disregarded when businesses look at the facts. However, why is India such a hub for front-end knowledge? And when hiring from overseas, how can tech companies be confident they’re getting quality and value?

Let’s examine the real factors that contribute to this hiring strategy’s effectiveness.

Outsourcing Front-End Development to India Isn’t Just a Budget Move — It’s a Strategic Advantage.

Lower Salaries, Same Skill Set

When you hire front-end developers from the United States they typically make between $90,000 and $120,000 a year. You may recruit engineers in India with comparable skill for a fraction of the price, usually between $25,000 and $35,000 annually.

Without compromising skill, that represents a possible cost reduction of 60–70%. React, Angular, Vue.js, TypeScript, and CSS frameworks like Tailwind or Bootstrap are among the contemporary tech stacks that Indian developers are proficient in. Many have experience working with international teams and are familiar with industry-standard coding techniques.

This pay disparity provides an instant benefit for startups hoping to grow rapidly or for digital enterprises with limited funding.

Access to a Massive Talent Pool

Every year, India generates more than 1.5 million engineering graduates. A large percentage of them acquire experience early on by working with clients from other countries, and many of them specialise in front-end technology.

Hiring front end developers from India gives you access to a workforce that has experience working with businesses all around the world to solve real-world issues. Fast ramp-up periods, little onboarding friction, and developers skilled in creating user-centric, responsive interfaces are all results of this.

It can take months to recruit qualified developers in highly competitive hiring areas like the US or Europe. You can get qualified specialists more quickly by outsourcing to India, particularly if you decide to work with reputable platforms or firms to hire remote developers.

Time Zone Advantage = Continuous Development

The time zone offset is another overlooked advantage. You receive development that is nearly constant because Indian teams frequently work while your U.S.-based team is asleep. It is possible to repair bugs overnight. By morning, new features can be pushed.

This “follow-the-sun” approach to development speeds up product schedules for a lot of tech companies. As you’re offline, progress occurs rather than waiting for a local team to log in. When properly managed, this asynchronous collaboration leads to smoother launches and quicker deliverables.

Quality Control and Communication

The days of outsourcing resulting in poor code quality and ambiguous specifications are long gone. Indian front-end engineers today speak English fluently and are very conversational. Because of their familiarity with platforms like Figma, Jira, Git, and Slack, collaboration is simple and clear.

However, selecting developers with foreign client expertise is essential. Seek out portfolios that incorporate cross-browser compatibility testing, SPAs (Single Page Applications), and responsive websites.

Final Thoughts

Hiring front end developers from India is a wise choice for businesses that seek speed, skill, and savings without sacrificing quality. It’s not only a way to save costs. More software businesses are realising that great programming transcends borders as remote work becomes more popular. And with cost savings of up to 60%, the choice is self-evident.

[kyodesyo]

How to avoid rebound due to carbohydrate restriction | Tips for efficiently losing body fat

I think there are many people who have such problems as "I'm holding back from eating, but I can't lose weight" and "I can't get any effect even if I exercise". Especially after the 30s, it is difficult to lose weight in the same way as when you were young.

In such a situation, the "carbohydrate-restricted diet" has been attracting attention in recent years. It is frequently featured on TV, SNS, and magazines, and many celebrities and models also practice it, so many of you must have heard of it at least once.

However, "Is carbohydrate restriction really effective?" Won't you rebound? There are many people who have questions and are worried that they don't know how to do it right.

This time, we will dig deep into the effects, methods, and unexpected pitfalls of such carbohydrate restriction. We will explain the know-how that can actually be incorporated in an easy-to-understand way, including information that has not been mentioned in other blogs. Please read it to the end.

[Table of Contents]

1. What is carbohydrate restriction? An easy-to-understand explanation of the mechanism and basics

2. 3 effects of carbohydrate restriction and their reasons

3. The right way to limit carbohydrates | Practical steps that do not fail

4. 3 points that should be reviewed by people who can't lose weight due to carbohydrate restriction

5. Tips for continuing to restrict carbohydrates and the secret to not rebounding

What is carbohydrate restriction? An easy-to-understand explanation of the mechanism and basics

As the name suggests, carbohydrate restriction is a diet method that reduces weight by "reducing the intake of carbohydrates". Carbohydrates are mainly found in rice, bread, noodles, sweet sweets and juices. By refraining from these foods, excess sugar in the body is prevented from accumulating as fat.

When consumed, carbohydrates rapidly increase blood sugar levels. Along with that, a hormone called insulin is secreted, which works to store sugar as fat to lower blood sugar levels. In other words, it is due to the work of insulin that it is easy to gain weight if you consume a lot of carbohydrates.

Carbohydrate restriction suppresses the secretion of this insulin, resulting in less likely to accumulate fat. In addition, a substance called "ketone" that burns fat as an energy source is now produced in the body, which greatly contributes to the reduction of body fat.

In particular, modern people have a lot of carbohydrate-centered diets, and it is not uncommon for them to have excess carbohydrates without realizing it. The diet of bread in the morning, ramen at noon, and rice at night can be said to be a superb carbohydrate-based diet.

In order to achieve the effect of carbohydrate restriction, it is important to do it with correct knowledge and balance, not just to get rid of carbohydrates. Instead of forcibly aiming for zero carbohydrates, the awareness of "reducing" and "replacing" is the key to continuity.

3 effects of carbohydrate restriction and their reasons

The mechanism that makes it easier to reduce body fat

The biggest attraction of carbohydrate restriction is that it promotes fat burning. The body usually uses carbohydrates as a source of energy. However, when carbohydrates are limited, the body tries to use fat as energy instead. A substance called "ketone" is produced in this process.

The ketone body is an alternative energy made from fat in the liver and is also used in the brain and muscles. This condition is called "ketosis", and it is evidence that carbohydrate restriction is working well. By making it easier for body fat to burn, the effect of dieting is more likely to be visible.

In addition, when carbohydrate intake is reduced, the amount of insulin secretion also decreases. Insulin has the effect of promoting the accumulation of fat, so by reducing its secretion, it becomes difficult to store fat, and it naturally changes to a constitution that is easy to lose weight.

It is possible to control appetite by stabilizing blood sugar levels

If you eat a diet that contains a lot of carbohydrates, your blood sugar level will rise sharply, and insulin will drop sharply. This "high and low blood sugar level" stimulates appetite and causes you to eat too much.

By restricting carbohydrates, you can keep your blood sugar rise slowly, and as a result, excessive appetite can be suppressed. The effects of not having to snack and no sleepiness after eating are also due to the stability of this blood sugar level.

In addition, it is freed from discomfort such as "irritation" and "sluggishness" caused by a sharp drop in blood sugar levels, so it is mentally stable and leads to the prevention of overeating due to stress.

Unexpected benefits of improving your physical condition

After starting carbohydrate restriction for a while, I often hear voices saying, "Waking up in the morning is better" and "I'm less tired in the evening." This is not only related to the stability of blood sugar levels, but also to the suppression of inflammation in the body.

Carbohydrates, in eter refined white carbohydrates, can cause inflammation in the body. Inflammation leads to chronic fatigue, rough skin, and deterioration of the intestinal environment. By reducing the foods that cause inflammation by restricting carbohydrates, your physical condition will naturally improve.

In addition, there will be good changes in the intestinal environment. If there are a lot of carbohydrates, it is easy to become food for bad bacteria, and it is easy to lose the balance of intestinal flora, but if you restrict carbohydrates, it is easy to increase good bacteria, and there are many cases where bowel movements are improved.

The right way to limit carbohydrates | Practical steps that do not fail

What are the pitfalls that beginners should avoid?

Although carbohydrate restriction seems easy at first glance, there are a few points to note when practicing. One of the mistakes that beginners tend to make is "trying to completely zero carbohydrates".

It is certainly important to suppress carbohydrates, but excessive restrictions can lead to lack of energy and cause dizziness, decreased concentration, and discomfort such as constipation. The important thing is to "reduce", not to "stinue".

It is also a common mistake to consume too much lipids instead of reducing carbohydrates. The intake of lipids is allowed to a certain extent in carbohydrate restrictions, but taking too much poor-quality fat, such as fried foods and processed foods, may damage your health.

Considering nutritional balance and consciously consuming proteins, vitamins, and minerals are the tips for long-term carbohydrate restriction.

Recommended ingredients and recipes to reduce carbohydrates

Low-carbohydrate and nutritious ingredients can be relied on to limit carbohydrates. By making good use of the following foods, you can easily reduce carbohydrates.

Recommended ingredients

Low-fat meats such as chicken breast, sasami, and pork tenderloin

Soy products such as eggs, natto, and tofu

Low-carbohydrate vegetables such as broccoli, spinach, and avocado

Memoks, seaweed

Greek yogurt, cheese

Example of a simple recipe

Just cut and mix avocado and tofu with wasabi soy sauce, and you will be very satisfied.

Spicy miso-grilled chicken breast is low in fat, high in protein, and delicious even when cold

Chinese-style soup with mushrooms and seaweed is gentle on the intestines and has plenty of dietary fiber

While successfully incorporating these recipes, it is possible to achieve a nutritious diet while suppressing carbohydrates.

3 points that should be reviewed by people who can't lose weight due to carbohydrate restriction

In fact, "hidden carbohydrates" that are consumed without knowing it

Even if you think you are restricting carbohydrates, "hidden carbohydrates" are surprisingly easy to overlook. For example, dressings, sauces, and processed foods at convenience stores contain unexpectedly carbohydrates.

There are many cases where "non-oil dressing" and "healthy smoothies" actually have a lot of sugar. Make a habit of checking the ingredient label and grasping the sugar mass per 100g.

You also need to pay attention to drinks. Vegetable juice, fruit juice, cafe latte, etc. are often high in carbohydrates, and the main point is to increase the effect of water and tea.

The relationship between muscle mass and metabolism

I lost weight by restricting carbohydrates, but my appearance doesn't change much... In such a case, please pay attention to muscle mass. Reducing carbohydrates also reduces the energy source of muscle glycogen, which may cause muscle energy deficiency.

When the muscles fall, the basal metabolism decreases and the body becomes difficult to lose weight, so it is important to reduce carbohydrates, consume protein well, and incorporate light muscle training and stretching.

To burn fat while maintaining muscle, be aware of the three pillars of "low sugar + high protein + moderate exercise".

The pitfalls of stress and hormonal balance

In fact, stress is also largely involved in dieting. When stressed, a hormone called "cortisol" is secreted, but this hormone has the effect of making it easier to accumulate fat.

In particular, carbohydrate restriction is a diet that is easy to feel the mental burden before you get used to it. If you restrict too much, it can also cause you to eat because of the reaction.

Sometimes, by incorporating "Cheat Day" or "Refeed", you can balance your hormones while refreshing your mind. In order to continue without difficulty, it is more important than anything else to do it at a pace that suits you.

Tips for continuing to restrict carbohydrates and the secret to not rebounding

The success of carbohydrate restriction lies in "continuing". Even if you lose weight temporarily, a rebound is inevitable if you return to your original diet. Therefore, I will introduce some tips to continue.

First of all, it is important to "not aim for perfection". It is much more effective to be able to continue to score 70 points rather than aiming for 100 points. Even if you consume a little carbohydrate, don't ruin everything, but have the flexibility to adjust to the next meal.

The next step is to incorporate "enjoyment ingenuity". By devising low-carbohydrate snacks and recipes using alternative ingredients, you can continue to restrict while maintaining a sense of satisfaction. It is also a good way to use SNS and apps to record meals and encourage friends who have the same goal.

Finally, the key to preventing rebound is to eat at the "stage of maintaining the lost weight". Instead of suddenly returning carbohydrates, it is required to find a maintainable balance while adjusting the amount little by little.

Carbohydrate restriction is not only a way to lose weight, but also a way to get a healthy body and habits. Let's continue at your pace, surely, and positively.

[hybridbatteries4]

A Complete Guide to Camry Hybrid Battery Performance and Efficiency

As hybrid vehicles become more fashionable in the current environmentally conscious time, one crucial element that is in the focus can be found in the Camry hybrid battery. Toyota Camry Hybrid is one of the most popular hybrid vehicles known for its dependability, efficiency and low emissions. But how will its battery perform over the long term? And, most important who should the owners of cars go for replacement or upgrade needs occur?

Hybrid Batteries, a third party hybrid battery specialist has established itself as a brand to be reckoned with in terms of providing quality goods and solutions. Motivated by sustainability, performance and efficiency they have created an enviable position in the aftermarket market for them. People often wonder what makes them' Camry hybrid battery distinct from other hybrid batteries? How efficient is it relative to the original battery, and can it offer a balanced mix between cost and durability?

These are important issues to consider. The efficiency of batteries affects the energy efficiency as well as environmental impact. It also affects the overall experience. This guide explains every aspect regarding what it works, including how the Camry hybrid battery works and how to expect it regarding its performance, the truth about replacement costs and the reason they are a company that is as the primary source to those looking for quality Hybrid battery options.

Camry Hybrid Battery Price: What Should You Expect?

Understanding what the Camry hybrid battery costs is crucial for any owner who plans to budget in the future for repairs, or looking for an used hybrid. The cost can be astronomically high based on whether you buy from a dealer or one of the Original Equipment Manufacturer supplier, or a third-party supplier like Hybrid Batteries. Dealerships usually charge very the highest prices, ranging from $3,000 to $5,000 which includes installation. Third-party vendors typically offer lower rates, but.

Hybrid batteries, for instance provides affordable solutions without sacrificing high-end quality. Their Camry hybrid battery packs have been thoroughly tested and come with warranties that provide buyers with security. They also provide installation services or delivery for customers who wish to install the battery in another location. This additional flexibility is a major benefit when it comes to Camry hybrid battery pricing problems.

In the majority of cases, selecting the refurbished or refurbished model can lower the cost to $1500-$2,000 range, depending on the condition of the battery and the model year. In addition when you consider the long-term savings in fuel consumption and reductions in emissions it is a common practice to see the investment returned over time. Therefore, knowing the Camry hybrid battery's cost is not just important to budget, but also in making an informed, value-oriented choice.

Toyota Hybrid Battery: A Standard of Efficiency

It is the Toyota hybrid battery has for a long time been regarded as one of the most reliable hybrid batteries available. Toyota's commitment to innovation and efficiency is evident in every one of their automobiles which includes the Camry. Camry's Camry hybrid battery is specifically made to offer smooth transitions between gasoline as well as electric power. This is which is one of the reasons why it's an exceptional vehicle with regard to fuel efficiency and lower emissions.

But, as with any battery, even best ones eventually degrade as time passes. After a period of 8-10 years under normal usage and conditions of driving, the performance may decrease and the battery may require replacement. This is where third-party entities like them come forward with their own performance-tested alternatives. They are able to replicate the performance and reliability as that of the first Toyota hybrid battery, but offer greater affordability and excellent support services.

The batteries they use are premium cells that tend to be comparable or even better than the ones found in OEM models. They also have diagnostic tests and health checks to ensure that the electric systems in the vehicle are functioning well, along with the battery. This makes them a good alternative for Toyota owners who want an ideal blend of the two worlds - performance and cost savings.

With the constant advancements to hybrid tech, it's crucial to understand that even an unofficial Camry hybrid battery in the present is superior to OEM models of the past decade. This changes the scenario of replacement from a necessity into an upgrade alternative.

How Hybrid Batteries Ensures Long-Term Camry Hybrid Battery Performance

For all car owners especially those who are dedicated to green driving, the highest battery's performance is essential. This Camry Hybrid battery lies the mainstay of this efficiency because it is able to handle electric propulsion and ensures fuel efficiency. Businesses like them are dedicated to maximising the lifespan and performance of these vital components.

They use rigorous testing methods like cell balancing and voltage match for constant quality of the batteries. Each Camry hybrid battery was designed to be able to meet or exceed Toyota's highest standards. Furthermore, they support their batteries with a full warranty and an after-sales support that is customer-focused.

Focusing on reconditioned batteries that meet the highest quality standards Hybrid Batteries makes hybrid battery replacements available to a wider audience. Their clientele includes fleet owners, rideshare drivers and commuters of all kinds who need lasting performance without breaking the bank.

Choosing the Right Camry Hybrid Battery for You

If you're considering replacing it there are a variety of factors that should inform your choice:

Age and use of the vehicle Older vehicles with high mileage might be better served by a low-cost new battery.

Warranty: Always ask about the warranty's duration and coverage.

Installation Assistance: Remote or local professional installation can prevent issues down the line.

Price Transparency: Understand the total cost, which includes charges for shipping or services Not just what the advertiser claims to charge. Camry hybrid battery price.

They are leading in all of these areas, offering complete options for Camry owners of all kinds. Their emphasis on openness technical support, transparency, and cost-effectiveness ensures that vehicle owners benefit from the best value.

Conclusion

In the world of hybrid vehicles and hybrid vehicles, it is the Camry hybrid battery has become a crucial element in the quest for performance, reduced emissions and enhanced fuel efficiency. If replacement is required Third-party sellers like Hybrid Batteries provide a worthwhile alternative to what dealers have to provide. They offer competitive prices, rigorous standards for top-quality testing and unbeatable services to their customers, they provide an all-inclusive solution to the requirements of the environmentally conscious driver of today's.

From figuring out the Camry hybrid battery's cost to looking into Toyota hybrid battery options this guide covers all necessary in order to make a smart, green decision. If you're looking to improve your the efficiency of your vehicle or need to replace due to the need, let reputable companies such as Hybrid Batteries drive your next journey to the next level.

[mcginnlawfirm]

How Does a Criminal Defense Attorney Handle Theft or Burglary Charges?

Facing theft or burglary charges can feel overwhelming. You might have many questions racing through your mind, from what the charges mean to your options moving forward. In situations like these, consulting a knowledgeable criminal defense attorney is essential. This guide will help you understand how a skilled attorney, like those at McGinn Law Firm, can guide you through this challenging time.

What are Theft and Burglary?

Before diving into how an attorney can help, clarifying what theft and burglary entail is useful.

Theft involves taking someone else's property without permission, intending to deprive them of it permanently.

Burglary goes a step further, usually involving entering a building or property without consent with the intent to commit a crime, often theft.

Both charges can lead to severe penalties if convicted, making the role of a criminal defense attorney indispensable.

A criminal defense attorney is your best ally when you face theft or burglary charges. Here’s how they can assist you throughout the legal process:

1. Analyzing Your Case

One of the first steps your attorney will take is to review your case's details. They will examine evidence like police reports, witness statements, and video footage. By understanding the nuances of your situation and identifying any potential weaknesses in the prosecution’s case, your attorney can formulate a robust defense strategy.

2. Explaining Legal Terms and Options

The legal jargon surrounding theft and burglary can be confusing. A seasoned attorney will clearly explain the charges against you, potential penalties, and possible defenses. They will help you understand terms such as "reasonable doubt" and "burden of proof," ensuring you are well-informed to make decisions about your case.

3. Developing a Defense Strategy

Based on their analysis, your attorney will develop a personalized defense strategy. Here are a few common approaches:

Challenging Evidence: If the prosecution’s evidence is weak or obtained illegally, your attorney can challenge its admissibility.

Alibi Defense: If you can prove you were elsewhere when the crime occurred, your attorney will work to establish and support your alibi.

Intent Defense: In some cases, proving that you did not intend to steal or that a misunderstanding occurred can lead to a dismissal or reduction in charges.

4. Negotiating with Prosecution

In many cases, attorneys negotiate with the prosecution before trial. Your attorney may seek a plea bargain, where you agree to plead guilty to a lesser charge in exchange for a lighter sentence. This might be an appealing option if you want to avoid the uncertainty of a trial and reduce potential penalties.

5. Representing You in Court

If your case goes to trial, your criminal defense attorney will stand by your side. They will present your defense, cross-examine witnesses, and make compelling arguments to the judge and jury. Their experience in the courtroom can make a significant difference in the outcome of your case.

6. Offering Support Throughout the Process

The legal process can be stressful and isolating. A good criminal defense attorney does more than just handle your case; they provide emotional support and guidance. From preparing for court appearances to helping you understand what to expect, a dedicated attorney ensures you feel informed and supported throughout your journey.

Why Choose McGinn Law Firm?

When facing theft or burglary charges, it's important to have a trusted partner on your side. McGinn Law Firm has proven experience in managing these types of cases. With a commitment to analyzing every detail and providing personalized defense strategies, you can count on their team to fight for your rights.

Contact McGinn Law Firm Today!

Be sure to seek legal advice if you or someone you know is facing theft or burglary charges. Visit the McGinn Law Firm website or call our Criminal Defense Attorney for your free initial consultation at 712-328-1566. Your future matters, and the right support can make all the difference.

Hiring a criminal defense attorney is pivotal when handling theft or burglary charges. They demystify the legal process and work tirelessly to defend your rights and advocate for your best interests. Remember, taking control of your situation starts with understanding your options—reach out to McGinn Law Firm today.