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FDA Approves Generic Swap for Brand Name Insulin

FDA Approves Generic Swap for Brand Name Insulin

Good news came at the end of July 2021 for diabetic patients who are struggling to afford insulin. On July 28, 2021, FDA regulators took action to make a cheaper, near-duplicate of brand-name insulin more accessible. 

This approval could save diabetic patients and health plans millions each year. It could also encourage drug companies to create more biosimilar meds. Biosimilar is the term used for medicines that are near-duplicates of a brand-name drug. Diabetic patients who want to swap to the generic form of insulin must ask their provider to either specifically prescribe the biosimilar or okay a substitution for the brand-name insulin.

FDA approval for the new generic insulin came after the administration agreed that Viatris’ Semglee is interchangeable with Lantus, a fast-acting brand-name insulin. The generic Semglee was launched in the summer of 2020 after Mylan, N.V. merged with another company to form Viatris in December 2019. 

Why Generic Insulin Hasn’t Been Widely Available in the US

Research from health data company, IQVIA, projects that US savings from increasing the use of biosimilars will top $100 billion by 2024. So why aren’t more generic biosimilars already available in the US? Red tape, lengthy patents, and pushback from brand-name drug companies are mostly to blame for the limited sales of biosimilars. 

Despite delays, 29 biosimilars have been approved by the FDA including biosimilars for brand-name cancer and immune disorder drugs. Only 20 of those 29 are actually sold here at this time. 

What You Can Do to Help Increase Biosimilar Sales

As a patient, you have more power to enact change than you might think. If you are a diabetic patient using Lantus simply ask your prescriber to swap your medicine for the generic Semglee. The more patients who switch to the generic form, the more likely it is that other drug companies will begin offering more generic versions of costly brand-name meds.

The approval of Semglee as a swap for the brand-name insulin could change the lives of many diabetic patients who are not taking the proper amount of insulin they need each day in order to preserve their costly medicine. The cost of Semglee compared to the brand-name Lantus is less than half. Semglee will run around $150-$190 without insurance for a month’s supply while Lantus runs between $340-$520 a month. 

Are you a diabetic patient struggling to afford your insulin? Your Mantachie Rural Health Care provider can help by swapping your brand-name medicine for the new generic form. For more information or to request an appointment, click here.

How Food Choices Affect Your Cancer Risk

“You are what you eat!” We’ve all heard that phrase at some point in our lives and thought it might sound silly, the phrase couldn’t be more true. What we eat influences our health greater than any other influences like our diet, lifestyle choices, and environmental factors. The foods we consume affect every part of our bodies from our brains to our bones. Diet choices can lead to certain health conditions or make them worse. Type II diabetes is a great example of a health condition affected by food choices. Another serious disease your diet can lead to is cancer. That’s right. Your daily food choices affect your cancer risk. 

How Unhealthy Food Choices Affect Your Cancer

Science and the medical community still have many unanswered questions about the links between food choices and cancer. One link we are sure of is between red or processed meat and cancer. Consuming any amount of processed meat and more than eighteen ounces of red meat each week strongly influences your cancer risk. Red meats include beef, pork, or lamb. Processed meats include but are not limited to bacon, sausage, lunch meats, and hot dogs. 

Processed sugar is another food strongly linked to higher cancer risk. Diets that are high in sugary beverages such as sodas, juices, and sports drinks, as well as processed sugary snacks like cookies and candies are bad for your health in a number of ways. Even “healthier” choices like granola and fruit and grain bars as well as “sugar-free” beverages are still high in sugar or artificial sweeteners. 

What to Eat to Lower Your Cancer Risk

Healthy eating habits aren’t just good for your waistline, they can actually lower your risk of developing certain health conditions and diseases including cancer. A healthy diet is rich in plant-based foods, antioxidants, and dietary fiber. A healthy dinner plate is filled with colorful veggies and fruit, whole grains, and one protein-filled food like fish, poultry, or beans. 

Plant-based foods are your best fighters against cancer and other diseases. These foods contain naturally occurring substances called phytonutrients. Phytonutrients include:

  • Carotenoids, or carotenes, found in red, orange, yellow, and some dark green veggies
  • Polyphenols, found in herbs, spices, veggies, tea, coffee, chocolate, nuts, berries, apples, onions, and other sources
  • Allium compounds, found in chives, garlic, leeks, and onions

Plant-based foods are also rich in antioxidants. Antioxidants protect against oxidants, which cause cellular damage and increases your risk of cancer. Examples of antioxidants include beta carotene, selenium, and vitamins C and E. Other vitamins and minerals, such as calcium, iodine, and vitamins A, D, K, and B also contain antioxidants.

Dietary fiber is also essential for lowering cancer risks. Fiber helps nourish a healthy community of microbes, better known as microbiomes. Healthy microbiomes are linked to lower cancer risk. Foods that are high in dietary fiber include whole grains and seeds, whole-grain bread and pasta, beans, lentils, split peas, and fruits and veggies.

Shopping Tips for a Healthier Diet

Before we go, we’ll leave you with a shopping tip for your next grocery store visit. Stick to shopping the outer aisles. Fresh foods like produce, meats, and dairy products are always found in the outer aisles or boundaries of grocery stores. The inner aisles are where you will find the majority of processed, sugary, and high-fat foods. The only inner aisles you should visit are aisles containing coffee, tea, and dry beans and peas. Don’t tempt yourself by visiting other inner aisles like the baking and snack aisles. 

One more shopping tip for healthier eating habits is to make a list before you head to the grocery stores. Sure, you may remember to restock the milk and bananas but keeping a list will help you stay on track and away from impulse buys that often come with unhealthy food choices. If grocery pick-up or delivery is available in your area, consider these options, too. You can shop online according to your list without the temptations of unhealthy foods being all around you. Plus, pick-up and delivery will save you time that could be spent on cultivating a garden of fresh fruits and vegetables or preparing healthy meals for your family. 

Have more questions about your diet and cancer risk? Your healthcare provider is an excellent source of information and advice. Annual wellness visits are the perfect time to discuss diet changes and health concerns with your provider. As an added bonus, patients of Mantachie Rural Health Care can request to speak with our registered dietitian during their appointment for no extra cost. Click here to request a visit with your Mantachie Rural Healthcare provider today. 

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How Vaccines Have Improved Over the Years

Vaccines have come a long way since the “father of vaccines” Edward Jenner first successfully developed a smallpox vaccine in 1796. It wasn’t until the mid to late 1940s that the smallpox vaccine and a vaccine to prevent diphtheria, tetanus, and pertussis were mass-produced. By the late 1960s, vaccines for polio, measles, mumps, and rubella were also developed and distributed. Vaccines have improved over the years as new studies and developments revealed the need for changes.

As happy as people were to finally have protection against some of the world’s most devastating illnesses, many became concerned about the safety of vaccines.

Patients began to express concern about the possible adverse effects of vaccines and some claimed that they or someone they knew had become injured or ill after being inoculated. By the time the 1970s rolled around, demand for better regulation on vaccines surged. Citizens also wanted more understanding and transparency on vaccine safety.

The US’s Response to the Demand for Better Vaccine Safety

The demand for better vaccine safety resulted in the National Childhood Vaccine Injury Act (NCVIA). The NCVIA established several programs and regulations for physicians and government agencies to protect patients and provide education about vaccines and their safety. Programs and regulations established as a result of the NCVIA include:

  • The founding of the National Vaccine Program Office (NVPC). The NVPC coordinates all vaccine-related activities between Department of Human Services (DHS) agencies, the Centers for Disease Control (CDC), the National Institute of Health (NIH), and the Health Resources and Services Administration (HRSA). 
  • The requirement of physicians and healthcare providers who administer vaccines to provide vaccine information statements with each and every vaccine. This requirement is included for multiple doses of vaccines, which means you should receive one of these statements every time you get an immunization, even if it’s a second or third required dose.
  • The requirement of providers and physicians to report any adverse events occurring in patients following inoculation. This is required even if the provider is unsure that the adverse event and the vaccine administration are related. 
  • The establishment of the National Vaccine Injury Compensation Program, which helps patients and their families after having an adverse reaction or event due to a vaccine. 
  • The formation of a committee within the Institute of Medicine that reviews the literature on vaccine reactions. 

Improvements of Vaccines Through the Years

All vaccines, even the oldest vaccines, continued to be studied for safety and efficacy. These continued studies have resulted in changes and improvements to vaccines over the years. The first major change occurred with the introduction of a new, more purified acellular pertussis vaccine (DTaP). The DTaP vaccine replaced the original whole pertussis vaccine for diphtheria, tetanus, and pertussis. This new version of the vaccine was proven to be more effective in preventing illnesses and had fewer mild and severe side effects. 

Another big change that improved the safety of a vaccine was the changes in when the vaccine is scheduled to be administered. These changes resulted in fewer reported adverse events following inoculation. The first change established a schedule that included sequential administration of an inactivated vaccine and an oral polio vaccine. Later, it was found that the inactivated polio vaccine had better prevention results and fewer side effects. The inactivated polio vaccine is the only type of polio vaccine administered today. 

It’s important to know that all vaccines go through intense research and development phases that include multiple small and large study trials before they are considered for approval by the Food and Drug Administration (FDA) and the Advisory Committee on Immunization Practices (ACIP). Once vaccines are licensed by the FDA, the ACIP must review and establish recommendations on how to use the vaccine for disease control in the United States. 

Vaccines have saved many lives and prevented many severe illnesses since their inception centuries ago. As you can see, approved vaccines must go through a rigorous process before they are ever considered for the open market. Even vaccines against acute illnesses like the flu and covid-19 must go through this process. 

We hope today’s article helps you understand vaccines and the safety of vaccines better. Vaccines are developed for your protection and we want you to feel safe about getting inoculated yourself or having your children vaccinated. Your Mantachie Rural Healthcare provider is an excellent source of information regarding vaccines. To learn more about vaccines or to schedule yourself or your children for a vaccine, call us at 662-282-4226.

The Delta Covid-19 Variant in Mississippi

On the day this article was written, at least 12 children were in an intensive care unit. Seven of those children were on life support as a result of the delta covid-19 variant in Mississippi. 

State Health Officer Dr. Thomas Dobbs shared this information on Tuesday, July 13, 2021, and encouraged Mississippi residents to take the new delta variant seriously. Dobbs stated that the delta variant is the most common type of covid-19 that’s been recently diagnosed in Mississippi. Most cases are occurring in non-vaccinated residents. He also reminded residents that we are currently seeing a surge in covid-19 cases and precautions should be established to help curb this uptick.

On the same day that Dr. Dobbs tweeted this new information, the Mississippi Department of Health reported more than 200 new cases of covid-19 and released new public health guidance. These recommendations include:

  • Asking those 65 and older and residents with underlying medical conditions, even those who have been vaccinated, to avoid large indoor gatherings. 
  • Asking all Mississippi residents aged 12 years or older to get vaccinated. 
  • Requesting unvaccinated residents to wear a mask during all public outings.

Why the Delta Variant is Rising in Mississippi

At this time, only 33.5% of the state has been fully vaccinated against covid-19. A large portion of those unvaccinated in Mississippi are children and the delta variant seems to have a strong transmission among younger people. 

Children aren’t the only ones at risk. Anyone unvaccinated, is 65 or older, or has an underlying medical condition is at a greater risk for contracting covid-19. These same groups are also at a greater risk for serious illness or death from the disease. 

What You Can Do to Help Stop the Spread

After enjoying several months of “freedom” from masks and social distancing, it’s time to dust off the mask and implement some social distancing rules again. We don’t expect the state to go into a shutdown but you can help stop the spread of this latest variant by practicing your own safety guidelines. Keep washing your hands often and avoid large crowds. Wear a mask if you aren’t vaccinated and consider getting inoculated soon. 

If you do develop covid-9 symptoms, isolate yourself right away and get a proper diagnosis from your provider. It is extremely important to get tested for covid-19 as soon as you notice symptoms. An early diagnosis and treatment can save your life and the lives of those around you. 

If you are experiencing covid-19 symptoms, contact Mantachie Rural Healthcare today at 662-282-4226 to get help. 

Should You Discuss Your Mental Health Struggles with Your Boss?

Mental health is a hot topic these days and many patients are more open about their mental health struggles than ever before. (Read about why tennis star Naomi Osaka decided to open up about her mental health here.) However, many people still find it difficult to open up about their mental health in their workplace. As understandable as this is, everyone has a right to privacy, but in some circumstances, you may benefit from discussing your mental health struggles with your boss. 

How to Decide if You Should Talk with Your Boss About Your Mental Health

Deciding if you should talk with your boss about your mental health depends on your relationship with them. Do they know you well and are you comfortable discussing private matters with them? Or do you work in a company in which you rarely see your boss and you are sure they don’t know your name? Knowing who you are working for is extremely important.

If your mental health is impacting your job in any way, even if it creates a problem with a co-worker, it may be time to discuss your mental health. If you still don’t feel comfortable, you have some rights as an employee to protect yourself. Ask your mental health provider to complete an FMLA form (Family Medical Leave Act) to protect yourself in case you need to take time off for treatment. Your HR department is obligated to protect your privacy and will not disclose your medical information to anyone, including your boss. If your company has 15 or more employees, you are also protected under the Americans with Disabilities Act (ADA).

Preparing to Talk with Your Boss About Your Mental Health

If you’ve decided to talk with your boss, there are a few things you can do to prepare. Making a list of discussion topics to cover can help ease your anxiety and help your thoughts stay organized during your meeting. You should also know your rights as an employee before any discussion begins. Mental health costs employers a whopping $225.8 billion a year. Even if you don’t know your employer well it is still in their best interest, as well as yours, to listen. 

Your mental health provider can also help you prepare for your meeting. They can help you decide what to share with your employer, and they can help you prepare mentally for any anxiety or stress you are feeling about the meeting. 

Is your mental health impacting your job and other areas of your life? Don’t struggle alone. Talk with your mental health provider as soon as possible. The providers at our behavioral health clinic are highly experienced and caring providers who want their patients to succeed. Request an appointment today at 662-282-4226. 

Why Skin Cancer is Rising Among Young Adults

A health crisis is happening right now at rising rates among millennials. 

We’re talking about skin cancer.

There are several forms of skin cancer, including the deadliest form, melanoma. The most common types of skin cancer are basal cell carcinoma, melanoma, and squamous cell carcinoma. 

Basal cells produce new skin cells as old ones die. This cancer appears as a white, waxy lump or brown, scaly patch on areas of the skin that receive sun exposure. Melanoma begins in the cells that produce melanin, or your skin’s pigment. Symptoms appear as an unusual growth or changes in moles on your skin. Squamous cell carcinoma is caused by an overproduction of abnormal squamous cells. This type of cancer may appear as scaly, red patches, open sores, raised growths with a central depression and thickened wart-like skin. 

Let’s talk about why skin cancer is rising among young adults.

Why Skin Cancer is Rising Among Millennials and Gen Z

A recent survey published by the American Academy of Dermatology found that a lack of education about the dangers of tanning and too much sun exposure is associated with why skin cancer is rising among young adults.  

The survey revealed that 37 percent of millennials who participated in the research didn’t know that tanning can cause skin cancer. Forty-two percent of those millennials were also unaware that UV rays can penetrate through clothing. This lack of understanding is why millennials and the generation that follows them, Generation Z, continue to use tanning beds and fail to use sunscreen during long periods outdoors. 

Even young adults who do understand the dangers of Uv exposure and skin cancer are choosing to ignore the warnings and continue to tan. Both millennials and Gen Z are known as risk-taking generations who are lifestyle-oriented. A 2018 survey by Blue Cross Blue Shield Association revealed that over half of millennials surveyed believe a tan makes a person more attractive and healthy-looking. 

What Young Adults Can Do to Prevent Skin Cancer

The first step young adults can take to prevent skin cancer is to stop using the tanning bed and start wearing sunscreen every time they go outside. Wear protective clothing and a hat when spending long periods of time outdoors. Young parents spending long hours at the ballfield or beach during the summer should invest in a canopy tent to provide protection from the sun. 

Of course, young adults should visit their medical provider for regular, routine checkups at least once a year. Medical providers perform a number of screenings, including skin checks for signs of cancer, during these routine checkups. If they detect a problem, patients are referred to a dermatologist for further evaluation. 

Need to schedule your annual wellness checkup? Dial 662-282-4226 or click here to request a visit with one of our experienced providers at Mantachie Rural Healthcare. 

How Diabetes Affects Your Vision Health

Diabetes is a disease of the endocrine system but it can affect just about every other organ and organ system in your body including your eyes. Diabetes can lead to several eye conditions and it is the primary cause of blindness in people with diabetes between the ages of 20 and 74. In today’s article, we’ll take a look at how diabetes affects your vision health and what you can do to lower your risk of developing one of these conditions. 

Why Diabetes Affects Your Vision Health

Diabetes is a metabolic condition affecting the way your body produces insulin. It can lead to hyperglycemia, or high blood sugar, and hypoglycemia, or low blood sugar. Hyperglycemia can lead to a number of vision health problems while hypoglycemia can result in temporary blurry vision. 

Four Eye Conditions Caused by Diabetes

Each of these conditions can affect people with and without diabetes. However, people with diabetes are at a higher risk for these vision problems. 

  • Blurry vision. Hypoglycemia is just one of the ways diabetes can lead to blurry vision. Some patients experience blurry vision when they begin insulin treatment. Long-term blurry vision may be caused by diabetic retinopathy, a group of vision conditions caused by diabetes. 
  • Cataracts. The natural internal lens in the eye works like a camera, allowing your eyes to take images of the world around you. If the lens becomes cloudy, a cataract has formed. In addition to cloudy, blurry vision, older people with diabetes may also experience near-sightedness due to cataracts. 
  • Glaucoma. Your eye needs fluid to function properly. When the eyes don’t get enough fluid, pressure builds up. This condition is known as glaucoma. Glaucoma can damage the nerves and blood vessels leading to changes in vision. The most common form of glaucoma, open-angle glaucoma, can be treated with medication. Open-angle glaucoma may not produce any symptoms until it is further along. Less common glaucoma forms may lead to headaches, blurred vision, eye pain, halos around lights, watery eyes, and even vision loss. 
  • Diabetic retinopathy. High blood sugar caused by diabetes can damage the blood vessels in the eye’s retina. This condition is known as diabetic retinopathy. If left untreated, it can lead to blindness. Other types of retinopathy include:
    • Background retinopathy. This is a “milder” form of diabetic retinopathy in which the blood vessels are damaged but your vision is still okay. 
    • Maculopathy. The macula is the part of the retina that helps you see clearly for reading, driving, and other activities. Diabetes can damage this part of the retina resulting in maculopathy. Swelling from this condition can lead to serious eye problems if left untreated. 
    • Proliferative retinopathy. When the cells at the back of the eye don’t receive enough oxygen, new blood vessels may form. These blood vessels are very fragile and can easily develop blood clots which can cause scarring and pull the retina away from the back of the eye. A detached retina can lead to irreversible vision loss. Some cases of proliferative retinopathy can be treated if caught early.

How You Can Protect Your Vision Health

The best way to protect your eye health is to keep your blood sugar levels in check as often as possible. If you are having trouble with hyperglycemia, it’s time to re-visit your diabetes health provider to discuss changes in insulin treatment. You should also visit your eye doctor regularly for an eye exam and to discuss your diabetes and changes in your vision. 

Another way to protect your vision and other areas of your health affected by diabetes is to educate yourself about your condition. Our website is a great source for diabetes education and we offer a diabetes education class each month at Mantachie Rural Healthcare. To learn more about our diabetes education program or how we can help you manage your diabetes, call 662-282-4226. 

Naomi Osaka’s Battle with Depression

Naomi Osaka is a 23-year-old tennis rock star who has won four major titles and is second in the world of female tennis competitors. She’s also the highest-paid female athlete in the world, bringing in a whopping $55 million in endorsements and prize money in 2020. But she made headlines in June 2021 when she withdrew from competing in the French Open after playing only one match. Her reason for withdrawing from the competition? To focus on Osaka’s battle with depression.

That’s right. You can be one of the top tennis stars in the world and still suffer from mental illness. 

Before the French Open began, Osaka announced that she would not participate in post-match interviews in an effort to safeguard her mental health. Staying true to her word, Osaka skipped out on interviews following her first and only match at the 2021 French Open. This decision drew sharp criticism from reporters and others who felt that she should have participated in interviews like the other athletes. Osaka was also fined $15,000 and received a threat from French Open officials to suspend her from the competition. In turn, Osaka decided to withdraw from the Open. 

Osaka’s Battle with Depression

Osaka told officials that she had been suffering from long bouts of depression since winning the US Open in 2018. Since withdrawing from the French Open, Osaka has also withdrawn from competing in the German and Australian Opens. 

Depression is characterized by sadness and disinterest in doing normal, everyday things. As you can see, it can affect anyone of any age, no matter their talents, popularity, athletic ability, or financial status. 

Despite initial criticism, Osaka has since received praise and support from fans. Many even find her decision to withdraw from these competitions to be inspiring for others who are suffering from a mental health condition. 

It’s important to know that praise and support are not enough to “cure” Osaka’s depression. Although depression patients find more success in treatment when they have the support of family and friends, depression is a real health condition that needs treatment from medical and mental health professionals. 

If you are suffering from depression symptoms, don’t keep fighting alone. Mantachie Rural Healthcare offers behavioral health services by licensed and highly experienced mental health professionals who truly care about their patients and the patient’s success. To schedule an appointment with one of our providers, dial 662-282-4226. 

Men’s Health Tips

Men are notorious for avoiding the doctor.  But not taking care of yourself and skipping the doc’s office will send you to an early grave. Follow these men’s health tips for a long life. 

Eat Well. 

A healthy, well-balanced diet is key to keeping your body in good condition and running strong. A healthy plate is colorful and contains protein, green veggies, and grains. Drink lots of water and you’ve got what it takes. 

Stop tobacco use. 

It’s no secret tobacco is terrible for your entire body. If you use, find a way to quit. Even if you don’t succeed the first time, try again. It’s worth the hard weeks and months to get your lungs and heart healthy. 

Get moving. 

Join a gym, a bicycling club, or gardening club to stay active. Walking is one of the best workouts and it’s free! You need at least two hours of aerobic cardio a week to stay fit. Yoga also works out tired muscles and keeps your body flexible. It’s not just a woman’s workout…men can benefit, too. 

Get rid of the gut. 

Following a healthy diet and staying active will cure a flabby belly. Perhaps you don’t mind your gut but it’s actually a sign of heart and other possible health problems. Talk to your provider before beginning a new diet or workout regimen. 

Buckle up.

Seatbelts save lives. Use it every time you get into the car. Accidents are a common killer of men. Don’t become a  statistic. While we’re talking about safety, remember to wear safety glasses when you work and a helmet on a bike and other moving toys. Don’t drive recklessly and pay attention. 

You have a long life ahead of you. Enjoy every minute of it with a healthy body. These tips get you started, but to maintain your health remember to visit your doctor for yearly check-ups. If you’re one of the thousands of men without a primary care physician, we’ve got you. Our providers are always accepting new patients.

Family Fitness Tips

An unhealthy family is an unhappy family. We’re not being dramatic. Studies show that unfit, unhealthy people are prone to anxiety and depression. Take a leadership role in getting your family fit with these health tips. 

Be the example.

Nothing teaches your kids healthy habits like seeing you follow them yourself. Let them see you working out, staying active, and eating well. It’s guaranteed to inspire them to do the same.

Serve healthy meals. 

Young children are still developing their palates so be patient if they refuse to eat their veggies at first. “Sneak” in healthy foods if you can’t get them to eat by making fun meals like butternut squash mac n cheese and buffalo cauliflower. Make healthy pizzas together on thin crusts made of pita and other healthier choices than flour (try cauliflower!) and let the kids toss on the healthy veggies. Avoid unhealthy toppings like pepperoni and sausage. Go for tomatoes, peppers, spinach, and other veggies. Cheese is okay, you need dairy in your diet. Just avoid adding extra to your pie. 

Find fun ways to stay active. 

Sign everyone up for a fun class like Zumba or Yoga so you can stay fit together. Join a bicycling group or walking club. Head outside to the garden and teach your kids about science while getting healthy and showing them how fun it is to grow your own food. 

Make a schedule.

You’re more likely to do exercise or attend a fitness class if it’s on the calendar. Add it in with your ball games and recreational classes to make sure you do it. 

Set fitness goals. 

Again, you’re more likely to do it if you’ve set a goal to achieve. Make your goals simple and easy to follow so you don’t get overwhelmed and quit. Build up to harder goals to keep it going. 

Keep your feet healthy.

Happy feet move better. Lotion them up, have your partner massage them and vice versa and do it regularly. 

Don’t skip working out because you’re stressed. 

That’s an even better motivation to work out your problems. Wallowing and avoiding moving will send you to an anxious, depressive place. Avoid it by staying active and eating healthy. 

Don’t forget Doggo. 

Walking the dog is a perfect way to keep your pets fit and you, too. Daily walks are necessities for dogs to be happy and healthy. What better way to start working out than with the best puppy partner ever?

You’re off to a good start by reading this article. Now take those tips and get the family moving!


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