#he has over 90 in first aid and high medicine stat
Photo
Father Cole O’Donnelly, priest from Boston and now agent of Templar Order (kind of?).
We’re playing Masks of Nyarlathotep and Cole learned Bless spell from the pope, killed one of Nyarlathotep’s masks and survived weird trials of the templar order.
#call of cthulhu#coc#masks of nyarlathotep#my art#father cole#priest#investigator#im still in awe he's still alive#also i ofc play a very religious character thats also the party's healer#he has over 90 in first aid and high medicine stat#and now bless?
1K notes
·
View notes
Text
Marijuana Addiction Signs - Are You Addicted to Marijuana?
"It occurred to be lately while enjoying television that the U.S. Federal government is actually nothing greater than the political version of Jabba The Hutt from the Star Wars motion pictures. As you may recall, Jabba was a formless, slow-moving moving, overweight entity that ruled with an iron fist while feeding on resources gave him. He did not spend for anything, he simply took them, and he was not there to aid anybody but himself. Those he subjugated had no say in just how their sources as well as wide range were utilized and also had no chance in displacing Jabba from his position of power. Type of sounds like our political class presently being in DC.
Jabba came to mind today as I thought about some current incidents in which the Federal government has actually gotten so big that it is doubling back on itself as well as placing itself in some really odd scenarios and conflicts with the truth of the globe around us:
- According to a short article in the July 23, 2010 concern of The Week magazine, a Boston Federal judge has actually ruled parts of the Federal Protection of Marriage Act to be unconstitutional. This act forbids the Federal federal government from recognizing gay marital relationships as well as approving Federal advantages. The court ruled that the Federal legislation forces Massachusetts to discriminate against it very own citizens. Now for the weird part. the Obama administration is currently forced to appeal the ruling, despite the fact that his management and also the Democrats in charge of Congress oppose the Defense of Marital relationship Act and want it reversed. The Federal government has actually obtained so large that it is using up lawful sources for something that it does not want to exist to begin with.
- This weird circumstance resembles the existing illegal alien circumstance. A recent Associated press post reported that the most recent statistics relative to unlawful boundary crossers shows that the Federal government lately had the highest levels of prosecutions for illegal doral addiction treatment aliens as well as the highest deportation degrees of illegals because they began keeping an eye on such stats however at the same time this same Federal federal government was in court dealing with the new Arizona state regulation that was trying to stem the flow of illegal aliens into that state.
youtube
- Returning to gay marital relationships, according to a July 15, 2010 Associated Press short article, the country of Argentina just recently ended up being the very first Latin American country to legalize gay marital relationship. The post reported that Chile as well as numerous other South American countries are most likely to try and follow suit. Do we think that our Jabba, parading as the American political class, has any kind of chance of making that occur in this country when it discovers itself in court preventing gay legal rights?
- According to an article in the August concern of Factor publication, given that 1996 fourteen states as well as the District of Columbia have legalized cannabis usage for clinical functions as well as numerous various other states are taking into consideration doing the same. This remains in straight conflict with Federal law which has actually in some cases resulted in Federal raids of clinical cannabis suppliers which are prohibited under Federal law however legal under state law. This is additionally in conflict with Obama the campaigner who wanted to legalize the medicine when he ran for Head of state but now protects the disallowing of it at the Federal level. Once again, government has actually obtained so big that we have gone into the unusual area relating to medical marijuana where it is legal at the same time as being prohibited.
- Mentioning drug problems, a recent Associated Press article reported that the Federal Veterans Matters company would certainly permit its people to utilize clinical marijuana if those people resided in the fourteen states where clinical cannabis is lawful. Hence, one arm of the Federal federal government (Veterans Affairs) is completely fine with medical cannabis usage while various other arms of the Federal government (FBI, DEA, Federal sculpture) wants to wipe it out.
- If you assume the Federal federal government has a medicine problem currently, wait until the Oakland Common council votes on whether to allow commercial farming of marijuana to be developed in city restrictions, industrial ranches which would create cannabis for clinical usage in addition to for use in products ranging from baked products to body oil. Winning applicants that would certainly operate these ranches would have to pay yearly authorization charges and also eight percent of their sales to tax obligations as well as lug $2 million in responsibility insurance coverage. Comparable initiatives are being pushed in other cities throughout the state in addition to a November ballot concern to legalize non-medical use marijuana, according to the write-up. Currently think about the materials of a brief blurb in the July 23, 2010 issue of The Week magazine that reported on a Rand Research that ended from their analysis that the legalization of marijuana would minimize the street price by up to 90%. Thus, the initiatives in The golden state might help in reducing the street price of the drug which subsequently would dramatically minimize the power, riches and impact of the Mexican drug cartels which would certainly be an advantage. Nevertheless, despite this great set of outcomes (even more earnings for the city governments, less of a stigma of marijuana individuals, much less police sources spent on busting cannabis customers, the weakening of the Mexican drug cartels) do we believe that the Jabba the Hutt beast in DC is active enough to comprehend what the advantages are or will it continue down its path of problem at the Federal drug enforcement level?
- Take Into Consideration a Washington Message post from Might, 2007, entitled ""Federal Loans Fuel Promote Coal Power Plants."" The short article reviews a remaining Anxiety age Federal program that gives inexpensive lendings to build coal discharged, high pollution nuclear power plant making use of taxpayer money. According to the write-up, ""the [loan] support is a major pressure behind the thrill to coal plants, which spew co2 that researchers condemn for international warming."" Thus, while the Obama management is pressing a climate control costs in order to combat versus international warming, the exact same government is funding nuclear power plant that do simply the opposite. Makes no feeling.
- A current Associate Press post reported how the Feds had busted 94 people for ripping off the Medicare program. This was an excellent advancement but why was our Jabba so slow in getting these apprehensions done? Medicare fraudulence has been going on since the day Medicare began numerous decades ago, why did it take such a shateringly slow time to start detaining the cheats? One of those jailed had filed over 3,700 illegal cases under her name before she was jailed, just how sluggish can you obtain?
We could go on and on. The UNITED STATE government has gotten so big and so sluggish, similar to Jabba the Hutt, that its many folds up of skin hide waste, stupidness and the doubling back on itself, i.e. public law and also activities in conflict with itself or the desires of those running the government. We could go on and on regarding exactly how slow, inefficient, and also inefficient our Jabba is, concerning how our Jabba never resolves a trouble whether it is troubled boundaries, failing public institutions, intensifying health care costs, etc., exactly how our Jabba wastes unknown billions of bucks on earmarks, ineffective campaigns, and also fraud-infested programs, or just how our Jabba does not know just how to control the economy, causing sky high public debt levels and also a really creaky financial situation with low growth as well as high joblessness.
Jabba is really negative for all of us but he is hard to remove. With the earmark procedure, the gerrymandering of Congressional areas, do-nothing campaign money laws, and also various other methods, Jabba has many defenses against defeat in an election, defenses that also a Jedi light saber can not conveniently pierce. Long-term, it is vital we start to impose term limitations on political leaders so that they never again obtain as fat, slow-moving, inefficient, as well as inefficient as Jabba The Hutt. Short-term, this November is vital because it starts the procedure of voting out the Jabba incumbents and lastly entering some streamlined, efficient, and brave Jedi warriors who will make the difficult decisions to get the size of government controlled as well as make that scaled down government a lot more effective and less strange and also less conflicted."
0 notes
Text
The Deadliest Adverse Effects of Medical Marijuana
"It occurred to be lately while viewing tv that the UNITED STATE Federal federal government is actually nothing greater than the political version of Jabba The Hutt from the Celebrity Wars films. As you may recall, Jabba was a formless, sluggish moving, overweight entity that ruled with an iron fist while feeding on resources offered him. He did not spend for anything, he just took them, and he was not there to aid anybody however himself. Those he ruled over had no say in just how their sources and also wealth were made use of and also had no chance in displacing Jabba from his position of power. Type of sounds like our political class presently being in DC.
Jabba came to mind today as I thought about some recent occurrences in which the Federal federal government has actually gotten so huge that it is doubling back on itself as well as placing itself in some really unusual scenarios and also conflicts with the reality of the globe around us:
- According to an article in the July 23, 2010 concern of The Week publication, a Boston Federal judge has ruled parts of the Federal Defense of Marital Relationship Act to be unconstitutional. This act restricts the Federal government from acknowledging gay marital relationships and also approving Federal advantages. The court ruled that the Federal law pressures Massachusetts to discriminate against it very own people. Currently for the unusual part. the Obama administration is now compelled to appeal the ruling, despite the fact that his management and also the Democrats in charge of Congress oppose the Defense of Marital relationship Act and also want it reversed. The Federal federal government has actually obtained so large that it is expending legal sources for something that it does not wish to exist in the first place.
- This strange situation resembles the current illegal alien scenario. A recent Associated press write-up reported that the most up to date stats relative to unlawful boundary crossers shows that the Federal federal government recently had the highest levels of prosecutions for illegal aliens and also the highest possible expulsion levels of illegals because they started tracking such stats but at the same time this very same Federal government was in court dealing with the new Arizona state legislation that was attempting to stem the circulation of illegal aliens into that state.
- Returning to gay marital relationships, according to a July 15, 2010 Associated Press short article, the nation of Argentina recently came to be the very first Latin American country to legalize gay marital relationship. The post reported that Chile and also several various other South American countries are most likely to try and follow suit. Do we think that our Jabba, flaunting as the American political class, has any chance of making that take place in this country when it discovers itself in court defending against gay civil liberties?
- According to an article in the August concern of Factor publication, given that 1996 fourteen states and the District of Columbia have actually legislated cannabis usage for clinical purposes and several various other states are considering doing the exact same. This remains in direct conflict with Federal law which has actually sometimes caused Federal raids of clinical cannabis companies which are unlawful under Federal law but legal under state law. This is also in conflict with Obama the campaigner that wished to decriminalize the drug when he ran for President today safeguards the forbiding of it at the Federal degree. Again, federal government has obtained so large that we have actually gone into the odd area regarding clinical marijuana where it is lawful at the same time as being prohibited.
- Speaking of medicine disputes, a current Associated Press write-up reported that the Federal Veterans Matters organization would certainly enable its people to utilize clinical cannabis if those patients stayed in the fourteen states where medical marijuana is legal. Therefore, one arm of the Federal government (Veterans Matters) is perfectly fine with clinical cannabis usage while other arms of the Federal federal government (FBI, DEA, Federal statue) wants to clean it out.
- If you believe the Federal federal government has a medication problem currently, wait till the Oakland City Council votes on whether to enable industrial farming of marijuana to be established in city limitations, commercial farms which would certainly create cannabis for clinical use in addition to for usage in items ranging from baked goods to body oil. Winning candidates that would operate these farms would certainly need to pay annual license costs and eight percent of their sales to taxes in addition to bring $2 million in liability insurance policy. Comparable efforts are being pushed in other cities throughout the state along with a November tally issue to legalize non-medical use marijuana, according to the article. Currently take into consideration the materials of a brief blurb in the July 23, 2010 issue of The Week magazine that reported on a Rand Study that ended from their analysis that the legalisation of cannabis would minimize the street rate by as much as 90%. Thus, the initiatives in California might help reduce the street price of the drug which subsequently would substantially lower the power, riches and impact of the Mexican medicine cartels which would certainly be a good idea. Nonetheless, when faced with this great set of results (even more earnings for the local governments, much less of a stigma of marijuana users, less law enforcement sources invested in busting cannabis individuals, the weakening of the Mexican medication cartels) do we think that the Jabba the Hutt monster in DC is active sufficient to understand what the benefits are or will it continue down its course of problem at the Federal drug enforcement level?
- Consider a Washington Post article from May, 2007, qualified ""Federal Loans Gas Promote Coal Power Plants."" The post reviews a leftover Depression era Federal program that gives affordable finances to develop coal fired, high air pollution nuclear power plant utilizing taxpayer money. According to the short article, ""the [car loan] support is a significant pressure behind the thrill to coal plants, which spew carbon dioxide that scientists criticize for worldwide warming."" Thus, while the Obama administration is pressing an environment control costs in order to fight versus international warming, the exact same federal government is moneying power plants that do simply the opposite. Makes no sense.
- A recent Associate Press post reported exactly how the Feds had actually broken 94 individuals for defrauding the Medicare program. This was a good growth but why was our Jabba so slow in getting these apprehensions done? Medicare scams has been going on considering that the day Medicare began a number of decades back, why did it take such a painfully slow-moving time to begin arresting the cheats? One of those arrested had filed over 3,700 fraudulent cases under her name before she was apprehended, how slow-moving can you obtain?
We could continue. The UNITED STATE government has actually obtained so big therefore slow, similar to Jabba the Hutt, that its many folds up of skin conceal waste, stupidness as well as the doubling back on itself, i.e. public law as well as actions in conflict with itself or the desires of those running the government. We could continue concerning exactly how slow-moving, inefficient, as well as wasteful our Jabba is, about just how our Jabba never cbdforsalenearme.com ever addresses a problem whether it is insecure boundaries, stopping working public schools, escalating healthcare prices, etc., how our Jabba wastes unimaginable billions of bucks on earmarks, ineffective initiatives, and fraud-infested programs, or exactly how our Jabba does not know just how to control the economic climate, causing sky high national debt degrees and also a very ancient economic situation with low development as well as high unemployment.
youtube
Jabba is very poor for everybody but he is hard to displace. Through the allocate process, the gerrymandering of Congressional districts, do-nothing project money laws, and various other methods, Jabba has numerous defenses against defeat in an election, defenses that also a Jedi light saber can not quickly pierce. Long-term, it is important we start to enforce term limits on political leaders to ensure that they never again obtain as fat, slow-moving, wasteful, and inadequate as Jabba The Hutt. Short-term, this November is essential because it begins the process of voting out the Jabba incumbents and ultimately entering some streamlined, effective, and also daring Jedi warriors that will make the difficult decisions to get the size of government under control and make that downsized federal government more reliable as well as much less odd as well as less conflicted."
0 notes
Text
Can Medical Cannabis Aid Persistent Discomfort?
"It occurred to be just recently while enjoying tv that the UNITED STATE Federal federal government is truly nothing more than the political version of Jabba The Hutt from the Celebrity Wars movies. As you might remember, Jabba was a formless, sluggish moving, obese entity that ruled with an iron fist while devouring resources gave him. He did not pay for anything, he simply took them, as well as he was not there to assist anybody but himself. Those he ruled over had no say in exactly how their sources and also wide range were made use of as well as had no chance in removing Jabba from his position of power. Sort of seem like our political class presently being in DC.
Jabba came to mind today as I considered some current incidents in which the Federal federal government has actually gotten so large that it is doubling back on itself and putting itself in some really unusual scenarios and also conflicts with the truth of the globe around us:
- According to a write-up in the July 23, 2010 problem of The Week publication, a Boston Federal judge has actually ruled parts of the Federal Defense of Marital Relationship Act to be unconstitutional. This act forbids the Federal government from acknowledging gay marital relationships and approving Federal benefits. The judge ruled that the Federal law forces Massachusetts to victimize it own people. Currently for the strange component. the Obama management is now forced to appeal the judgment, although his management and also the Democrats accountable of Congress oppose the Protection of Marital relationship Act as well as desire it rescinded. The Federal government has gotten so large that it is using up lawful sources for something that it does not want to exist in the first place.
- This weird situation is similar to the existing illegal alien scenario. A current Associated press short article reported that the current stats relative to unlawful boundary crossers shows that the Federal federal government recently had the highest levels of prosecutions for illegal aliens and the greatest expulsion degrees of illegals considering that they started keeping track of such statistics but at the same time this very same Federal federal government remained in court combating the new Arizona state regulation that was attempting to stem the circulation of illegal aliens right into that state.
- Getting back to gay marriages, according to a July 15, 2010 Associated Press write-up, the nation of Argentina lately became the very first Latin American country to legalize gay marriage. The short article reported that Chile as well as a number of various other South American nations are likely to try as well as follow suit. Do we believe that our Jabba, flaunting as the American political course, has any opportunity of making that take place in this nation when it locates itself in court resisting gay rights?
- According to an article in the August concern of Factor publication, since 1996 fourteen states as well as the District of Columbia have actually legislated marijuana use for medical functions and also numerous various other states are taking into consideration doing the exact same. This is in straight conflict with Federal law which has in some cases resulted in Federal raids of medical cannabis companies which are prohibited under Federal regulation yet lawful under state legislation. This is additionally in conflict with Obama the campaigner who wished to decriminalize the medication when he ran for President and now safeguards the forbiding of it at the Federal degree. Again, government has obtained so big that we have gotten in the odd area pertaining to medical marijuana where it is legal at the same time as being prohibited.
- Speaking of medication conflicts, a recent Associated Press post reported that the Federal Veterans Matters organization would certainly allow its clients to make use of clinical marijuana if those clients resided in the fourteen states where medical marijuana is legal. Therefore, one arm of the Federal federal government (Veterans Affairs) is perfectly great with medical cannabis usage while various other arms of the Federal government (FBI, DEA, Federal sculpture) wants to clean it out.
youtube
- If you think the Federal government has a medication problem currently, wait till the Oakland City Council votes on whether to allow industrial farming of marijuana to be established in city restrictions, industrial ranches which would certainly generate marijuana for clinical usage as well as for usage in items varying from baked goods to body oil. Winning candidates that would certainly operate these ranches would have to pay annual license costs and 8 percent of their sales to taxes as well as carry $2 million in responsibility insurance policy. Similar efforts are being pushed in various other cities throughout the state along with a November tally problem to legislate non-medical use marijuana, according to the article. Currently consider the materials of a short blurb in the July 23, 2010 problem of The Week publication that reported on a Rand Research that ended from their analysis that the legalisation of marijuana would decrease the street rate by approximately 90%. Thus, the efforts in California might help reduce the street price of the medication which subsequently would significantly reduce the power, riches and also cbdforsalenearme.com influence of the Mexican drug cartels which would be an advantage. However, when faced with this good set of end results (even more income for the city governments, less of a stigma of marijuana customers, less police sources invested in breaking marijuana individuals, the weakening of the Mexican drug cartels) do we believe that the Jabba the Hutt monster in DC is active sufficient to comprehend what the advantages are or will it proceed down its path of problem at the Federal medicine enforcement degree?
- Take Into Consideration a Washington Post article from May, 2007, entitled ""Federal Loans Fuel Push For Coal Power Plant Kingdoms."" The write-up reviews a remaining Clinical depression era Federal program that provides inexpensive finances to develop coal fired, high air pollution power plants making use of taxpayer money. According to the article, ""the [loan] support is a significant force behind the thrill to coal plants, which spew co2 that scientists condemn for global warming."" Therefore, while the Obama administration is pressing an environment control expense in order to deal with against worldwide warming, the exact same federal government is funding power plants that do simply the contrary. Makes no feeling.
- A current Affiliate Press short article reported how the Feds had broken 94 individuals for defrauding the Medicare program. This was a good development yet why was our Jabba so sluggish in getting these apprehensions done? Medicare scams has been going on considering that the day Medicare began numerous years earlier, why did it take such a shateringly slow-moving time to begin apprehending the cheats? One of those apprehended had filed over 3,700 deceitful insurance claims under her name before she was apprehended, just how sluggish can you obtain?
We might go on and on. The U.S. federal government has obtained so large therefore slow-moving, similar to Jabba the Hutt, that its many folds of skin conceal waste, stupidness and also the doubling back on itself, i.e. public law as well as actions in conflict with itself or the desires of those running the federal government. We could go on and on regarding exactly how slow-moving, ineffective, as well as inefficient our Jabba is, regarding how our Jabba never fixes an issue whether it is unconfident borders, falling short public institutions, rising health care prices, and so on, how our Jabba wastes unimaginable billions of bucks on earmarks, useless efforts, as well as fraud-infested programs, or just how our Jabba does not know just how to control the economy, causing skies high public debt levels and also an extremely creaky economic situation with reduced growth and also high unemployment.
Jabba is extremely negative for all of us yet he is difficult to dislodge. With the set aside process, the gerrymandering of Congressional districts, do-nothing campaign financing laws, and also various other approaches, Jabba has several defenses against loss in an election, defenses that also a Jedi light saber can not conveniently pierce. Long-term, it is essential we begin to enforce term limits on political leaders to make sure that they never ever once more obtain as fat, slow-moving, wasteful, and inadequate as Jabba The Hutt. Short-term, this November is essential given that it begins the procedure of electing out the Jabba incumbents and also ultimately getting in some sleek, efficient, as well as brave Jedi warriors who will certainly make the challenging choices to obtain the dimension of government under control and make that downsized government a lot more efficient and less strange and much less clashed."
0 notes
Text
The Wonder Drug Called Cannabis
"It struck be recently while viewing tv that the UNITED STATE Federal federal government is actually nothing more than the political incarnation of Jabba The Hutt from the Star Wars motion pictures. As you might remember, Jabba was a formless, slow-moving moving, overweight entity that ruled with an iron fist while devouring resources gave him. He did not spend for anything, he simply took them, and also he was not there to aid any individual yet himself. Those he ruled over had no say in just how their sources as well as wide range were made use of as well as had no chance in removing Jabba from his position of power. Type of sounds like our political course currently being in DC.
Jabba entered your mind today as I thought of some current incidents in which the Federal federal government has actually gotten so large that it is doubling back on itself and putting itself in some really unusual circumstances and conflicts with the reality of the globe around us:
- According to an article in the July 23, 2010 concern of The Week magazine, a Boston Federal court has ruled parts of the Federal Defense of Marriage Act to be unconstitutional. This act restricts the Federal government from recognizing gay marriages and also providing Federal advantages. The court ruled that the Federal regulation forces Massachusetts to victimize it very own people. Currently for the strange part. the Obama administration is currently compelled to appeal the ruling, although his management and also the Democrats in charge of Congress oppose the Protection of Marriage Act as well as desire it repealed. The Federal federal government has gotten so big that it is using up lawful sources for something that it does not wish to exist to begin with.
- This weird scenario is similar to the existing illegal alien situation. A current Associated press write-up reported that the latest stats relative to prohibited boundary crossers shows that the Federal government recently had the highest degree of prosecutions for illegal aliens as well as the highest expulsion levels of illegals since they began monitoring such statistics however at the same time this same Federal federal government was in court battling the new Arizona state law that was trying to stem the circulation of illegal aliens into that state.
- Returning to gay marital relationships, according to a July 15, 2010 Associated Press short article, the nation of Argentina lately became the first Latin American nation to legislate gay marital relationship. The write-up reported that Chile as well as numerous various other South American countries are most likely to try as well as follow suit. Do we think that our Jabba, flaunting as the American political class, has any kind of opportunity of making that occur in this country when it locates itself in court resisting gay legal rights?
- According to a short article in the August concern of Reason magazine, given that 1996 fourteen states and also the District of Columbia have legislated marijuana usage for clinical functions and numerous other states are taking into consideration doing the same. This remains in direct conflict with Federal law which has cbdforsalenearme.com actually often resulted in Federal raids of medical cannabis service providers which are illegal under Federal legislation however lawful under state law. This is likewise in conflict with Obama the campaigner who wished to legalize the drug when he competed President and now defends the banning of it at the Federal level. Once again, government has gotten so large that we have actually gone into the odd area relating to medical cannabis where it is legal at the same time as being illegal.
- Mentioning drug disputes, a recent Associated Press article reported that the Federal Veterans Affairs company would enable its patients to make use of medical cannabis if those people lived in the fourteen states where clinical marijuana is lawful. Therefore, one arm of the Federal government (Veterans Matters) is flawlessly fine with medical marijuana usage while other arms of the Federal federal government (FBI, DEA, Federal sculpture) intends to clean it out.
- If you believe the Federal government has a medication problem currently, wait till the Oakland City Council elects on whether to allow commercial farming of marijuana to be established in city limits, industrial ranches which would certainly create marijuana for medical use in addition to for use in items ranging from baked items to body oil. Winning candidates who would operate these farms would certainly need to pay yearly permit charges and also eight percent of their sales to tax obligations along with carry $2 million in liability insurance policy. Similar initiatives are being pushed in various other cities throughout the state in addition to a November ballot concern to legalize non-medical use of cannabis, according to the post. Now think about the components of a short blurb in the July 23, 2010 issue of The Week magazine that reported on a Rand Study that ended from their analysis that the legalization of cannabis would lower the street price by as much as 90%. Hence, the initiatives in The golden state may help in reducing the street rate of the drug which in turn would substantially reduce the power, wealth and also influence of the Mexican medication cartels which would certainly be a good idea. However, when faced with this good collection of results (even more revenue for the city governments, less of a stigma of cannabis customers, less law enforcement sources invested in busting marijuana individuals, the weakening of the Mexican medicine cartels) do we believe that the Jabba the Hutt monster in DC is active sufficient to understand what the benefits are or will it proceed down its path of conflict at the Federal medication enforcement level?
- Think About a Washington Message article from Might, 2007, qualified ""Federal Loans Gas Promote Coal Power Plants."" The article reviews a leftover Anxiety age Federal program that gives inexpensive lendings to build coal fired, high pollution nuclear power plant making use of taxpayer money. According to the write-up, ""the [car loan] support is a significant force behind the rush to coal plants, which spew carbon dioxide that researchers criticize for worldwide warming."" Therefore, while the Obama administration is pushing an environment control expense in order to combat versus worldwide warming, the exact same government is moneying power plants that do just the opposite. Makes no feeling.
youtube
- A current Affiliate Press post reported how the Feds had actually broken 94 people for defrauding the Medicare program. This was an excellent advancement however why was our Jabba so slow-moving in obtaining these apprehensions done? Medicare fraudulence has been going on since the day Medicare began numerous decades earlier, why did it take such a painfully slow time to begin jailing the cheats? One of those arrested had filed over 3,700 illegal claims under her name before she was jailed, exactly how slow can you get?
We might continue. The UNITED STATE federal government has actually gotten so large and so slow, just like Jabba the Hutt, that its lots of folds of skin conceal waste, stupidness and the doubling back on itself, i.e. public law as well as activities in conflict with itself or the desires of those running the government. We might continue concerning how slow-moving, inadequate, and also inefficient our Jabba is, concerning exactly how our Jabba never ever resolves a trouble whether it is insecure borders, stopping working public schools, escalating health care prices, etc., how our Jabba wastes unimaginable billions of dollars on earmarks, useless initiatives, and also fraud-infested programs, or exactly how our Jabba does not know how to control the economy, resulting in skies high public debt degrees as well as an extremely ancient financial situation with low growth and also high joblessness.
Jabba is very poor for everybody but he is hard to remove. With the earmark process, the gerrymandering of Congressional districts, do-nothing project financing regulations, as well as various other methods, Jabba has many defenses versus loss in an election, defenses that even a Jedi light saber can not easily pierce. Long-term, it is essential we start to impose term limitations on political leaders so that they never ever again obtain as fat, slow, inefficient, as well as inadequate as Jabba The Hutt. Short-term, this November is important given that it starts the procedure of electing out the Jabba incumbents and also finally getting in some smooth, effective, and courageous Jedi warriors that will certainly make the hard decisions to obtain the dimension of federal government controlled and also make that scaled down federal government extra efficient and less odd and also much less conflicted."
0 notes
Text
Results of Medical Marijuana - Great or Bad
"It occurred to be just recently while viewing television that the UNITED STATE Federal federal government is actually absolutely nothing more than the political version of Jabba The Hutt from the Star Wars movies. As you might remember, Jabba was a formless, sluggish moving, overweight entity that ruled with an iron fist while feasting on sources offered him. He did not pay for anything, he just took them, and also he was not there to aid any person yet himself. Those he ruled over had no say in how their resources as well as wide range were used as well as had no chance in dislodging Jabba from his position of power. Sort of sounds like our political class currently sitting in DC.
Jabba entered your mind today as I thought about some recent occurrences in which the Federal federal government has gotten so big that it is doubling back on itself and placing itself in some really weird situations and also conflicts with the fact of the globe around us:
- According to a post in the July 23, 2010 problem of The Week publication, a Boston Federal judge has actually ruled parts of the Federal Protection of Marriage Act to be unconstitutional. This act prohibits the Federal government from identifying gay marriages and also granting Federal advantages. The judge ruled that the Federal law pressures Massachusetts to discriminate against it own residents. Currently for the weird component. the Obama administration is now required to appeal the ruling, although his administration and the Democrats accountable of Congress oppose the Defense of Marital relationship Act and want it reversed. The Federal federal government has gotten so big that it is using up lawful sources for something that it does not want to exist in the first place.
- This unusual situation is similar to the current illegal alien circumstance. A current Associated press write-up reported that the most up to date stats about prohibited boundary crossers shows that the Federal federal government recently had the highest degree of prosecutions for illegal aliens and also the highest deportation levels of illegals given that they started keeping an eye on such stats yet at the same time this exact same Federal federal government remained in court fighting the new Arizona state law that was trying to stem the circulation of illegal aliens into that state.
- Returning to gay marital relationships, according to a July 15, 2010 Associated Press write-up, the nation of Argentina lately came to be the initial Latin American country to legalize gay marriage. The short article reported that Chile and several other South American countries are most likely to try as well as do the same. Do we think that our Jabba, parading as the American political course, has any type of possibility of making that occur in this nation when it finds itself in court resisting gay civil liberties?
- According to an article in the August concern of Factor publication, since 1996 fourteen states as well as the Area of Columbia have actually legalized marijuana use for medical functions and also a number of other states are taking into consideration doing the exact same. This is in direct conflict with Federal legislation which has in some cases resulted in Federal raids of medical marijuana carriers which are illegal under Federal legislation but lawful under state legislation. This is additionally in conflict with Obama the advocate that wished to legalize the drug when he ran for Head of state and now safeguards the outlawing of it at the Federal level. Once more, government has actually obtained so big that we have gone into the strange area concerning medical marijuana where it is lawful at the same time as being prohibited.
- Mentioning medicine disputes, a recent Associated Press short article reported that the Federal Veterans Matters organization would certainly allow its people to make use of clinical marijuana if those individuals lived in the fourteen states where clinical cannabis is lawful. Hence, one arm of the Federal federal government (Veterans Affairs) is completely great with medical marijuana usage while various other arms of the Federal government (FBI, DEA, Federal statuary) wishes to wipe it out.
- If you assume the Federal federal government has a drug issue now, wait until the Oakland City Council votes on whether to allow commercial farming of cannabis to be developed in city limitations, commercial farms which would generate marijuana for clinical usage along with for use in items ranging from baked goods to body oil. Winning applicants who would operate these farms would need to pay yearly authorization fees and eight percent of their sales to taxes as well as bring $2 million in obligation insurance. Comparable efforts are being pushed in other cities throughout the state together with a November tally issue to legalize non-medical use cannabis, according to the short article. Now think about the components of a brief blurb in the July 23, 2010 issue of The Week publication that reported on a Rand Research study that ended from their evaluation that the legalisation of marijuana would certainly lower the street price by up to 90%. Hence, the initiatives in The golden state might help in reducing the street rate of the drug which in turn would substantially decrease the power, riches and also impact of the Mexican medication cartels which would be a good thing. Nevertheless, when faced with this excellent collection of outcomes (more revenue for the local governments, less of a preconception of cannabis customers, less law enforcement sources spent on busting marijuana users, the weakening of the Mexican medication cartels) do we think that the Jabba the Hutt beast in DC is nimble sufficient to recognize what the benefits are or will it proceed down its path of problem at the Federal medicine enforcement degree?
youtube
- Think About a Washington Message post from Might, 2007, entitled ""Federal Loans Fuel Promote Coal Power Plant Kingdoms."" The short article goes over a remaining Depression period Federal program that provides inexpensive finances to develop coal terminated, high pollution nuclear power plant using taxpayer money. According to the write-up, ""the [loan] support is a significant force behind the thrill to coal plants, which gush co2 that researchers criticize for worldwide warming."" Hence, while the Obama administration is pushing an environment control costs in order to battle against worldwide warming, the exact same federal government is moneying power plants that do simply the opposite. Makes no sense.
- A recent Partner Press post reported just how the Feds had actually busted 94 individuals for defrauding the Medicare program. This was an excellent growth but why was our Jabba so slow-moving in obtaining these apprehensions done? cbdforsalenearme.com Medicare fraud has been taking place given that the day Medicare began numerous years ago, why did it take such a painfully slow time to begin jailing the cheats? Among those apprehended had submitted over 3,700 deceitful claims under her name prior to she was apprehended, exactly how slow-moving can you get?
We could continue. The UNITED STATE federal government has actually gotten so large and so slow, much like Jabba the Hutt, that its many folds of skin hide waste, stupidity and also the doubling back on itself, i.e. public law and also actions in conflict with itself or the desires of those running the government. We can go on and on concerning how sluggish, inadequate, and inefficient our Jabba is, concerning how our Jabba never ever resolves a problem whether it is unconfident boundaries, falling short public colleges, rising health care prices, etc., how our Jabba wastes untold billions of dollars on trademarks, worthless campaigns, and fraud-infested programs, or just how our Jabba does not know how to manage the economic climate, resulting in sky high public debt degrees and a really creaky financial situation with low development and also high joblessness.
Jabba is really bad for everybody however he is tough to dislodge. Through the earmark process, the gerrymandering of Congressional areas, do-nothing campaign money legislations, and various other approaches, Jabba has lots of defenses versus defeat in an election, defenses that even a Jedi light saber can not easily pierce. Long term, it is essential we begin to enforce term limits on political leaders to make sure that they never ever again get as fat, slow, wasteful, and inadequate as Jabba The Hutt. Short term, this November is critical considering that it begins the procedure of voting out the Jabba incumbents and also finally getting in some sleek, reliable, and also courageous Jedi warriors that will certainly make the tough choices to obtain the size of federal government under control and also make that scaled down federal government a lot more reliable and less strange as well as less contrasted."
0 notes
Text
A Quick Overview to Medical Cannabis in The Golden State
"It occurred to be lately while watching tv that the UNITED STATE Federal federal government is actually absolutely nothing more than the political manifestation of Jabba The Hutt from the Celebrity Wars motion pictures. As you may recall, Jabba was a formless, sluggish moving, obese entity that ruled with an iron fist while feeding on resources gave him. He did not pay for anything, he simply took them, and also he was not there to aid any person however himself. Those he subjugated had no say in exactly how their resources and wealth were used and had no chance in displacing Jabba from his position of power. Kind of sounds like our political class presently sitting in DC.
Jabba entered your mind today as I considered some recent events in which the Federal federal government has actually obtained so big that it is doubling back on itself as well as placing itself in some very weird circumstances and conflicts with the reality of the globe around us:
- According to a post in the July 23, 2010 problem of The Week magazine, a Boston Federal judge has ruled parts of the Federal Defense of Marriage Act to be unconstitutional. This act restricts the Federal government from recognizing gay marital relationships as well as providing Federal advantages. The judge ruled that the Federal law forces Massachusetts to victimize it own citizens. Now for the unusual component. the Obama management is now forced to appeal the ruling, despite the fact that his management and also the Democrats accountable of Congress oppose the Protection of Marriage Act and also want it reversed. The Federal government has obtained so large that it is expending legal resources for something that it does not intend to exist in the first place.
- This strange situation resembles the current illegal alien situation. A current Associated press write-up reported that the latest statistics about prohibited border crossers shows that the Federal government lately had the highest degree of prosecutions for illegal aliens as well as the highest expulsion degrees of illegals given that they started tracking such stats yet at the same time this very same Federal federal government remained in court combating the brand-new Arizona state regulation that was trying to stem the flow of illegal aliens right into that state.
- Returning to gay marital relationships, according to a July 15, 2010 Associated Press post, the country of Argentina lately became the initial Latin American nation to legislate gay marital relationship. The short article reported that Chile and several other South American countries are most likely to attempt and do the same. Do we think that our Jabba, flaunting as the American political course, has any type of chance of making that occur in this country when it locates itself in court resisting gay legal rights?
- According to an article in the August issue of Reason magazine, because 1996 fourteen states as well as the Area of Columbia have legalized marijuana usage for clinical purposes as well as several other states are taking into consideration doing the exact same. This remains in straight conflict with Federal legislation which has often led to Federal raids of medical marijuana carriers which are unlawful under Federal regulation yet legal under state law. This is also in conflict with Obama the campaigner that intended to decriminalize the medicine when he competed Head of state but now safeguards the forbiding of it at the Federal degree. Again, government has gotten so huge that we have actually gotten in the unusual zone pertaining to medical cannabis where it is lawful at the same time as being prohibited.
- Speaking of drug disputes, a recent Associated Press short article reported that the Federal Veterans Affairs company would permit its individuals to make use of medical marijuana if those people stayed in the fourteen states where medical cannabis is lawful. Therefore, one arm of the Federal federal government (Veterans Affairs) is completely great with medical marijuana usage while other arms of the Federal federal government (FBI, DEA, Federal statuary) wants to wipe it out.
- If you assume the Federal federal government has a drug issue now, wait until the Oakland Common council elects on whether to enable industrial farming of cannabis to be developed in city restrictions, commercial ranches which would certainly generate marijuana for medical use in addition to for usage in products varying from baked products to body oil. Winning candidates who would certainly run these ranches would need to pay yearly license costs as well as 8 percent of their sales to taxes as well as lug $2 million in responsibility insurance. Comparable initiatives are being pushed in other cities throughout the state in addition to a November tally concern to legalize non-medical use marijuana, according to the post. Currently consider the materials of a short blurb in the July 23, 2010 concern of The Week publication that reported on a Rand Research that ended from their evaluation that the legalisation of cannabis would certainly lower the street cost by up to 90%. Thus, the initiatives in The golden state might help in reducing the street rate of the drug which in turn would considerably minimize the power, riches and impact of the Mexican medicine cartels which would be a good idea. Nevertheless, when faced with this great collection of results (even more profits for the city governments, less of a stigma of marijuana customers, less law enforcement resources invested in busting cannabis customers, the weakening of the Mexican medicine cartels) do we assume that the Jabba the Hutt beast in DC is active sufficient to comprehend what the benefits are or will it proceed down its course of conflict at the Federal medication enforcement level?
- Consider a Washington Message article from May, 2007, entitled ""Federal Loans Fuel Promote Coal Power Plant Kingdoms."" The post talks about a leftover Clinical depression age Federal program that offers low cost financings to build coal terminated, high air pollution nuclear power plant making use of taxpayer money. According to the post, ""the [financing] assistance is a significant pressure behind the rush to coal plants, which spew carbon dioxide that researchers blame for worldwide warming."" Hence, while the Obama administration is pushing an environment control costs in order to battle against worldwide warming, the same federal government is moneying nuclear power plant that do just the opposite. Makes no sense.
- A recent Associate Press short article reported how the Feds had broken 94 people for defrauding the Medicare program. This was a good development yet why was our Jabba so sluggish in obtaining these arrests done? Medicare scams has been taking place because the day Medicare began several years ago, why did it take such a shateringly slow-moving time to start jailing the cheats? Among those detained had submitted over 3,700 fraudulent cases under her name before she was arrested, just how slow can you obtain?
We can continue. The UNITED STATE federal government has obtained so big and so slow-moving, just like Jabba the Hutt, that its numerous folds up of skin hide waste, stupidness and the doubling back on itself, i.e. government laws and also actions in conflict with itself or the wishes of those running the government. We could go on and on about how slow-moving, ineffective, as well as wasteful our Jabba is, about just how our Jabba never ever fixes a problem whether it is unconfident boundaries, failing cbd oil san tan valley az public institutions, rising health care costs, and so on, just how our Jabba wastes untold billions of dollars on trademarks, ineffective efforts, and fraud-infested programs, or just how our Jabba does not know just how to control the economic situation, resulting in skies high public debt degrees as well as a really ancient financial scenario with low growth and also high joblessness.
youtube
Jabba is extremely poor for everyone but he is difficult to remove. Through the earmark procedure, the gerrymandering of Congressional areas, do-nothing campaign money legislations, and various other techniques, Jabba has numerous defenses against loss in a political election, defenses that also a Jedi light saber could not conveniently pierce. Long-term, it is important we start to enforce term limits on politicians to make sure that they never ever again obtain as fat, slow, wasteful, and also ineffective as Jabba The Hutt. Short term, this November is critical because it starts the procedure of electing out the Jabba incumbents and finally getting in some smooth, reliable, as well as brave Jedi warriors that will certainly make the challenging choices to get the size of federal government under control as well as make that scaled down government more effective as well as much less weird and less conflicted."
0 notes
Text
Why doctors and dermatologists are debating this double-chin-beating injectable
http://fashion-trendin.com/why-doctors-and-dermatologists-are-debating-this-double-chin-beating-injectable/
Why doctors and dermatologists are debating this double-chin-beating injectable
SUBMENTAL FULLNESS. Say it out loud. The term has an almost Freudian feel — conjuring, perhaps, an overstuffed psyche, ripe with repression. But, of course, any skin nerd with a derm or 20 in her feed knows it’s actually doctor-speak for double chin, the ultra-common condition — and, yes, it is considered to be just that by the medical community — responsible for fueling both selfie insecurities (ours, too) and body-positive belly laughs (was #chinning not everything in 2017?).
While long an annoyance for many, the stubborn fat pad under the chin entered our collective consciousness in 2015, when a first-of-its-kind fix hit the beauty scene: a fat-melting supershot called Kybella, indicated especially for the area. Just what alchemy is this, the world wondered? The drug’s active ingredient is a synthetic stomach acid — “a copy of a salt found in human bile that aids in the permanent destruction and digestion of fat cells,” explains Michael Kassardjian, a dermatologic surgeon in Torrance, CA. More specifically, Kybella dissolves the membranes lining our fat cells, causing them to spill their slippery contents, which are then gradually but efficiently expunged by the body’s own immune cells.
On the heels of Kybella’s long-awaited FDA-approval win, following more than 20 clinical studies involving 1,600-plus patients, the New York Times trumpeted the drug’s arrival with the headline: Injection Offers Option to Slim Down Double Chin Without Surgery, irrevocably pitting syringe against scalpel. “Physicians and patients alike were excited that an injectable could destroy fat cells, and doctors around the country began training to use Kybella,” says William H. Truswell, president of the American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS).
But now, a mere three years later, the fanfare and fervor have subsided — and the wonder drug seems to be facing a backlash. “Kybella was tremendously anticipated by the aesthetics industry, but it’s proven to be slightly underwhelming,” says Lara Devgan, an attending plastic surgeon at Lenox Hill Hospital and Manhattan Eye, Ear & Throat Infirmary.
While doctors have debated its shortcomings for some time, one surgeon’s social media post from last November compelled us to take a harder look at the injectable. Steven Teitelbaum, an associate clinical professor of plastic surgery at the David Geffen School of Medicine at UCLA, and an investigator on the Kybella clinical trials, Instagrammed himself speaking at a plastics conference in New York City. His caption read: On stage at #cuttingedge2017 meeting, talking about #kybella injections to remove neck fat. Only about five surgeons in the audience raised their hands to say they liked it. As usual, surgery beats needles.
Kybella works, it’s just not always presented right. It’s not a no-downtime alternative to liposuction — there will be swelling and tenderness — but it is a nonsurgical alternative, which carries fewer severe risks.
A fair amount of data corroborates his account: According to the AAFPRS, fat-dissolving injections were, in fact, the least popular minimally invasive treatment performed by facial plastic surgeons in 2017. And newly released stats from the American Society of Plastic Surgeons (ASPS) show that of the 17.5 million surgical and minimally-invasive cosmetic procedures done in the United States in 2017, 62,587 were Kybella injections, while 246,354 were liposuction procedures (lipo being the go-to surgery for double chins). Lending further perspective, the non-invasive fat reduction category — which includes devices that freeze or heat fat cells to literal death — contributed 356,378 procedures to the ASPS’s overall tally.
To be fair, these figures don’t tell the whole story, as they’re collected by individual organisations, and reflect only work done by a subset of surgeons. Which is why Allure reached out to Allergan, the makers of Kybella. Turns out, they track procedures, too, and recorded over 100,000 people treated with the drug since January 2016.
And we cannot overlook the strong contingent of doctors who remain loyal to the injectable. “Kybella works, it’s just not always presented right,” says Robert Anolik, a clinical assistant professor of dermatology at the NYU School of Medicine, who participated in the clinical trial. To be clear, he adds, “Kybella is not a no-downtime alternative to liposuction — there will be swelling and tenderness — but it is a nonsurgical alternative, which carries fewer severe risks.” If doctors communicate this distinction and manage patients’ expectations, “satisfaction will be high,” he says. (Potential lipo complications, according to the American Society for Aesthetic Plastic Surgery website, can include contour irregularities, indentations, infection, scarring, sensation changes, and accumulation of blood or fluid under the skin.)
New York City plastic surgeon Sachin Shridharani, who’s administered over 2,000 Kybella treatments but also counts liposuction among his favorite tools, says, “We’ve been getting surgical-like outcomes with Kybella — sometimes even superior, because of the skin retraction that follows — and a big part of that is using the right dose and counseling patients on the number of treatments they need. If someone isn’t prepared to have more than one treatment, she’s not a Kybella candidate. And when clinicians tell me they’re not getting the same types of outcomes, and then I review their notes, they’re typically underdosing patients, because they’re afraid of the swelling and downtime.”
Up next, we zoom in on the controversy and share everything you need to know before putting your neck on the line. (But first, a quick disclaimer: As with every FDA-approved cosmetic procedure, we totally support your right to take it, leave it, or simply just learn about it. Your body, your choice. No judgment.)
As experts claim 25 is the prime age to have Botox, one woman tells us what she wishes she’d known
BEHIND THE BACKLASH
When Kybella was first approved, “there was a huge marketing blitz around it,” says Truswell — one mired in confusion, and muddled by mixed messages. Right out of the gate, recalls New York City cosmetic dermatologist Paul Jarrod Frank, “Kybella was hyped as a sort of Botox for fat,” the two injectables’ shared parentage (hi, Allergan) only strengthening their ostensible similarities. Yet, at the same time, Kybella, a so-called lunchtime procedure, aimed to rival the efficacy of surgery, an unprecedented move for an injectable, notes Teitelbaum. “Most injectables address something that surgery cannot,” he adds, with neurotoxins minimizing muscle movement to stop skin from creasing, and fillers restoring the plumpness that wanes with age. But Kybella, from day one, was “comparing itself to surgery,” Teitelbaum says.
As doctors began dabbling in the drug, however, both analogies crumbled. Hardly the bulge-busting equivalent of a quick-and-painless, no-one-has-to-know neurotoxin, “Kybella can carry an enormous amount of downtime relative to the small percentage of improvement we get from it,” says Frank, referring to the soreness and bullfrog-like swelling that ensue after treatment and linger for weeks. “I tried it on myself, and was shocked by the massive swelling I saw.” Each dose of Kybella also requires 20 to 50 jabs to the target area — not quite akin to the modest pricks of a Botox needle.
The surgery parallel also fell flat, as deleting a double chin with the surgical gold-standard — liposuction done under local anesthesia — is a one-time procedure that gives immediate and dramatic results to the tune of “a very predictable 90 percent improvement,” says Frank. And the downtime? Forty-eight to 72 hours. “If I do submental liposuction on a Friday,” says Teitelbaum, “you hang around the house for the weekend, and go back to work Monday or Tuesday, already looking great.” Being careful not to downplay the significance of surgery, he adds that lipo, unlike Kybella, can involve oral sedation (you’ll need a ride home); a few stitches; and a headwrap to be worn during initial recovery. But “post-op pain is non-existent with lipo, as there’s still lidocaine left in the area, rendering it almost totally numb.”
Contouring the chin and neck with Kybella, on the other hand, requires multiple treatments, “with the initial session demonstrating only very subtle changes, and full results taking a few months to show,” says Kassardjian. Patients who qualify as Kybella contenders (more on that ahead) generally achieve “ideal results after three to five visits, but sometimes they don’t even realize that Kybella has worked for them, because the results take so long to materialize,” says Devgan, who finds patients prefer the one-time experience of liposuction to the months-long process of Kybella.
“The most interesting thing to me about Kybella,” says Teitelbaum, “is how something that looked so good in clinical trials has failed so miserably in clinical practice.”
EVERYONE’S A CRITIC: THE KNOCKS AGAINST KYBELLA
It’s unpredictable! This has to be the most ubiquitous complaint voiced by aesthetic doctors (particularly those wielding lipo wands). “I’ve only been disappointed with Kybella compared to my surgical interventions,” says Frank. “There’s just no procedure in my armamentarium — not Botox, not filler, not one of my 25 lasers — that offers a more predictable, life-changing response than liposuction.”
Kybella, though, keeps us guessing: Will it take two treatments or six? Be a hit or a miss? The most lucid explanation we heard for the drug’s inherent inconsistency is this: Unlike liposuction, which unequivocally carts away fat, “Kybella requires your body to do the work of breaking up fat cells, clearing them out, and then contracting the skin,” says Dara Liotta, a cosmetic and reconstructive facial plastic surgeon in New York City. “Some bodies do this well, and some do not — and we don’t have a great way of knowing who, specifically, will have a robust response to the drug.”
Kybella requires us to take a leap of faith, to commit to a handful of treatments that can be uncomfortable and costly — quotes from board-certified dermatologists and plastic surgeons hover around $1,500 per visit (making price another big beef) — with little guarantee of a turkey-to-swan-neck transformation.
Having Botox made me way less emotional
But, surely, surgery must be more expensive, right? Nope, not necessarily. A study in the May/June 2018 issue of JAMA Facial Plastic Surgery presents an eye-opening cost analysis of Kybella versus submental liposuction. Researchers found that the nationwide average price to receive the amount of Kybella used in the clinical trials (over four sessions, typically) is $6,426.35 — more than twice the average cost of neck lipo, which they estimate at $2,976.56. (For the record, the surgeons we interviewed gave a $3,000 to $6,000 range.)
But back to the payoff. While some doctors will ballpark an anticipated degree of change with Kybella — a 40 percent improvement after three treatments spaced six weeks apart, for instance — others refrain from talking numbers. Anolik promises only this: “I expect everyone who undergoes the procedure several times to have a reduction in the amount of fat in the area, but how dramatic of a change, I cannot say.” In the drug’s trials, he adds, when four treatments were completed, more than half of the subjects had a considerable change in the fat pad, downsizing from either a severe double chin to a moderate one, or a moderate to a mild.
But four isn’t always the magic number, says Ellen Marmur, an associate clinical professor of dermatology at the Icahn School of Medicine at Mount Sinai. In her experience, “young patients with only tiny submental mounds do well with two treatments, [while] older people with both excess fat and skin laxity [may] lose the majority of the fat and get about a 10 percent tightening of the skin after two to four visits.” In most cases, she adds, “the happiness quotient increases after the second treatment.”
Adding to the ambiguity, results can vary not only from patient to patient (because, biology), but also from doctor to doctor, with some pros garnering more consistently impressive results than others, likely due to some “subtlety in injection technique,” notes Teitelbaum. While Allergan teaches a standard method for administering the drug — instructing injectors to follow a grid-like pattern (made easy with the application of a temporary tattoo), and deliver a particular dose into each perfectly positioned, evenly spaced dot — some physicians, over time and with experience, refine their approach, adopting their own personal style. “I’m not strictly by-the-book,” says Liotta. “I’ve changed my injection technique, and doing so has definitely helped my results.”
It stands to reason that doctors with loads of Kybella under their belts — hundreds and hundreds of patients — who fully grasp the drug’s nuances, can more expertly tailor the treatment to each unique individual. Take Marmur: She’s learned to customize the Kybella experience for executives who can’t miss work by injecting “small, tiny lines of the drug over the course of 10 visits to really keep swelling under the radar,” she says.
Kybella provides a treatment option for patients who are interested in addressing the fat underneath their chin, but are unwilling to consider more invasive procedures. As with any treatment, an individual’s response, reaction, and result will vary.
Which brings us to everyone’s primary gripe — the obvious ballooning they suffer after treatment. Driving this much-bemoaned side effect is the body’s critical immune response to the drug. “Anytime something in our body is not where it should be — like when the inside of a fat cell is suddenly on the outside [which occurs when a cell wall dissolves] — the body responds as though it’s being injured, initiating a healing process that results in inflammation,” explains Anolik. On the upside: That healing also begets collagen production and remodeling, which can lead to a tauter jawline. “Even a year out, patients continue to look better, and that’s probably because of the skin tightening that’s occurring over time,” he adds.
While smaller areas infused with less product may produce less puffiness, one should expect to have scarves and turtlenecks in near-constant rotation for a good two weeks post-injection. The intensity of swelling tends to diminish with each round of shots, with the first being the most blatant and persistent, but not everyone’s willing to ride it out, time and again.
Other Kybella carps include a burning sensation during injections (said to relent after 15 minutes); the bruising, tightness, and temporary numbness that can sometimes follow; and difficulty swallowing related to swelling. In the end, says Devgan, “the patient must be the ultimate arbiter of how good the experience was, and how noticeable the results are.”
When reached for comment on the reported dissatisfaction with the drug, Allegan’s senior vice president of US medical aesthetics, Carrie Strom, told Allure: “This product provides a treatment option for patients who are interested in addressing the fat underneath their chin, but are unwilling to consider more invasive procedures. As with any treatment, an individual’s response, reaction, and result will vary. Each individual has a different level of submental fat, and a licensed and trained physician will be able to determine the number of treatments a patient will need. Most need multiple treatments, given at least one month apart, for a total of up to six. In clinical studies, 59 percent of subjects received six treatments…. Swelling is to be expected, and generally becomes less severe, and happens less often, with subsequent treatment sessions. As part of the training that is required by Allergan in order to administer Kybella, [injectors] are provided guidance on dosing, patient consultation, and how to appropriately set and manage patient expectations and side effects, including swelling.”
Everything you ever wanted to know about collagen and how to up your levels for glowing skin
KYBELLA CONTENDERS: THE BEST SHOT AT SUCCESS
While a happy outcome can be hard to quantify, doctors angle for one by offering Kybella only to those who meet a certain criteria. “Ideal candidates are thin with small areas of fat that they’re unable to shed despite maximizing their diet and exercise routine,” says Miami-based cosmetic dermatologist Manjula Jegasothy. She’s seen the most striking (and lasting) results in patients with a BMI of 28 or less, who keep their weight steady. “The drug doesn’t remove every single fat cell in a given area, so if you gain a fair amount of weight — generally 10 pounds or more — remaining fat cells in the region can grow larger, and it will look like the fat has come back,” she notes.
For Kybella to work well, the target fat must also be “soft and squeezable,” says Marmur, as firm, fibrous fat — common on the upper and mid back, and in areas of abundant cellulite — tends to resist the drug. Why are we talking dimples and back fat when Kybella is only FDA-approved for the chin? There are reports of some doctors using it off-label to shrink small pouches of fat on the body — along the bra line, the lower belly, the inner and outer thighs, the tops of the knees, and just below the crease of the bum.
“The latest-breaking area that doctors are starting to explore is the jowls,” says Joshua Zeichner, the director of cosmetic and clinical research at Mount Sinai Hospital’s Department of Dermatology. But, when addressing the neck with Kybella, venturing outside of the designated treatment zone — that isolated A-shaped pocket right under the chin — can be dicey, as your jowls share real estate with the marginal mandibular nerve, which helps move your lower lip. A misplaced injection can damage the nerve, leading to a temporarily lopsided smile. In the clinical trials, adds Zeichner, it took about six weeks for a stunned nerve to recover.
“We don’t see that with surgery,” says Frank. It’s a rare example of “the more invasive option [liposuction] actually being safer for the one critical structure in the area,” adds Teitelbaum.
Another boon of surgery: A lipo wand can disappear broader swaths of fat more uniformly, and carve out crisper angles. “Not only does it offer a definitive contouring of this area, but it allows me to sculpt the jawline and the lateral neck, which I cannot safely and reliably do with Kybella,” says Devgan.
For all the love heaped upon liposuction, even the most enamored surgeons will admit that it’s neither a magic bullet nor an absolute fix. In fact, doctors warn that both lipo and Kybella can sometimes seem to fast-track neck aging by uncovering issues, like loose skin and platysmal bands (those rigid cords that jut out from the neck), which were previously veiled by a forgiving layer of padding. In such situations, it’s advantage, Kybella: Since the drug works in stages, begetting gradual results — versus the sudden and striking effects of surgery — “it cannot be overdone,” says Kassardjian, which means docs can spot and troubleshoot emergent problems before they get too serious.
Disqualifying factors for trimming a chin with Kybella include pronounced laxity (skin has to be springy enough to snap back once drained of fat); prominent neck bands (they’ll only look more conspicuous once overlying fat has vanished); and previous neck surgeries, as resulting scar tissue can distort normal anatomy, increasing risks with Kybella, notes Kassardjian. If someone has poor skin elasticity, or really excessive fat, she may not be a fit for Kybella or lipo, adds Liotta, and would likely benefit more from a traditional neck lift surgery.
BOTTOM LINE
Kybella clearly works, and has been proven safe in clinical trials, but the results “are nowhere near as instantly dramatic as liposuction,” says Marmur — and, all told, a series of injections can wind up costing more than surgery. That said, for people with the patience and grit to stick out repeat treatments, Kybella can offer a scalpel-free beauty (and confidence!) boost. As always, trust only board-certified dermatologists and plastic surgeons to perform this, or any, cosmetic procedure.
I tried injectable skincare – and loved it
0 notes
Text
Melatonin and other calming aids for cats and dogs – top 5 picks from experts & their ratings
Over the last year, we have gathered a pool of data to finally complete this guide on top picks among sleep and calming aids, from dog and cat calming sprays, collars and treats to Melatonin-based chews.
The initial picks of 28 products was made by 4 experts we consulted and we'd like to thank here. This guide would not see the light of day without you guys - Jess and Robert from Back Bay Canine, Aaron and Jon from CAD Angel.
After narrowing down the search, we proceeded to gather a pool of data from a range of online sources and processed it using our proprietary rating system. the results you'll see below are fruit of this lengthy process.
Click one of the two buttons below to see our top picks.
Dog calming aids
Cat calming aids
Best dog calming aids
Calming bites by Zesty Paws
Calming bites has by far the highest user satisfaction rating of all the dog calming treats we looked at - a whooping 91 %.
What's better about it
The formula is all natural and made using only organic ingredients, but that's not what makes Calming bites the best dog calming aid among edibles. It's not the only product out there that's organic and safe.
What is it better?
Three main reasons:
Because the complex formula (25 ingredients) is balanced to calm them but (just as important) it doesn't make your pet lethargic.
Because the natural turkey and bacon flavor that, according to our stats, 94 % of dogs loved.
Because it's safe - GMP certified and US-made, both crucial.
Bottom line - two main issues we've seen with lower-quality products is that they tend to make your pet drowsy or they don't want to touch the "treat" in the first place because of the taste.
Calming bites has superior stats in both those areas - we've seen only 3 % of owners mention the drowsiness issue and only 2.7 % reported that their dog doesn't like it.
Adaptil dog calming Diffuser
This Pheromone-based dog calming diffuser has a user satisfaction % of a whooping 92%. It's THE choice if you're looking to calm your pet during both if you have a ornery rascal and if for specific situations (like anxiety and fear during thunderstorms, new home or visit from unfamiliar people).
It uses the calming potency of pheromones to appease them without turning them dull and emotionless. It was the first pick of out vet consultants and it turned to be the superior diffuser of the 4 we looked at. According to our data, it worked as advertised in 9 out of 10 cases.
Cat calming aids
Composure Pro Bite - top pick among cat calming treats
Cats are very tricky when it comes to edibles and out of 14 products we looked at Composure ProBite is the only product among cat calming treats one with a user satisfaction rate of over 90%.
More importantly, we've seen no close runner-ups and we feel like Pro Bite was the only one worth mentioning. Other similar products we looked have a very high %s of the cat refusing to touch the edible because they smell and taste like medicine.
The chicken flavor of the Pro Bite seems to be the only cat calming treat that tastes like the real deal.
Cool Kitty - best cat calming spray
Cool Kitty is a natural pheromone-based cat calming spray, it's the the highest-rated formula with a user satisfaction rate of 86%.
Just as important, the formula is very simple and safe, doesn't contain any paraban-based chemicals and NO Lavender. The later is important because recent studies show that Lavender is toxic for a feline.
Bottom line - you should be cautious with sprays, because some of the products have been in the market for years without any change to the formula. In those years, the body of studies about chemicals that are toxic for your pet has grown (like lavender).
That's why we stayed away from "blends". Because if the ingredients are not precisely listed, a calming blend might include a harmful chemical.
Cool Kitty contains natural pheromone, jasmine & passion flower and none of the potentially harmful chemicals.
Comfort Zone Feliway cat calming diffuser - top pick
By far the most popular among users, this non-pheromone cat calming diffuser has a user satisfaction rate of 86 %.
This diffuser is covered by a full warranty meaning that, if it doesn't work for you simply send it back and get a refund. ThunderEase is the kind of the hill. It's been clinically tested and proven to be effective with a 90% success rate. It's not pheromone-based, but on a formula designed to "mimic" the soothing effects of pheromones.
What we've seen with this diffuser is that the satisfaction rate fluctuates based on how long you've been using it, it significantly increases after about a month.
So, if you do decide to give it a go, we recommend getting a diffuser with at least 3 refills.
How do dogs sleep?
Depending on the size and breed, their sleeping requirements will vary. While some breeds seem to only want to nap and be lazy, there are also some breeds that are constantly active and you’re wondering where do they even get the energy.
Long hours
Adult canine will spend around 12 to 14 hour sleeping per day on average while a puppy sleeps even up to 18 hours per day, sometimes, even more, depending on the breed. Approximately half of their day will be spent on sleep and 30% of being awake but inactive.
The remaining 20% is reserved for their most basic needs such as eating, walks, and exercise. "Seniors" require a significant amount of sleep due to their age. As your they age, certain illnesses will begin to develop such as arthritis and other ailments. Living will become increasingly more difficult and they will naturally spend most of its time where it’s comfortable.
If they are is sleeping more or less than the average it is no cause for alarm. Every dog is different and their behavior and needs greatly depend on the breed, gender, and age as well as the environment.
Nap time
While you’re away at work and there isn't anything to stimulate your furry best friend, the chances are they will be spending their time blissfully snoozing- or chewing the couch cushion.
It's normal for them several short naps during the day and the duration of those naps depend on the breed and the personality. Larger breeds require a lot more rest and will generally spend up to 18 hours in total sleeping. Puppies, just like human babies, will tire out easily. Their time is spent playing and exploring their surroundings, which is very exhausting when you’re just a small curious pup.
Dogs that get enough activity and exercise in their day will also spend longer periods sleeping to recover their muscles and rest.
You will notice that your pet can not wait to slump down and sleep after a long walk or a run around it the ark. As much as they love play time, they also love to catch some Zs.
Dreams
The topic of whether or not dogs dream has long been up for debate in the science world. The behaviors and the noises that your pooch makes in their sleep seem to indicate that they do dream. Dreaming is the state of sleep in which the brain processes all of the things it has experienced during the waking state. So for your dog that might be a dream about a walk in the park, that pesky neighborhood cat that keeps teasing him or his favorite chew toy. Scientists have discovered similarities in brain activity in both humans and dogs during REM state, further confirming the theory that they do have dreams.
During REM phase they'll will make yelping noise, growl and sometimes even bark. They can go as far as moving their legs as if running and make sudden jerking motions.
In comparison, canine are much more active during REM phase. You might even say they “talk” in their sleep. If you see them twitching and it persists on regular basis you might consider dog melatonin to soothe them.
The importance of exercise
Dogs that do not get an adequate amount of activity and exercise during the day will often sleep a lot longer than those that do. In some cases, they may even suffer from insomnia. Not getting enough mental stimulation can be detrimental to the mental health as well as their overall well-being.
If they are active during the night when the rest of the family is asleep, it is most likely that it didn't get enough activity and slept throughout the day. Insomnia in dogs is most common in smaller breeds in urban environments that do not get to experience enough outside stimuli or run regularly. 30 minutes a day is a bare minimum of activity to keep them happy and healthy. Even more for the bigger and working breeds. To combat the issue of insomnia, leave interesting puzzle-like toys around the places where the dog spends most of its time. This will mentally stimulate themand motivate him to play, instead of going to sleep. These toys dispense a small treat if tampered with in the right way. This creates a positive association for the dog that if he finds a way around the toy he will be rewarded.
Indication of health
Changes in your dog's sleeping habits can be a good indication of their health. if there is a health issue, they will spend even more time sleeping and will not be energetic upon waking up.
If your furry friend is usually very active but now seems lethargic and sleepy, it is a good time for a visit to the vet’s office.
Dog Melatonin
This neurohormone occurs naturally and might be the solution to sleep problems. The body of studies suggests that it is useful, especially if the anxiety is caused by separation issues or night phobias.
Dog Melatonin - is it safe?
Although natural, melatonin is still a hormone and should be used with due diligence. The side effects are not common but when they do happen they come in the form of: stomach upset and cramps, agitation, elevated heart rate and, even less common, fertility issues.
Dog melatonin - dosage
The doses listed below are provided for reference purposes only, the exact dosage should be determined by your vet:
Dosage based on weight:
100+ lbs - 3.5-6 mg
30-100 lbs - 2.5-3.5 mg
10-30 lbs - 1.4-1.6 mg
Under 10 lbs - 1 mg
Cat and dog melatonin brands
Based on our research and stats, these are the 10 most well-trusted cat and dog melatonin brands:
K9 Choice dog Melatonin
VitaCalm
NaturVet
MelaVet
PlanoPaws
VetriScience Laboratories
Elite Pet Nutrition
Zesty Paws
Deley Naturals
Particular Paws
How do cats sleep?
Our furry companions are true champions when it comes to putting in long hours of sleep. There is no place or circumstances that could stop a cat from getting some shuteye.
But why do they sleep so much and what goes through their kitty minds when they’re asleep.
This information below will help you better understand the reason behind their sleeping habits and behaviors.
It’s genetic
Depending on your kitties age, they can sleep for as much as 16 hours a day, even as much as 20 for a senior. This is a result of years and years of evolution that has affected their physiology, nutritional habits, and behavior. Between meals, they will conserve energy with by getting a nap. A short period of rest to digest what they ate and to prepare for the next “hunt”.In the wild, they had to stalk and hunt their prey in order to survive which burns a lot of energy. Nowadays this behavior has been adapted to play fighting, chasing toys and crazy night marathons just as you’re about to drift to sleep.
One eye open
About three-quarters of the time, they spend sleeping is reserved for what we might call “a snooze”. Snoozing is a type of a short, light sleep that will give them all the rest it needs while staying alert at the same time. This is another evolutionary trait, should a threat appear, they are is ready to fight or flight. You can tell if they are is “snoozing” if their ears are lightly twitching or following the direction of the sound and their eyes won't be shut all the way. The wonderful things is that they can nap even when sitting upright. You never know when a nap might get you, and these tiny predators come prepared!
If you fee like this is issue, you might try soothing them using some of the sleep aids out there that include Melatonin for cats.
Daydreamers
Naturally, cats are crepuscular, meaning they’re at their most active during twilight hours, just as the day is ending. Their wild ancestors would spend all of the hours in the day sleeping and hunt in the night when the visibility is low. The structure of their eyes allows them better-seeing ability in low light which means they can see their prey in the dark and the prey will not know what hit ‘em. In the case of the modern, domesticated feline the toy mouse is also none the wiser.
Deep sleepers
As you might be already able to tell, they take sleep very seriously. Which is why the remaining quarter of their sleeping hours go towards deep sleep. "Seniors" can spend about 30 to 40% of their time in a deep sleep. As they age, their sleeping needs changee. This is to accommodate their changes in digestion and energy preservation.
When in deep sleep, they will lay curled up with their eyes closed tight. Sometimes they might even hide their faces with their paws and tail. Deep sleep is a crucial part in the regeneration of their body and keeping it healthy, this is also the point when the cat will dream. Scientists suggest that they dream about their surroundings and what they’ve experienced throughout their day. So your kitty is probably dreaming about you. How cute is that!
REM and non-REM
REM stands for Rapid Eye Movement and it’s a phase of sleep that humans experience.
But it’s not only us that go through this phase, they do as well. If you’ve noticed their ears and eyes rapidly twitching while their sleep it is most likely that they are experiencing a REM phase
Snoring
Snoring s most prominent with the brachycephalic breeds, also known as "short-nosed" such as the Persian. This happens when the cat is at it’s most relaxed and the airway is obstructed by the extra skin of the soft palate. It is no cause for alarm unless you’ve noticed discharge around the nose which would indicate an upper respiratory inflammation.
Comfort
Their s natural instinct is to find the most secure spot to sleep on, and what more of an appropriate place than your lap. Your beloved furry companion knows that when their master is around nothing dangerous can happen. The natural scent and warmth of your body is their heaven. Since, in a way, they see you as their parent, they will seek out the comfort and heat of your body to lull themselves to sleep.
Rain, rain go away…
Just like most of us, our furry friends love a good nap on a rainy day. It comes from the same reason, they’re sensitive to changes in the atmosphere. Don't be surprised if you notice them t yawning and spending long hours curled up on a soft blanket when the forecast calls for a gloomy, wet day.
Cat calming spray, diffusers and collars - do they work?
The debate on using actual pheromone-based cat calming spray vs. the synthetic "imitations" is not put to rest and it's not likely to happen any time soon.
The stats and studies
Over the past decade or so, pet numbers have increased by a whooping 18%. The current number is closing in on 90 million pet owners with over 55 % of them being proud to own more than one pet.
With people caring for the safety of their puppies and kittens, the numbers of owners who use pheromone-based calming products has gone down in favor of their synthetic counterparts. A number of reputable publications like the Applied Animal Behavior Science report that cat calming sprays and collars do work and the number of physicians who recommend them is on the rise.
When to use cat calming treats?
In a stressful situation, like a storm or fireworks, cat calming treats will be of little use because you won't be able to get the stressed pet to eat it. They are more of an option for appeasing a naturally anxious feline over a period of time.
For immediate stress, a spray will be the choice because you can spread it around the house without "harassing" your pet to eat something when their primal instincts kick in.
Melatonin for cats - how useful is it really?
Melatonin for cats comes in the form of chews and it's usually combined with other soothing herbs. These products are primarily made to address sleep issues in the feline, like twitching and restless sleep.
Among the blends we looked at that include Melatonin for cats, NaturVet Quiet Moments was the product with the highest ratings.
Comfort Zone vs. Feliway
Two brands of calming aids stand out and we've received a dozen of questions over the past year on the asking us to compare Comfort Zone vs. Feliway
The difference is in the diffusers
To compare Comfort Zone and Feliway, we first have to understand the difference between natural and synthetic pheromones.
Feliway vs. Comfort Zone vs. Ceva
A diffuser with Feliway uses artificial, while Comfort Zone uses natural pheromones. The later is similar to the Ceva and Adaptil - they use potent natural pheromones. the main difference here is the range of products and ways to disperse the substance.
The following article Melatonin and other calming aids for cats and dogs – top 5 picks from experts & their ratings is courtesy of thesleepstudies
0 notes
Last Seen Blogs
