19 Burst results for "Clarkin"
"clarkin" Discussed on All Things - Unexplained
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"clarkin" Discussed on Mark Bell's Power Project
"Say too fast you fuck it up but the precision nutrition nutrition calculator on the internet. Look up precision nutrition. Nutrition calculator is a great online calculator. That you can plug in your stats. How much you weigh your body. Fat your activity level all that type of stuff and it will give you around where your maintenance clarkin tickets. And then we'll also give you some ideas of where you might wanna place your calories if you're gonna go on a bulk. Generally i think that if you're a beginner just stick maintenance stick maintenance you don't need to worry about being in a big surplus because you will grow once you start working out and eating out maintenance But generally can put yourself just like an deficit. We've you say. Ten to twenty percent deficit go to attend twenty percent surplus and start from there. But don't go too hard on the surplus homey you could put on some excess body fat that you don't want people who are trying to both they're trying to get a little bigger and they do a couple things that maybe aren't in their best interest so number one is sometimes they eat some junk food kind of eat junkie or not the best options like during the day and that takes up space for more calories. And that's not really what you wanna do. So obviously you can eat a ton of calories by eating some junk food. But i think most people. They're not on a mission to just gain body fat. And so i would look into something like the vertical diet where you have a nice healthy food list and that an food list that stan efforting recommends are all things that digest pretty easy. They're things that your body can assimilate really well As opposed to you know eating something that's going to really kind of sit in your stomach for too long and you can't get to that That next meal the other thing that people do is i think they they kind of just. Don't have a good estimate of how much food they're eating and so therefore tracking or keeping this some sort of accountability. Even if you just kept track simply of how many meals you ate in a day that would be a great start and you might not even have to actually pay attention to a lot of the calories. You might be able to look at the scale you my bill. Look at yourself for the mirror. And kind of see how you're gaining. There's nothing wrong with measuring the calories if you wanna take that extra step but it's really rare for people to commit to five six meals a day every day for a long period of time. Let's say make sure that you are protein is at like about one gram per pound bodyweight And then i would kinda mess around with your Carbohydrate intake play around with that it could be about one gram per pound of body weight as well and you can even work your way towards double that in bulk and then your fat grams would probably be About maybe about half your body weight so if you weighed two hundred pounds might be about one hundred grams of fat and you can kind of toy with that but for most people even even one hundred grams of fat could be just four nearly just about anybody unless you're a lot smaller but definitely not going below like seventy or seventy five grams of fat. Because i can kind of with your hormones. Louis also mentioned this What what mark said like especially anyone who's beginning the whole diet thing The before even tracking one of the big important things just to have good food habits. Learn how to not drink excess calories. Calloway's see baby talk is coming. Learn how not eat excess calories from liquids you'd like learn how do not be snacking so much during the day which is something that a lot of people don't track their snacks excess calories Learn how to eat full focus on eating whole foods will have some processed foods here and dairy awesome snacks here and there but a majority of her calorie should from food. Because the intention of tracking right now is to at some point in your future never have to track again You wanna learn about food you want to learn what's in rice potatoes all these different foods and the amount so that when you get to a certain level you can bulk without having to track super hard you can cut without like action even having to track because you have some knowledge understanding of how to actually eat. Keep that in mind. And i think if you are going to snack maybe can work on just repositioning your food so like if you dig something like cheeser animal crackers or something like that if you're into some of these foods and you feel really hooked to him. Obviously the number one thing is to work on working them out of your diet but if you still wanted to keep them in your diet and you're in a bulk. I think you could do so an unreasonable way and it could be after your meal. I think it's more important than you get in the macro that you need. You got everything that you need and if you still Kinda got the munchies for something. That's different than your normal food. Then afterwards might be a good choice. Check legendarily foods legendary legendary foods. Check him out there. Who got some good stuff tasty pastry tasty. We well that goes into the next question by dylan and it's along lines of what you are already laying out mark. But he asks. Do you guys think a eating wanted one to one point..
"clarkin" Discussed on Exponential Podcast
"We'll we'll tend to overlook there is people in the congregation right. Grega means we can. Sometimes she's not really as comprehensive as it could be well. yeah. I think sometimes strategies are so generic. It's kinda like you know teaching a math class to you. Got everybody in the groom from second graders all the way up to you know. Mit graduate students. And you're talking to everybody the same way and so i love that you guys have ever said hey we we recognize. There was a different journey. And so so you're you're having. Hey where we know there. There's some people who are starting journey judgment mentioned. We know there's people that are are well into their journey. Let these are capacity givers. And how do you guys you guys. How do you develop and disciple specifically that. You're higher capacity givers those that have that gift of giving have exercise gift and have the capacity. How do you. How do you specifically develop in disciple. That group yes. Oh we have it. Clarkin builders team and we will invite people from time to time they can self identify or invite them to join the group while to large events years we just had one in may which was so much fun getting ready back together post covid world during covid world whatever you wanna call it And just really disabling and speaking into their lives and challenging them to grab division but also having a moment of prayer so taking those times twice a year to invest strategically and will bring in john axel to do some online type things about teaching passengers just different times of the year thing. How are we going to pour. Nc you the as we know that relationships most important than giving follows relationships. So you're spending time with any any level it's going to build on not you're not doing it for the gifts that it's going to build on who they know god is you're investing time into them. That's the first thing is spending one on one time with people. I do a lot of that all the time whether that be by text message phone. Call coffee dinner lunch. Making myself available in.
"clarkin" Discussed on The Truth About Wealth
"Clark cohen so that i would be calling from clarkin cohen and there was really never any question in anyone's mind that i would end up coming into the business in what we do here is kind of fix other people's problems and it's kind of who i am i i you know i. I like to get involved and help other people out so it was. There was never a question in my mind that i was going to become a public adjuster and come to work in the family business. I had an amazing relationship with my grandfather. He was a really difficult guy he would fight with pretty much everybody and yelled everyone that ever worked for him but when it came to me he he was very calm and taught me a ton and then i had a wonderful relationship with my dad. We worked together for twenty five years and he kind of. Let me do things the way i wanted to do them and was very happy to allow me to pretty much. Run the company from the time. I got here so in that way. There was no question. What what he did in make sure that i had before i could come to work here was ahead to have a college degree because i was the first person in my family to graduate from college my father had my grandfather had no one else in my family had either so at that point i was the first one and they wanted. They wanted me too. Although i did everything possible to try to get around that it didn't work and they did make to make me get a degree before it. Can i hope. I hope for the best at the end of the day. No question question that when you look back no question at the time. I wasn't happy back. Then i wondered. Did you have that same conversation with your son as sort of a prerequisite to get into the business. I handed much different perspective of than my my father and my grandfather. It's very difficult business. It's twenty four. Seven fires and property damaged happen when they happen..
Trump rallies for Republican Senators Loeffler and Perdue in Georgia
"In Georgia this evening, but White House correspondent Greg Clarkin reports it could be a tense visit. The president will host a rally for senators David Perdue and Kelly La Flor as they prepare for runoff elections in early January. Mr Trump backs their re election bids to secure a GOP majority in the U. S Senate. But he's also been engaged in a public spat with two of Georgia's top Republican elected officials, the governor and secretary of state The president is angry. They certified Joe Biden as the winner of the presidential race, and he's accused them of enabling widespread voter fraud. Greg Clugston,
"clarkin" Discussed on Sports 600 ESPN
"The saints would drew Brees yeah some kind of closed so Lamar coach Steve Kerr America's leader when you think about that room I mean that's why I was like a Harvard education in Cordoba school change making it official Tuesday James Winston is now on board to one year deal as for the future of the position with the saints earlier on Spain company I do think that that when they keep saying the Taysom hill will eventually be a starter and yada yada I don't know if I'm buying that completely I think that might be them placating a guy who is always said that's a goal for them where is they're looking at someone and winced as a more likely full time situation if they can convince them to make better decisions now you seem to buy in that Arians didn't give it is all no I don't agree with that I think he had a big opportunity to look at him and see if I can make you the quarterback that I want them to stick with you I do think that it reminds me of the Jay Cutler situation a big armed guy who can make great plays but also doesn't make good decisions how many stops do you make where they think they're going to be the ones to fix it Taysom hill is always going to be that position type person because more than just doesn't seem like that and that's why it should be even more appealing for Winston to slide in there and take over as that back up because drew is aging there's a very real chance that you could have Jameis Winston running that team this year I mean nobody wants to see an injury especially to a great but at that age it's very real he could slide in there Roger Waters on turnaround of his career in New Orleans Jameis Winston hoping for something similar possible earlier on get up Brian Clarkin Dominique Foxworth well maybe I'm going crazy but I'm taking some steps up that hill with you not necessarily because of drew Brees but more because of champagne champagne is that good of a coach and not to say that Bruce Arians or the many other coaches that James had aren't good coaches but we've seen John pay and do it.
"clarkin" Discussed on Sports 600 ESPN
"The saints would drew Brees yeah some kind of closed so Lamar's coach Steve Kerr markers in here when you think about that room I mean that's why I was like a Harvard education in Cordoba school change making it official Tuesday James Winston is now on board to one year deal as for the future of the position with the saints earlier on Spain company I do think that that when they keep saying that Taysom hill will eventually be a starter and yada yada I don't know if I'm buying that completely I think that might be them placating a guy who is always said that's a goal for them where is they're looking at someone and winced as a more likely full time situation if they can convince them to make better decisions now you seem to buy in that Arians didn't give it is all now I don't agree with that I think he had a big opportunity to look at him and see if I can make you the quarterback that I want them we stick with you I do think that it reminds me of the Jay Cutler situation a big armed guy who can make great plays but also doesn't make good decisions how many stops do you make where they think they're going to be the ones to fix it Taysom hill is always going to be that position type person because more than just doesn't seem like that and that's why it should be even more appealing for Winston to slide in there and take over as that back up because drew is aging there's a very real chance that you could have Jameis Winston running that team this year I mean nobody wants to see an injury especially to a great but at that age it's very real he could slide in there Redwater saw turnaround of his career in New Orleans James Winston hoping for something similar possible earlier on get up Brian Clarkin Dominique Foxworth well maybe I'm going crazy but I'm taking some steps up that hill with you not necessarily because of drew Brees but more because of champagne champagne is that good of a coach and not to say that Bruce Arians or the many other coaches that James had aren't good coaches well we've seen John pay and do it.
"clarkin" Discussed on MZNOW with Michael Zavala
"Point-blank Donkey Stock. And Jeremy Piven is innocent and a mini driver and driver and Aykroyd yet outlets good real good all right moving on work. Sex drill like office as correct Nineteen Ninety eight ninety nine the city moving on sex close popularity. Is there a problem here now? I think okay That's correct. Oh it is. I can think of another movie. That has the same tagline either. Wait wait when movie cruel intentions. Who Yeah I don't know if that's a real good. That sounds about along the same lines. It is real on ninety five correct. Look at you cleaning up all right. Last moon around to the mission is a man. Michael Mike Mission impossible. Thank God now. Did you just throw your name out there? Just because you want to answer now because I think I knew it and then I forgot it possible. Lets you better? Mission is a man Art Bourne identity incorrect thousands Eric Scratch at. Oh no mark. The mission is a man. Why did the team is it? A bond movie. No Mel Terminator Incorrect Sir Mark Sleepiness Doll. Hang on got museum. You go ahead. Mark One movie with Bridget on saving that. That makes the I two. We have Clarkin Mel with fourteen points. Eric Ingredients Phil now. Definitely nineteen ninety eight. Oh Yeah it was. Yeah all right. So.
"clarkin" Discussed on News 96.5 WDBO
"Eight on channel nine meteorologist rusty McRaney such security triple team traffic I biggest problems right now actually in Sumter county turnpike shut down due to an accident both directions near I. seventy five huge delays on the approach of heading in or out of our area of for the turnpike if you can I force accident free to stop and go right eastbound from hospital parkway to state road five thirty five we are crash free largely delay free on the four oh eight beach finance for seventeen this report is sponsored by all state with an Allstate agent get a local expert and help find the best coverage for you plus when you bought a home and auto you can say so called local Allstate agent today are you in good hands which traffic reports every six minutes in the morning we're helping you get to work on time I'm Greg Clarkin news ninety six point five W. D. V. this is Brian Kilmeade news ninety six five W. D. B. O. promises to break into my show with red alert traffic report because when you're the one behind the wheel stuck in a major traffic problems we know it grinds on your patience that's why we tell you what happened how much time it'll add to your drive in the best possible way to get around when you're stuck in traffic we are with you this is where Leno turns first for frequent traffic alerts news ninety six five W. D. via the Brian Kilmeade show a news ninety six point five W. D. B. news and talk fox news radio's studios in New York City the information you want you it's Brian Kilmeade idea for a podcast we we take the discussions that are off the air and put.
"clarkin" Discussed on News 96.5 WDBO
"Base he is Brian kill me either such security triple team traffic nasty crashes the turnpike shut down in Sumter county south on your I. seventy five have Italy's both ways over there but in our area express razor accident free I for slow eastbound you the attractions and coming from Polk County in a crash causing some delays Michigan Avenue at dawn again this report is sponsored by all state with an Allstate agent you get a local expert and help find the best coverage for you plus when you buy a home and auto you can say so called a local Allstate agent today are you in good hands which traffic reports every six minutes in the morning we're helping you get to work on time I'm Greg Clarkin use ninety six point five W. D. BO now the three things you need to three pretty judges upset with Amazon for not helping with an investigation into one of its driver suspected of stealing packages star is looking for a missing helicopter off the coast of Hawaii that had seven people on board he did return last night from a torn one Sunday will be the busiest day the travel season for Orlando International Airport we got a forty percent chance of showers tomorrow get regular traffic on your phone when you download the news ninety six point five W. D. V. O. app just turn on the traffic notification and you'll receive road closures and delays that could affect your travel news now traffic earlier than one hour by burn fat Orlando this is Orlando's twenty four hour traffic station news ninety six point five W. DPO ladies and gentleman last chance for the family Christmas and holiday sale time is running out of Japanese best promotion of the year imagine the double chin interconnect don with the famous Jenny so.
"clarkin" Discussed on WGN Radio
"State board of education is taking emergency action to end the use of so called isolation rooms pro public Illinois in the Chicago Tribune documented thousands of cases of kids being held in those quiet rooms calling for their parents sometimes banging their heads on the walls out of frustration governor Pritchard says that's unacceptable so we've gone to the Illinois state board of education to begin to do to make emergency rules to put those together to make change across our state in every single facility every single school in our state where that may be happening the emergency rules ban all isolated seclusion policies and physical restraints they couldn't Paris students ability to breathe or speak normally they'll also call for very strict guidelines is when the two were when a student can be restrained in a school setting Clarkin Gavin middle schools and high schools in Hammond will close with the start of the twenty twenty one twenty two school year faced with severe financial problems the school board of trustees made the decision in a unanimous vote dozens of angry parents were on hand for last night's decision Hammond is northwest Indiana's largest school district Chicago police are revealing more information about this shoot out with a bank robbery suspect that left an officer and a fifteen year old boy wounded police say the lane tech high school student was probably wounded by just planes police officer Tuesday night as officers pursued the suspect incited northwest side music school WGN's Nancy loose as the conditions of both the teen and the veteran police officer have improved police.
"clarkin" Discussed on WTVN
"Clarkin junior. Check out our reviews, then check out our prices. Apcoa absolutely. Is the place to go. Absolutely. You can trust. Showers and storms have tapering off. We'll do a little clearing overnight tonight. It's not going to be as humid either. We'll drop to fifty eight for the low and then on Friday, partly cloudy, some sunshine, and seventy nine degrees. Yeah. There's some rain coming back for the weekend. I'm ABC six first morning, chief meteorologist Marshall mcpeek on your severe weather station. News Radio six ten WTVN. From coast to coast and worldwide on the internet. This is coast to coast AM with George Noory money, make you happy or doesn't make you sad.
"clarkin" Discussed on WTVN
"Bill clarkin junior. Check out our reviews, then check out our prices. Apcoa absolutely. Is the place to go. You can trust. Showers and storms have tapering off will do a little clearing overnight tonight. It's not gonna be as humid either we'll drop to fifty eight for the low and then on Friday, partly cloudy, some sunshine, and seventy nine degrees. Yeah. There's some rain coming back for the weekend. I'm ABC six first morning, chief meteorologist Marshall mcpeek on your severe weather station. News Radio six ten WTVN. To talk to George Noory, call the wildcard line at eight one eight five zero one four one zero nine, the first time caller line is eight one eight five zero one four seven two one to talk toll free from east of the Rockies, call eight hundred eight two five five zero three three from west of the Rockies toll free, call eight hundred six one eight eight to five five to reach George via Skype use Skype name, George nine seven three one three send Georgia text message anytime that eight one eight two nine eight six five to one. This is coast to coast AM with.
"clarkin" Discussed on Xtra Sports Radio 1300 AM
"Clarkin. Kensington and with our ase extra mile promise, we'll help you get everything you need to paint in one trip, or deliveries free. Don't miss the Memorial Day sale at ace buy one get one fifty percent off our top paint brands now through Monday, limit to delivery subject to availability. Visit as hardware dot com for details. Kickoff summer at Kohl's Memorial Day weekend sale. Save on family fun teeth starting at eight ninety nine swimwear for the family starting at fourteen ninety nine and beach towels are just nine ninety nine plus ten dollars off your purchase at twenty five dollars or more plus get five dollars Kohl's cash for every twenty five dollars Fettes this Thursday through Monday at Kohl's. Select styles ten dollar offer. Valid may twenty thirty twenty seven to put service ten. Some exclusions apply. See store or Kohls dot com for details. At the Home Depot. Warmer, days means it's time to add vigour colored mulch to your list, and your cart right now get five bags at Memorial Day savings just ten bucks, Viggo helps soil retain moisture and adds curb appeal to your garden and shades of red Brown or black. You can't control the weather which you can't control the results. Today's the day for doing with vigour colored mulch five bags ten bucks. Only at the Home Depot. More saving doing course selection, varies by store, limit sixty per customer. Continental was link, Charlie loved cherry. So he fills his roster with wild cherry cherry cola and tops it off the cherry linemate. It's the cherry on Charlie's day mix the polar pop or frostier that works for you just seventy nine cents each at circle k limited time on dissipating.
"clarkin" Discussed on Xtra Sports Radio 1300 AM
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"clarkin" Discussed on KLBJ 590AM
"And clarkin Kensington with our ase extra mile promise we'll help you get everything you need to paint in one trip, or deliveries free. Don't miss the Memorial Day sale at ace buy one get one fifty percent off our top paint brands now through Monday, limit to delivery subject to availibility visit as hardware dot com for details. Varicose and spider veins. Wow. What a gift from my mom, she had him. I got him. And not only are they uncomfortable in sometimes painful, but I stopped wearing skirts and shorts because I was embarrassed. And I really hated the way my legs looked when my kids asked me what are those things on your legs? I was done. I finally went to vein clinics of America. The procedure took about an hour and I was right back to work what they're doing with lasers. These days is unbelievable. The staff made me feel so comfortable and the results well, even my husband has noticed they in clinics of America has been treating vein disease for over thirty five years, they're the largest and most experienced in the US. Look, I've been doing the commercials for vein clinics for years, because I really believe in them, and you can trust them to the best part my insurance cover the procedure. So stop hiding your legs. Call vein clinics right now to see if you qualify. For a free consultation, call eight hundred five eight four twenty six twenty six eight hundred five four twenty six twenty six that's eight hundred five eight four twenty six. Twenty-six dot com. All money managers might seem the same. But while some give their claims cookie cutter portfolios, Fisher investments Taylor's portfolios to your goals, and needs some only call when they have something to sell. Fisher calls regularly, so you stay informed, and while some advisers are happy to earn commissions, whether you do well or not. Fisher investments fees are structured,.
"clarkin" Discussed on WLS-AM 890
"Downers right on. Okay. Mr. Yeah. Oh, okay. Enjoy the place that I go and Lauren and all you want to get the traffic. Just just not me. It's the listeners, John, okay. Listen to this station, far very comprehensive and involved traffic reports. Anyway, Philly cheese steaks, even when I was in Philly, by the way, of course, you look at you look at me, there's a place that the junction of Clark and hall stead right there, just south of Wrigley. It's called Clark street dog. I think I think that said it said, it has a little parking plot parking places, you know, parking lot, right? There were clarkin holstead come together. And they they have pretty good Philly cheese steaks. The first amendment is under attack. Again, we'll wrap it up here in just a minute with that story coming up next here on wwl. Go ahead. Lauren cohan. All right. It's six fifty take a look at the Edens outbound from the junction to lake cook. It's twenty one minutes. Inbound is forty two Kennedy outbound to O'Hare forty six minutes. Inbound is fifty four the Eisenhower out to three ninety forty three minutes. Inbound we'll take you forty two Stevenson outbound from lake for dry. The three fifty five one hour four minutes. Inbound is fifty three Dan Ryan downtown ninety fifth street is thirty minutes ninety fifth then we'll take you twenty seven. Your next update is in about fifteen minutes, so fresh so face it decade of the green new deal. Her plan to save the world is to make does right now in which see from the future talks to percents..
"clarkin" Discussed on NewsRadio KFBK
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Number of opioid prescriptions remains unchanged, Mayo Clinic research finds
"Network. Hi, I'm Vivian Williams for the mayo clinic news network, opioids continue to be in the news. A mayo clinic study found that despite increased attention to opioid abuse, prescriptions have remained relatively unchanged for many US patients. The research published in the b. m. j. shows that opioid prescription rates have remained flat for commercially insured patients over the past decade rates. For some Medicare patients are leveling but remain above where they were ten years ago. Dr. Jeffrey Molly is the lead author of the study and scientific director of the mayo clinic division of emergency medicine research. He says the data suggests not much has changed in prescription opioid use since about five years ago. Now based on historical trends of opioid use pain medicine specialist. Dr. Michael Hooton says, there are Maine's an unmet patient need to better target the use of prescription, opioids. Leads the centers for disease control and prevention has previously reported that opioid prescription in the US has increased dramatically from nineteen ninety nine to two thousand ten mayo clinic is broadly researching opioid prescribing practices to find ideal doses for individual patient needs. The researchers say the goal is to achieve the best possible patient outcomes and experience with minimal exposure to opioids. This research has been translated into opioid prescribing guidelines, tools for medical practices at mayo and beyond. And in other news, what you might call the dog days of summer, maybe something more menacing for a person prone to migraines. So how and why does summer weather sometimes trigger these headaches? That's a great question. Says Dr. Rush me, hawker sing, a mayo clinic neurologist. She says that patients ask her that all the time and there's just not a great answer for some people. Extreme weather conditions may cause imbalances in brain chemicals. Which eventually can lead to severe throbbing pain of a migraine. Sunlight could also be a trigger and other weather triggers include high humidity, extreme heat and dry air. Dr. Hucker cing says, these conditions may lead to another migraine creator dehydration. Lots of people forget to drink enough during hot weather and dehydration concert, be risk for migraine attacks to happen. Her advice to people with migraines is to avoid extremes in summer weather and everyday schedules. She also says to be consistent with your eating habits and your sleeping habits, the mayo clinic news network. I'm Vivian Williams. Welcome back to Mayo Clinic Radio. I'm Dr Tom jive and I'm Tracy McCray for teenagers issues like peer pressure, academic expectations, and changing bodies. You're going through that right now or at your. It was a long time ago that I was a teenager Dr side. Thank you. All those things can cause a lot of ups and downs, highs and lows. But for some teens, the lows are more than just temporary feelings. There is symptom of depression. Depression can affect how your teenager thinks feels and behaves. And in extreme cases it can lead to suicidal thoughts, the centers for disease control and prevention reports that suicide is the second leading cause of death for young people. Age ten to twenty four. Fortunately for most teens, depression symptoms can ease with treatment such as medication and psychological counseling in here, disgust teens in mental health is mayo clinic pediatric psychiatrist, Dr Paul cork and welcome back to the program Dr Croke and it's good to see you glow. Thanks for having me today. Thanks for being here. So Dr, Carr, convince increasing number of suicides in this country has to be of some concern is very concerning and it's it's probably complex causes. It's something that's being as you point out, talked about and written about quite a lot quite often. And it's been been estimated that the the overall rates have nearly doubled less twenty years. Much of that involves teenagers. As you pointed out with young people, it's the second leading cause of death. Sadly there are in the neighborhood of, you know, forty, five thousand completed suicides annual in the US young people account for usually about ten percent of that. So there there's a host of things to think about. And I, I would argue that my field in particular we need to, we need to brace this as maybe failure that we need to relook at things and continue research in ways to do better his problem in the future. So you said suicide rates for teenagers as doubled over the last twenty years. So have the rates of depression doubled as well. That's one of the one of the considerations. The thought is that actually exhibiting depression is increasing as well. But there are other there are other factors to to present a balanced view here. There has been the argument made, perhaps we are just getting better at quantifying and qualifying into things, and we have more mental health professionals. Now, psychiatrist to identify these things. People are talking about mental health as well, and there's hopefully less stigma and people feel feel freer to talk about it as you point out. There's also as far as causes that are driving this potentially. There's been a lot of speculation is life becoming more fast paced and stressful for for teenagers general? Some of us at our age. We have sometimes difficult time wrapping our brain around that. But indeed, if you look at look at some of the things that are going on in the challenges teens face today, it's not. It's not benign another. Another, very very, I would argue poorly understood but important consideration is the internet. Did you. Title social media things like Facebook, Twitter, and the platforms that I don't even know about the using, how does that contribute? I mean, what's the relationship there? Well, the thought the thought there have been there have been studies Dr shops that can that suggest that that more time spent on that thing contributes to depression, but it's probably not that simple. I mean, the arguments been made, and this has been looked at that overall. Maybe maybe teenagers into some extent, adults are spending more and more time on these platforms with these technologies and overall feeling less connected in the genuine face to face empathic sort of fashion. The other pernicious aspect of these technologies. Something that I see in my day to day practice often is that there's a fair amount of negative behaviors broadly describe it that there's what's called cyber bullying. It's rampant with a lot of the lot of the young people that I work with and it some thought that there's been some suggestion that it the effects of this may be more. More lasting severe than face to face based face bowling, for example. So Dr shaves alluded to the fact. I've got two teenagers at my house, so I'm gonna ask a question and went to expect a choir of angels to start to rise up around me as I ask it, how can apparent distinguish normal teen moods, team behavior swings from signs of depression hut. Can you tell the difference? It's a great question and it's a, it's a deceptively simple to in that as you point out teens in general, have a host of neurologic integral suck logic changes because can bring his getting up and can contribute to meeting us and predictably. They tend to think that moms dads are less interesting to be around in the less at this age. Can you imagine didn't happen? I'm sure I know that's why I'm so confused by it, but getting on getting more on point with your question, pervasive changes in what you could you could refer to personality, so dark, dark, irritable moods that are there. All day long day after day after day that are per she added in more than one environment. So if there's feedback from teachers, schools, sports teams, the, you know, Joey, your Sally is just not not the same as they were before declining functioning academics is a as usually big telltale sign that previously a or b students suddenly see your or student changes in peer groups, changes in behaviors, changes in sleeping patterns, and then a focus on dark kind of things. Thoughts are or talk about suicide, for example. And the again, a related question I think would be, what do you do about these these various social media platforms and internet use? And that's another another thing I think broadly, did you stay engaged with your your children and it's not easy in teenagers. A couple of things I wanted to ask you about first of all access. I mean, there are so many more people who seem to be depressed, isn't access to a mental health prof. National more difficult because there are more so many more people out there and not enough of you. And I think the second part of that question is even if you are pretty certain that your child is is depressed. There's concern about how effective the treatment is in what the treatments going to pay. Those are great questions, and the short answer you're absolutely right on the first count that access is to mental health professionals. Psychiatry in particular is not not at all what it should be, and it's even more problematic for young people collectively, we are trying to address that. No mayo clinic is led the way things, for example, that are called collaborative care models or integrative behavioral health where we actually do things like we embed psychiatrist within a large network of primary care clinics for very different kind of role than what we're used to. It's more of a role of supervision coaching consultation on cases, so that family practice doctors, Tournus and pediatricians, for example, get more more depth and more comfortable with. Treating identifying treating things like depression, anxiety, youngster teenager, good things. All good. And to get your to get your other question identification and the definition diagnosis of this is challenging and for parents, it's often the way we do. This is often hard to understand in that we don't, you know, it's based on interviews and questions. There's no lab test or x Ray for this, but ongoing monitoring in mild cases, watchful waiting is appropriate where, again, parents and teachers have awareness. We do very simple, but important things like help youth structure, their sleep hygiene, their habits, their study patterns. But overall, if if symptoms are moderate to severe, they're impeding functioning and academic social and family treatment is important in the first. The first line for depression is usually a combination of psychotherapy, things like cognitive behavioral therapy or what's called interpersonal therapy and the judicious use of medications, and how can parents support thirteen. NHS ongoing communication about about their life in general encouragement, sometimes reminders to to take care of their health overall and setting that example as well making time for family dinner every day, those kind of things. And if parents think it is an emergency, they should call nine one one. Well, unfortunately, depression in suicides in America and including among teenagers is on the rise. It's important though to if there is a problem to get access to mental health care, even though it may be difficult and you've got some effective treatments. Exactly. We've been talking about teenagers and mental health when mayo clinic pediatrics, Kaya trysts are all Corcoran Dr. Clarkin thanks for being with us. Thank you decker shaft. We're going to take a short break. When we come back, we'll look at some new research on diet and dementia. You're listening to Mayo Clinic Radio on the mayo clinic news network. Welcome back to Mayo Clinic Radio. I'm Dr Tom shy and I'm Tracy McCray Tracy. We know that a diet that's filled with fruits and vegetables is good for waistline, but it's proving to be good for our brain as well. A recent study published in the journal of Alzheimer's disease showed that people with normal cognitive function who followed a Mediterranean diet had lower amyloid deposits in the brain. As we've learned before on this program, amyloid deposits in the brain are one hallmark of Alzheimer's disease in here to discuss is the lead author of the paper, mayo clinic, epidemiologist, Dr, Maria vassal, Laki, welcome to the program. Thank you for having me. That was pretty, you're Greek is pretty good. Thank you. I assume you are Dr Solanki. Great to have you with us. I, you know, I married into a great family, and so I set nice people. We have. So what's good for the body is good for the brain? Is that what we're saying? This is what we think that is accumulating evidence suggesting that died has been officially fact for the brain to and for against the climb. The my says, well, although we don't have definite evidence for that, but that is good body of literature supporting that. Is that what prompted you to the study? Yes. In the mayo clinic study of aging, we are studying cognitive decline and also by Marcus of Alzheimer's disease. So one of them would be the the position in the brain, and we had this cons and the date do study that inside of the association with diet. So when we talk about amyloid deposition in the brain amyloid is a as I recall, it's been a while protein, right? Yes. And we knew from autopsy studies that patients who had Alzheimer's disease before they died, had these deposits amyloid for whatever reason, there's an association between the two. And now if I'm correct, we can actually. Detect those amyloid deposits under numerous Gan, correct. We, we detect them in, for example, in pets can so we introduce some only gives through the blood and they go and highlight areas of the position. So we have the scans and we know the as where we have elevated amused and you said that you studied people with normal cognitive function. So how do you determine if someone buddies brain is normal and they can be in the study? So in them out participants in the mayo, Cain, excite the venting. They go a very comprehensive competition with nine defense near psychological tests, and then they are evaluated by physi- centers. Well, we also take information by informant the partner. So we have a lot of information. And then by consensus, we gather all the information and the nurse that helped the the coordinator, the physician and the psychologists, they decide based on data that we have. Whether someone would be within the normal function range or someone would have a little more cognitive decline than than we would expect for their age or whether someone would being the dementia, what was the age? They average age of this today participants. So for this Pacific style, the was seventy years and older. So the me Nate is about seventy eight years old fifty, five percent of them were men and what do the studies show ultimately? So we asked them about their eating habits. They last twelve months. So the head Thuan cer- about one hundred and twenty eight different questions on the food groups that they think that the amount and also how often they would. And we found that vein vigils were falling closer, the Mediterranean diet, and those that had the higher Sam shown of vegetables were less likely to have elevated levels of amyloid position in the brain. Now we have to point out that this is a. Sectional study in our terminology, which means this is like a photograph. We don't have the dimension of time, so we don't know what came first and what game second. So as we say in our area of research, we cannot assess the Kazadi between the two. However, we, this is information that supports previous information that we know that that has been officially fact. There's also the possibility that another factor could be in place that we haven't measured that we don't know about yet, but this is a first sign that our study showed supporting evidence of beneficial association. We all talked about it and we've talked about it on this program, but refresh our memories of regard to the Mediterranean diet. We know that it's mostly fruits and vegetables, but what what can't you eat or shouldn't you eat if you're on that diet? So it's it's a very colorful diet. It's high consumption. Oh fruits and vegetables, legumes nuts, also moderate to high consumption face less consumption of meat and saturated fats and more fat in the in terms of olive oil are consumed in the diet. Also, there is optional. Moderate use of alcohol is well mainly wine. And usually it happens in social occasions where it was wine on the list or not on the list. Why was on the list for them died when we started status the nineteen sixties. Now, alcohol is is optional in a way because for some of the conditions, we should not drink. It's very, there's incredible if we cannot control the amount of wine. So it's really optional. All right. The question is people who followed this diet for their entire life. People who live in the Mediterranean, I guess, do they have a lower incidence of Alzheimer's disease than we have? I don't. Don't have a definite answer that as far as research is concerned, very rigorous clinical trials research. So we don't have definite evidence to suggest dietary interventions in our life. Today we have though a big amount of survey tional data in some clinical trials that would support that good violence died like the Mediterranean diet, but also other diets like the dash diet or the mind. Diet were societas with slower cognitive decline. Certain familiar with either one of those, the dash and the what was the other. Mind so that does diet. These, they enter approaches to stop hypertension and the mind is Mediterranean dash interventions for new the generative delay. So haven't studied this. Are you pretty much convinced that murder? Mediterranean diet is a good idea not just before overall health, but also to prevent cognitive decline. Are you convinced? I think we need to learn much more, but with we have enough to follow the advice of the gates now to have a good balance, healthy diet and the Mediterranean diet, but that is one of them. The good thing is that although we don't have any new commendation based on this data, and although we said it's like a photo Akra sectionals Patty, it adds an additional motivation that what is good for my general health. What is good for my cardiovascular can support my brain health, and that can happen directly may be. Through defense mechanisms or indirectly, supporting my cat. Vascular system puts also would be very important for brain health and dimensions. What's next in your research? So what we would like to do and other sets us also doing is to follow people onto the to see whether we follow the Mediterranean diet or any other beneficial diet pattern, whether changes in our bio markets in the brain. I'm for example or changes in our coq nation, beneficial changes associated with a good balanced diet. We've been discussing how diet may play a role in preventing or delaying cognitive decline and dementia with mayo clinic, epidemiologist, Dr. Maria vessel Ocoee. Thanks for joining us Dr. Bustle Ocoee. Thank you for having me, and that's our program for this week. Find more information on the mayo clinic news network to this, your health and medicine questions. Anytime at hashtag Mayo Clinic Radio, you've been listening to Mayo Clinic Radio on the mayo clinic news network producer for the program, Jennifer. Era for Mayo Clinic Radio. I'm Dr Tom. I'm Tracy McCray. Thanks for joining us. Any medical information conveyed during this program is not intended as a substitute for personal medical advice, and you should not take any action before consulting healthcare professionals for more information. Please go to our website, radio dot, mayoclinic dot org. Please join us each week on this station for more of the medical information you want from mayo clinic specialists. No.