Flossing Without Flossing?

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Flossing Without Flossing?

You almost certainly brush your teeth. You might use mouthwash. A lot of people floss for three weeks at a time, often in January.

There are a lot of options for oral hygiene; variations of the above, and many alternatives too. This is a big topic, so rather than try to squeeze it all in one, this will be a several-part series.

The first part was: Toothpastes & Mouthwashes: Which Help And Which Harm?

How important is flossing?

Interdental cleaning is indeed pretty important, even though it may not have the heart health benefits that have been widely advertised:

Periodontal Disease and Atherosclerotic Vascular Disease: Does the Evidence Support an Independent Association?

However! The health of our gums is very important in and of itself, especially as we get older:

Flossing Is Associated with Improved Oral Health in Older Adults

But! It helps to avoid periodontal (e.g. gum) disease, not dental caries:

Flossing for the management of periodontal diseases and dental caries in adults

And! Most certainly it can help avoid a stack of other diseases:

Interdental Cleaning Is Associated with Decreased Oral Disease Prevalence

…so in short, if you’d like to have happy healthy teeth and gums, flossing is an important adjunct, and/but not a one-stop panacea.

Is it better to floss before or after brushing?

As you prefer. A team of scientists led by Dr. Claudia Silva studied this, and found that there was “no statistical difference between brush-floss and floss-brush”:

Does flossing before or after brushing influence the reduction in the plaque index? A systematic review and meta-analysis

Flossing is tedious. How do we floss without flossing?

This is (mostly) about water-flossing! Which does for old-style floss what sonic toothbrushes to for old-style manual toothbrushes.

If you’re unfamiliar, it means using a device that basically power-washes your teeth, but with a very narrow high-pressure jet of water.

Do they work? Yes:

Effects of interdental cleaning devices in preventing dental caries and periodontal diseases: a scoping review

As for how it stacks up against traditional flossing, Liang et al. found:

❝In our previous single-outcome analysis, we concluded that interdental brushes and water jet devices rank highest for reducing gingival inflammation while toothpick and flossing rank last.

In this multioutcome Bayesian network meta-analysis with equal weight on gingival inflammation and bleeding-on-probing, the surface under the cumulative ranking curve was 0.87 for water jet devices and 0.85 for interdental brushes.

Water jet devices and interdental brushes remained the two best devices across different sets of weightings for the gingival inflammation and bleeding-on-probing.

~ Journal of Evidence-Based Dental Practice

You may be wondering how safe it is if you have had dental work done, and, it appears to be quite safe, for example:

BDJ | Water-jet flossing: effect on composites

Want to try water-flossing?

Here are some examples on Amazon:

Bonus: if you haven’t tried interdental brushes, here’s an example for that

Enjoy!

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  • 3 Life-Changing Mobility Movements To Train

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    If you’ve ever momentarily struggled to stand up straight after sitting for too long, or had to take a moment to get up off the floor, this one’s for you.

    And if you’ve never done those things? Well, this one’s still for you—prevention is better than cure, after all!

    From the hips

    Most movements that we need to do in life depend on our hips. They support our spine, on which almost everything else depends, and on the flipside, they’re where our legs are plugged in, so they’re pretty critical for lower body mobility too.

    So, with that in mind, here are the three exercise promised—or five, depending on how you want to count them:

    1. For hip mobility most directly: start with a combination of donkey kicks and fire hydrants. From a tabletop position, lift one leg behind you as if putting a footprint on the ceiling, keeping your tailbone tucked in and your core engaged to avoid using your lower back. Then, bring your leg back and lift it sideways like a dog peeing on a hydrant, keeping your torso level and pelvis stable. Alternate between the two movements for 20 total reps (i.e. 10 each), then switch legs.
    2. For hip, spinal, and upper body mobility: now we get to thread the needle. From all fours, inhale and reach one arm up (as far as comfortable), then exhale and thread it under your body to the opposite side. Lower your shoulder close to the mat but without touching it, using your core to twist. Follow your breath rhythm—inhale to lift, exhale to thread—and do 10 reps on each side.
    3. For hip and ankle mobility: use a split lunge with two parts. From an upright lunge, put your hands on your front thigh and tuck your tailbone in to engage the back glute. Lunge forwards while keeping your front heel flat on the floor, while your knee moves past the toes. Then, without changing pelvis position, lift your back knee and try to straighten your leg, pushing your heel backwards without raising your hips. Return to start and repeat 10 times per side.

    For more on all of this plus visual demonstrations, enjoy:

    Click Here If The Embedded Video Doesn’t Load Automatically!

    Want to learn more?

    You might also like:

    How Tight Are Your Hips? Test (And Fix!) With This

    Take care!

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  • How Gluconolactone Restores Immune Regulation In Lupus

    10almonds is reader-supported. We may, at no cost to you, receive a portion of sales if you purchase a product through a link in this article.

    Let’s be clear up front: this will not cure lupus.

    However, it will interrupt the pathology of lupus in such a way as to, as the title says, restore immune regulation—so that your body stops attacking itself, or at the very least, attacks itself significantly less.

    What is gluconolactone anyway?

    Gluconolactone (also called glucono-δ-lactone) an oxidized derivative of glucose, when glucose is exposed to oxygen and a certain enzyme (glucose oxidase). It’s used in various food-related fermentation processes, and also helps such foods to have a tangy flavor.

    It’s also known as E575, showing that E-numbers need not always be scary 🙂

    How does it work?

    First, a recap on how lupus works: lupus is an autoimmune disease where the immune system attacks its own tissues, causing inflammation and organ damage (to oversimplify it in very few words).

    Next, how lupus is currently treated: mostly with immunosuppressant drugs, which reduce symptoms but have significant side effects, not least of all the fact that your immune system will be suppressed, leaving you vulnerable to infections, cancer, aging, and the like. So, there’s really a “damned if you do, damned if you don’t” aspect here (because untreated lupus will run your immune system into the ground with its chronic inflammation, which will also leave you vulnerable to the aforementioned things).

    See also: How to Prevent (or Reduce) Inflammation

    Now, how gluconolactone works: it increases the number of regulatory T-cells (also called “Tregs” by scientists who don’t want to have to say/write “regulatory T-cells” many times per day), which are the ones that tell the rest of your immune system what not to attack. It also inhibits pro-inflammatory T-helper-cells that are otherwise involved in autoimmune dysfunction.

    Where is the science for this?

    It’s a shiny new paper that covers three angles:

    • In lupus-suffering mouse in vivo studies, it improved Treg function and reduced inflammatory skin rashes
    • In human cell culture in vitro studies (with cell cultures from human lupus patients), it bolstered Treg count and improved immune regulation
    • In human patient in vivo studies, a gluconolactone cream controlled skin inflammation and improved the clinical and histologic appearance of the skin lesions within 2 weeks

    ❝These results suggest that gluconolactone could be a targeted treatment option with fewer side effects for autoimmune diseases such as lupus.

    Gluconolactone acts like a ‘power food’ for regulatory T cells—a real win-win situation for immune regulation❞

    ~ Dr. Antonios Kolios

    You can find the paper itself here:

    Gluconolactone restores immune regulation and alleviates skin inflammation in lupus-prone mice and in patients with cutaneous lupus

    Where can I get gluconolactone?

    At the moment, this is still in the clinical trials phase, so it’s not something you can get a prescription for yet, alas.

    But definitely keep an eye out for it!

    We would hypothesize that eating foods fermented with E575 (it’s sometimes used in feta cheese, hence today’s featured image, and it’s also often used as a pickling agent) may well help, but that’s just our hypothesis as it isn’t what was tested in the above studies.

    Want to learn more?

    In the meantime, if you’d like to learn more about lupus, we recommend this very comprehensive book:

    The Lupus Encyclopedia: A Comprehensive Guide For Patients & Healthcare Providers – by Dr. Donald Thomas et al.*

    *The “et al.” are: Jemima Albayda, MD; Divya Angra, MD; Alan N. Baer, MD; Sasha Bernatsky, MD, PhD; George Bertsias, MD, PhD; Ashira D. Blazer, MD; Ian Bruce, MD; Jill Buyon, MD; Yashaar Chaichian, MD; Maria Chou, MD; Sharon Christie, Esq; Angelique N. Collamer, MD; Ashté Collins, MD; Caitlin O. Cruz, MD; Mark M. Cruz, MD; Dana DiRenzo, MD; Jess D. Edison, MD; Titilola Falasinnu, PhD; Andrea Fava, MD; Cheri Frey, MD; Neda F. Gould, PhD; Nishant Gupta, MD; Sarthak Gupta, MD; Sarfaraz Hasni, MD; David Hunt, MD; Mariana J. Kaplan, MD; Alfred Kim, MD; Deborah Lyu Kim, DO; Rukmini Konatalapalli, MD; Fotios Koumpouras, MD; Vasileios C. Kyttaris, MD; Jerik Leung, MPH; Hector A. Medina, MD; Timothy Niewold, MD; Julie Nusbaum, MD; Ginette Okoye, MD; Sarah L. Patterson, MD; Ziv Paz, MD; Darryn Potosky, MD; Rachel C. Robbins, MD; Neha S. Shah, MD; Matthew A. Sherman, MD; Yevgeniy Sheyn, MD; Julia F. Simard, ScD; Jonathan Solomon, MD; Rodger Stitt, MD; George Stojan, MD; Sangeeta Sule, MD; Barbara Taylor, CPPM, CRHC; George Tsokos, MD; Ian Ward, MD; Emma Weeding, MD; Arthur Weinstein, MD; Sean A. Whelton, MD

    The reason we mention this is to render it clear that this isn’t one man’s opinions (as happens with many books about certain topics), but rather, a panel of that many doctors all agreeing that this is correct and good, evidence-based, up-to-date (as of the publication of this latest revised edition) information.

    Take care!

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  • 3 Unconventional Ways To Fix Your Stiff Neck (Without Stretching)

    10almonds is reader-supported. We may, at no cost to you, receive a portion of sales if you purchase a product through a link in this article.

    Dr. JJ Thomas (Doctor of Physical Therapy) shows us how to do it:

    Your neck is usually not the actual problem

    A stiff neck is often caused by underuse and lack of stability in the rest of the body, not overuse of the neck itself. Regaining rotational mobility therefore involves building stability below the neck. Here’s how:

    1. Anti-rotation band press: in a tall kneeling position, hold a resistance band at your belly button with both hands and press it straight outwards while preventing your torso from twisting; hold for 5 breaths, and repeat on both sides.
    2. Rotational band pull: in a half-kneeling position, rotate your torso (not your neck) towards your front leg using a lighter resistance band, allowing your head to follow passively while keeping your neck neutral.
    3. Anti-rotation plank with side step: in an elbow plank, keep your head neutral as you step one leg to the side, then bring your other leg over and return to the plank position, maintaining torso and neck stability throughout.

    For more on all of this, plus visual demonstrations, enjoy:

    Click Here If The Embedded Video Doesn’t Load Automatically!

    Want to learn more?

    You might also like:

    How To Stop Pain From Spreading

    Take care!

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  • Paris in spring, Bali in winter. How ‘bucket lists’ help cancer patients handle life and death

    10almonds is reader-supported. We may, at no cost to you, receive a portion of sales if you purchase a product through a link in this article.

    In the 2007 film The Bucket List Jack Nicholson and Morgan Freeman play two main characters who respond to their terminal cancer diagnoses by rejecting experimental treatment. Instead, they go on a range of energetic, overseas escapades.

    Since then, the term “bucket list” – a list of experiences or achievements to complete before you “kick the bucket” or die – has become common.

    You can read articles listing the seven cities you must visit before you die or the 100 Australian bucket-list travel experiences. https://www.youtube.com/embed/UvdTpywTmQg?wmode=transparent&start=0

    But there is a more serious side to the idea behind bucket lists. One of the key forms of suffering at the end of life is regret for things left unsaid or undone. So bucket lists can serve as a form of insurance against this potential regret.

    The bucket-list search for adventure, memories and meaning takes on a life of its own with a diagnosis of life-limiting illness.

    In a study published this week, we spoke to 54 people living with cancer, and 28 of their friends and family. For many, a key bucket list item was travel.

    Why is travel so important?

    There are lots of reasons why travel plays such a central role in our ideas about a “life well-lived”. Travel is often linked to important life transitions: the youthful gap year, the journey to self-discovery in the 2010 film Eat Pray Love, or the popular figure of the “grey nomad”.

    The significance of travel is not merely in the destination, nor even in the journey. For many people, planning the travel is just as important. A cancer diagnosis affects people’s sense of control over their future, throwing into question their ability to write their own life story or plan their travel dreams.

    Mark, the recently retired husband of a woman with cancer, told us about their stalled travel plans:

    We’re just in that part of our lives where we were going to jump in the caravan and do the big trip and all this sort of thing, and now [our plans are] on blocks in the shed.

    For others, a cancer diagnosis brought an urgent need to “tick things off” their bucket list. Asha, a woman living with breast cancer, told us she’d always been driven to “get things done” but the cancer diagnosis made this worse:

    So, I had to do all the travel, I had to empty my bucket list now, which has kind of driven my partner round the bend.

    People’s travel dreams ranged from whale watching in Queensland to seeing polar bears in the Arctic, and from driving a caravan across the Nullarbor Plain to skiing in Switzerland.

    Humpback whale breaching off the coast
    Whale watching in Queensland was on one person’s bucket list. Uwe Bergwitz/Shutterstock

    Nadia, who was 38 years old when we spoke to her, said travelling with her family had made important memories and given her a sense of vitality, despite her health struggles. She told us how being diagnosed with cancer had given her the chance to live her life at a younger age, rather than waiting for retirement:

    In the last three years, I think I’ve lived more than a lot of 80-year-olds.

    But travel is expensive

    Of course, travel is expensive. It’s not by chance Nicholson’s character in The Bucket List is a billionaire.

    Some people we spoke to had emptied their savings, assuming they would no longer need to provide for aged care or retirement. Others had used insurance payouts or charity to make their bucket-list dreams come true.

    But not everyone can do this. Jim, a 60-year-old whose wife had been diagnosed with cancer, told us:

    We’ve actually bought a new car and [been] talking about getting a new caravan […] But I’ve got to work. It’d be nice if there was a little money tree out the back but never mind.

    Not everyone’s bucket list items were expensive. Some chose to spend more time with loved ones, take up a new hobby or get a pet.

    Our study showed making plans to tick items off a list can give people a sense of self-determination and hope for the future. It was a way of exerting control in the face of an illness that can leave people feeling powerless. Asha said:

    This disease is not going to control me. I am not going to sit still and do nothing. I want to go travel.

    Something we ‘ought’ to do?

    Bucket lists are also a symptom of a broader culture that emphasises conspicuous consumption and productivity, even into the end of life.

    Indeed, people told us travelling could be exhausting, expensive and stressful, especially when they’re also living with the symptoms and side effects of treatment. Nevertheless, they felt travel was something they “ought” to do.

    Travel can be deeply meaningful, as our study found. But a life well-lived need not be extravagant or adventurous. Finding what is meaningful is a deeply personal journey.

    Names of study participants mentioned in this article are pseudonyms.

    Leah Williams Veazey, ARC DECRA Research Fellow, University of Sydney; Alex Broom, Professor of Sociology & Director, Sydney Centre for Healthy Societies, University of Sydney, and Katherine Kenny, ARC DECRA Senior Research Fellow, University of Sydney

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

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  • How gender-affirming care improves trans mental health

    10almonds is reader-supported. We may, at no cost to you, receive a portion of sales if you purchase a product through a link in this article.

    In recent years, a growing number of states have passed laws restricting or banning gender-affirming care for transgender people, particularly minors. As conversations about gender-affirming care increase, so do false narratives about it, with some opponents falsely suggesting that it’s harmful to mental health.

    Despite widespread attacks against gender-affirming care, research clearly shows that it improves mental health outcomes for transgender people.

    Read on to learn more about what gender-affirming care is, how it benefits mental well-being, and how you can access it.

    What is gender-affirming care?

    Gender-affirming care describes a range of medical interventions that help align people’s bodies with their gender identities. While anyone can seek gender-affirming care in the form of laser hair removal, breast augmentation, erectile dysfunction medication, or hormone therapy, among other treatments, most conversations about gender-affirming care center around transgender people, whose gender identity or gender expression does not conform to their sex assigned at birth.

    Gender-affirming care for trans people varies based on age. For example, some trans adults seek hormone replacement therapy (HRT) or gender-affirming surgeries that help their bodies match their internal sense of gender.

    Trans kids entering adolescence might be prescribed puberty blockers, which temporarily delay the production of hormones that initiate puberty, to give them more time to figure out their gender identities before deciding on next steps. This is the same medication given to cisgender kids—whose gender identities match the sex they were assigned at birth—experiencing early puberty.

    What is gender dysphoria?

    Gender dysphoria describes a feeling of unease that some trans people experience when their perceived gender doesn’t match their gender identity. This can lead to a range of mental health conditions that affect their quality of life

    Some trans people may manage gender dysphoria by wearing gender-affirming clothing, opting for a gender-affirming hairstyle, or asking others to refer to them by a name and pronouns that authentically represent them. Others may need gender-affirming care to feel at home in their bodies.

    Trans people who desire gender-affirming care and have not been able to access it experience psychological distress, including depression, anxiety, self-harm, and suicidal ideation. The Trevor Project’s 2023 U.S. National Survey on the Mental Health of LGBTQ Young People found that roughly half of trans youth “seriously considered attempting suicide in the past year.”

    A grid shows 10 drawings of people in black and white. Seven of the people are highlighted in purple squares. Text on the image reads,

    How does gender-affirming care improve mental health?

    For trans adults, gender-affirming care can alleviate gender dysphoria, which has been shown to improve both short-term and long-term mental health. A 2018 study found that trans adults who do not undergo HRT are four times more likely to experience depression than those who do, although not all trans people desire HRT.

    Extensive research has shown that gender-affirming care also alleviates gender dysphoria and improves mental health outcomes in trans kids, teens, and young adults. A 2022 study found that access to HRT and puberty blockers lowered the odds of depression in trans people between the ages of 13 and 20 by 60 percent and reduced the risk of self-harm and suicidal thoughts by 73 percent.

    Both the Endocrine Society—which aims to advance hormone research—and the American Academy of Pediatrics recommend that trans kids and teens have access to developmentally appropriate gender-affirming care.

    How can I access gender-affirming care?

    If you’re a trans adult seeking gender-affirming care or a guardian of a trans kid or teen who’s seeking gender-affirming care, talk to your health care provider about your options. You can find a trans-affirming provider by searching the World Professional Association for Transgender Health directory or visiting your local LGBTQ+ health center or Planned Parenthood.

    Some gender-affirming care may not be covered by insurance. Learn how to make the most of your coverage from the National Center for Transgender Equality. Find insurance plans available through the Marketplace that cover gender-affirming care in some states through Out2Enroll.

    Some states restrict or ban gender-affirming care. Learn about the laws in your state by visiting the Trans Legislation Tracker.

    Where can trans people and their families find mental health support?

    In addition to working with a trans-affirming therapist, trans people and their families can find mental health support through these free services:

    • PFLAG offers resources for families and friends of LGBTQ+ people. Find a PFLAG chapter near you.
    • The Trevor Project’s hotline has trained counselors who help LGBTQ+ youth in crisis. Call the TrevorLifeline 1-866-488-7386 or text START to 678-678.
    • The Trans Lifeline was created by and for the trans community to support trans people in crisis. You can reach the Trans Lifeline hotline at 1-877-565-8860.

    For more information, talk to your health care provider.

    If you or anyone you know is considering suicide or self-harm or is anxious, depressed, upset, or needs to talk, call the Suicide & Crisis Lifeline at 988 or text the Crisis Text Line at 741-741. For international resources, here is a good place to begin.

    This article first appeared on Public Good News and is republished here under a Creative Commons license.

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  • Why Some Friendships Last And Others Don’t

    10almonds is reader-supported. We may, at no cost to you, receive a portion of sales if you purchase a product through a link in this article.

    Friendships matter a lot, playing a significant role in our wellbeing, physical as well as mental. They bring additional meaning to our lives, help us cope with setbacks, and hopefully will be at our side through the highs and lows of life. And yet, for something that’s in principle good for everyone involved, there can be problems:

    Friend to the end?

    Firstly, some people find it harder to make (and then further deepen) friendships with others, which can be for a whole host of reasons.

    Approaching new people can feel intimidating, but it’s a common struggle. Research shows that people often underestimate how much others enjoy their company, a phenomenon known as the “liking gap.” By reminding ourselves that others are likely to appreciate our presence and expecting to be well-received (the “acceptance prophecy”), we can approach social interactions with greater confidence.

    As relationships grow, they often deepen through companionship and closeness:

    • Companionship arises from shared hobbies, interests, or values, and it builds rapport.
    • Closeness involves sharing thoughts, feelings, and experiences, which can build intimacy together.

    An important key to these is consistency, which—whether through regular chats, honoring plans, or showing support—helps strengthen bonds, even in long-distance friendships (something often considered a barrier to closeness).

    Even the strongest friendships can face challenges, of course. Conflicts may arise from a lack of support during difficult moments, or worse, betrayal. Or it could all be a misunderstanding. These situations are best addressed through honest, non-judgmental conversations. Avoiding defensiveness or accusations, and instead focusing on sharing feelings and understanding the other person’s perspective, can turn these tough discussions into opportunities for growth and stronger connections.

    For more on all of this, enjoy:

    Click Here If The Embedded Video Doesn’t Load Automatically!

    Want to learn more?

    You might also like to read:

    How To Beat Loneliness & Isolation

    Take care!

    Don’t Forget…

    Did you arrive here from our newsletter? Don’t forget to return to the email to continue learning!

    Learn to Age Gracefully

    Join the 98k+ American women taking control of their health & aging with our 100% free (and fun!) daily emails: