#normal range is 0.4-4.0
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fully-embracing-my-autopsy · 3 months ago
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If I had a nickel for every time someone suggested I might have PCOS I'd have two nickels which isn't a lot, but it's adding up and now I'm suspicious
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inmarketings · 3 months ago
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Thyroid Test at Home: How to Monitor Your Thyroid Health Easily
Monitoring thyroid health is crucial for overall well-being, as the thyroid gland plays a significant role in regulating metabolism, energy levels, and hormonal balance. Traditionally, thyroid testing required a visit to a healthcare provider, which could be time-consuming and inconvenient. However, advancements in medical technology have made it possible to conduct thyroid tests at home. This article explores the benefits, types, and procedures of at-home thyroid testing, along with considerations for interpreting results and ensuring accurate monitoring.
Understanding Thyroid Health
The thyroid gland is a small butterfly-shaped organ located in the neck that produces hormones such as thyroxine (T4) and triiodothyronine (T3). These hormones are essential for regulating metabolism, heart rate, and body temperature. An imbalance in thyroid hormone thyroid test at home health issues, including hypothyroidism (underactive thyroid) and hyperthyroidism (overactive thyroid). Symptoms of these conditions may include fatigue, weight changes, mood swings, and changes in heart rate. Regular monitoring of thyroid function is essential for individuals experiencing symptoms or those with a family history of thyroid disorders.
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Benefits of At-Home Testing
At-home thyroid tests offer several advantages over traditional lab testing. Firstly, they provide convenience; individuals can collect samples in the comfort of their homes without scheduling appointments or waiting in clinics. This ease of access encourages more people to monitor their thyroid health regularly. Additionally, at-home tests often require only a small blood sample obtained via a finger prick, making the process less invasive and more comfortable than standard venipuncture methods. Moreover, these tests can be more cost-effective since they eliminate the need for office visits and associated medical expenses.
How to Conduct an At-Home Test
Performing an at-home thyroid test is straightforward. Upon receiving the test kit, users should first register it online using the provided barcode to ensure accurate tracking of results. The sample collection involves pricking a fingertip with a sterile lancet included in the kit to obtain a small blood sample. This sample is then applied to the test device or placed in a collection vial as instructed. After mailing the sample back to the laboratory for analysis, users can expect results within a few days via email or through an online portal.
Interpreting Test Results
Understanding test results is crucial for effective health management. Normal ranges for TSH levels typically fall between 0.4 and 4.0 mIU/L; however, these values may vary slightly depending on the laboratory standards used. Elevated TSH levels often indicate hypothyroidism, while low levels may suggest hyperthyroidism. It is essential to consult with a healthcare professional when interpreting results, especially if abnormalities are detected. They can provide guidance on further testing or treatment options based on individual health needs.
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Considerations and Limitations
While at-home thyroid tests offer convenience and accessibility, they also come with limitations. The accuracy of these tests can depend on proper sample collection and handling; therefore, following instructions meticulously is vital for reliable results. Additionally, at-home tests may not replace comprehensive evaluations conducted by healthcare providers who can assess symptoms and medical history more thoroughly. Individuals should consider these factors when deciding how to monitor their thyroid health effectively.
Conclusion
At-home thyroid testing represents a significant advancement in personal health management, empowering individuals to take charge of their thyroid health conveniently and affordably. By understanding how to conduct these tests properly and interpret their results accurately, people can gain valuable insights into their hormonal balance and overall well-being. Regular monitoring is essential for anyone experiencing symptoms related to thyroid dysfunction or those with risk factors for thyroid disease. As always, maintaining open communication with healthcare professionals ensures that any concerns are addressed promptly and effectively.
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jadhavpropmart · 1 year ago
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Unlocking the Elegance: The Sanctum Collection by Neelkanth Group in Thane
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Thane, with its burgeoning real estatemarket, has witnessed a surge in demand for premium properties that offer both luxury and comfort. Among the plethora of choices available, the Sanctum Collection by Neelkanth Group stands out as a beacon of sophistication and refinement. Offering a curated selection of 2 BHK and 4 BHK flats, this collection epitomizes opulence and modern living in the heart of Thane.
A Glimpse into Luxury Living
The Sanctum Collection redefines luxury living with its meticulously designed residences that blend contemporary aesthetics with functional spaces. Each apartment is thoughtfully crafted to provide a harmonious balance between style and comfort, making it an ideal sanctuary for modern families
Unraveling the Neelkanth Experience
Neelkanth Group, renowned for its commitment to excellence and quality craftsmanship, brings decades of expertise to the Sanctum Collection. With a focus on architectural innovation and sustainable development, Neelkanth Group has established itself as a trusted name in the real estate industry.
Connectivity:-
·         Thane Station – 2 Km
·         R-Mall (0.4 Km)
·         Viviana Mall (2.5 Km)
·         Birla Sun Life Company (4.0 Km)
·         Thane Municipal Corporation School (0.1 Km)
·         Soham Plaza (0.1 Km)
The Allure of 2 BHK and 4 BHK Residences
The Sanctum Collection presents a diverse range of living spaces to cater to varying lifestyle needs. Whether you're seeking a cozy 2 BHK Flat in thane or a spacious 4 BHK abode, each residence is designed to exude elegance and comfort.
Configuration:
2BHK Flat- 840 Sq.Ft.
4BHK Flat – 1680 Sq.Ft.
Investing in the Future
Investing in a property in the Sanctum Collection not only offers a luxurious lifestyle but also promises significant returns in the future. With Thane emerging as a prime real estate destination, owning a piece of the Sanctum Collection is not just a symbol of prestige but also a prudent financial decision.
Modern Amenities:
·         24*7 Water Supply
·         Gymnasium
·         Indoor Games
·         Table Tennis
·         Yoga Areas
·         Kids’ Play Areas / Sand Pits
·         Badminton Court(s)
·         Normal Park / Central Green
The Pathway to Your Dream Home
In conclusion, the Sanctum Collection by Neelkanth Group offers more than just homes; it offers a lifestyle that epitomizes luxury, comfort, and sophistication. With its impeccable design, premium amenities, and prime location, the Sanctum Collection is poised to redefine the concept of urban living Properties in Thane. Experience the epitome of elegance and make your dream home a reality with the Sanctum Collection.
For more details visit our website :-  https://www.propmart.co/city/properties-in-thane/
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kirtijadhav · 1 year ago
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Unlocking the Elegance: The Sanctum Collection by Neelkanth Group in Thane
Tumblr media
Thane, with its burgeoning real estatemarket, has witnessed a surge in demand for premium properties that offer both luxury and comfort. Among the plethora of choices available, the Sanctum Collection by Neelkanth Group stands out as a beacon of sophistication and refinement. Offering a curated selection of 2 BHK and 4 BHK flats, this collection epitomizes opulence and modern living in the heart of Thane.
A Glimpse into Luxury Living
The Sanctum Collection redefines luxury living with its meticulously designed residences that blend contemporary aesthetics with functional spaces. Each apartment is thoughtfully crafted to provide a harmonious balance between style and comfort, making it an ideal sanctuary for modern families
Unraveling the Neelkanth Experience
Neelkanth Group, renowned for its commitment to excellence and quality craftsmanship, brings decades of expertise to the Sanctum Collection. With a focus on architectural innovation and sustainable development, Neelkanth Group has established itself as a trusted name in the real estate industry.
Connectivity:-
Thane Station – 2 Km
R-Mall (0.4 Km)
Viviana Mall (2.5 Km)
Birla Sun Life Company (4.0 Km)
Thane Municipal Corporation School (0.1 Km)
Soham Plaza (0.1 Km)
The Allure of 2 BHK and 4 BHK Residences
The Sanctum Collection presents a diverse range of living spaces to cater to varying lifestyle needs. Whether you're seeking a cozy 2 BHK Flat in thane or a spacious 4 BHK abode, each residence is designed to exude elegance and comfort.
Configuration:
2BHK Flat- 840 Sq.Ft.
4BHK Flat – 1680 Sq.Ft.
Investing in the Future
Investing in a property in the Sanctum Collection not only offers a luxurious lifestyle but also promises significant returns in the future. With Thane emerging as a prime real estate destination, owning a piece of the Sanctum Collection is not just a symbol of prestige but also a prudent financial decision.
Modern Amenities:
24*7 Water Supply
Gymnasium
Indoor Games
Table Tennis
Yoga Areas
Kids’ Play Areas / Sand Pits
Badminton Court(s)
Normal Park / Central Green
The Pathway to Your Dream Home
In conclusion, the Sanctum Collection by Neelkanth Group offers more than just homes; it offers a lifestyle that epitomizes luxury, comfort, and sophistication. With its impeccable design, premium amenities, and prime location, the Sanctum Collection is poised to redefine the concept of urban living Properties in Thane. Experience the epitome of elegance and make your dream home a reality with the Sanctum Collection. For more details visit our website :-  https://www.propmart.co/city/properties-in-thane/
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doctubehealthcare · 2 years ago
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What is the normal thyroid level in female?
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Thyroid function is measured by several hormones, including thyroid-stimulating hormone (TSH), free thyroxine (FT4) and triiodothyronine (T3). Normal thyroid levels can vary slightly depending on the laboratory reference ranges and individual factors. However, the generally accepted normal thyroid level in female may be identified as the following:
TSH (Thyroid-Stimulating Hormone): The normal range for TSH is typically between 0.4 and 4.0 mIU/L (milli-international units per liter). However, some experts suggest that a narrower range of 0.4 to 2.5 mIU/L may be more optimal.
FT4 (Free Thyroxine): The normal range for FT4 is generally between 0.8 and 1.8 ng/dL (nanograms per deciliter).
T3 (Triiodothyronine): The normal range for T3 is usually between 80 and 200 ng/dL.
It's important to note that these ranges are general guidelines, and individual factors and specific circumstances may require a more personalized approach (Alam Khan, V., Khan, M.A. and Akhtar, S., 2002. Thyroid disorders, etiology and prevalence. J Med Sci, 2(2), pp.89-94). If a patient has concerns about his thyroid levels, it is always recommended to consult with a healthcare professional who can evaluate his specific situation and provide appropriate guidance.
Thyroid issues have become widely common in both males and females. Thyroid symptoms for male and female patients may often vary although there are also many similarities. Read along to know the potential differences in thyroid symptoms that may occur in males:
Fatigue and weakness: Both males and females with thyroid issues may experience fatigue and weakness (Sawicka-Gutaj, N., Ziółkowska, P., Wojciechowska, K., Shawkat, S., Czarnywojtek, A., Warchoł, W., Sowiński, J., Szczepanek-Parulska, E. and Ruchała, M., 2021. Eye symptoms in patients with benign thyroid diseases. Scientific Reports, 11(1), p.18706). However, males may be more likely to attribute these symptoms to other factors, such as stress or aging, rather than considering thyroid dysfunction.
Muscle mass and weight changes: Thyroid disorders can affect body composition and weight. In males, an underactive thyroid or hypothyroidism may lead to a decrease in muscle mass, weight gain and difficulty losing weight. On the other hand, an overactive thyroid or hyperthyroidism can cause weight loss and a decrease in muscle mass.
Sexual and reproductive symptoms: Males with thyroid dysfunction may experience changes in libido, erectile dysfunction or decreased fertility. These thyroid symptoms for male patients can be related to hormonal imbalances caused by thyroid disorders.
Emotional changes: While both genders can experience emotional changes due to thyroid problems, males may be more likely to exhibit irritability or anger rather than depression or anxiety commonly seen in females.
Cardiovascular symptoms: Hyperthyroidism in males may be associated with different kinds of cardiovascular symptoms like an increased heart rate, palpitations and high blood pressure.
It is important to know that these differences are not definitive and thyroid symptoms can vary widely among individuals, regardless of gender. Additionally, many symptoms of thyroid disorders can overlap between males and females. If a person suspects having a thyroid issue, it is essential to consult a healthcare professional for proper evaluation and diagnosis.
Management of thyroid symptoms for male and female patients
Managing thyroid problems typically involves a combination of medical treatments, lifestyle modifications and regular monitoring. Some general strategies for managing thyroid problems may include the following:
Medical treatment: Thyroid disorders such as hypothyroidism or hyperthyroidism are often treated with medications. These medications aim to restore thyroid hormone levels to a balanced state. It is important to follow your healthcare professional's prescribed treatment plan, take medications as directed and attend regular check-ups.
Regular monitoring: Thyroid function should be regularly monitored through blood tests to assess hormone levels and adjust medication dosages as needed (Shaha, A.R., 2000. Controversies in the management of thyroid nodule. The laryngoscope, 110(2), pp.183-183). Follow-up appointments with your healthcare professional are crucial for ongoing management.
Healthy diet: A well-balanced diet that includes adequate amounts of iodine, selenium and other essential nutrients can support thyroid health. Consult with a registered dietitian or healthcare professional to develop a personalized diet plan that meets your specific needs.
Stress management: Stress can have an impact on thyroid function. It is beneficial to engage in stress-reducing activities such as exercise, meditation, deep breathing exercises or hobbies to help manage stress levels.
Regular exercise: Regular physical activity can help boost metabolism, maintain a healthy weight and improve overall well-being. Thyroid patients are often recommended to follow a combination of cardiovascular exercise, strength training and flexibility exercises. However, it is important to consult a healthcare professional before starting any exercise program.
Adequate sleep: Patients must prioritize getting enough restful sleep each night. They must strive to establish a consistent sleep routine, create a sleep-friendly environment and practice good sleep hygiene habits.
Avoid smoking and limit alcohol: Smoking can negatively affect thyroid function, so quitting smoking is always advisable (Knudsen, N., Bulow, I., Laurberg, P., Perrild, H., Ovesen, L. and Jorgensen, T., 2002. High occurrence of thyroid multinodularity and low occurrence of subclinical hypothyroidism among tobacco smokers in a large population study. Journal of Endocrinology, 175(3), pp.571-576). Additionally, excessive alcohol consumption can interfere with thyroid hormone production, so it is best to consume alcohol in moderation or avoid it altogether.        
Self-awareness and education: It is important for patients to learn about their specific thyroid condition and its management. They must stay informed about any new research, treatment options or lifestyle recommendations related to thyroid health.
Managing thyroid problems is an individualized process and it is important to work closely with your healthcare professional to develop a personalized treatment plan that meets your specific needs. Healthcare professionals can provide guidance, monitor your progress and make any necessary adjustments to optimize your thyroid health.
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ayin-me-yesh · 2 years ago
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Frustrating health problems after the cut.
Ok so my TSH levels get checked every once in a while because my mom has ADPKD and that means I have a 50% chance of having it too and it increases your chance of thyroid cysts.
Over the past year my TSH levels have dropped A LOT. In April of last year they were 2.90 mIU/L. Then in September they were 1.20 mIU/L. And then this January they were 0.38 mIU/L. Usually the normal range is considered either 0.4 or 0.5 to 4.0 mIU/L.
Since January I also have had weird new symptoms: sweating and overheating A LOT, increasing anxiety and mood symptoms which I'm now treating with antidepressants, worsening concentrating, heart palpitations which even showed up on an ECG, worsening gastrointestinal problems, frequent nausea and acid reflux, bouts of light-headedness, really bad fatigue, and hair falling out much faster than normal. (Note that these symptoms happened long before I even found out about my blood test results which I didn't learn until a few weeks ago.)
I have now tried talking to three different GPs and a nurse about this and all of them have told me that my thyroid levels are actively GOOD, they're not worried about it, and that my symptoms are probably just coincidental or psychological.
I'm really, really frustrated because 0.38 mIU/L is absolutely NOT normal by any definition and it's not like a blood test result could be psychological and they have verifiable evidence from previous appointments this summer that I was having these symptoms before I knew the results. But I am clearly not going to get any follow-up. Meanwhile my gastrointestinal symptoms have been really bad the past couple weeks and I don't even think I can talk to them about those now separately since they might be related anyway and I'm also generally being written off again as neurotic.
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theliberaltony · 6 years ago
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via Politics – FiveThirtyEight
Earlier this year, we published a three-part series on how well primary polls conducted in the calendar year before a presidential election predict the outcome. Our analysis, which covered more than 40 years of primaries, found that early polls are somewhat predictive of who eventually wins the nomination, especially when they’re adjusted for how well known a candidate was at the time.
So now that we’re halfway through the calendar year before the 2020 election, we decided to replicate that analysis for the current electoral cycle — we used polls conducted between Jan. 1 and June 30, 2019, to calculate a candidate’s (or potential candidate’s) polling average and then adjusted it based on how well known they are (measured on a slightly subjective five-tier scale, which is represented by the black boxes in the table below, where more boxes means higher name recognition).1 This helps us better understand how the 2020 Democratic candidates stack up so far, and how this primary compares to past nomination contests. Here’s where things stand after the first six months of 2019:
How the 2020 Democratic primary field looks six months in
Candidates’ polling averages in the first half of 2019, plus an adjustment for name recognition
Candidate Name recognition Poll.Avg Adj. Poll Avg Joe Biden 31.6% 31.6% Bernie Sanders 18.6 18.6 Kamala Harris 8.7 14.6 Elizabeth Warren 9.5 11.9 Pete Buttigieg 4.5 11.4 Beto O’Rourke 5.2 8.7 Cory Booker 3.0 4.9 Andrew Yang 0.8 4.0 Amy Klobuchar 1.5 2.5 Julián Castro 1.0 1.7 Tulsi Gabbard 0.7 1.6 John Hickenlooper 0.6 1.5 Steve Bullock 0.3 1.4 Kirsten Gillibrand 0.8 1.3 John Delaney 0.4 1.1 Michael Bloomberg 0.6 1.1 Jay Inslee 0.4 0.9 Tim Ryan 0.3 0.9 Sherrod Brown 0.3 0.7 Hillary Clinton 0.7 0.7 Marianne Williamson 0.1 0.6 Michael Bennet 0.2 0.6 Seth Moulton 0.1 0.4 Mike Gravel 0.1 0.4 Bill de Blasio 0.2 0.4 Eric Swalwell 0.1 0.4 Wayne Messam 0.0 0.2 Terry McAuliffe 0.1 0.2 Eric Holder 0.1 0.2 Joe Sestak 0.0 0.0
Because the Democratic field is historically large, pollsters have asked about many candidates and potential candidates in the first half of 2019. To keep the list of candidates manageable, we limited our analysis to individuals named in at least eight national surveys during the first half of 2019.
Source: Polls
Perhaps unsurprisingly, the two candidates who are actually running and have near-universal name recognition sit at the top of the pack. Former Vice President Joe Biden led the way — he regularly topped most nationwide surveys, even before he officially entered the race on April 25 — and Sen. Bernie Sanders finished a distant second, which may speak to holdover support from his 2016 bid for the Democratic nomination. But this isn’t necessarily good news for Biden or Sanders; in the past, some candidates who were well known early in the primary process wound up having trouble growing their support, including then-Sen. Hubert Humphrey in the 1972 Democratic primary and former New York Mayor Rudy Giuliani in the 2008 GOP contest, both of whom fell short of the nomination after fairly strong starts. Not every well-known candidate flops, of course — former Vice President Walter Mondale, for example, improved his poll position and went on to win the Democratic nomination in 1984. But the struggles of people like Giuliani and Humphrey serve as an important reminder that when voters are already very familiar with a candidate, it can be harder to earn more support in the polls, since many voters’ attitudes about the candidate may already be fixed.
That’s why the next couple of candidates in the table might prove to be the most interesting to watch as the Democratic primary heats up. Even though these candidates have smaller national profiles than Biden and Sanders, they still did relatively well among the voters who knew about them. Elizabeth Warren and Kamala Harris, for example, are fairly well-known senators who still don’t enjoy the same level of fame as Biden or Sanders. So the fact that they polled close to 10 percent despite not being as well known suggests they might have higher ceilings of potential support, which is reflected in their adjusted polling average. And the most striking example of a lesser-known candidate polling well in the first half of the year was Pete Buttigieg, the mayor from South Bend, Indiana, who was virtually unknown at the start of his campaign but still managed to attract an outsized share of support. Buttigieg wasn’t one of the five candidates who cracked 5 percent in their unadjusted polling average, but he might still be in a better position than former Texas Rep. Beto O’Rourke, who edged him out in the polls. Like Buttigieg, O’Rourke isn’t that well known, but he didn’t outperform his adjusted polling average by nearly as much.
But how do the candidates running in 2020 stack up historically? Well, to get a sense of their chances, we can see where they fall on a chart from our primary polls series where we estimated a candidate’s chance of winning the nomination based on their unadjusted polling average and whether they had high or low name recognition.2 And as you can see below, we found that a well-known candidate polling at 30 percent in the first half of the year had about a 40 percent chance of winning the nomination, while a lesser-known candidate polling around 10 percent had about a 25 percent chance of winning.
In 2020, that likely means that while Biden has rightly been viewed as the Democratic front-runner, he’s not unbeatable. Biden is a long way, for instance, from Hillary Clinton’s position in the last presidential election, when she polled north of 60 percent in the first half of 2015, giving her better than 9 in 10 odds of winning the nomination compared to Biden’s 2 in 5 shot. Candidates such as Warren and Harris also fell into the well-known category, which means historically speaking, their chances aren’t as strong as Biden’s, but if he were to falter, they could benefit from the absence of a clear front-runner. Buttigieg’s low polling average doesn’t bode well historically, but of the candidates who aren’t as well known, he has the best chance of winning the nomination.
In other words, it’s still (almost) anyone’s game. And after the first debate, there are signs that Biden’s lead may be slipping, as multiple surveys have found his support dropping into the low 20s nationally. Meanwhile, Harris and Warren’s percentages have shifted into the mid-teens, putting them and Sanders neck-and-neck behind Biden. This tightening in the race could be quite meaningful, as candidates polling at around 20 percent in the second half of the year before the primaries historically had about a 15 percent chance of winning the nomination. So if the polls continue to trend in the wrong direction for Biden, there might be a new front-runner by the end of the year.
Of course, there will be further twists in the 2020 tale, what with more debates, campaign events and more candidates still entering the race. But if the post-debate polls approximate the new normal for the second half of 2019, watch out — the Democratic nomination race might truly be wide open.
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THERMODYNAMIC THYROID AND WEIGHT LOSS: FEEL FABULOUS IN 2019 PART 1
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METABOLISM, THYROID AND WEIGHT LOSS
This article is the first article of a ten-part series on Fat Loss and the best tips, and tricks to help Get You in Shape. This first article will focus on your body’s internal furnace, the thyroid. This vital gland is responsible for regulating your metabolism, or how well you burn calories. A healthy thyroid will burn fat quickly, whereas an unhealthy thyroid can lead to weight gain. Learn more about the relationship between your thermodynamic thyroid and weight loss here!
  THERMODYNAMICS OF THE THYROID
The thyroid gland is a butterfly-shaped gland located just under the Adam’s apple (larynx) in the neck. This gland produces hormones such as the thyroid stimulating hormone (TSH) that regulates the body’s metabolic rate, as well as many other functions. A typical range for TSH levels is between 0.4-4.0 mU/L. If you are currently being treated for a thyroid disorder, the normal range is between 0.5-3.0 mU/L.
If your thyroid is functioning at its full potential, you will be burning calories efficiently, but if it slows down, weight gain is inevitable. If your thyroid is operating at too high of a rate, that is called hyperthyroidism, where your thyroid is overactive. The opposite is true if your thyroid is functioning at too low of a frequency which is called hypothyroidism.
 WHAT DIETARY ISSUES CAUSE THE THYROID TO SLOW DOWN?
A slow thyroid can be caused by a few dietary issues such a super low carb diet, not eating enough calories, over-exercising and under eating and even soy products can negatively impact the thyroid.
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 SUPER LOW CARB DIETS 
It seems everyone is on the low carb bandwagon these days, but research has shown that consuming less than 50 grams of carbohydrates a day over time can hinder your metabolism and thyroid function. Short-term low carb intake is fine, but long term low carb intake can be problematic. Initially, you will lose weight, but that is mostly water and glycogen. Restricting your carb intake too drastically can decrease thyroid output in the long run. Without enough carbs, you lose muscle and slow down the T3 hormone.  If you are committed to a low carb strategy, then carb cycling my be the best solution to keep your metabolism rate high and maintain a healthy relationship between your thyroid and weight loss (more on carb cycling below).
 NOT EATING ENOUGH CALORIES
Regularly eating fewer calories than your body needs will slow your metabolism down. You only need to reduce your calorie consumption by 10-15% of what your body requires to lose weight and still keep your metabolism in gear. Drastically reducing calories can have a negative impact not only on your current metabolism but even long-term as it will cause severe nutrient deficiencies and health challenges which may include insomnia, low energy, irritability and depression.
 Another downfall to not eating enough calories is once you resume your regular eating, you will gain back what you lost and possibly increase even more because you have a slower metabolic rate due to the drastic reduction in calories and muscle loss during the low calorie eating phase.  An example of this would be a female eating 800 to 1000 calories or a male eating 1400 to 1700 calories.  Severe low calorie eating is not a great strategy for fat loss. If you need any help with exploring your caloric needs for you body and optimizing your health program, feel free to check out our  8-week Body Makeover Program.
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OVER-EXERCISING
When you over exercise and combine that with not eating enough calories, this sends a signal to your body to preserve body fat and switch over to starvation mode. When you are in starvation mode, your body will get rid of muscle and store fat as this is the body’s natural reaction and is an evolutionary trait that allows us to survive in challenging environments. You can exercise more, but you will need to eat more to do that (more details on calorie counting below).
 When you exercise more and eat less, initially it will work to lose weight but only in the short term. The relationship between thyroid and weight loss can be seen when you slow down your thyroid and metabolism resulting in future weight gain and then some, and this is the most common mistake made when people are trying to lose weight. So, if you exercise more you have to eat more, if you exercise less you have to eat less.  To read more about optimal nutrition, check out my free grocery: free grocery list.  The “grocery list” gets into the details of healthy eating to lose fat.  Remember, to lose body fat, not only do you have to eat healthy, but you have to eat healthy and eat the right amount of calories – “eating healthy” and “eating healthy to lose body fat” can be two separate things.
 SOY PRODUCTS
Next time you are out at a sushi restaurant, you might want to pass on the edamame. Soy foods contain anti-metabolic factors such as saponins, soyatoxin, phytates, protease inhibitors, oxalates, goitrogens, and estrogens. The goitrogens block the synthesis of the thyroid hormones and interfere with iodine metabolism.
  THE TV SHOW “THE BIGGEST LOSER” WAS A MONUMENTAL FAILURE
In an article in the New York Times, discussed the sad outcome that the majority of the contestants on the Biggest Loser gained all the weight back and for some, gained even more weight compared to when they started.  They also individually each had a slower metabolism after the show.
 It is frustrating to see that these brave and courageous people, endured so much and in the end were back to where they started – even worse off, because each had a slower metabolism!  From an emotional perspective, I can’t imagine how these people felt after working so hard, for so long, and in the end gaining all the weight back.  My heart goes out to each individual on the show and hope that at some point, their body will begin to self heal or possibly they will explore new ways to increase their metabolic rate.
 The New York Times reported that “thirteen of the 14 contestants studied regained weight in the six years after the competition. Four contestants are heavier now than before the competition. It has to do with resting metabolism, which determines how many calories a person burns when at rest. When the show began, the contestants, though hugely overweight, had normal metabolisms for their size, meaning they were burning a normal number of calories for people of their weight. When it ended, their metabolisms had slowed radically and their bodies were not burning enough calories to maintain their thinner sizes.”  The contestants, years later, had a significantly slower metabolism after the show ranging from 200 calories slower and up to 800 calories slower for some contestants.
“One contestant, Mr. Cahill was one of the worst off. As he regained more than 100 pounds, his metabolism slowed so much that, just to maintain his current weight of 295 pounds, he now has to eat 800 calories a day less than a typical man his size.”
The bottom line is that under eating and over exercising is a huge problem.  It works for a period of time, but in the long run can lead to a slower metabolism.  When looking to lose body fat, there is a speed limit on how fast you can lose fat; if you go to quickly, like in a competition, you start losing muscle mass and your body goes into survival mode which alters various hormones such as thyroid hormones, leptin and ghrelin which invariably leads to regaining weight. 
It is important to lose weight or body fat at a healthy pace – 4 to 8 pounds of fat per month.  If you go beyond this speed limit, there’s a good chance you are losing muscle mass and altering hormonal function thereby slowing your metabolic rate.  Learn more about muscle mass and boosting metabolism through strength training for weight loss.
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 THYROID AND METABOLISM: HOW TO INCREASE METABOLIC RATE?
One way to add fuel to the fire in your furnace is to cycle your carbohydrate and calorie intake. You can do this by alternating lower carb days followed by higher carb days. This process will kick start your Thermodynamic Thyroid and metabolism back into high gear. Carb cycling allows you to continue to eat carbs from clean sources, and cycling provides for better utilization of fat for burning as fuel, as opposed to burning carbs and muscle for fuel.
·       Low Carb Days – On these days you would take in approximately 50-150 grams of carbs each day from non-starchy vegetables. When done in a series of three to six days, it encourages the body to use up stored carbs (glycogen) and switch over to burning body fat for fuel.
·       Higher Carb Day – On this day you would take in approximately 200-400 grams of carbs from complex carbs such as sweet potatoes, white potatoes, organic rice, squash, and fruits.
 One strategy would be to follow a low carb diet (50 to 100 grams) for 3 to 6 days and then switch to one day of high carb eating (200 to 400 grams).  If you are committed to a low carb strategy, then this is the best solution to keeps your thyroid and metabolism running hot!
I’ve been a personal trainer and nutritionist in Los Angeles for the past 17 years, as for my clients, only about 20 to 25% of my clients follow a cyclical low carb strategy.  Most of my clients eat a balanced diet and allocate about 25 to 30% protein, 40% carbs, 20 to 30% fat.  You can follow these parameters whether you are vegan, vegetarian or omnivore (eat plants and animals).  I find that following a balanced diet is:
·       Psychological easier to follow, more choices
·       For most, they feel much better and have more energy
·       Feel stronger during weight lifting
·       Less likely to have any nutrient deficiencies – a lot of low carb people don’t eat enough fruits and veggies making them magnesium deficient and having other deficiencies
But for some, either genetically or if a person is having gut issues, it would be better to follow a cyclical low carb diet.
 COUNTING CALORIES – TEDIOUS BUT HELPFUL
Another strategy which is much more time consuming would be to count your calories – this does take a lot of time and effort but could really pay off and help you determine if you’re eating too much or too little.  For those of you that don’t like math, I need to forewarn you, this is a bit tedious and does require some effort which is described below.  If this sounds a bit much, feel free to skip this section.
For my clients that are interested in this strategy, the first step would be to look at overall body fat percentage.  You could either buy a Tanita scale or find a Dexa Scan (a machine that scans your entire body) that is located near you which can help you determine your overall fat percentage.  Most Dexa Scans cost about $50 to $75 for a scan.
The equation that I use is to:
1.     Find out body fat percentage
2.     Find sedentary caloric needs
3.     Find out the total calories needed to maintain body weight by using sedentary caloric needs plus activity level calories
4.     And lastly, shoot for 10 to 15% below maintenance calories to lose body fat
So, to get started, take what ever your body fat percentage is and find your lean body mass.  So for example, take a 200 pound male at 20% body fat.  His lean mass would be around 160 pounds.  The next step would be to find out what his sedentary calorie expenditure is – in our example, you simply multiply 160 pound by 10 which is 1600 calories a day.  If this person laid in bed all day and didn’t move he would burn approximately 1600 calories.
The next step is to add a multiplier based on activity level; does this person sit all day, or does he exercise frequently or is he performing manual labor.  Given these variations, this can range from .25 to 1 (this range is based on activity level and training).  So for example, let’s say that this person was really inactive, I would use the multiplier of .25.  So for our example, 1600 calories times .25 is 400 calories and so his total calories would be about 2000 (1600 plus 400) in order to maintain his weight.  But for someone more active in our example, you could use a multiplier that is higher such as .75 which would come out to 2800 calories (1600 times 1.75).  So for this scenario, if this person was much more active, to maintain his weight he would eat 2800 calories.
To lose weight you only need to reduce your intake of calories by 10-15% of your total daily caloric requirements. In other words, if you need 2,800 calories per day to maintain your current weight, you would need to reduce that to 2,520 calories per day, and you will lose weight far more effectively than you would be doing by drastically under eating.  If you do follow this equation and for some reason you are not losing body fat after 10 days, reduce calories by 100 and see if that helps.  If not, reduce by 200 calories.  This is not a perfect system and for some may take some tweaking.  If you’re still having issues, feel free to contact meand set up a consultation.
The app that I use to count calories is mynetdiary, but any app could be used for this.  Yes, this is a tedious process of weighing food and doing some math, but much can be learned from this process.   Another option would be to count calories for 2 to 4 weeks to get the hang of the process and then stop.  After this period, you should have a pretty good understanding of eating the right amount of calories to lose body fat and gain muscle.
To lose body fat, counting calories is not mandatory and simply eating healthy and exercising is sufficient for most people.
 AUTOIMMUNE DISEASE AND THYROID HEALTH
If you think you are having thyroid issues or symptoms related to an autoimmune disease, you may want to see a doctor to have a thyroid panel done. You can also start implementing changes to your diet. Gluten and poor gut health is one of the leading causes of autoimmune problems, especially autoimmune thyroid conditions. Making positive changes to your gut health through diet can help reduce inflammation and heal your thyroid. 
 If you’re not working with a nutrition coach, you may want to seek professional advice and guidance to discuss a healthy nutrition and gut building protocol.
In my practice, I’ve found that a good nutrition and a supplement program can help to optimize TSH.  Also, adjusting your overall lifestyle can have a huge impact on your hormonal health. 
 When your body is showing symptoms and health issues, something is wrong.  Think of it like a red light on the dash board of your car.  If your car is saying “check engine” and you ignore it, what will happen?  You will completely burn out your engine!  This is also true with the human body.  Our dash board is analogous to symptoms that are occurring – hormonal imbalances, low energy, headaches, insomnia, anxiety, depression, stomach issues, anger issues… These are all reds lights on your dash board.  Red lights never get better, they only get worse if you don’t take action immediately.
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 HELPFUL TIPS: A HEALTHY THERMODYNAMIC THYROID AND WEIGHT LOSS
1.    Detox –  Our liver detoxifies our bodies, and when we are toxic it slows down our system and can negatively affect our metabolism, thyroid and weight loss effort. If you are working with a nutritionist, ask for a good detox program and make sure you are eating only whole foods – food that is pulled from the earth, or picked from a tree, or is hunted or raised.  If it is in a wrapper chances are it is not a whole food.  If you are shopping in the aisles at the grocery store and not shopping on the periphery or outer perimeter, chances are you are not eating whole foods.
2.    Eat Organic – The overuse of pesticides can disrupt and over burden the body and may lead to a hormonal imbalance. Eating organic gives you the antioxidant-rich food that you won’t get in non-organic fruits and vegetables. Eating organic foods will reduce your toxic load, assisting the effort to a healthier thyroid and weight loss success.
3.    Supplements – Helpful supplements may include tyrosine which may help speed metabolism and iodine which may help with metabolism and thyroid function.  Other supplements that are beneficial are B-complex, kelp capsules, selenium, vitamin D and zinc.  Why supplements?  Can’t you just get these nutrients from food?  Because of the over use of our fields and a lack of crop rotation, our soil has become depleted.  Our foods simply have less nutrient density compared to 100 years ago.  Unfortunately, we have too many people on planet earth to feed and the focus is on quantity production of food, not quality.  The second reason why supplements make sense is that we are constantly detoxing due to our toxic environment.  Daily, we are exposed to 100,000 different types of toxins and chemicals which in order to detox uses up nutrients from our diets.
4.    Check Your Thyroid Levels – Many people are not aware they have a slow metabolism until they get their thyroid levels checked. Testing your thyroid stimulating hormone (TSH) and T4 are part of the routine testing and are usually ordered together. Testing T3 may be required if TSH is abnormal. The reverse T3 test measures the inactive form of T3.
5.    Eating the Right Amount of Calories – Keeping the metabolism in high gear requires the right amount of fuel. If you don’t consume enough calories, your body goes into starvation mode, and your metabolism will slow down. Each time you eat, your metabolism kicks back up again. Eating smaller meals 3-5 times a day can help keep your body’s furnace burning.
6.    Keep a Food Journal – Journaling your food will help with accountability and awareness.  The most common phrase I here among people is that “I eat healthy”.  Many people don’t realize how much junk food that they may eat over the course of a week; eating lots of non-organic foods, processed foods and junk food can really add up.  Tracking your body weight and waist measurement and comparing that to your food journal can be helpful to achieving the body you desire.
7.     Sleep and Stress – This may be one of the more obvious tips, but both sleep depravation and high levels of stress can cause various types of hormonal imbalances.  For my clients, I recommend sleeping 8 to 10 hours a night and managing stress with meditation, yoga and stretching.  Intense exercise can be a huge form of stress and is probably not a good idea of you are under a lot of work or life stress.  Also, working on optimism and positive self-dialogue can have a healthy impact on overall well-being and hormonal health.
8.    Get at least 20 minutes a day of sunshine – Sunlight has shown to be protective against autoimmunity and has a positive impact on thyroid health – “The majority of the data here reported suggest that vitamin D insufficiency or deficiency may be associated with increased risk of thyroid autoimmunity and that reduced serum concentrations of vitamin D are linked with a major aggressiveness of thyroid cancers.” https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5543192/
Being a holistic personal trainer and nutritionist in Los Angeles for the past 17 years has given me some interesting and key insights into healthy eating and exercise.  To find out more details and for a complete list of healthy food options, feel free to download my free grocery list.
 A healthy thyroid doesn’t take a lot of work, but it does require some careful measures. To lose weight you only need to reduce your intake of calories by 10-15% of your total daily caloric requirements. In other words, if you need 2,300 calories per day to maintain your current weight, you would need to reduce that to 2,000 calories per day, and you will lose weight far more effectively than you would be doing by drastic dieting or over-exercising. For more helpful tips contact us today or check out our 8-week Body Makeover Program! Kick start your metabolism and make 2019 your year to feel fit and fabulous.
 WEIGHT LOSS IS THE #1 HEALTH GOAL IN AMERICA
Weight Loss is the #1 Health Goal in America.  And, there is a strong correlation between belly fat or a large belly and degenerative disease.  Whether you want to look great naked or simply just want to live longer, getting leaner and healthier has to be one of your priorities in life.  If you interested in learning more about getting lean and healthy, please check out my 10 part series on the science of weight loss.
Part 1 – Metabolism and Weight Loss
Part 2 – Strength Training and Weight Loss
Part 3 – Gut Health and Weight Loss
Part 4 – Stress and Weight Loss
Part 5 – Insulin and Weight Loss
Part 6 – Testosterone and Weight Loss
Part 7 – Sleep and Weight Loss
Part 8 – Brain Health and Weight Loss
Part 9 – Sunlight and Weight Loss
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drcindyduke · 3 years ago
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What is AMH?
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What is really AMH?
Anti-Müllerian hormone, also known as Müllerian-inhibiting hormone, is a glycoprotein hormone structurally related to inhibin and activin from the transforming growth factor beta superfamily, whose key roles are in growth differentiation and folliculogenesis.
What is a normal level of AMH? Experts debate how to define typical AMH levels, but these are general ranges: Average: Between 1.0 ng/mL to 3.0 ng/mL. Low: Under 1.0 ng/mL. Severely low: 0.4 ng/mL.
What does AMH do in females? AMH levels help show how many potential egg cells a woman has left. This is known as the ovarian reserve. If a woman's ovarian reserve is high, she may have a better chance of getting pregnant. She may also be able to wait months or years before trying to get pregnant.
What is a good AMH level for fertility? Image result for what is amh The level of AMH in the blood can help doctors estimate the number of follicles inside the ovaries, and therefore, the woman's egg count. A typical AMH level for a fertile woman is 1.0–4.0 ng/ml; under 1.0 ng/ml is considered low and indicative of a diminished ovarian reserve.
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amberwellnessgroup · 4 years ago
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The thyroid gland is the master regulator in the body. One of the systems the thyroid gland regulates in women is the menstrual cycle. Thyroid hormones are part of the endocrine system that regulate the timing of ovulation (the egg being released from the ovary). This is a complex system of events. However, if a woman is diagnosed with hypothyroid (low thyroid hormones), then this could interfere with her ovulation and thus impair her ability to conceive.
The gold standard for determining if a patient has a thyroid disorder is testing TSH. When a patient presents to our clinic with concerns about hormone imbalance, fatigue, anxiety or others related to the endocrine system, we will often check the active hormones as well. A well-rounded thyroid panel consists of: TSH (Thyroid Stimulating Hormone), Free T4, Free T3, TPO (Thyroid Peroxidase Antibody), and TGA (Thyroglobulin Antibody). There are other markers that can be ordered, however these 5 parameters give us a comprehensive overview of the patient’s thyroid function.
When addressing fertility concerns and other hormonal imbalances, the naturopathic physicians at Amber Wellness Group will look at your thyroid numbers with a fine-toothed comb. Many patients present to their provider every day with signs and symptoms of hypothyroid, yet their lab values are within the normal range. What we do is assess lab values for the normal range and then go one step further, looking at an optimal range for that particular marker. The optimal range for most lab values is assessed between the 40th and 60th percentile.
The normal range for TSH is approximately 0.4 to 4.0 – Ideally, TSH is between 1.00 and 2.00 mIU/L and no higher than 2.5 mIU/L when trying to conceive. The normal range for Free T4 is 0.8 to 2.8 ng/dL and Free T3 is 2.3 to 4.2 pg/mL. The optimal range for the free hormones for Free T4 is 1.8 ng/dL and for Free T3 is 3.3 pg/mL. Thyroid antibodies should be as low as possible indicating the immune system is not overreacting and attacking the thyroid gland.
Let’s step back and look at the other factors in the endocrine system. The interconnection between the thyroid, ovaries, and adrenal glands is complex. The pituitary gland houses the stimulating hormones for each of the glands that produce hormones. The stimulating hormones in the pituitary we will look at are: ACTH which stimulates the adrenals to produce cortisol, TSH which stimulates the thyroid to produce Free T4, and both FSH and LH which stimulates the ovaries to produce the sex hormones estrogen and progesterone. When there is an overproduction or underproduction of any of the stimulating hormones in the pituitary, then there is a possibility of hormone dysregulation in one of the other endocrine systems. For instance, if you are under high stress and producing a lot of cortisol, then the ACTH is affected. If the ACTH is reacting to a chronic stress situation, this imbalance and chronic reactivity will impact the other hormone pathways, contributing to the hormone dysregulation. In order to conceive and carry a full-term pregnancy, the hormones have to stay in balance and maintain homeostasis.
There are some simple things to do to improve your thyroid function and your fertility.
Find a knowledgeable health care provider who will order a complete thyroid work-up.
Eat a well-rounded diet high in fruits or vegetables. The thyroid requires minerals in order to convert the thyroid hormones to be active and useful for your body.
Eat 80 grams of protein a day. This will help you in many ways, but specifically protein makes the amino acid tyrosine, which is the backbone for thyroid hormones.
If you are diagnosed with autoimmune thyroid disease, avoid gluten. This will help you regulate the autoimmune process.
Avoid the raw intake of cabbage, kale, cauliflower, turnips, mustard greens, and broccoli if you have high TSH levels. These vegetables are known to reduce the degree of iodine the thyroid gland can take in, and are called goitrogens. Iodine directly affects the amount of hormones that can be generated. If too little iodine is absorbed, then the resulting effect is inadequate functioning of the gland, leading to hypothyroidism.
Practice meditation or deep relaxing breathing. This will help reduce stress and regulate the cortisol pathway, which will avoid triggering a shutdown from the thyroid.
If you have questions regarding your fertility, thyroid hormone balance, or anything else related to female hormones, we would love to support you and help you find the answers to reach your wellness and family planning goals.
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pamilaeealeman · 5 years ago
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What Are the Experts Saying About Future Home Prices?
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A worldwide pandemic and an economic recession have had a tremendous effect on the nation. The uncertainty brought about by both has made predicting consumer behavior nearly impossible. For that reason, forecasting home prices has become extremely difficult.
Normally, there’s a simple formula to determine the future price of any item: calculate the supply of that item in ratio to the demand for that item. In housing right now, demand far exceeds supply. Mortgage applications to buy a home just rose to the highest level in 11 years while inventory of homes for sale is at (or near) an all-time low. That would usually indicate strong appreciation for home values as we move throughout the year.
Some experts, however, are not convinced the current rush of purchasers is sustainable. Ralph McLaughlin, Chief Economist at Haus, explained in their June 2020 Hausing Market Forecast why there is concern:
“The upswing that we’ll see this summer is a result of pent-up demand from homebuyers and supply-in-progress from homebuilders that has simply been pushed off a few months. However, after this pent-up demand goes away, the true economic scarring due to the pandemic will begin to affect the housing market as the tide of pent-up demand goes out.”
The virus and other challenges currently impacting the industry have created a wide range of thoughts regarding the future of home prices. Here’s a list of analysts and their projections, from the lowest depreciation to the highest appreciation:
CoreLogic: Year-Over-Year decline of -1.5%
Haus: Year-Over-Year decline of -1%
Zillow: Year-Over-Year change is forecasted to bottom out at -0.7%.
Home Price Expectation Survey: Decline of -0.3% in 2020
Fannie Mae: Increase of 0.4% in 2020
Freddie Mac: Increase of 2.3% in 2020
Zelman & Associates: Increase of 3.0% in 2020
National Association of Realtors: Increase of 3.8% in 2020
Mortgage Bankers Association: Increase of 4.0% in 2020
We can garner two important points from this list:
There is no real consensus among the experts.
No one projects prices to crash like they did in 2008.
Bottom Line
Whether you’re thinking of buying a home or selling your house, know that home prices will not change dramatically this year, even with all of the uncertainty we’ve faced in 2020.
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richardccclopez · 5 years ago
Text
What Are the Experts Saying About Future Home Prices?
Tumblr media
A worldwide pandemic and an economic recession have had a tremendous effect on the nation. The uncertainty brought about by both has made predicting consumer behavior nearly impossible. For that reason, forecasting home prices has become extremely difficult.
Normally, there’s a simple formula to determine the future price of any item: calculate the supply of that item in ratio to the demand for that item. In housing right now, demand far exceeds supply. Mortgage applications to buy a home just rose to the highest level in 11 years while inventory of homes for sale is at (or near) an all-time low. That would usually indicate strong appreciation for home values as we move throughout the year.
Some experts, however, are not convinced the current rush of purchasers is sustainable. Ralph McLaughlin, Chief Economist at Haus, explained in their June 2020 Hausing Market Forecast why there is concern:
“The upswing that we’ll see this summer is a result of pent-up demand from homebuyers and supply-in-progress from homebuilders that has simply been pushed off a few months. However, after this pent-up demand goes away, the true economic scarring due to the pandemic will begin to affect the housing market as the tide of pent-up demand goes out.”
The virus and other challenges currently impacting the industry have created a wide range of thoughts regarding the future of home prices. Here’s a list of analysts and their projections, from the lowest depreciation to the highest appreciation:
CoreLogic: Year-Over-Year decline of -1.5%
Haus: Year-Over-Year decline of -1%
Zillow: Year-Over-Year change is forecasted to bottom out at -0.7%.
Home Price Expectation Survey: Decline of -0.3% in 2020
Fannie Mae: Increase of 0.4% in 2020
Freddie Mac: Increase of 2.3% in 2020
Zelman & Associates: Increase of 3.0% in 2020
National Association of Realtors: Increase of 3.8% in 2020
Mortgage Bankers Association: Increase of 4.0% in 2020
We can garner two important points from this list:
There is no real consensus among the experts.
No one projects prices to crash like they did in 2008.
Bottom Line
Whether you’re thinking of buying a home or selling your house, know that home prices will not change dramatically this year, even with all of the uncertainty we’ve faced in 2020.
Article sponsored by Builder Hot Spots.  A new builders home site give you access to search hundreds of floor plans, property images and city subdivisions when you are buying a new home.
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grantreidproperties · 5 years ago
Text
What Are the Experts Saying About Future Home Prices?
Tumblr media
A worldwide pandemic and an economic recession have had a tremendous effect on the nation. The uncertainty brought about by both has made predicting consumer behavior nearly impossible. For that reason, forecasting home prices has become extremely difficult.
Normally, there’s a simple formula to determine the future price of any item: calculate the supply of that item in ratio to the demand for that item. In housing right now, demand far exceeds supply. Mortgage applications to buy a home just rose to the highest level in 11 years while inventory of homes for sale is at (or near) an all-time low. That would usually indicate strong appreciation for home values as we move throughout the year.
Some experts, however, are not convinced the current rush of purchasers is sustainable. Ralph McLaughlin, Chief Economist at Haus, explained in their June 2020 Hausing Market Forecast why there is concern:
“The upswing that we’ll see this summer is a result of pent-up demand from homebuyers and supply-in-progress from homebuilders that has simply been pushed off a few months. However, after this pent-up demand goes away, the true economic scarring due to the pandemic will begin to affect the housing market as the tide of pent-up demand goes out.”
The virus and other challenges currently impacting the industry have created a wide range of thoughts regarding the future of home prices. Here’s a list of analysts and their projections, from the lowest depreciation to the highest appreciation:
CoreLogic: Year-Over-Year decline of -1.5%
Haus: Year-Over-Year decline of -1%
Zillow: Year-Over-Year change is forecasted to bottom out at -0.7%.
Home Price Expectation Survey: Decline of -0.3% in 2020
Fannie Mae: Increase of 0.4% in 2020
Freddie Mac: Increase of 2.3% in 2020
Zelman & Associates: Increase of 3.0% in 2020
National Association of Realtors: Increase of 3.8% in 2020
Mortgage Bankers Association: Increase of 4.0% in 2020
We can garner two important points from this list:
There is no real consensus among the experts.
No one projects prices to crash like they did in 2008.
Bottom Line
Whether you’re thinking of buying a home or selling your house, know that home prices will not change dramatically this year, even with all of the uncertainty we’ve faced in 2020.
Content previously posted on Keeping Current Matters source https://www.simplifyingthemarket.com/en/2020/06/23/what-are-the-experts-saying-about-future-home-prices/?a=489032-35f51ed32012ea2b41c9407612018119
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tak4hir0 · 5 years ago
Link
There are a million reasons to learn R (see e.g. Why R for data science – and not Python?), but where to start? I present to you the ultimate introduction to bring you up to speed! So read on… I call it ultimate because it is the essence of many years of teaching R… or put differently: it is the kind of introduction I would have liked to have when I started out with R back in the days! A word of warning though: this is a introduction to R and not to statistics, so I won’t explain the statistics terms used here. You do not need to know any other programming language but it does no harm either. Ok, now let us start! First you need to install R (https://www.r-project.org) and preferably RStudio as a Graphical User Interface (GUI): https://www.rstudio.com/products/RStudio/#Desktop. Both are free and available for all common operating systems. To get a quick overview of RStudio watch this video: VIDEO You can either type in the following commands in the console or open a new script R Script) and run the commands by pressing Ctrl + Enter/Return after having typed them. First of all R is a very good calculator: 2 + 2 ## [1] 4 sin(0.5) ## [1] 0.4794255 abs(-10) # absolute value ## [1] 10 pi ## [1] 3.141593 exp(1) # e ## [1] 2.718282 factorial(6) ## [1] 720 By the way: The hash is used for comments, everything after it will be ignored! Of course you can define variables and use them in your calculations: n1 Part of R’s power stems from the fact that functions can handle several numbers at once, called vectors, and do calculations on them. When calling a function arguments are passed with round brackets: n3 In the last example the 12 was recycled three times. R always tries to do that (when feasible), sometimes giving a warning when it might not be intended: n3 / c(1, 2) ## Warning in n3/c(1, 2): longer object length is not a multiple of shorter ## object length ## [1] 12.0 2.5 27.0 In cases you only want parts of your vectors you can apply subsetting with square brackets: n3[c(2, 3)] ## [1] 5 27 Ranges can easily be created with the colon: n4 When you test whether this vector is bigger than a certain number you will get logicals as a result. You can use those logicals for subsetting: 15] ## [1] 16 17 18 19 20 Perhaps you have heard the story of little Gauss where his teacher gave him the task to add all numbers from 1 to 100 to keep him busy for a while? Well, he found a mathematical trick to add them within seconds… for us normal people we can use R: sum(1:100) ## [1] 5050 When we want to use some code several times we can define our own function (a user-defined function). We do that the same way we create a vector (or any other data structure) because R is a so called functional programming language and functions are so called first-class citizens (i.e. on the same level as other data structures like vectors). The code that is being executed is put in curly brackets: gauss Of course we also have other data types, e.g. matrices are basically two dimensional vectors: M Subsetting now has to provide two numbers, the first for the row, the second for the column. If you leave one out, all data of the respective dimension will be shown: M[2, 3] ## [1] 7 M[ , c(1, 3)] ## [,1] [,2] ## [1,] 1 3 ## [2,] 5 7 ## [3,] 9 11 Another possibility to create matrices: v1 Naming rows, here with inbuilt datasets: rownames(M2) When some result is Not Available: LETTERS[50] ## [1] NA Getting the structure of your variables: str(LETTERS) ## chr [1:26] "A" "B" "C" "D" "E" "F" "G" "H" "I" "J" "K" "L" "M" "N" ... str(M2) ## int [1:4, 1:2] 1 2 3 4 4 3 2 1 ## - attr(*, "dimnames")=List of 2 ## ..$ : chr [1:4] "A" "B" "C" "D" ## ..$ : chr [1:2] "v1" "v2" Another famous dataset (iris) that is also built into base R (to get help on any function or dataset just put the cursor in it and press F1): iris ## Sepal.Length Sepal.Width Petal.Length Petal.Width Species ## 1 5.1 3.5 1.4 0.2 setosa ## 2 4.9 3.0 1.4 0.2 setosa ## 3 4.7 3.2 1.3 0.2 setosa ## 4 4.6 3.1 1.5 0.2 setosa ## 5 5.0 3.6 1.4 0.2 setosa ## 6 5.4 3.9 1.7 0.4 setosa ## 7 4.6 3.4 1.4 0.3 setosa ## 8 5.0 3.4 1.5 0.2 setosa ## 9 4.4 2.9 1.4 0.2 setosa ## 10 4.9 3.1 1.5 0.1 setosa ## 11 5.4 3.7 1.5 0.2 setosa ## 12 4.8 3.4 1.6 0.2 setosa ## 13 4.8 3.0 1.4 0.1 setosa ## 14 4.3 3.0 1.1 0.1 setosa ## 15 5.8 4.0 1.2 0.2 setosa ## 16 5.7 4.4 1.5 0.4 setosa ## 17 5.4 3.9 1.3 0.4 setosa ## 18 5.1 3.5 1.4 0.3 setosa ## 19 5.7 3.8 1.7 0.3 setosa ## 20 5.1 3.8 1.5 0.3 setosa ## 21 5.4 3.4 1.7 0.2 setosa ## 22 5.1 3.7 1.5 0.4 setosa ## 23 4.6 3.6 1.0 0.2 setosa ## 24 5.1 3.3 1.7 0.5 setosa ## 25 4.8 3.4 1.9 0.2 setosa ## 26 5.0 3.0 1.6 0.2 setosa ## 27 5.0 3.4 1.6 0.4 setosa ## 28 5.2 3.5 1.5 0.2 setosa ## 29 5.2 3.4 1.4 0.2 setosa ## 30 4.7 3.2 1.6 0.2 setosa ## 31 4.8 3.1 1.6 0.2 setosa ## 32 5.4 3.4 1.5 0.4 setosa ## 33 5.2 4.1 1.5 0.1 setosa ## 34 5.5 4.2 1.4 0.2 setosa ## 35 4.9 3.1 1.5 0.2 setosa ## 36 5.0 3.2 1.2 0.2 setosa ## 37 5.5 3.5 1.3 0.2 setosa ## 38 4.9 3.6 1.4 0.1 setosa ## 39 4.4 3.0 1.3 0.2 setosa ## 40 5.1 3.4 1.5 0.2 setosa ## 41 5.0 3.5 1.3 0.3 setosa ## 42 4.5 2.3 1.3 0.3 setosa ## 43 4.4 3.2 1.3 0.2 setosa ## 44 5.0 3.5 1.6 0.6 setosa ## 45 5.1 3.8 1.9 0.4 setosa ## 46 4.8 3.0 1.4 0.3 setosa ## 47 5.1 3.8 1.6 0.2 setosa ## 48 4.6 3.2 1.4 0.2 setosa ## 49 5.3 3.7 1.5 0.2 setosa ## 50 5.0 3.3 1.4 0.2 setosa ## 51 7.0 3.2 4.7 1.4 versicolor ## 52 6.4 3.2 4.5 1.5 versicolor ## 53 6.9 3.1 4.9 1.5 versicolor ## 54 5.5 2.3 4.0 1.3 versicolor ## 55 6.5 2.8 4.6 1.5 versicolor ## 56 5.7 2.8 4.5 1.3 versicolor ## 57 6.3 3.3 4.7 1.6 versicolor ## 58 4.9 2.4 3.3 1.0 versicolor ## 59 6.6 2.9 4.6 1.3 versicolor ## 60 5.2 2.7 3.9 1.4 versicolor ## 61 5.0 2.0 3.5 1.0 versicolor ## 62 5.9 3.0 4.2 1.5 versicolor ## 63 6.0 2.2 4.0 1.0 versicolor ## 64 6.1 2.9 4.7 1.4 versicolor ## 65 5.6 2.9 3.6 1.3 versicolor ## 66 6.7 3.1 4.4 1.4 versicolor ## 67 5.6 3.0 4.5 1.5 versicolor ## 68 5.8 2.7 4.1 1.0 versicolor ## 69 6.2 2.2 4.5 1.5 versicolor ## 70 5.6 2.5 3.9 1.1 versicolor ## 71 5.9 3.2 4.8 1.8 versicolor ## 72 6.1 2.8 4.0 1.3 versicolor ## 73 6.3 2.5 4.9 1.5 versicolor ## 74 6.1 2.8 4.7 1.2 versicolor ## 75 6.4 2.9 4.3 1.3 versicolor ## 76 6.6 3.0 4.4 1.4 versicolor ## 77 6.8 2.8 4.8 1.4 versicolor ## 78 6.7 3.0 5.0 1.7 versicolor ## 79 6.0 2.9 4.5 1.5 versicolor ## 80 5.7 2.6 3.5 1.0 versicolor ## 81 5.5 2.4 3.8 1.1 versicolor ## 82 5.5 2.4 3.7 1.0 versicolor ## 83 5.8 2.7 3.9 1.2 versicolor ## 84 6.0 2.7 5.1 1.6 versicolor ## 85 5.4 3.0 4.5 1.5 versicolor ## 86 6.0 3.4 4.5 1.6 versicolor ## 87 6.7 3.1 4.7 1.5 versicolor ## 88 6.3 2.3 4.4 1.3 versicolor ## 89 5.6 3.0 4.1 1.3 versicolor ## 90 5.5 2.5 4.0 1.3 versicolor ## 91 5.5 2.6 4.4 1.2 versicolor ## 92 6.1 3.0 4.6 1.4 versicolor ## 93 5.8 2.6 4.0 1.2 versicolor ## 94 5.0 2.3 3.3 1.0 versicolor ## 95 5.6 2.7 4.2 1.3 versicolor ## 96 5.7 3.0 4.2 1.2 versicolor ## 97 5.7 2.9 4.2 1.3 versicolor ## 98 6.2 2.9 4.3 1.3 versicolor ## 99 5.1 2.5 3.0 1.1 versicolor ## 100 5.7 2.8 4.1 1.3 versicolor ## 101 6.3 3.3 6.0 2.5 virginica ## 102 5.8 2.7 5.1 1.9 virginica ## 103 7.1 3.0 5.9 2.1 virginica ## 104 6.3 2.9 5.6 1.8 virginica ## 105 6.5 3.0 5.8 2.2 virginica ## 106 7.6 3.0 6.6 2.1 virginica ## 107 4.9 2.5 4.5 1.7 virginica ## 108 7.3 2.9 6.3 1.8 virginica ## 109 6.7 2.5 5.8 1.8 virginica ## 110 7.2 3.6 6.1 2.5 virginica ## 111 6.5 3.2 5.1 2.0 virginica ## 112 6.4 2.7 5.3 1.9 virginica ## 113 6.8 3.0 5.5 2.1 virginica ## 114 5.7 2.5 5.0 2.0 virginica ## 115 5.8 2.8 5.1 2.4 virginica ## 116 6.4 3.2 5.3 2.3 virginica ## 117 6.5 3.0 5.5 1.8 virginica ## 118 7.7 3.8 6.7 2.2 virginica ## 119 7.7 2.6 6.9 2.3 virginica ## 120 6.0 2.2 5.0 1.5 virginica ## 121 6.9 3.2 5.7 2.3 virginica ## 122 5.6 2.8 4.9 2.0 virginica ## 123 7.7 2.8 6.7 2.0 virginica ## 124 6.3 2.7 4.9 1.8 virginica ## 125 6.7 3.3 5.7 2.1 virginica ## 126 7.2 3.2 6.0 1.8 virginica ## 127 6.2 2.8 4.8 1.8 virginica ## 128 6.1 3.0 4.9 1.8 virginica ## 129 6.4 2.8 5.6 2.1 virginica ## 130 7.2 3.0 5.8 1.6 virginica ## 131 7.4 2.8 6.1 1.9 virginica ## 132 7.9 3.8 6.4 2.0 virginica ## 133 6.4 2.8 5.6 2.2 virginica ## 134 6.3 2.8 5.1 1.5 virginica ## 135 6.1 2.6 5.6 1.4 virginica ## 136 7.7 3.0 6.1 2.3 virginica ## 137 6.3 3.4 5.6 2.4 virginica ## 138 6.4 3.1 5.5 1.8 virginica ## 139 6.0 3.0 4.8 1.8 virginica ## 140 6.9 3.1 5.4 2.1 virginica ## 141 6.7 3.1 5.6 2.4 virginica ## 142 6.9 3.1 5.1 2.3 virginica ## 143 5.8 2.7 5.1 1.9 virginica ## 144 6.8 3.2 5.9 2.3 virginica ## 145 6.7 3.3 5.7 2.5 virginica ## 146 6.7 3.0 5.2 2.3 virginica ## 147 6.3 2.5 5.0 1.9 virginica ## 148 6.5 3.0 5.2 2.0 virginica ## 149 6.2 3.4 5.4 2.3 virginica ## 150 5.9 3.0 5.1 1.8 virginica Oops, that is a bit long… if you only want to show the first or last rows do the following: head(iris) # first 6 rows ## Sepal.Length Sepal.Width Petal.Length Petal.Width Species ## 1 5.1 3.5 1.4 0.2 setosa ## 2 4.9 3.0 1.4 0.2 setosa ## 3 4.7 3.2 1.3 0.2 setosa ## 4 4.6 3.1 1.5 0.2 setosa ## 5 5.0 3.6 1.4 0.2 setosa ## 6 5.4 3.9 1.7 0.4 setosa tail(iris, 10) # last 10 rows ## Sepal.Length Sepal.Width Petal.Length Petal.Width Species ## 141 6.7 3.1 5.6 2.4 virginica ## 142 6.9 3.1 5.1 2.3 virginica ## 143 5.8 2.7 5.1 1.9 virginica ## 144 6.8 3.2 5.9 2.3 virginica ## 145 6.7 3.3 5.7 2.5 virginica ## 146 6.7 3.0 5.2 2.3 virginica ## 147 6.3 2.5 5.0 1.9 virginica ## 148 6.5 3.0 5.2 2.0 virginica ## 149 6.2 3.4 5.4 2.3 virginica ## 150 5.9 3.0 5.1 1.8 virginica Iris is a so called data frame, the working horse of R and data science (you will see how to create one below): str(iris) ## 'data.frame': 150 obs. of 5 variables: ## $ Sepal.Length: num 5.1 4.9 4.7 4.6 5 5.4 4.6 5 4.4 4.9 ... ## $ Sepal.Width : num 3.5 3 3.2 3.1 3.6 3.9 3.4 3.4 2.9 3.1 ... ## $ Petal.Length: num 1.4 1.4 1.3 1.5 1.4 1.7 1.4 1.5 1.4 1.5 ... ## $ Petal.Width : num 0.2 0.2 0.2 0.2 0.2 0.4 0.3 0.2 0.2 0.1 ... ## $ Species : Factor w/ 3 levels "setosa","versicolor",..: 1 1 1 1 1 1 1 1 1 1 ... As you can see, data frames can combine different data types. If you try to do that with e.g. vectors, which can only hold one data type, something called coercion happens, i.e. at least one data type is forced to become another one so that consistency is maintained: str(c(2, "Hello")) # 2 is coerced to become a character string too ## chr [1:2] "2" "Hello" You can get a fast overview of your data like so: summary(iris[1:4]) ## Sepal.Length Sepal.Width Petal.Length Petal.Width ## Min. :4.300 Min. :2.000 Min. :1.000 Min. :0.100 ## 1st Qu.:5.100 1st Qu.:2.800 1st Qu.:1.600 1st Qu.:0.300 ## Median :5.800 Median :3.000 Median :4.350 Median :1.300 ## Mean :5.843 Mean :3.057 Mean :3.758 Mean :1.199 ## 3rd Qu.:6.400 3rd Qu.:3.300 3rd Qu.:5.100 3rd Qu.:1.800 ## Max. :7.900 Max. :4.400 Max. :6.900 Max. :2.500 boxplot(iris[1:4]) As you have seen, R often runs a function on all of the data simultaneously. This feature is called vectorization and in many other languages you would need a loop for that. In R you don’t use loops that often, but of course they are available: for (i in seq(5)) { print(1:i) } ## [1] 1 ## [1] 1 2 ## [1] 1 2 3 ## [1] 1 2 3 4 ## [1] 1 2 3 4 5 Speaking of control structures: of course conditional statements are available too: even Linear modelling (e.g. correlation and linear regression) couldn’t be any easier, it is included in the core language: age |t|) ## (Intercept) 1279.367 188.510 6.787 0.00654 ** ## age 24.558 4.838 5.076 0.01477 * ## --- ## Signif. codes: 0 '***' 0.001 '**' 0.01 '*' 0.05 '.' 0.1 ' ' 1 ## ## Residual standard error: 132.1 on 3 degrees of freedom ## Multiple R-squared: 0.8957, Adjusted R-squared: 0.8609 ## F-statistic: 25.77 on 1 and 3 DF, p-value: 0.01477 plot(df, pch = 16, main = "Linear model") abline(LinReg, col = "blue", lwd = 2) # adding the regression line You could directly use the model to make predictions: pred_LinReg If you want to know more about the modelling process you can find it here: Learning Data Science: Modelling Basics Another strength of R is the huge number of add-on packages for all kinds of specialized tasks. For the grand finale of this introduction, we’re gonna get a little taste of machine learning. For that matter we install the OneR package from CRAN click “Install”. After that we build a simple model on the iris dataset to predict the Species column: library(OneR) # load package data We’ll now see how well the model is doing: prediction 96% accuracy is not too bad, even for this simple dataset! If you want to know more about the OneR package you can read the vignette: OneR – Establishing a New Baseline for Machine Learning Classification Models. Well, and that’s it for the ultimate introduction to R – hopefully you liked it and you learned something! Please share your first experiences with R in the comments and also if you miss something (I might add it in the future!) – Thank you for reading and stay tuned for more to come! Related If you got this far, why not subscribe for updates from the site? Choose your flavor: e-mail, twitter, RSS, or facebook...
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perksofwifi · 5 years ago
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Aston Martin DBX Prototype First Drive: Setting a New Benchmark
The guttural V-8 growl is as familiar as the iconic winged logo on the leather-clad steering wheel. But overlaying it are sounds never before heard in an Aston Martin: a distant ticking of gravel peppering the underside, the muffled thud of rubber on rock, the swoosh of muddy water cascading over the hood.
We’re dancing an Aston Martin DBX prototype through the dramatic desert wilderness of Oman, on the southeastern coast of the Arabian Peninsula. And it feels right at home.
We’ve covered the oily bits of Aston’s first-ever SUV in detail, but here’s a quick recap: The DBX is built on a brand-new all-aluminum body structure engineered and developed in-house at Aston Martin.
Under the hood is the ubiquitous 4.0-liter twin-turbo V-8 that powers sundry Mercedes-AMG models as well as versions of Aston’s own DB11 and Vantage sports cars. Developing 542 hp and 516 lb-ft of torque, it’s hooked up to Daimler’s smooth nine-speed automatic and a performance version of the company’s 4Matic all-wheel-drive system, with an active center differential and rear e-diff. Suspension is by way of triple-chamber air springs with active anti-roll, and 22-inch wheels are standard.
The DBX we’re driving is what Aston calls a 1PT—a first production-trial build—which means it’s one of the first cars to come off the line at the newly opened factory in St. Athan, Wales.
Riding shotgun is Aston Martin vehicle attribute engineering chief Matt Becker, who points out the steering and suspension calibrations are still being finalized, as is the software controlling the pops and bangs from the exhaust in Sport+ mode. Otherwise—apart from the usual manufacturing process tweaks to ensure things like the door fits and wiper locations are optimized to reduce wind noise—it’s pretty close to the final spec of the DBXs that will arrive in the U.S. in the second half of next year.
Prepare to be impressed. The DBX is quick—claimed 0–60 acceleration takes 4.3 seconds en route to a top speed of 181 mph—though it doesn’t really feel it, perhaps because we’re now spoiled for choice when it comes to 500-plus-horsepower SUVs.
And it will go around corners. Becker says it will pull more than 1.00 g lateral acceleration on all-season tires and 1.20 g on summer tires. But it’s the Aston’s ride and refinement that sets it apart from every other luxury SUV on the market today.
With the triple-chamber air suspension in its normal GT mode, the DBX flows down the road—any road, regardless of surface—with remarkable poise. Its primary ride has a beautiful, oily plushness, enhanced by a 120.5-inch wheelbase that’s just 0.4 inch shy of that of the new Chevy Tahoe. Superb rebound damping delicately yet precisely checks upward body motions, like a rising balloon being checked with a gentle tug on a string. Despite the 22-inch low-profile Pirelli Scorpion Zero all-season tires (285/40 front and 325/35 rear) impact harshness is well suppressed. There’s only the merest hint of noise and patter over small, sharp lumps and bumps.
What’s extraordinary is all that comfort doesn’t come at the expense of cornering. Turning off the gravel road and onto two-lane tarmac that twisted and heaved through Oman’s rocky moonscape revealed the DBX to be an SUV that drives much smaller than it actually is.
At 198.4 inches long, 78.7 inches wide, and 66.1 inches tall, it’s closer to a Bentley Bentayga than a Porsche Cayenne, but it reacts to steering, brake, and throttle inputs with the agile yet fluid grace of a genuine grand turismo. It makes a full-size Range Rover—shorter, narrower, and with 5.5 inches less in the wheelbase—feel like a linebacker with a busted knee.
All-aluminum construction helps. Aston claims the DBX weighs around 4,950 pounds. That’s 140 pounds less than our last Porsche Cayenne Turbo, some 350 less than a Bentley Bentayga V8, and a hefty 862 less than a fully loaded Range Rover SV Autobiography we measured.
But the key enabling technology is the ZF active anti-roll system, which can deploy up to 1,032 lb-ft of torque to twist both the front and rear anti-roll bars against the cornering forces and keep the DBX flat through corners while allowing the long-travel suspension to do its thing. By comparison, Porsche’s only goes to 811 lb-ft on the rear axle of the Cayenne.
There’s never the sense you have to make allowances for the DBX’s mass or high center of gravity, especially on the change of direction, as you do in other big, fast SUVs, even with the suspension in GT, the softest setting. There’s a little more business to the ride in Sport+, but the high output of the anti-roll system delivers greater rear axle roll stiffness, allowing power oversteer thanks to the 4Matic system that routinely sends up to 100 percent of the drive to the rear axle and no more than 47 percent to the front axle.
There’s also none of the slightly artificial turn-in response you get from SUVs with rear-wheel steering, primarily because the DBX doesn’t have it. Although the weighting and off-center gain of the steering had yet to be finalized on the prototype we were driving, the 14:1 steering ratio—which splits the difference between the 16:1 ratio used in the Lamborghini Urus and the 12:1 ratio of the Cayenne Turbo—delivered just the right balance of response and stability.
The air suspension and anti-roll system also enable the DBX to handle more than just gravel roads: Standard ground clearance is 7.5 inches, rising to 9.3 inches in the two off-road modes (called Terrain and Terrain+), giving the DBX a 25.7-degree approach angle, a 27.1-degree departure angle, an 18.8-degree breakover angle, and a maximum wading depth of 19.7 inches.
Becker calls the Aston Martin DBX “the most complex car I’ve ever done” in terms of dynamic development. The systems integration work, making the powertrain, suspension, steering, and braking control systems work together to deliver the right blend of ride and handling performance, was a major challenge.
Starting from an all-new architecture allowed Aston engineers to put the suspension hard points where they wanted them, to push the wheels right out to the corners of the car, delivering truly impressive interior room while shrink-wrapping the sheetmetal around the occupants. But it also meant, Becker says, every detail had to be thought through.
“What I’m most proud of is the level of body control and ride comfort the car has, as well as handling performance,” says Becker, who began his career honing the handling of light and agile Lotus sports cars.
And rightly so. Quite simply, the DBX sets a new benchmark in terms of its balance between ride comfort and dynamic capability. It’s as profound a line in the sand as the original Range Rover was in terms of its contemporaries; it’s the SUV whose manners against which all others will now be judged.
Yes, some are faster, some are more powerful, and some will grip even more tenaciously through turns. But in the round, regardless of the road, the Aston Martin DBX drives better than any other luxury performance SUV on the market today. Period.
The post Aston Martin DBX Prototype First Drive: Setting a New Benchmark appeared first on MotorTrend.
https://www.motortrend.com/cars/aston-martin/dbx/2021/aston-martin-dbx-prototype-first-drive-review/ visto antes em https://www.motortrend.com
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amberwellnessgroup · 5 years ago
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Women With Infertility Often Ask: How Is My Thyroid Function Connected To My Ability To Conceive?
The thyroid gland is the master regulator in the body. One of the systems the thyroid gland regulates in women is the menstrual cycle. Thyroid hormones are part of the endocrine system that regulate the timing of ovulation (the egg being released from the ovary). This is a complex system of events. However, if a woman is diagnosed with hypothyroid (low thyroid hormones), then this could interfere with her ovulation and thus impair her ability to conceive.
The gold standard for determining if a patient has a thyroid disorder is testing TSH. When a patient presents to our clinic with concerns about hormone imbalance, fatigue, anxiety or others related to the endocrine system, we will often check the active hormones as well. A well-rounded thyroid panel consists of: TSH (Thyroid Stimulating Hormone), Free T4, Free T3, TPO (Thyroid Peroxidase Antibody), and TGA (Thyroglobulin Antibody). There are other markers that can be ordered, however these 5 parameters give us a comprehensive overview of the patient’s thyroid function.
When addressing fertility concerns and other hormonal imbalances, the naturopathic physicians at Amber Wellness Group will look at your thyroid numbers with a fine-toothed comb. Many patients present to their provider every day with signs and symptoms of hypothyroid, yet their lab values are within the normal range. What we do is assess lab values for the normal range and then go one step further, looking at an optimal range for that particular marker. The optimal range for most lab values is assessed between the 40th and 60th percentile.
The normal range for TSH is approximately 0.4 to 4.0 – Ideally, TSH is between 1.00 and 2.00 mIU/L and no higher than 2.5 mIU/L when trying to conceive. The normal range for Free T4 is 0.8 to 2.8 ng/dL and Free T3 is 2.3 to 4.2 pg/mL. The optimal range for the free hormones for Free T4 is 1.8 ng/dL and for Free T3 is 3.3 pg/mL. Thyroid antibodies should be as low as possible indicating the immune system is not overreacting and attacking the thyroid gland.
Let’s step back and look at the other factors in the endocrine system. The interconnection between the thyroid, ovaries, and adrenal glands is complex. The pituitary gland houses the stimulating hormones for each of the glands that produce hormones. The stimulating hormones in the pituitary we will look at are: ACTH which stimulates the adrenals to produce cortisol, TSH which stimulates the thyroid to produce Free T4, and both FSH and LH which stimulates the ovaries to produce the sex hormones estrogen and progesterone. When there is an overproduction or underproduction of any of the stimulating hormones in the pituitary, then there is a possibility of hormone dysregulation in one of the other endocrine systems. For instance, if you are under high stress and producing a lot of cortisol, then the ACTH is affected. If the ACTH is reacting to a chronic stress situation, this imbalance and chronic reactivity will impact the other hormone pathways, contributing to the hormone dysregulation. In order to conceive and carry a full-term pregnancy, the hormones have to stay in balance and maintain homeostasis.
There are some simple things to do to improve your thyroid function and your fertility.
Find a knowledgeable health care provider who will order a complete thyroid work-up.
Eat a well-rounded diet high in fruits or vegetables. The thyroid requires minerals in order to convert the thyroid hormones to be active and useful for your body.
Eat 80 grams of protein a day. This will help you in many ways, but specifically protein makes the amino acid tyrosine, which is the backbone for thyroid hormones.
If you are diagnosed with autoimmune thyroid disease, avoid gluten. This will help you regulate the autoimmune process.
Avoid the raw intake of cabbage, kale, cauliflower, turnips, mustard greens, and broccoli if you have high TSH levels. These vegetables are known to reduce the degree of iodine the thyroid gland can take in, and are called goitrogens. Iodine directly affects the amount of hormones that can be generated. If too little iodine is absorbed, then the resulting effect is inadequate functioning of the gland, leading to hypothyroidism.
Practice meditation or deep relaxing breathing. This will help reduce stress and regulate the cortisol pathway, which will avoid triggering a shutdown from the thyroid.
If you have questions regarding your fertility, thyroid hormone balance, or anything else related to female hormones, we would love to support you and help you find the answers to reach your wellness and family planning goals.
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