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The One Thing You Must Do to Prepare for a Medical Emergency

Change-Your-Life

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Stand Up to Summer

How to Avoid Becoming a Heat Casualty

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Packing Your Personal Medical Kit

Airport Mishaps: Where to Get Help

Should You Be Flying Now?

Eating on the Go: What You Need to Know

Establishing Healthy Habits on the Road

No-Excuse Shape-Up Strategies

Other Columns

 
 
   
 

November 14, 2002

October 4, 2002

June 13, 2002

July 25, 2002

 
 
   
 

Take a Breath!

Show 'Em That You Care!

Airplanes Are Not Flying Hospitals!

 
 
 

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Marlene R. Fedin

The Road-Ready HealthWire for November 14, 2002
“Bits and Bobs
*” to Keep You Sane, Safe, and Healthy on the Go


By Marlene R. Fedin, The Wellness Concierge®

 

Travel Health & Safety News:

U.K. DVT Lawsuit Is Resumed;

The Brits Take Action to Discourage Ground and Air Rage;

A New Way to "Sense" In-Flight Troublemakers; Don't Drink the Water!;

Horizon Upgrades In-Flight Medical Equipment;

FAA Proposes "Stronger" Airplane Seats to Prevent Deaths, Injuries;

Want a Clean Room? Head for the Loo;

Smoke-Free Dining in Florida;

A Refresher Course in On-the-Road Safety and Security

 

Health Alert

 

Should You Get a Flu Shot?

 

General Health News:

Painkillers' Serious Side-Effects; Avoiding Acetaminophen Overdoses;

Gum Chewing Aids Memory; When Being Vain = Pain

 

Spa-Ing and Healthy Getaways:

Gals (and Guys) Just Wanna Have Fun;

Enjoy the Luxe Life for Less in New Mexico, Arizona, and Colorado

 

Healthy Eating & Nutrition:

Fast Food Gets (a Bit) Healthier;

Making Sense of Nutrition News; Staying on Top of Food-Safety Recalls

 

Sleep Savers:

Trade Java for More Sleep; Avoid Booze If You Want to Snooze;

Comfort- and sanity-saving resources

for unplanned airport sleepovers or delays

 

Note: Some article references may require registration or fee to access. Sites may have changed locations since posting.

 

TRAVEL-HEALTH & SAFETY NEWS:

British DVT Case Set to Resume: After a delay prompted by the presiding justice's admission that he owned shares in British Airways (one of the more than two-dozen airlines named in a lawsuit brought by some 56 claimants), the case will resume on November 18 according to the Times of London.

Mr. Justice Nelson has sold off his BA shares but the plaintiffs must decide if they'll continue the case with Nelson or another judge. Flyers and their families are suing the air carriers claiming that they were not warned about the serious health risks (life-threatening deep vein thrombosis) associated with long-haul flights. The carriers have rejected the claims.

Read more about the case at BBC News.

•••

You’ve Been Warned! Behave: The Sun-Sentinel’s Ken Kay details BA’s attempt to reduce "ground rage" in the hopes such behavior won’t escalate into even more problematic in-flight behavior. Kay reports that BA is passing out "European-style soccer cards, (that) warn that abusing ground staff can result in being denied travel or handed over to the police." ...And If You're Still Thinking of Acting Up: A British firm has created a seat-based body sensor that monitors your movements and anxiety levels. Too much in-seat activity and you could be singled out to the flight crew. No word yet from the airlines on whether they'll opt to add the devices. (The W.C. would love to see how this really works. It's bad enough that we can't comfortably stretch and move to prevent DVT; now we have to worry about triggering a device that identifies us as a possible "air rager" or worse just because we're antsy or anxious.) 

•••

Reminder: Don't Drink the (In-Flight) Water! In case you missed (or didn't read carefully) The Wall Street Journal's recent review of in-cabin water quality, here's a few interesting highlights.

 

▪ Unsurprisingly, the tested samples (from galley and lavatory taps on 14 different flights) showed that "Contamination was the rule, not the exception."  With water "additives" such as salmonella, staphylococcus and insect eggs (that hatched as maggots), the water was most definitely not drinkable.  How undrinkable? "If I were the airline," Abigail Salyers, the outgoing president of the American Society for Microbiology, cautions, "I would worry about what these results say about the sanitation in their galleys."

▪ The city where the flight originated and the length of the flight were not factors affecting the water quality. (That's the good news and the bad news.)

▪ Test results weren't isolated: Other studies produced similar results.

(And yes, the airlines protested the Journal's testing methodology; microbiologists, however, considered the results valid.)

▪ The airlines are in charge of monitoring water quality and safety. EPA-initiated spot-checks are infrequent since "airplane water is 'not a priority'..."

▪ According to the FDA, there's no problems with airplane water tanks. Inspections are only made when a complaint is registered. However, fueled by consumer concerns, the FDA says it's starting a program to regularly sample airline water.

▪ Some flight attendants carry their own water to avoid having to drink in-flight water. (What does that tell you?)

When they run out of bottled water, some flight attendants say they serve up tap water. (FYI: Some airlines say that while you could end up being offered tap water, serving it is against their policies.)

▪ When they do serve tap water, flight attendants don't necessarily tell you the source. You have to ask—and trust they're being straight with you.

 

If you want to avoid drinking water from a plane:

▪ Carry as much bottled water as you think you'll need for each flight. It's a pain to schlep your own bottled water (or shell out big bucks at the airport to refresh your supply), but it's a lot cheaper than what it'll cost if you should "pick up" something.

▪ If you brush your teeth, use your own bottled water.

▪ If you ask for water on a flight, and you don't see it being poured from a sealed bottle, know that you may be getting water from the planes tanks. (You know how you refill your own water bottle from the tap sometimes? Hey, they do it on planes, too!)

▪ When you're handed non-bottled water, ask if it's from the plane's water supply. Not to question the veracity of an airline employee, but if it were me, I wouldn't drink it—regardless of the answer.

▪ If you've run out of your own water, opt for juice, seltzer, club soda, or, as a last resort, a soft drink.

 

Finally, if you or someone you've traveled with gets ill and you think you may have drunk airplane water, report it to the airline and the FDA as soon as possible after the flight. It may be unrelated but it's best to let the experts figure it out.

•••

In-Flight Med Upgrades: Horizon Air expects to have upgraded medical kits and automated external defibrillators on its fleet of jet and turboprop aircraft by the summer of 2003, in advance of the FAA’s spring 2004 deadline.

•••

A Push for Stronger Airline Seats: Comfort may be your biggest concern when it comes to airline seating. But the FAA is more concerned about seat strength—a factor that could reduce passenger deaths and serious injuries. A current proposal (docket number FAA-2002-13464) calls for raising the standards and installing stronger seats. Approval may be a year away but the airlines would have 14 years to implement the changes. According to an Airwise story, seats "would have improved head protection, better seat belts and be more firmly secured to the cabin floor." Want to offer your input? The FAA is accepting public comment through December 3.

•••

On-Site Airport Defibrillators Continue to Save Lives: Phoenix City Councilman Dave Siebert tells Airwise that "These life-saving devices have helped save seven lives at Sky Harbor in a very short time." Sky Harbor debuted its 60 AED units in February 2001.

•••

It’s All About the Loo: Hoteliers looking for repeat business, take note: Forget room decor and gadgets. If you want to impress guests, according to a recent Opinion Research Corp. survey for personal care products producer Kimberly-Clark, focus on the "John." Or, more precisely, on creating a very clean—and well-maintained—bathroom. Almost three-quarters of the respondents cited the condition of the bathroom as the key factor in assessing the room’s overall cleanliness with 55% checking out the loo as soon as they entered the room. The biggest turn-offs? Dirty bathrooms (28%) and odors (23%).

•••

Smoke-Free Dining in Florida: Amendment 6, which bans smoking in restaurants and other public locations, passed last week, with the expected uproar from smokers and eatery owners and rejoicing from smoke-sensitive consumers and health advocates. (An example of the vociferous opposition: A Key West restaurateur is advocating seceding from the state should the ban stick.) Some 70% of the state’s voters opted to outlaw indoor smoking by next July. Exceptions: Designated hotel rooms, stand-alone bars. The details of enforcement and penalties haven’t been finalized so if you’re celebrating, don’t breathe too deeply just yet.

•••

TAKE A REFRESHER COURSE IN ON-THE-ROAD SAFETY & SECURITY: When The Worst-Case Scenario Survival Handbook: Travel debuted, the how-to handbook seemed amusing but somewhat irrelevant for all but the most global and adventuresome travelers. After all, how many of us really had to worry about handling runaway camels or surviving volcanic eruptions, tsunamis, or sandstorms? But some other examples (how-tos for surviving riots and hostage situations, for example) may have been eerily prescient.

 

Despite it's serious undertones and liability-driven disclaimers, its "Warning" intro served as an amusing lead in to the dissection of serious issues in a spirited fashion. But rereading the opening line ("When a life is imperiled or a dire situation is at hand, safe alternatives may not exist.") in the fall of 2002, its words bring a chill rather than a chuckle.

 

The book remains a solid primer on travel-safety basics for novice and experienced travelers and even the most airport- and city-bound road warriors. And it's a "must-pack" item for adventure and international travelers and those whose business travel takes them to destinations where ice, riptide, sandstorms, and dangerous creatures and critters are as commonplace as tourists. (International travelers should be sure to read the "Gestures" and "Foreign Emergency Phrase" sections. After all, how many of us can quickly spit out "Please take me to a clean hospital." or "You will never make me talk." in Spanish, French, German, or Japanese?)

 

If you haven't yet checked it out, start with the "basics": how to survive an airplane crash, mugging, high-rise hotel fire, or plummeting elevator; and how to stop a car with no brakes. You can move on to the "not-as-likely-to-happen, but, hey, you never know" scenariossome of which don't seem as farfetched given the landscape of travel today. (We're not sure who will need the "How to Foil a UFO Abduction" tips but it never hurts to be prepared, especially if you're driving alone at night on those desolate New Mexico roadways!)

 

HEALTH ALERT

The flu is uncomfortable and debilitating even when you're healthy and can ride it out in the relative comfort of your home. As some of you already know, it's an on-the-road nightmare if you catch it while you're on the go. With flu season upon us again, it's time for the annual reminder to get a flu shot ASAP. (A dose takes two to three weeks before it's effective.)

 

The American Medical Association urges consumers to get their shots before the end of November. However, the vaccine is considered effective even if you get a shot in December (or later). FYI: Flu season historically doesn't peak until January.

 

The W.C. Says: For me, it's a no-brainer. If I were on the road as much as some of you are, in close and constant contact with so many fellow travelers, I'd opt for the shotregardless of age or general health. But I'm not you. Consult your doctor or other healthcare provider to determine the risks and benefits of a flu shot.  The CDC's Guidelines for who should get a shot are worth reviewing to determine if you should be rolling up your sleeve.

 

GENERAL HEALTH NEWS

PAINKILLERS MAY SOLVE ONE PROBLEM, CREATE ANOTHER: If you’re a woman who regularly pops popular pain relievers such as ibuprofen and acetaminophen (ingredients in numerous over-the counter remedies such as, respectively, Motrin and Tylenol), you may want to monitor your intake and have your blood pressure checked regularly.

A study included in the October 28 issue of the Archives of Internal Medicine found that "use of NSAIDs (nonsteroidal anti-inflammatory drugs) and of acetaminophen were significantly associated with increased risk of hypertension..." The controversial Nurses’ Health Study II, which included some 80,000+ women with no history of hypertension, suggests a link between regular consumption and high blood pressure. However, the researchers do not recommend that people stop using the popular painkillers and note that the majority of women who ingest these medications will not develop high blood pressure.

Despite questions about the study’s methodology and conclusions (concerns acknowledged by the Harvard School of Public Health researchers who undertook the study), researchers believe the link exists even when other explanations are considered.

FYI: Taking Ibuprofen or other NSAIDs can result in sodium retention.

AND WHILE WE'RE ON THE TOPIC OF POPPING PAINKILLERS...

When you're in pain or sick and on the move, it's incredibly easy to forget when and how many pain relievers or other over-the-counter remedies you've taken—and for how many days. (Not to mention that you might be beefing up your overall intake by upping the recommended dosage for faster relief or even taking multiple products simultaneously.)

 

But Federal watchdogs caution that it's especially important to monitor your intake of acetaminophen, the most widely used analgesic, which most of us recognize from the Tylenol brand. Acetaminophen is found in close to 200 products such as branded and generic headache, cough, cold, and pain remedies. (It's even present in prescription-only Percocet and Vicodin.)

 

At high doses, they warn, acetaminophen is toxic and a major cause of liver failure. According to the FDA, unintentional acetaminophen overdoses trigger over 56,000 ER visits a year and result in about 100 deaths.

 

WARNING!

ALWAYS read a product's fine-print instructions

for dosage, indications, warnings, and other usage details.

 

Individuals who take high doses for extended periods or without eating; heavy drinkers; those who fast; and people with hepatitis and other diseases may be more susceptible to unintentional overdosing and should exercise caution when taking acetaminophen.

 

Of serious concern: Taking the suggested daily dose may not ensure you won't overdose.  In an FDA study, 22 percent of the participants became very ill even though they had taken less than the maximum daily dosage.

 

Symptoms of Acetaminophen Overdose:

There may be no early specific symptoms or, within the first 24 hours, you may experience nausea and vomiting; drowsiness; confusion; liver tenderness; cardiac arrhythmias; low blood pressure; jaundice; acute hepatic and renal failure.

 

If you suspect you may have overdosed on acetaminophen, seek immediate medical treatment. By the time symptoms appear, you may have severe liver damage of find yourself in a life-threatening situation.

CHEW GUM, UP YOUR RECALL: I never thought I’d advocate chewing gum, but memory-challenged road warriors, take note: A U.K. study found that chewing gum can enhance your memory. The type of gum is irrelevant. The key is the chewing process, which, according to an Alternative Medicine Digest article, "induces a surge of insulin..." that finds its way to "insulin receptors in areas of the brain that are important for learning and memory." (The W.C. implores you, on behalf of your fellow travelers, to please close your mouth when chewing!)

WHEN BEING VAIN CAN CAUSE PAIN: I can't imagine an adult purchasing non-prescription, over-the-counter decorative contact lenses and not realizing that they may pose a health risk. After all, even quality prescription contacts can cause eye irritations, infection, and more serious eye health problems. But apparently it isn't just teenagers who've opted to try the cheap and readily available colored and patterned lenses.

 

A recent FDA warning cautioned against wearing such lenses without a prescription and being fitted by an eye-care professional. Citing corneal ulcers, abrasions and other eye damage, the FDA is cracking down on unregulated sellers (including foreign suppliers) and seizing unapproved lenses.
 

HEALTHY EATING & NUTRITION

FAST-FOOD GETS (A BIT) HEALTHIER: Good news for those who frequent fast-food chains. No, these outlets haven't turned into healthy food havens but top chains such as McDonald's, Wendy's, and Popeye's have stopped using poultry that's been treated with antibiotics, including Cipro, which is commonly used to treat infections in humans. According to the Environmental Defense (ED) organization, which lobbied for the change, there is "Considerable medical evidence (that) shows these drugs' effectiveness for treating severe food poisoning in humans is being compromised by their use on poultry." (The CDC and other groups believe that "resistant strains of three specific organisms that cause illness or disease in humans—Salmonella, Campylobacter, and E. coli—are linked to the use of antibiotics in animals.")

 

But experts caution that despite the reduction in antibiotic usage, you still can't be certain you're eating antibiotic-free birds: Sick chickens, along with their flock, are still treated with antibiotics. And since farmers are not required to report antibiotic usage (or segregate sick chickens)--any chicken not labeled "organic" or "antibiotic free" (something you can't check at a restaurant) could be harboring antibiotics. In September, the ED notes, "the Food and Drug Administration (FDA)  issued new guidelines recognizing that antibiotics are overused in farming, and that animal antibiotics are being passed to humans through food and may be allowing harmful bacteria to become immune to treatment."

 

Want to learn more about the effects of antibiotic-laden food on your overall health? Click here.

MAKING SENSE OF NUTRITION NEWS: Keeping up with the often conflicting and confusing spate of food and nutrition news is tough enough for health and medical professionals who can sort through the media's often questionable interpretations of research studies. Time-challenged road warriors who want a solid and scientifically sound overview of food and supplement news (and how it really affects their lives) should consider an e-mail subscription to the daily Nutrition News Focus e-newsletter.

 

The daily newsletter summarizes a single piece of news, includes an historical perspective, and provides a concise "Here's What You Need to Know" graph that pulls no punches and clearly questions and debunks data as needed. Best of all, it deconstructs and defines terms and scientific data for the layman. (You can catch up with prior news at the site's articles archive.)

 

To subscribe, send a blank email to Subscribe@NutritionNewsFocus.com

STAYING ON TOP OF FOOD SAFETY ISSUES & RECALLS: The experts tell us that the number of food poisoning incidents has declined since the mid-1990s but recent news headlines citing meat, turkey, and chicken product contamination and recalls would have us think otherwise. If you travel extensively, you need to be aware of food safety concerns beyond those that may be showing up in your hometown. Contaminated lunch meat may not have reached your local delis, but if you're eating your way around the country, you may have a greater risk of encountering flagged food items (and that includes more products than the widely publicized meat recalls of late).

 

Even the most generally unconcerned consumers are re-thinking deli and restaurant food choices in light of the listeria outbreak that forced a November 2 nationwide recall of 27 million pounds of fresh and frozen ready-to-eat turkey and chicken products. Travelers who can't monitor the daily national or local news need alternative sources of reliable and timely data on food recalls that they can turn to when they're on the road.

 

Resources Worth Noting:

▪ You can sign up for e-mail alerts for food and drug recalls at Safety Alerts. (You can specify food allergies and select up to five states in addition to your home base.) Its site lists top recalls in several categories, has a search function, and also details current food recalls around the country. Its news section highlights nationwide recalls and provides relevant details on brands and distribution that can help you determine if you're at risk. It also includes contact details.

▪ USDA Meat and Poultry Hotline (800-535-4555);

▪ FDA "Safety Alerts";

▪ The USDA's Food Safety and Inspection Service includes info on food recalls and other relevant data;

▪ CDC FAQs on listeriosis;

▪ State Health departments (Check the state links at the Association of State and Territorial Health Officials site).

 

SPA-ING & HEALTHY GETAWAYS

Need a little time to yourself before, around, or after the holidays? Give yourself and a loved one (or a bunch of them) the gift of a short spa, resort, or luxury hotel getaway. Here's a sampling of well-priced packages to inspire you to take off soon! (As always, deals are subject to availability.)

 

GALS (AND GUYS) JUST WANT TO RELAX It's billed as the "Girls Just Wanna Have Fun" package, but we confirmed that the Four Seasons Hotel Chicago won't turn away guys who want to get together (although they will tweak the included special amenities to reflect masculine interests).

 

Up to five guests can share a deluxe Family and Friends suite at $675 per night, which is a good value even without the package extras. (And if you want more space, you can upgrade to a two-bedroom Deluxe Family suite that sleeps six for $1,175 a night.) The hotel and retailer Neiman Marcus have teamed together and offer the services of a private fashion shopper, cosmetic makeovers and gift bag, and shopping discounts at area stores. You are also welcomed with a gift basket of movies, CDs, and spa products. Reservations: 312-280-8400

ENJOY THE LUXE LIFE FOR LESS: The recently opened Sheraton Wild Horse Pass Resort and Spa (which includes two, 18-hole golf courses and an equestrian center, native-inspired cuisine, and a "river" running through it) in Phoenix is celebrating its opening with a number of imaginative special packages that include spa, golf, riding, casino, and romance themes. But its "Legendary Celebration" package (available through January 7, 2003) is a super value: Five nights in an executive suite on the property (located on the 372,00-acre Gila River Indian community reservation, 11 miles from SkyHarbor Airport) including taxes and gratuities for $1,500 for two. But wait, there's more: Daily breakfast; a $200 resort dining certificate; $40 certificate to the Wild Horse Pass Casino; tickets to Phoenix' Heard Museum; and either unlimited golf for one and four spa treatments for the second person or unlimited golf for two and two spa treatments. Do you need any more incentive to sneak in a mini retreat from holiday madness? (Reservations: 800-325-3535)

The Bishop's Lodge Resort and Spa in Santa Fe offers winter "Spa Breakfast" packages good through March 31, 2003. Two guests can stay for one ($430), three ($1,005), or five nights ($1,585) in deluxe accommo-

dations at the resort nestled in a valley in the foothills of the Sangre de Cristo mountains. The rates include two spa treatments per room per day; daily breakfast; daily resort fee; gratuities and taxes. (There's a complimentary ski shuttle to nearby peaks.) Reservations: 800-732-2240

If you love the outdoors and winter skiing, head west. The Ritz-Carlton Bachelor Gulch (on Beaver Creek Mountain in Colorado, 15 minutes from Vail)  serves up a "New Altitude" package (the resort is 8,100 feet above sea level) to celebrate it's November 21 opening. Available from January 1 through March 29, 2003, the $2,003 rate nets three nights in a Club Level Valley View Room; a champagne breakfast for two; five daily food and beverage presentations; two massage treatments; a hot air balloon ride over Vail Valley; and 24-hour concierge service. (The double occupancy rate includes gratuities and service charges, but not taxes.) Reservations: 970-748-6200; 800-241-3333
 

Built into the mountain, Bachelor Gulch features a rustic design that evokes the grand lodges of Yellowstone and Yosemite. Virtually all the rooms offer a mountain or valley view. There's a nearby national forest (accessible year-round) and an express high-speed quad ski lift to get you up the mountain.

 

SLEEP SAVERS

Want to Snooze Soundly? Nix the Java After Lunch: You know that caffeine-laden coffee is a stimulant. (That’s why so many of us drink it, right?) But did you know that imbibing coffee after lunch can reduce your already puny sack time? According to the findings of a British study, caffeine interferes with melatonin production. Reduced melatonin levels not only shave precious hours of needed sleep, but they’ve also been linked to cardiovascular diseases, Alzheimer’s and other serious disorders. Need the shut-eye? Resist the those late-day, late-nite lattes and espressos.

HAVE MAT, WILL REST If you travel enough, it's bound to happen: You're forced to hang out, or even camp out overnight, at an airport or other public facility with ergonomically challenging or no seating. You want to rest, nap, or maybe even sleep without having your body painfully reconfigured in the process.

 

Folded clothing and luggage weren't designed as portable beds or sleeping aids. Some airports won't even let you take to the floor. So what do you do?   If you yearn for comfort and have room in your carry-on (or car), consider toting JourneyRest's Airmat (left).

 

The inflatable mat (42" by 22" by 2", opened flat) isn't a substitute for your favorite mattress but it's a more comfortable and body-friendly alternative than most public seating. The brainchild of business traveler Rick Lee, the high-grade PVC Airmat weighs in at 2.5 pounds, folds down to about 12" by 8" by 1" (a bit bigger than letter-size paper), and inflates in under a minute. Deflated, it easily fits into computer cases and carry-ons. Given the added comfort it provides, it's a good trade-off for its space/weight requirements. (Worried that it won't support your frame? A 6 4", 240-pound lab tester jumped on it repeatedly with no problems.) Available exclusively from JourneyRest: 1-866-5-JOURNEY; $29.95 plus S/H.

LET'S NOT MAKE IT A HABIT: The Sleeping in Airports site, the work of Donna McSherry, bills itself as a budget travelers guide to (literally) spending the nite on the road. But even well-heeled travelers can find useful information should they find themselves sleeping in and over at U.S. and international airports.

 

The enthusiastic and imaginative McSherry, who includes input and stories from global travelers as well as airport employees, details the best and worst airports; offers survival tips; and includes ratings for individual airports. There's even a section (Other Strange Places) devoted to other alternative overnight venues. The options outlined in the not entirely tongue-in cheek list, which include Kinkos, cemeteries, car trunks, chapels, gas stations, and used car lots, make most airports seem like four-star lodgings.

WANT TO SNOOZE? FORGET THE BOOZE: If you're used to having some wine, brandy or other alcoholic beverage to help you wind down at the end of the day and maybe even induce sleepiness, you may be setting yourself up for a short night's rest. The reason? According to scientists at the Wake Forest University School of Medicine, your thalamus, a region of the brain involved in sleep, is "exquisitely sensitive to alcohol." Human studies confirm what some of us already know: Even a single, small alcoholic drink before bed can leave you drooling and dozing with a quick entry into dreamland for the first half of the night. But the alcohol disrupts your sleep pattern, the scientists note, which means you'll "tend to wake up more and be a little more restless" in the second part of the night. Want to sleep well and without disruptions? Switch to non-alcoholic beverages. 

 

*Information is compiled from medical and scientific journals and related professional publications, which have vetted the research data that they present.

 

DISCLAIMER: The material on this site is provided for information purposes only and is not a substitute for consulting a healthcare professional.
 

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Health & Wellness

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