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Item: Cuisinart 2-Slice Compact Stainless Toaster
Price: $39.95
Overall Impression: If you want a toaster that doesn’t take up a lot of space, stays cool to the touch while performing basic functions, and carries a name brand at a low price, this one is for you.

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restless leg

Few things are more frustrating than lying in bed at night exhausted, but not being able to fall asleep because of an uncontrollable urge to move your legs. This phenomenon, known as restless legs syndrome (RLS), affects between 4% and 29% of adults in Western populations, and is a major contributor to sleep loss. (1, 2)

Pinpointing the cause of RLS has been an active research topic for years, but the condition is still not fully understood. The symptoms have been convincingly linked to impaired dopamine function in the brain, but the cause of this dysfunction is still being explored.

In this article, I’ll review four factors that could contribute to RLS, as well as steps you can take for improving your symptoms.

1. Systemic Inflammation and Immune Dysregulation

Restless legs syndrome has been associated with numerous conditions involving systemic inflammation and immune dysregulation. (3) One review paper published in 2012 investigated health conditions that were reported to cause or exacerbate RLS symptoms, and found that 95% of the 38 different health conditions that were strongly associated with RLS have an inflammation or immune component. (4) These conditions include Parkinson’s disease, multiple sclerosis, ADHD, Alzheimer’s disease, Celiac disease, Crohn’s disease, rheumatoid arthritis, sleep apnea, diabetes, and depression.

As further evidence, an elevated blood level of C-reactive protein (a marker of systemic inflammation) has been associated with increased RLS severity. (5) A small crossover trial found that a hydrocortisone infusion, which reduces systemic inflammation, reduced RLS symptoms. (6)

Researchers have proposed three potential mechanisms to explain the association between RLS and inflammatory or autoimmune states: direct autoimmune attack on the nervous system; genetic factors that could predispose an individual to RLS and be triggered by inflammation or autoimmunity; and iron deficiency caused by inflammation, which I’ll talk more about below.

What to do: If your RLS is a symptom of underlying systemic inflammation or immune dysregulation, the goal should be to find and treat the root cause. As I’ve mentioned many times in the past, gut infections are often the culprit—even if you don’t have noticeable digestive symptoms—so get your gut tested.

If you already have a diagnosed inflammatory or immune condition such as those I mentioned above, the best first step you can take is to adopt a “low-inflammatory” diet and lifestyle. This means eating a nutrient-rich, low-toxin diet based on whole foods; getting enough sleep every night; prioritizing stress management; and incorporating regular movement into your day.

You can also check out the bonus chapter about autoimmune disease from my book, as well as explore other information on my site about reversing autoimmune disease, the autoimmune protocol, the role of the microbiome, and alternative therapies such as LDN.

Do you have restless legs syndrome? Find out what might be causing it, and what to do.

2. Small Intestinal Bacterial Overgrowth (SIBO) and IBS

Some of the more recent research on restless legs syndrome has focused on a connection with small intestinal bacterial overgrowth (SIBO) and IBS, which is often caused by SIBO. One study found that 69% of RLS patients also had SIBO, compared with only 28% of controls. (7) They also found that 28% of RLS patients had IBS, compared to only 4% of controls. And according to the 2012 review I mentioned in the previous section, 32% of the 38 conditions associated with RLS are also associated with SIBO. (8)

A strong association between SIBO and RLS doesn’t mean that SIBO is causing RLS in these patients. But a few trials have found that in patients with both SIBO and RLS, their RLS symptoms improve after being treated for SIBO. (9) For example, one double-blind, placebo-controlled study reported that treatment with the antibiotic rifaximin—the standard treatment for SIBO—significantly improved RLS symptoms in patients with both conditions. (10) This, of course, does suggest a causal link between SIBO and RLS.

What to do: If you have both RLS and SIBO, the best option would be to find a functional medicine practitioner who has experience dealing with SIBO and get treated. That said, two steps you can try on your own are a low-FODMAP diet and probiotics. Low-FODMAP diets reduce the amount of fermentable carbohydrates that “feed” bacteria in the small intestine, and a couple studies have shown that probiotics can be as effective as antibiotics for treating SIBO. (11, 12) I’ve found the probiotics Prescript Assist, S. boulardii (a beneficial yeast), and MegaSporeBiotic to be helpful.

One important note about low-FODMAP diets, however, is that it’s generally not a good idea to stay on one indefinitely. Low-FODMAP diets eliminate sources of prebiotics, which can improve symptoms by starving pathogenic bacteria, but can also starve your beneficial bacteria. The best approach is to follow a low-FODMAP diet until symptoms subside (and your SIBO breath test is normal), and then gradually re-introduce prebiotic foods (or supplements) to support your gut microbiome.

3. Vitamin D Deficiency

As I mentioned in the introduction, one of the most-researched theories about the cause of restless legs syndrome is impaired dopamine signaling, which has led to the conventional treatment of RLS by dopamine agonists (i.e. chemicals that can bind to and activate dopamine receptors). Unfortunately, these treatments can become less effective over time, and can even result in a worsening of symptoms.

And while replacing neurotransmitters might be an effective way to manage symptoms in the short term, the goal should be to figure out why dopamine signaling is impaired in the first place.

This is where vitamin D comes into play. The role of vitamin D in dopamine signaling is only beginning to be investigated, but some evidence indicates that vitamin D could play an important role by increasing levels of dopamine and its metabolites in the brain, as well as protecting dopamine-associated neurons from toxins. (13)

RLS has been associated with vitamin D deficiency in several studies, and disease severity has been inversely correlated with vitamin D levels. (14, 15, 16) One study has also found that vitamin D supplementation improved the severity of RLS symptoms. (17)

What to do: If you have RLS, one of the easiest first steps you can take is to get your vitamin D levels tested. A good range to shoot for is typically between 25-50 ng/mL, but if you have an autoimmune disease or another chronic health condition, I prefer to bring vitamin D levels up to 35-60 ng/mL. One way to supplement vitamin D is cod liver oil; I recommend extra-virgin cod liver oil. You can also take a D3 supplement, such as this one that contains both vitamin D and vitamin K2. And of course, you should get regular sun exposure to bring your vitamin D levels up naturally.

4. Iron Deficiency

Iron deficiency isn’t exactly a “little-known” cause of restless legs syndrome; in fact, it’s probably one of the most well-researched areas relating to RLS. Iron is required for proper dopamine signaling, but its role is much better established than that of vitamin D, and it’s pretty clear that iron deficiency in the CNS can cause RLS symptoms by impairing dopamine function. (18)

Several studies have found that low iron levels in the cerebrospinal fluid and in the brain occur more frequently in patients with RLS compared with matched controls. (19, 20) And this difference isn’t always reflected in serum ferritin levels.

Other abnormalities in iron metabolism have also been observed in RLS patients, and many conditions that increase the risk of RLS (including pregnancy and end-stage kidney disease) are known to cause iron insufficiency. (21, 22)

Further, iron supplementation significantly improves or even eliminates the symptoms of RLS in many patients. For example, RLS patients with low-normal serum ferritin experienced significant improvements in their RLS symptoms after 12 weeks of iron supplementation. (23) And oral iron was as effective for treating RLS as pramiprexole, a dopamine agonist, although the response rate for both treatments was relatively low (46.7%). (24)

The tricky thing about iron deficiency is that the solution is often not as simple as taking an iron supplement. Iron deficiency is frequently secondary to SIBO, gut infections, or other inflammatory states, which explains at least in part the association between RLS and these conditions. Iron deficiency caused by infection or inflammation is mediated primarily by the hormone hepcidin, which at high levels can decrease serum iron and reduce iron absorption from the GI tract. (25)

One cause of increased hepcidin levels is the production of IL-6, an inflammatory cytokine present in most inflammatory diseases. Another cause of increased hepcidin levels is the presence of lipopolysaccharides (LPS), which are components of gram-negative bacteria that can enter circulation as a result of SIBO or other gut infections. Thus, increased levels of circulating IL-6 or LPS can result in iron deficiency, and subsequently, RLS.

What to do: If you have RLS and iron deficiency, the first step is to identify why you’re iron deficient. If the cause is blood loss (such as from heavy menstruation in women) or dietary insufficiency (such as in vegetarian or vegan diets), increase your consumption of iron-rich foods such as liver and red meat. You can also consider an iron supplement; I recommend Proferrin ES and bovine ferritin, because they are better absorbed and better tolerated than plant-based iron supplements. 

However, if the cause is SIBO or a gut infection, increasing iron intake can often make matters worse by creating an environment that promotes pathogen growth and inflammation. (26, 27, 28) For this reason, it’s best to address the gut before (or at least concurrently with) adding iron supplements.

As you can see, restless legs syndrome is complex, and several factors could come into play when trying to figure out the cause. As with many other health conditions, RLS is best seen as a symptom which signals that something else is amiss, and it’s necessary to dig deeper to find out the root cause, and how to treat it.

Do you suffer from restless legs syndrome? If so, has this article helped clarify what might be causing it? Share your experience in the comments.

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2015-08-03-Maria-Speck-Menu-3 This post was originally published on this site

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Roasting eggplants when they are in season brings out their lush silkiness and natural sweetness. Here they shine in a simple yet aromatic salad with plump kernels of farro. Fresh as well as dried mint add layers of flavor. Don’t let the few steps deter you — this creation comes together seamlessly.

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When reader Jodi moved into her home, everything was great, aside from the fact that the former occupant had been a heavy smoker. She and her boyfriend painted and freshened up every room, but they left the pantry for a later date since they could close the door and not worry about the yellowed walls and shelving.

That was until they found an infestation in their pancake mix, which made a pantry upgrade a top priority. And since they had to clean everything out already, Jodi decided to give their pantry a fresh look, along with a good cleaning.

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Q: I’m throwing a bridal shower in August, and while a mimosa bar seems awesome, that much Champagne sounds expensive. Any suggestions for party punch with a Champagne float on top?

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CrossFit and baseball are both sports, but that’s where the similarities end.

I flunked out. The past four years of pursuing professional baseball at all costs was valiant in effort, against the odds, but I fell short of my ultimate goal. Much like my collegiate clock ran out in 2011 while I was recovering from a broken hand, so did my self-imposed clock on how long I could pursue a shot at Major League Baseball.

 

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Enjoying warm weather with a trip to the beach means lugging towels, toys, maybe a beach chair or two, and of course, a cooler full of drinks and food.

You want to keep the contents of your cooler as cold as possible for both food safety and so drinks stay icy-cold and refreshing, so here’s a tip on how to give your cooler a little extra insulation at the beach!

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Originally Posted At: https://breakingmuscle.com/feed/rss

CrossFit and baseball are both sports, but that’s where the similarities end.

I flunked out. The past four years of pursuing professional baseball at all costs was valiant in effort, against the odds, but I fell short of my ultimate goal. Much like my collegiate clock ran out in 2011 while I was recovering from a broken hand, so did my self-imposed clock on how long I could pursue a shot at Major League Baseball.

 

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Ever want to own the bar cart from Roger Sterling’s office at Sterling, Cooper, Draper, Price? Now you can.

Several props from the show are currently up for auction on the site ScreenBird. Not only can you own a piece of cinematic history, but you can put some of them to use in your kitchen as well.

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This is a guest post from Todd Kuslikis of AShotofAdrenaline.net.

Warning: Some of you are about to think I’m crazy. For those of you who haven’t heard of isometrics, this strength building concept is going to make you think I’ve officially walked off the deep end. Functional strength and awesome muscle mass gains with out even moving? This must be some kind of joke, right?

It’s not. Let’s do a little experiment. Stop what you’re doing for a second, sit up straight and bring your palms together, fingers pointing out, about 12 inches away from you. Now press them together as hard as you can. Breathe. Breathe more. A little more. And…. stop.

How do you feel? Arms and pecs a little tired? They should be. You’ve just had your first introduction to “Palm Pushes”, an isometric exercise. If you’re used to more conventional, dynamic strength training techniques, you might still be feeling a little confused. How did you manage to create so much engagement without moving a muscle?

It’s elementary functional anatomy, dear Watson. When you exert force on a muscle, it has to adapt in some way. If you think about it, this is the foundation of strength training. By forcing the muscle to adapt to new challenges, we encourage it to grow stronger in preparedness to meet those challenges.

There’s more than one way for the muscles to adapt, however. Pull out your rusty high school Greek for a second, and let’s define some terms. In an isotonic contraction, the contraction strength (the tone of “tonic”) stays the same (“iso”), and the length changes. This is the kind of muscle movement we’re familiar with. Isotonic contractions are how we do all those little things that require lengthening and shortening muscles, like walking and picking up objects. You know, small stuff.

Isometric contractions, however, may seem a little more confusing. How do we contract muscles without moving them or changing their length? Think back to the exercise at the beginning. Because the hands were pressing together, the muscle length couldn’t change. There was nowhere for it to go! Here the contraction strength changes, while the length (“metric”) stays the same. We use this every day without thinking about it, for stuff like… standing erect. It’s the tone changes in our muscles that keep us constantly adapting to surroundings so we can defeat the demands of gravity.

Isometric exercises take advantage of these tone contractions to build strength. Believe it or not, they’re in some cases even more effective than dynamic exercises. You really can build strength without even moving. In one nine-week study, participants got a little lopsided, working one set of quadriceps with isometrics, and the other with a dynamic workout. While both legs had a similar increase in dynamic strength, the isometrically trained leg had a significantly higher increase in isometric strength. Isometrics are two-for-the-price of one.

How is this possible? Isometric training goes full-throttle, working muscles at their maximum and for extended periods of time. Dynamic exercises, on the other hand, produce force only for split seconds before velocity and acceleration take over. Because intramuscular tension is greater and held for longer than in dynamic exercises, isometric training achieves unique results.

The “father of plyometrics,” Dr. Yuri Verkhoshansky, supposed that a six second isometric contraction is equivalent to numerous dynamic contractions. When you stop to think about it, it makes a lot of sense. More time at maximum tension = greater rate of strength increase. It’s like Dr. Spock logical. Adding 10-20 seconds of intramuscular tension per session, then, can have a surprisingly major effect on strength gains. (Check out this great piece on StrengthNutrition101 for more info).

Isometrics have other fun benefits. Recent studies have shown that these exercises can help lower high blood pressure, for starters. But there’s a whole set of other unique benefits to isometric training that work on a subtler level. Isometrics require us to train our brains, with a whole slew of awesome effects. We’re going to get into a little woo-y new age-y mind-body connection stuff in a minute. Just try to think of it as strength training for your brain, making you smarter and more focused.

On a basic level, these exercises increase our body awareness. In order to perform isometrics, we have to learn how to send messages to specific muscles in the body. It’s easy to tune out a bit in dynamic exercise. No matter how form-conscious we are, everybody’s just switched their brain off for a strength training workout. Bad news: with isometric exercise, that’s no longer possible. Performing these exercises means consciously activating muscles. You’re going to have to think. You’re going to have to use you brain.

Doing isometrics, then, is a little like re-wiring the electrical system of your body. Or better yet, upping the connection speed on the Wi-Fi. You’ll forge and strengthen new neural patterns, cultivating powerful mind-body connections. As our world becomes more and more technology-oriented, we tend to live less and less in our physical bodies. Isometric training brings us back, reconnecting our brains with the incredible tool that is our human form.

Science backs this up. There’s a teeny little side note in this study, that I love because it tells a really revealing story. One of the subjects began the study unable to activate his quadriceps. Couldn’t do it. He’d send the message, and nothing would happen. After completing the study’s isometric program, however, he was able to engage his muscles on command. The isometric training had not only strengthened his muscles, but also cultivated the connection between his brain and his body. Another study used brain MRIs to measure the effects of isometric exercises and found “evidence for strength training-related change in white matter and putamen in the healthy adult brain.” Isometrics changes your brain. That’s some next-generation, sci-fi, Human 2.0 type stuff.

Intense as this sounds, it’s hardly a new concept. Many ancient meditative practices, such as hatha yoga and tai chi, utilized long held isometric exercises to hone the mind. Unlike dynamic exercises, isometrics don’t offer us any distractions. They’re self-confrontational. There’s no escape route, nowhere to hide from your thoughts – a rare situation in our over stimulated, smartphone-ruled day and age. In the stillness of an isometric exercise, unable to distract yourself with movement or check your Facebook, you’re suddenly very alone with yourself. You’re alone with the decision to exit the posture or stay a few more breaths. You’re alone with your thoughts and feelings.

This can be a scary proposition. Over time, however, you can consciously cultivate the same stillness within that isometrics cultivates without. Concentrating on these postures, regulating the breath, we find the mind becoming steady and calm. The stronger this mental state becomes, the stronger we are in the exercise. This mind-body connection creates a continual loop, with the mind growing stronger with the body, and vice-versa. The result is a calm, stable mental state that allows us to live a little less reactively and a little more intentionally. And while all that sounds like hippie-speak, it can actually have major positive effects on your life.

Okay, enough talk. Time for some action. You have lots of good incentive to get started. I’ve included a little taster isometrics workout for you below. Remember: these exercises are just a sample, and barely scratch the surface of the wide, varied, interesting world of isometric training. Start here… then explore!

A few tips before you begin: 

1. Go full out. Make each contraction as tight as possible, no excuses. A 2002 study had two groups of subjects practice isometric exercises, one at 100% maximum voluntary isometric contractions, and the other at 60%. While both groups had significant gains in muscle volume, the 100% group saw much higher gains than the 60% group. So go big, or go home.

(The only exception to this is if you have high blood pressure. While isometric exercises have been shown to lower blood pressure, exercising at a high level of intensity can cause dramatic increase in blood pressure. If you have high blood pressure, work at a lower intensity – you’ll still see results!)

2. Work smart. Depending on what your goals are, you’ll want to use these exercises in different ways. According to Dr. David Williams, a “higher number of contractions increases strength, while holding contractions longer increases muscle mass.” If you’re looking to bulk up, long holds are the way to go!

3. Keep it active. While long held, passive isometrics can build strength, your training will be more effective if you choose active isometrics. Active isometrics exert force to fatigue the muscle, which helps “develop muscle and strength much quicker than passive isometrics, such as holds and stances,”according to physical culturalist Jarell Lindsey. Pressing into the ground or the wall can up the ante on passive isometrics. In the exercise shown below, for example, really digging your heels into the ground is essential.

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4. Breathe. Seriously. There are several ways you can approach the breath. The most important thing is to keep it steady, full, and unstrained. If you don’t know where to start, take a cue from some people who know a thing or two about breathing – yoga people. Vinyasa styles of yoga often cultivate a “breath with sound,” frequently called ujjayi breathing or ocean breath. Take even inhales and exhales through the nose, letting them rush through the back of the throat to create a sound like ocean waves (or Darth Vader). Five breaths will be around 30 seconds. Concentrating on the breath in this way not only keeps you safe throughout your workout, it also helps cultivate a strong, steady mind. General rule of thumb: When you’ve stopped breathing, you’ve gone too far.

The Workout

Wall Pushes: Get in a low lunge position and place your hands on the wall at about chest level. Lean into the wall and push with all of your strength. If you slide backwards you may need to put on shoes with a good grip. It’s very important to push as hard as you can in order to fatigue the muscle. Hold time: Complete 2-3 repetitions, holding for 30 seconds or longer, resting for 45-60 seconds between reps. 

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Gun Show: Bring your arms to a 45-degree angle. Imagine your biceps getting tighter and tighter as you breath in. After you complete position one, move to the next position, bringing the arms higher as shown in the picture. Tighten as much as you can, then relax. Move on to the third position, tighten as much as possible, and relax. Hold time: Move with the breath, holding each position for one long inhale and moving to the next as you exhale. Repeat 2-3 times, resting for 20-30 seconds between sets.

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Wall Extensions: Stand with your back toward the wall. Bend over at the waist and place the outer edges of your fist (on both hands) against the wall. Push with all your strength against the wall. You’ll notice your tricep muscles fully engage. Hold time: Complete 2-3 repetitions, holding for 30 seconds or longer, resting for 45-60 seconds between reps.

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Field Goal Pushes: Stand about 1-2 inches away from a wall facing outward. Raise your arms up so they are parallel with the floor. Place your elbows in a 90 degree angle. Your arms should look like a field goal. Push your elbows and forearms into the wall as hard as you can. You should feel this in the middle of your back – if you don’t, try placing the arms perpendicular to the floor, as pictured below. Hold time: Complete 2-3 repetitions, holding for 30 seconds or longer, resting for 45-60 seconds between reps.

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Basic Abdominal Isometric (“The Triangle”): Massive core muscle engagement, while “just sitting there.” Imagine a triangle made by your floating ribs and the spot just beneath your navel. Sitting on the floor, spine straight, exhale to draw the floating ribs towards the spine and activate the lower abdominals. As you inhale, maintain the activation of this triangle, keeping the shoulders down as the rib cage and expands. Hold time: Complete 2-3 repetitions, holding for 30 seconds or longer, resting for 45-60 seconds between reps. Try growing the length of the hold overtime, eventually completing one repetition of 2-5 minutes (build this slowly).

Turtle Crunch: This unique isometric ab exercise is an extreme activation of the triangle. If you couldn’t quite figure out the triangle before, you definitely will after experiencing this. Position yourself on the floor face down in a fetal position. Your arms cross in front of you and rest against your knees and thighs. Use your abs to curl your upper body into your thighs while using your arms as a point of resistance. Hold time: Push as hard as you can for 30 seconds or longer. Complete 2-3 repetitions, resting for 45-60 seconds between reps.

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Plank: You’re probably at least a little familiar with this one. Place the hands under the shoulders, and extend the legs behind you, so you’re flat like a board, shoulders, hips, knees, and ankles in one line. Now make it active, pressing back through the feet, reaching the chest forward, and engaging “the triangle.” Breathe! Hold time: Aim for at least a minute. Repeat 2-3 times, resting for 45-60 seconds between reps.

Pushup Hold: From plank position, exhale into a pushup, keeping the elbows in and the gaze forward. Don’t forget to continue engaging that triangle! If you feel any discomfort in your low back, you’ve lost our abdominal support, and it’s time to back out. Hold time: Aim for at least 30 seconds. Repeat 2-3 times, resting for 45-60 seconds between reps.

Wall Sit: Stand with your back against the wall, feet hip-width apart. Bend your knees, bringing your thighs parallel to the ground. Avoid leaning forward – keep your core engaged and your sternum lifted. Press down through your heels into the ground and try to squeeze your feet together, engaging your inner thighs. Hold time: Aim for at least 30 seconds. Repeat 2-3 times, resting for 45-60 seconds between reps.

Check out Todd’s bodyweight exercise blog, AShotofAdrenaline.net.

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