Month: February 2023

The stress hormone cortisol plays a significant role in your body’s health and helps regulate blood pressure, sugar levels, and immune function. Raised or low cortisol levels can cause symptoms such as fatigue, weight loss, and mood changes.

There are a few ways how to test for cortisol levels at home; it can be tested in blood, urine, or saliva. They are usually conducted twice daily to track how your cortisol levels change over time.


The cortisol test measures how much of the hormone is in your urine. It is a quick and easy way to look at your body’s response to stress and can be used to diagnose various conditions such as Cushing syndrome and Addison disease.

The test requires a 24-hour urine sample and is usually performed three or more times to give a more accurate picture of average cortisol production.

It is essential to follow the instructions carefully to get accurate results because cortisol levels can vary throughout the day. It can skew the test results, so you might be asked to collect samples at different times during the day to ensure that your urine is as concentrated as possible.

You’ll also need to avoid taking medications such as antibiotics and biotin supplements for three days before the test.

In addition, the company advises that people with regular menstruation should take their samples between days 19 and 21 of their cycle. It also suggests that people should stop taking hormonal medication and not eat certain foods before taking their sample, such as dairy products, soy products, chocolate, or meat.


Cortisol is a hormone that helps control blood sugar levels and energy metabolism. It is produced by the adrenal glands and released in response to stress or other conditions. People with high or low cortisol may have symptoms like weight loss, darkened skin, and mood changes.

Your body’s level of cortisol can be tested by collecting a sample of saliva or urine and sending it to a lab. You can take a saliva test at a doctor’s office or lab or get one from a home testing company.

Saliva is a good test because it can help show whether your cortisol level is normal or elevated. It can help you tell when you need to see your doctor.

A saliva cortisol test is usually done with a kit to collect a saliva sample at home before you go to bed when cortisol levels are lower. It would be best if you did not eat or drink anything for 30 minutes before the test.

To collect a saliva sample, use the kit’s swab to take a piece of saliva from the inside of your mouth. First, rinse your mouth with water to help you spit the sample into the tube. Then, roll the swab in your mouth or hold it under your tongue for 2 minutes until you have an entire mouthful of saliva.

Spit the sample back into the swab without touching it, and close the tube when you’ve finished. Then, follow the instructions on the package to send it off.

The saliva cortisol test can detect Cushing’s syndrome or Addison’s disease, which affects how the body uses cortisol. It can also monitor your stress levels or identify signs of an adrenal problem. In addition, it can help you and your doctor determines how to treat your condition.


Cortisol is an important hormone that controls blood pressure, the body’s response to stress, and the digestive and immune systems. The adrenal glands and the pituitary gland produce it. When your adrenals aren’t working correctly, you can experience various symptoms.

Your doctor may order a test for cortisol levels to find out why you have these symptoms. They can also help you to develop a plan for treatment if cortisol is the cause of them.

The test can be done at a medical practice or home using a urine, blood, or saliva sample. Once a lab analyzes the sample, you can get your results in a few days.

blood test will typically be taken twice during the day, once in the morning when your cortisol levels are at their highest and again around 4 pm. Then, the samples are returned to the lab for testing.

An at-home cortisol test kit can be purchased online. They also advise that people with regular menstruation patterns collect their samples between days 19 and 21.

Some at-home tests are simple finger-prick tests and require only one sample. However, it’s a good idea to follow all instructions carefully to avoid errors.

Some kits require you to collect multiple samples throughout the day. It allows for more accurate measurements as cortisol levels fluctuate throughout the day. You will receive a report of your test results in the mail.

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The Latest trend in health coaching is that clients are turning to virtual services. In addition, the popularity of telehealth drives more health coaches to offer this service to their clients, especially for chronic disease management and pain therapy.

Group coaching has also exploded in popularity, helping health coaches support their clients’ journeys to make positive changes and develop resilience. It’s also a great way to help clients build strong support networks and facilitate communication with others on similar transformation trips.

Health & Wellness

A holistic well being coach is a relatively new profession, but it’s quickly growing in popularity. Clients see health coaches as partners in their journeys to transform their physical and mental well-being, including dealing with chronic diseases like diabetes, heart disease, and hypertension.

They also work with people who want to improve their work-life balance or general quality of life. Coaches help clients set goals, create plans, and achieve success based on their interests, needs, and desires.

These coaches can also spot health-related red flags, often requiring referrals to other professionals for diagnosis or treatment. Using a holistic approach to care, coaches are uniquely trained to recognize and address health challenges with their clients.

Across the world, rigorous training and certification programs are leading medical institutions, insurance companies, and primary care providers to endorse the providers.

A growing number of employers are now offering wellness programs to their employees. These programs typically include group coaching or telehealth.

With a background in health, health coaches can support their clients with physical and mental health challenges. They can refer their clients to professional therapists when necessary. Additionally, they can advocate for their clients as they navigate the medical system.

Psychiatry and Psychology

Many people struggle to maintain their health due to a lot of stress in modern society. This is why many are looking for ways to improve their overall health and happiness.

Mental health coaches can help patients achieve their goals and develop healthy habits. They can also provide guidance and encouragement on how to overcome obstacles.

Psychiatrists specialize in diagnosing and treating mental illnesses, emotional problems, and abnormal behaviors. They examine biological, neurological, and biochemical abnormalities to make a diagnosis and prescribe medications.

They conduct psychological tests and work closely with a patient to make a diagnosis. Depending on their training, they may also administer neuropsychological tests to evaluate cognitive abilities.

In the case of severe mental health disorders, psychiatrists may refer patients to psychologists who can help them through therapy. In some cases, psychiatrists can also prescribe medications that can be used in conjunction with psychotherapy.

With a growing need for affordable mental health care, the use of digital marketplaces has increased to connect individuals who need help with professionals who can provide it. Whether an online therapist or a virtual therapy website, these new platforms offer patients the support they need without having to leave their homes.

With the current COVID-19 pandemic, psychiatry and research will be challenged to adapt and respond in the future. Unfortunately, the economic downturn that the pandemic has caused will make available funding for new research harder to come by. Still, a solid commitment to the field can help psychiatrists stay ahead of the curve and keep their patients safe.


The Latest trend in holistic well-being coach is to help people achieve their health and fitness goals. This includes helping them lose weight, reduce stress, and develop better lifestyle habits.

health coach’s job is to lead clients toward their potential by providing education, training, and support. They may also create and implement exercise programs and nutrition plans to help clients reach their goals.

In addition to working with clients one-on-one, fitness coaches also work with groups. Therefore, they must have leadership skills and a strong understanding of exercise science, sports medicine, and nutrition.

They should also have a good knowledge of the equipment and tools they use to train clients. They should also know how to modify exercises to accommodate their clients’ physical limitations.

Moreover, fitness coaches should be able to motivate their students and make them feel good about themselves. This will help them to overcome their lethargy and get back on track with their fitness regimes.

In 2021, Precision Nutrition surveyed its global network of coaches to learn about the trends they believe will impact the wellness industry. The results showed that several trends would continue to affect nutrition and fitness coaching in 2021.


Nutrition studies what a person eats and how it affects health. It focuses on the role of nutrients such as protein, carbohydrates, fat, vitamins, minerals, and water in maintaining health and preventing disease.

Healthy eating can help prevent heart disease, diabetes, and obesity. It also improves your immune system, promotes weight loss, and increases longevity.

To function correctly, a person’s body needs the right amount of energy (calories) and the right balance of vitamins, minerals, and other nutrients. Nutrient deficiencies can cause malnutrition, resulting in poor health, disease, or death.

The latest trend in nutrition concerning health coaching is the increased focus on how people can optimize their home environments as wellness refuges. This includes decluttering and organizing living spaces, making them work for relaxation and comfort, and incorporating activities like home exercise into the client’s routine.

This is particularly relevant as the pandemic has prompted many people to reevaluate their health routines and lifestyle choices. The resulting service demand is expected to drive the global health coaching market.

Another significant trend is the increasing availability of virtual health coaching. This allows clients to access care from the comfort of their own homes, even in a crisis. In addition to offering an affordable alternative, virtual sessions provide a unique team approach that can strengthen the relationship between clients and their health coaches.


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Chronic kidney disease (CKD) treatments can ease symptoms, help keep the condition from worsening, and lessen complications. They can also help you live a longer, healthier life.

Medicines for chronic kidney disease include ACE inhibitors and aldosterone receptor blockers to control blood pressure, diuretics to eliminate extra fluid from your body, and vitamin D supplements for bone health.


Dialysis is a treatment that artificially removes waste products and excess fluid from your blood when your kidneys can no longer do this. It can also help control high blood pressure and regulate levels of chemical elements in your body, including potassium and sodium (salt). The treatment can be done at a dialysis center or home. It usually takes 3-4 hours each time.

Peritoneal dialysis is done by inserting a tube into the space in your abdomen called the peritoneum. The peritoneum contains thousands of tiny blood vessels, making it an effective filtering device.

You may experience low blood pressure and muscle cramps during the treatment, but these should improve with time. You can reduce these side effects by eating a healthy diet and taking your medications.

If your chronic kidney disease reaches stage 5 (end-stage renal disease, or ESRD), you will need dialysis to keep you alive until you can get a transplant. A kidney transplant is the best option for people with end-stage renal disease and kidney failure. However, transplants are not always available for everyone, and a dialysis treatment might be your only option.

Blood Transfusions

Blood transfusions are a common treatment for anemia in people with chronic kidney disease (CKD). Anemia is the decrease in the number of red blood cells. These cells carry oxygen throughout the body and help maintain proper circulation.

Normally, healthy kidneys make a hormone called erythropoietin (EPO). EPO sends a signal to the body to make more red blood cells. You may have anemia if your kidneys stop working or do not make enough EPO.

When you have anemia, it can cause some serious problems. It can affect your heart and blood vessels, make you tired, and cause shortness of breath.

If you have anemia because of kidney disease, your doctor can prescribe an erythropoiesis-stimulating agent (ESA). These drugs stimulate the body to produce more red blood cells. You may be able to self-administer the medication at home.


Chronic kidney disease (CKD) is the slow loss of kidney function over time. Treatments can help you slow the progression of your disease and prevent or delay the need for dialysis or a kidney transplant.

Your doctor will prescribe medicines to help manage the symptoms of CKD and protect your kidneys. They may also help you to prevent or control health problems related to CKD, such as diabetes and high blood pressure.

Medications for blood pressure, such as angiotensin-converting enzyme (ACE) inhibitors and angiotensin receptor blockers (ARBs), are commonly used to treat CKD and lower your risk of cardiovascular (CV) disease. Your doctor may also prescribe erythropoiesis-stimulating agents (ESAs), which stimulate red blood cell production in people with low hemoglobin levels. These medicines can be given as injections or tablets.

Another medication that your doctor may prescribe is medicine to control the buildup of potassium in your blood. Excess potassium can cause metabolic acidosis, a condition that can damage your heart and kidneys.


Eating a healthy diet can help your body manage the condition if you have kidney disease. It also helps you feel better, avoid complications and lower your risk of developing diabetes or high blood pressure, which can lead to more serious problems.

Your doctor or dietitian will work with you to develop a kidney-friendly diet plan that meets your needs. You can start by choosing a dietary pattern that focuses on healthy whole foods that are low in sodium, potassium, protein, and phosphorus.

You can also include fruits and vegetables in your diet as much as you can tolerate. Fruits and veggies contain vitamins, minerals, fiber, and water to keep you feeling full and hydrated.

A good intake of vitamins and minerals can help your body fight off infections and other illnesses that can worsen your kidney disease. A healthy diet can also help you keep a normal weight and reduce your risk of heart disease.

A kidney-friendly diet can be especially important for people with diabetes or high blood pressure, as these conditions often cause increased amounts of acid in the body and increase your risk for kidney disease. Limiting the fat in your diet can help keep blood sugar levels steady.

Eating the right balance of protein and carbohydrates is crucial to lowering your risk for kidney damage. Too much protein can cause waste products to build up in the blood, which makes it harder for your kidneys to remove them. Your doctor or dietitian can suggest various ways to lower your protein intake while still enjoying your favorite foods.

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If you’re new you might wonder how long do delta 8 gummies last. This question can be fundamental if you use them for a drug test.

The answer depends on several factors, including your metabolism and how often you consume them. Typically, if you take delta 8 products just a few times per month, you can expect them to clear out of your system in a week or so.

How long do delta 8 gummies last?

Delta 8 gummies are among the most popular marijuana edibles, thanks to their sweet candy flavors and aesthetically pleasing appearance. They have become increasingly popular due to their ability to deliver a mildly euphoric high without the feelings of paranoia and confusion that can accompany other cannabis products.

The effects of delta-8 gummies vary depending on the individual and their particular physiology, but they usually take around sixty to ninety minutes to kick in. Delta 8 tetrahydrocannabinol must first be digested and broken down by the digestive system.

Another factor contributing to gummies’ activation time is the product’s potency and dose. Low-potency gummies are more likely to fail to provide the desired effects, which can be due to their lower levels of delta-8 tetrahydrocannabinol.

If you are new to using gummies, starting with a small trial pack with only two or four gummies per pack is recommended. This way, you can experience the effects of delta 8 gummies before deciding whether they are right for you.

As with other cannabis products, the effects of delta 8 gummies wear off gradually. They generally last from an hour to eight hours but can be longer or shorter for some people.

If you plan to use gummies as part of a daily routine, it is best to purchase a larger, more potent pack. This will give you a better idea of how they affect your body and mind.

How long do delta 8 gummies stay in your system?

Delta 8 THC is a mildly psychoactive cannabinoid that produces a relaxing body high. It’s less potent than its cousin delta 9 THC, which gets you high and can cause paranoia in some people.

While the effects of delta 8 THC can vary depending on the product you’re using, most start to kick in within a couple of hours of consumption. Gummies and vapes typically feel good about 2 hours after ingestion, while tinctures usually take about 45 minutes or more to get you high.

It’s also important to note that how long THC metabolites stay in your system depends on several factors, including your body fat content, metabolism rate, and how much you’re taking of the compound. A person with a lot of body fat will hold onto THC metabolites for longer than someone with less body fat.

Generally speaking; however, delta 8 THC will clear out of your system within a week or so if you’re only using it occasionally. If you’re taking it regularly, it may linger in your system for up to a month after you stop using it.

If you’re a regular user of delta 8 THC, it’s best to keep your dose low so that it can clear out of your system quickly. If you’re a new user or are sensitive to THC, it’s better to start with the recommended dose and adjust as needed.

How long do delta 8 gummies get rid of THC in your system?

Delta 8 is a less potent form of THC that can leave metabolites in your system for up to a week or more after you’ve stopped using it. The length of time it takes for your body to flush these THC metabolites out of your system depends on several factors, including how often you consume delta 8, your gender, and how long you have been taking the substance.

Regular consumers who enjoy delta 8 once or twice a week can expect their systems to clear the compound within a week. Frequent users who take delta 8 five or six times a week will need to wait about a month before their systems are clear of the THC.

The amount of time it takes for a delta 8 gummy to kick in depends on several factors, including your metabolism and how much you’ve eaten recently. Generally speaking, edibles that dissolve in your mouth will take effect quickly (around 30 minutes) and last for up to 3-5 hours.

On the other hand, vapes are meant to be vaporized and take effect quicker than edibles. It’s also important to note that effects from vaping will likely wear off sooner than those from edibles or tinctures, which need to be digested before they enter your bloodstream.

How long do delta 8 gummies stay in your system after a drug test?

Delta 8 gummies can remain in your system for as long as a month or longer after consuming them. This takes a very long time to stay in your system and can cause you to fail a drug test.

To avoid this, you should stop consuming delta 8 at least 30 days before you take a drug test. This will allow your body to clear the THC metabolites since you last used it.

You can also try a few other ways to eliminate delta 8 THC from your system. For instance, drinking cranberry juice or eating foods rich in fiber and protein may help. However, these methods can take longer to be effective than avoiding the product itself.

It’s also important to know what kind of drug test you will take before consuming delta 8. Some tests can detect THC only a few hours after it is consumed, while others can do so for three months or more.

The more frequently you use delta 8, the longer it will take your body to flush out the THC metabolites. The frequency of your use also determines your system’s baseline concentration of THC metabolites.

The most common form of drug testing is urine, but in rare cases, you may be tested by saliva or hair follicles. Saliva tests can detect THC for a few days, while hair follicle tests can identify it for more than a month after you’ve stopped using delta 8.

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The rising cost of health care and the increased focus on outcomes create an opportunity for pharmacists to expand their role.

Pharmacists can help improve medication adherence, polypharmacy, and overall health in medical homes and accountable care organizations (ACOs) by providing patient counseling, addressing duplication of therapy, and reducing readmissions.

Create a Medication Management Strategy

Medication management is one of the most undervalued but critical aspects of pharmacist integration into value based care pharmacy. Medication management helps patients stay well, reduces emergency room visits, and prevents hospitalizations.

Creating a medication management strategy in your practice involves:

  • Reviewing past and current medications.
  • Evaluating patient needs.
  • Collaborating with care team members to determine the best course of treatment.

It also requires identifying and eliminating any drug-drug interactions that could cause harm to the patient or caregiver.

Another essential part of a medication management strategy is communicating with patients about how to use their medications, including doses and special considerations. In addition, it is necessary to ask questions about how they feel or if there are any side effects they have experienced from their medications.

These questions and concerns can help your pharmacist understand a patient’s challenges, such as language barriers, poor health literacy, or limited financial resources. Having an open dialogue with your patient about their medications will improve their understanding of how to use them and reduce the chance that they may need to take their prescriptions as directed.

Medication management is one of the most cost-effective, high-impact areas for healthcare providers to address, as it can save billions in medical costs annually. By creating a comprehensive medication management strategy and implementing it effectively, you can ensure that your pharmacy is at the forefront of providing patient-centered, value-based healthcare services.

Implement a Patient-Centered Care (PCP) Model

As health systems and plans transition to value-based care, pharmacists are positioned to help improve patient outcomes and deliver cost-effective solutions. However, the shift from fee-for-service to value-based care is often challenging.

Fortunately, several strategies exist to expand value-based pharmacist-provided care in your medical practice. Here are some of them:

  1. Implement a Patient-Centered Care (PCP) model

The Patient-Centered Care model prioritizes patients’ unique needs and preferences to provide the best possible care. This involves acknowledging the patient as a whole person, being responsive and empathetic to their emotions, building a trusting alliance, enhancing communication and exchanging information, sharing decision-making, and enabling continuity of care and self-management.

  1. Coordinate the patient’s care at all health system levels, including specialists and other providers.

Coordination of care is a core function of P.C., assuring that the patient navigates the healthcare system smoothly and without confusion or improper maintenance. This coordinating function can be achieved with or without the capacity to provide direct service to the patient.

  1. Engage in value-based payment models.

As healthcare systems and health plans transition to value-based payment models, pharmacists are positioned to help improve results, reduce costs, and lower hospitalization rates. Payors are interested in these models because they offer a way to hold providers accountable for better outcomes, leading to healthier patients and lower overall costs.

Invest in Medication Therapy Management (MTM) Software

MTM is an important service that helps pharmacists and patients manage medications. When done well, it can decrease overall healthcare costs and improve medication adherence.

However, when pharmacy MTM programs fail to perform as expected, it can be hard to understand why. One of the main reasons is a need for more understanding of the total return on investment for these services.

For example, MTM software can help pharmacy staff streamline workflows and capture member-specific information. It can also be used to track outcomes and facilitate CMS reporting.

When it comes to MTM programs, the use of technology can drastically reduce the time and effort required for administering these programs. It can also allow pharmacists to focus more on providing patient-specific interventions rather than administrative tasks.

A medication therapy management (MTM) program is a service offered to Medicare Part D beneficiaries that helps pharmacists and patients work together to better manage their medications. Typically, MTM services include drug regimen reviews, prescription reconciliation, and education to promote medication adherence.

MTM is a critical component of value-based medication programs designed to encourage collaboration between healthcare professionals and patients with complex conditions and high-cost drugs. Among other benefits, MTM can reduce costly hospital readmissions and decrease the need for emergency room visits.

Invest in Medication Reconciliation

Medication Reconciliation is an important patient safety initiative that reduces the risk of medication errors. However, it has yet to prove easy to implement successfully in general practice settings due to various challenges.

One of the most significant challenges is that medication reconciliation requires the involvement of pharmacists, nurses and physicians at each step in the process. This can lead to a need for more clarity about the role of each individual in the medication history process and increase the likelihood that unintentional changes will occur.

To address this issue, the National Safety and Quality Health Service (NSQHS) has published standards. They include several actions and recommendations, including the need for clear roles and responsibilities.

In addition, NSQHS Standard 4 – Medication Safety requires that medications should be matched to the patient’s Best Possible Medication History (BPMH). The BPMH is the complete list of a patient’s regularly prescribed medications.

Unfortunately, many physicians and nurses don’t take the time to create accurate lists of a patient’s medication regimen. This can lead to unintentional changes and increases the likelihood that patients will experience adverse drug events.

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