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Why many Canadians face long waits or big bills to have painful medical devices removed





They are four women from across this country who share one painful thing in common: Each had a medical device surgically implanted in them that was meant to improve their lives but made them sick instead.

Natasha Roach, Melanie Macdonald and Teresa Sauve each had plastic meshes implanted to treat stress urinary incontinence, while Tracy Hillier had a pair of coils implanted to prevent pregnancy.

All four say they have had to fight through not just debilitating pain but a Canadian health system that is more adept at implanting devices than removing them when something goes wrong.

Several of the women say they struggled to convince doctors their symptoms were real and linked to their device.

And when they did finally get referred to a specialist, they faced a difficult choice: keep waiting, possibly months, for a consultation in Canada, or pay thousands of dollars to have surgery in the U.S. much sooner.

Tracy Hillier of Grand Falls-Windsor, N.L., chose Option 2, spending more than $18,000 to have surgery in Texas this past September — a costly decision she doesn’t regret.

“I think it’s worth it,” she said. “I needed to get these poisonous coils out of me.”

Health Canada data obtained by CBC News under Access to Information suggests many Canadians may have faced a similar dilemma.

In the past ten years, as many as 7,800 Canadians have gone through a removal or revision surgery involving an implanted medical device — and those numbers don’t include Canadians who travelled south of the border for surgery.

Among the most common devices removed are pacemakers, hips, cochlear implants, breast implants and pelvic meshes.

It’s not clear from the data how many of the devices were removed because they had reached the end of their normal lifespan and how many were removed due to complications.

Dr. Thomas Turgeon, a Winnipeg surgeon specializing in hip and knee replacements, says contrary to what some Canadians might think, implanted devices won’t last forever.

“They’re all mechanical devices and they do slowly wear with time,” he said. “So I advise all of my patients that there is the potential that the device may fail prior to the end of their life and that they could require a revision down the road.”

But, for some Canadians, premature implant failures can be a long and painful ordeal.

More than $18,000

Tracy Hillier was 29 when she was implanted with Essure, Bayer’s permanent contraceptive coils. Her doctor had told her inserting a pair of coils to block her fallopian tubes would be safer and less invasive than getting her tubes tied, she says.

For the next seven years, she lived with pelvic pain so severe she couldn’t run or have sex with her husband without pain, she says. Then she had an epiphany last summer while watching a Netflix documentary that examined the health risks of Essure.

“I was like, ‘I’m not crazy.’ I watched it and I said: ‘That’s me.'”

Tracy Hillier paid more than $18,000 for surgery in Texas to remove her contraceptive coils. (Tracy Hillier)

She quickly decided she wanted the coils removed as soon as possible. But it was difficult trusting doctors again, she says.

“I couldn’t find anybody in Canada that I was comfortable with,” she said. “I wanted someone who knew exactly what they were doing.”

She eventually found an experienced specialist in Texas. She and her husband decided that if draining their savings and maxing out their credit cards was what it was going to take to get the coils removed, so be it.

No choice

But for some people who are suffering, expensive out-of-country surgery isn’t an option.

Toronto’s Natasha Roach says she’s been going from doctor to doctor and in and out of emergency rooms for more than a year, desperately trying to find a surgeon who will remove her pelvic mesh.

She is convinced the device is causing her frequent infections and severe pelvic pain. But trying to convince a doctor of that has been frustrating, she says. 

“You’re frequently told you’re making up stories,” she said. “It’s rude, it’s arrogant, it shows a lack of compassion and empathy. It’s not a good thing to tell a woman that things are in her head.”

She’s found a doctor who specializes in pelvic surgery and reconstruction in St. Louis, Mo., but says what little money she and her husband had saved has been spent on cab fares for trips to the ER and car rentals to see specialists outside the city.

“We have nothing left financially for me to pay for the surgery.”

Several specialists told CBC News there’s a simple reason why many surgeons are reluctant to remove surgically implanted devices such as mesh: it can be extremely difficult.

In some cases, devices have been implanted in patients with life-threatening illnesses, and they often sit close to nerves, bones and, in some cases, vital organs.

Toronto pathologist Dr. Vladimir Iakovlev says the science of mesh removal is so new, it only recently got its name: Meshology. (Craig Chivers/CBC)

Toronto pathologist Dr. Vladimir Iakovlev has investigated hundreds of devices that have been surgically removed from patients, including meshes, artificial hips, heart valves and breast implants.

While inserting a device like mesh is relatively easy, he says, few surgeons have the expertise and experience necessary to remove one.

The technically challenging procedure requires carefully plucking pieces of mesh embedded deep inside the tissue, including in areas that are difficult to access, he says.

“The problem is when you remove the mesh, you create a defect where the mesh was, and then you have to repair the defect,” he said. “So you will end up with a situation sometimes worse than before the mesh was placed.”

He says the science of mesh removal is so new, it only recently got its name: Meshology.

“This field started developing when we started to realize there were some mesh complications,” he said.

Surgically removing a damaged mesh is a difficult procedure, experts tell CBC News. (Craig Chivers/CBC)

UCLA’s Dr. Shlomo Raz is one of those specialized surgeons with experience removing meshes.

He says he has removed mesh stuck in pelvic bones, muscle walls, bowels and rectums. It’s a delicate operation, “but if the patient has pelvic pain, you must remove all the mesh,” he said.

He has done the procedure on more than 1,800 women, including “a significant number of Canadians,” he says.

“They tell us that nobody believes them,” he said. “They are not treated or given pain medication … and their surgeries are constantly postponed.”

‘It will break you down’

Long waits and disbelief. That was Melanie MacDonald’s experience for several years.  

The Calgary woman had mesh implanted in 2004.

Fourteen years later, the 45-year-old says she has had two additional surgeries to correct problems with the device. Macdonald says she’s recently developed tremors and shakes like a person with Parkinson’s disease, one of her many autoimmune symptoms.

Melanie Macdonald of Calgary has a consultation with a surgeon scheduled for March in Victoria. She’s hoping to have her pelvic mesh removed. (Melanie Macdonald)

In March 2017, after a year of “life-changing pain,” she had to quit her job as a parole officer.

“I thought I was gonna to plow through pain,” she said. “But chronic pain doesn’t work that way. It will break you down, and it wins.”

She now considers herself permanently disabled and occasionally struggles with depression, she says.

Last month, she was referred to a surgeon in Victoria, who can see her in March.

“I’m very fortunate because it can take up to two years to get in.”

Macdonald said she won’t know until her consultation if the mesh can be removed.

“I know the surgery’s not going to be a magic wand … But even to knock down the pain by 50 per cent would be huge.”

Removals not without risks

While Tracy Hillier feels better since having her two coils removed in Texas, the procedure had unexpected consequences.

When she woke up after the surgery, she learned her surgeon had to remove her fallopian tubes, cervix and uterus along with the Essure coils.

She was told there was no other way to remove one of the coils, which had almost gone through the wall of the uterus.

“I knew there was something wrong,” she said. “I felt validated, but I felt violated.”

The small U.S. firm that invented Essure was sold to Bayer in 2013.

In a statement, Bayer said it stands “by the safety and efficacy” of its device, which has been demonstrated by “an extensive body of research involving more than 200,000 women over the past two decades.”

Bayer stopped selling Essure in Canada in 2017. The company said its decision was based on “market specific factors,” including a decrease in sales.

No guarantee

Dr. Raz says he can’t promise any patient that their life will go back to normal after a complete mesh removal.

“Seventy per cent of the patients are improved but not totally cured,” he said. “Thirty per cent are permanently disabled, even after the operation is completed.”

My whole life has changed, and not for the better.– Teresa Sauve

Victoria’s Teresa Sauve knows what that’s like.

She was told she’ll likely live the rest of her life with fibromyalgia and chronic pain so intense that some days she can’t even walk. She’ll likely need to undergo additional surgery to remove scar tissue that formed after her removal procedure.

She says she doesn’t think regulators realize the long-term consequences some implantable devices can have on patients.

“They have taken away people’s lives. And not only my life, my husband’s life, my kids’ life, my grandkids’ life,” she said.

“My whole life has been changed, and not for the better.”


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Sweet! Here are 7 reasons to eat sweet potatoes





(Natural News) Sweet potatoes may not be as popular as regular potatoes, which is too bad — since they’re packed with vitamins and minerals. One cup of sweet potatoes can provide more than 100 percent of the daily value of vitamin A. It’s also rich in vitamin C, dietary fiber, and manganese. Both purple and orange varieties contain antioxidants that can protect the body from damage caused by free radicals.

Eating sweet potatoes is beneficial for your health

Sweet potatoes are brimming with micronutrients and antioxidants —  making them useful to your health. Below is a list of reasons why you should incorporate sweet potatoes into your diet.

They improve brain function

The purple variety of sweet potato contains anthocyanins. Anthocyanins are known for their anti-inflammatory properties. Studies have revealed that anthocyanins are effective at improving cognitive function. Moreover, the results suggest that purple yams can help protect against memory loss. Antioxidants from the purple variety safeguard the brain against damage from free radicals and inflammation.

They aid digestion

Sweet potatoes are rich in dietary fiber. This macronutrient prevents constipation, diarrhea, and bloating by adding bulk and drawing water to the stool. In addition, fiber keeps a healthy balance in the gut by promoting the growth of good bacteria.

They slow down aging

The beta-carotene in orange sweet potatoes can help reduce damage caused by prolonged sun exposure. This is especially true for people diagnosed with erythropoietic protoporphyria and other photosensitive diseases. Sweet potatoes also contain antioxidants that protect against free radical damage. Free radicals are not only linked to diseases but also premature aging.

They boost the immune system

Orange and purple sweet potatoes are loaded with a good number of antioxidants that help protect the body from harmful molecules that cause inflammation and damage DNA. This, in turn, protects the body from chronic diseases like cancer and heart disease.

They can prevent cancer

Eating sweet potatoes can help protect against various types of cancers. The compounds in sweet potatoes restrict the development of cancer cells. Test tube studies have shown that anthocyanins can prevent cancers in the bladder, breast, colon, and stomach.

They lower blood sugar

Despite its relatively high glycemic index, studies have shown that the regular intake of sweet potatoes can help lower blood sugar, thanks to the presence of dietary fiber. While fiber falls under carbohydrates, it is digested differently, compared to starchy and sugary forms of carbohydrates. Interestingly, insulin doesn’t process fiber (unlike other types which get turned into glucose), and it only passes through the digestive tract.

They promote healthy vision

Orange sweet potatoes are rich in a compound called beta-carotene, an antioxidant which transforms into vitamin A in the body. Adequate intake of vitamin A promotes eye health. Conversely, deficiencies in vitamin A have been linked to a particular type of blindness called xerophthalmia.

Sweet potatoes are easy to incorporate into your everyday meals. They are best prepared boiled but can also be baked, roasted, or steamed — they can even replace other carbohydrates such as rice, potatoes, and toast. (Related: Understanding the phytochemical and nutrient content of sweet potato flours from Vietnam.)

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Frostbite: What it is and how to identify, treat it





Manitoba’s temperature has plummeted to its coldest level this season, triggering warnings about the extreme risk of frostbite.

Oh, we know it’s cold. We can feel Jack Frost nipping at our noses. But what about when he gnaws a little harder — what exactly does “frostbite” mean?

People tend to underestimate the potential for severe injuries in the cold, says the Winnipeg Regional Health Authority. We laugh off the sting of the deep freeze, rub our hands back from the brink of numbness and wear our survival proudly like a badge.

That’s because, in most cases, frostbite can be treated fairly easily, with no long-term effects.

But it can also lead to serious injury, including permanent numbness or tingling, joint stiffness, or muscle weakness. In extreme cases, it can lead to amputation.

Bitter cold can cause frostbite in just minutes. Here’s how to recognize the warning signs and treat them. 0:59

Here’s a guide to identifying the first signs, how to treat them, and when to seek medical help.

What is frostbite and frostnip?

Frostbite is defined as bodily injury caused by freezing that results in loss of feeling and colour in affected areas. It most often affects the nose, ears, cheeks, chin, fingers or toes — those areas most often exposed to the air.

Cooling of the body causes a narrowing of the blood vessels, slowing blood flow. In temperatures below –4 C, ice crystals can form in the skin and the tissue just below it.

Frostnip most commonly affects the hands and feet. It initially causes cold, burning pain, with the area affected becoming blanched. It is easy to treat and with rewarming, the area becomes reddened.

Frostbite is the acute version of frostnip, when the soft tissue actually freezes. The risk is particularly dangerous on days with a high wind chill factor. If not quickly and properly treated, it can lead to the loss of tissues or even limbs. 

Signs of frostbite

Health officials call them the four P’s:

  • Pink: Skin appears reddish in colour, and this is usually the first sign.
  • Pain: The cold becomes painful on skin.
  • Patches: White, waxy-feeling patches show when skin is dying.
  • Prickles: Affected areas feel numb or have reduced sensation.

Symptoms can also include:

  • Reduced body temperature.
  • Swelling.
  • Blisters.
  • Areas that are initially cold, hard to the touch.

Take quick action

If you do get frostbite, it is important to take quick action.

  • Most cases of frostbite can be treated by heating the exposed area in warm (not hot) water.
  • Immersion in warm water should continue for 20-30 minutes until the exposed area starts to turn pink, indicating the return of blood circulation.
  • Use a warm, wet washcloth on frostbitten nose or earlobes.
  • If you don’t have access to warm water, underarms are a good place to warm frostbitten fingers. For feet, put them against a warm person’s skin.
  • Drink hot fluids such as hot chocolate, coffee or tea when warming.
  • Rest affected limbs and avoid irritation to the skin.
  • E​levate the affected limb once it is rewarmed.

Rewarming can take up to an hour and can be painful, especially near the end of the process as circulation returns. Acetaminophen or ibuprofen may help with the discomfort.

Do not …

There are a number of things you should avoid:

  • Do not warm the area with dry heat, such as a heating pad, heat lamp or electric heater, because frostbitten skin is easily burned.
  • Do not rub or massage affected areas. This can cause more damage.
  • Do not drink alcohol.
  • Do not walk on your feet or toes if they are frozen.
  • Do not break blisters.

Seek immediate medical attention

While you can treat frostbite yourself if the symptoms are minor — the skin is red, there is tingling — you should seek immediate medical attention at an emergency department if:

  • The exposed skin is blackened.
  • You see white-coloured or grey-coloured patches.
  • There is severe pain or the area is completely numb.
  • The skin feels unusually firm and is not sensitive to touch after one hour of rewarming.
  • There are large areas of blistering.
  • There is a bluish discolouration that does not resolve with rewarming.

Be prepared

The best way to avoid frostbite is to be prepared for the weather in the first place.

Wear several loose layers of clothing rather than a single, thick layer to provide good insulation and keep moisture away from your skin.

The outer garment should breathe but be waterproof and windproof, with an inner thermal layer. Retain body heat with a hat and scarf. Mittens are warmer than gloves because they keep the fingers together.

Be sure your clothing protects your head, ears, nose, hands and feet, especially for children.

Wind chill and frostbite rates

Wind chill: 0 to –9.
Frostbite risk: Low.

Wind chill: –28 to –39.
Frostbite risk: Moderate.

Exposed skin can freeze in 10-30 minutes

Wind chill: –40 to –47.
Frostbite risk: High.

Exposed skin can freeze in five to 10 minutes.

Wind chill: –48 to –54.
Frostbite risk: Very High.

Exposed skin can freeze in two to five minutes.

Wind chill: –55 and lower.
Frostbite risk: Extremely High.

Exposed skin can freeze in less than two minutes.

NOTE: In sustained winds over 50 km/h, frostbite can occur faster than indicated.

Source: Environment Canada

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Awkward Flu Jabs Attempted at Golden Globes





In what can only be described as a new level of propaganda, hosts Andy Samberg and Sandra Oh featured a flu shot stunt during the 76th Golden Globe Awards ceremony. They told the audience to roll up their sleeves, as they would all be getting flu shots, while people in white coats stormed down the aisles, syringes in hand.

Most of the audience looked thoroughly uneasy at the prospect of having a stranger stick them with a needle in the middle of an awards show. But perhaps the worst part of the scene was when Samberg added that anti-vaxxers could put a napkin over their head if they wanted to be skipped, basically suggesting that anyone opposed to a flu shot deserved to be branded with a proverbial scarlet letter.

The flu shots, for the record, were reportedly fake,1 nothing more than a bizarre gag that left many people stunned by the Globe’s poor taste in turning a serious medical choice into a publicity gimmick.

Flu Shot Stunt Reeks of Desperation

Whoever came up with the idea to turn the Golden Globes into a platform for a public health message probably thought it was ingenious, but the stunt only serves as a seemingly desperate attempt to make flu shots relevant and in vogue. During the 2017 to 2018 flu season, only 37 percent of U.S. adults received a flu shot, a 6 percent drop from the prior season.2

“To improve flu vaccination coverage for the 2018-19 flu season, health care providers are encouraged to strongly recommend and offer flu vaccination to all of their patients,” the U.S. Centers for Disease Control and Prevention (CDC) wrote. “People not visiting a provider during the flu season have many convenient places they can go for a flu vaccination.”3

Yet, perhaps the decline in people choosing to get vaccinated has nothing to do with convenience and everything to do with their dismal rates of efficacy. In the decade between 2005 and 2015, the influenza vaccine was less than 50 percent effective more than half of the time.4

The 2017/2018 flu vaccine was a perfect example of this trend. The overall adjusted vaccine effectiveness against influenza A and B virus infection was just 36 percent.5

Health officials blamed the flu season’s severity on the dip in vaccination rates, but as Dr. Paul Auwaerter, clinical director of the division of infectious diseases at Johns Hopkins University School of Medicine, told USA Today, “[I]t is also true that the vaccine was not as well matched against the strains that circulated.”6

But bringing flu shots to the Golden Globes, and calling out “anti-vaxxers,” is nothing more than “medical care, by shame,” noted Dr. Don Harte, a chiropractic activist in California. “But it was entertaining, in a very weird way, including the shock and disgust of some of the intended victims, notably [Willem Dafoe],” he said, adding:7

“This Hollywood publicity stunt for the flu vaccine is one of the stupidest things I’ve ever seen from celebrities. But it does go with the flu shot itself, which is, perhaps, the stupidest of all the vaccines available.”

Did 80,000 People Really Die From the Flu Last Year?

The CDC reported that 79,400 people died from influenza during the 2017/2018 season, which they said “serves as a reminder of how severe seasonal influenza can be.”8 It’s important to remember, however, that the 80,000 deaths figure being widely reported in the media is not actually all “flu deaths.”

According to the CDC, “We look at death certificates that have pneumonia or influenza causes (P&I), other respiratory and circulatory causes (R&C), or other nonrespiratory, noncirculatory causes of death, because deaths related to flu may not have influenza listed as a cause of death.”9

As for why the CDC doesn’t base flu mortality estimates only on death certificates that list influenza, they noted, “Seasonal influenza may lead to death from other causes, such as pneumonia, congestive heart failure or chronic obstructive pulmonary disease … Additionally, some deaths — particularly among the elderly — are associated with secondary complications of seasonal influenza (including bacterial pneumonias).”10

In other words, “flu deaths” are not just deaths directly caused by the influenza virus, but also secondary infections such as pneumonia and other respiratory diseases, as well as sepsis.11

According to the CDC, most of the deaths occurred among those aged 65 years and over, a population that may already have preexisting conditions that makes them more susceptible to infectious diseases. As Harte said of annual flu deaths, “[M]ost if not all, I would assume, are of people who are already in very bad shape.12

CDC Claims Flu Vaccine Reduces Flu Deaths in the Elderly — But Does It?

Since people aged 65 and over are those most at risk from flu complications and death, the CDC has been vocal in their claims that the flu shot significantly reduces flu-related deaths among this population. The research, however, says otherwise.

Research published in 2005 found no correlation between increased vaccination rates among the elderly and reduced mortality. According to the authors, “Because fewer than 10 percent of all winter deaths were attributable to influenza in any season, we conclude that observational studies substantially overestimate vaccination benefit.”13

A 2006 study also showed that even though seniors vaccinated against influenza had a 44 percent reduced risk of dying during flu season than unvaccinated seniors, those who were vaccinated were also 61 percent less like to die before the flu season ever started.14

This finding has since been attributed to a “healthy user effect,” which suggests that older people who get vaccinated against influenza are already healthier and, therefore, less likely to die anyway, whereas those who do not get the shot have suffered a decline in health in recent months.

Journalist Jeremy Hammond summed up the CDC’s continued spreading of misinformation regarding the flu vaccine’s effectiveness in the elderly, as they continue to claim it’s the best way to prevent the flu:15

[T]here is no good scientific evidence to support the CDC’s claim that the influenza vaccine reduces hospitalizations or deaths among the elderly.

The types of studies the CDC has relied on to support this claim have been thoroughly discredited due to their systemic ‘healthy user’ selection bias, and the mortality rate has observably increased along with the increase in vaccine uptake — which the CDC has encouraged with its unevidenced claims about the vaccine’s benefits, downplaying of its risks, and a marketing strategy of trying to frighten people into getting the flu shot for themselves and their family.”

Death of Vaccinated Child Blamed on Not Getting Second Dose

In January 2019, the state of Colorado reported the first child flu death of the 2018/2019 flu season — a child who had received influenza vaccination. But instead of highlighting the vaccine’s failure and clear limitations, the Colorado Department of Public Health and Environment blamed the death on the child being only “partially vaccinated.”

“It’s an unfortunate but important reminder of the importance of two doses of influenza vaccine for young children who are receiving influenza vaccine for the first time,” Dr. Rachel Herlihy, who is the state communicable disease epidemiologist, said in a news release.16 For those who aren’t aware, the CDC notes that one dose of flu shot may not be enough to protect against the flu. Instead, they state:17

“Children 6 months through 8 years getting vaccinated for the first time, and those who have only previously gotten one dose of vaccine, should get two doses of vaccine this season …

The first dose ‘primes’ the immune system; the second dose provides immune protection. Children who only get one dose but need two doses can have reduced or no protection from a single dose of flu vaccine.”

Not only may the flu vaccine fail to provide protection against the flu, but many people are not aware that other types of viruses are responsible for about 80 percent of all respiratory infections during any given flu season.18 The flu vaccine does not protect against or prevent any of these other types of respiratory infections causing influenza-like illness (ILI) symptoms.

The chance of contracting actual type A or B influenza, caused by one of the three or four influenza virus strains included in the vaccine, is much lower compared to getting sick with another type of viral or bacterial infection during the flu season.

Does Flu Vaccine Increase the Risk of Influenza Infection, Contribute to Vaccine Shedding?

There are serious adverse effects that can come along with annual flu vaccination, including potentially lifelong side effects such as Guillain Barré syndrome and chronic shoulder injury related to vaccine administration (SIRVA). They may also increase your risk of contracting more serious flu infections, as research suggests those who have been vaccinated annually may be less protected than those with no prior flu vaccination history.19

Research presented at the 105th International Conference of the American Thoracic Society in San Diego also revealed that children who get seasonal flu shots are more at risk of hospitalization than children who do not. Children who had received the flu vaccine had three times the risk of hospitalization as children who had not. Among children with asthma, the risk was even higher.20

There’s also the potential for vaccine shedding, which has taken on renewed importance with the reintroduction of the live virus vaccine FluMist during the 2018/2019 season. While the CDC states that the live flu virus in FluMist is too weak to actually give recipients the flu, research has raised some serious doubts that this is the case.

One recent study revealed not only that influenza virus may be spread via simple breathing (i.e., no sneezing or coughing required) but also that repeated vaccination increases the amount of virus released into the air.21

MedImmune, the company that developed FluMist, is aware that the vaccine sheds vaccine-strain virus. In its prescribing information, they describe a study on the transmission of vaccine-strain viruses from vaccinated children to nonvaccinated children in a day care setting.

In 80 percent of the FluMist recipients, at least one vaccine-strain virus was isolated anywhere from one to 21 days following vaccination. They further noted, “One placebo subject had mild symptomatic Type B virus infection confirmed as a transmitted vaccine virus by a FluMist recipient in the same playgroup.”22

Are There Other Ways to Stay Healthy During Flu Season?

Contrary to the CDC’s and Golden Globe’s claims that flu vaccinations are a great way to prevent flu, other methods exist to help you stay healthy during the flu season and all year, and they’re far safer than annual flu vaccination. Vitamin D testing and optimization have been shown to cut your risk of respiratory infections, including colds and flu, in half if you are vitamin D deficient, for instance.23,24

In my view, optimizing your vitamin D levels is one of the absolute best respiratory illness prevention and optimal health strategies available. Influenza has also been treated with high-dose vitamin C,25 and taking zinc lozenges at the first sign of respiratory illness can also be helpful.

Following other basic tenets of health, like eating right, getting sound sleep, exercising and addressing stress are also important, as is regularly washing your hands.

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