Colin Champ, MD, to Lead AHN Exercise Oncology Program at AGH Suburban Campus in Bellevue

PITTSBURGH, Aug. 30, 2022 /PRNewswire/ -- Colin Champ, MD, CSCS, a radiation oncologist with unique expertise in the role exercise and nutrition play in the health of cancer patients and survivors, has joined the Allegheny Health Network (AHN) Cancer Institute and will lead a novel exercise oncology program for cancer patients aimed at decreasing treatment side effects, boosting quality of life, and improving outcomes.

Dr. Champ's program will be housed in a new 2,650-square-foot health and fitness facility located at the AGH Suburban campus in Bellevue. He also will practice radiation oncology at AHN's Wexford Health + Wellness Pavilion.

Formerly an associate professor at the Duke Cancer Institute, Dr. Champ's research has centered on the interaction between diet, exercise and metabolism, assessing whether weight training and functional exercise can help improve overall health and cancer-specific outcomes in patients treated for breast cancer and lymphoma.

"I am thrilled to join such an innovative and patient-centered oncology team at AHN while also having the opportunity to build a new exercise program for cancer survivors," Dr. Champ said. "I am passionate about healthy eating and exercise, and my goal is to give patients the tools they need to take charge of their own health, today and into the future. As clinicians and researchers, I believe we've just scratched the surface of learning how fitness and good nutrition can impact our patients' lives for the better."

According to the National Cancer Institute (NCI), observational studies show strong evidence that higher levels of physical activity are linked to a lower risk of several types of cancer including bladder, breast, colon, endometrial, esophageal, kidney and stomach cancer. Obesity is also a risk factor for numerous cancers and can affect quality of life and the likelihood of a recurrence during survivorship, according to the NCI.

A 2018 report of the American College of Sports Medicine International Multidisciplinary Roundtable on Physical Activity and Cancer Prevention and Control also concluded that all cancer survivors should engage in some physical activity, as there is strong evidence that it can improve quality of life, physical function and cognitive function. Some findings have also raised the possibility that exercise has beneficial effects on survival for patients with breast, colorectal and prostate cancer.

Dr. Champ, a native of Pittsburgh, graduated from the Massachusetts Institute of Technology and received his M.D. degree from Jefferson Medical College of Thomas Jefferson University. He is a National Strength and Conditioning Association Certified Strength and Conditioning Specialist and is board-certified in integrative medicine by the American Board of Integrative and Holistic Medicine, and board-certified in radiation oncology by the American Board of Radiation Oncology. He has published research on a wide variety of topics including ketogenic and calorie-restricted diets for cancer patients.

"Dr. Champ brings to AHN Cancer Institute a unique combination of expertise in radiation oncology and insight into the interaction between fitness, nutrition and cancer," said David L. Bartlett, MD, Chair, AHN Cancer Institute. "His work fits well with our philosophy of treating the whole patient, not just the disease. We are delighted that he has joined our team and look forward to seeing the impact his work will have on our patients' lives."

The fitness program at AGH Suburban will initially be open to a limited number of patients, by physician referral only. More information is available by calling 412-DOCTORS.

About the Allegheny Health Network:

Allegheny Health Network (AHN.org) is an integrated healthcare delivery system serving the greater Western Pennsylvania region. The Network is composed of 14 hospitals, ambulatory surgery centers, Health + Wellness Pavilions, an employed physician organization, home and community-based health services, a research institute, and a group purchasing organization. The Network provides patients with access to a complete spectrum of advanced medical services, including nationally recognized programs for primary and emergency care, trauma care, cardiovascular disease, organ transplantation, cancer care, orthopedic surgery, neurology and neurosurgery, women's health, diabetes, autoimmune disease and more. AHN employs approximately 21,000 people, has more than 2,600 physicians on its medical staff and serves as a clinical campus for Drexel University College of Medicine and the Lake Erie College of Osteopathic Medicine.

SOURCE Allegheny Health Network

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New AHN Cancer Institute Recruit Brings Unique Expertise in Benefits of Exercise and Nutrition for Improv - Benzinga

Every year, more than one million women in the United States enter menopause when a woman stops menstruating and hasnt had her period for 12 months in a row. When you think of menopause, hot flashes, insomnia, mood changes, and night sweats may come to mind. But heart disease the No. 1 killer of women, causing 1 in 3 deaths a year, according to the American Heart Association (AHA) should also be high on your list of menopause related health concerns.

Heart disease risk increases with age for both men and women. But there are heart disease risk factors especially associated with ovarian aging, says Chrisandra Shufelt MD, associate director of the Mayo Clinic Center for Womens Health in Jacksonville, Florida, which is the complex process marked by changes in hormone levels that occurs, ending with menopause. Aging ovaries produce less estrogen and follicle-stimulating hormone; a drop in these hormones is linked to heart disease risk.

Heres a rundown of the risks associated with heart disease in women in menopause and what you can do to lower the risk.

Menopause drives detrimental changes in your cholesterol and blood fats, which can lead to artery-clogging atherosclerosis.

According to an AHA Scientific Statement published in Circulation in December 2020 about menopause and cardiovascular disease risk, your total cholesterol and your bad cholesterol (LDL-C and apolipoprotein B levels) may go up and your good cholesterol (HDL) is likely to go down, which is bad news since we need HDL to move out extra cholesterol that our body doesnt need. Having too much cholesterol in your blood can cause the formation of plaque (hardened deposits) in your arteries, and can ultimately lead to a heart attack or stroke.

After age 40, women are more likely to pack on the pounds, especially around the midsection. What changes in menopause that puts our hearts at risk is the shift of where we start to lay down fat, Dr. Shufelt says. Fat around the midsection and vital organs, such as the liver, can increase your risk of heart disease, even if youre at a healthy body weight, according to astudy published in 2021 in Circulation.

Want to know if youre at risk? Get a tape measure. Research shows that postmenopausal women with a body mass index (BMI) estimates body fat by weight and height within normal range and a waist circumference of more than 35 inches are at increased risk of dying from heart disease, compared with women with a normal BMI without midsection body fat. If your waist circumference is more than 35 inches, talk to your doctor about how to optimize this number, which may include diet, exercise, or weight loss surgery, according to the AHA.

In menopause, or even in late premenopause or perimenopause when periods start to skip women are more likely to develop metabolic syndrome, which is a combination of conditions, including excess belly fat, high cholesterol, and elevated blood sugar, according to the AHA statement. In other words, menopause is linked to an increased risk of metabolic syndrome, which puts you at a higher risk for heart disease, diabetes, and stroke.

Depression can take its toll on your heart. Stress and anxiety can reduce blood flow to the heart, causing your heart rate and blood pressure to rise, as well as increase stress hormone levels, like cortisol, which can up your risk for heart disease, according to the American Heart Association.

A landmarkstudy published in 2019 in Menopause, known as the Study of Womens Health Across the Nation (SWAN), which enrolled 3,302 women between age 42 and 52 and followed them for 23 years, reported that depressive symptoms were higher during late peri- and postmenopause than premenopause. In a subset study, the SWAN Mental Health study, women were 2 to 4 times as likely to experience a major depressive episode in menopause or early postmenopause compared with premenopausal women. Still, women who have had a bout of depression before menopause may be more susceptible to having depression again in menopause. According to a study published in 2017 in Medicine & Science in Sports & Exercise, women with a history of depression are 5 times more likely to a have major bout of depression in menopause.

Its important to discuss depression at the time of perimenopause and menopause, Shufelt says. Talk to your doctor if youre feeling persistently sad, anxious, hopeless, irritable, or fatigued. Dont ignore depression symptoms, she cautions. Many effective treatment options are available, including medications and psychotherapy.

Restless sleep is often one of the first symptoms of menopause and perimenopause. Chronic disrupted sleep can be a risk factor for heart disease. When youre sleeping, your blood pressure naturally takes a dip. If you dont get enough sleep, your blood pressure can stay higher for a longer period, according to the Centers for Disease Control and Prevention. High blood pressure above 130/80 mmHg can increase your risk of heart disease and stroke.

Menopause may be the reason for your disrupted sleep, or it could be sleep apnea, the risk of which also rises during menopause and is associated with heart disease risk. If women are having high blood pressure changes, we dont want to say, Oh, this is just menopause. We want to also think about things like sleep apnea, Shufelt says. While having hypertension doesn't necessarily mean you have sleep apnea, it could be worth screening. Talk to your doctor about being evaluated for sleep apnea, especially if your blood pressure is on the rise.

If youre waking up often due to menopause symptoms, such as hot flashes, you should also talk to your doctor about hormone replacement therapy. We dont use estrogen replacement to prevent heart disease, but we do use it to manage bothersome symptoms, Shufelt says. If you cant sleep through the night because youre having night sweats all night, thats also a disruptive symptom. Estrogen patches, in which a low dose of estrogen is applied through the skin, may help ease menopausal symptoms, including disrupted sleep.

You could spend roughly 30 years of your life or more living with menopause, so its important to take hold of your heart health, notes Shufelt. Heres what you can do:

See your doctor regularly. After 50, every woman should have an annual checkup, Shufelt says. Yearly appointments can help you keep track of your numbers like your cholesterol, weight, blood pressure, and blood sugar, and keep those numbers within a healthy range to reduce your heart disease risk.

If youre at high risk for heart disease because of high cholesterol or weight gain, or if heart disease runs in your family, your doctor may recommend more screening tests. People with a family history of heart disease are at higher than average risk of heart disease. For those people, we might use tools to assess their risk, such as a coronary calcium scan, Shufelt says.

In women at higher than average risk for heart disease due to family history, the coronary artery calcium (CAC) test offers a more precise assessment to help guide treatment and medication decisions. The CAC test is an X-ray that takes images of your heart and helps detect and measure calcium-containing plaque in your arteries, which can increase your risk for a heart attack. The scan is a good tool to virtually look at your heart, Shufelt says.

Consider hormone replacement therapy. We dont use estrogen replacement to prevent heart disease, but we do use it in low doses for bothersome menopausal symptoms, such as having night sweats that prevent you from sleeping, Shufelt says.

The latest hormone therapy guidelines from the North American Menopause Society,published in 2022 in Menopause Shufelt was a coauthor no longer recommend using the lowest dose of supplemental hormones for the shortest time for menopause symptom relief. The guidelines now state the appropriate amount of time, Shufelt says, which varies per person. Theres a certain percentage of women who will have troublesome menopausal symptoms for years. Every woman is different, Shufelt says.

If you enter menopause before age 45 (because of chemotherapy, hysterectomy, or premature ovarian insufficiency, a type of early menopause in younger women), hormone replacement therapy is also recommended by the North American Menopause Society. Premature menopause (before age 40) or early menopause (before age 45) without hormone replacement therapy can accelerate your risk of heart disease, Shufelt says.

When you enter menopause at an earlier age, its important to get a dose of estrogen in an amount your body would otherwise naturally produce at this time. These are women who should have estrogen naturally in their bodies, Shufelt says. If youre in premature or early menopause and youre eligible, Shufelt recommends using a dose of estrogen and progesterone through the time of natural menopause, at age 52, to replace what your body would naturally produce.

Keep up the good work (-out). Exercise can lower the risk of heart disease as you age. According to the study from 2017 in Medicine & Sports Science in Sports and Exercise, the lifetime risk of heart disease in women who exercise was about 12 percent lower from age 45 to 85, compared with women in that age group who werent physically active.

The American Heart Association recommends that men and women get moderate exercise 150 minutes or more per week in addition to not smoking, eating a healthy diet, losing weight if you need to, and managing blood pressure, cholesterol and blood sugar. Menopause is an opportunity to know your numbers and look at your lifestyle because exercise and diet are the backbone and the cornerstone of cardiovascular disease prevention, Shufelt says.

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5 Signs Your Heart Is Changing During Menopause - Everyday Health

Serena Williams has announced shes retiring. The tennis star has had a long and decorated career, winning 23 grand slams and establishing herself as one of the most well-known professional athletes in the world. Williams, who is 40, joins a host of other professional athletes who have continued to compete well beyond the typical retirement age for athletes which is between 28-32 years of age. Other notable athletes still competing at the highest level of their sport after 40 include English cricketer James Anderson (who is 40) and American surfer Kelly Slater (who is 50).

There are many reasons an athlete may choose to retire from sport, such as injury, illness, fitness or family. But a combination of better training, nutrition and recovery techniques may help explain why a growing number of athletes are competing past what was once considered their prime.

Athletes have a wealth of support systems to help them in their training including their coach, who helps them reach their peak for certain performances and recover between games or competitions.

The old school approach to training consisted of high-intensity exercise to failure or fatigue essentially pushing an athlete until they couldnt do any more during that training session. The main benefit of this approach is that its time-efficient, as the more intense the exercise, the less time is needed to achieve the benefits of training.

But a more structured approach is now favoured by many athletes and coaches. The reason for this shift in training styles is thanks in large part to research over the past 20 years showing burnout and injuries are more common as a result of overtraining caused by high-intensity exercise.

To avoid this, most athletes now use polarised training, which favours moderate-intensity training. Polarised training still improves performance, but with less likelihood of injury or burnout. Athletes may also use concurrent training, which combines both strength and endurance training in the same session. This kind of training is especially useful, considering most types of sports combine both strength and endurance.

Sports scientists and coaches now also understand a lot more about the demands of a sport, so they try to tailor training to target specific weaknesses or strengths in an athletes performance. All of this leads to less overtraining, illness and injury which can help extend an athletes playing life.

We also now know more about the best ways to help an athlete recover.

For example, sleep is now known to be extremely important for an athletes performance. This is because sleep releases human growth hormone, which is important for muscle growth and maintaining muscle mass. This not only allows an athlete to perform at their best, it also helps them be ready for their next training session or competition.

Since the body secretes less human growth hormone as a person ages, ensuring an athlete gets a good nights sleep can be one strategy for helping them avoid this and maintain their athletic performance.

Research also continues to reveal the best approaches for recovery after competition or training. Ice baths are extremely popular now, as these reduce muscle soreness and can help athletes recover more quickly when needed.

In recent years, more athletes are adopting post-exercise recovery such as ice baths or compression garments. However, the research on how useful these techniques are is still mixed. Athletes may also use wearables to track how long it takes their body to recover, which may better guide their training.

Better recovery means athletes are less likely to suffer from fatigue or injuries, which may help them compete longer.

Different diets and supplements can be used to enhance performance and recovery.

For example, probiotics (live microorganisms often found in fermented foods, such as yoghurt or kimchi) have been shown to help improve the absorption of key nutrients associated with immune system and bone health. This could help an athlete recover faster between competitions.

Good nutrition is also key for a long career. Its well known that as we age we need to maintain our muscle mass differently. This may require adjustments to protein intake depending on the changing demands of exercise.

Personalised diets are also being adopted by athletes which may take into account their genetics, immune function and digestive system to ensure theyre eating the best diet for their body and to enhance recovery.

Personalising diets and changing them throughout their career can allow athletes to maintain their health and performance.

An athletes mental health is a big reason many decide to retire from competition.

Read more: Serena Williams: why many female athletes feel pressure to retire after becoming mothers

Research shows that athletes are more likely to experience mental health problems (such as anxiety) during their peak age of performance. But having the right psychological support can prevent mental health problems in athletes, and also give them the right coping mechanisms to deal with the stresses of high level competition. Research even shows making mental health a priority during training and competition is key to continued success.

As we learn more about training, ageing, nutrition and supporting athletes, theres no doubt we will only continue to see more athletes extending their careers. If they continue to enjoy the sport, adapt to change and maximise their health along the way, it seems logical to continue.

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Serena Williams: why more athletes are retiring later - The Conversation

High blood pressurealso known as hypertensionand Type 2 diabetes are two of the most common medical conditions in the U.S. Unfortunately, they often occur together. Some research has found that 85% of middle-aged or older adults who have Type 2 diabetes also have hypertension, and both conditions elevate a persons risk for heart disease, stroke, and kidney disease.

These increased risks are significant, and in some cases grave. Researchers have found that people with Type 2 diabetes are up to four times more likely to develop cardiovascular disease than those who dont have the condition. People with diabetes are also twice as likely to die of cardiovascular problems. The leaps in rates of stroke, kidney failure, and other deadly complications are also substantial for people who have both high blood pressure and diabetes.

Why do these conditions so often show up in tandem? Experts are still trying to nail down the precise connections, but they say excess weight may play a part. Many people who have hypertension and Type 2 diabetes also have obesity, and this triumvirate, as some researchers have termed it, is associated with metabolic and endocrine problems that overlap and promote disease. Obesity seems to be fertile soil for both, says Dr. Srinivasan Beddhu, a professor of internal medicine at the University of Utah School of Medicine.

Also, the sheer commonness of hypertension all but ensures that most people with Type 2 diabetes will end up with both diseases. Roughly half of all U.S. adults have hypertension, and that percentage goes up with age. It can develop as early as [ages] 30 to 42, but in most cases, by the time youre in your 50s, its there, says Dr. George Bakris, a professor of medicine at the University of Chicago. Although hypertension often precedes Type 2 diabetes, Bakris says, diabetes is increasingly common in young adults and even children. Its more important than ever to keep an eye out for both conditions, perhaps especially if youre overweight or obese.

Here, experts explain how high blood pressure and Type 2 diabetes cause trouble in combination, as well as how to manage the conditions and reduce their associated risks.

Read More: These New Developments Could Make Living With Type 2 Diabetes More Manageable

Every time a heart beats, it sends blood out into the body via the circulatory system. In between beats, the heart fills with blood. A persons blood pressure refers to two different but related measurements of this cycle. The first, known as systolic blood pressure, is the pressure inside the arteries when the heart beats and pumps out blood. The second measurement, known as diastolic blood pressure, is the pressure inside the arteries when the heart is resting and filling with blood. These two numbers are usually presented together, and they almost always rise and fall in unison. In the U.S., blood-pressure scores higher than 130/80 mm Hg are considered hypertensive.

Bakris says hypertension is often called a silent killer because it may cause no symptoms. Even when a persons blood pressure is dangerously high, the symptoms that develop are so common and nonspecificmeaning they turn up for all sorts of reasonsthat you may not connect them with high blood pressure. Dizziness, headaches, and blurry vision are among these nonspecific symptoms. By the time they set in, a persons blood pressure may have been elevatedand doing damagefor several years. What sort of damage? High blood pressure can stretch or injure your arteries in ways that raise your risk for heart disease, arterial disease, stroke, and other cardiovascular complications. High blood pressure also increases stress on the kidneys and some other organs.

Type 2 diabetes is a medical condition defined by high blood-sugar levels. These high levels are caused by problems related to insulin, which is a hormone that signals to the bodys cells that they need to absorb blood sugar. In people with Type 2 diabetes, the cells become resistant to insulin, meaning they do not properly absorb blood sugar. As with hypertension, the early symptoms of Type 2 diabetesfrequent urination, blurry vision, dramatic hunger spikesmay not raise immediate red flags. If someone isnt staying on top of their doctors appointments, they may not be aware that one or both of these conditions is present.

How do these conditions combine in ways that contribute to health problems? Both affect the small blood vessels, says Dr. Mattias Brunstrom, a hypertension specialist and physician researcher at Umea University in Sweden. Diabetes affects the vessels in ways that make them stiffer, and high blood pressure impairs their function. This stacking of arterial damage helps explain why the combination of the two conditions is associated with cardiovascular problems, including higher rates of heart disease and stroke.

At the same time, both hypertension and Type 2 diabetes may also promote higher-than-normal levels of blood sugar. Elevated blood sugar can damage the cells of the kidneys (as well as the heart and blood vessels). Kidney diseaseand ultimately kidney failureis a common complication among people with both of these conditions. If you have [systolic] blood pressure consistently above 180, within 12 to 15 years, you will be on dialysis, Bakris says, referring to a medical procedure that removes, filters, and returns the blood to someone whose kidneys are no longer up to it. Elevated blood sugar caused by Type 2 diabetes further damages kidney cells, and increases the odds that the kidneys will struggle or fail to perform their job.

Although cardiovascular and renal problems are two of the most common complications, hypertension and Type 2 diabetes can cause or contribute to a wide range of health problemsfrom dementia to blindness. Both affect the vasculature, which can impair the health of any organ system, Brunstrom says.

Fortunately, there are effective ways to manage both conditions and therefore reduce all of these health risks.

Read More: The Truth About Fasting and Type 2 Diabetes

As is the case with most common health conditions, experts say that a combination of lifestyle changes and prescription drugs are often an effective one-two punch for people with both hypertension and Type 2 diabetes.

First, I would say that lifestyle changes are the basics of all disease management, Brunstrom says. He re-emphasizes the strong associations linking hypertension and Type 2 diabetes to obesity, and the role excess weight plays in exacerbating many health complications. Obesity or overweight is a huge driver of both these conditions, so weight management would be very crucial, he says. Diet, exerciseany way you can get your weight down is good.

Even if youre not losing weight, exercise is still beneficial. It increases circulation around the body and improves function of the small vessels, which might get [blood] pressure down, he says. It might also improve the sensitivity to insulin and reduce glucose. Thats all good stuff. Even short of sweaty exercise sessions, spending less time sitting or in a sedentary positionwalking, for example, or doing chores around the house on your feetmay be helpful.

When it comes to eating, Brunstrom highlights the DASH diet, which is endorsed by the National Heart, Lung, and Blood Institute for the management of hypertension. (DASH stands for dietary approaches to stop hypertension.) The DASH diet involves limiting your intake of saturated fats, which are common in red meat and fatty dairy products, and also cutting down on your intake of salt and sugary foods and drinks. Meanwhile, the DASH diet recommends eating lots of fruits and vegetables. Other experts endorse these eating habits. I always tell my patients to eat healthy, which means more fruits and vegetables, less red meat, fewer high-carbohydrate foods, says the University of Utahs Beddhu.

Recently, some researchers have examined the benefits of intermittent fasting plans for the management of Type 2 diabetes. These approaches involve limiting or eliminating all caloric intake for an extended period of timeusually 16 hours or longer. Theres evidence that they may be beneficial. They also appear to be safe for people with early or mild disease. But if you have diabetes and are on medications, these diets can wreak havoc, Bakris says. If you want to try that, you need the help of a physician or accredited diabetes dietitian.

Weight-loss surgery may be a treatment option worth considering. Recent research shows that bariatric surgery has helped both young people and adults get better control of their diabetes and hypertension. In some cases, especially those involving teenagers, weight-loss surgery has removed the need for medications or even eliminated the diseases entirely.

Apart from surgery and lifestyle interventions, experts agree that prescription medications are almost always necessary to manage these diseases. You can reduce your pill burden if youre really good on the lifestyle sideso eating right, reducing sodium intake, exercising regularly, Bakris says. But even on the low end, most people with diabetes and hypertension are going to require four to six medications.

Others agree that pills are pretty much unavoidable. I always compare [taking] them to doing your taxes or brushing your teeth, says Dr. Tom Brouwer, a cardiology resident and researcher at Amsterdam University Medical Centres in the Netherlands. Its not fun, but you need to do it.

In the U.S., medical guidelines recommend that doctors aim to get people with both hypertension and diabetes down to blood-pressure scores below 130/80 mm Hg. Theres some ongoing debate about whether targeting even lower numbers would be beneficial. Brouwer has conducted research in this area, and he says that in many cases hes a proponent of aiming for a systolic BP of 120. If a patient tolerates it, I tend to try to lower their blood pressure all the way to 120, he says.

There are many different drugs used to treat people with both hypertension and Type 2 diabetes. But two of the most popular options are angiotensin-converting enzyme inhibitors and angiotensin II receptor blockers, both of which help relax the arteries and so assist blood flow. Apart from being effective for hypertension, these drugs also help protect the kidneys. Diuretics (drugs that increase urination), as well as beta blockers and calcium channel blockers, are all common treatments.

Read More: People With Diabetes Are More Vulnerable to Heart Disease. How to Reduce the Risk

With these three drugs, an overwhelming majority of patients get to the target blood pressure, Brouwer says.

For those at risk for hypertension, diabetes, or both, experts say that all the lifestyle measures abovea good diet, exercise, and maintaining a healthy weightare among the best ways to lower your risks. By following your doctors drug recommendations and trying to live a healthier life, you can protect yourself from serious complications. I tell patients: you can help yourself, Bakris says. But you have to put in the effort.

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How Diabetes and High Blood Pressure Are Linked - TIME

Hypercholesterolemia occurs when you have high low-density lipoprotein (LDL) cholesterol and low levels of high-density lipoprotein (HDL) cholesterol. Another name for this condition is dyslipidemia.

If youve been diagnosed with hypercholesterolemia, a doctor or healthcare professional will likely recommend lifestyle changes and possibly medications to lower your cholesterol. Making these changes can help lower your risks of health conditions related to hypercholesterolemia such as coronary heart disease or peripheral artery disease.

Lifestyle factors are the most common cause of hypercholesterolemia. However, there are other hypercholesterolemia causes, usually because of genetic changes that can cause your body to develop high cholesterol levels. An example is familial hypercholesterolemia (FH).

FH can cause severely high cholesterol levels, often at a much younger age than what is typical. Doctors will treat most people with FH with the same cholesterol-lowering medications as those with lifestyle-related hypercholesterolemia.

However, if you have severely high cholesterol levels because of a genetic condition (sometimes even greater than 500 milligrams per deciliter), a doctor may recommend a treatment called lipoprotein apheresis. This treatment involves starting an IV and connecting it to a machine that cleanses your blood of excess cholesterol.

Hypercholesterolemia treatments typically involve a combination of lifestyle changes and medications to lower cholesterol. Your healthcare professionals recommendations will probably depend upon how high your cholesterol levels are and if you have other risk factors for heart disease such as obesity or diabetes.

If youre at high risk, a doctor will likely recommend taking medications to lower your cholesterol.

Its important to keep in mind that these are just general guidelines. A doctor will always have the most reasoned information on your condition and the best way to treat it.

Lifestyle changes, such as exercise and quitting smoking, can help lower high cholesterol levels. So can making dietary changes. These lifestyle changes can be especially important in treating high cholesterol in children.

Choosing fresh foods in favor of preprepared foods can help lower your LDL cholesterol levels.

Diet approaches to try include:

Diet approaches to avoid include:

If you have hypercholesterolemia, aim to keep your dietary cholesterol intake to fewer than 200 mg per day. The average daily cholesterol intake for adults is 293 mg per day.

Many medications commonly used to treat high cholesterol arent safe for use in pregnancy. The medications that have potentially harmful effects on a baby include:

You can, however, take bile acid sequestrants to lower cholesterol when youre pregnant. These medications keep your stomach from absorbing the bile acid that your liver needs to make cholesterol. Because they block a body process and arent absorbed into the bloodstream, bile acid sequestrants are safe for pregnancy.

If youre expecting and have high cholesterol or your cholesterol increases while pregnant, talk with a doctor about safe treatment approaches.

Whether or not hypercholesterolemia is curable depends on why you have the condition in the first place. Genetic conditions that result in hypercholesterolemia are generally treatable but not curable.

If your hypercholesterolemia is lifestyle-related, its possible that the lifestyle changes you continue to implement could cure your high cholesterol. However, some people require medication therapies that will continue to treat high cholesterol.

Hypercholesterolemia treatments primarily include lifestyle changes and medications. Each of these treatments helps to improve your heart health and lowers the risks of experiencing a heart attack or stroke.

Ask a doctor how often you should have your cholesterol checked and how you can treat high cholesterol if you have it. Make sure to let a doctor know if you have any family history of hypercholesterolemia or high cholesterol.

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Hypercholesterolemia Treatment: Diet, Medications, and More - Healthline

Not only is Helen Mirren performing in White Bird, other current projects include: Golda, based on the "Iron Lady of Israel", Golda Meir, set to be released in 2023; Shazam: Fury Of The Gods (December 21, 2022); and Fast X, and 1923 both productions are coming out next year. Showing no signs of slowing down, even a decade on from the UK's legal retirement age (66), what's Mirren's advice on remaining agile in older life? "My advice is to work from the inside out," said Mirren. "First of all, take control of your diet and find one that makes you feel good."

While she wouldn't turn down a trip to the fish and chip shop, Mirren is aware that "what youre putting inside your body does influence how you feel about yourself".

"The next thing is exercise," added Mirren, "which doesnt mean joining expensive gyms."

The Oscar award-winning actress continued: "Im a big believer in the Canadian Air Force womens exercise regime, which is 12 minutes.

"It is an exercise regime that starts from very low and easy, then if you follow it through, it can become quite difficult.

READ MORE: 'I knew I was going to hear it one day' Sarah Beeny on the cancer diagnosis she expected

"I've never gotten past the second level, but its a nice little exercise programme. Nothing extreme, but you need to do it every day."

In the candid interview with Vogue, Mirren stated: "Its all to do with taking control of yourself."

Canadian Air Force womens exercise regime

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How to have a better diet

The NHS advises women to eat around 2,000 calories per day; men can eat 2,500 calories.

Up to a third of the dinner plate, for example, should include a form of starchy carbohydrate; preferably one that is wholegrain.

Starchy carbohydrates:

Potatoes with the skins on

Brown rice

Wholewheat pasta

Cereals

Bread.

Aim for five portions of fruit and vegetables daily; to make this easier, you could add three different varieties of fruit to muesli in the morning.

An example could be muesli topped with blueberries, strawberries, and bananas.

The NHS advises women to eat around 2,000 calories per day; men can eat 2,500 calories.

Up to a third of the dinner plate, for example, should include a form of starchy carbohydrate; preferably one that is wholegrain.

Starchy carbohydrates:

Aim for five portions of fruit and vegetables daily; to make this easier, you could add three different varieties of fruit to muesli in the morning.

An example could be muesli topped with blueberries, strawberries, and bananas.

"A 150ml glass of fruit juice, vegetable juice or smoothie also counts as one portion," the NHS certifies.

However, you are recommended to only enjoy one glass, as any more will not count towards your five-a-day; furthermore, it could be sugary and damage your teeth.

In addition to eating more high-fibre carbohydrates, fruits and vegetables, you also need to cut down on saturated fats.

Eat less:

Sugary foods should also be minimised, which include:

Hailed as the "miracle cure" for numerous ailments, committing to daily movement can decrease the risk of disease.

Examples include: coronary heart disease, type 2 diabetes, strokes, heart attack, and high cholesterol.

As for Mirren, by taking part in numerous productions and having to move around the set she will be on her feet.

Just by standing more, walking around, and doing daily chores could contribute to daily exercise.

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Helen Mirren, 77, 'big believer' of Canadian Air Force womens exercise regime to stay fit - Express

I. Origin of the Osho Zen Tarot deck Major Arcana Osho Zen Tarot Deck Minor Arcana Osho Zen Tarot Deck 1. Water Suit Osho Zen Tarot Cards 2. Clouds Suit Osho Zen Tarot Cards 3. Fire Suit Osho Zen Tarot Cards 4. Rainbows Suit Osho Zen Tarot Cards

The Osho Zen Tarot deck, illustrated by Ma Deva Padma (1947), is one of the decks considered to be quite challenging to perceive and interpret. However, Tarot readers will feel somewhat answered if carefully studying the accompanying manual. Osho Zen Tarot deck is based on the teachings of the late Zen master Osho (December 11, 1931 January 19, 1990), whose real name is Chandra Mohan Jain, also known as Acharya Rajneesh from the 1960s onwards, after which he called himself Bhagwan Shree Rajneesh in the 1970s and 1980s, and eventually took the name Osho in 1989. Throughout his lifetime, he was seen as a mystic teacher, guru, and spiritual master. Osho left a huge number of works with hundreds of books and countless lectures, helping people understand clearly the truth, clarifying things that no one has ever touched before.

Osho argued that meditation is not only a practicebut a state of awareness maintained in each moment an overall awareness thatawakens individuals from the sleep of mechanical response controlled by beliefand expectation. He applied Western psychotherapy in the stages of preparationfor meditation to make people aware of their own mental and emotional patterns.

Therefore, the meaning of the cards gives you thefeeling of being taught, and often the profound statements about specificconcepts or actions. But not everyone agrees with these concepts.

This deck is designed in a liberal style in order toattain enlightenment through meditation. While traditional Tarot deck, which isRider-Waite, aims to satisfy the desire to search for the past and the futureand answers questions like What will happen in the future?, What will myhealth and children look like?, or What if I choose one option over theother?, etc, Osho Zen Tarot focuses on the task of helping readers andquerents enhance their perception of the present. The similarity between theOsho Zen Tarot and the Rider-Waite Tarot is that it is not intended to makepredictions. It is a system based on the enlightenment of Zen, which helps usto examine external events to clarify what is happening inside us.Additionally, impressive images help you blend in with your sensitivity,intuition, compassion, creativity, acceptance, and personality.

The Osho Zen Tarot consists of 79 cards: 78 cards asusual and the Master card added, each containing a picture of the card and anaccompanying reading. This section includes a quotation from Oshos works and aparaphrase of the author illustrating this deck.

Overall, it represents the ultimate transcendence ofthe individual ego in enlightenment and the illustrated 176-page manual.Besides, each Osho Zen Tarot card has an explanation of the illustration aswell as insight into its meaning. The manual also provides some spreadsheetsand a glossary of symbols.

Somewhat helpful to the Tarot readers, theaccompanying manual describes in great detail the cards as well as theirmeaning in common sense. These descriptions lead Tarot readers to immerse in thecard and interpret the images in the card with feeling and reflection. Thisapproach can be found to be a big help when reading cards and discovering whatcard images are trying to convey. Usually, in the manual, you will find a storyabout Buddha, more perfectly describing the meaning of the card, and leavingsome information about the Zen culture of Osho and the life of Buddha.

Osho Zen Tarot deck itself is a brilliant piece of art, paired with 79 cards. It is also one of the few Tarot decks purchased mainly because of its high artistry. Still, the art used in the deck is quite odd, from the use of watercolors to featured geometric designs.

The cards in the Major Arcana are still in the traditional order and meaning with Zen-themed visual representation. However, the card name was changed as follows:

The additional card in the Major Arcana of Osho ZenTarot the Master shows what people can become when they escape the eternalcycle of birth and death (the journey from Fool to Completion) and find theEnlightenment. It is not surprising that the Master card is depicted with aportrait of Zen master Osho. Besides, this Master card, based on the meaningshared by the author, is not the master above others but the image of a masterof himself, who mastered his own mind and is unaffected or enslaved by theoutside world. The master does not teach us anything but only a reflection forus to look into it and realize ourselves. Only when understanding, one canfully comprehend Osho Zen Tarot. If intentionally eliminated this card, thisdeck would immediately lose part of its meaning.

The new name of the Major card will be quite unusualif you do not look through the image. It is the images in this card that conveythe meaning and complement the name of cards in a great way. Images used arevery sacred and anecdotally express their meanings. For example, the cardInnocence (Sun) depicts a silver-haired man smiling wittily with a deep gaze onthe green mantis perched on his index finger. This image is like touching thesoul, and people often find themselves through such cards.

The Minor Arcana cards of Osho Zen Tarot aresignificantly changed. The card name, for example, the Five of Swords, is notshown on the card, but instead is a keyword that conveys meaning on it.

The four suits: Fire, Water, Clouds, and Rainbow,are equivalent to Wands, Cups, Swords, and Pentacles. On the Minor cards, youcan see the card number according to the color of the suit in a small diamondshape: Gray Clouds, Red Fire, Blue Water, and Seven Colors Rainbows.Just like the Majors cards, the images on the Minor cards are conveyedexcellently, both anecdotally and symbolically. But you will only contemplatevery little if not associated with the keyword on the card.

For example, the Eight of Waters, with the keyword Letting go Give describing droplets of water remaining on the foliage are falling down on the lake.

Court cards also have no name. Instead, inside the colored diamond shape representing the suit, is an arrow pointing to one of the four main directions: North () is King, East () is Knight, South () is Queen, and West () is Page. It will be a little difficult to get used to at first, but Court cards are greatly supplemented with keywords on it. Unexpectedly, in the Osho Zen Tarot deck, Court cards are depicted without actual human figures as they are more about conveying concepts than talking about people. For more information, the back of the cards is stunning in a very mundane and oriental way. With the back design, Tarot readers can easily know whether the card is in reverse or upright.

Based on the analysis above, it isclear that Water represents the first 6th consciousness exposed to thephenomenal world, Cloud represents the 7th Consciousness, Fire represents the8th Consciousness, and Rainbow represents the outside phenomenal world, whichis also called Name and Form. Form, connected with 6 internal senses, led tothirst, whereby the 7th Consciousness silently ego-grasped. Eventually, all aregathered into the subconscious mind, thus generating cause and effect,ignorance, samsara and birth, old age, illness, death.

The Osho Zen Tarot deck focuses on the task ofhelping the Tarot readers improve their current understanding. It suggests thatthe events that occur in the outside world merely reflect our thoughts andfeelings, even though we may not truly comprehend our own feelings andthoughts. Therefore, what we need to do is not to pay attention to what happensoutside, but instead, seek to clarify our insights and thoughts from the bottomof our hearts.

The conditions and mental states depicted innon-traditional modern visual cards are also the clearest descriptions oftransformation and transition. These images are also the life experiences thatpeople approach in life, from the beautiful to the ridiculous and the mundane.

Briefly, the Osho Zen Tarot is not a Tarot deck forbeginners or those who only feel a little philosophical value of Osho or ZenBuddhism. However, this is a very attractive deck of cards and is forenthusiasts who collect Tarot decks at a high level. Reading these cards can bechallenging at first, especially for purifying, healing, and strengthening thespirit with your standard Tarot spreads.

And finally, if you are a person who has struggledand confused with standard Tarot decks, and felt they are too scary ornegative, are more concerned with the present than the future, lovemeditation-related topics, want to have an enlightened Zen teacher to guidewise things, choose Osho Zen Tarot.

The most common and simple spread of Osho Zen Tarotis the Diamond spread, which seems to also reflect the intent of this deck.This spread requires the querent to draw 5 cards and place them in a diamondshape (at first glance, it is easily related to a cross).

If digging a little deeper, applying Buddhist knowledgeto interpret, it can be said that the first to the fourth card are the fourtypes of conditions according to the Collection of Long Discourses: causalcondition (the condition of causes and also includes all causes of mutualdependence), immediately preceding condition (talking about impermanentconsciousness that follows one another), objective condition (the conditions oftreaties, the conditions outside of us), fundamental condition (is a conditionto help the previous conditions develop), while the fifth card is the possibleresult of those conditions, require to use the mind from which to reflect andthen realize what needed to do.

There are many reasons to say that Osho Zen Tarot isnot a traditional Tarot deck, it is more like a non-standard one, or rather, asan Oracle deck, except that in spreading cards, cards in the Major Arcana stillhold an important role than the cards in the Minor Arcana. Interestingly, thereare quite a few people who are engaged in approaching this Tarot deck accordingto this aspect. Most people who have owned this deck want to interpret theircards more intuitively. The reason for this is probably because the cards inthe Osho Zen Tarot deck are highly intuitive, and straighten things as theyare, and so it is more positive, considers everything with wisdom andcompassion, doesnt accept the boundary, and doesnt admit the fiction. That isprecisely the spirit of the Middle Way.

Perhaps for all these reasons, Osho Zen Tarot is not only the most widely known of the decks related to the Zen master Osho but also one of the quite famous Tarot decks in general.

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79 Osho Zen Tarot Card Meanings - Bhagwan Shree Rajneesh | TarotX

If you watched "Wild Wild Country," the Netflix documentary about the tumultuous 1980s events that resulted from the Bhagwan Shree Rajneesh's decision to make the U.S. his home, you probably marveled at how the guru's followers transformed a remote, 65,000-acre Oregon ranch into a small city, building residences and meeting halls, a dam and an airport.

The ambitious commune collapsed amid murder plots, a poisoning attack, political intimidation and illegal wiretaps, and the city-in-the-making was abandoned. What became of it? Below, photographs taken in 2011 by The Oregonian tell the story.

First, we'll show you a few photos that indicate the way it was when the Rajneeshees were on the ascendant in Oregon. In the early 1980s, the group sought to turn a large, empty ranch property into a thriving city for thousands of people.

Along with building hundreds of small houses, the Rajneeshees created an ambitious farm system on the property. They were determined to make their eastern Oregon paradise self-sustaining.

In this photo, Rajneeshee workers in the early 1980s tend a twin dove logo that was planted on the face of a dam the commune had built.

Bracketed by his security detail, Bhagwan Shree Rajneesh drives past waiting disciples at the former ranch, which had been transformed into Rajneeshpuram.

The main intersection of the sprawling property in eastern Oregon used to buzz with activity as followers of the Bhagwan Shree Rajneesh strived to transform the former ranch into a community dedicated to their spiritual leader. Here it is in 2011, more than 25 years later.

The guru's followers built an airport so that the Bhagwan Shree Rajneesh could easily fly into and out of the remote commune on his Air Rajneesh plane.

By 2011, much of the former Rajneesh property had fallen into disrepair. Here, an abandoned airport building suffers from damage and neglect. More than two decades after the Rajneeshees left the area, most of what they had built was rotting or had disappeared.

Two runners jog the runway that still exists, built to support the aircraft of the Bhagwan Shree Rajneesh.

A bus stop sign remains on the route that was part of the mass transit system in the Rajneesh community.

A few traces, like a fire hydrant in the desert, remain to identify the property as once being the Rajneesh paradise.

The garage buildings where the Bhagwan Shree Rajneesh's fleet of Rolls Royces were kept.

Debris and water fill a pool on the hillside behind the remains of the home of Bhagwan Shree Rajneesh.

A large dining hall where hundreds of Rajneeshees gathered sits abandoned, windows broken.

A small sticker is one of the only identifiers that indicate who used an abandoned dining hall.

At some point state health inspectors visited this now-abandoned building that used to be a Rajneeshee dining hall.

In 2011, a water tower that once sported a Rajneesh sign welcomes visitors to the Young Life camp for high-school and middle-school kids.

A concrete platform and filled outline of a swimming pool are all that remain of the Bhagwan Shree Rajneesh's home.

The building that was home to the guru's powerful personal secretary, Ma Anand Sheela, became a meeting space for the Young Life camp.

A huge gathering hall where the faithful gathered to celebrate Bhagwan Shree Rajneesh was sectioned off for various athletic and recreational uses for the Young Life camp that took over part of the former commune.

A broken electrical fixture is evidence that the empty countryside at the ranch once had lighting.

A concrete platform is all that remains of the Bhagwan Shree Rajneesh's former home.

Faithful followers of the Bhagwan Shree Rajneesh used to walk these roadways, dressed in shades of red.

Concrete steps on the ranch now lead nowhere.

More:

The Netflix documentary covers a lot of ground, but even with some seven hours of programming it can't tell the entire story. Read The Oregonian's 20-part series on the Rajneeshees in Oregon.

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What happened to the Rajneeshees' Oregon paradise? Photos show decay ...

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Taking a gap yeara break from academia to pursue experiential learningcan offer more than just time off to relax. With careful planning, it can be an intentional time dedicated to self-development and self-discovery. But with so many possibilities for how to spend your gap year, how can you decide whats right for you?

If you dont know whether a gap year is right for you, or if youve decided to take the plunge but dont know what to do in a gap year, youve come to the right place. This guide can help you weigh your options.

Gap years have long been common among students in Europe, Australia and New Zealand. Today, the practice is growing in North America, with even high-profile institutions like Harvard University encouraging newly admitted students to take a year off before starting classes.

A gap year may not suit everyone, though. Before giving notice at work or sending your future university a request to defer admission, take some time to consider the benefits and drawbacks so you can make the best choice for your needs and goals.

According to the Gap Year Association, about 40,000 U.S. and Canadian citizens make this leap each year. Many people take their gap years between high school and college. However, current college students, graduates and even working professionals can also benefit from some time to recharge, refocus and reinvest themselves in their passions.

Theres no wrong time to take a gap year. Older participants may have more responsibilities to considerlike dependents and mortgagesbut with determination and planning, a gap year can fit into nearly any stage of life.

Getting through high school can seem like a frantic race to the finish line, jumping through ever-higher hoops each step of the way. A gap year allows you to pause and regroup before diving into college life, all while building the self-reliance, confidence and maturity to succeed in your academic pursuits.

Many schools allow accepted students to defer admission for a year, though they may request a proposal for how you plan to spend your gap year. However, financial aid, including scholarships, may not carry over, so make sure to find out how deferring college entry might affect your funding.

According to data from the National Center for Education Statistics, 30% of undergraduate learners change their major at least once. For students who are questioning their educational direction, a gap year can provide some time to step back and reassess. It can also offer relief from academic burnout.

If you are considering a gap year during college, bear in mind that most federal student loans allow only a six- to nine-month grace period after a person graduates, pauses their studies or drops below half-time enrollment. This means that you may need to make student loan payments during part of your gap year.

The need for reflection, growth and rest does not end after college graduation. A gap year after your undergraduate studies can help you meet these needs as you prepare for graduate study or your first post-college job. A sabbatical can also help working professionals who are feeling burned out or questioning their career choices.

A gap year can give college graduates and young professionals a much-needed break after the rigors of study or the intensity of early career development. While you may have more commitments and obligations at this stage of life, you may also have more options for financing your gap year, such as remote work.

Gap years traditionally focus on international travel, but domestic and virtual gap years can also offer valuable experiences. The most important thing is to choose a goal that means something to you.

Theres no rule that your gap year must last exactly 12 months, either. Many experiential learning programs offer single-semester or even shorter options for individuals who dont need a full year away from school or work. Of course, if youre organizing your own plans outside of a formal program, you can take as much or as little time as you wish.

Read on to learn more about popular options for what to do in a gap year.

World travel is the most common goal among gap year participants. The Gap Year Associations 2020 alumni survey found that 89% percent of respondents traveled outside of the U.S. or Canada. Traveling also goes hand in hand with another important focus for many gap year participants: language study.

There are many options for how to spend a gap year abroad. You can follow your own itinerary or go with a structured program. Gap year travel programs can cost between $5,000 and $12,000, but thrifty globe-trotters can often save money by winning scholarships, working while abroad or finding a volunteer program that covers room and board.

Volunteerism also ranked high in the Gap Year Association survey, with 79% of gap year alumni engaging in some kind of service work. Diverse volunteer opportunities abound both abroad and at home in areas like conservation, education and health.

Some organizations, like World Wide Opportunities on Organic Farms, provide food and lodging for volunteers. Others, like AmeriCorps, even pay a stipend. However, volunteering may work best for people with some savings to support travel and/or living expenses.

Teaching English to children or adults and working as an au paira live-in nannyare two popular ways to earn a living while traveling the world. The hospitality industry also employs many working holiday-makers.

This option may best suit slightly older participants with more job skills. Securing employment overseas typically requires a work visa. If you find your job through a placement service, they may arrange your visa for you.

Foreign language proficiency can be a big plus on your resume, and what better way to improve your skills than by practicing all day, every day with native speakers? Whether youre working, volunteering or relaxing, spending your gap year abroad can improve your fluency.

If a domestic or virtual gap year fits your budget or comfort zone better, you can still learn a new language. Try talking with an online language tutor through services like italki. You can also combine language study with civic engagement by volunteering with local communities that speak your target language.

A gap year can be a great time to combine a passion for athletics with opportunities for travel and personal growth. Consider building your leadership skills while making a difference in young peoples lives by volunteering to coach a sports team abroad. Many coaching programs include living with a host family for full immersion in the local culture and language.

Pursuing certification as a ski or scuba instructor can lead to paid work, but training can cost from about $1,500 to over $12,000. Depending on the program, participants may need to be over 18, but some sports coaching programs accept younger teens.

If you are between high school and college, you may want to gain experience in your chosen field before committing to years of expensive classes. Or maybe youve already started on your educational path, and youre wondering whether you made the right choice. A gap year can help you discover what its really like to work in your target industry.

Internships, either at home or abroad, can offer a taste of professional life, but remember that many internships are unpaid. In fact, placement programsespecially for overseas internshipscan be costly, so make sure to prioritize paid opportunities if you dont have substantial savings to invest.

Thirty-five percent of respondents to the Gap Year Association survey cited burnout as a prime motivator in choosing to take a year off. These students are not alone83% of the nearly 33,000 students who took part in a 2021 Boston University study reported that mental health had negatively affected their academic performance.

No matter how you spend your gap yearwhether you focus on world travel, career exploration, community service or a combination of goalsmake sure to fit in some time for self-care. Focusing on your mental and physical well-being can support your readiness to return to school or work with renewed energy and inspiration.

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How To Spend A Gap Year Forbes Advisor - Forbes

Insight is pleased to present the actress and communicator Mirna Gonzalez in her new genre of interactive montage #InsightComedy, this upcoming Sunday, September 25th at 3 pm at the majestic Dorothy F. Schmidt Theater of the FLORIDA ATLANTIC UNIVERSITY F.A.U. Boca Raton.

Boca Raton, FL But what Insight-Comedy stand for? It is an avant-garde way of doing comedy by creating characters that capture the attention of the audience, using daily life situations and anecdotes that awaken deep truths in the human consciousness, through personal development techniques apply by Mirna in her professional career and, a lot of humor in every step of the way.

The main character of the play, Valentina Arrechedera goes through different changes both physical, emotional, social, relationships, and more recently faces a path of migration to other unknown latitudes. As she matures, she begins to realize that life is not how it was painted for her, much less being a Latin women forced to live their lives in preconceived structures that have been imposed on us for so long.

But were these structures imposed on any other genders?

The answer to this question will be discover in this amazing theatre play, next upcoming September the 25th at the Theater Dorothy F. Schmidt, FLORIDA ATLANTIC UNIVERSITY, which it is written and directed by Mirna Gonzalez, Executive Production of Jaime Gudio and, on the Technical Production we present Laura Rodrguez.

Valentina amplifies her gaze to the world and share the stage with her imaginary friends to try to discover how the life journey of the other genders have been while growing into their different stages, taking a close look on the moment they meet, to embrace the changes and get together to build a better understanding of each other, until they finally reach their adulthood to discover that in reality, the most important things in the journey of everyones life is and will always be love, acceptance, inclusion and respect for one another.

Teatro Insight invites the entire Hispanic community to participate in this event specially written, directed and produced in our language, enjoying our customs and ways of facing the magical journey of life with a lot of humor, joy, music, and enthusiasm to show how incredible our culture is. With great pride we present the musical accompaniment with Vicentt, extraordinary Venezuelan singer-songwriter who with his band @vicenttmusic arrives for the first time in Boca Raton with a repertoire of themes chosen specially dedicated to Valentina, lover of music and romance. The show is performed for the Almenar Otero Foundation and has the support of cultural manager Betsy Cceres to add entertainment and culture to the Latino community in Palm Beach County.

Buy your ticket on the https://mirnagonzalez.com/ and follow their networks @mirnagonzalez.oficial For any interviews and sponsorships, please call the executive producer Jaime Gudino at +561-3562943. We hope to get together and enjoy the ride.

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New Theatrical Genre InsightComedy - Boca Raton's Most Reliable News Source - The Boca Raton Tribune