Bergen, Norway — Life seemed to crumble for Vibeke Hellesund in 2010.

Diagnosed with bipolar disorder, Hellesund was depressed after getting divorced and then breaking up with a subsequent boyfriend. The Norwegian needed several hospitalizations of decreasing length and a year of intense outpatient treatment from an Assertive Community Treatment (ACT) team to get the depression to lift.

Six years since her last hospitalization, Hellesund now works as a peer support specialist on an ACT team that provides at-home mental health and social support to about 150 severely mentally ill people living in her city of Bergen. The team provides 24-hour access for clients in crisis.

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Though ACT is available in every U.S. state including Michigan, it's more widely available in Norway. The Bergen community of about 280,000 people has two ACT teams that treat 300 people, or about 110 patients per 100,000 residents.

The Detroit/Wayne County Mental Health Authority, serving a population of 1.75 million county residents, has 726 patients enrolled in ACT, or 41 patients per 100,000 residents. Statewide, about 60 per 100,000 Michigan residents are enrolled in ACT, according to the state Department of Health and Human Services.

The mission of ACT is to treat patients at home and move them toward independence while avoiding hospitalization.

The multidisciplinary teams typically include mental health professionals, social workers and peer mentors who stay in close face-to-face contact with patients, making sure they stay on their medications and that their needs for food, shelter, work and social interaction are met.

Like all other health services in Norway, the cost is covered by taxpayers through the country's socialized health service. Severely mentally ill people in Norway also receive housing and financial support from the government.

"I had a community psychiatric nurse that came to visit once or twice a week," Hellesund said about her recovery that was aided by an ACT team. The nurse visits lasted for about a year, she said, but ACT treatment can continue as long as it is needed.

"We’d just go to the local shop, if that’s what I needed to do, or we’d go for a walk, or just have a chat," Hellesund said.

Hellesund now works on an ACT team that includes two psychiatrists, two psychotherapists, six psychiatric nurses, a social worker and a vocational specialist.

"We do work together to cover all aspects that really a person needs to function in the society. There’s not much that we don’t do," Hellesund said, adding that she and other team members search the streets for patients if they disappear from their residences.

Wayne County has 12 ACT teams, each staffed by a psychiatrist, a licensed nurse or social worker, a case manager and a peer support specialist, said Dana Lasenby, chief clinical officer for the Detroit/Wayne Mental Health Authority.

When an unpublished study morphs into a health headline, you can pretty safely assume what you are about to read can be taken with a huge pinch of salt.

So when an insider.com article claims that “vegan diets lead to weight loss by boosting gut bacteria, researchers found” it’s pertinent to point out how little there is to actually know about the study in question, since it wasn’t a published paper but rather a conference abstract presented at the Annual Meeting of the European Association for the Study of Diabetes (16-20 September 2019).

Entitled “Changes in gut microbiota in response to a plant-based diet are related to changes in weight, body composition, and insulin sensitivity: What we do know?” was a preliminary investigation in which 147 participants (86% women and 14% men, average age mid-fifties) were randomized to either follow what the authors describe as a “low-fat vegan diet”, or continue with their habitual one.

Following the 16-week study, those in the vegan group lost an average of 5.8 kilos, due largely to a reduction in fat mass and visceral fat, and also had a significant improvement in insulin sensitivity. Alongside, the vegans had significant changes in the composition of their gut bacteria.

There’s no reason to have any particular, er, beef with the researchers who acknowledge the limitations of their study.

However, it’s simply not possible to attribute the improvements in body weight and metabolic health to the changes in gut microbial flora as implied by some of the media coverage.

For a start, the study was uncontrolled; the control group did not have their calorie intake restricted to match that the vegan group achieved. There's also no detail given us on the composition of the vegan diet, other than it was “low fat”, which might also read “less energy-dense”.

What we can say with a good degree of confidence was that is that it will have been this lower calorie intake (from eating low energy density food) that led to the weight loss, not the vegan-ness or otherwise of the diet.

Similarly, there’s no magic to the noted improvements in insulin sensitivity – weight loss will almost always produce an improvement in insulin sensitivity regardless of the type of diet eaten to achieve that weight loss.

In addition, the vegan diet will almost certainly have provided more fiber than the habitual diet, and it is this that will have led to the changes in gut bacteria (this general effect of fiber on gut microbes has been observed and studied many times before, so this is nothing new).

What the study does seem to illustrate, at least as much as it illustrates anything else, is that a calorie-restricted diet high in carbohydrates (presumably unrefined) is of benefit for people at risk of diabetes. That’s opposite to the misplaced public perception - fueled by the vociferous low carb high fat (LCHF) lobby – ­that high carbohydrate diets are the cause of diabetes.

The authors are promising to come back with a further study, which will separate out the positive effects of the reduced calories in the diet from those caused by the vegan composition of the diet.

This would involve comparing the effects of a vegan on the microbiome with a standard diet that is calorie-controlled. At that point, we may then at least be looking at a study from which some more informed observations could be made.

Sticking to the high-fat ketogenic diet is no easy feat. Say good bye to eating popcorn at the movies, or even sweet potatoes. The extremely low-carb plan eliminates many foods, making it difficult to follow long-term.

A new spinoff called "lazy keto," which as the name implies, requires less work, attempts to make the diet manageable. But followers likely won't experience any of the benefits of the diet and may gain weight or develop keto flu (more on that later).

Standard keto is based on ketosis, a process by which your body burns fat instead of carbohydrates as fuel. Sounds ideal, right?

The problem is that changing your metabolic state isn't easy. Achieving ketosis requires consuming the majority of your calories roughly—65 to 85 percent—in the form of fat, explains Melanie Boehmer, MS, RD, CDN, CISSN, and outpatient dietitian at Lenox Hill Hospital. About 20 percent of your calories are allotted to protein, and no more than 10 percent can come from carbohydrates.

Amounts are individual specific, but most people keep their carbs under 30 grams, says Boehmer. That’s the equivalent of about half a medium bagel.

Tracking the amount of protein, fat, and carbs in your meals can be tedious, which is why lazy keto emerged. Using this approach, dieters only monitor carb intake without considering the quantities of fat and protein they're consuming, according to Healthline.

The problem with lazy keto is that it's not actually keto.

"That [lazy keto] would be more of a modified Atkins diet," Liz Weinandy, M.P.H., R.D. at The Ohio State University, tells Men's Health.

Compared to keto, the Atkins diet restricts carb intake depending on weight loss goals. The entire diet isn't centered around maintaining ketosis, which is a complicated process.

"Ketosis is not just a matter of paying attention to your carbohydrates," Boehmer tells Men's Health. Eating too much protein can also prevent you from entering fat-burning mode, she says.

Or you could continually drift in and out of the metabolic state, which makes you susceptible unpleasant side effects–like fatigue and constipation–for longer periods of time. People call this the keto flu, and symptoms pop up in the first few days as your body adjusts to your new way of eating. Normally, the flu subsides within a couple of weeks–if you stay in ketosis.

Practiced incorrectly, lazy keto may lead to weight gain if you're not monitoring overall food intake, says Weinandy.

"If you’re interested in doing the ketogenic diet, commit to doing the ketogenic diet," says Boehmer. Otherwise, you won't experience the benefits of ketosis, like stable blood sugar levels, says Boehmer.

If traditional keto is too restrictive, that's totally understandable. You can lose weight, increase energy levels, and improve overall health without eliminating food groups. If you're interested in keto but are hesitant to make the jump, speak to a dietitian who can develop a plan that suits your goals and lifestyle but doesn't feel like torture.

"It’s very, very hard to follow an extreme diet," says Weinandy.

In August, Enlightened brought us its keto collection, seven pints of ice cream containing less than one gram of sugar and one gram of net carbs per serving. Now, one month later, the company is going smaller, but keeping it cool and keto with Enlightened keto ice cream bars. At 180 to 190 calories, one gram (or fewer) of sugar, and only one gram of net carbs per bar, they seem like the type of mid-day snack or late-night dessert that'll satisfy your sweet tooth even when you're looking to stay low-carb. These bars are also an excuse to eat ice cream all year round (sure, we know Summer has officially ended, but it's good wherever, whenever).

The bars come in four flavors: Mint Chocolate Chip, Peanut Butter Chocolate Chip, Dark Chocolate, and Marshmallow Peanut Butter. An Enlightened Ice Cream rep told POPSUGAR that the response to the brand's keto collection pints blew them away. "Very early sales data shows us, in only two weeks, Enlightened keto collection flavors became our bestsellers," the rep said. "We sell over 1,200 pints a day on our site alone. Not only that, but we continue to see an outpouring of gratitude, excitement, and support from Enlightened fans, new and old, who are thrilled to have this as an option." Because of this response — people just love to have keto treats — Enlightened is excited to introduce the keto bars (and so are, we presume, keto followers).

You can now purchase the new keto bars on EatEnlightened.com in four-packs ($48) and eight-packs ($68). You can also find them in select stores, such as Weis, Kings, Shoprite, Fairway, Bristol Farms, and more for about $6 per box. Ahead, check out the nutritional info for each flavor. Note: to calculate net carbs on the keto diet, most fiber and sugar alcohols can be subtracted, which is where the one gram of net carbs per Enlightened keto bar comes from. Get ready to enjoy!

Pre-workout supplements developed to improve your athletic performance and provide an additional "boost" during exercise have actually become the rage among gym-goers, fitness instructors, bodybuilders, and professional athletes. As sales of sports nutrition supplements continue to escalate, racking up sales in excess of $41 billion1 every year, lots of fitness specialists have begun to question whether these pre-workout products in fact work or are all just buzz?

About the Supplements Industry

Manufacturers of pre-workout supplements, like those that produce vitamins, diet tablets, and other nutriceuticals, are mostly uncontrolled by the U.S. Food and Drug Administration (FDA). As such, they are not strained by the extensive research standards needed of pharmaceutical drug producers.

Even the basic aspirin you take has gone through (and continues to undergo) extensive testing to evaluate how safe and efficient it is within different populations and under different medical circumstances. None of this is needed of supplements which are not categorized as drugs per se however are rather put under a special food category.

While the FDA supplies labeling and marketing guidance (mostly telling producers what not to say), just the most outrageous claims tend to be challenged by the regulators. By and large, the suggestion of advantages-- including how well a supplement will improve your performance, mood, or health-- is rarely challenged even if there is little evidence to support the claims.

This is not to suggest that many of the supplements on the market are anything less than advantageous; many are. Rather, it recommends that you take some time to research a product and not take a producer's word at face worth.

Breaking Down the Ingredients

Pre-workout supplements typically contain a proprietary mix of components. While manufacturers will consistently insist that their special mix is accountable for the energy increase, there is usually it is one active ingredient and one ingredient alone responsible for the buzz: caffeine.

Not remarkably, pre-workout supplements are packed with it. In fact, some top-selling brands include around 400 milligrams (mg) per dose. That's equal to drinking 4 cups of coffee prior to an exercise. Lots of leading brands vary anywhere from 150 mg to 300 mg per dosage.

Pre-workout supplements include other components that bodybuilders and professional athletes regularly rely on, consisting of creatine, L-arginine, Betaine, taurine, and β-alanine. Others include guarana, a plant-based stimulant which consists of two times the amount of caffeine per gram compared to coffee beans.2.

While there is evidence supporting making use of some of the active ingredients, others are supported by anecdotal, rather than empirical, evidence.

Caffeine

Irrespective of exercise, caffeine is known to increase a person's metabolic rate, improve endurance, and lower tiredness.3 It likewise stimulates the main nervous system, enhancing brain function for a more productive and reliable workout.

For best outcomes, caffeine dosages should be consumed in low to moderate doses (around 3 grams per kg of body weight). For an individual weighing 150 pounds (68 kgs), that equates to approximately 200 mg or two cups of coffee.

Creatine

Creatine is among the most popular bodybuilding supplements and one backed by an increasing body of proof. Creatine is manufactured from amino acids and focused in muscle tissues to make it possible for quick bursts of energy, like running or powerlifting.

According to a review of studies released in the Journal of the International Society of Sports Nutrition, creatine supplementation is effective in promoting muscle development, strength, and performance throughout high-intensity interval training (HIIT).4.

The suggested creatine dosage is 5 grams taken incrementally over a 5- to 7-day cycle, with a time out of 7 to 14 days prior to the cycle starts once again. Many experts recommend taking creatine as a private supplement to much better control your intake.

L-Arginine

L-arginine becomes part of the branch-chained amino acids necessary for protein synthesis. L-arginine is likewise central to producing nitric oxide, a compound which relaxes your blood vessels for better blood flow and oxygen exchange.5 Despite these metabolic functions, there is little scientific proof to support claims that supplements can enhance athletic performance.

β-alanine

β-alanine, likewise called beta-alanine, is a naturally happening amino acid produced in your liver that promotes nerve Nitro Strength Supplement signal function. Some research studies have actually recommended that supplementation may delay the beginning of neuromuscular fatigue and enhance athletic performance.6.

On the drawback, the supplement can in some cases overstimulate afferent neuron, causing tingling experiences called paresthesia. Since the occurrence of this adverse effects can differ by dose, it is typically much better to take a private supplement or a multi-supplement in tablet kind to much better control intake.

Taurine

Taurine is among the most plentiful amino acids discovered in the brain, muscles, and organ tissues. It works as a neurotransmitter, supporting cell membranes and managing the transportation of nutrients throughout the body.

While taurine is important to keeping metabolic function, there is contrasting proof regarding the role supplementation plays in enhancing athletic efficiency. According to research published in the Journal of Strength and Conditioning, the integrated usage of taurine and caffeine might actually accelerate, instead of hold-up, muscle fatigue.7.

Betaine

Betaine is an amino acid that helps procedure fat and preserves typical liver function. A little research study performed in 2013 recommended that betaine supplements enhanced body structure, muscle size, and work capacity in 23 individuals who underwent a six-week course of bench press and back squat training.8 While improving power, betaine supplementation did not appear to increase strength.

In the end, all of the marketing buzz surrounding pre-workout supplements can be credited to caffeine. While it might seem handy to integrate all of your workout supplements in one scoop, you can usually spend less and get more by purchasing the supplements individually.

As for caffeine, enjoy it with small amounts. While overuse may assist you bulldoze your way through an exercise, it can likewise promote fluid loss and cause dehydration. Similar to any supplement you take, it is best to run the components by your doctor to ensure that the benefits outweigh the dangers.

Slimming down is typically at the forefront of lots of people's minds at the start of the year. But if weight-loss was your objective for 2019, possibilities are that by now, you've most likely already experienced some obstacles.

Due to the fact that sticking to a rigorous calorie controlled diet plan is not a simple job in modern environments-- where tasty and high energy foods are appealing and easily offered, that's.

Dieting is likewise made particularly difficult by our body's quick action to reductions in food intake however opposing lack of action to overeating.

This will be a familiar experience for many who have experienced practically immediate boosts in appetite when dieting.

Most individuals will likewise have actually experienced how simple it is to overindulge during vacation periods or other events.

A main dish meal at a UK complete restaurant, for instance, is most likely to contain more than half of the calories required for a whole day.

Overeating not spotted

Our recent research study has shown that overindulging is improperly discovered in human beings, even when energy intake is increased to supply an excess of more than 1,000 calories daily.

In this study, overindulging with 150 percent of the required daily calories did not alter the appetite of individuals.

We checked for this by looking at appetite scores and levels of particular hormonal agents known to manage hunger, in addition to inspecting the food consumption of individuals during the next day.

Our findings demonstrated how the body fails to get used to account for these additional calories.

This makes good sense from an evolutionary point of view since in environments with minimal access to food, overeating when food was available to our forefathers would increase their opportunities of survival by keeping them fuelled till food was offered once again.

Due to the fact that brief periods of accidental overindulging can be sufficient to trigger weight gain or hinder weight loss, this reveals that being conscious of calorie consumption is essential.

Certainly, some evidence suggests that boosts in body weight throughout the festive period are maintained throughout the remainder of the year. And may likewise be responsible for incremental yearly increases in body weight.

Likewise, overindulging on a weekend can quickly counteract a strict diet that is kept on weekdays.

However understanding how simple it is to eat way too much does not indicate that weight-loss can't be accomplished. In fact, understanding this can aid with weight-loss-- by being more knowledgeable about dietary options.

Despite our body's predisposition for weight gain, proper diet plan and way of life changes will preserve and produce weight reduction if this is the desired aim.

Workout might frequently be ignored as individuals look for "the best diet plan for weight loss". But getting active still remains crucial if you wish to reduce weight-- and particularly for keeping weight-loss over prolonged amount of times.

Workout can assist and match dietary modifications to minimise the boosts in appetite experienced from dieting alone.

This is since exercise does not cause a boost in appetite to the very same extent as dieting, despite also producing an energy deficit for weight-loss.

In truth, hunger is reduced when working out intensely, which may assist to ward off appetite pangs while increasing the energy deficit.

The value of exercise for keeping weight loss was also just recently highlighted with participants from the United States televised weight reduction competition, The Biggest Loser.

How to drop weight, it's a question asked by numerous. It's a message as old as time. "Exercise more, eat less, and you'll lose weight." We've heard it from medical professionals, signed up diet professionals, and nutritional companies who genuinely think that calories are the only reason our weight fluctuates up and down. In all reality, it's a bit more complex than that.

The reality is that various foods influence hormones and appetite in numerous methods, which implies that all calories are NOT developed equivalent. In reality, all of that calorie counting you may be doing in an attempt to reduce weight isn't even required. Here are numerous proven ways to put your weight-loss on autopilot and start slimming down without keeping track of calories.

Studies have revealed time and time again that people who stay away from refined, easy carbs automatically take in less calories, which begin weight loss without a lot of effort.

In a research study by the University of Cincinnati in 2009, 53 overweight women were randomly put in a calorie-restricted, low-fat group or a low-carb group for 6 months. While the calorie restricted, low-fat group lost around 8.6 lbs. (3.9 kg), the females in the low-carb group lost 18.7 pounds. (8.5 kg). Merely by consuming up until they were full, the low-carb group lost two times as much weight.

If you require assistance cutting out carbohydrates, start by getting rid of unfavorable carbs (sodas, sugars, sweets, and starchy foods) from your diet. This consists of bread, potatoes, and pasta. If you can't envision a diet without these things, make much healthier options. For instance, go with sweet and red potatoes over spuds, select whole-grain bread and pasta, just eat them in small amounts.

By decreasing your everyday carbohydrate consumption to around 100-150 grams per day, you'll begin to see outcomes. To slim down even much faster, cut down your carbs to less than 50 grams each day.

While you're getting rid of carbs, change them with protein.

This is particularly real at breakfast. In a 2005 research study, 30 obese ladies were offered either eggs or bagels for breakfast. When lunch rolled around, the ladies who consumed eggs for breakfast consumed less calories. This continued throughout the day, along with for the next 36 hours. Basically, the eggs did such a great task of filling them up that they consumed less calories instantly at later meals.

In a second research study conducted in 2008 by a different group of researchers, 152 obese women and males were divided into 2 groups for eight weeks.

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There are many supplements out there that have stopped working to perform immediate action. This is why users do not trust them any longer. Nevertheless, Keto Fit Pro shows you results instantly. You can expect to see the results in a few months however the starting results show up in the very first 4 weeks.

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On the off possibility that you are attempting to get fit as a fiddle and searching for the sound mentally encouraging network, it is one of the perfect keto diet supplements which offer you incredible assistance and promising changes in your body. Be that as it might, in the commercial center we have different options to choose as ketogenic diet plan supplements, yet we require a strong plan that takes in and decreases sugars fat for vitality.

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What Are The Keto Fit Pro Ingredients?

This is the area we continued facing our very first cautioning: we might simply discover among the Keto Fit Pro Ingredients. That is BHB Ketones. Beyond question, they're most likely our most treasured fixing to find in a keto tablet, notwithstanding all that we expected to perceive what else is in here.

Analyze the back of the container if you do go for a holder of Keto Fit Pro Diet Pills. Twofold check those fixings to guarantee there's nothing fishy in there. It's basic to view what you're putting in your body.

Also, that genuinely drives us enjoyably into the possible Keto Fit Pro Side Effects.

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The frequently welcomed 'cheat day' as a common theme in lots of diets and the popular ketogenic diet plan is no exception. Researchers discovered that a 75-gram dose of glucose is equivalent to a large bottle of soda or a plate of fries.

"The ketogenic or keto diet plan has actually become extremely typical for weight loss or to handle illness like type 2 diabetes. It consists of consuming foods abundant in fats, moderate in protein, but very low in carbohydrates and it triggers the body to go into a state called ketosis," stated Jonathan Little, associate professor in the School of Health and Exercise Sciences at UBCO and study senior author of the study released in the journal, 'Nutrients'.

Little said the diet can be very reliable due to the fact that once the body remains in ketosis and starved for its preferred fuel glucose, the body's chemistry modifications and it starts to aggressively burn its fat shops. This causes weight loss and can reverse the signs of diseases like Type 2 diabetes.

"We were interested in discovering out what takes place to the body's physiology when a dose of glucose is reestablished. Considering that impaired glucose tolerance and spikes in blood sugar levels are understood to be connected with an increased risk in cardiovascular disease, it made sense to take a look at what was happening in the capillary after a sugar hit," said Cody Durrer, UBC Okanagan doctoral student and study the first author.

For their test, the scientists hired 9 healthy young males and had them take in a 75-gram glucose beverage prior to and after a seven-day high fat, low carbohydrate diet plan. The diet consisted of 70 per cent fat, 10 per cent carbohydrates, and 20 per cent protein, similar to that of a modern ketogenic diet.

"We were originally trying to find things like an inflammatory reaction or minimized tolerance to blood sugar. What we found rather were biomarkers in the blood recommending that vessel walls were being harmed Alka Tone Keto by the sudden spike in glucose," stated Durrer.

Little said the most likely perpetrator for the damage is the body's own metabolic response to excess blood sugar level, which causes capillary cells to shed and potentially die.

The Alkatone Keto tablets and pills are referred to as the very best Keto combination with natural supplements. Because the formula is based on Keto philosophy, it basically assists individuals get a natural balance of protein, and carbohydrate, with a more concentrated fat-based diet plan.|There are great deals of individuals who are having a hard time difficult to lose weight. They have asked continually about a potent weight-loss supplement for Keto.

"Even though these were otherwise healthy young males when we looked at their capillary health after consuming the glucose drink, the outcomes looked like they may have come from somebody with poor cardiovascular health. It was somewhat alarming," added Little.

The scientists pointed out that with only nine people consisted of in the study, more work is required to validate their findings, however that the results should provide those on a keto diet time out when thinking about a cheat day.

"My concern is that much of individuals going on a keto diet plan-- whether it's to lose weight, to treat Type 2 diabetes, or some other health reason-- may be undoing some of the positive influence on their blood vessels if they all of a sudden blast them with glucose. Particularly if these individuals are at a higher threat for heart disease in the first place," he said.