Megan’s Turn at the Menu

Megan Thee Stallion is expanding her food footprint again, this time with a Dunkin collaboration that’s already getting attention. The limited-edition “Hot Girls Run on Dunkin,” cup comes in a sunset gradient with her signature neon heart, and it launched alongside Dunkin’s new Protein Refreshers made with Protein Milk. It’s a smart extension of the lane she’s been building for years, from her Hottie Sauce era to her Popeyes franchise ownership and the Miami Beach location she officially opened in January 2026. Megan’s steady presence in the fast food space has fans watching closely, curious about what she’ll put her stamp on next.

She recently shared a clip of herself with the cup, styled in Dunkin’s pink and orange palette, hinting that fans should get in on the drop while it lasts.

 

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How We Got Here

Megan’s moment isn’t happening in isolation. Over the past few years, celebrities have been shaping fast food from the inside out through custom meals, branded sauces, marketing takeovers, and even franchise ownership. The wave picked up in 2020 with Travis Scott’s meal, and it’s only grown from there.

McDonald’s kept the momentum going with a series of celebrity meals that followed.

In 2021, Saweetie came out with her combo, which included a Big Mac, four-piece Chicken McNuggets, medium fries, a Sprite, Tangy BBQ Sauce, and “Saweetie’ N Sour” sauce, a renamed version of the classic Sweet ‘N Sour sauce. The campaign encouraged fans to mix and match the items however they liked, turning the meal into a kind of edible playlist.

Cardi B and Offset’s 2023 Valentine’s Day meal included her go-to cheeseburger with BBQ sauce and a large Coke, while he enjoyed a Quarter Pounder with Cheese and a large Hi-C Orange Lavaburst, accompanied by fries and an apple pie to share.

Then, in 2025, Angel Reese, an NCAA champion and WNBA rookie, became the first female athlete to secure a national meal collaboration with McDonald’s. The Angel Reese Special included a BBQ Bacon Quarter Pounder with Cheese featuring a new Bold BBQ Sauce, medium fries, and a drink of choice. The campaign leveraged her basketball legacy and rising profile to showcase her emerging talent in women’s sports.

Other Chains Join the Conversation

Fast food collaborations did not stop at McDonald’s. Lil Nas X took on a creative role at Taco Bell, helping relaunch breakfast and tie it to his album rollout. Ice Spice’s 2023 Dunkin’ drink, a frozen coffee with pumpkin Munchkins and caramel drizzle, dropped during the VMAs in a campaign directed by Ben Affleck. These were cross-platform moments designed to meet fans where they already were.

From Endorsement to Ownership

Some celebrities have moved beyond the promotional cycle and into long-term investments. Rick Ross owns over a dozen Wingstop locations and has a stake in Checkers. LeBron James owns 19 franchise locations for Blaze Pizza. Then there’s Shaquille O’Neal, whose food empire includes nine Papa John’s, 17 Auntie Anne’s, one Krispy Kreme flagship in Atlanta, and his fast-growing chain, Big Chicken. These business strategies truly reflect a shift in how celebrity influence is leveraged.

The Calorie Burden Behind the Hype

According to the CDC’s National Health and Nutrition Examination Survey, about 32% of U.S. adults consumed fast food on a given day between 2021 and 2023, with fast food accounting for 11.7% of daily calories. Among younger adults aged 20 to 39, the figure rises to 15.2%.

Celebrity meals are engineered for buzz, not balance. The Angel Reese Special clocks in at over 1,250 calories, which is more than half the recommended daily sodium intake for many adults. Saweetie’s meal and Cardi B and Offset’s combo offer similar nutrition profiles. It’s fun, and it may even be shareable, but making fast food a routine has profound implications for health outcomes.

Linking the Plate to Public Health

Between 2021 and 2023, 35.8% of Black children and adolescents had obesity. According to CDC data published in the Annals of Internal Medicine, this is the highest rate among all racial groups. Experts attribute food insecurity, targeted advertising, and reduced access to safe physical activity as the primary contributors.

But the Office of Minority Health report says Black or African American students in 9-12 grade were at the most significant risk. “Non-Hispanic Black or African American female students were almost 2 times more likely to be obese than non-Hispanic white female students.”

Colorectal Cancer is Also Rising in Younger People

Meanwhile, colorectal cancer is on the rise among younger adults, and the outlook is particularly harsh for Black Americans. The American Cancer Society’s 2025 report shows that Black men are 20% more likely to be diagnosed and 40% more likely to die from colorectal cancer than white men. Early 2026 projections indicate that these disparities have not improved.

For Black women, incidence is 14% higher, and mortality is 25% higher. Processed, low-fiber diets, typical of many fast-food options, are associated with an elevated risk, alongside structural barriers to screening and treatment.

This isn’t about feeling guilty for indulging in the latest trendy meal. However, it’s worth taking a moment to consider the more profound implications of seeing so many of our favorite celebrities promoting foods that don’t support our health. Our community already faces health disparities; it doesn’t exactly help to see a beloved musician holding up a burger stacked with sodium, sugar, and branding. When entertainment and marketing merge seamlessly, it’s easy to forget what’s truly at stake.

Dinner with a Side of Influence

Celebrity meals aren’t changing the food industry outright, but they’ve shaped how we engage with it. They blur the line between marketing and entertainment, and between habit and hype.

No one is forcing the order, but these meals reflect how easily pop culture can infiltrate our routines. We’ll leave it to you to decide who holds the influence: the celebrity, the brand, or the part of you that values your health over the hype.

Resources

How Hip-Hop Superstar Travis Scott Has Become Corporate America’s Brand Whisperer

NCHS Data Brief, Number 533, June 2025

Obesity Prevalence Among Children and Adolescents in the United States, 2011 to 2023 | Annals of Internal Medicine

Obesity and Black/African Americans | Office of Minority Health

Cancer statistics for African American and Black people, 2025

The post The Rise of Celebrity-Endorsed Calories appeared first on Black Health Matters.

Chronic illness affects millions, and more health experts now treat sleep as a key part of prevention and recovery. The CDC links sleep deprivation and sleep disorders to serious long-term health outcomes.

Diabetes

Studies show that short or disrupted sleep can raise the risk of type 2 diabetes. Sleep affects how the body regulates blood sugar, and poor sleep can lead to higher levels of hemoglobin A1c, a marker for long-term glucose control. Improving sleep quality may help people with diabetes manage their condition more effectively. Harvard Health notes that sleep loss disrupts insulin sensitivity and increases inflammation, both of which play a role in diabetes.

Heart Disease

Sleep apnea is a condition where breathing repeatedly stops and starts during sleep. It can make the body work harder overnight and raise the risk of high blood pressure, stoke, and irregular heartbeats. The National Heart, Lung, and Blood Institute reports that treating sleep apnea can lower the chance of cardiovascular risk and improve survival. One common treatment is a CPAP machine, which helps keep airways open while you sleep. Studies show that using a CPAP can reduce the risk of dying from heart-related issues in people with moderate to severe sleep apnea.

Obesity

Sleep affects metabolism and appetite. Children and adults who sleep less tend to gain more weight. The CDC highlights that sleep loss can disrupt the hypothalamus, the part of the brain that controls hunger and energy use. This is especially important for kids, whose brains are still developing. Kids who sleep less are more likely to gain excess weight, and those patterns can carry into adulthood.

Depression

Sleep and mental health are closely linked. People who don’t sleep well are more likely to feel anxious, overwhelmed, or depressed. Another common sleep disorder is insomnia, which means having trouble falling asleep, staying asleep, or waking up too early without feeling rested. In fact, sleep problems often show up before a mental health diagnosis. The same Harvard Health review found that teenagers with sleep issues developed depression 69 percent of the time and anxiety 27 percent of the time. Another study of young adults ages 21 to 30 showed that those with a history of insomnia were four times more likely to develop major depression within three years. Treating sleep disorders like apnea or insomnia can help ease symptoms and improve mood. That’s why sleep is now considered a key part of mental health care.

Emerging Insight

A global study of over 88,000 adults found that irregular sleep schedules, such as going to bed at different times or having a disrupted body clock, are linked to higher risks for dozens of diseases. These include liver damage and even gangrene.

Researchers say it is time to rethink what “good sleep” means. It is not about how many hours you get. It’s also about keeping a steady rhythm. That rhythm is called your circadian rhythm. It is your body’s natural 24-hour cycle that helps regulate sleep, energy, digestion, and immune function. When this rhythm is thrown off, it can trigger inflammation and raise the risk for chronic illness.

If you have been feeling off beat and restless, it may be time to take sleep seriously. Getting good rest is not a luxury. It is part of staying well. Talk to your doctor and consider tracking your sleep. Small changes can help your body recover what it’s been missing.

Resoruces:

Sleep Deprivation, Sleep Disorders, and Chronic Disease

How sleep deprivation can harm your health – Harvard Health

Advancing Heart, Lung, Blood, and Sleep Research

Phenome-wide Analysis of Diseases in Relation to Objectively Measured Sleep Traits and Comparison with Subjective Sleep Traits in 88,461 Adults

The post How Sleep Affects Chronic Disease appeared first on Black Health Matters.

The Wake-Up Call

In 2011, Rick Ross suffered two seizures within six hours. One happened mid-flight and forced his private jet to make an emergency landing. At the time, he reportedly 350 pounds, slept just three hours a night, and was eating 24-ounce steaks a 4 a.m., according to PEOPLE. His doctor told him that if he did not change his lifestyle, he might not survive.

Building a Routine That Worked

Ross began working with a Reebok trainer and developed a CrossFit-inspired workout that he called “RossFit.” His routine includes a warm-up jog followed by five exercise stations such as deadlifts and pushups. He trains for 30 minutes, four days a week. He also started working out with friends to stay motivated.

According to XXL, Ross told Men’s Health, “I’m happy. I’m still losing weight, and now I’m starting to build hard muscle in places.”

Ross didn’t cut everything out at once. He knew that quitting all the foods he loved would only backfire, so he made gradual changes instead. That approach helped him stick with it and avoid falling back into old habits.

Eating With Intention

Ross did not eliminate fast food entirely. He told PEOPLE that he still eats at places like Checkers and Wingstop, but only between noon and 5 p.m., and only two or three days a week. The rest of the time, he works with a chef to prepare meals that are healthy and satisfying.

“My advice for anyone looking to lose weight is to not make it feel like a job,” he said. “You’ve got to enjoy it.”

Sleep became a priority as well. Ross realized that rest was just as important as food and movement, especially after years of pushing through exhaustion.

More Than a Decade Later

By 2025, Ross has maintained a weight loss of at least 75 pounds. Some estimates place the total closer to 100. He continues to train, eat intentionally, and speak publicly about the importance of health. His transformation has sparked broader conversations about wellness among Black men, especially in communities where structural barriers delay diagnosis and treatment.

Ross’s journey began with fear and moved through trial and error. He didn’t set out to meet a goal on the scale. He focused on building a routine that felt possible. Over time, that routine became a life that supports him and it’s still unfolding.

Resources:

Rapper Rick Ross Reveals How He Lost 75 Lbs. to Save His Life After His Seizures

Rick Ross Reveals How Much Weight He Lost to Avoid Seizures

The post Inside Rick Ross’s Health Transformation appeared first on Black Health Matters.

This year, he’s taking that work to a new level through national partnerships and candid storytelling that explores what it’s really like to live with Crohn’s.

What Is Crohn’s Disease?

Crohn’s disease is a type of inflammatory bowel disease (IBD) that can cause severe abdominal pain, diarrhea, weight loss, and fatigue, according to the Mayo Clinic. It’s an unpredictable illness that can flare up without warning, making everyday life a constant balancing act between managing symptoms and trying to lead a normal life.

From Crisis to Campaign

In September 2025, Williams partnered with AbbVie to launch Beyond a Gut Feeling, a national campaign aimed at breaking the stigma around gastrointestinal health. In the campaign video, he uses a chaotic film set as a metaphor for uncontrolled IBD. “You wouldn’t put up with an out-of-control video like this,” he says. “So why put up with uncontrolled IBD?”

The campaign marks a turning point in Williams’ journey with Crohn’s disease, a condition he didn’t fully understand until it nearly cost him his life. Diagnosed in his early 20s, he spent years pushing through symptoms while trying to stay healthy and build muscle. By 24, he was in crisis. “It just crashed. Everything shut down,” he told Men’s Health. Emergency surgery removed six inches of his lower intestine, but the damage was too severe. His intestines perforated, he went septic, and doctors raced him back into surgery.

For months, he relied on a feeding system that delivered nutrients directly into his veins and used an ostomy bag. At one point, Williams weighed just 105 pounds and was too weak to stand.

That experience reshaped how he thinks about health. In the Beyond a Gut Feeling campaign video, he reflected, ” I looked at it a lot as, well, my abdomen hurts right now. I need that to stop hurting so I can do my job,” he says. “Where the actual answer is, something’s wrong here. I need to figure out what that is.”

For Williams, recovery was physical and emotional. Williams had to reevaluate his relationship with wellness and happiness. He gave up alcohol, red meat, and coffee to reduce flare-ups. “Symptom management is important for feeling better, but it does not change the course of the disease,” he explains. “That’s why I’m focusing on long-term goals like visible improvement of the lining of the intestinal tract.”

Now in remission, Williams is sharing what he’s learned. He used to brush off his own symptoms and push through the pain just to get through the day. That approach nearly cost him everything. Now he pays attention, and he wants people to know that being well comes first.

Brotherly Wellness

Crohn’s doesn’t just affect one person; it reshapes routines and relationships. In the same interview with Men’s Health, Tyler revealed that his younger brother Tyrel also has Crohn’s disease. Tyrel’s first flare-up happened in early 2020. Since then, the brothers have focused on their health together, trading support and staying honest about what their bodies need.

“I had to learn how to stop making dramatic changes quickly and develop a better relationship with my body,” said Tyler. This journey has strengthened their bond, allowing Tyler to inspire others and offer support and empathy to those facing similar circumstances.

Awareness

It’s important to note that while Crohn’s disease is more common in non-Hispanic White populations, the rates of hospitalization and death are disproportionately higher within the Black community. According to the CDC, the prevalence of Crohn’s disease among non-Hispanic Black individuals is about 0.5%. Still, the rates of hospitalization and death are much higher compared to other racial groups. This highlights the specific hardships our community faces due to systemic disparities. Raising awareness is a valuable step we can all take toward improving our individual and collective health.

Here are some common symptoms associated with Crohn’s disease, according to the Crohn’s & Colitis Foundation:

• Persistent diarrhea.
• Rectal bleeding.
• Urgent need to move bowels.
• Abdominal cramps and pain.
• Sensation of incomplete bowel evacuation
• General symptoms like fever, weight loss, and loss of appetite.
• Constipation, which can lead to bowel obstruction.

Tyler James Williams’ battle with Crohn’s disease highlights the importance of looking after our health and well-being. Health issues can sometimes throw us off track, and often, we might not even know they’re there. Remember, self-care includes speaking up about your feelings and seeking help when needed. While it may feel uncomfortable at first, reaching out can make a real difference. So, if you think you might be experiencing symptoms of Crohn’s, it’s important to talk to your doctor and get the support you deserve.

Resources:

Crohn’s disease – Symptoms and causes – Mayo Clinic

Beyond A Gut Feeling

Tyler James Williams’s Big Secret for Becoming Stronger Than Ever

IBD Facts and Stats | IBD | CDC

Crohn’s Disease Symptoms: What to Watch For | Crohn’s & Colitis Foundation

The post Abbott Elementary’s Tyler James Williams On Living With Crohn’s appeared first on Black Health Matters.

•  Red blood cells, which carry oxygen throughout your body
• White blood cells, which fight infection
• Platelets, which control bleeding, are regularly generated in a healthy body to replace old, dying ones. The excessive production of white blood cells in the bone marrow leads to blood cancers.

There Are Different Types of Blood Cancer

Leukemia, lymphoma, and Myeloma are some of the most common types of blood cancer.

Leukemia

• Leukemia is the most common blood cancer in the U.S. and the most common form of childhood cancer. There are many types of leukemia, but in general, it occurs in the bone marrow when abnormal white blood cells are produced at an abnormally high rate. This interferes with the bone marrow’s ability to produce red blood cells and platelets.

Subcategories of leukemia:

• Acute erythroid leukemia, Acute lymphoblastic leukemia (ALL), Acute megakaryoblastic leukemia, Acute myeloid leukemia (AML), Acute promyelocytic leukemia (APL), Chronic lymphocytic leukemia (CLL), Chronic myeloid leukemia (CML), Chronic myelomonocytic leukemia (CMML), Childhood leukemia, Hairy cell leukemia (HCL), Large granular lymphocytic leukemia (LGLL), Mast cell leukaemia (MCL).

Lymphoma

•  Lymphoma is a type of cancer that affects the lymphatic system, which plays a crucial role in the body’s immune response to infection. Lymphoma cells can form tumors in areas such as your lymph nodes. There are two primary forms: Hodgkin and non-Hodgkin lymphoma.

Subcategories of lymphoma

• Burkitt lymphoma, Diffuse large B-cell lymphoma (DLBCL), Double-hit lymphoma Follicular lymphoma, Grey zone lymphoma, High-grade B-cell lymphoma not otherwise specified (NOS), Hodgkin lymphoma, MALT lymphoma, Mantle cell lymphoma, Nodal marginal zone lymphoma, Nodular lymphocyte-predominant Hodgkin lymphoma (NLPHL), Non-Hodgkin lymphoma, Peripheral T cell lymphoma (PTCL), Primary central nervous system lymphoma (PCNSL), Skin lymphoma (cutaneous lymphoma), Small lymphocytic lymphoma (SLL), Splenic marginal zone lymphoma, Triple-hit lymphoma, Waldenström macroglobulinemia (WM).

Myeloma

• Myeloma originates in the bone marrow and affects white blood cells called plasma cells, a type of white blood cell that plays a crucial role in the immune system by producing antibodies to combat germs. Multiple Myeloma is the most common subtype of plasma cell neoplasms. Symptoms usually don’t appear until the cancer is widespread and advanced. Rarer forms of blood cancer include:
  • Myeloproliferative neoplasms (MPN). In this type of cancer, the bone marrow produces an excessive number of white blood cells, red blood cells, or platelets.
  • Myelodysplastic syndromes (MDS). With MDS, your bone marrow makes abnormal blood cells. Sometimes, blood cells are abnormal because they fail to develop fully. Immature cells are called blasts.

• Non-cancerous blood conditions: MGUS

Risk Factors

For Blood Cancer

• Certain factors may play a role in increasing your blood cancer risk, including:
• Age. Your risk of developing a condition increases as you age.
•  Sex. Blood cancers are more common in males.
• Smoking. A smoking history or exposure to secondhand smoke may increase your risk.
• Exposure to toxic chemicals. Long-term exposure to benzene and formaldehyde can increase your risk of specific health issues. You’re more likely to encounter them if you work in an industry like manufacturing.
• Previous cancer treatment. Previous chemotherapy or radiation therapy may increase your risk of developing blood cancer.
• Biological family history. Some types of blood cancers may run in families. But most people who receive a diagnosis don’t have a family member with blood cancer.
•  Several autoimmune diseases, genetic disorders, and conditions that cause long-term inflammation are associated with increased blood cancer risk. Blood cancers aren’t avoidable.

But even someone with a clean bill of health can develop blood cancer. However, you can lower your risk by avoiding certain risk factors, such as smoking.

Additional Risk Factors for Leukemia, Lymphoma, and Myeloma

Leukemia: Advancing age, being male, family history of blood cancer, smoking, genetic disorders like Down syndrome, Chronic exposure to high doses of radiation or industrial chemicals, and a History of chemotherapy or radiation cancer treatment.

Lymphoma: advancing age, although people between the ages of 15 and 35 are at risk for Hodgkin lymphoma; being male; a family history of blood cancer; and a History of infection and disease. For example, the Epstein-Barr virus, which causes mono, can increase the risk for Hodgkin and autoimmune disorders, such as rheumatoid arthritis, a weakened immune system, Chronic exposure to certain industrial chemicals, and radiation.

Myeloma: Advancing age, being male, being African American, Family history of blood cancer or other plasma cell diseases, such as monoclonal gammopathy of undetermined significance (MGUS) or solitary plasmacytoma, being overweight or obese, and Chronic exposure to radiation and chemicals.

Symptoms

People with blood cancer may experience a range of symptoms, including:

• Fatigue
• Shortness of breath
• Swollen lymph nodes
• Frequent infections

Other symptoms include: Bone pain, Drenching night sweats, Enlarged liver or spleen, Joint pain, Persistent fever, Unexplained weight loss, Unusual bruising or bleeding (warning signs include tiny red skin spots or purplish skin patches), rash, or itchy skin that is unexplained. Learn more about the symptoms of blood cancer.

Bruises: On lighter skin, bruises start red and gradually darken. However, on darker skin, bruises may be hard to see at first but become darker than the surrounding skin over time.

Rashes: They often appear as clusters of tiny spots or larger blotches. On lighter skin, rashes look red or purple. On Black and brown skin, they appear as dark purple or darker spots. These spots don’t fade when pressed.

Paleness (A Loss of Pallor): Easier to spot in light skin as unusual paleness. In individuals with Black or brown skin, pallor may appear grayish or manifest as paler palms, lips, gums, tongue, or nail beds. For all skin types, pale inner eyelids can also be a sign.

How is Blood Cancer Diagnosed?

• Leukemia: Your doctor will order a complete blood count (CBC) test, which can help identify abnormal levels of white blood cells in relation to red blood cells and platelets.
• Lymphoma: Your doctor will need to perform a biopsy, which involves removing a small portion of tissue for examination under a microscope. In some cases, your doctor may also order an X-ray, CT, or PET scan to detect swollen lymph nodes.
• Myeloma: Your doctor will order a CBC, as well as other blood or urine tests, to detect chemicals or proteins produced as a result of myeloma development. In some cases, bone marrow biopsy, X-ray, MRI, PET, and CT scans can be used to confirm the presence and extent of the spread.

How is Blood Cancer Treated?

Common treatments for blood cancer include:

• Chemotherapy. Chemotherapy is a primary treatment for blood cancer. It kills cancer cells to either slow down the disease’s progress or eliminate the cancer. Healthcare providers use various types of chemotherapy drugs to treat different blood cancers.
•  Radiation therapy. This treatment uses radiation to damage the DNA in abnormal cells, preventing them from replicating. Providers may use radiation to ease symptoms (palliative care). They often combine radiation therapy with other forms of treatment.
•  Immunotherapy. This treatment improves your immune system’s ability to fight cancer. Some of the most commonly used immunotherapies for blood cancer are monoclonal antibodies and CAR T-cell therapy.
• Targeted therapy. These treatments target weaknesses in cancer cells related to abnormal genetic mutations.
• Autologous stem cell transplant. Providers can collect bone marrow stem cells from your body before giving you high doses of chemotherapy. Once chemotherapy kills the cancer cells, they’ll give your healthy stem cells back to you. They’ll develop into healthy blood cells.
• Allogeneic stem cell transplant. Sometimes, damaged bone marrow needs to be replaced with healthy bone marrow. Providers identify a suitable bone marrow donor and use the donor’s cells to replace your damaged ones.
•  Stem cell transplantation: Healthy stem cells can be infused into your body to help resume healthy blood production following therapy to destroy malignant blood cells.

Resources

Blood Cancer United.org

Yale Medicine: Blood Cancers

Summa Health: Leukemia Risk Factors

Blood Cancer UK symptoms and signs

International Myeloma Foundation

Race and Ethnicity Risk Factors for Leukemia

Cleveland Clinic

The post Understanding Blood Cancers appeared first on Black Health Matters.

Also known as Chef Lex, Aquino is the executive director of the Brownsville Community Culinary Center.

Chef Lex Talks Being a Culinary Instructor in Harlem

He has deep connections to the Harlem community. He shared what he learned observing as a community member educating congregants of a church on Saint Nicholas and as a culinary instructor at Harlem Children’s Zone. Chef Lex worked to educate the children in the Harlem community on how to eat healthier as a part of that role. He presented them with information on how to make better choices that would support their health.

“What I discovered in my time while I was here in Harlem working with such a special group is that food is a relationship that we have with ourselves,” said Aquino. “Every single day we have a conversation with ourselves through a plate, where we make a choice and typically, it’s a choice that we enjoy.”

How the Foods We Choose to Eat Reflect Our Lives and Cultures.

He emphasized the many parts of life that are reflected in the food we choose to eat. Our celebrations, our sadness, our sacrifices, our core values, according to Aquino, can all eventually be found at the bottom of our bellies. He described the way food intersects with our personal and collective histories. Food choices can reflect where you are from and who you are tied to. “We make a statement to ourselves of love, of care, of cultural connection, of communal connection, and so, no matter what systematic experiences that we’re having, we can always empower ourselves through the conversation of food,” he continued.

Some of the nutrition issues faced by Black communities are systemic, but others are modifiable with changed behavior. “Proper nutrition offers one of the most effective and least costly ways to decrease the burden of many diseases and their associated risk factors,” according to the Journal of Nutrition.

 We Can Address Risk Factors in Our Community By Starting With the Youngest Among Us

Risk factors can start earlier for some than others. The Journal of the American College of Nutrition reports that “Childhood overweight and obesity can be prevented through improved diet quality, thus warranting intervention programs aimed at increasing access to healthy foods and improving food choice.”

These interventions are beneficial for young Black people who are at a higher risk for. Sometimes they require support to shift their habits or go out of their comfort zones.

Aquino shared some unique experiences he had observing young people in the Harlem area who required intervention to make improved dietary choices. “I had the pleasure of bringing that conversation to some young folks in Harlem that needed empowerment,” he said. “They needed self-esteem to go beyond just what they were experiencing in their schools, experiencing in the streets, even experiencing amongst their friends.”

Chef Lex Talks About His Program in Brownsville

He has gone on to work in the community of Brownsville, Brooklyn.

At the Brownsville Community Culinary Center, he “provides free, world-class culinary vocational training to Brownsville residents.” “We are a workforce program primarily,” he said. “We pay our students to be a part of the training.”

“There’s no financial barriers for them as they’re going after a career path,” he added. His work contributes to the economic and physical well-being of the community.

Students Learn How to Use Nutrition as Preventive Medicine

The training provided to students in the program centers not only on flavor but also on function. Participants learn how to use nutrition as preventive medicine. They bring that to their professional work in the culinary field and into their homes. They learn to make balanced plates that provide fulfillment without being too saturated with fat, sugar, or carbohydrates.

Their efforts are sorely needed in an area plagued by illnesses associated with poor nutrition.

Brownsville Has a High Rate of Diabetes

“Brownsville is home to some of the most challenging demographics of folks, and of all of the five boroughs, we have the highest rate of diabetes,” he said. The New York Department of Health reports that “The rate of avoidable adult diabetes hospitalizations in Brownsville is the highest in the city, more than twice the Brooklyn and citywide rates” and “40% of Brownsville adults consume one or more sugary beverages per day, the second-highest rate in the city.”

Diabetes management efforts require the development of a balanced diet that can be maintained by the person managing the illness. He demonstrated how easy it is to create a recipe suitable for people with diabetes.

He prepared a light melon salad that gave zest without syrup and a flavorful pumpkin pesto salad that didn’t pack on the carbs.

The Importance of Incorporating Cultural Awareness into Healthy Meals

Aquino offered attendees examples of dishes they could recreate at home to mind their health without abandoning their taste buds. Cultural awareness can improve dietary outcomes. The dishes were developed in his Brownsville space to translate cultural ingredients into healthy meals for those affected by health issues.

“We are constantly testing recipes to make sure they are culturally relevant,” he said. He explained that you don’t have to douse something with sugar or salt to enjoy it. “The flavor equation is taste plus texture plus memory,” he said.

Aquino smiled as his helpers walked through the aisles, handing over plates to attendees who shared how much they enjoyed the snack. He shared how much the moment meant to him.

“I like to think. That, at the core of it, being healthy should equal being happy. Because what’s the point of taking care of yourself if you’re not able to enjoy yourself?”

Resources

Journal of Nutrition

Journal of the American College of Nutrition 

New York Department of Health: Brownsville

American Journal of Medicine

Clinical Liver Disease

The post Prevent Chronic Diseases Before They Happen appeared first on Black Health Matters.

According to the Journal of Bone and Mineral Research, “This silent condition frequently remains undiagnosed until complicated by fracture.” It impacts the joints.

Leday described the many unpleasant pathways osteoarthritis takes to interrupt one’s life.

“It’ll manifest in wear and tear in your joints and grinding away at your cartilage. You’re going to have symptoms like pain, stiffness, swelling,” he said. “You’re going to see changes that develop slowly, and they only get worse. It does not get better, so any type of joint change that you’re going to experience is typically irreversible. And often it goes undiagnosed. Until it progresses to a point where it’s much more difficult to manage.”

Leday noted that the condition goes further than the body by highlighting its emotional and mental consequences connected to the fact that “OA may result in impairment of social function.” Isolation and limitation can trigger anxiety and depression.

The Risks for Osteoarthritis That You Should Know About

The risks for osteoarthritis rise with age, but there are other factors to be mindful of, including genetic and lifestyle factors. Comorbidities enhance the chance of being impacted by osteoarthritis. Obesity is a significant risk factor, as added weight places stress on one’s joints. “Overweight women are four times more likely to have the risk of developing knee osteoarthritis,” said Leday.

“For those who suffer from diabetes, that prevalence is actually twofold,” he added. Osteoarthritis can also have an adverse effect on attempts to manage blood sugar in those dealing with type 2 diabetes.

Leday Explains Some of the Approaches to Osteoarthritis Treatment

Initial treatment typically begins with lifestyle changes, such as adopting an exercise routine. If that is not enough to keep symptoms at bay, osteoarthritis is treated with surgical intervention.

Leday explained that there are different levels of surgical intervention, from “a minimally invasive approach to relieve some of the strain of the osteoarthritis” to full-fledged replacement procedures.

He Also Mentioned When You Might Want to Consider Surgical Options

He identified major signs that you should consider surgical intervention. “Number one, if you can no longer complete your routine daily task without help. Number two is if you have significant pain, pain that keeps you awake at night, despite using medications, pain that keeps you from being able to walk or bend over, and pain that isn’t relieved by rest.”

Some studies have shown that Black patients face higher levels of severe pain and a higher disability rate.

Listen to Your Body and Talk to Your Doctor

Leday emphasized the importance of being honest with your healthcare providers about what you’re experiencing. “One of the key notes that I’ve heard throughout these conversations and presentations today is to listen to your body,” he said. It is not enough to listen to your body. You have to honor what it is saying at all times, even when it might feel slightly embarrassing or might make you feel like you’re being a bother. Keeping a journal might help you communicate about what you’re feeling to your doctor.

He warned against admitting “it hurts like the devil” at home and downplaying discomfort as “a little stiff but it’s all right, it’s not that bad” while talking to doctors. “Be honest with yourself and be honest with your provider when you go in,” Leday added.

Osteoarthritis is Degenerative: Seek treatment as soon as possible.

Seeking treatment for osteoarthritis symptoms as soon as possible is the only way to ensure the most positive outcomes. “It often provides pain relief and functional improvement, so early diagnosis and treatment are important,” he said. “Delaying surgery may lower your quality of life, as well as osteoarthritis is degenerative, so it won’t get better. It actually may get worse.”

Some people assume joints added through surgery are worn out quickly and will automatically have to be replaced. But he pointed out that things have changed.

“The advancements in implant technology have surpassed what they were many years ago, so the joints you have today will last much longer than previously understood,” he continued.

He shared that progress in surgical interventions can help patients reach their goals and live more fulfilling lives. “We literally just had someone just this past year with our joints in their body run the New York Marathon, so this is an opportunity to, again, extend life,” said Leday.

“This is an opportunity to keep it moving.”

Resources

Journal of Bone Research

Reumatologia

Journal of the National Medical Association

The post Navigating Your Osteoarthritis Journey From Diagnosis to Surgery appeared first on Black Health Matters.

The American Cancer Society estimates there will be 20,890 newly diagnosed cases of ovarian cancer in 2025, and 12,730 women will die from the disease. An estimated one woman in 91 will develop ovarian cancer during her lifetime.

According to the Ovarian Cancer Research Alliance, the condition is most frequently diagnosed in women between the ages of 55 and 64.

Ovarian Cancer By the Numbers

When one is diagnosed and treated in the earliest stages, the five-year survival rate is over 90 percent. Due to ovarian cancer’s non-specific symptoms and lack of early detection tests, only 20 percent of all cases are diagnosed at this early stage. If caught in stage III or higher, the survival rate can be as low as 30.6 percent.

Due to the nature of the disease, each woman diagnosed with ovarian cancer has a different profile, and it is impossible to provide a general prognosis. The five-year ovarian cancer survival rate for white women is 50.6%; in Black patients, it’s 43.2%.

How Ovarian Cancer Impacts Black Women

The journal Obstetrics & Gynecology Health Disparities in Ovarian Care did a deep dive into the differences between Black, white, Asian, and Native American populations, Hispanic populations, when it came to diagnosis, care, and mortality. They looked at several years, going back to 1985.

Black patients overall and any other patient with a low socioeconomic background had worse outcomes.

“Black patients had 17–18% worse survival compared with White patients. Potential explanations include earlier age and later stage at diagnosis and disparities across the entire care continuum of ovarian cancer: diagnosis, treatment, and precision testing.”

Other factors that impacted treatment, according to this literature review, included the type of insurance the patient had. If it is non-private, the patient is less likely to have received the National Comprehensive Cancer Network guideline-concordant ovarian cancer treatment. This resulted in a 10% increase in the patient’s mortality risk. Non-private insurance also impacts access to genetic testing.

If patients lived in rural areas, who didn’t want to travel, or were treated in a lower volume hospital by a surgeon doing fewer surgeries, they received 16-31% NCCN guideline-concordant ovarian cancer treatment.

Bottom line: it is not as simple as a late diagnosis. It is who is treating us, and where we are treated. And if we are getting the correct protocols.

Who is at Risk For Ovarian Cancer?

According to the Ovarian Research Alliance, about 25% of ovarian cancer cases diagnosed are hereditary. And they can be primarily traced to BRCA-1 and BRCA-2 gene mutations (Black women can also have them). The connection is usually a history of breast cancer.

Other risk factors include:

• Lynch syndrome, also known as hereditary nonpolyposis colorectal cancer
• Family history of ovarian, breast, uterine, or colorectal cancer.
• A personal history of cancer or endometriosis
• Early menstruation, no childbirth, first childbirth after 30, late menopause, no oral contraceptives, or infertility increase the risk.
• HRT: Long-term use increases risk, especially with combined estrogen and progestin.
• Obesity is associated with a higher ovarian cancer risk, especially post-menopause.

The American Cancer Society Cancer Facts & Figures Report states, “Some women at high risk because of a strong family history or inherited genetic mutations may consider preventive surgery to remove both ovaries and fallopian tubes (prophylactic bilateral salpingo-oophorectomy), which greatly reduces risk.”

 What is Ovarian Cancer?

Ovarian cancer is a disease in which malignant or cancerous cells are found in the ovaries. An ovary is one of two small, almond-shaped organs located on each side of the uterus that store eggs or germ cells and produce female hormones estrogen and progesterone.

According to The American Cancer Society, however, the disease was previously believed to start only in the cells of the ovaries. But ovarian cancer may also begin in the fallopian tubes.

Types of Ovarian Cancer

Epithelial Ovarian Cancer

The majority of ovarian cancers are categorized here (85-90%) and can start in the cells of the fallopian tube or the ovaries. The cells are further classified based on genetic analysis into the following categories:

• High-grade serous carcinoma (This is the most common type.)
• Low-grade serous carcinoma
• Endometrioid carcinoma
• Clear cell carcinoma
• Mucinous carcinoma

Primary Peritoneal Carcinoma

This is a rare cancer that is related to epithelial ovarian cancer. However, it may have spread to the abdomen.

Fallopian Tube Cancer

Fallopian tube cancer is similar to epithelial ovarian cancer and often spreads to the ovary and peritoneum.

Ovarian Sex Cord-Stromal Tumors

Ovarian sex cord-stromal tumors (SCSTs) are a group of tumors that originate either from the sex cord or stromal cells:

• Sex cord cells are a type of epithelial cell that eventually develop into ovaries (in females) and testes (in males).
• Stromal cells form the connective tissue that gives the ovaries structure.

Ovarian Germ Cell Tumors

Most ovarian germ cell tumors are benign, but some are cancerous and may be life-threatening. Less than 2% of ovarian cancers are germ cell tumors.

• Dysgerminoma is rare; it is the most common ovarian germ cell cancer.

What Are the Symptoms of Ovarian Cancer?

Ovarian cancer is difficult to detect, especially in the early stages. This is partly because these two small, almond-shaped organs are deep within the abdominal cavity, one on each side of the uterus.

According to the Mayo Clinic, these are some of the potential signs and symptoms of ovarian cancer:

• Quickly feeling full when eating
• Abdominal bloating or swelling
• Weight loss
• Feeling the need to urinate urgently or often
• Fatigue
• Discomfort in the pelvic area
• Back pain
• Changes in bowel habits, such as constipation

Make an appointment with your HCP if your symptoms are persistent.

Getting Evaluated By Your HCP

Your HCP may need to perform several tests before there is a conclusive diagnosis. They may include:

• A pelvic exam
• Blood tests. The most common tumor marker is a blood test called the CA-125.
• Genetic tests
• Surgery

If Your Results Come Back Positive

Consult a gynecologic oncologist immediately. They may want to review your current test and order additional ones, along with the results. However, the only way to more accurately confirm ovarian cancer is with a biopsy, a procedure in which the doctor takes a sample of the tumor and examines it under a microscope.

Getting Diagnosed

Make the most of your appointment. Come with some questions ready after the initial shock has worn off. Or bring a supportive wingperson with you. A significant other, sister, BFF, or work friend, let them ask the questions you have scribbled in your notebook. But we’ve got a cheat sheet down below to get you started, and you can add more from here.

• What type of ovarian cancer do I have?
• Has my cancer spread beyond the ovaries?
• What is the cancer’s stage (extent), and what does that mean?
• Will I need other tests before we can decide on treatment?
• Will I be able to have children after my treatment?

• Should I think about genetic testing?
• What are my clinical trial options?
• This is overwhelming. Where can I find support?

Partner With Your HCP

After your diagnosis, you’ll partner with your oncologist to choose a customized treatment plan that works for you. The treatment will vary based on the stage of the disease, your age, and your health condition. The ACS points out that most ovarian cancer patients may require surgery. But depending on the type of ovarian cancer and how advanced it is, you might need other types of treatment as well, either before or after surgery, or sometimes both.

Treatment Options May Include:

• Chemotherapy
• Radiation
• Targeted Drug Therapy
• Hormone Therapy
• Immonotherapy

Consider Genetic Testing

In an article in Nature, Sophia George explores solutions for why Black women have lower survival rates and higher rates of recurrence. In examining data from the NCI, she noticed that we have higher rates of rarer cancers.

“Black women are more likely to have germ-cell and stromal-cell tumours, and less likely to have epithelial ovarian cancers,” she wrote. Despite these differences, new approaches to clinical care — including genomic medicine — are underutilized in this population. ”

Then there are new treatments like PARP inhibitors, but when only 1.6% participants in the trial are, George says, “the efficacy of PARP inhibitors in Black women remains poorly characterized.”

Finally, she notes that Black patients are less likely to have their tumors analyzed. “This exacerbates disparities in the treatment that they receive and limits cancer-prevention opportunities in family members.”

Using Black women’s poorer response to platinum-based chemotherapy as an example, George believes that genetics may play a role. She argues that there is a similar type of inherited breast and ovarian gene variant in West African, Black American, and white women.

“But certain subpopulations of Black women³ experience hereditary breast and ovarian cancer syndromes at rates comparable to or greater than those seen in the Ashkenazi Jewish population, which has considerably higher rates of these cancers than the global average.”

We do know some families within our communities that have been hit hard by breast and ovarian cancers. They could benefit from genetic testing.

Five Preventive Strategies to Fight Ovarian Cancer

Genetic testing also provides insights that enable individuals to identify preventive measures they can take to reduce their risk of ovarian cancer. Here are five that the ORA suggests:

• Using oral contraception for five or more years can reduce ovarian cancer risk by 50%.
• Multiple pregnancies or your first full-term birth by age 26 reduces your risk, and breastfeeding does, too.
• Removal of your Fallopian tubes (Bilateral Salpingectomy). It reduces the risk of cancer forming in the fallopian tubes while preserving fertility with the help of IVF.
• Removal of Fallopian Tubes and Ovaries Bilateral salpingo-oophorectomy significantly reduces risk. There is a slight chance you can still get a rare kind of ovarian cancer.  Especially beneficial when performed by age 35-40 for women with BRCA1 mutations or by age 40-45 for those with BRCA2 mutations.
• Hysterectomy and Tubal Ligation: Hysterectomy may reduce the risk of ovarian cancer by 33%, and tubal ligation by up to 67%.

Resources:

American Cancer Society: Types of Ovarian Cancer

Ovarian Research Alliance: Prevention and Risks 

Mayo Clinic: Symptoms of Ovarian Cancer

Health Disparities in Ovarian Care

The post The Silent Killer: Black Women & Ovarian Cancer appeared first on Black Health Matters.

Obesity adds another layer of risk, intensifying the likelihood of aggressive tumors and late-stage diagnoses.

How Obesity Alters Cancer Behavior

Obesity affects how the body functions, including how it responds to cancer. Fat tissue can stir up inflammation and shift hormone levels, which may help prostate cancer grow or spread. These changes can make the disease harder to treat, especially when it’s caught late.

A recent study published in BMC Cancer found that men who gained weight after a prostate cancer diagnosis had a 64 percent higher risk of dying from the disease. Researchers believe this may reflect underlying illness, treatment side effects, or disease progression.

Another study, published in the Journal of the National Cancer Institute, found that men with obesity were more likely to die from prostate cancer, even when they received regular screenings. Researchers did not identify a single cause, but they pointed to challenges in detection.

PSA, or prostate-specific antigen, is a protein measured in the blood to help spot prostate cancer early. In people with obesity, PSA levels can be diluted by a larger blood volume, which may make results appear lower than they actually are. That can delay follow-up testing.

Additionally, rectal exams may be harder to perform accurately in men with obesity, which can affect how well the prostate is assessed during screening. These screening limitations can allow the cancer to grow before it is caught, making treatment more difficult and survival less likely.

Diagnoses Are Rising, Especially in Late Stages

Data from ACS shows that prostate cancer rates, which had been declining for years, began increasing around 2014. Between then and 2021, new cases rose by about 3 percent annually. The most concerning trend is in advanced-stage diagnoses, which are growing fastest in men over 55. These late-stage cases are harder to treat and carry a much lower chance of survival.

The same report estimates that men diagnosed early have a five-year survival rate close to 100 percent. For those whose cancer has already spread, that number drops to just 38 percent. Researchers point to reduced screening and delayed detection as key factors behind the shift, especially in communities with limited access to care.

Screening Isn’t Reaching Those Who Need It Most

In 2012, federal guidelines advised against routine PSA testing, which led to fewer screenings and more late-stage diagnoses, especially among Black men. Providers became less likely to offer the test, and insurance coverage grew more limited. Even after the guidelines were updates in 2018, screening rates haven’t fully recovered. The effects of that rollback are still felt today, especially within our community.

The Prostate Cancer Foundation now urges Black men to begin screening discussions between ages 40 and 45. The American Cancer Society recommends starting at 45 for those at higher risk, including men with a family history. Despite these guidelines, many Black men still face barriers to screening, including cost and limited provider access.

The Policy Pivot

In 2023, lawmakers introduced the PSA Screening for HIM Act. The bill aimed to require insurance plans to cover prostate cancer screenings for high-risk men without out-of-pocket costs. It named Black men and those with a family history as priority groups and called for screening to begin at age 40. Although it didn’t pass, it marked a shift. For the first time, federal policy acknowledged the survival gap and the need to screen earlier.

In 2025, the bill returned as H.R.1300 in the 119th Congress. Sponsored by Rep. Neal Dunn and co-sponsored by Rep. Yvette Clarke and others, it calls for mandatory coverage of PSA screenings starting at age 40 for men at high risk. That includes Black men, men with a family history, and those whose providers identify elevated risk due to obesity.

The bill removes cost-sharing, which means no co-pays or deductibles for eligible screenings. It also highlights the contrast in outcomes. Nearly 100 percent survive when caught early; just 37 percent when caught late.

The bill is still in committee, but its message matters. It shows that these concerns are being heard and could be acted on in the future. Policy is beginning to reflect what Black men, and their families have long known. Early screening saves lives, and equity starts with access.

Resources:

Press Releases

Weight gain or loss after diagnosis and survival outcomes in prostate cancer: a meta-analysis | BMC Cancer | Full Text

Growing implications of obesity for prostate cancer risk and mortality: where do we go from here? | JNCI: Journal of the National Cancer Institute | Oxford Academic

Archived: Prostate Cancer: Screening | United States Preventive Services Taskforce

Prostate Cancer Foundation Highlights Evidence-Based Prostate Cancer Screening Guidelines for Black Men | Prostate Cancer Foundation

American Cancer Society Recommendations for Prostate Cancer Early Detection | American Cancer Society

Text – H.R.1826 – 118th Congress (2023-2024): PSA Screening for HIM Act | Congress.gov | Library of Congress

Text – H.R.1300 – 119th Congress (2025-2026): PSA Screening for HIM Act | Congress.gov | Library of Congress

The post Obesity Can Increase Prostate Cancer Risk in Black Men appeared first on Black Health Matters.

We spoke to Dr. Lonna Gordon, a physician who’s spent her career helping families have the kinds of conversations she knows can shape trust, confidence, and emotional safety.

Why These Conversations Matter for Emotional Wellness

Dr. Gordon is a quadruple-boarded physician with expertise in adolescent medicine, obesity care, pediatrics, and culinary wellness. Her work centers on the emotional and developmental needs of young people, especially Black girls, and she’s known for helping caregivers build trust through honest dialogue.

“Even if you feel nervous about starting the conversation, have it, because it can make a huge difference in a girl’s emotional well-being,” she says.

She explains that when parents talk openly about sexual health, they help daughters build self-esteem, trust their choices, and feel more confident in their relationships.

“Having ‘the talk’ can help young women build self-esteem by showing them they can trust their own choices and set their own boundaries,” she says. “It also helps reduce the negative feelings they may have about their bodies when a parent reassures them that their bodies are beautiful, and that beauty is just one of many qualities they bring to the table.”

Approach the Conversation With an Open Mind

For caregivers who didn’t grow up with these conversations, Dr. Gordon encourages a shift in thinking. It’s not a single talk; it’s a series that builds over time. She encourages parents to approach the topic with curiosity and a willingness to listen.

“Parents should go into these conversations with an open mind, a curiosity for what their child wants to talk about, and be ready to listen,” she says.

“They may not have all the answers. But it’s important to emphasize that they’re always willing to hear what their child wants to talk about,” Dr. Gordon continues. “Even if the subject may be hard to hear or difficult to talk about.”

Choose a neutral and relaxed setting. Such as a car ride, so the conversation doesn’t feel too intense.

There Are Stages When These Talks Will Resonate

Dr. Gordon points to key developmental stages when these conversations matter. Early childhood curiosity sets the tone for trust. During puberty, it’s essential to talk about body changes and emotional shifts. In high school, the focus expands to sexual identity and decision-making.

“If you keep the lines of communication open through all these stages, you can trust that when your child leaves home, for college or career, she is set up to make informed decisions about her body,” she says.

Help Your Daughter Navigate Mixed Messages

As girls receive conflicting messages from school, peers, and media, Dr. Gordon urges parents to be a reliable source of information or to help daughters build relationships with trusted healthcare providers.

“If parents don’t feel like they can provide this information or have a reliable source, they should advocate for private time and a trusting relationship between daughters and their healthcare providers,” she says.

Challenge Harmful Narratives About Black Girls

In her work with Black families, Dr. Gordon emphasizes the importance of rejecting stereotypes that label curiosity as promiscuity. She also calls attention to the adultification of Black girls, which often denies them the space to make mistakes and learn from them.

“Making mistakes in an environment that is safe enough to learn from is the task of adolescence and so important for growing into an emotionally healthy adult,” she says. “Parents are critical in creating that safe space.”

“Embracing that sexual and reproductive health curiosity does not imply a young person is ‘fast’ or promiscuous,” she adds. “It is important for their children to know about their reproductive and sexual health and to seek out accurate and reliable information.”

What the Opill Survey Reveals About Changing Attitudes

A recent survey commissioned by Perrigo, the maker of Opill, shows how attitudes are shifting. Conducted in July 2025, the Opill Back to School Survey polled nearly 1,200 mothers of college-bound daughters across the U.S. Two in three said they plan to send their daughters to college with birth control. Sixty-six percent said it’s extremely important to have a sexual wellness conversation before their daughters leave home for college.

Still, many mothers expressed concern about side effects, proper use, and the risk of pregnancy. The findings show that caregivers want their daughters to have knowledge and protection they can trust, along with access that feels safe and reliable.

Supporting Autonomy and Access

Dr. Gordon sees this shift as an opportunity to expand the conversation beyond contraception.

“It also opens up space for more comprehensive conversations about sex that include contraception, consent, emotional connection, mutual respect, and pleasure,” she says.

She points to Opill, the first FDA-approved daily birth control available over the counter, as one option that can help remove barriers to access.

“If a college-bound girl can’t easily see a healthcare provider, it’s good to know she still has access to a range of birth control options, including Opill,” she says.

Passing Down Knowledge That Protects

Dr. Gordon describes these conversations as a way to equip daughters with tools that shape their futures. When families talk openly about sexual wellness, they’re not only sharing information, they’re creating conditions for safety, choice, and long-term wellbeing.

“Having these conversations is its own kind of generational wealth, passing down not just knowledge, but opportunities to future generations,” she says.

You Already Know More Than You Think

You may have noticed we didn’t offer a step-by-step script for how to talk to your daughter about sexual health. That’s intentional. There’s no single roadmap that fits every family, and no one knows your child better than you do.

What you bring to the table, your instincts, your care, your lived experience, is already powerful. When paired with Dr. Gordon’s guidance on setting, tone, and intention, those maternal gifts can open space for trust, clarity, and connection.

Whether the conversation starts in a car ride, a quiet moment at home, or a question that catches you off guard, what matters most is that it starts and that your daughter knows she can keep coming back to you.

Resources:

Havas Red and Atomik Research, “Opill Back to School Survey Findings,” commissioned by Perrigo, July 2025.

Opill®: The First FDA-Approved OTC Daily Birth Control Pill | Opill®

The post How Black Mothers Can Lead Sexual Health Conversations with Confidence appeared first on Black Health Matters.

“There are also times when I’m not feeling so great. And I will consult with a doctor. I think it’s good, from a physical standpoint, but mental health is vital. Westbrook explained.

I think that when we are in this day-to-day grind, we forget to check on our mental health.”

Westbrook is returning to co-host the BHM Harlem Week 2025 Health Summit & Expo and wants to see more of his peers at Riverside Church on August 14, 2025.

Why Health Matters Are Personal for Westbrook

The Emmy award-winning reporter grew up in Harlem. Westbrook says his parents were always adamant about getting him regular screenings and heart-related matters.

“Especially, my dad, Artie, in particular. Unfortunately, he passed away a couple of years ago and due to complications with his heart,” Westbrook recalled.

“So I know just growing up with them, they were always big into just making sure that you’re on top of your health and going to the doctor as often as possible.”

Westbrook also noticed that many of his peers have become parents themselves. That has also made them pay more attention to their well-being. “They’re seeing that it’s beneficial to stay on top of their health as well as their child’s health,” he explained.

Diseases Like Colon and Prostate Cancer Are Impacting Younger People

According to the American Cancer Society, 1 in 5 people diagnosed with colon cancer, for example, will be under the age of 55. Some of the contributing factors include:

• having obesity and a sedentary lifestyle
• long-term smoking and heavy alcohol consumption
• a  high-fat, low-fiber diet

Westbrook Says Social Media Can Be a Powerful Teaching Tool

“Social media is such a powerful tool. I think that the more you know, the more you grow.”  If word is being spread out there about the importance of getting screened or tested for certain things,” he said.

“It’ll resonate with people. And I think especially with my age group. I’m in that millennial age group. And so I think we’re starting even to see a shift in how we’re conceptualizing our health and why it’s so important.”

Westbrook gave an example. “Wait until your 40s to get a prostate exam. But now, the advice is “if you feel that certain things aren’t right, get screened. Go see a doctor,” he said

Why Westbrook Keeps Coming Back to the Harlem Summit

“This would be my fourth time participating in the Black Health Matters Summit, and it’s a fun event,” he said. “Just the energy with everyone there, from the different sessions, panel discussions, and the energy in general, is so electrifying,” the reporter said.

“But I think people walk out of there feeling motivated to be on top of their health, and I would love for that to be continued this time around. It’s just amazing to hear from folks after a panel discussion say,

‘You know, I’ve really learned a lot from these professionals who are up there on stage about this particular subject matter.’

People are invested in these things, and so I’m hoping that that’s the same notion that resonates again,” he continued.

Westbrook Wants to See His Peers There

One of the reasons that Westbrook keeps coming back is that he has seen the sessions be beneficial to participants’ lives year after year. Those benefits have no age limit. So he’s doing his best to convince his peers to show up, starting with some of his friends.

“I’m trying to encourage some of my friends to spread the word about it. Because it’s not an “older person’s problem”. Again, we’re seeing people my age and younger, developing ailments that, years ago, we never would have thought would ever occur,” Westbrook notes.

So that’s what I’m hoping for this time, right? To be inspired, to be motivated, and, of course, to have fun.”

Join Elijah Westbrook at the BHM Harlem Week Health Summit & Expo in-person or virtually by registering through this link.

The post Elijah Westbrook Wants Millennials to Take Their Health Seriously appeared first on Black Health Matters.

Several videos include “body checking,” which is when a person repeatedly and excessively examines their body and measures their weight.

@dailyedthoughts I feel so discussting, but I’ll be better tomorrow #modivation #wl #fyp #binge #wieiad ♬ Child Psychology – Black Box Recorder

@bones_and_nothing_else Healthy meals #dietcoke #love #fyp #lifestyle #hungry #zerosugar #ednotedsheerannn #healthy #yummy ♬ original sound – 𝘮𝘪𝘢 ༅࿐

@propessor_igat ITS HARD THO#PropFit #gymrat #MYWORKOUTOUTFIT ♬ Coco Jamboo – Mr. President

Content That Highlights Dangerous Habits

Other videos include unhealthy eating habits, such as consuming a very low number of calories, which can be observed in the “What I eat in a day” videos. They may also include excessive exercising, the use of non-prescribed weight loss pills, weight loss transformations, and low-calorie recipes.

Several terms have been adopted to promote excessive skinniness, including “nothing tastes better than being skinny,” “is it an outfit or are you just skinny,” and “be the smallest in the room.”

 These Videos Can Promote Unhealthy Practices

These videos are often masked as inspirational, featuring inspirational music in the background or captions. These inspirational captions can make it seem like these behaviors are healthy and positive when they are very dangerous. One can internalize these habits and continue engaging in disordered eating or obsessive patterns.

There is a concern that these videos can cause depression or anxiety, or even cause or exacerbate eating disorders such as anorexia nervosa or bulimia. Eating disorders are unfortunately not something that can be easily controlled and can have a long-lasting negative impact on one’s life.

These eating disorders have become much more prevalent in recent years, as one study shows a 15.3% increase in eating disorders during the pandemic.

We Are Impacted by Eating Disorders Too

While eating disorders such as anorexia nervosa and bulimia nervosa have been stereotyped as issues only affecting white people, this idea is highly flawed. According to the National Eating Disorders Association (NEDA), eating disorders “affect people from all demographics of all ethnicities at similar rates. People of color — especially African Americans — are significantly less likely to receive help for their eating issues.”

According to a study published in the International Journal of Eating Disorders, “Black teenagers are 50% more likely than white teenagers to display bulimic behavior such as bingeing or purging. Though this is true, treatment rates for black teenagers were substantially lower than for white teenagers.

According to a study performed, of 76 women who have had an eating disorder, 28.1% of the white women received treatment while 5.3% of the black women received treatment for the eating disorder. These disparities highlight just how vital it is to both address inequalities in healthcare and to stop harmful social media trends such as #Skinnytok. #Skinnytok can lead to disordered eating behaviors, especially amongst underrepresented groups who may not see themselves in the mainstream narratives of recovering from eating disorders.

What is TikTok Doing to Help?

As of June 2, 2025, TikTok has removed the hashtag #SkinnyTok to protect children online. If the hashtag is searched, TikTok will provide a link to resources that can be visited for help, such as the phone number for the National Alliance for Eating Disorders: 866-622-1635.

Here’s What To Do When You See a Video.

Though TikTok has removed the hashtag #skinnytok, there are still ways that people can post these videos and avoid having them taken down. For example, people have used the captions to bypass the hashtag removal, including misspelling skinnytok as “skinnyt0k” or “sk1nnytok” or referencing eating disorders in some way.

• If you come across this video, there is a feature on TikTok where you can click “not interested.” When you do, TikTok can remove videos like these from your FYP, for your page feed.
• You can also report the video or block the creator of the video.

Resources

Black, Indigenous, and People of Color (BIPOC) and Eating Disorders, National Eating Association.org

International Journal of Eating Disorder, : Binge Eating and Binge-Eating Disorder in Black Women: A Systematic Review.”

The post The Scary Truth about #Skinnytok appeared first on Black Health Matters.

We Grew Our Own Food

Before she began her modeling career, Cynthia recalled a childhood in Alabama where they rarely ate out, if at all. My mom, my grandmother, everybody cooked,” she explained.

“I came from a family where we grew a lot of our own food. We didn’t eat a lot of fast food. We didn’t know we were eating healthy; we ate what was prepared for us.”

My Grandmother Was The Doctor

The first time the RHOA reality star was ever a patient in a hospital was when she gave birth to her daughter, Noelle Robinson. “Growing up in the South, they [our elders] introduced us to preventative medicine,” she noted.

“I remember that they would make us all kinds of home remedies that you would have to eat or drink. And Vicks was the all-purpose remedy for almost everything. But I didn’t get sick,” she continued.

My grandmother was the doctor. Maybe if you broke a bone, you’d have to go to the hospital to see someone else.”

Cynthia has started to look at some of the things her grandmother and mother used, like garlic, and incorporated them back into her lifestyle today.

We are excited to welcome her back as a cohost at the BHM Harlem Week 2025 Health Summit & Expo. August 14, 2025, at Riverside Church in New York City.

I Got Intentional About My Weight Management

Cynthia had always been thin, but menopause has a way of changing our bodies. “At 58, your metabolism is slow. You breathe air, you gain weight,” she joked. However, it can be frustrating when things that previously worked for weight loss no longer provide the desired positive outcome.

She tried intermittent fasting and a few other methods before deciding to sign up for Weight Watchers. “I tried all these other things, but I decided on Weight Watchers because I needed a game plan,” she said.

Her schedule keeps her on the road between Atlanta, Los Angeles, and New York City, with considerable time spent in hotels where there aren’t stoves.

“I also needed to have a different conversation with food. Which foods work for me, which don’t? With Weight Watchers, I don’t feel like I’m on a diet, I’m on a food management plan. I can eat pretty much what I want.”

For her, that could mean having a burger with the bottom half of the bun, or a lettuce wrap. She looks at food differently.

Cynthia went in with a very ambitious goal: to lose 50 pounds in three months. Instead, she lost 25 pounds, a significant accomplishment. She is now working on the next 25.

“I don’t have the type of job where anyone can afford to stop production because I don’t feel well,” she explained.

Podcast as Talk Therapy

One of the reasons Cynthia lives on Delta Airlines is that she flies to the Los Angeles area often to film episodes of her podcast Humble Brag, wth Crystal and Cynthia. Yes, a former RHOBH with a RHOA sounds strange. But this unlikely pairing works. Their podcast launched last October, so they are close to their first anniversary.

“One of the things I am trying to do these days is operate from a place of peace 99% of the time because stress is real,” Cynthia pointed out.

“My podcast Humble Brag with Crystal Kung Minkoff has become like my two-hour therapy session. Just sitting and talking. It’s the therapy I didn’t know I needed.”

Getting to Glowissima

As she prioritizes her health, Cynthia is also putting her skin in the forefront. For years, women have been asking her what she has used on it to keep it so radiant.

Recently, with her cofounder, Dana Hill-Robinson, they launched Glowissima Skincare. “Dana and I have known each other for over 35 years and always talked about doing something together, but the timing wasn’t right, she said.

“But two years ago, everything fell into place and we started working on the line.” The clean skincare line has two hero products: Miracle Elixir Facial Oil and Ultimate Radiance Facial Cream. The products are infused with botanical ingredients from New Zealand, including manuka honey and kiwi seed oil. As well as other yummy ingredients like kakuda plum, seabuckthorn oil, and marula oil, which heal, protect, hydrate skin, and reduce hyperpigmentation.

Cynthia says, “Think of the products like boyfriend and girlfriend—the oil seals in the moisturizer. But the oil can also be used as a spot treatment. They are good together or used separately.”

In the few short months the products have been out, it has already won the Gurus of Beauty Award for Breakthrough Skincare Brand and  Best Facial Oil from Pop Sugar.

 

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Don’t forget to join Cynthia as she cohosts the BHM Harlem Week 2025 Health Summit & Expo. You can come in-person or tune in virtually. Click here for registration.

The post Why Cynthia Bailey Has Made Her Health & Peace a Priority appeared first on Black Health Matters.

The temporary policies that allowed broad telehealth access and coverage across state lines were set to expire in 2024, with an extension of some services through March of this year. The purpose of this paper is to advocate for the expanded use of telehealth beyond 2025 in the management of blood cancer. Advocates warn that this critical resource may soon disappear unless action is taken.

Why This Matters

“Telehealth wasn’t just about convenience. It lifted real burdens for people who couldn’t easily get to a doctor’s office,” said study co-author Deanna Darlington, a health equity expert and advocate. “It became a lifeline. Taking it away now would only further restrict access to care.” Blood cancers like leukemia, lymphoma, and myeloma disproportionately affect Black communities. Black Americans are twice as likely to develop and experience poorer outcomes from multiple myeloma specifically. Telemedicine removes two big barriers: travel distance and time out of work or caregiving.

The benefits of telehealth are clear, but the stakes are high for Black Americans. Multiple myeloma, a cancer of plasma cells, disproportionately affects individuals of African ancestry, who face a significantly higher risk of developing the disease compared to those of European descent.

“This increased risk is thought to be influenced by a combination of genetic and environmental factors,” explained co-author Mimi Choon Quinones. “Research suggests that genetic differences, particularly in white blood cell traits, and the prevalence of conditions like MGUS, may play a role. Obesity and chronic infections, which are more common in some African populations, may also contribute to the higher incidence and mortality rates.”

While the science is still evolving, Choon-Quinones emphasized that telemedicine offers a critical path forward, not just for treatment, but also for early detection. “We see telehealth as a tool to help identify who may be at risk, even before a diagnosis, and especially for those who don’t live near a specialist,” she said.

How Telehealth Works

The study team conducted a combination of scientific review and direct engagement with blood cancer advocates, reflecting real-world experiences.

They found that telemedicine:

• Helped patients stick to their treatment plans
• Improved quality of life and emotional well-being
• Reduced time and financial burdens from traveling long distances
• Allowed earlier access to expert consultations, which sometimes occurred across state lines
• Was well accepted by clinicians, especially for follow-up visits and care management

Darlington points out that many of the patients most impacted by blood cancers, especially Black patients, are also the most likely to face access barriers. “You might live in Kansas, and the expert is in New York. Before COVID, state laws prevented you from doing a virtual consultation across state lines, but during the pandemic, those barriers came down. People were finally able to talk to the experts they needed,” she said. “Think about how many people don’t have access to specialists. This gave everyday people that access.”

Times Are Changing

“Right now, there’s no permanent provision to keep telehealth reimbursed,” said Darlington. “If we lose this, we lose the progress we’ve made. This is especially damaging to communities that are already underserved.”

Choon-Quinones agrees and emphasizes that this issue should be a community-wide call to action. “The focus needs to be on how we, as a community, can leverage the regulations that still exist. If they expire, we need to rally, go to Capitol Hill, and raise a strong voice,” she said. “We’ve already engaged with the chairman of the health committee once to extend coverage and succeeded. But I don’t know that we’ll be able to count on this administration to do it again.”

The Passion Behind the Paper

Choon-Quinones joined this project while working on her systematic review of blood cancers, as other co-authors had already spent much time collaborating prior. But she quickly realized that science alone wasn’t enough. By collaborating with advocates, she created a combined evidence base that is both scientifically informed and community-driven.

“I’m passionate about this because it could make an enormous difference to the families and communities that blood cancers like multiple myeloma impact,” she said. “This is a real chance to reduce disparities.”

Darlington echoes that sentiment and urges people to think about the daily realities patients face. “When people are working full-time, caring for family, and managing other chronic conditions, the ability to have a telehealth visit can mean the difference between getting care and going without,” she said. “This is especially true in communities of color, where people are often further away from specialized care, less aware of available resources, and facing more barriers to better health.”

What’s Next?

Telehealth expansion was born out of a nationwide pandemic. It has opened doors that have long been shut for many people.

Telemedicine shouldn’t just be a pandemic-era convenience. It’s a chance to redefine equity in blood cancer care. Initial evidence suggests promise in improving outcomes, reducing costs, and overcoming longstanding racial disparities. For Black Americans, who face higher disease rates and access challenges, virtual care opens a path toward more timely and patient-centered care.

Telemedicine is more than a temporary fix. It’s a vital tool for closing healthcare gaps. For Black Americans living with blood cancers, it can mean earlier diagnoses, easier access to experts, and fewer financial and logistical hurdles. The question now is not whether telehealth works, but what we can do to protect our access to it.

References

 Mikhael, J., Darlington, D., Howell, B., Hydren, J., Hernandez, T., Werner, S., … Choon-Quinones, M. (2025). The benefits of telehealth in promoting equity in blood cancer care – results of a multi-stakeholder forum and systematic literature review. Journal of Medical Economics, 28(1), 788–802.

American Cancer Society. What Is Multiple Myeloma?

The post How Telehealth Can Help Us Fight Blood Cancer appeared first on Black Health Matters.

That kind of gap didn’t happen overnight, and closing it takes more than awareness. It means making tools that meet people where they are. That’s why we put together this guide, to break down what foods to avoid, what to focus on, and why it all matters when you’re living with this disease.

Foods to Avoid (and Why)

Certain foods can worsen your condition. Here are a few things to be aware of.

High-Risk Animal Products

Raw or Undercooked Seafood

Sushi and oysters might be trendy, but they’re risky for anyone with liver disease. Raw shellfish can carry bacteria like Vibrio vulnificus, which the CDC warns can cause life-threatening infections in people with liver conditions.

Organ Meats (Especially Liver)

It sounds ironic, but eating liver when you have liver disease is a bad idea. Organ meats are rich in heme iron, which can accumulate in the liver and exacerbate oxidative stress. According to the National Library of Medicine, excess iron is linked to faster progression of liver fibrosis in people with hepatitis C.

Processed Foods and Inflammatory Beverages

High-Sodium Foods

Not only does salt raise blood pressure, but it also contributes to fluid retention and swelling, especially in advanced liver disease. Most experts recommend limiting sodium to no more than 2,300 mg per day and ideally closer to 1,500 mg, especially for people with liver disease, where fluid retention can become a serious complication. That’s in line with guidance from the American Heart Association, and it’s echoed by liver specialists when managing conditions like cirrhosis or hepatitis C.

Alcohol

There is no sugarcoating for this one; alcohol is directly toxic to liver cells. Even small amounts can accelerate liver damage. Researchers believe alcohol may weaken the immune system and make it easier for the virus to take hold.

But the bigger issue is what happens after the infection. Alcohol accelerates liver scarring, also known as fibrosis, increases the risk of cirrhosis, and can interfere with hepatitis C treatment. One study from the U.S. Department of Veterans Affairs found that people with hepatitis C who drink heavily have 16 times the risk of developing cirrhosis compared to those who don’t drink at all.

Sugary and Ultra-Processed Foods

Refined sugars and trans fats promote insulin resistance and fatty liver disease, both of which make hepatitis C harder to manage. Think of pastries, soda, fast food, and packaged snacks. These foods also contribute to obesity, which raises the risk of fat buildup in the liver. This condition is known as hepatic steatosis.

Iron-Dense Supplements and Vitamins

Multivitamins with iron or high-dose vitamin A can be harmful. The liver stores excess amounts, and in people with hepatitis C, this can lead to toxicity. Always consult your healthcare provider before taking supplements.

What You Should Consider Eating

There’s no official “hepatitis C diet,” but research supports the following:

Vegetables: Especially leafy greens, cruciferous veggies, and berries. Leafy greens, such as spinach, kale, collard greens, and arugula, are rich in antioxidants, fiber, and chlorophyll, all of which support the liver’s function more effectively. Chlorophyll may help flush out toxins and heavy metals, while fiber supports digestion and reduces the buildup of waste that can stress the liver.

Fruits: Blueberries, strawberries, and cranberries contain anthocyanins that protect liver cells from oxidative stress and may even help slow the progression of fibrosis.

High-Fiber Foods: Whole grains, legumes, and nuts promote regular digestion and improve insulin sensitivity. Those are two vital factors in preventing fat buildup in the liver.

Healthy fats, such as avocados, fatty fish (like salmon), and olive oil, provide omega-3s and monounsaturated fats that help reduce liver inflammation and support cell repair.

Your Liver May Love Coffee

Believe it or not, your morning cup of coffee might do more than wake you up; it could also help protect your liver.

A 2022 study published in Clinical Gastroenterology and Hepatology found that drinking more than three cups of coffee per day was associated with lower liver stiffness, a marker of liver fibrosis. The effect held true even for people with chronic liver conditions like hepatitis C, and it applied to both caffeinated and decaffeinated coffee. Researchers have pointed to compounds such as chlorogenic acids and polyphenols, which may help reduce inflammation and oxidative stress in liver tissue.

For people managing hepatitis C, coffee isn’t a cure, but it may be a helpful addition to a liver-supportive lifestyle. As always, moderation matters, and it’s best to talk with a healthcare provider about what’s right for you.

Why Diet Matters in Hepatitis C

Hepatitis C causes chronic inflammation in the liver, which can lead to scarring (fibrosis), cirrhosis, or even liver cancer. A poor diet, especially one high in alcohol, sugar, or saturated fats, can accelerate this process. However, a nutrient-rich, anti-inflammatory diet can help slow down the progression, support immune function, and enhance treatment outcomes. Making better lifestyle choices is key to managing hepatitis C.

Think of your diet as a daily investment in your liver’s future. You and your liver deserve the very best.

Resources

Hepatitis C in Black Individuals in the US: A Review | Health Disparities | JAMA | JAMA Network

About Vibrio Infection | Vibrio Infection | CDC

Iron and liver fibrosis: Mechanistic and clinical aspects – PMC

How much sodium should I eat per day? | American Heart Association

Alcohol and cirrhosis – Viral Hepatitis and Liver Disease

Coffee Consumption Is Associated With Lower Liver Stiffness: A Nationally Representative Study

The post What Not to Eat If You Have Hepatitis C appeared first on Black Health Matters.

Types of strokes

Hemorrhagic: caused by a weakened blood vessel that ruptures and bleeds into the brain.

Ischemic: caused by a blockage, like a clot in a blood vessel

The three types of heat strokes

Exertional heat stroke: caused by strenuous physical activity in hot and humid conditions

Non-exertional heat stroke: caused by the body’s ability to cool itself being overwhelmed by environmental heat.

Vehicular heatstroke: most commonly found in kids, caused by being trapped in a vehicle under extreme heat conditions.

Who is at risk for heat stroke?

Age: Older adults aged 65+, pregnant individuals, kids

Sex: Female

Ethnicity: Between 2005 and 2015, emergency department visits for heat-related causes increased the most by African Americans at 67%, followed closely by 63% for Hispanics,  and 53% for Asian Americans. Just  27% of white individuals visited the emergency room during that same period, according to a report in the Wilderness and Environmental Medicine journal.

Health conditions: chronic conditions such as heart disease, obesity, and diabetes.

How to tell the difference between a heat stroke and a stroke?

Symptoms of a stroke

• Numbness or weakness in one side of the body
• Arm weakness
• Trouble speaking
• Vision problems
•  Difficulty maintaining balance
• Severe headache

Symptoms of heat stroke

• Fever of 104°F or greater
• Hot and dry skin
• Fainting
• Changes in mental status, such as confusion
• Nausea and vomiting
• Flushed skin
• Coma
•  Seizures
•  Rapid breathing

What to do if somebody is showing symptoms?

Stroke: When somebody is suspected to have a stroke, it is essential to act F.A.S.T.

F.A.S.T. stands for facial drooping, arm weakness, speech difficulties, and time to call 911.

To test for facial drooping, ask the person to smile and see if one side of the face droops.

To test arm weakness, ask the person to raise both arms and see if one arm drifts down.

To test for speech difficulties, ask them to repeat a simple phrase and see if they can say the phrase clearly.

Finally, if someone is showing one or more of these symptoms, call 911 immediately.

It is important to keep F.A.S.T. in mind, as the CDC states that only 38% of American adults knew to call 911 when somebody was showing signs of a stroke.

Heat Stroke: Call 911 if the person is experiencing symptoms of heat stroke.

Then, you can move the person away from the heat immediately and remove any excess clothing they may be wearing. You can also cool the person with whatever is available in the meantime. This can include placing ice packs on the person, spraying them with a hose, and immersing the person in a cool tub of water. If the person loses consciousness, begin CPR.

The post Is it Heat Stroke or a Stroke? appeared first on Black Health Matters.

Seasonal affective disorder (SAD) is a form of depression linked to seasonal changes, typically starting and concluding around the same period each year.

There are two types of SAD:

1. Fall-onset: Often referred to as winter depression, symptoms emerge in the late fall or early winter and usually improve during the summer months.

2. Spring-onset: Known as summer depression, symptoms arise in late spring or early summer. This form is significantly less common.

People with Summer SAD may experience reduced melatonin levels, which supports the idea that long, hot days can worsen sleep quality and contribute to depression symptoms. While it’s true that longer daylight hours, shorter nights, and higher temperatures can also disrupt sleep, these theories have not been systematically tested.

What Are the Symptoms of SAD?

Symptoms of Depression:

• Feelings of hopelessness or pessimism
• Loss of interest or pleasure in hobbies and activities
• Decreased energy, fatigue, or a sense of being slowed down
• Difficulty with concentration, memory, or decision-making
• Physical symptoms such as aches, headaches, cramps, or digestive issues without a clear cause that don’t improve with treatment.

For those experiencing Summer SAD, additional symptoms may include:

•  Insomnia or trouble sleeping
• Poor appetite leading to weight loss
• Restlessness and agitation
• Anxiety
• Aggressive or violent behavior

If you or someone you know is displaying symptoms of Summer SAD, it’s essential to consult a healthcare provider or mental health specialist. They may ask you to complete a questionnaire to assess whether your symptoms meet the criteria for SAD.

Johns Hopkins Health Plans offers a Seasonal Affective Disorder (SAD) Quiz that you can take here. However, please note that this quiz is not a substitute for a healthcare provider’s opinion or diagnosis.

While the longer days and sunshine of summer are welcomed by many, they can cast unexpected shadows for those with Summer Seasonal Affective Disorder. Seeking professional help and actively managing your mental health are key to finding balance and enjoying the season.

How Do You Treat Summer SAD?

In addition to seeking help from a mental health professional,  Dr. Rohit Madan, an assistant professor of psychiatry at the University of Arizona, suggests avoiding caffeinated beverages and drinking lots of fluids, especially water.

“You should also engage in activities that promote self-care, relaxation, and stress reduction. This may include practicing mindfulness or meditation, engaging in regular physical exercise, maintaining a healthy diet, getting sufficient sleep, and establishing a daily routine,” he says.

If you are suffering from insomnia associated with Summer SAD, Everyday Health suggests trying podcasts like GetSleepy, BoringBooksforBedtime,  or apps like Calm or a sound machine.

Take some time for deep breathing. It is an essential part of self-care.

Resources

Johns Hopkins Medicine: Seasonal Affective Disorder

National Institute of Mental Health. Seasonal Affective Disorder

Johns Hopkins HealthCare. Take the Seasonal Affective Disorder (SAD) Quiz.

Mayo Clinic. Seasonal Affective Disorder: Symptoms & Causes.

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Obesity Rates Are Rising

Just two years ago, in 2023, 43% of adults were overweight; the stats about worldwide obesity amongst adults have nearly tripled since 1990. In the U.S., four out of five Black women are living with obesity, according to the Office of Minority Health.

Obesity disproportionately affects our community as we have some of the highest rates of obesity or being overweight compared to other groups in the United States. The CDC states that Black adults in the United States have an obesity prevalence of 38 percent among 48 states and D.C. There are a multitude of reasons why obesity is heightened within the U.S., and the array of unhealthy food choices on every corner and highway surely doesn’t help.

We Need to Understand How Having Obesity Impacts Our Community

Recognizing the issues that contribute to these statistics and understanding how they specifically affect our community, we can hopefully find personal ways to address obesity within the nation. Below are the top twenty overweight and obese cities in the U.S. for 2025.

Cities That Have Changed Position

• Jackson, MS, was ranked number two, having previously been ranked number three in 2024.
• Little Rock, AR, is now ranked number two, having previously been at number five in 2024.
• Shreveport, LA, dropped from number three in 2024 to number six in 2025
• Knoxville, TN, moved from number six in 2024 to number five in 2025.
• Augusta, GA, moved from number 16 to number seven in 2025.
• Fayetteville, AR, moved from number 15 in 2024 to number nine in 2025
• Birmingham, AL, moved from number 11 in 2024 to number 10 in 2025
• Memphis, TN, moved from number seven in 2024 to number 11 in 2025
• Baton Rouge, LA dropped from number 9 in 2024 to number 14 in 2025
• Columbia, SC, moved from number 12 in 2024 to number 18 in 2025

2024 Cities removed from the list:

Youngstown, OH,  Canton, OH, Tulsa, OK

2025 Cities added to the list:

Myrtle Beach, SC,  El Paso, TX, San Antonio, TX

While this isn’t a personal attack on any of the cities mentioned, it is a call for awareness. We should strive to improve the health of our cities.

However, there is no one-size-fits-all solution for combating this serious medical condition, which people have called obesity, as it may lead to other chronic conditions.

Being vocal about this issue can make a difference, whether amongst ourselves, our loved ones, or a broader community.

The post Most Overweight & Obese Cities in the U.S. 2025 appeared first on Black Health Matters.

“We’re having a really hard time because my Aunt Bertha has Alzheimer’s,” Burruss told viewers of the live-streaming session.

We are twice as likely to get Alzheimer’s

“Alzheimer’s disease (AD) is a neurodegenerative disorder that mostly affects the elderly population worldwide, and which is characterized by a progressive decline in cognitive function,” according to the Journal of Biomedical Science. The CDC reports that it is a type of dementia that impacts 6.5 million people. Frontiers in Aging Neuroscience reports that Black Americans are twice as likely to develop dementia as others.

Get familiar with the symptoms of Alzheimer’s

Symptoms of Alzheimer’s disease can include severe memory loss, a drastic shift in personality, physical and psychological aggression, and sudden mood swings. It is a disease that can be extremely difficult for loved ones and caregivers to support the afflicted person through. They are forced to watch them transform into someone unfamiliar. This can cause mental and emotional distress.

How may this diagnosis impact Burruss, her family, and   the restaurant

“If anyone’s ever dealt with somebody in your family going through that, and it gets worse, it’s not easy,” continued Burruss. “So…it’s a time.” She regained her composure after briefly appearing distressed due to the intimacy of the topic.

Burruss went on to change the subject, expressing that she did want to get “emotional” when discussing her aunt.

Old Lady Gang is a soul food eatery that offers “delicious down-home Southern recipes” developed by Jones, Burruss’ mother, “Mama” Joyce Jones, and Burruss’ other aunt, Nora Wilcox. Burruss and her husband, Todd Tucker, came up with the idea for the restaurant in 2016. The family shared their journey opening Old Lady Gang on The Real Housewives of Atlanta, where Burruss was a cast member.

Bertha played a minor role with a major impact on the reality show. She became a fan favorite when she uttered the memorable catchphrase “a scheme that Todd set up” during episode 13 of season 7. This is often quoted on social media, where people mimic her memorable expression during the scene. Patrons flooded the restaurant, hoping for a glimpse of Bertha’s trademark snark to accompany their meals.

Alzheimer’s and Women, Especially Black Women

Women have double the chance of being diagnosed with Alzheimer’s disease as men.

A 2023 article in Frontiers in Aging Neuroscience reported that Black women have a “disproportionately high risk” for Alzheimer’s disease and related dementias.

The same article detailed how Black women face barriers to accessing treatment that could diagnose them faster and help them navigate. Those barriers are particularly troubling as many are not diagnosed during the preclinical phase, where symptoms have not yet begun manifesting in the patient.

This phase often occurs in midlife, and recent studies have theorized that there could be a connection between Alzheimer’s disease and the onset of perimenopause and menopause.

But in our day-to-day lives, The Journal of PEC Innovation reports that we don’t have an acute perception of the risks hanging over our heads in our community about developing Alzheimer’s disease.

Our Lifestyle Puts Us at Increased Risk for Dementia

Lifestyle can impact one’s risk for developing Alzheimer’s disease. The CDC identifies binge drinking alcohol, smoking cigarettes, and failing to exercise routinely as modifiable habits to reduce risk.

Other risks for Alzheimer’s disease include the presence of cerebrovascular diseases, depression, diabetes, hypertension, obesity, and dyslipidemia.

Resources

 Neurodegenerative Disorders

Journal of Biomedical Science: Alzheimer’s disease risk factors 

Frontiers in Aging Neuroscience: Black Americans are twice as likely to develop dementia as others

NIH: What Are the Signs of Alzheimer’s Disease?

Nature Medicine: Women are twice as likely to develop Alzheimer’s as men, but scientists don’t know why.

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How many women die every day because of preventable childbirth or other pregnancy-related events or conditions? The CDC estimates around 800. This startling statistic is just one of the many reasons maternal health, both in the Black community and overall, is taken so seriously, with various related objectives from top agencies like the World Health Organization (WHO), the US Department of Health and Human Services (HHS), and the United Nations Population Fund (UNFPA).

Let’s look at the most common issues that pregnant women face, the many risk factors for preventable complications, some sobering statistics, and what is being done on the national and global levels to improve maternal mortality rates.

Common Pregnancy Health Concerns

There are a few discomforts women can expect during their pregnancy. Women can avoid acidic foods to aid heartburn and eat more fiber to help treat constipation, especially early on, to easily treat some discomforts at home. Women often turn to family or friends for advice to help treat such things, finding unique ways to ease soreness or dry skin. Even expected symptoms of pregnancy can affect maternal health, however, and easing them can increase mood and help expectant mothers look forward to the birth of their child.

Other Symptoms You Might Experience:

• Cramps

• Feeling faint

• Hot flashes

• Incontinent

• Dry skin

• Back pain

• Headache

• Pelvic pain

• Stretch marks

• Tiredness

• Morning sickness

Risk Factors for Pregnancy-Related Complications

The Office of the Surgeon General published a “Call to Action” acknowledging the higher-than-average maternal mortality rates in the United States. In it, they call attention to the disparities within the Black population, suggest what should be done to reduce mortality rates for all mothers, and lay out a long-term plan with strategies to affect this and future generations.

But when do symptoms become risk factors and dangerous for both mothers and the child? Therefore, it’s critical to work closely with an OB/GYN or other health services throughout your pregnancy, so risk they can identify risk factors, monitored, and treated as early as possible.

High Blood Pressure

More women are at risk of high blood pressure (hypertension) prior to pregnancy, mainly due to increased obesity rates. Many women are waiting until later in life to start a family, also contributing to the probability they will begin their pregnancy with high blood pressure, develop it during, or experience a spike during delivery that may all lead to complications. High blood pressure during pregnancy is called preeclampsia.

Diabetes

If a woman did not previously have signs of diabetes but develops it during her pregnancy, they will diagnose her with gestational diabetes. Diabetes significantly increases the chance for complications and it closely related to preeclampsia. Managing maternal health in this condition is vital, as it can lead to miscarriage, stillbirth, preterm birth, birth defects, and more.

Obesity

With higher rates of obesity, it is becoming a more common risk factor for maternal health in the United States especially. An unhealthy weight can contribute to other conditions like high blood pressure, diabetes, and mental health that can contribute to other maternal health concerns, compounding the risk of pregnancy complications.

Illness and Infection

From Covid-19 to a common cold to more serious infections like chlamydia or HIV, illnesses and infections can affect maternal health and the health of the infant. A mother should work closely with a physician if they are diagnosed with an illness or infection prior to or while pregnant. Most times, there are ways to mitigate the risk to the baby before and after birth. However, many of these risks are preventable causes and can be reduced through education and other community resources, such as sexual and reproductive health.

Substance Use Disorders

A substance use disorder can describe everything from nicotine and alcohol to methamphetamine and cocaine. According to the Surgeon General’s report, 12% of the pregnant women polled reported using some type of nicotine product within the last month and 10% reported drinking alcohol. Another 5% reported drug use. Not only does substance use affect maternal health, but it increases health risk to the baby because of pregnancy complications.

Mental Health

Maternal health and mental health are closely linked. This can include pre-existing mood diseases, such as depression or anxiety, or postpartum depression which affects up to 20% of new mothers. In fact, over a ten-year period, they found that nearly 10% of all pregnancy-related deaths were because of a mental health condition. Only by addressing mental health stigma and offering more patient-centered care in the United States can we support maternal health as well.

Domestic Violence

In some states, especially in the south, domestic violence is the single most common cause of maternal deaths for the Black population. This violence often begins during pregnancy or soon after it. Intimate partner violence among Black Americans is one of several preventable causes of maternal and child deaths in the US, especially when addressed at a socioeconomic level.

More Maternal Health Statistics

The United Nations Population Fund offers insight into the global importance of maternal health and that women everywhere are susceptible to preventable causes of maternal mortality. Around the world, nearly 300,000 women died in 2017 alone, mostly due to:

• Severe bleeding

• Obstructed labor

• Sepsis

• Unsafe abortion

• Eclampsia

These deaths are significantly lower than those recorded in 2000, but are still unacceptable. Many of these deaths occur in sub-Saharan Africa or Southern Asia, and global efforts are making an impact.

The Commonwealth Fund analyzed data from the WHO, National Center for Health Statistics, and other studies to get a better picture of who is at the highest risk. In the United States, mortality rates are getting worse year after year, starting in 2000, and worsening significantly since the start of the Covid-19 pandemic. The current maternal mortality rates are three times that of the country with the next highest death rate, New Zealand. The hardest hit are African Americans, who account for more than half of all maternal deaths.

A National and Global Response

Maternal health is a concern not only in the United States, where it affects the Black population and multiracial people disproportionately but the world over. What is being done to improve health outcomes?

US Department of Health and Human Services (HHS)

Health and Human Services has formed a workgroup comprised of four US federal agencies working together to address maternal health as a national crisis and the disparity affecting the non-Hispanic Black population. The workgroup has focused not only on supporting women and infants directly but also by addressing other emerging health concerns that affect maternal death, such as drug use and sexually transmitted diseases.

American Public Health Association (APHA)

The American Public Health Association is focused on addressing preventable causes of maternal death. They do this by investing in sexual and reproductive health education, preventative health care for women, and more. Like other agencies, they have focused their efforts on the disproportionate affects of poor maternal health on Black Americans, partnering with the Center for Reproductive Rights for “Black Mamas Matter” and the World Federation of Public Health Associations for “Reducing Maternal Mortality as a Human Right.”

The United Nations Population Fund (UNFPA)

The focus of the United National Population Fund is sexual and reproductive health care, promoting basic health standards around the world, especially where maternal deaths are most common. Working in sub-Saharan Africa, Southern Asia, and other regions, the UNFPA supports programs that train providers in preventative care during pregnancy, emergency birth response, and critical care for newborns. These initiatives have improved health outcomes over the last two decades and more improvement is expected.

The World Health Organization (WHO)

The World Health Organization helps to support all members with their individual efforts to address maternal health, especially maternal deaths. They closely monitor the progress being made and how effective initiatives are at supporting those that are most vulnerable. This includes the United States, where the majority of those affected are Black people and deaths continue to increase.

Maternal Health: Disparity in Preventable Deaths

Yes, women experience common symptoms during pregnancy. Most will agree that these symptoms are well worth the discomfort once their child is born healthy. However, many women don’t have the same access to care or are at risk for miscarriage, preterm labor, cesarian birth, birth defects, other birth complications or even maternal death because of an increase in risk factors that could be preventable.

Maternal mortality rates have only worsened over the last two decades in the US and this trend will only change with more education about maternal health and better access to care for those disproportionately affected. Black Health Matters is helping to do just that by raising awareness, challenging the system, and bringing more resources to the Black population most vulnerable.

The post Coi Leray Reveals Baby’s Gender — Spotlight on Maternal Health! appeared first on Black Health Matters.

While IBD primarily impacts the white population in the US, there has been a sharp increase in communities of color over the past decade.

We also have more barriers to care, including access to specialists, follow-up care, symptom and disease activity control, and emotional support.

How is Ulcerative Colitis Diagnosed?

A patient’s HCP may need to rule out other things before getting the UC diagnosis. They may order blood tests, a stool study, or a colonoscopy.

With the colonoscopy, the doctor can biopsy one of the sores or ulcers and arrive at a final diagnosis.

And there are two peak age groups where most diagnoses occur:

• Between the ages of 15 and 30 (the average age if you are Black is 38, because we are always diagnosed later)
• Between 50 and 70

Types of Ulcerative Colitis

The Cleveland Clinic describes the types of Ulcerative Colitis as follows:

• Ulcerative proctitis affecting the rectum
• Inflammation affecting the rectum and sigmoid colon (the lower S-shaped part of the colon)
• Left-sided colitis: inflammation affects the left side of the colon
• Pancolitis: inflammation affects the entire colon

Ulcerative Colitis may present as mild, moderate, or severe depending on symptoms.

Ulcerative Colitis Treatments

Any patient diagnosed with UC should work with their HCP to find the best course of treatment. Resources like CrohnsColitisfoundation.org can also be great for newly diagnosed patients. However, medicine is often the first course of treatment.

• Aminosalicylates (5-ASA) may be recommended for mild to moderate UC cases

• Corticosteroids might be recommended for moderate to severe UC cases

• Immunomodulators may be prescribed to address ongoing inflammation

• Biologic/Biosimilar Therapies: Biologics are another option for moderate to severe UC patients

In about 1/3 of patients, medicine is not enough, and they opt for the total removal of the colon and rectum.

According to the Washington University Department of Surgery in St. Louis, two different surgical approaches may be used. The first involves removing the entire colon and rectum and creating an ileostomy or external stoma (an opening in the abdomen through which wastes are emptied into a pouch attached to the skin).

A newer and most common option includes removal of the colon and rectum, but doesn’t require a permanent ileostomy. An internal pouch is created from the small bowel, and it is attached to the anal sphincter muscle. The patient doesn’t have to wear an external device/stoma permanently.

When patients opt for these procedures, they are cured of UC.

Additional Resources:

CrohnsColitisFoundation

Healthline

 Mayo Clinic

Cleveland Clinic

Washington University Department of Surgery

MyCrohnsColitisTeam

The post What Is Ulcerative Colitis? appeared first on Black Health Matters.

The Growing Threat

Colon cancer is no longer just a concern for older adults. Over the past two decades, cases among people under 50 have risen steadily, climbing by around 1 to 2 percent annually. According to the University of Washington School of Medicine, colorectal cancer is expected to become the leading cause of cancer-related deaths for those under 50 by 2030.

What’s even more troubling is how often younger patients are blindsided. Many don’t have a family history of the disease or other traditional risk factors, which leaves symptoms like abdominal pain, unexplained weight loss, or changes in bowel habits dismissed or overlooked until it’s too late.

For younger adults, this delay often means the cancer is diagnosed at a more advanced stage, complicating treatment options and outcomes.

What’s Behind the Numbers?

While the exact reasons for the rise in early-onset colorectal cancer aren’t fully understood, researchers point to several likely contributors:

Dietary Shifts

The modern Western diet, rich in processed foods and low in fiber, has been linked to an increased risk of colon cancer. Fiber is key to a healthy gut, yet most Americans fall far short of the recommended 25 to 34 grams daily.

Studies suggest that fiber can lower colon cancer risk by up to 15 percent, but diets heavy in fast food and processed snacks do the opposite.

Inactivity and Obesity

The connection between obesity and colorectal cancer risk is well-established, with obesity increasing the likelihood by approximately 30 percent, according to the CDC. Lack of exercise only makes matters worse. Regular physical activity helps reduce inflammation, improves gut health, and directly lowers cancer risk, but sedentary lifestyles are far too common.

Gut Microbiome Disruption

According to the National Library of Medicine, poor diets and long-term antibiotic use can throw gut bacteria balance off track, potentially accelerating cancer development. The gut microbiome is vital for digestion and immunity, but these disruptions may pave the way for disease.

Genetics and Environmental Factors

While inherited conditions like Lynch syndrome play a role for some, the majority of younger colon cancer patients don’t have a family history, suggesting environmental exposures or unidentified triggers may contribute.

Why Colon Cancer Hits Our Community Harder

For Black Americans, the picture is even more alarming. We are 20 percent more likely to develop colorectal cancer and 40 percent more likely to die from it than other racial groups, according to the American Cancer Society. These disparities stem from more than just biology; they’re shaped by systemic inequities that create barriers to care and prevention. Some obstacles that challenge our community include:

• Living in Food Deserts: Living in areas without access to fresh, affordable food makes it much harder to maintain a fiber-rich, cancer-fighting diet. Processed and high-fat foods dominate in these environments, increasing risk factors like obesity.
• Issues Access Healthcare and Screenings: Our community faces limited access to healthcare and insurance, leading to delayed colorectal cancer screenings. Only 65 percent of Black Americans participate in recommended screenings, compared to higher rates in other populations.
• Receiving Diagnosis at Later Stages: Black patients are more likely to be diagnosed at advanced stages of the disease. Nearly 26 percent of early-onset cases in Black Americans are metastatic at diagnosis, compared to 22 percent among White Americans, according to the Colon Cancer Foundation.

What You Can Do

While colon cancer may feel intimidating, there’s a lot you can do to protect yourself and those you love. Start by paying attention to your body. If you notice changes in bowel habits, unexplained weight loss, blood in the stool, or persistent fatigue, don’t brush it off. Push for answers, and if your concerns aren’t taken seriously, get a second opinion. Early detection saves lives.

Screenings are your best defense. The American Cancer Society now recommends starting screenings at age 45 for those at average risk.

But if you have a family history or other factors, consider starting earlier. Screenings can detect early-stage cancers and even remove precancerous polyps before they develop into something more dangerous.

Small lifestyle changes can also make a big difference. Here are some things to consider:

•  Include fiber-rich foods like fruits, vegetables, legumes, and whole grains in your diet.
•  Aim for 150 minutes of moderate weekly exercise to lower inflammation and improve overall health.
• Cut down on processed and red meats while maintaining a healthy weight.
• Most importantly, normalize conversations about health within your family. Sharing medical histories and discussing symptoms can empower everyone to seek care sooner.

Rewriting the Narrative

Colon cancer doesn’t fit its old stereotypes anymore. It’s showing up earlier, hitting harder, and disproportionately affecting our community. But awareness and action can change the story. With stronger advocacy for screening, lifestyle shifts, and open conversations, we can face this challenge together. Let’s protect ourselves, our families, and our future by putting health at the forefront, because this is one fight we can take on and win.

The post Colon Cancer Is A Growing Risk For Older Millennials appeared first on Black Health Matters.

Corynne L. Corbett, Editorial Director, Black Health Matters, Dashaun Johnson

 Cee Nicole, MD, MSW, Magan Ester, RDN

Healthcare professionals Cee Nicole, MD, MSW, Magan Ester, RDN, and trainer Dashaun Johnson joined Black Health Matters Editorial Director Corynne L. Corbett to discuss nutrition and exercise for achieving and maintaining a healthy weight to lower the risk of chronic health conditions and cancer. They encouraged the Black Health Matters 2025 Winter Health Summit & Expo audience to resolve to make a step toward positive change.

Diabetes and heart disease are most commonly associated with obesity, but people with obesity also have a higher risk of 13 cancer types, including breast, colorectal, and liver cancer. Magan Ester called for us to understand what the Doctor says and why they recommend mammograms, colonoscopies, or other screenings.

Shame can prevent education. “Some of us don’t always feel comfortable saying, Hey, wait, Doctor such and such, I didn’t really understand what you just said. Can you please stop and explain that to me?” said Dr. Nicole. “Sometimes, it’s a lack of understanding that holds us back.”

Seeking professional help was encouraged. Nutritionists can help us determine the right path to reach weight loss goals by helping to understand the unique challenges we face. Corbett noted the importance of personalization in lifestyle changes. “If you have a chronic disease, some of the things we’re saying may be different for you,” she told the audience. Easter added, “Make sure you have a core team with a physician and a dietician because you cannot rely on social media (for advice).

Corbett also stressed the importance of education about the science behind obesity. The Journal of the American Heart Association reports that “In the United States, overweight and obesity are chronic diseases that contribute to excess morbidity and mortality. Despite public health efforts, these disorders are on the rise, and their consequences are burgeoning.”

Those consequences are not distributed equally. Comorbidities disproportionately impact Black communities. This is particularly distressing because “there are significant racial and ethnic disparities in obesity prevalence rates, with African Americans being 51% more likely to be obese,” according to the Journal of Health Care for the Poor and Underserved, and “Black Americans have the highest mortality rates in the U.S. from chronic diseases, it is important to understand the combinations of obesity-related health behaviors that coalesce into health lifestyles for this group,” per the American Journal of Preventive Medicine.

The panel provided many solutions for achieving and maintaining a healthy weight and wellness, noting that wellness is not just physical. Mental and spiritual health are included in the “Eight Dimensions of Well-Being” shared by Easter.

Optimizing those dimensions looks different for everyone. “Nutrition is a very personalized thing. The person next to you on either side will probably not have the same nutritional needs as you,” Ester added. “Try not to look at everybody else as the same, and that’s why it’s important to see a dietitian or someone in the field who is an expert on looking at you individually and saying what you need.”

It can be worth working through discomfort to get the tools required to live a healthier lifestyle for ourselves and our loved ones. The Doctor is there to help you. It is okay if you do not understand them fully. Keep asking questions until you are satisfied that you have what you need.

Johnson has been promoting overall wellness for more than a decade. He facilitates “senior body sculpting” with flexible fitness programs that are adaptable for seniors looking to improve their health. The routines he offered can be completed anywhere. He admits his impressive fitness routine would not work for the average person. He encouraged the audience to adapt their exercise routines to incorporate methods they will likely stick with.

Optimizing those dimensions looks different for everyone. “Nutrition is a very personalized thing. The person next to you on either side will probably not have the same nutritional needs as you,” Ester added. Try not to look at everybody else as the same, and that’s why it’s important to see a dietitian or someone in the field who is an expert on looking at you individually and saying what you need.”

His comments clarified the need to take a realistic approach to prioritizing fitness. He demonstrated how easy it can be to incorporate exercise into your day by leading the room in a series of core contractions. He explained that every move throughout the day impacts one’s “range of motion.” Johnson’s parting words compared our bodies to our cars, with a need to warm up every day. He recommends a five-minute stretch in the morning and before bed each night. Nutritional education can help achieve health goals as well. “Most people don’t know how to eat on the go,” Johnson said. He shared that there are smarter options available in fast-food restaurants. “When you go to these restaurants, there are alternatives that we can dig into, but we go for what’s convenient and faster versus taking the time to minimize those mistakes,” he continued.

Dr. Nicole thinks the “clean plate rule” is a huge mistake that does not leave room for personalization and intuition. “You don’t have to eat all these meals all day because we do not work and exude that many calories all day. And it is okay to wait until your body says, I’m hungry,” she said.

The post Rewind the Session: Exploring the Impact of Nutrition & Exercise on Your Health appeared first on Black Health Matters.

As the popularity of these medications grew, supply shortages made it difficult for patients to access the approved drugs. This created an opportunity for compounding pharmacies to produce alternative versions.

Compounding pharmacies can legally create customized medications when a commercially available drug is unavailable, especially during shortages.

FDA’s New Clarification on Compounded GLP-1 Drugs

The FDA recently clarified its stance on compounded GLP-1 drugs, emphasizing that compounding pharmacies must stop producing unauthorized copies of these medications by specific deadlines. The two types of facilities impacted by this new guidance, 503A pharmacies (those serving individual patients by prescription) and 503B outsourcing facilities (larger facilities that manufacture sterile medications in bulk), must stop producing compounded GLP-1 drugs by April 22nd and May 22nd, respectively.

These deadlines mark the end of the widespread availability of compounded GLP-1 drugs that became common during the supply shortage.

The FDA’s recent guidance is driven by concerns about the safety, quality, and effectiveness of compounded GLP-1 medications.

Unlike FDA-approved drugs, compounded medications do not undergo the same rigorous testing for safety and efficacy. This has raised several key concerns regarding variance in dosing and misleading advertising.

What’s Next?

The FDA’s recent actions are designed to protect patients from potentially unsafe medications while encouraging better access to approved treatments. ]

If you’re currently using a compounded GLP-1 medication for weight loss, it’s essential to plan ahead. Start by talking to your healthcare provider about switching to an FDA-approved alternative or exploring other treatment options that fit your health needs.

Since compounded versions will only remain available until spring 2025, now is the time to review your plan and discuss potential adjustments. Your provider can help you manage this transition safely, ensuring you continue to receive effective support for your weight management goals. Be cautious when purchasing medications online or from unregulated sources.

References:

• FDA’s Concerns with Unapproved GLP-1 Drugs Used for Weight Loss

The post FDA Takes Action on Compounded GLP-1 Drugs: What This Means For You appeared first on Black Health Matters.

Her Backstory

While Sherrie would describe herself as “overweight” growing up, she never felt moved to make changes to her lifestyle. She had been warned by doctors over and over again about the potential impacts that excess weight can have on her health and her body but put it off as something she would work on, eventually. In the years that followed,

Sherrie became a caregiver to her late mother and was able to see firsthand how poor health habits led to the loss of mobility and independence. This planted a seed in Sherrie’s psyche.

At the start of the pandemic, Sherrie was scared straight. She had heard through news broadcasting that the COVID-19 virus was especially life-threatening to those who had comorbidities and or were overweight. “I was scared to die [due to COVID-19]”, Sherrie shared. “That’s what helped the most.”

With her weight finally threatening her overall health and independence, she knew she had to kick things into full gear.

It was finally time to make changes and live as able-bodied as possible for as long as possible. Sherrie used this additional fuel and continued her walks to work. Slowly, she noticed her weight changing as a byproduct and used this as the perfect motivation to push on.”

At the start of her budget-friendly walks to work, Sherrie gained the attention of a neighbor who began to join her for walks. Sherrie was glad to be an example to others and gladly started the tradition of morning walks. “My neighbor, who worked in the same building as me, became an accountability partner. She would see me walking, and eventually, we would get together to do neighborhood walks before work and on the weekends.”

As the walks continued, goals grew, and the new goal became 10,000 steps daily. The pair took walks that stretched farther until they extended across neighborhoods and bridges across New York City.

Sherrie’s Tips, Tricks, and Motivating Moves

“I’m not perfect, but I try my best.” To support her weight loss, Sherrie became more mindful about what she ate and made small changes where she could. These small changes include portion control and swapping certain foods for healthier or low-calorie alternatives. For example, Sherrie says she enjoys coffee but is more vigilant about how much creamer she uses because she understands how sugar can play a role in weight loss/gain.

Meal prepping also helped Sherrie stay on track with her portions and the foods she was eating. Having home-bought meals meant she didn’t have to order takeout, which can be filled with many processed ingredients we don’t need.

Regarding motivation, Sherrie says she has used the traction from her neighbors, church members, co-workers, friends, and fitness groups to keep her going. “I’m known as the walking lady,” she remarks. Additionally, many members who knew Sherrie was on a weight-loss journey would generously offer their new or gently used clothes in sizes that aligned with her goals.

She also uses her doctor’s appointments as checkpoints for her progress because she knows they’ll check for blood pressure, blood sugar levels, and other health markers.

With no children of her own, Sherriee affirms, “I want to be able to live independently as long as I can.” While Sherrie is also adamant that this journey was never about the scale, she does have a general goal of maintaining a weight below 200 lbs.

Looking Ahead

Sherrie intends to continue to use walking to maintain her overall well-being and weight loss and meet her daily goal of 10K steps. When necessary, she incorporates gym and at-home workouts into her routine. She is one of many health and wellness ambassadors at her job and encourages her office-mates to step away from their desks for short walks as often as possible throughout the day. She is also a member of the Obesity Action Coalition, which empowers and encourages people living with obesity on their journeys to better health.

It was never about the scale; it was always about the quality of life. I believe I have to be an active participant in my healing.

When asked if she had any long-term goals, she proudly stated, “I want to be able to take care of myself and continue to be an example.

The post Sherrie Dampeer: How She Walked the Weight Off appeared first on Black Health Matters.

However, researchers also reported that the association between television viewing and heart disease was not observed among physically active individuals who met at least 150 minutes of physical activity per week.

This suggests that exercise may mitigate some of the risks associated with binge-watching (though others remain).

“TV watching occurs at the end of the day where individuals may consume their biggest meal, and people may be completely sedentary with hours of uninterrupted sitting until they go to bed,” lead study author Jeanette Garcia said in a news release.

The study said TV viewing is the most prevalent sedentary behavior in the United States. Given that African Americans report watching 20-30 percent more TV than white Americans, researchers have suggested that reducing TV viewing could be a target for improving health outcomes.

“Eating a large meal and then sitting for hours at a time could be a very harmful combination,” said Garcia, a kinesiology and physical therapy professor at the University of Central Florida in Orlando.

“Snacking may also be an issue, and, unfortunately, individuals typically do not snack on fresh fruits and vegetables but rather potato chips or other sweet or salty, high-calorie foods,” she said. “At a desk job, workers often get up, go to a copy machine, talk with a colleague, go to a meeting or the break room. It’s not hours of uninterrupted sitting.”

The study saw no correlation between sitting at work and a risk of heart disease, matching findings from other researchers.

Researchers said excessive TV time is probably harmful for any racial or ethnic group, and they plan to study further why it might be a more harmful sedentary behavior.

Meanwhile, Garcia said doctors might want to ask their patients about their TV-watching habits. Those who like to watch TV can take preventive measures, such as walking, to offset the health risks.

Growing evidence has linked sedentary behavior to several risk factors for heart disease and stroke, including high blood pressure, obesity, and Type 2 diabetes. “Black Americans at all ages disproportionately experience higher rates of heart disease and stroke as well induce a greater risk for cardiovascular disease. This translates to a lower life expectancy by about five years compared with whites.”

Researchers reviewed data on 3,592 adults enrolled in the Jackson Heart Study, an ongoing community-based study following African Americans living in Jackson, Mississippi. Television habits, hours spent sitting at a desk, and exercise were self-reported. During a follow-up period of more than eight years, there were 129 cardiovascular disease events, such as heart attacks, and 205 deaths.

Study participants who reported spending more time sitting at work were more likely to be female, younger, have a higher body mass index, and have a higher family income.

They also ate a healthier diet and engaged in more moderate physical activity. They were less likely to smoke or drink a lot of alcohol.

On the other hand, those who watched several hours of television were more likely to report lower incomes and education status, lower physical activity, a higher BMI, and high blood pressure. They were also more likely to be a current smoker, have unhealthy eating habits, and drink heavier amounts of alcohol.

Nearly one-third reported watching less than two hours of television daily, another 36 percent reported watching two to four hours, and 31 percent said they watched more than four hours.

A more recent study published in 2024 in the Journal of General Medicine tracked television viewing habits of both white and Black participants beginning in their 20s to see how they impacted strokes, heart attacks, and other serious coronary events.

In an interview with US News & World Reports, the study’s lead author, Dr. Jason Nagata, an associate professor at the University of California, San Francisco (UCSF), Division of Adolescent and Young Adult Medicine, shared some key findings:

The post Excessive TV Time Linked to Heart Risk in Black Folks appeared first on Black Health Matters.

Research presented last year at the American Heart Association, Lifestyle, and Cardiometabolic Health Scientific Sessions studied 8-hour-time-restricted eating among 20,000 adults.

They found a 91% higher risk of cardiovascular disease. If the person had cancer or cardiovascular disease, this increased the risk of death in comparison to eating in a 12-16-hour window.

“We were surprised to find that people who followed an 8-hour, time-restricted eating schedule were more likely to die from cardiovascular disease. Even though this type of diet has been popular due to its potential short-term benefits, our research clearly shows that, compared with a typical eating time range of 12-16 hours per day, a shorter eating duration was not associated with living longer,” said senior study author Victor Wenze Zhong, Ph.D., a professor and chair of the department of epidemiology and biostatistics at the Shanghai Jiao Tong University School of Medicine in Shanghai, China.

“It’s crucial for patients, particularly those with existing heart conditions or cancer, to be aware of the association between an 8-hour eating window and increased risk of cardiovascular death.

Our study’s findings encourage a more cautious, personalized approach to dietary recommendations, ensuring that they are aligned with an individual’s health status and the latest scientific evidence,” Zhong continued.

The study authors do not say that IF causes CVD but advise caution. If you have a chronic health condition, it is imperative to talk to your HCP before embarking on any weight management program, even if it doesn’t involve new foods or medicine.

The Risks of Intermittent Fasting When You Have Obesity

Frontiers in Nutrition examined intermittent fasting (IF) compared to alternate-day fasting (ADF) and traditional caloric reduction for patients with overweight and obesity. It concluded that observational studies were lacking in the research.

According to the study, “We suggest that increased loss of lean mass, circadian misalignment of food consumption, and/or compromised food quality may underpin the adverse effects of IF on cardiovascular health in genetically predisposed individuals.”

However, you may not know if you are genetically predisposed, so consult an HCP.

They further reported that limited eating windows may prompt food choices that are satisfying rather than nutritionally balanced. They noted that individuals doing IF experience an uptick in sugar intake and a decrease in fiber and meat consumption, and they may pack in more calories overall in that 8-hour window. If reward eating gets out of control, LDL cholesterol, a CVD risk factor, will also increase.

The study showed that the loss of lean muscle mass is another risk of IF. “An RCT in patients with overweight or obesity found that a 12-week hypocaloric TRE regimen led to a greater loss of lean mass compared to a conventional hypocaloric diet,” the study reported.

“The reduction in lean mass accounted for approximately 65% of total weight loss, notably higher than the typical 20–30% range observed with standard hypocaloric diets, and primarily involved loss of skeletal muscle mass. Reduced muscle mass has been associated with an increased risk of CVD, as well as cardiovascular events and mortality,” the study concluded.

The authors strongly suggest caution in employing this long-term dietary strategy for cardiovascular health.

Eating Dinner Later Increases Your CVD Risks

Nature published a third study, which explored the times of first and last meals of the day and increasing fasting duration with the risk of CVD of 103,389 participants of the NutriNet-Santé cohort.

Researchers found that each additional hour delayed the time of the day’s first meal, which was associated with a higher risk of overall CVD. The study found that the longer the participants delayed their first meal, the greater their associated risk of overall CVD. In addition, they saw a 20% increased risk of cerebrovascular disease in those who ate their last meal the latest—from 8% for those who ate before 8 PM to 28% for those who ate after 9 PM.

The risks internment fasting may cause to your heart help are unknown and may make getting and keeping consistent weight loss results difficult. If you want help exploring your weight management options, talk to your doctor about seeing a dietician or a weight loss specialist.

The post What You Eat (And When) Can Affect Your Weight & Heart appeared first on Black Health Matters.

Led by Urvi A. Shah, MD, a myeloma specialist at MSK, the NUTRIVENTION clinical trial enrolled 20 participants diagnosed with precancerous blood disorders. Notably, forty-three percent of those enrolled in the trial were Black, Hispanic, or of mixed race, reflecting the study’s commitment to diversity. Additionally, 60 % of the participants had monoclonal gammopathy of undetermined significance (MGUS), and the other 40 % had smoldering myeloma (SMM). Both conditions are known precursors to multiple myeloma. Obese individuals with an elevated body mass index (BMI) are also at significantly higher risk of progression.

Participants in the trial followed a 12-week regimen of high-fiber, plant-based meals and engaged in 24 weeks of health coaching. The results were remarkable: two participants who had been experiencing disease progression before the study showed significant improvement in their disease trajectories.

None of the participants progressed to multiple myeloma during the one-year follow-up period.

Empowering Patients with Knowledge and Nutrition

“This study showcases the power of nutrition—specifically a high-fiber, plant-based diet—and unlocks a better understanding of how it can lead to improvements in the microbiome and metabolism to build a stronger immune system,” said Dr. Shah. “These findings further support how we as physicians can empower patients, especially those with precancerous conditions, with knowledge on reducing their cancer risk through dietary changes.”

Multiple myeloma is the second most common blood cancer (leukemia is first) and typically develops from precursor conditions such as MGUS and smoldering myeloma.

Research has shown that individuals with poor diets and a low intake of plant-based foods are at greater risk of developing multiple myeloma.

Unique Challenges for African Americans

Unfortunately, “African Americans face a disproportionate burden when it comes to multiple myeloma. Dr. Shah says, “There may be multiple mechanisms at play, including genetics, immune dysregulation, socioeconomic factors, dietary factors, and metabolic disorders like obesity and diabetes.”

Obesity, diabetes, and poor diets are more prevalent in Black communities compared to white populations, contributing to increased risks. Research by Dr. Shah indicates that 10-19 percent of multiple myeloma cases in the United States are attributable to excess body mass index (BMI).

Elevated BMI alone accounts for 2.1-3.3 percent more multiple myeloma cases among non-Hispanic Black Americans than non-Hispanic white Americans.

The NUTRIVENTION trial was designed to explore whether a dietary intervention could alter these odds. Those enrolled were encouraged to eat as much as they wanted, as long as their meals consisted of whole, plant-based foods such as fruits, vegetables, nuts, seeds, whole grains, and legumes.

Diet and Delayed Disease Progression or Transformative Results

Clinical trial partakers discovered that making the recommended diet changes led to the following significant health benefits:

• Weight loss: Participants lost an average of 8% of their body weight within 12 weeks.
• Improved quality of life: Many participants reported feeling healthier and more energetic.
• Better metabolic health: Improvements were observed in insulin resistance and inflammation.
• Gut microbiome health: A more diverse microbiome—a key factor in immune system strength—was noted.

Dr. Shah adds, “Four of 12 participants using prescription medications self-reported stopping them, saving a median of $65 per month.” The discontinued drugs were insulin, bupropion, potassium supplement, and hydroxychloroquine.

The trial’s findings were further validated by preclinical research in a smoldering myeloma mouse model. In the study, 44 percent of mice fed the recommended diet did not progress to multiple myeloma, compared to 100 percent progression in the group fed a standard diet.

These results encourage Dr. Shah and her team to proceed with multiple dietary clinical trials. NUTRIVENTION3, in particular, has 150 participants with precursor disorders. “We’re only beginning to understand the profound impact that nutrition can have on cancer prevention,” Dr. Shah emphasized. “This research represents a major step forward in showing how plant-based diets can serve as a powerful tool not only for managing weight but also for reducing cancer risk and improving overall health.”

Making Dietary Changes for Better Health

While diet alone cannot cure multiple myeloma, research increasingly suggests it plays a vital role in delaying progression and improving quality of life. Regarding diet, Dr. Shah recommends that “people try to get at least 80-90 percent of their calories from unprocessed plant foods.”

Acknowledging that that might sound a bit overwhelming, Francesca Castro, MS, RDN, CDN, Clinical Research Dietitian Nutritionist in the Myeloma Service at Memorial Sloan Kettering Cancer Center, assures that “dietary transitioning becomes much more manageable when you take a step-by-step approach and focus on one meal at a time.” She says, “I encourage folks to set realistic daily goals and gradually build from there. For instance, start with Meatless Mondays and expand as you feel more comfortable.” Once a day, Castro also encourages her patients to add legumes (like lentils, chickpeas, or black beans) to pasta, salads, or whole grains for a boost of protein, fiber, and micronutrients. She says, “It’s important to focus on progress, not perfection.”

Here are diet transition tips that Castro says have worked well for her patients:

1. Start Small: Incorporate plant-based ingredients or meals you already enjoy, such as oatmeal, nut butter, stir-fried vegetables, or fresh fruit.
2. Batch Cook: Prepare staples like beans, whole grains, tofu, or roasted vegetables in advance for quick and balanced meals.
3. Learn and Explore: Utilize resources from the American Institute for Cancer Research (AICR) and the American College of Lifestyle Medicine (ACLM).
4. Involve Family: Cooking and transitioning with loved ones can foster support and encourage a collective shift to healthier eating habits.

Healthy, Delicious Dishes Made Easy

 

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For many Black people, integrating culturally relevant dietary strategies is essential.

Traditional ingredients like collard greens, okra, and black-eyed peas can provide crucial nutrients while honoring heritage.

The catch? Preparing these foods healthily—such as steaming them instead of frying them—maximizes their benefits.

“I always encourage patients to cook to their own flavor preferences and experiment with modifying their own recipes and making them plant-based,” says Castro. “One of our patients was Jamaican-American and predominately ate Caribbean food in the household. We found ways to modify one of her favorite recipes of ackee and saltfish by substituting the fish with hearts of palm.

Plant-based recipes to try:

Vegan Ackee and “Saltfish”: Jamaican-inspired, with hearts of palm replacing fish.

Chickpea-Stuffed Sweet Potato and Vegetarian Callaloo Soup: Nutrient-dense and flavorful dishes from MSK dietitian Karla Giboyeaux.

Apple Cinnamon Oatmeal Cups: Easy, portable breakfast packed with fiber.

Tofu Scramble: A protein-packed alternative to eggs, perfect for breakfast.

Pumpkin Spice Bread: A warm and comforting dessert.

Go to Sweet Potato Soul or Forks Over Knives for more culturally sensitive recipes.

The post  Diet May Delay Progression to Multiple Myeloma appeared first on Black Health Matters.

Breast cancer is the number one cause of death among Black women in the U.S. In fact, according to the study. Black women under age 75 have a 38 percent higher mortality rate than their white counterparts

Unfortunately, this is consistent with poor health outcomes from Black women in areas such as cardiovascular disease and stroke, diabetes, and maternal mortality.

The report suggests that the same things that have improved overall cancer mortality rates, including better and earlier screening and aggressive treatment and clinical trials, have not been as accessible to Black women in this country. Health equity advocates are sounding the alarm on behalf of Black women.

Ifeoma Udoh, Executive Vice President of Policy, Advocacy, and Science  at the Black Women’s Health Imperative, says that the screening standards set by the U.S. Preventative Services Task Force (USPSTF)’s recommendations “often overlook the specific health needs of Black women.”

The official updated guidelines suggest screening every two years beginning at age 40, a change from previous recommendations that recommended starting at age 50. Being screened and diagnosed earlier has marked progress, but Udoh says it isn’t enough. She says, “It insufficiently addresses the unique challenges and earlier risks faced by Black women.” Often, Black women develop more aggressive cancers, and often at younger ages.

Magnolia Contreras, Vice President of Community Health at Dana-Farber Cancer Institute (DFCI) in Boston, says many reasons for the disparities in health outcomes must be addressed. Some are about access, and others could be physical. “Often, Black women have denser breasts,” she says, which can make them harder to screen. “We have hope for continued progress in treatment because science is moving so fast,” Contreras says.

She and Udoh agree that there is a vital role for clinical trials that include Black women. Historically, Black women have not participated in trials and are significantly included in data gathering and analysis.

While advances are being made in cancer treatment, Udoh says, “trials that don’t have a large enough cohort of Black women won’t have enough data.” She says the data should not be generalized—in other words, there is no one sized fits all. “it will take institutions to double down on behalf of Black, Brown, urban and rural women,” and with the uncertainties in federal funding of research and access to care, within the new administration things could get worse. “But we must remember that the Feds are not the only sources of funding.”

Contreras says that DFCI works closely with individuals and communities on access and affordability. She also says that DFCI has a valuable confidential tool on its website called Assess Your Risk that can help any woman assess her potential risk for breast and cervical cancer. “Women can print it out and share it with their own providers,” Conteras says.

Consider the ways that you can manage your risks on your own.

• Here’s what you need to consider doing starting now
• Take time to know your family health history.
• Does cancer run in your family?

Talk to family members on both sides of your family.

• Many women make the mistake of only looking into their mother’s side of their families.
• But breast cancer risks can be passed down from the paternal side of your family.
• Find a doctor or provider you feel comfortable with and set regular appointments. It is always best to have that first visit before you need it. While you are there, schedule your annual mammogram.

Financially, it is easier to get screened if you have health care coverage through your employer, Medicaid, or Medicare.

• But if you are currently uninsured, check out your options within the Affordable Care Act or programs in the community that offer low or no-cost mammograms and other cancer screenings. Many areas even have mobile mammogram vans that offer free screenings.,

 Tweak your wellness and lifestyle.

• Clean your diet by reducing salt, sugar, and processed foods, including sodas. Give up smoking, manage stress, and get into a regular exercise routine to reduce your risk for heart disease, cancer, obesity, and other chronic diseases.
• Also, reduce your consumption of alcohol, which can increase your cancer risks.

The post When Cancer Rates Drop, But Not For Black Women appeared first on Black Health Matters.

Perimenopause and Menopause

Women in their 50s often are baffled by unexplained weight gain. But Dr. Gabrielle Francis, a Naturopathic Doctor, says things started to change a decade earlier. “In your 40s, the engine’s winding down, and a lot of women have thyroid and adrenal depletion from go, go, going, and never recharging,” she explains. “This period of perimenopause, which is the ten years before menopause, can often feel like the rug’s being pulled out from underneath you if those backup generators are not doing the work that they need to do. A lot of the imbalances people feel in their 40s are coming from thyroid and adrenal issues and fluctuating hormone levels. And then there are factors like weight, lifestyle, diet, genetics, how our body metabolizes hormones.”

Lack of Sleep

A good night’s sleep to support the optimal health of someone 18-60 is between seven and nine hours a night. Those of us who are sleep deprived are more likely to have a poor lipid-protein profile, an increased risk of diabetes and cardiovascular disease, and are at risk for premature death.

Chronic sleep patterns of less than six hours in our community are associated with higher BMIs.

Not Consuming Enough Calories

No, we’re not talking about intermittent fasting, which last year was linked to a 91% increased risk of cardiovascular death. We’re talking about metabolic starvation or slowdown. When you skip meal after meal, you may lose weight at first, but the body adapts. It holds on to the fat it has and reduces its basal metabolic rate (BMR) in response to less calorie input and weight plateaus. And there are some noticeable side effects, too. Some symptoms to look out for include:

• bloating or constipation
• dry skin
•  brittle nails
• hair shedding
• loss of appetite

Self-Criticism and Negative Thinking

Finding early success with a weight loss program and then hitting a wall can cause some people with obesity to begin thinking negatively about themselves. According to a study published in Obesity Facts, “Many individuals enter weight loss regimes with cycles of early success followed by relapse, which can be associated with a sense of failure, inefficacy, shame, and self-criticism.”

The study authors believe that any approach to weight loss should consider a more comprehensive approach that includes ‘psychological issues, such as body confidence or attitude, depression, anxiety or self-esteem’ and ‘wider lifestyle factors such as sleeping patterns and stress management.’ They point out that few studies have examined clients’ self-evaluation process and the emotions that are tied to them.

Sometimes, we can block our success by how we talk to or about ourselves, and we need to reframe our mindsets for success. Too much self-criticism and anxiety could lead to gut issues.

“Well-being is a multidimensional, dynamic phenomenon that includes not just the absence of physical and mental illness but a subjective sense of happiness, satisfaction with life, positive psychological functioning, a perception of being connected to and accepted by others, and self-realization.” Self-care has to be an essential part of the solution.

Weight loss is a journey—tracking which, if any, of these factors is slowing your progress. Engage a healthcare professional to help you address your obstacles and give yourself some grace. Every small step you take toward healthy weight management pays dividends.

The post Four Things That May Impede Your Weight Loss Progress appeared first on Black Health Matters.

“Repeated periods of weight loss and regain form a pattern known as weight cycling,” according to the International Journal of Exercise Science. This sharp pivoting between drastic calorie reduction in inconsistent cycles can include fasting, juice cleanses, rigid diet restrictions, and other forms of rapid and severe attempts to reduce body weight. These might seem useful when the scale heads in the desired direction for a short while, but ultimately, they can have long-term negative effects on weight loss goals. Yo-yo dieting can result in short-term weight loss, which leads to improved liver health and insulin tolerance but also a greater rate of weight gain.

Studies have consistently shown that weight change is likely to increase body fat and is associated with unfavorable metabolic and psychosocial attributes.

In addition, bodies that have experienced various bouts of weight cycling resist further weight loss and favor the recovery of lost weight goals.

Here are four ways that weight cycling could be getting in the way of your long-term weight loss:

Yo-Yo Dieting Can Harm Your Heart Health

Maintaining a healthy heart is crucial for improving one’s overall wellness. That could be threatened by yo-yo dieting. According to a 2024 study from the Journal of the American Medical Association, “Human studies have linked weight change to vascular function deterioration and elevated BP via visceral fat accumulation.”

This doesn’t mean that you should stop all attempts to lose weight, but it does mean that you should try to do it in a healthy and sustainable way, or you’ll regret it later.

Yo-Yo Dieting Can Increase Your Risks of Gallstones

Your gallbladder is an organ located beneath the liver. It can be obstructed by gallstones when a rush to drop the pounds leads to unsafe choices. The National Institute of Diabetes and Digestive and Kidney Diseases reports that “losing weight very quickly may raise your chances of forming gallstones” because rapid weight loss could “prevent the gallbladder from emptying properly.”

Yo-Yo Dieting Can Increase Your Risk of Kidney Disease and Cancer

Portions of your metabolic health can be thrown off by yo-yo dieting. This is particularly risky for those with the chronic metabolic disease diabetes. “Body-weight cycling is significantly associated with an increased risk of kidney events in people with type 1 diabetes, regardless of body mass index and traditional risk factors,” according to The Journal of Clinical Endocrinology & Metabolism. Talk to your healthcare professional about preexisting conditions before implementing a strict routine that might work against you.

Weight cycling can raise your risk for kidney cancer as well. A 2021 report in Cancer Causes & Control said, “Frequent substantial weight cycling was associated with increased risk of kidney cancer, independent of BMI.”

Yo-Yo- Dieting Can Prevent You from Gaining Muscle

Muscle loss, clinically referred to as sarcopenia, occurs in people who participate in yo-yo dieting. A 2019 study in the Journal of Obesity said that “the risk of developing sarcopenia was nearly six times higher in participants with severe weight cycling compared with participants without weight cycling.”

Constantly yo-yo dieting can prevent you from developing the muscle mass needed to chase your fitness goals. Honor your body by choosing the path that leads to consistent change.

Additional Research:

Nutrients

The Journal of Obesity Reviews

The Journal of The American Medical Association

The Journal of Clinical Endocrinology & Metabolism

The post Yo-Yo Dieting Can Make You Gain Weight appeared first on Black Health Matters.

Shifting the Narrative on Obesity

Weight stigma and discrimination are real-life challenges those living with obesity face and can cause mental and physical harm. Obesity is often viewed as a personal failure, something that can be fixed with more willpower or a stricter diet. However, it is not simply the result of poor lifestyle choices but rather a health condition influenced by genetics, metabolism, environment, other external factors, and medical conditions. While maintaining a healthy weight is essential for overall well-being, shame, and judgment have never been effective tools for change.

Rather than blame, the focus should be on sustainable, healthy habits that improve physical and mental health. Obesity is a health condition, not a way of life. Like any other condition, it requires compassion, education, support, and often interventions. When we shift from weight-centered thinking to a focus on overall wellness, we create space for people to take charge of their health in a way that works for them without shame or unrealistic expectations.

Fighting Stigma and Embracing Positive Change

The idea that losing weight is as simple as “eating less and moving more” ignores many people’s realities. Barriers like access to healthy food, healthcare disparities, stress, and medications can complicate weight management. Many people living with obesity have tried countless diets, only to find that long-term success remains unattainable. Obesity stigma doesn’t just come from strangers; it can appear in the doctor’s office, the workplace, and even among family and friends.

It manifests as unsolicited advice, harmful assumptions, and a lack of respect. Fighting this stigma starts with awareness and action. Loving and accepting your body at any size is not the same as ignoring your health; rather, treating yourself with kindness and care. Positive body image means recognizing that beauty and worth are not determined by weight. It’s about respecting your body and making choices that help you feel your best.

Reclaiming Your Health, Your Way

If you’re living with obesity, know that your weight does not define your worth. Your health journey is your own, and it should be rooted in self-care, not self-criticism. Small steps can lead to meaningful change. If medical support is needed, seeking help is not a sign of weakness but a step toward empowerment. This World Obesity Day, let’s commit to seeing obesity as a complex health issue that requires understanding, not shame, because everyone deserves to live a full, healthy, and confident life, regardless of size.

References

Joint international consensus statement for ending the stigma of obesity

WorldObesityDay.Org

Weight Bias: Why We Need to Take Action

Missing the target: including perspectives of women with overweight and obesity to inform stigma-inducing strategies

The post World Obesity Day 2025 Empowering Healthier Futures appeared first on Black Health Matters.

Obesity and cardiovascular disease (CVD) are often treated as separate conditions, yet they are deeply interconnected.

People living with obesity are more likely to develop heart disease, even if they don’t currently have high blood pressure or other common risk factors. Understanding this connection can help shift the focus toward early weight management to protect our heart health for years to come.

How Obesity Drives Heart Disease Risk

Carrying excess weight, particularly around the abdomen, places added strain on the heart. Obesity can trigger inflammation, disrupt blood vessel function, and raise cholesterol levels. Over time, these effects contribute to conditions such as high blood pressure, type 2 diabetes, and high cholesterol.

These issues create a dangerous cycle as each condition further increases the risk of the others, ultimately increasing the likelihood of a heart attack, stroke, or other heart event.

Why Early Weight Management Is Crucial

Addressing obesity early can help break this cycle. Studies have shown that losing as little as 5% of body weight can lead to significant improvements in blood pressure, cholesterol levels, and blood sugar control. These changes not only reduce immediate risk but also help protect the heart long-term.

Waiting until heart disease symptoms appear can make treatment more complex. By prioritizing healthy weight management sooner, we can take proactive steps to reduce the risk of developing heart-related conditions.

Breaking Barriers to Sustainable Weight Loss

For many of us, embarking on a weight loss journey can feel overwhelming, especially if weight has been a lifelong struggle.

To achieve lasting change, we must approach weight management with compassion towards ourselves and find support.

Taking small, realistic steps often produces better long-term results rather than extreme diets or strict workout plans.

We don’t have to do it alone. One simple step towards lasting change is partnering with our healthcare providers. This is a crucial first step. They can assess our current health, discuss goals, and recommend strategies aligning with our lifestyles.

By partnering with a trusted healthcare professional, we can gain the support and guidance needed to make sustainable changes to protect our heart health.

The Power of Knowing Our Risks

If we have a family history of heart disease, taking steps to manage our weight may help us avoid repeating that pattern.

Regular check-ups, blood pressure and blood sugar monitoring, and cholesterol screening can provide valuable insights into our heart health status.

For those struggling with obesity, consulting with healthcare providers about tailored weight management strategies can offer new pathways to improved well-being.

References

• Obesity and Cardiovascular Health
• Obesity Action Coalition. Obesity and Heart Disease
• AHA. Obesity and Cardiovascular Disease: A Scientific Statement from the American Heart Association

The post Obesity and Heart Health: Why Early Weight Management Matters appeared first on Black Health Matters.

Obesity is not just an individual issue; it also impacts communities. For Black communities specifically, where obesity rates are disproportionately high, this day is a chance to raise awareness, break stigmas, and explore real solutions.

Obesity increases the risk of other chronic conditions like diabetes, high blood pressure, and heart disease, but with the right resources, support, and access to care, change is possible.

This World Obesity Day, let’s focus on increasing awareness, breaking the stigma, and empowering healthier futures for ourselves and our communities.

The post Why World Obesity Day Matters appeared first on Black Health Matters.

Obesity significantly raises the risk of numerous life-threatening diseases and conditions, many of which are preventable through early intervention and effective treatment. Understanding the health risks associated with obesity is crucial for both preventing these conditions

Type 2 Diabetes

One of the most well-known health risks associated with obesity is type 2 diabetes. Obesity and excess weight is associated with insulin resistance, a condition where the body’s cells become less responsive to insulin, the hormone that regulates blood sugar levels. Over time, this can result in high blood sugar levels, ultimately leading to type 2 diabetes. This condition increases the risk of complications such as nerve damage, kidney disease, and vision problems, and requires lifelong management through medication and lifestyle changes.

Maintaining a healthy weight through proper nutrition, exercise, and medical interventions can significantly reduce the risk of developing type 2 diabetes.

High Blood Pressure

High blood pressure, also known as hypertension, is another major health risk associated with obesity. Excess body fat, especially around the organs in the abdomen, increases the workload on the heart, leading to higher pressure in the arteries. Over time, this increased pressure can damage the blood vessels, which in turn raises the risk of heart disease, stroke, and kidney damage.

Hypertension often presents without noticeable symptoms, earning it the nickname “the silent killer.” Left untreated, high blood pressure can cause serious complications, including heart attack, heart failure, and stroke.

Heart Disease and Stroke

Obesity is a major contributor to the development of heart disease, the leading cause of death worldwide. Excess weight strains the heart, leading to conditions such as coronary artery disease (CAD) and congestive heart failure. People with obesity are also more likely to have high cholesterol and high blood pressure, both of which increase the risk of heart disease.

Similarly, obesity increases the risk of stroke. Strokes occur when the blood supply to the brain is interrupted, often due to a blood clot or a burst blood vessel. The increased pressure on the heart and arteries caused by obesity can contribute to these events, leading to long-term disability or even death.

Metabolic Dysfunction-Associated Steatohepatitis (MASH)

MASLD (Metabolic Associated Steatotic Liver Disease) and MASH (Metabolic Associated Steatohepatitis) are updated terms for conditions previously referred to as non-alcoholic fatty liver disease (NAFLD) and non-alcoholic steatohepatitis (NASH).

MASLD refers to the buildup of excess fat in the liver not caused by alcohol. It is associated with metabolic factors like obesity, type 2 diabetes, or insulin resistance. It is characterized by fatty liver without significant inflammation or liver damage.

MASH is the more severe form of Metabolic Dysfunction-Associated Steatotic Liver Disease (MASLD). It includes liver inflammation and damage, in addition to fat accumulation in the liver. It can lead to fibrosis (scarring) of the liver, cirrhosis, or even liver cancer if left untreated.

Cancer and Other Health Conditions

Obesity is a risk factor for many different types of cancer.

Additionally, obesity can play a role in the manifestation of other common health conditions such as:

• Sleep apnea
• Asthma
• Osteoarthritis
• Gout
• Kidney Disease
• Erectile dysfunction

Clinical Trials: A Path to Better Health Outcomes

More solutions are needed to treat obesity, and clinical trials are leading the way. If you are living with obesity and have experienced complications such as type 2 diabetes, high blood pressure, heart disease, or fatty liver disease, consider participating in a clinical trial.

Beyond personal benefits, participating in a clinical trial may also contribute to scientific advancement. By joining a trial, you may help researchers better understand obesity-related diseases and develop therapies that could improve the lives of millions of people worldwide. Click here to learn more about ongoing clinical trials.

References:

NIH. NIDDK.  Health Risks of Overweight and Obesity

OMA. What Is Obesity?

The post Obesity and Your Health: The Risks You Can’t Ignore appeared first on Black Health Matters.

The Impact on Black Women and Men

While African Americans generally drink less and start drinking later than other racial groups, we suffer disproportionately from alcohol-related health issues. According to the National Survey on Drug Use and Health (NSDUH), around 43.5% of African American adults reported drinking alcohol, with 7.4% struggling with alcohol addiction. According to the National Institute on Minority Health and Health Disparities, our community faces higher risks of recurring alcohol problems and related health issues.

This highlights the urgent need for more dedicated research into alcohol consumption across different racial groups, understanding what drives these differences, and how they lead to disparities in health outcomes.

To make matters worse, Black women face nearly 40% higher mortality from breast cancer compared to non-Hispanic white women, as highlighted by the American Cancer Society. This disparity is further compounded by the fact that 16.4% of total breast cancer cases are linked to alcohol consumption. If it wasn’t clear before, the Surgeon General’s advisory is a wake-up call that we can’t afford to ignore. Yes, alcohol holds hidden dangers, and that seemingly innocent glass often enjoyed during life’s high points might be silently plotting against your health.

The reasons behind these alarming statistics are multifaceted. Our community often grapples with the lingering effects of systemic racism and historical gaps in healthcare, which means we’re not always getting the care we deserve for alcohol-related health issues.

But here’s the good news: recognizing these challenges is the first step toward overcoming them. With greater awareness and a collective effort, we can push for the resources and support needed to address these disparities and improve our health outcomes. Better yet, by making informed choices about our health, we can strive for a better, healthier future together.

It Will Take Our  Collective Effort

The advisory calls for an update on the Surgeon General’s health warning label on alcohol-containing beverages to include cancer risk. It also has some important recommendations. It urges a reassessment of the guideline limits for alcohol consumption to consider cancer risk fully.

The advisory also encourages everyone to be mindful of the link between alcohol consumption and increased cancer risk when making drink choices.

Public health professionals and community groups should spotlight alcohol consumption as a major modifiable cancer risk factor and expand education efforts to boost awareness. Healthcare providers also play a vital role; they should inform patients about this critical link and promote alcohol screening and treatment referrals whenever needed.

We often hear about the staggering statistic of over 13,500 alcohol-associated traffic crash fatalities each year in the United States.

But let’s not forget the impact on our health. To truly make a difference, we need to embrace the full spectrum of alcohol-related harm and take proactive steps to prevent these risks. “This advisory lays out steps we can all take to increase awareness of alcohol’s cancer risk and minimize harm,” said [then] U.S. Surgeon General Dr. Vivek Murthy.

His advisory was not just a document; it was a guiding light that raised awareness of the nation’s health history regarding alcohol and offered a glimpse into the potential for a healthier future.

So, please consider putting away the wine, beer, and spirits. This year, pick a new drink of enjoyment, such as kombucha, sweet tea, or plain old water. A healthier future is possible with one mindful choice at a time.

The post How Does the Alcohol & Cancer Link Impact the Black Community? appeared first on Black Health Matters.

Alcohol Change, a philanthropic organization focused on obliterating alcohol-related harm, kicked off the first Dry January campaign in 2013. The practice of committing to sobriety for a set amount of time has roots in Finland, according to the Journal of eClinicalMedicine. That article revealed, “Organised campaigns of alcohol-free months are now commonplace throughout Europe and the USA, with millions taking part each year.” A 2022 article in the Harm Reduction Journal reports that “Over the last decade, one-month alcohol abstinence campaigns (OMACs) have been implemented within the general population in an increasing number of countries.”

The rise in participation could be evidence of the sober curious movement gaining steam as Generation Z defines their relationship with alcohol consumption. There is more room than ever to be sober in mainstream social settings. The days of stodgy temperance stigma are slipping away. “Promoting the idea of reducing alcohol consumption through more ‘mindful’ drinking is accompanied by an expanding market of alcohol-free beverages, ‘dry’ drinking venues, or licensed bars offering alcohol-free options,” according to a 2022 article in the International Journal of Environmental Research and Public Health.

Participating in dry January has the potential to impact one’s health in multiple ways positively.

Even those who do not finish participating in Dry January can be positively impacted by trying it. “Both successful and unsuccessful participants frequently reported health benefits,” according to the Harm Reduction Journal. According to Dr. Joseph R. Volpicelli M.D., Ph.D. “Stepping away from alcohol can reduce anxiety, stabilize mood, and offer clarity on its impact on daily life. It’s also a chance to reset habits and reevaluate one’s relationship with alcohol.”

Dr. Volpicelli emphasized that what happens after Dry January is finished matters in a statement to Black Health Matters. “A month is a great starting point for observing significant health benefits and reflecting on drinking habits. However, what matters most is what follows after the month ends. Returning to old patterns without reflection could mean missing an opportunity for lasting change. Extending the break or adopting mindful drinking habits can help sustain the progress. For those struggling to abstain completely, a ‘Damp January,’ where drinking is limited to one or two drinks on occasion, can also be effective,” he said.

Dry January Can Potentially Reduce Your Cancer Risk

The US Surgeon General Dr. Vivek Murthy released a 2025 report that revealed “the scientific evidence for the causal link between alcohol consumption and increased risk for at least seven different types of cancer, including breast (in women), colorectum, esophagus, voice box, liver, mouth, and throat.” That report stated that “Alcohol consumption is the third leading preventable cause of cancer in the United States, after tobacco and obesity.”

Less consumption of alcohol might help reduce risks. The Office of the US Surgeon General is so concerned about the risks presented by alcohol consumption that they are advocating for bold warning labels to be placed on alcoholic beverages to advise the public of the risks associated with their nightly cocktails.

Dry January Can Help You Sleep Better

Skipping out on those shots might be the key to improving and maintaining your sleep hygiene. Excessively imbibing has been proven to block ZZZs in the short and long term in many studies. “Alcohol use is associated with poor sleep quality,” per a 2022 study published in the Journal of Sleep Advances. The Journal of Alcohol, Clinical and Experimental Research noted that alcohol consumption was connected not only to insomnia but to other sleep disorders as well.

Dry January Can Help You Lose Weight

The British Journal of General Practice reports that “Cutting out alcohol can help people achieve weight loss goals.” A 2018 study published in BMJ Open found that moderate drinkers who eliminated alcohol lost over four pounds on average. It also reported that they showed positive improvements in their insulin resistance, a health factor connected to weight management.

Dry January Can Help Improve Your Mental Health

There is “an elevated risk for alcohol misuse in the presence of anxiety,” according to the Journal of Alcohol Research: Current Reviews.“Mentally, stepping away from alcohol can reduce anxiety, stabilize mood, and offer clarity on its impact on daily life. It’s also a chance to reset habits and reevaluate one’s relationship with alcohol,” said Dr. Volpicelli.

Learn more about Dry January here.

The post 4 Ways Dry January Can Positively Impact Your Health appeared first on Black Health Matters.

Thyroid Disease Impacts More Women Than Men

The American Thyroid Association reports that “more than 12 percent of the U.S. population will develop a thyroid condition during their lifetime” and “up to 60 percent of those with thyroid disease are unaware of their condition.” The risk for thyroid complications is even higher in women. A 2021 article in the Journal of the American Medical Association stated that “thyroid dysfunction is more common in women than in men.” That dysfunction can be complicated by the inadvertent masking of symptoms because, as the same article noted, “For women, the profound physiologic changes associated with different life stages affect the timing of presentation of thyroid disease.”

Our Community Faces a Unique Set of Challenges

Interventions addressing poor thyroid health can range from oral prescription medication to surgical procedures. Hormone replacement therapies are an option in some instances as well. Black people face unique challenges in maintaining proper thyroid health.

“Disparities continue to exist in the diagnosis and treatment of thyroid disease, which affects an estimated 20 million Americans, with patients of racial and ethnic minorities experiencing worse outcomes for both malignant and benign thyroid disease,” according to the Office on Women’s Health in the Office in the U.S. Department of Health and Human Services.

A study published in The Journal of Clinical Endocrinology and Metabolism reported that “the incidence of thyroid cancer has been rapidly increasing over the past 30 years,” and “Black patients were on average older at the time of diagnosis and had higher comorbidity scores.”

Overactive Versus Underactive Thyroid Conditions (and their symptoms)

Thyroids can be overactive and underactive. Both can negatively impact one’s health and are frequently attributed to the presence of autoimmune diseases like Graves and Hashimoto’s. Thyroid issues can also complicate family planning.

Hyperthyroidism is an overactive thyroid condition. The National Institute of Diabetes and Digestive and Kidney Diseases defines it as a condition “when the thyroid gland makes more thyroid hormones than your body needs.”

Hyperthyroidism can be challenging to diagnose due to its symptoms overlapping with other conditions. This can contribute to deadly delays in treatment and worsen outcomes. “A hyperthyroidism diagnosis can’t be based on symptoms alone because many of its symptoms are the same as those of other diseases. That’s why your doctor may use several thyroid blood tests and imaging tests to confirm the diagnosis and find its cause,” according to the National Institute of Diabetes and Digestive and Kidney Diseases. According to the Lancet, “Commonly reported symptoms are palpitations, fatigue, tremors, anxiety, disturbed sleep, weight loss, heat intolerance, sweating, and polydipsia.” It can also lead to diarrhea.

Sweating and heat intolerance can be confused for symptoms of menopause or perimenopause in some cases, wasting valuable time that could be used to treat thyroid issues on misdiagnosis.

Hypothyroidism occurs when the thyroid cannot function at the level the body needs. The Office of Women’s Health reports that symptoms of hypothyroidism include cold intolerance, constipation, loss of muscle functionality, depression, fatigue, dry skin, abnormal heart rate, diminished vocal capacity, and heavy menstrual bleeding. It is equally difficult to diagnose.

If you suspect that you might be having thyroid issues. Give your doctor some insight into some of your symptoms:

• Symptom: Temperature Sensitivity

If your new satin shirt is soaked through while everyone surrounding you is bone dry, that could be a sign that you have an overactive thyroid. Excessive sweating and heat sensitivity are common symptoms associated with hyperthyroidism. Shivering while everyone is enjoying a cool breeze might indicate hypothyroidism, as this thyroid issue can come with an extreme sensitivity to the cold.

•  Symptom: Heart Issues

Heart palpitations could be a symptom of an overactive thyroid. A heart rate that is too slow might signal that your thyroid is underperforming. If you suspect you have symptoms, you can monitor your heart rate on your own and bring evidence to your doctor, but ultimately, they will be the best method of confirming your heart health and whether it intersects with any thyroid challenge.

• Symptom: Impact On Your Mental Health

Overactive and underactive thyroid have the potential to impact a person’s mental and emotional health.

A sleepless state of constant worry that feels like generalized anxiety could be a sign that your thyroid is in a hyper state. The deep fog of depression that you are unable to climb out of could prove that your thyroid is low-functioning and sinking your hormonal health. Both of these invisible symptoms are dangerous. Communicate honestly with your healthcare provider and loved ones about how you are feeling so that you can get the help you need and deserve.

The post The Difference Between an Underactive & Overactive Thyroid appeared first on Black Health Matters.

They have a Gender Identity Support Team (GIST) that helps individuals get the help they need to live the happiest lives possible.

A 2013 article in The Lancet Infectious Diseases reported that “Transgender women (Male to Female, MTF) are internationally recognized as a population group that carries a disproportionate burden of HIV infection.”

The U.S. Center For Disease Control And Prevention published data stating that “African American people are disproportionately affected by HIV, making up 12% of the population, but accounting for 42% (12,827) of the 30,635 new HIV diagnoses in the United States.”

They aid individuals facing a few health issues and barriers to treatment outside of HIV. Their work is pivotal because, according to a 2016 article in Current Opinion in Endocrinology, Diabetes, and Obesity, “Transgender persons suffer significant health disparities in multiple arenas. Real or perceived stigma and discrimination within biomedicine and the health care provision, in general, may impact transgender people’s desire and ability to access appropriate care.” The same article clarified that “some of these health care barriers are faced by other minority groups, many are unique, and many are significantly magnified for transgender persons.” Carey Hanlin, Assistant Director of Transgender Health & HIV Prevention Program, and Jessica Zyrie, TGNB Health and HIV Prevention Coordinator from Amida Care’s Gender Identity Support Team, shared details about how Amida is executing plans to support the transgender community with Black Health Matters.

“We understand that each person’s transition and health goals are different, and the GIST team works with members to identify their needs, to review their options, and to connect them to affirming care and services,” said Hanlin. “Our goal has always been to develop programming that specifically addresses the needs and concerns of this community. And to ‘build a network of provider and community organizations, where our members can get the care and support they need without mistreatment and stigma that they often experience in the healthcare field.”

“We encounter numerous barriers to medical and mental health care, that we need to be healthy. This is why supporting access to care is so important,” said Zyrie.

“Nearly a third of surveyed trans people in the U.S avoided seeing a doctor because they couldn’t afford it or didn’t have access to health insurance, nearly a quarter didn’t see a doctor out of fear of mistreatment and nearly half said that they’d have a negative experience with a health care provider related to their gender identity within the last year.

Visibility in intimate settings, like healthcare visits, can be an invaluable affirmation to someone struggling with their mental and physical health.

Zyrie explained what turns the people she works with off from seeking care. “We unfortunately work with many members who expect mistreatment from the start,” she said.

Hanlin explained, “Not only are our members getting life-saving, gender-affirming care, but they’re also seeing their primary care provider. They’re getting essential cancer screenings, they’re seeing mental health providers.”

“All those things can be nearly impossible in the face of discrimination and stigma,” he added.

Gender-affirming care is not just about syringes and pills. It is about respecting every aspect of a patient’s gender identity when treating them for anything from a bunion to hormone therapy.

“We see their humanity and by working, with our cultural sensitivity, our control sensitive network of providers and staff. We ensure that each member saves the care that they need and deserve,” said Zyrie.

A 2024 article in BMC Health Services Research stated that “transgender people have expressed their need to access health services for general health needs, including but not limited to mental health, non-communicable diseases, and infectious diseases.”

Hope Giselle Godsey, the Executive Director, CEO, and President of the National Trans Visibility March, in an interview with Black Health Matters Editorial Director Corynne L. Corbett, said there is a need for broader, well-rounded conversations that include abstinence self-love, self-care, and self-pleasure in the trans and queer communities. “So you don’t have to feel like your sex life is one or the other, where it’s super existent but feels risky, or where it’s nonexistent and you lack pleasure.”

Godsey also reinforced the importance of diversity in approaches to gender-affirming care: “I think that not enough people are having conversations around the way that we speak about our health, outside of our genitalia, or, you know what surgery you may or may not have had, or how you have sex,” she said. “There are so many health disparities that we go through on a medical level.”

The National Trans Visibility March Executive Director, CEO, & President rejected assumptions that transgender people do not require intervention and support for matters that don’t intersect with their gender. “People often don’t think that we’re galvanized around the same way that we’re galvanized around our gender identity or expression,” Godsey said.

The face of holistic health in public forums does not always include transgender people. Godsey emphasized the need for more “conversations about our holistic health” within the community and shared how herbal medicine shows up in the community.

“Folks are now starting to create their own version of hormone replacement therapy through natural herbs, through juicing, through being able to find out where you can find estrogen and testosterone replacements through natural like roots and herbs and things that, things that don’t affect your body in negative ways or have so many of the ridiculous side effects that some of these like pills and shots that they give us,” said Godsey. “I think being able to talk about that and talk people through it will be interesting for many folks.”

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BHM: Can you share your journey with psoriasis, including when you were diagnosed? How has it impacted your daily life and mental health?

Takieyah Mathis: My journey with psoriasis began in 2016. Though I likely had the disease earlier, that was the year I was first diagnosed. I feel like psoriasis impacted my daily life and my mental health because, around the time I was diagnosed, it had already affected my modeling career. It lowered my confidence, and I worried about how my hair and skin looked. I also had this pain in my foot from walking in heels. This all negatively contributed to my mental health as well because I wondered if I would ever look the same again.

I thought nobody would want to date, touch, or hang around me because I had this thing going on.

When I was diagnosed with psoriasis, that was the start of a new journey with my confidence and trying to build it back. Overall, my journey with psoriasis was long and drawn out at first, but when I got the proper medical help, I was successful with my treatments. I will say that having the right healthcare providers is critical—especially for finding the best treatments that work for you, whether you have mild psoriasis or severe psoriasis.

BHM: Have you personally experienced stigma or discrimination because of your psoriasis? How did you cope with these experiences?

Takieyah Mathis: Yes, I have experienced discrimination with my psoriasis with my employers and dating. I’ve had employers who wanted me to cover up my face with makeup, and that was disheartening because I didn’t realize what was wrong. I didn’t know my face looked so bad, which was hard to deal with.

I coped with these experiences by finding my community, finding other people who had eczema or psoriasis, and hanging around more with them. I also learned from my friends with alopecia, lupus, and other similar conditions. [Understanding more about]  autoimmune diseases and the stigmas also helped because when I had my first flare-up, I didn’t know what was going on. I just knew that when people saw me, they would almost diagnose me and ask, “Hey, do you have this?” I honestly didn’t know what I had; I just knew my face was broken out.

Eventually, I started to cope with all these experiences by taking my diagnosis and speaking out about it, not wearing makeup, showing people what my scalp looked like, showing them my scars, and just being vulnerable about what I was going through. People who supported me also helped me cope because now I know a community of people just like me, and I wasn’t alone.

BHM: As a patient advocate, what are some of the most common misconceptions about psoriasis you encounter?

Takieyah Mathis: As a patient advocate, I’ll say some misconceptions about psoriasis are that we’re contagious. Also, a lot of people look at some illnesses as a disability, almost as a crutch that they’ll have to deal with for the rest of their lives. I would also say that because people can’t see where you’re flared up all the time, they think that you’re not going through something with your psoriasis.

Another stigma is that many people believe that psoriasis is just one thing, just a skin rash, versus realizing it’s a whole system of things going on and that there are different types of psoriasis.

BHM: Has your experience with psoriasis influenced your work as an artist?

Takieyah Mathis: I feel psoriasis has influenced my work in a way that, at first, I panicked. Then later, I thought, “I’ve watched years of America’s Next Top Model and Winnie Harlow, so why did I panic? I’ve already been doing this for so long. Why did I go into this shell?”

At that point, I should be using this to my advantage, still being the model I am, and finding my way to embrace it as I’ve always embraced my modeling structure.

I’ve gotten back into modeling full time versus before, when I was just behind the scenes, becoming a stage director of many events. However, being a stage director also helped me because I realized there were so many other people like me behind the scenes. After all, they’re afraid of what their skin looks like or how they feel. I’ve met so many people in the last year who are behind the scenes, producing a show, and they have psoriasis, or they have rheumatoid arthritis or lupus or something along those lines. So, I think that’s influenced me enough to learn more about everybody’s story and why they do the things they do.

BHM: What role do support systems, such as family, friends, and patient communities, play in your journey with psoriasis?

Takieyah Mathis: I feel like everyone around me, including family, friends, and patient communities, has played a role in a way that makes me never want to give up. I just wanted to push forward a little bit. I know it’s hard to carry the torch sometimes or be the leader because you get drained and always have to play that role. However, other people can motivate you to keep going because some people don’t know how to be a voice for themselves. When people tell me that they’re proud of me and, “Oh, I know I can’t do it. So, I’m very proud she can do it for us.” That’s what keeps me going. That’s what the other patient communities and similar things do for me.

BHM: What advice would you give to others newly diagnosed with psoriasis, especially those in underserved communities who may face additional barriers to diagnosis and treatment?

Takieyah Mathis: The advice I would give to others who are newly diagnosed would be to find out or study your triggers.

For example, what do you think is making your psoriasis flare up? I would also say to find the best care and healthcare provider so you can find things that are for you and within your budget. This way, you’re not causing a flare-up because you’re stressing about finances, and stress is the number one factor with psoriasis.

As Takieyah shared, “Education would be the main change I would like to see. I want people to learn about what psoriasis is so that we don’t have so many people afraid to date people with psoriasis.”

Her words remind us that understanding and awareness are the keys to breaking down stigmas. By educating ourselves and others, we can create space for respect and acceptance in dating, friendships, and everyday interactions, appreciating the diversity that makes each of us who we are.

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1. Ensure you’re eating a healthy amount of calories

Cutting down calories plays a significant role in weight loss and maintenance. But you want to ensure you eat healthy calories daily to fuel your body and reduce your risk of developing mental and physical problems.

According to the 2020-2025 Dietary Guidelines for Americans, women should consume between 1,600 and 2,400 calories daily. Your exact calorie intake will vary depending on your weight, dieting habits, energy expenditure (e.g., physical activity), pregnancy, and hormonal status.

The National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) Body Weight Planner can help determine your daily calorie intake.

2. Eat mindfully

A research article published in DiabetesSpectrum defines mindful eating (or conscious eating) as a practice that involves giving full attention to your food, feelings, hunger, and satiety (fullness or satisfaction). It’s all about enjoying the eating experience more mindfully and consciously.

Mindful eating benefits weight management, as research reveals this approach can reduce emotional eating.

3. Practice stress management

To cope with the many stressors life can bring, you might resort to overeating. According to the American Psychological Association (APA), many people tend to overeat food to relieve stress. To keep the weight off, Dr. Lahey recommends switching out overeating with mindfulness practices like yoga, meditation, or journaling.

4. Catch enough Zs at night

According to Dr. Lahey, you should get between 7 and 9 hours of sleep each night to regulate the hormones tied to hunger and metabolism.

The CDC provides the following tips for creating a good sleep environment:

• Maintain a consistent sleep schedule by going to bed and waking up at the same time every day.
• Block light that comes through all windows turn off hallway lights and use room-darkening shades to darken the bedroom.
• Keep your bedroom temperature tool.
•  Use a comfy mattress and pillows and replace them when they get worn.
•  Block out noise using earplugs, a fan, or a white noise machine.
•  Avoid working, watching TV, or reading in your bedroom to program your brain only to align your bedroom with feelings of relaxation and sleep.

5. Limit screen time

The World Cancer Research Fund International (WCRF) reported that greater screen time on phones, tablets, and computers is linked to a higher risk of weight gain, overweight, and obesity in adults. You can limit your screen time by setting screen-free hours, splitting up your screen time into smaller increments, turning off notifications, and engaging in offline activities such as reading, gardening, or cooking.

6. Get regular checkups with your doctor

As you continue your weight loss journey, stay up-to-date with your regular check-ups and screenings with your doctor. They can help you keep track of your weight loss progress and see how these changes affect your health.

7. Have a solid support system

Do you have someone in your corner to push you? Your partner, friend, or family member can motivate you during your weight loss journey. You can also join online or in-person support groups to connect with people on the same journey.

8. Reward yourself

Losing weight is not an easy feat. That said, it’s okay to reward yourself during the maintenance phase. Choose your treats carefully. Avoid rewards that could move the needle on the scale in the wrong direction or trigger your lack of impulse control. When in doubt, opt for nonfood-related treats. Rewarding yourself is a way to celebrate meeting your goals and motivate you to keep pushing forward.

Other Factors Impacting Your Weight Maintenance Goals

Home and Family

“Many Black women are employed and have other family responsibilities, such as childcare, providing care for other relatives, dinner preparation, and other chores, which leaves them with little or no time for meal planning and exercise,” Dr. Lahey says.

Easy Access to Affordable, Healthy Food

Socioeconomic factors can make it more difficult for Black women to get the resources needed to maintain weight loss,” Kubanych Takyrbashev, MD, PhD, Health & Wellness Advisor at NAO. “For example, many neighborhoods—especially those recognized as food deserts—lack an abundance of fresh fruits, vegetables, and other healthy staples. Convenience stores are everywhere in these areas, but they mostly offer processed foods.”

Cultural Preferences

According to a study published in Eating Behaviors, African American men preferred and were more accepting of Black women who were larger and curvier. With this in mind, some Black women may face societal pressures in their community when it comes to losing and maintaining weight loss.

“There is a pressure to meet cultural beauty standards in some cultures, which emphasize curves and fuller figures,” says Dr. Takyrbashev, “Internal conflict can arise from this contradiction, where losing weight is desired and stigmatized. The fear of judgment or ostracism for pursuing weight loss can dissuade individuals from fully committing to their health journey.”

Bottom line: With all the work you’ve put into losing weight, we’re sure the last thing you want to do is see the numbers rise on the scale. Find the maintenance methods that work for you and apply them.

This story is made possible by an educational grant from Novo Nordisk.

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Myth #6: All Fats Are Bad

This fat misconception is one of the most dangerous of all the nutrition myths. Medical advice and scientific research have fluctuated so drastically from the 1970s through the 1990s that it’s no wonder many of us don’t know what to believe anymore.

Doctors have warned us to avoid saturated fat, as it was thought to increase our LDL or bad cholesterol levels, putting us at higher risk for heart disease. They didn’t know back then that scaring us away from fat led us to fat-free snack foods like cookies, chips, and ice cream, which are full of refined sugars and carbohydrates. These foods may have decreased our risk of heart disease and made us fat.

FACT: The National Institute of Health scientifically supports the claim that replacing saturated fats with unsaturated fats does reduce the risk of heart disease. Replacing saturated fat with simple carbohydrates with added sugars, like those found in white bread, does not.

WHAT WE KNOW: Eating some fat keeps us healthy, provides us with energy, helps us feel satisfied, and allows us to stay fuller between meals.

Research shows that when derived from plant sources, unsaturated fats are good for you. Look for cooking oils that are liquid at room temperature:

Look for cooking oils that are liquid at room temperature:

• Canola
• Peanut
• Safflower
• Soybean
•  Olive

Here are some other good sources of unsaturated fat:

• legumes
• fatty fish
• olives
• nuts

Myth #7: To Lose Weight Avoid All Carbs

You may remember The Atkins Diet, which was popular long before its Ketogenic (KetoDiet) Makeover. Both diets involved consuming protein and fats and no carbohydrates. The South Beach Diet caused many of us to completely turn our backs on all things white: bread, rice, pasta, and even potatoes. Whether those diets sound familiar or not, if you’ve lived in the US, you have heard and may even have believed at one point or another that all carbohydrates were evil.

These famous diets or celebrities are not solely to blame for demonizing carbohydrates. Medical experts constantly changed the truth and supported it with scientific research, causing all of this Carbohydrate Confusion, making distinguishing between what’s true and what’s false nearly impossible.

FACT: All Carbohydrates do not make us fat! Or prevent us from losing weight. So, avoiding them all is not the answer. Learning how to choose the healthy ones is what matters most. Simple carbs, called “bad carbs,” have little to no nutritional value and include simple sugars, sweeteners, and honey hidden in fruits, fruit juices, and dairy. They are vilified because they spike glucose levels, which can lead to energy crashes.

‘Good carbs’ do not. These long-digesting complex carbohydrates stabilize insulin levels and help the body metabolize cholesterol and triglycerides. Complex carbohydrates are not evil and do not stop our bodies from losing weight.

Look for:

• Whole grains: quinoa, buckwheat, whole wheat pasta
•  Fiber-rich veggies: broccoli, leafy greens, carrots
•  Fiber-rich fruits: apples, berries, bananas
• Beans

WHAT WE KNOW: Eating complex carbohydrates is essential for cognitive brain function and stable mental health. It also assists the body in metabolizing cholesterol and triglycerides. We need nutrient-dense fiber for digestive health and complex carbohydrates for optimal health.

MYTH #8 Apple Cider Vinegar Burns Belly Fat

Unlike most Americans, I had no idea apple cider vinegar (ACV) was anything more than an acidic ingredient in salad dressing. Recently, a neighbor volunteered some startling news: her belly fat was shrinking thanks to the ACV diet, which she had stuck to for seven days! I celebrated her accomplishments, seeing no difference in her appearance. Awkward.

FACT: I found no scientific evidence that ACV reduces belly fat or impacts sustainable weight loss. While a few small studies showed weight loss in obese rats, scientific proof that it has the same effect on humans is simply unavailable. According to the Cleveland Clinic, the placebo effect could explain why many people claim it works for them. Psychologically, believing in this miracle medicine may subconsciously inspire believers to make healthy choices about calorie intake, exercise, and lifestyle, which may result in weight loss.

WHAT WE KNOW:  Apple cider vinegar is made from fermented apples. Like distilled vinegar, ACV is an acetic acid commonly used as a cleaning disinfectant to kill airborne bacteria on surfaces, fruits, vegetables, and even meats. Some small studies show that apple cider vinegar can help you stay full longer, curbing the urge to snack for about two hours after eating. However, that study also reported nausea and vomiting as side effects.

WHAT TO WATCH OUT FOR:  ACV may cause dangerous side effects in certain people by affecting potassium and insulin levels. Evidence suggests that prolonged use of ACV could irreparably damage tooth enamel when not diluted before drinking.

Misinformation and disinformation have different meanings. The American Psychological Association defines Misinformation as false or inaccurate information—getting the facts wrong. Disinformation is false information deliberately intended to mislead and contribute to fueling, in this case, nutrition myths. Let’s do our best to share facts, not fiction.

Stay tuned for more nutrition myths.

This story is made possible by an educational grant from Novo Nordisk.

The post More Nutrition Myths We Still Believe (Part 2) appeared first on Black Health Matters.

I was 5’11” tall and 130 pounds when I crawled back into therapy to calibrate my re-entry into racist America and deal with the volcanic level of Black rage from my traumatic childhood spent in foster care.

Little did I know, however, that my gifted therapist, Anath Garber, would hit me with a formidable intervention: Stop drinking and taking drugs, or she would stop seeing me.

I was shocked that she could see through my get-high gambit, but there was no way I could lose the only person I trusted. The second I put the plug in the jug. However, I found myself enticed by Twinkies and tarts galore. Instantly, the pounds piled on, and my modeling career was over.

I was furious at Anath, but she assured me to “trust the recovery process.” As usual, Anath also had a new plan for me: She reminded me of the many letters I sent her from Europe and coaxed me into pursuing a writing career. Voila! I went back to college and got a degree in Writing and English Literature, then navigated my way into the offices of Essence magazine, where I landed the cushy position of Fashion and Beauty Writer.

Filled with fear, I sat in my tiny appointed cubicle, glued to my desk (often till the wee hours), and secretly lined my desk drawers with packs of Twinkies, Reese’s pieces, and other sugary delicacies.

See, I was waiting for the inevitable tap on the shoulder that was sure to come. The daily societal reminders of not belonging, not being adequate, and hiding my orphan status made me a prime candidate for the “Imposter Syndrome.” Article after article, deadline after deadline, the not-so-silent chant in my head persisted: Who was I kidding? I wasn’t a writer; one day, I would be escorted off the premises!

By the time my weight climbed to 230 pounds, I was hiding my fortress of fat under black attire.

But my writing career progressed to writing about health, women’s issues, and pop culture trends, including my fave—girl groups such as Seduction, Spice Girls, Destiny’s Child, En Vogue—and personal essays about dating (Debbie Does The Personals” visits to psychics (`Psychics and the Skeptic”), my elusive family background (`Searching for Mommy”), etc. In the late 1990s, liposuction was all the rage, so my chef girlfriend Ishbel and I went to Dr. Benito Rish and underwent fat-sucking plastic surgery.

I received a call from the producers at Oprah requesting my presence as a guest. Whoo hoo! For this occasion, I donned my signature spotted attire (I was adjusting to the fatter me) and was hilariously honest to Oprah about the bottom line on lipo:

“Oprah, it was like throwing a hot dog down the hallway—I should have taken the money and gone to Tahiti for vacay instead!” After my appearance on Oprah, I received a call from a book editor requesting a meeting.

Another trend was brewing on the literary horizon: creating literature for children with characters of color. I created “The Cheetah Girls” book series, which embodied the childhood I would have wanted: to be in a girl group and finally belong. I even put my beloved bichon frise pooch Toto into the mix for the fictional ride.

 As “The Cheetah Girls’’ franchise grew (16 books plus ten movie-tie-in books, three Disney Channel original movies, concert tours, albums, dolls, and oodles of cheetahlicious merchandise), so did my “fortress of fat.’’

Finally, my BFF Beverly Johnson (the same Beverly whose pages in Vogue had graced my bedroom walls during my teen years) expressed her concern: her daughter Anansa’s ex-hubbie had gotten bariatric surgery with excellent results. “Surely, I should consider such?” she pleaded. I asked around, and bariatric surgeon Dr. Che Afaneh at Weill Cornell came highly recommended. After several appointments in 2018,

I decided that bariatric surgery was not for me. After all, ‘I was fat and fabulous!’ I told anyone who would listen. That is until 2022, when I went for my annual physical exam with my primary care physician and weighed 301 pounds.

Even worse, I had developed another obesity caveat: type II Diabetes. Beverly and my computer tech, Alfha, were still on my case. In 2018, I told him about my visits to Dr. Afaneh; lo and behold, he had the surgery with great results! I finally asked Alfha to weigh in about my 301-pound dilemma. He responded honestly: “YES. You need the surgery!”

So, I went back to Dr. Afaneh’s office. He remembered me all right and went on to tell me about the three types of bariatric surgeries: the lap band (which is now the least popular), the gastric bypass (for morbidly obese), and the very popular “sleeve,” which is the least invasive. Because of my morbid obesity (body fat index over 40) and diabetes diagnosis, Dr. Afaneh recommended the gastric bypass. I took his advice and completed the required ten pre-surgery appointments: six with a nutritionist, one psychiatric evaluation, an endoscopy procedure, blood tests, and a bariatric support group visit.

My surgery was scheduled for January 8th, 2023, and I was terrified beyond words.

As I was rolled into the operating room, I asked the nurse if she could provide me with a DNR form in case I died during surgery. My earnest request was met with a chuckle and ignored. The surgery itself is 90 minutes long and requires an overnight stay. The pain was minimal, and I was released the following day after passing a breathing test.

Steps to recovery: I was prohibited from exercising or lifting more than 10 pounds for the first 6 weeks. Instead, walking every day for 10 minutes was encouraged.

I also stuck to a particular diet and vitamin regimen. This included liquids for one week, followed by three weeks of soft foods and protein drinks (the nutritionist gave me a list of the recommended ones, which include Iconic and Unjury), egg whites, mashed tuna, and soup. After my three-month checkup, I could eat baked potatoes, pasta, rice, beans, chicken, and hamburger meat—my favorites. After six months, it was full steam ahead. Seventy-five grams of protein daily, veggies, carbs (pasta, potatoes, rice, etc), and lower-sugar desserts.

I ate anything I wanted—just in smaller portions, but I cut back on the overuse of hot sauce (yes, like my character Aqua in the Cheetah Girls, I carried a bottle of hot sauce in my purse!)

Ultimately, undergoing bariatric surgery was the right move. There was no way in hell I could have dieted again—that fantasy had failed me time and time again. (Oh, I tried them all along the way, including the Zone Diet and Weight Watchers—only to lose the weight, gain it back, plus more!)

On January 10th, 2024, I had my one-year post-surgery checkup with Dr. Afaneh. I had lost 105 pounds, and my sugar level was back to normal. I was no longer “obese,” morbid or otherwise.

My journey from skinny to obese also granted me a whole new perspective about ideal body weight: Babe Paley, who coined the famous phrase that became my 1970s mantra (“You can never be too rich or too thin’’), was so wrong.

You can be too thin—and might I add my adage: “Fat is not fabulous!” After bravely looking at myself in the mirror, I decided medium is my best body: 196 pounds on my 5’11” medium frame (6-6.5” wrist). I now wear a dress size 14 and still have my curvy figure.

During my pre-surgery appointments, I was warned about the obvious: getting bariatric surgery is not a magic formula: if you resume compulsive overeating habits, you will gain weight and join the ranks of thirty percent of post-surgery bariatric patients.

I took the warning to heart and admitted that losing 105 pounds did not fix all my problems. I was still depressed, still an orphan, still a senior citizen, and still recovering from Black post-traumatic stress disorder. The “big” difference? I feel better physically, move better, look better, and, most importantly, am no longer in denial. Hiding behind a 301-pound fortress of fat was not the solution. So, let me make a lifelong promise to myself—and to you: I promise that I will not be joining the ranks of the “30-percenters” and look forward to doing another check-in and weigh-in with you in 2025. Ciao, meow for now!

Part 2 of a two-part story by Deborah Gregory. Read part 1 here.

Deborah Gregory is the New York Times bestselling author of THE CHEETAH GIRLS and the CATWALK trilogy.

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That’s why I compiled a list of the top popular nutrition myths you’ve probably heard and may even believe. I’ve searched the internet for reputable sources to find out if there’s any scientific evidence to back them up. Are you ready to separate fact from fiction and debunk these myths once and for all?

Watch Out! What you are about to read may be hard to believe.

Myth #1: Eating Eggs (Yolks) Will Kill You

Sound familiar? We’ve long been told that eating eggs, especially the yolks, causes high cholesterol, which can lead to cardiovascular disease and death. Where did this come from? The American Heart Association 1968 warned us to eat no more than three whole eggs per week to avoid consuming dietary cholesterol, which was thought back then to cause high cholesterol.

It has taken half a century of scientific research to understand the truth: Consuming high levels of saturated and trans fats is to blame for high cholesterol, not eggs.

The National Institute of Health refers to this myth as “an outdated hypothesis slowly put to rest,” concluding, “Half a century of research has shown that egg and dietary cholesterol intake is not associated with increased cardiovascular disease risk.

Most health promotion agencies around the world have dropped egg restrictions altogether.

FACTS: Eggs are among the most affordable, nutrient-dense, complete protein sources. They are full of vital nutrients that promote healthy eyes, brain, and nerves, as well as essential vitamins like A, B, and D. Omega-3 fatty acids are widely proven to lower our risk of heart attack and death.

According to Scientific American, hens fed flaxseed yield these eggs.

WHAT TO WATCH OUT FOR: While eggs are considered healthy, how they’re cooked and what we eat alongside them could have perpetuated their notoriously Bad reputation.

Foods like bacon, sausage, and ham are traditionally enjoyed with eggs, and using butter and oils in their preparation has most likely tainted the health benefits of our perfect protein.

The American Heart Association writes, “Decades of science have proven that saturated fats can raise your “bad” or LDL cholesterol and put you at higher risk for heart disease.

Myth #2: We need Juice Cleanses to Detox the Body & Jumpstart Weight Loss

The idea that juicing rids your body of toxins and cleanses your vital organs sounds fantastic and entirely believable. However, it’s just not true. Adding more fruits and vegetables to our meals and snacks has proven health benefits. There is little to no scientific evidence to support the idea that juicing your daily fruits and vegetables cleanses your body more than eating them in whole form and staying adequately hydrated throughout the day. That is, I found no valid long-term research to confirm this claim.

I get it. Drinking your fruits and vegetables may seem easy to get in all your daily vitamins and minerals. I often treat myself to a delicious carrot, beet, ginger, celery, and fresh apple juice. I know that juice is healthier than frozen sangria.

But just because it tastes and feels good doesn’t mean that juicing, pulverizing much of the healthy fiber, and destroying the essential vitamins and nutrients in fruits and vegetables is necessarily healthy or necessary to cleanse the body. 

FACT: Our liver and kidneys work naturally to filter out toxins without any help from juices. Unfortunately, there’s more scientific evidence of drawbacks associated with various “detoxes” and “cleanses” than the purported health benefits such as improved digestion, energy boost, and reduced inflammation.

Juices primarily consisting of fruits add more sugars and calories than you could eat the whole version of in a day. Longer juicing may cause more harm than good without protein to stabilize blood sugar spikes.

Liver and cancer specialist and surgeon Thomas Aloia, M.D., explains the importance of a healthy liver: “Detoxifying the normal things we eat, breathe, and ingest is part of its job and keeps us alive.”

So, how do we care for the liver so it functions properly? Dr. Aloia urges us to maintain a healthy diet and avoid putting extra demands on this vital organ.

He warns, “Don’t pack your liver full of fat, sugar, or alcohol, so the (detox) machine keeps doing its job well.”

If Whole Foods like fruits and vegetables and a plant-based diet centered around lean protein sources like legumes, nuts, and seeds  instead of animal products is what you’re looking to consume with these detoxes, cleanses, and juices, he says, “you will likely get all the benefits such programs offer.”

WHAT TO WATCH OUT FOR/WARNING: Juicing as a meal replacement results in inadequate calories and, most importantly, reduces the fiber required to absorb the nutrients from whole foods. This way of drastically cutting calories may result in weight loss. However, eliminating healthy protein sources could result in losing lean muscle mass and missing out on vitamins and nutrients to fuel your day with energy.

That’s not all; if weight loss is your goal, you may gain more weight when you return to your regular intake of calories and processed food.

Myth #3 Eating Soy Increases Risk of Breast Cancer

It was hard to understand that consuming soy products had been associated with cancer, especially considering that soy is the most popular plant protein, the central component of several Asian cuisines, and is widely used in diverse populations worldwide.

Soy milk emerged in Europe and the US in the 1980s, but it wasn’t until the ’90s that I noticed it. I vividly remember when everyone switched to soy milk in their coffee! Silk, a popular brand of soy milk products, was everywhere.

How could this healthy protein alternative to cow’s milk cause breast cancer when so many populations, including vegetarians, consumed so much of it? Something didn’t sound right. A friend of mine warned me with some urgency about the danger of soy.

Since her mother had recently lost her battle with breast cancer, I was convinced it had to be true! But was it? I needed to know that this claim was scary even though I didn’t like the taste of it in my coffee and never had a taste for tofu.

The confusion stems from a few misinterpretations of scientific evidence in the past. Breastcancer.org attributes older studies that were performed on rats suggested that large doses of isoflavones found in soybeans stimulated breast cancer cells to grow in Petri dishes. However, there is no evidence to suggest the same effect in people.

FACT: Harvard researchers confirm soy foods are rich in nutrients, including B vitamins, fiber, potassium, magnesium, and high-quality protein. Soy is a complete protein containing all nine essential amino acids the body cannot make alone.

According to the American Cancer Society, there is growing evidence that eating tofu, tempeh, edamame, miso, and soymilk may lower the risk of breast cancer.

Myth #4 Fresh Produce is Healthier than Frozen or Canned Versions

It may surprise you that although packaged produce is technically processed, its effects on nutritional value are minimal.

The National Institute of Health reports, “Research has revealed that frozen fruits and vegetables can have just as many vitamins —and sometimes more—than fresh.

While freezing may impact the texture of your fruit when it thaws, fresh fruit retains its natural texture better.

For those who do not have access to fresh produce or proper storage provisions, frozen or canned fruits and vegetables are a convenient and healthy alternative.

However, if you prefer the taste of fresh produce, then fresh may be the only way to go.

FACT:  According to the American Heart  Association, frozen and canned options can be healthy alternatives to fresh produce, the operative word being ‘can.’

In fact, according to UCLA Health, it is well documented that canned and frozen fruits and vegetables are commonly processed within hours of being harvested, which helps preserve their nutrients.

Smart Shopping Tips: It is essential to choose carefully and pay attention to the labels to avoid added sugars like “heavy syrup” or high sodium concentrations. Choose packaged varieties, such as fresh fruits and vegetables, free of salt, syrups, and creams, and season on your own.

WHAT TO LOOK OUT FOR: Follow the directions on the package of frozen varieties to avoid overcooking them to the point they lose color or shape. If you cannot identify the vegetable, some nutrients may have been lost along the way.

To be clear, it is possible to encounter a slight shift in the nutritional value of frozen produce. Tish Food Center says, ” Water-soluble vitamins, like vitamins C and B, may leach during the initial blanching process. Also, storing produce in the freezer for too long may cause freezer burn in which cell walls rupture, resulting in a noticeable change in color, flavor, and texture.” The fact remains, however, that adequately stored frozen fruits and vegetables make enjoying produce year-round.

Myth #5 Gluten-Free Foods are Healthier

If you’ve heard about gluten, you may be aware of it since so many products are suddenly made without it. But what exactly is it?

Gluten is a protein in grains like rye, wheat, and barley. It’s common in foods like bread, cereal, and pasta. Celiac disease is an inherited, diagnosable autoimmune disease estimated to affect 1 in 100 people worldwide.

When someone with Celiac disease eats food containing gluten, their bodies trigger an immune response that attacks the small intestine, causing damage and malabsorption of nutrients.

FACT: Gluten-free foods are NOT healthier. The opposite may be true: “Gluten-free foods are commonly less fortified with folic acid, iron, and other nutrients than regular foods containing gluten,” according to Harvard researchers.

They have found that gluten-free foods contain less fiber but more sugar and fat and cost more. Further research has seen “a trend toward weight gain and obesity among those who follow a gluten-free diet (including those with celiac disease).”

There is no compelling evidence that a gluten-free diet will improve health or prevent disease if you don’t have celiac disease.” This means avoiding gluten is unnecessary if you can eat gluten without trouble.

These are just the first five; we have 15 more to go. Stay tuned for part two.

This story is made possible by an educational grant from Novo Nordisk.

The post Nutrition Myths We Still Believe Part 1 appeared first on Black Health Matters.

Although I didn’t inherit “the fat gene,” my journey from a 5’11” 130-pound runway model to a 301-pound morbidly obese writer was definitively caused by the inheritance of the latter. I was one of the 500,000 kids in America—the majority of whom are Black—placed in the foster care system.

During my childhood, I had no knowledge of why—or even when—I became a ward of the state of New York because no one told me, and you certainly didn’t ask questions.

My earliest memory is sitting at a desk in school (in kindergarten or first grade), nervously pulling my hair, and seeing my foster mother, Mrs. Parkay, with her blue Afro wig and rhinestone-studded cat eyeglasses, pointing her menacing finger at me through the window of the closed classroom door. I could hear some kids seated near me snickering at her frightful image.

I blocked out the beating that followed. I quickly realized Mrs. Parkay was violent, illiterate, and a heavy drinker. Her two grown children were morbidly obese and delighted in regularly stealing food from us foster kids, which was a relief since Mrs. Parkay’s cooking of pig feet and chitterlings was quite terrible.

Food, however, became my Holy Grail. At night, I would sneak down to the basement and rummage through the garbage cans in search of scraps.

By 12, I was tall and skinny and caught the eye of Mr. Richardson, one of Mrs. Parkay’s cronies who visited the house where the drinking of Southern Comfort filled the evenings. He was a caretaker for a wealthy Jewish couple with an expansive mansion in Bronxville. Mrs. Stein threw quite the brunches and dinner soirees. Donning a crisp white uniform, I began working at the Stein’s mansion on the weekends and served endless platters of schnitzel, lox, smoked sturgeon, and other delicacies to her guests.

At the end of the weekend, I got to take home leftovers and snuck them into the bedroom for our secret feasts!

At 15, I saw the “Spanish Speaking Cashiers” sign posted in the A&P supermarket window. Using the treasured Singer Sewing Machine Mr. Richardson had bought me for a previous birthday, and I whipped red hot pants and yellow halter tops for my B.F.F. Niecy and me to apply for the coveted A&P jobs.

The outfits did the trick because the store manager, Mr. Dragastino, never tested our Spanish fluency (I knew Hola! and Gracias! which was more than Niecy knew!)

Niecy and I proudly wore our red A&P aprons—pinned with ~Yo Hablo Espanol” big white buttons. We had hit the jackpot with our cushy part-time jobs and a gourmet selection of endless goodies! Mrs. Parkay also took the opportunity to come into the supermarket with her friend Mrs. Dodger and load up their shopping carts—with expensive pot roasts and canned hams—that I was required to check out for free.

My fourth and last foster home was at Mrs. Rhodes in the Soundview section of the Bronx. I had skipped the eighth grade via the S.P. program and graduated from high school at 17. I used the last year in foster care to work full-time and save money for my grand escape at 18.

During that year, I also attended Ophelia DeVour Modeling School, created gowns for the school’s fashion show finale, and took night classes at F.I.T. Taped on my bedroom walls were sleek, sophisticated images of supermodels Lauren Hutton, Karen Graham, and Beverly Johnson torn from the pages of Vogue magazine.

Back in the late 1970s, the beauty climate was scary: “White was right, Blonde was better, and the infamous mantra: You could never be too thin’ was echoed around the globe.” I fell hard for this manufactured fibbery.

Although I was 5’11” tall and weighed 130 pounds, I made conscious efforts to get my weight down to 125 pounds because “thinner was better.’’

When I escaped foster care, I moved to Manhattan, attended F.I.T. by day, and was employed as a barmaid in black leotards at the Tin Pan Alley seedy bar in Times Square by night. I sent away my birth certificate and found out I was born in Brooklyn, and my mother’s name was Ruth Gregory, and “father unknown.” (It would be years later, when I became a writer for Essence magazine, that I would begin to unravel my family history.)

From the F.I.T. bulletin, I answered an ad for a roommate. I moved in with Susan Betz, a JAP (Jewish American Princess) from Great Neck, Long Island, who introduced me to “black beauties”: deadly amphetamines that were perfect for dieting and studying for exams. Frail and hyper from overdosing on pills, I finally landed in therapy. My wonderful therapist, Anath Garber, prodded me to pursue modeling.

After taking photos for my portfolio, I visited the Ford Model Agency. The white agent calmly told me: “You are beautiful, but we can’t use Black girls. You should go to Europe.’’

As a result, I became haunted by dreams of Paris. Anath prodded me to go. I had never been on a plane before, but off I went. Like New York, Paris is a cold, metropolitan city, but I immediately got tied into an American circle of models, photographers, and makeup artists. American models Dovanna, Lisa Rubenstein, and photographer Josef Astor were part of my inner circle.

Crossing a continent, however, did not erase the color factor. I remember going on go-sees for showroom and fashion show jobs and being told: “No more Black Girls today!” all the Black models in the room would get up to leave the go-see like a herd of cattle. One of the Black American models, Celeste, with whom I did a showroom job, was based in Firenze, Italy, and she prodded me to go there and sign up with Chic Models. I had never dreamed about Italy, but the minute I landed on Italian terrain, I was inspired by La Dolce Vita. My days and nights were filled with vino bianco, Spinaci con limone, and go-sees.

But even in Italy, modeling is fiercely competitive, and the terrain is filled with primarily American girls who are not about to help you except for one—Coco Mitchell. She had been working there for a minute and knew the treacherous terrain. Coco was my inspiration.

All the American models lived in the local pensiones (similar to what we call hostels), and sometimes, three or four of us were cramped in the same room.

I was living in a pensione with model Andrea from Dallas and makeup artist Jose from New York when La Dolce Vita turned bitter. Andrea turned green and was bedridden from our nightly vino bianco and spinaci con limone dinners. An Italian doctor ordered her to eat pasta and remain on bed rest.

I, on the other hand, was mentally unraveling from the excessive drinking to mask my childhood trauma.

The night before a photo shoot, I got into a fight and was socked in the face. Photographer Leonardo Maniscalchi was not happy about my black eye. Still, he turned my face to a profile for the modeling job (for a leather jacket ad to appear in Italian Vogue magazine). I didn’t want to leave Italy and come back to the harsh reality of the race struggles in America, but instinctively, I knew I had to get back to New York to resume seeing my therapist, Anath.

I cried my eyes out on the plane, but I came back in the nick of time to resume the therapy that would save my life. Little did I know I was in for a hell of a ride, though—like switching seats on the Titanic—and that I would painstakingly reinvent myself as a writer but gain 171 pounds in the process before finally hitting rock bottom decades later that would finally catapult me onto a solid road to recovery.

Part 1 of a two-part story by Deborah Gregory. (part 2 continues tomorrow)

Deborah Gregory is the New York Times bestselling author of THE CHEETAH GIRLS and the CATWALK trilogy.

The post What’s Fat Got to Do With It? appeared first on Black Health Matters.

Did you know one person dies every 33 seconds in the United States (U.S.) from CVD? About 695,000 people in the U.S. died from heart disease in 2021—that’s 1 in every 5 deaths, costing the U.S. over $200 billion each year. This includes costs related to health care services, medicines, and lost productivity due to death.

These conditions do not equally affect all demographics and may particularly affect the African American community. This article will address the basics of cardiovascular disease, explore common conditions and risk factors, and shed light on their impact within the African American community.

What Is Atherosclerotic Cardiovascular Disease (ASCVD)?

CVD refers to disorders that affect the heart and blood vessels. One type of CVD is atherosclerotic CVD (ASCVD). This occurs when plaque, or fatty deposits, buildup on the walls of the blood vessels and decrease or block blood flow. Since blood vessels deliver blood to organs throughout the body, ASCVD may affect more than just the heart. For example, decreased blood flow to the brain could result in a stroke.

The buildup of plaque that leads to ASCVD is caused, in part, by LDL-cholesterol and lipoprotein(a), or Lp(a).

Common CVD Conditions and Risk Factors

The following conditions fall under the umbrella of cardiovascular disease:

• Coronary artery disease (most common), which causes heart attacks
• Peripheral artery disease – blockages in blood vessels in the legs
• Heart failure
• Heart rhythm problems
• Stroke

Various risk factors contribute to the development of cardiovascular disease such as:

• High blood pressure
• High cholesterol levels, including Lp(a)
• Smoking
• Diabetes
• Obesity
• Poor diet
• Genetics and family history

Impact on the African American Community

CVD disproportionately affects African Americans. This health disparity stems from a combination of genetics, social factors, and disparities in healthcare access and quality.

Several factors contribute to the increased prevalence of cardiovascular disease among African Americans. We have higher rates of hypertension, obesity, and diabetes which puts us at an increased risk of developing heart-related conditions.

African Americans may face barriers to receiving quality care, including bias from healthcare providers, lack of quality healthcare, and inadequate representation in clinical trials for cardiovascular treatments.

Major Adverse Cardiovascular Events (MACE)

MACE is an acronym used commonly by researchers. You may see this term while reading about clinical trials. Major cardiovascular events, such as heart attacks and strokes, have a profound impact on the African American community. Not only are African Americans more likely to experience these events, but they also face higher mortality rates and worse outcomes compared to other racial groups.

The aftermath of major cardiovascular events can be devastating for families, and the emotional toll of losing loved ones prematurely to heart disease is overwhelming.

Are you at Risk?

Many of the risk factors associated with CVD are controllable, but there are some risk factors that are not. Lp(a) is different from other types of cholesterol. Elevated levels are genetic, and neither taking cholesterol medication nor making lifestyle changes such as improving eating habits or increasing physical activity will help lower levels. [insert link to elevated lipoproteins 101 article]

Most people are not aware of their Lp(a) level, but it can be checked with a simple blood test if requested by your healthcare provider. Researchers believe that lowering Lp(a) might lower the risk for heart disease, stroke, or peripheral artery disease.

Clinical research studies are investigating CVDs and risk factors associated with them, including Lp(a). Click here to learn more.

References:

• Centers for Disease Control and Prevention. Heart Disease Facts.
• Centers for Disease Control and Prevention. About Heart Disease.
• American College of Cardiology. Lipoprotein(a) in Clinical Practice
• National Library of Medicine. Lipoprotein(a): A Genetically Determined, Causal, and Prevalent Risk Factor for Atherosclerotic Cardiovascular Disease: A Scientific Statement From the American Heart Association
• Center for Disease Control and Prevention. Lipoprotein (a)

The post What is cardiovascular disease? appeared first on Black Health Matters.

The Trouble with Artificial Sweeteners

“Artificial sweeteners are sugar substitutes that provide high sweetening power associated with low accompanied calories,” according to Cureus. “These additives are known for their intense sweetness, often multiple times sweeter than sugar, allowing for smaller amounts to be used to achieve the desired level of saccharinity.”

Products containing artificial sweeteners are often advertised as healthier alternatives to traditional sodas and juices. Because they do not contain sugar, they are assumed not to lead to weight gain.

They work because they trick the brain into thinking it’s consuming sugar. As a result, they leave some people feeling less satisfied. One study reported that when we are obese or are overweight and drink diet soda, we are more likely to consume more calories at meals and snacks than our counterparts who drink sugar-sweet beverages. So, we gain weight.

The Yale Journal of Biology and Medicine stated that “While people often choose “diet” or “light” products to lose weight, research studies suggest that artificial sweeteners may contribute to weight gain.” The Journal also noted, “Several large-scale prospective cohort studies found a positive correlation between artificial sweetener use and weight gain.”

The American Journal of Clinical Nutrition found that “sucrose and saccharin consumption led to increased body weight.” Artificial sweeteners can cause changes in portions of the gut microbiome.

Industry Growth to Meet Consumer Demand

“Consumers are demanding a greater variety of low-calorie products as they strive to make healthier food choices.” according to the Journal of Pharmacology & Pharmacotherapeutics. This is leading to the popularity of products containing artificial sweeteners. These products include aspartame, saccharin acesulfame potassium, sucralose, neotame, and advantame. The Journal reported that their value to weight loss journeys may be overstated. “AS have been increasingly used as healthier alternatives to sugar-sweetened products to curb the obesity epidemic. However, the evidence supporting their weight reduction or maintenance use has been inconclusive.

The World Health Organization has warned the public against including non-sugar sweeteners (NSS) in one’s diet.

“Replacing free sugars with NSS does not help with weight control in the long term. People need to consider other ways to reduce free sugar intake, such as consuming food with naturally occurring sugars, like fruit, or unsweetened food and beverages,” said Francesco Branca, WHO Director for Nutrition and Food Safety.

Branca added that those seeking to lose weight should work on minimizing the sweetness of their diet altogether instead of finding solutions to access sweetness without sugar.

“NSS are not essential dietary factors and have no nutritional value. People should reduce the sweetness of the diet altogether, starting early in life, to improve their health,” he said.

The Journal of Family Medicine and Primary Care stated that artificial sweetening agents “have shown a paradoxical, negative effect on blood glucose” and that “this increases the levels of insulin in the blood, eventually leading to decreased receptor activity.” This should be taken into consideration when making decisions at the grocery store.

Consider These Alternatives to Artificial Sweeteners

•  Unsweetened Teas. Skip out on the false sweeteners and steep some tea for a long time to enhance the flavor. Hibiscus or lavender tea can imitate that bubbly pop you’re used to pouring in your favorite tumbler.
•  Sparkling or Flat Water. Add a citrus twist to your sparkling water or seltzer if you want some zest in your beverage. A few slices of ginger or a scoop of nutmeg can also add something special.
•  Add Some Herbs. Thyme, mint, or rosemary are great ways to give water or another sugar-free beverage a kick. If you don’t like the taste of herbs in your drink, strain them out for a smooth effect.

The post Are ‘Diet’ Food and Drinks Causing You To Gain Weight? appeared first on Black Health Matters.

For those who have been big girls, shopping for larger sizes and looking for aisle seats (with some extra room) has come with the territory. But bigger sizes don’t just mean more oversized clothes and chairs; they mean more strain on our bodies. Your knees may not be the only call you hear from your body. Pay attention to your numbers, too. That’s right, those dreaded numbers like blood pressure and cholesterol, and yes, that number is on the scale. As we get older, they are harder to control, but they are telling us something.

The American Heart Association states metabolic syndrome is diagnosed when someone has three or more of these risk factors:

•  High blood glucose (sugar)
•  Low levels of HDL (“good”) cholesterol in the blood
• High levels of triglycerides in the blood
• Large waist circumference or “apple-shaped” body
• High blood pressure

Metabolic syndrome puts you at greater risk for heart disease, stroke, diabetes, and other serious health problems. Focusing on sustainable lifestyle changes could pose long-term health benefits. You’ll notice the changes in your clothes, the lack of pain in your knees, and the comfort of those small middle seats.

Dr. Holly F. Lofton, MD, a Board-Certified Internist at NYU Langone Weight Management Program, has been a longtime pioneer in proper weight management and healthy living and has some initial strategies to help you manage your weight effectively.

•  Practice mindfulness techniques: Dr. Lofton recommends acupuncture as a stress reliever but also suggests exploring other methods, such as hypnosis, meditation, or yoga.
•  Introduce healthy coping strategies like regular exercise, journaling, or professional therapy to your everyday lifestyle.
• Seek a support system. In addition to board-certified professionals, a positive, supportive community of family and friends can help offset the urge to reach for comfort foods in stressful situations.
• If stress contributes to your weight, identify the situations or emotions that trigger your stress eating.

Getting to the Root Causes

According to Dr. Lofton, “The area of the brain that gets activated and traumatized is the mesolimbic system (or the brain’s pleasure center), signaling that whatever you do in excess, you will gain pleasure from it,” she adds. This excessive behavior looks different based on the individual, but if the signal is related to food consumption, therein lies the beginning stages of emotional or stress eating.

Her popular program, New You, helps patients achieve results through scientifically proven weight loss techniques and medications, combined with proper nutrition education. Dr. Lofton begins her initial patient diagnosis with the question, “Are you physically hungry (points to stomach), or do you have the desire to eat (points to head).” From there begins the in-depth conversation and analysis around a patient’s stress eating and where the root causes are. “Environmental stress (family, work, etc.) can cause brain trauma that causes one to crave comfort foods.”

Dr. Lofton and her medical specialists monitor and address the behavioral challenges resulting from poor eating habits and keep them under control. Treatment methods include managing stress, planning a healthy diet, making recommendations, and prescribing medications when needed.

Dr. Lofton maintains extensive research regarding patients who experience weight gain after medical weight loss methods to identify successful, long-term solutions and treatments for patients living with obesity.

Breaking The Cycle – Regaining Control

Identifying healthy diet plans and working towards results seems simple, right? Not at all. Studies have shown that 80% and 85% of those who lose weight quickly will regain it.

High stress levels can significantly impact metabolism and fat storage. Elevated cortisol levels can slow metabolism, making it harder to burn calories. High cortisol levels also signal the body to store fat, particularly in the abdominal area.

Repeated cycles of weight gain and loss can also negatively impact overall health. Fluctuations in weight can often lead to elevated blood pressure, elevated cholesterol levels, high blood sugar levels, and other risk factors.

Dr. Lofton stresses the importance of consulting with your trusted healthcare provider. A trained medical professional who understands obesity can best support you with treatment plans to help you lose weight, keep it off, and break the cycle for good.

Identifying a program that works best for you is your best chance of combating the likelihood of developing metabolic syndrome. Or working to reverse it.

The post What You Need to Know About Metabolic Syndrome appeared first on Black Health Matters.

When stressed, the body releases hormones that trigger cravings for unhealthy foods, typically high in sugar and calories. Eventually, this type of overeating leads to weight gain. Understanding the issues behind stress eating is critical to developing effective strategies for managing them.

The Hormone That’s Fueling Your Cravings: Ghrelin

Dr. Nicole also founded the Weight a Minute Clinic, a telehealth weight management practice for patients of all ages, noting that obesity “is a complex medical condition that has many causes; some of these causes are simply out of your control. “When the stomach produces the hormone ghrelin, it signals to the brain that you are hungry when you are not. Individuals who have obesity have lower ghrelin levels, which can ultimately make you feel hungry all the time, thus driving cravings for foods that make it harder to lose weight.”

The Cortisol Connection: Stress and Appetite

What exactly causes stress eating? Several emotions can lead to stress eating, from feelings of anxiety or sadness to thoughts of low self-esteem and perfectionism. Lastly, environmental triggers like not having geographic access to healthy food options can easily contribute to unhealthy stress eating.

Stress eating directly impacts weight management goals, from weight gain to weight loss. Increased calorie intake, limited physical activity, and irregular eating habits are a few ways that stress eating leads to weight gain. Additionally, stress eating can negatively impact weight loss efforts. When stressed, we are more prone to reach for unhealthy food options or skip meals altogether, making it challenging to stick to a routine, healthy diet.

Cortisol, also known as “the stress hormone,” is released in the body when we experience stressful situations. It signals the body and the brain, controlling your mood, actions, and food cravings. Elevated cortisol levels can stimulate our cravings for foods high in sugar and fat. While these foods offer a quick boost of energy, providing temporary comfort in stressful situations, the long-term effects may lead to overeating and unhealthy eating and weight management habits.

A Mindful Approach to Weight Loss

Dr. Nicole believes women and men must develop the ability to balance multiple roles and responsibilities while managing stress. Addressing these challenges and developing healthy coping mechanisms is the key to avoiding health risks and maintaining a healthy weight and standard of living.

When the challenges of “adulting” become too stressful, don’t go it alone. Take advantage of the tools available via technology and professional help. Food diaries and tracking are the age-old tools for managing food intake, but now free apps like Nourishly can track emotions with your eating, or paid apps through insurance or Noom provide even more support. Ask your primary care doctor for a referral to a licensed or registered dietician with CSOWM (Obesity and Weight Management Certification), or you can find one at eatright.org, so don’t be afraid to ask for support. Find a physician with an American Board of Obesity Medicine (ABOM) to assist you with your weight management journey.

With the right perspective and diet tweaks, you will have more energy and clarity to take on whatever challenges “adulting” throws your way.

Please click here for more information on Dr. Cee Nicole and the Weight A Minute Clinic services.

The post How to Break the Cycle of Stress Eating appeared first on Black Health Matters.

Check out our Q & A with her below:

How do people find someone like you?

L. Casey Flowers: With the expansion of telehealth in 2020, it’s been much easier to find a dietitian to work with. If you’re working with an endocrinologist for diabetes or a nephrologist for kidney disease, they usually have someone who works directly within their office. Or they can provide you with a direct referral, making things much more accessible. And your insurance company can give you a list of people as well.

No, not all dietitians are created equal. Some nutritionists may be personal trainers who took a course. Licensed dietitian nutritionists (LDNs) must take a licensure exam and meet continuing education hours to maintain their credentials through the state.

However, not all LDNs feel comfortable talking about weight management. Look for those with a CSOWM certification so you know they are Certified Specialists in Obesity and Weight Management. Most people will include it on their website.

What happens during the initial appointment?

LCF: If someone comes to me for weight management, our first visit will last 45 to 60 minutes. Our follow-up visits are generally 15 to 30 minutes. We do your anthropometrics, height, weight, and blood pressure. I will always ask if you have any specific questions because I will have many questions.

I will ask about your medical history. What if you’re on medication that causes weight gain? I must also know your diet history because every attempt lowers your metabolism. So, we will go through your whole diet, exercise, and weight history. Has it always been like this? Or is it an up and down?

The second half of the visit is the best part. “It is not, ‘Here’s this piece of paper, and you follow this plan,’ We take all the information you shared and make a specific plan to meet your lifestyle.

What you said is pertinent. For example, what has happened in the last six months or five years impacts what will happen now. I just had a death in my family or lost my job; that’s important for you to know.

LCF: Extremely. If your stress hormones have increased, and you haven’t done anything to help lower them, your weight will not go anywhere. So, we must ensure we’re addressing those kinds of baseline concerns.

What surprises patients about their first visit with a dietician?

LCF: We start with small changes. We usually focus on three goals to start and then set them up with a monitoring tool, like a food journal or an app, so that we can do regular check-ins. Today, for example, one of my patient’s three goals was to sleep seven hours a night. However, making that improvement will help in the long term.

How does sleep impact weight?

LCF: Sleep is so essential that I never thought I’d have to discuss it as much as I do. Many patients do not get their seven hours in, so their stress hormone, or cortisol, never has a chance to get lowered. When your cortisol is up, it automatically tells your body to start up, regulating your fat, absorption, and growing fat. It also increases your hunger, specifically for specific nutrients that will boost your dopamine. What’s going to do that is tryptophan, which comes from chocolate.

So, if you’re not sleeping well, many people start craving these simple carbohydrates to help get them through the day.

As a Certified Diabetes Care and Education Specialist, I always see this as a red flag. If somebody wakes up between 3 and 5 AM, that’s nighttime or reactive hypoglycemia time, and their blood glucose will drop during those hours. They will spontaneously wake up. We must fix their diet at nighttime so that doesn’t happen. Sleep tells you a lot about a person.

How often do you meet with your patients?

LCF: We’re supposed to meet every two weeks for the first month. Then, we can go every two to three months for maintenance. I am the only dietitian in my clinic and serve three clinics. So, I usually see patients every four weeks. We’ll meet once a month. I also do email check-ins to see how my patients are doing.

 When you keep your food journal, please be honest. I do not care. There is a suspicious amount of grilled chicken salad in people’s diets, but not all of us are eating them.

How long is a patient seen?

LCF: It depends on their insurance and what they’re willing to cover. Sometimes, insurance says you only get three hours of diabetes education a year. So, we make that work. Some people have come into the office and needed a brief education. I never saw them again. Other patients I have known for the last half-decade. At this point, invite me to your cookout; we’re family. It depends on what the person needs.

What if a patient came to you recently diagnosed with pre-diabetes? What advice would you give them?

LCF: This is my favorite question. I love pre-diabetes because these patients are in a great spot to make a huge change that will impact the rest of their lives. Many underutilized resources exist, such as the CDC’s Diabetes Prevention Program. Certain health facilities have grants within that program. I always educate my patients on that. Some feel more comfortable doing the one-on-one with me. We work on lifestyle intervention:

• Are you moving your body enough to burn off this extra blood glucose?
• Are you eating in a pattern that you know is conducive?
• Are you having more fiber than sugar?

This isn’t something that you can do well for a month, and now you don’t have pre-diabetes or diabetes; no, your pancreas has officially told us something’s wrong. You will have to pay attention to this forever.

What other conditions do you see in patients often?

LCF: The conditions I see most often include hypertension, high cholesterol, and those trying to get their heart health under control. I work with patients after bariatric surgery. The challenge is that although their stomach anatomy has changed, they see food with the same eyes and brain, so getting support as you make these adjustments is critical. I meet with them every one to two months during the first year.

If you are looking for a Licensed Dietitian, where should you start?

LCF: The Academy of Nutrition and Dietetics has a website, eatright.org. You can search for a practitioner based on preferences, including zip code, language, certifications, insurance, and in-person and telehealth options. Check directly with your insurance provider to see whether they have any LDNs or RDNs with CSOWM certifications and Google providers in your area with those certifications to see what comes up. Finding the right dietitian could be essential to maintaining weight loss once you achieve your goal.

Supported by an educational grant from Novo Nordisk Inc. 

The post Why You Need to Work With A Dietitian to Achieve Your Weight Loss Goals appeared first on Black Health Matters.

The Generational Shift

Imagine this, or rather, you don’t have to imagine it because it’s our reality. Today, a woman in her 30s faces a higher risk of being diagnosed with cancer compared to her grandmother at the same age, according to Scientific American. And this isn’t limited to just one type of cancer. We’re talking about colorectal, breast, pancreatic, and many others. This widespread issue spans several types of cancer, making it even more alarming. According to a comprehensive model-based cohort analysis of nationwide, high-quality cancer incidence and mortality data, the incidence rates for 17 cancer types have increased in progressively younger birth cohorts in the USA. In other words, more young people are being diagnosed with cancer than ever before.

What’s Behind the Rise?

You may wonder what’s driving this increase. Several factors are involved. The modern diet, rich in processed foods and sugary drinks, is a primary culprit. Sedentary lifestyles and rising obesity rates among younger generations also contribute.

A study from Blue Cross Blue Shield of Michigan found that less than half of people aged 18 to 25 exercised at least once a week in early 2022, and the situation hasn’t improved.

It’s not just about diet and exercise; environmental factors play a crucial role, too. People today are exposed to more pollutants, chemicals, and radiation than previous generations. Additionally, tobacco and alcohol use remain prevalent among younger generations, consistently harming their health.

Early Detection

One of the most effective ways to combat the rise in cancer diagnoses is through early detection. Regular screenings can catch cancer in its early stages. For instance, colorectal cancer screenings can detect precancerous polyps, allowing for early intervention and potentially saving lives.

Research and Education

Addressing this issue requires a multi-faceted approach. We need more research to understand the underlying causes of cancer in young people.

In an interview with PBS News, the CEO of the American Cancer Society mentioned that they have been seeing early indicators of a rise in cancers at an earlier age over the last several years. Early onset colorectal cancer, for example, has shown declining incidence in populations aged 65 and above but rising in those 50 and younger. These are ages for which they previously did not consider someone to be at risk for colorectal cancer.

We must prioritize research into specific risk factors affecting younger populations, including genetics, biological factors, and the impact of the collective modern lifestyle and environmental aspects.

According to the American Cancer Society, the incidence rate of colorectal cancer among Black adults under 50 has been increasing by about 2% per year. Additionally, the overall cancer incidence rate for Black people under 50 is higher compared to other racial and ethnic groups. Our community needs more targeted prevention and early detection efforts.

Taking Action

This is a reminder that cancer doesn’t discriminate by age. It’s a call to action for healthcare providers, researchers, and policymakers to develop strategies to alleviate this surge. By understanding the contributing factors, we can work towards reversing this trend and ensuring a healthier future for all generations. If you are under 50, know that you are not too young to develop cancer. Consider getting screened, explore your family health history, and stay informed.

The post The New Face of Cancer is Getter Younger and Younger appeared first on Black Health Matters.

These were fibroids invading my body and interrupting my peace. I knew it but could not prove it, so I consulted a doctor to tell me what I already knew.

After an extended period of listening to a history podcast about the French Revolution in the waiting room, I was able to connect with him and explain my feelings.

His response to the news that I was running through super jumbo tampons like they were going out of style and had days where I could not stand due to the pain did not shock me, but it did infuriate me.

The OB-GYN I was seeing at the time refused to give me an ultrasound. He stared at my mid-section as I spoke, refusing to meet my eyes or acknowledge the urgency in my voice. The American Journal of Obstetrics and Gynecology reports that “Fibroids are more common and more severe among African American women, and African American women have fibroids diagnosed at earlier ages, are more likely to be symptomatic, and are likely to have different responses to medical treatment than White women.”

These facts did not affect his decision-making.

His diagnosis was premature. He did not inform me that having a vitamin D deficiency— which I was later proven to have—was associated with a higher risk for fibroids. He did not ask anything about my stress level or my lifestyle.

It leaped from his lips. “Go to the gym at 6 am daily, then come back and talk to me in a couple of months, okay.”

He refused to commit to ordering an ultrasound despite my protests. It did not matter that I explained my family history. It did not matter that I had been bleeding since I was 11 years old, and I knew that what I was experiencing was not normal for my body.

I was fat, so sending me to the gym was the only logical conclusion to addressing any health problem I had. What else could you do but instruct me to hit the weight room? It’s not like l was a real person or anything.

“Physicians may over-attribute symptoms and problems to obesity and fail to refer the patient for diagnostic testing or to consider treatment options beyond advising the patient to lose weight, according to a 2015 study published in Obesity Reviews. I am living proof that research is accurate.

This kind of weight bias negatively impacts patient outcomes and contributes to some people’s reluctance to seek care.

Fat people are not the only ones who are routinely dismissed by the people they turn to for help. Women Health Reports reported in 2022 that “Racism impacts clinician’s ability to listen to Black women’s experiences and treat them as equal partners in decision-making about their own care and treatment options.”

When you are a Black woman who happens to be fat, you are likely to face more barriers to receiving adequate care.

The Journal of American Medical Association reports that “Chronic pain is an area where substantial racial and ethnic differences in the management and treatment of Black individuals’ pain have been well-documented.”

A few years and a significant amount of pain later, I turned to another doctor at the height of the pandemic. She was a Black woman.

I sought out a Black woman doctor because I was afraid of what would happen if I didn’t. I explained what I was feeling and was immediately told that I needed an ultrasound.

The experience was simple. It revealed what I already knew quickly. I had several fibroid tumors causing my pain.

There was no need to plead and beg for what should have been routine diagnostic care. She felt she could not confidently treat me without knowing what was going on, so she ensured I had tests that would let her develop an informed treatment plan.

It is unconscionable that my healthcare provider refused to confirm that via the appropriate testing.

Editor’s Note: If a doctor does not give you the tests you believe you need, ask again. If they refuse, change practitioners immediately. Do not wait. Before choosing a new doctor, research, research, research, check ratings, read reviews, and get recommendations from current patients. Check out this list for more tips.

The post My Ob-Gyn Denied Me Care Because I’m Overweight appeared first on Black Health Matters.

The report indicates that up to 50% of birthing people retain 10 pounds or more, and up to 25% retain more than 20 pounds.

Being proactive about your patient’s PPWR now could avoid the associated comorbidity medical risks such as cardiovascular disease and type 2 diabetes in the future.

Recognizing the Roadblocks

There is room to improve the postpartum wellness journey and obesity outcomes for your patients who give birth—currently, care often centers around the most visible challenges associated with the post-delivery period. However, that period is extensive, and patients need instruction on caring for their mind and body during that time.

A review published in Heylion found that “When communicating with patients from different cultural backgrounds, physicians were found to be authoritarian, biomedical-focused, and not involved with patients in decision-making.” Perceptions like these create roadblocks to effective obesity treatment.

Why Cultural Sensitivity Matters

Leah Hairston, a birth and postpartum doula who earned the recognition of John Hopkins Social Innovation Lab and as a semifinalist for Pharell Williams’ Black Ambition Prize last year, Sweet Bee Services, spoke to the need for professionals who understand the cultural sensitivity challenges faced in postpartum.

“There’s a dearth of access to Black dietitians and nutritionists,” she told Black Health Matters.

The American Journal of Clinical Nutrition states, “Reproduction has been identified as an important factor for long-term weight gain among women.”

Hairston and her team offer solutions to the people they serve. “People feel a lot more at ease because there’s somebody who looks like them who also understands,” she explained.

Hairston gave an example of the need for cultural sensitivity in postpartum nutrition: “My family’s Caribbean. So, I’m gonna eat plantains and rice and beans. I don’t want to feel like rice and beans are a punitive meal,” she explained. But I might not need to eat six helpings of rice and beans.”

She values practitioners who are “able to honor the things that are important to me and my family while also honoring our budgetary restrictions and any other needs that we might have.” She brings that awareness to her work.

Rethinking Postpartum Evaluations

Birthing persons require support far beyond the first few months of the postpartum era, but an article from Nutrition Research Reviews reported that “much less attention is being given to the postpartum period beyond 18 months.”

Postpartum patients need thorough evaluations to determine if they have obesity. These evaluations need to go beyond the sparse required check-ins for birthing persons.

“There is a great need for postpartum women to identify the implications of postpartum obesity. There is also a need for healthcare professionals to treat postpartum women with greater competency, having a structured postpartum follow-up with counseling and motivation for weight loss and investigations like hemoglobin, TSH, and blood sugars at follow-up,” according to a 2022 article published by the Journal of Obstetrics and Gynecology of India.

The Annals of Hematology noted that “postpartum anemia has been linked to several important postpartum morbidities, including depression, reduced cognition, and fatigue.” Still, it is critical to learn how it plays into postpartum obesity.

Dr. Danielle Wright-Terre, founder of the Honey, a postpartum community and app, commented on gaps in the postpartum care process that begin earlier than that. “Regarding check-ins for the mom, there are gaps,” she said. “There needs to be more guidance on the physical recovery aspect.”

Many doctors focus on ruling out issues for new mothers instead of being evaluated for ways they can thrive.

“The postpartum phase is just to make sure mom is doing well from a mental health standpoint. After that visit, if nothing is identified, her next visit is at 12 months, and that’s the annual visit. So, there’s not a lot of check-ins,” Dr. Wright-Terrell continued.

Key Factors Impacting PPWR

According to the Journal of Clinical Medicine, “Irregular sleep and mealtimes during the postpartum period could also interfere with body weight. Emerging evidence suggests that the misalignment of eating and fasting patterns with the body’s circadian rhythm could impact metabolic function and consequently body weight.”

Irregular sleep can also contribute to an individual becoming obese.

“Individuals who regularly slept less than seven hours per night were more likely to have higher average body mass indexes and develop obesity than those who slept more,” in a study published by BMJ Open Sport & Exercise Medicine.

Current Obesity Reports states, “Epigenetic programming that occurs at conception and throughout pregnancy predisposes children born to mothers with obesity to a range of chronic metabolic conditions including type 2 diabetes and heart disease.”

Taking an Individualized Approach

Healthcare practitioners must individualize their engagement with birthing people. Not all people who give birth are the same, and they do not all come from the same culture.

An informed perspective can help a practitioner be more effective.

Dr. Wright-Terrell pointed out that people who deliver without complications might not need to wait the widely recommended six weeks before engaging in movement that might help their mind and body. She said sometimes they “can start moving and gentle exercise as soon as 72 hours after delivery.”

Talking to your patients to determine what is best for them can help you make recommendations that suit their goals best.

“I try not to restrict my patients in terms of movement because movement is really powerful and healthy overall, and it can help you feel more like yourself.”

Referrals are crucial in helping people with uteruses re-engage with their fitness plans. Hairston uses referrals to help her clients understand the resources available to them.

“A nutritionist is covered under your insurance when you’re pregnant and usually in the first couple weeks of postpartum, and so it should be pretty easy to find somebody in-network,” she said.

Dr. Wright-Terrell explained the importance of educating patients on how their fitness goals can be achieved through seeking specific care to prevent sustained weight gain. For example, physical therapy can help build core strength, which is essential to pursuing weight loss through physical exercise. “Another great resource that I feel is underutilized is physical therapists, specifically pelvic floor physical therapists,” she said.

Dr. Wright-Terrell states, “Every OB should have a low threshold to send out the referral” for a specialist to accommodate them.

When HCPs approach patients holistically, we may have a better chance of reducing PPWR in our community.

Supported by an educational grant from Novo Nordisk Inc.

The post A Holistic Approach to Postpartum Weight Gain Benefits Patients appeared first on Black Health Matters.

“Along with the loss of menstrual periods, the menopause transition is marked by phenotypic changes including body weight gain associated with increased fat mass and decreased lean body mass associated with reduced skeletal muscle mass and net bone resorption,” according to BJOG: An International Journal of Obstetrics and Gynaecology.

Preparing a plan to deal with this is particularly important for those treating Black women who face a different menopause experience, according to Dr. Alaa Gerais, a resident physician at the Neil Riordan Center for Regenerative Medicine. “Women of color also tend to go through menopausal symptoms at younger ages and for longer durations than white women,” she explained in a statement to Black Health Matters.

The hazard factors impacting the range of menopause onset include oral contraceptive use, smoking, and more.

Being open to developing a plan that caters to the demands of the patient’s lifestyle is key to helping them effectively handle this transition.

“Managing these issues is an important part of caring for women at mid-life, so it is incumbent on practitioners to have a clear understanding of the treatment options and how they may be adapted to an individual woman’s needs,” according to the Journal of Mid-Life Health.

We seek ways to advise your patient on weight gain during menopause. We’ve rounded up some methods below.

Educate Them

Empowering your patients through education allows them to be a true partner in managing their journey through menopause. This process can begin at the beginning of the menopause’s onset or even before it with predictive factors that can help you prepare your patient’s expectations.

Begin doling out advice and listening to their concerns during the perimenopausal period.

Talk them through how the effects of menopause might be showing up in their lives, and actively listen when they answer about their lifestyle.

Consider the best plan of action that they are most likely to maintain without drastically altering their routine.

Keep the advice focused on what best practices will work for the patient before you, and do not generalize it. “Provide counseling that focuses specifically on engagement in a weight loss intervention may enhance weight loss outcomes relative to more general weight loss advice,” reports the Journal of General Internal Medicine.

Have Them Hit the Weight Room

“Proper nutrition and exercise can help keep excess weight off, leading to a reduction of the fluctuation of estrogen, therefore, a decrease in menopausal symptoms. Exercises such as weight training can also strengthen bones, which is important in menopausal women due to decreased estrogen,” explained Dr. Gerais.

Danielle Rancourt, a registered dietitian, connected the lack of bone strength to the necessity of incorporating strength training into an overall wellness routine. “This is why strength training and adequate protein are so important at this stage,” she said.

Check-in with patients to determine what part of their fitness regime includes strength training. To make strength training more appealing, recommend incorporating methods that fit their goals in other areas of their lives. If they struggle to gain the appropriate nutrition, refer them to a nutritionist.

Advise Them to Get as Much Help as They Need

Reinforce that there is no need for those facing menopause to feel ashamed of this natural change. “If a woman is experiencing menopausal symptoms, she must speak to her doctor about the changes she is experiencing,” Dr. Gerais continued.

Work with their other providers to develop a plan that includes their mental and emotional health.

Consider Their Lived Experiences

Present a culturally informed medical opinion by considering the lived experience of your patient and how it might intersect with their transition into menopause. Other studies have found that some health risks associated with systemic racism contribute to the menopausal experiences of marginalized persons.

Find out what other kinds of support are available to help them achieve their goals.

Rancourt recommended “managing stress,” “prioritizing sleep,” and “seeking help from a qualified women’s health provider to manage your symptoms” as well. Insomnia can lead to difficulty managing weight, including the type of weight gain associated with menopause. If they express difficulties, I in achieving the appropriate results, refer them to a nutritionist.

A 2022 study published in Women’s Midlife Health found Black women were “50% more likely than White women” to experience vasomotor symptoms that can impact sleep and recovery. Consider this when making recommendations.

According to a Women’s Health Initiative Study, the risk of developing insomnia was greater in women who consumed high glycemic index (GI) foods bread, pasta, baked goods, and white rice) and anything containing added sugars (sugary beverages, sweets) versus low glycemic index  (GI) plant foods such as most fruits and vegetables, legumes and beans, nuts, seeds, and whole grains.

Bottom line: You may have to assist your patient in navigating the new realities she will face in mid-life, and some of the adjustments she may need to make. Weight gain and the distribution of fat may be among them. Start guiding her early, whenever possible, especially knowing that your Black patient may have a different experience.

The post Helping Patients Manage Menopause & Unexpected Weight Gain appeared first on Black Health Matters.

Probiotics and prebiotic beverages have increased in popularity in recent years. Several companies have begun offering over-the-counter probiotic and prebiotic products boasting benefits ranging from digestive improvements and improved mental health to cardiac wellness and clearer skin. Some even theorize that they can curb the likelihood of contracting common viruses.

Emphasis on gut health has swept the wellness world by storm. There are even lines of celebrity supplements with probiotic and prebiotic SKUs. People fill their coolers with brightly covered wellness drinks thinking they are a cure-all, but their advantages are complicated.

A 2020 article from Foods clarified that “The term” “health “benefit,” (often” stated on the label) is not a regulated specificity, nor has a clear medical meaning.” This has not stopped consumers from chasing after them by purchasing probiotics and prebiotic beverages (like Oilpop, Culture Pop, and Poppi). They are the cornerstone of the functional beverage market, joining protein shakes and collagen concussions as perceived miracle potions.

“The public awareness of diet-related issues and ever-increasing evidence about probiotic health benefits have increased consumer interest in probiotic foods,” according to a 2023 article in Frontiers in Microbiology.

That article expressed the importance of probiotics being administered in “adequate” quality.” Poppi,” a major player in the beverage industry, is facing legal challenges for their health claims in the form of a class-action suit that alleges that they did not infuse an adequate amount into each of their cans. Still, the amount of “adequate” can vary for each person.

The market has swelled to over ninety billion dollars despite this. “From an”industrial perspective, there are always challenges related to adding health-enhancing components, including probiotics, to food matrix,” according to Foods.

Not only are the benefits of probiotic beverages difficult to determine but there are potential risks associated with prebiotics and probiotics being examined by researchers. These can potentially be increased in select marginalized publics like those late in their pregnancies, immunocompromised individuals, and chronically ill children.

Dr. Janese S. Laster, a board-certified doctor in Internal Medicine, Gastroenterology, Obesity Medicine, and Nutrition and the founder of Gut Theory Total Digestive Care in Washington, D.C., explained that probiotics and prebiotics are best introduced to a regimen that includes physicians.

She also said that more information is coming to the public about probiotics and prebiotics as efforts to design and execute productive studies are expanding.

We don’t have enough data and so there’s a bunch of research going on,” explained Dr. Laster. “But right now, we don’t have enough information to make a determination.”

What do you need to know about probiotics and prebiotics before using them?

Their usage affects everyone differently.

“We don’t know what that perfect makeup is. The only thing we know currently is that people who tend to be the healthiest people, people who have no GI symptoms, tend to have a really, really high diversity of all types,” said Dr. Laster. “We don’t know which is the perfect one each person needs. So that’s the big issue and what we’re trying to figure out and determine.”

There are different kinds of probiotics.

“Not all of them are created equal,” said Dr. Laster. “Most things won’t make it through to your small bowel where they can actually have some effects.”

Research the strain you are considering and discuss it with your doctors before working it into your diet.

Probiotics can be affected by heat.

The way you store your probiotics matters. Research best practices for how to store the probiotics you are taking so that you can obtain the most benefits from them.

Probiotics don’t outweigh a poor diet.

Chugging probiotic-infused soft drinks will not undo the damage caused by an unbalanced diet. (Think about integrating these 10 prebiotic foods into your diet.)

Dr. Laster declared that foods that are high in fiber, like certain fruits and leafy vegetables, are still crucial to achieving one’s health goals. “These are things that we know actually change the microbiome,” she said.

“If you put fertilizer on the ground with Cheetos, nothing’s growing,” she said. “But if you put it there with apple seeds, you’ll get an apple tree at some point. So it’s about sort of what you’re feeding your gut, and just having a probiotic on top of a diet that is completely processed isn’t going to do anything.

It’s difficult to tell what probiotics you lack.

Tests claiming to identify the perfect probiotic cocktail for you might not be entirely accurate. “There’s no real good ways to test that at this point,” said Dr. Laster. She noted that it’s important to understand that many of these tests have legal disclaimers explaining that they can not be used for medical management.

“People will go online and come and see us and say oh, I got this test done that I wasted $700 on, now you tell me what to do with it.”

The post Probiotic & Prebiotic Drinks Like Poppi Soda: Are They Worth The Hype? appeared first on Black Health Matters.

Claudia:
All right, so my name is Claudia Lopez.

00:00:15:19 – 00:00:45:18
Unknown
I am the digital marketing and operations manager at Black Health Matters. And today I am here with Miss M. Marcia Lee. She is a fitness and wellness guide. A mentor and I am inspired very deeply by her journey and her story. And I wanted to make sure we gave air and space for her journey and allowed her to share with other people because, really, in today’s day and age, we need inspiration.

00:00:45:20 – 00:01:10:04

We need to be able to see ourselves within other people. And we need to understand that there is, a path forward and that there is positivity to look forward to and growth to look forward to. So, Miss M, would you like to introduce yourself and tell people how your journey started? Thank you, Claudia, for having me on.

00:01:10:06 – 00:01:33:13
Marcia
So my journey began in 2009 when I went to the doctor for my hanging physical, and she said, Miss Lee, you are a borderline diabetic. And I’m like, I say, our family picks up everything but money. Mind you, everybody in my family is a diabetic but me. I didn’t want to become a statistic. So she asked me what it was.

00:01:33:13 – 00:01:57:23
Unknown
I know as far as my diet and exercise regimen. I said the only thing I was doing was going to a happy hour, mostly eating chicken wings and French fries and having cocktails. But it wasn’t until I. I was taking my car home, and I had seen this as a free fitness class setup, so I dropped her off and circled back to the rec center to sign up.

00:01:58:01 – 00:02:24:04
Unknown
But while I was waiting to sign up, I saw a flier that said that in D.C. residents, if they lose 20% of their body weight, they can start the onset of chronic diseases like diabetes and hypertension. I said yes; where do I sign up? I signed up for the first day of orientation. We got to the orientation process, and the dietitian gave us these books.

00:02:24:04 – 00:02:47:08
Unknown
I said, what are these books for? She says, a food journal. I’m like, what? What food? You’re gonna say you’re buying my food, right? I don’t want you to know what I’m eating. But eventually, I understood the assignment. It was necessary for me to be successful in the program. So what we did was try. I had tracked what I ate and my exercise regimen.

00:02:47:08 – 00:03:09:06
Unknown
So the weights have reached a plateau. She was able to review every day. She was able to review the journal, do my exercise, and review my exercise regimen, and we were able to come together, and it actually worked out. But at the end of the 16 week program, I had lost four dress sizes. I wasn’t close with alphabets to close to numbers.

00:03:09:06 – 00:03:35:09
Unknown
You know how good that feel I was. My class was. I had to change my entire wardrobe. It took me six months to get rid of all those clothes I had, and I had all the clothes. But during that process, I actually started exercising, too. I went from not exercising at all to exercising daily. To this day, I’m still exercising regularly, and I have kept my weight off for 15 years.

00:03:35:10 – 00:03:54:00
Unknown
This was the first time in my life that I was able to put a handle on the weight. I never let myself go 5 or 10 pounds over at all. I do a reset spot oversee; I think it is focused and disciplined, and it’s very work. Clearly, a lot of people don’t realize that this whole weight loss journey is work.

00:03:54:02 – 00:04:27:00
Unknown
And this was man, this was this was free. We go to the exhibit, and bam, and all of that. This was hard work, determination, and will. They will want to put in the work. It really is putting in the work. It’s changing your whole way of thinking about food. And then I look at food as medicine. So I went from making pharmaceutical companies rich as far as buying assets and laxatives because when I was bigger, all that stuff I was put in my body was no good.

00:04:27:02 – 00:04:52:18
Unknown
So now I don’t even take I haven’t taken a laxative. You or antacid in years. I rarely have to even do it as it’s so, so rare, so infrequent in my life now. But the exercise journey has been really, really phenomenal as well. I would like to thank my DC Parks and Rec family for all the free, low, and no-cost fitness and wellness classes.

00:04:52:20 – 00:05:14:10
Unknown
Then I’m able to partake in and I still partake until this day. I’m also an ambassador for the DC, a wellness initiative that may have thousands of hours of started. So I am one of the community ambassadors also, every Wednesday for health and wellness. I love it. So, like I say, I’ve done like I say nothing.

00:05:14:10 – 00:05:39:21
Unknown
Now I do. I didn’t like walking cloudy and wouldn’t walk like two inches. Now I walk all the time, I walk, I hike, and do yoga. I do Zumba, I do freestyle dance, I do can I do everything wellness now? Claudia? I’m always trying new things. When I go on vacation, it feels good, Claudia, that I don’t have to sit back because I’m too tired, because I’m winded.

00:05:39:23 – 00:06:02:06
Unknown
I keep up with the best of me already. I love it, so that’s my journey. But in 2019, my brother Michael, that. And you know what? He had to suffer from depression. But he had been depressed for years. But he didn’t say anything. It wasn’t until the day before he passed when he told my brother, I’m depressed and I need help.

00:06:02:08 – 00:06:26:09
Unknown
We’re Claudia. He was there within 24 hours. And I’m like, you know what? Let me let me put some light to the darkness that I was feeling at that time. So I decided I wanted to be an advocate for health and wellness, especially in communities of color. Claudia, because we’re very, shy about our well-being. We don’t want to talk about it.

00:06:26:10 – 00:06:45:09
Unknown
So I’m a I’m a big advocate of therapy. I could be the poster girl on any or any signage that I do or not. I could be the poster girl for therapy because for me, therapy worked. You have to want to put in the work, find the right therapist, be ready. Be very. Be ready to do a deep dive in your life.

00:06:45:11 – 00:07:08:02
Unknown
Be ready to have a breakthrough because of you. Once the breakthrough comes, you can see things for what they are. And then you, you can, you know, you can be active, Courtney. You can play in your life. You can change your how to be of your mental health and well-being. So, I also teach people how to cook healthily on a budget.

00:07:08:02 – 00:07:27:17
Unknown
I don’t keep your income levels until people are always about preparation and planning. And that’s it. I say you can eat very well. And my goal my long-term goal, Claudia, is to get people to get them to do it so that it will be eaten, ask, whatever. Because there’s too much, you know, how much money are you spending? It’s like 60 bucks for one meal.

00:07:27:17 – 00:07:48:19
Unknown
You know how much food you can buy. And we’re lucky, Claudia, we are in, I’m in DC with, DC Department of Parks and access to my community gardens. And they give out free vegetables every week from May through the end of November. Do you know how good I eat? I eat well, anyway, but I’m eating fresh. And I’m so sad during the winter months when it’s not as robust.

00:07:48:21 – 00:08:10:07
Unknown
But I take advantage of that. I usually go home and cook it; sometimes, I see people on social media. What I’m cool with is the vegetables. I’ve gotten some from the different markets and you know how you know how it, no, cause these to make these yourself. So that’s my goal, Claudia. That is my goal to be and just to teach people how to live the best version of themselves.

00:08:10:09 – 00:08:26:11
Unknown
And they could be the best version of themselves. And they put in the work. And it’s not as hard as people think. Once you start doing it, Claudia, it becomes a routine, and you’re not going to want to go. I hear all the time I say that you know, you cannot go out to eat, but don’t make that habitual.

00:08:26:13 – 00:08:52:19
Unknown
It kind of matters what we eat because, well, processed foods are sugars and starches. And I say, you know, keep things to animals. That’s my goal to teach people how to do that. Claudia, I think one one aspect of what you spoke on that is extremely important for people that they can lack when it comes to a physical journey or a mental journey or, you know, anything really in their walk of life is motivation.

00:08:52:21 – 00:09:19:10
Unknown
And how do we stay motivated in order to be able to create these changes within our lives? So what would you say to someone who wants to start a journey or is thinking about starting a journey but maybe isn’t finding the motivation within themselves right now to be able to begin? Well, it’s not what I say because a lot of people don’t like me, you know, some people don’t like being around other people, and that’s fine.

00:09:19:15 – 00:09:38:23
Unknown
But as a quality, become your best friend when you do. I said, you have so many different exercises for all when I tell you all levels by all levels. But, and I always tell people then you can, you can find an accountability partner. It doesn’t have to be a process. You can find a virtual accountability partner.

00:09:39:01 – 00:09:56:21
Unknown
You can meet somebody. Hey, let’s do a FaceTime. Let’s do a Google Meet. Let’s do a zoom. Let’s do it; when I type a digital platform that you may have, or even those who don’t want to, take a virtual digital platform and do a phone check. Hey, how are you doing them? What? You don’t know? Hey, guys, I know, let’s have a call.

00:09:57:02 – 00:10:14:03
Unknown
Let’s get a check-in. But for me, it says I like to be outdoors. My fitness family. Trust me, it was a wellness check. It was. It was a check-in regular accountability was like, oh, where are you at today? Why do you like it? You know, it was always it was always group text. Okay, we’re doing this today.

00:10:14:03 – 00:10:35:06
Unknown
We’re doing that today. So, for me and for anybody, you can have accountability partners, whoever is in person or virtual, because you understand people. People are where they are. And I’m willing if you work with me, I can meet you where you are because everybody, you know, no two people are the same. And I respect that. That’s very true.

00:10:35:08 – 00:10:37:08
Unknown
One other thing that I think,

00:10:37:08 – 00:11:02:09
Unknown
is important that you mention was what we consume and how you treat food and how you view food. So what do you think? For one, what are some foods that are positive contributors to our lives, and what are some foods that maybe we should try to cut out a little bit more or just lessen to improve that journey to wellness?

00:11:02:09 – 00:11:20:17
Unknown
so for the average person, you know, and, you know, bad Claudia, all that junk food, potato chips and all that potatoes are the worst. And I know when I was on that page of trying for a while, the weight came on quick and I said, you have this potato chip. So nad cut that out and processed foods.

00:11:20:17 – 00:11:21:13
Unknown
Claudia.

00:11:21:13 – 00:11:24:11
Unknown
Because the processed foods, processed foods are a killer.

00:11:24:11 – 00:11:42:01
Unknown
And you know Claudia, and when I go in the stores, I know how to leave food labels. And I look at all the ingredients they have, all these ingredients. You need to have spent a year in that. But now, any time you don’t know how to pronounce it, most of the time, bait is not it not, is not as good for you.

00:11:42:03 – 00:12:08:18
Unknown
But as far as like like the healthy things, you know, summertime is good for blueberries and strawberries and blackberries, all the things down. Those are superfoods and healthy foods. No. Avocados. Because all the different lettuce and cucumbers are king, are white, and people are, but what it is, is all a preparation is all it going how you prepared food eggs?

00:12:08:18 – 00:12:29:08
Unknown
At first, I was a big fat a big fan of airplanes. Now I’m the airplane queen. Everybody was they made this like curry recipe, you know because I tried different things because for me it’s. And always tried things once. And I think Claudia the air because I’m vegan people always say, oh again is vegan. I lose weight.

00:12:29:09 – 00:12:56:03
Unknown
Is this food for everybody who’s listening? Attention, listeners, being bored is food. It’s food. It’s real food. It’s just no animal products or no dairy. But being food is food. You will not go hungry. Isn’t that weird? Quiet. Come out of your comfort zone. You don’t have to eat meat all day, every day. You don’t have to eat a piece of meat in your mouth.

00:12:56:03 – 00:13:05:12
Unknown
You don’t try different things. And I tell people, just try this, try, different things. You don’t do meat every day, do meat maybe every other day, or maybe do meat,

00:13:05:12 – 00:13:12:02
Unknown
maybe one once a week. Or do you do meat this Monday or whatever? This try to come and switch it up a little bit

00:13:12:02 – 00:13:14:18
Unknown
and be open to try new things.

00:13:14:21 – 00:13:38:17
Unknown
Definitely. I know it’s cookout season, right? So we’re about to enter that time when everyone wants to grill and they want to have all the sweets, and they may be doing the pie competitions and whatever else they can get their hands on. So it is going to be vital to to look at Whole Foods, the types of whole foods that you can bring to your family events to,

00:13:38:17 – 00:13:46:04
Unknown
contribute and how, you know, that’s going to impact everyone in your family and your journey and how you share that, that part of your journey with each other.

00:13:46:04 – 00:14:03:12
Unknown
so one of the things that you mentioned was the mental health journey and how we navigate things like depression and how the men in our lives navigate things like depression.

00:14:03:16 – 00:14:10:07
Unknown
So how do we how do we start to have those conversations with the men in our life

00:14:10:07 – 00:14:13:03
Unknown
It’s men’s health awareness. So I want to make sure that,

00:14:13:03 – 00:14:20:12
Unknown
we share with other women how they can be or be present for the men in their lives.

00:14:20:18 – 00:14:25:08
Unknown
But that’s a great question for you. Thank you for asking that. So women,

00:14:25:08 – 00:14:45:21
Unknown
let the men be vulnerable. Let them have the space to be vulnerable because people think that men’s poses is real; they don’t have any emotion. And all of that. But, you know, clearly they just like us, they human and they’ve always been taught, take it like a man, you know, don’t show any emotion.

00:14:45:21 – 00:15:05:14
Unknown
But it’s okay to show emotion. And I’m loving this generation them to be a they are embracing that. They are doing therapy. The younger generation, Gen Z, is a millennial. I love how God is doing, and they are really. Thank you for showing your vulnerability. And I always say to them, Claudia, they don’t want to talk to you.

00:15:05:16 – 00:15:23:11
Unknown
It’s a lot of men’s groups. It’s a lot of great men support group, you know, virtual and in-person. Whatever you do, that is probably talking to other men that are willing to some, you know, that are wanted to process that. I want to know some some of the similar journeys. But we have to understand that we have to let men be vulnerable.

00:15:23:13 – 00:15:45:20
Unknown
If a man wants to cry, let them cry. And when I see a man, for I have seen men in my life, I love it. I’ve had men reach out to me. When can I see therapy? Do you know how good that makes me feel? They say. They said no. I say where can I go for therapy? So I’ve given people references and I think that I think, I think that’s phenomenal that, that that’s phenomenal.

00:15:45:20 – 00:16:11:09
Unknown
But again, and even for women, I don’t want to discount women because sometimes women are to be hard to that black woman strong. But I want a strong. You know what? I’m sorry. I’m sorry.  I’m sorry. Sometimes everybody has everybody has a right to break down, to have a break through men, women, men, and women.

00:16:11:10 – 00:16:39:04
Unknown
Because sometimes it takes a breakdown to have a breakthrough. And we have to respect that and allow that. We have to have a place to be safe. We have to have a space to be vulnerable, and we have to have a space where they can talk and be themselves without any type of repercussions or any type of perception that they can’t because they sought help.

00:16:39:06 – 00:16:53:02
Unknown
Man it, you know, what’s up with that? We have to really allow that. And I’m glad the younger generation is doing that now, as the generation is really being taken, pay and paying attention to that. And I’m glad they have more resources.

00:16:53:02 – 00:16:59:10
Unknown
so I love that you mentioned that maybe it’s, it’s coming a little bit easier for the younger generation.

00:16:59:13 – 00:17:12:02
Unknown
and I want to know, you know, as someone I have I have two fathers, I have my step father and I have my biological father. And I often try to have these conversations with them. Right.

00:17:12:02 – 00:17:13:12
Unknown
And I’m wondering

00:17:13:12 – 00:17:16:06
Unknown
how I can almost meet them on their level,

00:17:16:06 – 00:17:22:21
Unknown
because it is more of a challenge to try to convince them,

00:17:22:21 – 00:17:24:12
Unknown
being able to be vulnerable

00:17:24:12 – 00:17:26:14
Unknown
So, how do we bridge that gap with

00:17:26:14 – 00:17:35:05
Unknown
our older generations? How do we bring them into this wider awareness that maybe it’s easier for the younger generations to get Ahold of?

00:17:35:05 – 00:17:43:06
Unknown
Well, I could be speaking of being a baby boomer, but, Claudia, you know what? We have to start having authentic conversations.

00:17:43:08 – 00:18:10:00
Unknown
a lot of the older generation is so much stuff on the road. A lot of stuff is available. And I my suggestion to you as far as your dating wisdom day, sit them down. Maybe you could sit down. sit down with them. Just say tell me. Tell me your story. Sometimes it just does. Is is not as simple, but maybe a question, but tell me about the story of what you know.

00:18:10:00 – 00:18:30:17
Unknown
Well, what were some of your challenges? What do you want to know? You know what I mean? Because a lot of times, Claudia, nobody has asked them how they grew up, you know, what was their story? You think about it. So for me, the men of my family, my, my oh, I mean, my uncle founded tell me the same thing.

00:18:30:17 – 00:18:50:12
Unknown
You know, later in life, you know, a lot of times, Claudia, the men, they were more vulnerable later, my Uncle George, you know, he’s passed away, but he was born of a vulnerable. And I said, thanks for being vulnerable because if because quality, number one, they have to feel, you have to make them feel comfortable is speaking first and foremost.

00:18:50:12 – 00:19:19:09
Unknown
You gotta you gotta make that make make that set uncomfortable. Just can’t come at them. Just be natural. Hey, you know what? You see how up for real? This this is this is like this just, you know, just just make it comfortable. Or even Claudia, maybe give him a book, a journal. So they lay down and, you know, want to talk my device of things down, and we can go over.

00:19:19:11 – 00:19:42:03
Unknown
Maybe we could discuss that. Or, like you don’t us don’t we? Could they talk about you, Mom? I hear you like. Yeah, maybe you like it. You can keep that between the two of you, but that this is not going out here in the YouTube universe. This is what our universe. Because I want to see, you know, how you grew up.

00:19:42:05 – 00:20:19:11
Unknown
What would you what were your challenges? What do you see for me in the future? Because a lot of times, Claudia, men and boys, followed by example. So if they’re seeing men, they dads, uncles, fathers, I mean, that is being uptight and now vulnerable and not showing. And they have to say anything that’s been, you know, like you say, showing a vulnerability, how you think they want me now think about it.

00:20:19:13 – 00:20:40:19
Unknown
And it is generational, the trauma, because you don’t even know what’s going to come out. And a lot of people have gone through trauma like generational. Yeah. That, that, that is still that is still locked in their hearts and locked in they soul and locked in a spirit. And maybe you can one that can open that.

00:20:40:23 – 00:20:41:15
Unknown
Future.

00:20:41:15 – 00:20:42:19
Unknown
So I have

00:20:42:19 – 00:20:45:01
Unknown
I have one final question for you.

00:20:45:01 – 00:20:49:08
Unknown
and then if you have any takeaways that you want to make sure that the audience receives,

00:20:49:08 – 00:21:03:20
Unknown
what importance and value do you see when it comes to sisterhood? I think is often there’s the perception of like the hardened or the tough or the strong black woman.

00:21:03:22 – 00:21:18:23
Unknown
But I think there’s also, especially in the younger generation, I see this, this perception of women often being pitted against each other or extremely competitive with each other rather than elevating each other. There’s,

00:21:18:23 – 00:21:31:04
Unknown
the withholding of information and care and storytelling and journey telling because it this is for me, you know, and it’s hard for people to share.

00:21:31:06 – 00:21:49:03
Unknown
So what has been your journey when I’ve just come to sisterhood, how has that impacted your journey and how can we support the women in our community? That is that’s an excellent question with Claudia. You know, coming up, we don’t have social media.

00:21:49:03 – 00:21:56:20
Unknown
First and foremost, we do not have social media. So our whole communication was different. Everything was impersonal on the phone.

00:21:56:20 – 00:22:22:21
Unknown
It wasn’t the that absent what we do is the Facebook or Tik Tok and all of that due to it wasn’t all that, it was the actual human interaction for me personally, I do have a sisterhood. I’m very I’m extremely fortunate to have sisterhood in my life. I have I have groups, I have different groups of sisterhood. I have women I’ve grown, I’ve grown up with.

00:22:22:21 – 00:22:46:15
Unknown
I have my fitness community, I have people, I have friends who have formed a decade. You know, this is just for me. And I have the leading me who have become my friends now. But, Claudia, unfortunately, as I say, unfortunately, social media sometimes is a fraud, and people can’t be authentic to that because they have the Hannah post.

00:22:46:17 – 00:23:00:20
Unknown
So that’s going to be it’s not hard, but we just have to teach. We have to just show people that we all are in this journey together. And, like I said, that strong black woman,

00:23:00:20 – 00:23:09:19
Unknown
situation that goes for black women. So we got to get rid of that, that dialog because yes, we can we can pull it out.

00:23:09:21 – 00:23:33:13
Unknown
but it’s also okay to be vulnerable, and it’s also okay for us to be in a group. It’s okay for us to cry is okay for us to laugh together. It is okay for us to share our stories is okay for us. And, you know, and with the younger people. To Claudia again, the sisterhood, a lot of times I see I grew up with my mother, and they have friends.

00:23:33:15 – 00:23:57:12
Unknown
They always have circles of friends. So a lot of times, Claudia, I grew up with that. So for me, I had a circle. So a lot of people did not see their cards with circles of friends. So a lot of times and then with a lot of times with the anxiety and depression and different other types of social illnesses, mental health situations, you know, it’s going to be a little difficult.

00:23:57:15 – 00:24:20:23
Unknown
And then the bullying aspect is real, the bullying aspect. So a lot of people now are not going to feel comfortable really going out to reach out because of their vulnerabilities. And maybe they might be bullied or not. Like for whatever reason or not, in the clique. Yeah. So we just have to teach. We just have to teach them what we have.

00:24:21:01 – 00:24:45:21
Unknown
We have to teach our ladies. Love yourself first so that you are loved. You are loved by yourself, with yourself, and for yourself. And once you have to have those affirmations. You have to say those affirmations for you. Do affirmations, maybe add some meditation, maybe add some breathwork, add some things that have been not additional in the past.

00:24:45:22 – 00:25:16:15
Unknown
Have some things to make to be focused. Focus on pulling your inner being and maybe instead, you know, keep your journal, start the drawing that you’re doing is don’t keep your journals, write down things, and maybe, start a club. You could even start if you don’t want to give; you want to be in person. You understand? Do journey, do x y and leverage majority, or do like like if you want to be more intimate, do a zone, do a go, do something, or do some type of virtual journaling classes.

00:25:16:16 – 00:25:35:00
Unknown
Don’t do like do like a rap session. Hey girls, this girl’s rap time, ladies’ rap time was had, you know, different things than we have to think we have. We have to go. We have. We have to hit the mediums and the platforms and where they are and where you think they were. They were the best. We seem to have information,

00:25:35:00 – 00:25:50:04
Unknown
Is there anything that you would like to make sure our audience like? Key takeaways. What specifically should our audience take away from this call? What should they carry with them? What should be their next move?

00:25:50:08 – 00:25:51:22
Unknown
Your next move is

00:25:51:22 – 00:26:09:14
Unknown
where do you see yourself? But sometimes people always, you know, you go on job interviews and people talking about people always ask, where do you want to be in five years? Well, you know, I say when I tell them, I mean, I don’t even know where I want to be in five days. This. See this; see where you want to be.

00:26:09:16 – 00:26:28:06
Unknown
Set yourself up, do goals. But don’t I always say, don’t make goals so unrealistic that they’re not attainable? What do you want to be in a week? What do you want to be in a month? When you want to be a three month, three months, what do you want to be in that months? But clearly, everybody’s journey is not designed that.

00:26:28:08 – 00:27:07:13
Unknown
And I recognize that. And I know for me, like you, it clearly I made that U-turn when I dropped my car. That was that was that was it for me. And I tell people everybody has a different body at that moment than you. Term was my bottom, the rise to the top. So I tell people, when you are ready, you will know when you’re ready. You will take action, but know when you’re ready, there are support systems out here that can help you attain your wellness journey, your health journey, your fitness journey, and your eating journey we have looked at food as medicine.

00:27:07:13 – 00:27:30:00
Unknown
Food is the way to heal our soul and our body and not just to eat. Think of it like that and think of exercise as oh my gosh, I gotta exercise. But think of exercise as a as a part of your movement, of your movement active of your mental movement. It is, it is, it is or not. Also visible is a mental movement.

00:27:30:04 – 00:27:51:05
Unknown
The exercise begins like that. And you can start slow and work your way up. Because I think a lot of times people see people working out like they have lost their mind. But no sudden slow is levels for everybody to be successful in their journey. Thank you for all you, thank you, thank you so much. Medicine.

The post BHM Talks to Marcia Lee About Her Journey to Better Health, Food as Medicine and & Choosing Vulnerability appeared first on Black Health Matters.

The American Council on Exercises says it best, “Fitness myths have always and will likely continue to plague the industry and confuse even the most experienced fitness fan. If it sounds too good to be true, it probably is.”

Myth 1: Wearing a waist trainer or plastic suit helps you lose weight.

While waist trainers can temporarily slim the waist, they don’t cause permanent changes or lead to meaningful weight loss. Any weight loss may be due to sweating out fluids instead of fat or because the trainer compresses your stomach and makes you eat less. This is not a viable, sustainable way to lose weight. Waist trainers can also cause breathing difficulties, digestion issues, and organ damage if worn long-term. However, Harvard Health says that waist trainers can be helpful if a doctor recommends temporary use after certain surgeries to help rebuild core muscles.

According to Boxing Science, wearing a sauna suit won’t increase your metabolism, especially while resting. When you wear a sauna suit you will sweat to maintain your body temperature and possibly lose water weight, but you won’t burn any more fat than without it.

FACT: Waist trainers/sauna suits will make you sweat, but they do not help you lose fat.

Myth 2: Lifting heavy weights makes you bulky.

According to the American College of Sports Medicine (ACSM), “Nothing could be further from the truth.” Research confirms that women can and should lift weights (including heavy ones) without fearing becoming more than healthy, toned and strong.”

Women have lower testosterone levels than men, making it harder to build muscle mass. The key is to focus on lifting heavy weights with low reps. This type of lifting activates muscle growth without triggering the release of excess testosterone. Unlike cardio, building strength and lean muscle mass increases your metabolic rate at rest, your body’s ability to burn more calories.

Fact: Lifting heavy weight does increase muscle mass, strength, and size. However, excessive body fat is to blame for men’s and women’s “bulky” looks. Heavy weight training helps build muscle, increase metabolism, and lose body fat.

Myth 3: Crunches/Sit-ups (or spot training/targeted workouts) help you lose belly fat.

As much as we want to believe it, you cannot target fat loss in specific areas of your body. When you lose weight, you lose it from all over your body, not just one specific area. Exercises targeting a specific area, such as crunches for abs, can help strengthen and tone that part of your core, but it will not necessarily reduce fat in that area.

There’s a saying: Abs are made in the kitchen, not in the gym. It’s simply impossible to “burn off” fat in one body part by exercising.

If you want to reveal hidden abs, your best bet is to reduce your body fat percentage through sustainable healthy eating habits and a strength training exercise routine. You will have to do various exercises that target muscles around your entire trunk, including in your core, abdominals, and back.

FACT: Crunches are a popular exercise for strengthening your core, but they are not the best way to get those fab abs. Doing too many crunches can lead to back pain and poor posture.

Myth 4: Muscle weighs more than fat.

Lean tissue weighs more than fat tissue is a common misstatement. According to the National Institutes of Health (NIH), 1 lb of lean muscle tissue weighs 16 oz, as does 1 lb of fat tissue.

FACT: Muscle tissue is dense; fat tissue takes up more space or volume than muscle, but their weight is the same.

Myth 5: My muscle turns to fat if I stop working out.

Nope. Muscles do not turn fat when you stop exercising. Simply put, muscle and fat cells are entirely different tissues. More specifically, muscle tissue is more metabolically active than fat tissue and functions differently in the body.

The National Association of Sports Medicine (NASM) helps clarify this common misconception. “Without consistent regular strength training and proper nutrition to build muscle, there is a much greater chance of body fat increasing. This is not because your muscles turned to fat. It’s because the ideal environment was created for fat stores to grow and the worst opportunity for the muscle to develop.”

FACT: When you stop exercising, your muscles can shrink and weaken (atrophy), leaving room for fat tissue to replace them. It can cause a shift of fat-to-muscle ratio in your body, but the muscle does not become fat.

Myth#6: Early morning is the best time to work out.

This myth that early morning exercise is the gold standard is compelling. But if you’re more of a night owl than an early bird, having the energy output for an effective morning may not be best for you.

The most important part of developing an effective exercise routine is to find a time of day that works for you and stick to it.

The NIH explains that consistent exercise timing, especially morning exercise, may facilitate greater exercise intensity, help to protect your exercise time, make planning easier, and foster good exercise habits.

While few studies definitively prove that exercising in the morning increases your metabolism more than other times of the day, some people choose to start the day with a workout for the myriad health benefits: body & mind, elevate their mood, reach step goals or because it just makes them feel great for the rest of the day.

FACT: The best time to work out is the time that works for you.

Myth 7: Squats are bad for the knees.

Squats are highly effective at strengthening the knee joint and surrounding muscles when executed with proper form and without pain. Lower body strength can help prevent and recover from common knee injuries.

However, squats can be painful and irritating for people with conditions like a runner’s knee, osteoarthritis, or meniscus tears. Poor execution can also increase the strain on your knees and lead to injury.

NASM breaks it down for us. “Although many variations of the squat exist, some truths will always prevail – maintain your knee/foot alignment, ensure hinging and timing of forward knee translation, facilitate adequate ankle mobility to avoid dysfunction, maintain a rigid pelvis (sacrum, thoracic spine, and head) and aim to achieve parallel alignment between your tibia and trunk.”

Finding the best squat for you is what’s important. Consider gradual progression from seated squats to ball or wall squats to develop the strength required to perform the stand-alone version.

FACT: Squats are not bad for your knees. Improper squat form is bad for your knees.

Myth 8: Running will make you fit.

The American College of Sports Medicine (ACSM) defines health-related physical fitness as a set of attributes people have or achieve that allow them to perform physical activity. It also includes the ability to perform daily activities with vigor and alertness, without undue fatigue, and with enough energy to enjoy leisure activities and handle emergencies.

Running is an excellent way to improve cardiovascular health and burn calories efficiently, but just running won’t necessarily make you fit.

Not only that, running is not for everyone and not the only way to achieve whatever your definition of being fit may be.

FACT: Running or other cardiovascular activities combined with strength training and a proper nutrition plan create a well-rounded fitness routine for optimal fitness.

Myth 9: Stretching before a workout will prevent injuries and soreness.

Are you surprised? It turns out that stretching a healthy muscle before exercise does not prevent injury or soreness. Harvard researchers found no evidence that static stretching before or after a workout prevented injuries or sped recovery (or did anything useful).

Theoretically, stretching before exercises should make the muscles more pliable and less likely to tear. However, studies that compared injury or muscle soreness rates in people who stretch before exercise and those who don’t found little benefit to stretching. Studies suggest stretching a cold, tight muscle could lead to injury.

FACT: The most effective type of stretching before a workout is a dynamic series of exercises involving the whole body, large muscles, and multiple joints. The goal is to activate the muscles you will use during the workout. It is worth mentioning that there is no evidence that static stretching at the end of the workout, during the cool-down portion, does any harm.

Myth 10: Longer workouts are more effective than short ones.

The quality of a workout is more important than its length. Pushing yourself to do longer workouts can lead to overtraining, which can cause injuries, imbalances, and a loss of motivation.

The World Health Organization (WHO) recommends a combination of vigorous and moderate aerobic activity and two or more muscle-strengthening workouts weekly.

FACT: A consistent, balanced approach to fitness that includes strength training, cardio, rest, and recovery is critical to achieving your personal fitness goal.

This story is made possible by an educational grant from Novo Nordisk.

The post Stop Believing These 10 Exercise Myths appeared first on Black Health Matters.

In our pursuit of more clarity, we turned to a trusted expert in the field, Dr. Eboni January, a board-certified obstetric gynecologist deeply committed to women’s health and education.

BHM: Why are Black women disproportionately affected by late diagnoses of uterine and endometrial cancer, and what can be done to address this issue?

Dr. January: Black women are disproportionately affected by late diagnoses of uterine and endometrial cancer due to disparities in healthcare access, socioeconomic status, and implicit biases in the medical system. Studies have shown that Black women are less likely to undergo regular gynecological exams and may experience delays in diagnostic testing and treatment initiation. To address this issue, we need to increase awareness and education about uterine cancer within Black communities, improve access to healthcare, and train healthcare providers in cultural competency to reduce these disparities.

Black women may face longer wait times for appointments, fewer referrals to specialists, and inadequate follow-up care.

Addressing these disparities requires systemic changes, such as expanding healthcare access, improving provider education on implicit biases, and fostering a more inclusive and culturally sensitive healthcare environment.

BHM: What are the most common symptoms of uterine and endometrial cancer that Black women should be aware of, and why might healthcare providers overlook these symptoms?

Dr. January: The most common symptoms of uterine and endometrial cancer include abnormal vaginal bleeding, pelvic pain, and unexplained weight loss. Healthcare providers can sometimes overlook these symptoms due to implicit biases and a tendency to attribute them to benign conditions, especially in Black women. Both patients and providers need to recognize the significance of these symptoms and advocate for thorough evaluations to help in early detection.

BHM: How can tools be improved to ensure better detection rates?

Dr. January: Currently, there is no specific screening tool for endometrial cancer, but tools like transvaginal ultrasound and endometrial biopsy are used for diagnosis when symptoms such as vaginal bleeding and pelvic pain are present. To improve detection rates, we need to develop more sensitive diagnostic methods, incorporate genetic and molecular markers, and ensure regular follow-ups and patient education occur. Research into tailored screening protocols that consider racial and genetic differences can also be beneficial.

BHM: How important is the patient-doctor communication in early detection of uterine/endometrial cancer, and what steps can be taken to improve this for Black women?

Dr. January: Effective patient-doctor communication is crucial for early uterine and endometrial cancer detection. As healthcare providers, we must ensure patients feel comfortable coming to us. We should understand that although patients are adults, we are the experts, and consideration of the social determinants of health is crucial. Improving this includes training healthcare providers in cultural competency, encouraging open and respectful dialogue, and ensuring patients feel heard and understood. Providing patient education materials that are culturally relevant and accessible can also enhance communication and early detection efforts.

BHM: Considering that obesity and diabetes are known risk factors for uterine cancer, how can awareness and management of this risk be better communicated and managed in our community?

Dr. January: Obesity and diabetes are significant risk factors for endometrial cancer, as they can lead to hormonal imbalances and chronic inflammation, which may promote cancer development. Black women have higher rates of obesity and diabetes, contributing to an increased incidence of endometrial cancer. Addressing these risk factors through lifestyle interventions, preventive care, and targeted education is essential for reducing cancer risk.

2015 I developed a text weight loss coaching program in response to my patients. Working with the underserved community, I found uterine cancer in women under the age of 45 who had excess weight. Due to the lack of a screening tool like we have for cervical cancer, I decided to help prevent it through weight loss and preventive health measures. Awareness and management of obesity as a risk factor for uterine cancer can be improved through targeted community outreach programs, culturally sensitive health education, and accessible weight management resources. Healthcare providers should engage with community leaders and organizations to disseminate information and support lifestyle interventions that promote healthy eating and physical activity.

BHM: What are the main factors contributing to the higher mortality rates of uterine and endometrial cancer among Black women compared to other demographics?

Dr. January: Higher mortality rates among Black women are attributed to factors such as later stage at diagnosis, less access to high-quality care, and potential biological differences in tumor behavior. Socioeconomic disparities and implicit biases in treatment recommendations also play significant roles. Improving access to timely and high-quality care, addressing socioeconomic barriers, and conducting research on tumor biology specific to Black women can help reduce these mortality rates.

BHM: Why is it important for Black women to participate in clinical trials and genetic research related to uterine cancer?

Dr. January: Participation in clinical trials and genetic research is vital to ensure that findings apply to diverse populations. It helps in understanding how uterine cancer affects Black women specifically and can lead to the development of tailored treatments and interventions. Encouraging participation requires researchers like myself to build trust, address historical mistrust, and ensure that trials are accessible and inclusive.

The battle against uterine and endometrial cancer in our community is complex; we face unique challenges when it comes to diagnoses and the specific types of cancer we encounter. Let’s continue to raise awareness about what we need to decrease our mortality rates. Every step we take towards more awareness, prevention, and early detection holds the potential to save lives. For all those reasons, we must keep this conversation going and push it beyond our recognition into active engagement to ensure change is documented.

The post Endometrial & Uterine Cancer: Combating Black Women’s Rising Rates appeared first on Black Health Matters.

Crohn’s disease is an inflammatory bowel disease caused by inflammation in the gastrointestinal (GI) tract. It’s characterized by abdominal pain, cramps, bloody stool, diarrhea, and weight loss.

Crohn’s disease symptoms range from mild (no symptoms) to severe (flare-ups), can change over time, and vary from person to person—depending on what part of the GI tract is inflamed and the patient’s other health conditions. Crohn’s can be progressive—meaning that over time, your symptoms can get worse. About 67% of people in remission will have at least one relapse over the next five years.

There is currently no cure for Crohn’s disease, and there is no single treatment that works for everyone. The course of treatment will depend on where the inflammation occurs, the severity of the issue, any complications, and a person’s response to previous treatments. You and your health care provider can work together to figure out which treatment is best for you.

TREATMENTS

Medicines for Crohn’s include various medicines that decrease the inflammation. Some of these medicines do this by reducing the activity of your immune system. These medications can help with decreasing symptoms (such as diarrhea and abdominal pain), which help manage Crohn’s disease. If your Crohn’s causes an infection, you may need antibiotics.

Bowel rest involves drinking only certain liquids or not eating or drinking anything. This allows your intestines to rest. You may need to do this if your Crohn’s disease symptoms are severe. During this time, you can get your nutrients through drinking liquids, a feeding tube, or an intravenous (IV) tube. You may need to do bowel rest in the hospital, or you may be able to do it at home (under the direction of a physician). It can last for a few days or up to several weeks.

Surgery can treat complications and reduce symptoms when other treatments are not helping enough. The surgery will involve removing a damaged part of your digestive tract to treat fistulas, life-threatening bleeding, intestinal obstructions, side effects from medicines, and other symptoms.

After a Crohn’s diagnosis, your doctor will likely suggest making an appointment with a registered dietitian. (Food doesn’t cause Crohn’s disease, but it can trigger flares.) A registered dietitian will help you understand how food may affect your symptoms and how your diet may help you. In the beginning, you may be asked to keep a food diary. This food diary will detail what you eat and how it made you feel.

When it comes to day-to-day activities, you may want to plan your activities with your Crohn’s disease in mind. For example, know where the closest bathroom is or whether taking a change of clothes makes sense as you’re getting ready for your day. When traveling, try to research and plan ahead of time to help make trips go more smoothly.

While men and women may be equally affected by Crohn’s disease and share many of the same symptoms, there are some differences that may occur. For instance, Crohn’s-related symptoms outside of the intestines happen more often in women than men. Women with active Crohn’s may have more difficulty becoming pregnant, so you can always talk to your doctor if you plan on becoming pregnant.

Crohn’s disease symptoms, combined with the inability to know when a flare will strike, can be stressful. That’s why it’s critical for those living with Crohn’s disease to take small steps to minimize the number of stressful events you encounter on a daily basis. Some form of daily exercise, mindful techniques, or therapy or mental health support can help alleviate stress.

Medications are continually being developed to help control the inflammation caused by Crohn’s disease. Doctors are evaluating some of these drugs through clinical trials, which is one of the ways that researchers and doctors determine the effectiveness and safety of new medications. Clinical trials are governed by guidance and rules which doctors must follow to ensure your safety.

Clinical trial volunteers for Crohn’s disease and ulcerative colitis are needed, and Blacks have been underrepresented in clinical research, including clinical trials for Crohn’s Disease. It is important to have volunteers from different racial groups so that more can be learned about how treatments affect different racial groups.

Interested patients with Crohn’s disease can find a trial by going here. Each clinical trial is different, so do your research—and confer with your doctor—to find a clinical trial that might be right for you.

This article is sponsored by Eli Lilly & Company.

The post What to Do If You Learn You Have Crohn’s Disease appeared first on Black Health Matters.

Here are the ten things we do not like about our doctors and how we would like them to improve.

They withhold the context of information.

A patient’s test results may be part of the doctor’s job, but they can be life-changing for the person on the other end of the call. The 21st Century Cures Act may have forced practitioners to offer results sooner, but delivering them without context can be jarring for recipients. Relying on digital portals without taking care to add a human component is a huge mistake.

They only focus on one aspect of your health.

It has been documented that a preoccupation with one condition can lead to misdiagnosis. For example, some healthcare practitioners are so focused on patient weight that they ignore complaints in other areas. Sometimes, their refusal to see what impacts a patient’s health can stop them from progressing in the area they are focused on. Making recommendations requires considering the whole picture to be safe.

They lack empathy.

Bedside manners are crucial to creating and maintaining a solid doctor-patient relationship, especially if that patient is managing a chronic condition, whether they have obesity or prediabetes. What works for a doctor may not work for a patient, so doctors must find a way to empathize with their patients to treat them properly. Judging a patient for non-compliance without taking the time to consider what their day-to-day life is like is ineffective and demoralizing. Without empathy, it is hard to establish trust. “Doctors are the only people on the planet who have the idea that you can tell people, ‘Here, work on this every day, and I’ll see you in two or three months,” said Dr. Steven Feldman, MD, PhD, in a study published by the Association of American Medical Colleges.

They are dismissive.

There is nothing worse than pouring out your struggles to have them dismissed. Black people, and Black women in particular, are commonly misdiagnosed even when their symptoms are glaring. Dismissing patient concerns is not how to gain their trust and resolve their issue.

They don’t explain themselves.

Spending your life around medical jargon can make you immune to how it sounds to a layperson. Doctors need to practice relaying information digestibly so patients can understand them clearly. The need for healthcare literacy is so personal. Northwestern and the CDC have created programs designed for professionals to learn how to speak with their audiences.

They don’t listen to us.

A study published by the Irish Journal of Medical Science found that perceiving their physician as unwilling to listen to them was a significant reason that people opted to change caretakers. The doctor might be the medical expert, but we are the experts on ourselves, so our voices must be heard.

They show their biases.

Systemic issues start at the person-to-person level. Everyone is entitled to their opinions, but placing them front and center can be alienating regarding patient care. However, doctors must ask themselves if invisible bias impacts their medical advice.

They lack availability.

Work-life balance is important, but failing to have options for your patients can lead to them skipping out on essential appointments or seeking other options. It is highly stressful to schedule a follow-up with your physician only to learn they are not available for months. Failing to create flexible patient scheduling options means you do not value their time.

They are often behind schedule.

When patients finally book an appointment, they are treated to the joy of squatting in a waiting room until the doctor is available. According to a report from CBS News, “The average time you spend waiting at the doctor’s office is 24 minutes.” The courtesy we’re expected to extend to doctors goes the other way to us. There are instances where we have been turned away when we’ve been ten minutes late. Punctuality is part of professionalism, even for doctors in the medical field.

They have an inefficient office culture.

If everyone in a doctor’s office is not on the same page, it creates patient issues. It is not uncommon for patients to fill out all the necessary paperwork for their appointment ahead of time, but they are asked to do it again when they reach the office. One person taking a sick day or being unable to navigate a system should not completely upend the patient’s experience with your office. This needs to change.

The post 10 Things Patients Don’t Like About Their Doctors appeared first on Black Health Matters.

“The practice of “doctor shopping” among overweight patients may be a result of negative experiences with the health care system, whether that be off-putting comments by office staff, unsolicited weight loss advice by providers, or improperly sized medical equipment and office furniture, says Kimberly A. Gudzune, M.D. M.P.H., an associate professor of medicine at Johns Hopkins School of Medicine, led the study.

In subsequent research, Gudzune noted that clinicians might avoid performing exams on patients with obesity, encounter technical difficulties, and feel unprepared when it comes to training to treat patients with obesity, and as a result, weight loss counseling became a lower priority when talking to their patients. These further impact patients who avoid screenings for cancers, from pap tests to mammograms to colonoscopies.

To find the right provider, patients might have to research before committing. The doctor-patient relationship is integral to the pursuit of their overall health. As a doctor, you should help foster a safe space to manage their healthcare concerns and your goals for them. This safe space must include all people, including those who have obesity.

Conduct a SWOT analysis to determine if your practice can be someone’s healthcare home. They are generally used to evaluate a business’ pitfalls and successes. However, this tool can be applied to any decision. In this case, it helps you approach the process methodically and dispassionately to consider what is most important to your patient.

Any patient-doctor relationship can be measured using it. This SWOT analysis will help you estimate your practice and its ability to treat different types of patients. Here’s what to consider in your SWOT analysis:

Strengths

Presenting yourself as an open slate is a strength. Please don’t make assumptions about your patient feelings or self-esteem.

• Black women have embraced their curves for years and feel more confident. Don’t detract from that. Focus on the facts instead. “Compared to women of other racial/ethnic groups, overweight and obese Black women exhibit acceptance of a larger body size,” according to Current Cardiovascular Risk Reports. Acknowledge that and use it to connect with them. Be congenial without being overly familiar.
• Learn how to market your empathy as a plus to potential patients.
• Your knowledge is a strength as well. Share the kinds of things you have learned in continuing education.
• Is there clinical equipment or a soothing environment that can make your space feel more comfortable and inviting for patients?
• Can you ensure that some chairs and robes fit them?
• Is your location convenient for the type of patients you treat?
• Do you have hours that will work with their schedule?

Start to think about the demographics of the people you treat and how you can show your support for them through consideration.

• Ask them what their communication style is. Learn how different styles work with your own.
• Work to ensure patients feel comfortable talking to you about everything, including their weight. A joint study by the Monash Business School and the Texas A&M University found that patients have difficulty asserting themselves due to a perceived “imbalance of power between the patient and medical staff.”
• Ask them if they feel like there are subjects they want to discuss. They want to tell you but can’t. Ask them if they would like someone else in the room, a friend or family member, or on FaceTime. Or offer one of your nurses. It will lead to more effective treatment.

Weaknesses

The use of the words obese and obesity can be triggering, and according to one study, it felt discriminatory to Black patients.

• Those who have obesity have seen how it leads to stigma when it comes to healthcare.
• Providers spend up to 28% less time with overweight patients, limiting patients’ ability to relay symptoms and seek solutions. That fact should inform your care.
• It’s important to know what you know and don’t know as a doctor, especially when treating someone facing stigmas. Before accepting a new patient, ask yourself if you are familiar with treating patients who share their lifestyle and concerns. Ask yourself if you give this advice to anyone in their circumstance or if you are jumping to conclusions based on looks.
• Ask your patient what their preferred language choices are and stick to them.
• Consider your language carefully. Familiarize yourself with the ways that terms and tools are evolving. This is particularly useful when discussing weight with patients.
• Before referring to the Body Mass Index, consider how it was created and who informed the research. Acknowledge its limitations so that you can establish trust. An Oxford University study found that “subtle aspects of communication, like word choice and tone of voice, influenced patient outcomes” in the weight loss arena. The AMSA has recommended physicians reconsider how they discuss weight. Exercise caution and consider your patient’s viewpoint.

How can you make this doctor-patient relationship benefit your patient’s life? Are you doing everything you need to ensure information flows two ways? How can you grow as a healthcare provider?

Dr. Courtney Whittle, MD, M.S.W. Diplomate of ABOM, acknowledges how patients react to doctors bluntly and rudely discussing their weight. Because culturally, our thickness might be celebrated in some circles while it may be deemed unhealthy in others, the shift can be jarring. “How many of us have gone to the doctor, heard someone bring up our weight, and been ready to take our earrings off,” she asked the audience during the Black Health Matters Winter 2024 Health Summit & Expo, who swiftly recognized the scenario.

“Weight is personal, and although you may be their physician, your questions can seem invasive,” the doctor continued. When listening to patient complaints about their ailments, do not dismiss them with a terse instruction to do more cardio or cut carbs. Listen closely and make sure you are doing so consistently and respectfully. The patient is not the enemy. You’re supposed to be working together.

If you sense your patient suspects bias, ask your patient if they are comfortable sharing their concerns with you and trusting that you will take them seriously. Most importantly, you must listen to them and take in any evidence they provide with an open mind. Please don’t belittle them.

Opportunities

Recent research reveals the importance of the 5A model (ask, assess, advise, agree, assist/arrange) in delivering meaningful consultations in weight management for patients with obesity. The study authors note patients with obesity often want to help set goals of losing 5 to 10% but have difficulty talking about their weight.  “The 5A model also effectively improves physician-patient communication, patient motivation, and healthcare practitioner confidence in counseling patients.”

The 5A model is multifaceted and would require training if you want to incorporate it into your practice, but it is something to consider if you have a large percentage of patients who have obesity.

When audio tapes were analyzed in the University of Oxford study, they found it was not just the words that mattered but tone and delivery when talking to patients with obesity. When weight loss referrals were given with neutrality or highlighted health issues, only 50% of participants participated in a weight loss program offered. But when it was framed as good news, there was 83% program participation.

Threats

Ask yourself what issues arise from working with you as a healthcare provider.

Review your previous charts and highlight any notes you made that could be misconstrued. Patients have access to these notes. They are a helpful tool but “may also cause patients to feel judged or offended.”

• The New York Times reported that an analysis of outpatient clinic records published in JAMA Open Network on stigmatizing language with terms that used combative, argumentative, failed, and noncompliant on charts of diabetic patients, 3.15 percent of those terms were in charts of Black patients versus 2.6 of them of white patients.
• Revisit remarks you make that are taken out of context. Keep a file of comments and complaints and check them regularly. Learn how you can do better.

These can stem from complicated factors like a potential lack of cultural competency to more practical issues like their office’s distance from your home or workplace.

• Will they struggle with parking, filling them with dread every time they have to pop over for a follow-up?
•  Are there unconscious biases you are unaware you and your staff need to uncover when it comes to obesity?

According to Gudzune, patients with obesity have a 68% greater incidence of emergency room visits, not because it leads to hospitalization, but because they don’t have the continuous care of a primary care physician.

The American College of Obstetricians and Gynecologists found that “weight bias often is implicit and beyond physicians’ immediate awareness, making it difficult to identify and remedy.

Current Psychology reports, “Empathy is crucial in healthcare required to develop healthy and effective patient communication.” This is more crucial in larger patients.

With the right perspective and environment, your obese patients will be more likely to view their unhealthy weight as a medical concern and work with you toward solutions.

Supported by an educational grant from Novo Nordisk Inc. 

The post SWOT Analysis: How To Identify the Power and Pitfalls of Your Medical Practice appeared first on Black Health Matters.

If you have been diagnosed with type 2 diabetes, it is important that you take your diagnosis seriously. With proper management, it can be controlled by making healthy lifestyle choices and working closely with your healthcare provider. Managing your diabetes can also help reduce your risk of developing complications.

The key to successfully managing your type 2 diabetes is understanding the facts. Being informed is a first step to taking control of your health. Once you understand the facts, you can be proactive about dispelling myths surrounding the condition and feel inspired to take action.

Lilly is also working to help you take control of your health through clinical trial participation. Click here to learn more.

Fact or Fiction

Continue reading to review some common type 2 diabetes myths and facts.

MYTH: I will have diabetes because several people in my family have it and there’s nothing I can do about it.

FACT: While having a family history of diabetes does increase your risk of developing the condition, it is not the only contributing factor. It does not guarantee that you will automatically have diabetes. The development of type 2 diabetes can be influenced by a combination of genetics and lifestyle. Even though you can’t control your genetics, you can control your lifestyle.

MYTH: If I have excess weight, it is only a matter of time before I develop type 2 diabetes.

FACT: Having excess weight is among the strongest risk factors for type 2 diabetes. The more excess weight you carry, the higher your risk. While having excess weight is another risk factor of diabetes, it is not the only contributor. This risk also varies among individuals which is why some people with excess weight never develop diabetes and others who are at a healthy weight do.

MYTH: I have not experienced any symptoms so my blood sugars must be normal.

FACT: High blood sugar levels can occur without notable symptoms especially in the early ages. On the other hand, some people do experience symptoms. High blood sugar levels can still contribute to long term damage, even if you aren’t experiencing symptoms.

Common symptoms of high blood sugar include:

• Increased thirst
• Increased hunger
• Frequent urination
• Unexplained tiredness
• Unexplained weight loss

MYTH: I have to stick to a specific diet in order to manage diabetes.

FACT: There is not a one-size-fits-all diet for people living with diabetes. It is most important to make healthy food choices, and it’s recommended that you follow a meal plan that is specific to your health needs and lifestyle. Key components for managing your diet include carbohydrate management, portion control, and consistency.

MYTH: I don’t need to take medication to manage my diabetes.

FACT: There are several factors that determine whether you will need to take medication to manage your diabetes. Lifestyle changes can be highly effective in managing the condition. While some people are able to successfully manage their condition without medication, others may require multiple medications and that’s okay.

Remember that your type 2 diabetes journey is unique. You should discuss with your healthcare provider whether or not medications are needed. Work with your care team to adjust your treatment plan based on your specific needs and goals.

References

• National Library of Medicine. Diabetes myths and facts
• American Diabetes Association. Know Your Facts About Diabetes
• Debunking type 2 diabetes misconceptions

The post Is Type 2 Diabetes Manageable? Dispelling the Myths appeared first on Black Health Matters.

The Superwoman Schema Defined

According to Berkely News, SWS is characterized by a few things, including the following:

• Feeling obligated to present an image of strength
• Suppressing one’s emotions.
• An intense drive to succeed.
• Feeling a strong obligation to help others.
• Resistance to being vulnerable.

Over time, as we displace our needs to consistently portray an image of strength or continuously put others before ourselves, little by little, ounces of pressure accumulates. Eventually, we are left with pounds of stress. This burden can lead to chronic conditions and many health issues.

How It Manifests in Black Women Over Time

An article from the American Heart Association delves into where SWS starts and how it manifests as Black women age. They gathered information from Amani M. Allen, an associate professor of community and health sciences and epidemiology at the University of California-Berkeley School of Public Health. According to Allen, being a superwoman begins when Black women are little girls, and it ages with them as they become teenagers and continues into their womanhood. SWS and its harmful effects are amplified as Black women are forced to approach both racism and sexism in their journeys of life.

Black women experience the impact of centuries of racism and the residual aspects of unfairness that exist within our systems today. Black women typically earn less than their counterparts of other races. For example, in 2019, compared to white non-Hispanic men, the pay gap for Black women was 38%, as stated by the American Association of University Women. Along with that, we may face limitations regarding opportunities in the workplace. Additionally, Black women face harsh health outcomes, as we often experience a lack of attentiveness in health facilities, and there are so many health disparities impacting us as a collective. To shield ourselves from these things, we tend to suit up in armor that temporarily aids us in suppressing our emotions so that we can appear strong while protecting ourselves from vulnerability. However, this may work temporarily; beneath the surface, all those emotions brew until we can no longer contain the steam. From there, we can be steered down a dark path with doors leading to things such as depression, heart disease, obesity, sleep problems, and much more.

The Historical Context

In an interview with Fox 26 Houston News, Dr. Christine Beliard explained how SWS is connected to history and the necessity for Black women to have safe outlets to be free of their vulnerability. “We have a unique experience. For generations, our ability to be worth anything was based on what we could produce, even literally, who we could produce,” she said.
Dr. Beliard went on to refer to the times of enslavement in America and how Black women were never given the chance to relax or to not be at their best. Productivity was constant and mandatory.

“A lot of the work really is, not that you must go to therapy, but finding a safe space. If you must be hyper-vigilant and take care of this at work and home, you can’t be vulnerable. If you are in a state of hypervigilance, you are in a traumatic response. So, it is important to find a trustworthy space, a place where you can be honest.” she says. “Even if it is therapy or a good girlfriend, you cannot hold that in. We are like pressure cookers. If you hold that in, put on that top, and turn up that heat, it will come out in one way or another.”

SWS is a result of the united effort of Black women as we strive to be dependable and admirable members of our communities while simultaneously exuding excellence to defy false stereotypes of aggression, laziness, and loudness that have historically and unjustly been associated with us. Together, we can deconstruct SWS and evolve into the habit of acknowledging our feelings and the necessity for our wellness holistically.

The Negative Impact of Being a Strong Black Woman

In a wonderful interview with Northwestern Now, Northwestern Medicine clinical psychologist Inger Burnett-Zeigler explained the negative impact of being a “strong Black woman” and highlighted some things Black women can do to strengthen their vulnerability and wellness. She said, “For too long, being strong means avoiding or denying how you really feel. It is holding painful experiences, like trauma, in shame and secrecy. We deal with things by pushing our feelings aside, keeping our eye on the prize, and getting the task done,” she explained.”This is how we survive. We are afraid if we slow down long enough to think about all the difficult things we’ve been through and our pain, we’ll fall apart.

Furthermore, Burnett-Zeigler noted, “Some black women do not have the necessary tools to cope with their feelings healthily. As a result, they may engage in unhealthy coping strategies such as eating unhealthy foods, drinking alcohol, using illicit drugs, being sedentary or a workaholic,” she says. “On the other hand, many Black women do have healthy coping resources such as utilizing spiritual and religious practices. Also, they may be involved in organizations such as sororities, women’s groups, volunteerism, or charity clubs.

Superwoman Schema is evidence of the resilience of Black women and a reminder of the immense societal pressures we face. While we are intelligent, talented, ambitious, and strong, we should also be allowed the space to be vulnerable and authentic. Let’s start making room in the narrative for more self-compassion as we pave the way for generational healing and our collective well-being.

Here are some things we can do:

• Evaluate and prioritize your feelings and be kind to yourself.
• Seek support. Finding a therapist and talking with friends and family are healthy ways to discuss your feelings and to feel understood.
• Set boundaries, try to refrain from stressing yourself out with tasks, and sometimes you have to say no.

The post The Toll On Our Health When We Try to Be Superwomen (There’s Research) appeared first on Black Health Matters.

You will make your options much more accessible and reduce your stress around enrollment if you start doing your homework at least three to six months before enrolling. Just remember that Medicare enrollment is not optional or automatic. You must sign up, even if you are not retiring until you are 66 or older. You can enroll three months before your birthday or up to three months after, but there are financial penalties if you don’t sign up on time.

How Do You Decide Beyond Enrollment?

Aside from enrolling, you will have many decisions to make that will determine the kind of healthcare coverage you get. Make a list of everything you know about your current health conditions and the medications you are on. It might be an excellent time to visit your doctor to get screened for diabetes, high blood pressure, and other chronic disease.

When looking at coverage, don’t overlook your family health history as you contemplate your future health needs. While many people only look at their current health, most people heading into 65 already know that things can change at a moment’s notice. No real crystal ball can predict what will happen or what you will need as you age. Every day has the potential to present a new ache, pain, or diagnosis. To gamble on having less coverage than we have now with our employer-sponsored plan.

We have all heard horror stories of the choices that older people on fixed incomes must make between high-cost medications and services and food.

Medicare Choices

Let’s start with the Original Medicare, known as Part A. It is the basic and premium-free coverage that the government requires once you turn 65. It covers inpatient, hospitalization, and short-term care in a skilled nursing facility, usually at 80 percent, after a deductible of around $1,400 for the first day of care.

“Part B addresses doctor visits and preventative care, including screenings and treatment. The standard premium starts at approximately $147 a month,” Edward McFarland, a Medicare specialist, explains. Note that Medicare Part B only pays for medically necessary procedures and does not cover dental care.

The Medicare Advantage plans are the one-stop plans that combine everything into one plan. You must still enroll in Medicare’s Parts A and B, but the Advantage plans are run through private insurers. They could include dental and vision care coverage, telemedicine, and other services, depending on what you select and how much you can afford to pay. Some plans do not require extra fees. Open enrollment for most Medicare Advantage enrollees ended March 31, but changes can be made again in November 2024 for 2025.

Part D is the easiest to remember because this is the much-needed drug coverage. Most Part D plans have an annual deductible, about 25 percent of your annual drug costs, until you hit the $2,500 cap.

McFarland says, “Look carefully at your medication needs.” Once you are enrolled, you can make changes to your Medicare options once a year.

Yet Medicare doesn’t cover everything. One big discussion is on the new weight loss drugs, such as Wegovy, that have made an impact on obesity. Medicare just approved coverage for people who are overweight and obese and also are at high risk of heart attack or stroke. The out-of-pocket expenses for this class of medications, without coverage, is over $1,000 per month.

In addition, it has improved and expanded preventative care programs that pay for office visits, screenings such as colon and breast cancer, mental health screening, and vaccines.

Where to Get the Best Information

Figuring out what makes medical and financial sense for you should start with a call to Medicare at 800-772-1213. One of their trained specialists can help you understand your needs for your situation and circumstances. The good news is that specialists are available by phone 24 hours a day. Or go to www.medicare.gov for more information.

Also, visit the State’s Health Insurance Assistance Program (SHIP). It’s a free resource that provides information on the state’s free services and programs. Find the state’s website and connect with a counselor who can guide you through the options.

Note: Consider helping your parent or loved one negotiate these decisions. 

The post Turning 65 Soon? Understand Your Medicare Options appeared first on Black Health Matters.

PCOS Explained

Polycystic ovary syndrome (PCOS)is a hormonal condition, it consists of an imbalance that occurs when the ovaries produce excessive androgens, these are sex hormones that contribute to puberty, reproductive health, and body development according to The Cleveland Clinic. Although males produce more androgens, they are produced by both males and females. This excessive production can lead to imbalanced reproductive hormones.

What are the Symptoms?

The Mayo Clinic has provided insight into the symptoms of PCOS, if you are experiencing any of the following symptoms, you should visit your healthcare provider. PCOS symptoms include the following:

• Irregular periods, having few menstrual periods or having periods that are not regular are common signs of PCOS.
• Excessively lengthy periods, having periods that last for many days or longer than is typical for a period can be a cause for concern.
• Fertility issues.
• Too much androgen, elevated levels of the hormone androgen may result in excess facial and body hair, this is called hirsutism. High androgen levels can contribute to male-pattern baldness and severe acne as well.
•  Polycystic ovaries, the ovaries might become bigger, and many follicles containing immature eggs may develop around the edge of the ovaries. This can contribute to cysts and difficulties with the function of the ovaries.

Additionally, PCOS can be a risk factor for other complications in a woman’s life. The Mayo Clinic has created a list of complications that can occur for women diagnosed with PCOS, the list includes:

• Infertility.
• Gestational diabetes or pregnancy-induced high blood pressure.
•  Nonalcoholic steatohepatitis, this is a severe liver inflammation caused by fat buildup in the liver.
• Miscarriage or premature birth.
•  Type 2 diabetes or prediabetes.
• Sleep apnea
•  Metabolic syndrome, this is a cluster of conditions including high blood pressure, high blood sugar, and unhealthy cholesterol or triglyceride levels that significantly increase one’s risk of heart and blood vessel (cardiovascular) disease.
•  Depression, anxiety, and eating disorders.
• Endometrial cancer, this is cancer of the uterine lining.

Hirsutism

According to the Resilient Sisterhood Project, Black women with PCOS are shown to have higher rates of hirsutism, insulin resistance, obesity, high blood pressure, abnormal cholesterol, high blood sugar and a higher risk or cardiovascular disease or metabolic syndrome. People with PCOS hirsutism typically have course, visible, dark hairs growing in these parts of the body. These hairs are commonly called androgenic. Many women select from the following methods to manage their hair growth:

Manual removal, such as shaving, plucking, or waxing.

* Depilatory agents, such as topical gels, lotions, or hair removal creams.

* Hormonal medications, such as birth control pills that boost estrogen levels and anti-androgen drugs that can decrease testosterone levels.

* Electrolysis, this technique kills the growth center of a hair with electricity.

* Laser hair reduction, this kills hair with a laser, it has been proven to work best on fair-skinned people with very dark hair. (Editor’s note To avoid an adverse reaction you must go to a board-certified dermatologist experienced with dark skin that has a laser designed for use for dark skin).

If you are experiencing signs of hirsutism , this is not enough to equate to a direct PCOS diagnosis, we urge you to visit your healthcare providers to get a thorough understanding of your symptoms, this can aid in proper diagnoses regarding PCOS or other conditions.

Treating Your PCOS

Since PCOS does not have a cure, treatment focuses on managing the symptoms and complications that concern patients, these focal points can be different for every individual. This could include infertility, hirsutism, acne, or obesity, according to the Mayo Clinic. Lifestyle changes and medication may be suggested for patients to achieve their health goals. To regulate periods and ovulation, healthcare providers may recommend some of the following options:

•  A combination of birth control pills, that contain both estrogen and progestin decrease androgen production and regulate estrogen. Regulating these hormones can lower the risk of endometrial cancer and lessen symptoms associated with PCOS.
• Progestin therapy, taking progestin for 10 to 14 days every 1 to 2 months can regulate periods and protect women against endometrial cancer.
•  Clomiphene, this oral anti-estrogen medication is taken during the first part of a woman’s menstrual cycle, it can help with ovulation and the process of getting pregnant.
• Letrozole (Femara), this breast cancer treatment can work to stimulate the ovaries.
• Metformin, this medicine for type 2 diabetes that can be taken orally improves insulin resistance and lowers insulin levels.
• Patients can also discuss topical gels, creams, and medications to reduce the speed of excessive hair growth and the effects that high androgen levels can have on the skin.

Navigating life with PCOS can certainly be tough and many women suffer mentally as they struggle to find support in an experience that can be very isolating. Here at BHM, we want to remind you that you are not alone, and we urge you to find support whether it be from healthcare providers, friends, family, therapists, other women living with this condition, or a combination of all these things.The Resilient Sisterhood Project has reported the experiences of many black women with PCOS who have felt invisible and invalidated when seeking help from medical practitioners. Others have had their symptoms dismissed. been bullied about their weight  instead of the root cause of their issues.

It is imperative that Black woman try their absolute best to research their doctors, read patient reviews, and remain confident in their knowledge of their experiences and the questions that they are seeking answers for. We don’t deserve to be profiled or dismissed when we are trying to take care of our health, advocating for ourselves is one of the keys to attaining proper healthcare and holding our healthcare providers accountable

If you happen to have PCOS, your story and experiences are valuable. Remember to always advocate for yourself and your health and have compassion for yourself as you go through this journey.

The post How Does PCOS Impact Your Health? appeared first on Black Health Matters.

Anthony Anderson is a paid spokesperson for Novo Nordisk and this article is sponsored by Novo Nordisk.

Can you tell us about your experience with type 2 diabetes?
I was first diagnosed at age 29. I was familiar with the symptoms, such as excessive thirst and frequent bathroom trips,¹ but one night, no matter how hard I tried to quench my thirst, I couldn’t. That’s when I knew something was going on. I went to see my doctor and after tests showed my glucose level was off the charts, I was diagnosed with type 2 diabetes. It was a reality check. Immediately I thought, okay, where did I go wrong? What did I do that led to this? What do I do now? At first, I went on medication and followed a plan, but looking back, I didn’t take the disease too seriously. I was the first person in my family to be diagnosed with type 2 diabetes, followed by my mother, Mama Doris, and, finally, the father who raised me.

What did you do after you were diagnosed?
I made a lifestyle change, starting with being conscious about my health, getting fit, and listening to my healthcare professionals. No matter what your lifestyle is like, prioritizing healthy eating and exercise takes a lot—but you can also start small and go from there. At first, I took the stairs instead of the elevator. I walked around my neighborhood and ate healthy foods, but also took the advice of my doctor to enjoy things in moderation before phasing them out of my diet. Over time, it made a difference. I’ve learned there’s no secret to type 2 diabetes—you’re either managing it, or it’s hurting you.

How did you “get real” about your diabetes?
My diagnosis made me think back to my childhood. I remembered things about my dad’s life: the late-night bathroom breaks, the midday sleeping and being lethargic. I realized he had diabetes my entire life and had never been diagnosed. Ultimately, we lost him to cardiovascular disease. It wasn’t until his death that we learned he had been living with type 2 diabetes all this time, completely unmanaged. It was a tragic loss and made me think, “I don’t want to do that to my family. I don’t want to become a statistic.” That’s when I got real about managing my type 2 diabetes.

What do you want people to know about type 2 diabetes and its associated risks?
Most importantly, learn what puts you at risk of getting type 2 diabetes. This includes family history, obesity, age, whether you live an active lifestyle or are part of a high-risk ethnic group, like me as a Black man.¹
My doctor told me that having type 2 diabetes also puts you at increased risk of CKD and experiencing a major cardiovascular event like stroke, heart attack, or death^2-4 Cardiovascular disease is the leading cause of death in people living with type 2 diabetes.⁷ On top of that, about 40% of people with type 2 diabetes live with CKD,⁸ yet nearly 90% of adults with CKD don’t even know they have it.⁹

Since your diagnosis, what were you most surprised to learn about the impact of the disease?
As a Black man, I felt especially surprised to learn that certain ethnic groups are considered high-risk. The Black community is disproportionately impacted by type 2 diabetes and the risks associated with it. ^5,6 Black Americans are more than three times as likely as White Americans to have kidney failure¹⁰ and six times more likely than White Americans to get kidney failure from their high blood pressure.¹¹ It’s scary stuff.

As someone living with type 2 diabetes, are there other long-term effects you have discussed with your doctor?
Yes. I’ve learned that, if not managed over time, high blood sugar can cause harm to your heart and kidneys.¹² The longer you have type 2 diabetes, high blood pressure or heart disease, the more likely you are to have kidney damage.¹³ It’s all connected, but there are ways to lower the risks and by educating yourself, and talking to your doctor, you’ve already taken the first step!

To anyone who has type 2 diabetes or knows someone who does, what would you tell them?
Get proactive and GET REAL! Talk to a healthcare professional to learn the risks for yourself and share them with your family or community—someone might be pre-diabetic or going through the same things. Living with type 2 diabetes and managing it successfully is a daily commitment that’s worth it. I always say, I’d rather live with this disease than die from it. It’s up to each of us to understand type 2 diabetes and associated risks, get the information we need and talk to our family members.
If you or someone you know is living with or at risk of type 2 diabetes, it’s time to get real about the link between type 2 diabetes, CKD and CVD. Talk to your healthcare professional about ways to manage your risks, including testing and treating early, managing your blood pressure and understanding genetic factors.
To learn more about type 2 diabetes, the increased risk of CKD and CVD, or to help you get real about your diabetes, visit www.GetRealAboutDiabetes.com.

– – –

References:
1. Cleveland Clinic. Type 2 Diabetes. Accessed October 8, 2024.
https://my.clevelandclinic.org/health/diseases/21501-type-2-diabetes.
2. American Diabetes Association. Cardiovascular disease and diabetes. Accessed September 18, 2024. https://diabetes.org/about-diabetes/complications/cardiovascular-disease.
3. de Boer IH, Rue TC, Hall YN, et al. Temporal trends in the prevalence of diabetic kidney disease in the United States. JAMA. 2011;305:2532-2539.
4. Kidney Disease: Improving Global Outcomes (KDIGO) Diabetes Work Group. KDIGO 2020 clinical practice guideline for diabetes management in chronic kidney disease. Kidney Int. 2020;98:S1–S115. Published May 15, 2020. Accessed June 24, 2024.
5. Saab KR., Kendrick J, Yracheta JM, Lanaspa M A, Pollard M, Johnson R J. New insights on the risk for cardiovascular disease in African Americans: the role of added sugars. J Am Soc Nephrol.,2015;26(2):247–257. DOI:10.1681/ASN.2014040393
6. Osayande A. Assessing the relationship between racism in medicine, medical mistrust and cardiovascular disease among Black American adults. (2024). Electronic Theses and Dissertations. Paper 4355. https://doi.org/10.18297/etd/4355
7. American Heart Association. Target: type 2 diabetes. Accessed September 18, 2024. https://www.heart.org/en/professional/quality-improvement/target-type-2-diabetes/.
8. Feng XS, Farej R, Dean BB, et al. CKD prevalence among patients with and without type 2 diabetes: regional differences in the United States. Kidney Med. 2021;4(1):100385.doi:10.1016/j.xkme.2021.09.003
9. Centers for Disease Control and Prevention. Chronic kidney disease in the United States, 2023.Accessed October 4, 2024. https://www.cdc.gov/kidney-disease/php/data-research/index.html.
10. National Kidney Foundation. Race, ethnicity, & kidney disease. Published January 7, 2016. https://www.kidney.org/atoz/content/minorities-KD#:~:text=Black%20or%20African%20Americans%20are%20more%20than%203.
11. American Kidney Fund (AKF). Race/ethnicity – kidney disease risk factors. Published October 29, 2021. www.kidneyfund.org. https://www.kidneyfund.org/all-about-kidneys/risk-factors/raceethnicity-kidney-disease-risk-factors.
12. National Kidney Foundation. Diabetes and kidney disease (stages 1-4). Accessed July 2, 2024. https://www.kidney.org/atoz/content/Diabetes-and-Kidney-Disease-Stages1-4
13. National Institute of Diabetes and Digestive and Kidney Diseases. Diabetic kidney disease. Accessed June 24, 2024. https://www.niddk.nih.gov/health- information/diabetes/overview/preventing-problems/diabetic-kidney- disease#:~:text=The%20A1C%20goal%20for%20many,check%20your%20blood%20glucose%20levels.

Novo Nordisk is a registered trademark of Novo Nordisk A/S.
© 2025 Novo Nordisk All rights reserved. US24NNM00144 March 2025

The post Q&A with Anthony Anderson: “I Got Real About my Type 2 Diabetes—and I Never Looked Back” appeared first on Black Health Matters.

We spoke with Dr. Folasade May, Co-Leader of the SU2C Colorectal Cancer Health Equity Dream Team, about the importance of screenings, why we are reluctant, and how we can overcome our fears. According to Dr. May, ‘Many of the risk factors for colorectal cancer are more prevalent in black individuals. So when you talk about the use of tobacco, when you talk about overweight, obesity, diabetes, and an unfavorable diet, these are things that, unfortunately, are more common in black communities than in white communities. And that’s playing a role,” she says.

The Benefits of Screenings

However, Dr. May points out that the other factor that plays a strong role is differences in who participates in screening. “Screening can be life-saving, and for colorectal cancer, we’re very fortunate that they work in two ways. Screening can help prevent disease in the first place because when we screen, we look for polyps in the colon and take out those polyps. They don’t have a chance to transform into cancer,” she explains. “So it’s very powerful that we can prevent people from getting cancer in the first place. And the second way that screening works is that it’s a tool for early detection. So even if you didn’t benefit from screening for removing polyps, we can do screening and find cancers early enough that we can remove them, and people can be cured.”

The Idea of a Colonoscopy is Scarier Than The Actual Procedure

Overall, women are better than men at taking care of their health appointments than men. But preparing for a colonoscopy ( a day-long fast), taking the day off, and arranging to be picked up (and having your children picked up) may cause you to put the procedure off. Dr. May says if taking days off is impossible, there are alternatives, “It’s not only colonoscopy; we now have other screening tools that you can use that you can do in the comfort of your own home. These are called stool-based screening tests. You will be given an instruction kit and a safe and hygienic way to collect the sample of that stool, put it in a container, and send it to a laboratory where they test it,” she explains. And it doesn’t matter which of these you do, a colonoscopy or the stool test; the important thing is that you do it, you do it at 45, and you do it at the proper intervals. So you do some stool tests yearly, whereas colonoscopy is every 10 years.”

Colon Cancer is No Longer an Older Person’s Disease

When Dr. May began researching colon cancer, she was told it was more prevalent among older adults in their 60s and 70s. However, that is no longer the case. “Right now, we are seeing colorectal cancer and people in their 30s. And in their 40s and 50s. It’s what we call early-onset colorectal cancer,” she says. “So we’re seeing a drop in cases because screening is working in people under 50; we’re seeing a rise, and that’s across the board by ethnicity and race. So we have this epidemic now that we call early-onset colorectal cancer, and we’re trying to raise awareness, not only in black individuals who are high risk but also in young individuals who need to know that we’ve dropped the screening age to 45 and that they are at risk now. It’s no longer an old person’s disease.”

Note: If you have severe abdominal pain, gut issues, constipation, or weight loss, see your doctor even if you are a young person

How Do We Prevent Colon Cancer

Dr. May points out that one way to prevent colon cancer is to focus on keeping people healthy. One way to do this is to start by teaching children and teens good habits they can carry into their twenties.

Other recommendations include:

• • • Eliminate tobacco
    • Minimize alcohol consumption (particularly binge alcohol drinking)
    • Stay physically active (cardio and strength training)
    • limit processed food (especially processed meat)
    • Limit red meat
    • Eat more fiber
    • Monitor Calcium and Vitamin D levels

Stand Up To Cancer has funded colorectal cancer research and has Health Equity screening sites in Boston, Los Angeles, and Tribal Nations in South Dakota to support the underserved needs of our communities. To learn more, click here.

The post Dr. Folasade May, On Colorectal Cancer & Health Equity appeared first on Black Health Matters.

This lifelong condition is characterized by the presentation of itchy plaques on the skin’s surface. Psoriasis can be classified as mild, moderate, and severe disease.The majority of cases are classified as mild to moderate. Plaques can appear anywhere on the skin but appear most commonly on the abdomen and midsection, scalp, hands, feet, elbows, and knees. Plaques are patches of skin covered in white or silver colored scales that vary in size and are round in shape. The peak ages of onset are between 20-30 years of age and 50-60 years of age. Men and women are affected equally. Psoriasis is not contagious.

While psoriasis is less prevalent in African Americans than Caucasians, it is underdiagnosed in African Americans and people of color. This may be because psoriasis is easier to identify on lighter skin tones. Patients with psoriasis have a higher risk of developing heart disease and risk factors such as diabetes, obesity, high cholesterol, and high blood pressure, conditions which disproportionately impact African Americans.

Symptoms

Symptoms of plaque psoriasis may vary from person to person.

Some common symptoms of plaque psoriasis may include:

• Itching
• Burning
• Soreness
• Pain and discomfort associated with cracking and bleeding of the skin
• Nail changes

There may also be bleeding if a scale is removed. You may also notice that plaques appear to be equally distributed in a mirror-image or symmetrical fashion on various parts of the body such as the knees and elbows.

Causes and Triggers

The exact cause of plaque psoriasis is not completely understood. It is believed to be caused by a combination of genetic and environmental factors. If you have an immediate family member with plaque psoriasis, you are more likely to get it. There are several other risk factors associated with plaque psoriasis. Avoiding triggers may help reduce and manage symptoms. Other risk factors include:

• Stress
• Infection
• Use of certain medications
• Skin injuries
• Dry, cold weather
• Tobacco use
• Heavy alcohol use

Diagnosis

Plaque psoriasis can be difficult to diagnose and is typically established by physical examination. Your doctor may examine your skin and assess your symptoms. A skin biopsy is not required but may help your provider rule out other conditions.

Treatment

Plaque psoriasis is a chronic condition that requires long term treatment. There is no definitive cure, but the main goal of treatment is to manage symptoms and improve quality of life.

A 2014 survey revealed that close to 50% of patients with psoriasis had not been seen by a healthcare provider in the past year. Many were either not taking prescription medications or only using a topical treatment. This gap in care highlights the importance of furthering clinical research to study the safety and efficacy of potential new therapies to treat the condition.

If you or someone you know has been diagnosed with plaque psoriasis learn more about the LATITUDE study.

References

• Kimmel, G. W., & Lebwohl, M. (2018). Psoriasis: Overview and Diagnosis. Evidence-Based Psoriasis: Diagnosis and Treatment
• National Psoriasis Foundation. Psoriasis Statistics
• American Journal of Managed Care. Psoriasis and Psoriatic Arthritis Overview
• American Academy of Dermatology Association. What Is Psoriasis?
• Dermatology and Therapy. Clinical Goals and Barriers to Effective Psoriasis Care
• Psoriasis: Diagnosis, Treatment, and Steps to Take

The post All About Plaque Psoriasis: What You Need to Know appeared first on Black Health Matters.

What Is Hidradenitis Suppurativa?

Hidradenitis Suppurativa (HS) is a condition that occurs when painful lumps and bumps begin to form under the skin, according to the Mayo Clinic. When HS appears, it typically flares in places where skin rubs together. Common areas, including the armpits, groin, breasts, and buttocks, often occur where hair follicles become blocked and inflamed.

The flares are compounded when the bumps or abscesses burst and blood and pus leak. HS bumps may heal slowly and become recurring. As a result, those with the condition could experience scarring. When the abscesses recur in the same area, the scarring may progress to tunneling when the sinus track beneath the skin is filled with pus.

We spoke with Dr. Kenyatta Mireku, a board-certified dermatologist, who provided insight on HS and common misconceptions.

BHM: What do dermatologists look for to reach an HS diagnosis?

Dr. Mireku: We look for recurrent painful lesions such as nodules, abscesses, and tunnels in intertriginous (skin folds) and creased areas such as the axillae (underarm), buttocks, breasts, and groin.

BHM: How do dermatologists classify HS regarding its severity?

Dr. Mireku: We use  something called the Hurley stages:

• Stage 1 – solitary or multiple, isolated abscess formation without scarring or sinus tracts.
• Stage 2 – recurrent abscesses, single or multiple widely separated lesions, with sinus tract formation
• Stage 3 – diffuse or broad involvement, with multiple interconnected sinus tracts and abscesses.

BHM: Are there any things that specifically contribute to people developing HS?

Dr. Mireku: Yes, HS is more commonly seen and more challenging to treat in those who are overweight and those who smoke. HS is also more commonly seen in those with a history of inflammatory disorders such as cystic acne and pilonidal cysts and those with scalp disorder, dissecting cellulitis.

In addition, there is likely a genetic predisposition as approximately 40% of patients with HS report a family history of the disease in a first-degree relative.

BHM: Do you have any thoughts regarding why Black people are more prone to HS diagnoses?

Dr. Mireku: Honestly, the exact reason isn’t entirely clear yet. For sure, research has shown that there are higher rates of autoimmune disease and obesity, which are two known associations of HS, in black patients. These may be contributors; HS also seems to have a genetic predisposition.

BHM: How can we promote more healthy conversations about HS?

Dr. Mireku: I think awareness is critical. Many patients are either embarrassed or believe that they have a hygiene issue. Because of this, I feel that the incidence of HS is under-reported. Many people live with it for years before being diagnosed.

Patients need to understand that they have done nothing wrong, are not contagious, and have nothing wrong with their personal hygiene.

Additionally, they shouldn’t feel alone. There are things we can do to help.

Treatment Options

The HS Foundation has provided information about a few approaches for treating HS, including:

• Topical medicines, such as washes and medicines, are applied to the skin’s surface.
• Systemic medicines and pills can help reduce inflammation, reduce bacteria, and boost the immune system.
• Procedures, depending on the severity of one’s HS, laser treatments, lancing, minor surgeries, and more extensive surgeries can be beneficial for reducing inflammation and restructuring the skin.
• Complementary and alternative medicine (CAM) targets one’s diet, nutrition, and supplements and promotes mind and body techniques.

Treating HS looks different for everyone, and for many, a combination of treatments will be used, and specialists may be involved as well. Those living with an HS diagnosis or those who think they may have HS should visit their healthcare providers.

The post Hidradenitis Suppurativa: Removing the Stigma and Understanding the Condition appeared first on Black Health Matters.

Brittne Babe – @brittnebabe

Wildly known for her toned legs and abs, Brittne’s workout routines are the pinnacle for becoming summertime-ready. She is also a certified personal trainer and fitness model, so you know she has IT. Her Instagram and YouTube channels are filled with workout videos and photos of her in action—everything from the best plank exercises to the building strength ab workouts. You’ll be sure to lift and trim toward your body goals.

Follow her on Instagram or subscribe to her YouTube channel.

 E2M Fitness (Eager 2 Motivate Fitness)

Eager 2 Motivate Fitness (E2M Fitness), founded by Jeff Witherspoon, is not your traditional fitness content creator. E2M Fitness doesn’t just focus on the physical aspect of improving your body on the outside but also on the inside. Health and wellness are more than just about how we look; it is also about how we think about our bodies and what we consume. E2M Fitness does just that. They are all about helping you become the best version of yourself inside and out. E2M Fitness offers a variety of workouts, from HIIT to yoga, and even has a podcast where they discuss topics like mental health and body positivity. In addition, they run a virtual 8-week weight loss program through which more than one million pounds have been shed. Check out our podcast interview with Jeff Witherspoon here to learn more about their work.

You can follow E2M Fitness on Instagram or subscribe to their YouTube channel.

Nataleebfitness – @nataleebarnett_

Someone once said, “Thick thighs save lives”. This quote takes on a prophetic meaning when you see Natalee B’s fitness routine. She rose to social media fame with her ‘Savage Thicker Thighs Workout’ video. With over 2.4 million views, Natalee B Fitness has proven to be a go-to resource for helping girls gain more confidence in their bodies. Outside of being a fitness model and influencer, Natalee is the CEO and founder of The Girl Spot Gym, a women-only gym providing a safe space for women to get fit, minus the wandering eyes.

Follow NataleeB Fitness on Instagram @nataleebarnett_, and check out the Girl Spot Gym at thegirlspotgym.com.

Taliyah Joelle – @bodiedbytna

If you enjoy a slower pace to your workout routines, Taliyah Joelle is the fitness influencer you need to check out. On her YouTube channel, you will find beginner-friendly how-to videos that can simplify any workout. But just because her videos are easy to follow, that does not mean that they won’t make you sweat. She will show you how to build muscle and lose fat while prepping your weekly meals.

Follow Taliyah Joelle on Instagram @bodiedbytna.

Jeanette Jenkins – @msjeanettejenkins

Jeanette is a personal trainer and health coach with over 30 years of experience. Her at-home workout videos on Instagram are an excellent alternative for those who don’t have workout equipment inside their home. Jeanette has worked with celebrities such as Alicia Keyes and Nia Long. Jeanette will get you more than just fit; she also delivers a dose of wisdom about health and fitness. She is the author of “The Hollywood Trainer Weight-Loss Plan: 21 Days to Make Healthy Living a Lifetime Habit”. She has a variety of programs for healthy eating and fitness. Follow her on Instagram @msjeanettejenkins.

The post Do You Need Fitness Motivation? Follow These 5 Black Influencers appeared first on Black Health Matters.

The American Cancer Society says prostate cancer begins when cells in the prostate gland start to grow out of control. The prostate is a gland found only in males. It makes some of the fluid that is part of semen. When the cancer has not spread outside of the prostate, it is localized. When it has spread to lymph nodes and surrounding areas, it is categorized as regional, and if it has reached the lungs, bones, or liver, it is a distant stage.

It is the second leading cause of death among American men. However, African American men and Caribbean men of African descent have higher risks. Men in our community are 1.7 more likely to develop prostate cancer and also 2.1 times more likely to die from it. And like many other cancers that impact us, there is a higher chance that they might be diagnosed with an advanced stage of the disease.

Dexter King received his diagnosis at a younger age than most men. 60% of men are diagnosed at 65 or older. Even when Black men are diagnosed early, however, they may not receive treatment, a recent study reported. Researchers analyzed more than 300,000 patients with localized prostate cancer and found that Black men were 27% less likely to receive treatment (radical prostatectomy, external beam radiation therapy, brachytherapy, or cryotherapy) than white patients.

It is imperative that we encourage the men in our lives to get screened for prostate cancer annually. The Prostate-Specific Antigen, or PSA, is a protein produced by normal and malignant prostate gland cells. The PSA test measures the level of PSA in the blood, and the level will be elevated in men with prostate cancer.

While the screening age is 50, Black men should begin getting screened at 45, especially if they have a father or brother who was diagnosed with the disease before age 65. If he has had more than one first-degree relative diagnosed, then screening should begin at 40.

Possible symptoms of prostate cancer include:

• Blood in the urine or semen.
• Back pain, pelvis pain, or hip pain.
• Difficulty getting or keeping an erection.
• Unexplained weight loss.

For more information on prostate cancer risks, diagnosis, and treatment, check out the following:

Prostate Cancer in the Black Community

50 Questions to Ask Your Doctor If You Have a Family Has History of Prostate Cancer

As we mourn the loss of Dexter Scott King, let’s also take this as an opportunity to encourage Black men to take their health seriously.

The post Dexter Scott King Died of Prostate Cancer (Why it Disproportionately Impacts Black Men) appeared first on Black Health Matters.

Moore says it is important to do your homework and zero in on your “why” before jumping into the “what” of any big goal.

What Are You Willing to Do?

“One of the first things I do when working with a client is to address why they want to make this change and their level of commitment,” Moore says. “We can agree that working out or changing up your diet is a good thing for your health or losing weight, but if you aren’t fully committed and focused, you aren’t going to stick with it,” she says.

“If your commitment and what you are willing to do consistently isn’t at a nine or a ten, you need to keep digging,” Moore says. She suggests that If you aren’t willing or able to focus on your big goals fully, ask yourself what smaller things you are willing to do to chip away at them. Moore uses the example of a person who says he or she wants to lose 20 pounds. “Dig in deeper with questions about your commitment, like what are you really willing to do?”

She says it is more than chasing a number on the scale. “What will losing 20 pounds do for your life or what will it allow you to do that you can’t do now?”

The next step, Moore says, is to address the barriers that have held you back when you tried to reach your goals in the past. Whether it is weight loss, stress management, or even career goals, you need to be able to see and address the big rocks and the small ones in your path. Look at the things that got in your way and what you are committed to doing to move forward, even after a stumble.

Use Your “Why” As Motivation

“Once you can understand the “why” and prioritize its importance, it gives you a focus and power,” Moore says. “If losing 10 pounds or 20 pounds allows you to play with your grandchildren without hurting yourself, you have a reason to push forward.” According to Moore, “it is never just about the numbers. It’s about how the work and results can benefit your life and what you want to do in the future.

Moore, who has worked with athletes, entrepreneurs, and others with many goals, works with them from a holistic perspective. “It’s never just about lifting weights or cardio, but about how you integrate these changes into improving your life.

Set Realistic Benchmarks

Moore says it is also important to benchmarks along the way. “If you want to run a 5k if you have never run before, start off learning to run a mile,” Moore says. She encourages checking in on the benchmarks at strategic intervals, say six weeks or eight weeks out.

“Equally important is to remember that you can’t, I mean, you can’t outrun bad nutrition. They both go hand in hand,” Moore says.

There are many reasons to work on health and wellness, including having good cardiovascular health, having good mobility, solid mental health, and building good relationships with other people. “That’s the holistic part,” she adds.

Consider Your Personal Preferences

Dr. Tyeese Gaines is a Florida-based emergency room physician who prioritizes her fitness goals. “When I make a new fitness goal, I try to think through what that will look and feel like at least the week prior,” Gaines says. “Do I need to get new running shoes? Do I need to go to the grocery store? Preparation is key. “

She agrees with Moore that working around your pitfalls is the most important part. “For example, I know I am not a morning person. So, creating a goal of waking up at 5 am to go run a few times a week is unlikely because I hate getting up a minute earlier than I have to,” she says. “Just because it’s a new year doesn’t mean I will become a new person. Learn to work within your preferences and quirks.”

As a physician, Gaines says, ” My goals probably sound very similar to my patients, friends, and family. We are all in this struggle together.

This Framework Applies to All Your Goals

But not everyone’s goals are focused on fitness. Award-winning author of Black Joy: Stories of Resistance, Resilience and Restoration, Tracey Michea’l Lewis- Giggetts says that kind of focus is important in her goal setting, as well.

“Nowadays, I have to consider so much more when setting my writing goals, including family time, other entrepreneurial projects, rest, soul care, etc. I wasn’t thinking about any of that in my 20s,” she says.

“I know that my brain needs space and safety to run optimally,” she added. “ So when I set a writing goal, I have also to make sure that it is something I want to do, something I have the time to do and something that is safe to do and is the content too heavy for wherever I am in my life at the moment.”

Lewis-Giggetts says that all of those things give her the things will give her the incentive to show up to the page consistently. “I also can run back those answers on the days I don’t feel much like going after my goal.”

Schedule Time for Joy and Play

Lewis-Giggetts’ strategy includes making her goals more about weaving in joy and play. “ I try to write joy into my day, onto my to-do list, as it is an absolute necessity for me,” she says. “I’m strategic about how I incorporate joy into my day. I’m acutely aware that when my nervous system is off, when my body is off because of grief or rage or pain or anxiety, then it will be very difficult for me to do my work, and goals will not be met.”

She says that play and joy help her manage her body and brain. Things like movement, including dancing or even getting on the swings at the playground, and laughter help her discharge anxiety. “All of that means I’m more likely to meet my goals because I’m well,” Lewis-Giggetts explains.

8 Things to Remember

1. Ask yourself the tough questions about your “why?”
2. What are you willing to commit to and focus consistently to make it happen?
3. Start small. Don’t start with a goal of walking 10 thousand steps right away. If you haven’t done it in a while, start with a mile or maybe 15 minutes, and consistently work your way up.
4. Anticipate the obstacles. New Year’s goals kick off in January when the weather can sideline you. Figure out what you can do in the house to get your physical activity in. Also, a cold or illness can slow you down. Plan for getting back on your plan.
5. Treat it as an important business appointment in your planner. If your goal is to eat healthier, make an appointment with yourself to prepare healthy meals to have ready. That includes snacks.
6. Sleep for health and focus. A lack of quality sleep can sabotage your health goals without a plan. Track your hours of sleep.
7. Check-in with your goals on a daily or weekly basis. Know where you stand and when you need to get back on track.
8. You can get a do-over. Maybe you didn’t get your meditation in for the week. Don’t just start. Take the time to remind yourself why this is a priority and what the benefits are.

The post 8 Things You Need to Know to Crush Your Goals All Year appeared first on Black Health Matters.

That means much of the weight loss rhetoric we’ve been fed in high doses hasn’t only been confusing and misguided. Still, it has also been expensive, driving Americans to spend billions on gym memberships and exercise equipment guaranteed to help us lose weight.

We Are Following Some Outdated Advice

Dr. Fatima Cody Stanford, MD, MPH, MPA, Associate Professor of Medicine, Mass General Hospital, Pediatrician, and Obesity Medicine Physician Scientist, urges us to forget everything we think we know about losing weight, specifically what she calls an oversimplified idea suggesting to lose weight, we must burn more calories than we consume.

In an article on the Harvard Health website, she insists, “This idea of ‘a calorie in, a calorie out’ when it comes to weight loss is not only antiquated, it’s just wrong.” The archaic claim seems to ignore that how effectively the body burns calories depends on its metabolic rate, gut health, and the quality of food intake. Now that makes sense.

The Mayo Clinic reports, “Sometimes the effectiveness of exercise for weight loss is oversold, and people may overestimate how effective it will be toward their goal of losing weight. And for most people, conflicting theories like this that contradict everything they’ve ever been told about how to lose weight is extremely difficult just to accept.”

Curious about how others might react to this information, we reached out to Andrea Farquharson, who has lost weight, burning loads of calories with exercise in the past, to find out where she is on her weight loss journey. “I just celebrated my 50th and have minimal motivation to work out, especially dealing with bursitis in my left hip,” she laments. She works out four days weekly with trainers, seeing no results. We know she’s not alone.

What Do Doctors, Nutritionists, and Psychologists Have to Say?

To shed some light on the dichotomy of exercise vs weight loss, I turned to medical doctors, registered dietician nutritionists, and psychologists to hear their take on what exercise Can & Can’t do for weight loss. If exercise doesn’t significantly impact weight loss, then what does? Dr. William D. Stanley, MD, FASAM, who specializes in internal medicine & addiction, tells us that as a primary care physician, he takes the responsibility of seriously conveying to patients the importance of maintaining a healthy weight. He says, “It is just as important as exercise is to prevent weight gain. Practicing healthy, balanced eating habits may matter more.” Dr. Cody Stanford agrees that improving the quality of foods and making sustainable lifestyle improvements are crucial to achieving and maintaining a healthy weight.

We now know that eating well is important more important than ever, resulting in weight loss as a symptom of intentional lifestyle changes.

Researchers at NIH & CDC agree that exercise can have profound effects on preventing chronic disease, reducing cancer risk, improving mobility and quality of life, preventing injuries, improving sleep, and increasing longevity. Exercise may delay and, in some cases, prevent mental and physical impairment, like Alzheimer’s and dementia, supporting the ultimate goal of living a happier, healthier life in mind, body, and soul. Exercise cannot compensate for an unhealthy diet, lifestyle choices, or a toxic relationship with food. It can’t effectively treat eating disorders.

Katrice Mayo, MS, RDN, CLT, is passionate about developing healthy lifestyle changes with her clients over time that nourish and fuel the body and build muscle while prioritizing adequate rest and reducing stress. She says, “Chronic stress and the stress response will (negatively) impact what you choose to eat, why and how you’re eating.”

Rather than focusing on the number on the scale, Mayo maintains that an essential part of sustainable weight loss is eating more quality whole foods and less processed food with trans fat and little or no nutritional value. She cautions people to choose real food for energy and to think twice before choosing processed protein or energy bars or protein bars over nutrient-dense, whole food.

Experts, we hear you. Weight loss is unique for all of us.” Embracing exercise and learning how to nourish the body—paying attention to hunger cues, learning to stop eating when you’re full, and frequently evaluating when and why will help you learn more about your nutritional needs and help with maintaining your weight loss.

Where Should You Begin?

Dr. Radisha Brown, Psychologist and CEO of IThrive Therapy believes, “On any weight loss journey, the most important relationship is the relationship with ourselves. This dynamic sets the tone for all other relationships, including our connection to exercise & food.

If you want to lose weight, ask yourself if you’re ready. Be honest about what you’re willing to start changing. Seek counseling if you think you need emotional support around food, and get support and create your community.

The post Should You Focus On Exercise When You Want to Lose Weight? appeared first on Black Health Matters.

An article in Frontiers in Genetics reported that after a yo-yo dieting style cycle, “Weight regain often starts within the first year, and the pre-intervention weight is reached or even surpassed in the subsequent 2 to 5 years.” It also stated, “Limiting or preferentially avoiding weight cycling in the first year after weight loss appears crucially important for sustainable long-term weight maintenance.” Another article published by the American Diabetes Association suggested that the practice “exacerbates the risk for T2D and cardiovascular disease.”

“Accumulating evidence suggests the existence of an autoregulatory adaptive mechanism or ‘famine reaction’ that predisposes to obesity following a period of starvation,” it reported. “While self-reflection and making goals can help us feel more focused and accomplished, restrictive dieting, excessive exercise, or other sudden behavioral changes that are characteristics of New Year’s resolution around weight loss are often an attempt to feel in control when other aspects of our lives feel out of control,” explained Taryn Crosby, LCSW, a psychotherapist and Founding Partner of MCMCollab. “Ultimately, yo-yo dieting, in addition to having potential medical health consequences, can affect our mental health.”

Dr. Dominique Pritchett, PsyD, LCSW,  considers participating in yo-yo dieting symptomatic of other issues. “That trickles to other parts of our life,” she told Black Health Matters. “I’m a big strategy person. If we’re approaching anything without a strategy, we will likely fail or hurt badly going through it,” she continued. “I believe people can be more successful with creating changes in their life, getting off the yo-yo, and sustaining their wellness with a solid strategy.” Dr. Pritchett suggested working with a professional to settle on sustainable tactics. “Chances are, it’s just not showing up in the diet, but it’s shown up in other places in your life. So, go talk to a professional,” she said. “That objective perspective has to come from someone.” Working with a professional can help you accurately assess your habits instead of focusing on what you think they should be. “Shoulding is an unrealistic fantasy belief,” said Dr. Pritchett. If limited access to care prevents you from seeking professional assistance, you can observe and document your habits to try and stop the yo-yo approach.

Dr. Janel Gordon, M.D., DipABOM, DipABLM, a Triple Board Certified Family, Obesity & Lifestyle Medicine Physician, believes “people intend to stay on the wagon when they slide into yo-yo-ing.”

Action Tips

Learn What Works For You

“Look at what you’re doing really, really well,” Dr. Pritchett advised. She recommends asking yourself, “What do you feel good doing? What are you getting results from?” “Replicate what’s working, but make sure it matches your personality,” she added.

Do Your Research

Dr. Gordon advocates for balancing out your diet instead of diving into extremes. “Maybe you’re trying to cut back on carbs, but carbs are not evil. We need all the macronutrients. We need carbohydrates. We need fat, we need protein,” she said.

Avoid Comparing Yourself To Others

Just because the latest diet craze worked for your friend or co-workers doesn’t mean it will work for you. “People respond differently to different tactics,” said Dr. Gordon. Think about what is feasible for your schedule and your circumstances. If you’re working with a healthcare professional, tell them what your day-to-day looks like so they can recommend the appropriate options. “If I’m talking to a male high school student versus if I’m talking to a single mother of three who has to catch a bus, drop her kids off at their daycare, and still figure out what’s nutritious to eat for herself and her kids, I’m going to be giving different recommendations.”

Supported by an educational grant from Novo Nordisk Inc. 

The post Yo-Yo Dieting Doesn’t Work: So Why Do We Keep Doing It? appeared first on Black Health Matters.

This study looked at the habits of those 18 and younger. It analyzed 90 studies involving more than 600,000 participants. Regarding girls, 1 in 10 didn’t just use a nonprescription weight loss remedy in their lifetime; they’ve used them in the past year.

Why is this dangerous? Here’s the issue: use of diet pills and other weight loss medicines can result in other health issues. Experts warn that in the long term, unhealthy weight control behaviors, including weight loss products without a doctor’s prescription, can contribute to increased body weight. Using these products can also put youth at risk for developing eating disorders within just a few years. According to StatNews, studies have also found that the use of the products is associated with low self-esteem, depression, and substance use. And young people have died from using these solutions.

“The incidence of eating disorders has increased pretty dramatically after the pandemic. We’ve seen the numbers skyrocket,” Dr. Paula Cody, medical director of adolescent medicine at the University of Wisconsin School of Medicine and Public Health, told CNN. “So I think that the concern I had before was not a small matter then — I’m even more concerned now.”

According to an article written on the subject. You are probably thinking eating disorders are not an issue in our community, but we are not immune. According to the National Eating Disorders Association (NEDA), eating disorders “affect people from all demographics of all ethnicities at similar rates. People of color — especially African Americans — are significantly less likely to receive help for their eating issues.”

Rachel Goode, an assistant professor in the School of Social Work at the University of North Carolina Nutrition Research Institute and an adjunct assistant professor in the Center for Eating Disorder Excellence, says looking at eating disorders in our community is complex. And what you should know is that eating disorders from our community are often associated with the strong Black women syndrome.

The good news is that states are making moves to regulate the sale of the supplements. New York, for example, New York State has banned over-the-counter diet pills. Lawmakers have also introduced legislation to regulate them in California, Maryland, Massachusetts, Missouri, and New Jersey.

What do you need to do? Find out if your teens, especially your daughters, know  about “budget Ozempic.” Share the dangers. If you suspect they have body image issues, check out resources like About Face and The National Alliance for Eating Disorders.

The post Budget Ozempic: Talk to Your Teens About This Dangerous Trend appeared first on Black Health Matters.

Every day, a news item explores these prescriptions’ benefits, side effects, and potential risks. CEOs and influencers have sung their praises. There is even a trendy TikTok song inspired by their popularity. Even traditional weight management brands have gotten in on the action.

WeightWatchers, now rebranded as WW, a staple in the weight loss industry, has begun offering access to medical interventions, including semaglutide, via their WeightWatchers Clinic’s launch. Last year, the company acquired Sequence, a digital health platform for clinical weight management. WW offers one-on-one clinician care, insurance coordination, and other membership privileges through their clinic. Noom, an industry newcomer, has launched the Noom Med program, where consumers can access medical advice for their mental and physical health and prescriptions for GLP-1 obesity drugs after being evaluated by professionals who will determine their eligibility.

If you are considering prescription weight loss options, here’s what you need to know.

What Are Your Options?

Injectables

Injectables have become an increasingly visible option for prescription-aided weight loss. They are approved for weight loss for those who have been categorized as clinically obese (BMI >30) or are overweight with medical conditions like high blood pressure or high weekly at gradually increasing doses. Some of the options on the market include Wegovy (semaglutide), Mojourno and Zepbound (tirzepatide), Saxenda (liraglutide), and Imcivree (setmelanotide). Familiarize yourself with the non-brand name versions of the medications so that you can ask your healthcare provider the necessary questions.

How Do They Work?

Injectable drugs behave similarly. “Dulaglutide, liraglutide, semaglutide were designed to act the same way as GLP-1,” according to Reviews in Endocrine & Metabolic Disorders. Glucagon-like peptide-1 (GLP-1) agonists are a class of medications utilized to treat type 2 diabetes and obesity.

What this means: When we use these drugs, they slow down food digestion and make us feel fuller longer. we eat less, and our appetites are reduced, and we lose weight as a result.

What are The Common Side Effects?

There are a variety of common side effects associated with these medications. “A lot of people will experience upset stomach, nausea, indigestion, sometimes, constipation, heartburn,” according to Dr. Danielle Timmons, a family medicine doctor in Decatur, GA. Injection site reactions and hyperpigmentation are common as well. However, these side effects are not universal.

“Everybody reacts differently,” said Dr. Timmons. “Some people will have more profound side effects than others.”

“Some people can have more severe reactions,” she explained. These include “persistent vomiting and severe nausea.” Side effects are not necessarily permanent, either. A study found that when it came to liraglutide, for example, “The most common adverse effects were gastrointestinal and primarily occurred early in the treatment course.”

Dr. Timmons noted that there can be an “uptick in those symptoms” associated with “going up to the next higher dose.” “Your body’s just trying to get used to that new dose,” she said. Some patients, however, have more serious gastrointestinal issues, including pancreatitis, gastroparesis (stomach paralysis), and bowel obstruction.

While GLP-1 drugs result in rapid weight loss, there is no such thing as a quick fix. Understand that these injectables are designed to be used long-term, with you eventually moving into a maintenance phase to maintain their effect. If you stop taking these drugs, you could regain some of the weight you’ve lost.

Pills

If you aren’t interested in injectable medications, you can explore the weight loss prescriptions available in pill form. Some of the names of these options include Metformin, Bupropion-naltrexone (Contrave), Orlistat (Xenical, Alli) – sometimes available over the counter, Phentermine-topiramate (Qsymia), and phentermine (Adipex, Lomaira) are pill options.

How Do They Work?

“Metformin works by helping to restore the body’s response to insulin. It decreases the amount of blood sugar the liver produces, and the intestines or stomach absorb,” according to the Journal of Research in Medical Sciences. Depending on the dosage given by your doctor, you can take it once or more daily with food. While phentermine decreases appetite, topiramate also does so and makes you feel fuller longer after eating.

What Are The Risks?

Beware of starting an over-the-counter option without consulting your physician. A study published in 2021 noted, “Phentermine-topiramate is not recommended for patients with significant cardiac history such as coronary disease and uncontrolled hypertension.” Patients in clinical trials also experienced insomnia, irritability, anxiety, headache, attention disturbances, depression, dry mouth, and kidney stones.

Certain patients can also have adverse reactions to metformin. The Food and Drug Administration (FDA) warned that lactic acidosis was a possible side effect.

“Lactic acidosis is a rare but serious metabolic complication that can occur because of metformin accumulation during treatment with metformin,” wrote the organization. Metformin has come under scrutiny for other reasons as well.

When Do The Side Effects Require Intervention?

If you’re taking these medications and the side effects are impacting your day-to-day life, medical intervention may be needed. “Are you getting up from your cubicle multiple times daily because you must run to the toilet? Are you unable to hang out with your friends?” According to Dr. Timmons, that’s an issue you must address immediately. “It’s important to discuss the issues with your PCP (primary care physician) so that the symptoms can be monitored,” Dr. Timmons added.

Diet and Exercise Still Matter

If you decide to explore prescription weight loss medicine, don’t be under the mistaken impression that you can eat anything you want. These medications work best with lifestyle changes like staying hydrated, eating a healthy diet, and exercising.

Exercise is particularly essential when taking GLP-1 medications because of the possibility you will lose muscle mass and bone density.

You must consider adding strength training and cardio to your lifestyle. Because injectables, in particular, lead to rapid weight loss, you can get a condition that usually impacts older people called sarcopenia ( the gradual loss of muscle mass, strength, and function).”

Now that you have some background, you can discuss your options with your physician to see what weight loss treatment might work best for you. Take note of the questions below to prepare for a discussion with your HCP. Then, make the decision that you believe will work best for you.

What To Ask Your Doctor Before Committing To Prescription Weight Loss Meds

• Am I a candidate for prescription-aided weight loss?
• How does this medication work?
• How many studies have included patients with [insert your specific medical condition here]?
• What are the most common side effects of this medication?
• What are the rarest side effects of this medication?
• How will this medication affect my nutrient intake?
• How would you suggest I alter my lifestyle to fit this medication?
• How will this medication interact with my current medication(s)?
• What is the lowest maintenance dose for this medication?

Supported by an educational grant from Novo Nordisk Inc. 

The post The BHM Guide to Rx Weight Loss Medicines appeared first on Black Health Matters.

Many Black men don’t think being obese is a big deal. For them, it is not a fatal health condition like cancer or heart disease. But that is not true. Dr. Chika Anekwe, an obesity medicine physician at Massachusetts General Hospital, says research has found 195 diseases influenced by excess weight. While Black women have a higher obesity rate at nearly 55%, more than one-third of Black men, 36.9%, are also challenged by obesity.

 Browner’s experience was a wake-up call. His condition was so severe the hospital would not release him for another three months.

During that time, he was forced to change his diet. “It was hospital food, so no salt, protein and vegetables, sugar-free applesauce. When I was first admitted to the hospital, I couldn’t wait to get out and eat some real food. But after spending so much time in that hospital bed, I’ll do whatever I can to never go back.”

Browner admits he doesn’t always adhere to his diet but has made profound lifestyle changes that have stuck.” I eat a lot more fruit and vegetables, go to the gym three times a week, and drink a lot more water. I never want to go through that again.”

Taking a Proactive Approach

While Browner’s health scare forced some changes, other Black men have seen the warning signs and decided to be proactive. Robert Thompson, 47, was motivated to make a change when, during his annual checkup, he noticed the scale was getting too close to 300 pounds. “While I cut off soda and sweets, the main factor was exercise. I started by going on long walks, which turned into working out with weights and runs. Just moving around more helped out a lot with my weight. I ended up going down to 220 pounds,” Thompson said.

“It’s the little changes that can help and you will see that they start to add up. What you eat matters too. You don’t have to cut out anything but you do have to consume less of it and add more beneficial calories,” Thompson explained.

The Impact of Pandemic Pounds

COVID-19 caused an uptick in obesity, especially in the black community. Rafael Mendez, 52, saw a rapid weight gain in just a few short months in 2020. “I work in an office, so  I wasn’t physically active every day before the shut-down,” he said. “But being in the house and having 24-hour access to my kitchen did a number on me. It started with just light snacking during the day, and before I knew it, I ate a bowl of cereal every hour during the workday.” In three months, he gained 15 pounds.

Since Mendez couldn’t get to a gym, he needed to get innovative about exercise. “I started out taking walks on my lunch break, and eventually, I was able to turn walking into jogging. Then, I researched exercises I could do in my home or backyard. I also had to break the habit of eating all day. I found healthier snacks like rice cakes and pita chips. It took me a little while, but I was able to lose the weight I gained.”

Beware of Belly Fat

Brothers must also be aware of the dangers of excess fat around the abdominal area. We often consider it excess padding, limited to subcutaneous fat just below the skin. However, the fat that lies deeper in the abdomen can be more problematic. Visceral fat can surround their internal organs. The Mayo Clinic says it can contribute to the following conditions:

• High blood pressure.
• An unhealthy amount of fat in the blood.
• Sleep apnea.
• Heart disease.
• High blood sugar and diabetes.
• Certain cancers.
• Stroke.
• Fatty liver.

Making a Mindset Shift

So, how can we get our men to take obesity seriously? Florida A&M Nutrition professor Dr. Jenelle Robinson believes we must first change our thinking about eating healthier foods. “You need to get away from the word, ‘I’m on a diet’ and say, ‘this is my dietary lifestyle,'” said Robinson.  “My dietary lifestyle is x, y, or z, and I live that way.”

Six Steps That Help Lead to a Healthier Lifestyle

Consult with your HCP About the Risks.

Not only should you consult with your physician, but you should consult with them about an action plan that is tailored to you specifically. A Journal of General Internal Medicine study found that some African Americans reported that it was only after they developed a condition such as diabetes or heart disease and their physician discussed the connection to their weight that they finally understood what their health risks were.

Talk With Your Village or Circle

Like many issues with black men, our obesity/ health is often an issue that we keep to ourselves. But people in our communities often deal with the same things as us. Having an open forum with each other can be mutually beneficial. What questions are you asking your doctor? What are some methods people around you are using to manage their weight?

Hire a Dietician or Nutritionist

Being healthy is not a one-size-fits-all type of deal. Everything needs to be personalized to your needs. One person may need to eat more fruits and vegetables, while another may need to incorporate more protein into their diet. Having a nutritionist tailor a diet that is right for you can help you reach your goals more quickly.

Work With a Personal Trainer

When it comes to weight loss, a healthy diet and exercise regimen go hand in hand. And just like dieting, exercise is not one size fits all. For example, if you have problems with your feet, running on the treadmill might not be ideal. Or if you have issues with your back, you may want to ease off doing heavy weightlifting. That’s why hiring a personal trainer is a great idea. Not only can they give you a personalized exercise regimen to help you reach your goals, but they can also give you tips on what foods you should be consuming for your body type and your nutritionist.

Team Up With An Accountability Partner

Goals are always more challenging to reach alone. So consider linking up with an accountability partner or perhaps a group of accountability partners. The journey to a healthier lifestyle had as much to do with your mental and physical health. Having an accountability partner gives you an outlet to express yourself. Share the challenges you are going through that have worked well and not so well. Sharing these things can help everyone reach their goals faster.

Set Realistic Goals

You didn’t gain the weight overnight, so you should not expect to lose the weight overnight. There is no microwave solution for weight loss, and if there is one out there, chances are it will not be sustainable over a long period. By setting unrealistic goals, you risk getting discouraged when you don’t reach them. Set attainable goals and crush them. Rome was not built in a day. Slow and steady wins the race. So pace yourself. You’ve got this!

Supported by an educational grant from Novo Nordisk Inc. 

The post Black Men & Obesity: It’s Time Our Brothers Take Their Weight Seriously appeared first on Black Health Matters.

Unfortunately, when we are stressed, our cortisol levels are higher, and we can pack on pounds much easier,” said Jeanine Downie, M.D., director of Image Dermatology. She labeled risks associated with obesity particularly harmful to Black people. “African-Americans, both males and females, are consistently more overweight than their white counterparts,” continued Dr. Downie. “Obesity has a huge role in the destabilization of our health as a people. It can lead to diabetes, high blood pressure, cancer, stroke, heart attack and more.”

A Korean Society for Biochemistry and Molecular Biology study identified cortisol as “a biochemical marker of chronic stress.” The same study stated that “Stress is now recognized as a universal premorbid factor associated with many risk factors of various chronic diseases,” and “chronic, excessive stress causes cumulative negative impacts on health outcomes.”

The Journal of Molecular Biochemistry suggested that “stress management could be adopted as an adjunct to traditional methods of treating obesity, namely lifestyle interventions, drugs, and bariatric surgery.”

The Journal of Obesity found that “the more stress one has, the greater amount of cortisol is produced in the body leading to accumulation of fat in the abdominal area, namely abdominal or visceral obesity.”

“Cortisol can then impact the regulation of other hormones,” explained Pernell. She cited ghrelin, leptin, and adrenaline as examples of hormones impacted by stress. Visceral fat, often in the mid-section, is often associated with high cortisol levels. “If we think about stress through acute versus chronic stressors, we can see different impacts on the body,” said Dr. Pernell.

Stress Can Impact Your Diet

Dr. Downie mentioned the importance of finding healthy ways to manage chronic stress. Stress “primarily interferes with cognitive processes such as self-regulation,” according to Dr. Taylor C. Wallace, PhD, CFS, FACN CEO, Think Healthy Group. “It can affect behavior by inducing overeating and consuming foods high in calories, saturated fat, and added sugars,” he told Black Health Matters in a statement.

A study published in the Health Psychology Review found that “stress was associated with increased consumption of unhealthy foods.” Still, it indicated that further research was required to examine the “stress-eating relationship.”

Stress Can Impact Sleep Patterns

Stress levels also impact the ability to rest and recover, a vital part of improving one’s fitness level. “Shortened sleep time and decreased physical activity are common behaviors in individuals experiencing significant stress,” added Dr. Wallace.

Action Steps For Managing The Stress and Weight Connection

Exposure to stress can be involuntary. “There are certain triggers that are outside of a person’s control, especially triggers that are in their environment,” said Dr. Pernell. There are methods to combat the effects of chronic stress and pursue the healthiest lifestyle you’re capable of. “How you will respond to the stress or the triggers in your environment is important,” Dr. Pernell added.

Take Advantage Of Any Quiet Moments

Meditation does not have to sit crisscross with a completely clear mind for forty-five minutes in a dimly lit studio full of Lululemon-wearing baddies. You can take a few seconds to reset anytime at any place with quick breathing exercises. “Mindful breathing exercises can help with your cortisol level,” said Dr. Downie.

Rest Up

Time spent doom scrolling at night might make it harder to get your desired results from that gym session. Both doctors advise taking adequate time for quality rest. “Sleep deprivation can reduce leptins,” warned Dr. Pernell. “Sleeping decreases your stress level,” explained Dr. Downie.

Prioritize Exercise

The post Stress & Your Weight: Here’s What You Need to Know appeared first on Black Health Matters.

Oprah isn’t alone. Last year, doctors wrote 9 million prescriptions for the medication. A one-month supply could cost up to $1,000 if it isn’t covered by insurance. Your physician sets the dosage amount, which may increase over time. When you are on these medications, you are responsible for the injections. And that is where some people have been reporting issues. Poison Centers nationwide are reporting a large uptick in calls by 1500%. Patients have called because of errors with dosing, taking the wrong amount, or accidentally double dosing.

Increased calls may be happening because people have turned to alternatives like Medispas and online sellers to get weight loss solutions at more affordable prices. However, the medications received may not be semiglutides, but a version containing semiglutide sodium, which the FDA hasn’t tested or approved as safe, or a compounded version with a dosage that hasn’t been approved.

Ozempic and Wegovy, prescribed by a medical professional, come in injectable pens with a dial to manage the dosage. With compounded versions, you may be given a glass vial and syringes. Patients have called the poison center when using the latter version when they have accidentally taken 10x of the recommended dosage.

Novo Nordisk, who manufacturers Ozempic, has taken legal action against illegal sellers, and the FDA has said, “Patients should only obtain drugs containing semaglutide with a prescription from a licensed health care provider, and only obtain medicines from state-licensed pharmacies or outsourcing facilities registered with FDA.” And has written letters to the National Association of Board of Pharmacies and Federation of State Medical Boards warning them about the compounded medicines.

And if you are already on the weight loss drug, know the signs of an overdose.

According to the Missouri Poison Center, signs of a semaglutide overdose include:

If you think you have overdosed on a weight loss drug,  call your local poison control center or the national hotline at 800-222-1222.

And, if you are considering one of these weight loss solutions, do your research, get your prescription from a doctor, and do not look for a hookup to save money.

The post Why Are People Taking Weight Loss Medicines Calling Poison Centers? appeared first on Black Health Matters.

The Impact of Food Deserts

As a community, chronic diseases hit us the hardest. Research shows that several chronic conditions, including obesity, diabetes, and high blood pressure, disproportionately impact African Americans. We already know structural racism and racial bias are reasons why these health disparities exist. In addition, socio-economic factors that affect many Black Americans, such as lack of quality insurance and safe spaces to exercise, cannot be overlooked.

But we must remember how living in food deserts impacts our health. According to a report by McKinsey, one out of 5 Black households is in a food desert, with fewer grocery stores, farmer’s markets, and restaurants offering healthy options. For some of us, convenience stores and fast-food restaurants are the closest options. Yet, we are still expected to spend nearly $340 billion on food by 2030.

Black consumers want offerings that are culturally relevant and convenient, facilitate healthy habits, demonstrate good value for the price, and allow them to experience new foods.

Despite these challenges, it is possible to live a healthy lifestyle and break free from these race-related stigmas. An excellent place to start is knowing about the healthy numbers we need to work towards, whether we are striving to prevent a chronic disease or manage one.

High Blood Sugar (Hyperglycemia)

High blood sugar occurs when too much glucose, or sugar, is in the blood. If left untreated, high blood sugar can lead to type 2 diabetes over time. It can also lead to severe complications, including eye, kidney, and nerve damage. African Americans are at higher risk for developing high blood sugar.

Symptoms may not always be present when blood sugar is high. Some signs of high blood sugar include frequent urination and increased thirst. You may experience tiredness, confusion, nausea, vomiting, and stomach pain in severe cases. If you have concerns about your blood sugar, your provider can check your levels by conducting a simple blood test.

There is a common misconception that eating too much sugar causes diabetes.

While consuming sugary foods and drinks is unhealthy and can play a role, there are other contributing factors. The biggest problem with a poor diet is that it contributes to weight gain. Excess weight contributes to high blood sugar. Losing weight helps the body maintain healthy blood sugar levels and lowers the risk of complications.

However, our blood sugar goals may vary based on specific factors. The American Diabetes Association recommends that patients with diabetes aim for an A1c goal of < 7%. Blood sugars should stay between 80 and 130 mg/dL before meals and less than 180 mg/dL 1 to 2 hours after eating.

If you do not have diabetes, you should aim for an A1c of < 5.7%, and fasting blood sugars should be around 100 mg/dL.

High Blood Pressure (Hypertension)

High blood pressure occurs when the force of blood in your blood vessels is too high. This often results in your heart working much harder to do its job. If left untreated, high blood pressure can cause damage to your arteries. It can also lead to other conditions such as heart disease, stroke, heart failure, kidney disease, and sexual dysfunction.

High blood pressure is commonly referred to as a ‘silent killer’ because you may feel perfectly fine and not have any symptoms. When symptoms are present, they may include headache, chest pain, shortness of breath, and vision changes.

The best way to prevent long-term damage is to know your numbers. If you don’t have a blood pressure monitor, consider investing in one. Or ask a friend or family member to use theirs. Most pharmacies offer free blood pressure checks, and you can usually stop by your provider’s office to have your blood pressure checked without an appointment, but be sure to call ahead to confirm.

A blood pressure of 120/80 or lower is considered normal. If you have been diagnosed with hypertension, aim for a blood pressure goal of less than 130/80.

How Weight Factors In

There is a connection between being overweight and being diagnosed with hyperglycemia and hypertension. However, embarking on lifestyle changes that result in 5-10% weight loss may set us on the path to being healthier.

Dr. Holly Lofton, Clinical Associate Professor of Surgery and Medicine at the NYU Grossman School of Medicine, states that losing weight can also improve conditions such as prediabetes, high cholesterol, acid reflux, specific liver disease, and osteoarthritis.

“Even a 5% weight loss can be significant,” states Dr. Lofton, “However, there are specific weight loss goals depending on the condition.”

• 5-10% weight loss is recommended to prevent prediabetes from becoming diabetes
• 5-15% weight loss is recommended to reduce the severity of diabetes, high cholesterol, and high blood pressure
• At least a 10% weight loss is associated with reduced acid reflux symptoms
• 5-10% weight loss is recommended to improve physical function with osteoarthritis
• 7-10% weight loss is recommended to improve the fatty tissue present in liver cells of patients with liver disease, which is a risk factor for heart disease and many types of cancer

“I encourage anyone who feels that losing weight is intimidating to talk to your doctor,” says Dr. Lofton. She emphasizes that having percentage goals such as the ones listed above and aiming for smaller weight loss goals is attainable by making small changes that can lead to improved health.

Supported by an educational grant from Novo Nordisk Inc. 

The post How Do Health Numbers Connect to Weight and Overall Health? appeared first on Black Health Matters.

The Flu is the Highest in These Ten States

1. South Carolina
2. Louisiana
3. Mississippi
4. Alabama
5. Georgia
6. Puerto Rico
7. Texas
8. New Mexico
9. Florida
10. California

The Flu is Minimal or Low In These Ten States

1. Minnesota
2. Montana
3. South Dakota
4. Nebraska
5. Vermont
6. West Virginia
7. Delaware
8. The US Virgin Islands
9. Maine
10. Washington

How Does the Flu Vaccine Factor in?

Many of us are wary of vaccinations because we aren’t confident in them. But other reasons include our inability to access insurance and health care. We also have a higher incidence of asthma, diabetes, obesity and other chronic conditions which raise the possibility of complications. When we have chronic conditions, it is important to understand the risks to health when we decide not to be vaccinated.

How One Community Is Working to Encourage Flu Shots

In Alleghany County, Pennsylvania, The University of Pittsburgh conducted focus groups with Black residents to better understand vaccine issues. In that community, one in five residents lives below the poverty line. The strategies they tried included explaining how the vaccine works (from the ingredients to the side effects) and the impact on the individuals and their families. For example, they wanted younger people with higher immune responses to know they would protect their family’s older people by getting a flu shot. Finally, they shared the data about what happens to us when we don’t, a greater chance of hospitalization than any other race, and a 16% higher mortality rate from the flu and pneumonia.

If the flu is trending in your state, be vigilant about protecting yourself and consider being vaccinated. Check The Weekly Influenza Tracker  often as the data will be updated regularly. If you have questions about flu vaccines, talk to your health care provider about your concerns.

The post 10 States Being Hit Hardest by the Flu (And 10 With the Lowest Outbreaks) appeared first on Black Health Matters.

There is some debate within our community about whether BMI is an appropriate assessment tool, especially for Black patients. One reason is it does not factor in individual body type or whether or not there is extra fat or muscle. It also doesn’t consider other important factors such as age, race, or gender. But the controversy surrounding BMI aside, obesity is a chronic condition many of us are living with.

The U.S. Department of Health Office of Minority Health reports that African-American women have the highest rate of obesity, with 4 out of 5 of us considered overweight or obese.

Sometimes, even when we try dieting and exercising, this condition does not go away quickly. To better understand this concept, consider two siblings who grew up in the same environment. One eats sweets and junk food but can’t seem to gain weight, and the other is physically active and plays sports but can’t seem to lose weight. By societal standards, this shouldn’t be the case. But while environmental and genetic factors contribute to obesity, they don’t explain the entire story.

What Do Hormones Have to Do With It?

The fight is only sometimes against food. Hormones can strongly impact our ability to lose weight and maintain weight loss. Our brain regulates hunger by encouraging us to eat to store energy (which is why we feel hungry) and to feel full (so our bodies can burn energy). There are also some specific hormones related to other health conditions that can contribute to weight gain.

Dr. Holly Lofton, Clinical Associate Professor of Surgery and Medicine at the NYU Grossman School of Medicine, breaks down these specific hormones and how they may contribute to weight gain.

Thyroid Hormone

Hypothyroidism is an underlying condition that contributes to weight gain. This does not mean that someone with hypothyroidism can’t lose weight, but getting your thyroid levels treated with medication can treat the problem and no longer contribute to obesity. For any period you are not treated and thyroid levels are not regulated, you may be prone to weight gain.

Insulin

Insulin is a naturally occurring hormone produced by our bodies, and it can also be introduced to our bodies when taken as a medication. When our body produces too much insulin, insulin resistance can occur. Insulin resistance happens before prediabetes is recognized. The presence of excess insulin in the body can result in weight gain.

Cortisol

A small organ above the kidneys produces cortisol called the adrenal gland. It sounds similar to cortisone, which is a steroid. When someone has extra cortisol or takes steroids (cortisone or prednisone) for a medical condition, the size of the fat cells may increase and cause weight gain.

Estrogens

Estrogens are female hormones. Levels can fluctuate throughout different phases of life.

During menopause, estrogen levels can decrease and cause weight gain due to increased fat storage.

Some hormonal birth control methods can also lead to weight gain due to a change in the levels of female hormones in the body.

“Correcting the underlying issue may or may not result in weight loss,” Dr. Lofton says, “but it can be a good starting point and can help determine if medications may be needed, as they often are, to make fat cells smaller.”

Dr. Lofton recommends speaking with your provider or a hormone specialist about additional testing and further workup to rule out these conditions.

Make a Plan

Because obesity is a chronic condition, it should be treated as such. We wouldn’t tell someone with cancer or high blood pressure to wait it out before they seek treatment. Obesity is no different. If you think hormones may be a contributing factor for you, take these practical steps:

1. Collaborate with your healthcare team to develop a plan to manage obesity as a health condition.

2. Inquire whether blood tests to check your thyroid, insulin, cortisol, and estrogen levels may be appropriate.

3. Talk to your provider about all the weight management options available.

Supported by an educational grant from Novo Nordisk Inc. 

The post How Hormones May Impact Your Weight appeared first on Black Health Matters.

Black Americans are at a significant disadvantage when it comes to kidney failure and trying to find a donor. In this session, Dr. Feyikemi Osundina, Director of US Patient Advocacy at Sanofi, outlines the Black community’s challenges regarding kidney transplants and ways to overcome them. And Patient Advocates share their transplant experiences.

Educating yourself on the issues involved is an essential first step. But more than half of our community, 57%, don’t fully understand basic health information. A variety of factors have contributed to this, including a lack of trust in the system due to historical mistreatment, uncertainty about how to communicate with doctors, and cultural barriers that may prevent you from speaking out.

What is Kidney Disease?

The American Kidney Fund reports that 37 million Americans are living with kidney disease. Of those, 807,000 are living with kidney failure. (That means they can no longer filter waste products from your blood). This is a permanent, irreversible condition that requires dialysis.

• Symptoms of kidney failure include:
• Weight loss and poor appetite
• Swollen ankles, feet, or hands – as a result of water retention (edema)
• Shortness of breath
• Tiredness
• Blood in your urine
• Increased need to pee – particularly at night
• Difficulty sleeping (insomnia)
• Itchy skin
• Muscle cramps
• Feeling sick
• Headaches
• Erectile dysfunction in men

A kidney transplant is necessary for people who are in the end stage of renal disease (ESRD). So, it is likely that you know someone who has either had a kidney transplant or needs one. But, if you think that you may be at risk for kidney disease, you should contact your physician immediately. The earlier it is detected, the better your chances are of stopping it from progressing to kidney failure.

A Kidney Transplant May Have Risks

Nerve damage. While 95% of transplanted kidneys are still functioning a year after the procedure, there may still be risks involved with the procedure. According to the National Health Service, 5 out of every 100 patients suffer nerve damage during the procedure. The nerves around the wound, or front of the thigh of the kidney transplant, are usually the ones that are damaged. However, there is a possibility that it will heal on its own.

Heart problems. Following the procedure, a blockage in the blood supply to the heart can occur. If you have a history of heart issues, talk to your physician about having your heart function assessed before you are added to the transplant list.

Blood sugar management. If you have been diagnosed with diabetes before a transplant, there is a possibility that your blood sugar will be more difficult to control after the procedure. If this happens, work with your physician to make any necessary medication adjustments.

It is Difficult For Us to Find Living Donors

Our community is at a severe disadvantage when it comes to successfully finding a kidney donor. There are over 100,000 people on the waitlist to receive a kidney transplant, and 30% of them are black. Despite the overwhelming number of black Americans who are on the waitlist for a kidney transplant, we are six times less likely to receive a transplant from a living donor. Outsourcing for a kidney transplant will require some self-advocating. Some ways to advocate for yourself include switching doctors and getting second or third opinions.

We are six times less likely to receive a transplant from a living donor.

The Transplant Experience

Most people are hesitant about becoming a kidney donor. It is a significant surgery to remove one of your body’s vital organs. However, the procedure does have a 95% success rate. The chances of a malfunction during the procedure are extremely rare.

As with all major operations, there is a recovery period involved after the transplant. But Reggie, one of the patient advocates on the panel who became a donor, said the process is almost seamless.

“As far as recovery, it is usually just a mild soreness. I took pain medicine the day after surgery, but after that, I just weaned myself off of it. You feel fatigued for about a week,” Reggie said. “After that, I started feeling normal in about a week or two. I was out four weeks before I went back to work.”

Reggie donated his kidney to his wife, Alana. It was her second transplant after her brother donated his to her when she was still a teenager. Though it was not easy needing to have a second procedure as an adult, Alana says it was worth it.

“After my transplant, I was able to move the way I like to move, travel, and get back to my catering business.”

“One of the promises I made with my husband, with the kidney transplant, was that we would have another baby. Our kids are 16 years apart, but our daughter will be five this month. We had a healthy baby girl. Mommy is healthy after my second kidney transplant. So, living life on your terms is possible.”

This session was presented by Sanofi.

The Panelists:

Feyikemi Osundina, PharmD, MS

Alana H, Patient Advocate

Reggie C, Patient Advocate

The post Living Life Beyond Dialysis: What You Should Know About Living Donor Kidney Transplant appeared first on Black Health Matters.

Sanjay S. Shukla, M.D., M.S. President and CEO aTyr Pharma, Chidinma Chime-Melton MD, MBA, FCCP, CPHQ, Assistant Professor of Medicine, UCLA, and Andrea Wilson, a sarcoidosis patient and advocate, discussed the fight against sarcoidosis at the Fall Black Health Summit.

How does sarcoidosis impact the Black community?

“What is really striking here, though, is that it’s so prevalent in our community,” said Dr. Chime-Melton. She cited the alarming statistics about the disease. “In the African-American community, it’s three times as common, so if you’re looking at the epidemiology of it, they tell you, oh sarcoidosis is about 10 in 100,000 patients will have it but within our community, it’s 34 In 100,00 patients. So, it’s three times as common,” she continued.

Dr. Chime-Melton paused and invited the audience into the conversation, taking an impromptu survey of the people in the room. She asked who knew someone with the disease, causing a barrage of hands to go into the air. The anecdotal evidence supported a theory she had been harboring. “I believe firmly that it’s highly under-reported,” she said.

Race is not the only indicator that someone can be at an increased risk for sarcoidosis.

“It’s more common in women as well,” Dr. Chime-Melton revealed before explaining that it is “twice as common in women.” Black people are not just diagnosed more often. They also have poorer outcomes, according to Dr. Chime-Melton. “We have a higher prevalence of the disease, but it doesn’t end there, unfortunately,” she said. “When we do have the disease, we also have worse forms. So we see more breathlessness. We see more shortness of breath. We see more coughs and progression to the fibrosis to the scar and in the lungs.” .

Wilson shared her personal experiences during the painful journey towards arriving at a diagnosis. “I have walked the challenging path that many of you sarcoidosis patients are on right now,” she said. The symptoms that led her on a long path to being diagnosed appeared in 1986.

“I had a nagging cough, fatigue, and unexplained weight loss,” she added. She learned she had sarcoidosis after several misdiagnoses.

She now had the needed information after being subject to a series of irrelevant treatments. “I was finally thrilled that I was diagnosed with something and that it was not all in my head.” Wilson was subject to the medical gaslighting that many women experience. Her diagnosis offered her vindication. “It was not my menses. It was not the fact that I was a young 20-some-year-old woman and that it was stress which I had been told,” Wilson continued.

Steroids are not the only answer.

Wilson was prescribed prednisone, a steroid with significant side effects, including irritability, extra hair growth, fatigue, rampant sweating, and diminished libido. She worked with her caregiver to decrease the role of medicine in her care. “With my doctor’s guidance, we’ve created a multifaceted treatment plan to reduce my reliance on prednisone,” she said. Dr. Shukla expressed a distaste for the overwhelming use of steroids to manage sarcoidosis. He labeled them as “toxic therapy” and described witnessing the dismissal of the need for new treatment methods by executives. “Big companies or even you know investors, they would say, ‘It’s not that bad of a disease, those patients can just take steroids,’ and that just really bothered me,” he said. Dr. Shukla was impacted by seeing “what steroids can do to someone’s life.” “In 50 years in the medical textbooks, they’re going to say this was poison,” he declared.

Sarcoidosis impacts more than the lungs. “90% of people have it in the lungs, but then you appear in multiple other organ systems. It can affect the eyes, lead to strokes, and the skin,” explained Dr. Chime-Melton.

Take Action

• Persistent coughs are cause for concern. Request a chest X-ray if you suspect you have sarcoidosis.
• Talk to your doctor about alternative healing methods. Nutrition can make a difference in a patient’s quality of life, and you have the right to seek information.
• Ask questions about the side effects of any treatment therapies and stay current on your options.

This session was presented by aTyr Pharma

Panelists:

Sanjay S. Shukla, M.D., M.S. President and CEO aTyr Pharma

Chidinma Chime-Melton MD, MBA, FCCP, CPHQ Assistant Professor of Medicine, UCLA

Andrea Wilson Sarcoidosis Patient and Advocate

The post Sarcoidosis: It’s More Than Just a Nagging Cough appeared first on Black Health Matters.

Psoriatic arthritis (PsA) is an autoimmune condition and a common complication of psoriasis.^2,3 It occurs in 10-20% of people with psoriasis, but you may develop PsA without noticing or being diagnosed with psoriasis.^4,5 While PsA is less common in Black Americans than whites, it may be more difficult to identify skin symptoms in Black patients.² Symptoms may also be more severe.² PsA has similar symptoms as other types of arthritis such as osteoarthritis and rheumatoid arthritis.⁴ Complete this screening tool to help assess if you may have PsA.

Identifying Psoriatic Arthritis

PsA may be caused by environmental or genetic factors. Other risk factors include family history, age (30-50 years old), obesity, and smoking.⁶ The time of onset and severity of PsA symptoms may vary.⁵ Common areas of involvement include the joints, spine, and areas where a tendon or ligament attaches to a bone.⁶

Common symptoms of PsA include

• Morning stiffness
• Tiredness
• Skin rash that may appear anywhere on your body and may appear to be a purplish-brown color on darker skin complexions
• Changes to the color, thickness, or texture of your fingernails
• Painful swelling in your finger and toes that may resemble sausages
• Stiff and painful joints that may be red, hot, and swollen
• Pain, redness, and inflammation in your eyes
• Pain and tenderness at the back of the heel and sole of the foot

It is important to see a specialist if you suspect you may have PsA or if you are experiencing symptoms.

Communicating Your Concerns

You may feel anxious about speaking with your healthcare provider about your concerns, but know that you are making the best decision for your health. You should be prepared to discuss your symptoms and go into detail about what you are feeling and where.⁵ You may find it helpful to use a diary or journal to keep track of your symptoms and share with your provider. Advocate for yourself and ask questions. If you’re feeling uneasy, ask more questions. Your provider can help you better understand more about the disease, your treatment options, who you should follow up with for your care, and how to cope. There are also online resources such as the Patient Navigation Center that you can take advantage of.

Diversity in Psoriatic Arthritis Research

Diversity in clinical trials is important to help us understand how different groups may respond differently to treatment.^3,7 Unfortunately, there is a lack of representation and PsA clinical trial participation among Black Americans.⁷ More research is needed to determine if and how PsA disproportionately impacts patients of different races.⁸ When you participate in a clinical trial, you are taking a bold step towards progress. Participating in a clinical trial can help you learn more about your condition while receiving expert care. If you or a loved one has been diagnosed with PsA and have not been treated with any medications recently, you may be eligible to participate in a clinical trial. If you are interested in learning more about if you may be eligible for PsA clinical trial participation, visit BMS Study Connect.

Funded by Bristol Myers Squibb.

– – –

References:

1. National Psoriasis Foundation. About Psoriasis
2. Arthritis Foundation. Arthritis in the Black Community
3. BIPOC Patient Voices: Living with Psoriasis and Psoriatic Arthritis
4. CDC. What is Psoriasis?
5. National Psoriasis Foundation. About Psoriatic Arthritis
6. Psoriasis and Psoriatic Arthritis: What’s the Connection?
7. Lack of Diversity in Clinical Trials of Psoriatic Arthritis
8. Promoting Diversity, Equity, and Inclusion for Psoriatic Diseases

The post Psoriatic Arthritis: What You Need to Know appeared first on Black Health Matters.

The post Celebrating Black Celebrities Who Overcame Prostate Cancer appeared first on Black Health Matters.

Dr. Brown currently serves as a medical officer at Carswell Federal Medical Center with the Bureau of Prisons which is the only federal medical facility devoted to women’s medical care. Ms. Harris and Ms. Goodwin are both endometrial cancer survivors and advocates.

Black Health Matters: For those who may not know, which types of cancer would be considered gynecologic cancers?

Dr. Robinson-Brown: Gynecologic cancers include ovarian cancer, uterine/endometrial cancer, cervical cancer, vulvar cancer, and vaginal cancer.

Black Health Matters: How common is endometrial cancer and who is at a higher risk of being diagnosed?

Dr. Robinson-Brown: Endometrial cancer is the most common gynecological cancer in developed countries. It is the 6th most common in women worldwide and the 4th most common in the United States. The average age of diagnosis is 62, and 90% of cases occur after age 50. This type of cancer occurs less frequently in women who have not yet gone through menopause.

Those living with obesity, diabetes, or Lynch Syndrome are at an increased risk. Lynch syndrome is a genetic syndrome that comes with a high risk of developing endometrial, colorectal, ovarian, and urinary tract cancers.  The lifetime risk of endometrial cancer is 40-60%.

If you had your first menstrual cycle before age 10, have not given birth to any children, or experience menopause after the age of 55, you are also at an increased risk. Tamoxifen use is another risk factor.

Black Health Matters: Are there any ways to prevent endometrial cancer from occurring?

Dr. Robinson-Brown: There are some factors that have been shown to be protective against endometrial cancer. They include hysterectomy, use of combined oral contraceptive pills, progestin-based contraceptives or intrauterine devices, pregnancy, smoking (however, you should not start smoking as a means of prevention), exercise, and breastfeeding.

There is no effective screening protocol for endometrial cancer and no noninvasive test with good sensitivity. Controlling weight, blood pressure, and diabetes helps reduce risk. Restrict the use of estrogen after menopause if the uterus is still intact and report any abnormal bleeding to your gynecologist.

Black Health Matters: How is the cancer diagnosed?

Dr. Robinson-Brown: The most common presentation is abnormal uterine bleeding which occurs in about 90% of cases. Advanced disease may present with abdominal pain and distension. Less than 5% of cases do not have any symptoms.

A Pap smear and transvaginal ultrasound will likely show some abnormalities. However, an endometrial biopsy with hysteroscopy is the gold standard for diagnosis. Other exams, such as a pelvic exam, are usually normal unless there is advanced disease.

Black Health Matters: How is the cancer staged and what are the survival rates?

Dr. Robinson-Brown: Uterine cancers are staged clinically by a CT or MRI. In Stage 1, cancer cells are only found in the uterus. In Stage 2, the cancer has spread to the opening of the uterus, known as the cervix. In Stage 3, the cancer has spread outside of the uterus to the nearby lymph nodes, ovaries, fallopian tubes, or vagina. In Stage 4, the cancer has spread to the bladder, rectum, or outside of the pelvis such as the lungs or abdomen.

The overall 5-year survival rate for endometrial cancer is 80%. Rates are higher at earlier stages: Stage 1: 87%, Stage 2: 76%, Stage 3: 59%, and Stage 4: 18%. The outlook is good if the cancer is detected and treated early.

Black Health Matters: What kind of treatment options are available or recommended?

Dr. Robinson-Brown: The mainstay of treatment is surgery which usually includes a hysterectomy. Other treatment options include radiotherapy (in those with later-stage disease or who may not be a good surgical candidate), chemotherapy, hormonal therapy, and targeted therapy

Black Health Matters: Thank you for the overview and excellent information Dr. Robinson-Brown.

Let’s switch gears and learn more about our patient ambassadors. Do you mind sharing with us a little about your journey with endometrial cancer?

Ms. Harris: My journey began in 2016 with periodic vaginal bleeding after menopause which I did not know was a sign of endometrial cancer (EC). In May of 2022, I received an abnormal pap smear report and a biopsy of the lining of my uterus was performed. I was diagnosed with uterine cancer and referred to a gynecological oncologist who informed me that immediate surgery for the removal of the uterus was needed.

The total hysterectomy surgery was performed in June of 2022, which included the removal of the uterus, cervix, both ovaries, and both fallopian tubes. The physicians noted the cancer as Stage 1A. In July of 2022, I received six rounds of radiation therapy via vaginal brachytherapy to complete therapy. In January of 2024, I became a survivor of EC for a second time.

Ms. Goodwin: I am a four-year Endometrial Stage 4 cancer survivor. I was first diagnosed in July 2019 with Endometrial cancer stage 3. In October 2019, after a complete hysterectomy, I was diagnosed with Stage 4b. My treatment path was a robotic hysterectomy, 6 rounds of chemotherapy, and 26 rounds of radiation. I became a peer supporter to reach back and support other women like me, to walk this journey victoriously.

Black Health Matters: Thank you for sharing. Any final thoughts or insights to share?

Ms. Harris: I have learned so much since being diagnosed with endometrial cancer of the uterus. My most important piece of advice is to pay attention to your body’s warning signals and seek regular gynecologic care. Also, be a strong advocate for your health when speaking with healthcare providers. There is not nearly enough information about EC as there is about breast, cervical, ovarian, or other reproductive cancers.

Want to learn more about endometrial cancer? Visit here to learn more.

The post Prioritizing Gynecologic Wellness: What Black Women Need to Know appeared first on Black Health Matters.

To help men, especially African American men, prioritize their well-being, Black Health Matters present the Men’s Health Checklist. While it is important for each individual to be cognizant of their family history and personal issues, this comprehensive guide outlines the essential screenings and exams that men should consider at different stages of life, ensuring proactive health management and an improved quality of life.

In Your 20s:

• Annual Physical Exam: Make it a habit to schedule an annual check-up with your primary care physician. This will allow them to assess your overall health, review your family medical history, and establish a baseline for future comparisons.
• Sexual Health: If you’re sexually active, it’s important to get tested for sexually transmitted infections (STIs) annually or more frequently based on your sexual behavior. Openly discuss safe sex practices and any concerns you may have with your doctor.
• Skin Check: Regularly examine your skin for any new or changing moles and other skin abnormalities. If you notice any concerning changes, seek the advice of a dermatologist.

In Your 30s:

• Blood Pressure: African American men, in particular, have a higher risk of hypertension. Have your blood pressure checked at least once every two years. If you have a family history of hypertension or other risk factors, consider more frequent monitoring to stay ahead of any potential issues.
• Cholesterol Levels: Starting at age 35, it’s advisable to have your cholesterol levels checked every five years. African American men tend to have higher cholesterol levels, increasing the risk of heart disease. If you have risk factors such as obesity, diabetes, or smoking, consult your doctor for earlier and more regular screenings.
• Testicular Examination: Perform monthly self-examinations to detect any lumps or abnormalities in the testicles. If you notice anything unusual, consult a healthcare professional.

In Your 40s:

• Prostate Health: African American men have a higher risk of prostate cancer and tend to develop it at a younger age. Engage in a discussion with your doctor about prostate cancer screening, usually through a prostate-specific antigen (PSA) blood test. Consider starting discussions earlier, around age 45, to stay proactive in your health management.
• Diabetes Screening: African American men are more likely to develop type 2 diabetes. Consider getting screened for diabetes every three years, especially if you have risk factors such as obesity, high blood pressure, or a sedentary lifestyle.
• Colon Cancer Screening: Beginning at age 45, African American men should have a conversation with their doctor about the various screening options available for colon cancer, including colonoscopy or stool tests. Regular screenings can help detect early signs of colorectal cancer.

In Your 50s and Beyond:

• Abdominal Aortic Aneurysm (AAA) Screening: If you’re between the ages of 65 and 75 and have ever smoked or have a family history of AAA, including African American men, it’s important to consider a one-time ultrasound screening to assess the health of the abdominal aorta.
• Bone Density Test: African American men are at a higher risk of developing osteoporosis and fractures. Discuss a bone density test with your doctor, particularly if you have risk factors. This discussion is especially crucial for men aged 65 and older.
• Eye Exam: African American men are at a higher risk of developing glaucoma and other vision-related issues. As you age, regular eye exams become essential. Schedule comprehensive eye exams at least every two years or as recommended by your ophthalmologist.

Taking proactive steps toward maintaining good health is of utmost importance for men of all ages, especially African American men. The Men’s Health Checklist serves as a valuable reminder, outlining crucial check-ups at various stages of life.

By prioritizing regular screenings and exams alongside adopting a healthy lifestyle, you can identify potential health issues early on and significantly contribute to a healthier and happier life. Remember, investing in your health today will pave the way for a brighter tomorrow.

The post Prioritizing Men’s Health: An Essential Checklist for Every Age appeared first on Black Health Matters.

What is Bowel Cancer?

Bowel cancer starts in the rectum or colon. It often begins as polyps that, when caught early, can be removed before advancing to more serious forms of the disease that can be life-threatening. According to the Colorectal Cancer Alliance, over 150,000 Americans are diagnosed with colon or rectal cancer each year. Over 50,000 will die from it. However, with regular screening and removal of polyps and abnormal cells, bowel cancer is often preventable.

Symptoms of Colorectal Cancer

Symptoms of bowel cancer are often mistaken for many other, more common and less serious conditions. For example, many people experience diarrhea, constipation, and bloating from time to time. However, if these symptoms are persistent or come on suddenly, you should report this change to your healthcare provider.

Severe symptoms include changes in bowel habits, blood in the stool, abdominal pain, cramps, fullness, weight loss, and fatigue.

Risk Factors for Bowel Cancer

There are many risk factors for bowel cancer, some of which you can adjust to lower your risk and improve your overall health in the process. It’s important to discuss all risk factors with your healthcare provider so you can work with them on a plan for appropriate screening for colorectal cancer and other health conditions you may be at risk for, such as hypertension, diabetes, and other forms of cancer.

• Age: More and more people aged 20-45 are developing polyps that may lead to bowel cancer. However, it is still most common in those over 50.
• Diet: A diet high in red meat, especially when cooked at high temperatures, can increase your risk of bowel cancer. Low vitamin D levels may also contribute. A healthy diet can decrease risk considerably, especially when used to maintain a healthy weight.
• Tobacco and Alcohol Use: Both smoking and heavy, long-term drinking are linked to many types of cancer and chronic health conditions. Those who stop smoking can improve their overall health, better manage existing issues, and may help prevent others.
• Activity Level: Not being physically active can slow the bowels and contribute to cancer risk. You can reduce this risk by following the CDC’s exercise recommendations for adults.
• Weight: Being overweight or obese seems to affect men more than women. However, a healthy diet and staying active may help you maintain a healthy weight, improving your risk for bowel cancer and other health conditions.
• Colorectal Polyps: Having adenomas (polyps) removed during a previous colonoscopy increases the risk of developing additional ones that could become colon or rectal cancer in the future.
• Inflammatory Bowel Disease (IBD): IBD is not the same as Irritable Bowel Syndrome and instead leads to dysplasia, or abnormal cells in the lining of the bowels that may eventually become cancerous cells. Examples of IBD include ulcerative colitis and Chron’s Disease which affect the inner lining of the bowels.
• Family History: According to research, as many as one-third of those who develop colorectal cancer will have a close relative with it as well. It’s important to know the medical history of your parents, grandparents, and siblings.
• Ethnic Background: African American, American Indian, and Alaska Native people have the highest rates of colorectal cancer in the United States.
• History of Cancer: Having had some form of cancer in the past puts you at an increased risk of bowel cancer.
• Other Genetic Conditions: There are several other health conditions closely linked to bowel cancer, such as Lynch syndrome, familial adenomatous polyposis, and Peutz-Jeghers syndrome.

Diagnosing Colon or Rectal Cancer

Screening tests for bowel cancer are recommended starting at age 45. There are many tests available depending on your risk level, preferences, insurance coverage, and other several factors.

• Stool Tests: There are several types of stool tests that are used to detect blood, such as gFOBT (guaiac-based fecal occult blood test) and FIT (fecal immunochemical test). Another test, the FIT-DNA test, helps to detect altered DNA.
• Flexible Sigmoidoscopy: A flexible tube fitted with a light is used to check for polyps and other signs of cancer cells. It is limited to the rectum and the lower colon.
• Colonoscopy: This more intensive test checks the entire colon and is usually used as a follow-up when other tests are abnormal or done every ten years routinely. Polyps and some most common types of cancer cells can be removed using a flexible tube and specialized instruments.
• CT Colonography: Also known as a virtual colonoscopy, a CT colonography uses computer technology to view the entire colon, but does not offer the added benefit of removing any suspect polyps or cancerous cells should they be detected.

Bowel Cancer Treatment

Early-stage colon or rectal cancer is often treated by removing the affected polyps with a polypectomy. Larger polyps may require removing a small section of the colon as well through an endoscopic mucosal resection. If there are several polyps present or they cannot be removed through a standard colonoscopy, your treatment team may recommend laparoscopic surgery. When caught early, minimal treatment is needed.

Advanced Bowel Cancer Treatment

Treatment for advanced bowel cancer is more involved and can include everything from surgery to chemotherapy. Your treatment team will carefully consider your test results, risk factors, and more, to determine the best possible care.

• Surgery: Surgical treatments for advanced rectal cancer or colon cancer may include a partial colectomy (removal of part of the colon), an ostomy (changing the way stool leaves the body), or removal of the lymph nodes. If colorectal cancer is terminal, bowel surgery may be used to relieve symptoms, such as removing a blockage or treating excessive bleeding.
• Chemotherapy: Treating advanced bowel cancer with chemotherapy can help shrink cancer until it can be removed surgically or relieve symptoms of terminal colon or rectal cancer. It is often used alongside other cancer treatments like radiation therapy.
• Radiation Therapy: This therapy can be used like chemotherapy to shrink cancer until it can be removed surgically or to relieve symptoms.
• Targeted Drug Therapy: Based on the specific type of cancer cells present, drugs may be used to block their growth and even kill them, thereby forcing cancer into remission. It is typically used with other cancer treatments.
• Immunotherapy: Similar to targeted drug therapy, immunotherapy uses medications to target cancer cells. However, these drugs boost the body’s immune system to help it fight the cancer itself.
• Palliative Care: If colorectal cancer is severe and treatments are not effective, supportive care may help relieve symptoms. A treatment team can suggest ways to improve the quality and length of life for both the patient and their family.

African Americans and Bowel Cancer

More Black people will be diagnosed with bowel cancer than any other race in the United States every year. Death rates are also higher for those who have been diagnosed with colon or rectal cancer. What causes this and what can be done to correct it?

Colorectal Cancer Facts

African Americans are at high risk for bowel cancer and for several reasons, from genetic reasons to a lack of preventative care like routine screening tests. The American Society for Gastrointestinal Endoscopy offers more insight into the startling facts about colorectal cancer and Black people. Let’s look at a few of them.

• 1 in 41 Black men will die from colon or rectal cancer compared to 1 in 48 Black men. Comparatively, 1 in 44 Black women will die from it versus 1 in 53 White women.
• African Americans are more likely to develop polyps on the right side of the colon where they are harder to detect.
• Black people are more likely to be diagnosed more advanced bowel cancer when treatment options are limited.
• Black Americans are at higher risk for cancer of all types, and cancer is the second leading cause of death in the United States.

Factors Affecting the Black Population

The American Cancer Society has compiled recent statistics and is predicting how bowel cancer will affect the African American population through 2024 in their “Cancer Facts & Figures” report. This report is highly detailed, but the things you should know are:

• African American men are much more likely to refuse a colonoscopy and other preventative screening measures.
• Bowel cancer is more likely in those with a family history, causing an increased risk for relatives.
• Lifestyle choices that increase the risk for colorectal cancer, like diet and tobacco use, are higher in the Black population.
• Access to care due to lack of health insurance, transportation, or other resources is limited for many who are considered low-income.
• Co-existing health conditions, such as diabetes or high blood pressure, cause increased risk for bowel cancer and other cancers in general.
• Some states, such as those in the south with many more underserved African American neighborhoods, have higher rates of bowel cancer.

Preventing Bowel Cancer

Colorectal cancer has a survival rate of 90%, but this is only with early detection, so screening is key. For those of average risk of bowel cancer, the American Cancer Society recommends routine colon cancer screening starting at age 45. This was recently updated from the previous recommended age of 50. There are many types of screening tests, from stool-based tests to a CT colonography.

Those at high risk, including African Americans with additional risk factors, should begin screenings earlier and get them more often at the direction of their doctor.

Black Americans at High Risk for Bowel Cancer

Black Health Matters cares and is helping to make the African American community aware of their risk simply because of their ethnic background. Screening is the first step in preventing bowel cancer, and more African-Americans should be aware of their risk and screening recommendations. You should discuss any other possible risk factors, such as family history, with your healthcare provider and begin screening at age 45.

The post The Importance of Early Detection: Screening for Bowel Cancer in African Americans appeared first on Black Health Matters.

If you’re here, you probably have some questions.

• What is menopause?
• Why do Black people have worse symptoms?
• Why do they have a greater chance for premature menopause?
• What medical treatments are available?
• Can you manage menopause without hormone therapy?

Keep reading for the answers and more information on symptoms and stages of menopause, possible complications, and statistics.

What is Menopause?

Menopause is something every woman-born female must face at some point, whether they naturally progress through the transition or it is caused by hormone therapy, hysterectomy, or illness such as cancer. What is menopause exactly?

The Symptoms

The signs of menopause change as you transition through the various stages (more on that below) and are different for every person. For example, hot flashes may be a common symptom that most people associate with menopause, but some women rarely get them or they are mild, so early signs of perimenopause could be mistaken for another illness or condition.

Menopausal symptoms can include:

• Menstrual Cycles: They may become irregular, cause heavy bleeding, or you may notice spotting and other changes.
• Urinary Incontinence: A loss of bladder control is quite common. It may feel like a sudden feeling of urinating or cause leaking with physical activity or sneezing.
• Sleep: Trouble sleeping could be caused by hot flashes or urinary incontinence. However, trouble falling or staying asleep may have no other known cause.
• Sexual Health: Vaginal dryness and thinning skin can make sexual intercourse uncomfortable. Hormonal changes may affect libido. It’s common for those in menopause experience changes in their sex drive.
• Mood: It’s not fully understood why women in menopause experience mood changes. However, stress seems to play a role. Self care and speaking with a therapist may help.
• Body Changes: Changes in hormone levels affect the body in various ways, including appearance, cognitive ability, and bone density.

The Stages

There are three stages of menopause: perimenopause, menopause, and post-menopause. Progression through each stage may vary based on age, lifestyle, family history and treatment.

Perimenopause

During this “menopause transition,” women may experience symptoms of menopause while still having menstrual periods. Ovaries atrophy, or slowly lose muscle, so they release less estrogen and progesterone. While a woman can still get pregnant, fertility slowly declines with age and as perimenopause progresses. This stage can last anywhere from three to ten years, leading to menopause. For a vast majority of women, this menopausal transition typically begins around mid- to late 40s.

Menopause

Menopause immediately follows once menstrual periods have stopped for one year. This is when ovaries stop releasing eggs and pregnancy is no longer possible. The average age of menopause is 51, but many other factors such as previous illness, the number of pregnancies, and family history can affect this.

Postmenopause

Postmenopausal women may experience symptoms of menopause for several years after their last menstrual cycle. However, these tend to become more mild over the years, dissipating until they are less bothersome or even disappear completely. Women’s health concerns don’t disappear with their menstrual periods, though, and post-menopause creates a higher risk for complications.

The Potential Complications

Not all women will experience these complications, but there is an increased risk with age. Hormone therapy and other treatments may come with their own potential complications, but could also help mitigate those associated with menopause. It may also be possible to address these complications directly if you are at risk or experiencing symptoms. It’s important to work closely with your medical provider on a treatment plan that works best for you.

Postmenopausal complications may include:

• Cardiovascular Disease
• Osteoporosis
• Loss of Bladder Control
• Urinary Tract Infections
• Changes in Sexual Function
• Weight Gain
• Mental Health Issues

Black Women and Menopause Symptoms

Throughout Black history and into today, differences in how Black people experience various health conditions and how they are treated for them are well documented. All women experience menopause, so it is crucial that healthcare providers have a good understanding of women’s health, especially for Black women.

Medical Statistics

Looking at the statistics, it’s easy to see how Black Americans not only experience menopause differently, but are also treated differently because of it. One study published in Women’s Midlife Health by researcher Sioban Harlow looked at the disparities that the Black population faces. The study shows that, despite reporting their difference in symptoms, they aren’t getting the appropriate difference in care. Let’s take a closer look at the numbers.

Black people are:

• More likely to report experiencing hot flashes than White people
• More likely to report symptoms of depression
• Less likely to report sleep problems but more likely to experience them
• More likely to report increased physical limitations
• More likely to have existing health conditions prior to menopause, such as obesity, diabetes, or cardiovascular disease
• More likely to experience worsening of pre-existing conditions

Healthcare Experiences

According to the same study, discrimination and other structural issues within the healthcare system greatly affect the treatment that Black Americans receive for menopause and other conditions. Because they may receive no or inadequate treatment for pre-existing conditions, it may cause higher risk for more severe symptoms and complications because of menopause.

Medical studies are an important part of learning more about why Black people experience menopause differently, and how it can be treated to reduce symptoms. Many community groups, national organizations, as well as state and federal agencies are working to reduce disparities within the healthcare system to ensure everyone has equal access to care.

Managing Menopause

Regardless of race, managing menopause can help you feel better physically as well as mentally. Treatment can range from hormone therapy to lifestyle changes but often include a blend of both, depending on your symptoms. You’ll need to work closely with your healthcare provider on what will work best for you.

Hot Flashes

Hot flashes cause a sudden feeling of warmth, usually in the chest, neck, and face. You might appear red, have blotchy skin, and sweat. It’s also common to feel anxious or have mild heart palpitations. Fluctuations in body heat could lead to feeling chilled as the hot flash ends. The episodes usually only last a few minutes but can be intense. If they occur often and affect daily activities, it’s time to talk to your doctor about treatments.

A Medical Treatment Plan

The Office on Women’s Health offers information on menopause treatment options, such as hormone therapy. While it’s important to do your research and understand what is available, you should ask questions and learn more from your primary care doctor or specialist before making an informed decision about your care. Remember, though, that medical treatment for menopause is not always necessary.

• Menopause Hormone Therapy: These prescription medications are often prescribed for premature menopause or very severe symptoms that affect daily life. They should replace the estrogen levels that your body now lacks because the ovaries are not producing it themselves, thereby reducing or eliminating any symptoms of menopause.
• Topical Hormone Therapy: Creams, gels, and inserts with low doses of estrogen may be used directly on or in the vagina to help ease symptoms where they are most bothersome without many of the side effects or additional risks caused by hormone therapy medications.
• Natural Remedies: Not all herbal or natural remedies work for everyone and you should discuss the use of non-prescribed supplements with your doctor before use. However, many women report positive experiences with supplements like black cohosh, red clover, and soy.

Lifestyle Changes

Women usually don’t need medical intervention for menopause, but they can still make lifestyle changes to reduce their symptoms. These changes may also help reduce symptoms of or risk factors for other health conditions.

• Keep a menstrual calendar
• Do yoga and other bone strengthening exercise
• Take care of your cardiovascular health
• Meditate for stress relief
• Control weight gain
• Improve sleep
• Do Kegel (pelvic floor) exercises for bladder control
• Manage blood pressure, cholesterol and other common health conditions

The Menopause Guidebook

The North American Menopause Society publishes the Menopause Guidebook. The newest edition includes the most up-to-date information on menopause, from scientific advancements to the latest recommendations for medical treatments and holistic approaches to symptom management. It is ideal for both healthcare professionals and patients. You can purchase a copy yourself or ask your provider if they offer them as handouts. If they don’t currently, you might suggest that they do.

Taking Women’s Health (And Black Americans) Seriously

Hot flashes aren’t the only signs of menopause, and while many women experience only mild symptoms, more severe ones many make it difficult to go about daily activities. The menopausal transition could be more difficult for the Black population and those who self identify as Black. Monthly cycles may stop, but the need for quality women’s health care does not. Organizations like Black Health Matters work to raise awareness of the importance of such care for Black Americans.

The post Menopause & Black Women: Disparities in Symptoms and Treatment appeared first on Black Health Matters.

Symptoms of Prostate Cancer

The signs of prostate cancer are relatively easy to notice, especially as the disease progresses, and many are urinary symptoms. However, once these symptoms arise, the prostate gland cancer may have already progressed. This is why early detection is key. Because Black people have a higher risk of developing prostate cancer, they should be vigilant about following up on any of the symptoms below.

• Frequent or painful urination
• Weak urine stream
• Urinary incontinence
• Blood in semen or urine
• Painful ejaculation
• Decrease in the amount of ejaculate
• Erectile dysfunction
• Pain in the back, hips, or thighs
• Unintentional weight loss
• Decline in overall health

Prostate Cancer Risk Factors

The three most significant risk factors for prostate cancer are age, family history, and race. Researchers have found that Black people have a much higher chance of developing prostate cancer than other races. However, there are additional risk factors that may determine whether your prostate cancer is slow-growing versus aggressive and more likely to metastasize, or spread to other organs once prostate cancer starts. These risk factors include:

• A sedentary lifestyle
• High calcium intake
• Poor diet
• Being tall
• Close family history
• Benign Prostatic Hyperplasia (BPH)
• Prostatitis (prostate infection)
• Agent Orange exposure

Unfortunately, there are a lot of myths about risk factors for prostate cancer, including vasectomy, increased sexual activity, alcohol intake, and taking certain supplements like Vitamin E. If you are concerned about high risk for prostate cancer, discuss it with your health care provider and the possibility of early detection screening.

Prostate Cancer Treatment

There are many treatment options available to those with prostate cancer. Once prostate cells have changed, a prostate biopsy can help determine the Gleason Score and the TNM Score. These, together, help determine the stage and likelihood of the abnormal cells spreading. They also help your health care team create a personalized treatment plan that will be most effective against the abnormal cells.

Possible Prostate Cancer Treatment Options:

• Active Surveillance: Also called “watch and wait,” it is recommended for low-grade cancers with little likelihood of spreading. Doctors may not recommend it for Black people.
• Radical Prostatectomy: Removing the prostate may also remove the cancer and prevent it from spreading if it is has not spread but may be aggressive.
• Radiation Therapy: Radiation can be performed externally or internally, depending on what may be best to treat your specific type and stage of prostate cancer.
• Freezing or Heating: Cryotherapy (freezing) or high intensity focused ultrasound (heating) is an option for small, localized cancers that are caught early.
• Hormone Therapy: Hormone therapies keep your body from producing testosterone or keep it from reaching the abnormal cells. These treatment options are used along with others. This includes androgen deprivation therapy.
• Chemotherapy: This is a very typical cancer treatment used for many cancers that have spread to other regions throughout the body.
• Immunotherapy: Immunotherapy can change and support your body’s immune system, helping it to fight the cancer on its own.
• Targeted Drug Therapy: These therapies target your specific type of cancer cells with medications designed for them and are most effective at treating recurrent prostate cancer.

Screening Options and Diagnosis

There is no routine test for prostate cancer screening. However, there are several methods for screening that your healthcare provider may suggest based on your age and potential risk factors. Providers should consider early screening for the Black population as, most times, prostate cancer starts earlier and more aggressive than those in other ethnic groups.

• Digital Rectal Exam (DRE): Also called a physical exam, your provider performs this in the clinic.
• Prostate-Specific Antigen (PSA) Test: Your provider may offer a less invasive lab test to detect any potential health concerns related to the prostate. It’s important to note that it could be prostate cancer or something benign like an infection or benign prostatic hyperplasia, a noncancerous but enlarged prostate.
• PCA3 RNA: Genetic tests may rule out or confirm prostate cancer prior to scheduling a biopsy on a suspected tumor.

If results are positive or inconclusive, a prostate biopsy will be done to confirm prostate cancer. Other tests could include transrectal ultrasound or MRI done alone or with a biopsy to locate a potential tumor. The biopsy tissue is then tested to determine the stage of the disease and the Gleason Score, which helps providers predict how likely the cancer is to spread.

Prostate Cancer and African Americans

It’s important to understand that prostate cancer is the second most common cancer among men. While it is quite common, the survival rates are mostly positive when caught in the early stages, even for African American men. Government agencies, the health care community, and the Black community should address the fact that, according to the statistics, Black people are still at much higher risk than other races.

The Statistics

Fewer men are dying from prostate cancer according to a literature review by the American Cancer Society Journal. The 2022 publication considered numbers from 2012 to 2016. During these years, the death rates for Black men reduced significantly from 81.9 to 39.8 deaths per 100,000 patients. For White men, the death rates declined from 37 to 19 over the same period. The gap is narrowing but still not enough, as the number of Black men dying from prostate cancer is still double that of non-Hispanic White men.

A 2020 study published via JAMA looked closely at active surveillance, also called “watching and waiting,” that is often prescribed for prostate cancer patients. This is because many diagnoses rarely progress to a life-threatening, advanced stage of the disease. A regular blood test can help determine if the cancer is worsening. However, a 2020 study has determined that more African American men experienced disease progression leading to advanced-stage prostate cancer treatment with this method. Nearly 60% of those choosing active surveillance required treatment for disease progression versus just over 40% for White people.

Tumor Variations and Cancer Advancement

The National Cancer Institute has found that, while the rates of death were similar for both Black and White males for more advanced disease, the Black population had much higher rates for low-grade prostate cancer. Scientists are still working to uncover the reasons for this. However, researchers have suggested differences in the tumors themselves. Studies of tumor genomics comparing prostate cancers of both Black and non-Hispanic White men show that those in the Black population are more likely to be aggressive, metastasizing to nearby tissue or progressing to advanced stage cancer much sooner. Another suggested cause for higher risk of death could be tumor location. Tumors in the anterior region are harder to detect and biopsy.

Barriers to Care

A Black person faces many barriers to care regardless of gender or potential diagnosis. For men, that includes prostate cancers.

Delayed Cancer Screenings

One of the most significant hurdles to quality care that much of the Black population faces in diagnosing any chronic health condition is communication with their providers. There are fewer Black providers and a smaller number that are aware of conditions that disproportionately affect the Black population. If a health care provider doesn’t understand the way prostate cancer can affect a Black patient, they may not suggest early detection screening.

Less Access to Treatment Options

Dr. Abdollah of Henry Ford Health in Michigan suggests several reasons the Black population is at risk for reduced access to proper medical care. The first and most significant cause is bias, both in the health care community and from the Black community. Closely related to bias is stigma. We often see prostate cancers in a different light than others, especially for Black men, mainly because of the sexual health component. Some patients delay care long after symptoms start even if they are aware of them because of this stigma. Unfortunately, much of the Black population is not aware of prostate cancer symptoms or risk factors, so they may not reach out to a health care provider for early detection.

Other factors affecting reduced access to care, according to Dr. Abdollah, include a lack of access to quality health centers, mistrust in the health care system due to past experiences, not having proper health insurance, and fewer early detection cancer screenings.

Fewer Health Education Resources

Education about prostate cancer typically comes from primary health care providers who are the first point of contact for most Black patients. A lack of culturally aware providers can lead to miscommunication about resources, such as prostate cancer screening. Once a patient receives a diagnosis, education about prostate cancer and community resources can be limited if a provider is unaware of those available. Treatment resources could be available, but with no access to them simply because a patient doesn’t know they exist.

Black Men and Clinical Trials

Also covered in the American Cancer Society Journal literature review are the statistics for clinical trial participation. While the Black population is considerably more affected by prostate cancer, the vast majority of those taking part in studies are non-Hispanic White men. This dramatically skews the results of such studies and makes it nearly impossible to account for the underlying causes for the disparities in both causes and effective treatment options for African American men.

It seems there are many reasons for the underrepresentation of Black adults in clinical trials. The first is that low income directly affects educational attainment. This includes education about screening, treatment options, as well as available clinical trials. African Americans are also less likely to live near research hospitals conducting studies. Those that do may not understand the reasoning for them or have a mistrust of clinical trials over traditional, proven medical care.

There may also be barriers for African Americans who wish to join clinical trials. Many studies are designed in such a way to exclude certain participants. Many of these exclusions unfairly target the Black population.

In All…

Prostate cancer begins when prostate cells change into abnormal ones. While they aren’t always life-threatening, they can be much more aggressive in Black people than in other races. Therefore, it is vital that the Black population know their risk and follow up with their health care providers for early detection and screening, plus treatment if needed. Black Health Matters is helping to spread awareness of the disparities that Black people face, increasing education, screenings, and treatment options available for all.

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