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Vitamin E Recommended Doses: Who's Telling The Truth? 2007-08-07 09:15:04 This is a tough question to answer because although there is an RDA (recommended daily allowance) for vitamin E, it is impossible to determine just who that "average" person is. The only honest answer that any doctor or health practitioner should give you is that vitamin E needs totally depend on multiple variables.
Let us take body size for example, the more you weigh and the heavier you are, the more vitamin E you will need to consume. Another variable to consider is whether or not you are getting enough vitamin E in your diet from certain plants and fish. And also note that if you are eating more fat than the average person, then you will need more vitamin E in your daily diet.
What is the recommended daily allowance of vitamin E based on?
The RDA of vitamin E is structured from what is called the natural alpha tocopherol. Tocopherol is the most active form of vitamin E. While scientists prefer to count the vitamin E in terms of international units, or IU for short, nutri Read more:Vitamin
, Telling
, Truth
How is vulnerable plaque detected? 2007-08-07 02:15:04 Patients with this kind of plaque
may not feel any symptoms. In the early stages of the process, the change in blood flow may not be detected with standard testing. Researchers are looking at unique scanning techniques that might highlight the presence of vulnerable plaque.
Cardiologists have found that by measuring the level of a substance called C-reactive protein in the bloodstream, they can predict a person's risk of heart attack or stroke. C-reactive protein is a marker that doctors use to measure inflammation activity in the body. Two large studies showed that the higher the C-reactive protein levels in the blood, the greater the risk of a heart attack.
Not all vulnerable plaque ruptures, and researchers are looking at ways to determine which vulnerable plaques are most likely to rupture. They found that the warmer the plaque, the more likely it will crack or rupture.
Patients can lower their C-reactive protein levels in the same ways they can cut their heart attack risk (he
Disasters & Trauma & Your Mental Health 2007-08-06 18:45:03 Disasters and trauma are an unfortunate part of life. Every person is affected differently by a trauma, but none the less, disasters ultimately will have some sort of impact on just about everyone. Different factors determine how a disaster or trauma will affect one's mental health. Broaching the subject of "mental health" still carries a stigma for some, but there is nothing to be embarrassed about. Realizing what normal feelings and reactions may result from a trauma is the first step in determining if one needs professional help.
What exactly constitutes a "disaster" or a "trauma"? That truly depends on the person. However, the following is a list of such known occurrences:
–Various accidents
–Physical, emotional or sexual abuse
–Neglect
–War experience
–Alcoholism
–Illness, surgery or disability
–The death of a family member of friend
–A natural disaster
Obviously, this list is in no way conclusive, Read more:Disasters
, Health
The signs of prostate cancer 2007-08-05 16:15:04 Unfortunately it is sometimes difficult to detect prostate cancer in the early stages, especially if the sufferer is elderly and symptoms etc are deemed to be age related. This is one of the reasons why Prostate cancer is referred to a silent disease because it creeps up on the sufferer who is completely unaware that he is suffering from this type of cancer.
Unfortunately it has been noted that many men do not take the subject of prostate cancer seriously. They prefer to bury their head in the sand and ignore the perils. The sad thing is, Prostate cancer is a slow growing cancer and if caught in the early stages, there is a very good chance of recovery. There have been suggestions by some health care specialists that men should have an annual PSA test, however it has been argued that the cost of this combined with the stress caused to many men awaiting the results of these tests would not make it worth it.
Some warning signs
of prostate cancer to be aware of are listed below
* A need
Diabetes: Avoid Foot Amputations By Preventative Checkups 2007-08-05 13:00:05 There are approximately 70,000 cases of amputations that take place each year in United States alone, and it is estimated that half of these cases are among those that are suffering from diabetes. The numbers are going up even though there is a procedure that exists which can bring more blood to the feet thus preventing many amputations.
Foot ulcers more likely precede amputation. However, if you have diabetes and have developed ulcers of the foot, there is still a good chance for you to keep your foot and not have to get it amputated. With proper medical care and a regular health maintenance program, you'll be able to avoid this debilitating process.
Always have routine checkups on your feet and legs
Your health care provider should check your feet on a regular basis, preferably every time you you have an appointment. For every routine medical exam, your doctor should check to see if you are at risk of developing foot ulcers. Your doctor will most likely use a filament (also c Read more:Diabetes
, Avoid
, Preventative
SELF HELP FOR SLEEP APNEA (BEHAVIORAL TREATMENTS) 2007-08-05 12:45:08 As a popular saying goes "self help is the best help an individual can offer to himself"
Always self-care is the most correct way to deal with obstructive sleep apnea and sometimes for central sleep apnea and mixed apnea too.
The following are some of the self care guidelines that helps a person cope with sleep apnea.
1. A person who is over-weight might run a higher risk of developing sleep apnea. Due to excessive fatty growth of the body tissues there might be blockages in the airways. Therefore the best way to avoid sleep apnea is to lose weight in a healthy way. For those who are already suffering from sleep apnea even a slight loss in the excess weight might help them from throat constriction.
2. In obstructive sleep apnea, any contributor to the obstruction in the throat worsens the problem. Therefore avoiding alcohol, smoking and over the counter tranquilizers and sleeping pills will prevent the aggravating condition. Especially smoking has to be totally avoided as
Panic Disorder with Threatening Self Injury Comorbidity 2007-08-05 09:00:06 Panic disorder has been destructive to a lot of people. Everyday, more and more patients are complaining with the said disorder. However, there are still a number of individuals who continue to hide it within themselves.
This type of disorder is more than a feeling of being stressed out as experienced by most of the people who are inclined in working. This is a sudden attack of irresistible fear that cannot be explained by anybody. Once you have this panic disorder you began to undergo an intense feeling of fright as if nobody is willing to help you.
Panic attack also occurs without prior signs and even without warning. Oftentimes, with no reason at all, a person just feels this. The worse thing is that panic attacks are closely associated with several forms of phobias and anxiety disorder such as depression.
If you want to check whether you are already experiencing panic attack, you can check on the following symptoms:
* The heartbeat is beyond normal. The palpitation also continues t Read more:Panic
, Injury
Low Dose Naltrexone and Multiple Sclerosis 2007-08-05 06:45:03 Naltrexone was approved by the FDA in 1984. Its original purpose was to treat heroin addiction. In high doses naltrexone blocks the receptors that heroin and other opiates act upon. However, patients using this treatment often did not stick with it due to side effects of insomnia, severe depression, irritability, and loss of feeling of pleasure. These side effects occurred because in high doses, the medication blocks the production of endorphins. Doctors soon stopped using naltrexone to treat addiction.
In 1985 doctors started researching the effects of naltrexone on the immune system. They were concentrating on its possible uses in treating AIDS. They found that low doses of naltrexone taken at bedtime triple the amount of endorphins produced by the body. During the same study, it was found in most people with multiple sclerosis have low endorphin levels.
It is thought that proper endorphin levels orchestrate the activities of the immune system and help the body determine between norm Read more:Multiple
, Sclerosis
What is Hair Loss? 2007-08-05 00:15:04 Hair loss is a common part of growing old for many men across the world. Mainly thanks to genetic predisposition, baldness and hair loss are inevitable for many of those reaching middle. However, there are numerous conditions which can also give rise to hair loss in both men and women, as well as children. Although this may be an embarrassing time for anyone suffering from hair loss, there are numerous effective ways to make it less obvious, such as disguising the scalp with hats, wigs and scarves to cover any bald patches. Although not necessarily problematic for everyone, hair loss can indicate the presence of other, more serious conditions, so it is important to consult your physician straight away to minimise the chance of development and complication of certain potential causes.
Everyone undergoes a constant process of growing and shedding hair, which grows at a rate of one centimetre a month. However, traumatic experience, such as a major operation, or old age, or the presen Read more:Hair Loss
HORMONE TREATMENT FOR PROSTATE CANCER 2007-08-07 17:45:04 When prostate cancer has spread to other parts of the body such as the lymph nodes, bone, lung, or liver, hormone treatment is used. Once it has spread the disease cannot be cured by surgical means, or radiation. The cancer cells cannot be removed in one go as the cancer has spread. Hormone therapy treats the entire body, treating cancer cells too small to be detected. It is also used when the patient is judged not to be physically fit to withstand surgery.
Hormone treatment interferes with the production of male hormones or blocks the action of male hormones that promote prostate tumor growth. It is effective in shrinking the size of the cancer in most patients who are treated and these patients can expect to keep the cancer under control for many years.
Hormonal therapy is not a cure for prostate cancer; its aim is to slow down the growth of hormone dependant prostate cancer cells.
There are three main types of hormonal treatment.
* Surgical removal of the testicles, which produce
The Many Different Cures for Acid Reflux 2007-08-07 16:15:04 Acid reflux has become such an issue among people in the last few years, that it's produced an entirely new line of medications to cure acid reflux. Because the hustle and bustle of our daily lives rarely offer us the opportunity to take a minute and answer our own needs, we miss the options to prepare ourselves healthy, acid sensitive meals. We miss the chance to take a morning run or make it to the gym before it closes.
When we lack the opportunity, time or even motivation to take care of ourselves as we need to, we run the risk of developing diseases like acid reflux. The erosion of your esophagus is what turns acid reflux into a painful and harmful disease and can be caused by eating too many spicy foods, not exercising properly and not letting ourselves digest healthy foods as we should. But, this is good news to companies and doctors who produce and promote the use of medications to help cure acid reflux.
Some Options to Cure Acid Reflux
Nexium, also known as the little purp Read more:Cures
Diabetes testing 2007-08-13 01:00:05 How many people are doing their diabetes testing like they should be? When you are not testing your blood sugar levels like you should be then you are just putting yourself at risk for future complications. There are many way for diabetes testing any more that there is no reason not to test your blood sugar levels often.
When you are taking the time in testing your blood sugar the right way and as often as you are told to then you will be able to give some accurate number to your doctor. You may need to test your sugar three times a day but it is better to test your sugar levels around seven times a day. That would be before and after your breakfast, lunch, and dinner then before you go to bed.
If you are doing your diabetes testing right then you will be able to tell how your medication and what you are eating is affecting your blood glucose levels. Then you would even be able to adjust what you are eating so that you may not end up with glucose levels that are too high or too low.
W Read more:Diabetes
Folic Acid: The Secret Behind Spinach 2007-08-12 23:15:10 How many times have you been told that spinach is good for you? And remember Popeye? Without question, this is 100% accurate. Spinach
is a fantastic energy food mainly due to its abundance of folic acid. In order for your body to grow strong and maintain lean muscle tissue, it needs plenty of folic acid. There is even a research that is showing good signs that folic acid can prevent heart disease.
Every cell of your body will be gone by next week, with new cells replacing them. It is almost as if the human body is regenerating itself, or rather, re-creating itself - literally. And without folic acid, this would be impossible. Your body would not be able to effectively re-create the cells that are lost every day, especially the red blood cells.
Keeping your muscles strong and your body in constant repair is not the only benefit that folic acid contributes to. Amazingly enough, research is being done that shows folic acid to be a prime candidate in the prevention of cancer, heart diseas
The importance of eliminating toxins 2007-08-10 18:45:05 Multiple sclerosis is an autoimmune disease of the central nervous system. This means that something causes the immune system to go into overdrive and attack normal, healthy myelin. No one is quite sure why this happens, however one theory that the body is reacting to toxins either ingested or in the environment.
Some people have found significant reduction of symptoms or flare-ups by eliminating potential toxins in the foods they eat and in their home and workplace.
In order to eliminate potential toxins from foods is important to eat whole, organic foods, and foods, which have not been sprayed with chemical pesticides or monosodium glutamate (MSG). .
Most packaged foods contain fillers, preservatives, artificial flavors, and MSG. For the person trying to eliminate toxins in their food, these should be avoided. Be sure to read labels on everything you buy.
If you eat meat or dairy products, be sure aren't those items do not contain added hormones or chemicals.
If possible, find o
The Antioxidant Vitamins 2007-08-16 05:15:04 Do you know that antioxidant vitamins help to stop certain illness, ranging from heart complaint to cancer? In recent years, scientists have identified several antioxidant vitamins posses an added advantage to help maintain good health. The vitamins most often identified as antioxidants are Vitamins
A, C, and E. In addition to prevent the cardiovascular ailments and cancer, these vitamins are crucial to the health of certain tissues and specific body processes. If you want to achieve broad range of protection from these unique vitamins, the antioxidant vitamins should be combined with other important nutrients.
Other Benefits of Antioxidant
Vitamins
The antioxidant vitamins protect an individual not only against cancer and cardiac problems, but also against nervous disorders, infections, vision problems and the physical effects of aging.
Inclusion of antioxidant vitamins in diet
It really makes sense to eat a well-balanced diet rich in wide variety of vegetables and fruits, which con
Diagnosis of Parkinson's Disease 2007-08-14 20:15:04 Diagnosing Parkinson
's Disease is, as with any other condition, a complex and uncertain process. With symptoms very similar to that of other neurological disorders, including a variety of different forms of the disease itself, the diagnosis requires an physician experienced in dealing with the condition first hand, and an ability to differentiate between the symptoms set synonymous with this and other conditions. Some related conditions take their course very rapidly, whereas some take time to develop. Similarly, some conditions are always present, whilst some are acute, therefore it is essential for the initiation of treatment that patients are diagnosed effectively and correctly. The patient may require observation for a period of time before proper diagnosis can be made, as there are no laboratory tests which can indicate its presence for certain.
The doctor will firstly begin his patient evaluation by looking at his medical history and conducting a general health check t
Bipolarity and Panic Attacks 2007-08-14 00:45:04 The gripping effects of bipolarity, which causes an imbalance of mental and emotional stability, can grow even worse when plagued by all the problems of acute anxiety. Much research has gone into the connection between panic acute anxiety, spurred on by such diseases as bipolarity, and panic attacks, which are generally thought to be the product of extreme anxiety, although no conclusive results have been established suggesting that there is a common underlying biological dysfunction. Whatever the case, the result is the same: an overwhelming sense of fear that can cause an otherwise perfectly healthy individual to shun society and the world around them. In a word, someone suffering from bipolarity and panic attacks can become virtually incapacitated, not only unable to function in the world, but, worse yet, trapped in the confines of an ever-destructive disease.
Many people who suffer from bipolarity have reported usual amounts of anxiety, leading them to experience syndromes simi Read more:Panic
Online Nutritionist 2007-08-17 15:30:08 If you're looking for an online nutritionist, you won't have far to look. They're in plentiful supply not only on most food and diet sites, but also those concerning kids, sports and general health.
No matter what your need, you'll find a nutritionist available to assist you with any nutrition related question you may have. Many will even work with you on a long-term basis - no appointments to keep or weather or traffic to battle.
Although there are plenty to be found, it's still prudent to request and review the credentials and qualifications of any nutritionist you consider. A bachelor's degree in the field would be a good indicator, as well as at least a few years in practice following internships.
There are many online courses claiming to provide certification in the field in a few months' time. Be certain that the nutritionist you choose to consult has spent somewhat more time in the profession and doesn't simply claim to know his stuff beca
Understanding Congenital Heart Disease 2007-08-17 00:15:04 The heart is the most important part of one's body; it ensures blood circulation throughout the body, without which life would not be possible. Medicine has advanced greatly and, with modern technology, almost all heart diseases can be treated successfully if detected in time.
What is CongenitalHeart
Disease
Congenital heart disease, or CHD, is a malformation of the heart or a large blood vessel near the heart. Congenital heart disease is a condition that one is born with and it is one of the most common forms of major birth defects in newborns, affecting approximately 8% per 1000 infants. It is normally diagnosed within one week from birth in 40-50% of congenital heart disease cases.
This condition is not a problem until after birth, as the blood circulation differs from that after birth. The fetal circulation derives oxygen and nutrients from the mother through the placenta, and the fetal circulation has important communications between the upper heart chambers and the great bl Read more:Understanding
Homeopathic Remedy For Acid Reflux Not Long Term Cure 2007-08-16 21:30:04 Many people who suffer from acid reflux may not be amenable to taking medications and seek out a homeopathic remedy for acid reflux. Those suffering from acid reflux should consult a medical professional for an accurate diagnosis of the cause, as extended periods of acid leaking into the esophagus can damage its lining as well as causing other problems such as a damaged vocal chords and throat.
The throat and voice box are more easily damaged by stomach acid than the esophagus is, and can be damaged even if the person has no symptoms of acid reflux. To find an appropriate homeopathic remedy for acid reflux it is important to understand the cause. Typically, the lower esophagus sphincter muscle is to blame, as it is allowing the stomach content to reflux into the esophagus and the acid in the stomach irritates the lining. However, a hiatal hernia may also cause severe heartburn with symptoms similar to a heart attack.
As with many recommended homeopathic remedy for acid reflux what work Read more:Reflux
, Long Term
Management of Hair Loss 2007-08-16 15:30:05 With constant advertisements claiming to improve the quality of hair, or even stimulate re-growth, it is important to understand the most effective medically proven methods of containing hair loss and ensuring healthier hair. Coupled with these advertisements come a number of common misconceptions as to the most effective ways to look after your hair, and things to avoid to maintain its thickness. The emotional distress which goes hand in hand with hair loss can cause serious problems for many sufferers, although the majority will benefit from simple lifestyle changes and changes to hair care in reducing and managing its excessive loss and making it look and feel healthier.
Many people are under the impression that dandruff, or similar irritations of the scalp do not lead to hair loss. In the case of dandruff, which is a result of fungal growth, this is certainly a contributory factor to the loss of hair, which can be irretrievably damaged by the scratching of the scalp brought on Read more:Management
, Hair Loss
Some Ways That Obesity and Heart Disease are Related 2007-08-27 13:00:14 Many medical professionals believed that obesity and heart disease were only related in an indirect sense. They attributed the major risk factors for heart disease (such as hypertension, high cholesterol, and even arteriosclerosis) to the degree of the obesity of the person involved. While obesity is a contributing factor for many of these conditions, studies are now indicating a more direct link between obesity and heart disease.
A More Direct Link?
Recent longitudinal studies indicate that while obesity can affect a number of risk factors for heart disease, the two are also directly related in that obesity can be a predictive indicator of heart disease. In a fourteen year study, it was indicated that middle-aged women with a BMI index of greater than twenty-three, but less than twenty-five still had an approximate 50% increase in the risk of both fatal and non-fatal coronary heart disease. This indicates a clear, direct connection between obesity and heart disease.
Another factor tha Read more:Heart
A Man's Embarrassing Question: What Do I Do about Impotence? 2007-08-27 03:56:11 A man's inability to perform a sexual act can be debilitating to his mental health. It is also one of the most commonly experienced health concerns by a man. Almost every man, at some point in time in his life will complain of this health ailment, unfortunately. The cycle of erectile dysfunction can spiral quickly downwards into a frustrating and emotional situation for both the man, and any relationship he is pursuing.
There are three stages to the erection process in a man; any of these three stages can host physical or emotional health problems that create a dysfunction.
At the first stage, which is arousal, a man receives stimulation from only his thoughts and/or senses. During the second stage, a man's brain is talking to the arousal function, telling the body to increase blood flow to the penis. At the final, third stage, the blood vessels of the penis enlarge, allowing more blood to flow through and therefore an erection to occur. If anything inhibits, disrupts or conf Read more:Embarrassing
, Question
, Impotence
Healthy Diet 2007-08-26 18:30:05 A healthy diet is something everyone who cares about their health claims to want, but how do we really get it?
Keys to a Healthy Diet
Developing healthy eating habits isn't as confusing or as restrictive as many people imagine. The first principle of a healthy diet is simply to eat a wide variety of foods. This is important because different foods make different nutritional contributions.
Secondly, fruits, vegetables, grains, and legumes–foods high in complex carbohydrates, fiber, vitamins, and minerals, low in fat, and free of cholesterol–should make up the bulk of the calories you consume. The rest should come from low-fat dairy products, lean meat and poultry, and fish.
You should also try to maintain a balance between calorie intake and calorie expenditure–that is, don't eat more food than your body can utilize. Otherwise, you will gain weight. The more active you are, therefore, the more you can eat and still maintain this balance.
Following these three
Diabetes & Pregnancy: 4 Eating Tips 2007-08-26 04:45:23 If are pregnant and have diabetes then you will need to completely stop taking any prescription drugs that may be harmful to the fetus. Also, in order to establish some sort of a baseline to prevent future damage, you must have your kidneys and eyes checked. You must stop all smoking and alcohol drinking.
Being pregnant means that a diabetic woman will need to adhere to a stricter regimen of glucose control during the pregnancy as compared to the treatment she was adhering to before pregnancy. Your blood glucose levels are going to be lower than normal because the fetus is extracting glucose from you and at enormous speeds. On top of that, your body will look towards fat for fuel much sooner than it normally would which ends up producing ketones sooner. Having too many ketones is also dangerous to the fetus.
Keeping A Close Eye On Your Diet
As a diabetic, you probably have researched plenty of information on what it takes to eat healthy and in accordance with preventative measures aga Read more:Diabetes
, Pregnancy
Eat those carrots! The benefits of beta-carotene and vitamin A 2007-08-26 02:15:34 Vitamin supplements are the hot topics that are discussed everywhere now. Magazines are filled with news articles about vitamin supplements and their benefits. Newspapers carry information regarding the vitamins and even in the Internet has endless discussions and articles about vitamins. The simple reason is that the vitamins are well, vital. However, there is one important vitamin that we will discuss here that is available in abundance through carrots, beta-carotene and vitamin A.
Vitamin A
This is one of the essential vitamins. Vitamin A and Beta-carotene are typically very easily confused. However, it's easier to remember that beta-carotene is the precursor of vitamin A. Vitamin A plays very important role in the immune system and overall health of a person. It also has antioxidant properties that can help to neutralize the free radicals that cause harm to an otherwise healthy person. These free radicals can lead to heart disease, cataracts, Alzheimer's disease, ma
Women and Panic Attacks: 2007-08-25 06:00:04 More and more research has been done comparing men and women when it comes to panic attacks, and one conclusion that has come from this research is that women, more than men, are disposed to panic attacks. In fact, studies have shown that for a man that has a panic attack, three women will have a panic attack. There are several reason for this that researchers have hypothesized, but two of the most common concern the pressure that is placed on women by society as well the freedom and ability for women to express themselves without any societal repercussions.
Women
are constantly bombarded with images depicting other women who are exceptionally beautiful. As a result, many women will try to compete with these glorified images, which can be especially difficult, not the least because many of these images are enhanced in such a way as to make those in the images appear even prettier than they really are. Put differently, the women in the images do not even look as good as they are pr Read more:Panic
Acid Reflux Damage 2007-08-22 20:01:32 Many people suffer from the symptoms of acid reflux. This is usually described as gastric acids from the stomach which rise up into the esophagus. This causes a burning sensation in the chest which many people refer to as heartburn.
If left untreated, acid reflux can cause damage to the esophagus which could possibly lead up to esophageal cancer. When the acid moves up into the esophagus the burning sensation you experience is actually causing irritation to the lining of the esophagus. People who have chronic acid reflux will usually keep this irritation because they never have a chance for it to heal. Continuous irritation can lead to permanent damage.
Occasionally everybody will get heartburn but this does not mean they have acid reflux. Simple heartburn is usually easy to treat with Tums or Rolaids and may be associated with eating a large meal or a meal which is high in spices. If heartburn begins to occur on a regular basis, such as two or more times a week, there is the probabili Read more:Reflux
, Damage
Copaxone 2007-08-21 20:00:51 There is no cure for Multiple Sclerosis. There are several medications thought to slow the progression of the disease. In some people, these medications can reduce the frequency and severity of flare-ups, and may help reduce the number of brain and spinal cord lesions. These medications are fairly new, so it is unknown if they help reduce the extent of disability from MS
One of these medications is Copaxone. This injectable medication is used to treat Relapsing-Remitting MS. It has no effect on the three other types of Multiple Sclerosis.
Researchers are not completely sure how Copaxone works to slow MS progression. It is believed that the drug prevents damage causing cells from forming, and at the same time stimulating the beneficial cells to help reduce the damage in the areas with lesions.
Those who choose Copaxone therapy for MS give themselves a subcutaneous injection (shot under the skin) every day. The medication is dispensed in pre-filled syringes. Measuring is not necessary. P
Surviving the winter blues 2007-08-20 20:00:27 With the summer seeming to be a long way off and the dark cold winter
mornings set in many of us become affected by the season. Winter depression or the winter blues is also known as SAD, seasonal affective disorder; it is something that is thought to affect millions of people and it ranges from mild symptoms to the more severe.
So what are the symptoms of SAD? And what if anything can be done about it to enable you to survive the winter blues? The symptoms vary from person to person with it affecting some more than others; however the symptoms listed below are the most common with just the severity changing.
* Having problems with sleep is the most common, this usually is sleeping more than normal but not feeling refreshed no matter how long you slept. The feeling of not wanting to get out of bed and also needing to take a nap during the day is also common.
* Many people overeat during the winter months with a particular craving for carbohydrates; this of course leads to piling on wei Read more:Surviving