
Sport & Remedial Massage Therapy – by Mel Cash
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This book is a guide to exactly what it says in the title, and is quite comprehensive at that. We learn about how to use massage therapy to fix and/or improve our health, in the context of sport and/or conditions that require attention.
So, if the only sports you participate in include such events as the middle-distance grocery-carry, the vacuuming and bedsheet-change biathlon, or ranked competitive gardening, then this handbook has you covered too.
By “comprehensive”, we mean that it includes:
- Massage techniques for maintenance of one’s body
- Massage techniques for recovering from specific injuries
- Massage techniques for reducing the symptoms of various conditions
- A glossary of anatomical terms, including bone/muscle/etc names and also terms like “adduction”, “plantaflexion”, “eversion”, and other “move this thing this way” words
- There’s even a section on acupressure and Traditional Chinese Medicine.
The style is quite old-school instructional manual, and the illustrative photos used throughout do date it rather, though they’re clear enough to be serviceable.
Bottom line: if you’d like to be able massage yourself and/or a loved one to avoid/fix many ailments, then this book can help with a lot of that.
Click here to check out Sport & Remedial Massage Therapy, and learn to do it yourself!
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How To Actually Get Abs (10 Annoying Tips That Work!)
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Cori Lefkowitz, of “Strong At Any Age”, advises…
The method
It may not be fun, but here’s what she finds works:
- Be boring: stick to a simple, repetitive diet to track progress easily, and make hitting macros simpler.
- Cut back on protein bars: processed protein bars are calorie-dense but not filling (due to their small volume), so limit them, especially when trying to get lean.
- Stop daily fluctuations: she advises to be precise with macros and calories daily, not just weekly, to see consistent results.
- Focus on fiber: aim for 25–30g of fiber daily to improve gut health, reduce cravings, and maintain health while cutting fat.
- Get 30–40g of protein per meal: ensure each meal has enough protein to fuel muscle growth and support overall body function.
- Prioritize carbs around workouts: eat carbs before and after training to fuel performance, aid muscle repair, and maintain lean mass.
- Take diet breaks: incorporate 1–2 week maintenance phases to prevent metabolic adaptation, maintain muscle, and thus stay consistent in the long-term.
- Be careful with fat burners & preworkout: these can harm sleep, recovery, and long-term fat loss; opt for natural dietary energy sources instead.
- Don’t set-and-forget: regularly assess and adjust your diet and macros as your body and lifestyle change.
- “Suck it up, buttercup”: fat loss requires persistence, discipline, and pushing through tough moments when you feel like quitting.
For more on all of this, enjoy:
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Is A Visible Six-Pack Obtainable Regardless Of Genetic Predisposition?
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Should I take vitamin D now there’s less sun, or for bone or immune health?
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It can be easy to think you get plenty of vitamin D when you live in a country bathed in sunshine, but the reality is more complicated.
Almost one in four Australian adults have vitamin D deficiency. Vitamin D supplements are now one of the most commonly used complementary medicines.
So what is vitamin D? And do you need to take it as a supplement?
MoMo Productions/Getty Images It functions like a hormone
Vitamin D is a fat-soluble vitamin that plays a crucial role in maintaining overall health. Unlike most vitamins, it functions more like a hormone in the body, and nearly every cell has a receptor for it.
It exists in several forms, but vitamin D3, also known as cholecalciferol, is the most important. Once in the body, D3 undergoes changes – first in the liver and then in the kidneys – to become its fully active form called calcitriol.
Your body is capable of producing its own vitamin D by converting a cholesterol precursor into it, but that requires exposure to ultraviolet radiation (UVB) on your skin.
You can also get it through diet from a few foods including eggs, oily fish and mushrooms – but it’s unlikely to be as much as you need.
What happens when you don’t get enough vitamin D?
Vitamin D’s best-known role is helping the body use calcium. It promotes the absorption of calcium from the gut, ensuring an adequate level in the blood for building strong bones.
Without sufficient vitamin D, your body can’t absorb calcium effectively, which can lead to bone health problems.
In children, severe deficiency causes rickets, a condition where bones become soft. This leads to delayed growth, bone pain, and skeletal conditions, such as bowed legs.
In adults, deficiency can cause a condition called osteomalacia. This results in bone pain, bone tenderness and a higher risk of fractures.
In the long term, low vitamin D contributes to osteoporosis by reducing bone density and increasing the risk of fractures, especially in older people.
Deficiency is also linked to muscle weakness and cramps, and impaired immune function, which results in a higher susceptibility to respiratory infections.
What can cause a vitamin D deficiency?
Insufficient sunlight exposure typically causes vitamin D deficiency.
If you spend all your time indoors, or you work night shifts and sleep during the day, you will get less sunlight exposure and make less vitamin D.
While we get generally get lots of sunlight in mainland Australia, there are regions that for long periods have very low sunlight which can also cause vitamin D deficiency. In very northern and southern latitudes, such as Tasmania, there are only a few hours of sunlight in winter.
For people living at these latitudes, they can not only have a vitamin D deficiency, but they may also suffer from a type of depression called seasonal affective disorder which has been linked to low vitamin D.
Melanin, or skin pigmentation, affects vitamin D production. People with darker skin and people with significant skin disorders, such as psoriasis or severe burns and scarring, can also be at risk of vitamin D deficiency.
Prescription vs over-the-counter supplements
There are various vitamin D supplements in Australia. There are low-dose (20 microgram) and higher-dose (175 microgram) formulations of vitamin D3. There is also a 0.25 microgram formulation of calcitriol, the active form of vitamin D.
Both of the vitamin D3 products are used for treating vitamin D deficiency, while the calcitriol product is used for treating hypocalcaemia (low calcium level) in people with chronic kidney disease.
The low dose vitamin D3 is taken daily whereas the higher dose formulation is taken once a week.
The higher-dose formulation is sold as a pharmacist-only medicine, meaning you’ll need to speak to a pharmacist before they are able to supply it to you.
The calcitriol vitamin D product is only available as a prescription medicine.
Vitamin D3 is also available in multivitamins at lower doses and in products that are combined with calcium or vitamin K.
Are there any dangers in taking vitamin D?
Vitamin D3 is generally well-tolerated. When taken daily, the upper tolerable intake level is 100 microgram.
A regular dose higher than 100 microgram for prolonged periods can cause excessive calcium absorption. This can result in nausea, vomiting, muscle weakness, loss of appetite, dehydration, excessive thirst and kidney stones.
On the flip side, excessive sunlight exposure will not cause vitamin D toxicity, but may increase your risk of skin cancer.
Vitamin D3 supplements may also interact with some cholesterol medications (statins) and alter those medicines’ level in your body.
There are also reports that suggest a potential interaction between vitamin D and a weight-loss medicine orlistat, interactions with steroids, and with the diuretic thiazide.
So do you need a supplement?
Most people only need five to 30 minutes of direct sunlight exposure, several times a week for their body to produce adequate vitamin D.
So unless there is a reason why you are not getting enough sunlight, or you have a skin condition, then you don’t need a supplement.
If you think you might need a supplement, your GP can order a blood test. There are also at-home test kits for vitamin D that have been approved by the Therapeutic Goods Administration.
If you are deficient, consult your local pharmacist who can recommend the right product and quantity for you based on your needs.
Nial Wheate, Professor, School of Natural Sciences, Macquarie University; Ian Jamie, Senior Lecturer, School of Natural Sciences, Macquarie University, and Wai-Jo Jocelin Chan, Pharmacist and Lecturer, UNSW Sydney; University of Sydney
This article is republished from The Conversation under a Creative Commons license. Read the original article.
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Metformin vs Cancer/Aging
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…and other items from this week’s health science news:
Metabolic health is more than most people think
Researchers (Dr. Emilie Lavallée et al.) found that ATP5I is a direct molecular target of metformin. This may not mean much to most readers, so: ATP5I is part of the enzyme complex that produces ATP, the primary “energy currency” of cells. Specifically it seems to help organize and assemble the ATP synthase machinery, rather than directly carrying out ATP production itself.
In other words: it helps your cellular energy mechanisms work better
As for why you should care about cellular energy mechanisms: you are made of cells, and the energy they have is the energy you have*.
*unless we want to get pedantic, in which case yes, you also have some gravitational potential energy due to your mass, including non-cellular mass, and its relationship to gravity. But that won’t help you get through your day, for the most part.
Usefully, this also highlights a likely reason why people who take metformin have a lower risk of many cancers, bearing in mind that while things like diabetes and heart disease are thought of as metabolic disorders (and they are), so are cancer and aging:
Read in full: Why metformin matters beyond diabetes: New target could reshape aging and cancer research
Related: How Metformin Reduces Long COVID Risk By 63%
Kidney disease is fast becoming epidemic
Bad news: early chronic kidney disease (CKD) often causes no noticeable symptoms, allowing kidney damage to progress for years before being detected.
Worse news: CKD has entered the world’s top 10 causes of death, with approximately 1.5 million deaths in the US attributed directly to the disease in 2023 (yes, science typically lags with numbers like that, because of peer review, here we are in 2026 at time of writing, reading stats from 2023, but it’s better to have correct stats from a couple of years ago than guess at more recent ones without appropriate scientific rigor).
Further, impaired kidney function contributed to about 12% of global cardiovascular deaths, making all-too-clear the strong connection between kidney disease and heart disease.
Underdiagnosis remains a major problem too: many people are never tested, so the true prevalence may be higher than current estimates suggest; researchers emphasized greater use of urine testing and kidney function screening in at-risk individuals.
Good news: treatment options are improving! Newer medications, including SGLT2 inhibitors, GLP-1–based therapies, and nonsteroidal mineralocorticoid receptor antagonists, can help protect kidney function and reduce cardiovascular risk in appropriate patients.
However, prevention definitely remains much better than treatment, so it’s as well to get ahead of things and check out our “related” link below to learn now:
Read in full: A silent kidney crisis is spreading far faster than experts expected
Related: Are your Kidneys Ok? Detect Early To Protect Kidney Health (Here’s How)
When industry has beef with scientists
Researchers (Dr. Katherine Sievert et al.) researchers reviewed 500 nutrition studies published between 2014 and 2023 that examined links between meat consumption and health outcomes, then compared study conclusions with declared funding sources, author affiliations, and conflicts of interest.
In few words: a lot of those 500 studies had some form of meat-industry involvement (i.e: the meat industry paid for those studies, in part or in full), and these studies were 16x more likely to conclude that meat was harmless, beneficial, or health-promoting than studies without such ties to the meat industry.
So, in other words: when encountering headlines claiming that meat is healthy, it is worth checking who funded the study, whether authors disclosed financial relationships, and whether the findings align with the broader body of independent evidence.
Read in full: How ‘big meat’ shapes science to give steak a healthy glow up
Related: What Health Difference Does Pasture-Raised Beef Actually Make?
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How light tells you when to sleep, focus and poo
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This is the next article in our ‘Light and health’ series, where we look at how light affects our physical and mental health in sometimes surprising ways. Read other articles in the series.
Exposure to light is crucial for our physical and mental health, as this and future articles in the series will show.
But the timing of that light exposure is also crucial. This tells our body to wake up in the morning, when to poo and the time of day to best focus or be alert. When we’re exposed to light also controls our body temperature, blood pressure and even chemical reactions in our body.
But how does our body know when it’s time to do all this? And what’s light got to do with it?
nymphoenix/Shutterstock What is the body clock, actually?
One of the key roles of light is to re-set our body clock, also known as the circadian clock. This works like an internal oscillator, similar to an actual clock, ticking away as you read this article.
But rather than ticking you can hear, the body clock is a network of genes and proteins that regulate each other. This network sends signals to organs via hormones and the nervous system. These complex loops of interactions and communications have a rhythm of about 24 hours.
In fact, we don’t have one clock, we have trillions of body clocks throughout the body. The central clock is in the hypothalamus region of the brain, and each cell in every organ has its own. These clocks work in concert to help us adapt to the daily cycle of light and dark, aligning our body’s functions with the time of day.
However, our body clock is not precise and works to a rhythm of about 24 hours (24 hours 30 minutes on average). So every morning, the central clock needs to be reset, signalling the start of a new day. This is why light is so important.
The central clock is directly connected to light-sensing cells in our retinas (the back of the eye). This daily re-setting of the body clock with morning light is essential for ensuring our body works well, in sync with our environment.
In parallel, when we eat food also plays a role in re-setting the body clock, but this time the clock in organs other than the brain, such as the liver, kidneys or the gut.
So it’s easy to see how our daily routines are closely linked with our body clocks. And in turn, our body clocks shape how our body works at set times of the day.
What time of day?
Matt Garrow/The Conversation. Adapted from Delos, CC BY Let’s take a closer look at sleep
The naturally occurring brain hormone melatonin is linked to our central clock and makes us feel sleepy at certain times of day. When it’s light, our body stops making melatonin (its production is inhibited) and we are alert. Closer to bedtime, the hormone is made, then secreted, making us feel drowsy.
Our sleep is also partly controlled by our genes, which are part of our central clock. These genes influence our chronotype – whether we are a “lark” (early riser), “night owl” (late sleeper) or a “dove” (somewhere in between).
But exposure to light at night when we are supposed to be sleeping can have harmful effects. Even dim light from light pollution can impair our heart rate and how we metabolise sugar (glucose), may lead to psychiatric disorders such as depression, anxiety and bipolar disorder, and increases the overall risk of premature death.
The main reason for these harmful effects is that light “at the wrong time” disturbs the body clock, and these effects are more pronounced for “night owls”.
This “misaligned” exposure to light is also connected to the detrimental health effects we often see in people who work night shifts, such as an increased risk of cancer, diabetes and heart disease.
How about the gut?
Digestion also follows a circadian rhythm. Muscles in the colon that help move waste are more active during the day and slow down at night.
The most significant increase in colon movement starts at 6.30am. This is one of the reasons why most people feel the urge to poo in the early morning rather than at night.
The gut’s day-night rhythm is a direct result of the action of the gut’s own clock and the central clock (which synchronises the gut with the rest of the body). It’s also influenced by when we eat.
At 6.30am, your gut really begins to get going for the day. Rendra Dria Septia Aji/Shutterstock How about focusing?
Our body clock also helps control our attention and alertness levels by changing how our brain functions at certain times of day. Attention and alertness levels improve in the afternoon and evening but dip during the night and early morning.
Those fluctuations impact performance and can lead to decreased productivity and an increased risk of errors and accidents during the less-alert hours.
So it’s important to perform certain tasks that require our attention at certain times of day. That includes driving. In fact, disruption of the circadian clock at the start of daylight savings – when our body hasn’t had a chance to adapt to the clocks changing – increases the risk of a car accident, particularly in the morning.
What else does our body clock control?
Our body clock influences many other aspects of our biology, including:
- physical performance by controlling the activity of our muscles
- blood pressure by controlling the system of hormones involved in regulating our blood volume and blood vessels
- body temperature by controlling our metabolism and our level of physical activity
- how our body handles drugs and toxins by controlling enzymes involved in how the liver and kidneys eliminate these substances from the body.
If you can, avoid driving long distances at night, as you’ll be less alert. trendobjects/Shutterstock Morning light is important
But what does this all mean for us? Exposure to light, especially in the morning, is crucial for synchronising our circadian clock and bodily functions.
As well as setting us up for a good night’s sleep, increased morning light exposure benefits our mental health and reduces the risk of obesity. So boosting our exposure to morning light – for example, by going for a walk, or having breakfast outside – can directly benefit our mental and metabolic health.
However, there are other aspects about which we have less control, including the genes that control our body clock.
Frederic Gachon, Associate Professor, Physiology of Circadian Rhythms, Institute for Molecular Bioscience, The University of Queensland and Benjamin Weger, NHMRC Emerging Leadership Fellow Institute for Molecular Bioscience, The University of Queensland
This article is republished from The Conversation under a Creative Commons license. Read the original article.
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Melatonin Supplementation & Your Heart
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We previously wrote about about melatonin:
❝Melatonin is a hormone normally made in our pineal gland. It helps regulate our circadian rhythm, by making us sleepy.
It has other roles too—it has a part to play in regulating immune function, something that also waxes and wanes as a typical day goes by.
Additionally, since melatonin and cortisol are antagonistic to each other, a sudden increase in either will decrease the other. Our brain takes advantage of this, by giving us a cortisol spike in the morning to help us wake up.
As a supplement, it’s generally enjoyed with the intention of inducing healthy, natural, restorative sleep.❞
Read in full: Melatonin: A Safe, Natural Sleep Aid? ← our research review article that does cover the pros and cons, and yes, there are indeed downsides too, including some contraindications e.g. melatonin helps regulate immune function, so that’s something to bear in mind if you’re on immunosuppressants or otherwise have an autoimmune disorder. It can also interfere with blood pressure medications and blood thinners, and may make epilepsy meds less effective.
The new news
Researchers (Dr. Ekenedilichukwu Nnadi et al.) looked at 130,828 adults (of whom, mostly women, average age 56) with insomnia, and found an important association with regard to long-term melatonin use.
Specifically: in adults with chronic insomnia, documented melatonin use for ≥12 months was linked with 90% higher 5-year risk of incident heart failure versus matched non-users (4.6% vs 2.7%), plus 3.5x higher risk of heart-failure hospitalization and 81% higher all-cause mortality.
There are some limitations: this was an observational study, based on electronic health records (TriNetX), and doesn’t outright prove causation.
For example, OTC users might have been misclassified as non-users, dosing and adherence weren’t known, and further data-confounding from variations in insomnia severity, mental health, or other meds is plausible too.
Still, the association is strong, so that seems like cause for concern, when likely nobody will die from not supplementing with melatonin.
The principle here is, like in the Hippocratic oath, “first, do no harm”.
In other words: if not taking the meds is definitely safe, and taking the meds may be unsafe, then erring on the side of not taking them is likely the best option.
See also: Are You Taking PIMs? Getting Off The Overmedication Train ← “PIMs” is the medical shorthand for “potentially inappropriate medications”
And, for that matter, The Common Meds That Make You More Likely To Die From A Fall ← when, statistically speaking, after a certain age, a fall is much more likely to kill you than taking longer to get to sleep
If you have been using melatonin most nights for months, consider tapering your dose downwards and switching to things like CBT-I and more focused sleep-hygiene strategies, for example:
- How to Fall Asleep Faster: CBT-Insomnia Treatment
- Don’t Do These Things If You’re Over 50 (And Want Better Sleep) ← this about common mistakes, including one involving melatonin supplementation
Of course, do discuss any long-term use with your doctor/pharmacist—especially if you have cardiovascular risk or symptoms (e.g. breathlessness, ankle swelling, unusual fatigue).
If you’d like to read the AHA’s press release for the study we talked about (it has a lot more details than we have room for here), then here you go:
Want to try some?
Since the above is only about chronic long-term use, perhaps you’d still like some for short term use, ideally after consulting with your doctor and/or pharmacist.
If that’s the case, then as ever, we don’t sell it (or anything else), but for your convenience, here is an example product on Amazon.
Enjoy!
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Sauerkraut vs Pickled Cucumber – Which is Healthier?
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Our Verdict
When comparing sauerkraut to pickled cucumber, we picked the sauerkraut.
Why?
Both of these fermented foods can give a gut-healthy microbiome boost, but how do they stack up otherwise?
In terms of macros, sauerkraut has more protein, carbs, and fiber. They are both low glycemic index foods, so we’ll go with the one that has more fiber out of the two, and that’s the ‘kraut.
In the category of vitamins, sauerkraut has more of vitamins B1, B2, B3, B5, B6, B7, B9, C, E, and choline, while pickled cucumbers have more of vitamins A and K. An easy win for sauerkraut.
When it comes to minerals, sauerkraut has more calcium, copper, iron, magnesium, manganese, phosphorus, potassium, selenium, and zinc, while pickled cucumbers are not higher in any mineral, except sodium (on average, pickled cucumbers have about 2x the sodium of sauerkraut). Another clear win for sauerkraut.
In short, enjoy either or both in moderation, but it’s clear which boasts the most nutritional benefits, and that’s the sauerkraut!
Want to learn more?
You might like to read:
Make Friends With Your Gut (You Can Thank Us Later)
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