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John Travolta's heartbreaking tribute years after losing wife and son

<p>John Travolta has shared a heartbreaking post commemorating his late wife, Kelly Preston, and son, Jett Travolta. </p> <p>Jett was only 16 when he passed away while on vacation with his family in the Bahamas in 2009. He had a seizure at the time and hit his head on a bathtub at their vacation home. </p> <p>His wife Kelly died in July 2020 aged 57, two years after she was diagnosed with breast cancer. </p> <p>John took to Instagram to share a throwback photo of their family, on what would've been Jett's 32nd birthday over the weekend. </p> <p>“Happy birthday my Jetty — not a day goes by where you’re not with me,” he wrote.</p> <blockquote class="instagram-media" style="background: #FFF; border: 0; border-radius: 3px; box-shadow: 0 0 1px 0 rgba(0,0,0,0.5),0 1px 10px 0 rgba(0,0,0,0.15); margin: 1px; max-width: 540px; min-width: 326px; padding: 0; width: calc(100% - 2px);" data-instgrm-captioned="" data-instgrm-permalink="https://www.instagram.com/p/C5sBcYKN9ub/?utm_source=ig_embed&amp;utm_campaign=loading" data-instgrm-version="14"> <div style="padding: 16px;"> <div style="display: flex; flex-direction: row; align-items: center;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 40px; margin-right: 14px; width: 40px;"> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 100px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 60px;"> </div> </div> </div> <div style="padding: 19% 0;"> </div> <div style="display: block; height: 50px; margin: 0 auto 12px; width: 50px;"> </div> <div style="padding-top: 8px;"> <div style="color: #3897f0; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: 550; line-height: 18px;">View this post on Instagram</div> </div> <div style="padding: 12.5% 0;"> </div> <div style="display: flex; flex-direction: row; margin-bottom: 14px; align-items: center;"> <div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(0px) translateY(7px);"> </div> <div style="background-color: #f4f4f4; height: 12.5px; transform: rotate(-45deg) translateX(3px) translateY(1px); width: 12.5px; flex-grow: 0; margin-right: 14px; margin-left: 2px;"> </div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(9px) translateY(-18px);"> </div> </div> <div style="margin-left: 8px;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 20px; width: 20px;"> </div> <div style="width: 0; height: 0; border-top: 2px solid transparent; border-left: 6px solid #f4f4f4; border-bottom: 2px solid transparent; transform: translateX(16px) translateY(-4px) rotate(30deg);"> </div> </div> <div style="margin-left: auto;"> <div style="width: 0px; border-top: 8px solid #F4F4F4; border-right: 8px solid transparent; transform: translateY(16px);"> </div> <div style="background-color: #f4f4f4; flex-grow: 0; height: 12px; width: 16px; transform: translateY(-4px);"> </div> <div style="width: 0; height: 0; border-top: 8px solid #F4F4F4; border-left: 8px solid transparent; transform: translateY(-4px) translateX(8px);"> </div> </div> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center; margin-bottom: 24px;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 224px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 144px;"> </div> </div> <p style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; line-height: 17px; margin-bottom: 0; margin-top: 8px; overflow: hidden; padding: 8px 0 7px; text-align: center; text-overflow: ellipsis; white-space: nowrap;"><a style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: normal; line-height: 17px; text-decoration: none;" href="https://www.instagram.com/p/C5sBcYKN9ub/?utm_source=ig_embed&amp;utm_campaign=loading" target="_blank" rel="noopener">A post shared by John Travolta (@johntravolta)</a></p> </div> </blockquote> <p>The post gained 400,000 likes with fans and fellow celebrities rushing to the comments to share their support. </p> <p>“Will never forget him, or Kelly,” wrote actress and good friend Rita Wilson.</p> <p>“Always in your heart forever and ever,” added actress Kristin Chenoweth.</p> <p>“And you will see him and her again.”</p> <p>“They are together and some day you’ll all be together again. Happy heavenly birthday Jett,” wrote one follower.</p> <p>"Happy Birthday to Jett and beautiful Kelly...two angels watching over you and family," added another. </p> <p>The couple had two other children together — daughter Ella, 24, and son Benjamin, 13.</p> <p><em>Images: Instagram/ Getty</em></p>

Family & Pets

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How much weight do you actually need to lose? It might be a lot less than you think

<p><em><a href="https://theconversation.com/profiles/nick-fuller-219993">Nick Fuller</a>, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a></em></p> <p>If you’re one of the <a href="https://www.finder.com.au/new-years-resolutions-statistics">one in three</a> Australians whose New Year’s resolution involved losing weight, it’s likely you’re now contemplating what weight-loss goal you should actually be working towards.</p> <p>But type “setting a weight loss goal” into any online search engine and you’ll likely be left with more questions than answers.</p> <p>Sure, the many weight-loss apps and calculators available will make setting this goal seem easy. They’ll typically use a body mass index (BMI) calculator to confirm a “healthy” weight and provide a goal weight based on this range.</p> <p>Your screen will fill with trim-looking influencers touting diets that will help you drop ten kilos in a month, or ads for diets, pills and exercise regimens promising to help you effortlessly and rapidly lose weight.</p> <p>Most sales pitches will suggest you need to lose substantial amounts of weight to be healthy – making weight loss seem an impossible task. But the research shows you don’t need to lose a lot of weight to achieve health benefits.</p> <h2>Using BMI to define our target weight is flawed</h2> <p>We’re a society fixated on numbers. So it’s no surprise we use measurements and equations to score our weight. The most popular is BMI, a measure of our body weight-to-height ratio.</p> <p>BMI classifies bodies as underweight, normal (healthy) weight, overweight or obese and can be a useful tool for weight and health screening.</p> <p>But it shouldn’t be used as the single measure of what it means to be a healthy weight when we set our weight-loss goals. This is <a href="https://theconversation.com/using-bmi-to-measure-your-health-is-nonsense-heres-why-180412">because</a> it:</p> <ul> <li> <p>fails to consider two critical factors related to body weight and health – body fat percentage and distribution</p> </li> <li> <p>does not account for significant differences in body composition based on gender, ethnicity and age.</p> </li> </ul> <h2>How does losing weight benefit our health?</h2> <p>Losing just 5–10% of our body weight – between 6 and 12kg for someone weighing 120kg – can significantly improve our health in four key ways.</p> <p><strong>1. Reducing cholesterol</strong></p> <p>Obesity increases the chances of having too much low-density lipoprotein (LDL) cholesterol – also known as bad cholesterol – because carrying excess weight changes how our bodies produce and manage lipoproteins and triglycerides, another fat molecule we use for energy.</p> <p>Having too much bad cholesterol and high triglyceride levels is not good, narrowing our arteries and limiting blood flow, which increases the risk of heart disease, heart attack and stroke.</p> <p>But <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4987606/">research</a> shows improvements in total cholesterol, LDL cholesterol and triglyceride levels are evident with just 5% weight loss.</p> <p><strong>2. Lowering blood pressure</strong></p> <p>Our blood pressure is considered high if it reads more than 140/90 on at least two occasions.</p> <p>Excess weight is <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7082272/">linked to</a> high blood pressure in <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7082272/">several ways</a>, including changing how our sympathetic nervous system, blood vessels and hormones regulate our blood pressure.</p> <p>Essentially, high blood pressure makes our heart and blood vessels work harder and less efficiently, damaging our arteries over time and increasing our risk of heart disease, heart attack and stroke.</p> <p>Like the improvements in cholesterol, a 5% weight loss <a href="https://onlinelibrary.wiley.com/doi/10.1002/oby.21358">improves</a> both systolic blood pressure (the first number in the reading) and diastolic blood pressure (the second number).</p> <p>A <a href="https://www.ahajournals.org/doi/10.1161/01.hyp.0000094221.86888.ae">meta-analysis of 25 trials</a> on the influence of weight reduction on blood pressure also found every kilo of weight loss improved blood pressure by one point.</p> <p><strong>3. Reducing risk for type 2 diabetes</strong></p> <p>Excess body weight is the primary manageable risk factor for type 2 diabetes, particularly for people carrying a lot of visceral fat around the abdomen (belly fat).</p> <p>Carrying this excess weight can cause fat cells to release pro-inflammatory chemicals that disrupt how our bodies regulate and use the insulin produced by our pancreas, leading to high blood sugar levels.</p> <p>Type 2 diabetes can lead to serious medical conditions if it’s not carefully managed, including damaging our heart, blood vessels, major organs, eyes and nervous system.</p> <p><a href="https://www.nejm.org/doi/full/10.1056/nejmoa012512">Research</a> shows just 7% weight loss reduces risk of developing type 2 diabetes by 58%.</p> <p><strong>4. Reducing joint pain and the risk of osteoarthritis</strong></p> <p>Carrying excess weight can cause our joints to become inflamed and damaged, making us more prone to osteoarthritis.</p> <p><a href="https://pubmed.ncbi.nlm.nih.gov/21425246/">Observational studies</a> show being overweight doubles a person’s risk of developing osteoarthritis, while obesity increases the risk fourfold.</p> <p>Small amounts of weight loss alleviate this stress on our joints. <a href="https://pubmed.ncbi.nlm.nih.gov/15986358/">In one study</a> each kilogram of weight loss resulted in a fourfold decrease in the load exerted on the knee in each step taken during daily activities.</p> <h2>Focus on long-term habits</h2> <p>If you’ve ever tried to lose weight but found the kilos return almost as quickly as they left, you’re not alone.</p> <p>An <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5764193/">analysis</a> of 29 long-term weight-loss studies found participants regained more than half of the weight lost within two years. Within five years, they regained more than 80%.</p> <p>When we lose weight, we take our body out of its comfort zone and trigger its survival response. It then counteracts weight loss, triggering several <a href="https://pubmed.ncbi.nlm.nih.gov/25896063/">physiological responses</a> to defend our body weight and “survive” starvation.</p> <p>Just as the problem is evolutionary, the solution is evolutionary too. Successfully losing weight long-term comes down to:</p> <ul> <li> <p>losing weight in small manageable chunks you can sustain, specifically periods of weight loss, followed by periods of weight maintenance, and so on, until you achieve your goal weight</p> </li> <li> <p>making gradual changes to your lifestyle to ensure you form habits that last a lifetime.</p> </li> </ul> <p>Setting a goal to reach a healthy weight can feel daunting. But it doesn’t have to be a pre-defined weight according to a “healthy” BMI range. Losing 5–10% of our body weight will result in immediate health benefits.</p> <p><em>At the Boden Group, Charles Perkins Centre, we are studying the science of obesity and running clinical trials for weight loss. You can <a href="https://redcap.sydney.edu.au/surveys/?s=RKTXPPPHKY">register here</a> to express your interest.</em><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/217287/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /></p> <p><em><a href="https://theconversation.com/profiles/nick-fuller-219993">Nick Fuller</a>, Charles Perkins Centre Research Program Leader, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a></em></p> <p><em>Image credits: Getty Images </em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/how-much-weight-do-you-actually-need-to-lose-it-might-be-a-lot-less-than-you-think-217287">original article</a>.</em></p>

Body

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I’m trying to lose weight and eat healthily. Why do I feel so hungry all the time? What can I do about it?

<p><em><a href="https://theconversation.com/profiles/nick-fuller-219993">Nick Fuller</a>, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a></em></p> <p>Benjamin Franklin, one of the founding fathers of the United States, famously said nothing is certain except death and taxes. But I think we can include “you’ll feel hungry when you’re trying to lose weight” as another certainty.</p> <p>The reason is basic biology. So how does this work – and what can you do about it?</p> <h2>Hormones control our feelings of hunger</h2> <p>Several hormones play an essential role in regulating our feelings of hunger and fullness. The most important are ghrelin – often called the hunger hormone – and leptin.</p> <p>When we’re hungry, <a href="https://pubmed.ncbi.nlm.nih.gov/11739476/">ghrelin</a> is released by our stomach, lighting up a part of our brain called the hypothalamus to tell us to eat.</p> <p>When it’s time to stop eating, hormones, including <a href="https://pubmed.ncbi.nlm.nih.gov/8717038/">leptin</a>, are released from different organs, such as our gut and fat tissue, to signal to the brain that we’re full.</p> <h2>Dieting disrupts the process</h2> <p>But when we change our diet and start losing weight, we disrupt how these <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4766925/">appetite hormones function</a>.</p> <p>This triggers a process that stems from our hunter-gatherer ancestors. Their bodies developed this mechanism as a survival response to adapt to periods of deprivation and protect against starvation.</p> <p>The levels of hormones <a href="https://pubmed.ncbi.nlm.nih.gov/23126426/">managing our hunger increase</a>, making us feel hungrier to tell us to eat more, while the ones responsible for signalling we’re full decrease their levels, intensifying our feelings of hunger.</p> <p>We end up increasing our calorie consumption so we eat more to regain the weight we lost.</p> <p>But worse, even after the kilos creep back on, <a href="https://pubmed.ncbi.nlm.nih.gov/22029981/">our appetite hormones don’t restore</a> to their normal levels – they keep telling us to eat more so we put on a little extra fat. This is our body’s way of preparing for the next bout of starvation we will impose through dieting.</p> <p>Fortunately, there are things we can do to manage our appetite, including:</p> <h2>1. Eating a large, healthy breakfast every day</h2> <p>One of the easiest ways to manage our feelings of hunger throughout the day is to eat most of our food earlier in the day and taper our meal sizes so dinner is the smallest meal.</p> <p><a href="https://pubmed.ncbi.nlm.nih.gov/32073608/">Research</a> shows a low-calorie or small breakfast leads to increased feelings of hunger, specifically appetite for sweets, across the course of the day.</p> <p><a href="https://www.cell.com/cell-metabolism/fulltext/S1550-4131(22)00344-8">Another study</a> found the same effect. Participants went on a calorie-controlled diet for two months, where they ate 45% of their calories for breakfast, 35% at lunch and 20% at dinner for the first month, before switching to eat their largest meal in the evening and their smallest in the morning. Eating the largest meal at breakfast resulted in decreased hunger throughout the day.</p> <p><a href="https://pubmed.ncbi.nlm.nih.gov/32073608/">Research</a> also shows we burn the calories from a meal 2.5-times more efficiently in the morning than the evening. So emphasising breakfast over dinner is good not just for hunger control, but also weight management.</p> <h2>2. Prioritising protein</h2> <p>Protein helps contain feelings of hunger. This is because protein-rich foods such as lean meats, tofu and beans suppress the appetite-stimulating ghrelin and stimulate another hormone called <a href="https://www.sciencedirect.com/science/article/pii/S1550413106002713">peptide YY</a> that makes you feel full.</p> <p>And just as eating a breakfast is vital to managing our hunger, what we eat is important too, with <a href="https://pubmed.ncbi.nlm.nih.gov/24703415/">research</a> confirming a breakfast containing protein-rich foods, such as eggs, will leave us feeling fuller for longer.</p> <p>But this doesn’t mean just eating foods with protein. Meals need to be balanced and include a source of protein, wholegrain carb and healthy fat to meet our dietary needs. For example, eggs on wholegrain toast with avocado.</p> <h2>3. Filling up with nuts and foods high in good fats and fibre</h2> <p>Nuts often get a bad rap – thanks to the misconception they cause weight gain – but nuts can help us manage our hunger and weight. The filling fibre and good fats found in nuts take longer to digest, meaning our hunger is satisfied for longer.</p> <p><a href="https://pubmed.ncbi.nlm.nih.gov/12791613/">Studies</a> suggest you can include up to 68 grams per day of nuts without affecting your weight.</p> <p>Avocados are also high in fibre and heart-healthy monounsaturated fats, making them another excellent food for managing feelings of fullness. This is backed by a <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6567160/">study</a> confirming participants who ate a breakfast incorporating avocado felt more satisfied and less hungry than participants who ate a meal containing the same calories but with lower fat and fibre content.</p> <p>Similarly, eating foods that are high in soluble fibre – such as <a href="https://pubmed.ncbi.nlm.nih.gov/24820437/">beans</a> and vegetables – make us feel fuller. This type of fibre attracts water from our gut, forming a gel that slows digestion.</p> <h2>4. Eating mindfully</h2> <p>When we take time to really be aware of and enjoy the food we’re eating, we slow down and eat far less.</p> <p>A <a href="https://pubmed.ncbi.nlm.nih.gov/28718396/">review</a> of 68 studies found eating mindfully helps us better recognise feelings of fullness. Mindful eating provides our brain enough time to recognise and adapt to the signals from our stomach telling us we’re full.</p> <p>Slow down your food consumption by sitting at the dinner table and use smaller utensils to reduce the volume of food you eat with each mouthful.</p> <h2>5. Getting enough sleep</h2> <p>Sleep deprivation disturbs our <a href="https://www.sciencedirect.com/science/article/abs/pii/S1389945708700133">appetite hormones</a>, increasing our feelings of hunger and <a href="https://www.nature.com/articles/ncomms3259">triggering cravings</a>. So aim to get at least seven hours of uninterrupted sleep a night.</p> <p>Try switching off your devices <a href="https://journals.sagepub.com/doi/full/10.1177/1477153515584979">two hours before bed</a> to boost your body’s secretion of sleep-inducing hormones like melatonin.</p> <h2>6. Managing stress</h2> <p>Stress increases our <a href="https://pubmed.ncbi.nlm.nih.gov/18568078/">body’s production of cortisol</a> and triggers food cravings.</p> <p>So take time out when you need it and set aside time for stress-relieving activities. This can be as simple as getting outdoors. A <a href="https://www.frontiersin.org/articles/10.3389/fpsyg.2019.00722/full">2019 study</a> found sitting or walking outdoors at least three times a week could reduce cortisol levels by 21%.</p> <h2>7. Avoiding depriving ourselves</h2> <p>When we change our diet to lose weight or eat healthier, we typically restrict certain foods or food groups.</p> <p>However, this <a href="https://pubmed.ncbi.nlm.nih.gov/18568078/">heightens activity</a> in our mesocorticolimbic circuit – the reward system part of the brain – often resulting in us craving the foods we’re trying to avoid. Foods that give us pleasure release feel-good chemicals called endorphins and learning chemicals called dopamine, which enable us to remember – and give in to – that feel-good response.</p> <p>When we change our diet, activity in our hypothalamus – the clever part of the brain that regulates emotions and food intake – <a href="https://pubmed.ncbi.nlm.nih.gov/18568078/">also reduces</a>, decreasing our control and judgement. It often triggers a psychological response dubbed the “what-the-hell effect”, when we indulge in something we think we shouldn’t feel guilty about and then go back for even more.</p> <p>Don’t completely cut out your favourite foods when you go on a diet or deprive yourself if you’re hungry. It will take the pleasure out of eating and eventually you’ll give into your cravings.</p> <p><em>At the Boden Group, Charles Perkins Centre, we are studying the science of obesity and running clinical trials for weight loss. You can <a href="https://redcap.sydney.edu.au/surveys/?s=RKTXPPPHKY">register here</a> to express your interest.</em><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/215808/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /></p> <p><em><a href="https://theconversation.com/profiles/nick-fuller-219993">Nick Fuller</a>, Charles Perkins Centre Research Program Leader, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a></em></p> <p><em>Image credits: Getty Images</em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/im-trying-to-lose-weight-and-eat-healthily-why-do-i-feel-so-hungry-all-the-time-what-can-i-do-about-it-215808">original article</a>.</em></p>

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"Losing his speech": Home Alone star's major health update

<p><em>Home Alone</em> star Ken Hudson Campbell's daughter has shared a health update for fans after the actor underwent surgery to remove a tumour in his mouth. </p> <p>Speaking to <em>People Magazine</em>, Michaela revealed that her father is  "doing well" after his 10-hour surgery last week, but there are still a few challenges their family will have to face, as Campbell will need to have radiation treatment five times a week. </p> <p>"I think the hardest part of this is going to be him losing his speech and his ability to talk. So speech therapy is going to play a big role in it," she told the publication. </p> <p>"We're kind of playing it one step at a time, depending on how debilitated he is.</p> <p>"If he needs extra help, we might put him into a nursing home for a little while, but if not, we're going to take him back home and we still will be hiring post-op care help with that."</p> <p>This comes after Michaela and her family managed to raise $102,000 USD ($AU 152,000) for their father's treatment through crowd-funding, after the actor lost his SAG-AFTRA health insurance in January last year. </p> <p>Campbell, who played Santa Claus in <em>Home Alone</em>, "burst into tears" when he saw the messages and well wishes on the crowd-funding page.</p> <p>He was diagnosed with Squamous cell carcinoma - or oral cancer, on October 27. </p> <p>His family are hoping for a full recovery for the actor who they described as "a loving father of two children with an admirable lust for life, and a passion for acting, writing, &amp; sports." </p> <p><em>Images: Instagram</em></p>

Caring

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Can I actually target areas to lose fat, like my belly?

<p><em><a href="https://theconversation.com/profiles/nick-fuller-219993">Nick Fuller</a>, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a></em></p> <p>Spend some time scrolling social media and you’re all-but-guaranteed to see an ad promising to help you with targeted fat loss. These ads promote a concept known as “spot reduction”, claiming you can burn fat in a specific body area, usually the belly, with specially designed exercises or workouts.</p> <p>It’s also common to see ads touting special diets, pills and supplements that will blast fat in targeted areas. These ads – which often feature impressive before and after photos taken weeks apart – can seem believable.</p> <p>Unfortunately, spot reduction is another weight-loss myth. It’s simply not possible to target the location of fat loss. Here’s why.</p> <h2>1. Our bodies are hardwired to access and burn all our fat stores for energy</h2> <p>To understand why spot reduction is a myth, it’s important to understand how body fat is stored and used.</p> <p>The fat stored in our bodies takes the form of triglycerides, which are a type of lipid or fat molecule we can use for energy. Around 95% of the dietary fats <a href="https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/triglycerides">we consume are triglycerides</a>, and when we eat, our bodies also convert any unused energy consumed into triglycerides.</p> <p>Triglycerides are stored in special fat cells called adipocytes, and they’re released into our bloodstream and transported to adipose tissue – tissue we more commonly refer to as body fat.</p> <p>This body fat is found all over our bodies, but it’s primarily stored as subcutaneous fat under our skin and as visceral fat around our internal organs.</p> <p>These fat stores serve as a vital energy reserve, with our bodies mobilising to access stored triglycerides to provide energy during periods of prolonged exercise. We also draw on these reserves when we’re dieting and fasting.</p> <p>However, contrary to what many spot-reduction ads would have us think, our muscles can’t directly access and burn specific fat stores when we exercise.</p> <p>Instead, they use a process called lipolysis to convert triglycerides into free fatty acids and a compound called glycerol, which then travels to our muscles via our bloodstream.</p> <p>As a result, the fat stores we’re using for energy when we exercise come from everywhere in our bodies – not just the areas we’re targeting for fat loss.</p> <p>Research reinforces how our bodies burn fat when we exercise, confirming spot reduction is a weight-loss myth. This includes a randomised <a href="https://pubmed.ncbi.nlm.nih.gov/25766455/">12-week clinical trial</a> which found no greater improvement in reducing belly fat between people who undertook an abdominal resistance program in addition to changes in diet compared to those in the diet-only group.</p> <p>Further, <a href="https://www.termedia.pl/A-proposed-model-to-test-the-hypothesis-of-exerciseinduced-localized-fat-reduction-spot-reduction-including-a-systematic-review-with-meta-analysis,129,45538,0,1.html">a 2021 meta-analysis</a> of 13 studies involving more than 1,100 participants found that localised muscle training had no effect on localised fat deposits. That is, exercising a specific part of the body did not reduce fat in that part of the body.</p> <p><a href="https://www.mdpi.com/1660-4601/18/7/3845">Studies</a> purporting to show spot-reduction benefits have small numbers of participants with results that aren’t clinically meaningful.</p> <h2>2. Our bodies decide where we store fat and where we lose it from first</h2> <p>Factors outside of our control influence the areas and order in which our bodies store and lose fat, namely:</p> <ul> <li> <p>our genes. Just as DNA prescribes whether we’re short or tall, genetics plays a significant role in how our fat stores are managed. Research shows our genes can account for <a href="https://pubmed.ncbi.nlm.nih.gov/24632736/">60% of where fat is distributed</a>. So, if your mum tends to store and lose weight from her face first, there’s a good chance you will, too</p> </li> <li> <p>our gender. Our bodies, by nature, have distinct fat storage characteristics <a href="https://pubmed.ncbi.nlm.nih.gov/11706283/">driven by our gender</a>, including females having more fat mass than males. This is primarily because the female body is designed to hold fat reserves to support pregnancy and nursing, with women tending to lose weight from their face, calves and arms first because they impact childbearing the least, while holding onto fat stored around the hips, thighs and buttocks</p> </li> <li> <p>our age. The ageing process triggers changes in muscle mass, metabolism, and hormone levels, which can impact where and how quickly fat is lost. Post-menopausal <a href="https://theconversation.com/is-menopause-making-me-put-on-weight-no-but-its-complicated-198308">women</a> and middle-aged <a href="https://www.cambridge.org/core/journals/british-journal-of-nutrition/article/sex-differences-in-fat-storage-fat-metabolism-and-the-health-risks-from-obesity-possible-evolutionary-origins/00950AD6710FB3D0414B13EAA67D4327">men</a> tend to store visceral fat around the midsection and find it a stubborn place to shift fat from.</p> </li> </ul> <h2>3. Over-the-counter pills and supplements cannot effectively target fat loss</h2> <p>Most advertising for these pills and dietary supplements – including products claiming to be “the best way to lose belly fat” – will also proudly claim their product’s results are backed by “clinical trials” and “scientific evidence”.</p> <p>But the reality is a host of independent studies don’t support these claims.</p> <p>This includes two recent studies by the University of Sydney that examined data from more than 120 placebo-controlled trials of <a href="https://pubmed.ncbi.nlm.nih.gov/31984610/">herbal</a> and <a href="https://pubmed.ncbi.nlm.nih.gov/33976376/">dietary</a> supplements. None of the supplements examined provided a clinically meaningful reduction in body weight among overweight or obese people.</p> <h2>The bottom line</h2> <p>Spot reduction is a myth – we can’t control where our bodies lose fat. But we can achieve the results we’re seeking in specific areas by targeting overall fat loss.</p> <p>While you may not lose the weight in a specific spot when exercising, all physical activity helps to burn body fat and preserve muscle mass. This will lead to a change in your body shape over time and it will also help you with long-term weight management.</p> <p>This is because your metabolic rate – how much energy you burn at rest – is determined by how much muscle and fat you carry. As muscle is more metabolically active than fat (meaning it burns more energy than fat), a person with a higher muscle mass will have a faster metabolic rate than someone of the same body weight with a higher fat mass.</p> <p>Successfully losing fat long term comes down to losing weight in small, manageable chunks you can sustain – periods of weight loss, followed by periods of weight maintenance, and so on, until you achieve your goal weight.</p> <p>It also requires gradual changes to your lifestyle (diet, exercise and sleep) to ensure you form habits that last a lifetime.</p> <p><em>At the Boden Group, Charles Perkins Centre, we are studying the science of obesity and running clinical trials for weight loss. You can <a href="https://redcap.sydney.edu.au/surveys/?s=RKTXPPPHKY">register here</a> to express your interest.</em><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/205203/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /></p> <p><a href="https://theconversation.com/profiles/nick-fuller-219993"><em>Nick Fuller</em></a><em>, Charles Perkins Centre Research Program Leader, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a></em></p> <p><em>Image credits: Getty Images</em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/can-i-actually-target-areas-to-lose-fat-like-my-belly-205203">original article</a>.</em></p>

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It wasn’t just a tree: why it feels so bad to lose the iconic Sycamore Gap tree and others like it

<p><em><a href="https://theconversation.com/profiles/rebecca-banham-830381">Rebecca Banham</a>, <a href="https://theconversation.com/institutions/university-of-tasmania-888">University of Tasmania</a></em></p> <p>The famous <a href="https://oversixty.co.nz/finance/legal/you-can-t-forgive-that-teen-arrested-after-felling-of-iconic-200-year-old-tree" target="_blank" rel="noopener">Sycamore Gap tree</a> was felled last week, prompting global expressions of sorrow, anger and horror. For some, the reaction was puzzling. Wasn’t it just a single tree in northern England? But for many, the tree felt profoundly important. Its loss felt like a form of grief.</p> <p>Trees tell us something important about ourselves and who we are in the world. That is, they contribute to <a href="https://www.tandfonline.com/doi/full/10.1080/23251042.2020.1717098">ontological security</a> – our sense of trust that the world and our selves are stable and predictable.</p> <p>Trees – especially those celebrated like England’s sycamore or Tasmania’s 350-year-old El Grande mountain ash – feel like they are stable and unchanging in a world where change is constant. Their loss can destabilise us.</p> <h2>What makes a tree iconic?</h2> <p>Individual trees can become important to us for many reasons.</p> <p>When the wandering ascetic Siddhartha Gautama sat at the foot of a sacred fig around 500 BCE, he achieved the enlightenment which would, a few centuries later, lead to his fame as the Buddha. This sacred fig would become known as the Bodhi Tree. One of its descendants <a href="https://www.britannica.com/plant/Bo-tree">attracts millions</a> of pilgrims every year.</p> <p>Sometimes a tree becomes iconic because of its association with pop culture. U2’s hit 1987 album <em>The Joshua Tree</em> has inspired fans to seek out the tree on the cover in the United States’ arid southwest – <a href="https://www.rollingstone.com/feature/u2s-the-joshua-tree-10-things-you-didnt-know-106885/">a potentially dangerous trip</a>.</p> <p>Other trees become famous because they’re exceptional in some way. The location of the world’s tallest tree – a 115-metre high redwood known as Hyperion – is <a href="https://www.smithsonianmag.com/smart-news/the-worlds-tallest-tree-is-officially-off-limits-180980509/">kept secret for its protection</a>.</p> <p>Niger’s Tree of Ténéré was known as the world’s most isolated, eking out an existence in the Sahara before the lonely acacia was accidentally knocked down by a truck driver in 1973. Its site is <a href="https://www.atlasobscura.com/places/last-tree-tenere">marked by a sculpture</a>.</p> <p>In 2003, the mountain ash known as El Grande – then the world’s largest flowering plant – was accidentally killed in a burn conducted by Forestry Tasmania. The death of the enormous tree – 87 metres tall, with a 19 metre girth – drew <a href="https://catalogue.nla.gov.au/catalog/3945157">“national and international”</a> media attention.</p> <p>This year, <a href="https://www.abc.net.au/news/2023-08-14/vandalism-sacred-birthing-tree-buangor-police-investigate/102726014">vandals damaged</a> a birthing tree sacred to the local Djab Wurrung people amidst conflicts about proposed road works in western Victoria.</p> <p>And in 2006, someone poisoned Queensland’s Tree of Knowledge – a 200-year-old ghost gum <a href="https://www.australiantraveller.com/qld/outback-qld/longreach/tree-of-knowledge-is-dead/">famous for its connection</a> to the birth of trade unionism in Australia. Under its limbs, shearers organised and marched for better conditions. The dead tree has been preserved in a memorial.</p> <h2>What is it to lose a tree?</h2> <p>Sociologist Anthony Giddens defines ontological security as a <a href="https://books.google.com.au/books/about/Modernity_and_Self_Identity.html?id=Jujn_YrD6DsC&amp;redir_esc=y">“sense of continuity and order in events”</a>.</p> <p>To sustain it, we seek out feelings of safety, trust, and reassurance by engaging with comfortable and familiar objects, beings and people around us – especially those important to our self-identity.</p> <p>When there is an abrupt change, it challenges us. If your favourite tree in your street or garden dies, you mourn it – and what it gave you. But we mourn at a distance too – the Sycamore Gap tree was <a href="https://www.theguardian.com/uk-news/gallery/2023/sep/28/hadrians-wall-sycamore-gap-tree-in-pictures">world-famous</a>, even if you never saw it in real life.</p> <p>In <a href="https://figshare.utas.edu.au/articles/thesis/Seeing_the_forest_for_the_trees_ontological_security_and_experiences_of_Tasmanian_forests/23238422">my research</a>, I have explored how Tasmanian forests – including iconic landscapes and individual trees – can give us that sense of security we all seek in ourselves.</p> <p>As one interviewee, Leon, told me:</p> <blockquote> <p>These places should be left alone, because in 10,000 years they could still be there. Obviously I won’t be, we won’t be, but perhaps [the forest will be].</p> </blockquote> <p>Temporality matters here. That is, we know what to expect by looking to the past and imagining what the future could be. Trees – especially ancient ones – act as a living link between the past, present, and future.</p> <p>As my interviewee Catherine said:</p> <blockquote> <p>You lie under an old myrtle and you just go, ‘wow - so what have you seen in your lifetime?’ Shitloads more than me.</p> </blockquote> <p>That’s why the loss of the Sycamore Gap tree has upset seemingly the entire United Kingdom. The tree was famous for its appearance: a solitary tree in a <a href="https://www.northumberlandnationalpark.org.uk/places-to-visit/hadrians-wall/sycamore-gap/">photogenic dip</a> in the landscape.</p> <p>Its loss means a different future for those who knew it. It’s as if you were reading a book you know – but someone changed the ending.</p> <h2>Loss of connection</h2> <p>We respond very differently when humans do the damage compared to natural processes. In one study, UK homeowners found it <a href="https://www.tandfonline.com/doi/full/10.1080/13698570802381162">harder to accept</a> their house being burgled than for it to be flooded, seeing flooding as more natural and thus less of a blow to their sense of security.</p> <p>This is partly why the sycamore’s death hurt. It didn’t fall in a storm. It was cut down deliberately – something that wasn’t supposed to happen.</p> <p>The sycamore was just a tree. But it was also not just a tree – it was far more, for many of us. It’s more than okay to talk about what this does to us – about how the loss of this thread of connection makes us grieve.</p> <p>Yes, we have lost the Sycamore Gap tree, just as we lost El Grande and many others. It is useful to talk about this - and to remember the many other beautiful and important trees that live on. <img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/214841/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /></p> <p><a href="https://theconversation.com/profiles/rebecca-banham-830381"><em>Rebecca Banham</em></a><em>, Postdoctoral fellow, <a href="https://theconversation.com/institutions/university-of-tasmania-888">University of Tasmania</a></em></p> <p><em>Image credits: Getty Images</em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/it-wasnt-just-a-tree-why-it-feels-so-bad-to-lose-the-iconic-sycamore-gap-tree-and-others-like-it-214841">original article</a>.</em></p>

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What is ‘budget Ozempic’ that’s all over social media? Can it help me lose weight?

<p><em><a href="https://theconversation.com/profiles/nial-wheate-96839">Nial Wheate</a>, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a> and <a href="https://theconversation.com/profiles/jessica-pace-1401278">Jessica Pace</a>, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a></em></p> <p>Social media is lighting up over what influencers are calling “<a href="https://www.forbes.com/sites/brucelee/2023/09/09/budget-ozempic-tiktok-trend-how-its-contributing-to-the-laxative-shortage/?sh=1f54511b1569">budget Ozempic</a>”. These are drugs normally used as laxatives and stool softeners, but people are taking them to lose weight. The demand is so high in the United States, there are reports this is contributing to <a href="https://www.wsj.com/health/wellness/laxative-shortage-diet-weight-loss-5a15bf02">shortages</a> in pharmacies.</p> <p>These laxatives are just the latest alternatives influencers are touting for the <a href="https://www.abc.net.au/news/2023-09-09/ozempic-maker-novo-nordisk-becomes-biggest-company-in-europe/102812584">blockbuster drug</a> Ozempic.</p> <p>So, does “budget Ozempic” help you lose weight? Any weight loss is likely to be temporary and using these laxatives long term may be dangerous.</p> <h2>Ozempic is in short supply</h2> <p>Ozempic contains the active ingredient semaglutide. It is a prescription-only drug used to treat type 2 diabetes. One side effect of taking it is significant weight loss. This has led to so many people trying to obtain the drug there have been <a href="https://www.tga.gov.au/safety/shortages/information-about-major-medicine-shortages/about-ozempic-semaglutide-shortage-2022-and-2023">shortages</a>.</p> <p>Instead, some people have turned to more easily accessible over-the-counter alternatives to try to lose weight. That includes <a href="https://theconversation.com/natures-own-ozempic-or-berberine-is-all-over-social-media-but-does-it-really-help-you-lose-weight-206855">berberine</a>, which has been dubbed “nature’s own Ozempic”.</p> <h2>What is ‘budget Ozempic’?</h2> <p>“Budget Ozempic” is different to “nature’s own Ozempic”. It is the polymer polyethylene glycol 3350, or PEG 3350 for short.</p> <p>Chemically, it’s similar to other polymers used as ingredients in cosmetics, drug delivery, <a href="https://www.chemistryworld.com/features/raiders-of-the-lost-pigments/3007237.article">archaeological preservative paints</a>, soaps and even <a href="https://navyrecognition.com/index.php/naval-news/naval-news-archive/2023/june/13261-northrop-grumman-hits-production-milestone-with-trident-ii-d5-s-2000th-rocket-motor.html">missile fuel</a>. It’s not to be confused with ethylene glycol, which is used in antifreeze.</p> <p>Medically, PEG 3350 is mainly sold in Australia through pharmacies in <a href="https://australianprescriber.tg.org.au/articles/managing-constipation-in-adults.html">laxative and stool softening</a> products. It is also used to clean out your bowels before a colonoscopy.</p> <p>The products are referred to as <a href="https://www.healthdirect.gov.au/medicines/medicinal-product/aht,22630/macrogol-3350">macrogols</a>. Brands include DulcoSoft, Movicol, OsmoLax, ClearLax and ColonLYTELY.</p> <h2>How can it cause weight loss?</h2> <p>PEG 3350 is known as an <a href="https://www.nhs.uk/conditions/laxatives/#:%7E:text=Osmotic%20laxatives%20draw%20water%20from,brand%20names%20Duphalac%20and%20Lactugal">osmotic laxative</a>. It uses osmosis – how your body manages the balance of electrolytes in your blood serum – to soften your stools and treat constipation.</p> <p>When you swallow a drink with PEG 3350 the polymer isn’t absorbed by the body. Instead, as it passes through your intestines it draws water to it, making your faeces much more watery.</p> <p>Because it draws more water out of your body than you put into it from the drink, your weight goes down. That is, it just makes you dehydrated.</p> <p>This means any weight loss is likely to be short-lived; when you next drink, your body will retain more of the water to replace what was lost. To have any significant and sustained weight loss you’d need to take a lot of PEG 3350 every day. And at most, you would only lose a few kilograms.</p> <p>This is different to how <a href="https://www.nps.org.au/assets/medicines/42ccacc2-2326-42ad-ad14-abd6010499a4.pdf">Ozempic</a> works. Ozempic is similar to a family of hormones in your body called <a href="https://pubmed.ncbi.nlm.nih.gov/29364588/">incretins</a>. These have a number of actions that control both blood sugar levels and weight. For example, they slow how quickly food is absorbed from the stomach and decrease appetite, both of which help with sustained weight loss.</p> <h2>Dangers and side effects</h2> <p>PEG 3350 can make you <a href="https://www.healthdirect.gov.au/dehydration">dehydrated</a>. You may feel dizzy or light-headed, have a headache and have a dry mouth, lips or eyes.</p> <p>The concentration of electrolytes in your blood, such as salt, may also be too high (known as hypertonic blood serum).</p> <p>Hypertonic blood serum can affect the shape of your red blood cells, making it harder for them to carry oxygen around your body. This results in symptoms that include fatigue and tiredness, and those other symptoms of being dehydrated. In extreme cases it can result in <a href="https://psmf.org/story/emily-jerry/">death</a>.</p> <p>Incorrect levels of electrolytes can lead to other serious problems, affecting your heart and muscles. It can also lead to seizures, confusion, and coma.</p> <p>It can be dangerous to take PEG 3350 if you have heart disease, if your doctor has put you on a sodium-restricted diet, or if you already have an electrolyte disorder, such as <a href="https://www.healthdirect.gov.au/potassium">hyperkalaemia</a> (high potassium levels).</p> <p>These products are also dangerous for elderly people, those with kidney problems, and in very young children.</p> <p>Common side effects include anal irritation, vomiting, diarrhoea, nausea, cramps, pain, and swelling of your abdomen. Some people can have allergic reactions.</p> <p>If you use laxatives, including PEG 3350-based products, for a long period of time (over a period of weeks or months) then you may experience <a href="https://www.eatingdisorders.org.au/wp-content/uploads/2019/10/Eating-disorders-and-laxatives.pdf">withdrawal symptoms</a> if you stop taking them suddenly. These include constipation, bloating, weight gain and fluid retention.</p> <h2>In a nutshell</h2> <p>Overall, if you’ve been struggling with weight loss, then PEG 3350-based products are not a safe and effective solution. Any weight loss you experience will be temporary and may put your health at risk. Safer and more effective solutions are available.</p> <p>Eating healthily and exercising regularly are important first steps for anyone who wishes to lose weight. Otherwise, your GP or local pharmacist can help you with both lifestyle changes and medication options to help with weight loss.<img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/213457/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /></p> <p><em><a href="https://theconversation.com/profiles/nial-wheate-96839">Nial Wheate</a>, Associate Professor of the Sydney Pharmacy School, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a> and <a href="https://theconversation.com/profiles/jessica-pace-1401278">Jessica Pace</a>, Associate Lecturer, Sydney Pharmacy School, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a></em></p> <p><em>Image credits: Getty Images</em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/what-is-budget-ozempic-thats-all-over-social-media-can-it-help-me-lose-weight-213457">original article</a>.</em></p>

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Location, Location, Location host loses both parents in tragic accident

<p>In heart-wrenching news has shaken the world of television, beloved <em>Location, Location, Location </em>host Phil Spencer has spoken out about the devastating loss of his parents in a tragic accident on their family farm.</p> <p>Spencer paid a somber tribute to his father Richard, known affectionately as David, aged 89, and his mother Anne, 82, who were both tragically lost.</p> <p>In a poignant display of love, Phil, now 53, shared an image of the couple and wrote: "Very sadly both of my amazing parents died on Friday.</p> <p>"As a family we are all trying to hold onto the fact Mum and Dad went together and that neither will ever have to mourn the loss of the other one. Which is a blessing in itself."</p> <p>Spencer went on to disclose the harrowing details surrounding the accident, giving a glimpse into the tragic events that unfolded on that fateful day: "The car, going very slowly, toppled over a bridge on the farm drive, upside down into the river. There were no physical injuries and I very much doubt they would have even fought it - they would have held hands under the water and quietly slipped away.</p> <p>Spencer acknowledged the heroic efforts of his brother, who valiantly attempted to save their parents in the aftermath of the crash.</p> <p>"As many farmers do - my brother had a penknife and so was able to cut the seat belts - he pulled them out of the river but they never regained consciousness.</p> <p>"Although desperately sad and shocked beyond all belief - all family are clear that if there can ever be such a thing as having a 'good end' - this was it."</p> <p><span style="font-family: -apple-system, BlinkMacSystemFont, 'Segoe UI', Roboto, Oxygen, Ubuntu, Cantarell, 'Open Sans', 'Helvetica Neue', sans-serif;">Spencer also recalled a poignant conversation he had with his mother, a conversation now weighed down by the melancholy of hindsight: "Although they were both on extremely good form in the days before (hence the sudden idea to go out to lunch), Mums Parkinson's and Dads Dementia had been worsening and the long term future was set to be a challenge.</span></p> <p>"So much so that Mum said to me only a week ago that she had resigned to thinking 'now it looks like we will probably go together'. And so they did."</p> <p>As he concluded his heartfelt statement, Spencer mused on the overwhelming nature of their passing, acknowledging the future comfort that might come from the knowledge that they departed from a place they held dear.</p> <p>"It feels horrendous right now, but after almost 60 years of marriage - to die together on the farm they so loved will, I know, be a comfort in the future.</p> <p>"Mum Dad are together which is precisely where they would have wanted to be. ❤️"</p> <blockquote class="instagram-media" style="background: #FFF; border: 0; border-radius: 3px; box-shadow: 0 0 1px 0 rgba(0,0,0,0.5),0 1px 10px 0 rgba(0,0,0,0.15); margin: 1px; max-width: 540px; min-width: 326px; padding: 0; width: calc(100% - 2px);" data-instgrm-captioned="" data-instgrm-permalink="https://www.instagram.com/p/CwKpOWJr4Wj/?utm_source=ig_embed&amp;utm_campaign=loading" data-instgrm-version="14"> <div style="padding: 16px;"> <div style="display: flex; flex-direction: row; align-items: center;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 40px; margin-right: 14px; width: 40px;"> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 100px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 60px;"> </div> </div> </div> <div style="padding: 19% 0;"> </div> <div style="display: block; height: 50px; margin: 0 auto 12px; width: 50px;"> </div> <div style="padding-top: 8px;"> <div style="color: #3897f0; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: 550; line-height: 18px;">View this post on Instagram</div> </div> <div style="padding: 12.5% 0;"> </div> <div style="display: flex; flex-direction: row; margin-bottom: 14px; align-items: center;"> <div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(0px) translateY(7px);"> </div> <div style="background-color: #f4f4f4; height: 12.5px; transform: rotate(-45deg) translateX(3px) translateY(1px); width: 12.5px; flex-grow: 0; margin-right: 14px; margin-left: 2px;"> </div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(9px) translateY(-18px);"> </div> </div> <div style="margin-left: 8px;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 20px; width: 20px;"> </div> <div style="width: 0; height: 0; border-top: 2px solid transparent; border-left: 6px solid #f4f4f4; border-bottom: 2px solid transparent; transform: translateX(16px) translateY(-4px) rotate(30deg);"> </div> </div> <div style="margin-left: auto;"> <div style="width: 0px; border-top: 8px solid #F4F4F4; border-right: 8px solid transparent; transform: translateY(16px);"> </div> <div style="background-color: #f4f4f4; flex-grow: 0; height: 12px; width: 16px; transform: translateY(-4px);"> </div> <div style="width: 0; height: 0; border-top: 8px solid #F4F4F4; border-left: 8px solid transparent; transform: translateY(-4px) translateX(8px);"> </div> </div> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center; margin-bottom: 24px;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 224px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 144px;"> </div> </div> <p style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; line-height: 17px; margin-bottom: 0; margin-top: 8px; overflow: hidden; padding: 8px 0 7px; text-align: center; text-overflow: ellipsis; white-space: nowrap;"><a style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: normal; line-height: 17px; text-decoration: none;" href="https://www.instagram.com/p/CwKpOWJr4Wj/?utm_source=ig_embed&amp;utm_campaign=loading" target="_blank" rel="noopener">A post shared by Phil Spencer (@philspencertv)</a></p> </div> </blockquote> <p>Kirstie Allsopp, Phil's co-host on <em>Location, Location, Location</em>, a dear friend, was among the first to respond, her words echoing the collective grief felt by many: "Such a brave and loving statement and so typical of you &amp; your lovely family. So many people have you all in their thoughts and prayers. xxx"</p> <p>Tragically, David and Anne were en route to a local pub for lunch when their car veered off the access road, plunging into a shallow river on their estate.</p> <p>Emergency services, fire brigade and police attended the scene, and an air ambulance landing nearby at the Littlebourne farm in Kent.</p> <p>Despite efforts to save them, Richard succumbed at the hospital, with Anne following suit shortly thereafter.</p> <p>Kirstie reflected: “I’ve spoken to Phil and it’s tragic for the Spencer family, but his parents were together and that’s something that is a great source of solace to them all.</p> <p>“The family is very loving and close. There are four children, Phil, Robert, Caryn and Helen, and they had eight grandchildren.</p> <p>“This is awful for all of the family, but they were together at the end and they were lovely people."</p> <p><em>Images: Instagram</em></p>

Family & Pets

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Weight loss: why you don’t just lose fat when you’re on a diet

<p><em><a href="https://theconversation.com/profiles/adam-collins-1179004">Adam Collins</a>, <a href="https://theconversation.com/institutions/university-of-surrey-1201">University of Surrey</a></em></p> <p>When you go on a diet, you don’t just lose fat – you lose muscle too. This can have many repercussions – not only on your fitness and strength, but on your metabolism.</p> <p>To lose weight (body fat), you need to be in a calorie deficit. This means consuming fewer calories than your body uses, or exercising to burn more calories than you consume.</p> <p>During the first few days in a calorie deficit, the body uses up its small reservoir of <a href="https://pubmed.ncbi.nlm.nih.gov/1615908/">glycogen stores</a> for energy. Glycogen is a string of glucose (sugar) that comes from the carbohydrates you eat. Since carbs are the body’s main energy source, this is why any glucose the body doesn’t immediately use is stored to use for energy later.</p> <p>But as carbohydrate molecules bind with water, this means that when the body stores glycogen, it also stores water in the muscles. As these glycogen stores are used up, the body also releases a significant amount of water. This is often called “water weight”, and explains why some may feel they lose considerable weight early in their diet.</p> <p>Given you only have days’ worth of glycogen stores, this is why the body uses fat to store extra calories for when you need it. Once the glycogen stores are used up, the body shifts to metabolising fat to get the energy it needs to function.</p> <p>But not all tissues can use fat for energy – such as the brain. This is why the body needs to metabolise your muscles when you’re in a calorie deficit.</p> <p>Protein (from the food you eat) is stored in your muscles. The body can convert this stored protein into glucose for energy. But this means you subsequently lose the muscle tissue itself when that happens. This has significant consequences – including <a href="https://pubmed.ncbi.nlm.nih.gov/35103583/">slowing the metabolism</a>, which may ultimately drive weight regain after losing weight.</p> <h2>Muscle loss</h2> <p>Many factors can affect how much muscle you lose while in a calorie deficit.</p> <p>While it was once thought that the more fat you had, the <a href="https://pubmed.ncbi.nlm.nih.gov/10673906/">less muscle you lost</a> in a calorie deficit, this has since been disproved – with both <a href="https://pubmed.ncbi.nlm.nih.gov/3066619/">lean</a> and <a href="https://pubmed.ncbi.nlm.nih.gov/17367567/">obese people</a> losing significant rates of muscle when dieting.</p> <p><a href="https://pubmed.ncbi.nlm.nih.gov/29957829/">Ethnicity</a> and <a href="https://pubmed.ncbi.nlm.nih.gov/32734691/">genetics</a> may, however, play a role – with studies showing black people tend to lose more muscle mass in a calorie deficit than white people do. Some research also suggests that genetic variants may make some people more susceptible to <a href="https://pubmed.ncbi.nlm.nih.gov/32734691/">certain dietary changes</a>, which may determine how much muscle mass they end up losing.</p> <p>Muscle loss will also happen regardless of whether you lose weight <a href="https://pubmed.ncbi.nlm.nih.gov/30925026/">gradually or quickly</a>. A better determinant of how much muscle you’ll lose depends on <a href="https://pubmed.ncbi.nlm.nih.gov/30925026/">how much weight you end up losing</a>. If a person loses 10% of their body weight, typically around 20% of this is fat-free mass (the proportion of body mass that isn’t fat – such as muscle). This can equate to several kilograms of muscle.</p> <p>Many people also think that what you eat while losing weight may determine how much muscle you lose, with it commonly believed that if you eat plenty of protein you’re less likely to lose muscle mass. This is <a href="https://pubmed.ncbi.nlm.nih.gov/19246357/">debatable</a>, with research showing people lose as much muscle on high-protein weight loss diets as people who followed other types of diets.</p> <p>Low-carb diets have also been claimed to promote more fat loss. But studies comparing <a href="https://pubmed.ncbi.nlm.nih.gov/22258266/">different types of diets</a> have found that low-fat high-carb diets seem to offer <a href="https://pubmed.ncbi.nlm.nih.gov/28193517/">the same, if not better, fat loss</a> than low-carb, high-fat diets – with no differences in muscle loss.</p> <h2>Protein and exercise</h2> <p>Given all that has been said, the only way to prevent muscle loss somewhat while losing weight is to combine exercise (particularly <a href="https://pubmed.ncbi.nlm.nih.gov/18356845/">resistance exercise</a> and <a href="https://pubmed.ncbi.nlm.nih.gov/28507015/">endurance exercise</a>) with a diet higher in protein. This is because exercise stimulates muscle growth – but this process can only happen if you have an adequate supply of protein.</p> <p>It’s suggested adults normally aim to consume <a href="https://pubmed.ncbi.nlm.nih.gov/34371981/">0.8g of protein per kilogram of body weight</a> per day to maintain muscle mass. But given the extra demand exercise places on the muscles, a person will probably need to consume 1.2-1.5g of protein per kilogram of body weight to preserve muscle during weight loss. People who exercise a lot may need to increase that to more than <a href="https://pubmed.ncbi.nlm.nih.gov/28642676/">2g per kilogram of body weight</a> when losing weight. <a href="https://pubmed.ncbi.nlm.nih.gov/22221216/">Older people</a> may also need to consume more protein than average.</p> <p>Just be wary of consuming too much protein (more than 2.5g per kilogram of body weight) as eating more than your body uses could have an <a href="https://pubmed.ncbi.nlm.nih.gov/28507015/">adverse effect</a> on your metabolism by potentially making the body less able to draw upon glucose for energy. It may also put greater pressure on the kidneys and liver – which could lead to serious <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7460905/#:%7E:text=High%20dietary%20protein%20intake%20can,a%20role%20in%20kidney%20health.">health issues</a>, such as liver and kidney damage.</p> <p>Even if you prevent muscle loss when losing weight, other metabolic changes still happen that promote weight regain – such as changes in your metabolic rate (the minimum amount of calories your body needs to survive) and <a href="https://pubmed.ncbi.nlm.nih.gov/21677272/">increases in appetite and hunger</a>. This is why, when trying to lose weight, the most important thing to consider is how sustainable your diet and lifestyle changes are. The easier these are to maintain, the better chances you have of keeping the weight off.<img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/209258/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /></p> <p><em><a href="https://theconversation.com/profiles/adam-collins-1179004">Adam Collins</a>, Principal Teaching Fellow, Nutrition, <a href="https://theconversation.com/institutions/university-of-surrey-1201">University of Surrey</a></em></p> <p><em>Image credits: Getty Images</em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/weight-loss-why-you-dont-just-lose-fat-when-youre-on-a-diet-209258">original article</a>.</em></p>

Body

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This eating habit is key to losing weight

<p>New research has found the time of day you eat is key to losing weight.</p> <p>The findings reveal that your best efforts to cut back may prove ineffective if you’re not timing your meals correctly.</p> <p>A study found that mice lost weight when they were given a reduced calorie diet and only ate during the day.</p> <p>Rodents who consumed the same diet but ate at night did not reap the same results.</p> <p>Lead author of the study, Dr Joseph Takahashi, said, “Translated into human behaviour, these studies suggest that dieting will only be effective if calories are consumed during the daytime when we are awake and active.”</p> <p>Dr Takahashi added, “They further suggest that eating at the wrong time at night will not lead to weight loss even when dieting.”</p> <p>Scientists from the University of Texas Southwestern Medical Center also believe the timing of meals is important as it also affects circadian rhythms, the body’s 24-hour clock.</p> <p>They have highlighted how the research may explain how dietary habits impact lifespan.</p> <p>The study observed this by testing the day/night cycles of mice under different feeding schedules.</p> <p>Two groups of mice were fed at the wrong time during their normal cycle. One group was given 30 per cent less calories and the other group had unlimited food, but both groups were more active at night.</p> <p>Various research has associated sleep problems with an increased risk of obesity.</p> <p>“'It has been known for decades that calorie restriction prolongs lifespan in animals, but these types of studies are very difficult to conduct because they required manual feeding of subjects over many years," Dr Takahashi said</p> <p>“This automated system, which can be scaled up for large and very long longevity studies, provides the means to address open questions about what mechanisms extend lifespan in mammals.”</p> <p><em>Image credit: Shutterstock</em></p> <p><em>The research was published in the journal Cell Metabolism. </em></p>

Body

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‘We lose ourselves’: carers talk about the lonely, stressful work of looking after loved ones

<p><em><a href="https://theconversation.com/profiles/fleur-sharafizad-1138251">Fleur Sharafizad</a>, <a href="https://theconversation.com/institutions/edith-cowan-university-720">Edith Cowan University</a>; <a href="https://theconversation.com/profiles/esme-franken-947855">Esme Franken</a>, <a href="https://theconversation.com/institutions/edith-cowan-university-720">Edith Cowan University</a>, and <a href="https://theconversation.com/profiles/uma-jogulu-1278812">Uma Jogulu</a>, <a href="https://theconversation.com/institutions/edith-cowan-university-720">Edith Cowan University</a></em></p> <p>An informal personal carer is someone who looks after a family member, neighbour or friend in need of care due to disability, illness or age.</p> <p>In Australia, there are approximately 2.8 million informal personal carers, including 906,000 who are primary carers. Projections suggest the national demand for carers will <a href="https://www.carersaustralia.com.au/wp-content/uploads/2020/07/FINAL-Value-of-Informal-Care-22-May-2020_No-CIC.pdf">rise 23% by 2030</a>.</p> <p>Around one in ten Australians are informal carers: <a href="https://www.aihw.gov.au/reports/australias-welfare/informal-carers">most of these unpaid</a>. This group of people support one of society’s most foundational needs and our economy would struggle without them.</p> <p>Yet, little is understood about their experiences. <a href="https://bristoluniversitypressdigital.com/view/journals/ijcc/aop/article-10.1332-239788223X16789866214981/article-10.1332-239788223X16789866214981.xml">Our recent research</a> reveals how this group of carers lack necessary support for their own wellbeing.</p> <h2>Our research</h2> <p>We interviewed 36 informal personal primary carers living across Western Australia and Queensland. Respondents were aged between 34 and 69 years, and had all been the primary carer for a child, parent, partner, or in-law, for between two and 21 years. Data was collected in two waves: one in 2020 and the other in 2021. Respondents were recruited with the help of an Australian carers’ organisation.</p> <h2>‘I’d rather it be someone else’s problem’</h2> <p>Many of the carers we spoke to said they were not caring by choice, but by necessity. They said they feel both unseen and undervalued. A husband who had been caring for his wife who suffers from Alzheimer’s said: "I would rather work. I really don’t like being a carer. I’d rather it be someone else’s problem. Being a carer, you just get forgotten."</p> <p>Carers generally provide care around-the-clock, yet their compensations (such as <a href="https://www.servicesaustralia.gov.au/carer-payment">carer payments</a>) are far from equivalent to full-time pay. The carer payment, for example, equates to only <a href="https://www.carersaustralia.com.au/programs-projects/caring-costs-us/">28% of weekly ordinary time earnings</a> in Australia, and carers can expect to lose <a href="https://www.carersaustralia.com.au/carers-are-17700-worse-off-every-year-in-superannuation-payments/#:%7E:text=Caring%20Costs%20Us%3A%20The%20economic%20impact%20on%20lifetime,every%20year%20they%20are%20in%20that%20caring%20role.">approximately $17,700 in superannuation</a> every year they provide care.</p> <p>Few of <a href="https://www.carersaustralia.com.au/wp-content/uploads/2023/02/FINAL-Carers-Australia-2023-24-Jan-2023-Budget-Submission.pdf">Carers Australia’s pre-budget submission items</a> to benefit carers were adopted in the most recent federal budget. Instead, the budget contained items which may indirectly benefit carers through <a href="https://www.carersaustralia.com.au/wp-content/uploads/2023/05/2023-24-Budget-What-it-means-for-carers.pdf">increased support for the cared-for</a>. But these measures do not explicitly recognise and support carers’ wellbeing.</p> <p>Similarly, the recent draft of the <a href="https://www.pmc.gov.au/resources/draft-national-strategy-care-and-support-economy">National Strategy for the Care and Support Economy</a> recognises the contribution informal carers make to Australia’s economy but focuses on paid care and support.</p> <p>Our interviewees spoke about the personal costs of their work, and the stress and loneliness they experience. They shared feelings of being taken for granted as if their role was not work, let alone difficult work. </p> <p>One mum caring for her disabled son shared: "I just want people to see that, [a] carer doesn’t have any leave, paid leave, or recognition. People just think that’s your loved one, that’s your job. But I do want people to understand that I did not choose to be a carer as my career, but I will do it because it is important."</p> <p>This played into a feeling of people losing their sense of self, because caring work was so demanding and time consuming. A mother who had been caring for her daughter for 17 years after she had been involved in an accident said, "People don’t realise how much we put our life on hold to support the people that need that emotional and mental and physical and spiritual support. We put ourselves in the back shed while we’re supporting them, so we lose ourselves."</p> <h2>A mental toll</h2> <p>Many spoke of how they once had individual goals and ambitions, which they now considered unachievable. All of our interviewees had quit jobs and halted careers to take on personal care full-time. One mother caring for her ill child said: "I think if I had a crystal ball, I don’t know that I would perhaps have become a parent, I think I would have just stuck to my corporate life and had a cat and be done with it."</p> <p>The mental health toll experienced by carers in our study was clear throughout all interviews. A mother looking after her child with mental health challenges expressed: "Every carer has mental health impacts from being a carer. They won’t say it’s depression or anxiety, but it’s mental health because when the hierarchy of needs is not being met for you, you can’t provide them for somebody else."</p> <p>As one interviewee explained, the demanding nature of the work had left them exhausted and as though they “can’t do it”. Our interviewees spoke of “falling apart” under the strain of constantly caring for high-needs people in their households. </p> <p>One mother who cared for her children who were both on the autism spectrum recalled: "How many times, if I don’t go to the bathroom and have a shower to cool down myself, I could kill the kids and myself easily. That’s how bad. We are not ever in the category to get help."</p> <h2>Feeling abandoned</h2> <p>Because so much of their work happens in pre-existing relationships and behind closed doors, carers talked about not just feeling unseen but abandoned. A common theme across all interviews was how carers felt abandoned by institutions, health professionals and, in many cases, friends and family members. </p> <p>One husband who had cared for his wife for close to 20 years said: "The government doesn’t even care about the carers […] we’re not really getting anything and then they’re trying to take the crumbs off us."</p> <p>Carers do not have psychological, institutional or social support for themselves as individuals, separate from their role. But these support pillars are necessary so the entire responsibility of care does not fall solely on informal carers.</p> <p><a href="https://www.carersaustralia.com.au/wp-content/uploads/2023/02/FINAL-Carers-Australia-2023-24-Jan-2023-Budget-Submission.pdf">Carer-inclusive activities</a> could be a good start. But policy should also be responsive to the unique and unmet needs of carers. These relate to the lack of personal and professional development, feelings of abandonment and social isolation.</p> <p>With an ageing population, a pandemic, and an emerging crisis over the quality of care for older Australians and people with disabilities, the role of informal carers has become increasingly important.</p> <p>The truth is that most of us will likely, at some point, undertake care work or be the person being cared for. Better formalised support for carers will ultimately improve the care for the most vulnerable among us and society as a whole.</p> <p><em>If this article has raised issues for you, or if you’re concerned about someone you know, call <a href="http://lifeline.org.au/">Lifeline</a> on 13 11 14. </em></p> <p><em><a href="https://theconversation.com/profiles/fleur-sharafizad-1138251">Fleur Sharafizad</a>, Lecturer in Management, <a href="https://theconversation.com/institutions/edith-cowan-university-720">Edith Cowan University</a>; <a href="https://theconversation.com/profiles/esme-franken-947855">Esme Franken</a>, Lecturer in Management, <a href="https://theconversation.com/institutions/edith-cowan-university-720">Edith Cowan University</a>, and <a href="https://theconversation.com/profiles/uma-jogulu-1278812">Uma Jogulu</a>, Senior Lecturer, School of Business and Law, <a href="https://theconversation.com/institutions/edith-cowan-university-720">Edith Cowan University</a></em></p> <p><em>Image credits: Getty Images</em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/we-lose-ourselves-carers-talk-about-the-lonely-stressful-work-of-looking-after-loved-ones-206409">original article</a>.</em></p>

Caring

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Is it true the faster you lose weight the quicker it comes back? Here’s what we know about slow and fast weight loss

<p><em><a href="https://theconversation.com/profiles/nick-fuller-219993">Nick Fuller</a>, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a></em></p> <p>When people decide it’s time to lose weight, they’re usually keen to see quick results. Maybe they have an event coming up or want relief from health problems and discomfort.</p> <p>But expert guidelines typically recommend slower weight loss for the treatment of obesity. This tallies with a a widely held opinion that fast weight loss is more quickly regained. Slow weight loss is generally perceived as better for your health and more sustainable. Many programs offering “the fastest way to lose weight” are considered fad diets that severely restrict calories or eliminate some foods.</p> <p>But does slow and steady really win the weight-loss race? Or is fast weight loss just as effective and safe?</p> <h2>What’s the difference between slow and fast weight loss?</h2> <p>Governing bodies typically <a href="https://www.betterhealth.vic.gov.au/health/healthyliving/weight-loss-a-healthy-approach">recommend</a> a weight loss of 0.5 to 1 kilogram each week, which would be defined as slow weight loss.</p> <p>So <a href="https://medlineplus.gov/ency/patientinstructions/000885.htm#:%7E:text=Rapid%20weight%20loss%20diet%20is,a%20week%20over%20several%20weeks.">fast weight loss</a> – also termed “rapid weight loss” – is losing more than 1 kilo a week over several weeks.</p> <h2>What does the research say about fast weight loss?</h2> <p>There are several well-conducted studies examining differing approaches.</p> <p>One <a href="https://pubmed.ncbi.nlm.nih.gov/25459211/">study</a> of 200 people randomly assigned them to fast or slow weight loss – 12 weeks versus 36 weeks – aimed at a 15% reduction in weight.</p> <p>The fast weight loss group was put on a very low energy diet using meal replacements, including shakes, bars and soups, three times per day. The slow weight loss group was advised on the <a href="https://www.eatforhealth.gov.au/guidelines/australian-guide-healthy-eating">Australian Guide to Healthy Eating</a> with the goal to eat 500 calories less than they used for energy (creating a calorie deficit) each day. They also used one to two meal replacements daily.</p> <p>Some 50% of the slow weight loss group and 81% of the fast weight loss group achieved 12.5% or more weight loss during this time.</p> <p>After this initial phase, those who had lost 12.5% or more were then placed on a weight maintenance diet for approximately 2.75 years.</p> <p>By the three-year mark, 76% of those in the slow weight loss and the same percentage of those in the fast weight loss group had regained their lost weight.</p> <p>So, it didn’t matter if they had lost it slow or fast, they still regained the weight.</p> <p>However, another <a href="https://www.sciencedirect.com/science/article/pii/S2405844020308513#bib17">study</a> on 101 postmenopausal women found fast weight loss resulted in better outcomes than a slow weight loss group at the three-year mark.</p> <p>But there are other factors to consider, aside from weight loss, when it comes to the differing ways of losing weight – such as changes in body composition and bone mineral density.</p> <p>This is best highlighted by a large <a href="https://pubmed.ncbi.nlm.nih.gov/32576318/">meta-analysis</a>. These type of studies combine the results of all previous well-conducted studies on the topic.</p> <p>While this <a href="https://pubmed.ncbi.nlm.nih.gov/32576318/">analysis</a> found the magnitude of weight loss was similar for both approaches, slow weight loss resulted in better outcomes than fast weight loss with respect to metabolism or how many calories we burn at rest.</p> <p>There were no differences in the amount of fat-free mass or muscle mass lost between the slow and fast weight loss groups. But slow weight loss resulted in greater reductions in fat mass and therefore a better fat-to-muscle ratio.</p> <p>Slow weight loss also seems better for bone density, because rapid weight loss results in a <a href="https://www.sciencedirect.com/science/article/pii/S2405844020308513#bib17">twice as much bone loss</a> and puts a person at increased risk of brittle bones or osteoporosis.</p> <h2>What about other diet approaches?</h2> <p>Research shows it doesn’t matter what type of macronutrient diet you follow – moderate or high-protein diet, low or high-carbodyrate diet, low or high-fat diet. All diet approaches achieve similar <a href="https://www.nejm.org/doi/full/10.1056/NEJMoa0804748">weight loss outcomes</a>.</p> <p>The same can be said for fashionable ways of cutting calories from the diet, such as intermittent fasting. <a href="https://www.nejm.org/doi/full/10.1056/NEJMoa2114833">Research</a> has shown such diets don’t result in any better weight loss results than any of its predecessors. This is because our body is extremely good at <a href="https://theconversation.com/whats-the-weight-set-point-and-why-does-it-make-it-so-hard-to-keep-weight-off-195724">protecting against weight loss</a>.</p> <h2>When you want to lose weight consider …</h2> <p><strong>Your metabolism</strong> When you lose large amounts of weight, you resting metabolic rate – the energy you burn at rest – will lower. Keeping your resting metabolic rate high is essential for keeping the weight off. Unfortunately, once it slows down, your resting metabolic rate doesn’t recover to the level it was pre-dieting <a href="https://onlinelibrary.wiley.com/doi/full/10.1002/oby.21538">even after you regain weight</a>.</p> <p>However, research has confirmed <a href="https://pubmed.ncbi.nlm.nih.gov/32576318/">slow weight loss</a> preserves your resting metabolic rate compared with rapid weight loss. As does a weight loss program <a href="https://www.sciencedirect.com/science/article/pii/S2161831323002867?via%3Dihub">that includes exercise</a> rather than one that focuses on diet alone.</p> <p><strong>Side effects</strong> While restrictive diets can achieve rapid results, studies suggest they can come with adverse effects. This includes a <a href="https://pubmed.ncbi.nlm.nih.gov/16350561/">higher risk of gallstones</a> and deficiencies that can result in poor immune function, fatigue and a <a href="https://pubmed.ncbi.nlm.nih.gov/32613096/">decrease in bone density</a>. Such restrictive diets can make it challenging to meet your nutritional needs.</p> <p><strong>Sustainability</strong> Many fast weight loss diets restrict or exclude foods required for long-term health. Carbohydrates are often banned, yet wholegrain carbohydrates are an essential source of nutrition, helping with weight loss and <a href="https://www.sciencedirect.com/science/article/pii/S0002822301001948">prevention of disease</a>. Including meal replacements as part of a restrictive diet is also not sustainable for long.</p> <h2>The bottom line?</h2> <p>Regardless of how you lose the weight, it’s very difficult to maintain losses. Our bodies work to keep our weight around a <a href="https://theconversation.com/whats-the-weight-set-point-and-why-does-it-make-it-so-hard-to-keep-weight-off-195724">set point</a> by adjusting our biological systems and imposing a series of <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4766925/">physiological changes</a> within the body to ensure we regain weight we lose. This stems from our hunter-gatherer ancestors, whose bodies developed this survival response to adapt to periods of deprivation when food was scarce.</p> <p>Successful long-term weight loss comes down to:</p> <p><strong>1.</strong> following evidence-based programs based on what we know about the science of obesity</p> <p><strong>2.</strong> losing weight under the supervision of qualified health-care professionals</p> <p><strong>3.</strong> making gradual changes to your lifestyle – diet, exercise and sleep – to ensure you form health habits that last a lifetime.</p> <p>At the Boden Group, Charles Perkins Centre, we are studying the science of obesity and running clinical trials for weight loss. You can register for free <a href="https://redcap.sydney.edu.au/surveys/?s=RKTXPPPHKY">here</a> to express your interest.<img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/198301/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /></p> <p><em><a href="https://theconversation.com/profiles/nick-fuller-219993">Nick Fuller</a>, Charles Perkins Centre Research Program Leader, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a></em></p> <p><em>Image credits: Getty Images</em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/is-it-true-the-faster-you-lose-weight-the-quicker-it-comes-back-heres-what-we-know-about-slow-and-fast-weight-loss-198301">original article</a>.</em></p>

Body

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Backlash to new kids clothing line sees Target lose billions

<p dir="ltr">Target has lost billions in market valuation as its Pride-themed kids line continues to face backlash.</p> <p dir="ltr">Target shares were trading at $160.96 (A$246.18) a share, which means their market valuation was roughly around $74.3 billion (A$113 billion)</p> <p dir="ltr">The Minneapolis-based retailer’s stock value dropped drastically following the calls to boycott their “PRIDE” collection, at just $138.93 (A$212) a share as of Friday, which is a 14 per cent drop in value to around $64.2 billion (A$98 billion) , according to The New York Times.</p> <p dir="ltr">This roughly translates to a $10.1 billion (A$15 billion) loss in valuation.</p> <p dir="ltr">The plummet is the retailer's lowest stock price in nearly three years, and the last time any company’s stock plummeted this intensely was in 2022 after the stocks equalised during the pandemic.</p> <p dir="ltr">Target has since moved its Pride section away from the front of the store in some Southern states, following displays being knocked over by protesters, who also confronted the workers.</p> <p dir="ltr">They also said they would remove items from the collection but didn’t specify which ones.</p> <p dir="ltr">Some of the clothes receiving backlash were the rainbow-themed children’s clothing, and a “tuck-friendly” swimsuit for trans women, who have not yet had their gender-affirming surgeries, to conceal their genitalia.</p> <p dir="ltr">Target CEO Brian Cornell has defended the LBGTQ-friendly clothing line and has said that selling them was “the right thing for society.”</p> <p dir="ltr"><em>Images: Getty</em></p>

Money & Banking

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Russell Crowe loses best friend in tragic accident

<p><em>Gladiator</em> star Russell Crowe has announced the tragic passing of his puppy, Louis. </p> <p>The actor broke the news on Twitter, explaining that his “tiny, cheeky, [and] brave” boy had been hit by a truck, and despite the best efforts of vets, had lost his life. </p> <p>"This is Louis the Papillion. 16 months old. Tiny, cheeky, brave. He won my heart," he wrote alongside an image of the pup. </p> <p>“Unfortunately today, on the second anniversary of my fathers passing, Louis was hit by a truck.</p> <p>"We tried to get him to the vet, but he died in my arms while I was telling him how much we loved him."</p> <p>Condolences poured in through Russell’s comment section, with many noting that their hearts were breaking for his family in this difficult time. </p> <p>“We are heartbroken for you and so deeply sorry for your loss. Louis will be in your heart forever. Sending all of our love, comfort, and strength,” wrote animal rights group PETA. </p> <p>“So sorry to hear this Russel. My heart goes out to you,” said fellow actor Vincent D’Onofrio. </p> <p>“I am so sorry! What a beautiful face and those eyes. I like to think our pets wait for us to join them one day, loyal as ever,” self-proclaimed ‘dog devotee’ Alicia Rancilio shared. </p> <p>And as <em>Today</em>’s Michelle Stephenson summed it up, “Well this is just so heartbreaking”. </p> <blockquote class="twitter-tweet"> <p dir="ltr" lang="en">This is Louis the Papillion.<br />16 months old.<br />Tiny, cheeky, brave. He won my heart.<br />Unfortunately today, on the second anniversary of my fathers passing, Louis was hit by a truck.<br />We tried to get him to the vet, but he died in my arms while I was telling him how much we loved him. <a href="https://t.co/zIwzUz8Ljx">pic.twitter.com/zIwzUz8Ljx</a></p> <p>— Russell Crowe (@russellcrowe) <a href="https://twitter.com/russellcrowe/status/1641302352161562624?ref_src=twsrc%5Etfw">March 30, 2023</a></p></blockquote> <p>Russell’s loss came as a sort of double tragedy, hitting him just two years after his father had passed away at the age of 85. </p> <p>The 58-year-old made that painful news public through Twitter as well, writing at the time that “I arrived back in the bush last night. Today, although the sun is shining and the torrential rain has abated, this date will forever be tinged with sadness. </p> <p>“My dear old man, my beautiful dad, the most gentle of men, has passed away.”</p> <p>Despite the grief sure to be weighing heavily on his shoulders, Russell and his family will always have their happy memories with Louis - and Russell’s dad - to hold on to. </p> <p>Like the dress up day Russell and Louis shared in December 2021, where Russell overcame his distaste for “dressing dogs up” to match his little friend. </p> <p>After sharing that it wasn’t his thing - as well as a photo of the two with their heads together and a smile on Russell’s face - he went on to explain in a tweet that a friend had bought a Ralph Lauren polo shirt for “little Louis … so he can match with dad. </p> <p>“I think the other dogs on the farm are going to get jealous. Pretty funny.”</p> <blockquote class="twitter-tweet"> <p dir="ltr" lang="en">I’m not at all a fan of dressing dogs up, but, a friend bought little Louis a ⁦<a href="https://twitter.com/RalphLauren?ref_src=twsrc%5Etfw">@RalphLauren</a>⁩ polo so he can match with dad. I think the other dogs on the farm are going to get jealous. Pretty funny. <a href="https://t.co/odmCZwfvA8">pic.twitter.com/odmCZwfvA8</a></p> <p>— Russell Crowe (@russellcrowe) <a href="https://twitter.com/russellcrowe/status/1605404835599159296?ref_src=twsrc%5Etfw">December 21, 2022</a></p></blockquote> <p><em>Images: Twitter</em></p>

Family & Pets

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Young woman loses all four limbs to mozzie bites

<p>A woman has shared her story of waking up from a coma to discover all four of her limbs had been amputated.</p> <p>Tatiana Timon, 35, was on a dream trip to Angola, South Africa, as part of a dance group, but her health took a turn for the worse when she arrived back home in Camberwell, South London.</p> <p>The 35-year-old had spent 10 days in Angola before flying home and within days her health had declined, leaving her extremely weak.</p> <p>Tatiana was rushed to hospital where doctors confirmed she had contracted a deadly form of malaria.</p> <p>She had contracted the disease from a mosquito bite while overseas in May 2022.</p> <p>Her condition quickly worsened and she was put into an induced coma after developing sepsis.</p> <p>“All of my friends and family were worried because the doctor was telling them that I was going to die, like I was about to die three times", she told <em>MyLondon</em>.</p> <p>In order to stop blood poisoning from spreading to her vital organs, doctors were forced to amputate all four limbs.</p> <p>“When I woke up from the coma I knew, I saw that I was in hospital, and I knew something had happened to me", she said.</p> <p>“At that time I didn’t know how bad it was, like I just knew something had happened.”</p> <p>Tatiana says she strives to come independent and is fitted with prosthetic arms and legs.</p> <p>She shares frequent updates on her Instagram page and vows to stay positive during this hard time.</p> <p>"Now even without limbs I know that I will go back to the gym”, she wrote on one post.</p> <p>“I am determined to go back to being my healthy self, mentally and physically.”</p> <p>Tatiana is currently fundraising with hopes of buying new prosthetics which come with a hefty price tag, costing up to $294,100.</p> <p>“A negative thing I can turn into a positive thing to make my life easier because I don’t like to stress.</p> <p>“It happened, so I need to deal with it.”</p> <p><em>Image credit: Instagram/Facebook</em></p>

Body

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Salon owner loses $40,000 from one $60 deposit

<p dir="ltr">When beautician Thuy Le received a call from a supposed customer’s ‘husband’ regarding an accidental payment, she could never have foreseen the devastating turn her life would take from that point on. </p> <p dir="ltr">The mother of two, whose husband is living with Parkinsons and unable to work, recounted how her harrowing ordeal started with that one phone call, and the man on the other end requesting she return the $60 his wife had ‘accidentally’ paid. </p> <p dir="ltr">Le checked her bank statements to verify his story, and after noting one deposit that matched, she transferred the funds into the account he provided. </p> <p dir="ltr">She did not provide any of her own personal information, her passwords, or any critical numbers for her accounts. And yet, in the time to follow, Le could only watch in horror as more withdrawals were made from her account, into the very same one owned by the customer’s ‘husband’. </p> <p dir="ltr">The withdrawals totalled a devastating $41,600 stolen from Le’s life savings. </p> <p dir="ltr">Le also recounted how she was refused access to her business account, and that she got in touch with her bank as soon as she realised what had happened, suspecting she had been scammed. </p> <p dir="ltr">Her quest for support in her time of need was cut short, with the financial institution placing the blame solely on Le and ruling that they were not liable for the losses she had endured - this was despite the suspicious withdrawals raising no alarm with the bank, and the lack of personal information involved in the scam. </p> <p dir="ltr">Of their questionable red flag system, the bank claimed that it is “nearly impossible for an unauthorised third party to guess”, referencing the way that the logins for the costly transaction all succeeded on the very first try. </p> <p dir="ltr">Furthermore, as stated in a letter to Le, they declared that “the only reasonable explanation for these logins would be that your online banking credentials were known to the unauthorised third party, which would be in breach of the passcode security requirements.”</p> <p dir="ltr">“I am in financial hardship,” Le admitted of her dire situation, and the need to have the funds returned for her family and her husband’s crucial medication. </p> <p dir="ltr">“I have two little kids, I have a husband with Parkinson’s disease, he cannot work,” she continued. “We are still in the process of applying for government help and I have carried the financial burden on my shoulders.”</p> <p dir="ltr">While Le’s bank offered $200 to resolve her complaint, she was offered no further assistance, and took matters to the Australian Financial Complaints Authority, hoping to have her money returned to her. </p> <p dir="ltr">“I can’t sleep,” she confessed. “I want to know why this happened to me and how it happened to me.</p> <p dir="ltr">“I’m not a liar, not a criminal, not a fraud.”</p> <p dir="ltr"><em>Images: Supplied to 7News, Facebook</em></p>

Money & Banking

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"I did a Christian Bale": Hugh Grant loses it on set

<p>Hugh Grant admitted to misdirecting his anger and going off at a “nice local woman” while filming <em>Dungeons & Dragons: Honor Among Thieves</em>.</p> <p>“I lost my temper with a woman in my eye line on day one,” Grant, 62, told Total Film magazine via <em>Yahoo!</em></p> <p>“I assumed she was some executive from the studio who should have known better,” he said.</p> <p>“Then it turns out that she’s an extremely nice local woman who was the chaperone of the young girl.”</p> <p>The British actor called his temper tantrum “terrible” and explained that his episode ended with “a lot of grovelling,” according to <em>Page Six</em>.</p> <p>“I did a Christian Bale,” Grant teased, in reference to when Bale was caught on tape aggressively yelling at a Terminator: Salvation crew member in 2009. Later, the actor, 49, apologised profusely and called his actions “inexcusable”.</p> <p>This is not Hugh Grant’s first temper tantrum, as he’s previously admitted to occasionally having a short fuse.</p> <p>Former Daily Show host Jon Stewart called Grant one of the worst guests he ever had on his show, referring to the actor as “a big pain in the a**”.</p> <p>Grant held himself accountable, telling Andy Cohen in 2015, “He wasn’t entirely wrong.”</p> <p>“I did have a tantrum backstage. About once a year, I have a really mega-tantrum, and sadly he witnessed one. So he’s absolutely right.” He added.</p> <p>Hugh Grant stars in <em>Dungeons & Dragons: Honour Among Thieves</em> alongside Chris Pine, Justice Smith, Michelle Rodriguez, Sophia Lillis and Regé-Jean Page.</p> <p>He spoke about why he was so drawn to the project, telling Collider that he liked the script was “about losers”.</p> <p>“This little band of comrades, they’re all a bit crap. [Pine’s character is] not great at being a bard. And the magician, played by Justice, is really bad. What do they call magicians in Dungeons & Dragons? Sorcerer. He’s not much good,” he told the outlet.</p> <p>“And Michelle’s character has been thrown out of whatever. What is she? Barbarian. And is still in love with her husband, who is in love with someone else. And I responded to that loser-ish thing about this little band.” he said.</p> <p><em>Image credit: Getty</em></p>

Movies

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The last 5 kilos really are the hardest to lose. Here’s why, and what you can do about it

<p>Anyone who has tried to lose weight will be familiar with these nine frustrating words: the last five kilos are the hardest to lose.</p> <p>You’re just about to hit your target weight, but suddenly the scales won’t budge – even though you’re still following the same healthy diet, lifestyle habits and exercise plan.</p> <p>There’s a scientific basis for why losing the last few kilos is hard, called the weight-loss plateau. But before you hit Google for one of those programs promising to help you lose the last five kilos, here’s some important information about why it occurs, and five simple things you can do to break through it.</p> <h2>Understanding the weight-loss plateau</h2> <p>The weight-loss plateau is basic biology.</p> <p>When your body registers something threatening its survival, it automatically triggers a series of <a href="https://pubmed.ncbi.nlm.nih.gov/25896063/">physiological responses to protect against the threat</a>.</p> <p>So when we adjust our diet and reduce our calorie intake, our body registers we’re losing weight and believes it’s under threat. It makes adjustments for protection, reducing our metabolic rate and burning less energy, slowing the rate at which we lose weight. </p> <p>It also secretes higher levels of an appetite hormone called ghrelin, which is known to increase hunger and promote the conservation of <a href="https://pubmed.ncbi.nlm.nih.gov/26042199/">fat stores</a>.</p> <p>Research has shown this plateau starts to creep in anywhere between three and six months of weight loss, and then typically <a href="https://pubmed.ncbi.nlm.nih.gov/17904936/">weight regain occurs</a>. So for those needing to lose a large amount of weight, the plateau will be evident well before the last five kilos.</p> <p>A weight-loss plateau can be hard to break. Whatever the time frame, it’s a sign your previously successful approach to losing weight needs modification.</p> <p>Here’s what you can do.</p> <h2>1. Revisit your weight-loss goal</h2> <p>The first and most important thing you may need to modify when you hit a weight-loss plateau is your definition of healthy body weight. </p> <p>Ask yourself: what’s so special about the weight I’m trying to achieve?</p> <p>Many people use the body mass index (BMI) to set their weight-loss goal but the number on the scales – and the score generated when you enter your weight and height into the BMI calculator – <a href="https://theconversation.com/using-bmi-to-measure-your-health-is-nonsense-heres-why-180412">is nonsense</a>. It doesn’t tell the whole story of what it means to be a healthy weight.</p> <p>This is because the BMI calculator misses two more meaningful measures: body fat percentage and body fat distribution.</p> <p>If you’ve been exercising regularly as part of your weight-loss plan, you’ll have gained muscle, or improved your muscle-to-fat ratio, and muscle is heavier than body fat, impacting the number on the scales.</p> <p>You’re also likely to have changed where fat is distributed in your body, reducing the amount of <a href="https://onlinelibrary.wiley.com/doi/abs/10.1111/j.1464-5491.2011.03503.x">unhealthy fat</a> stored around the stomach, close to the organs, thus <a href="https://academic.oup.com/jcem/article/95/4/1777/2597063?login=false">reducing your risk of disease</a>.</p> <p>So grab the tape measure, check how your clothes fit, and think about how you feel to confirm whether you really need to lose those final few kilos. Work towards a waist circumference of about 80cm for women and about 90-94cm for men.</p> <h2>2. Focus on meal size throughout the day</h2> <p>The current fad is intermittent fasting. This often means breakfast is the first to be scrapped from the menu in an attempt to cut calories from the diet and shorten the time you’re allowed to eat throughout the day. But when you eat and how much you eat at each meal does matter, and it’s breakfast that’s the most important. </p> <p><a href="https://pubmed.ncbi.nlm.nih.gov/32073608/">Controlled research studies</a> have shown this is the time when your body best uses the calories you put in – in fact, it burns the calories from a meal two-and-a-half times more efficiently in the morning compared with the evening. Instead of reducing your eating window, load up your breakfast and reduce the size of your evening meal.</p> <h2>3. Consider more strength-building exercises</h2> <p>Relying on diet alone to lose weight can reduce muscle along with body fat. This slows your metabolism, and makes it harder to keep the weight off in the long term. </p> <p>Any physical activity will go a long way to preserving your muscle mass, but it’s important to incorporate a couple of days of strength-building exercises in your weekly exercise routine. Exercises using body weight – like push-ups, pull-ups, planks and air squats – are just as effective as lifting weights in the gym.</p> <h2>4. Review your food intake</h2> <p>As you lose weight, your body requires less fuel, so reviewing and adjusting your calorie intake is essential when you hit a weight-loss plateau. </p> <p>Generally speaking, you need to consume <a href="https://www.niddk.nih.gov/bwp">10% fewer calories</a>when you reduce your weight by 10%, just to maintain the new weight. But this shouldn’t mean deprivation or starvation. Instead, you should be focusing on an abundance of nutrient-dense foods and keeping the treats and takeaway to just once per week. </p> <h2>5. Check your stress</h2> <p>Stress will derail your weight-loss success. Stress increases your body’s production of cortisol, promoting fat storage and triggering unhealthy food cravings. </p> <p>The best type of stress management is exercise. To encourage more exercise, take up something you enjoy, no matter what it is. But make sure to include variety, as doing the same routine every day is a sure-fire way to get bored and avoid activity, and can also make it hard to hit your goals.</p> <h2>The bottom line</h2> <p>A weight-loss plateau is frustrating and can derail your diet attempt.</p> <p>Understanding why the weight-loss plateau occurs, making sure the weight-loss target you’ve set is realistic, and following the steps above will get you back on track.</p> <p><em>Image credits: Getty Images</em></p> <p><em>This article originally appeared on <a href="https://theconversation.com/the-last-5-kilos-really-are-the-hardest-to-lose-heres-why-and-what-you-can-do-about-it-195725" target="_blank" rel="noopener">The Conversation</a>. </em></p>

Body

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Tips to cope with losing independence with age

<p>There are many fantastic things that come with getting older, but sadly there are also some not-so-welcome side effects. For many people, loss of independence is definitely the worst. In fact, a UK study found more people fear losing their self-sufficiency than death.</p> <p>Whether because of health issues, mobility problems or something else entirely, many elderly people can find themselves completely reliant on others in their old age. However, it’s important to help them understand that losing their independence doesn’t have to mean losing their quality of life.</p> <p>First of all, take some time to put yourself in their shoes and really understand what it’s like. Just like with any loss, coming to terms with the loss of self-sufficiency is a process. Many people feel afraid of their newfound vulnerability, angry at their situation, confused about how to move forward and even guilty at the thought of needing help. But it’s essential that even during this difficult transition period to encourage them not to isolate themselves.</p> <p><strong>Offer help in whatever way you can</strong></p> <p>Whether it’s driving them around, helping them with their groceries or just lending an ear, even the smallest deed can help make your loved one’s life a little easier. Understandably, many people who suddenly find themselves reliant of others can take a stubborn stance against accepting help. </p> <p>Instead of berating them, consider why they might be apprehensive to take a hand. Be patient and explain that you don’t pity them, but rather just want the best for them. If they constantly reject your offers, respect them.</p> <p><strong>Keep them busy</strong></p> <p>Contrary to what they may believe at first, losing their independence doesn’t mean being forced to stop doing what they love. Encourage your loved one to keep pursuing their passions (where possible), find new hobbies and maintain relationships with their family members and friends – after all, it’s the people around us who help us through hardship.</p> <p><em>Image credits: Getty Images</em></p>

Caring

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Chokepoint Capitalism: why we’ll all lose unless we stop Amazon, Spotify and other platforms squeezing cash from creators

<p>In 2020, the independent authors and small publishers whose audiobooks reach their readers via Audible’s <a href="https://www.acx.com/">ACX platform</a> smelled a rat.</p> <p>Audiobooks were booming, but sales of their own books – produced at great expense and well-reviewed – were plummeting.</p> <p>Some of their royalty statements reported <em>negative</em> sales, as readers returned more books than they bought. This was hard to make sense of, because Audible only reported net sales, refusing to reveal the sales and refunds that made them up.</p> <p>Perth-based writer <a href="https://www.susanmaywriter.net/single-post/audiblegate-the-incredible-story-of-missing-sales">Susan May</a> wondered whether those returns might be the reason for her dwindling net sales. She pressed Audible to tell her how many of her sales were being negated by returns, but the company stonewalled.</p> <p>Then, in October 2020, a glitch caused three weeks of returns data to be reported in a single day, and authors discovered that hundreds (and even thousands) of their sales had been wiped out by returns.</p> <p>Suddenly, the scam came into focus: the Amazon-owned Audible had been offering an extraordinarily generous returns policy, encouraging subscribers to return books they’d had on their devices for months, even if they had listened to them the whole way through, even if they had loved them – no questions asked.</p> <p>Encouraged by the policy, some subscribers had been treating the service like a library – returning books for fresh credits they could swap for new ones. Few would have realised that Audible clawed back the royalties from the book’s authors every time a book was returned.</p> <p><strong>Good for Amazon, bad for authors</strong></p> <p>It was good for Amazon – it helped Audible gain and hold onto subscribers – but bad for the authors and the performers who created the audiobooks, who barely got paid.</p> <p>Understanding Amazon’s motivation helps us understand a phenomenon we call <a href="https://scribepublications.com.au/books-authors/books/chokepoint-capitalism-9781761380075">chokepoint capitalism</a>, a modern plague on creative industries and many other industries too.</p> <p>Orthodox economics tells us not to worry about corporations dominating markets because that will attract competitors, who will put things back in balance.</p> <p>But many of today’s big corporations and billionaire investors have perfected ways to make those supposedly-temporary advantages permanent.</p> <p>Warren Buffett salivates over businesses with “<a href="https://markets.businessinsider.com/news/stocks/warren-buffett-moat-etf-simple-explanation-for-how-he-invests-and-its-easy-to-replicate-2017-10-1005613232">wide, sustainable moats</a>”. Peter Thiel scoffs that “<a href="https://www.wsj.com/articles/peter-thiel-competition-is-for-losers-1410535536">competition is for losers</a>”. Business schools teach students ways to lock in customers and suppliers and eliminate competition, so they can shake down the people who make what they supply and buy what they sell.</p> <p><strong>Locking in customers and creators</strong></p> <p>Amazon is the poster child for chokepoint capitalism. It boasts of its “<a href="https://feedvisor.com/resources/amazon-trends/amazon-flywheel-explained/">flywheel</a>” – a self-described “<a href="https://fourweekmba.com/amazon-flywheel/">virtuous cycle</a>” where its lower cost leads to lower prices and a better customer experience, which leads to more traffic, which leads to more sellers, and a better selection – which further propels the flywheel.</p> <hr /> <figure class="align-center zoomable"><a href="https://images.theconversation.com/files/494907/original/file-20221111-21-lnbmh1.png?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=1000&amp;fit=clip"><img src="https://images.theconversation.com/files/494907/original/file-20221111-21-lnbmh1.png?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;fit=clip" sizes="(min-width: 1466px) 754px, (max-width: 599px) 100vw, (min-width: 600px) 600px, 237px" srcset="https://images.theconversation.com/files/494907/original/file-20221111-21-lnbmh1.png?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=600&amp;h=379&amp;fit=crop&amp;dpr=1 600w, https://images.theconversation.com/files/494907/original/file-20221111-21-lnbmh1.png?ixlib=rb-1.1.0&amp;q=30&amp;auto=format&amp;w=600&amp;h=379&amp;fit=crop&amp;dpr=2 1200w, https://images.theconversation.com/files/494907/original/file-20221111-21-lnbmh1.png?ixlib=rb-1.1.0&amp;q=15&amp;auto=format&amp;w=600&amp;h=379&amp;fit=crop&amp;dpr=3 1800w, https://images.theconversation.com/files/494907/original/file-20221111-21-lnbmh1.png?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;h=477&amp;fit=crop&amp;dpr=1 754w, https://images.theconversation.com/files/494907/original/file-20221111-21-lnbmh1.png?ixlib=rb-1.1.0&amp;q=30&amp;auto=format&amp;w=754&amp;h=477&amp;fit=crop&amp;dpr=2 1508w, https://images.theconversation.com/files/494907/original/file-20221111-21-lnbmh1.png?ixlib=rb-1.1.0&amp;q=15&amp;auto=format&amp;w=754&amp;h=477&amp;fit=crop&amp;dpr=3 2262w" alt="" /></a><figcaption></figcaption></figure> <hr /> <p>But the way the cycle works isn’t virtuous – it’s vicious and anti-competitive.</p> <p>Amazon openly admits to doing everything it can to lock in its customers. That’s why Audible encourages book returns: its generous offer only applies to ongoing subscribers. Audible wants the money from monthly subscribers and wants the fact that they are subscribed to prevent them from shopping elsewhere.</p> <p>Paying the people who actually made the product it sells a fair share of earnings isn’t Amazon’s priority. Because Amazon founder Jeff Bezos’ famous maxim is “<a href="https://www.marketplacepulse.com/articles/the-cost-of-your-margin-is-my-opportunity">your margin is my opportunity</a>”, the executive who figured out how to make authors foot the bill for retaining subscribers probably got a bonus.</p> <p>Another way Audible locks customers in is by ensuring the books it sells are protected by <a href="https://www.fortinet.com/resources/cyberglossary/digital-rights-management-drm">digital rights management</a> (DRM) which means they are encrypted, and can only be read by software with the decryption key.</p> <p>Amazon claims DRM stops listeners from stealing from creators by pirating their books. But tools to strip away those locks are freely available online, and it’s easy for readers who can’t or won’t pay for books to find illegal versions.</p> <p>While DRM doesn’t prevent infringement, it <em>does</em> prevent competition.</p> <p>Startups that want to challenge Audible’s dominance – including those that would pay fairly – have to persuade potential customers to give up their Audible titles or to inconveniently maintain separate libraries.</p> <p>In this way, laws that were intended to protect against infringement of copyright have become tools to protect against infringement of corporate dominance.</p> <p>Once customers are locked in, suppliers (authors and publishers) are locked in too. It’s incredibly difficult to reach audiobook buyers unless you’re on Audible. When the suppliers are locked in, they can be shaken down for an ever-greater share of what the buyers hand over.</p> <hr /> <figure class="align-center zoomable"><a href="https://images.theconversation.com/files/494908/original/file-20221111-16-pua9cp.png?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=1000&amp;fit=clip"><img src="https://images.theconversation.com/files/494908/original/file-20221111-16-pua9cp.png?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;fit=clip" sizes="(min-width: 1466px) 754px, (max-width: 599px) 100vw, (min-width: 600px) 600px, 237px" srcset="https://images.theconversation.com/files/494908/original/file-20221111-16-pua9cp.png?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=600&amp;h=377&amp;fit=crop&amp;dpr=1 600w, https://images.theconversation.com/files/494908/original/file-20221111-16-pua9cp.png?ixlib=rb-1.1.0&amp;q=30&amp;auto=format&amp;w=600&amp;h=377&amp;fit=crop&amp;dpr=2 1200w, https://images.theconversation.com/files/494908/original/file-20221111-16-pua9cp.png?ixlib=rb-1.1.0&amp;q=15&amp;auto=format&amp;w=600&amp;h=377&amp;fit=crop&amp;dpr=3 1800w, https://images.theconversation.com/files/494908/original/file-20221111-16-pua9cp.png?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;h=474&amp;fit=crop&amp;dpr=1 754w, https://images.theconversation.com/files/494908/original/file-20221111-16-pua9cp.png?ixlib=rb-1.1.0&amp;q=30&amp;auto=format&amp;w=754&amp;h=474&amp;fit=crop&amp;dpr=2 1508w, https://images.theconversation.com/files/494908/original/file-20221111-16-pua9cp.png?ixlib=rb-1.1.0&amp;q=15&amp;auto=format&amp;w=754&amp;h=474&amp;fit=crop&amp;dpr=3 2262w" alt="" /></a><figcaption></figcaption></figure> <hr /> <p><strong>How a few big buyers can control whole markets</strong></p> <p>The problem isn’t with middlemen as such: book shops, record labels, book and music publishers, agents and myriad others provide valuable services that help keep creative wheels turning.</p> <p>The problem arises when these middlemen grow powerful enough to bend markets into hourglass shapes, with audiences at one end, masses of creators at the other, and themselves operating as a chokepoint in the middle.</p> <p>Since everyone has to go through them, they’re able to control the terms on which creative goods and services are exchanged - and extract more than their fair share of value.</p> <p>The corporations who create these chokepoints are trying to “monopsonise” their markets. “Monopsony” isn’t a pretty word, but it’s one we are going to have to get familiar with to understand why so many of us are feeling squeezed.</p> <p><a href="https://www.wallstreetmojo.com/monopoly">Monopoly</a> (or near-monopoly) is where there is only one big seller, leaving buyers with few other places to turn. <a href="https://www.wallstreetmojo.com/monopsony/">Monopsony</a> is where there is only one big buyer, leaving sellers with few other places to turn.</p> <p>In our book, we quote William Deresiewicz, a former professor of English at Yale University, who points out in his book <a href="https://www.chicagoreview.org/william-deresiewicz-the-death-of-the-artist/">The Death of the Artist</a> that “if you can only sell your product to a single entity, it’s not your customer; it’s your boss”.</p> <p>Increasingly, it is how the creative industries are structured. There’s Audible for audiobooks, Amazon for physical and digital versions, YouTube for video, Google and Facebook for online news advertising, the <a href="https://www.liveabout.com/big-three-record-labels-2460743">Big Three record labels</a> (who own the big three music publishers) for recorded music, <a href="https://pluralistic.net/2022/09/12/streaming-doesnt-pay/">Spotify</a> for streaming, Live Nation for live music and ticketing – and that’s just the start.</p> <p>But as corporate concentration increases across the board, monopsony is becoming a problem for the rest of us. For a glimpse into what happens to labour markets when buyers become too powerful, just think about how monopsonistic supermarkets bully food manufacturers and farmers.</p> <figure class="align-right "><img src="https://images.theconversation.com/files/494912/original/file-20221112-11-u879gw.png?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=237&amp;fit=clip" sizes="(min-width: 1466px) 754px, (max-width: 599px) 100vw, (min-width: 600px) 600px, 237px" srcset="https://images.theconversation.com/files/494912/original/file-20221112-11-u879gw.png?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=600&amp;h=966&amp;fit=crop&amp;dpr=1 600w, https://images.theconversation.com/files/494912/original/file-20221112-11-u879gw.png?ixlib=rb-1.1.0&amp;q=30&amp;auto=format&amp;w=600&amp;h=966&amp;fit=crop&amp;dpr=2 1200w, https://images.theconversation.com/files/494912/original/file-20221112-11-u879gw.png?ixlib=rb-1.1.0&amp;q=15&amp;auto=format&amp;w=600&amp;h=966&amp;fit=crop&amp;dpr=3 1800w, https://images.theconversation.com/files/494912/original/file-20221112-11-u879gw.png?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;h=1214&amp;fit=crop&amp;dpr=1 754w, https://images.theconversation.com/files/494912/original/file-20221112-11-u879gw.png?ixlib=rb-1.1.0&amp;q=30&amp;auto=format&amp;w=754&amp;h=1214&amp;fit=crop&amp;dpr=2 1508w, https://images.theconversation.com/files/494912/original/file-20221112-11-u879gw.png?ixlib=rb-1.1.0&amp;q=15&amp;auto=format&amp;w=754&amp;h=1214&amp;fit=crop&amp;dpr=3 2262w" alt="" /><figcaption><span class="attribution"><a class="source" href="https://scribepublications.com.au/books-authors/books/chokepoint-capitalism-9781761380075">Scribe Publications</a></span></figcaption></figure> <p><strong>A fairer deal for consumers and creators</strong></p> <p>The good news is that we don’t have to put up with it.</p> <p><a href="https://scribepublications.com.au/books-authors/books/chokepoint-capitalism-9781761380075">Chokepoint Capitalism</a> isn’t one of those “Chapter 11 books” – ten chapters about how terrible everything is, plus a conclusion with some vague suggestions about what can be done.</p> <p>The whole second half is devoted to detailed proposals for widening these chokepoints out – such as transparency rights, among others.</p> <p>Audible’s sly trick only finally came to light because of the glitch that let authors see the scope of returns.</p> <p>That glitch enabled writers, led by Susan May, to organise a campaign that eventually forced Audible to reform some of its more egregious practices. But we need more light in dark corners.</p> <p>And we need reforms to contract law to level the playing field in negotiations, interoperability rights to prevent lock-in to platforms, copyrights being better secured to creators rather than publishers, and minimum wages for creative work.</p> <p>These and the other things we suggest would do much to empower artists and get them paid. And they would provide inspiration for the increasing rest of us who are supplying our goods or our labour to increasingly powerful corporations that can’t seem to keep their hands out of our pockets.</p> <hr /> <p><em>Chokepoint Capitalism: how big tech and big content captured creative labour markets, and how we’ll win them back is published on <a href="https://scribepublications.com.au/books-authors/books/chokepoint-capitalism-9781761380075">Tuesday November 15</a> by Scribe.</em><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/194069/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /></p> <p><em>Writen by Rebecca Giblin and Cory Doctorow. Republished with permission from <a href="https://theconversation.com/chokepoint-capitalism-why-well-all-lose-unless-we-stop-amazon-spotify-and-other-platforms-squeezing-cash-from-creators-194069" target="_blank" rel="noopener">The Conversation</a>.</em></p> <p><em>Image: Getty Images</em></p>

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