Afghan allies in hiding, executed in the street — Jewish people know this haunting story
In a terrified call from a family, we were told the Taliban dragged all males aged 10 to 65 from their homes and executed them in the street. Children as young as 10 years old murdered just for existing. Their blood is on our hands. 'Never forget' is a call to action As Jews, we know this story all too well. We know what it's like to fear for the death of our children. These families are in danger because of their work with the United States government and our military. Our staff feels helpless. They’ve been working tirelessly to save 123 people, many of whom are family members of our team.
© Courtesy Dennis Legori The tools for treating high cholesterol
High cholesterol may arrive without symptoms, but that doesn't make it any less dangerous to your health. It's a serious condition that increases your risk for heart disease. There are many ways to manage high cholesterol, including prescription medications and lifestyle changes, like losing weight, quitting smoking, eating a heart-healthy diet, and exercising more. But managing your cholesterol doesn't have to be an either-or decision between medication or lifestyle changes. Nor does it have to be an all-or-nothing approach. Dennis Legori, 49, a cybersecurity expert in Florida, shares how he went to both extremes to manage his high cholesterol—and how he found a healthy balance.
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Far-right radio host Larry Elder could win, harkening back to Trumpist scheming rooted in a process that too easily ignores the will of the people.It is time to sound the alarm. Voters who rejected President Donald Trump by massive margins must now turn out to vote no on the recall to keep Team Trump from taking over.
High cholesterol wasn't my priority
I was just 29 years old when I was first diagnosed with high cholesterol. And when I say "high," I mean my total cholesterol was in the upper 300s, putting me in the extreme risk category. To put it in perspective, a healthy cholesterol level is less than 200 mg/dl.
Worrying? For sure. But I was a little too busy to get hung up on the number.
My wife and I had just moved to the United States from India, and I was starting grad school. I had very little time or money to do much about my cholesterol level. I tried adding some exercise and maybe eating a little healthier, but I didn't try that hard.
Honestly, I mostly just forgot about it. It can be very difficult to find a healthy life balance in graduate school!
A few years later, I graduated and got a professional job in manufacturing. That came with a lot of stress and long days, but it did have one big perk: health insurance.
The enemy is us: After 9/11, we turned on each other. And missed the true danger.
If it’s enemies we need, let me suggest better choices: Climate change. Current and future pandemics. Political hate and the violence it breeds. Wars on truth and accurate information. You get the idea. To fight the real enemies, we need as many hands on deck as possible; we need to transform as many human “enemies” as we can into real or prospective allies. And for sure, we must close the curtain on a 9/11 period of history that has led to a surfeit of enmity and a deficit of hope.
I was finally able to see a doctor about my high cholesterol again. He found that my numbers were down a little bit. Yet my total cholesterol level of about 270 mg/dl was still too high. So he prescribed a common statin medication.
I asked him about trying to change my lifestyle to manage my cholesterol, but he brushed it off. Exercise would have little effect compared with the medication, he told me. His advice: just stick with the statin.
The meds worked, so I accepted his answer. I figured that, like the few extra pounds I was carrying, this was just part of aging.
Then I was diagnosed with cancer
My life was completely upended in June 2013, when I was diagnosed with stage 3 Hodgkin's lymphoma. I had to have surgery and then go through six months of chemotherapy.
The type of chemo I needed used a drug nicknamed "the red devil." You can probably imagine how awful the side effects are. One of those is liver damage.
I was shot 12 times. I own a gun. I know we can find common ground to end gun violence.
I grew up in and still live in the South. I know that preserving the Second Amendment and reducing gun violence are not mutually exclusive goals. We also know Americans, of both political parties, are highly motivated to see this issue addressed and the trends of death and injury reversed. USA TODAY's Editorial Board: Mass shootings turn America's gun culture into a killing culture We knew then in theory what we know now in practice. Ending gun violence will only come about when Americans seek common ground with evidence-based solutions focused on responsible gun ownership.
With that nasty side effect in mind, one of the first things my doctor did was take me off the statin. The cancer was a much bigger threat to my health, and they didn't want any unnecessary medical strain on my body.
For my part, I decided to do whatever I could to fight the cancer, and that included overhauling my lifestyle. I switched to a less-stressful job, I started eating healthier, and then I added exercise once I'd recovered enough from the chemo.
A year later, I was cancer free. I'd lost 50 pounds. And as an added bonus, my cholesterol was fine—without the statins.
Without intending to, I'd proven to myself that it was possible to manage my high cholesterol simply through lifestyle changes.
My lifestyle swung to a different extreme
A cancer scare will make anyone rethink their life choices. I'll admit, I became a little obsessive with my health.
I had no control over the cancer, so I decided to get in the best shape possible to try to avoid a relapse. For several years, I tracked everything I ate in a calorie-counting app and exercised nearly every day.
I would do two to three long runs each week on top of regular gym workouts. I even trained for, and ran, a marathon.
Donna Brazile: COVID-19 doesn't care about your politics. So why are we fighting?
I learned from Hurricane Katrina that preventing and meeting disasters require values like excellence, resilience, civility and unity. Unity flows from civility. In a column I wrote 16 years ago after Hurricane Katrina, I said: “Unity springs from mutual respect, from setting aside the blame game and working, in good faith and trust, with one another.” Those words remain just as true today. Donna Brazile (@donnabrazile) is a member of USA TODAY's Board of Contributors, an ABC News contributor, an adjunct professor at Georgetown University and the King Endowed Chair in Public Policy at Howard University.
Then the pandemic hit
Covid-19 hit and upended my life again. During the pandemic, my gym closed, and I switched to working from home. Without gym equipment, my workouts became fewer and shorter.
With my daily schedule thrown off, I started skipping my morning green smoothie. Instead, I was relying more on takeout or fast foods, which are loaded with cholesterol-raising saturated fats.
As the pandemic dragged on, my weight and cholesterol started to creep back up. I told myself that I'd get back to my strict diet and workout schedule when things settled down.
But that was further from a reality than I realized. Early this year, my wife and I decided to move to Florida, which meant upending our lives all over again. I recognized that with all the changes that come with trying to sell a house, build a new one, and move halfway across the country, things were not going to settle down any time soon.
Then it hit me: That's okay! That's how life is. And this probably wouldn't be the last time I would experience my life getting upended. If I was going to wait for everything to be ideal before making healthy changes, I'd be waiting forever.
I found a happy medium
I needed balance. My previous lifestyle wasn't sustainable, so I decided to adjust my priorities and expectations. The new focus became the small, healthy changes I could make immediately.
Substance use disorder took my son. When will we treat people with this horrific disease?
In the past 20 years, more than 900,000 people have died of substance use disorder. My son was one of them. How did it get to this point?I always wanted to be a parent. Growing up, I knew I wanted to one day care for, nurture and love children of my own. I wanted to build a family. And I did. My husband and I made a home with five beautiful children in Cape May County, New Jersey. We own a construction business in town. We’re friendly with our neighbors and active in our community. But no one prepares parents for a child suffering from substance use disorder.
I stocked the fridge with healthy-but-simple options like yogurt, and we tried to eat out less. Daily walks or swims became the new norm. I began to listen to my body, eliminating stress and prioritizing a good night's sleep.
Things that were causing more stress than benefits—weighing myself daily, counting calories, and doing long workouts—also had to go. This meant that I gained a few pounds, and my cholesterol was a little higher than I or my doctor liked. That's when I went back on the statin, this time at the lowest dose.
Twenty years ago, I would have accepted that and used it as an excuse to avoid making necessary changes. Five years ago, I would have seen this as a serious backslide. Now I see it as part of maintaining a healthy balance between protecting my health and living my life.
Taking cholesterol medication isn't a cure-all or a failure. It's just one tool of many at my disposal.
As of today, I am cancer free, surrounded by people I love, living in a beautiful new place, working a job I love, and enjoying my free time. And if that means I need to take a low-dose medication to help manage my cholesterol, then I'll add "good medical care" to my long list of blessings and be grateful for it.
I'm not perfect, but I'm happy. And that's even better.
—As told to Charlotte Hilton Andersen
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Why do I have a metallic taste in my mouth?
If you've ever rushed to rinse your mouth out because it suddenly tastes like pennies, you're not alone. People experience a metallic taste for a variety of reasons, from sinus infections to chemotherapy.
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It's estimated that 15 percent of U.S. adults experience some type of disordered taste or smell, according to the National Institutes of Health (NIH).
Because taste and smell are so intertwined—your preference for a certain food is usually based on both aroma and flavor—it can be difficult to determine whether a mouth that tastes like metal can be blamed on your taste buds or nose.
To help you root out the reason for the metallic taste—and figure out how to get rid of it—we have rounded up the latest research on the causes and treatments of a mouth that tastes like metal.
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What can cause a metallic taste?
Most cases of a lingering metallic taste stem from injuries or infections, according to the National Institute of Dental and Craniofacial Research. However, it's also possible to have a lifelong taste disorder.
"A metallic taste can be caused by a variety of reasons, including medications or supplements, sinus infections, oral hygiene, or even pregnancy," says Natasha Bhuyan, MD, an evidence-based provider at One Medical and clinical assistant professor at the University of Arizona College of Medicine in Phoenix, Arizona.
These are many possible causes of metallic taste, which we unpack in detail below.
- Poor oral hygiene
- Sinus infections and respiratory infections, including Covid-19
- Certain medications
- Some metal-containing supplements
- Pregnancy
- Cancer treatments
- Pine nut syndrome
- Central nervous system disorder
- Liver or kidney disease
- Ear surgery
- Metal poisoning
- Mercury poisoning
- Zinc intake
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You have poor oral hygiene
Poor oral hygiene could be one simple reason there is a metallic taste in your mouth, according to Isabel Garcia, DDS, a faculty member and practice leader at Touro College of Dental Medicine in Hawthorne, New York, where she oversees the clinical training of dental students.
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The Joint Chiefs chairman may well have saved American lives by thwarting a Chinese miscalculation in the closing weeks of the Trump administration. © SAUL LOEB, AFP via Getty Images Gen. Mark Milley, chairman of the Joint Chiefs of Staff, testifies on Capitol Hill on June 23, 2021. Milley spoke twice with his Chinese counterpart, Gen. Li Zuocheng of the People’s Liberation Army, during this period, according to a new book by Bob Woodward and Robert Costa of The Washington Post. Both times it was to caution Li not to make a terrible mistake.Start the day smarter.
Not taking care of or cleaning your teeth could lead to gingivitis and periodontitis. According to Garcia, these beginning stages of gum disease could cause metal mouth.
Forty-seven percent of U.S. adults older than 30 have some degree of periodontal disease, according to the Centers for Disease Control and Prevention (CDC). A metallic taste might be your first warning sign, though you will probably also have symptoms like bad breath, tender gums, or sensitive teeth.
"Visiting your dentist every six months for a checkup and cleaning keeps you updated on the state of your oral health while also allowing an opportunity for any suggestions on how to create and maintain better health habits that are specific to you," Garcia says.
Registered dietitian nutritionist Vicki Shanta Retelny, host of the "Nourishing Notes" podcast, also recommends cleaning your tongue to get rid of unpleasant tastes.
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You have a sinus infection, allergies, upper respiratory infection, or cold
The congestion and mucus associated with respiratory infections may cause a foul or metallic taste in the mouth.
"In this situation, mucus from the nose and throat will be tasted on the tongue," says Lisa Lewis, MD, a pediatrician in Fort Worth, Texas.
These sinus problems could include anything from the common cold and sinus infections to nasal polyps.
People with chronic sinusitis often experience unpleasant or metallic tastes. A study of 68 such patients in the International Forum of Allergy & Rhinology found that a metallic taste was particularly common among men, seniors, and frequent smokers.
So, why does mucus in your nose trigger a metallic taste in your mouth? It's because up to 90 percent of flavor actually comes from your sense of smell, according to research published in the medical journal Flavour.
A stuffy nose can change your perception of flavor, making it seem like your mouth has a sour or metallic taste.
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You have or had Covid-19, or are reacting to the vaccine
Covid-19 causes upper respiratory tract symptoms, and it may also cause a loss of taste and smell.
Even after the infection resolves, food may not taste quite right.
"Peppermint essential oil smells like acetone; my little puppy smells like chalk; citrus fruit tastes like gasoline or kerosene; animal protein tastes like metal; red wine tastes like disinfectant; red bell pepper tastes like liquid smoke," Amy Wright told The Healthy in a previous interview. After being admitted to the hospital in March of 2020 for Covid-19, Wright had lingering long-Covid symptoms.
She's not the only one to experience a metallic taste in the mouth after Covid-19.
A 2020 case study in BMJ Case Reports found that one person with Covid-19 in China initially had a loss of taste and smell before developing other flu-like symptoms such as coughing. And they too described food as tasting bland and metallic.
Even if you haven't had Covid-19, there's another way you might experience a metallic taste in the mouth related to this disease—the Covid-19 vaccine.
NBC News reported that some people are experiencing an immediate metallic taste in their mouth right after getting the Covid-19 vaccine. Experts say it's rare and typically goes away the same day, according to the NBC report
However, if you continue to feel a metallic taste in your mouth or other taste changes, pay attention to any other possible cold-like symptoms. This might be a sign of Covid-19 infection and not a reaction to the vaccine.
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You're taking certain medications
The most common cause of a metallic taste in the mouth is medications. Antibiotics, antihistamines, over-the-counter supplements, and blood pressure medications are all known for causing this taste side effect.
Why? Dr. Lewis explains that the substances are released and excreted in the saliva when the body ingests and absorbs medication. The end result is often a metallic taste in the mouth.
"Commonly, vitamin supplements that contain iron, chromium, calcium, and zinc cause a metallic taste in the mouth," she says. "This side effect may also be with antibiotics and neurologic and cardiac medications."
"Lithium is a classic," says Dr. Bhuyan. "Other antidepressants, antibiotics, and even medicine for gout can be culprits."
Dr. Lewis adds that a common medication side effect is dry mouth, which could also cause a foul or metallic taste.
Just as medications, supplements, and multivitamins can make your mouth taste like pennies. This is particularly true of supplements with actual metals like iron or zinc.
"Cold lozenges made with zinc can cause a temporary metallic taste, but it goes away after the lozenge dissolves," Shanta Retelny explains. The same is true of iron supplements, which have a distinct iron taste.
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You have a zinc deficiency or an excess of zinc
Dysgeusia, which is an abnormal or impaired sense of taste, could be caused by an excess or lack of zinc, says Kristin Koskinen, a dietitian nutritionist in Richland, Washington.
Malnutrition, which might include a zinc deficiency, may slow cell renewal, resulting in taste changes, according to Koskinen. On the other hand, people who take too much zinc through supplements could experience nausea, abdominal distress, or dysgeusia—in the form of that pesky metallic taste, Koskinen says.
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You're pregnant
Changes in your sense of taste are common during pregnancy.
Nesochi Okeke-Igbokwe, MD, a physician and health and wellness expert in New York, says that these changes to your taste buds may be due to some of the hormonal changes that occur during pregnancy. This usually happens during the first trimester and typically subsides in the second.
Shanta Retelny adds that both prenatal vitamins and early pregnancy can make your mouth taste like metal. The good news? "It goes away quickly," she says.
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You've undergone chemotherapy
In addition to nausea, a common complaint of cancer patients undergoing chemotherapy is a metallic taste in the mouth.
Many cancer survivors can commiserate about the ubiquitous "metal mouth" triggered by chemotherapy and other cancer treatments. In fact, between 10 and 78 percent of cancer patients experience this phenomenon, a study published in Cancer Treatment Review.
Here's why: Some bitter medicines injected into your bloodstream can make their way into your saliva, too, causing metal mouth. The resulting metallic taste could be just one of the reasons you're losing your appetite.
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You have pine nut syndrome
Have you ever eaten something that leaves your mouth with a bitter aftertaste for hours? What about weeks? A 2013 report in the medical journal Food Chemical Toxicology outlined 501 complaints of a long-lasting metallic aftertaste from pine nuts.
Interestingly enough, researchers did not find that the metallic taste was related to a pine nut allergy. Rather, the common thread was the consumption of a specific type of pine nut: Pinus armandii. So if you love eating pine nuts but hate their aftertaste, try a different variety.
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You have mercury poisoning
One side effect of mercury poisoning is a metallic taste in your mouth, according to Dr. Okeke-Igbokwe.
That said, more severe symptoms, such as neurological issues, are more concerning. Exposure to mercury could stem from working in an industrial job or from eating methylmercury-contaminated fish, she adds.
"The bottom line is that there are various modes in which one may become exposed to mercury, and this exposure may have some deleterious effects on the body," Dr. Okeke-Igbokwe says.
"It's definitely important to recognize some of the symptoms of mercury toxicity so that you know when it is necessary to seek out medical help."
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You have liver or kidney disease
Although rare, liver or kidney disease could cause a metallic taste in your mouth, too. According to Dr. Lewis, that's because these conditions create a buildup of chemicals in the body.
"These chemicals are released into the saliva, causing a metallic taste," she says. "For example, patients with severe kidney disease will have excess production of ammonia in the saliva, causing a metallic taste in the mouth."
This can cause a variety of oral symptoms, according to a review in the Saudi Dental Journal. Unfortunately, one of those symptoms is a mouth that tastes like metal, according to a report in the European Archives of Oto-Rhino-Laryngology.
Other symptoms of kidney disease include:
- bloody urine
- fatigue
- unexplained weight loss
- swollen ankles
If the metallic taste in your mouth can be traced to chronic kidney disease, treatment might include medical interventions such as dialysis.
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You have a neurological disorder
Neurological disorders affect your nervous system, which helps relay sights, smells, tastes, and sounds to your brain. These diseases can disrupt your sense of flavor, making your mouth seem metallic "due to changes in taste," according to Shanta Retelny.
Research also supports this.
In a case study of a man with a rare disease called facial onset sensory and motor neuronopathy (FOSMN), a change in taste was one of the patient's first symptoms, according to a report in the journal BMC Neurology.
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You recently had middle ear surgery
If you experienced premature hearing loss, your doctor might have suggested surgery to fix the issue.
Unfortunately, nerve damage sometimes occurs during these procedures. Taste dysfunction—including a metallic taste in the mouth—is one well-documented side effect of nerve damage during ear surgery.
Fortunately, there might be medications to treat this issue. In one case study published in the American Journal of Otolaryngology and Head and Neck Surgery, a patient found relief after taking an antidepressant called amitriptyline.
If you think you're experiencing a metallic taste due to nerve damage, talk to your doctor about possible treatments that might work for you.
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You could have metal fume fever
A metallic taste in your mouth can be a side effect of breathing in metal fumes, according to the National Organization for Rare Disorders.
This can occur in welding centers or metal manufacturing facilities with poor ventilation. Fortunately, symptoms like chills, fever, and a metallic taste often dissipate within hours of escaping to a well-ventilated area.
If you believe you've been exposed to heavy metal or any metal fumes for a prolonged period of time, seek medical attention to determine any long-term impact on health.
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How to diagnose the problem
If the metallic taste in your mouth doesn't go away after a day or two, it's time to call your doctor.
Rather than using a quick fix like mouthwash or mints, a medical professional will discuss your medical history, current medications, and supplements, and possibly examine your body for obvious signs of a relevant health condition.
Your treatment will depend on the underlying cause of the metallic taste.
"Since there are so many different causes of tasting metal, it's important to see a primary care provider so they can determine the next best steps to get your tastebuds feeling metal-free," Dr. Bhuyan says.
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Treatments for a mouth that tastes like metal
The best way to get rid of a metallic taste in your mouth is to determine what's causing it in the first place.
If the cause is related to something you consume
If the taste is due to a medicine, multivitamin, or pine nuts, the flavor will dissipate if you stop consuming the culprit.
However, you should never stop taking prescription medication or deviate from the prescribed amount without talking to your doctor.
If the cause is related to your environment
If your mouth tastes like metal because of heavy metal poisoning or breathing in metal fumes, your first step should be to step into a well-ventilated area.
The next course of action is contacting your doctor to determine your level of toxic exposure and a possible treatment plan.
If the cause is medical
Does your mouth taste like metal because you have a disease or dental issue? Then the solution begins with treatment for the underlying cause.
If your mouth tastes like pennies because you're pregnant, take heart—this unsettling side effect should subside by the second trimester.
Home remedies
While you wait for a diagnosis and treatment plan from a medical professional, these home remedies and might help:
- Brush your teeth twice a day, as recommended by the American Dental Association.
- Try chewing sugar-free gum or mints between meals.
- Drink water regularly throughout the day.
"Staying hydrated can help decrease any foul tastes in the mouth," Shanta Retelny says.
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The post A Cancer Diagnosis Changed How I Deal With My High Cholesterol appeared first on The Healthy.
Preventing war: Why Gen. Mark Milley's secret calls to China deserves a medal .
The Joint Chiefs chairman may well have saved American lives by thwarting a Chinese miscalculation in the closing weeks of the Trump administration. © SAUL LOEB, AFP via Getty Images Gen. Mark Milley, chairman of the Joint Chiefs of Staff, testifies on Capitol Hill on June 23, 2021. Milley spoke twice with his Chinese counterpart, Gen. Li Zuocheng of the People’s Liberation Army, during this period, according to a new book by Bob Woodward and Robert Costa of The Washington Post. Both times it was to caution Li not to make a terrible mistake.Start the day smarter.