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#masthead-section-label, #masthead-bar-one cheap levitra pills { display. None }The erectile dysfunction Outbreakerectile dysfunction treatment Updateserectile dysfunction Map and CasesFAQ cheap levitra pills. Delta VariantDelta Variant MapRisks in SchoolAdvertisementContinue reading the main storySupported byContinue reading the main storyShould I Mask?. Can cheap levitra pills I Travel?. What About cheap levitra pills Hugs?.

How Delta Is Changing Advice for the VaccinatedThe rise of the Delta variant of the erectile dysfunction has raised new questions about how the vaccinated can stay safe and avoid breakthrough s. We asked cheap levitra pills the experts for advice.Credit...Getty ImagesAug. 3, 2021阅读简体中文版閱讀繁體中文版Leer en españolFor the vaccinated, it cheap levitra pills was supposed to be a worry-free, “hot vax” summer of socializing and fun. But the rise of the highly infectious Delta variant has spoiled those plans.While the treatments remain remarkably protective against erectile dysfunction treatment, especially against serious illness, headlines about breakthrough s and new recommendations that vaccinated people should sometimes wear masks have left many people confused and worried.While new research shows vaccinated people can become infected and carry high levels of the erectile dysfunction, it’s important to remember that those cases are rare, and it’s primarily the unvaccinated who get infected and spread the levitra.“If you’re vaccinated, you’ve done the most important thing for you and your family and friends to keep everyone safe,” Gregg Gonsalves, assistant professor of epidemiology at the Yale School of Public Health, said. €œThere’s substantially more freedom for people who cheap levitra pills are vaccinated, but the idea that everything is the same as the summer of 2019 is not the case.”As long as large numbers of people remain unvaccinated, vaccinated people will be exposed to the Delta variant.

Parents have the added worry cheap levitra pills that children under 12 probably won’t be eligible for vaccination until well into the fall. As a result, every vaccinated person should consider a safety checklist to help minimize the risk of becoming infected and spreading the levitra to others.Am I sure the people I’m with are vaccinated?. Are they symptom-free? cheap levitra pills. What are cheap levitra pills the vaccination and case count rates in my community?. What is my risk, and the risk of those around me, for complications of erectile dysfunction treatment?.

We asked the experts 10 questions about how vaccinated people should adjust their lives cheap levitra pills and behaviors during the Delta surge. Here are their answers.New Guidance for the VaccinatedIf I’m vaccinated, why do cheap levitra pills I need to worry about Delta?. What’s the real risk of a breakthrough after vaccination?. When should I wear cheap levitra pills a mask?. Should I upgrade my mask? cheap levitra pills.

What’s the risk of hanging out with my vaccinated friends and family?. Can I still dine cheap levitra pills at restaurants?. Is it safe cheap levitra pills to travel?. Should I skip the peanuts and water and keep my mask on?. How safe are buses, subways and trains for vaccinated cheap levitra pills people?.

Can I hug cheap levitra pills and visit older relatives?. What about unvaccinated children?. How do I know if I have the Delta cheap levitra pills variant?. If I’m cheap levitra pills vaccinated, why do I need to worry about Delta?. No treatment offers 100 percent protection.

Think of treatment antibodies like a cheap levitra pills sea wall designed to protect a town from a storm surge, says Erin Bromage, a comparative immunologist and biology professor at the University of Massachusetts, Dartmouth. Most of the time, the wall stands up to the pounding cheap levitra pills waves, but a hurricane might be forceful enough to allow some water to get through. Compared with earlier forms of the levitra, Delta is like a viral hurricane. It’s far more infectious and presents a bigger challenge to even a vaccinated immune system.“Vaccinations give cheap levitra pills you that extra protection you wouldn’t normally have,” Dr. Bromage said cheap levitra pills.

€œBut when you hit a big challenge, like getting near an unvaccinated person who has a high viral load, that wall is not always going to hold.”The good news is the current crop of treatments available in the United States are doing a remarkable job of protecting people from serious illness, hospitalization and death. More than 97 percent of those hospitalized with erectile dysfunction treatment cheap levitra pills are unvaccinated. And new data from Singapore shows that even when vaccinated patients are hospitalized with cheap levitra pills Delta breakthrough s, they are far less likely to need supplemental oxygen, and they clear the levitra faster compared with unvaccinated patients.What’s the real risk of a breakthrough after vaccination?. Breakthrough s make headlines, but they remain uncommon. Although the cheap levitra pills Centers for Disease Control and Prevention stopped tracking all breakthrough cases in May, about half of all states report at least some data on breakthrough events.

The Kaiser Family Foundation recently analyzed much of the state-reported data and found that breakthrough cases, hospitalizations and deaths are extremely rare events among those who are fully cheap levitra pills vaccinated against erectile dysfunction treatment. The rate of breakthrough cases reported among those fully vaccinated is “well below 1 percent in all reporting states, ranging from 0.01 percent in Connecticut to 0.29 percent in Alaska,” according to the Kaiser analysis..css-1xzcza9{list-style-type:disc;padding-inline-start:1em;}.css-3btd0c{font-family:nyt-franklin,helvetica,arial,sans-serif;font-size:1rem;line-height:1.375rem;color:#333;margin-bottom:0.78125rem;}@media (min-width:740px){.css-3btd0c{font-size:1.0625rem;line-height:1.5rem;margin-bottom:0.9375rem;}}.css-3btd0c strong{font-weight:600;}.css-3btd0c em{font-style:italic;}.css-w739ur{margin:0 auto 5px;font-family:nyt-franklin,helvetica,arial,sans-serif;font-weight:700;font-size:1.125rem;line-height:1.3125rem;color:#121212;}#NYT_BELOW_MAIN_CONTENT_REGION .css-w739ur{font-family:nyt-cheltenham,georgia,'times new roman',times,serif;font-weight:700;font-size:1.375rem;line-height:1.625rem;}@media (min-width:740px){#NYT_BELOW_MAIN_CONTENT_REGION .css-w739ur{font-size:1.6875rem;line-height:1.875rem;}}@media (min-width:740px){.css-w739ur{font-size:1.25rem;line-height:1.4375rem;}}.css-9s9ecg{margin-bottom:15px;}.css-uf1ume{display:-webkit-box;display:-webkit-flex;display:-ms-flexbox;display:flex;-webkit-box-pack:justify;-webkit-justify-content:space-between;-ms-flex-pack:justify;justify-content:space-between;}.css-wxi1cx{display:-webkit-box;display:-webkit-flex;display:-ms-flexbox;display:flex;-webkit-flex-direction:column;-ms-flex-direction:column;flex-direction:column;-webkit-align-self:flex-end;-ms-flex-item-align:end;align-self:flex-end;}.css-12vbvwq{background-color:white;border:1px solid #e2e2e2;width:calc(100% - 40px);max-width:600px;margin:1.5rem auto 1.9rem;padding:15px;box-sizing:border-box;}@media (min-width:740px){.css-12vbvwq{padding:20px;width:100%;}}.css-12vbvwq:focus{outline:1px solid #e2e2e2;}#NYT_BELOW_MAIN_CONTENT_REGION .css-12vbvwq{border:none;padding:10px 0 0;border-top:2px solid #121212;}.css-12vbvwq[data-truncated] .css-rdoyk0{-webkit-transform:rotate(0deg);-ms-transform:rotate(0deg);transform:rotate(0deg);}.css-12vbvwq[data-truncated] .css-eb027h{max-height:300px;overflow:hidden;-webkit-transition:none;transition:none;}.css-12vbvwq[data-truncated] .css-5gimkt:after{content:'See more';}.css-12vbvwq[data-truncated] .css-6mllg9{opacity:1;}.css-qjk116{margin:0 .css-qjk116 strong{font-weight:700;}.css-qjk116 em{font-style:italic;}.css-qjk116 a{color:#326891;-webkit-text-decoration:underline;text-decoration:underline;text-underline-offset:1px;-webkit-text-decoration-thickness:1px;text-decoration-thickness:1px;-webkit-text-decoration-color:#326891;text-decoration-color:#326891;}.css-qjk116 a:visited{color:#326891;-webkit-text-decoration-color:#326891;text-decoration-color:#326891;}.css-qjk116 a:hover{-webkit-text-decoration:none;text-decoration:none;}Understand the Delta VariantWhat We Know. The variant is spreading rapidly worldwide and fueling new outbreaks in the U.S., mainly among the unvaccinated cheap levitra pills. Here’s what scientists understand about cheap levitra pills it so far. Guidance for the Vaccinated.

The rise of the Delta variant of the erectile dysfunction cheap levitra pills has raised new questions about how the vaccinated can stay safe and avoid breakthrough s. We asked the experts cheap levitra pills for advice.Who is Being Hospitalized. People with compromised immune systems and the unvaccinated make up a high percentage of patients who end up in the hospital in N.Y.C.Delta Variant Map. The patchwork nature of the erectile dysfunction vaccination campaign in the United States has left people in many parts cheap levitra pills of the country still vulnerable to the levitra and the fast-spreading DeltaDelta and Schools. Classrooms are opening their doors to a different cheap levitra pills levitra.

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100%. } }But many breakthrough s are probably never reported because people who are infected don’t have symptoms or have mild symptoms that end before the person even thinks about being tested.“Breakthrough s are pretty rare, but unless we have a population-based sample we don’t know the level of rarity,” said Dr. Asaf Bitton, executive director of Ariadne Labs at Brigham and Women’s Hospital and the Harvard T.H. Chan School of Public Health in Boston. €œA lot of people with mild scratchy throat for a couple days may have had them, but we don’t know.

It’s not a failure of the treatment that we’re having breakthrough cases. It’s been estimated that we’ve staved off 100,000 to 200,000 deaths since the treatment campaign started.”What is clear is that the risk of a breakthrough increases the more opportunities you give Delta to challenge the wall of protection conferred by your treatment. Big crowded events — like a July 4 celebration in Provincetown, Mass., or the packed Lollapalooza concert in Chicago — pose a much greater risk that a vaccinated person will cross paths with an infected person carrying a high viral load.“The more people you put yourself in contact with, the more risk you have, but it also depends on the local climate of risk,” Dr. Gonsalves said. €œSoon we’ll probably see a Lollapalooza outbreak.

All these people crushed together is an ideal situation for the spread of Delta.”When should I wear a mask?. The C.D.C. Has a color-coded map of erectile dysfunction treatment outbreaks in the United States. Blue and yellow zones show relatively low levels of s, while orange and red zones indicate areas where cases in the past week were above 50 cases per 100,000 people. The agency advises people to wear masks if they live in an orange or red zone — which now accounts for about 80 percent of the counties in the United States. numbers remain relatively low in much of the Northeast and Upper Midwest, while Delta has caused huge spikes in cases in Missouri, Arkansas, Louisiana and Florida.The problem with the map is that case counts are changing rapidly and may surge in your local community before the map has changed colors.

Even if you’re certain you’re living in a highly vaccinated community with very low case counts, it makes sense to consider the case counts and vaccination rates in nearby communities as well, because people — and levitraes — cross state and county boundaries all the time.The erectile dysfunction Outbreak ›Latest UpdatesUpdated Aug. 6, 2021, 7:54 p.m. ETFlorida governor doubles down on his policies as erectile dysfunction treatment cases surge.treatment reduces risk of even in people who already had erectile dysfunction treatment, the C.D.C. Says.An Arkansas judge temporarily blocks the state’s ban on mask mandates.Most experts agree that you don’t need to wear a mask outdoors if you’re not in a crowd and have plenty of distance (at least six feet) from people whose vaccination status isn’t known. It’s still risky to attend a packed outdoor concert, but if you do, wear a mask.“I would still suggest wearing a mask if you are indoors with people whose vaccination status you don’t know, especially if you will be within a few feet of them for any amount of time, or if you will be in the room for a long period of time with those people,” said J.

Alex Huffman, an aerosol scientist and associate professor of chemistry and biochemistry at the University of Denver. €œI don’t wear a mask indoors in all situations now, because I’m fully vaccinated, but I put my N95 mask on whenever I go into indoor public spaces.”Should I upgrade my mask?. You will get the most protection from a high-quality medical mask like an N95 or a KN95, although you want to be sure you have the real thing. A KF94 is a high-quality medical mask made in Korea, where counterfeits are less likely. If you don’t have a medical mask, you still get strong protection from double masking with a simple surgical mask under a cloth mask.

A mask with an exhale valve should never be worn, since it allows plumes of viral particles to escape, and counterfeit masks may have faulty valves that let germs in.You may want to pick your mask based on the setting. A cloth mask may be adequate for a quick trip into an empty convenience store in an area with high vaccination rates. But a higher-quality mask makes sense during air travel or in a crowded grocery store, especially in communities where vaccination rates are low and case counts are high. Masks with straps or ties around the back of the head seal more tightly than masks with ear loops.“All the mitigation efforts we used before need to be better to hold off the Delta variant, and this includes masks,” Dr. Huffman said.

€œI strongly encourage people to upgrade their mask to something with high filter quality and something that fits tightly to their face. The No. 1 factor, in my opinion, is to make sure the mask is sealed well all around the edges — over the nose bridge, by the cheeks and under the chin. So any mask that fits tightly is better than almost any loosefitting mask.”What’s the risk of hanging out with my vaccinated friends and family?. Vaccinated people are at very low risk when they spend time, unmasked, with their vaccinated friends and family members.

€œI don’t think mask-wearing is critical,” Dr. Huffman said. €œIf you are indoors with a small number of people you know are vaccinated, wearing a mask is low on my list of worries.”But some circumstances might require extra precautions. While it’s unusual for a vaccinated person to spread the levitra to another vaccinated person, it’s theoretically possible. A vaccinated friend who is going to crowded bars, packed concerts or traveling to a erectile dysfunction treatment hot spot is a bigger risk than someone who avoids crowds and spends most of their time with vaccinated people.With the Delta variant spreading, Dr.

Bitton suggests an “outdoor first” strategy, particularly for families with unvaccinated children or family members at high risk. If you can take your event outside to a backyard or patio this summer and minimize your time indoors, you lower your risk.Spending time with smaller groups of vaccinated friends has less risk than attending a big party, even if you believe everyone at the party is vaccinated. If you’re indoors, open the windows to improve ventilation. If someone in the group is at very high risk because of age or because they are immunocompromised, it’s reasonable to ask even vaccinated people to be tested before a visit. A simple rapid home test can even be offered to guests to be sure everyone is erectile dysfunction treatment-free.Can I still dine at restaurants?.

The answer depends on local conditions, your tolerance for risk and the personal health of those around you. Risk is lowest in communities with high vaccination rates and very low case counts. A restaurant meal in Vermont, where two-thirds of the population is vaccinated, poses less risk than an indoor meal in Alabama or Mississippi, where just one-third of the residents are vaccinated.Parents of unvaccinated children and people with compromised immune systems, who studies show may get less protection from treatments, may want to order takeout or dine outdoors as an added precaution.Is it safe to travel?. Should I skip the peanuts and water and keep my mask on?. Airplanes are typically well ventilated and not a major source of outbreaks, but taking precautions is still a good idea.

The potential for exposure to an infected person may be even higher in the terminal, sitting in airport restaurants and bars, or going through the security line. In airplanes, air is refreshed roughly every two to three minutes — a higher rate than in grocery stores and other indoor spaces. While airlines still require passengers to wear masks, people are allowed to remove them to drink water or eat.To prevent air from circulating to everyone throughout the cabin, airplane ventilation systems keep airflow contained to a few rows. As a result, an infected passenger poses most risk to those sitting in the seats in the immediate area. Watch this simulation to see what happens when someone sneezes on an airplane.Most experts say that they use a high-quality medical mask, like an N95 or KF94, when they fly.

If you don’t have one, double masking is advised. For a vaccinated person, the risk of removing a mask briefly to eat or drink during a flight is low, but it’s better to keep it on as much as possible. The C.D.C. Says it’s best for unvaccinated people, including children, to avoid flying.Dr. Bromage said he recently traveled by air and took his mask off briefly to drink a beverage, but kept it on for most of the flight.

He said he would be more comfortable removing his mask to eat if he knew the people next to him were vaccinated. He said he would be more concerned if the person next to him didn’t seem to care about erectile dysfunction treatment precautions or wore the mask under the nose. €œIf you’ve got a random person next to you, especially a chatty person, I’d keep the mask on,” he said.How safe are buses, subways and trains for vaccinated people?. Most buses, trains and subways still require everyone to wear a mask, which lowers risk. While vaccinated people are well protected, the risk of viral exposure increases the longer the ride and the more crowded the train car or bus.

For many people, riding public transit is essential for getting to work or school, and wearing a well-fitted medical mask or double mask is recommended. When public transit is optional, the decision about whether to ride should factor in local vaccination rates and whether case counts are rising.Can I hug and visit older relatives?. What about unvaccinated children?. While it’s generally considered safe for vaccinated people to hug and spend time together unmasked, parents of unvaccinated children have more risks to consider, particularly when visiting older relatives. In communities with low case counts and high vaccination rates, it’s generally considered safe for unvaccinated children from a single household to spend time with vaccinated grandparents.

But as the Delta variant spreads and children return to school, the risks of close contact also increase for older or immune-compromised people who are more vulnerable to complications from erectile dysfunction treatment, even if they’re vaccinated.When families plan a visit to a high-risk relative, it’s a good idea to minimize other exposures, avoiding restaurant dining or working out at the gym in the week leading up to the visit. Even though the risk of a vaccinated person spreading erectile dysfunction treatment remains low, vaccinated grandparents should also reduce their personal exposure when they spend time with unvaccinated children.“I have not been masking up indoors with my octogenarian parents at this point, because I am still very careful in the way I wear masks in public settings,” Dr. Huffman, the aerosol scientist, said. €œBut if I had more interactions that increased my overall risk of exposure, I would strongly consider masking up when indoors with vulnerable individuals.”Rapid home tests are an added precaution when visiting grandparents or an immune-compromised family member. Take a test a few days before the visit as well as the day of the visit.

You can learn more about home testing here.Home tests are “a wonderful option for people with a little more anxiety right now in regards to the levitra,” Dr. Bromage said. €œWhat we’re doing is buying those, and each and everyone tests before they come together — literally right before we’re together. When everyone is clear, you can enjoy that time together.”How do I know if I have the Delta variant?. If you’re diagnosed in the U.S.

With erectile dysfunction treatment, the odds are overwhelming that you have the Delta variant. The C.D.C. Now estimates that Delta accounts for more than 82 percent of cases in the United States. The Delta variant has become dominant in other countries as well. In late July the World Health Organization said Delta accounted for 75 percent or more of the cases in many countries, including Australia, Bangladesh, Botswana, China, Denmark, India, Indonesia, Israel, Portugal, Russia, Singapore, South Africa and the U.K.That said, standard erectile dysfunction treatment tests won’t tell you if your was caused by the Delta variant or another variant of the levitra.

While health departments may use genomic sequencing to identify levels of different variants in a community, this information typically isn’t shared with individuals. You still need to isolate and seek medical advice if you have low blood oxygen levels, have trouble breathing or have other worrisome symptoms. You can learn more about when to seek medical advice here.AdvertisementContinue reading the main storyAdvertisementContinue reading the main storySupported byContinue reading the main storyAsk WellHow Do I Know if I Have Adult A.D.H.D.?. The signs and symptoms that you might need an evaluation.Credit...Getty ImagesAug. 6, 2021Q.

How common is adult A.D.H.D.?. What are the symptoms and is it possible for someone who was not diagnosed with it as a child to be diagnosed as an adult?. A. Attention deficit hyperactivity disorder, or A.D.H.D., is a neurodevelopmental disorder often characterized by inattention, disorganization, hyperactivity and impulsivity.It is one of the most common mental health disorders. According to the World Federation of A.D.H.D., it is thought to occur in nearly 6 percent of children and 2.5 percent of adults.In the United States, 5.4 million children, or about 8 percent of all U.S.

Children ages 3 to 17, were estimated to have A.D.H.D. In 2016, the Centers for Disease Control and Prevention reported.For decades, experts believed that A.D.H.D. Occurred only among children and ended after adolescence. But a number of studies in the ’90s showed that A.D.H.D. Can continue into adulthood.

Experts now say that at least 60 percent of children with A.D.H.D. Will also have symptoms as adults.It’s not surprising that so many people are now wondering whether they might have the disorder, especially if their symptoms were exacerbated by the levitra. The Attention Deficit Disorder Association, an organization founded in 1990 for adults with A.D.H.D, saw its membership nearly double between 2019 and 2021. In addition, Children and Adults With Attention-Deficit/Hyperactivity Disorder, or CHADD, reported that the highest proportion of people who call their A.D.H.D. Help line are adults seeking guidance and resources for themselves.What is adult A.D.H.D.?.

Childhood A.D.H.D. Is often associated with fidgeting and difficulty sitting still. In adults, “typically the hyperactivity is less pronounced,” said Dr. Lidia Zylowska, a psychiatrist at the University of Minnesota Medical School and author of “The Mindfulness Prescription for Adult ADHD.”Adults with the disorder often struggle with lack of focus and disorganization, “the so-called executive function skills — planning, organizing, time management — basically, skills needed for ‘adulting,’” Dr. Zylowska added.When adults ignore tasks that require these skills, it can create chaos.

Bills pile up. Lateness at work can lead to being fired. Health appointments are delayed or neglected. Accidents happen.In educational and workplace settings, adults with untreated A.D.H.D. Often feel unmotivated and tend to have poor planning and problem-solving skills when an obstacle emerges, said Russell A.

Barkley, a clinical professor of psychiatry at Virginia Commonwealth University School of Medicine i and the author of “Taking Charge of Adult A.D.H.D.”“I call them time-blind,” Dr. Barkley added. €œThey just can’t manage themselves relative to time limits.”Kylie Barron, an A.D.D.A spokeswoman who has A.D.H.D., called it a “disorder of performance.” For her, this means “always unintentionally messing up, sticking your foot in your mouth and doing the wrong thing at the wrong time.”These concerns are common among those with A.D.H.D., Dr. Barkley said.“They set goals and they mean to accomplish them,” he added. And although they truly are sincere, they don’t usually follow through, especially when it comes to long-term aspirations, he said.Many adults with A.D.H.D.

Also have problems regulating emotions, and may display anger, impatience, an inability to get along at work, self-doubt and difficulty managing stress.With treatment and the right support, however, people with A.D.H.D. Can be highly successful.Can you be diagnosed with A.D.H.D. For the first time as an adult?. Yes, but adults who are diagnosed with A.D.H.D. Must have also experienced significant symptoms of the disorder before the age of 12, even if they were not formally diagnosed during childhood, according to the Diagnostic and Statistical Manual of Mental Disorders, or D.S.M.“There’s all kinds of reasons why people can get into adulthood without being diagnosed or detected,” Dr.

Barkely said.Girls, for example, are less likely to be diagnosed than boys, which is part of the reason the prevalence of A.D.H.D. Among women has typically been underrecognized, he added.In addition, the D.S.M. Criteria for the disorder is subjective, said Dr. Martin Teicher, a psychiatry professor and the editor of the Harvard Medical School guide on adult A.D.H.D. You have to draw some arbitrary distinctions about which behaviors happen “often,” he added.Some children who are extremely bright can “sneak under the wire” without their A.D.H.D.

Being detected because they are doing well academically, but they will generally have other problems like being very fidgety, Dr. Teicher said.How do you know for sure if you have it, and what does treatment look like?. A.D.H.D. Has a spectrum of severity levels and symptoms can become more (or less) pronounced in different environments.If you believe that you have adult A.D.H.D., you might consider using a screening tool. It isn’t meant to provide a diagnosis, however it can help you recognize the signs and symptoms of adult A.D.H.D.Afterward, it is essential to get a comprehensive evaluation from a clinician specializing in A.D.H.D.

This will help determine whether you have the disorder and a second (or third) one. As many as 50 percent of adults with A.D.H.D., for example, have an anxiety disorder.If there is more than one issue going on, “it may be difficult to tease out what is causing what,” Dr. Zylowska said. €œIt is important to take a developmental history and create a timeline of when A.D.H.D. Behaviors started.”The disorder tends to run in families, meaning that if one of your parents had A.D.H.D., there is a much higher likelihood that you might have it too.

One small study, for example, found that among parents of 79 children with A.D.H.D., 41 percent of mothers and 51 percent of fathers had the disorder.Typically, A.D.H.D. Is treated with stimulant medications like Adderall, however there are also non-stimulant medications like Strattera. People with A.D.H.D. Also use therapy, coaching, mindfulness-based training, nutritional interventions and exercise to manage their symptoms.What are some online resources for people with adult A.D.H.D.?. Education and self-compassion are both important parts of A.D.H.D.

Treatment. If you’re looking for a general overview of the disorder, the Centers for Disease Control and Prevention and the National Institute for Mental Health are good places to start.For a deeper dive, ADDitude Magazine has a wealth of articles about the disorder. And CHADD, the A.D.H.D. Advocacy organization, includes many offerings beyond its telephone help line, including online support groups and courses. Free webinars.

And a resource page for adults with A.D.H.D.A.D.D.A. Also offers online support groups, including one for the partners of people with A.D.H.D. And a “productivity powerhour,” where participants support one another in completing a specific goal. In addition, A.D.D.A. Has volunteer ambassadors who will give you a call to answer any questions you might have and offer support.If you are looking for a provider, both CHADD and A.D.D.A.

Have directories where you can search for a health care professional.Finally, people with A.D.H.D. Often have conflict in their romantic relationships and friendships. For relationship advice, check out the websites ADHD &. Marriage and ADHD Roller Coaster.Do you have a health question?. Ask Well.AdvertisementContinue reading the main story.

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AdvertisementContinue reading levitra discount the main storySupported byContinue reading the main storyWhen Your Job Harms Your Mental HealthNaomi Osaka advocated for http://www.em-gustave-dore-strasbourg.ac-strasbourg.fr/wp/?p=2263 her well-being at work. Here’s how you can too.Credit...Getty ImagesPublished June 2, 2021Updated June 4, 2021Listen to This ArticleTo hear more audio stories from publications like The New levitra discount York Times, download Audm for iPhone or Android.Haven’t we all been Naomi Osaka at some point in our lives?. OK, we may never know what it’s like to be the second-ranked woman in tennis, or the world’s highest-paid female athlete.But like the sports star, many of us have been stuck in situations that were detrimental to our mental health — at work or in our personal lives — feeling torn between societal expectations and self-preservation.Ms. Osaka chose to care for herself ahead of the French Open, when she announced she would not “do any press” because the news conferences could be damaging to the levitra discount mental health of the players.

True to her word, after winning her first-round match on Sunday, she skipped her postmatch news conference. As she later explained in an levitra discount Instagram post, she was feeling vulnerable and anxious, and press events give her “huge waves of anxiety.”Her decision to avoid the press did not go over well with tennis officials. Ms. Osaka was fined $15,000, and the leaders of the four Grand Slam tournaments levitra discount — the Australian, French and United States Opens, and Wimbledon — threatened to expel her from the French Open.Instead, Ms.

Osaka announced she would withdraw from the tournament. €œThe truth is that I levitra discount have suffered long bouts of depression since the U.S. Open in 2018 and I have had a really hard time coping with that,” she wrote in her social media post.Regardless of the type of work you do, your job can affect your mental health and vice versa. And like levitra discount Ms.

Osaka, you have choices when it comes to preserving and improving your well-being.“We would not fault her if she had a sprained ankle,” said Benjamin F. Miller, the chief strategy officer for Well Being Trust, a levitra discount national foundation focusing on mental health and well-being. €œBut when it comes to mental health — which we know is equally, if not more, important than your physical health — we have this arbitrary standard of what’s acceptable and what’s not.”A survey of over 5,000 employees conducted last year by the advocacy group Mental Health America found that 83 percent of respondents felt emotionally drained from work and 71 percent strongly agreed that the workplace affects their mental health. While the respondents were not representative of the general population — they most likely found the levitra discount survey when visiting the organization’s mental health screening tools — their responses show just how anxious some workers have become.Women and people of color may shoulder a disproportionate amount of emotional stress both in and outside of the workplace.

Women are at least twice as likely to have had depression as men, according to federal data. And Black people are less likely than non-Hispanic white people to receive treatment levitra discount for depression or prescription medications for mental health. A 2020 report from Lean In and McKinsey &. Company noted that Black women were less likely to get the support they needed to advance in their fields than white levitra discount women.Ms.

Osaka, who is of Black and Asian descent, acted admirably when she stood up for her needs, several mental health experts said. It can benefit all of us to be on the lookout for signs that we might need to make changes at work or get professional help, they added.Evaluate your feelings.“Everyone has some awareness of their baseline functioning levitra discount at work,” said Dr. Jessi Gold, a psychiatrist at Washington University in St. Louis.

So if you start to notice you’re losing interest in your job or your productivity plummets, it’s an indication that something is off, she said.For example, you might notice that you dread starting work each day, or you feel so anxious that you have trouble thinking about everything that you’re supposed to do. Perhaps your emails are piling up and you aren’t communicating with people as much as you typically would. If you’re feeling ineffective in your job, you may also start to engage in more negative self-talk, like. €œI’m no good at my job anyway.

I’m useless,” Dr. Gold said.An even bigger warning sign that work is affecting your mental health is if work tanks your mood to the point that it starts to damage your personal relationships, she added. For example, you might find that you’re picking more fights with your partner, becoming more irritated by your children or avoiding social activities in ways that you normally wouldn’t.Think about what might be causing these feelings. Is there one aspect of your job responsibilities that is causing most of your distress?.

Do you have an underlying health problem like depression that has not been treated?. Is it some combination of the two?. Get support.Once you realize you need help, seek out a trusted friend, mentor, co-worker, peer group or therapist, said Inger Burnett-Zeigler, an associate professor of psychiatry and behavioral sciences at Northwestern University Feinberg School of Medicine who researches Black women’s mental health.This should be a place “where you can feel seen, heard and validated, a place where you are able to be your fully authentic self without fear of judgment or negative repercussions,” she added.Many employers also offer employee assistance programs that have a variety of services, including short-term counseling from licensed therapists or referrals to outside experts who can help with the specific problem you’re having. (These services are often touted as confidential, but even so, some employees may feel uncomfortable using them.)Your company may also have partnerships with other organizations that provide wellness classes or free career coaching.

It’s worth investigating all the options, the experts said.“Employers have become much more aware and frankly progressive in how they’ve been managing and treating issues of mental health over the last several years,” said Michael Thompson, president and chief executive of the National Alliance of Healthcare Purchaser Coalitions. €œThe levitra has actually reinforced that in spades.”Mr. Thompson’s organization recently did an online survey of 151 employers who buy health care services and found that 72 percent were seeking to improve mental health access for their employees and 16 percent were considering doing this in the next one to two years.Set boundaries.Once you’ve found a supportive person to hear you out, together you can start to come up with a game plan to improve your work life and emotional well-being.Think about what you need most. Is it an accommodation like a short-term disability leave, or would it simply help to have more flexibility in your work schedule?.

Do you need to set limits as to when and how often you respond to work messages?. Before addressing any of this with your supervisor, be sure to consider how your proposed solution would work within the context of your team, because that’s what your employer will want to know as well. In other words, show how your idea will benefit the group as a whole.“If you’re really stressed out and have a mental heath issue that you’re wrestling with, it’s very difficult to think about the team more broadly,” said John Quelch, dean of the Miami Herbert Business School in Coral Gables, Fla., and co-author of the book “Compassionate Management of Mental Health in the Modern Workplace.” Even so, he added, “you have to try to get in the head of your employer.”During the levitra, mental health problems have been pervasive. A Centers for Disease Control and Prevention report concluded that in June of 2020, 40 percent of adults in the United States had been struggling with mental health or substance abuse issues.It’s OK to be open and admit to yourself and those you trust that you’re struggling right now, said Paul Gionfriddo, the president and chief executive of Mental Health America.

In fact, he added, “Most good employers are going to be asking, ‘What can I do to help you?. €™â€You may also decide to keep your concerns private and address them with your therapist, and that’s OK, too. Creating healthy work boundaries is vital, experts said.“Remember that you are a worthy and valuable human being, separate from your job function, productivity and even how you might be evaluated by others,” Dr. Burnett-Zeigler said.

€œWhen feelings of self-doubt and not belonging show up, don’t lose sight of the unique talents and ideas that you bring to the workplace.”But say your efforts to address your emotional well-being at your job have fallen flat, or the work environment has become toxic. In that case, the experts said, it’s probably best to start looking for another job, especially if you have become the target of ridicule, threats or abusive comments by a manager.It is illegal for an employer to discriminate against you simply because you have a mental health condition. And according to the U.S. Equal Employment Opportunity Commission, if you have a qualifying condition like major depression or post-traumatic stress disorder, you have a legal right to a reasonable accommodation that would help you do your job — for example, the ability to schedule work around therapy appointments, a quiet office space or permission to work from home.“What we need to do is to recognize that anxiety is real, depression is real,” Mr.

Gionfriddo said. €œThis is a really good time for people to do that personal assessment, because there are opportunities to find more meaningful work out there.”AdvertisementContinue reading the main storyVirtual Reality Therapy Plunges Patients Back Into Trauma. Here Is Why Some Swear by It.An experimental treatment seems poised to address a dire mental health crisis.Credit...Supported byContinue reading the main storyJune 3, 2021When a Veterans Affairs therapist first suggested that Chris Merkle try a virtual reality simulation that would mimic his days in combat, he was horrified. €œI was like, you want to put me in a virtual world, reliving my worst days, my worst nightmares?.

€ he said.It was the winter of 2013, and after three tours in Iraq and four in Afghanistan, Mr. Merkle had spent years struggling with the invasive symptoms of post-traumatic stress disorder. He felt constantly on edge, bracing for an attack. He got angry easily.

He avoided thinking or talking about his time as a Marine. He tried traditional talk therapy, but didn’t feel ready to discuss his past.Months later, after his symptoms intensified and he felt desperate for a salve, he decided to give virtual reality exposure therapy a try at a Department of Veterans Affairs hospital in Long Beach, Calif. The treatment uses V.R. Technology to immerse a patient in a three-dimensional environment that mimics a traumatic memory.

He strapped into a headset and sank into the past.The details in the simulation were extremely precise, Mr. Merkle said. The military-issue truck, the weight of the model gun in his hand, the dark swath of sand in the night. He narrated one particularly troubling incident out loud to a clinician, who adjusted the simulation as he spoke.

€œI was seeing that person shooting at me, that I hadn’t thought about in 10-plus years,” he said. His muscles tensed. His heart raced. He was terrified.“My body was physically reacting, because my mind was saying, this is happening to us.” But when he took the goggles off, he said, the sense of accomplishment became its own form of comfort.

For years, his memories had terrified him. Confronting the past in V.R. Proved to him that he could survive revisiting his memories. €œThat was the biggest leap,” he said.After about seven runs through the simulation, Mr.

Merkle started uncovering fragments of memory his mind had blacked out, which is a common response to trauma. He remembered the name of the soldier who had been next to him in a truck during combat. He remembered the clear feeling that he was going to die. Mr.

Merkle walked out in the hall after he was done, grappling with what his brain had revealed.He felt like he was in a fantasy novel, he said. As he left the session, he imagined that “there was this black smoke pouring out of my mouth, oozing out of me. Like this evil, for lack of a better word for it, was slipping out” of his body. He got to the parking lot and sat in his car for an hour.

The treatment was working, he thought. He was less scared of his memories, less scared of himself. He was getting better.Why V.R.?. Why Now?.

The most significant disorders that virtual reality therapy has shown success in treating — PTSD, anxiety, phobias — are on the rise. An April survey by the Centers for Disease Control and Prevention cited significant increases in respondents showing symptoms of anxiety disorders. Health care workers have reported high rates of PTSD during the levitra — a February study of 1,000 frontline workers reported that nearly one-quarter showed likely signs of the disorder. In contrast, only 6.8 percent of the general population ever experiences PTSD in their lifetime, according to National Institute of Mental Health estimates.“erectile dysfunction treatment has been traumatizing to so many people in so many ways,” said Dr.

Nomi Levy-Carrick, a psychiatrist who leads outpatient psychiatric services at Brigham and Women’s Hospital in Boston. Grief, isolation, economic upheaval, housing and food insecurity, the “toxic stress” of lockdown and the surge in domestic violence during the levitra can all be traumatic stressors, she said. And the constant uncertainty of the past levitra year created conditions for widespread anxiety.Academics have studied virtual reality’s potential to treat anxiety disorders since the ’90s, and the practice has incrementally gathered momentum, as the technology has improved and headsets have become more affordable. JoAnn Difede, a psychology professor at Weill Cornell Medicine in New York and one of the leading experts in virtual reality treatment for PTSD, said the headset she used for research with Sept.

11 survivors cost $25,000 at the time and weighed 10 pounds. Now, an average headset retails under $300.A virtual reality mindfulness exercise to soothe anxiety.CreditCredit...By CenteredVRRecreational V.R. Headset sales to the general public have grown during the levitra, but the technology has yet to fully enter the mainstream. Experts who study the therapy argue that’s about to change for the medical establishment, as clinicians look for effective and accessible ways to treat anxiety disorders.Mr.

Merkle likened his experience in the virtual reality simulations to a child confronting imaginary monsters in a closet. Each time you open the door, he said, you see there’s nothing to fear. Your body whirs down from fight or flight mode. And each time, the virtual reality treatment gets easier.Many V.R.

Therapies build on a sometimes-divisive therapeutic technique called prolonged exposure, developed by Edna Foa, a professor of psychiatry at the University of Pennsylvania Perelman School of Medicine. Prolonged exposure is a cognitive intervention therapy. Patients first describe a traumatic event to a therapist, in detail and in the present tense, and then confront triggers of the traumatic event in the real world. While some experts have worried the practice might overwhelm or re-traumatize patients, prolonged exposure is now widely accepted as an effective tool to treat chronic PTSD.

Patients become desensitized to their memories. They prove to themselves that their thoughts can be safe.“If you overcome something in V.R., you overcome it in real life,” said Daniel Freeman, a professor of clinical psychiatry at Oxford University who runs virtual reality therapies at 10 public clinics across England.Direct-to-consumer virtual reality therapy products, for now, remain rare, and only a few are covered by insurance. Companies that sell V.R. Therapy software often explicitly state their products should only be used in the presence of a clinician.

Experts like Andrew Sherrill, an assistant professor of psychiatry at Emory University in Atlanta who specializes in virtual reality therapy., worry that, as virtual reality expands, people seeking treatment might try out a program for themselves and not consult a therapist. They might shrug off the treatment after not getting results or aggravate trauma symptoms. €œIt’s the closest thing our field has to just making opioids available over the counter,” he said.“V.R. Is not going to be the solution,” said Jonathan Rogers, a researcher at University College London who has studied rates of anxiety disorders during the levitra.

€œIt may be part of the solution, but it’s not going to make medications and formal therapies obsolete.”Does V.R. Therapy Work?. Virtual reality treatments aren’t necessarily more effective than traditional prolonged exposure therapy, said Dr. Sherrill.

But for some patients, V.R. Offers convenience and can immerse a patient in scenes that would be hard to replicate in real life. For some people, the treatment can mimic video game systems they’re already familiar with. There’s also a dual awareness in patients who use virtual reality — the images on the screen are almost lifelike, but the headset itself functions as proof that they’re not real.Months after the Sept.

11 terrorist attacks, Dr. Difede and Dr. Hunter Hoffman, who is the director of the Virtual Reality Research Center at the University of Washington, tested virtual reality treatments in one survivor with acute PTSD, one of the first reported applications of the therapy. Dr.

Difede said that the first time the patient put on the headset, she started crying. €œI never thought I’d see the World Trade Center again,” she told Dr. Difede. After six hourlong sessions, the patient experienced a 90 percent decrease in PTSD symptoms.

Dr. Difede later tested V.R. Exposure therapy in Iraq War veterans. 16 out of the first 20 patients no longer met the diagnostic criteria for PTSD after completing treatment.At the University of Central Florida, a team called U.C.F.

Restores has been building trauma therapies using V.R. That allows clinicians to control the level of detail in a simulation, down to the color of a bedspread or a TV that can be clicked on or off, in order to more easily trigger traumatic memories. The program offers free trauma therapy, often using V.R., to Florida residents and focuses on treating PTSD.Dr. Deborah Beidel, a professor of psychology and executive director of U.C.F.

Restores, has broadened the treatments beyond visuals, customizing sounds and even smells to create an augmented reality for patients.Jonathan Tissue, 35, a former Marine, sought treatment at U.C.F. Restores in early 2020 after talk therapy and medication failed to alleviate his PTSD symptoms, which included flashbacks, anxiety and mood swings. In the end, it was the smells pumped into the room while he described his military service to a clinician that helped unlock his memories. There was the stench of burning tires, diesel fumes, the smell of decaying bodies.

He heard the sounds of munitions firing. His chair rumbled, thanks to the center’s simulated vibrations.“It unlocked certain doors that I could start speaking about,” he said. He talked through his newly uncovered memories with a therapist and a support group, processing the terror that had built in his body for years.Within three days, he said, he started feeling better. By the end of the three-week treatment, his symptoms had mostly faded.

€œIt made me comfortable in my own self,” he said.‘Ready for Prime Time’While a significant amount of funding — and consequentially, the bulk of research — on virtual reality’s therapeutic potential has focused on military veterans, “we’re ready for prime time to treat civilian trauma,” said Albert “Skip” Rizzo, a clinical psychologist who specializes in virtual reality and worked with Mr. Merkle at the Department of Veterans Affairs.Several companies and clinicians are using V.R. To treat other disorders. During the levitra, Johns Hopkins researchers have used it to reduce stress and burnout in medical workers.

In one unpublished study, 50 nurses from a erectile dysfunction treatment ward tested virtual reality mindfulness exercises — guided meditations beside animated fields and waterfalls — and all but one participant reported reduced stress levels.Researchers are also testing whether they can alleviate childhood social anxiety with virtual reality programs, one of which uses animated artificial intelligence bullies that growl things like, “Give me your lunch money.” BehaVR, which currently sells therapeutic software on pre-loaded headsets to health care providers, plans to expand to direct-to-consumer products for social anxiety and other stress-related disorders, anticipating widespread post-levitra fears, Aaron Gani, the company’s founder and chief executive, said in an interview.Virtual reality looks promising for treating phobias, according to Dr. Howard Gurr, a psychologist in Long Island, N.Y. He’s been interested in virtual reality for more than 20 years, since he saw Dr. Rizzo discuss a virtual classroom environment to diagnose and treat childhood attention-deficit/hyperactivity disorder.

But the technology has improved drastically in recent years, he said.In 2016, Dr. Gurr tried a simulation to treat patients’ fear of heights that convinced him of V.R.’s therapeutic potential. A glass elevator steadily rose over a city, the roofs of the buildings below growing smaller and smaller. A balcony appeared, and he was supposed to take a step onto it, over the chasm.

Even though he didn’t have a phobia of heights, Dr. Gurr couldn’t do it. €œPart of my brain was hijacked,” he said. €œI was like, ‘I got it.

This works.’”Before he found virtual reality, Dr. Gurr would accompany a patient with a phobia of flying on an actual flight — a short distance, like New York to Philadelphia, over and over again. Now, he said, it’s more efficient and convenient to talk them through a virtual plane ride five or six times in a given session, on and off a pixelated runway. About one-third of his patients now come to his psychology practice specifically for virtual reality, he said, referred from other clinicians who don’t offer the treatment.That number may grow as the levitra wanes in the United States, he said, and more people grapple with its aftermath.

He expects anxiety disorders will continue to rise, that the demand for effective treatments to tackle fear and trauma will only expand. Mr. Merkle, who’s in the process of getting a degree in clinical psychology, mostly relies on traditional talk therapy these days. PTSD has no clear end point.

Even in recovery, it can trap you, cycling and churning. But for now, he said, thanks to the V.R. Treatment, he feels something close to free.AdvertisementContinue reading the main story.

AdvertisementContinue reading the main storySupported byContinue reading the main storyWhen Your Job Harms Your Mental HealthNaomi Osaka advocated for her cheap levitra pills well-being at work. Here’s how you can too.Credit...Getty ImagesPublished June 2, 2021Updated June 4, 2021Listen to This ArticleTo hear more audio stories from publications cheap levitra pills like The New York Times, download Audm for iPhone or Android.Haven’t we all been Naomi Osaka at some point in our lives?. OK, we may never know what it’s like to be the second-ranked woman in tennis, or the world’s highest-paid female athlete.But like the sports star, many of us have been stuck in situations that were detrimental to our mental health — at work or in our personal lives — feeling torn between societal expectations and self-preservation.Ms.

Osaka chose to care for herself ahead of the French Open, when she announced she would not cheap levitra pills “do any press” because the news conferences could be damaging to the mental health of the players. True to her word, after winning her first-round match on Sunday, she skipped her postmatch news conference. As she later explained in an Instagram cheap levitra pills post, she was feeling vulnerable and anxious, and press events give her “huge waves of anxiety.”Her decision to avoid the press did not go over well with tennis officials.

Ms. Osaka was fined $15,000, and the leaders of the four Grand Slam tournaments — the Australian, French cheap levitra pills and United States Opens, and Wimbledon — threatened to expel her from the French Open.Instead, Ms. Osaka announced she would withdraw from the tournament.

€œThe truth is that I have suffered long bouts of cheap levitra pills depression since the U.S. Open in 2018 and I have had a really hard time coping with that,” she wrote in her social media post.Regardless of the type of work you do, your job can affect your mental health and vice versa. And like Ms cheap levitra pills.

Osaka, you have choices when it comes to preserving and improving your well-being.“We would not fault her if she had a sprained ankle,” said Benjamin F. Miller, the chief strategy officer for Well Being Trust, cheap levitra pills a national foundation focusing on mental health and well-being. €œBut when it comes to mental health — which we know is equally, if not more, important than your physical health — we have this arbitrary standard of what’s acceptable and what’s not.”A survey of over 5,000 employees conducted last year by the advocacy group Mental Health America found that 83 percent of respondents felt emotionally drained from work and 71 percent strongly agreed that the workplace affects their mental health.

While the respondents were not cheap levitra pills representative of the general population — they most likely found the survey when visiting the organization’s mental health screening tools — their responses show just how anxious some workers have become.Women and people of color may shoulder a disproportionate amount of emotional stress both in and outside of the workplace. Women are at least twice as likely to have had depression as men, according to federal data. And Black people are less likely than non-Hispanic white people to receive treatment for depression or prescription medications for mental cheap levitra pills health.

A 2020 report from Lean In and McKinsey &. Company noted that Black women were less likely to get the support cheap levitra pills they needed to advance in their fields than white women.Ms. Osaka, who is of Black and Asian descent, acted admirably when she stood up for her needs, several mental health experts said.

It can benefit all of us to be on the lookout for signs that we might need to make changes at work or get professional help, they added.Evaluate your feelings.“Everyone has cheap levitra pills some awareness of their baseline functioning at work,” said Dr. Jessi Gold, a psychiatrist at Washington University in St. Louis.

So if you start to notice you’re losing interest in your job or your productivity plummets, it’s an indication that something is off, she said.For example, you might notice that you dread starting work each day, or you feel so anxious that you have trouble thinking about everything that you’re supposed to do. Perhaps your emails are piling up and you aren’t communicating with people as much as you typically would. If you’re feeling ineffective in your job, you may also start to engage in more negative self-talk, like.

€œI’m no good at my job anyway. I’m useless,” Dr. Gold said.An even bigger warning sign that work is affecting your mental health is if work tanks your mood to the point that it starts to damage your personal relationships, she added.

For example, you might find that you’re picking more fights with your partner, becoming more irritated by your children or avoiding social activities in ways that you normally wouldn’t.Think about what might be causing these feelings. Is there one aspect of your job responsibilities that is causing most of your distress?. Do you have an underlying health problem like depression that has not been treated?.

Is it some combination of the two?. Get support.Once you realize you need help, seek out a trusted friend, mentor, co-worker, peer group or therapist, said Inger Burnett-Zeigler, an associate professor of psychiatry and behavioral sciences at Northwestern University Feinberg School of Medicine who researches Black women’s mental health.This should be a place “where you can feel seen, heard and validated, a place where you are able to be your fully authentic self without fear of judgment or negative repercussions,” she added.Many employers also offer employee assistance programs that have a variety of services, including short-term counseling from licensed therapists or referrals to outside experts who can help with the specific problem you’re having. (These services are often touted as confidential, but even so, some employees may feel uncomfortable using them.)Your company may also have partnerships with other organizations that provide wellness classes or free career coaching.

It’s worth investigating all the options, the experts said.“Employers have become much more aware and frankly progressive in how they’ve been managing and treating issues of mental health over the last several years,” said Michael Thompson, president and chief executive of the National Alliance of Healthcare Purchaser Coalitions. €œThe levitra has actually reinforced that in spades.”Mr. Thompson’s organization recently did an online survey of 151 employers who buy health care services and found that 72 percent were seeking to improve mental health access for their employees and 16 percent were considering doing this in the next one to two years.Set boundaries.Once you’ve found a supportive person to hear you out, together you can start to come up with a game plan to improve your work life and emotional well-being.Think about what you need most.

Is it an accommodation like a short-term disability leave, or would it simply help to have more flexibility in your work schedule?. Do you need to set limits as to when and how often you respond to work messages?. Before addressing any of this with your supervisor, be sure to consider how your proposed solution would work within the context of your team, because that’s what your employer will want to know as well.

In other words, show how your idea will benefit the group as a whole.“If you’re really stressed out and have a mental heath issue that you’re wrestling with, it’s very difficult to think about the team more broadly,” said John Quelch, dean of the Miami Herbert Business School in Coral Gables, Fla., and co-author of the book “Compassionate Management of Mental Health in the Modern Workplace.” Even so, he added, “you have to try to get in the head of your employer.”During the levitra, mental health problems have been pervasive. A Centers for Disease Control and Prevention report concluded that in June of 2020, 40 percent of adults in the United States had been struggling with mental health or substance abuse issues.It’s OK to be open and admit to yourself and those you trust that you’re struggling right now, said Paul Gionfriddo, the president and chief executive of Mental Health America. In fact, he added, “Most good employers are going to be asking, ‘What can I do to help you?.

€™â€You may also decide to keep your concerns private and address them with your therapist, and that’s OK, too. Creating healthy work boundaries is vital, experts said.“Remember that you are a worthy and valuable human being, separate from your job function, productivity and even how you might be evaluated by others,” Dr. Burnett-Zeigler said.

€œWhen feelings of self-doubt and not belonging show up, don’t lose sight of the unique talents and ideas that you bring to the workplace.”But say your efforts to address your emotional well-being at your job have fallen flat, or the work environment has become toxic. In that case, the experts said, it’s probably best to start looking for another job, especially if you have become the target of ridicule, threats or abusive comments by a manager.It is illegal for an employer to discriminate against you simply because you have a mental health condition. And according to the U.S.

Equal Employment Opportunity Commission, if you have a qualifying condition like major depression or post-traumatic stress disorder, you have a legal right to a reasonable accommodation that would help you do your job — for example, the ability to schedule work around therapy appointments, a quiet office space or permission to work from home.“What we need to do is to recognize that anxiety is real, depression is real,” Mr. Gionfriddo said. €œThis is a really good time for people to do that personal assessment, because there are opportunities to find more meaningful work out there.”AdvertisementContinue reading the main storyVirtual Reality Therapy Plunges Patients Back Into Trauma.

Here Is Why Some Swear by It.An experimental treatment seems poised to address a dire mental health crisis.Credit...Supported byContinue reading the main storyJune 3, 2021When a Veterans Affairs therapist first suggested that Chris Merkle try a virtual reality simulation that would mimic his days in combat, he was horrified. €œI was like, you want to put me in a virtual world, reliving my worst days, my worst nightmares?. € he said.It was the winter of 2013, and after three tours in Iraq and four in Afghanistan, Mr.

Merkle had spent years struggling with the invasive symptoms of post-traumatic stress disorder. He felt constantly on edge, bracing for an attack. He got angry easily.

He avoided thinking or talking about his time as a Marine. He tried traditional talk therapy, but didn’t feel ready to discuss his past.Months later, after his symptoms intensified and he felt desperate for a salve, he decided to give virtual reality exposure therapy a try at a Department of Veterans Affairs hospital in Long Beach, Calif. The treatment uses V.R.

Technology to immerse a patient in a three-dimensional environment that mimics a traumatic memory. He strapped into a headset and sank into the past.The details in the simulation were extremely precise, Mr. Merkle said.

The military-issue truck, the weight of the model gun in his hand, the dark swath of sand in the night. He narrated one particularly troubling incident out loud to a clinician, who adjusted the simulation as he spoke. €œI was seeing that person shooting at me, that I hadn’t thought about in 10-plus years,” he said.

His muscles tensed. His heart raced. He was terrified.“My body was physically reacting, because my mind was saying, this is happening to us.” But when he took the goggles off, he said, the sense of accomplishment became its own form of comfort.

For years, his memories had terrified him. Confronting the past in V.R. Proved to him that he could survive revisiting his memories.

€œThat was the biggest leap,” he said.After about seven runs through the simulation, Mr. Merkle started uncovering fragments of memory his mind had blacked out, which is a common response to trauma. He remembered the name of the soldier who had been next to him in a truck during combat.

He remembered the clear feeling that he was going to die. Mr. Merkle walked out in the hall after he was done, grappling with what his brain had revealed.He felt like he was in a fantasy novel, he said.

As he left the session, he imagined that “there was this black smoke pouring out of my mouth, oozing out of me. Like this evil, for lack of a better word for it, was slipping out” of his body. He got to the parking lot and sat in his car for an hour.

The treatment was working, he thought. He was less scared of his memories, less scared of himself. He was getting better.Why V.R.?.

Why Now?. The most significant disorders that virtual reality therapy has shown success in treating — PTSD, anxiety, phobias — are on the rise. An April survey by the Centers for Disease Control and Prevention cited significant increases in respondents showing symptoms of anxiety disorders.

Health care workers have reported high rates of PTSD during the levitra — a February study of 1,000 frontline workers reported that nearly one-quarter showed likely signs of the disorder. In contrast, only 6.8 percent of the general population ever experiences PTSD in their lifetime, according to National Institute of Mental Health estimates.“erectile dysfunction treatment has been traumatizing to so many people in so many ways,” said Dr. Nomi Levy-Carrick, a psychiatrist who leads outpatient psychiatric services at Brigham and Women’s Hospital in Boston.

Grief, isolation, economic upheaval, housing and food insecurity, the “toxic stress” of lockdown and the surge in domestic violence during the levitra can all be traumatic stressors, she said. And the constant uncertainty of the past levitra year created conditions for widespread anxiety.Academics have studied virtual reality’s potential to treat anxiety disorders since the ’90s, and the practice has incrementally gathered momentum, as the technology has improved and headsets have become more affordable. JoAnn Difede, a psychology professor at Weill Cornell Medicine in New York and one of the leading experts in virtual reality treatment for PTSD, said the headset she used for research with Sept.

11 survivors cost $25,000 at the time and weighed 10 pounds. Now, an average headset retails under $300.A virtual reality mindfulness exercise to soothe anxiety.CreditCredit...By CenteredVRRecreational V.R. Headset sales to the general public have grown during the levitra, but the technology has yet to fully enter the mainstream.

Experts who study the therapy argue that’s about to change for the medical establishment, as clinicians look for effective and accessible ways to treat anxiety disorders.Mr. Merkle likened his experience in the virtual reality simulations to a child confronting imaginary monsters in a closet. Each time you open the door, he said, you see there’s nothing to fear.

Your body whirs down from fight or flight mode. And each time, the virtual reality treatment gets easier.Many V.R. Therapies build on a sometimes-divisive therapeutic technique called prolonged exposure, developed by Edna Foa, a professor of psychiatry at the University of Pennsylvania Perelman School of Medicine.

Prolonged exposure is a cognitive intervention therapy. Patients first describe a traumatic event to a therapist, in detail and in the present tense, and then confront triggers of the traumatic event in the real world. While some experts have worried the practice might overwhelm or re-traumatize patients, prolonged exposure is now widely accepted as an effective tool to treat chronic PTSD.

Patients become desensitized to their memories. They prove to themselves that their thoughts can be safe.“If you overcome something in V.R., you overcome it in real life,” said Daniel Freeman, a professor of clinical psychiatry at Oxford University who runs virtual reality therapies at 10 public clinics across England.Direct-to-consumer virtual reality therapy products, for now, remain rare, and only a few are covered by insurance. Companies that sell V.R.

Therapy software often explicitly state their products should only be used in the presence of a clinician. Experts like Andrew Sherrill, an assistant professor of psychiatry at Emory University in Atlanta who specializes in virtual reality therapy., worry that, as virtual reality expands, people seeking treatment might try out a program for themselves and not consult a therapist. They might shrug off the treatment after not getting results or aggravate trauma symptoms.

€œIt’s the closest thing our field has to just making opioids available over the counter,” he said.“V.R. Is not going to be the solution,” said Jonathan Rogers, a researcher at University College London who has studied rates of anxiety disorders during the levitra. €œIt may be part of the solution, but it’s not going to make medications and formal therapies obsolete.”Does V.R.

Therapy Work?. Virtual reality treatments aren’t necessarily more effective than traditional prolonged exposure therapy, said Dr. Sherrill.

But for some patients, V.R. Offers convenience and can immerse a patient in scenes that would be hard to replicate in real life. For some people, the treatment can mimic video game systems they’re already familiar with.

There’s also a dual awareness in patients who use virtual reality — the images on the screen are almost lifelike, but the headset itself functions as proof that they’re not real.Months after the Sept. 11 terrorist attacks, Dr. Difede and Dr.

Hunter Hoffman, who is the director of the Virtual Reality Research Center at the University of Washington, tested virtual reality treatments in one survivor with acute PTSD, one of the first reported applications of the therapy. Dr. Difede said that the first time the patient put on the headset, she started crying.

€œI never thought I’d see the World Trade Center again,” she told Dr. Difede. After six hourlong sessions, the patient experienced a 90 percent decrease in PTSD symptoms.

Dr. Difede later tested V.R. Exposure therapy in Iraq War veterans.

16 out of the first 20 patients no longer met the diagnostic criteria for PTSD after completing treatment.At the University of Central Florida, a team called U.C.F. Restores has been building trauma therapies using V.R. That allows clinicians to control the level of detail in a simulation, down to the color of a bedspread or a TV that can be clicked on or off, in order to more easily trigger traumatic memories.

The program offers free trauma therapy, often using V.R., to Florida residents and focuses on treating PTSD.Dr. Deborah Beidel, a professor of psychology and executive director of U.C.F. Restores, has broadened the treatments beyond visuals, customizing sounds and even smells to create an augmented reality for patients.Jonathan Tissue, 35, a former Marine, sought treatment at U.C.F.

Restores in early 2020 after talk therapy and medication failed to alleviate his PTSD symptoms, which included flashbacks, anxiety and mood swings. In the end, it was the smells pumped into the room while he described his military service to a clinician that helped unlock his memories. There was the stench of burning tires, diesel fumes, the smell of decaying bodies.

He heard the sounds of munitions firing. His chair rumbled, thanks to the center’s simulated vibrations.“It unlocked certain doors that I could start speaking about,” he said. He talked through his newly uncovered memories with a therapist and a support group, processing the terror that had built in his body for years.Within three days, he said, he started feeling better.

By the end of the three-week treatment, his symptoms had mostly faded. €œIt made me comfortable in my own self,” he said.‘Ready for Prime Time’While a significant amount of funding — and consequentially, the bulk of research — on virtual reality’s therapeutic potential has focused on military veterans, “we’re ready for prime time to treat civilian trauma,” said Albert “Skip” Rizzo, a clinical psychologist who specializes in virtual reality and worked with Mr. Merkle at the Department of Veterans Affairs.Several companies and clinicians are using V.R.

To treat other disorders. During the levitra, Johns Hopkins researchers have used it to reduce stress and burnout in medical workers. In one unpublished study, 50 nurses from a erectile dysfunction treatment ward tested virtual reality mindfulness exercises — guided meditations beside animated fields and waterfalls — and all but one participant reported reduced stress levels.Researchers are also testing whether they can alleviate childhood social anxiety with virtual reality programs, one of which uses animated artificial intelligence bullies that growl things like, “Give me your lunch money.” BehaVR, which currently sells therapeutic software on pre-loaded headsets to health care providers, plans to expand to direct-to-consumer products for social anxiety and other stress-related disorders, anticipating widespread post-levitra fears, Aaron Gani, the company’s founder and chief executive, said in an interview.Virtual reality looks promising for treating phobias, according to Dr.

Howard Gurr, a psychologist in Long Island, N.Y. He’s been interested in virtual reality for more than 20 years, since he saw Dr. Rizzo discuss a virtual classroom environment to diagnose and treat childhood attention-deficit/hyperactivity disorder.

But the technology has improved drastically in recent years, he said.In 2016, Dr. Gurr tried a simulation to treat patients’ fear of heights that convinced him of V.R.’s therapeutic potential. A glass elevator steadily rose over a city, the roofs of the buildings below growing smaller and smaller.

A balcony appeared, and he was supposed to take a step onto it, over the chasm. Even though he didn’t have a phobia of heights, Dr. Gurr couldn’t do it.

€œPart of my brain was hijacked,” he said. €œI was like, ‘I got it. This works.’”Before he found virtual reality, Dr.

Gurr would accompany a patient with a phobia of flying on an actual flight — a short distance, like New York to Philadelphia, over and over again. Now, he said, it’s more efficient and convenient to talk them through a virtual plane ride five or six times in a given session, on and off a pixelated runway. About one-third of his patients now come to his psychology practice specifically for virtual reality, he said, referred from other clinicians who don’t offer the treatment.That number may grow as the levitra wanes in the United States, he said, and more people grapple with its aftermath.

He expects anxiety disorders will continue to rise, that the demand for effective treatments to tackle fear and trauma will only expand. Mr. Merkle, who’s in the process of getting a degree in clinical psychology, mostly relies on traditional talk therapy these days.

PTSD has no clear end point. Even in recovery, it can trap you, cycling and churning. But for now, he said, thanks to the V.R.

Treatment, he feels something close to free.AdvertisementContinue reading the main story.

What side effects may I notice from Levitra?

Side effects that you should report to your prescriber or health care professional as soon as possible.

  • back pain
  • changes in hearing such as loss of hearing or ringing in ears
  • changes in vision such as loss of vision, blurred vision, eyes being more sensitive to light, or trouble telling the difference between blue and green objects or objects having a blue color tinge to them
  • chest pain or palpitations
  • difficulty breathing, shortness of breath
  • dizziness
  • eyelid swelling
  • muscle aches
  • prolonged erection (lasting longer than 4 hours)
  • skin rash, itching
  • seizures

Side effects that usually do not require medical attention (report to your prescriber or health care professional if they continue or are bothersome):

  • flushing
  • headache
  • indigestion
  • nausea
  • stuffy nose

This list may not describe all possible side effects.

Which is safer viagra cialis or levitra

To hug or not which is safer viagra cialis or levitra to hug, that’s the question right now. We’re in a precarious place in the world of greetings etiquette. Depending on where you live, many of us are which is safer viagra cialis or levitra vaccinated. But it’s hard to know for sure before you embrace whether or not the person you’re leaning into has gotten the jab.

At the same time, many of us are yearning for the warmth of a hug after a long year of social isolation. Humans, according to which is safer viagra cialis or levitra experts, biologically need touch and a good long hug is one of the best ways to get it. Suzanne Degges-White is a professor and researcher focused on social relationships at Northern Illinois University in Dekalb, IL. She says that our need for a hug goes all the way back to the survival of our species.

When we’re born we can’t care for ourselves and we need to be comfortable which is safer viagra cialis or levitra being held in order to survive. We’re rewarded with a rush of feel good hormones that come from a cozy embrace.“When we hug our brains release oxytocin, the bonding hormone, as well as serotonin and endorphins,” says Degges-White.This bond and sense of community has an important evolutionary role because for humans, the security of our small groups and later communities was really important to survival. Close contact helped build civilization. As a result, our brains need each other and when we miss out it has psychological repercussions.“When we can’t hug we don’t get that jolt of good hormones,” says Degges-White.The need is so deeply engrained in us that over the past year due to erectile dysfunction treatment many people have been experiencing depression and anxiety due to what Degges-White calls “touch deprivation.” At first it was most rampant in already isolated nursing homes where the levitra initially did the most damage and over time, like the which is safer viagra cialis or levitra levitra itself, that need for connection spread to the wider community.

We may not know what we’re getting from greeting our friends and family with a hug. We just enjoy it which is safer viagra cialis or levitra. It isn’t until those experiences are taken away that we feel pain and sadness. An elbow bump or air greeting does not suffice.

Research published in the journal Psychological Science has shown that hugging has a “stress buffering” effect that may even which is safer viagra cialis or levitra protect us from chronic illness and s.“We don’t miss it until it’s gone,” says Degges-White. €œUntil you get a headache you don’t how good it feels not to have one.”Some of us grew up in more formal households where hugging wasn’t common. Others may have experienced abuse that makes hugging traumatic. But in which is safer viagra cialis or levitra both cases when children don’t experience healthy touch, it can impact their development.

Kids that didn’t grow up being held, says Degges-White, miss out on that sense of safety and protection. They may act out or isolate from those around them. In some cases, the opposite may also be which is safer viagra cialis or levitra true. Some children may show too much affection, craving any form of positive attention that they didn’t get at home.What About Cultures Where Hugging Isn’t Common?.

While hugging might not be the norm, connection is still key. In some communities, a parent wears which is safer viagra cialis or levitra the baby until they’re mobile so they’re constantly being held. Cultures that don’t hug might kiss as a greeting instead. And in other cultures where hugging and embracing are not social norms, which is safer viagra cialis or levitra other forms of intimacy are more prevalent.

When people are more restrained in terms of greetings, they may be more sexually expressive. While in the United States we may hug as a greeting, we have a culture of shame around sexual expression and around the body, but other countries don’t have that, says Degges-White.“In the end, every culture figures out their way of getting connection,” she says. Is Hugging Safe Once You’re which is safer viagra cialis or levitra Vaccinated?. Still, for more than a year, we’ve been missing out and many of us are in a gray area when it comes to whether or not to reach in for that much-coveted warm embrace.

But according to Rajeev Fernando, director of the Division of Infectious Diseases at Stony Brook Southampton Hospital in Southampton, New York, if you’re both vaccinated then go for it because research has shown that the risk of transmission is extremely low. And if you’re vaccinated but you don’t know for sure whether the person you’re hugging has been vaccinated, it’s still most likely safe.“The levitra can in theory colonize the nose without causing clinical disease but which is safer viagra cialis or levitra the risk is low and the chance of a vaccinated person getting serious clinical disease and hospitalized is exceedingly low,” says Fernando.When it comes to hugging younger children who haven’t been vaccinated, there’s a little bit more risk, but it’s still minimal when parents are vaccinated. Children don’t manifest erectile dysfunction treatment in the same way as adults because the erectile dysfunction binds to ACE2 receptors which are abundant in adults but not in young children. Even if kids aren’t yet vaccinated, if adults are, the risk of transmission is still really low.But if you’re an adult that’s not vaccinated, then hugging is still off limits, especially embracing others who are also unvaccinated because the levitra can easily be transmitted.

This is particularly true in parts of the country where there’s a higher percentage of people who are not vaccinated because the which is safer viagra cialis or levitra levitra is still floating around their communities. levitraes, Fernando says, unlike bacteria, can’t live on surfaces for any period of time. They need a cell to survive. That’s why transmission which is safer viagra cialis or levitra is airborne.

Wearing a mask is safer than not if you haven’t been vaccinated, but there’s still a risk when you’re getting that close. Unfortunately, says Fernando, “there are no slam dunks if you’re not vaccinated.” If we want things back to a place where we can safety reach in for that long awaited embrace, everyone who can be needs to get which is safer viagra cialis or levitra vaccinated.Around two years ago, a former high school science teacher was walking in the woods near Atlanta, Georgia when she came across a common, yet striking mushroom. Many folks are familiar with this fungus, with its distinctive firetruck-red cap speckled by white dots, called the fly agaric or Amanita muscaria. It’s technically poisonous, but while very rarely deadly, it can cause uncomfortable nausea and seizures.

It’s also psychoactive, triggering a range of hallucinations that can be stimulating or sedating, depending on the person.The teacher, who uses the pseudonym Amanita Dreamer, had been planning for this walk which is safer viagra cialis or levitra to be her last. After years of struggling on prescription benzodiazepines, she made a plan to end her life. But intrigued by this strange toadstool, she took it home, researched it online and then took about 15 grams in a tea after dehydrating it.“That was probably that natural substance I had been looking for my whole life,” Dreamer tells Discover. €œI woke up the next morning, my which is safer viagra cialis or levitra life was just completely different.

I didn't have panic and anxiety probably for the first time in my life. And I never took another benzo, I had no more pain, no more withdrawals, no more nothing.”Dreamer has since started taking the fungus on a regular basis, which is not recommended by most fungi guides. Still, she claims which is safer viagra cialis or levitra to receive some benefit from it. She smokes a homemade blend of the mushrooms or sometimes eats the caps.Dreamer has started a YouTube channel with around 133,000 views dedicated to her experiences with the fungus, and opened an Etsy shop where she sells Amanita products (albeit labeled “not for human consumption.”) Amanita muscaria mushrooms are not illegal to harvest, sell, purchase or consume in the United States and most other countries, but Dreamer still prefers to stay semi-anonymous.In contrast, Amanita muscaria is almost certainly the most famous mushroom in the world, found on every continent except Antarctica.

The emoji for “mushroom” features the toadstool's white-freckled red caps, which have been prominent in everything from The Smurfs to Disney’s Fantasia. And yes, which is safer viagra cialis or levitra it's sometimes associated with images of someone magically shrinking or growing, like the shrooms in Super Mario or Alice in Wonderland. Amanita mascara may soon become more than just a pop-culture behemoth, though. It's also grabbed the attention which is safer viagra cialis or levitra of Psyched Wellness, a Canada-based startup seeking to capitalize on the fungi's potential wellness benefits.

€œIt's kind of a rare situation, because [Amanita muscaria] has been used for centuries," says Psyched Wellness CEO and director Jeff Stevens. "But it hasn't had anyone step up and do the scientific work to get it to the point that you can put it on the shelf." Trendy Psychoactive Fungi Because fly agarics are psychoactive, many people confuse these mushrooms for psilocybin “magic” mushrooms, which are being studied by scientists for their therapeutic value in treating depression and PTSD. But the effects of these which is safer viagra cialis or levitra different fungi are remarkably different. For one, A.

Muscaria mushrooms do not contain psilocybin. Their primary psychoactive ingredient is called muscimol and it works on GABAA receptors in which is safer viagra cialis or levitra the body, whereas psilocybin targets serotonin receptors. The subjective effects are quite different.There is also far less research on muscimol compared to psilocybin, which is celebrated as a primary drug behind the “psychedelic renaissance” in recent years. Psilocybin is the backbone of a handful biotech startups, including Compass Pathways, which has a market cap of $1.4 billion.

Muscimol, however, has which is safer viagra cialis or levitra mostly been ignored by scientists and recreational drug users. But that could be slowly changing, part of the broader mushroom wellness trend that is making fungus like Lion’s mane or Cordyceps popular.Psyched Wellness is in the process of making an Amanita muscaria extract into an over-the-counter wellness product for potentially treating sleep disorders, stress and even physical pain. The company hopes to have a tincture called AME-1 on store shelves by mid-2022, followed by capsules, teas and topical ointments. They may even pursue which is safer viagra cialis or levitra it as a prescription drug at some point.It’s long been possible to (legally) buy Amanita muscaria from online vendors.

But before Psyched Wellness’s product appears next to CBD and chaga fungus, the company is doing some real science to unlock the fungi's full potential. In May 2021, the which is safer viagra cialis or levitra company hired the National Research Council of Canada to study its proprietary extract for potential anti-inflammatory and neuroprotective properties. Psyched Wellness has also contracted KGK Science, a Canadian research organization, for several preclinical oral toxicity study in rodents before moving onto humans. One test reported no adverse effects on treated animals after 14 days.But Stevens stresses that the doses involved won’t be enough to send someone on a trip.

€œWe're not suggesting at all that this is something that you'd want to use on a which is safer viagra cialis or levitra macro level. We'll be framing it as microdosing tincture to help alleviate stress, similar to what effect you might have from say, melatonin, or even a glass of wine.”From Flying Reindeer to Modern MedicinePsyched Wellness is drawing on a long history of cultural use of Amanita muscaria mushrooms. For example, these mushrooms play a pivotal role in Indigenous Siberian religious practices, which may have inspired the legend of Santa Claus. So far, Psyched Wellness is the only psychedelic startup exploring these mushrooms, which has attracted David Nutt, an English neuropsychopharmacologist at Imperial College which is safer viagra cialis or levitra London, who is also on the scientific advisory board of Compass Pathways.Because these mushrooms aren’t illegal, unlike psilocybin, it will be a lot easier (and cheaper) to study them.

Two clinical trials on muscimol have been started in the recent past, but both collapsed, allegedly due to funding issues. No data from these studies have been published. The first which is safer viagra cialis or levitra was started in 2000 to see if muscimol can treat epilepsy, while the other, for Parkinson’s disease, started in 2009. What makes Nutt and Psyched Wellness so sure that muscimol can help people this time around?.

€œIn those days, we hadn't a clue how to use which is safer viagra cialis or levitra it,” says Nutt. €œThis was a primitive pre-genome days where people hadn't a clue what they were doing [with muscimol.] I'm not pessimistic because I just think the science has moved on dramatically.”Mitigating HarmsBut wait — aren’t Amanita muscaria mushrooms dangerous?. The answer is complicated. Most of the side effects of fly which is safer viagra cialis or levitra agarics come from another compound present in the fungus called ibotenic acid.

This little molecule is the reason these mushrooms are a brilliant red, but also why they sometimes makes people vomit or become comatose.Ibotenic acid is considered by some to be neurotoxic. In fact, it has been widely used in scientific research to purposefully create lesions in the brains of rodents for studying how systems in the brain interact. But a problem with the majority of these studies is they are somewhat old and which is safer viagra cialis or levitra describe injecting ibotenic acid directly into the brains of rodents. That’s not really how people would consume the compound if it takes the form of tinctures, teas and capsules, so these findings may not translate.

€œIbotenic acid has a really bad, distorted reputation,” Dreamer says. €œThere were never any oral which is safer viagra cialis or levitra ingestion studies done. And the biochemistry in the body is just radically different when you inject versus orally ingest something.”Regardless, it’s not difficult to remove the ibotenic acid from Amanita muscaria. Heat decarboxylates the ibotenic acid, turning it into muscimol, which is much better tolerated.

Psyched Wellness has designed a water-based extraction process that leaves only trace amounts of which is safer viagra cialis or levitra ibotenic acid. The company hopes this will make it safer. €œI don't doubt that muscimol can which is safer viagra cialis or levitra be used both therapeutically and recreationally in a controlled dose,” says Hamilton Morris, a researcher and documentary filmmaker who has made films about the science of Amanita muscaria. €œI do imagine that a lot of the problems associated with mushroom consumption could be mitigated in some kind of a standardized extract.

I'd be curious to see how that pans out.”Until more research is done, the full safety profile of Amanita muscaria is still unknown and people like Dreamer could be taking risks with their health. But the cultural ubiquity of this iconic mushroom attests that few can avoid the colorful, magic, which is safer viagra cialis or levitra strangeness of it all. And there is clearly more to learn from this fungi. €œThe historical use of Amanita goes back many thousands of years,” says Nutt.

€œAnd it's which is safer viagra cialis or levitra quite likely to be useful in terms of stress reduction, in terms of sleep, possibly even in terms of sociability and helping people bond. It might have prosocial effects. So it's an open book, and it's great to start writing in it.”Summer means cookouts, picnics and backyard barbecues. But a generous which is safer viagra cialis or levitra spread of food eaten outside raises some serious health questions.

Nobody wants food poisoning – or to make their guests sick. But how do you know when you’ve kept the potato salad or fruit medley out too long?. As a professor and chair of the Food Science and Human which is safer viagra cialis or levitra Nutrition program at Iowa State University, I’ll answer those questions by starting with the basics of food safety.Two general classes of food-related microorganisms exist. Pathogenic organisms make you sick.

Other types of organisms make food look, smell and taste which is safer viagra cialis or levitra bad – in other words, they make food spoil.It’s usually pretty easy to tell if spoilage microorganisms have invaded your food. Molds and fuzzy growth appear on solid foods. Liquids look cloudy or clumpy and often smell bad. Eating spoiled foods is never a good idea, and you’re smart to err on the side of which is safer viagra cialis or levitra caution.

When in doubt, throw it out.Don’t use the same cutting board for meat and vegetables. (Credit. Getty Images/ Enrique Díaz/7cero)Cutting Boards and Kitchen ThermometersPathogenic microorganisms in foods which is safer viagra cialis or levitra are much more stealthy. These microorganisms are the ones that cause cramps, vomiting, diarrhea, fever and chills – symptoms that people associate with the “stomach flu.” levitraes also cause food-borne illness.

Typically, detecting pathogens in foods by smell or sight isn’t possible. So proper handling and storage, and knowing when to toss leftovers, is critical.The first which is safer viagra cialis or levitra rule of food safety is to keep preparation areas clean. Developing a routine helps. Always wash your hands before handling food.

Make sure you thaw meats in the refrigerator, not on which is safer viagra cialis or levitra the countertop. Otherwise, as the frozen meat sits at room temperature, its outer surfaces warm faster than the interior. This allows pathogens to multiply.Don’t use the which is safer viagra cialis or levitra same cutting board for meat, fruits and vegetables. In my kitchen, a red cutting board is for meat.

The green one for fruits and vegetables. Use different which is safer viagra cialis or levitra knives, plates and utensils for the raw meats, and always put cooked meats on a clean plate.Never rinse off raw meat or chicken in the sink, because that practice spreads bacteria on kitchen surfaces. Actually, there’s no need to rinse meat and chicken before cooking. But, if you insist, sanitize the sink with an antibacterial cleaning after moving the food away.

That’s “after” – be sure not to contaminate any foods with the cleaner.Any pathogens will be destroyed by fully cooking the meat which is safer viagra cialis or levitra to the recommended temperatures. Invest in a good kitchen thermometer. Although recommendations can vary slightly, you basically want an internal temperature of 160 F (71 C) for beef and pork, 165 F (74 C) for pouy, and 145 F (63 C) for fish and ham. Once food is which is safer viagra cialis or levitra cooked, keep hot foods at 140 F (60 C) or higher.

When transporting or serving foods over a period of time, keep cold foods on ice or in a cooler, especially during the hot summer months. Don’t let leftovers stay in the refrigerator too long. (Credit. Getty Images/Jupiterimages)Dealing With LeftoversAfter the meal is over, don’t let the leftovers linger.

Move them into the refrigerator quickly.As a newlywed, I spent Thanksgiving at my in-laws’ home in northern Minnesota. After dinner, they took all the serving dishes – turkey, stuffing and mashed potatoes – and put them on the screened porch for storage. It was probably less than 20 F (-6 C) degrees outside – but still, that’s not a great idea because weather changes quickly and temperatures will fluctuate, leading to risk of pathogen growth.My husband also believed foods should cool down on the counter before putting them in the fridge. He said it reduced stress on the refrigerator.

This is not necessary and increases the risk for food pathogens. Modern refrigerators are fully capable of cooling warm foods quickly while maintaining their internal temperatures, so don’t hesitate to put away those leftovers as soon as possible.Now, with the fridge full of leftovers, how long are they good to eat?. Most cooked foods are safe to consume within three to four days. After that, contamination risk increases.

If you have more leftovers than you can eat in that time frame, put them in the freezer. Be sure to cook leftovers to 165 F (74 C) before eating.Baked goods like breads, cakes, pies and cookies made in your kitchen will have a shorter shelf life than store-purchased items because yours are without preservatives. They will become stale, lose their texture sooner and grow mold. Once you see that, toss the whole thing out rather than try to cut away the contaminated spots.

While it’s unlikely to cause severe illness, some bread molds produce toxins that might cause problems, particularly for children or the elderly.Foods with higher moisture content spoil faster because water gives bacteria a chance to grow. So carrot cakes or zucchini bread spoil within about five days. Refrigerate these items, and you’ll increase their shelf life. Pies should be stored in the refrigerator and eaten within three to four days.

Cookies are typically low in moisture, except those containing fruit, jam or icing. Keep these types of cookies in the refrigerator and discard if they start to grow mold.As you get ready for your summer get-togethers, keep in mind that reducing food waste is good for both the environment and your budget, so consider portion sizes and the quantity you’re making to better manage leftovers. And remember that proper handling as you prepare and then store your meals will make sure you and your family enjoy your cookouts, parties and reunions without a food-related illness.Ruth S. MacDonald is the associate dean for personnel and finance for Iowa State University’s College of Agriculture and Life Sciences.

This article is republished from The Conversation under a Creative Commons license. Read the original article.This article contains affiliate links to products. Discover may receive a commission for purchases made through these links.Taking on a weight loss program practically seems to be second nature for anyone over the age of 30. Millions of people attempt to work out and diet their way towards a better body, but these efforts might not be enough for individuals that need a little extra boost.

The constant cycle of working but failing can be overwhelming for anyone, making it impossible to keep up the hope of a healthier body. Diet and exercise may take consumers part of the way towards their journey’s end, but the use of a supplement like Leptitox might help. Thousands of people have already used this formula and found success when other products and programs did not work. What is Leptitox?.

Leptitox is a weight loss formula, helping consumers to shed the extra fats from their body, even if they have struggled for years. It is meant for individuals of all ages, though the user should be an adult. Women who are pregnant or breastfeeding may not want to prioritize a weight loss supplement yet, which is why they should check with their doctor ahead of time. Developed by firefighter Morgan Hurst and scientist Sonya Rhodes, this formula originally was meant to help the former's wife.

She had struggled to lose extra weight for years after giving birth to their three children. After consultation with Rhodes, Hurst finally found a solution that made it possible. The remedy is comprised of 22 ingredients that have been compressed into capsules, though the website doesn't fully discuss what each of these ingredients are. The purpose of this supplement is to reduce the toxins that build up in the body, causing drastic decrease in energy.

As this energy is replenished, users can more easily burn through the extra fat on their body. It also helps to regulate leptin, which is the hormone that signals when the individual has consumed enough food. By taking this remedy, users can gain support and additional control of their appetites, even improving their complexion, and easing the pain on their joints. While users do not have to incorporate any diet or exercise program while they take Leptitox, the improved energy and lower appetite may be helpful to these efforts.

The Pros and Cons of Leptitox Anytime someone chooses a weight loss supplement, they need to make sure they know what they're getting into. Here are some of the pros and cons to consider before choosing Leptitox for any weight loss journey. Pros. Only uses natural ingredients to improve safety.

Causes minimal side effects, if any. Reduces hunger without artificial sensation. Allows users to continue eating favorite foods. Improves the leptin production.

Can safely stop using without withdrawal symptoms. Promotes greater energy levels. Offers a 60-day refund policy for unsatisfied customers. Cons.

May be expensive in comparison with other weight loss formulas. Can only be purchased on the official website. May create varied results for users of different lifestyles. What Goes into Leptitox?.

The biggest appeal to the Leptitox formula is the collection of almost two dozen ingredients, working together to regulate leptin levels. Some of those ingredients include. Milk thistle Grapeseed Jujube Barberry Apium graveolens seed Brassicas Chanca Piedra Alfalfa Taraxacum leaves Meratrim Users should be aware that this is not a complete list of every ingredient in the formula. Users can check the label to see if there are any ingredients that will interact poorly with current medication or allergies.

Read on below to learn about the impact that each of the aforementioned ingredients can have on the body. Milk Thistle Milk Thistle primarily helps to detoxify the body of BPA. This toxin is often found in items like plastic that consumers use every single day. Grapeseed Grapeseed eradicates cadmium, which is often found in many of the foods that consumers consider healthy.

Nuts, vegetables, and cereal are all guilty of containing this substance. Grapeseed is also helpful to individuals who want to burn more calories naturally. Jujube Jujube detoxifies the body of a substance called ZEA, which is primarily found in cereal products and corn products. It also promotes better energy levels, which is especially helpful for anyone who is working out while taking Leptitox.

Barberry Barberry is rich with berberine, helping to eliminate the excess fat that is stored on the body. It improves healthy cholesterol, and it stimulates the neurotransmitters in the brain to promote better focus. Apium Graveolens Seed Apium Graveolens essentially provides the user with the nutritional benefits of celery. It eliminates DEHP stores in the body, which is a common element of all plastic sources.

Brassicas Brassicas, which is a type of broccoli, floods the body with cysteine. Cysteine is an amino acid that helps users to reduce their food cravings naturally. It is also necessary for the growth of new muscle. Chanca Piedra Chance Piedra doesn't actually reduce fat or purge the body of toxins.

Instead, it works to reduce inflammation that affects the entire digestive system. It protects the kidneys, and it can trigger a faster metabolism. Alfalfa Alfalfa also doesn't directly purge toxins or push the body to lose weight. Instead, it regulates cholesterol and manage is high blood pressure, which are two common concerns among individuals that suffer from obesity.

Taraxacum Leaves Taraxacum leaves come from dandelions. They are a rich source of vitamin K, and they help to protect the bones as they cleanse the liver. Meratrim Meratrim combines to medicinal herbs to improve metabolism. It also protects the body from storing new fat as it sheds what it previously held.

How Does Leptitox Improve Weight Loss?. The primary way that this formula improves weight loss is because it regulates leptin. Leptin is a hormone that naturally exists in the body already, and it is released by fat cells. The purpose of this hormone is to let the body know when it is hungry, but individuals who have developed leptin resistance may not feel the urge to stop eating when they should.

As the creators of this formula explain, the primary reason that this problem occurs is due to the toxins that can enter the body and collect over time. It can also be caused by improper eating habits, causing the body to think that meals are coming infrequently. Leptitox pushes the detoxification that can accumulate, helping leptin levels to regulate again. With this regulation, the brain is able to receive the signals needed to stop the individual from consuming more food than they should.

Along with the improved reaction to leptin, the ingredients used also targets the fats that has accumulated in the body. It destroys the structure of the fat cells, helping the body to burn through stored fat for energy to lose weight quickly. Engaging in a healthy diet and regular physical activity can improve the already impressive results of any weight loss supplements, including Leptitox. What Do Users Gain from Leptitox Use?.

Consumers can find many benefits when they use Leptitox, even if they've only been trying to lose weight for a short amount of time. Many people have already found that this remedy can. Promote incredible weight loss with minimal effort on the part of the user. Increase overall energy.

Promote stronger and more consistent brain activity. Reduce the severity of joint pain. Increased strength, texture, and overall health of hair. Improve the complexion with greater luminosity and strength.

Enhance overall health. Promote better confidence and self-worth. All of these benefits are clear signs that this remedy is good for anyone who wants to improve themselves. Potential Side Effects of Leptitox Use The entire focus of the creators of Leptitox does not exclusively rely on the ingredients used or the benefits.

The company develops each capsule within a facility that is already FDA approved, providing further validity to their products. While the FDA does not approve or disapprove of supplements (since they are neither food nor drug), using a facility that follows their regulations shows that the company prioritizes safety. Considering the natural formulation, there are very few side effects ever reported regarding this formula. Even the few that customers have expressed concerns about are not severe at all.

At the most, there are a few users that have said they experienced dizziness or lightheadedness, which is significantly better than the side effects reported by many medications. Individuals that have allergies to one of the ingredients should avoid the formula entirely. The regulation of leptin can cause many different changes in the body, including. Frequent urination.

While these reactions are common with the changing hormones, the issues are less of a side effect of Leptitox and more of a hormonal reaction. There are many ingredients used to counteract these problems. Before using any remedy like Leptitox supplement, reach out to a medical professional to ensure that it is a good match. Users that experience any adverse reaction should no longer take Leptitox.

Stopping use is relatively easy because there are no addictive substances included. Who Shouldn’t Use Leptitox?. For the most part, anyone can use the Leptitox formula if they are over age 18. Most of the reasons that the company gives for not using this product are simply a matter of safety with weight loss supplements of any kind.

Women who are pregnant or breastfeeding are encouraged not to take the remedy without the approval from a doctor. The same sentiment is extended to children since this remedy may be overwhelming for their body. Users that currently take any kind of medication may also want to consult with a doctor to determine if this remedy is safe to combine with it. How to Properly Use Leptitox Users can start taking the Leptitox formula at any time.

Users will start with two capsules each day to trigger the improvement in their leptin levels. It can be taken with or without food, leaving this preference entirely up to the user. If the user experiences weight loss rather quickly, they can reduce the serving to one capsule per day to keep up the results. While some people experience fast weight loss, it is safe to reduce the capsule down to one every other day if necessary.

Where to Buy Leptitox Right now, users are only able to purchase Leptitox on the official website. Since no other retailers have been authorized to offer it, users that find it on other websites are not likely getting a reliable source. As an incentive for customers to purchase more of the product at one time, there are multiple packages offered. While a single bottle may only cost $59, users can reduce this cost as they stock up.

Currently the packages include. If the user finds that this formula is not the right solution for their weight loss, the company offers a 60-day money back guarantee. Users will only need to send back the amount that has not been used to get their full refund after contacting customer service. To get ahold of the customer service team, send an email to contact@leptitox.org.

Final Thoughts Leptitox provides users with a simple and proven way to eliminate their excess weight. With the added benefit of improved energy and more simulated brain activity, this supplement can improve the user's overall health with very little effort. Users can improve their sleep schedule and feel more prepared to take on the exercise that they want to integrate. With a simple return policy that covers the first two months of use, there is no risk in trying out this remedy when so many other options have failed.

Click Here to Visit the Official Leptitox Website to Buy for the Lowest Price OnlineThis article contains affiliate links to products. Discover may receive a commission for purchases made through these links.Cannabis is one of the most versatile plants on the entire planet. Every day, we seem to find more exciting uses for it. It has given us everything from herbal remedies to construction materials.

Delta 8, the cannabis compound, is not a recent discovery. It was first found in 1965 by Dr. Raphael Mechoulam, a.k.a. €œThe Father of Cannabis.” However, it appears that its full potential is something that has been hiding in plain sight all of these years.

After learning more about the effects of Delta 8 THC, there has been a major boom in Delta 8 products. Suddenly an entire market has emerged with a demand for Delta 8 tinctures, edibles, vapes, and more. So what does Delta 8 do, and why is everybody so keen on taking it?. Read on to learn more.

Background Information Before we get to anything else, whenever you introduce a new substance to your body, it’s always important to know what exactly it is and where it comes from. Delta 8 is a cannabinoid derived from cannabis. It’s one of many compounds (over a hundred cannabinoids and counting) that are unique to the plant. Delta 8 interacts with the receptors of the endocannabinoid system (ECS for short).

The ECS is responsible for helping maintain the other major bodily systems, including your nervous system and immune system. The primary function of a cannabinoid within the ECS is to bind with its aforementioned receptors, get broken down by enzymes, and then assist with sending the signals your body needs to regain balance and function. Benefits of Delta 8 Now to answer the main question everybody is here for. What effects will I feel if I use Delta 8 THC?.

In summary, these are the effects that you can expect after consuming a Delta 8 infused product. Clear-headed high Better focus and concentration Feelings of relaxation, comfort, and calmness Improved appetite Most will describe taking Delta 8 as a very pleasant and uplifting experience. It tends to bring a deep feeling of relief and peacefulness to its users. Some might even say it gives them a floating feeling, as if all of the weight has been taken off of them.

Effects vary from person to person and are not always immediate, though. The amount of time it takes largely depends on your method of consumption. For instance, if you are taking Delta 8 via an edible (such as a gummy), it might take between 60 to 90 minutes before your body can begin to digest and absorb it. After that, the effects should hit a peak and then last about 3 to 8 hours.

Another important point is the quality of the product. Poorly made Delta 8 products might produce less of the desired effects. That’s why we suggest going with a reliable and trusted brand, such as Everest. Companies like Everest put extra effort into sourcing the best quality ingredients, and making sure their product is tested for purity and maximum potency.

Side Effects There are some potential side effects with Delta 8 that should be mentioned. The most common of them include. It’s recommended to keep hydrated while taking Delta 8. This should help if you feel dry eyes or mouth.

You might feel tired or lack any energy to move. This is totally normal at higher doses. If this happens, it should wear off as soon as the Delta 8 has been fully processed through your system. Finally, you shouldn’t drive or operate heavy machinery while under the effects of Delta 8.

Delta 8 vs. Delta 9 When most people hear “THC,” they think of Delta 9. It’s the primary psychoactive compound found in marijuana. Whenever somebody gets high from smoking pot, it’s courtesy of Delta 9.

Delta 8 can be considered a sort of relative of this cannabinoid. The two diverge considerably in the effects they produce, though. Delta 9 is far more intense than Delta 8. In fact, Delta 9 has been known to cause paranoia, increased anxiety, and panicked thoughts in some people.

This isn’t something you tend to get with Delta 8. Instead, Delta 8 keeps your mind clear and sharp with a much gentler high. Many people report feeling more productive and at ease after taking Delta 8. Delta 8 is also much slower and more subtle than Delta 9.

It takes a while to kick in, so it eases you into the experience better than its more potent counterpart. Delta 8 vs. Delta 10 Delta 10 is the newest member of the THC family. It also has a remarkable and fascinating backstory.

It was discovered completely by accident during the 2020 bushfires in California. After fire retardant chemicals were dumped across the landscape, some of it ended up on the plants growing on cannabis farms in the region. This caused a fascinating reaction during the extraction process, as scientists attempted to remove the contaminants. Unusual crystals began to form within the cannabis concentrations.

Closer research revealed that the compound created was slightly different from any cannabinoid they had encountered. It wasn’t a new substance, though. Instead, Delta 10 turned out to be a rare compound that had been merely overlooked until that point. So how does Delta 10 distinguish itself from Delta 8?.

Most experts say that Delta 10 is the “sativa” to Delta 8’s “indica.” Don’t worry if you’re not enough of a cannabis enthusiast to understand the analogy. We’ll explain what that means. The gist is that Delta 10 provides a boost of energy and cerebral stimulation that makes it more of a “daytime” experience. Hence the comparison to the sativa strain of cannabis, which produces a similar effect.

In contrast, Delta 8 offers more of a calm and relaxing experience that might be more preferred at the end of the day. Like indica, it’s perfect for kicking back and drifting off. Delta 8 vs. CBD Fun fact.

Delta 8 is an isomer of CBD. Their atomic composition is pretty much identical, just arranged into two different structures. Another fun fact. Most Delta 8 is actually just CBD that has been converted.

This is because natural Delta 8 only occurs in very small trace amounts in the hemp plant, and is difficult to extract on its own. However, while the two cannabinoids might be similar on an atomic level, their effects can be quite different. The most obvious distinction is that CBD isn’t psychoactive. No matter how much CBD you take, you won’t get even a slight buzz from it.

Meanwhile, Delta 8 is psychoactive and may offer you a somewhat heady experience. Some brands combine both CBD and Delta 8 in their products. They typically do this to lessen the potency of the Delta 8 and make it more palatable for those who might not wish to experience the additional benefits of Delta 8..

To hug or not to cheap levitra pills hug, that’s the question right now. We’re in a precarious place in the world of greetings etiquette. Depending on where you live, many of cheap levitra pills us are vaccinated. But it’s hard to know for sure before you embrace whether or not the person you’re leaning into has gotten the jab.

At the same time, many of us are yearning for the warmth of a hug after a long year of social isolation. Humans, according to experts, biologically need touch and a good long hug is cheap levitra pills one of the best ways to get it. Suzanne Degges-White is a professor and researcher focused on social relationships at Northern Illinois University in Dekalb, IL. She says that our need for a hug goes all the way back to the survival of our species.

When we’re born we can’t care for cheap levitra pills ourselves and we need to be comfortable being held in order to survive. We’re rewarded with a rush of feel good hormones that come from a cozy embrace.“When we hug our brains release oxytocin, the bonding hormone, as well as serotonin and endorphins,” says Degges-White.This bond and sense of community has an important evolutionary role because for humans, the security of our small groups and later communities was really important to survival. Close contact helped build civilization. As a result, our brains need each other and when we miss out cheap levitra pills it has psychological repercussions.“When we can’t hug we don’t get that jolt of good hormones,” says Degges-White.The need is so deeply engrained in us that over the past year due to erectile dysfunction treatment many people have been experiencing depression and anxiety due to what Degges-White calls “touch deprivation.” At first it was most rampant in already isolated nursing homes where the levitra initially did the most damage and over time, like the levitra itself, that need for connection spread to the wider community.

We may not know what we’re getting from greeting our friends and family with a hug. We just cheap levitra pills enjoy it. It isn’t until those experiences are taken away that we feel pain and sadness. An elbow bump or air greeting does not suffice.

Research published in the journal Psychological Science has shown that hugging has a “stress buffering” effect that may even protect us from chronic illness and s.“We don’t miss it until it’s gone,” says cheap levitra pills Degges-White. €œUntil you get a headache you don’t how good it feels not to have one.”Some of us grew up in more formal households where hugging wasn’t common. Others may have experienced abuse that makes hugging traumatic. But in both cases when children don’t experience healthy touch, it can impact their development cheap levitra pills.

Kids that didn’t grow up being held, says Degges-White, miss out on that sense of safety and protection. They may act out or isolate from those around them. In some cases, the cheap levitra pills opposite may also be true. Some children may show too much affection, craving any form of positive attention that they didn’t get at home.What About Cultures Where Hugging Isn’t Common?.

While hugging might not be the norm, connection is still key. In some communities, a parent wears the baby until they’re mobile so they’re cheap levitra pills constantly being held. Cultures that don’t hug might kiss as a greeting instead. And in other cultures where hugging and embracing are not social norms, other forms of intimacy are cheap levitra pills more prevalent.

When people are more restrained in terms of greetings, they may be more sexually expressive. While in the United States we may hug as a greeting, we have a culture of shame around sexual expression and around the body, but other countries don’t have that, says Degges-White.“In the end, every culture figures out their way of getting connection,” she says. Is Hugging Safe Once You’re Vaccinated? cheap levitra pills. Still, for more than a year, we’ve been missing out and many of us are in a gray area when it comes to whether or not to reach in for that much-coveted warm embrace.

But according to Rajeev Fernando, director of the Division of Infectious Diseases at Stony Brook Southampton Hospital in Southampton, New York, if you’re both vaccinated then go for it because research has shown that the risk of transmission is extremely low. And if you’re vaccinated but you don’t cheap levitra pills know for sure whether the person you’re hugging has been vaccinated, it’s still most likely safe.“The levitra can in theory colonize the nose without causing clinical disease but the risk is low and the chance of a vaccinated person getting serious clinical disease and hospitalized is exceedingly low,” says Fernando.When it comes to hugging younger children who haven’t been vaccinated, there’s a little bit more risk, but it’s still minimal when parents are vaccinated. Children don’t manifest erectile dysfunction treatment in the same way as adults because the erectile dysfunction binds to ACE2 receptors which are abundant in adults but not in young children. Even if kids aren’t yet vaccinated, if adults are, the risk of transmission is still really low.But if you’re an adult that’s not vaccinated, then hugging is still off limits, especially embracing others who are also unvaccinated because the levitra can easily be transmitted.

This is particularly true in parts of the country where there’s a higher percentage of cheap levitra pills people who are not vaccinated because the levitra is still floating around their communities. levitraes, Fernando says, unlike bacteria, can’t live on surfaces for any period of time. They need a cell to survive. That’s why cheap levitra pills transmission is airborne.

Wearing a mask is safer than not if you haven’t been vaccinated, but there’s still a risk when you’re getting that close. Unfortunately, says Fernando, “there are no slam dunks if you’re not vaccinated.” If we want things back to a place where we can safety reach in for that long awaited embrace, everyone who can be needs to get vaccinated.Around two years ago, a former high school science teacher was walking cheap levitra pills in the woods near Atlanta, Georgia when she came across a common, yet striking mushroom. Many folks are familiar with this fungus, with its distinctive firetruck-red cap speckled by white dots, called the fly agaric or Amanita muscaria. It’s technically poisonous, but while very rarely deadly, it can cause uncomfortable nausea and seizures.

It’s also psychoactive, triggering a range of hallucinations that can be stimulating or sedating, depending cheap levitra pills on the person.The teacher, who uses the pseudonym Amanita Dreamer, had been planning for this walk to be her last. After years of struggling on prescription benzodiazepines, she made a plan to end her life. But intrigued by this strange toadstool, she took it home, researched it online and then took about 15 grams in a tea after dehydrating it.“That was probably that natural substance I had been looking for my whole life,” Dreamer tells Discover. €œI woke up the cheap levitra pills next morning, my life was just completely different.

I didn't have panic and anxiety probably for the first time in my life. And I never took another benzo, I had no more pain, no more withdrawals, no more nothing.”Dreamer has since started taking the fungus on a regular basis, which is not recommended by most fungi guides. Still, she claims cheap levitra pills to receive some benefit from it. She smokes a homemade blend of the mushrooms or sometimes eats the caps.Dreamer has started a YouTube channel with around 133,000 views dedicated to her experiences with the fungus, and opened an Etsy shop where she sells Amanita products (albeit labeled “not for human consumption.”) Amanita muscaria mushrooms are not illegal to harvest, sell, purchase or consume in the United States and most other countries, but Dreamer still prefers to stay semi-anonymous.In contrast, Amanita muscaria is almost certainly the most famous mushroom in the world, found on every continent except Antarctica.

The emoji for “mushroom” features the toadstool's white-freckled red caps, which have been prominent in everything from The Smurfs to Disney’s Fantasia. And yes, it's sometimes associated with images of someone magically shrinking cheap levitra pills or growing, like the shrooms in Super Mario or Alice in Wonderland. Amanita mascara may soon become more than just a pop-culture behemoth, though. It's also grabbed the attention of Psyched Wellness, a cheap levitra pills Canada-based startup seeking to capitalize on the fungi's potential wellness benefits.

€œIt's kind of a rare situation, because [Amanita muscaria] has been used for centuries," says Psyched Wellness CEO and director Jeff Stevens. "But it hasn't had anyone step up and do the scientific work to get it to the point that you can put it on the shelf." Trendy Psychoactive Fungi Because fly agarics are psychoactive, many people confuse these mushrooms for psilocybin “magic” mushrooms, which are being studied by scientists for their therapeutic value in treating depression and PTSD. But the cheap levitra pills effects of these different fungi are remarkably different. For one, A.

Muscaria mushrooms do not contain psilocybin. Their primary psychoactive ingredient is called muscimol and it works on GABAA receptors in the body, whereas psilocybin targets serotonin receptors cheap levitra pills. The subjective effects are quite different.There is also far less research on muscimol compared to psilocybin, which is celebrated as a primary drug behind the “psychedelic renaissance” in recent years. Psilocybin is the backbone of a handful biotech startups, including Compass Pathways, which has a market cap of $1.4 billion.

Muscimol, however, has mostly been ignored by scientists and recreational cheap levitra pills drug users. But that could be slowly changing, part of the broader mushroom wellness trend that is making fungus like Lion’s mane or Cordyceps popular.Psyched Wellness is in the process of making an Amanita muscaria extract into an over-the-counter wellness product for potentially treating sleep disorders, stress and even physical pain. The company hopes to have a tincture called AME-1 on store shelves by mid-2022, followed by capsules, teas and topical ointments. They may even pursue it as a prescription drug at some point.It’s long been possible to (legally) cheap levitra pills buy Amanita muscaria from online vendors.

But before Psyched Wellness’s product appears next to CBD and chaga fungus, the company is doing some real science to unlock the fungi's full potential. In May 2021, the company hired the National Research Council of Canada to study its proprietary extract for potential cheap levitra pills anti-inflammatory and neuroprotective properties. Psyched Wellness has also contracted KGK Science, a Canadian research organization, for several preclinical oral toxicity study in rodents before moving onto humans. One test reported no adverse effects on treated animals after 14 days.But Stevens stresses that the doses involved won’t be enough to send someone on a trip.

€œWe're not suggesting at all that this is something that cheap levitra pills you'd want to use on a macro level. We'll be framing it as microdosing tincture to help alleviate stress, similar to what effect you might have from say, melatonin, or even a glass of wine.”From Flying Reindeer to Modern MedicinePsyched Wellness is drawing on a long history of cultural use of Amanita muscaria mushrooms. For example, these mushrooms play a pivotal role in Indigenous Siberian religious practices, which may have inspired the legend of Santa Claus. So far, Psyched Wellness is the only psychedelic startup exploring these mushrooms, which has attracted David Nutt, an English neuropsychopharmacologist at Imperial College London, who is also on the scientific advisory board of Compass Pathways.Because these mushrooms aren’t illegal, unlike psilocybin, cheap levitra pills it will be a lot easier (and cheaper) to study them.

Two clinical trials on muscimol have been started in the recent past, but both collapsed, allegedly due to funding issues. No data from these studies have been published. The first was started in 2000 to cheap levitra pills see if muscimol can treat epilepsy, while the other, for Parkinson’s disease, started in 2009. What makes Nutt and Psyched Wellness so sure that muscimol can help people this time around?.

€œIn those days, we cheap levitra pills hadn't a clue how to use it,” says Nutt. €œThis was a primitive pre-genome days where people hadn't a clue what they were doing [with muscimol.] I'm not pessimistic because I just think the science has moved on dramatically.”Mitigating HarmsBut wait — aren’t Amanita muscaria mushrooms dangerous?. The answer is complicated. Most of the side effects of fly agarics come from another compound cheap levitra pills present in the fungus called ibotenic acid.

This little molecule is the reason these mushrooms are a brilliant red, but also why they sometimes makes people vomit or become comatose.Ibotenic acid is considered by some to be neurotoxic. In fact, it has been widely used in scientific research to purposefully create lesions in the brains of rodents for studying how systems in the brain interact. But a problem with the majority of these studies is they are somewhat cheap levitra pills old and describe injecting ibotenic acid directly into the brains of rodents. That’s not really how people would consume the compound if it takes the form of tinctures, teas and capsules, so these findings may not translate.

€œIbotenic acid has a really bad, distorted reputation,” Dreamer says. €œThere were cheap levitra pills never any oral ingestion studies done. And the biochemistry in the body is just radically different when you inject versus orally ingest something.”Regardless, it’s not difficult to remove the ibotenic acid from Amanita muscaria. Heat decarboxylates the ibotenic acid, turning it into muscimol, which is much better tolerated.

Psyched Wellness has designed a water-based extraction process cheap levitra pills that leaves only trace amounts of ibotenic acid. The company hopes this will make it safer. €œI don't doubt that muscimol can be used both therapeutically cheap levitra pills and recreationally in a controlled dose,” says Hamilton Morris, a researcher and documentary filmmaker who has made films about the science of Amanita muscaria. €œI do imagine that a lot of the problems associated with mushroom consumption could be mitigated in some kind of a standardized extract.

I'd be curious to see how that pans out.”Until more research is done, the full safety profile of Amanita muscaria is still unknown and people like Dreamer could be taking risks with their health. But the cultural ubiquity of this cheap levitra pills iconic mushroom attests that few can avoid the colorful, magic, strangeness of it all. And there is clearly more to learn from this fungi. €œThe historical use of Amanita goes back many thousands of years,” says Nutt.

€œAnd it's quite likely to be useful in terms of stress reduction, in terms of sleep, possibly even in terms cheap levitra pills of sociability and helping people bond. It might have prosocial effects. So it's an open book, and it's great to start writing in it.”Summer means cookouts, picnics and backyard barbecues. But a generous spread of food eaten outside raises cheap levitra pills some serious health questions.

Nobody wants food poisoning – or to make their guests sick. But how do you know when you’ve kept the potato salad or fruit medley out too long?. As a professor and chair of the Food Science and Human Nutrition program at Iowa State University, I’ll answer those questions by cheap levitra pills starting with the basics of food safety.Two general classes of food-related microorganisms exist. Pathogenic organisms make you sick.

Other types of organisms make food look, smell cheap levitra pills and taste bad – in other words, they make food spoil.It’s usually pretty easy to tell if spoilage microorganisms have invaded your food. Molds and fuzzy growth appear on solid foods. Liquids look cloudy or clumpy and often smell bad. Eating spoiled foods is never a good idea, and you’re smart to err on the side of cheap levitra pills caution.

When in doubt, throw it out.Don’t use the same cutting board for meat and vegetables. (Credit. Getty Images/ Enrique Díaz/7cero)Cutting Boards and Kitchen ThermometersPathogenic microorganisms in foods are much more cheap levitra pills stealthy. These microorganisms are the ones that cause cramps, vomiting, diarrhea, fever and chills – symptoms that people associate with the “stomach flu.” levitraes also cause food-borne illness.

Typically, detecting pathogens in foods by smell or sight isn’t possible. So proper handling and storage, and knowing when to toss leftovers, is critical.The first rule of food cheap levitra pills safety is to keep preparation areas clean. Developing a routine helps. Always wash your hands before handling food.

Make sure you thaw meats in the refrigerator, not on the countertop cheap levitra pills. Otherwise, as the frozen meat sits at room temperature, its outer surfaces warm faster than the interior. This allows pathogens cheap levitra pills to multiply.Don’t use the same cutting board for meat, fruits and vegetables. In my kitchen, a red cutting board is for meat.

The green one for fruits and vegetables. Use different knives, plates and cheap levitra pills utensils for the raw meats, and always put cooked meats on a clean plate.Never rinse off raw meat or chicken in the sink, because that practice spreads bacteria on kitchen surfaces. Actually, there’s no need to rinse meat and chicken before cooking. But, if you insist, sanitize the sink with an antibacterial cleaning after moving the food away.

That’s “after” – be sure cheap levitra pills not to contaminate any foods with the cleaner.Any pathogens will be destroyed by fully cooking the meat to the recommended temperatures. Invest in a good kitchen thermometer. Although recommendations can vary slightly, you basically want an internal temperature of 160 F (71 C) for beef and pork, 165 F (74 C) for pouy, and 145 F (63 C) for fish and ham. Once food is cooked, keep hot foods at cheap levitra pills 140 F (60 C) or higher.

When transporting or serving foods over a period of time, keep cold foods on ice or in a cooler, especially during the hot summer months. Don’t let leftovers stay in the refrigerator too long. (Credit. Getty Images/Jupiterimages)Dealing With LeftoversAfter the meal is over, don’t let the leftovers linger.

Move them into the refrigerator quickly.As a newlywed, I spent Thanksgiving at my in-laws’ home in northern Minnesota. After dinner, they took all the serving dishes – turkey, stuffing and mashed potatoes – and put them on the screened porch for storage. It was probably less than 20 F (-6 C) degrees outside – but still, that’s not a great idea because weather changes quickly and temperatures will fluctuate, leading to risk of pathogen growth.My husband also believed foods should cool down on the counter before putting them in the fridge. He said it reduced stress on the refrigerator.

This is not necessary and increases the risk for food pathogens. Modern refrigerators are fully capable of cooling warm foods quickly while maintaining their internal temperatures, so don’t hesitate to put away those leftovers as soon as possible.Now, with the fridge full of leftovers, how long are they good to eat?. Most cooked foods are safe to consume within three to four days. After that, contamination risk increases.

If you have more leftovers than you can eat in that time frame, put them in the freezer. Be sure to cook leftovers to 165 F (74 C) before eating.Baked goods like breads, cakes, pies and cookies made in your kitchen will have a shorter shelf life than store-purchased items because yours are without preservatives. They will become stale, lose their texture sooner and grow mold. Once you see that, toss the whole thing out rather than try to cut away the contaminated spots.

While it’s unlikely to cause severe illness, some bread molds produce toxins that might cause problems, particularly for children or the elderly.Foods with higher moisture content spoil faster because water gives bacteria a chance to grow. So carrot cakes or zucchini bread spoil within about five days. Refrigerate these items, and you’ll increase their shelf life. Pies should be stored in the refrigerator and eaten within three to four days.

Cookies are typically low in moisture, except those containing fruit, jam or icing. Keep these types of cookies in the refrigerator and discard if they start to grow mold.As you get ready for your summer get-togethers, keep in mind that reducing food waste is good for both the environment and your budget, so consider portion sizes and the quantity you’re making to better manage leftovers. And remember that proper handling as you prepare and then store your meals will make sure you and your family enjoy your cookouts, parties and reunions without a food-related illness.Ruth S. MacDonald is the associate dean for personnel and finance for Iowa State University’s College of Agriculture and Life Sciences.

This article is republished from The Conversation under a Creative Commons license. Read the original article.This article contains affiliate links to products. Discover may receive a commission for purchases made through these links.Taking on a weight loss program practically seems to be second nature for anyone over the age of 30. Millions of people attempt to work out and diet their way towards a better body, but these efforts might not be enough for individuals that need a little extra boost.

The constant cycle of working but failing can be overwhelming for anyone, making it impossible to keep up the hope of a healthier body. Diet and exercise may take consumers part of the way towards their journey’s end, but the use of a supplement like Leptitox might help. Thousands of people have already used this formula and found success when other products and programs did not work. What is Leptitox?.

Leptitox is a weight loss formula, helping consumers to shed the extra fats from their body, even if they have struggled for years. It is meant for individuals of all ages, though the user should be an adult. Women who are pregnant or breastfeeding may not want to prioritize a weight loss supplement yet, which is why they should check with their doctor ahead of time. Developed by firefighter Morgan Hurst and scientist Sonya Rhodes, this formula originally was meant to help the former's wife.

She had struggled to lose extra weight for years after giving birth to their three children. After consultation with Rhodes, Hurst finally found a solution that made it possible. The remedy is comprised of 22 ingredients that have been compressed into capsules, though the website doesn't fully discuss what each of these ingredients are. The purpose of this supplement is to reduce the toxins that build up in the body, causing drastic decrease in energy.

As this energy is replenished, users can more easily burn through the extra fat on their body. It also helps to regulate leptin, which is the hormone that signals when the individual has consumed enough food. By taking this remedy, users can gain support and additional control of their appetites, even improving their complexion, and easing the pain on their joints. While users do not have to incorporate any diet or exercise program while they take Leptitox, the improved energy and lower appetite may be helpful to these efforts.

The Pros and Cons of Leptitox Anytime someone chooses a weight loss supplement, they need to make sure they know what they're getting into. Here are some of the pros and cons to consider before choosing Leptitox for any weight loss journey. Pros. Only uses natural ingredients to improve safety.

Causes minimal side effects, if any. Reduces hunger without artificial sensation. Allows users to continue eating favorite foods. Improves the leptin production.

Can safely stop using without withdrawal symptoms. Promotes greater energy levels. Offers a 60-day refund policy for unsatisfied customers. Cons.

May be expensive in comparison with other weight loss formulas. Can only be purchased on the official website. May create varied results for users of different lifestyles. What Goes into Leptitox?.

The biggest appeal to the Leptitox formula is the collection of almost two dozen ingredients, working together to regulate leptin levels. Some of those ingredients include. Milk thistle Grapeseed Jujube Barberry Apium graveolens seed Brassicas Chanca Piedra Alfalfa Taraxacum leaves Meratrim Users should be aware that this is not a complete list of every ingredient in the formula. Users can check the label to see if there are any ingredients that will interact poorly with current medication or allergies.

Read on below to learn about the impact that each of the aforementioned ingredients can have on the body. Milk Thistle Milk Thistle primarily helps to detoxify the body of BPA. This toxin is often found in items like plastic that consumers use every single day. Grapeseed Grapeseed eradicates cadmium, which is often found in many of the foods that consumers consider healthy.

Nuts, vegetables, and cereal are all guilty of containing this substance. Grapeseed is also helpful to individuals who want to burn more calories naturally. Jujube Jujube detoxifies the body of a substance called ZEA, which is primarily found in cereal products and corn products. It also promotes better energy levels, which is especially helpful for anyone who is working out while taking Leptitox.

Barberry Barberry is rich with berberine, helping to eliminate the excess fat that is stored on the body. It improves healthy cholesterol, and it stimulates the neurotransmitters in the brain to promote better focus. Apium Graveolens Seed Apium Graveolens essentially provides the user with the nutritional benefits of celery. It eliminates DEHP stores in the body, which is a common element of all plastic sources.

Brassicas Brassicas, which is a type of broccoli, floods the body with cysteine. Cysteine is an amino acid that helps users to reduce their food cravings naturally. It is also necessary for the growth of new muscle. Chanca Piedra Chance Piedra doesn't actually reduce fat or purge the body of toxins.

Instead, it works to reduce inflammation that affects the entire digestive system. It protects the kidneys, and it can trigger a faster metabolism. Alfalfa Alfalfa also doesn't directly purge toxins or push the body to lose weight. Instead, it regulates cholesterol and manage is high blood pressure, which are two common concerns among individuals that suffer from obesity.

Taraxacum Leaves Taraxacum leaves come from dandelions. They are a rich source of vitamin K, and they help to protect the bones as they cleanse the liver. Meratrim Meratrim combines to medicinal herbs to improve metabolism. It also protects the body from storing new fat as it sheds what it previously held.

How Does Leptitox Improve Weight Loss?. The primary way that this formula improves weight loss is because it regulates leptin. Leptin is a hormone that naturally exists in the body already, and it is released by fat cells. The purpose of this hormone is to let the body know when it is hungry, but individuals who have developed leptin resistance may not feel the urge to stop eating when they should.

As the creators of this formula explain, the primary reason that this problem occurs is due to the toxins that can enter the body and collect over time. It can also be caused by improper eating habits, causing the body to think that meals are coming infrequently. Leptitox pushes the detoxification that can accumulate, helping leptin levels to regulate again. With this regulation, the brain is able to receive the signals needed to stop the individual from consuming more food than they should.

Along with the improved reaction to leptin, the ingredients used also targets the fats that has accumulated in the body. It destroys the structure of the fat cells, helping the body to burn through stored fat for energy to lose weight quickly. Engaging in a healthy diet and regular physical activity can improve the already impressive results of any weight loss supplements, including Leptitox. What Do Users Gain from Leptitox Use?.

Consumers can find many benefits when they use Leptitox, even if they've only been trying to lose weight for a short amount of time. Many people have already found that this remedy can. Promote incredible weight loss with minimal effort on the part of the user. Increase overall energy.

Promote stronger and more consistent brain activity. Reduce the severity of joint pain. Increased strength, texture, and overall health of hair. Improve the complexion with greater luminosity and strength.

Enhance overall health. Promote better confidence and self-worth. All of these benefits are clear signs that this remedy is good for anyone who wants to improve themselves. Potential Side Effects of Leptitox Use The entire focus of the creators of Leptitox does not exclusively rely on the ingredients used or the benefits.

The company develops each capsule within a facility that is already FDA approved, providing further validity to their products. While the FDA does not approve or disapprove of supplements (since they are neither food nor drug), using a facility that follows their regulations shows that the company prioritizes safety. Considering the natural formulation, there are very few side effects ever reported regarding this formula. Even the few that customers have expressed concerns about are not severe at all.

At the most, there are a few users that have said they experienced dizziness or lightheadedness, which is significantly better than the side effects reported by many medications. Individuals that have allergies to one of the ingredients should avoid the formula entirely. The regulation of leptin can cause many different changes in the body, including. Frequent urination.

While these reactions are common with the changing hormones, the issues are less of a side effect of Leptitox and more of a hormonal reaction. There are many ingredients used to counteract these problems. Before using any remedy like Leptitox supplement, reach out to a medical professional to ensure that it is a good match. Users that experience any adverse reaction should no longer take Leptitox.

Stopping use is relatively easy because there are no addictive substances included. Who Shouldn’t Use Leptitox?. For the most part, anyone can use the Leptitox formula if they are over age 18. Most of the reasons that the company gives for not using this product are simply a matter of safety with weight loss supplements of any kind.

Women who are pregnant or breastfeeding are encouraged not to take the remedy without the approval from a doctor. The same sentiment is extended to children since this remedy may be overwhelming for their body. Users that currently take any kind of medication may also want to consult with a doctor to determine if this remedy is safe to combine with it. How to Properly Use Leptitox Users can start taking the Leptitox formula at any time.

Users will start with two capsules each day to trigger the improvement in their leptin levels. It can be taken with or without food, leaving this preference entirely up to the user. If the user experiences weight loss rather quickly, they can reduce the serving to one capsule per day to keep up the results. While some people experience fast weight loss, it is safe to reduce the capsule down to one every other day if necessary.

Where to Buy Leptitox Right now, users are only able to purchase Leptitox on the official website. Since no other retailers have been authorized to offer it, users that find it on other websites are not likely getting a reliable source. As an incentive for customers to purchase more of the product at one time, there are multiple packages offered. While a single bottle may only cost $59, users can reduce this cost as they stock up.

Currently the packages include. If the user finds that this formula is not the right solution for their weight loss, the company offers a 60-day money back guarantee. Users will only need to send back the amount that has not been used to get their full refund after contacting customer service. To get ahold of the customer service team, send an email to contact@leptitox.org.

Final Thoughts Leptitox provides users with a simple and proven way to eliminate their excess weight. With the added benefit of improved energy and more simulated brain activity, this supplement can improve the user's overall health with very little effort. Users can improve their sleep schedule and feel more prepared to take on the exercise that they want to integrate. With a simple return policy that covers the first two months of use, there is no risk in trying out this remedy when so many other options have failed.

Click Here to Visit the Official Leptitox Website to Buy for the Lowest Price OnlineThis article contains affiliate links to products. Discover may receive a commission for purchases made through these links.Cannabis is one of the most versatile plants on the entire planet. Every day, we seem to find more exciting uses for it. It has given us everything from herbal remedies to construction materials.

Delta 8, the cannabis compound, is not a recent discovery. It was first found in 1965 by Dr. Raphael Mechoulam, a.k.a. €œThe Father of Cannabis.” However, it appears that its full potential is something that has been hiding in plain sight all of these years.

After learning more about the effects of Delta 8 THC, there has been a major boom in Delta 8 products. Suddenly an entire market has emerged with a demand for Delta 8 tinctures, edibles, vapes, and more. So what does Delta 8 do, and why is everybody so keen on taking it?. Read on to learn more.

Background Information Before we get to anything else, whenever you introduce a new substance to your body, it’s always important to know what exactly it is and where it comes from. Delta 8 is a cannabinoid derived from cannabis. It’s one of many compounds (over a hundred cannabinoids and counting) that are unique to the plant. Delta 8 interacts with the receptors of the endocannabinoid system (ECS for short).

The ECS is responsible for helping maintain the other major bodily systems, including your nervous system and immune system. The primary function of a cannabinoid within the ECS is to bind with its aforementioned receptors, get broken down by enzymes, and then assist with sending the signals your body needs to regain balance and function. Benefits of Delta 8 Now to answer the main question everybody is here for. What effects will I feel if I use Delta 8 THC?.

In summary, these are the effects that you can expect after consuming a Delta 8 infused product. Clear-headed high Better focus and concentration Feelings of relaxation, comfort, and calmness Improved appetite Most will describe taking Delta 8 as a very pleasant and uplifting experience. It tends to bring a deep feeling of relief and peacefulness to its users. Some might even say it gives them a floating feeling, as if all of the weight has been taken off of them.

Effects vary from person to person and are not always immediate, though. The amount of time it takes largely depends on your method of consumption. For instance, if you are taking Delta 8 via an edible (such as a gummy), it might take between 60 to 90 minutes before your body can begin to digest and absorb it. After that, the effects should hit a peak and then last about 3 to 8 hours.

Another important point is the quality of the product. Poorly made Delta 8 products might produce less of the desired effects. That’s why we suggest going with a reliable and trusted brand, such as Everest. Companies like Everest put extra effort into sourcing the best quality ingredients, and making sure their product is tested for purity and maximum potency.

Side Effects There are some potential side effects with Delta 8 that should be mentioned. The most common of them include. It’s recommended to keep hydrated while taking Delta 8. This should help if you feel dry eyes or mouth.

You might feel tired or lack any energy to move. This is totally normal at higher doses. If this happens, it should wear off as soon as the Delta 8 has been fully processed through your system. Finally, you shouldn’t drive or operate heavy machinery while under the effects of Delta 8.

Delta 8 vs. Delta 9 When most people hear “THC,” they think of Delta 9. It’s the primary psychoactive compound found in marijuana. Whenever somebody gets high from smoking pot, it’s courtesy of Delta 9.

Delta 8 can be considered a sort of relative of this cannabinoid. The two diverge considerably in the effects they produce, though. Delta 9 is far more intense than Delta 8. In fact, Delta 9 has been known to cause paranoia, increased anxiety, and panicked thoughts in some people.

This isn’t something you tend to get with Delta 8. Instead, Delta 8 keeps your mind clear and sharp with a much gentler high. Many people report feeling more productive and at ease after taking Delta 8. Delta 8 is also much slower and more subtle than Delta 9.

It takes a while to kick in, so it eases you into the experience better than its more potent counterpart. Delta 8 vs. Delta 10 Delta 10 is the newest member of the THC family. It also has a remarkable and fascinating backstory.

It was discovered completely by accident during the 2020 bushfires in California. After fire retardant chemicals were dumped across the landscape, some of it ended up on the plants growing on cannabis farms in the region. This caused a fascinating reaction during the extraction process, as scientists attempted to remove the contaminants. Unusual crystals began to form within the cannabis concentrations.

Closer research revealed that the compound created was slightly different from any cannabinoid they had encountered. It wasn’t a new substance, though. Instead, Delta 10 turned out to be a rare compound that had been merely overlooked until that point. So how does Delta 10 distinguish itself from Delta 8?.

Most experts say that Delta 10 is the “sativa” to Delta 8’s “indica.” Don’t worry if you’re not enough of a cannabis enthusiast to understand the analogy. We’ll explain what that means. The gist is that Delta 10 provides a boost of energy and cerebral stimulation that makes it more of a “daytime” experience. Hence the comparison to the sativa strain of cannabis, which produces a similar effect.

In contrast, Delta 8 offers more of a calm and relaxing experience that might be more preferred at the end of the day. Like indica, it’s perfect for kicking back and drifting off. Delta 8 vs. CBD Fun fact.

Delta 8 is an isomer of CBD. Their atomic composition is pretty much identical, just arranged into two different structures. Another fun fact. Most Delta 8 is actually just CBD that has been converted.

This is because natural Delta 8 only occurs in very small trace amounts in the hemp plant, and is difficult to extract on its own. However, while the two cannabinoids might be similar on an atomic level, their effects can be quite different. The most obvious distinction is that CBD isn’t psychoactive. No matter how much CBD you take, you won’t get even a slight buzz from it.

Meanwhile, Delta 8 is psychoactive and may offer you a somewhat heady experience. Some brands combine both CBD and Delta 8 in their products. They typically do this to lessen the potency of the Delta 8 and make it more palatable for those who might not wish to experience the additional benefits of Delta 8..

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ALBUQUERQUE, N.M normal levitra dosage How to get cialis without prescription. And SALT LAKE CITY, Aug. 6, 2021 /PRNewswire/ normal levitra dosage -- Twistle by Health Catalyst, Inc. (Nasdaq. HCAT) ("Twistle"), a secure communication platform that engages patients in their care, will host a variety of activities at the HIMSS21 Global Conference, including product demonstrations, a Pinksocks giveaway, and a Theater Presentation with Tom Burton, Director of Operations, Orthopedic and Neurosciences at Providence's Southern California Region.

Twistle's activities at this year's event are normal levitra dosage focused on new and innovative ways to eliminate disparities in healthcare. At Twistle's booth – Consumerism and Patient Engagement Pavilion in Caesar's Forum, booth #C437-38 – HIMSS21 participants are invited to learn how the company's patient engagement software can effectively address health inequities and other barriers to health and wellness. Live demonstrations will illustrate how patient engagement technology can reduce complications, support care plans, improve quality of life, and optimize care outcomes. Visitors to the Twistle booth can also learn about #pinksocks, a phenomenon that ignited normal levitra dosage a movement at HIMSS15 and will be continued at this year's event. A limited supply of #pinksocks will be gifted to HIMSS attendees to represent a shared belief that we can all do our part to make a positive impact on the world and change it for the better.Nick Adkins, Co-Founder of Pinksocks Life, Inc., a charitable organization focused on promoting human connection around the world, noted, "To achieve the promise of new approaches to healthcare, it will take all of us—technology companies, pharmaceutical companies, hospitals, research centers, patients, providers—all working together toward a common goal." Lastly, a HIMSS21 Theater Presentation will feature Tom Burton, Director of Operations, Orthopedic and Neurosciences at Providence's Southern California Region.

During the presentation Burton will discuss how Providence is generating patient engagement return on investment (ROI) by improving patient readiness for surgery, resulting in reduced complications, shorter length of stay, reduced readmissions and emergency department visits, and more. This session will be held in the Consumer and Patient Engagement Pavilion on Tuesday, August 10, from normal levitra dosage 3:45-4:05 pm PT."We are proud of our work to remove barriers to care for so many patients and we celebrate our health system colleagues in their quest to improve care delivery in innovative ways," said Kulmeet Singh, Founder of Twistle. "I look forward to personally thanking everyone I see at HIMSS for their commitment to a worthy mission."HIMSS is a global health conference and exhibition that focuses on the healthcare ecosystem by connecting professionals for education, innovation, and collaboration. HIMSS21 takes place August 9–13, 2021, in Las Vegas, Nevada.About Twistle by Health CatalystTwistle helps care teams transform the patient experience, improve quality, and reduce normal levitra dosage costs through patient-centered, HIPAA-compliant communication. We offer "turn-by-turn" guidance as patients navigate their health journey - before, during, and after a care episode.

A rich library of clinical content and best practices optimizes patient engagement to improve care plan compliance. In addition, Twistle delivers education, coaching, remote patient monitoring, and assessment forms to regularly connect patients and care teams, delivering a more comprehensive patient experience that saves valuable normal levitra dosage staff time, improves patient satisfaction and clinical outcomes, decreases avoidable readmissions and ED visits, and reduces the length of stay.About Health CatalystHealth Catalyst is a leading provider of data and analytics technology and services to healthcare organizations committed to being the catalyst for massive, measurable, data-informed healthcare improvement. Its customers leverage the cloud-based data platform—powered by data from more than 100 million patient records and encompassing trillions of facts—as well as its analytics software and professional services expertise to make data-informed decisions and realize measurable clinical, financial, and operational improvements. Health Catalyst envisions a future in which all healthcare decisions are data informed.About Pinksocks LifePinksocks Life, Inc. Is a tax exempt normal levitra dosage 501(c)(3) charitable organization focused on promoting human connection around the world by socially supporting other public charities.

The pinksocks movement empowers people from all walks of life to connect with anyone, anywhere, by creating a global tribe of pinksocks-wearing people who are focused on empathy, caring, and love. The movement has been decommoditized from its beginning in 2015 – all pinksocks are gifts. Every connection made between the gift giver and recipient is based normal levitra dosage on an authentic connection, not a transaction. View original content to download multimedia:https://www.prnewswire.com/news-releases/twistle-by-health-catalyst-showcases-innovative-ways-to-eliminate-disparities-in-care-at-himss21-301350034.htmlSOURCE Twistle by Health Catalyst MEDIA. Carlene Anteau, MS, RN, VP normal levitra dosage Marketing, 855-906-4680SALT LAKE CITY, Aug.

05, 2021 (GLOBE NEWSWIRE) -- Health Catalyst, Inc. ("Health Catalyst," Nasdaq. HCAT), a leading provider of data and analytics technology and services to healthcare organizations, today reported financial results for the quarter ended June 30, 2021 normal levitra dosage. €œIn the second quarter of 2021, I am pleased to share that we achieved strong performance across our business, including exceeding the mid-point of our quarterly guidance for both revenue and Adjusted EBITDA. Our second quarter 2021 Adjusted EBITDA performance of $1.7 million represents the first time since the company’s incorporation that we have achieved positive quarterly Adjusted EBITDA,” said Dan Burton, CEO of Health Catalyst.

€œAdditionally, we are excited to have closed our recent acquisition of Twistle on July normal levitra dosage 1, 2021. We anticipate Twistle will meaningfully bolster our Population Health analytics application suite, as healthcare organizations increasingly look for a comprehensive Population Health solution. This is particularly important as healthcare organizations begin to normalize operations outside of erectile dysfunction treatment, with many reprioritizing their transition to value-based care models and optimizing care delivery in virtual settings. We are thrilled to welcome our highly talented Twistle teammates to Health Catalyst, further enabling our mission to be the catalyst for massive, measurable, data-informed healthcare improvement.” Financial Highlights for the Three Months Ended normal levitra dosage June 30, 2021 Key Financial Metrics Three Months Ended June 30, Year over Year Change 2021 2020 (in thousands, except percentages, unaudited)GAAP Financial Data. Technology revenue$35,529 $25,487 39%Professional services revenue$24,098 $17,772 36%Total revenue$59,627 $43,259 38%Loss from operations$(32,319) $(15,640) (107)%Net loss$(35,834) $(27,183) (32)%Other Non-GAAP Financial Data:(1) Adjusted Technology Gross Profit$24,256 $17,493 39%Adjusted Technology Gross Margin68 % 69 % Adjusted Professional Services Gross Profit$8,174 $3,730 119%Adjusted Professional Services Gross Margin34 % 21 % Total Adjusted Gross Profit$32,430 $21,223 53%Total Adjusted Gross Margin54 % 49 % Adjusted EBITDA$1,661 $(4,188) 140%_____________________(1) These measures are not calculated in accordance with generally accepted accounting principles in the United States (GAAP).

See the accompanying "Non-GAAP Financial Measures" section below for more information about these financial measures, including the limitations of such measures, and for a reconciliation of each measure to normal levitra dosage the most directly comparable measure calculated in accordance with GAAP. Financial Outlook Health Catalyst provides forward-looking guidance on total revenue, a GAAP measure, and Adjusted EBITDA, a non-GAAP measure. For the third quarter of 2021, we expect. Total revenue between $59.4 million and $62.4 million, andAdjusted EBITDA normal levitra dosage between $(7.5) million and $(5.5) millionFor the full year of 2021, we expect. Total revenue between $236.7 million and $239.7 million, andAdjusted EBITDA between $(12.5) million and $(10.5) millionWe have not reconciled guidance for Adjusted EBITDA to net loss, the most directly comparable GAAP measure, and have not provided forward-looking guidance for net loss, because there are items that may impact net loss, including stock-based compensation, that are not within our control or cannot be reasonably predicted.

Quarterly Conference Call Details The company will host a conference call to review the results today, Thursday, August 5, 2021, at 5:00 p.m. E.T. The conference call can be accessed by dialing 1-800-708-4539 for U.S. Participants, or 1-847-619-6396 for international participants, and referencing participant code 50199342. A live audio webcast will be available online at https://ir.healthcatalyst.com/.

A replay of the call will be available via webcast for on-demand listening shortly after the completion of the call, at the same web link, and will remain available for approximately 90 days. About Health Catalyst Health Catalyst is a leading provider of data and analytics technology and services to healthcare organizations committed to being the catalyst for massive, measurable, data-informed healthcare improvement. Its customers leverage the cloud-based data platform—powered by data from more than 100 million patient records and encompassing trillions of facts—as well as its analytics software and professional services expertise to make data-informed decisions and realize measurable clinical, financial, and operational improvements. Health Catalyst envisions a future in which all healthcare decisions are data informed. Available Information Health Catalyst intends to use its Investor Relations website as a means of disclosing material non-public information and for complying with its disclosure obligations under Regulation FD.

Forward-Looking Statements This release contains forward-looking statements within the meaning of Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended, and the Private Securities Litigation Reform Act of 1995, as amended. These forward-looking statements include statements regarding our future growth, the benefits of the Twistle acquisition, the impact of erectile dysfunction treatment on our business and results of operations and our financial outlook for Q3 and fiscal year 2021. Forward-looking statements are subject to risks and uncertainties and are based on potentially inaccurate assumptions that could cause actual results to differ materially from those expected or implied by the forward-looking statements. Actual results may differ materially from the results predicted, and reported results should not be considered as an indication of future performance. Important risks and uncertainties that could cause our actual results and financial condition to differ materially from those indicated in the forward-looking statements include, among others, the following.

(i) changes in laws and regulations applicable to our business model. (ii) changes in market or industry conditions, regulatory environment and receptivity to our technology and services. (iii) results of litigation or a security incident. (iv) the loss of one or more key customers or partners. (v) the impact of erectile dysfunction treatment on our business and results of operations.

And (vi) changes to our abilities to recruit and retain qualified team members. For a detailed discussion of the risk factors that could affect our actual results, please refer to the risk factors identified in our SEC reports, including, but not limited to the Annual Report on Form 10-K for the year ended December 31, 2020 filed with the SEC on or about February 25, 2021 and the Quarterly Report on Form 10-Q for the fiscal quarter ended June 30, 2021 expected to be filed with the SEC on or about August 6, 2021. All information provided in this release and in the attachments is as of the date hereof, and we undertake no duty to update or revise this information unless required by law. Condensed Consolidated Balance Sheets(in thousands, except share and per share data, unaudited) As ofJune 30, As ofDecember 31, 2021 2020Assets Current assets. Cash and cash equivalents$205,095 $91,954 Short-term investments57,661 178,917 Accounts receivable, net46,971 48,296 Prepaid expenses and other assets11,323 10,632 Total current assets321,050 329,799 Property and equipment, net20,198 12,863 Intangible assets, net85,910 98,921 Operating lease right-of-use assets23,450 24,729 Goodwill107,822 107,822 Other assets4,526 3,606 Total assets$562,956 $577,740 Liabilities and stockholders’ equity Current liabilities.

Accounts payable$5,259 $5,332 Accrued liabilities13,979 16,510 Acquisition-related consideration payable— 2,000 Deferred revenue55,594 47,145 Operating lease liabilities2,327 2,622 Contingent consideration liabilities2,625 14,427 Convertible senior notes, net174,811 — Total current liabilities254,595 88,036 Convertible senior notes, net of current portion— 168,994 Deferred revenue, net of current portion894 1,878 Operating lease liabilities, net of current portion22,504 23,669 Contingent consideration liabilities, net of current portion6,827 16,837 Other liabilities2,232 2,227 Total liabilities287,052 301,641 Commitments and contingencies Stockholders’ equity. Common stock, $0.001 par value. 45,611,225 and 43,376,848 shares issued and outstanding as of June 30, 2021 and December 31, 2020, respectively46 43 Additional paid-in capital1,065,680 1,001,645 Accumulated deficit(789,854) (725,650)Accumulated other comprehensive income32 61 Total stockholders' equity275,904 276,099 Total liabilities and stockholders’ equity$562,956 $577,740 Condensed Consolidated Statements of Operations(in thousands, except per share data, unaudited) Three Months EndedJune 30, Six Months EndedJune 30, 2021 2020 2021 2020Revenue. Technology $35,529 $25,487 $69,368 $50,186 Professional services 24,098 17,772 46,105 38,189 Total revenue 59,627 43,259 115,473 88,375 Cost of revenue, excluding depreciation and amortization. Technology(1) 11,847 8,197 22,672 16,103 Professional services(1) 18,206 14,932 34,719 31,094 Total cost of revenue, excluding depreciation and amortization 30,053 23,129 57,391 47,197 Operating expenses.

Sales and marketing(1) 16,705 12,502 32,356 25,989 Research and development(1) 14,524 12,061 28,869 25,149 General and administrative(1)(2)(3) 22,525 8,113 37,540 17,814 Depreciation and amortization 8,139 3,094 15,953 5,971 Total operating expenses 61,893 35,770 114,718 74,923 Loss from operations (32,319) (15,640) (56,636) (33,745)Loss on extinguishment of debt — (8,514) — (8,514)Interest and other expense, net (3,707) (3,025) (7,659) (3,646)Loss before income taxes (36,026) (27,179) (64,295) (45,905)Income tax (benefit) provision (192) 4 (91) (1,232)Net loss $(35,834) $(27,183) $(64,204) $(44,673)Net loss per share, basic and diluted $(0.80) $(0.71) $(1.45) $(1.19)Weighted-average shares outstanding used in calculating net loss per share, basic and diluted 44,886 38,131 44,381 37,620 Adjusted net loss(4) $(1) $(5,740) (2,754) (11,823)Adjusted net loss per share, basic and diluted(4) $— $(0.15) $(0.06) $(0.31)______________________(1) Includes stock-based compensation expense as follows. Three Months EndedJune 30, Six Months EndedJune 30, 2021 2020 2021 2020 Stock-Based Compensation Expense:(in thousands) (in thousands) Cost of revenue, excluding depreciation and amortization. Technology$574 $203 $948 $379 Professional services2,282 890 3,717 1,706 Sales and marketing5,932 3,309 10,750 6,491 Research and development2,676 2,080 4,933 3,962 General and administrative6,263 2,564 10,889 5,249 Total$17,727 $9,046 $31,237 $17,787 (2) Includes acquisition-related costs, net as follows. Three Months EndedJune 30, Six Months EndedJune 30, 2021 2020 2021 2020 Acquisition-related costs, net:(in thousands) (in thousands)General and administrative$8,114 $(813) $10,270 $(297)(3) Includes duplicate headquarters rent expense, as follows. Three Months EndedJune 30, Six Months EndedJune 30, 2021 2020 2021 2020Duplicate rent expense(in thousands) (in thousands)General and administrative$— $125 $— $125 (4) Includes non-GAAP adjustments to net loss.

Refer to the "Non-GAAP Financial Measures—Adjusted Net Loss Per Share" section below for further details. Condensed Consolidated Statements of Cash Flows(in thousands, unaudited) Six Months EndedJune 30,Cash flows from operating activities2021 2020Net loss$(64,204) $(44,673)Adjustments to reconcile net loss to net cash used in operating activities. Depreciation and amortization15,953 5,971 Loss on extinguishment of debt— 8,514 Amortization of debt discount and issuance costs5,817 2,540 Non-cash operating lease expense1,926 1,569 Investment discount and premium amortization569 267 Provision for expected credit losses398 836 Stock-based compensation expense31,237 17,787 Deferred tax (benefit) provision4 (1,280)Change in fair value of contingent consideration liabilities9,064 (1,568)Settlement of acquisition-related contingent consideration(11,025) — Other(25) 71 Change in operating assets and liabilities. Accounts receivable, net927 (7,179)Deferred costs— 482 Prepaid expenses and other assets(1,548) (2,493)Accounts payable, accrued liabilities, and other liabilities(2,439) (1,056)Deferred revenue7,465 4,475 Operating lease liabilities(2,107) (1,783)Net cash used in operating activities(7,988) (17,520) Cash flows from investing activities Purchase of short-term investments(53,686) (163,346)Proceeds from the sale and maturity of short-term investments174,293 124,150 Acquisition of businesses, net of cash acquired— (15,249)Purchase of property and equipment(8,138) (789)Capitalization of internal use software(1,912) (278)Purchase of intangible assets(770) (1,182)Proceeds from sale of property and equipment12 10 Net cash provided by (used in) investing activities109,799 (56,684) Cash flows from financing activities Proceeds from convertible note securities, net of issuance costs— 222,482 Purchase of capped calls concurrent with issuance of convertible senior notes— (21,743)Repayment of credit facilities— (57,043)Proceeds from exercise of stock options14,076 15,010 Proceeds from employee stock purchase plan2,619 2,408 Payments of acquisition-related consideration(5,360) (748)Net cash provided by financing activities11,335 160,366 Effect of exchange rate on cash and cash equivalents(5) (9)Net increase in cash and cash equivalents113,141 86,153 Cash and cash equivalents at beginning of period91,954 18,032 Cash and cash equivalents at end of period$205,095 $104,185 Non-GAAP Financial Measures To supplement our financial information presented in accordance with GAAP, we believe certain non-GAAP measures, including Adjusted Gross Profit, Adjusted Gross Margin, Adjusted EBITDA, Adjusted Net Loss, and Adjusted Net Loss per share, basic and diluted, are useful in evaluating our operating performance. For example, we exclude stock-based compensation expense because it is non-cash in nature and excluding this expense provides meaningful supplemental information regarding our operational performance and allows investors the ability to make more meaningful comparisons between our operating results and those of other companies.

We use this non-GAAP financial information to evaluate our ongoing operations, as a component in determining employee bonus compensation, and for internal planning and forecasting purposes. We believe that non-GAAP financial information, when taken collectively, may be helpful to investors because it provides consistency and comparability with past financial performance. However, non-GAAP financial information is presented for supplemental informational purposes only, has limitations as an analytical tool and should not be considered in isolation or as a substitute for financial information presented in accordance with GAAP. In addition, other companies, including companies in our industry, may calculate similarly-titled non-GAAP measures differently or may use other measures to evaluate their performance. A reconciliation is provided below for each non-GAAP financial measure to the most directly comparable financial measure stated in accordance with GAAP.

Investors are encouraged to review the related GAAP financial measures and the reconciliation of these non-GAAP financial measures to their most directly comparable GAAP financial measures, and not to rely on any single financial measure to evaluate our business. Adjusted Gross Profit and Adjusted Gross Margin Adjusted Gross Profit is a non-GAAP financial measure that we define as revenue less cost of revenue, excluding depreciation and amortization and excluding stock-based compensation. We define Adjusted Gross Margin as our Adjusted Gross Profit divided by our revenue. We believe Adjusted Gross Profit and Adjusted Gross Margin are useful to investors as they eliminate the impact of certain non-cash expenses and allow a direct comparison of these measures between periods without the impact of non-cash expenses and certain other non-recurring operating expenses. The following is a reconciliation of revenue, the most directly comparable GAAP financial measure, to Adjusted Gross Profit, for the three months ended June 30, 2021 and 2020.

Three Months Ended June 30, 2021 (in thousands, except percentages) Technology Professional Services TotalRevenue$35,529 $24,098 $59,627 Cost of revenue, excluding depreciation and amortization(11,847) (18,206) (30,053) Gross profit, excluding depreciation and amortization23,682 5,892 29,574 Add. Stock-based compensation574 2,282 2,856 Adjusted Gross Profit$24,256 $8,174 $32,430 Gross margin, excluding depreciation and amortization67 % 24 % 50 %Adjusted Gross Margin68 % 34 % 54 % Three Months Ended June 30, 2020 (in thousands, except percentages) Technology Professional Services TotalRevenue$25,487 $17,772 $43,259 Cost of revenue, excluding depreciation and amortization(8,197) (14,932) (23,129) Gross profit, excluding depreciation and amortization17,290 2,840 20,130 Add. Stock-based compensation203 890 1,093 Adjusted Gross Profit$17,493 $3,730 $21,223 Gross margin, excluding depreciation and amortization68 % 16 % 47 %Adjusted Gross Margin69 % 21 % 49 %Adjusted EBITDA Adjusted EBITDA is a non-GAAP financial measure that we define as net loss adjusted for (i) interest and other expense, net, (ii) loss on debt extinguishment, (iii) income tax (benefit) provision, (iv) depreciation and amortization, (v) stock-based compensation, (vi) acquisition-related costs, net, including the change in fair value of contingent consideration liabilities, and (vii) duplicate headquarters expense. We view acquisition-related expenses when applicable, such as transaction costs and changes in the fair value of contingent consideration liabilities that are directly related to business combinations as costs that are unpredictable, dependent upon factors outside of our control, and are not necessarily reflective of operational performance during a period. We believe Adjusted EBITDA provides investors with useful information on period-to-period performance as evaluated by management and comparison with our past financial performance and is useful in evaluating our operating performance compared to that of other companies in our industry, as this metric generally eliminates the effects of certain items that may vary from company to company for reasons unrelated to overall operating performance.

The following is a reconciliation of our net loss, the most directly comparable GAAP financial measure, to Adjusted EBITDA, for the three months ended June 30, 2021 and 2020. Three Months EndedJune 30, 2021 2020 (in thousands)Net loss$(35,834) $(27,183)Add. Interest and other expense, net3,707 3,025 Loss on extinguishment of debt— 8,514 Income tax (benefit) provision(192) 4 Depreciation and amortization8,139 3,094 Stock-based compensation17,727 9,046 Acquisition-related costs, net(1)8,114 (813)Duplicate headquarters rent expense(2)— 125 Adjusted EBITDA$1,661 $(4,188)_____________________(1) Acquisition-related costs, net includes legal, due diligence, accounting, and consulting fees incurred as part of business combinations, and changes in fair value of contingent consideration liabilities for potential earn-out payments. For additional details refer to Note 2 in our condensed consolidated financial statements.(2) Duplicate rent expense for our corporate headquarters relocation. Adjusted Net Loss Per Share Adjusted Net Loss is a non-GAAP financial measure that we define as net loss adjusted for (i) stock-based compensation, (ii) amortization of acquired intangibles, (iii) loss on extinguishment of debt, (iv) acquisition-related costs, net, including the change in fair value of contingent consideration liabilities, (v) non-cash interest expense related to our convertible senior notes, and (vi) duplicate headquarters rent expense.

We believe Adjusted Net Loss provides investors with useful information on period-to-period performance as evaluated by management and comparison with our past financial performance and is useful in evaluating our operating performance compared to that of other companies in our industry, as this metric generally eliminates the effects of certain items that may vary from company to company for reasons unrelated to overall operating performance. Three Months Ended June 30, Six Months Ended June 30, 2021 2020 2021 2020Numerator. (in thousands, except share and per share amounts)Net loss $(35,834) $(27,183) $(64,204) $(44,673)Add. Stock-based compensation 17,727 9,046 31,237 17,787 Amortization of acquired intangibles 7,045 2,360 14,126 4,510 Loss on extinguishment of debt — 8,514 — 8,514 Acquisition-related costs, net 8,114 (813) 10,270 (297)Non-cash interest expense related to convertible senior notes 2,947 2,211 5,817 2,211 Duplicate headquarters rent expense — 125 — 125 Adjusted Net Loss $(1) $(5,740) $(2,754) $(11,823)Denominator. Weighted-average number of shares used in calculating net loss, basic and diluted 44,886,489 38,130,932 44,381,196 37,619,965 Adjusted Net Loss per share, basic and diluted $— $(0.15) $(0.06) $(0.31) Health Catalyst Investor Relations Contact:Adam BrownSenior Vice President, Investor Relations and FP&A+1 (855)-309-6800ir@healthcatalyst.com Health Catalyst Media Contact:Amanda HundtVice President, Corporate Communicationsamanda.hundt@healthcatalyst.com+1 (575) 491-0974.

ALBUQUERQUE, N.M cheap levitra pills http://getananswer.co.uk/how-to-get-cialis-without-prescription/. And SALT LAKE CITY, Aug. 6, 2021 cheap levitra pills /PRNewswire/ -- Twistle by Health Catalyst, Inc. (Nasdaq.

HCAT) ("Twistle"), a secure communication platform that engages patients in their care, will host a variety of activities at the HIMSS21 Global Conference, including product demonstrations, a Pinksocks giveaway, and a Theater Presentation with Tom Burton, Director of Operations, Orthopedic and Neurosciences at Providence's Southern California Region. Twistle's activities cheap levitra pills at this year's event are focused on new and innovative ways to eliminate disparities in healthcare. At Twistle's booth – Consumerism and Patient Engagement Pavilion in Caesar's Forum, booth #C437-38 – HIMSS21 participants are invited to learn how the company's patient engagement software can effectively address health inequities and other barriers to health and wellness. Live demonstrations will illustrate how patient engagement technology can reduce complications, support care plans, improve quality of life, and optimize care outcomes.

Visitors to the Twistle booth can also learn about #pinksocks, a phenomenon that ignited a movement at HIMSS15 and will be continued at cheap levitra pills this year's event. A limited supply of #pinksocks will be gifted to HIMSS attendees to represent a shared belief that we can all do our part to make a positive impact on the world and change it for the better.Nick Adkins, Co-Founder of Pinksocks Life, Inc., a charitable organization focused on promoting human connection around the world, noted, "To achieve the promise of new approaches to healthcare, it will take all of us—technology companies, pharmaceutical companies, hospitals, research centers, patients, providers—all working together toward a common goal." Lastly, a HIMSS21 Theater Presentation will feature Tom Burton, Director of Operations, Orthopedic and Neurosciences at Providence's Southern California Region. During the presentation Burton will discuss how Providence is generating patient engagement return on investment (ROI) by improving patient readiness for surgery, resulting in reduced complications, shorter length of stay, reduced readmissions and emergency department visits, and more. This session will be held in the Consumer and Patient Engagement Pavilion on Tuesday, August 10, from 3:45-4:05 pm PT."We are proud of our work to remove barriers to care for so many patients and we celebrate our health system cheap levitra pills colleagues in their quest to improve care delivery in innovative ways," said Kulmeet Singh, Founder of Twistle.

"I look forward to personally thanking everyone I see at HIMSS for their commitment to a worthy mission."HIMSS is a global health conference and exhibition that focuses on the healthcare ecosystem by connecting professionals for education, innovation, and collaboration. HIMSS21 takes place August 9–13, 2021, in Las Vegas, Nevada.About Twistle by Health CatalystTwistle helps care teams transform cheap levitra pills the patient experience, improve quality, and reduce costs through patient-centered, HIPAA-compliant communication. We offer "turn-by-turn" guidance as patients navigate their health journey - before, during, and after a care episode. A rich library of clinical content and best practices optimizes patient engagement to improve care plan compliance.

In addition, Twistle delivers education, coaching, remote patient monitoring, and assessment forms to regularly connect cheap levitra pills patients and care teams, delivering a more comprehensive patient experience that saves valuable staff time, improves patient satisfaction and clinical outcomes, decreases avoidable readmissions and ED visits, and reduces the length of stay.About Health CatalystHealth Catalyst is a leading provider of data and analytics technology and services to healthcare organizations committed to being the catalyst for massive, measurable, data-informed healthcare improvement. Its customers leverage the cloud-based data platform—powered by data from more than 100 million patient records and encompassing trillions of facts—as well as its analytics software and professional services expertise to make data-informed decisions and realize measurable clinical, financial, and operational improvements. Health Catalyst envisions a future in which all healthcare decisions are data informed.About Pinksocks LifePinksocks Life, Inc. Is a tax cheap levitra pills exempt 501(c)(3) charitable organization focused on promoting human connection around the world by socially supporting other public charities.

The pinksocks movement empowers people from all walks of life to connect with anyone, anywhere, by creating a global tribe of pinksocks-wearing people who are focused on empathy, caring, and love. The movement has been decommoditized from its beginning in 2015 – all pinksocks are gifts. Every connection made between the cheap levitra pills gift giver and recipient is based on an authentic connection, not a transaction. View original content to download multimedia:https://www.prnewswire.com/news-releases/twistle-by-health-catalyst-showcases-innovative-ways-to-eliminate-disparities-in-care-at-himss21-301350034.htmlSOURCE Twistle by Health Catalyst MEDIA.

Carlene Anteau, MS, RN, VP Marketing, 855-906-4680SALT cheap levitra pills LAKE CITY, Aug. 05, 2021 (GLOBE NEWSWIRE) -- Health Catalyst, Inc. ("Health Catalyst," Nasdaq. HCAT), a leading provider of cheap levitra pills data and analytics technology and services to healthcare organizations, today reported financial results for the quarter ended June 30, 2021.

€œIn the second quarter of 2021, I am pleased to share that we achieved strong performance across our business, including exceeding the mid-point of our quarterly guidance for both revenue and Adjusted EBITDA. Our second quarter 2021 Adjusted EBITDA performance of $1.7 million represents the first time since the company’s incorporation that we have achieved positive quarterly Adjusted EBITDA,” said Dan Burton, CEO of Health Catalyst. €œAdditionally, we are excited to have closed our recent acquisition of Twistle on cheap levitra pills July 1, 2021. We anticipate Twistle will meaningfully bolster our Population Health analytics application suite, as healthcare organizations increasingly look for a comprehensive Population Health solution.

This is particularly important as healthcare organizations begin to normalize operations outside of erectile dysfunction treatment, with many reprioritizing their transition to value-based care models and optimizing care delivery in virtual settings. We are thrilled to welcome our highly talented Twistle teammates to Health Catalyst, further enabling our mission to be the catalyst for massive, measurable, data-informed healthcare improvement.” Financial Highlights for the Three Months Ended June 30, 2021 cheap levitra pills Key Financial Metrics Three Months Ended June 30, Year over Year Change 2021 2020 (in thousands, except percentages, unaudited)GAAP Financial Data. Technology revenue$35,529 $25,487 39%Professional services revenue$24,098 $17,772 36%Total revenue$59,627 $43,259 38%Loss from operations$(32,319) $(15,640) (107)%Net loss$(35,834) $(27,183) (32)%Other Non-GAAP Financial Data:(1) Adjusted Technology Gross Profit$24,256 $17,493 39%Adjusted Technology Gross Margin68 % 69 % Adjusted Professional Services Gross Profit$8,174 $3,730 119%Adjusted Professional Services Gross Margin34 % 21 % Total Adjusted Gross Profit$32,430 $21,223 53%Total Adjusted Gross Margin54 % 49 % Adjusted EBITDA$1,661 $(4,188) 140%_____________________(1) These measures are not calculated in accordance with generally accepted accounting principles in the United States (GAAP). See the accompanying "Non-GAAP Financial Measures" section below for more information about these financial cheap levitra pills measures, including the limitations of such measures, and for a reconciliation of each measure to the most directly comparable measure calculated in accordance with GAAP.

Financial Outlook Health Catalyst provides forward-looking guidance on total revenue, a GAAP measure, and Adjusted EBITDA, a non-GAAP measure. For the third quarter of 2021, we expect. Total revenue between $59.4 million and $62.4 million, andAdjusted EBITDA between $(7.5) million and $(5.5) millionFor the cheap levitra pills full year of 2021, we expect. Total revenue between $236.7 million and $239.7 million, andAdjusted EBITDA between $(12.5) million and $(10.5) millionWe have not reconciled guidance for Adjusted EBITDA to net loss, the most directly comparable GAAP measure, and have not provided forward-looking guidance for net loss, because there are items that may impact net loss, including stock-based compensation, that are not within our control or cannot be reasonably predicted.

Quarterly Conference Call Details The company will host a conference call to review the results today, Thursday, August 5, 2021, at 5:00 p.m. E.T. The conference call can be accessed by dialing 1-800-708-4539 for U.S. Participants, or 1-847-619-6396 for international participants, and referencing participant code 50199342.

A live audio webcast will be available online at https://ir.healthcatalyst.com/. A replay of the call will be available via webcast for on-demand listening shortly after the completion of the call, at the same web link, and will remain available for approximately 90 days. About Health Catalyst Health Catalyst is a leading provider of data and analytics technology and services to healthcare organizations committed to being the catalyst for massive, measurable, data-informed healthcare improvement. Its customers leverage the cloud-based data platform—powered by data from more than 100 million patient records and encompassing trillions of facts—as well as its analytics software and professional services expertise to make data-informed decisions and realize measurable clinical, financial, and operational improvements.

Health Catalyst envisions a future in which all healthcare decisions are data informed. Available Information Health Catalyst intends to use its Investor Relations website as a means of disclosing material non-public information and for complying with its disclosure obligations under Regulation FD. Forward-Looking Statements This release contains forward-looking statements within the meaning of Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended, and the Private Securities Litigation Reform Act of 1995, as amended. These forward-looking statements include statements regarding our future growth, the benefits of the Twistle acquisition, the impact of erectile dysfunction treatment on our business and results of operations and our financial outlook for Q3 and fiscal year 2021.

Forward-looking statements are subject to risks and uncertainties and are based on potentially inaccurate assumptions that could cause actual results to differ materially from those expected or implied by the forward-looking statements. Actual results may differ materially from the results predicted, and reported results should not be considered as an indication of future performance. Important risks and uncertainties that could cause our actual results and financial condition to differ materially from those indicated in the forward-looking statements include, among others, the following. (i) changes in laws and regulations applicable to our business model.

(ii) changes in market or industry conditions, regulatory environment and receptivity to our technology and services. (iii) results of litigation or a security incident. (iv) the loss of one or more key customers or partners. (v) the impact of erectile dysfunction treatment on our business and results of operations.

And (vi) changes to our abilities to recruit and retain qualified team members. For a detailed discussion of the risk factors that could affect our actual results, please refer to the risk factors identified in our SEC reports, including, but not limited to the Annual Report on Form 10-K for the year ended December 31, 2020 filed with the SEC on or about February 25, 2021 and the Quarterly Report on Form 10-Q for the fiscal quarter ended June 30, 2021 expected to be filed with the SEC on or about August 6, 2021. All information provided in this release and in the attachments is as of the date hereof, and we undertake no duty to update or revise this information unless required by law. Condensed Consolidated Balance Sheets(in thousands, except share and per share data, unaudited) As ofJune 30, As ofDecember 31, 2021 2020Assets Current assets.

Cash and cash equivalents$205,095 $91,954 Short-term investments57,661 178,917 Accounts receivable, net46,971 48,296 Prepaid expenses and other assets11,323 10,632 Total current assets321,050 329,799 Property and equipment, net20,198 12,863 Intangible assets, net85,910 98,921 Operating lease right-of-use assets23,450 24,729 Goodwill107,822 107,822 Other assets4,526 3,606 Total assets$562,956 $577,740 Liabilities and stockholders’ equity Current liabilities. Accounts payable$5,259 $5,332 Accrued liabilities13,979 16,510 Acquisition-related consideration payable— 2,000 Deferred revenue55,594 47,145 Operating lease liabilities2,327 2,622 Contingent consideration liabilities2,625 14,427 Convertible senior notes, net174,811 — Total current liabilities254,595 88,036 Convertible senior notes, net of current portion— 168,994 Deferred revenue, net of current portion894 1,878 Operating lease liabilities, net of current portion22,504 23,669 Contingent consideration liabilities, net of current portion6,827 16,837 Other liabilities2,232 2,227 Total liabilities287,052 301,641 Commitments and contingencies Stockholders’ equity. Common stock, $0.001 par value. 45,611,225 and 43,376,848 shares issued and outstanding as of June 30, 2021 and December 31, 2020, respectively46 43 Additional paid-in capital1,065,680 1,001,645 Accumulated deficit(789,854) (725,650)Accumulated other comprehensive income32 61 Total stockholders' equity275,904 276,099 Total liabilities and stockholders’ equity$562,956 $577,740 Condensed Consolidated Statements of Operations(in thousands, except per share data, unaudited) Three Months EndedJune 30, Six Months EndedJune 30, 2021 2020 2021 2020Revenue.

Technology $35,529 $25,487 $69,368 $50,186 Professional services 24,098 17,772 46,105 38,189 Total revenue 59,627 43,259 115,473 88,375 Cost of revenue, excluding depreciation and amortization. Technology(1) 11,847 8,197 22,672 16,103 Professional services(1) 18,206 14,932 34,719 31,094 Total cost of revenue, excluding depreciation and amortization 30,053 23,129 57,391 47,197 Operating expenses. Sales and marketing(1) 16,705 12,502 32,356 25,989 Research and development(1) 14,524 12,061 28,869 25,149 General and administrative(1)(2)(3) 22,525 8,113 37,540 17,814 Depreciation and amortization 8,139 3,094 15,953 5,971 Total operating expenses 61,893 35,770 114,718 74,923 Loss from operations (32,319) (15,640) (56,636) (33,745)Loss on extinguishment of debt — (8,514) — (8,514)Interest and other expense, net (3,707) (3,025) (7,659) (3,646)Loss before income taxes (36,026) (27,179) (64,295) (45,905)Income tax (benefit) provision (192) 4 (91) (1,232)Net loss $(35,834) $(27,183) $(64,204) $(44,673)Net loss per share, basic and diluted $(0.80) $(0.71) $(1.45) $(1.19)Weighted-average shares outstanding used in calculating net loss per share, basic and diluted 44,886 38,131 44,381 37,620 Adjusted net loss(4) $(1) $(5,740) (2,754) (11,823)Adjusted net loss per share, basic and diluted(4) $— $(0.15) $(0.06) $(0.31)______________________(1) Includes stock-based compensation expense as follows. Three Months EndedJune 30, Six Months EndedJune 30, 2021 2020 2021 2020 Stock-Based Compensation Expense:(in thousands) (in thousands) Cost of revenue, excluding depreciation and amortization.

Technology$574 $203 $948 $379 Professional services2,282 890 3,717 1,706 Sales and marketing5,932 3,309 10,750 6,491 Research and development2,676 2,080 4,933 3,962 General and administrative6,263 2,564 10,889 5,249 Total$17,727 $9,046 $31,237 $17,787 (2) Includes acquisition-related costs, net as follows. Three Months EndedJune 30, Six Months EndedJune 30, 2021 2020 2021 2020 Acquisition-related costs, net:(in thousands) (in thousands)General and administrative$8,114 $(813) $10,270 $(297)(3) Includes duplicate headquarters rent expense, as follows. Three Months EndedJune 30, Six Months EndedJune 30, 2021 2020 2021 2020Duplicate rent expense(in thousands) (in thousands)General and administrative$— $125 $— $125 (4) Includes non-GAAP adjustments to net loss. Refer to the "Non-GAAP Financial Measures—Adjusted Net Loss Per Share" section below for further details.

Condensed Consolidated Statements of Cash Flows(in thousands, unaudited) Six Months EndedJune 30,Cash flows from operating activities2021 2020Net loss$(64,204) $(44,673)Adjustments to reconcile net loss to net cash used in operating activities. Depreciation and amortization15,953 5,971 Loss on extinguishment of debt— 8,514 Amortization of debt discount and issuance costs5,817 2,540 Non-cash operating lease expense1,926 1,569 Investment discount and premium amortization569 267 Provision for expected credit losses398 836 Stock-based compensation expense31,237 17,787 Deferred tax (benefit) provision4 (1,280)Change in fair value of contingent consideration liabilities9,064 (1,568)Settlement of acquisition-related contingent consideration(11,025) — Other(25) 71 Change in operating assets and liabilities. Accounts receivable, net927 (7,179)Deferred costs— 482 Prepaid expenses and other assets(1,548) (2,493)Accounts payable, accrued liabilities, and other liabilities(2,439) (1,056)Deferred revenue7,465 4,475 Operating lease liabilities(2,107) (1,783)Net cash used in operating activities(7,988) (17,520) Cash flows from investing activities Purchase of short-term investments(53,686) (163,346)Proceeds from the sale and maturity of short-term investments174,293 124,150 Acquisition of businesses, net of cash acquired— (15,249)Purchase of property and equipment(8,138) (789)Capitalization of internal use software(1,912) (278)Purchase of intangible assets(770) (1,182)Proceeds from sale of property and equipment12 10 Net cash provided by (used in) investing activities109,799 (56,684) Cash flows from financing activities Proceeds from convertible note securities, net of issuance costs— 222,482 Purchase of capped calls concurrent with issuance of convertible senior notes— (21,743)Repayment of credit facilities— (57,043)Proceeds from exercise of stock options14,076 15,010 Proceeds from employee stock purchase plan2,619 2,408 Payments of acquisition-related consideration(5,360) (748)Net cash provided by financing activities11,335 160,366 Effect of exchange rate on cash and cash equivalents(5) (9)Net increase in cash and cash equivalents113,141 86,153 Cash and cash equivalents at beginning of period91,954 18,032 Cash and cash equivalents at end of period$205,095 $104,185 Non-GAAP Financial Measures To supplement our financial information presented in accordance with GAAP, we believe certain non-GAAP measures, including Adjusted Gross Profit, Adjusted Gross Margin, Adjusted EBITDA, Adjusted Net Loss, and Adjusted Net Loss per share, basic and diluted, are useful in evaluating our operating performance. For example, we exclude stock-based compensation expense because it is non-cash in nature and excluding this expense provides meaningful supplemental information regarding our operational performance and allows investors the ability to make more meaningful comparisons between our operating results and those of other companies.

We use this non-GAAP financial information to evaluate our ongoing operations, as a component in determining employee bonus compensation, and for internal planning and forecasting purposes. We believe that non-GAAP financial information, when taken collectively, may be helpful to investors because it provides consistency and comparability with past financial performance. However, non-GAAP financial information is presented for supplemental informational purposes only, has limitations as an analytical tool and should not be considered in isolation or as a substitute for financial information presented in accordance with GAAP. In addition, other companies, including companies in our industry, may calculate similarly-titled non-GAAP measures differently or may use other measures to evaluate their performance.

A reconciliation is provided below for each non-GAAP financial measure to the most directly comparable financial measure stated in accordance with GAAP. Investors are encouraged to review the related GAAP financial measures and the reconciliation of these non-GAAP financial measures to their most directly comparable GAAP financial measures, and not to rely on any single financial measure to evaluate our business. Adjusted Gross Profit and Adjusted Gross Margin Adjusted Gross Profit is a non-GAAP financial measure that we define as revenue less cost of revenue, excluding depreciation and amortization and excluding stock-based compensation. We define Adjusted Gross Margin as our Adjusted Gross Profit divided by our revenue.

We believe Adjusted Gross Profit and Adjusted Gross Margin are useful to investors as they eliminate the impact of certain non-cash expenses and allow a direct comparison of these measures between periods without the impact of non-cash expenses and certain other non-recurring operating expenses. The following is a reconciliation of revenue, the most directly comparable GAAP financial measure, to Adjusted Gross Profit, for the three months ended June 30, 2021 and 2020. Three Months Ended June 30, 2021 (in thousands, except percentages) Technology Professional Services TotalRevenue$35,529 $24,098 $59,627 Cost of revenue, excluding depreciation and amortization(11,847) (18,206) (30,053) Gross profit, excluding depreciation and amortization23,682 5,892 29,574 Add. Stock-based compensation574 2,282 2,856 Adjusted Gross Profit$24,256 $8,174 $32,430 Gross margin, excluding depreciation and amortization67 % 24 % 50 %Adjusted Gross Margin68 % 34 % 54 % Three Months Ended June 30, 2020 (in thousands, except percentages) Technology Professional Services TotalRevenue$25,487 $17,772 $43,259 Cost of revenue, excluding depreciation and amortization(8,197) (14,932) (23,129) Gross profit, excluding depreciation and amortization17,290 2,840 20,130 Add.

Stock-based compensation203 890 1,093 Adjusted Gross Profit$17,493 $3,730 $21,223 Gross margin, excluding depreciation and amortization68 % 16 % 47 %Adjusted Gross Margin69 % 21 % 49 %Adjusted EBITDA Adjusted EBITDA is a non-GAAP financial measure that we define as net loss adjusted for (i) interest and other expense, net, (ii) loss on debt extinguishment, (iii) income tax (benefit) provision, (iv) depreciation and amortization, (v) stock-based compensation, (vi) acquisition-related costs, net, including the change in fair value of contingent consideration liabilities, and (vii) duplicate headquarters expense. We view acquisition-related expenses when applicable, such as transaction costs and changes in the fair value of contingent consideration liabilities that are directly related to business combinations as costs that are unpredictable, dependent upon factors outside of our control, and are not necessarily reflective of operational performance during a period. We believe Adjusted EBITDA provides investors with useful information on period-to-period performance as evaluated by management and comparison with our past financial performance and is useful in evaluating our operating performance compared to that of other companies in our industry, as this metric generally eliminates the effects of certain items that may vary from company to company for reasons unrelated to overall operating performance. The following is a reconciliation of our net loss, the most directly comparable GAAP financial measure, to Adjusted EBITDA, for the three months ended June 30, 2021 and 2020.

Three Months EndedJune 30, 2021 2020 (in thousands)Net loss$(35,834) $(27,183)Add. Interest and other expense, net3,707 3,025 Loss on extinguishment of debt— 8,514 Income tax (benefit) provision(192) 4 Depreciation and amortization8,139 3,094 Stock-based compensation17,727 9,046 Acquisition-related costs, net(1)8,114 (813)Duplicate headquarters rent expense(2)— 125 Adjusted EBITDA$1,661 $(4,188)_____________________(1) Acquisition-related costs, net includes legal, due diligence, accounting, and consulting fees incurred as part of business combinations, and changes in fair value of contingent consideration liabilities for potential earn-out payments. For additional details refer to Note 2 in our condensed consolidated financial statements.(2) Duplicate rent expense for our corporate headquarters relocation. Adjusted Net Loss Per Share Adjusted Net Loss is a non-GAAP financial measure that we define as net loss adjusted for (i) stock-based compensation, (ii) amortization of acquired intangibles, (iii) loss on extinguishment of debt, (iv) acquisition-related costs, net, including the change in fair value of contingent consideration liabilities, (v) non-cash interest expense related to our convertible senior notes, and (vi) duplicate headquarters rent expense.

We believe Adjusted Net Loss provides investors with useful information on period-to-period performance as evaluated by management and comparison with our past financial performance and is useful in evaluating our operating performance compared to that of other companies in our industry, as this metric generally eliminates the effects of certain items that may vary from company to company for reasons unrelated to overall operating performance. Three Months Ended June 30, Six Months Ended June 30, 2021 2020 2021 2020Numerator. (in thousands, except share and per share amounts)Net loss $(35,834) $(27,183) $(64,204) $(44,673)Add. Stock-based compensation 17,727 9,046 31,237 17,787 Amortization of acquired intangibles 7,045 2,360 14,126 4,510 Loss on extinguishment of debt — 8,514 — 8,514 Acquisition-related costs, net 8,114 (813) 10,270 (297)Non-cash interest expense related to convertible senior notes 2,947 2,211 5,817 2,211 Duplicate headquarters rent expense — 125 — 125 Adjusted Net Loss $(1) $(5,740) $(2,754) $(11,823)Denominator.

Weighted-average number of shares used in calculating net loss, basic and diluted 44,886,489 38,130,932 44,381,196 37,619,965 Adjusted Net Loss per share, basic and diluted $— $(0.15) $(0.06) $(0.31) Health Catalyst Investor Relations Contact:Adam BrownSenior Vice President, Investor Relations and FP&A+1 (855)-309-6800ir@healthcatalyst.com Health Catalyst Media Contact:Amanda HundtVice President, Corporate Communicationsamanda.hundt@healthcatalyst.com+1 (575) 491-0974.

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