Contém —+9 Artigos sobre: Cansaço + Cabelos + Hipocondria na Internet + Coração + Exames de Imagem do intestino +…

 Contém —+9 Artigos: 

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Falsianes! https://twitter.com/duducompanheiro/status/1514351792494194693

Detento! https://twitter.com/duducompanheiro/status/1514351738647683077

Viagra! https://twitter.com/duducompanheiro/status/1514351674990772232

Infiltração! https://twitter.com/duducompanheiro/status/1514351587522748425

Judas! https://twitter.com/duducompanheiro/status/1514351498704130054

Ligação a cobrar! https://twitter.com/duducompanheiro/status/1514351441942441987

Bêbedo Desequilibrado! https://twitter.com/duducompanheiro/status/1514351383138418698

Garfield Parcial! https://twitter.com/duducompanheiro/status/1514351329854033923

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Milico Broxa! https://twitter.com/duducompanheiro/status/1514368414525100036?s=21&t=TMObYx4zKZPps7MG2J3ndQ

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https://twitter.com/duducompanheiro/status/1514382101516324870 PINK GUY - STFU https://m.youtube.com/watch?v=OLpeX4RRo28 #Stfu

Shut the fuck up

You're a fucking cunt

Shut the fuck up

You're a stupid cunt, suck my dick

Shut the fuck up

Stop being a fucking cunt

Shut the fuck up

Nobody even wants you here

What?

I just want to let you know, you're a stupid fucking cunt

Go ahead and run your mouth, pussy, I don't give a fuck

You're a stupid piece of shit, you're a stupid fucking bitch

Get the fuck up off my dick, get the fuck up off my dick, like

Please end your fucking life, please end your fucking life

I really gotta emphasise, no one cares if you're alive

You're a fucking penis-hole, grab a dick and eat it whole

I need to know if you were dropped when you were just a fetus though

You're so fucking ugly and your face is fucking foul, jeez

You're so fucking loud, can you shut your fucking mouth, can you

Shut the fuck up

You're a fucking cunt

Shut the fuck up

You're a stupid cunt, suck my dick

Shut the fuck up

Stop being a fucking cunt

Shut the fuck up

Nobody even wants you here

Yeah

Close your fucking mouth, you're just really fucking dense

If you hate me, why you talking? You don't make no fucking sense

Got a sad life, sad life, go to fucking hell

Are you stupid or disabled, man, I can't fucking tell

Meh

You're a fucking dumb shit, you don't even run shit

Get the fuck up out of my face and go to hell and eat a dick

Come and catch these hands, boy

Come and match these bands, boy

I'm not crazy, I just do it all because I can, boy

I hope you fucking die in a high-speed car crash

I hope you fucking fall head-first and get your neck cracked

I hope you have some beautiful children that die from cancer

I hope you catch Zika when your wife gets pregnant

I hope you win the lottery and die the next day

And your daughter has to see you getting lowered in your grave

Like, uh, ooh- that was a little dark

I'm sorry. Tha-that was a little dark. Very poor taste

Shut the fuck up

I shouldn't have said that

You're a fucking cunt

Actually, no, I should have

Shut the fuck up

Actually, I didn't say enough

You're a stupid cunt, suck my dick

Shut the fuck up

Stop being a fucking cunt

Shut the fuck up

Nobody even wants you here.

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https://twitter.com/duducompanheiro/status/1514401811125448708 Suicida não pula ou joga o carro de primeira, ele planeja, volta ao lugar várias vezes, toma coragem e deixa um bilhete de despedida se explicando, então quase todos os dias vai ao local escolhido até que consegue pular ou jogar o carro fora da estrada, o shopping é só uma opção.

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https://health-clevelandclinic-org.cdn.ampproject.org/c/s/health.clevelandclinic.org/does-dry-shampoo-actually-keep-your-hair-clean/amp/ Does Dry Shampoo Actually Clean Your Hair?

April 12, 2022 / Skin Care & Beauty https://twitter.com/duducompanheiro/status/1514410794573832196 Acesse com tradução em português opcional no Twitter. https://www.linkedin.com/pulse/does-dry-shampoo-actually-clean-your-hair-april-12-2022-compagnoni

You just got in a quick workout, so you give your hair a spritz of dry shampoo. You woke up late without time to shower, so you spray in some dry shampoo. You’re feeling a little greasy while you’re traveling, so — you guessed it — you turn to your trusted friend, dry shampoo.

This ingenious beauty product advertises some of the same benefits as its bath-time counterpart. But does dry shampoo do as good of a job as regular shampoo? The short answer is no, dry shampoo can’t replace shampooing and rinsing your hair clean.

https://my.clevelandclinic.org/staff/844-wilma-bergfeld Dermatologist Wilma Bergfeld, MD, explains what you need to know about refreshing your tresses with dry shampoo and why it’s not a substitute for the real thing.

What is dry shampoo?

These alcohol- or starch-based sprays nix the grease and oils in your hair while adding volume. Some dry shampoo products deliver the drying agents through an aerosol spray, while others provide tinted powder to match your hair color.

Fun fact: You can actually get the same effect by shaking corn starch into your hair! But using an aerosol spray is, of course, a little easier and less messy.

How does dry shampoo work?

It’s pretty simple, actually. “The alcohol or starch in the product soaks up the excess oil and grease in your hair, giving it a cleaner, fresher appearance,” Dr. Bergfeld explains.

At first, dry shampoo makes your hair look and feel fresher and less greasy. https://health.clevelandclinic.org/your-best-strategies-for-beautiful-hair-in-the-winter/ But it’s important to know that the “shampoo” part is sort of a misnomer, as dry shampoo doesn’t actually clean your hair. For that, you’ll need wet shampoo and water.

Is dry shampoo bad for your hair and scalp?

A little bit of dry shampoo is OK, and it’s safe for all types of hair. But does adding that dry powder every few days actually keep your hair and scalp healthy? Dr. Bergfeld says no — not for long, anyway.

“The scalp collects chemicals and pollutants both from the air and from cosmetic care products,” she explains. “Dry shampoo freshens your hair by removing oils, but its actual cleansing power is only minimal.”

There are some risks associated with using a lot of dry shampoo, though, as well as going too long without wet-washing your hair. https://health.clevelandclinic.org/the-dirty-truth-about-washing-your-hair/

The risks of dry shampoo

If you’ve ever used a little too much dry shampoo, you know the feeling: Your hair looks fresher than it did before, but it feels weird — kind of grainy, almost sandy. That’s filmy residue building up on your scalp, and it can cause a variety of problems.

Dr. Bergfeld highlights some of the issues that your dry shampoo habit can cause.

1 It can irritate your scalp: In the short term, dry shampoos mask the appearance of debris in your hair, but ultimately, it becomes a contributing factor. Dirt, bacteria, yeast and product use cause build-up that can lead to clogged pores, painful pimples or bacterial infections. https://my.clevelandclinic.org/health/diseases/17692-folliculitis It can also cause scales or scalp rash. https://health.clevelandclinic.org/itchy-scalp-5-common-problems-and-fixes/

2 It can cause breakage: Alcohol, which is an ingredient in many dry shampoos, dries out your tresses, which can make them brittle. Dry, fragile hair is more likely to tangle, crack and fracture.

3 It may impact hair growth: All of those irritants could contribute to long-term problems. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6369642/ Studies show that an unhealthy scalp can ultimately lead to inflammation that reduces hair growth.

https://my.clevelandclinic.org/health/diseases/14403-seborrheic-dermatitis Going too long without washing your hair can result in dandruff and other kinds of scalp irritation, too. “You have to wash or shampoo the scalp once in a while to have healthy hair and scalp skin,” Dr. Bergfeld reiterates.

Dry shampoo vs. washing your hair

The bottom line is that your hair can get kind of gross — and only a wet shampoo can truly cleanse your scalp. Wet shampooing cleanses the dirt, bacteria and yeast that builds up on your scalp, as well as residue from products.

“Dry shampooing has its place, but it can’t replace wet shampoo,” Dr. Bergfeld says. “Your hair and scalp need to be washed and rinsed intermittently to keep it clean.”

But Dr. Bergfeld acknowledges that there are times when dry shampoo is your best option. If you’re traveling or camping and a shower isn’t available, or if you’re injured or ill and unable to bathe, this type of product can help maintain your hair and scalp.

But only for a little while. And you shouldn’t use dry shampoo for several days in a row.

How to use dry shampoo

If you choose to use dry shampoo, here are ways to minimize its appearance and impact on your hair:

• Only spray it on oily areas.

• While spraying, keep the canister at least 6 inches from your scalp.

• After spraying, massage your scalp to evenly distribute the product down to your roots.

• Carefully and gently brush through any patches where you’ve accidentally added too much dry shampoo.

• To avoid extra dryness or static, don’t spray the ends of your hair. If the tips feel too dry, you can add a pea-sized amount of coconut oil or hair conditioner. https://health.clevelandclinic.org/is-coconut-oil-healthy-for-your-heart-or-not/

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https://health-clevelandclinic-org.cdn.ampproject.org/c/s/health.clevelandclinic.org/can-stool-tests-really-detect-colon-cancer/amp/ How Accurate Is a Stool Test for Colon Cancer Screening?

April 13, 2022 / Cancer Care https://twitter.com/duducompanheiro/status/1514418306802929673 Acesse com tradução em português opcional no Twitter. https://www.linkedin.com/pulse/how-accurate-stool-test-colon-cancer-screening-april-13-compagnoni

Can a colon cancer screening really be as simple as mailing a sample of your stool (poop) to a lab for analysis? The answer might be yes — but don’t cancel that colonoscopy just yet. https://my.clevelandclinic.org/health/diagnostics/4949-colonoscopy

At-home stool tests can be an effective tool for detecting colon cancer. https://my.clevelandclinic.org/health/diseases/14501-colorectal-colon-cancer But they’re not as accurate as a colonoscopy and they don’t offer a way of finding and removing polyps that could turn cancerous. https://health.clevelandclinic.org/colon-polyps-which-ones-are-riskiest-for-you/

So, are stool tests even worth trying? https://my.clevelandclinic.org/staff/28622-arielle-kanters Colorectal surgeon Arielle Kanters, MD, explains the benefits and shortcomings.

The importance of colon cancer screenings

Screening for colon cancer is vital because symptoms often don’t appear in the disease’s early and more treatable stages. “It’s the best way to identify issues ahead of any problems,” says Dr. Kanters.

Colorectal cancers typically begin as growths called polyps, which form on the inner lining of your colon or rectum (anus). Finding and removing polyps before they become cancerous is the most effective way of preventing colon cancer.

Early detection of colorectal cancer — before it has a chance to spread outside of your colon or rectum — increases your odds of successful treatment, according to the American Cancer Society. https://www.cancer.org/cancer/colon-rectal-cancer/detection-diagnosis-staging/survival-rates.html

The five-year survival rate for colorectal cancer is about 90% when the disease is found early. Here’s the concern, though: Only about 4 of 10 colorectal cancers are detected at this stage.

Types of stool tests

Stool tests are promoted as easy, at-home ways to check for potential signs of colorectal cancer. But it’s important to note their limitations in detecting precancerous polyps compared to a colonoscopy.

“Relying on these fecal tests means that you’re potentially missing out on an early pre-cancer that could be eliminated and never turn into something scarier,” explains Dr. Kanters.

There are three primary stool tests offered. Each asks you to collect a stool sample during a bathroom visit and send it to a lab for analysis.

Fecal immunochemical test (FIT)

The fecal immunochemical test (FIT) looks for hidden blood in your stool that could be coming from colon cancer. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4189821/ Studies show that FITs can be nearly 80% accurate in detecting colorectal cancer. The test should be done annually.

Guaiac-based fecal occult blood test (gFOBT)

This annual test is similar to the FIT in that it checks for the presence of blood. It does require dietary changes before collecting a sample, says Dr. Kanters. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4189821/ Research shows that gFOBTs are about 71% accurate in detecting colorectal cancer.

Stool DNA testing

This test examines DNA in your stool for evidence of cells shed by colorectal cancer. The DNA test is 92% effective at detecting cancers. (DNA tests, however, https://www.aafp.org/afp/2014/0901/p326a.html#:~:text=Fecal%20DNA%20testing%20was%2092,to%20look%20a%20bit%20further do return more false positives than FITs). This test should be done once every three years.

What happens if a stool test is positive?

If a FIT, gFOBT or stool DNA test comes back positive, you should schedule a colonoscopy with your healthcare provider to find the underlying cause of the positive test. A colonoscopy also allows your doctor to find and remove polyps.

(Watch as Dr. Kanters explains different colorectal cancer screening options in this video). https://m.youtube.com/watch?v=8ZqK3oCLwN0

Is a stool test as good as a colonoscopy?

While stool tests can be effective, a colonoscopy remains the gold standard for cancer screening, stresses Dr. Kanters. In one single procedure, it allows for the detection and removal of polyps to help prevent cancer. https://health.clevelandclinic.org/colon-polyps-which-ones-are-riskiest-for-you/ 

“In my mind, a colonoscopy is always the way to go,” she says.

A colonoscopy typically takes 30 minutes to an hour and is done on an outpatient basis. https://health.clevelandclinic.org/7-myths-about-colonoscopy-busted/ It’s extremely safe and effective, and the preparation and process aren’t nearly as bad as many might fear. https://health.clevelandclinic.org/fretting-about-your-colonoscopy-new-prep-routine-is-easier-to-swallow/

But if you can’t get a colonoscopy — perhaps because of access or insurance — a stool test is better than doing no screening at all.

“Whatever we can do to improve our screening practices is fantastic,” says Dr. Kanters. “These tests can provide information that can help you seek out additional testing so you know what you’re dealing with.”

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Merda! https://twitter.com/duducompanheiro/status/1514426495862771717

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Mico! https://twitter.com/duducompanheiro/status/1514434214325854208?s=21&t=tBsfsx4RZjVXzp4l6CC-Iw

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Mi Cheque! https://twitter.com/duducompanheiro/status/1514439775117271043?s=21&t=tBsfsx4RZjVXzp4l6CC-Iw

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Sigilo Criminoso! https://twitter.com/duducompanheiro/status/1514441982986366976?s=21&t=tBsfsx4RZjVXzp4l6CC-Iw

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https://twitter.com/duducompanheiro/status/1514453524536512512 Seja legal com alguém e no outro dia esqueça dito alguém! Seja curitibano.

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Progressismo: https://twitter.com/duducompanheiro/status/1514608185734172681?s=21&t=c74tFJpsmwNbXdegUOVNTA

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Burguesia! https://twitter.com/duducompanheiro/status/1514574875612094467?s=21&t=c74tFJpsmwNbXdegUOVNTA

Lábios Divididos! https://twitter.com/duducompanheiro/status/1514574930112876552?s=21&t=c74tFJpsmwNbXdegUOVNTA

Motociata! https://twitter.com/duducompanheiro/status/1514574996693450752?s=21&t=c74tFJpsmwNbXdegUOVNTA

R7 Versus Coca-Cola! https://twitter.com/duducompanheiro/status/1514575054104838144?s=21&t=c74tFJpsmwNbXdegUOVNTA

Homens de Negro! https://twitter.com/duducompanheiro/status/1514575162770927619?s=21&t=c74tFJpsmwNbXdegUOVNTA

Funk Arquivo X! https://twitter.com/duducompanheiro/status/1514575109234823180?s=21&t=c74tFJpsmwNbXdegUOVNTA

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Antropoceno! https://twitter.com/duducompanheiro/status/1514618744160460802?s=21&t=c74tFJpsmwNbXdegUOVNTA

Boy! https://twitter.com/duducompanheiro/status/1514618824166764545?s=21&t=c74tFJpsmwNbXdegUOVNTA

Pau Molão! https://twitter.com/duducompanheiro/status/1514618908346527757?s=21&t=c74tFJpsmwNbXdegUOVNTA

Escuro! https://twitter.com/duducompanheiro/status/1514619025921175572?s=21&t=c74tFJpsmwNbXdegUOVNTA

Faltou Luz! https://twitter.com/duducompanheiro/status/1514619081684447245?s=21&t=c74tFJpsmwNbXdegUOVNTA

Irracional! https://twitter.com/duducompanheiro/status/1514619181332762632?s=21&t=c74tFJpsmwNbXdegUOVNTA

Tá Osso! https://twitter.com/duducompanheiro/status/1514619243148439565?s=21&t=c74tFJpsmwNbXdegUOVNTA

Camisinha! https://twitter.com/duducompanheiro/status/1514619307908546560?s=21&t=c74tFJpsmwNbXdegUOVNTA

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Pílula Azul! https://twitter.com/duducompanheiro/status/1514728517862404099?s=21&t=2ZNBfGt3WPprVdIW5I4_VA

Nostálgico? https://twitter.com/duducompanheiro/status/1514728576171528203?s=21&t=2ZNBfGt3WPprVdIW5I4_VA

Leilão de Gado! https://twitter.com/duducompanheiro/status/1514728640776486913?s=21&t=2ZNBfGt3WPprVdIW5I4_VA

Nunca! https://twitter.com/duducompanheiro/status/1514728711748210695?s=21&t=2ZNBfGt3WPprVdIW5I4_VA

#JN! https://twitter.com/duducompanheiro/status/1514728776894230534?s=21&t=2ZNBfGt3WPprVdIW5I4_VA

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https://youtu.be/HDnF1zGwufg Peixe marinho planador de águas quentes das regiões tropicais e subtropicais de todos os oceanos —+diverso no Pacífico e no Índico: https://twitter.com/duducompanheiro/status/1514747715426598921?s=21&t=2ZNBfGt3WPprVdIW5I4_VA Peixe-voador.

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Mais-valia! https://twitter.com/duducompanheiro/status/1514757707936505856?s=21&t=2ZNBfGt3WPprVdIW5I4_VA

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Intenção de Voto! https://twitter.com/duducompanheiro/status/1514767137633718277?s=21&t=2ZNBfGt3WPprVdIW5I4_VA

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https://twitter.com/duducompanheiro/status/1514982159643299845 Todos, incluso atores, sentimos que é um governo feito pros ricos, já tínhamos esquecido como era ficar sem economias em casa, pena. Adeus pé-de-meia! https://twitter.com/duducompanheiro/status/1514983322170056706?s=21&t=b4FwfdQfUZ3qZWZPRZmPFQ

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https://twitter.com/duducompanheiro/status/1515052831954382853?s=21&t=b4FwfdQfUZ3qZWZPRZmPFQ Paulo Guedes: Qualquer um percebe que este monstro foi pra Chicago e passou respondendo presente, pois é um jumento quadrado sem estilo e cérebro. Como um lixo destes veio parar aqui? Claro, os ianques exportam todo lixo estadunidense pro pátio traseiro. Este fajuto só tem um diploma de marca!

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https://twitter.com/duducompanheiro/status/1515125968490438662 Você deveria morar na periferia, em Salvador/BA 6 horas da matina toca o hino do time Bahia. Durante o dia ouvirá de Céline Dion até Psirico no volume máximo do alto-falante em cima da laje. Nas periferias tocam músicas o dia todo sem parar= não importa o estado brasileiro, morou?

https://twitter.com/duducompanheiro/status/1515128602727260164 *Em cima… Sintetizando:

A expressão em cima é uma locução adverbial ou preposição e significa “na parte mais elevada”, “na parte superior”, “sobre”, e é antônimo de “embaixo”. Observe:

1. Esse livro estava em cima da escrivaninha ou embaixo?
2. Você pode deixar os papéis em cima da mesa, por gentileza?

A palavra encima vem do verbo encimar conjugado ou na terceira pessoa do singular do indicativo ou na segunda pessoa do singular do imperativo. Tem significado de “colocar em cima de”, “coroar”, “algo situado acima de”, “elevar”. Observe:

1. O slogan criado encima toda a campanha.
2. A professora foi encimada coordenadora da escola. https://www.portugues.com.br/amp/gramatica/em-cima-ou-encima.html

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L'Affaire — j'accuse : https://twitter.com/duducompanheiro/status/1515355047630147584?s=21&t=aUdT5Ki1FMevvo0diQBuvA

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Aboiado! https://www.instagram.com/tv/CcbctLfFK54/

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https://twitter.com/duducompanheiro/status/1515496637912780802 666! https://twitter.com/duducompanheiro/status/1515496723061391364

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https://twitter.com/duducompanheiro/status/1515503963700932610 Paz com emprego tínhamos. Depois de seu julgamento fajuto= vivemos da caridade, voltamos ao militarismo. Moro deveria estar preso junto com todos os responsáveis pela Lava Jato e o desmonte petroquímico nacional= agora abastecemos caro pra investidor gringo lucrar com nosso próprio petróleo.

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Começou! https://twitter.com/duducompanheiro/status/1515533841028599816

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Blue eyes/blond hair! https://twitter.com/duducompanheiro/status/1515543291231674370?s=21&t=lEfUHq_vG5zsjdl5f8pcsA

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Pega o Guedes! https://twitter.com/duducompanheiro/status/1515548394563018755?s=21&t=lEfUHq_vG5zsjdl5f8pcsA

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Pantanal! https://twitter.com/duducompanheiro/status/1515553575207849987?s=21&t=lEfUHq_vG5zsjdl5f8pcsA

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https://health-clevelandclinic-org.cdn.ampproject.org/c/s/health.clevelandclinic.org/how-to-know-if-your-fatigue-is-normal/amp/ How to Know If Your Fatigue Is Normal

January 8, 2020 / Family Medicine https://twitter.com/duducompanheiro/status/1515716416841863180 Acesse com tradução em português opcional no Twitter. https://www.linkedin.com/pulse/how-know-your-fatigue-normal-january-8-2020-family-duvar-compagnoni

If you’re nodding off a few sentences into reading this article (in broad daylight), you and sleep may need to reexamine your relationship.

https://my.clevelandclinic.org/staff/22552-matthew-goldman “To be healthy, you need to get enough sleep,” says family medicine doctor Matthew Goldman, MD. But getting adequate rest can seem as elusive as winning the lottery.

In this Q&A, Dr. Goldman offers ways to once again dream the impossible dream.

Q. How much sleep do adults really need?

A. The amount of sleep you need varies with age. The National Sleep Foundation recommends that people 18-64 years old get seven to nine hours each night. Adults 65 years and older need seven to eight hours per night.

Q. What’s a normal level of fatigue for an adult?

A. Feeling tired is one of the most common complaints doctors hear about. And fatigue is normal if you had a late night and then feel tired the next day.

But fatigue (either normal or extreme) can become a concern when it affects your health and safety. For example, it’s a problem if you’re likely to doze off in situations where you need to maintain alertness, such as while driving or operating heavy machinery.

So talk to your doctor if fatigue is compromising your safety. Your doctor will also want to know how long you’ve been experiencing symptoms to help determine the cause of your exhaustion.

Q. Why am I so tired?

A. Certain lifestyle choices and habits can affect how rested you feel. https://my.clevelandclinic.org/health/articles/12148-sleep-basics Poor sleep hygiene, shift work, jet lag and substance use (including alcohol and narcotics) can all contribute to extreme fatigue.

Certain medications can also affect how tired you feel. These include antihistamines, anticonvulsants, antipsychotics, antidepressants, and pain and anti-anxiety medications. So can taking higher-than-recommended dosages of these medications and medication withdrawal (when you stop taking the medicine).

Many health conditions can lead to excessive tiredness, including:

• Anemia (a common blood disorder). https://my.clevelandclinic.org/health/diseases/3929-anemia

• Electrolyte abnormalities.

• Genetic, neurological and sleep disorders.

• Heart, lung, thyroid or liver conditions.

• Mental health issues, including anxiety, depression and bipolar disorder.

• Metabolic issues, such as diabetes.

• Obesity.

• Rheumatological conditions, such as rheumatoid arthritis. https://my.clevelandclinic.org/health/diseases/4924-rheumatoid-arthritis

• Snoring (a breathing disorder).

• Underlying cancer or infectious disease.

Q. How can I prevent fatigue and exhaustion?

A. Good sleep hygiene is important. Try to incorporate these sleep habits into your routine:

DO:

• Sleep only as much as you need to feel rested, and then get out of bed.

• Keep a regular sleep schedule.

• Exercise regularly, preferably at least four to five hours before bedtime.

• Make the bedroom environment conducive to sleep.

• Deal with your worries well before bedtime.

DON’T:

• Try to sleep unless you feel sleepy.

• Drink caffeinated beverages after lunch.

• Drink alcohol near bedtime (no “nightcaps”).

• Smoke, especially in the evening.

• Go to bed hungry.

• Use light-emitting screens before bedtime. https://health.clevelandclinic.org/put-the-phone-away-3-reasons-why-looking-at-it-before-bed-is-a-bad-habit/

Q. How do you know if fatigue is a sign of a possible health issue?

A. Signs that your fatigue could be a symptom of something more include:

• Lack of physical or mental energy.

• Inability to stay awake and alert or initiate activity.

• Unintentionally falling asleep or falling asleep at inappropriate times.

• Reduced capacity to maintain or complete an activity.

• Becoming easily fatigued.

• Difficulty with concentration, memory or emotional stability.

Tiredness affecting your ability to work, socialize and participate in family activities is also a red flag — as is you or your family needing to make accommodations to deal with your symptoms.

Q. When should you see a doctor for your fatigue?

A. Talk to your provider as soon as you or those around you experience any amount of concern. Simply expressing the problem should lead to a discussion about the topic. 

Your provider will likely want to evaluate you to determine the severity of your symptoms and potential causes. Typically, the evaluation starts with a thorough history and physical exam.

Doctors also use specific questions to measure how tired you feel. Terms like “feeling tired,” “experiencing fatigue,” “having lack of energy” and “feeling especially sleepy” are often used interchangeably. However, it’s important for your provider to distinguish between them to figure out the cause.  

Based on your responses, your doctor can figure out the appropriate approach for diagnosing you. You may need additional testing, such as lab work, imaging or sleep studies, to determine the cause. Once your provider gets to the bottom of the fatigue issue, they can work with you on how to solve it.

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November 26, 2021 / Sleep https://health.clevelandclinic.org/topics/living-healthy/sleep/

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Cabaré Militar! https://twitter.com/duducompanheiro/status/1515730683091632136?s=21&t=MS1zB3KIPrnhqHRh9xXrVQ

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Genocida! https://twitter.com/duducompanheiro/status/1515815547535085575?s=21&t=MS1zB3KIPrnhqHRh9xXrVQ

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Mito! https://twitter.com/duducompanheiro/status/1515821213645475842?s=21&t=Dke0YylWbz5_CPJZqMJnew

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Propaganda Enganosa! https://twitter.com/duducompanheiro/status/1515824463245455361?s=21&t=Dke0YylWbz5_CPJZqMJnew

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https://twitter.com/duducompanheiro/status/1515833028509147140 Dizem que o seu coração voa mais que avião
Dizem que o seu amor só te gosto de fel https://m.youtube.com/watch?v=-LSmV7Bzgys

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https://twitter.com/duducompanheiro/status/1515860981049696261 Alemanha nunca ajudou Grécia e agora manda rios de dinheiro pra Ucrânia!

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https://twitter.com/duducompanheiro/status/1515862220047011842 Tipo: nunca escreva Bolsonaro ou os tiozões do Twitter pensarão que você não manja algoritmo, porém o algoritmo é pago e impulsiona por dinheiro, mas o tiozão se alucina aqui.

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https://twitter.com/duducompanheiro/status/1515873284516110344 Obs.: os ianques imprimem dinheiro imaginário baseados na confiança que o mundo tem na economia estadunidense= chama moeda fiduciária= ou seja dinheiro impresso sem ouro na reserva, morou? Não é dinheiro do contribuinte= é dólar inventado mesmo!

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Conservador! https://twitter.com/duducompanheiro/status/1515876740840763399

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https://twitter.com/duducompanheiro/status/1515879671241531393 Antes de comprar verifique se determinada marca apoiou Bolsonaro!

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https://twitter.com/duducompanheiro/status/1516023924059955201 Um “Salve” pro @ZehDeAbreu! Toda facada sangra, mesmo que você corte de raspão o dedo fazendo salada com os legumes gelados sangra bastante! https://www.instagram.com/p/CcaPYNxsnvM/ Difícil esta situação, é preciso ter cuidado no Instagram também, só espero que estes juristas se contentem com tua desistência do Twitter e parem com tantas censuras, já que nesta pandemia os médicos do hospital Einstein foram os propagadores dos tratamentos falsos mais absurdos e ninguém tomou providências contra dito hospital e seu corpo médico fajuto= claramente bolsonarista & militar.

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Laranja! https://twitter.com/duducompanheiro/status/1516097602160402432?s=21&t=gFCo1Kzsd1h1DhBNUYeugw

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No Paredão! https://twitter.com/duducompanheiro/status/1516165051182465025?s=21&t=1ezE9yIG3tpHpoNInroxEQ

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Bitola! https://twitter.com/duducompanheiro/status/1516176757208059909?s=21&t=1ezE9yIG3tpHpoNInroxEQ

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Uma Ideia! https://twitter.com/duducompanheiro/status/1516186867598864385?s=21&t=1ezE9yIG3tpHpoNInroxEQ

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Oligopólio Bancário! https://twitter.com/duducompanheiro/status/1516215838684200962?s=21&t=ZL9XHhV7qSloPV-vmBq--w

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https://twitter.com/duducompanheiro/status/1516231362805702662 Tom Zé é iconoclasta—por grana gravou um comercial pra Coca-Cola—então o tribunal virtual o condenou por capitalista—Onde já se viu? Refrigerante!

Arrependido com conservantes

Defenda-se já No tribunal do Feicebuqui

A súplica

Que é que custava morrer de fome só pra fazer música?

🦀

Ela nunca mente! https://twitter.com/duducompanheiro/status/1516238667966255109?s=21&t=ZL9XHhV7qSloPV-vmBq--w

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Moinho! https://twitter.com/duducompanheiro/status/1516525091873513472?s=21&t=Dstf1MVSXOKVMo1vswnPCA

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Nambu! https://twitter.com/duducompanheiro/status/1516536902660378627?s=21&t=Dstf1MVSXOKVMo1vswnPCA

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Voa! https://twitter.com/duducompanheiro/status/1516549164791996418?s=21&t=9TUN4_eu18A3a_8x_spPXw

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Mitou! https://twitter.com/duducompanheiro/status/1516554472922693642

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Cocaine! https://twitter.com/duducompanheiro/status/1516574530227122181?s=21&t=9TUN4_eu18A3a_8x_spPXw

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Genocidas! https://twitter.com/duducompanheiro/status/1516610057890574336

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https://twitter.com/duducompanheiro/status/1516788893634412564 & https://vm.tiktok.com/ZMLbrsWDr @rolodeacetatodolixo —Há 1 dia [colorido pelo perfil] —filme "Braços Cruzados, Máquinas Paradas" (1978) —por Roberto Gervitz e Sérgio Segall #cinemabrasileiro #greve #metalúrgico #philco.

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Canalha! https://twitter.com/duducompanheiro/status/1516894651143368706?s=21&t=HK_my1QiaZZrI86eu-VbOA

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Fechado! https://twitter.com/duducompanheiro/status/1516922659833094146

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Wars! https://twitter.com/duducompanheiro/status/1516928384667983873

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Surtada! https://twitter.com/duducompanheiro/status/1516962544191213568

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https://twitter.com/duducompanheiro/status/1517139672002048000?s=21&t=dvf4x867CURt1gQcPWpOPg + https://twitter.com/duducompanheiro/status/1517131323789377536?s=21&t=dvf4x867CURt1gQcPWpOPg Entendi o motivo de tantos mortos na pandemia= corrupção dos insumos pra cloroquina ineficaz= atraso na compra da vacina devido ao esquema com Ricardo Barros= Bolsonaro pagará na corte internacional pelo acontecido em Manaus e por ter espalhado variantezinhas COVID brasileiro até no Japão!

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https://twitter.com/duducompanheiro/status/1517131486943580161?s=21&t=dvf4x867CURt1gQcPWpOPg Veteranos estadunidenses usam drogas na guerra e depois não conseguem parar.

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Te Enganou! https://twitter.com/duducompanheiro/status/1517183398762196992

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Paredões! https://twitter.com/duducompanheiro/status/1517200265191084032

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Daniel! https://twitter.com/duducompanheiro/status/1517206643628556288

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https://twitter.com/duducompanheiro/status/1517599285050843141 Homens promíscuos nunca levam má fama.

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https://health-clevelandclinic-org.cdn.ampproject.org/c/s/health.clevelandclinic.org/body-positivity-vs-body-neutrality/amp What’s the Difference Between Body Positivity and Body Neutrality?

April 22, 2022 / Mental Health https://twitter.com/duducompanheiro/status/1517979262703259649 Acesse tradução em português opcional no Twitter. https://www.linkedin.com/pulse/whats-difference-between-body-positivity-neutrality-april-compagnoni Imagem ilustrativa: BBC revela como seria o corpo perfeito para vivermos mais e é totalmente assustador!

When it comes to body acceptance, two camps of thought seem to dominate the conversation. Some people subscribe to body positivity, or loving their bodies regardless of shape, size, color, gender or ability. Others embrace body neutrality, which focuses on appreciating what the body can do.

Is one better than the other or should we just find a good balance between the two? https://my.clevelandclinic.org/staff/5647-susan-albers-bowling Psychologist Susan Albers, PsyD, gives us overviews of both movements and some tips for how we can make peace with our bodies. https://health.clevelandclinic.org/7-tips-for-building-a-better-body-image-as-an-adult/

Origins of the body positivity movement

“In a larger context, body positivity is a social movement that advocates for the acceptance of all bodies, regardless of size, shape, skin tone, gender or physical abilities,” says Dr. Albers. She adds that this movement challenges unrealistic beauty standards and ideals. “The central concept is the idea that beauty is constructed by society and it should not determine someone’s self-worth or value.”

Many say that the fat rights movement of the 1960s gave way to body positivity. After reading an article about anti-fatness and diet culture in the United States called “More People Should Be FAT!”, Bill Fabrey reached out to its author, Lew Louderback. Both men were tired of seeing people who were fat mistreated, so they worked together to organize a small group of like-minded people. This group became known as the National Association to Aid Fat Americans and they worked to improve life for the fat community through education and advocacy. Today, the group is called the National Association to Advance Fat Acceptance (NAAFA). https://naafa.org

While the movement was off to a solid start, The Fat Underground, a feminist group out of California, wanted to see even more change. The group wanted equal rights for fat people and saw diet culture as an enemy of the community. Their Fat Liberation Manifesto motivated others to work with them and demand more inclusion. Their efforts ended up making a substantial impact in the United States and around the world.

The current body positivity movement

As more people started interacting online between the late 1990s and early 2000s, https://health.clevelandclinic.org/what-to-do-if-your-child-is-bullied/ cyberbullying and body shaming became the norm. To block out the negativity, fat activists and their allies became more vocal — and visible. While society might have wanted them to hide in the real world, the fat community wasn’t hiding on the internet. As they celebrated their bodies and style, this empowered others to take part and embrace who they were.

Criticism of the body positivity movement

While its overall intention was good, the body positivity movement has gained some criticism over the years. Some have pointed out that the movement often leaves people of color, https://health.clevelandclinic.org/lgbtqia-healthcare/ people living with disabilities and the LGBTQIA+ community out of the conversation. These groups were very instrumental in helping the fat acceptance and fat liberation movements gain momentum.

Another criticism is that body positivity can be very unrealistic at times.

“Body positivity is a subset of toxic positivity,” notes Dr. Albers. “Some feel that it blames people for how they feel based on their mindset. It can also push people into trying to feel something that they don’t.”

According to Dr. Albers, while body positivity’s intentions are admirable, unconditionally loving one’s body and appearance can seem unrealistic to a lot of people, particularly because so many report being unhappy about them.

“Body positivity wouldn’t even be needed if we appreciated and found all bodies inherently beautiful. Society is reflective of what our culture and environments teach us to believe — to dislike our bodies for so many reasons,” explains Dr. Albers.

How did the body neutrality movement start?

Body neutrality doesn’t mean that you feel meh about your body 24/7. It also isn’t centered on appearance.

“Body neutrality is a middle-of-the-road approach between body positivity and body negativity,” says Dr. Albers. “As the term suggests, it is neither loving nor hating your body. It’s based on the notions of acceptance and having respect for one’s body rather than love.”

It’s believed that the term “body neutrality” started popping up online around 2015. It became even more popular when Anne Poirier, a certified intuitive eating counselor and eating disorder specialist, started using the phrase to help clients build a healthier balance between food and exercise. Poirier defined body neutrality as “prioritizing the body’s function and what it can do rather than its appearance.” According to Poirier, we don’t have to love or hate our bodies. We can feel neutral about them.

“The approach acknowledges that your body is only one part of who you are — not the totality. It also shouldn’t dominate how you feel about yourself,” says Dr. Albers. Another thing to keep in mind is that your body is largely influenced by genetics and that’s all out of your control. “You can’t change or manipulate it and trying to do so can cause harm,” she adds.

How body positivity and body neutrality differ

The key difference between these two movements rests in the idea of value.

“The body-neutral approach leans toward the belief that it doesn’t matter if you think your body is beautiful or not. Your value is not tied to your body nor does your happiness depend on what you look like. A body-positive approach says you are beautiful no matter what. Period,” Dr. Albers explains.

Pros and cons of body positivity and body neutrality

Which movement should you follow? It all comes down to your preference and how you feel about your body. Here, Dr. Albers highlights some pros and cons of body positivity and body neutrality.

If you like affirmations, go for body positivity

https://health.clevelandclinic.org/do-positive-affirmations-work/ If you’re inspired by positive thoughts and affirmations, body positivity might be your thing. Dr. Albers says positive thoughts can help your mood and rewire negative thoughts. Body positivity can also help dissolve thoughts that we might have picked up from childhood or society.

“A ‘pro’ of body positivity is that it can help chip away at thoughts that come from diet culture — the ones that make us believe that our bodies are not worth loving unless they are a particular shape or size,” she says.

If affirmations don’t seem authentic, try body neutrality

On the other hand, if positive affirmations seem a little too “Stuart Smalley” for you, body neutrality may be the place to start.

“Being positive when you truly don’t feel that way might seem inauthentic and not coherent with how you genuinely feel. It’s a huge leap from ‘I hate my body’ to ‘I love it.’ By going in the direction of ‘I can accept my body,’ you take out any indication of ‘good’ or ‘bad.’ And that might simply be closer to where you are,” Dr. Albers says.

Body neutrality can help you work through your feelings

Another positive of body neutrality is that it’s realistic and obtainable for many. Dr. Albers says it also makes you unpack some of the feelings that you have about your physique.

“Body neutrality makes you dig deep and ask those questions about how you came to adopt and internalize the unrealistic beauty standards and ideals,” she explains. “It gives you a break from that nagging inner voice because you simply choose not to entertain it. This allows you to devote more time and energy to other important things in your life.”

But a downside of body neutrality is that it can keep you stuck in a vortex of missing the truly beautiful and lovely things about yourself.

Body positivity could cause people to hide their true feelings

And yet, https://health.clevelandclinic.org/why-good-vibes-only-isnt-always-a-good-thing/ the “good vibes only” feel of body positivity could lead to more complex issues.

Dr. Albers explains.

“Telling people to love their bodies when they truly don’t can teach people to further suppress their feelings. Suppressing emotions is linked with higher levels of anxiety, depression, eating disorders and sometimes, in the extreme, suicide.”

How body positivity can affect people who are living with eating disorders

Good intentions and burying true feelings can be overwhelming for someone who is living with an eating disorder. Dr. Albers says that body positivity can be a huge leap from where someone genuinely is. “You can’t force a positive feeling when it just isn’t there. Pretending can do more harm than good. It can lead someone to feel guilty, ashamed and more depressed,” cautions Dr. Albers.

How to find a healthy balance between the two

There’s nothing wrong with embracing a little bit of body positivity and a little bit of body neutrality at the same time. You can try applying them when and where they make the most sense.

“It can be helpful to hang body-positive affirmation statements in easy-to-see locations like your mirror, refrigerator or on your desk. These messages will seep into your subconscious every time you take a glance at them,” suggests Dr. Albers.

These statements could include:

• I am beautiful/handsome.

• I love my body.

• I am perfect as I am.

• I am happy with how I look.

• I like the person I see in the mirror.

• I am proud of my body.

You might even want to get a little more social with your affirmations.

“A body-positive approach would be to add some positive affirmations to your social media feed. You might even take  unfiltered, natural pictures of yourself having fun versus staged photos at your best angle. Also, acknowledge in your posts what you appreciate about your body. This helps other people to see that it is OK to like your body,” she adds.

Mindfulness plays a major part in body neutrality

“A lot of body dissatisfaction comes from comparing yourself to what your body looked like in the past. Instead, mindfulness trains your mind to focus on right now — and what you currently look like,” encourages Dr. Albers. She says mindfulness is rooted in the language of nonjudgment. It’s just observing, being aware and taking note. This assigns no value or indication of whether something is good or bad.

Examples of body-neutral statements that we can use include:

• I accept my body as it is.

• My body helps me in many ways.

• How can I honor my body today?

• My body works hard and deserves kindness.

• I am thankful for my body because it does so much for me.

• All bodies are different and that’s totally fine.

6 ways to help kids develop a positive body image

Sometimes, we say things about our bodies and we don’t even realize how our words can affect how our little ones see themselves. Dr. Albers offers these tips for how we can be better examples for our children.

1 Stop the diet chit-chat. The drives the issue of feeling bad about your body. Diets give the idea that you have to change your shape or size — and kids often pick up on this.

2 Remember your kids are listening to every word you say. They absorb and reflect the way you talk about your body. The more positive and neutral words of acceptance you say out loud, the better.

3 https://health.clevelandclinic.org/7-tips-for-building-a-better-body-image-as-an-adult/ Wear clothing that makes you feel good about your body. This acknowledges that you don’t have to decorate your body. You can wear things that help you move, relax and feel at ease. When your child sees this, they’ll follow your lead.

4 Teach kids to focus on what the body does rather than what it looks like. You can do this by saying things like, “Wow, your legs run so fast,” or “Your eyes help you to read (vs. ‘they’re so pretty’).”

5 Pay attention to what your children are following on social media. Consider if the images and messages they‘re consuming are advocating positive body acceptance or not.

6 Don‘t stand by when someone is criticizing their body. Be a good role model and demonstrate how to talk about your body either with positive or neutral words.

🦀

Vencido! https://twitter.com/duducompanheiro/status/1517987619543650309

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Homem Invisível! https://twitter.com/duducompanheiro/status/1519340384366862338

🦀

https://twitter.com/duducompanheiro/status/1519353046391742464 Você nunca diria aprendizado, você ouviu isto por aí e repete! Então o aprendizado aqui= é aprender repetir tolices enquanto é explorado e massacrado durante toda vida. Estamos ferrados pessoal e financeiramente= em prol de meia dúzia de favorecidos. Aprenda suportar tudo isto.

E caso sua queixa seja por um desafeto= entenda que nesta senzala brasileira até um romance é dramático e sem privilégios. 🎭https://twitter.com/duducompanheiro/status/1519353800649318401

🦀

Mangangá! https://twitter.com/duducompanheiro/status/1519365858652573699

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Charles Bronson! https://twitter.com/duducompanheiro/status/1519371496023597058

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Lula Lá! https://twitter.com/duducompanheiro/status/1519436264369528832

🦀

Bostonaro ganhou quase 70 mil seguidores em um único dia! https://twitter.com/duducompanheiro/status/1519431966164144130

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https://twitter.com/duducompanheiro/status/1519442383225696257 Israel Falsiane!

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https://twitter.com/duducompanheiro/status/1519469609216270336 Caetano Bretas & O Juiz Ladrão! https://twitter.com/duducompanheiro/status/1519461631037743112

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#JN exaltando Tabata falsiane e até agora nada sobre Moro na ONU! https://twitter.com/duducompanheiro/status/1519475252367179776

Resolvi assistir #JN hoje, há tempos não assistia mais. Vejo que não perdi nada, é só Globo fazendo comercial da Globo dentro do jornal da Globo, “Globo afirmando sua identidade pro público alienado”, segundo Muito Além do Cidadão Kane! https://youtu.be/s-8scOe31D0

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https://twitter.com/duducompanheiro/status/1519485028044095488 Tenho saudade de quando não se falava o tempo todo de política, após Bolsocaro virou obrigação citar governos passados, política virou papo diário obrigatório e o país se afundando, o povo segue dita corrente politiqueira como se não existisse amanhã. Estamos idiotizados!

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Bolsocaro o Caviar Evangélico! https://twitter.com/duducompanheiro/status/1519497898823720963

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Boi velho! https://twitter.com/duducompanheiro/status/1519516501128237057

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Ministro Batatinha! https://twitter.com/duducompanheiro/status/1519674902969782275

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https://twitter.com/duducompanheiro/status/1520057291688579073 Morou?

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Agro pop! https://twitter.com/duducompanheiro/status/1520189112975826946

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Morou? https://twitter.com/duducompanheiro/status/1520183833857036294

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Lula avisou! https://twitter.com/duducompanheiro/status/1520194602665451526

🦀

Chega de Globo= que o povo tá bobo! https://twitter.com/duducompanheiro/status/1520210739230875650

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2012: https://twitter.com/duducompanheiro/status/1520214379471548416

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⛓ Internações e mortes por Covid sobem em SP; testes positivos de Covid sobem em laboratórios particulares; média móvel de mortes no Brasil tem alta de 18%. Mas tá tudo ótimo, viu, gente? Confia! https://www.metropoles.com/brasil/covid-com-185-obitos-em-24h-media-movel-no-brasil-tem-alta-de-18

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https://health-clevelandclinic-org.cdn.ampproject.org/c/s/health.clevelandclinic.org/can-anxiety-cause-heart-palpitations/amp/ Heart Racing? How Anxiety Causes Heart Palpitations

July 22, 2021 / Heart Healthhttps://twitter.com/duducompanheiro/status/1520775101587034113 Acesse tradução em português opcional no Twitter. https://www.linkedin.com/pulse/heart-racing-how-anxiety-causes-palpitations-july-22-2021-compagnoni

When we feel anxious, our bodies respond in physical ways. Sweaty palms, shaking and an upset stomach can set in. And it’s not uncommon to feel a pounding or fluttering in your chest, also known as a heart palpitation.

Cardiac electrophysiologist John Bibawy, MD, explains why this happens and what to do if you notice palpitations when you’re anxious.

What are heart palpitations?

“When you’re resting, you usually don’t feel your heart beating,” says Dr. Bibawy. “When you can feel your heartbeat, you’re having palpitations. Sometimes they’re expected, like after exercising. But other times, palpitations hit without warning.”

You might feel palpitations in your chest, neck or throat, and they feel like your heart is:

• Fluttering.
• Pounding.
• Racing.
• Skipping.

Does anxiety cause heart palpitations?

Anxious feelings engage your body’s “fight-or-flight” response. Fight-or-flight triggers a series of events in your body, including the release of certain hormones. Experts believe this response was helpful in ancient civilizations when humans had to fight or run from threats to survive.

Today, your fight-or-flight response works the same as it always has. It just doesn’t know the difference between a grizzly bear attack or an upcoming work presentation. So those same hormones — like adrenaline — kick in to protect you.

“The fight-or-flight response speeds up your heart rate, so your body gets more blood flow,” explains Dr. Bibawy. “The increased blood flow gives you a burst of energy to fight or run from danger. That’s why many people notice palpitations when they’re scared, nervous or anxious — and it’s completely normal. It doesn’t mean there’s something wrong with your heart.”

When palpitations trigger anxiety

Fight-or-flight isn’t the only time heart rate and anxiety may overlap. Some people notice their heart speeding up or fluttering, which triggers fear or anxiety.

“People who have an arrhythmia — an abnormal heart rhythm — might experience sudden palpitations,” says Dr. Bibawy. “They understandably get nervous because they don’t know why these palpitations happen. The palpitations may cause anxiety, and anxiety causes more palpitations. This creates a cycle that’s hard to break.”

Is anxiety bad for your heart?

Nearly everyone experiences anxiety and stress at some time. A healthy heart can handle the heart racing with occasional anxiety and stress.

But if you have a heart condition like coronary artery disease or heart failure, work with a doctor to manage it. In these circumstances, anxiety and a fast heart rate can trigger chest pain.

“People with certain heart conditions may take prescription medications that keep their heart rate low,” says Dr. Bibawy. “The medications prevent a fast heart rate or palpitations if you get scared, for instance. If your heart condition is under control, then having occasional anxiety won’t be a problem.”

Frequent anxiety is another story. Chronic stress and anxiety aren’t good for your heart — or your health in general — so don’t let it slide.

“Untreated anxiety disorders can raise your blood pressure, lower your quality of sleep and interfere with your enjoyment of life,” says Dr. Bibawy. “See your healthcare provider if you frequently feel anxious or think you might have an anxiety or panic disorder. Treatments are available.”

How to stop palpitations from causing anxiety

Nearly everyone faces an anxiety-provoking situation at some point. Maybe you’re about to meet your future mother-in-law, or you have a performance evaluation at work. Whatever it is, there are some ways to help calm that fight-or-flight response and slow your heart rate:

• Start with breathing: When your heart speeds up, your breathing will, too. But you can hijack this process by taking control of your breath. Take slow, deep breaths in through the nose and out through the mouth. Do this at least 10 times, preferably for several minutes.
• Focus your mind: When your heart is racing, your mind might follow. Try focusing on an image, phrase or sound that makes you feel peaceful. Keep taking your slow, deep breaths as you meditate on this one thing. Tip: Do this even when you’re not stressed to help with everyday well-being.
• Take a walk: If you can, go for a short walk. Down the hall is good, but outdoors in nature is even better. Don’t make it too fast, or your heart won’t have a chance to slow down.
• Hydrate: Dehydration can make palpitations worse. Have a glass of water — or if you’ve been exercising heavily, try a sports drink with electrolytes. Avoid caffeinated drinks, which can trigger more anxiety and palpitations.

Getting care for anxiety or palpitations

Nearly everyone experiences anxiety and a racing heart on occasion — it’s part of being human. But don’t ignore frequent anxiety or palpitations. Your doctor can help you discover the causes and provide treatment if needed.

Most of the time, palpitations are just a sign that your heart is temporarily working a little harder. But sometimes, palpitations can be a sign of a heart condition like an arrhythmia.

“If you’re having palpitations, mention it to your doctor,” says Dr. Bibawy. “A cardiologist can find out what’s causing the palpitations or rule out health conditions. And if your palpitations ever cause dizziness or fainting, see a doctor right away.”

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AK-47 – A arma do século: https://super.abril.com.br/historia/ak-47-a-arma-do-seculo/amp/ Venceu os rifles americanos no Vietnã. O AK-47 foi essencial para o Vietnã do Norte invadir o Laos, em 1958, com apoio da URSS. Na selva tropical do Vietnã, o AK-47 resistia a lama, poeira e era uma arma ágil para disparos de perto. Já o M-16 apresentou vários problemas de carregamento e disparo: não tolerava o contato com sujeira. O primeiro sucesso do AK-47 foi na Guerra do Vietnã. Armados com o fuzil russo, os vietcongues deram um banho nos rifles americanos, que não resistiam à lama da floresta tropical.

🦀

#DataFalha! https://twitter.com/duducompanheiro/status/1520530382537605120

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Burro perigoso! https://twitter.com/duducompanheiro/status/1520557932684922880

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https://twitter.com/duducompanheiro/status/1520589987623936001 Plim! Plim! https://youtu.be/PEx3kVL7m6I

🦀

13 Toalhas! https://twitter.com/duducompanheiro/status/1520764292781457410

🦀

Enrustidos! https://twitter.com/duducompanheiro/status/1520791405928624129

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R$ 10,00= Restos Sortidos! https://twitter.com/duducompanheiro/status/1520818334043881473

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Governo Guedes! https://twitter.com/duducompanheiro/status/1520915309233946624

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Morou? https://twitter.com/duducompanheiro/status/1520931979121856512

🦀

Gado do Guedes! https://twitter.com/duducompanheiro/status/1520935467939778562

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Amigos do Peito! https://twitter.com/duducompanheiro/status/1521184420560093184

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Por obséquio, vocês poderiam votar no genocida? https://twitter.com/duducompanheiro/status/1521261314055811076

⛓

https://twitter.com/duducompanheiro/status/1521282206680899585 Maio de 2022! https://youtu.be/Mn8OdQ3cn9c

🦀

Tempo! https://twitter.com/duducompanheiro/status/1521304215263535106

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¡Le pido! https://twitter.com/duducompanheiro/status/1521308603101163520

⛓

Ressaca! https://twitter.com/duducompanheiro/status/1521317400397979649

🦀

13! https://twitter.com/duducompanheiro/status/1521461467316375552

🦀

O gás virou coisa pra burguês! https://twitter.com/duducompanheiro/status/1521506268652916737

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https://youtu.be/VIK1mpkgPdU No es ninguna aberración sexual

Pero me gusta verte andar en cueros

El compás de tus pechos aventureros

Víctimas de la gravedad

Será porque no me gusta la tapicería

Que creo que tu desnudes, es tu mejor lencería

Por eso es que me gustas tal y como eres

Incluso ese par de libras de más

Si te viese tu jefe desnuda ahí de tras

No dudaría en promover tu cintura

Deja llenarme de tu... Desnudes

Para afrontar los disfraces de afuera

De una mejor manera

Desnuda, que no habrá diseño que te quede mejor

Que el de tu piel ajustada a tu figura

Desnuda, que no hay un ingenuo que vista una flor

Sería como taparle la hermosura

Desnuda, que la naturaleza no se equivoca

Y si te hubiese querido con ropa

Con ropa hubieses nacido

Deja llenarme de tu desnudes

Para vestirme por dentro

Aunque sea un momento

Y ahora que por fin te tengo así

Desnuda y precisamente enfrente

Desnuda también un poquito la mente

Pon tus complejos, junto de tu ropa

Y si te sientes un poquito loca

Ponte loca completa

Que verte será solo el inicio

Antes de perder el juicio

Desnuda, que no habrá diseño que te quede mejor

Que el de tu piel ajustada a tu figura

Desnuda, que no hay un ingenuo que vista una flor

Sería como taparle la hermosura

Desnuda, que la naturaleza no se equivoca

Y si te hubiese querido con ropa

Con ropa hubieses nacido

Deja llenarme de tu desnudes

Para vestirme por dentro

Aunque sea un momento.

🦀

Diesel! https://twitter.com/duducompanheiro/status/1521650756331491332

⛓

Sem Gás! https://twitter.com/duducompanheiro/status/1521654521012883458

🦀

Dolly! https://twitter.com/duducompanheiro/status/1521650717655769093

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Cadê? https://twitter.com/duducompanheiro/status/1521652770637496320

🦀

Genocida! https://twitter.com/duducompanheiro/status/1521672986671173632

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Time! https://twitter.com/duducompanheiro/status/1521917156916707328

🦀

https://twitter.com/duducompanheiro/status/1521915116115091456 Gado!

⛓

Nojento! https://twitter.com/duducompanheiro/status/1521999894973718538

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Tinder de Piroca! https://twitter.com/duducompanheiro/status/1522025624067530752

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Lamarca! https://twitter.com/duducompanheiro/status/1522052430967549953

🦀

https://twitter.com/duducompanheiro/status/1524825711223132164 Santa Catarina é 1 estado esquisito pacas! De Ozônio retal até piscina nazista= lixo com cadeado pra mendigos + estupro culposo= dinheiro público pro advogado do estupro culposo + separação do Brasil numa república sulista= celeiro eleitoral do Bolsonaro + motociata em Chapecó! https://twitter.com/duducompanheiro/status/1524810508129427456 Santa Catarina FaSCista/SC! https://youtube.com/shorts/9yfQaKaDU5c

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Crime só para alguns: https://twitter.com/duducompanheiro/status/1524908979767345158

🦀

Sexta 13! https://twitter.com/duducompanheiro/status/1525153010334179329

🦀

Cal! https://twitter.com/duducompanheiro/status/1525161711946412033

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Sobremesa Aristides! https://twitter.com/duducompanheiro/status/1525269273089916930

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É Gado! https://twitter.com/duducompanheiro/status/1525339976761851906

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https://twitter.com/duducompanheiro/status/1525676058409943041 Caetano #Bretas [LavaJato] nos feriu com o ódio e o terror! https://vm.tiktok.com/ZMLcukACv

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Paulo Cu! https://twitter.com/duducompanheiro/status/1525684805215608832

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https://twitter.com/duducompanheiro/status/1525721832082522117 Supermercado virou igreja, você só escuta: Meu Deus! Misericórdia! Jesus Amado!

⛓

SertaNOJO Ambev! https://twitter.com/duducompanheiro/status/1525717795404763136

⛓

Crente Falsiane! https://twitter.com/duducompanheiro/status/1525729515263213574

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Galo motofake! https://twitter.com/duducompanheiro/status/1525856208837656576

⛓

Marco Temporal! https://twitter.com/duducompanheiro/status/1526223417975914500

🦀

Nepotismo na meritocracia! https://twitter.com/duducompanheiro/status/1526223309041442816

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Insegurança alimentar= fome! https://twitter.com/duducompanheiro/status/1526223216276013056

⛓

https://twitter.com/duducompanheiro/status/1526223177088651265 Guedes quer seu FGTS!

⛓

https://twitter.com/duducompanheiro/status/1526367565513117696 Don't Look Up!

🦀

Motociata! https://twitter.com/duducompanheiro/status/1526542525745582080

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Fascismo! https://twitter.com/duducompanheiro/status/1526545460432887808

🦀

Coprofagia! https://twitter.com/duducompanheiro/status/1526542479142551552

⛓

Praia do Mito! https://twitter.com/duducompanheiro/status/1526409302348644352

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Robôs 🤖 Alienados! https://twitter.com/duducompanheiro/status/1526409254420226051

⛓

https://twitter.com/duducompanheiro/status/1526409204407357445 Vivendo num BBB Bolsonarista!

⛓

Excremento Eleitoral! https://twitter.com/duducompanheiro/status/1526409153593454593

⛓

QI de Mito-mico & milico! https://twitter.com/duducompanheiro/status/1526556505717325825

⛓

https://twitter.com/duducompanheiro/status/1526565104648605696 Qualquer coisa no mercado é vinte reais. A política do Paulo Guedes se chama Vinte! VINTEFUDER!

⛓

Morou? https://twitter.com/duducompanheiro/status/1526646003973115907

⛓

Chinelo Estourado! https://twitter.com/duducompanheiro/status/1526650028252704773

🦀

Nariz Branco Neves Aécio! https://twitter.com/duducompanheiro/status/1526655987163217921

⛓

Veja Greg na íntegra —Petrobras! https://youtu.be/bTpiQvG3Xbw

🦀

Livre! https://twitter.com/duducompanheiro/status/1526714504050102274

⛓

Jorge contra o Dragão! https://twitter.com/duducompanheiro/status/1526718745191796737

🦀

https://vm.tiktok.com/ZML3pTA6Q/ 15/05 Seu Jorge fala em Arraial do Cabo: “Vamos botar essa m*rda pra fora” —enquanto cantava o emblemático “Zé do Caroço.” A GENTE É BRASIL!

🦀

https://vm.tiktok.com/ZML3sfkJU/ Rifa!

⛓

https://twitter.com/duducompanheiro/status/1526778267654574081 Painho!

🦀

Mamãe Dancei! https://twitter.com/duducompanheiro/status/1526785032731234304

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O Inferno! https://twitter.com/duducompanheiro/status/1526794215585349633

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Arregão! https://twitter.com/duducompanheiro/status/1526928784334757888

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American Idiot! https://twitter.com/duducompanheiro/status/1526987198226112517

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Fora! https://twitter.com/duducompanheiro/status/1526989376076619777

🦀

https://twitter.com/duducompanheiro/status/1527035664486768643 O miliciano é contra observadores internacionais na eleição e vive falando em fraude, além da Positivo - empresa da república curitibana que trocou aquelas urnas antigas. Se virar 2º turno o Centrão já estará eleito e protegerá Bolsonaro ou impedirá Lula.

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Entulho! https://twitter.com/duducompanheiro/status/1527053192994906112

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.@RonaldoFraga Veste @MiltonBituca! https://twitter.com/duducompanheiro/status/1527067048110706689

🦀

.@MiltonBituca & Chico Buarque! https://twitter.com/duducompanheiro/status/1527073924139339776

🦀

https://twitter.com/duducompanheiro/status/1527077909680345091 Cirúmes!

🦀

Moto Velha! https://twitter.com/duducompanheiro/status/1527080100394582016

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https://health-clevelandclinic-org.cdn.ampproject.org/c/s/health.clevelandclinic.org/is-overthinking-a-mental-illness/amp/ Overthinking Disorder: Is It a Mental Illness?

https://www.linkedin.com/pulse/overthinking-disorder-mental-illness-duvar-compagnoni Acesse tradução em português opcional no Twitter. https://twitter.com/duducompanheiro/status/1527089278051827713 May 17, 2022 / Mental Health https://health.clevelandclinic.org/topics/health-a-z/mental-health/

Do your thoughts keep you up at night? Do you second-guess every decision you make? Do you imagine worst-case scenarios?

If so, you might be an overthinker.

While you may believe that continuing to think and rethink about things that bother you is problem-solving, this habit of overthinking doesn’t usually provide any resolution.

In fact, overthinking creates more stress by focusing on the negative, dwelling on the past and worrying about your future. https://my.clevelandclinic.org/canada/staff/duke-natacha

Registered psychotherapist Natacha Duke, MA, RP, talks about whether overthinking is a mental illness and steps you can take to stop overthinking.

Is overthinking a mental illness?

No, overthinking isn’t a recognized mental health condition, but it can be a symptom of depression or anxiety. 

https://my.clevelandclinic.org/health/diseases/9536-anxiety-disorders Overthinking is commonly associated with generalized anxiety disorder (GAD), says Duke. GAD is characterized by the tendency to worry excessively about several things.

“Someone can develop GAD due to their genes. Or it could be personality factors like the inability to tolerate uncertainty in life. And it could be life experiences,” says Duke. “Normally, it’s a combination of all three.”

Those with GAD may experience:

• Worrying excessively about several things for at least six months.
• Difficulty controlling anxiety, which can interfere with the ability to function.

Physical symptoms of GAD can include restlessness, difficulty concentrating and sleep problems. https://health.clevelandclinic.org/happens-body-dont-get-enough-sleep/

What does overthinking look like?

If you tend to overthink, you might experience the following:

• Worrying that jumps from one topic to the next.
• Thinking of the worst-case scenario.
• Struggling to make decisions, including second-guessing.
• Trouble concentrating.
• Feeling on edge.
• Seeking repeated reassurance from others.

“What happens is a chain effect,” explains Duke. “You’ll start worrying about one thing, and then you’ll be worried about something completely different. You might start worrying about work and then you’ll start worrying about money. And that leads to worrying about losing your job.”

Overthinking vs. problem-solving

Problem-solving is a great skill to have and can be very productive. It can be easy to believe that all of your worrying and overthinking is actually problem-solving. But there’s a key difference.

“When a problem presents itself, brainstorming possible solutions is a positive coping strategy,” says Duke. “With overthinking, what happens is that you ruminate, which is where you go over and over a problem again and again. But there’s no real resolution. You get caught up in the thinking loop and you end up where you started. In some cases, you may even end up with more worry and anxiety.”

You want to focus on problem-solving what is within your control and practice letting the rest go. Whether you spend 20 minutes or two hours ruminating on a problem, it won’t provide the relief and satisfaction you hope for. So, do your best to recognize when you’re overthinking and distract yourself until you’re ready to tackle the problem in a helpful way.

What can you do to overcome your overthinking?

If you notice yourself overthinking, there are steps you can take to limit your worrying and cope in a healthier way, says Duke.

If you struggle to turn off your thoughts at night or your overthinking is interfering with or affecting your daily life, talking to your doctor or a therapist can help.

https://my.clevelandclinic.org/health/treatments/21208-cognitive-behavioral-therapy-cbt“The most effective treatment is cognitive behavioral therapy,” says Duke. Your therapist will work with you to challenge your negative thoughts and develop coping skills that can help alleviate your worrying.

https://health.clevelandclinic.org/how-you-can-ease-your-aches-and-pain-with-meditation/Duke also says that positive coping strategies like meditation, reading or writing down your worries can help lessen your anxiety.

It’s also important to make sure you have adequate social support and that you’re resisting the urge to keep things inside. And don’t forget about engaging in healthy habits like eating a well-balanced diet and exercising. https://health.clevelandclinic.org/how-often-you-should-work-out/

“Pay attention to how much caffeine or alcohol you consume, as these can increase anxiety,” cautions Duke. “Also, try to avoid having too little or too much downtime and engaging in a lot of social media or news consumption, as these things are also going to feed anxiety.”

🦀

Lula Neles! https://twitter.com/duducompanheiro/status/1527110726363627524

🦀

Lula de Mel! https://twitter.com/duducompanheiro/status/1527334584580333580

🦀

Mi Cheque de Fel em Israel! https://twitter.com/duducompanheiro/status/1527336701735018496

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Lula de Mel! https://twitter.com/duducompanheiro/status/1527357468942094353

🦀

Jair Titanic! https://twitter.com/duducompanheiro/status/1527467136356057102

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#Trisal! https://twitter.com/duducompanheiro/status/1527482732208594955

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#Pandemito! https://twitter.com/duducompanheiro/status/1527605569191804929

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Gripezinha! https://twitter.com/duducompanheiro/status/1527611525673918464

⛓

L! https://twitter.com/duducompanheiro/status/1527668410947096576

🦀

Nada Sex Pistols! https://twitter.com/duducompanheiro/status/1527696690937044995

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Conforto? https://twitter.com/duducompanheiro/status/1527757678793170944

🦀

Push 13! https://twitter.com/duducompanheiro/status/1527764814973571075

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Cabra-macho; Cabra + Macho! https://twitter.com/duducompanheiro/status/1527805839175831552

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https://twitter.com/duducompanheiro/status/1527836862622142465 Acho engraçado alguém pensar que os ucranianos têm chance, inclusive o presidente ucraniano pensa que sendo uma ervilha poderá derrotar um Urso!

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Luar do Sertão! https://twitter.com/duducompanheiro/status/1527826716521013249

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Matemática barata bolsonarista! https://twitter.com/duducompanheiro/status/1527943856376913922

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Apendicite na Gravidez! https://twitter.com/duducompanheiro/status/1527947579429888000

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Enrustidos Diferenciados! https://twitter.com/duducompanheiro/status/1527966062544830464

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O Teatro dos Vampiros! https://twitter.com/duducompanheiro/status/1528150782071144451

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Tá Fogo! https://twitter.com/duducompanheiro/status/1528162551527313409

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Bolsonarismo! https://twitter.com/duducompanheiro/status/1528192094300422144

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√169 https://twitter.com/duducompanheiro/status/1528205740271357954

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Sinais Audíveis! https://twitter.com/duducompanheiro/status/1528214564055265285 Anunciação.

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#RG - Registro do Gado! https://twitter.com/duducompanheiro/status/1528222805669687303

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Resposta Pura! https://twitter.com/duducompanheiro/status/1528240424640552965

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InsemiNação Gospel! https://twitter.com/duducompanheiro/status/1528481748912377857

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Overdose! https://twitter.com/duducompanheiro/status/1528481691626610688

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Pandemito! https://twitter.com/duducompanheiro/status/1528503769604005890

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Pistola! https://twitter.com/duducompanheiro/status/1528512124959350784

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Crise Infinita! https://twitter.com/duducompanheiro/status/1528520529086492673

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https://twitter.com/duducompanheiro/status/1528551379589074944 C'est comme mettre de la bière sur du rouge à lèvres et mâcher du chewing-gum dans le noir très sexy, si tu as été au Brésil dis "Napoleão", parce que je ne comprends pas le français !

🦀

Negócio da China! https://twitter.com/duducompanheiro/status/1528563566957187073

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Dolly! https://twitter.com/duducompanheiro/status/1528579646647828480

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Apelo pro Além! https://twitter.com/duducompanheiro/status/1528722192317530118

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Matemática Escrota! https://twitter.com/duducompanheiro/status/1528726019670265861

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Processe: Coloque o Véio no Pau! https://twitter.com/duducompanheiro/status/1528752678079283200

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Mitou! https://twitter.com/duducompanheiro/status/1528758726496292867

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https://twitter.com/duducompanheiro/status/1528775001163419651 Bidê! https://twitter.com/duducompanheiro/status/1528767598871060481 I wanna' go to San Diego

I wanna' go y no puedo!

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Bosta nunca afunda, mas também não avoa. https://twitter.com/duducompanheiro/status/1528780252146802688

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TV Burra! https://twitter.com/duducompanheiro/status/1528795928135618560

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COVID Zero em Cuba! https://twitter.com/duducompanheiro/status/1528804429192998912

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Efeito Guedes! https://twitter.com/duducompanheiro/status/1528813302574374925

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Preguiçoso! https://twitter.com/duducompanheiro/status/1528812112512012294

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Nova Necropolítica! https://twitter.com/duducompanheiro/status/1528814656994828288

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Arquivo morto! https://twitter.com/duducompanheiro/status/1528821226034057216

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Desnazificação! https://twitter.com/duducompanheiro/status/1528848929835876352

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Tesla! https://twitter.com/duducompanheiro/status/1528861008181178368

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#Ciranha! https://twitter.com/duducompanheiro/status/1528868935655124994

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Governo Maldito! https://twitter.com/duducompanheiro/status/1528923476270120962

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https://twitter.com/duducompanheiro/status/1529074292813602817 Não deu pra decretar 100 anos de sigilo nesta casa assombrada?

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https://twitter.com/duducompanheiro/status/1529120236989030406 O garoto Francisco passa os dias acompanhando seu pai nas estradas - o motorista do imponente Big Jato= um caminhão-pipa limpa fossa da cidade sem saneamento básico. Porém Francisco está preocupado com o preço alto do diesel e escuta ideias do tio/artista libertário/anarquista.

🦀

Mande o Bozo socar aquela Bic no fiofó! Agora o refino é com etanol de milho ianque. https://twitter.com/duducompanheiro/status/1529315192496181248

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https://twitter.com/duducompanheiro/status/1529538400600178689 Kim KataGURI: Uma Figura decadente destas= deve ter conflitos internos ao se admirar no espelho! Não parece japonês e tem cabelo de caboclo, mas sonha em destruir qualquer cidadão que não seja ariano.

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https://twitter.com/duducompanheiro/status/1530315888909594625 Os patriotas começaram matanças que irão até o bolsonarismo perder pro Lula! Amanhã morrerão mais, aguardem e confiem! Brasil acima das leis. Polícia= facção homicida.

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https://twitter.com/duducompanheiro/status/1530511329756385280 Se tivesse uma facção criminosa= igreja evangélica seria um ótimo local pra lavar o dinheiro, além de poder infiltrar os bandidos na política com os votos coagidos dos moradores do bairro e dos crentes alienados pelo pastor promíscuo Flor de Liz!

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https://twitter.com/duducompanheiro/status/1530696480675201030 O candidato que saiu da miséria e pertence ao povo é citado como populista pela imprensa brasileira sórdida!

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https://twitter.com/duducompanheiro/status/1530897701985976320 + https://twitter.com/duducompanheiro/status/1531070421742895105 Anabolizante atrofia os testículos, causa desejo homossexual, ataca o fígado causando doença hepática crônica (idem Netinho cantor de axé), desenvolve câncer, gera transtornos psiquiátricos/psicológicos e mantém toda canela fina. 🐓🍗https://twitter.com/duducompanheiro/status/1530957614980468737 + https://twitter.com/duducompanheiro/status/1531106991594164224 + https://twitter.com/duducompanheiro/status/1531063111263854593 Salário mínimo R$ 1.212,00 vezes 12= R$ 14.544,00 ano vezes 80 anos= R$ 1.163.520,00= 1 hora de show #SertaNOJO. Vagabundos! https://twitter.com/duducompanheiro/status/1531058690870202368

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Feijão Queimado! https://twitter.com/duducompanheiro/status/1531023839978717185

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A 45-year-old man with severe sleep apnea uses CPAP at 10 cm of water but has difficulty exhaling against the pressure of the device. https://consultqd-clevelandclinic-org.cdn.ampproject.org/c/s/consultqd.clevelandclinic.org/increasing-adherence-to-pap-therapy-for-patients-with-sleep-apnea/amp/ Increasing Adherence to PAP Therapy for Patients with Sleep Apnea

Feb. 24, 2020

By Colleen Lance, MD https://my.clevelandclinic.org/staff/22945-colleen-lance

🦀

Favela! https://twitter.com/duducompanheiro/status/1531040241116659720

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O Minto! https://twitter.com/_10000feet/status/1531252124583137280

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“L” de Legal! https://twitter.com/_10000feet/status/1531252200403607552

🦀

Chico Caranguejo! https://twitter.com/_10000feet/status/1531256559233384451 Devorei aquela Apple! 🍏 https://twitter.com/_10000feet/status/1531285501164003329

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Pamonhas! 🫔🫔 https://twitter.com/_10000feet/status/1531260698747191296

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Entrevista! https://twitter.com/_10000feet/status/1531279341941927944

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Vida de Gado! 🐄 https://twitter.com/_10000feet/status/1531281493309411335

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Minha Casa= Minha Vida! https://twitter.com/_10000feet/status/1531288196960686080

🦀

Gustavo Canela Fina —Agro Pop! https://twitter.com/_10000feet/status/1531293166644731905

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#Ciranha em Paris! https://twitter.com/_10000feet/status/1531293404147204098

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Tabaca Neoliberal #Ambev! https://twitter.com/_10000feet/status/1531293783630954498

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RG do Minto! https://twitter.com/_10000feet/status/1531294105938055168

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Afogando mágoas! Morou? https://twitter.com/_10000feet/status/1531294569807200256

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Paulo Malvadeza Ipiranga! https://twitter.com/_10000feet/status/1531295072330858500

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#Apneia! https://twitter.com/_10000feet/status/1531295706706747393

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Multiple lifestyle interventions are being studied in a randomized trial for control of seizures and related comorbidities in adults with difficult-to-treat epilepsy. https://consultqd-clevelandclinic-org.cdn.ampproject.org/c/s/consultqd.clevelandclinic.org/lifestyle-interventions-for-epilepsy-and-related-comorbidities-to-be-assessed-in-largest-prospective-study-to-date/amp/

🦀

Sem Dúvida! https://twitter.com/_10000feet/status/1531311822330023936

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https://twitter.com/duducompanheiro/status/1522651825807278081 + https://www.gov.br/saude/pt-br/assuntos/saude-de-a-a-z/c/coccidioidomicose A coccidioidomicose é causada por duas espécies de fungos filamentosos do gênero Coccidioides – C. immitis, de ocorrência na Califórnia, nos Estados Unidos da América do Norte e C. posadasii, que ocorre em outras regiões das Américas, incluído o nordeste do Brasil. https://www.msdmanuals.com/pt-br/profissional/doen%C3%A7as-infecciosas/fungos/coccidioidomicose

🦀

https://twitter.com/duducompanheiro/status/1522634736195227653 1 Drágea cada 8 horas, só uma caixa. A dica foi boa, mas o remédio tava errado. Metformina elimina vitamina B12, caso tua mãe use compre uma caixa de Citoneurin cada dois meses, nunca use complexo B continuo (vitamina da capa dos nervos), pois causa síndrome de abstinência. Sem vitamina B o corpo dói e enfraquece. https://twitter.com/duducompanheiro/status/1522651490539778048 Tem B1 endurece a capa de mielina do nervo que aguenta as articulações tortas pinçando ele + B6 eleva hemácias + B12 pra sinapse cerebral. https://twitter.com/duducompanheiro/status/1522681908706131969?s=21&t=F2REZ-v50lmj9Mrh3wi--A

🦀

https://twitter.com/duducompanheiro/status/1522692060817592321 Ponta da Praia!

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https://twitter.com/duducompanheiro/status/1522309611138736128 Time!

🦀

Dindim pelo Zap! https://twitter.com/duducompanheiro/status/1522733712768737280

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https://twitter.com/duducompanheiro/status/1522741299434205185?s=21&t=-r42nkjzAZN5coDn1y_9ow Não há líderes= estes que estão lá foram inventados pelo governo Temer! O motivo da greve foi rever os preços das tabelas de frete pros donos das transportadoras que são donos dos postos de combustíveis. Os caminhoneiros autônomos não têm líder= é tudo enganação!

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Eunuco! https://twitter.com/duducompanheiro/status/1522762063726235650

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Lá! https://twitter.com/duducompanheiro/status/1523062567568314368

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Poder de Interpretação! https://twitter.com/duducompanheiro/status/1523071078415106048

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Top Secret! https://twitter.com/duducompanheiro/status/1523077924114808834

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Papibaquígrafo! https://twitter.com/duducompanheiro/status/1523148089804136449

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Chuchuzinho! https://twitter.com/duducompanheiro/status/1523167688130023429

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https://vm.tiktok.com/ZMLWtNtKB/ Amigos e negócios à parte! Religião e política à parte.

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https://twitter.com/duducompanheiro/status/1523356033447776256 Quem foi Leila Diniz que usou biquíni grávida perto da Janis nua? Leila se arriscou mais, pois não era gringa.

Falo de você então. Você teria culhão pra nadar nua no hotel mais famoso durante aquela ditadura?

Aqui ninguém a reconhecia? Muito pouca gente. Poucos jornalistas e alguns artistas e músicos. Quando a vi, ela estava chorando. Tinha acabado de ser expulsa do Copacabana Palace (por ter nadado nua na piscina). Era Carnaval e não havia hotéis disponíveis: https://revistatrip.uol.com.br/trip/janis-joplin-topless-copacabana

Em plena ditadura militar com sociedade conservadora= ela fez isto: Fotos raras mostram Janis Joplin curtindo um topless em Copacabana nos anos 1970 https://www.hypeness.com.br/2019/06/fotos-raras-mostram-janis-joplin-curtindo-um-topless-em-copacabana-nos-anos-1970/ Quem foi Leila Diniz que usou biquíni grávida perto da Janis nua? Leila se arriscou sem ser gringa! https://youtube.com/shorts/e6oTzKcLxzA

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https://health-clevelandclinic-org.cdn.ampproject.org/c/s/health.clevelandclinic.org/heart-patients-3-common-medications-you-may-need-to-avoid/amp/ Common Medications You May Need to Avoid If You’re a Heart Patient https://twitter.com/duducompanheiro/status/1523373924062404608Acesse tradução em português opcional no Twitter. https://www.linkedin.com/pulse/common-medications-you-may-need-avoid-youre-heart-duvar-compagnoni

November 5, 2021 / Heart Health https://health.clevelandclinic.org/topics/health-a-z/health-vascular-health/

Most people have basic staples like ibuprofen and aspirin in their medicine cabinets. However, if you’re being treated for a heart condition, those staples may not be good for you.

“Studies have found that these common medications can increase risk of bleeding, clotting, arrhythmia and even death for some heart people,” says cardiologist Stephen G. Ellis, MD. https://my.clevelandclinic.org/staff/1214-stephen-ellis

Dr. Ellis goes into depth about which common medications to avoid and why.

Medications to avoid if you’re a heart patient

1. Aspirin

If you’re on blood thinners, beware of aspirin.https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6697456/#:~:text=Aspirin%20100%20mg%20monotherapy%20and%20DAPT%20are%20associated%20with%20the,post%20initiation%20of%20antiplatelet%20therapy.Research shows aspirin combined with antiplatelet drugs such as clopidogrel (Plavix®) and anticoagulants such as warfarin (Coumadin®) increase your risk of bleeding.

“Typically, a patient who has had a stent procedure is placed on an antiplatelet drug and aspirin,” says Dr. Ellis. “But if they are also taking an anticoagulant — for atrial fibrillation or because they’ve had a valve replacement, for example — they may be safer without aspirin.”

While all three medicines help prevent blood clots, taking them at the same time can be too much of a good thing.

“It’s important that all stent patients must take antiplatelet medication to help maximize the success of their procedure,” stresses Dr. Ellis. “But taking aspirin isn’t always necessary — especially if you’re also taking an anticoagulant.”

If you take blood thinners, talk with your doctor before taking aspirin as well. 

2. NSAID pain relievers, such as naproxen and ibuprofen

https://health.clevelandclinic.org/atrial-fibrillation-dispelling-6-myths/ If you have atrial fibrillation (irregular heartbeat) and are on blood thinners to lower your risk of blood clots and stroke, beware of nonsteroidal anti-inflammatory drugs (NSAIDs). NSAIDs include common pain relievers naproxen (Aleve®) and ibuprofen (Advil®).

“These drugs, which are available over the counter and are used commonly to relieve the aches and pains that all of us have, are also blood thinners,” says Dr. Ellis. “If you combine them with prescription blood thinners, you could have serious bleeding.”

3. Certain antibiotics

https://health.clevelandclinic.org/whats-the-difference-between-sudden-cardiac-arrest-and-a-heart-attack/ If you are at high risk for arrhythmia, look out for certain types of antibiotics because some can disrupt your heart’s electrical activity and lead to a (sometimes lethal) rapid heartbeat.

https://www.ahajournals.org/doi/pdf/10.1161/cir.0000000000000426 Azithromycin (Z-Pak) is one popular antibiotic that has been linked to an increase in arrhythmia-related cardiovascular deaths. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5392117/ Levofloxacin has shown a similar risk and amoxicillin and ciprofloxacin have shown lower risks. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3948758/

“Usually, arrhythmia is triggered by multiple factors, not just an antibiotic,” says Dr. Ellis. “The risk of a dangerous effect from an antibiotic is highest in people who have heart disease, but everyone should be aware of it.”

4. Antihistamines

https://health.clevelandclinic.org/otc-allergy-and-cold-medications-may-be-bad-for-your-heart/ Antihistamines are generally taken to treat allergies, cold, runny nose, etc., and are safe for heart patients to take unless you’re already on medication to treat high blood pressure. The combination of antihistamines and blood pressure medication can actually cause unexpected spikes in blood pressure. In addition, the use of antihistamines and certain antibiotics (e.g. erythromycin) can lead to serious arrhythmias. 

5. Proton pump inhibitors (PPIs)

If you have issues related to stomach acid, you may be inclined to take PPIs, drugs that reduce stomach acid production. But if you’re a heart patient who has been stented and take blood thinners, PPIs can reduce the effect of your blood-thinning medication.

The effects are usually mild, but can also pose a problem if combined with other blood thinners.

At the end of the day, make sure to clear any antibiotics or OTC drugs with your doctor before taking them. 

🦀

#Dilmãe! https://twitter.com/duducompanheiro/status/1523421064596180992

🦀

Truque! https://twitter.com/duducompanheiro/status/1523440215813066752

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Moro Marinho! https://twitter.com/duducompanheiro/status/1523817754964410368

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https://twitter.com/duducompanheiro/status/1523822979708301313 Estados Unidos continuam imprimindo dinheiro do nada e vendendo armas sem parar!

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https://twitter.com/duducompanheiro/status/1523989174948405250 Com ou sem unfollow sempre sou questionado sobre em quem votar? Então respondo que votarei no retirante, pois sou assalariado= enfatizando que o governo Bolsonaro é pros ricos/votar no Doria/Ciro etc. seria mais do mesmo e mesmo com Lula demorará 8 anos pra desfazer tantos erros.

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YouTu.be/x6gw0wXruzY Coragem

Se o que quer é aquilo que pensa e faz

Coragem

Sei que você pode mais

É sempre + facil achar que a culpa é do outro

Evita o aperto de mão dum possível aliado

Convence as paredes do quarto e dorme tranquilo

Sabendo no fundo do peito né nada daquilo… +

🦀

Patriota! https://twitter.com/duducompanheiro/status/1523996291293982722

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Machadadas! https://twitter.com/duducompanheiro/status/1524022875933528064

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Aposentadoria Vitalícia! https://twitter.com/duducompanheiro/status/1524032559306399744

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https://twitter.com/duducompanheiro/status/1524054139864551425 Os generais não sabem geografia= erram estados brasileiros —colocaram o nordeste no polo norte! Mandaram vacinas pro estado errado, ao invés de isolar Manaus com um cordão sanitário e buscar oxigênio venezuelano em avião= os milicos transferiram doentes e variante nova pelo país.

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Enel= privatizada! https://twitter.com/duducompanheiro/status/1524353140853772288

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https://twitter.com/duducompanheiro/status/1524612260903231488 A Vida da Margarida

Ary Toledo… Deixou de ser prostituta a puta da Margarida
Deixou de ser prostituta a puta da Margarida
Deixou a vida de puta e foi pra puta da vida!

🦀

https://twitter.com/duducompanheiro/status/1524615270249250823 Corrida Eleitoral!

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Pobre de Direita! https://twitter.com/duducompanheiro/status/1524644087214882816

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Muda! https://twitter.com/_10000feet/status/1531359581909164032

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Curandeirismo! https://twitter.com/_10000feet/status/1531359843637989377

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https://www.linkedin.com/pulse/heres-truth-adrenal-fatigue-september-7-2021-diabetes-compagnoni Acesse tradução em português opcional no Twitter: https://twitter.com/_10000feet/status/1531361950977994757 The biggest challenge with ‘adrenal fatigue’ is figuring out what this unofficial diagnosis really means. An endocrinologist explains how to get to the root of your symptoms and on your way to better health. https://health-clevelandclinic-org.cdn.ampproject.org/c/s/health.clevelandclinic.org/the-truth-about-adrenal-fatigue/amp/

Here’s the Truth about ‘Adrenal Fatigue’

September 7, 2021 / Diabetes & Endocrinologyhttps://health.clevelandclinic.org/topics/health-a-z/diabetes-endocrinology/

Excessive fatigue, sleeping problems and trouble concentrating — especially after having an infection or being overwhelmed by stress? Many patients with these complaints have been told that the cause is adrenal fatigue. And they struggle to get relief. 

But the problem with the term “adrenal fatigue,” which is not an officially recognized diagnosis, is that it has been used to describe a group of symptoms when nothing else can be used to explain it. 

https://my.clevelandclinic.org/staff/25049-shirisha-avadhanula#locations Endocrinologist Shirisha Avadhanula, MD, discusses the truth about adrenal fatigue and how a proper diagnosis and multidisciplinary care can lead to symptom relief. 

Q: Is it possible for your adrenal glands to be truly fatigued? 

A: The adrenal glands have a big job. They’re responsible for producing, secreting and regulating specific hormones in your body, including cortisol. They work constantly and have a huge functional capacity — just like your heart or lungs.  

The term “adrenal fatigue” is based on the assumption that your adrenal gland has the capacity to fatigue — but certain organs in your body are not so easily subverted. They don’t simply tire out.

Q: Why is an accurate diagnosis so important? 

A: Unfortunately, adrenal fatigue doesn’t truly explain what’s going on in your body, which can lead to misdiagnosis, mistreatment and unpleasant side effects. Even more concerning: A diagnosis of adrenal fatigue can potentially mask something else going on in your body — something that should be further explored with your care team.

Sometimes, patients who have been misdiagnosed with adrenal fatigue are prescribed prednisone (a type of steroid) https://my.clevelandclinic.org/health/drugs/4812-corticosteroids or advised to purchase expensive adrenal supplements to replace the cortisol that is presumed to be missing. But patients experience no benefits from taking these medications — and in fact, taking prednisone can result in negative side effects and could ultimately even suppress your body’s own ability to produce cortisol.

https://my.clevelandclinic.org/health/diseases/16560-postural-orthostatic-tachycardia-syndrome-pots Often, it turns out that patients misdiagnosed with adrenal fatigue actually have postural orthostatic tachycardia syndrome (POTS), a surprisingly common condition. Patients may also have various underlying illnesses, making a thorough workup with your primary care team a vital part of your care plan. 

It’s very important that doctors spend enough time gathering your history details and performing tests before diagnosing the problem and beginning treatment. Sometimes, we can start to help a patient immediately by making modifications to their diet, prescribing an exercise regimen and/or recommending specific supplements. 

Q: What is adrenal insufficiency? 

https://my.clevelandclinic.org/health/diseases/16717-adrenal-disorders A: Adrenal insufficiency is a state in which your adrenal glands don’t function properly and cannot secrete the vital hormones your body needs to function normally. 

Adrenal insufficiency can be caused by Addison’s disease, a pituitary disorder or another disorder. https://my.clevelandclinic.org/health/diseases/15328-pituitary-adenomas- Some symptoms of this life-threatening dysfunction include extreme exhaustion, lack of appetite (leading to weight loss), diarrhea, nausea, low blood pressure and low blood sugar.

Q: What’s the best approach for managing a suspected adrenal problem? 

A: If you’re just beginning your quest for answers or have already been diagnosed with adrenal fatigue, consult your family doctor for a referral to an endocrinologist. Because the symptoms of an adrenal issue may be nonspecific, it’s important to figure out if there’s an underlying issue causing your symptoms in order to help manage your health properly.

To assess adrenal function, your healthcare provider will conduct a one-hour ACTH stimulation test, which is safe and reliable. https://my.clevelandclinic.org/health/diseases/15095-addisons-disease#diagnosis-and-tests They will likely also look for thyroid issues and diabetes. 

After checking for a variety of endocrine disorders using testing and symptom assessment, we start working with a multidisciplinary team of doctors to figure out the root cause of the patient’s problem. 

Q: Why is a multidisciplinary approach so important? 

A: After ruling out possible endocrine disorders, your endocrinologist can refer you to other specialists, including urologists, cardiologists, rheumatologists, allergists/immunologists and infectious disease physicians.  

If you’re diagnosed with POTS or another disorder, these specialists will work together to manage your health and develop a targeted treatment plan — putting you on the path to symptom relief.

🦀

#Cornonaro Fujão! https://twitter.com/_10000feet/status/1531372247084048386

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Jair Rola-bosta! https://twitter.com/_10000feet/status/1531375524584558595

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Até parece bolsonarista! https://twitter.com/_10000feet/status/1531380035042611203

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Gustavo #BNDES & você! https://twitter.com/_10000feet/status/1531387014951608325

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Messias! https://twitter.com/_10000feet/status/1531403290780569600

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AlieNACÃO! https://twitter.com/_10000feet/status/1531405476096880647

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Lenhados! https://twitter.com/_10000feet/status/1531406489671409667

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#ChampionsLeagueFinal! https://twitter.com/_10000feet/status/1531408276017012742

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Cal na Broxa! https://twitter.com/_10000feet/status/1531409424702644224

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Milícia na Política= Crime Desorganizado! https://twitter.com/_10000feet/status/1531410622319058950

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Gado Alienado! https://twitter.com/_10000feet/status/1531411732966649856

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Bandidos Ruins= Bandidos Vivos & Fardados! https://twitter.com/_10000feet/status/1531413298410840065

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Lavanderia! https://twitter.com/_10000feet/status/1531415369302286336

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Empreendedorismo Tupiniquim!https://twitter.com/_10000feet/status/1531416739690565633

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Fechado! https://twitter.com/_10000feet/status/1531418268661166083

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Capitão de Areia! https://twitter.com/_10000feet/status/1531419565749637120

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Malhação Mocotó! https://twitter.com/_10000feet/status/1531421006706921472

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Aposentadoria Paulo Guedes! https://twitter.com/_10000feet/status/1531447041833959424

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Gripe cura com Limão! 🍋 https://twitter.com/_10000feet/status/1531451292769521664

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Sigilo centenário! https://twitter.com/_10000feet/status/1531464738210725888

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Silas seu pastor= e nada te sobrará! https://twitter.com/_10000feet/status/1531473955604815873

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https://twitter.com/_10000feet/status/1531485522526363648 Recife precisa aprender com este prefake! Tabaca Ambev deixou o cara embriaGADO! https://twitter.com/leodasneves1/status/1333172566710759428 Fica duro com um cara pegando nas costas!

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#MercedezBenz —canção de Janis @Anitta Joplin! https://twitter.com/_10000feet/status/1531631460230348800

🦀

Aranha da Piranha= #Ciranha! https://twitter.com/_10000feet/status/1531747427656642564

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Astronomia é ciência! Astrologia é ficção do Olavo! https://twitter.com/_10000feet/status/1531761397465595908 Morei perto da avenida Vasco da Gama no Engenho Velho de Brotas. Um colega do Pituaçu (bairro leste de Salvador) sempre perguntava se chupava muito ferro quente= chimarrão e sempre perguntei se ele chupava muito coco?

Pra não poluir= uma bomba de Chimarrão= ao invés do canudo. Já usou bomba de chimarrão no coco? Canudo reutilizável= ecológico!https://twitter.com/_10000feet/status/1531778354084462592 By @Anitta! https://twitter.com/_10000feet/status/1531791533141372928 Gustavo metrossexual! metrossexual

me.tros.se.xu.al metrɔ̃sɛ'kswał

adjetivo de 2 géneros

relativo a metrossexualidade

nome masculino

indivíduo jovem, moderno e com elevado poder de compra, que habita um meio urbano, excessivamente preocupado com a aparência e o seu estilo de vida

Do inglês metrosexual, de metro(politan), «urbano, citadino» +sexual, «idem».

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Desentendido/Desentendimento!https://twitter.com/_10000feet/status/1531810826839068672

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“É eLe”! https://twitter.com/_10000feet/status/1531829543455137792

🦀

Aristinder: “esta Coca é Fanta”! https://twitter.com/_10000feet/status/1531860595909316608

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IVoneTE! https://twitter.com/_10000feet/status/1531886716960874498

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https://twitter.com/_10000feet/status/1531995325417902083 Oi, @LulaOficial, fiz uma coisa aqui no Vulcão Osorno, no Chile 🇨🇱🇧🇷

#Lula2022 https://twitter.com/valmorneto/status/1531802259805200384

🦀

Ative Legendas em inglês no YouTube https://youtu.be/e7GBuce7V1w Newsmakers 1418 - Dr. Donna Beegle: Communication Across Barriers

This week, Dr. Donna Beegle of Communication Across Barriers joins the program. Beegle shares her own personal story of being homeless and later achieving a higher education. Beegle works with state agencies, policy makers, and communities to improve outcomes for those living in poverty. The NMSU Teaching Academy can be reached by email at teaching@nmsu.edu or call 575-646-1013. https://twitter.com/_10000feet/status/1532003352480997377

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Eleitor Pato Amarelo! https://twitter.com/_10000feet/status/1532013077872488448

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O Cara de Pau da Canela Fina! https://twitter.com/_10000feet/status/1532057083302285313

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https://twitter.com/_10000feet/status/1532070628429180928 De onde surgiu a expressão “Gerônimo!”? https://super.abril.com.br/mundo-estranho/de-onde-surgiu-a-expressao-geronimo-usada-quando-alguma-coisa-cai/

🦀

Voto Descerebrado! https://twitter.com/_10000feet/status/1532077410488791040

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https://twitter.com/_10000feet/status/1532114495463641091 By TikTok @Everton.Leto https://vm.tiktok.com/ZMNJmmwBB/ —Breaking Bad “Tupiniquim”!

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Capitão de Areia! https://twitter.com/_10000feet/status/1532124038767726593

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Brasília Pateta! https://twitter.com/_10000feet/status/1532128456296828932

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O Grande Hotel —Paris! Édith Piá (Moro, Serjo). Siga @ZehdeAbreu:https://twitter.com/_10000feet/status/1532166714024243202

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Are you always searching the internet worried about some illness you may have? Those with somatic symptom disorder and illness anxiety disorder often imagine the worst-case scenario when it comes to their health.

A psychotherapist explains what it is and how it can be treated: https://health-clevelandclinic-org.cdn.ampproject.org/c/s/health.clevelandclinic.org/health-anxiety/amp/

Somatic Symptom Disorder: When Health Anxiety Takes Over Your Life

https://www.linkedin.com/pulse/somatic-symptom-disorder-when-health-anxiety-takes-over-compagnoni Acesse com tradução em português opcional no Twitter: https://twitter.com/_10000feet/status/1532183484076285953 June 1, 2022 / Mental Health https://health.clevelandclinic.org/topics/health-a-z/mental-health/

The digital age has made it easy to overanalyze every ache and pain. Self-diagnosis is only a few Google searches and mouse clicks away. One minute your shoulder hurts and after a few searches, you’re now convinced you need invasive surgery to remove a rare tumor.

Could you have health anxiety, or hypochondriasis? https://my.clevelandclinic.org/health/diseases/17976-somatic-symptom-disorder-in-adults Those disorders are now known as somatic symptom disorder and illness anxiety disorder. https://my.clevelandclinic.org/health/diseases/9886-illness-anxiety-disorder-hypochondria-hypochondriasis While both disorders include excessively worrying about your health and having an illness, in somatic symptom disorder physical symptoms are present. 

“It’s important to note that it’s not either or,” says registered psychotherapist Natacha Duke, MA, RP. https://my.clevelandclinic.org/canada/staff/duke-natacha “Someone can have a medical condition and have somatic symptom disorder. The determining factor is that their worry is excessive.”

These health anxiety disorders can occur at all stages of life, but usually begins by 30. They affect approximately 5% to 7% of adults. https://my.clevelandclinic.org/health/diseases/9536-anxiety-disorders Like other anxiety disorders, somatic symptom disorder and illness anxiety disorder have a higher prevalence in women.

Duke explains what health anxiety is and how it can be treated.

What is health anxiety?

If you feel anxiety when it comes to your health, you may have illness anxiety disorder or somatic symptom disorder.

“In both these disorders someone is excessively preoccupied and worried about their health — far beyond what is reassured by medical experts,” explains Duke. “Someone with somatic symptom disorder would be experiencing physical symptoms, which may or may not be due to a medical condition. While those with illness anxiety disorder would be worried about their health in the absence of physical symptoms even after repeated reassurance.”

Like other anxiety disorders, individuals with somatic symptom disorder or illness anxiety disorder usually have some awareness that they’re worrying excessively. 

“There’s usually a part of the individual that knows their worrying is out of proportion and another part that can’t tolerate any uncertainty when it comes to their health,” notes Duke.

An individual must be experiencing significant physical symptoms and debilitating worry for at least six months before a somatic symptom disorder diagnosis can be made. 

With illness anxiety disorder, it’s also a six-month timeline. But the individual has a preoccupation with having or developing an illness, although there aren’t any physical symptoms present or only mild ones.

Individuals with illness anxiety disorder are hypervigilant about any changes in their bodies. This may lead them to seek repeated reassurance from medical professionals, or in some cases, avoid care out of fear.

What’s the difference between health anxiety and an overall concern for your health?

To someone with illness anxiety disorder, worrying about a headache can spiral into fear they have a brain tumor. 

“What you often see happening with illness anxiety disorder is that the anxiety will jump around,” explains Duke. “They may be worried about a brain tumor and then they develop a cough and suddenly they’re worried about lung cancer.”

Like other anxiety disorders, health anxiety comes in varying degrees.

“We all have different personalities and some of us are always going to be more anxious than others,” says Duke. “But anxiety becomes a problem when it interferes in someone’s functioning.”

While it’s smart and proactive to seek medical advice if you’re concerned about your health, those with health anxiety often worry and think they’re sick even after reassurance from their doctor and negative test results.

https://health.clevelandclinic.org/8-fascinating-things-to-know-about-factitious-disorder/ Somatic symptom disorder and illness anxiety disorder are different from factitious disorderbecause the person truly believes that they’re sick. In factitious disorder (formerly known as Munchhausen syndrome), a person is faking an illness and is aware it’s not real.

What are the symptoms of health anxiety?

If you have illness anxiety disorder, you may experience the following:

• Preoccupation about getting or having an illness.
• Lack of symptoms or mild symptoms.
• Anxiety that’s disproportionate to symptoms or risk of illness.
• Hypervigilance about health and repeated checking for symptoms.
• Avoidance of medical care due to anxiety or frequently seeking medical care, despite repeated reassurance.

If you have somatic symptom disorder, you may experience the following:

• One or more persistent physical symptoms that cause distress and interfere with functioning.
• Excessive anxiety about health and symptoms or excessive time spent thinking of symptoms or seeking medical care.

Can health anxiety cause physical symptoms?

Those with illness anxiety disorder have an unrealistic fear of a medical condition. They may view normal body functions as a sign of something more serious.

But those with somatic symptom disorder worry about their health just like someone with illness anxiety disorder, but they experience true physical symptoms.

Common symptoms include:

• Pain.
• Fatigue. https://my.clevelandclinic.org/health/symptoms/21206-fatigue
• Shortness of breath.
• Gastrointestinal complaints.

Sometimes, there’s no medical explanation for their symptoms. And if there’s a cause for their symptoms, they struggle to keep their worries in check.

“In the past, health anxiety disorders were often reserved for those who didn’t have a medical condition,” says Duke. “But now being told you have health anxiety no longer discounts the possibility that you may also have a medical condition.”

Health anxiety causes

What causes someone to develop health anxiety? Here are a few factors.

COVID-19

For the last few years, we’ve been living with COVID-19. https://health.clevelandclinic.org/ease-back-into-life-after-pandemic/ From daily news reports to mask mandates, it’s easy to understand why someone might be worried.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8233051/ A study explains that those with COVID-19 have a high risk of developing somatic symptom disorder. The disease is still being researched and there’s a lack of understanding about the long-term effects of COVID-19. 

“Pandemics will inevitably have an impact on the mental health of the general population, including higher incidence of anxiety, depression and somatic symptoms,” says Duke. 

During the first year of COVID-19, the global occurrence of anxiety and depression increased by 25%, according to the World Health Organization (WHO). This was due to the social isolation, fear of getting sick, loss of loved ones, changes to routine and much uncertainty that comes with a pandemic. 

“In many ways, COVID-19 is the perfect storm for developing a health anxiety disorder,” states Duke. “I have seen many patients present with increased health anxiety over the course of the pandemic.”

Cyberchondria

Do you scour the internet to find information about an illness you think you have?

“The internet doesn’t usually cause health anxiety, but it certainly does exacerbate it,” says Duke.

Many health anxious people are turning to the internet to reduce their anxieties, but instead, they’re making it much worse. 

“They’re looking for reassurance, but instead they’re reading about vague symptoms that could have dozens of possible causes,” says Duke. “And if you’re health anxious you’re going to latch on to the worst one.”

The internet gives people the small possibility and chance that they’ll actually be diagnosed or cured with certain treatments. It reinforces the behavior and fear. Often, people return to the “what ifs” of their health. What if I have a rare disease? What if the doctors miss something?

Interacting with online accounts of others who were “finally diagnosed” after many years of being misunderstood could fuel this style of wondering.

Negative health experiences

If you’ve had any past experiences with a serious illness as a child, you may be scared or worried about any symptoms you experience as an adult. Those who’ve been abused as a child may also experience health anxiety as they get older.

Even if you’ve had a family member who worried excessively about their health, it could have made an impact on how you view symptoms and medical care.

“Having a family member go through a serious or prolonged illness when you are young can cause health anxiety to develop,” explains Duke. “You may have felt helpless and may grow up being worried that you will develop a similar illness.”

How is health anxiety treated?

Somatic symptom disorder, hypochondriasis, health anxiety, illness anxiety disorder — whatever term it’s referred to — the main goal of treatment is to increase the individual’s quality of life.

Often, those who have a health anxiety disorder have disrupted their lives with the time and money spent chasing a health concern. 

“If someone presents with health anxiety, I always insist they seek a medical evaluation first,” stresses Duke. “If their doctor has ruled out a physical cause and we’re confident that this is illness anxiety, they will likely benefit from treatments like psychotherapy and mindfulness.” 

In cases where there are physical symptoms present, it’s important that the treatment plan includes both medical and mental health treatment. 

“Health anxiety is tricky because you want to assure that the person’s symptoms are being addressed appropriately and at the same time that they are learning to develop more balanced thinking when it comes to their health,” adds Duke.

Psychotherapy

Your doctor may suggest a specific type of talk therapy called cognitive behavioral therapy (CBT). https://my.clevelandclinic.org/health/treatments/21208-cognitive-behavioral-therapy-cbt CBT emphasizes the connection between your thoughts and feelings. It can help you develop more logical, evidenced-based thinking when it comes to your health.

“With CBT, you learn to challenge your negative thoughts about your health and consider alternate explanations for your symptoms,” says Duke. “You also learn what behaviors are maintaining your health anxiety and positive coping strategies.”

Medication

If CBT and other methods aren’t working, your doctor may recommend medication. Options may include antidepressants like selective serotonin reuptake inhibitors (SSRIs).

“Psychotherapy is as effective as medication for mild to moderate anxiety,” says Duke. “In more severe cases a combination of therapy and medication is usually recommended.”

Do you think you suffer from health anxiety?

It’s not uncommon to hear about a condition or read about the symptoms and think it applies to you. Suddenly, you get this strange and nagging feeling that you’ve developed said condition out of the blue.

Medical students often perceive themselves to be experiencing the same symptoms of the disease that they’re studying, researching, reading and learning about.

“The more we focus on something, the more it expands in our minds,” says Duke. “Repeatedly reading about an illness can activate our threat system, even if no real threat exists.”

If you find yourself stressing about your health in an obsessive manner, Duke recommends weighing the evidence. 

“Consider the evidence for and against your negative health thought and you will likely come to a more balanced perspective, which allows you to problem solve,” she says.

After seeking a medical evaluation, it’s important to externalize your feelings. Resist the urge to keep things inside that are bothering you. Try talking to a trusted friend or seeing a mental health professional if your anxiety is growing.  

And leave the internet alone for a while.

“The internet won’t provide more than momentary reassurance,” Duke notes. “It’s like going down a rabbit hole of anxiety. Instead, try positive forms of distraction like exercise and meditation.”

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O Cristão Fake —Remake! https://twitter.com/_10000feet/status/1532206947851804672

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Roleta: Aumente com Um Clique e Segure o Dedo na Tela ou Aperte Pause para Jogar! https://twitter.com/_10000feet/status/1532217924215312385

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Gonna Fly Now! https://twitter.com/_10000feet/status/1532241894046040070

🦀

Not Your Barbie Minion! https://twitter.com/_10000feet/status/1532255635781320704

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https://twitter.com/_10000feet/status/1532373541814996992 #SertaNOJO! Nota de Repúdio - Battavo Laranja-lima! https://twitter.com/_10000feet/status/1532365164342919168

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https://twitter.com/_10000feet/status/1532411501830721536 Andrea Doria —canção de Legião Urbana! https://vm.tiktok.com/ZMNJ3ueRV/

🦀

https://www.nih.gov/news-events/news-releases/immune-modulator-drugs-improved-survival-people-hospitalized-covid-19 A large randomized, placebo-controlled clinical trial led by NIH found that treating adults hospitalized with COVID-19 with infliximab or abatacept – drugs widely used to treat certain autoimmune diseases – significantly improved clinical status and reduced deaths.

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Eu como e durmo! https://youtu.be/J6s2BRLUEic

🦀

https://twitter.com/_10000feet/status/1532548048177569802 Melhor trocar o fígado [tóxico se consumido mais de uma vez por semana] por batata-doce. Obedece a tu papá. Obedece a tu mamá. Y si lo haces el Señor. Larga vida te dará.

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https://twitter.com/_10000feet/status/1532552055516274697 Acredita no STF depois de tudo que Lula sofreu? https://twitter.com/_10000feet/status/1532557074927951894 Ou você acha que era só o Juiz que caiu de avião quem viu tudo que Moro fez? Pois deixaram Serjo fazer! Você quer apostar que mesmo muitos votando 13 em todas opções o PT nunca terá maioria? Acredita na casa-grande ou elite de juristas da Faculdade de Coimbra? Até o Requião disse que não confia na urna eletrônica! Uma urna eletrônica mista, que permitisse o registro físico de votos, assim garantindo uma auditoria, consolidava a credibilidade do sistema. https://twitter.com/requiaooficial/status/1328874771480768513 Compra o produto burguês quem vive de tirar conclusões baseadas na grande mídia.

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Olha “eLa”! https://twitter.com/_10000feet/status/1532571556924297226

🦀

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🦀

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https://twitter.com/_10000feet/status/1532745132285612033 Assim Será! https://vm.tiktok.com/ZMNeAobtN/

🦀

Lula! Até logo elite. https://twitter.com/_10000feet/status/1532771019802521600

🦀

https://twitter.com/_10000feet/status/1532790111343108096 80!https://twitter.com/_10000feet/status/1532790253349748737

🦀

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Faltou o pau do… https://vm.tiktok.com/ZMNeP6oaV/

🦀

https://twitter.com/_10000feet/status/1532817007854354437 Caixa Dois!

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#MP! https://twitter.com/_10000feet/status/1532840213109694464

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https://vm.tiktok.com/ZMNe9v3t4/ O erudito consome/compra cultura, já o povão compõe!https://twitter.com/_10000feet/status/1532876539167223811 Homens= entendam... “Sobretudo” valoriza muito vocês! https://twitter.com/lady_girl18/status/1532138819016970241

🦀

O Pistola de Plástico! https://twitter.com/_10000feet/status/1532899272928149510

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Cachorrinho do Pandeminto! https://twitter.com/_10000feet/status/1532919138468995073

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O Praga É Uma Praga! https://twitter.com/_10000feet/status/1532943513612177418

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Laura! https://twitter.com/_10000feet/status/1532965809068425217

🦀

https://twitter.com/_10000feet/status/1532971676345958401 Nunca existirá normal em medicina. Se teu choro não é passageiro e está te impedindo conviver com tua família ou no relacionamento com amigos e afetivo, se não consegue estudar ou trabalhar= talvez remédios por 2 até 3 meses no máximo.

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Cara com perfil verificado pra mim= é “trojan” tipo Tabata Ambev: https://twitter.com/_10000feet/status/1532974203728797696

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Torta Americana 🍎🍏🥧 na sexta insônia: https://vm.tiktok.com/ZMNe4hT7n/ (…) 🥧🍏🍎American Pie: https://twitter.com/_10000feet/status/1532984079926312962

🦀

Xande De Pilares= vulgo “#Xandão”!https://twitter.com/_10000feet/status/1533100277250809857

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O álcool mata bancado pelo código penal!https://twitter.com/_10000feet/status/1533123963764736001

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ELe! https://twitter.com/_10000feet/status/1533132477556043777

🦀

https://twitter.com/_10000feet/status/1533134882783862785 Vai, malandra (Ãh, ãh)!

Êtá louca, tu brincando com o bumbum (Ãh, ãh)!

Tutudum (Ãh, ãh)!

🦀