5 Burst results for "International Of The International Society Of"
Women's Health By Heather Hirsch
Take back your sexuality at midlife With Dr. Becky Lynn MD
"All right, guys, welcome back to the show today. I'm really really thrilled. I have doctor Becky Lynn with me. She is the CEO and founder of avory women's health and she's also an adjunct associate professor of Ob-Gyn at Saint Louis University in st. Louis. And today we are talking just kind of having a conversation surrounding midlife took a pass libido and sex what more fun could we have the most fun? So welcome to the show and tell me a little bit about yourself your background and how you got interested in particularly midlife Women's Health. Yeah. So I'm an OBGYN and I sort of knew that I wanted to go into women's healthy before I went to medical school. I did some research in women's health and I loved it, but I went into medical school with an open mind who knows what I'm going to like and ultimately came out the other end wanting to do women's home. And then within OBGYN, you know, I practiced after I finished my residency. I practiced just did routine. Oh be normal, you know GYN stuff for six years and then I ended up finding my niche in sexual medicine and menopause and it's sort of fell into my lap because I'm not afraid to talk about it, especially the sexual aspect, you know, people would come back and ask me questions and I you know, I sort of realized the importance of it and how it was something that a lot of providers either don't feel comfortable discussing or the patients don't feel comfortable discussing but it's a really big important part of a woman's life sexuality. And so it was easy for me to talk about it. I found the time, you know, I took the time at that point to find out which the international Society for the study of women's sexual health, and that's where I really got all of my training in sexual medicine because you don't learn much about it in residency. And so you really dead Fortunately, hopefully that's changing but unfortunately have to go get that information on your own and then I brought that information back to my practice and I could really help my patients. And as far as menopause go, you know, we were saying before we started recording how much sexual issues and women overlap with menopausal problems. Not always twenty-year-olds can have problems with sexuality and 35 year olds and thirty year olds, but at the menopause when your hormones are changing or your you know, you lose your estrogen or testosterone is low that can really really affect sexuality not just Iraq but also lead to painful sex and orgasm difficulties. So they sort of naturally came together for my practice and I feel really strongly about treating these issues and educating women were advocating for women in the space. Yeah. How do you find success in having these conversations with your patients? Do you at this place? They probably know you as the doctor who knows a lot about this but starting out. How did you find success in in Breaking that Gap in midlife care? I think if that I I mean, I think that I'm sort of naturally non-judgmental and easy to talk to and I and I I I say thank you to my mother because my mom has the same way and I think she taught me to live life and and not make people feel bad about the issues that they're having. I tell her all the time. I am who I am cuz her but that I just I feel and I don't think there's any like special truck. It's just and that's probably part of the reason I went into being a physician because I feel that way. So I really, you know, I set up an easy environment for women to talk about because both sexuality and not as you know, menopause are some huge changes in a woman's life, but women don't learn about that, right we talk all about puberty. We talk about don't get pregnant. Don't get STDs, but we don't tell you that, you know dead. Painful sex is going to happen a couple of years after your period stop. So and it's embarrassing. It's very embarrassing sometimes for women to bring up and one thing that I notice and I've heard a couple of times in my practice is I will come in and they're like, oh my gosh, you know sex is painful. I have terrible vaginal dryness. My partner thinks I don't like him anymore and the woman's like that's not the issue. I don't know why it's dry, but they had no idea it had anything to do with the menopause because it happens mostly a couple of years after and so they're terrified and and so it's you know, it's really important to make sure that women know off of the changes that happened during the menopause. I know I certainly couldn't agree with you more listening is such a such a value and I find that patients find it very rare these days off we're doctors to be able to take the time to listen, it's funny when you do what are some of the most common scenarios are common complaints that you here pretty commonly. I know you were touching on them off. So I would say that the two most common issues. Well three now three most common issues that I see are low libido. Painful sex and weight gain, which goes along with the menopause? Yeah. That's just I guess I would lump weight gain with the whole constellation of menopausal symptoms. So hot flashes night sweats mood swings brain fog joint aches painful sex low libido. Like there's a whole constellation of those that go together. In fact, I talked to somebody this morning who she just didn't know where to turn because she just you know could name the list of all the things that were going on. So, I think that whole, you know sort of I want to say metabolic syndrome that doesn't sound very good but you know like that whole constellation of symptoms and then also painful sex and low libido. This would probably be my top three. Yeah. Well, let's jump into bed at treating painful sex. So in my brain and I would love to
The Nutrition Diva's Quick and Dirty Tips for Eating Well and Feeling Fabulous
How to Eat 45,000 Extra Calories Without Gaining Weight
"And today's show was suggested by Fabio. Who writes? I came across a study on bodybuilders, which suggests that a caloric surfeit doesn't contribute to weight gain as you would expect when the extra calories come solely from protein. Can you comment on it? The study Fabio asked me about was published in two thousand and fourteen in the Journal of the International. Society of Sports Nutrition and it is definitely worth a closer look. The subjects in this study were all in their early twenties, and they were all engaged in heavy resistance, training or weightlifting. They were quite lean and very muscular, going into the study in fact, if you looked only at their body, mass index their BMI numbers. It looked as if the subjects were on the verge of. City, but when you look at their body composition, it's clear that the higher body weights related to their heights word due to their very high muscle mass. One group in the study then added a lot of extra protein to their diet in the form of way, protein powder, and when I say a lot I mean a lot. These athletes had previously been consuming about one gram of protein per pound her day, or about twenty to twenty five percent of their calories. Now this is about twice the recommended minimum intake, but it's still comfortably within the acceptable range for protein that's laid out by the National Academy of Medicine, which is formerly known as the Institute of Medicine. For the study, the researchers essentially doubled the appleans protein intake to an average of three hundred grams per day now that is quite a bit higher than the National Academy of Medicine Maximum recommended intake, and it's also as the researchers point out, and I'm quoting here. The highest recorded intake of dietary protein in the scientific literature that we are aware of and quote. The researchers didn't evaluate whether this extremely high protein intake had any negative impacts on liver or kidney function, but many of the subjects did complain of intestinal distress during the study. However, nobody is recommending that eating this much protein would be a good idea on a long-term basis. The point of this short term study was simply to find out how eating protein in excess of caloric requirements would affect body composition in highly trained people, and when they say highly trained, they mean resistance training not trained in the scientific method or whatever. So? The subject's didn't eat less of other foods. They just added the way protein and of what they were already eating, or at least that's what they were supposed to do. In reality, some of the subjects ended up eating fewer carbohydrates. Others actually ate a bit more carbohydrate, but on average they managed to increase the caloric intake by eight hundred calories per day mostly from protein, and they also continue. Continue to do their usual strenuous workouts. So what were the results of this grand experiment? Well, according to the researchers and I'm going to quote again here. The current investigation found no changes in body, weight, fat, mass, or fat, free mass in the high protein Diet Group and this occurred in spite of the fact that they consumed over eight hundred calories more per day for eight weeks and quote. Now how is this even possible? Where did all of those extra calories go? After all eight hundred extra calories a day for eight weeks equals about forty five thousand calories, which according to the Conventional Calorie, math should have translated into a gain of almost thirteen pounds, and in fact when you look at the actual data, you will see that the subjects did gain some weight just not nearly as much as the old school. Calorie math would have predicted. In the group consuming the extra protein, the average change in weight was a gain of almost four pounds, meanwhile in the control group, who purportedly changed nothing about their diets or workouts. The average change in weight over the eight week period was a gain of almost two pounds. Similarly both groups gained some muscle. The high protein group gained an average of four pounds of lean muscle. The control group gained just three, and both groups also lost a bit of body fat. The high protein group lost a bit less than the control group. So how can the researchers conclude that eating the extra protein didn't lead to any way change or changes in body composition. Well because the differences between the test group and the control group weren't large enough to be statistically significant. Now, I want you to keep in mind as well that this was a relatively small study, only about thirty subjects completed the study, and there was quite a bit of variation in the results of the individual subjects, and sometimes that gets a little obscured. When we're just talking about averages for example in the group consuming the extra protein, the average change in weight was A. A gain of almost four pounds, but some of the subjects in this group actually lost weight while others gained twice as much as the average, and when the variants and results that wide. You'd need a lot more subjects in your study before those averages would be very meaningful. Okay, despite all of these statistics, nerd caveats, it is still somewhat surprising that the group that eight. Extra calories didn't gain more weight than they did. And that the differences between them and the control group weren't bigger.
Between The Lines
Kevin Rudd on anarchy in the post COVID-19 world order, and could stable democracy be a reality in Iraq?
"Former Prime Minister Kevin right on the geopolitical consequences of the pandemic. He predicts the coming post covered. Anneke plus Iraq believe it or not. It's future looks brought today than it has an any point in the past Dick. I'd stay with us for my chat with Linda Robinson from the Rand Corporation. She'll tell us while we should not give up on Baghdad's fragile. Democracy Corona virus continues to take a toll on the health of nations around the world. One thing has become clear the winners and losers not who we might have expected a year ago. The virus is taking an uneven and unpredictable. Course through the world defying. I usual assumptions about power and resilience. Some small poor countries being left relatively unscathed all powerful prosperous nations. I've been ravaged. So what does this mean for global order and for the strategic robbery between China and the United States? Will everything change or is the virus? Mealy accelerating trends that were already in place. Former prime minister of Australia. Kevin Rudd is the President of the Society Policy Institute in New York. He's written an essay in the most recent issue of Foreign Affairs magazine in New York. It's called the coming postcode Enki and he joins me now. From Queensland's Sunshine Coast Kevin Rudd. Welcome back to between the lawns. Good to be with you on between the lines. Now you'll recent essays titled The coming Postcode Anneke Y Anneke. You're good real turns color of international relations you would know that realists assume that. Anneke is in fact the natural state All the International Society of states rent was Headley Bull who wrote about this crowd along time ago and Australian realist and Australian realist. Ten within the real documents that order actually represents the exception rather than the rule So why do I argue this I argue it because the current order as we've done since forty five is underpinned by and large by US geopolitical pound Gio economic power secondly That's become challenge at least by China Thirdly the Cova crisis has turbo charge The hit on American real and perceived power. But there's a full factor as well. Which is the impact which the Cova crisis has on China's Powell not least the damage to its economy the flow through effect to its ability to spend on the amounts of money on its military and on the belt and road initiative example but more importantly international perceptions of China in the developed in the developing world. So where do we end up? We end up not with The same old order as in the past but a slow and steady drift towards more anoc order. We're both China and the US damaged and the institutions of global governance with the UN. The will bank the National Monetary Fund the G. Twenty etc become increasingly the terrain for geopolitical battle. Between these two wounded POWs a K. Sunday the country's the victory he but some analysts say that China's heavy handed approach eccentric lockdowns violence. That's been a political win for Xi Jinping in Matt strengthened the Central Authority of the communist regime. How would you respond to them? Well let's look at That argument within China itself. There's been a huge hit on the accompany And as a result of that China will have its worst gross numbers twenty twenty the Ted in over half a century since the end of the Cultural Revolution almost That is huge. It undermines She Jinping's China Drain which was One pillar of which was for China to quadruple. Its G. D. DP by twenty twenty measured against two thousand levels this single year of itself. Economic non-performance blows a hole amidships in that and then secondly on top of that. Tom You've got the problem which arises in terms of internal political debates within China so and I think some growing levels of resistance to Xi Jinping's on leadership and finally as I mentioned before The blowback around the world in terms of the economic damage To economize both developed and developing causing a big question mark to a rise in terms whether China has in fact being the risk to the world's best friend because of the outbreak of this virus. So these factors I think. Qualify the overall argument you hear from some the China's authoritarian model in managing the crisis domestically translates into a geopolitical win the China internationally. I don't think that necessarily holes walk conversations. Do you think heaven. I going on right now in Beijing over China's place in the world I mean is the division division over this so-called Wolf Warrior this is the and diplomacy we often hear about a division between that Wolf Warrior. Diplomacy versus say China's desire to promote soft power. Chinese politics in some respects is not dissimilar to elements of politics. We and other countries. That is you find nationalist. Ten internationalists you find a local ists globalists' you find audio logs versus as it were reformers and pregnant at this and so the as political system while it's Control by Xi Jinping's leadership still has all these tensions and personalities within it so the debates now I think are of a twofold. How do we allow this to happen? In the first place what failed in terms of the processes insistence China put in place after the Saas Crisis of two thousand and three to prevent a pandemic or epidemic as it was then from happening again. The second debate is how the Hillary you get the economy back together again given the China a economy with forty percent of Gdp comes from the traded six or the economy and International. Trade is being blend. Bits by this crosses and the other debate again between nationalists internationalised is the one. You've just touched on the Tom. Which is China's wolf worried diplomats out there launching attacks against any critique of China's performance On the one hand defend the party's legitimacy and on the other hand older more seasoned diplomat saying this isn't actually contributing much to the improvement of China's global image those discussions and debates underway. At the moment we're talking about this wolf warrior diplomacy. What do you make of China's recent boycotts threats of boycotts of Australian Exports Bali? Beef what what's going on well as I've said in other recent interviews since those public statements by the China's ambassador Australia it's unacceptable in my view for any ambassador accredited to any country to receive public threats against the host country In City five years of more dealing with the Australian China relationship I don't recall previous Chinese ambassadors of having done that not by any Australian diplomat ever having done that irrespective of the crisis of the day with was ten on all the things that I went through when I was in office etc so I think as a matter of shall we say diplomatic practice. What occurred then was regrettable as as being some of the hotline commentary. Which emanated from the Chinese nationalist media? the bottom line is however the Chinese nationalists have seen The effectiveness All the some of these sorts of measures when applaud various countries in the past sorts of economic leverage which China replied to no way out to no way through the Nobel Prize Committee Awarded the Nobel Peace Prize to a famous Chinese dissident And I've also seen how those Economic Leverage points of work with various of the Europeans. So this is not alien to the Chinese playbook my argument about China's Australia's management of The relationship in prison is that if the Australian government's of the view and a view I in general support that there needs to be an independent international inquiry as to the origins the virus transmission of the virus notifications to the WHO and threw them to the world community etc. Then again to put that Ford isn't as trade in government and then do some work on it. I get a few other governments to come along with you an advance that through the multilateral machinery which rather than just blow it out as a thought bubble That's the way which you do. Real things in the international community rather than I. Fear sometimes pitching a diplomatic initiative primarily for domestic political leverage into straighter. What complicates matters? Further is president trump's theory that the virus was leaked from a lab in Wuhan and raises the question. Why would China agree to enquiry without losing this between the lines on? Abc Radio National. The familiar voice. You're hearing is former prominence to Kevin. Rudd is now president of the Asia Society Policy Institute in New York. We've been talking about his article in the current issue of Foreign Affairs magazine. Kevin we'll talking about China and how it's paid a price as a result of this current ivars. Let's turn to the United States. How badly damaged is the use in your judgement? I mean we'll recover reasonably quickly With a change of administration in November or does the damage go deep. Perhaps too deep for recovery has been deep damage politically. The the. The House is a divided house within the United States. Those of us who have followed. Us politics of the many years have rarely seen it This divisive and that actually is a real factor in terms of constructing a post presidential election national consensus on how America engages the World. And the future. American politics has become so binary including on America's own future will view on the economic damage. It's huge. This is the biggest hit on newest economy at least since nineteen forty-six and the recovery from the war and probably since the depression the end of the depression and thirty three So this takes a while to recover But the American economy know a history of resilience. Look what happened after the global financial crisis? But well I was going to make the point to is enormous capacity for change and renewal. I mean you think about its recovery from the civil war that oppression in Vietnam. You being a bit too pessimistic. Kevin. Well I live in the United States and I actually listened to the debate on back in Australia now and when my American interlocutors Republican and Democrat Friends of mine over twenty years who A positive let's call it. The Foreign Policy National Security Policy Machinery signed that it's become increasingly hard to forge consensus these days across the aisle on America's behavior in the world That is a real issue. Then it's not just my external analysis it's part of the internal analysis within the US itself. Do I think the United States can come through the domestic political Malays and the Economic Destruction? Which has occurred? Yes I do. Because it's remarkably resilient country But I think a precondition is that We see a Democrat. Win this November it's not that. I am a A cheerleader for Joe Biden. Personally I barely know the man Bought he's lucky to put together a mainstream Competent Foreign Policy and National Security Policy Tame as opposed to Frankly the chaotic nature of the trump administration on most foreign and national security policy questions. And that I think is necessary for America to rebuild. Its alliances abroad rebuild. Its credibility in the eyes of the risks of the will and to overcome what has been an extraordinary period where America rather than taking the lead in the global recovery From the virus both in public health systems and economic terms as simply being missing in action and in fact the unable to contain it's the damage domestically
20 Minute Fitness
Creatine: what is it, and what does it do?
"Less first off by saying that new supplement is really a necessity hence the name supplement meaning it supplementary to to a balanced healthy lifestyle and diet but creating is one of the world's most tested supplements really an received great safety profiles so creating gene is a substance that's naturally found in muscle cells and it helps your muscles produce more energy during your lifting sessions and if we look at it chemically it's tortuous organic acid that as I mentioned before it helps apply entity to cells in the body and it shares many similarities with amino acids and your body can produce is it from the amino acids lysine and Arginine see around ninety five percent of the bodies creating stored in the muscles in the form of false though creating and the other five percent is found in your brain and your kidneys and your liver so a person needs between one to three grams. Really of Chritina eighteen day and route half of this comes from your diet and the rest is synthesized by the body so way getting your your one three grams from Utah. You'll die. It is from a law. Red Meat and fish for example one pound of raw beef or seven provides around one two grams of creating according to the International Society of sports nutrition larger athletes though who are training quite intensely might need consume between five to ten headon grams of creating a day to maintain stores. And this might be why you're thinking about taking creating as a supplement not thinking of getting enough enough training quite intensively so you need to supplement crazy and ensure diet and that's a supplement you can find created in a number of different forms the most popular of which is say are creating lean more hydrate and creating shell so creating monohydrate is putting the most extensively studied form of creating for use nutritional supplements and in terms of muscle swapped take is going to high ability to increase high intensity exercise capacity and is called monohydrate. Because it's made by binding created in the organic gallic acid with one molecule of water hence mono one hydrates water creating. HCl On the other hand is made by touching hydrochloride group creatine to enhance stability and create. Shell works well. Because only hydrochloride group to the creative molecule lowers the Ph of the creating making it more acidic acidic and. This makes it a lot more soluble in fluids or dissolves veteran fluids. And you'll notice when you actually mix. HCL and water mixes almost instantly with no sedimentation patients drops to the bottom of the glass in like sentiment in that when that when the choice either from some of the protein shakes you have before you lumpy clusters in your protein shake. It is is not nice so creating. ACL Mix in far better than creatine monohydrate. There's lots of mixed evidence about which is king really between creatine. MONOHYDRATE INCREASE NATE SEATTLE. The main issues. Criminal Hydrate let's do it solubility in fluids and its absorption by the body. There's been some research reports that less than three percents of the original amount of creatine. Not monohydrate is transported across the intestinal cells in nineteen minutes. I'm not only. Is this an issue. Because it limits the uptake creating body intestines number muscles does but it can also lead to stomach upset because of creating sitting in the intestines and drawing water into them but with critic one hundred being so extensively studied there on on numerous studies that say just five ten grams a day. There's lots of evidence that it's increasing power output muscle endurance and muscle size partly oversee by upbringing water into the muscles for time. Although it has been found to also help actual
Correspondents Report
New Year brings new Emperor in Japan
"We're not far from the new year than in Japan. It's one of the country's most important holidays. But this year it's taking on extra significance next year. The emperor will abdicate the throne heralding, a new age in Japan and Asia correspondent Jake's term it takes a look at what this big change means for the country and the world's since mid December. Japanese people have been meticulously cleaning their houses workplaces schools and neighborhoods as part of a tradition preparing for the arrival of God that brings good luck for the new year. Train stations packed with people hitting home to visit their families. This is the final new year of the hey, say era, each emperor's reign is given a nine the current Emperor Akihito's era is hey say he's been on the throne for thirty years. So this year is known as thirty but for the first time in Japan's modern history. Next year. The imprint will abdicate celebrating his eighty fifth birthday awake ago. The demands of public life became too much. So in April next year, he'll hand over his position to his son. Crown prince, NADA hito, Dr Hideo Kawanishi from Nagoya university is a Japanese historian. He says the emperor is resigning because he could no longer carry out all of his responsibilities that rather than reducing the amount of work. It was decided his duties should be passed on to someone else. So what will the high say era be remembered for tragically? It's been marked by disaster. The Kobe earthquake in one thousand nine hundred five and of course, the twenty eleven full Cosima earthquake and soon NAMI where more than fifteen thousand people died even this year Japan has been hit hard by a series of floods heat waves and earthquakes so much. So the official Kanji character of the year was by meaning disaster. Impr- Akihito made it a priority to visit disaster areas as much as possible, but he's age was beginning to make that difficult. Nagoya university's Dr Kawanishi says a new era will give Japan a chance to put those tragedies behind us becoming a new age and eliminating the problems that had before that's clear with this year's executions of the doomsday cult option requres founder and twelve other members involved in the nineteen ninety-five Seren guests tack on the Tokyo subway and last week the government executed another to death row inmates over my dad used to do. Dr Kawanishi says this was done to ensure this sense of burden wasn't passed onto the next generation. He says they have been some positives in the hey, say era, many individuals became successful and had the opportunity to stand out as opposed to being buried in a community. This became an era where individuals could become successful by trying hard rather than being suppressed, and as for what the new era may bring to Kawanishi believes, the new emperor will take a much more active role in international society. He says the new era parent crown prince, NADA hito was from generation that did not experience the war and appreciates the importance of keeping the pace his wife who become the empress is also a former diplomat and had a career for Japan with the rugby World Cup next year end the Olympic and Paralympic Games in twenty twenty the country will internationalize further welcoming many more. Or foreign tourists and internationally active emperor could be very beneficial for the country. This is Jake sterner in Tokyo for correspondents reported.