A new development: The Eli Lilly monoclonal antibody treatment is now authorized for young children who are at risk for severe Covid disease. Bamlanivimab and etesevimab, given in combination, can also be given as post-exposure prophylaxis to all ages including newborns. In children under 88 lb, the treatment is dosed for patient's weight.
It is encouraging that we now have a treatment that can be given to children at risk. Understand, this is under an Emergency Use Authorization (EUA), as full approval has not yet been awarded, as I understand it.
Also, more studies are showing that vitamin D deficiency is a major contributor to the development of severe Covid. Vitamin D deficiency is a marker of generally poor fitness and health. Supplementation is important, but so is taking one's health seriously and doing the work to maximize it.
As a physician, I am constantly frustrated by the attitude of so many Americans toward their own health. The "pill to cure your ills" philosophy is an unfortunate mindset that enables so much comfort-seeking behavior and neglect of one's own health.
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Stay healthy!
I'm on a weekend night call schedule this weekend, which always leaves me feeling under-rested and generally icky.
But I wanted to remind you that outdoor exercise without screens is really good for your mental health.
Go outdoors, preferably into the woods.
Get in tune with those surroundings, the sights, the sounds, the smells, even the movement of air and the varying temperatures as you walk.
We were made to be outdoors.
We were definitely not made to work in cubicles.
One Degree!
What you want from your body will dictate what you need to set as goals, and the goals will determine what you'll end up having to change to attain them.
I've spoken many times about systems being better than goals, and my position has not changed.
But goals are easier to discuss and to understand, so for this week, we'll be very specific about goals.
Do you want more muscle mass?
Do you want to be stronger?
Do you want to run faster?
Do you want to gain weight?
Do you want to lose weight?
Do you want to improve general fitness?
Do you want longevity?
Do you want strong bones?
Do you want to earn a Black Belt?
Understanding the benefits and costs of each particular goal may help you decide what you want.
For example, if you want to compete in body-building competitions, you'll not be doing the same thing as if you were focused on longevity. Same with strength competitions.
But general fitness and longevity go fairly well together.
Running is great but will increase the likelihood of needing knee or hip ...
I'll make this one short and to the point.
Spring time change is hard on all of us. Having to get up an hour early doesn't make going to bed an hour earlier much easier.
Yes, it's nice to have more productive time in the evening.
But it's at the cost of forcing us out of be an hour earlier, as we all know.
Our challenge is to adjust our circadian rhythm to match the world's expectations around us.
My main strategy is supplementing with a dose of melatonin about a half hour before I need to be asleep. It helps most people fall asleep more readily.
If you need a nap during your day, take it between mid-morning and early afternoon. Limit it to 20 minutes.
Taking a longer or later nap may make it even harder to get off to sleep in time.
All of the other normal advice applies even moreso: