Category: Health

Keeping healthy in old age.

One has to work at it!

For most of us these days old age is part of the scene (and I am classifying old age as being over 70 years). Here are a few facts from the website of the World Health Organization.

Key facts

  • Worldwide obesity has nearly tripled since 1975.
  • In 2016, more than 1.9 billion adults, 18 years and older, were overweight. Of these over 650 million were obese.
  • 39% of adults aged 18 years and over were overweight in 2016, and 13% were obese.
  • Most of the world’s population live in countries where overweight and obesity kills more people than underweight.
  • 39 million children under the age of 5 were overweight or obese in 2020.
  • Over 340 million children and adolescents aged 5-19 were overweight or obese in 2016.
  • Obesity is preventable.

What are obesity and overweight Overweight and obesity are defined as abnormal or excessive fat accumulation that may impair health.

Body mass index (BMI) is a simple index of weight-for-height that is commonly used to classify overweight and obesity in adults. It is defined as a person’s weight in kilograms divided by the square of his height in meters (kg/m2).

Adults

For adults, WHO defines overweight and obesity as follows:

  • overweight is a BMI greater than or equal to 25; and
  • obesity is a BMI greater than or equal to 30.

BMI provides the most useful population-level measure of overweight and obesity as it is the same for both sexes and for all ages of adults. However, it should be considered a rough guide because it may not correspond to the same degree of fatness in different individuals.

World Health Organisation

This is the link for anyone who wants to use the BMI Calculator.

Now this is not a post about obesity or being overweight. It is a post taken from The Conversation about staying as healthy as one can in one’s older years.

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Steep physical decline with age is not inevitable – here’s how strength training can change the trajectory

Resistance training can take many forms and can be individualized to suit a person’s needs as they age. Jamie Grill/Tetra Images via Getty Images

Zachary Gillen, Mississippi State University

Raise your hand if you regularly find yourself walking up a flight of stairs. What about carrying heavy bags of groceries? How about picking up your child or grandchild? Most of us would raise our hands to doing at least one of those weekly, or even daily.

As people age, it can become more and more difficult to perform some physical tasks, even those that are normal activities of daily living. However, prioritizing physical fitness and health as you get older can help you go through your normal day-to-day routine without feeling physically exhausted at the end of the day.

It can also help you continue to have special memories with your family and loved ones that you might not have been able to have if you weren’t physically active. For example, I ran two half-marathons with my dad when he was in his 60s!

I am an exercise physiologist who studies how people can use resistance training to improve human performance, whether it be in sports and other recreational settings, in everyday life, or both. I am also a certified strength and conditioning specialist. My career has given me the opportunity to design exercise programs for kids, college athletes and elderly adults.

Staying physically active as you get older doesn’t need to include running a half-marathon or trying to be a bodybuilder; it could be as simple as trying to get through the day without feeling winded after you go up a flight of stairs. Although our muscles naturally get weaker as we age, there are ways we can combat that to help improve quality of life as we get older.

Man in his 60s, a middle-aged woman and a middle-aged man, all wearing race medals and running gear.
From left are the author’s father, who was age 61 at the time, the author’s wife and the author after completing the Lincoln Half Marathon. Zachary Gillen, CC BY-NC-ND

Muscle loss and chronic disease

One of the most important parts of exercise programming, no matter who I am working with, is proper resistance training to build muscle strength. Some amount of age-related loss of muscle function is normal and inevitable. But by incorporating resistance training that is appropriate and safe at any ability level, you can slow down the rate of decline and even prevent some loss of muscle function.

The medical term for a condition that involves age-related loss of muscle function and mass is sarcopenia. Sarcopenia can begin as early as age 40, but it tends to be more common in adults age 60 and older. Sarcopenia is associated with a number of health issues such as increased risk of falling, cardiovascular disease and metabolic disease, among others.

In one of our team’s previous studies, we saw that otherwise healthy individuals with sarcopenia had issues delivering vital nutrients to muscle. This could lead to greater likelihood of various diseases, such as Type 2 diabetes, and slow down recovery from exercise.

Recent estimates suggest that sarcopenia affects 10% to 16% of the elderly population worldwide. But even if a person doesn’t have clinically diagnosed sarcopenia, they may still have some of the underlying symptoms that, if not dealt with, could lead to sarcopenia.

Strength training is key

So the question is, what can be done to reverse this decline?

Recent evidence suggests that one of the key factors leading to sarcopenia is low muscle strength. In other words, combating or reversing sarcopenia, or both, may be best done with a proper resistance-training program that prioritizes improving strength. In fact, the decline in muscle strength seems to occur at a much faster rate than the decline in muscle size, underscoring the importance of proper strength training as people age.

Chart showing the general pattern for changes in muscle strength and size across stage of life.
Typical age-related changes in muscle strength and size with and without strength training. Zachary Gillen

Continuing to regularly strength train with moderate to heavy weights has been shown to be not only effective at combating the symptoms of sarcopenia but also very safe when done properly. The best way to make sure you are strength training properly is to seek out guidance from a qualified individual such as a personal trainer or strength and conditioning specialist.

Despite the clear benefits of strength training, it’s been shown that only about 13% of Americans age 50 and older do some form of strength training at least twice a week.

Finding what works for you

So how does a person properly strength train as they age?

The National Strength and Conditioning Association, a leading organization in advancing strength and conditioning around the world, states that for older adults, two to three days per week of strength training can be incredibly helpful for maintaining healthy muscle and bone and combating a number of chronic conditions.

The organization recommends that these workouts involve one to two exercises involving multiple joints per major muscle group, with six to 12 repetitions per set. These are done at an intensity of 50% to 85% of what’s known as one-repetition maximum – the most weight you could handle for a single repetition – with the exception of body weight exercises that use one’s own body weight as the resistance, such as pushups.

I would also recommend resting for about two to three minutes between sets, or even up to five minutes if the set was challenging. For older adults, particularly those age 60 and older, the National Strength and Conditioning Association guidelines suggest that a program like this be performed two to three days per week, with 24 to 48 hours between sessions.

An example of a strength training routine for older adults based on the National Strength and Conditioning Association guidelines

There are a great variety of exercises that could be done interchangeably in a strength training program like this.

ExerciseNumber of setsRepetitions per setIntensity
Barbell squat3670-85%
Barbell bench press3670-85%
Dumbbell lunges38 per leg50-70%
Dumbbell bent over row31050-70%
Double-leg hops212Body weight
Pushups212Body weight

Table: The Conversation Source: Zachary Gillen Get the data Created with Datawrapper

Making life’s tasks lighter

The guidelines above are only one example out of many options, but they provide a framework that you can use to build your own program. However, I would highly recommend seeking out a professional in the field to give specific exercise programming advice that can be tailored to your own needs and goals as you age.

Following such a program would give your muscles an excellent stimulus to enhance strength, while also allowing enough recovery, a very important consideration as people age. You might think it looks like a huge time commitment, but an exercise routine like this can be done in less than an hour. This means that in less than three hours of strength training per week you can help improve your muscle health and reduce the risk of getting sarcopenia and associated health issues.

It’s also important to note that there is no one right way to do resistance training, and it needn’t involve traditional weight equipment. Group classes like Pilates and yoga or those that involve circuit training and work with resistance bands can all produce similar results. The key is to get out and exercise regularly, whatever that entails.

Zachary Gillen, Assistant Professor of Exercise Physiology, Mississippi State University

This article is republished from The Conversation under a Creative Commons license. Read the original article.

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My wife, Jean, was diagnosed with Parkinson’s Disease (PD) in December, 2015. Many of you know that.

Fortunately at our local Club Northwest there was a group of PD sufferers who twice a week held a ‘Rock Steady Class’ under the instruction of a professional coach; Jean joined the group. It was a brilliant move for Jean and she gets a huge amount of care from being with them.

Luckily for me having to drive Jean into Club Northwest it made sense for me to sign up to a fitness class at the same time so I am put through a regular fitness routine under the coaching of Bruce. Plus I try and go bike riding three times a week.

In other words, we both try and stay as fit as we can.

A calmer mind – Wood

Concluding the series from BBC Radio 4

If you have not registered with the BBC then you will need to do so before the link at the bottom works.

This last time it is wood. Here it is:

In this episode – Wood – we visit the Woodwork for Wellbeing Workshop in Bethnal Green, London where every Tuesday people with mental health issues spend time making things with wood. They find it to be very therapeutic and fun. And Professor Miles Richardson of the University of Derby shares research from Japan which shows that simply touching wood is calming.

Produced and Presented by Helen Needham

Research by Anna Miles and Maud Start

Original Music by Anthony Cowie

Mixed by Ron McCaskill

BBC Radio 4

https://www.bbc.co.uk/sounds/play/m001np8k

This is the last one of this series from the Beeb and if any of you have noticed I chose to present these programmes in a different order to that presented by the BBC.

chose‘ is only slightly accurate – the true reason is that I screwed up!

A calmer mind – Earth

Another broadcast from BBC Radio 4 in this series!

As I said before, so far this has been a fascinating series of programmes and, hopefully, some of you have listened to the episodes.

In Episode 5 – Earth – we visit the Horticultural Therapy Trust allotment in Plymouth and discover how gardening can be soothing for people with severe mental illnesses. We also hear about how putting our hands in the earth can be good for our gut microbiome and potentially our mental health.

Produced and Presented by Helen Needham
Research by Anna Miles and Maud Start
Original Music by Anthony Cowie
Mixed by Ron McCaskill and Malcolm Torrie

A BBC Scotland Production made in Aberdeen for BBC Radio 4

BBC Radio 4

https://www.bbc.co.uk/programmes/m001p6vt

Tomorrow we publish another programme in this series.

A calmer mind – Air

The choice is now air.

This is about breathing and is something I know about. Because Bruce at our local ClubNorthwest has a session with me when I spend five minutes or so taking in through the nose the deepest breath that I can.

If you have not registered with the BBC then you will need to do so before the link at the bottom works.

In Episode 4 – Air – we visit an infant school in Nottingham where young children regularly learn breathing techniques to reduce stress and anxiety. We also hear about research from Italy showing how slowing our breathing impacts positively on brain activity. Plus breath coach and founder of School Breathe, Aimee Hartley, shares her experience of learning to breathe well.

Produced and Presented by Helen Needham
Research by Anna Miles and Maud Start
Original Music by Anthony Cowie
Mixed by Ron McCaskill and Malcolm Torrie

A BBC Scotland Production made in Aberdeen for BBC Radio 4

BBC Radio 4

https://www.bbc.co.uk/programmes/m001p1pg

Another programme tomorrow!

A calmer mind – Water

Continuing this fascinating series from BBC Radio 4.

Last week the BBC chose to present a programme called An Almanac for Anxiety. There were five episodes: Fire; Wood: Water: Air; Earth.

If you have not registered with the BBC then you will need to do so before the link below works.

The details of each episode were presented on the BBC website:

In Episode 3 – Water – we join a group of socially prescribed outdoor swimmers on Teignmouth Beach in Devon who find joy in immersing themselves in cold water. We also hear why spending time around blue spaces is so effective at promoting a sense of calm from Dr Catherine Kelly of the University of Brighton.

Produced and Presented by Helen Needham
Research by Anna Miles and Maud Start
Original Music by Anthony Cowie
Mixed by Ron McCaskill and Malcolm Torrie

A BBC Scotland Production made in Aberdeen for BBC Radio 4

BBC Radio 4

https://www.bbc.co.uk/programmes/m001nvp1

Tomorrow we present the episode on Air.

Trust you are enjoying these!

A calmer mind – Fire

A fascinating series from BBC Radio 4

Last week the BBC chose to present a programme called An Almanac for Anxiety. There were five episodes: Fire; Wood: Water: Air; Earth.

If you have not registered with the BBC then you will need to do so before the link below works.

The details of each episode were presented on the BBC website:

Anxiety is the most common form of mental illness in the UK, with nearly a fifth of people experiencing it over the course of a year. Although it is often treated through medication, there are many alternative ways which are proving to be very effective in reducing anxiety amongst some people. In this series, we explore how connecting with the elemental forces of nature helps people with a range of mental illnesses to feel better. We also learn about the current academic research behind these methods.

In Episode 1 – Fire – we visit an overnight camp on the banks of the River Spey near Aviemore in the Scottish Highlands run by the charity Fire and Peace. According to the participants, – who have a range of mental ill health and addiction issues – the experience of spending time around the fire in nature is transformative when it comes to promoting feelings of connection and wellbeing. We also hear new research which shows how being around a campfire can be calming.

BBC Radio 4

I am going to share the link to the BBC each day this week with a new episode each day. The programmes are 15 minutes long and in my opinion well worth listening to.

So here’s the first one:

https://www.bbc.co.uk/sounds/play/m001ng75

Tomorrow, it is the turn of wood!

Now above we were told: ‘Anxiety is the most common form of mental illness in the UK’ but of course we all know that anxiety affects many millions across the world. That is why I intend to share with you all five programmes.

Ways to help stray animals.

A welcome to a new guest author from India.

A while ago I was contacted by email from Anushka Mishra about her writing a guest post. This is what I received:

Greetings,

This is Anushka Mishra, Content Strategist at Jaldee Vets. We hope this email finds you well. We are writing to propose a guest blogging opportunity for your esteemed pet care blog. Our platform, Jaldee Vets specializes in pet care with a significant emphasis towards strays. In the spirit of becoming the voice for the voiceless, we provide free consultancy to stray animals. Through our blog posts we want to convey the message of carrying out social responsibility of protecting stray and providing care to animals.

We will be providing an SEO optimized blog of 500-600 words. With our high-quality guest blog, you will benefit from fresh and engaging content that can captivate your readers. We can offer our expertise in pet care to cover topics such as nutrition, health, training, and grooming, providing valuable insights to your audience.

In return, we would gain exposure to your dedicated readership and the opportunity to showcase our #StrayLivesMatter initiative of providing free consultancy to strays. It would be an excellent platform for us to establish ourselves as a reliable resource and expand our reach within the pet care community.

We look forward to discussing the specifics and exploring potential topics. We eagerly await your positive response.

Warm regards,

Anushka Mishra

As is normal in these situations I took a look at the organisation that Anushka represented and replied:

Anushka,

Good day to you and thank you for your email and the offer.

Unfortunately, I only take guest posts from those who have no business connection because otherwise I would have the challenge of determining what businesses I would support and what businesses I would not support.

Hope you understand,

Kind regards,

Paul H.

However, I got it wrong because Jaldee Vets is in the business of doing much more. They are an Indian firm that provide online services including providing free online vet consultations for stray dogs and cats.

So here is Anushka’s guest post.

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Ways to help stray animals

The bigger picture of looking at the whole world is that around 200 million strays embrace the streets, finding love and joy in slight caresses and mini treats. Every nation has strays flaunting their roads. However, what differentiates one is the condition in each of these countries. In some countries, the situation of street animals is alarming, with the perpetual enmity of brutal and inhumane behaviour towards them. The indifference towards these creatures has led to a massive shoot in their population. They are usually left to cater for themselves and are more prone to fall prey to some diseases.

On the contrary, some countries look after their strays with utmost concern. They have working policies for neutering and spraying strays and adequate amenities to provide suitable shelter care. Along with the direct accommodations, there is always a persistent attempt at propagating vigilance and educating people. As a living entity endowed with the privilege to stand up for ourselves and speak our concerns out loud, it is our responsibility to tend to those devoid of such benefits. The implementation and execution of official policies and reforms are outside our hands. However, it’s well within our powers to do small bits and pieces to make life easier for these hustling babies. 

Helping stray animals

Adopt

The best way to help the button-eyed sweethearts is by welcoming them into the comfort of your abode. Bringing home a new member can add a hint of sparkling confetti to the lives of all the family members. On the other hand, it would always bestow the four-legged friend with a healthier living ribboned in kindness and surrounded by loved ones. If you have doubts about becoming a full-time parent, there’s always an option of fostering. This allows you a trial run for a life as a pet parent and gives the pet adequate living temporarily until they find a permanent residence. 

Volunteer

Various animal welfare organizations work towards rescuing and sheltering stray animals. These organizations are always open towards a helping hand who can assist with multiple works. Volunteering involves but isn’t limited to helping in the rescuing process. The job extends to several back-end works such as photography, content writing, bringing sponsors on board, etc. Volunteering in such initiatives is a noble method of helping stray animals and would also give you some quality time with these endearing pets. 

Generating awareness

Little drops accumulate together to make an entire ocean; thus, every drop counts. Just like that, every small step towards raising awareness and educating people on the cause of animal safety can eventually make a profound difference. No one alone can end all the mistreatment and cruelty happening to animals. However, we can do our best by educating our friends, family and acquaintances on the subject. You can participate in events promoting such values or engage with online campaigns to help add more voice to the cause. 

Feed and Care

All it takes to help a stray is a strong will and good food. The easiest way to bring joy to these lovely friends is by feeding them and providing them warm clothes if winter is around the corner. Good food would ensure a healthy and sound living for stray animals, which they direly require. 

When Injury strikes?

Unless you are a professional or vet, you can do only so much. On some grim day, you may stumble across an injured animal. The immediate response to such a situation should always be to consult a vet. Jaldee Vets, with its online consulting platform, is thriving to make lives more manageable for stray animals. Through our site, one can avail of free online consultancy for strays who may require the same. If you encounter an animal injured or have met with an accident and can’t find a clinic nearby, you can hop on to the site and get immediate help for the furry pal. The consultancy is online and completely free. 

Strays are a social responsibility. To help them isn’t just a noble cause but a necessary one. So, wait no further and take these small and practical steps to shower some ounces of comfort and kindness into the lives of many animals.  

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The only way to close this is by adding a couple of pictures from Unsplash of stray dogs.

Photo by Anoir Chafik on Unsplash

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Photo by Evan Clark on Unsplash

These pictures make my heart ache and I hope you support Jaldee Vets. Finally are you in favour of me publishing guest posts from Anushka? Please give me feedback.

Picture Parade Five Hundred and Two

Yet more dogs courtesy of Unsplash.

Photo by FLOUFFY on Unsplash

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Photo by Neil Fedorowycz on Unsplash

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Photo by Caspar Rae on Unsplash

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Photo by Caspar Rae on Unsplash

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Photo by Cristina Anne Costello on Unsplash

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Photo by Juho Luomala on Unsplash

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Photo by Silvana Carlos on Unsplash

Precious animals!

The brain

A fascinating account

I was struggling with the post for tomorrow and then saw this article on The Conversation. It may not be everyone’s cup of tea but nevertheless I find it sufficiently interesting to publish it.

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Psychedelics plus psychotherapy can trigger rapid changes in the brain − new research at the level of neurons is untangling how

New research hints at how psychedelics can trigger rapid, lasting change. wildpixel/iStock via Getty Images Plus

Edmund S. Higgins, Medical University of South Carolina

The human brain can change – but usually only slowly and with great effort, such as when learning a new sport or foreign language, or recovering from a stroke. Learning new skills correlates with changes in the brain, as evidenced by neuroscience research with animals and functional brain scans in people. Presumably, if you master Calculus 1, something is now different in your brain. Furthermore, motor neurons in the brain expand and contract depending on how often they are exercised – a neuronal reflection of “use it or lose it.”

People may wish their brains could change faster – not just when learning new skills, but also when overcoming problems like anxiety, depression and addictions.

Clinicians and scientists know there are times the brain can make rapid, enduring changes. Most often, these occur in the context of traumatic experiences, leaving an indelible imprint on the brain.

But positive experiences, which alter one’s life for the better, can occur equally as fast. Think of a spiritual awakening, a near-death experience or a feeling of awe in nature.

a road splits in the woods, sun shines through green leafy trees
A transformative experience can be like a fork in the road, changing the path you are on. Westend61 via Getty Images

Social scientists call events like these psychologically transformative experiences or pivotal mental states. For the rest of us, they’re forks in the road. Presumably, these positive experiences quickly change some “wiring” in the brain.

How do these rapid, positive transformations happen? It seems the brain has a way to facilitate accelerated change. And here’s where it gets really interesting: Psychedelic-assisted psychotherapy appears to tap into this natural neural mechanism.

Psychedelic-assisted psychotherapy

Those who’ve had a psychedelic experience usually describe it as a mental journey that’s impossible to put into words. However, it can be conceptualized as an altered state of consciousness with distortions of perception, modified sense of self and rapidly changing emotions. Presumably there is a relaxation of the higher brain control, which allows deeper brain thoughts and feelings to emerge into conscious awareness.

Psychedelic-assisted psychotherapy combines the psychology of talk therapy with the power of a psychedelic experience. Researchers have described cases in which subjects report profound, personally transformative experiences after one six-hour session with the psychedelic substance psilocybin, taken in conjunction with psychotherapy. For example, patients distressed about advancing cancer have quickly experienced relief and an unexpected acceptance of the approaching end. How does this happen?

glowing green tendrils of a neuron against a black background
Neuronal spines are the little bumps along the spreading branches of a neuron. Patrick Pla via Wikimedia Commons, CC BY-SA

Research suggests that new skills, memories and attitudes are encoded in the brain by new connections between neurons – sort of like branches of trees growing toward each other. Neuroscientists even call the pattern of growth arborization.

Researchers using a technique called two-photon microscopy can observe this process in living cells by following the formation and regression of spines on the neurons. The spines are one half of the synapses that allow for communication between one neuron and another.

Scientists have thought that enduring spine formation could be established only with focused, repetitive mental energy. However, a lab at Yale recently documented rapid spine formation in the frontal cortex of mice after one dose of psilocybin. Researchers found that mice given the mushroom-derived drug had about a 10% increase in spine formation. These changes had occurred when examined one day after treatment and endured for over a month.

diagram of little bumps along a neuron, enlarged at different scales
Tiny spines along a neuron’s branches are a crucial part of how one neuron receives a message from another. Edmund S. Higgins

A mechanism for psychedelic-induced change

Psychoactive molecules primarily change brain function through the receptors on the neural cells. The serotonin receptor 5HT, the one famously tweaked by antidepressants, comes in a variety of subtypes. Psychedelics such as DMT, the active chemical in the plant-based psychedelic ayahuasca, stimulate a receptor cell type, called 5-HT2A. This receptor also appears to mediate the hyperplastic states when a brain is changing quickly.

These 5-HT2A receptors that DMT activates are not only on the neuron cell surface but also inside the neuron. It’s only the 5-HT2A receptor inside the cell that facilitates rapid change in neuronal structure. Serotonin can’t get through the cell membrane, which is why people don’t hallucinate when taking antidepressants like Prozac or Zoloft. The psychedelics, on the other hand, slip through the cell’s exterior and tweak the 5-HT2A receptor, stimulating dendritic growth and increased spine formation.

Here’s where this story all comes together. In addition to being the active ingredient in ayahuasca, DMT is an endogenous molecule synthesized naturally in mammalian brains. As such, human neurons are capable of producing their own “psychedelic” molecule, although likely in tiny quantities. It’s possible the brain uses its own endogenous DMT as a tool for change – as when forming dendritic spines on neurons – to encode pivotal mental states. And it’s possible psychedelic-assisted psychotherapy uses this naturally occurring neural mechanism to facilitate healing.

A word of caution

In her essay collection “These Precious Days,” author Ann Patchett describes taking mushrooms with a friend who was struggling with pancreatic cancer. The friend had a mystical experience and came away feeling deeper connections to her family and friends. Patchett, on the other hand, said she spent eight hours “hacking up snakes in some pitch-black cauldron of lava at the center of the Earth.” It felt like death to her.

Psychedelics are powerful, and none of the classic psychedelic drugs, such as LSD, are approved yet for treatment. The U.S. Food and Drug Administration in 2019 did approve ketamine, in conjunction with an antidepressant, to treat depression in adults. Psychedelic-assisted psychotherapy with MDMA (often called ecstasy or molly) for PTSD and psilocybin for depression are in Phase 3 trials.

Edmund S. Higgins, Affiliate Associate Professor of Psychiatry & Family Medicine, Medical University of South Carolina

This article is republished from The Conversation under a Creative Commons license. Read the original article.

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This is not for the innocents and it requires someone of the ilk of Professor Higgins to advise.

Plus one needs to stay close to the U.S. Food and Drug Administration. To close, I will repeat the phrase above, psychedelics are powerful.

Picture Parade Five Hundred and One

More dogs for the first day of the month of October.

Again, these pictures are taken from Unsplash. Frankly I do not know what I would do if the many photographers had not put their photos for free on this website. I have found a relatively easy way of crediting each photographer.

Photo by Sayan Majhi on Unsplash

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Photo by Lucas Santos on Unsplash

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Photo by Ashley Anthony on Unsplash

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Photo by Dan LeFebvre on Unsplash

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Photo by Juho Luomala on Unsplash

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Photo by Dan on Unsplash