CharlieH

Multiple posts with inappropriate comments removed.

Slacken

Dumbells

Under that ID OP, you can see already with just the immediate responses as to what peole do, they immediately checked your profile, is there any longevity there etc, its an immediate cautious reaction, and with the internet being what it is, rightly so. Ultimately its just words on a screen, and could literally be anyone anywhere and you have just become their entertainment. People are naturally suspicious and you wont change that, in fact you will heighten that doing what you have suggested.

Ascend

Disagree with item 2. Many will not for fear of falling victim to a scam of some sort, most are old enough and wise enough NOT to do that until they have established a better relationship right where they are and where they feel comfortable NOT where someone wants to lead them or redirect them away. IMHO Item 3: For me an indeed this forum its an instant red flag when someone uses a disposable or burner email address. Again smells of deceit, and not a way to begin. IMHO

Please read the other topics about this and the posted method to resolve it.

Inappropriate comment in very poor taste has been removed.

Walking in a Square Sitting and Standing Balance Circulation Keep moving ! if your life-style is becoming more sedentary, sitting at that come too long ? - easy basic exercises you need to do.

Sarcopenia is a medical term that refers to the gradual decline in muscle mass, strength, and functionality. This condition primarily affects the elderly and is closely linked to the aging process. Unfortunately, sarcopenia can significantly diminish your quality of life, making everyday tasks more challenging and potentially leading to increased dependency and a need for long-term care. This condition impacts the musculoskeletal system and is a significant contributor to frailty, falls, and fractures. These issues can result in hospitalizations and surgical interventions, which may carry an increased risk of complications, including mortality. Moreover, sarcopenia isn’t just a concern for those who are aging; it can also affect individuals with a high body mass index (BMI), leading to a related issue known as sarcopenic obesity. Those grappling with both obesity and sarcopenia face a heightened risk for adverse health outcomes. Who is Affected by Sarcopenia? While sarcopenia can affect anyone, it predominantly impacts individuals aged 60 and older. The prevalence of this condition increases with age and affects both men and women equally. However, studies looking into the condition across different ethnic groups show inconsistent results. Furthermore, those with chronic illnesses are more likely to experience sarcopenia. How Common is Sarcopenia? Though accurate figures are hard to pinpoint due to inconsistent studies and underdiagnosis, estimates suggest that between 5% and 13% of people aged 60 and older have sarcopenia. This percentage swells to between 11% and 50% for those aged 80 and above. How Does Sarcopenia Affect the Body? Sarcopenia leads to a reduction in both the number and size of muscle fibers, resulting in thinner muscles (muscle atrophy). As we age, our bodies undergo changes that predispose us to this condition. For example, there’s a decrease in the production of proteins essential for muscle growth, causing muscle cells to shrink. Additionally, hormonal shifts—particularly in testosterone and insulin-like growth factor (IGF-1)—can contribute to muscle fiber deterioration. Symptoms of Sarcopenia The hallmark symptom of sarcopenia is muscle weakness, but other signs can include: - Reduced stamina - Difficulty with daily tasks - Slower walking speed - Challenges in climbing stairs - Poor balance leading to falls - Decrease in muscle size What Causes Sarcopenia? While natural aging is the primary culprit, various risk factors can accelerate sarcopenia's onset. These include: - Physical inactivity - Obesity - Chronic illnesses like COPD, kidney disease, diabetes, and certain cancers - Rheumatoid arthritis - Insulin resistance - Hormonal imbalances - Malnutrition or inadequate protein intake - Loss of nerve cells that facilitate muscle movement Diagnosis and Tests Diagnosing sarcopenia involves a thorough physical examination and a discussion of symptoms. Healthcare providers may employ the **SARC-F questionnaire**, which evaluates five key areas related to strength and mobility. Scoring of 4 or above may necessitate further testing. No single test can definitively diagnose sarcopenia. Instead, healthcare professionals may conduct a range of assessments, including: - **Handgrip test**: Measures overall muscle strength. - **Chair stand test**: Assesses lower limb strength. - **Walking speed test**: Evaluates gait speed over a short distance. - **Short physical performance battery (SPPB)**: A composite of mobility tasks. - **Timed-up and go (TUG) test**: Measures the time taken to stand, walk a short distance, and sit back down. Imaging tests, such as **DEXA scans** and **Bioelectrical impedance analysis (BIA)**, help measure muscle mass and body composition. Management and Treatment Effective management of sarcopenia usually includes lifestyle modifications, such as: - **Physical Activity**: Engaging in progressive resistance training can help restore muscle strength. - **Healthy Diet**: Increasing protein intake and maintaining a balanced diet are vital for muscle health. Currently, there are no FDA-approved medications specifically for treating sarcopenia, although researchers are exploring hormone therapies as potential treatments. Prevention While complete prevention of sarcopenia may not be feasible, several strategies can slow its progression: - **Make Healthy Food Choices**: Prioritize high-quality proteins and aim for 20 to 35 grams of protein per meal. - **Stay Active**: Regular resistance training is key to maintaining muscle mass. - **Routine Check-ups**: Regular consultations with your healthcare provider can aid in early detection and management. Outlook and Prognosis The prognosis for individuals with sarcopenia largely depends on age and health status. If unaddressed, sarcopenia can greatly diminish one’s quality of life, potentially necessitating full-time care. However, with proactive lifestyle changes, many can reverse the effects and regain functional strength. Common Questions about Sarcopenia Is sarcopenia considered a disease? Yes, in 2016, the CDC designated sarcopenia as a specific disease, creating an ICD-10 code for it, which enhances diagnosis and treatment efforts. How is sarcopenia different from muscle atrophy? Sarcopenia specifically relates to age-related muscle loss, while muscle atrophy can occur due to various factors, including disuse or injury. Both conditions lead to muscle loss, but the underlying processes differ. An Important Note Aging naturally results in some level of muscle loss; however, sarcopenia accelerates this process. The positive news is that treatments exist to help combat the condition. If you notice symptoms like muscle weakness or loss of endurance, consult your healthcare provider. They can help diagnose sarcopenia and develop a tailored treatment plan to mitigate muscle loss and enhance your overall well-being. Based on an article by Cleveland Clinic

In a significant escalation in the ongoing Ukraine-Russia conflict, reports have emerged indicating that debris from an Army Tactical Missile System (ATACMS) missile, supplied by the United States, has fallen on a military facility in Russia's Bryansk region. This information has been confirmed by the Russian Defense Ministry through various news agencies. According to the Russian military, their anti-missile systems reportedly intercepted five out of six ATACMS fired by Ukraine, with one missile managing to reach its target. The Ukrainian military has stated that it launched an attack on Russian positions in the Bryansk area but has not confirmed the specific use of the ATACMS missiles. Security and defense editor Deborah Haynes, reporting from the G20 summit in Rio de Janeiro, noted that while the possibility of Ukraine utilizing these missiles within Russian territory was anticipated, the Russian claims raise questions about reliability. She highlighted that Ukraine's focus lies in effectively deploying its weaponry, rather than explicitly confirming details of their operations. The Russian government claims that six ATACMS were fired into its territory, leading to speculation about the extent of the damage caused by the missiles that bypassed their defenses. Experts suggest that this tactical use of long-range systems could provoke a different strategic response from Russia. President Putin has recently warned the West of severe consequences should the U.S. or UK authorize more extensive use of long-range missile systems by Ukraine. The situation is further complicated by Russia's updated nuclear doctrine, which reportedly lowers the threshold for a potential nuclear response in the event of a conventional attack. This marks a shift in Russian military policy, which previously limited nuclear retaliation to situations involving a nuclear strike or an existential threat to the state. Amidst these tensions, officials from Britain and the U.S. continue to assert that Russia has no desire for a nuclear conflict due to the disastrous consequences it would entail. The UK Prime Minister's spokesperson condemned Russia's adjustment to its nuclear strategy, terming it "irresponsible" behavior from the Kremlin. Deborah Haynes further emphasized that discussions among U.S. and UK officials suggest caution against Russia's nuclear saber-rattling, which they believe is designed to influence Western support for Ukraine. President Biden has allegedly given Ukraine the green light to utilize long-range missiles against Russian targets, bolstered by the recent introduction of North Korean troops into the conflict. While this development could slightly alter the tactical landscape, it does not represent a game-changing moment for Ukraine, as there remain inherent limitations regarding the range and quantity of the missile systems available to them. The UK’s Storm Shadow cruise missiles, for example, are in limited supply and take considerable time to replenish. As the situation unfolds, the international community remains vigilant, closely monitoring the implications of these developments on the broader conflict. As reported by Sky News.

With its warm climate, affordable lifestyle, and rich culture, Thailand is a popular retirement destination. But enjoying this phase of life fully requires planning, especially when it comes to healthcare. Here’s why health insurance is essential for retirees in Thailand and what to look for in a plan. Health Insurance for Retirement Visas To retire in Thailand on a long-stay visa (Non-Immigrant O-A or O-X), health insurance is mandatory. Applicants aged 50 and over must show coverage of at least 400,000 baht for inpatient care and 40,000 baht for outpatient treatment. This requirement not only meets visa needs but also provides basic protection for unexpected health costs. Managing Age-Related Health Needs in a Tropical Climate Thailand’s humid climate can present unique health challenges for retirees. High temperatures can exacerbate arthritis, dehydration, and respiratory issues, while tropical diseases like dengue fever are more common. Health insurance covering age-related and tropical illness treatments can provide reassurance in handling these risks. Considering Long-Term Care Options Long-term care is an important consideration in retirement. Thailand offers quality assisted living and nursing homes at more affordable rates than in the West. However, extended stays can still be costly. Health insurance with provisions for long-term care can help manage these expenses if the need arises. Coverage for Pre-Existing Conditions Many retirees manage conditions like diabetes, hypertension, or heart disease. Unfortunately, not all insurance plans cover pre-existing conditions, which can make choosing a plan challenging. Some options, like Cigna’s expat health plans, offer coverage for pre-existing conditions, ensuring you receive the necessary care without complications. T&Cs apply* Prescription Medication Access and Costs Prescription costs vary in Thailand, with some essential drugs being affordable, while imported medications can be more expensive. Health insurance that covers prescriptions or offers reimbursements can make these costs more manageable, particularly for recurring medications needed for chronic conditions. Regular Check-Ups and Preventive Care Annual health screenings are essential in maintaining health as you age. Preventive care allows you to identify and address health issues early. In Thailand, many expat insurance plans cover annual check-ups, making it easy to stay proactive about your health. Emergency Medical Evacuation Coverage In case of a severe illness or injury, medical evacuation may be necessary, especially if specialized care is required. Such evacuations can cost up to 3.6 million baht ($100,000). Health insurance with evacuation coverage protects you from these substantial costs, offering peace of mind wherever you live in Thailand. Mental Health Support Retirement often brings lifestyle changes, which can sometimes lead to feelings of isolation or anxiety. Mental health support, including counseling and therapy, is essential to maintaining emotional well-being. Choose an insurance plan that includes mental health services to ensure a balanced and fulfilling retirement. Selecting the Right Plan for Seniors When choosing an insurance plan, focus on one that addresses the specific needs of retirees. Look for plans with comprehensive hospital, outpatient, and preventive care coverage. Cigna’s expat plans are designed for retirees, covering both immediate and long-term health needs in Thailand. Protect your health and financial peace of mind in Thailand today With Cigna, you’ll gain access to tailored benefits that support a worry-free retirement. Key advantages include chronic condition support, access to leading hospitals, preventive care, and mental health resources. Cigna’s plans are crafted to provide full peace of mind for expats enjoying retirement in Thailand. T&Cs apply* Planning for healthcare ensures a comfortable and secure retirement in Thailand, allowing you to focus on enjoying every moment. *Cigna Healthcare reserves the right to amend or withdraw a promotion at any time without notice. This promotion ends on November 30th, 2024. This 10% discount will apply for the lifetime of the policy and is only eligible to new Cigna Global Individual customers. The discount may only be applied by a sales agent and cannot be applied in conjunction with any other offer, except the 10% discount given to policies paid annually in full. If you choose to pay your policy annually in full, your 10% discount will be applied after the 10% annual discount has been applied. Only Cigna Global Individual Policies are eligible for the 10% discount. A minimum purchase value of $2000 for policies based in Europe is applicable. Policies based in the rest of the world require a minimum purchase value of $3000 to be eligible. Summary of original article by The Thaiger

Blaggared ?😀👍

Prescription medications in Thailand are much more affordable than in other countries, even without insurance. This includes drugs for chronic medical conditions such as high blood pressure, high cholesterol, and asthma. Access to prescription medication is among the chief concerns for many expats moving to another country, especially if they have long-term health conditions. In this article, we will look at how you can access prescription medication in Thailand and whether health insurance will be necessary for you or not. How much does prescription medication cost in Thailand? Some prescription drugs can be 40 to 50% more affordable in Thailand compared to the global median price. This makes Thailand among the prime destinations for international medical tourists, on top of the country’s high-quality private healthcare sector. In a survey by Medbelle, which compared the cost of 13 common prescription drugs in 50 countries across the world, prescription medication cost in Thailand stood below the global median by as much as 92.9%. Although the survey provided only a rough comparison, it can give you some overall picture of how prescription drugs in Thailand could be more affordable compared to other countries. However, not all will be more affordable. The survey showed the immunosuppressant drug, Prograf, to be 85.5% above the median in Thailand. The antidepressant drug, Prozac, was also priced 30.7% above the median. That said, for anyone requiring certain prescription medication for their high cholesterol, high blood pressure, asthma, or anxiety; there might be some good news for you as medication for these conditions was shown to be more affordable in Thailand. Here are some health conditions for which prescription medication costs less in Thailand. High blood pressure Zestril, or Lisinopril, a common prescription drug for treating high blood pressure, costs 58% less than the global median price in Thailand. Anxiety and panic disorder Xanax, or Alprazolam, a tranquilliser commonly prescribed for the management of anxiety and panic disorders, costs 77% less than the global median price in Thailand. Asthma and COPD Ventolin, or Salbutamol, a prescription drug for asthma and chronic obstructive pulmonary disease (COPD), is priced 46% lower than the global median price in Thailand. Diabetes Lantus, a brand of insulin glargine, is priced 4% less expensive than the global median price in Thailand. Insulin glargine is a synthetic version of human insulin used to manage Type I and Type II diabetes. Cardiovascular disease and high cholesterol Lipitor, a brand of Atorvastatin, is 2% less expensive compared to the global median price in Thailand. Atorvastatin is a common statin medication used in the prevention of cardiovascular disease and to treat an abnormal cholesterol level. Other prescription medications that cost less in Thailand Some other prescription medications that cost less in Thailand include: Zithromax (Azithromycin), an antibiotic used for several bacterial infections, costs 36% less than the global median price in Thailand. Yasmin (Ethinylestradiol), an oral contraceptive, is priced 54% less than the global median price in Thailand. How to get prescription medication in Thailand? Certain prescription medications can be bought directly from pharmacies without visiting a doctor in Thailand. Medications that strictly require a prescription from doctors include specially controlled drugs and category 3 or 4 psychotropic substances. Specially controlled drugs must be bought with a doctor’s prescription only. Some specially controlled drugs include: Prednisolone Dexamethasone Budesonide/Formoterol Fluticasone/Salmeterol Fluticasone furoate/vilanterol Sildenafil Aspirin 81 mg Aspirin/glycine (100/45) Pioglitazone Tacrolimus Olanzapine Quetiapine Risperidone Psychotropic substances category 3 and 4 can be purchased from pharmacies with licenses to sell psychotropic substances only. You also need a doctor’s prescription to purchase these medications from pharmacies. Examples include: Diazepam Lorazepam Clonazepam Clorazepate What to note when purchasing your medication in Thailand Regardless of what medication you purchase, please note that you should avoid buying your medication from pharmacies that are not staffed by licensed pharmacists. Pharmacies in Thailand are required to have a licensed pharmacist in order to be eligible for business operations. Pharmacies will have the service hours of their pharmacists, along with their names, photos, and license numbers stated inside their establishment. Certain medications must be sold by pharmacists during pharmacists’ service hours only. Please refrain from purchasing medication, especially those that are not over-the-counter medication, from pharmacies when there is no licensed pharmacist present or when the person handling your medication is not the licensed pharmacist. Do I still need health insurance for healthcare in Thailand? Generally, health insurance, whether public or private, is not a prerequisite to receiving healthcare or purchasing prescription medication in Thailand. However, if you are not covered by some form of insurance, your medical expenses must come out of your own pocket. Although the Thai public healthcare system is generally very affordable, you may find only Thai-speaking staff. Many expats prefer private health facilities in Thailand as they usually have English-speaking medical staff and interpreters ready to assist them. Private hospitals also generally have shorter waiting times and more comfortable accommodation. However, as Thai healthcare has adopted a dual-pricing system, this means expats and foreign patients could be charged a higher price compared to locals. This is why a private health insurance plan is highly recommended for any visitors coming to Thailand. For over 20 years, Pacific Prime has assisted expats from across the world in securing health insurance plans that work best for them. We work with global top insurers to ensure our clients have the best selections of insurance plans they can choose from. Contact our experts now for free quotes and plan comparisons. Sponsored

free[ix. In a world filled with diet trends and health advice, it can be overwhelming to determine which dietary approach might work best for individual needs. From ketogenic to carnivore diets, there are various methods to consider. This guide will cover several popular diets, exploring their principles, benefits, drawbacks, and providing sample meal plans to help readers make informed decisions. 1. The Keto Diet: Transforming Fat Into Fuel What is it? The ketogenic (keto) diet is a low-carbohydrate, high-fat diet that encourages the body to enter a state of ketosis, where fat is used as the primary source of energy instead of carbohydrates. Pros: - Effective for weight loss - Can enhance mental clarity and energy levels - May improve insulin sensitivity and blood sugar control Cons: - Can lead to nutrient deficiencies if not well-planned - The "keto flu" might cause fatigue and irritability during the initial adjustment - Requires strict adherence to macronutrient ratios Sample Meal Plan: - **Breakfast**: Scrambled eggs cooked in butter with spinach and feta cheese. - **Lunch**: Grilled chicken salad with avocados, mixed greens, nuts, and olive oil dressing. - **Dinner**: Baked salmon with asparagus roasted in olive oil. - **Snack**: Celery sticks with cream cheese. For more information, check out [Healthline's Complete Guide to the Keto Diet] (https://www.healthline.com/nutrition/ketogenic-diet-101). --- 2. Intermittent Fasting: Timing Your Meals What is it? Intermittent fasting (IF) isn’t a diet in the traditional sense; instead, it’s an eating pattern that cycles between periods of eating and fasting. Pros: - Promotes weight loss and fat loss - May improve metabolic health and enhance brain function - Can simplify meal planning and preparation Cons: - May not be suitable for individuals with certain health conditions - Can lead to overeating during eating windows - May cause fatigue or irritability in the beginning Sample Meal Plan (16/8 Method): - **12:00 PM (Noon)**: Break the fast with a protein shake and a piece of fruit. - **1:00 PM**: Grilled chicken breast with quinoa and mixed vegetables. - **4:00 PM**: Snack of Greek yogurt with nuts and berries. - **7:00 PM**: Stir-fried tofu with broccoli, bell peppers, and brown rice. - **8:00 PM**: Stop eating until the following noon. For further reading, visit [The Complete Guide to Intermittent Fasting] (https://www.healthline.com/nutrition/intermittent-fasting-guide). --- 3. Low-Carb Diet: Keeping Carbs in Check What is it? A low-carb diet reduces carbohydrate intake, focusing instead on consuming higher amounts of protein and fats to promote weight loss and improved health. Pros: - Can lead to significant weight loss - May stabilize blood sugar levels - Can decrease hunger and cravings Cons: - Can be challenging to maintain over time - Might result in temporary fatigue during adaptation - Some individuals may miss out on fiber-rich foods Sample Meal Plan: - **Breakfast**: Omelet with mushrooms, onions, and cheese. - **Lunch**: Turkey lettuce wraps with hummus and sliced vegetables. - **Dinner**: Stir-fried shrimp with zucchini noodles. - **Snack**: Handful of almonds or walnuts. For deeper insights, explore [What Is a Low-Carb Diet?] (https://www.webmd.com/diet/what-is-a-low-carb-diet). --- 4. High-Protein Diet: Fuel for Fitness Enthusiasts What is it? A high-protein diet emphasizes the intake of protein-rich foods, which may aid in muscle building and weight loss while keeping hunger at bay. Pros: - Supports muscle growth and repair - May promote a feeling of fullness, aiding in weight management - Can enhance metabolism Cons: - Excessive protein intake may strain the kidneys in individuals with pre-existing conditions - Can lead to an unbalanced diet if fruits and vegetables are neglected - May require supplementation for individuals not consuming animal products Sample Meal Plan: - **Breakfast**: Greek yogurt with protein powder and fresh fruit. - **Lunch**: Grilled chicken breast with quinoa and steamed broccoli. - **Dinner**: Beef stir-fry with mixed vegetables over brown rice. - **Snack**: Hard-boiled eggs or cottage cheese with pineapple. For additional details, see [The Benefits of a High-Protein Diet] (https://www.eatthis.com/protein-diet-benefits/). --- 5. The Carnivore Diet: All-In on Animal Products What is it? The carnivore diet consists exclusively of animal products, eliminating fruits, vegetables, grains, and legumes entirely. It advocates for high protein and fat intake, claiming various health benefits. Pros: - Simplifies meal planning and preparation - May lead to quick weight loss - Advocates claim it improves mental clarity and reduces inflammation Cons: - Severely limits essential nutrients found in plant foods - Can increase the risk of certain health issues due to low fiber intake - May not be sustainable for the long term for many individuals Sample Meal Plan: - **Breakfast**: Ribeye steak and eggs. - **Lunch**: Ground beef with cheese. - **Dinner**: Grilled chicken thighs with bone broth. - **Snack**: Beef jerky or pork rinds. To learn more, refer to [The Carnivore Diet Explained] (https://www.healthline.com/nutrition/carnivore-diet). --- Choosing the right diet can be a personal journey influenced by individual health goals, preferences, and lifestyle. Each of the diets presented offers unique benefits, and understanding their pros and cons will empower individuals to make informed choices. Engaging in discussions with healthcare professionals or nutritionists can also provide personalized insight. By exploring these diets, everyone has the opportunity to discover what works best for their body and lifestyle. Which diet are you curious about trying, or have you already delved into one? What have you tried, and what actually worked for you ?