If 1.5 million serious medication mistakes happen every year, and 100,000 people die from them, how do you make sure you and your loved ones aren’t among the casualties? Take these five steps to make sure medication mistakes don’t happen to you.
1. Be prepared.
Make a list of prescription drugs, nonprescription drugs, and any supplements such as vitamins, minerals, or herbs that you and your family members are taking. Keep a copy in your wallet, and update it regularly.
2. Have regular medication reviews.
At least once a year, have your general practitioner or primary doctor review your list of medications to make sure there are no dangerous combinations, incorrect dosages, or medications inappropriate for your age and circumstances. Remember, as time goes by, your body changes, and a medication that was perfectly fine five years ago may not be healthy — or even necessary — today.
Another possibility, suggests Anne Meneghetti, M.D., director of Clinical Communication for Epocrates, a medication management system for doctors, is what she calls “brown-bagging it.” Load everything you or your family member is taking — including medications, vitamins and minerals, and herbal supplements — into a bag and bring it to the doctor’s office. With the actual vials and labels in front of her, the doctor will have better information.
3. Take advantage of pharmacy consults.
At the pharmacy, ask for (or accept, if it’s offered automatically) a consultation with the pharmacist. Sometimes pharmacists are easier to talk to than doctors, and they can explain whether the drug should be taken alone or with meals and what side effects you need to be alert for. Pharmacists are also highly knowledgeable about medication interactions, so if you have a chance, ask the pharmacist to review your list of medications as a safety check.
4. In the hospital, be proactive both prior to and after surgery.
Prior to surgery, ask if there’s anything you need to stop taking, and how soon before surgery you should stop. Afterward, when doctors and nurses come around to administer medication, ask them (assuming you’re conscious) to explain what drugs you’re being given and what effect they’re meant to have. If you’re not going to be conscious for a length of time and you have someone accompanying you, ask him or her to do this for you.
5. Go home prepared to follow up.
During the hospital discharge process, ask to be sent home with a list of all the medications you were given during your stay, plus those that you’ll be taking home with you. Have your regular doctor or nurse go over them with you to make sure you understand how they should be taken.
Caring.com Editorial Team
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Health insurance prices rise and fall of the dollar tends to fall. In times like these we need to know how to stretch a buck too. This is especially true for families on a tight budget and many children. When looking for health insurance is first thing you should do, whether it is a good programs available to you are in your state. In your favorite search engine looking for the following: (your state) health insurance site:. Gov, for example, on the lookout for: Nevada>health insurance site:.gov will give you all the Nevada Government Health Insurance benefits available. From what I’ve seen most of these health insurance benefits are focused on dependents up to 19 years of age. You will be amazed as to how much you can save if you qualify to be enrolled into a Government assisted health insurance program. During my early twenties I had my family enrolled in DES health care assistance. One day I had to take my daughter to urgent care fever. The urgent care copay was a dollar. The medicine for my daughter was free. In to most of these programs you must fit the income requirements will be accepted.
If you have too much you do, the next best thing to compare prices and coverages between providers. If you do not want to fool around with the whole search engine strategy, you may want a site that provides comparison quotes with the convenience of only having to complete a single form to visit.Once you compare prices and coverages, the end is a cover with a low deductible, low copays for office visits and affordable premiums to be found. Good luck with your search.
A beautiful smile increases one’s face value and the first impression of people. However, a stained and discoloured set of teeth can make us hesitant and conscious while smiling. They have an adverse effect on a person’s personality and confidence level. A bad set of teeth can also be a result of prolong medication especially consisting of antibiotics, chain smoking, regular intake of alcohol especially red wine, coffee or tea addiction, etc. However, do not lose heart as effective teeth whitening are now possible, and also affordable!
With advancement in technology and medical sciences, top dentists all over the world has come up with the most effective teeth whitening treatments that have become very popular over time. Now everyone can display a sparkling smile! This is possible due to many effective at-office or in-chair whitening dental treatments.
Sydney, Australia is particularly a renowned place that provides numerous dental whitening treatments. Though these treatments used to be very expensive till some time back, they are now extremely affordable. Moreover, with more advanced technology and techniques being used, the result is very much close to the natural look.
Some of the most popular and effective whitening in-office treatments are as follows:
?Brite Smile: This is a professional teeth whitening system that is performed by a practicing dentist or better a professional dentist. It includes a whitening gel that contains a gentle hydrogen peroxide bleaching agent. This gel is activated by a patented light beam, which operates only in a gentle blue spectrum. It is a very effective treatment that brightens the teeth to a considerable extent in an hour’s time.
?Zoom Whitening Treatment: In this process, the lips and your gums are first secured by pulling them away from the teeth with the help of a retractor and then covered with a protective shield. Next, the zoom whitening gel is directly applied generously all over the teeth, in a balance manner. After keeping the gel on for fifteen minutes, a bright light which is called, a UV rays beam, is focused on the teeth of the patient. This process is repeated thrice so that you can really see the effect. The light beam is used to activate the gel, actually to activate the bleaching agent, which called the peroxide which is found in the gel. The whitening gel then releases oxygen molecules that break stains and discoloration, and removes the discoloration, revealing sparkling set of white teeth.
?Rembrandt Treatment: It is the one of the latest breakthroughs in the field of whitening. In this treatment, a powerful light bleaching agent is used. The Rembrandt one-hour whitening system results are amazing. This treatment can lighten up the shade of your teeth up to 10 times. The treatment takes just one hour.
These treatments are breakthrough in the field of cosmetic dentistry and have proved to be a boom for many people. But before using any of these products it is still best to ask your dentist for proper advice whether you can use any these particular product.
Click here to get a list of effective in office treatment. Get advice on now!Article Source:
If you want to get rid of your musculoskeletal pain, and get on the right track to healthier living, you may be in the right direction. You are able to get all the benefits of South London Osteopath, and more from the different offices that they have available.
Fees:
Since the fees and locations differ from one another, it is recommended that you have a initial appointment to assess your situation. The fees that are set include, but are not limited too:
If you would like to make an appointment to meet with one of the professionals, you are able to email them over the website, find their phone number, and give them a call, or fax your paperwork to them. You will need to find out what times, and dates they have available for you, and you are able to feel the way you want. If you have any questions, or would like to make an initial appointment, you can also fill out the form located on the contact page on the website, you can be sure to get the response you need, when you need it.
Home Visits:
For both osteopath, and sports massages, a home visit is available at £60 an hour plus a fee of £20-£50 that depends on where you are located throughout London. You also have a minimum of one hour booking session. You may request a longer than an hour session, but it should not be any less than an hour. If you would like a session where you do not have to leave the house, or you would like solitude, this option is for you.
Locations:
You are able to book appointments at any of the clinics, or private residences that are listed during certain times in the day. You are able to check their times online, or you may call them to request the times that they have available. There are clinics in South West London, Canary Wharf where you are able to get the directions you need on how to get there depending on where you are coming from.
This is true for all of the clinics that are mentioned, there are also directions. There are also home visits available in this area. There is a private house booking appointments at Caistor Road SW12 8PY where you may be able to get cheaper rates. The Balham Therapy Centre also has a clinic for you to enjoy as well. You have various options to have the treatment you need.
If you want more information on , you can visit osteopath-london.co.uk to learn more. You are even able to find on the site as well.
Anti Muscle Bias! As most know who have been weight lifting for more then a few years, there is a general anti muscle bias that exists in the general (read fat and lazy) population and the media. There is even something of an anti muscle bias in science and medicine I find, even when study after study shows having more muscle then the average person offers many advantages from a health and performance perspective.
Modern medical science has finally caught on to the reality that muscle tissue is much more then just something that attaches to your skeleton to help you move your body or carry your groceries. It’s an essential part of your health, intimately connected to immunity as well as a long list of other benefits. A perfect example of that was found in a recent report called “Men with big muscles cut cancer risk by 40 per cent” which covered an interesting study. From the media report:
“In recent years, experts have recommended a healthy diet and lifestyle – including regular aerobic exercise such as jogging or cycling to reduce the risks of the disease. But the latest study, published in the journal Cancer Epidemiology, Biomarkers and Prevention, suggests it may be just as important to build up muscle strength. A team of experts, led by scientists from Sweden’s Karolinska Institute, tracked the lifestyles of 8,677 men aged between 20 and 82 for more than two decades.”
So far so good, and as the reader can see, a large study that ran a long time. The study found those men who regularly worked out showed significantly lower rates of cancer, and most interesting was the effect was constant “…Even among volunteers who had excess tummy fat or a high body mass index, regular weight training seemed to have a protective effect.”
However, and as one should expect, these researchers stressed keeping a healthy weight was still an essential part of avoiding various diseases. The researchers recommend regular weight training in light of these findings. But then, that odd anti muscle bias seems to creep in. Ergo, a spokesman for Cancer Research UK Health information officer Jessica Harris is quoted as saying “There’s no need to become a body builder. Just 30 minutes of moderate exercise five times a week that leaves you warm and slightly out of breath can have a positive effect.”
There’s so many things wrong with the above, it’s hard to know where to start, but here’s some thoughts:
? There’s a looooooooooong way, time, and effort, between being a “bodybuilder” and “30 minutes of moderate exercise five times a week that leaves you warm and slightly out of breath.”
? As anyone who has spent any time in a gym knows (and we all know that eliminates most scientists but I digress…) building muscle is not easy, so “30 minutes of moderate exercise five times a week that leaves you warm and slightly out of breath” is not going to do jack you-know-what for actually increasing muscle mass. In fact, it may not even prevent the loss of muscle mass that happens with age, a condition known as sarcopenia. People interested in learning more about sarcopenia, can read my article on the topic called:” Sarcopenia, the undiagnosed epidemic”
? No doubt, 30 minutes of moderate exercise five times a week “that leaves you warm and slightly out of breath” is far more then most people get now, and would improve their health, but as it relates specifically to the findings of this study, the advice totally misses the mark in my view. The fact is, if a person is looking to actually have any real impact on muscle mass, they need to work with a minimum of 60% 1RM for beginners, and 80% 1RM for anything beyond beginners, on a regular basis. The data is quite clear on that fact, so some low intensity exercise that leaves one “warm and slightly out of breath” done for 30 minutes is advice that smacks of typical anti muscle bias found in much of the science/medical community and the media. It’s either bias, flat out ignorance, or both…God forbid, they may lift some heavy weights and end up looking like a bodybuilder!
? I’m sure the medical/scientific community does not want to scare people away from resistance exercise (e.g., weight training) by actually admitting they will have to work hard in the gym to actually see any effects on muscle mass and strength, but giving people faulty advice that will not lead to the results they want does not seem like a productive way to accomplish anything other then to confuse people.
? I know hard work is a four letter word these days, but there’s no free lunch, there’s no Santa, no Easter Bunny, and getting the known health benefits of muscle mass (not to mention the aesthetic benefits!) does in fact take dedication, a bit of thought and planning, and – sorry to say- hard work with loads/weights heavy enough to kick your a$$. Lifting a beer to my mouth a hundred times will leave some “warm and slightly out of breath” but it aint going to build any muscles!
See you in the gym
Want to gain muscle, strength, and save time and money while doing it? Find out more at See The Number One Science Based Web Site On All Things Health, Bodybuilding, Fitness, Longevity, and Weight loss: Article Source:
Attractive personality and fit body is a need of an hour, you can’t stand with a confidence anywhere if you don’t look smart. Appearance plus intelligence goes together, but at first your appearance matters, then only you can go ahead.
In existing competitive world, an eye catching personality helps a lot like during interview, during wedding, in office, in collages, everywhere you are praised for your look.But your busy schedules resist you from taking care of your fitness. Long hours of work are responsible for your unattractive personality.
The fact is that when you eat in a hurry without taking rest, the food are not digested properly and the wastes and extra fats get accumulated inside your colon, which is responsible for obesity, and you feel indolent.
To cope with these problems, a product called has been formulated which will helps in loosing your weight. It flushes out wastes from the colon, reduces wastes and toxic substances, decrease cholesterol levels, and improves the functioning of digestive system, thus making you feel more energetic.
It is made up of natural ingredients which promise to give you healthy, fine and fit body. Within a week you will start to observe that day by day you are becoming fit and attractive.
After a regular use of it with proper balanced diet, you can experience the difference.Since it is clinically proven, so it has no side effects and very safe to use.If you wish to try its efficacy, you can get it from the website.
‘Did you know that for every two days of bedrest, the heart rate increases one beat? ‘Did you know that in healthy men, the rate of bone loss increases 50 times with bed rest? (Although bone mineral is gradually restored after bed rest, the rate of restoration is 4 times slower than the rate of loss.) ‘Did you know that for every week of complete bedrest, muscle strength declines by 10-15%? ‘Did you know that within 8 hours of immobilization of a muscle in the shortened position, muscle fibers begin to shorten, limiting full range of motion? (Ever have a hard time getting those legs to move again, after sitting in a movie theatre for just two hours?)
So what does this have to do with ‘Sarcopenia,’ and WHAT is Sarcopenia?
What is Sarcopenia?
Sarcopenia (pronounced sarko-peen-ya) is the ‘age-related’ loss of muscle. The word comes from the Greek, for ‘flesh reduction.’ It can have the same serious musculoskeletal consequences caused from bedrest. Just like osteoporosis and arthritis, ‘sarcopenia is a serious degenerative condition that increases ones risks for falls and makes one more vulnerable to injury.’
Less obvious consequences are metabolic effects that result when muscle’the body’s most metabolically active tissue—diminishes. Metabolism is altered when there is less muscle, and many other consequences result, such as obesity, impaired glucose tolerance, and changes in the ability to regulate body temperature. In addition, since muscular contractions help keep bones strong, muscle loss can also weaken bones.
Sarcopenia generally starts to set in around age 45, when muscle mass begins to decline at a rate of about 1 percent per year. As muscle mass begins to decline, so does muscle strength. Studies have revealed that muscle strength declines by approximately 15 percent per decade in the sixties and seventies and about 30 percent thereafter. As strength goes, so does physical functioning—the ability to do chores, take walks, climb stairs, or the accomplishment of other activities. This loss of strength can create a vicious cycle. Since it takes a great deal of physical effort and discomfort to perform daily tasks, one naturally avoids it, which creates even more weakness. Even some activity, no matter how limited, can help maintain muscle mass.
Sarcopenia occurs in people of all fitness levels, however physically inactive adults will see a faster and greater loss of muscle mass than physically active adults. Women, however, face a greater risk than men, because women have less muscle than men, and those who have less muscle to begin with, generally have a greater loss.
Nutrition can also be a factor in the development of sarcopenia if one is not consuming adequate energy intake. Many older individuals may not be consuming enough calories and/or protein, thereby depleting muscle protein to sustain energy requirement.
Can Sarcopenia Be Treated and/or Prevented?
Along with proper nutrition, a powerful intervention in the prevention and treatment of sarcopenia is resistance training (weight-lifting or strength training). Resistance training works to build muscle by forcing the body to heal the damage to muscle cells that occur with use. When the intensity is high enough, microscopic tears occur in the muscle, which then rebuild protein and make the muscle stronger.
Although it has been known for decades that resistance training increases muscle mass and strength in young adults, many thought that muscle loss in older people was inevitable. However, it is now known that past studies done on older people using weights, did not show a positive response because the studies were not using the correct exercise intensity. Instead, subjects were lifting weights that were too light.
More current studies, using higher intensity workouts have shown that ‘strength could be doubled in only 12 weeks of training, and that even frail nursing-home residents in their 90′s could build muscle and strength.’
But I Walk and Swim’. Isn’t that Enough to Prevent Sarcopenia?
When most people start a fitness program, they do an aerobic activity, such as walking or swimming, in to strengthen their heart muscle. But, before one can walk, they must first be able to get out of a chair and maintain an erect posture and balance while walking, and that requires muscle power.
The American College of Sports Medicine, in its guidelines on exercise and physical activity for older adults, says that aerobic conditioning should follow strength and balance training, which is, unfortunately, the opposite of what is usually done. Aerobic exercise, while it strengthens the heart and lungs, is not sufficient by itself to prevent sarcopenia.
It’s easy to understand why older adults participate in aerobic activity for exercise rather than resistance training. Walking doesn’t require a lot of planning to incorporate it into the day, and swimming or biking are familiar activities. Resistance training, however, is less familiar and it requires one to set aside extra time. However, as little as 40 minutes a session, or an hour and a half a week, is enough to see significant results.
According to Dr. Miriam Nelson, the director of the Center for Physical Activity and Nutrition at Tufts University, gains in muscle are probably happening immediately at the cellular level, and in four weeks, one is significantly stronger and may even see less pain with conditions, such as arthritis.
Are there other benefits of Resistance Training?
In addition to building muscle, one also builds vigor and self-esteem, which ultimately leads to one staying active and doing things they enjoy. Preserving muscle mass also impacts the ability to withstand disease. The body burns protein faster than usual, when sick, which then causes protein components to be pulled from the muscle to be delivered to the immune system, to help fight the illness. Sarcopenia reduces the amount of protein available to fight disease.
‘If you don’t use it, you’ll lose it.’ That saying has never been more true than for the use of our ‘muscles.’ When we lose our ability to use our muscles, we lose independence, and quality of life diminishes. Let’s choose to not take for granted our ability to move around, and incorporate resistance training, into our exercise routine. Length of life is insignificant without quality of life!
References
1.Mahoney (1988). Immobility and falls. Clinics in Geriatric Medicine 14 (4): 699-726. 2.Stone, Wyman & Salisbury (1999). Clinical Gerontologicl Nursing: A Guide to Advanced Practice. Montreal: WB Saunders Company. 3.Easson-Bruno, S. Healthy Aging Newsletter. July 2002, Volume 1, Issue 2. 4.Tufts University Health and Nutrition Newsletter. March 2003, Volume 21, Number 1. 5.American College of Sports Medicine -=-=-=-=-=-=-= -=-=-=–=-=-=-=-=-=-=-=-
Cheryl Winter, M.S., R.D., R.N. is a Registered Dietitian/Nutritionist, Registered Nurse and ACSM Fitness Instructor. Cheryl is owner and operator of HealthSteps Rx, Inc. at http://healthclub.tk a wellness organization that will help you Build a Better Life’One Step at a Time.
About the author: Cheryl Winter, M.S., R.D., R.N. is a Registered Dietitian/Nutritionist, Registered Nurse and ACSM Fitness Instructor. Cheryl is owner and operator of HealthSteps Rx, Inc. at a wellness organization that will help you Build a Better Life’One Step at a Time.
Learn all about HealthSteps Rx, Inc. Weight Management Program via TeleClasses, without leaving your home or office:
As per the 2010 fee schedule, for Medicare patients you’ll be skipping the 99241-99255 (consultations) section of CPT. In the new year, you will report an appropriate non-consult E/M code for Medicare patients even if the visit meets CPT’s consult requirements.
According to the Medicare Physician Fee Schedule (MPFS) Final Rule, “Starting January 1, 2010, we will eliminate the use of all consultation codes on a budget neutral basis by increasing the work RVUs for new and established office visits and for initial hospital and initial nursing facility visits.”
Before: Previously, if a cardiologist in the office setting performed a consult for an established patient with 786.50 that involved detailed history, detailed examination, and medical decision making of low complexity, you would report 99243.
Now: But in 2010, for Medicare patients, you’ll have to report 99203 if the consulting cardiologist or another physician of the same group practice and specialty hasn’t seen the patient in the last 3 years. And in case the patient was seen within the last 3 years, you would have to bill 99214 because Medicare will no longer accept consult codes.
Watch out: The CPT 2010 manual does not delete the consult codes; as such, other payers may continue to accept them. You should therefore check so that you meet all necessary requirements such as having a written request on file.
It pays to know: Even if only Medicare does away with consultation codes, specialty practices will feel the pinch for sure.
For the latest on , there are various one-stop coding websites, which come loaded with all the changes. So sign up for one today and be prepared for what’s to come as far as consult codes are concerned.
We provide you simple, instant connection to official code descriptors & guidelines and other tools for , that help coders and billers to excel in the work they do every day.
The correct term for Vitamin D is: Vitamin D3 cholecalciferol.Technically it’s not a vitamin as Vitamin D is in a class of its own. Its metabolic product, calcitriol, is actually a secosteroid hormone that targets over 2000 genes in the human body. Current research has shown Vitamin D to be extremely helpful with the prevention of 17 kinds of cancers as well as preventing heart disease,stroke,autoimmune disease, depression,diabetes,chronic pain,osteoarthritis,osteoporosis.muscle weakness,gum disease,muscle wasting,and more.
Its apparant through all the research thats been completed on this subject that the healthcare industry and individuals interested in having over-all good health and maintaining a sense of well-being, can no longerignore the great importance Vitamin D has in our lives.
The one main piece of information I continued to come across for one of the reasons most Americans are lacking in Vitamin D is the fact of more of us spending quite a bit of time indoors than we once used to. If you’ll recall we were hit with tons of information and messages for a number of years informing us of how bad it was to spend time outdoors and paricularly out in the sunlight due to the fear of getting skin cancers. It often seems as if its a darned if you do, darned if you don’t situation with may of these things. All the more reason each of us weighs the information and to determine what is best for them personaly. My thinking in my own life is many things are ok for us if all done in moderation, otherwise we may as well curl up under a rock or have that glass house built quickly.
Another culprite to the Vitamin D deficiency hasto do with all the chemicals and additives being in the many foods we consume today since these preservatives hinder and prevent our bodies from utilizing any Vitamin D which may be in the food, if any at all.
Vitamin D plays a role in building strong bones and also helps,much like calcium does with preventing bone loss as we age. The average American consumes about 600 mg. of Vitamin D per day. Currently the governments recommened amount of Vitamin D is a shocking 200 I.U. per day! The research indicates each individual needs at least 5,000 I.U. on a daily basis. In for one to acheive this they would need to drink about 50 glasses of milk per day and take a total of 10 tablets of a multi-vitamin each day.
An interesting fact about the suns role and Vitamin D production is 20-30 minutes of sun exposure during the summer months gives us about 10,000 I.U. of Vit D.
Some have suggested there are a few diferent ways one can obtain their daily dose of Vitamin D with one method being midday sun exposure in the spring,summer and early fall for 20-30 minutes and of course, avoiding sunburn. Another suggestion is to obtain this through the use of a tanning bed during the colder months, and again being sure you don’t burn.
There is a blood test that your doctor can do in the office called the 25-hydroxyvitamin D test. If you are concerned and would rather receive the results from the test prior to starting to take a Vitamin D-3 supplement, contact your doctors office to inquire about this test. Unlike many other vitamins, Vitamin D can be toxic if you take too much, therefore do not exceed 5,000 I.U. per day. For those who have the test done, its suggested to have a re-take after 2-3 months of taking the Vitamin D supplement to check where your current level is.
Recently there has been information about Vitamin D being very beneficial against the H1N1 Virus. I have included a link to information the Vitamin D Council published about this interesting theory. It appears there is enough valid information to prove this to be accurate information. This is definately worth taking the time to look into since it would be viable to beleive Vitamin D could have an incrediable impact on the spread of not only H1N1 but other viruses as well.
Nothing can be quite as worrying as having unwanted body odor. It can become quite a problem to deal with, especially if one doesn’t know what causes them. Here are some common yet surprising reasons why you might develop some unwanted body odor.
Too Much Stress Can Cause Body Odor
If you are constantly under stress at the office, chances are that you may also suffer from bad body odor. The reason for this stem from the way the body reacts when under stress. The body, since ancient times has a fight or flight response when it senses danger. One of the effects of this response is increased sweating to prevent the body from overheating.
Even while times have changes and the stressors of today may not be as life threatening as before, the way the body responds still remains the same. Stress at the office can be enough to cause sweaty palms and underarms which may lead to body odor.
Cutting Carbs Causes Bad Breath
Losing weight may also have an effect on how your breath may smell. If your diet consists of cutting on carbohydrates, be prepared of experiencing bad breath. Cutting on the carbs causes the body to switch on to burning fats for energy. Although this can help you lose weight, it may also have an unwanted side effect.
When the body begins to burn fat for energy, it increasingly releases substances called ketones into the bloodstream. This can result in your breath having that certain awkward smell that you might not welcome.
Spicy Food Causes Body Odor
Sure, you may already know that eating spicy food may cause you bad breath. But eating foods rich in garlic, onions, curry and other spices may also be the cause of your frequent body odor. The reason for this is because eating spices can also produce certain bad smelling sulfur-containing gases.
Although most of these byproducts are metabolized in the liver and the stomach, there are others that are unfortunately left out. By products such as allyl methyl sulfide are absorbed into the bloodstream and released through the lungs or through the skin pores. This may lead to body odor of which the effect may last for hours and hours after eating something spicy.
Not Toweling After A Shower
Whowould have thought that not using a towel after a shower may cause body odor? Toweling yourself off after taking a bath may actually help you avoid BO. It can be easy for moisture to get trapped into the folds of your skin after a shower. This can become a good environment for fungi and bacteria to multiply especially in the areas where there is no access to air. This can eventually lead to body odor and irritation as they mix up with sweat.