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Changing Times: Menopause

Plenty consequences of aging are talked about – balding, joint stiffness, a sudden need for bifocals – but one aspect of aging isn’t talked about as often, even though it affects roughly half the population.

Menopause is a natural part of aging, marking the time in which a person with a uterus stops menstruating. It typically occurs between the ages of 45-55, but can happen earlier, for example, if someone had a hysterectomy or suffered damage to their ovaries from chemotherapy.

The menopausal transition lasts on average from 7 to 14 years. Its length depends on many factors such as smoking, current age, race, and ethnicity. Menopause involves changes in hormonal levels, specifically estrogen and progesterone. These hormones regulate one’s period and release of eggs, or ovulation. When the body stops ovulating, the levels of these hormones drop off. The reduction of these hormones can cause multiple symptoms:

  • Hot flashes
  • Changes in menstrual cycle
  • Trouble sleeping
  • Emotional changes/mood swings
  • Fatigue
  • Depression
  • Weight gain
  • Changes in libido
  • And more

These symptoms can range from mild to pretty miserable, but there are hormonal and non-hormonal ways to treat them. Hormonal treatments involve taking low doses of estrogen or estrogen-progesterone through a patch, pill, or cream, while non-hormonal treatments involve changing one’s diet, exercising, and other prescription medications. If you are experiencing any of the symptoms above, have a uterus, and are over 40, you may want to talk to your doctor to see whether you are beginning menopause. They can help you figure out the best path forward to minimize your symptoms.

SOURCES:
https://my.clevelandclinic.org/health/diseases/21841-menopause
https://www.mayoclinic.org/diseases-conditions/menopause/symptoms-causes/syc-20353397
https://www.webmd.com/menopause/guide/menopause-basics

Too Bright! Blue Light Concerns

Between computers, tablets, and smart phones, we spend a lot of time looking at screens every day – almost half of every day, in fact.

The isolation of the COVID-19 pandemic boosted weekly screen times even higher. Aside from the well-documented effects that much screen time can have on your mental health, there’s a possibility it can affect your physical health too.

You may have read about or seen ads for blue light glasses or blue light filters, which are supposed to help protect your eyes from the harmful effects of a certain kind of blue light. This spectrum of blue light is created primarily by the sun, but also by fluorescent lights, LED TVs, and most device screens. Our eyes are not good at filtering blue light naturally, so most of it passes through the front of the eye to the retina (the part of the eye that helps the brain process what we see).

Some studies indicate that constant, ongoing exposure to blue light could eventually damage the retina, causing problems such as macular degeneration. However, these studies are ongoing and not conclusive. There is some evidence that blue-light blocking lenses do not actually protect your retinal health, despite what some advertisers may claim. Blue light lenses may help reduce eye strain from prolonged screen time, but that is unrelated to retina damage.

While blue light might not damage your retinas, it can still be harmful to you in other ways. Too much blue light can reduce your body’s production of melatonin and throw off your circadian rhythm, which disrupts your sleep cycle. A simple fix is to limit your screen time before bed so your body knows it’s time to go to sleep.

SOURCES:
https://pubmed.ncbi.nlm.nih.gov/29044670/
https://www.health.harvard.edu/blog/will-blue-light-from-electronic-devices-increase-my-risk-of-macular-degeneration-and-blindness-2019040816365

Practical Self-Care

It’s a phrase prominent in recent ads, whether for ice cream, golf clubs, or even soap – “self-care” is everywhere, convincing you that you could make yourself happy with a new exfoliant or take a much-earned break with a glass of wine. While there’s nothing wrong with treating yourself now and then, that’s not actually what self-care is – it’s far more important.

Self-care, simply put, means setting aside time to do things that bolster both your physical and mental health. While this could certainly involve a special snack or a bubble bath, there are multiple, daily acts of self-care you can take that will help you take care of your emotional and physical health.

Take care of your body. This could be as simple as taking twenty minutes to walk up and down the block. It might mean making sure you drink enough water. It could look like making sure you get enough sleep, getting enough protein in your diet, or taking up yoga.

Take care of your mind. Self-care in this arena can look like eliminating sources of unnecessary stress from your life. Cutting back on social media time might be a good self-care practice. Making sure you see friends and family who help you be your best self, doing a relaxing, creative hobby, or even meditation are just a few examples of mental and social self-care practices.

Not every practice works for every person. Set some time aside to experiment with different practices. Maybe yoga isn’t for you, but you want to pick up tennis instead. Meditation is not everyone’s cup of tea, but walking in nature might be just as effective in helping you move your body and relax your mind (see HERE and HERE for more suggestions.) It might take some time to find your best individual self-care practices, but they’ll be invaluable to your overall health and happiness.

SOURCES:
What is Self-Care? – ISF (isfglobal.org)
Self-Care: 12 Ways to Take Better Care of Yourself | Psychology Today
NIMH » Caring for Your Mental Health (nih.gov)

Broadening Benefits for Your Health: Lifestyle Spending Accounts

While your medical insurance covers much of your bodily health, and many companies have Employee Assistance Programs to help you out with mental health, there’s more to your overall wellbeing.

Employers realize this, which is why more and more companies are adding a new acronym to the fold – the LSA, or the Lifestyle Spending Account.

Health Savings Accounts and Flexible Spending Accounts help cover specific IRS-approved expenses such as copays, glasses, or dental care, Lifestyle Spending Accounts have fewer restrictions. They can be used to pay for a broad variety of services and products that promote your own physical, mental, or financial wellness. Below are just a few examples:

  • Exercise equipment and nutritional supplements
  • Personal trainer
  • Entry fees for races or sports leagues; sports lessons
  • Spiritual retreats
  • State or national park passes
  • Camping equipment
  • Spa treatments
  • Estate planning costs
  • Financial planning services

The crucial difference between LSAs and other health-related spending accounts is that expenses submitted for reimbursement through a Lifestyle Spending Account are taxable to you. The reimbursed amount is considered income and is subject to the same taxes as your normal wages. If you’re looking to further your health and wellness, see whether your employer offers an LSA. It can be a helpful tool in taking care of yourself.

Down the Rabbit Hole: Dangers of Doomscrolling

Many of us experienced quarantines during 2020, which abruptly left us home for much longer periods than normal. During this time of social isolation, there was a collective uptick in time spent online.

Boredom, readily accessible social media, and bad news joined forces to create a new term: doomscrolling. Loosely defined as habitually reading bad news or disturbing content for extended periods of time, doomscrolling is a hot topic right now due to its societal prevalence and impact.

Going down depressing internet rabbit holes on your mobile device or computer didn’t start with COVID-19, but the social isolation of the pandemic made it a new or worse habit for many people. It can have multiple negative effects on your mental and emotional health, including the following:

  • Emotional burnout from unrelenting bad news
  • Anxiety and stress
  • Loneliness
  • Tiredness
  • Depression
  • Feelings of helplessness

Constant consumption of negative news is proven to be bad for you, but doomscrolling can be a hard habit to break. Fortunately, there are some steps you can take to help limit your intake of heavy content. You can localize the behavior by only getting on social media or scrolling the news at certain times and places in your day (not in bed at night, for example). Practice mindfulness when you pick up your phone – think about why you’re picking it up instead of doing it compulsively. Think about what you’re feeling when you’re online and why you feel that way. Most importantly, make a habit of disconnecting. Set your phone down and take a walk outside. If you’re feeling the itch to read something, pick up a hard-copy book or magazine.

There’s no reason to trap yourself down a well of negative feelings. These simple steps, practiced daily, can help you feel better about the world and yourself.

Turning Up the Volume

Hearing loss is more common than you might think, and it has many different degrees and causes of hearing loss. Roughly one in every eight Americans have hearing loss in both ears.

In the hearing process, sound waves enter our ears and create vibrations that are carried to the brain by the middle and inner ear and translated into sounds. Hearing loss can occur when any of these parts suffer damage.

Aging is probably the best-known cause of hearing loss. Generally age-related hearing loss occurs when tiny hairs that help process sound in the inner ear suffer damage over the years and cannot regrow.

Damage is another common cause of hearing loss. This damage can be from hearing one too-loud sound or cumulative damage over time from frequent exposure to sounds over 70 decibels (see HERE for a helpful decibel chart). It can also be caused by chronic ear infections, meningitis, or trauma to the ear or head (such as experiencing a blow to the head or a punctured ear drum).

Additionally, some people are born with varying degrees of hearing loss due to genetic factors or problems during gestation. Others suffer temporary hearing difficulties due to a buildup of earwax. Some of these factors are unavoidable, but others can be reduced by wearing proper ear protection around noises over 70 decibels.

Hearing loss can have a profound effect on one’s life. If you are experiencing difficulty hearing, talk to your doctor. Hearing aids are not generally covered by medical insurance, so it’s important to check whether your vision or dental plan includes coverage for hearing aid fitting and purchase – if not, hearing aids are eligible purchases for Health Savings Accounts, Flexible Spending Accounts, and Health Reimbursement Accounts.

Can’t Catch a Breath

There are plenty things in life that take our breath away – a proposal, a beautiful sunset, a child’s first steps – but it’s not fun when the cause is asthma.

It’s estimated that about 25 million people in the US have asthma, a lung condition that occurs when the airways between the nose and mouth and the lungs get inflamed. This swelling makes the passage of air to the lungs more difficult, which results in breathing trouble ranging from mild to deadly serious. There are many potential asthma triggers — pollen, dust mites, tobacco smoke, pets, exercise, mold, and even stress can set off an attack.

While asthma is not a curable condition, there are multiple ways to reduce one’s exposure and reactions to triggers. A combination of medication and prevention is often most effective. These are a few everyday things you can do to reduce your contact with asthma triggers:

  • Avoid tobacco smoke
  • Routinely dust and vacuum your home, especially if you have carpet
  • Wash your sheets regularly to avoid dust mites
  • Use an air cleaner with a HEPA filter
  • Wear a mask when using disinfectants to clean
  • Use an indoor dehumidifier to reduce chances of mold

On the pharmaceutical side, there are many different kinds of asthma medications. The inhaler is probably the most iconic asthma medication. Inhalers come in two types: a quick-acting inhaler for emergency use or a long-term control medication. Additionally, there are other medications that help reduce the body’s inflammatory responses, and if allergies play a significant part in your asthma, allergy medications or allergy shots may help control your symptoms.

If you routinely have trouble breathing, it’s important that you talk to your doctor to figure out what’s going on. If asthma is the problem, rest assured that there are plenty of ways to help you breathe easy again.

Qualifying Life Events

2023 March, Benefit Spotlight February 24, 2023

Signing up for benefits usually only occurs during your company’s open enrollment period, or when starting a new job at a new company. But did you know that these are not necessarily the only times you can elect or change your benefits?

Sometimes there are changes in your life, planned or unplanned, called Qualifying Life Events (QLEs), that allow you to add or change benefits. These QLEs are determined by the IRS, and when they occur, QLEs can allow you to enroll in health insurance or make changes to your benefits outside of the regular windows

When a qualifying life event occurs, you typically have 30 to 31 days to request changes to your coverage. Common QLEs include:

  • A change in the number of dependents (through birth or adoption or if a child is no longer an eligible dependent)
  • A change in a spouse’s employment status (resulting in a loss or gain of coverage)
  • A change in your legal marital status (marriage, divorce, or legal separation)
  • A change in employment status from full time to part time, or part time to full time, resulting in a gain or loss of eligibility
  • Eligibility for coverage through the Marketplace
  • Changes in address or location that may affect coverage
  • Entitlement to Medicare or Medicaid

Some lesser-known QLEs are:

  • Turning 26 and losing coverage through a parent’s plan
  • Death in the family (leading to change in dependents or loss of coverage)
  • Changes that make you no longer eligible for Medicaid or the Children’s Health Insurance Program (CHIP)

If you have recently experienced a QLE or expect to in the near future, reach out to your company’s Human Resources for questions regarding specific life events and your ability to request changes.

Post-Traumatic Stress Disorder

There was a time when most people thought of post-traumatic stress disorder — or PTSD — in terms of soldiers who returned home from combat. Today, we know that anyone can develop PTSD at any age, and it can stem from many types of traumas.

Individuals who experience a car wreck, physical or sexual assault, witness a violent crime, a natural disaster, or the sudden loss of a loved one can develop a prolonged feeling of stress or fright long after they’re no longer in danger. Someone who wasn’t directly impacted by a traumatic event may also develop PTSD when they discover that loved one close to them has been involved in one.

PTSD affects people differently. The symptoms — which can develop soon after the traumatic event or appear months later — tend to be categorized into four different types:

  • Re-experiencing symptoms (flashbacks, nightmares)
  • Avoidance symptoms (staying busy, avoiding related places and activities)
  • Arousal and reactivity symptoms (angry outbursts, irritability)
  • Cognition and mood symptoms (trouble concentrating, feeling helpless)

These symptoms can impede a person’s everyday functions and relationships, and rarely get better with time alone. PTSD treatment often includes a combination of talk therapy and medication. Working with a mental health professional to learn to identify and manage trauma triggers can be life-changing for many suffering from PTSD. Certain medications can also help treat symptoms, including sadness, anger, depression, anxiety, and sleeplessness.

Untreated PTSD can cause a person to persistently re-experience their trauma and suffer from prolonged symptoms that negatively impact their everyday life. If you think that you are experiencing PTSD, talk to your physician today. They can help you determine whether you’re suffering from PTSD and, if necessary, refer you to a specialist. If you are experiencing thoughts of self-harm or suicide, please call the National Suicide Prevention Lifeline at 800-273-TALK (8255) (if you are a veteran, dial this number and then press 1 to access the Veteran Crisis Line).

Sources:

https://www.mayoclinic.org/diseases-conditions/post-traumatic-stress-disorder/symptoms-causes/syc-20355967
https://www.ptsd.va.gov/
https://medlineplus.gov/posttraumaticstressdisorder.html
https://pubmed.ncbi.nlm.nih.gov/32644555/
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2765735/

More Than Sleepy

When someone hears the term fatigue, they likely think of feeling tired — but it’s more than that. Feeling sleepy is a symptom of fatigue, but the overwhelming sense of feeling drained can be the result of many different factors.

Excessive alcohol or caffeine consumption, drug use (both illicit and certain prescription or over-the-counter), lack of exercise, poor sleep, an unhealthy diet, or weight disorders can lead to fatigue. It can manifest in muscle soreness and aches, gastrointestinal problems, irritability, blurriness of vision, trouble concentrating, and other symptoms.

Adjusting your lifestyle through proper diet, stress management, and getting 7–9 hours of sleep each can help alleviate feelings of fatigue. And while it may seem counterintuitive to exercise when fatigued, physical activity is proven to help.

Making lifestyle changes can feel overwhelming, so start small. Avoid caffeine in the afternoons and evenings and swap sugary snacks with fruits and vegetables. Start incorporating some movement (stretching, walking in place, yoga) when watching TV or doing other sedentary activities.

Emotional and mental health issues can also contribute to fatigue, including grief, stress, anxiety disorders and depression, and even boredom. You may want to work with a healthcare provider to manage and cope with any emotional distress that contributes to your fatigue.

If you are experiencing unresolved fatigue that lasts longer than a couple of days or interferes with everyday activities, consult your primary care physician. Some cases of fatigue are a symptom or side effect of another condition that need treatment. Some of these include:

  • Autoimmune disorders
  • Deficiencies (anemia or other vitamins)
  • Hormonal imbalances
  • Diabetes
  • Sleep apnea
  • Many others

Sources:

https://www.mayoclinic.org/symptoms/fatigue/basics/causes/sym-20050894
https://www.healthline.com/health/fatigue
https://my.clevelandclinic.org/health/symptoms/21206-fatigue
https://www.medicalnewstoday.com/articles/248002