
Common sleep aid supplements could potentially elevate the risk of developing Alzheimer’s disease.
View pictures in App save up to 80% data. Image source: Unsplash+ Achieving restful sleep is crucial for overall health. It enhances cognitive abilities, boosts the immune system, and contributes to cardiovascular wellness. Conversely, issues with sleep such as insomnia and sleep apnea can result in significant health complications and may elevate the risk of neurodegenerative disorders, including Alzheimer’s disease. Insufficient sleep is frequently an early indicator of ailments like dementia, highlighting the importance of recognizing the ways in which sleep supports brain health. New research published in Cell sheds light on how the brain clears harmful waste during sleep. For the first time, scientists have identified a coordinated process during non-REM sleep in mice involving the neurotransmitter norepinephrine, cerebral blood flow, and cerebrospinal fluid (CSF). These coordinated waves stimulate the glymphatic system, a complex network responsible for eliminating waste from the brain, such as proteins like amyloid and tau that are associated with neurodegenerative disorders. Exploring the Brain's Waste Clearance Mechanism During sleep, the brain shifts from handling external stimuli to prioritizing internal upkeep, including the removal of waste products. Maiken Nedergaard, MD, DMSc, co-director of the University of Rochester Center for Translational Neuromedicine, states that the elimination of waste is essential for maintaining brain health, which could shed light on the restorative benefits of sleep. The research indicated that norepinephrine is crucial in this mechanism. This neurotransmitter, often linked to alertness and stress response, facilitates the formation of slow, synchronized waves during non-REM sleep. These waves, referred to as "micro-arousals," lead to the rhythmic constriction of blood vessels in the brain, a phenomenon known as vasomotion. This activity creates the necessary pumping action to facilitate the movement of cerebrospinal fluid (CSF) through the glymphatic system, aiding in the removal of waste. A Significant Advancement in Sleep Study The scientists employed a sophisticated method known as flow fiber photometry, along with various monitoring instruments, to investigate the brain activity of freely roaming mice while they experienced natural sleep and wakefulness. In contrast to previous research that utilized anesthetized mice in a restrained position, this approach enabled researchers to monitor continuous brain function in a more organic environment. The research addressed a significant void in our comprehension of the glymphatic system. It was discovered that norepinephrine plays a crucial role in initiating these slow waves and micro-arousals, which has been termed the “missing link” in the system's operation. “These results offer a more detailed understanding of the brain's mechanisms at work during sleep,” remarked Natalie Hauglund, Ph.D., the lead author of the study. Sleep Aids and Their Unseen Dangers The study also explored the impact of the sleep medication zolpidem, which is widely recognized by its brand name Ambien. Although the medication aided mice in achieving sleep, it interfered with the normal fluctuations of norepinephrine, hindering the proper functioning of the glymphatic system. This disruption in the brain's waste removal process might eventually result in neurological problems. This brings to light worries regarding the extended use of medication for sleep. "It is essential to protect the natural structure of sleep to ensure the health of the brain," stated Nedergaard. The research indicates that although sleep aids can help alleviate the symptoms of insomnia, they might unintentionally heighten the risk of neurodegenerative disorders by inhibiting essential brain activities. Taking a Step Towards Improved Sleep Solutions This study underscores the significance of natural sleep in maintaining brain health and paves the way for innovative methods to enhance sleep quality. By focusing on the dynamics of norepinephrine and other intrinsic processes, researchers could create therapies that promote better sleep while preserving its restorative qualities. To summarize, this research offers essential information on the process by which sleep removes toxins from the brain and highlights the potential dangers of using specific sleep medications. It stresses the importance of obtaining natural, uninterrupted sleep to safeguard brain health and avert chronic neurological problems. If you care about Alzheimer’s, please read studies about the likely cause of Alzheimer’s disease and new non-drug treatment that could help prevent Alzheimer’s. For more information about brain health, please see recent studies about diet that may help prevent Alzheimer’s, and results showing some dementia cases could be prevented by changing these 12 things. The research findings can be found in Cell.

From Emotional Balance to Immune Strength: The Role of AG1 in Promoting Overall Health
View pictures in App save up to 80% data. January marks a fresh start for many of us, as we aim to improve our habits. Whether it's initiating a new workout plan, reducing alcohol consumption, or adopting a healthier diet, this month brings a revitalizing energy. Often, this journey includes letting go of the past — such as the lethargy that comes from weeks of festive indulgence. When considering detoxification, resorting to extreme methods such as trendy diets or aggressive "cleansing teas" is not only unnecessary but can also lead to discomfort. The positive aspect is that your body naturally has the ability to detoxify itself, provided it receives adequate support. This involves ensuring a sufficient intake of fiber, antioxidants, and probiotics to maintain a healthy digestive system. Additionally, even with a balanced diet, a high-quality multivitamin can help bridge any nutritional deficiencies and enhance your energy levels. You don’t have to rely on an extensive array of pills and supplements to achieve optimal wellness. Introducing AG1, the scientifically-supported daily health beverage. Loaded with probiotics, fiber, vitamins, minerals, antioxidants, and adaptogens, AG1 simplifies your morning routine by providing all your nutritional needs in just one scoop mixed with water. It’s the simplest solution to hydrate, nourish, and start your day right. Let's take a closer look at what makes AG1 the ultimate solution for whole-body health. A Healthy Digestive System Equals a Happier You View pictures in App save up to 80% data. A healthy gut is the foundation of overall well-being, and research shows that gut health plays a key role in supporting both your immune system and mental health. That's why AG1 is packed with ingredients specifically designed to nurture your digestive system and keep things running smoothly. Prebiotics such as apple pectin and inulin nourish the beneficial bacteria in your digestive system, supporting their growth and balance. Additionally, AG1 features probiotics like Lactobacillus acidophilus and Bifidobacterium bifidum—two advantageous strains that encourage digestive health and alleviate bloating discomfort. However, the benefits don’t end there — the digestive enzymes found in AG1 offer extra assistance by aiding in food breakdown and enhancing nutrient absorption. Bromelain, a natural enzyme sourced from pineapple, enables your body to maximize the nutritional value of each meal, while ginger promotes digestive comfort, particularly for individuals who have difficulty with vitamins or minerals. To complete the formula, burdock root enhances nutrient absorption, promotes healthy digestion, and provides a potent dose of antioxidants to combat free radicals that may lead to chronic illnesses. Antioxidants and Adaptogens: Keys to Achieving Balance and Resilience View pictures in App save up to 80% data. Although you can obtain some antioxidants through your diet, AG1 offers a robust blend of powerful antioxidants derived from various natural sources. Acerola cherries are rich in the antioxidant powerhouse known as vitamin C, while AG1 includes essential flavonoids such as hesperidin sourced from citrus fruits. These flavonoids bolster your immune system and help combat inflammation. Additionally, cocoa beans can enhance your skin's elasticity, and the polyphenols found in cocoa may benefit your cardiovascular health. CoQ10 plays a vital role in supporting cellular function and combating oxidative stress. While grape seed extract might not be a regular part of your meals, it's included in AG1. This extract contains proanthocyanidins that can potentially reduce cholesterol levels and inflammation. While antioxidants fight off oxidative stress, adaptogens can help balance the stress that can come into your life. Adaptogens won't get rid of the sources of stress, but they may help your body adapt to your stressful circumstances and stave off the damage of mental stress. You won't find adaptogens in your daily diet, but you'll find them in AG1. Ashwagandha, eleuthero root, licorice root, and rhodiola team up to keep your mind clear and cool while under stress. Nutrients, trace elements, and powerhouse foods found in AG1 View pictures in App save up to 80% data. Many people may take a multivitamin, but you won't need to swallow that big multivitamin pill with AG1. You'll get the same amount of vitamins and minerals in your standard multivitamin in AG1, but you'll love the extra B vitamins to support all your energy needs with zero caffeine. That means no crash when the caffeine leaves your system. The biotin will also keep your hair, nails, and skin healthy. Folate supports your brain's neurotransmitters, and magnesium glycinate relaxes your mind and body. AG1 condenses a variety of superfoods into one convenient scoop. Even if you're not a fan of beets, they play a vital role in enhancing your blood pressure and boosting athletic performance. AG1 includes both beets and bilberries, the latter packed with phytochemicals that can enhance circulation. Additionally, the phytochemicals found in papaya are beneficial for gut and skin health. Interested in the health advantages of mushrooms? AG1 has you covered with reishi and shiitake mushrooms that can elevate your well-being. Spirulina is also part of AG1, helping to prevent toxin accumulation in your body. As with other greens powders, you'll discover wheatgrass, barley grass, and alfalfa, which provide essential phytonutrients to help maintain your overall health. AG1 undergoes rigorous quality testing and is supported by scientific research. View pictures in App save up to 80% data. You can buy other greens powders, but AG1 is backed by science. AG1 has learned over the years that health-conscious people want to know exactly what they're putting in their bodies. AG1 has an in-house team of doctors, scientists and researchers who apply rigorous scientific protocols to ensure you'll get the best product possible. While that might sneak in some bias, AG1 also invites third-party scientists to validate the health benefits of AG1. For example, a 2024 study in the Journal of the International Society of Sports Nutrition found that AG1 increased the good bacteria in the gut after just four weeks of use. AG1 also improved certain functional pathways in the gut while reducing harmful bacteria. Since supplements are not overseen by the FDA, it can be challenging to know the exact contents and quantities of ingredients in your supplement. However, AG1 holds the NSF Certified for Sport designation, indicating that it complies with NSF's strict safety and quality criteria. NSF not only examines the components of AG1 but also inspects the production facility to guarantee that the product matches the label claims. Additionally, AG1 does not contain any prohibited substances, pesticides, heavy metals, or harmful toxins. It is also suitable for individuals with allergies to gluten, milk, eggs, and peanuts. No Earthy Flavor, Only Pure Delight View pictures in App save up to 80% data. If you've tried greens powders before, you're probably familiar with their earthy, grass-like flavor, which can make it tough to incorporate them into your daily routine. Some brands resort to artificial flavors or sweeteners to improve taste, but not AG1. AG1 offers a subtle blend of natural vanilla and pineapple flavors, all while avoiding added sugars and artificial sweeteners. It dissolves seamlessly in its shaker bottle or with a spoon, ensuring there are no pesky clumps of greens powder settling at the top or adhering to the bottom. AG1 is available in powder form to enhance the absorption of its nutrients by your body. AG1 lacks two essential nutrients: iron and vitamin D. The requirement for iron varies by age and gender, and it can hinder the absorption of other nutrients present in AG1. Additionally, vitamin D is more effectively absorbed in liquid form, which is why AG1 provides separate liquid drops of vitamin D3+K2, allowing you to tailor your vitamin D intake to your individual needs. In your initial month of AG1, you'll receive a canister designed for storing your AG1 powder in the refrigerator, ensuring your digestive health remains at its best. Additionally, your welcome kit includes an AG1 shaker and scoop, allowing you to mix your AG1 seamlessly each morning. To top it off, with your first subscription order, you'll also receive 5 complimentary AG1 travel packs, perfect for maintaining your wellness while traveling. Make 2025 the year you take ownership of your health. With AG1, it's never been easier to nourish your body, simplify your routine, and start every day feeling your best.

Armadale resident recounts his remarkable journey to weight loss success.
When Michael Ashby relocated to Scotland in 2001, he tipped the scales at over 24 stone and was experiencing a significant deterioration in his health. View pictures in App save up to 80% data. Michael prior to his significant weight loss. An Armadale resident is in excellent shape following his impressive weight loss journey. When Michael Ashby relocated to Scotland in 2001, he tipped the scales at over 24 stone and was experiencing a significant deterioration in his health. At one stage, he was on a regimen of seven distinct medications, which included tablets for managing blood pressure, cholesterol levels, and diabetes, in addition to daily insulin shots. However, after choosing to embark on a weight loss journey, Michael's life has undergone a remarkable transformation for the better. "Shedding the extra pounds allowed me to stop taking blood pressure medication, eliminate cholesterol pills, and cut my insulin dosage by 50%," he explained. Throughout the years, he managed to shed approximately seven stone, but eventually reached a standstill in his progress. Michael recognized the need for a shift in his mindset, prompting him to enroll in Slimming World. His motivation stemmed not only from a desire to improve his health but also from the wish to see his four grandchildren thrive and grow. Michael went on to say, “I aimed to shed more weight, but I encountered a major obstacle.” “I really appreciate that Slimming World’s Food Optimising focuses on consuming nutritious foods. It allows for a great combination of speed-free options alongside Healthy Extra selections.” “My favorite dish is curry, and it has become a favorite among the entire family. There’s always enough to go around!” During a routine doctor's check-up, Michael came to understand the true significance of his achievements. His doctor informed him that he no longer needed to take medication for blood pressure or cholesterol, and that his insulin dosage had been reduced by fifty percent. At that instant, he genuinely felt that achieving his goal was within his grasp. “I was resolute in achieving my target weight,” he shared. “I feel more energetic now, and I’m walking more often and at a quicker pace.” "My greatest struggle was letting go of all things sugary - chips, cookies, and pastries." "I take pride in my achievements. When others see me today, they are often shocked by how great I appear." Sandra, Michael’s wife, remarked, “I’m really proud of Michael for persevering and reaching his personal weight goal. He never gave up and has completely transformed his health.” View pictures in App save up to 80% data. Michael's journey to losing weight is truly motivating. Sandra Hartley, Michael's Slimming World consultant, is thrilled with his progress as she leads their group at Armadale Methodist Church. She remarked, “With Michael having achieved his target weight, he is now challenging himself even more by aiming to reduce his weight further to fall into a healthy BMI range.” “Join a weight loss group and you won’t look back—you’ll be glad you did!” Sandra's sessions take place every Thursday at 5:30 PM and on Fridays at 7:30 AM and 9:30 AM at the Armadale Methodist Church.

Norovirus, COVID-19, influenza, and RSV: Shared Symptoms and Protective Measures
As reported by the Centers for Disease Control and Prevention, as of January 13, "the incidence of acute respiratory illnesses prompting individuals to seek medical attention is currently at an elevated level." View pictures in App save up to 80% data. In the winter months, it seems few are safe from some kind of illness — flu, 冠状病毒病(COVID)-19, norovirus, colds. Although various germs responsible for this discomfort can be present all year long, researchers believe that the increase in flu and cold cases during winter may be linked to our tendency to stay indoors more often, as well as the fact that cold, dry air can compromise our immune system. Nevertheless, medical professionals in the Chicago region report that there is a significant increase in both cases and hospital admissions. Dr. Whitney Lyn, the head family medicine physician at Sengstacke Health Center of Provident Hospital, expressed concern to NBC Chicago in late December, stating, "The current rate is quite alarming, particularly in the aftermath of the holidays." Illinois itself remained under the "high" level of respiratory viruses, for the week ending on Jan. 4, according to the Illinois Department of Public Health. According to data from the Centers for Disease Control and Prevention, as of Jan. 13, "the amount of acute respiratory illness causing people to seek healthcare is at a high level." The data showed 冠状病毒病(COVID)-19 activity on the rise across the country, along with elevated seasonal influenza activity and "very high" RSV activity. According to the CDC, 冠状病毒病(COVID) levels in Illinois were categorized as "moderate" but on the rise, whereas flu and RSV levels were deemed "high" and also increasing. Since November, pediatric hospitals have been overwhelmed with cases of RSV, and now “influenza has also made an appearance,” stated Dr. Jason Newland, an infectious diseases expert at Nationwide Children’s Hospital in Columbus, Ohio. "We're truly gaining momentum now," he remarked. "Our hospitals are quite active." It is important to note that norovirus is currently spreading quickly in various regions of the U.S., particularly in the Chicago area. Here’s what you need to be aware of regarding the illnesses that are currently spreading: How can I determine if I have a cold, the flu, 冠状病毒病(COVID)-19, or another illness? Certain symptoms can be challenging to differentiate between various illnesses, particularly when it comes to respiratory viruses. Meanwhile, there are some symptoms that are clearly identifiable. — Norovirus is a foodborne illness that can spread through water and contaminated surfaces and can cause vomiting, diarrhea, nausea and stomach pain for about one to three days. — The common cold can be caused by several different types of viruses and can cause a runny nose, congestion, cough, sneezing, sore throat, headaches, body aches or low fever for less than a week. — The flu, caused by influenza viruses that are always changing, leads to fever, chills, cough, sore throat, runny nose, body aches, headaches and feeling tired. Flu symptoms tend to hit more quickly than cold symptoms, and can last anywhere from a few days to two weeks. — 冠状病毒病(COVID)-19 can cause fever, chills, cough, short of breath, sore throat, congestion, loss of smell or taste, fatigue, aches, headache, nausea, or vomiting for several days. — RSV can cause a runny nose, congestion, coughing, sneezing, wheezing, fever and a loss of appetite for a week or two. Current symptoms associated with the spread of viruses include fever, cough, fatigue, sore throat, body aches, and loss of taste or smell. Additionally, some individuals may experience gastrointestinal issues such as nausea or diarrhea. It's important to monitor any changes in health and consult a healthcare professional if symptoms worsen. 冠状病毒病(COVID) As of now, the symptoms for 冠状病毒病(COVID) remain the same: Cough Sore throat Runny nose Sneezing Fatigue Headache Muscle aches Altered sense of smell Congestion Fever or chills Shortness of breath or difficulty breathing Nausea or vomiting Diarrhea Earlier reports had centered on potential gastrointestinal symptoms related to the virus. Dr. Katelyn Jetelina, a scientific consultant for the CDC and epidemiologist, said "gastrointestinal issues including nausea, vomiting, and diarrhea" have been previously identified as possible symptoms of 冠状病毒病(COVID)-19. "We do not have specific data about the incidence of GI symptoms with the current strains of the virus, but 冠状病毒病(COVID)-19 symptoms can certainly differ based on the variant and the individual," Jetelina told NBC Chicago in July. Last fall, a Chicago-area doctor said she's noticed shifts in the most common symptoms her patients reported as the JN.1 variant rose to dominance. Dr. Chantel Tinfang, a family medicine physician with Sengstacke Health Center at Provident Hospital of Cook County, noted at the time that many of the cases she saw reported less of the fever, body aches and chills, and presented more with sore throat, fatigue and coughing. "We continue to observe some patients with reduced appetite and changes in taste or smell. It varies from person to person," she explained. "For instance, one patient was extremely fatigued, to the point where she struggled to engage in daily activities. That's when it becomes clear... it's not limited to just coughing and difficulty breathing. However, we are still encountering those symptoms as well." RSV According to the CDC, individuals who contract RSV typically show symptoms between 4 to 6 days post-infection. The most prevalent symptoms include: Runny nose Congestion Decrease in appetite Coughing Sneezing Fever Symptoms generally manifest in phases rather than simultaneously. While they may be obvious in adults, they can be subtler in young infants. While RSV typically causes a mild, cold-like illness, it can also lead to severe illness such as bronchiolitis and pneumonia. Other symptoms of severe cases include the following, according to the Mayo Clinic. Wheezing — a high-pitched noise that's usually heard on breathing out (exhaling) Rapid breathing or difficulty breathing — the person may prefer to sit up rather than lie down Bluish color of the skin due to lack of oxygen Flu The CDC states that influenza can range from mild to severe illness and may even result in death. According to the CDC, "Flu symptoms typically appear abruptly." Among the most frequently observed symptoms are: fever or feeling feverish/chills cough sore throat runny or stuffy nose muscle or body aches headaches fatigue (tiredness) some people may have vomiting and diarrhea, though this is more common in children than adults Norovirus In addition to vomiting and diarrhea, other frequently experienced symptoms are nausea, abdominal discomfort, body aches, headaches, and fever. Another important factor to keep an eye on if you think you might have norovirus is the risk of dehydration. "If you have norovirus illness, you can feel extremely ill, and vomit or have diarrhea many times a day. This can lead to dehydration (loss of body fluids), especially in young children, older adults, and people with other illnesses," the CDC noted. Signs of dehydration can include: Decreased urination Dry mouth and throat Feeling dizzy when standing up Crying with few or no tears Unusual sleepiness or fussiness Different viruses Reports of strep throat and whooping cough have also surfaced. Investigators also have been closely watching another kind of influenza virus, the Type A H5N1 version of bird flu. The CDC says 66 human U.S. cases of that were reported last year, but none of them in the last week. Reed stated that the occurrences are "relatively infrequent" and the general threat to the public is still minimal. Nearly all cases have been linked to direct interaction with infected animals, with no evidence of transmission among humans. Ways to Safeguard Yourself A simple method to safeguard against viruses: Regularly wash your hands. Seriously. Rigorous and frequent handwashing — with soap! — is crucial to reduce the spread of norovirus, colds, flu and 冠状病毒病(COVID)-19. According to the U.S. Centers for Disease Control and Prevention, this is particularly important after using the restroom and before eating or handling food. Take your time with it. As you scrub, count to 20 at a leisurely pace. If you don't have access to soap and water, try a hand sanitizer with at least 60% alcohol — though that isn't enough to wipe out norovirus. Disinfecting surfaces can eliminate viruses. If norovirus has found you, you'll want to immediately clean surfaces that came in contact with contaminated food or bodily fluids. The CDC recommends disinfecting things with a chlorine bleach solution or one of the products listed on this Environmental Protection Agency website. Make sure to clean any clothes that have been exposed to vomit or feces — use hot water and detergent for the wash. After that, be sure to wash your hands thoroughly. Once more. To prevent the spread of colds and flu, it's important to frequently disinfect surfaces that you touch often. Consider items like doorknobs, light switches, countertops, cherished toys, and cell phones. Use household cleaning products that contain soap or detergent, and follow it up with a sanitizer. The CDC has more tips on how to clean. 冠状病毒病(COVID)-19 generally spreads through the air from droplets and particles, and the CDC says the risk of getting the virus from a contaminated surface is low. Avoiding contact with your face can help prevent the entry of viruses. Viruses can be transmitted via talking, coughing, and sneezing. If you experience a tickle in your throat or nose, make sure to cover your mouth with a tissue. Afterward, remember to wash your hands thoroughly. Once more. Additionally, even if you’re feeling well, it’s a good idea to wear an N95 or medical-grade mask in crowded places to help shield yourself from respiratory viruses. Avoid touching your face: When you have germs or viruses on your hands that haven't been washed — whether they are respiratory viruses or norovirus — and you come into contact with your face, eyes, or nose, these pathogens can enter your mucous membranes, leading to illness! Think about the possibility of a vaccine (if one exists). Updated 冠状病毒病(COVID)-19 vaccines are available, as well as annual flu shots for people 6 months and older. For those 60 and older or for people who are pregnant, you may want to get the RSV vaccine. However, vaccines are not available for norovirus or the common cold. An alternative method to strengthen your defenses against viruses: Ensure you get enough rest. Your immune system may not work as well if you're sleep-deprived, stressed out or dehydrated. So don't grind yourself into the ground if you can help it. Rest. Sleep. Drink water. If you're feeling unwell, please remain at home. If you do get sick, prompt testing can help determine whether you have 冠状病毒病(COVID)-19 or influenza. That’s important to see if you need one of the medicines that can help prevent severe illness: Paxlovid for 冠状病毒病(COVID)-19 and Tamiflu for flu. Most importantly, if you are showing symptoms, please remain at home to prevent spreading illness to others. To treat a cold, flu or 冠状病毒病(COVID)-19, rest and drink fluids. You can take pain relievers to lower a fever or help with an achy body. Humidifiers can help with symptoms, too. Currently, there is no specific medication available for norovirus. The best course of action is to focus on rehydration by consuming plenty of water and other fluids. If you experience signs of dehydration, such as a dry mouth and throat, decreased urination, or dizziness upon standing, it’s important to seek medical assistance.

A Malaysian family has been awarded US$1.3 million after a doctor abandoned a bleeding mother to fetch a drink.
The woman who succumbed to blood loss was attended to by three nurses who were not registered. View pictures in App save up to 80% data. Two obstetrics specialists landed in trouble after leaving a critically bleeding patient, who subsequently died, just to go for a drink. The High Court in Malaysia’s Selangor state ordered the maternity centre to pay 6 million ringgit (US$1.3 million) to the deceased’s family. Judge Norliza Othman announced the ruling after determining that Dr. M Shanmugam, Dr. A Ravi, and nurses Izaniey Nataliah Jukimin, Nur Aida Mat Isa, and Nessy Yasah were guilty of medical negligence that led to the patient's death during their treatment. As reported by Sinar Harian, a judgment released on the judicial system on Thursday revealed that Norliza stated during the proceedings that M Punita experienced significant bleeding following the removal of her placenta after giving birth to her second child. She mentioned that it was confirmed the patient was stable, after which the two doctors exited the delivery room and entrusted the deceased to the care of three unlicensed nurses. The judge remarked that even though the nurses lacked the necessary qualifications from the health ministry, they were assigned the responsibility of overseeing the patient's condition. "Nevertheless, the mother of the deceased discovered that her daughter was experiencing significant bleeding, prompting the nurses to attempt to control it with cotton." “The patient was subsequently moved to Hospital Tengku Ampuan Rahimah Klang (HTAR) in a critical state.”

The South County Recovery Center in Great Barrington commends the recent state mandates aimed at enhancing substance-use treatment and recovery assistance.
View pictures in App save up to 80% data. During the Smash the Stigma event held in September 2024, a total of 441 purple flags were displayed on the lawn of the Great Barrington Town Hall. Each flag represented an individual who lost their life to an overdose in the area from 2013 to 2023. Photo credit goes to Shaw Israel Izikson. Berkshire County — On December 23, 2024, Gov. Maura Healey signed “An Act relative to treatments and coverage for substance use disorder and recovery coach licensure.” According to a press release issued by Gov. Healey’s office, the act, which was previously worked on by the State Legislature, will make treatment and recovery support affordable and accessible for residents dealing with substance-use disorder. “During my career, I have been inspired by the individuals who have suffered the heartbreaking loss of family members due to the opioid epidemic affecting our communities,” Gov. Healey expressed in a press release. “Their experiences highlight the critical necessity for enhancing treatment, prevention, and recovery initiatives to protect lives.” Gary Pratt, director of the South County Recovery Center, along with recovery coach Stephanie Holcomb, expressed to The Berkshire Edge their belief in the vital significance of the initiative in the fight against substance use disorders. The South County Recovery Center, managed by Rural Recovery Resources, launched its office in Great Barrington in May 2022. This center provides a variety of programs such as coaching, support groups, peer support services, and resources tailored for individuals struggling with addiction and those in recovery. Pratt noted, “This legislation is beneficial for ensuring that individuals impacted by substance use are treated with greater compassion.” He added, “It also enhances the efficiency of current services and introduces standardized criteria for recovery coaching.” According to Pratt, a key component of the legislation is the creation of a licensing framework for recovery coaches managed by the Department of Public Health. This department will be responsible for verifying that recovery coaches meet state standards. Additionally, the act sets up a peer-support initiative for both recovery coaches and their employers, featuring mentorship opportunities and technical support programs. “There is a major importance when it comes to recovery coaching where you must have a connection with people, where you are meeting them where they are at with no pressure,” Pratt explained. “The process for becoming a recovery coach has been that you had to take classes through an organization like the Connecticut Community for Addiction Recovery, and then you would get certified through Massachusetts. But in the last few years, Massachusetts has created the Recovery Education Collaborative. Now that the Department of Public Health will be overseeing the licensing of recovery coaches, it should be easier for people to get credentials.” Another section of the legislation requires health insurance companies to cover the expenses associated with opioid reversal medications, such as naloxone and Narcan, while also increasing their availability. These insurance providers must now cover these costs without requiring any out-of-pocket payments or prior approval. This section of the legislation mandates that hospitals and treatment centers inform patients about emergency opioid antagonists (EOAs) and supply at least two doses of these medications to individuals with a history of opioid-use disorder upon their release. “Financial constraints should never impede the effort to save a life,” Pratt stated. “Eliminating this obstacle is another crucial step in preserving more lives. Recently, Naloxone has been made available for over-the-counter purchase, yet it still poses a significant expense for individuals to acquire it this way.” As stated on the CVS website, a package of Narcan is priced at around $45.00. “It’s remarkable for the state to require insurance companies to provide coverage for EOAs without any cost sharing,” Pratt remarked. “Holcomb mentioned that in the past, some pharmacists informed individuals that they were unable to access [Narcan], even when there was a standing order in place. He believes that the difficulty many face in obtaining EOAs is largely influenced by 'stigma and shame.' For instance, when someone attempts to purchase a pack of needles at a pharmacy, regardless of their intended use, they often receive judgmental looks. People dealing with addiction are frequently treated in a distinct and less favorable manner.” “Insurance companies typically operate with the intention of avoiding payouts,” Pratt remarked. “Navigating through the [insurance company] bureaucracy can be quite a challenging task.” In this context, the legislation also prevents life insurance providers from restricting or denying coverage to individuals based on their EOA history. The legislation also revises the requirements for insurance companies to guarantee sufficient coverage and access to pain-management services without the need for prior approval, which includes non-opioid alternatives for pain relief. “It has long been understood that there are various methods to address pain, and opioids aren't always necessary,” Pratt stated. “Opioids have their place, particularly following surgeries and for managing chronic pain. However, there are numerous effective treatments available that do not involve opioids. I believe that the widespread prescription of opioids is a significant factor contributing to the addiction crisis we face today. Personally, if I sprain my ankle, I certainly don't need 60 Percocets for that injury. The availability of more treatment options is beneficial for everyone.” Pratt noted that the state’s Department of Public Health (DPH) has not yet released data regarding overdose deaths in Berkshire County for 2024. Nevertheless, DPH indicated that there were 19 overdose fatalities in the region in 2023, and from 2013 to 2023, the total number of overdose deaths reached 441. “While there have been numerous instances of successful overdose reversals, which is certainly a positive development,” Pratt remarked. “It's important to recognize that many of these reversals go unreported. There could still be a significant number of overdoses occurring that are not resulting in fatalities. My concern is that when the public notices a decline in fatal overdoses, they may mistakenly believe that our work is nearly finished. This can lead to complacency, with people assuming that the addiction crisis isn't as severe for the wider community. However, we continue to witness the harsh reality of this issue, as we hear daily about individuals we've lost to addiction. This remains a public health crisis, and until we can say that no one has died from an overdose, we cannot claim victory.” For more information about Rural Recovery and the South County Recovery Center, visit its website.