You can support a healthy immune system by eating well, getting plenty of sleep, and exercising. Supplements with vitamins that support the immune system, such as vitamin D, may help, too. Sunlight remains a key source of vitamin D, but supplements may be increasingly beneficial as people are less able to get outside. This is especially true for those who live in the northern hemisphere.

Vitamin D has the science to back up its potential as an immune- system support. In 2017, the British Medical Journal published a meta-analysis of 25 studies in which vitamin D showed the potential to protect against acute respiratory tract infections, especially among individuals who were also deficient in vitamin D.

In addition, Dr. Tom Frieden, former director of the Centers for Disease Control and Prevention, said in an interview with Fox News in March that taking a multivitamin containing vitamin D or a vitamin D supplement was good practice for overall health, and it certainly couldn't hurt when it comes to helping to boost immune resistance to infection.

However, not all vitamin D supplements are created equal. A vitamin D supplement must be easily absorbed by the body in order to provide much value. Many vitamin D supplements offer poorly absorbed forms of vitamin D in doses far too low to replenish a vitamin D deficit, much less offer therapeutic benefits for the immune system.

It's best to choose a supplement that includes vitamin D3, which is the most easily absorbed form of vitamin D, as well as Vitamin K2, such as the supplement produced by Lively Vitamin Co. Their product, Solar Power, combines vitamins D3 and K2 to provide the body with maximum therapeutic value. This combination improves total absorption rates and utilization in the body.

A blend of these two vitamins is engineered to help promote a healthy immune system and cardiovascular health. But the benefits don't stop there. Vitamin D3 supplements like Solar Power can also help the body absorb calcium and build stronger bones to help prevent osteoporosis. Vitamin D even plays a role in regulating mood and helping to reduce seasonal depression.

However, be sure to check for possible drug interactions with any prescription medications you are taking before you take vitamin D or other supplements.

For more information about vitamin D and other ways to improve your health and boost your immunity, visit findyourhealthyplace.com.

Going out with friends, hugging a grandparent, even opening a door in a public place are on hold. Some of these changes were temporary. However, even as states begin to open up, changes in how we interact with each other and the world will likely continue for far longer.

"We need to grieve the ways of life we have lost," according to William Glover, Ph.D., president of the American Psychoanalytic Association (APsaA).

"Mourning is hard work," Sigmund Freud once wrote in his essay, "Mourning and Melancholia." What makes mourning so hard is having to give up attachments - whether to people or to a way of life - that can't be replaced. Letting go of what we have lost helps us move on with our lives, although we will always miss the people, places, and things we have lost; in that sense mourning can never be complete.

Mourning and grief are an important part of coping with loss and essential in managing changes and accepting new realities. Recognizing that our pre-COVID lives may never return is a loss to be mourned, and the work involved in this mourning can help us move on and into the new reality. However, some people struggle with the process more than others, and resist by responding with illusions of control, refusing to take precautions, and showing contempt for politicians and public health officials who try to explain the changing realities of daily life.

In an article post on APsaA's Psychology Today blogsite, psychotherapist Shelley Galasso Bonanno, MA, LLP, writes, "Each person processes and expresses grief in their own individual ways, yet there is comfort and power in understanding that one is not alone during this pandemic." One way to cope with grief is by finding meaning in the present situation, although how one does so may be different for everyone.

Yet finding meaning is different for everyone. For some, it may mean providing food or assistance to a homebound neighbor, making masks for members of their community, or even donating money to help beloved organizations and venues stay afloat. Others may find meaning by expressing their emotions and reflecting on them with a therapist.

Undoubtedly, there will be new ways to maintain relationships, enjoy life, and participate in activities with family and friends. Meanwhile, being able to tolerate the pain of grief and find meaning helps sustain us in difficult times.

The American Psychoanalytic Association has created a resource page for the public and mental health providers with resources to help cope with anxiety and grief during this global pandemic.

Visit apsa.org/coronavirus for articles and videos and information on how to find a psychotherapist near you.

"Crepiness is a concern we address with many of our patients," says Dr. Melissa Kanchanapoomi Levin, board-certified New York dermatologist and founder of Entiere Dermatology. Proper exfoliation is key to improving the appearance of skin crepiness, and exfoliation also prepares the skin to receive the maximum benefits from moisturization.

"Exfoliation loosens and removes the top layers of dull dead skin cells and improves the skin's appearance," Dr. Levin says.

"Formulas that contain exfoliating acids, such as glycolic acid and lactic acid in combination with moisturizing ingredients, can be helpful. Since sun damage is the most common cause of crepey skin, wearing daily sunscreen and keeping the skin moisturized is a must," she emphasizes.

To help combat crepiness and foster a smoother, more youthful appearance, look for products that go beyond simply moisturizing, such as the Crepe Control line from StriVectin. The two-step skin care protocol includes Crepe Control Exfoliating Body Scrub and Crepe Control Tightening Body Cream.

- Smooth it Out. Crepe Control Exfoliating Body Scrub combines physical exfoliants such as rice powder with lactic and glycolic acids to help dissolve dead skin cells, promote skin brightening, and restore a softer appearance to the skin.

- Firm it Up. Crepe Control Tightening Body Cream is designed to improve the appearance of crepey skin and reduce the appearance of aging and environmental damage.

The cream includes not only murumuru seed butter as a key moisturizing ingredient, but also tripeptides to improve skin elasticity; caffeine and jojoba seed extract to facilitate firmer skin; and turmeric root extract to promote skin brightness and tone.

The scrub is designed for use on wet skin in the shower two to three times a week. And the cream can be used on areas of concern as often as twice a day.

Visit strivectin.com for more information about skin care and crepe control products.

These liver diseases may become life-threatening without any noticeable symptoms, which is why screening is vital. For people who are at high risk, such as those living with obesity, pre-diabetes, or type 2 diabetes, talk to your doctor about your liver health and get screened as early as possible. In the past, the best way to diagnose liver disease was by performing a liver biopsy, a procedure where a small piece of the liver is removed using a long needle and then analyzed in a lab. Liver biopsies can be painful, risky, expensive, and unreliable. Complications can include bleeding, infection, accidental injury to a nearby organ, and even death. A typical liver biopsy can cost more than $7,000. Additionally, a biopsy relies on using a tiny fraction of the liver, which means more than 30 percent of liver biopsy diagnoses may be wrong.

Fortunately, there are now alternatives to biopsy. It is important for all healthcare providers and patients to understand that liver biopsy is not the only diagnostic option available. Some examples of non-invasive diagnostics include blood tests, ultrasound, and various different scans. Non-invasive diagnostics lead to fewer patient visits, quicker diagnosis, and are more cost-effective without the risks of surgery. Imaging tests can provide you and your doctor with a full picture of the liver, rather than just a small sample. If your doctor recommends a biopsy to screen for early liver disease, ask for non-invasive alternatives such as blood tests and imaging.

For more information about liver health and non-invasive screening for liver disease, visit www.globalliver.org/beyond.

"I was not happy when I read that Nigeria will have the highest contribution to the global burden of sickle cell disease by 2050 - if we continue at the present birth rate and the level of inactivity in newborn screening," says hematologist Obiageli Nnodu, M.D., the lead researcher in Nigeria for the Sickle Pan African Research Consortium (SPARCo), funded by the National Heart, Lung, and Blood Institute (NHLBI), part of the National Institutes of Health. "As a country, we can do better than that. After all, this is a disease where children die undiagnosed, and largely from preventable causes such as bacterial infections."

Sickle cell disease affects 20 million people worldwide, including at least 100,000 in the United States, mainly African Americans, but Hispanics and Asian-Americans, too. To help address the problem on a global scale, the NHLBI has been supporting programs in sub-Saharan Africa, where more than 75 percent of the sickle cell disease births worldwide occur. SPARCo, with a hub in Tanzania, and additional sites in Nigeria and Ghana, works to develop an infrastructure for sickle cell disease research, health care, education, and training to take place in Africa.

"We are showing that with effective partnerships, significant advances in health and biomedical science can be achieved," says Tanzania-based Julie Makani, M.D., Ph.D., who leads the SPARCo consortium. SPARCo, in collaboration with the Sickle Africa Data Coordinating Center, led by Ambroise Wonkam, M.D., in South Africa, created Sickle In Africa, which has a growing electronic registry of more than 10,000 individuals with sickle cell disease.

"The genetic diversity of Africa's population allows scientific research that will increase our understanding of how a disease caused by a single gene can manifest in such different ways," Makani explains.

Newborn screening, as Nnodu notes, is the first step to reduce mortality and suffering for these children, and for that, they need good tests readily available at the point of care. That's why NHLBI supports research towards development of diagnostics, such as a new rapid result test that is relatively inexpensive, accurate, and can provide a timely diagnosis of sickle cell disease. The test does not require sophisticated laboratory equipment, electricity, refrigeration, or highly trained personnel - a critical advantage for countries with few resources.

On the treatment front, a large multinational NHLBI-funded clinical trial found that a daily hydroxyurea pill was safe and effective for young children living with sickle cell disease in sub-Saharan Africa. The NHLBI also has its sights on developing genetic therapies for the disease, as part of a newly announced NIH collaboration with the Bill & Melinda Gates Foundation. The goal of the partnership, which also addresses HIV, is to advance possible gene-based cures to clinical trials in the United States and relevant countries in sub-Saharan Africa within the next seven to 10 years.

"A person's health should not be limited by their geographic location, whether it's in rural America or sub-Saharan Africa," says Gary H. Gibbons, M.D., director of the NHLBI. "Harnessing the power of science is needed to transcend borders if we want to improve health for all."

The Annual Election Period runs from October 15 through December 7. This year's AEP brings some new challenges for enrollees, due to potential restrictions related to the COVID-19 pandemic. Fortunately, there are a variety of resources available to ensure you can safely and securely compare plan options from the comfort of your home, including:

* Online workshops: Many insurance companies are offering online workshops to help educate individuals about 2021 Medicare Advantage plan options. Before you attend a virtual event, find out in advance how to log on to the meeting to avoid technical issues.

* Virtual meetings: Set up one-on-one meetings with licensed sales agents by phone or video chat. Be prepared with your questions to ensure you get the information you need, such as what innovative benefits are available and if vision, hearing and dental coverage are included.

* Trusted websites: Go to the Medicare Plan Finder on Medicare.gov to compare plans, benefits and an estimated cost for each plan based on an average member. If you are interested in Medicare Part D, which helps cover the cost of prescription medications, you can also enter the names of prescription medications you take to ensure those medications are covered by the plan you are considering.

When researching plan information, be sure to provide only your Medicare number and other personal data to trusted sources, such as your doctor, pharmacist, hospital or health insurer, as scammers may try to steal your data. It's also important to not click links in text messages and emails about COVID-19 from unknown sources, and not to answer unsolicited phone calls offering COVID-19 tests or supplies.

Utilizing trusted resources will ensure that you select the plan that will suit your healthcare needs for the coming year. For more information, you can also go to Medicare.gov or call 1-800-MEDICARE (800-633-4227). And, to learn about Humana's Medicare Advantage plans, visit www.Humana.com/Medicare or speak with a licensed sales agent by calling 1-800-213-5286 (TTY: 711) from 8 a.m. to 8 p.m. local time, seven days a week.

Type 2 diabetes does not cause an elevated risk of infection per se but a greater risk of complications and mortality that arise from COVID-19 infection. Cardiovascular disease, neuropathy, and organ dysfunction, including kidney and eye, all are common issues associated with Type 2 diabetes, and have been seen to be further exacerbated by COVID-19 infection.

While doctors still do not have enough evidence to explain all of the ways the virus affects the body, reports from all over the world have identified connections between inflammation and blood coagulation abnormalities and dangerous outcomes from the virus.

However, what many have not discussed is the possibility that quarantines, stay-at-home orders and remote working -- necessary to prevent the spreading of the virus -- may also present additional risk for those who already experience a sedentary lifestyle. A study by the National Institutes of Health shows that people who spend significant amounts of time not being active are subject to a 112 percent greater risk of potential complications, including Type 2 diabetes and metabolic syndrome Coronavirus, and therefore, presents not only risks to those with Type 2 diabetes, but to those already at risk for Type 2 diabetes. Obesity is a key cause of Type 2 diabetes and one that the CDC has long been concerned about as a growing problem in the United States -- even before the current pandemic -- and the lifestyle changes which tend toward activities which lean toward weight gain rather than weight loss.

Health experts are therefore emphasizing the importance of maintaining metabolic health by managing potential risk factors associated with the disease, all while maintaining social distancing and engaging in safe behaviors connected to preventing the spread of COVID-19.

A variety of tools have become available in recent years that utilize modern technology, including app-driven diet, exercise and behavior modification plans, but the precision required in order to mitigate diabetes risk has been limited. One recently introduced system, BEATdiabetes, consists of a unique smartphone and/or tablet app comprising a digital version of a successful diabetes weight management program by the Joslin Diabetes Center in Boston, Mass. It provides a suite of life management tools that provide users with personalized coaching driven by a unique, AI-based digital platform that responds to the specific needs of the user.

"Even in the best of times, people at risk for Type 2 diabetes must be extra vigilant in order to manage their weight, their blood pressure and other potential risk factors," says Faz Chowdury, Ph.D., chairman and CEO of Nemaura Medical, Inc., which developed the system. "It can be a daunting task that requires constant maintenance - especially when trying to manage it alone."

In addition, the company has developed the sugarBEAT non-invasive continuous glucose monitor, that adheres to the skin (not pierces it), tracking a user's glycemic levels throughout the day and providing valuable coaching in response. Nemaura Medical believes that regular use of the system can improve the health of people with Type 2 diabetes who need extra help managing it, prevent diabetes to those at very high risk, such as pre-diabetes, and may even reverse diabetes in some patients.

While COVID-19 may pose additional risk for people with Type 2 diabetes, it is especially important to identify solutions to manage Type 2 diabetes while protecting yourself from the virus.

Strategies for self-care include paying attention to sleep, nutrition, and physical activity, but channeling the power of quantum energy offers an additional opportunity for self-care and self-healing.

Quantum energy and frequencies have a long history of use in alternative medicine, and some individuals have developed class-based wellness practices that are designed to channel quantum energy.

Devaya Smith, a self-described energy psychologist in Taos, New Mexico, for instance, uses the power of quantum energy to teach individuals to connect with themselves in a way that relieves tension and restores peace of mind.

Quantum energy technology also has been adopted into self-care products for use in the safety and comfort of home.

Products developed by Leela Quantum Tech are designed to promote physical and mental health by channeling quantum energy. According to the company website, the health benefits of its products include increased energy, relief from pain and muscle soreness, improved concentration, increased resistance to stress, and greater ability to relax and live in the moment.

As the Leela Quantum Tech website explains, "[You will be able to] Dive deeper into your own self. Realize your potential. Support your health."

"Our products can help you achieve your goals, whatever they may be," says Leela Quantum Tech president Philipp von Holtzendorff-Fehling.

"You can improve your physical and mental fitness as well as positively influence your environment," he explains.

Leela Quantum Tech products have been scientifically certified by two independent institutes, and the variety of personal products make self-care easy. Hats, shirts, and hoodies infused with quantum energy and high-quality silver fabrics are designed to keep you relaxed and comfortable. In addition, coasters charged with quantum energy cushion your favorite beverage and are engineered to promote peace of mind and positive feelings.

Other products include energy-infused cards and capsules that can be kept and carried in a pocket, as well as bracelets and necklaces.

And don't forget your furry friends. Pets can enjoy the restorative benefits of quantum energy with infused collars.

Visit leelaq.com for more information about quantum energy products for more information about the potential and benefits of quantum energy.

The good news is that clinical trials for heart disease are underway, studying cutting-edge treatments for heart failure that may be a good option for these patients.

One such treatment being studied uses a patient's own cells to promote healing of the heart after a heart attack that has progressed to heart failure. The CardiAMP cell therapy is designed for patients suffering from heart failure who feel tired and breathless despite taking regular medications, and who have had to limit their everyday activities as a result.

Previously published studies of this type of cell therapy have shown meaningful and sustained improvements in quality of life and heart function for patients with few risks.

"Heart failure patients who continue to have symptoms despite a course of optimal medications often seek a minimally invasive treatment as an alternative to open heart surgery. We look forward to studying the potential of this cell therapy to improve heart function and quality of life," said Dr. Natasha Altman, cardiologist and principal investigator of the CardiAMP Heart Failure Trial at UC Health University of Colorado Hospital.

For the treatment, doctors extract cells from a patient's own bone marrow, process them at the point of care and deliver them to the damaged area of the heart in a minimally invasive cardiac catheterization procedure. Researchers emphasize that the bone marrow cells do not turn into new heart tissue cells; instead, they are designed to stimulate the body's natural healing process in the heart.

Pete Hagerstrom, a 73-year-old from Colorado Springs who had a previous quadruple bypass to treat his heart failure, was the first patient in his state enrolled in the ongoing FDA-approved clinical study of the therapy.

Participants who qualify for the study are randomly placed into a treatment group or a control group. While Mr. Hagerstrom will not know until the end of the study if he received the cell therapy, he feels better after participating in the trial.

"Everything is easier. I can walk three miles in about 45 minutes, and it takes a lot less time to garden and shovel snow."

The CardiAMP Heart Failure Trial will include up to 260 patients at 40 medical centers nationwide.

Unlike similar studies, this trial tests a patient's bone marrow before treatment, in order to identify those patients who are most likely to benefit from treatment.

Patients may be candidates for the CardiAMP Heart Failure Trial if they have heart failure as a result of an earlier heart attack and have symptoms that are classified as New York Heart Association Class II or III.

For more information about the CardiAMP Heart Failure trial, visit www.biocardia.com, www.clinicaltrials.gov/ct2/show/NCT02438306, or ask your cardiologist.

According to a recent article in the journal Health Affairs, effective vaccination requires four elements: generating demand for the vaccine, allocating the vaccine, distributing the vaccine, and verifying coverage.

The National League for Nursing, the premier organization for nursing education leaders, emphasizes the importance of educating health professionals and the public about the vaccine.

Vaccines in general work by encouraging the body to generate antibodies to protect against an invading infection. The risks of these mild symptoms however, such as pain at the site of injection or symptoms resembling a mild case of the flu, are greatly outweighed by the protection offered by the vaccine.

The COVID-19 vaccines are becoming available from multiple pharmaceutical companies. Some require two doses to be fully effective, but other vaccines in development require only one dose. The safety of the public is a top priority, and the Centers for Disease Control and Prevention have developed v-safe, a smartphone-based tool that uses text messages and online surveys to follow individuals after they are vaccinated. The tool allows users to report symptoms and side effects quickly and easily, and to receive guidance on what to do for any side effects that occur.

The National League for Nursing also emphasizes the importance of vaccine uptake in Black, Latino, and Native American communities, many of which are medically underserved in the best of times. Nurses and nurse educators can do their part to increase trust and vaccine acceptance in these communities,

"Efforts to promote vaccine uptake in the Black community must directly confront and address the deep historical traumas that have created high levels of distrust in the COVID-19 vaccine, and the government and healthcare system overall," according to a survey on COVID-19 vaccine hesitancy in Black and Latino communities conducted by Langer Research Associates.

Latino communities have experienced an especially high burden of COVID-19 infections but the survey data suggests that resistance to vaccination is lower in these communities compared to Black communities.

Overall, equity and access are key to protecting the public, and messaging about the importance of getting a vaccine as soon as it is available should be "open, honest, and comprehensive," according to the National League for Nursing.

For more information about how nurses and nurse educators are taking the lead in educating the public about the safety and importance of COVID-19 vaccination, visit NLN.org.