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Women’s Sexual Health: Understanding Desire, Arousal and Changes Over Time

women laughing together

Women’s sexuality is complex and highly individual. There is no single definition of what is “normal” when it comes to sexual desire, arousal, orgasm or satisfaction.

Sexuality also can change throughout life. Adolescence, pregnancy and the reproductive years, the time after childbirth, perimenopause and menopause can each bring different experiences. Relationships, physical health, emotional well-being, medications, hormones and life circumstances also can affect sexual response.

What matters most is whether your sexual experiences feel safe, comfortable and satisfying to you.

Changes in sexual desire or response are common. But when a change worries you, causes pain or affects your well-being or relationship, talk with a healthcare professional. Sometimes sexual symptoms are related to an underlying health condition that can be treated.

What is Women's Sexual Health?

Sexual health is part of your overall health and well-being. It includes more than sexual activity. Sexual health may involve:

  • Sexual desire or interest.
  • Physical and emotional arousal.
  • Comfort during sexual activity.
  • Orgasm.
  • Intimacy and connection.
  • Body image.
  • Communication with a partner.
  • Reproductive health.
  • Feeling safe and respected in sexual relationships.

Sexual health varies considerably from person to person. What feels satisfying for one person may be very different from what feels satisfying for another.

There also may be periods of life when you are more interested in sex and other periods when sex is less important to you. A change isn't necessarily a medical problem unless it causes distress or concern.

How Does Female Sexual Response Work?

Female sexual response doesn't always follow a predictable sequence.

For some women, sexual desire begins before sexual activity. For others, desire may develop after emotional closeness, affectionate touch or sexual stimulation begins.

Sexual response may involve several overlapping elements:

Emotional intimacy

Feeling emotionally close, safe or connected with a partner can contribute to sexual interest for many women.

Relationship concerns, conflict, lack of trust or poor communication also may affect sexual response.

Sexual stimulation

Touch, thoughts, conversation, visual stimulation or other experiences may produce sexual interest or arousal.

What is stimulating is different for every person and may change throughout life.

Sexual arousal

Arousal includes both physical and emotional responses to sexual stimulation. Physical responses may include increased blood flow to the genital area, changes in sensitivity and vaginal lubrication.

Lubrication alone isn't a reliable measure of sexual desire or arousal. Vaginal dryness can occur even when someone feels sexually interested or aroused.

Sexual desire

Desire may occur spontaneously or emerge after sexual activity has begun.

Both patterns can be normal.

Emotional and physical satisfaction

Orgasm can be part of sexual satisfaction, but it doesn't have to be the goal of every sexual experience. Emotional intimacy, pleasure, relaxation and connection also may contribute to satisfaction.

Physical, psychological or relationship concerns can interrupt any part of this response.

Why Can Sexual Desire Change?

Sexual desire naturally rises and falls. Changes may be associated with your health, relationship, hormones, medications or life circumstances.

Common factors include:

  • Pregnancy.
  • Childbirth.
  • Breastfeeding.
  • Perimenopause and menopause.
  • Relationship changes.
  • Stress.
  • Fatigue.
  • Depression or anxiety.
  • Chronic illness.
  • Pain.
  • Certain medications.
  • Changes in body image.
  • Cancer or cancer treatment.
  • Gynecologic surgery.

There isn't a particular amount of sexual desire that you are supposed to have. What is important is whether a change bothers you.

Common Sexual Concerns in Women

Sexual concerns can occur at any age. Some are temporary, while others persist.

Low sexual desire

Low sexual desire is one of the most common sexual concerns.

You might notice:

  • Less interest in sexual activity.
  • Fewer sexual thoughts or fantasies.
  • Less interest in initiating sexual activity.
  • Concern about the difference between your level of desire and your partner's.

Having less interest in sex at certain times isn't necessarily a disorder. Treatment generally is considered when the change causes ongoing personal distress or relationship concerns.

Difficulty becoming or staying aroused

You may be interested in sexual activity but find that your body doesn't respond as expected.

Arousal concerns can involve reduced genital sensation, difficulty becoming physically aroused or difficulty maintaining arousal.

Medical conditions, medications, hormonal changes, stress and relationship factors may contribute.

Difficulty reaching orgasm

The frequency and intensity of orgasm vary widely among women.

Some women orgasm regularly, some only occasionally and some rarely or never.

Penetrative sex alone doesn't reliably produce orgasm for many women. Clitoral stimulation is an important part of orgasm for many people.

Difficulty reaching orgasm may become a concern if it is a persistent change or if it causes distress.

Pain or discomfort during sex

Sexual activity shouldn't routinely be painful.

Pain may occur at the vaginal opening, with penetration or deeper in the pelvis. Causes can include vaginal dryness, pelvic floor muscle problems, infections, skin conditions, endometriosis, hormonal changes and other medical conditions.

Pain during sex is sometimes called dyspareunia.

If pain is ongoing, new or worsening, talk with a healthcare professional rather than trying to tolerate it.

How Physical Health Affects Sexual Health

Many medical conditions can affect sexual function.

These may include:

  • Diabetes.
  • Cardiovascular disease.
  • Neurological conditions.
  • Chronic pain.
  • Cancer.
  • Thyroid disorders.
  • Gynecologic conditions.
  • Bladder problems.
  • Pelvic floor disorders.

A health condition also may affect energy, body image, mood or how you feel about intimacy.

Because sexual symptoms sometimes provide clues about other health concerns, mention significant changes to your healthcare professional.

Can Medications Affect Sexual Desire or Arousal?

Yes. Some medicines can affect desire, arousal, lubrication or orgasm.

Examples may include certain medicines used to treat:

  • Depression.
  • Anxiety.
  • High blood pressure.
  • Allergies.
  • Cancer.

Don't stop a prescription medicine because of sexual side effects without talking with the healthcare professional who prescribed it.

Sometimes changing the dose, switching medicines or treating the sexual symptoms themselves can help.

Sexual Health After Childbirth

Pregnancy, childbirth and caring for an infant can significantly affect sexuality.

Hormonal changes after childbirth and during breastfeeding may cause vaginal dryness and reduce sexual desire. Healing after delivery, sleep deprivation, changes in body image and the emotional demands of caring for a baby also may affect sexual interest.

There is no fixed timetable for when sexual desire should return.

If pain, severe dryness or other sexual concerns persist, talk with your healthcare professional.

Menopause and Sexual Health

Menopause can affect sexuality in several ways.

As estrogen levels fall, genital and vaginal tissues may become thinner, drier and less elastic. These changes are part of a condition called genitourinary syndrome of menopause, or GSM.

GSM may cause:

  • Vaginal dryness.
  • Burning or irritation.
  • Pain during sex.
  • Light bleeding after sex.
  • Urinary urgency or frequency.
  • Burning with urination.
  • Recurrent urinary tract infections.

These symptoms are common, but you don't have to simply accept them as part of aging.

Treatment is available.

What Can Help Vaginal Dryness or Painful Sex?

he right treatment depends on the cause.

Options may include:

Vaginal lubricants

Lubricants are used during sexual activity to reduce friction and discomfort.

Water-based and silicone-based products are commonly available.

If you're unsure what product is appropriate for you, ask a healthcare professional.

Vaginal moisturizers

Vaginal moisturizers are used regularly rather than only during sexual activity. They can help relieve ongoing dryness.

Vaginal estrogen

Low-dose vaginal estrogen may be recommended for vaginal dryness and painful sex related to menopause.

It is available in several forms, including creams, tablets and rings.

Other prescription treatments

Depending on your symptoms and medical history, treatments for painful sex related to menopause also may include medicines such as vaginal dehydroepiandrosterone, or DHEA, or oral ospemifene.

Your healthcare professional can help determine whether these treatments are appropriate for you.

People who have had certain hormone-sensitive cancers may need individualized recommendations before using hormonal treatments.

Psychological and Social Factors that Affect Sexuality

Sexual response isn't purely physical.

Emotional health, past experiences, relationships and social expectations also can influence sexuality.

Factors may include:

  • Stress.
  • Depression.
  • Anxiety.
  • Fear.
  • Relationship conflict.
  • Concerns about body image.
  • Cultural or religious beliefs.
  • Past sexual trauma.
  • Worries about pregnancy or sexually transmitted infections.
  • Lack of privacy.
  • The demands of parenting, caregiving or work.

Stress in particular can make it difficult to focus on pleasure or intimacy.

Addressing these concerns may be as important as treating physical symptoms.

What Can You Do to Support Sexual Health?

Several approaches may help improve both general health and sexual well-being.

Stay physically active

Regular physical activity can improve cardiovascular health, mood, energy and overall well-being.

These benefits also may support sexual health.

Manage stress

Finding effective ways to manage stress can make it easier to feel emotionally present and responsive during intimate experiences.

Strategies may include exercise, mindfulness, relaxation techniques, adequate sleep and counseling.

Learn about your sexual response

Many people grow up with incomplete or inaccurate information about sexuality.

Learning about anatomy, sexual response, arousal and normal changes across the lifespan can reduce anxiety and help you communicate what feels comfortable and pleasurable.

Communicate with your partner

Open communication about comfort, preferences, expectations and changes in sexual response can improve intimacy.

Sexual satisfaction isn't based on any one activity or frequency. Couples may need to adapt as their bodies, health and circumstances change.

Consider pelvic floor therapy

Some types of pelvic pain and pain during penetration are associated with overactive, tight or poorly coordinated pelvic floor muscles.

A healthcare professional may recommend evaluation by a pelvic floor physical therapist when appropriate.

Consider counseling or sex therapy

A therapist trained in sexual health can help individuals and couples address concerns involving desire, arousal, orgasm, communication, body image, anxiety or relationship issues.

Therapy can be useful on its own or along with medical treatment.

Are Medications Available for Low Sexual Desire?

Medication is appropriate for some people, depending on the cause of low desire and the individual's medical history.

Treatment begins by looking at possible contributing factors, including medications, medical conditions, hormonal changes, emotional health and relationships.

Prescription treatments are available for certain types of low sexual desire in some premenopausal women. Other hormonal and nonhormonal treatments may be considered for specific symptoms.

Talk with your healthcare professional before using hormones, supplements or products marketed as sexual-enhancement treatments.

When Should You See a Healthcare Professional?

Consider making an appointment if:

  • A change in sexual desire worries you.
  • Sex has become painful.
  • Vaginal dryness or irritation persists.
  • You have difficulty becoming aroused or reaching orgasm and it causes distress.
  • Sexual concerns are affecting your relationship or quality of life.
  • You notice vaginal bleeding after sex.
  • You have unusual vaginal discharge, burning or sores.
  • Your symptoms began after starting a medication.
  • Menopause-related vaginal or urinary symptoms are interfering with daily life.

Sexual health concerns are common, and healthcare professionals are accustomed to discussing them.

You might start the conversation by saying, “I've noticed a change in my sexual health that I'd like to talk about.”

What Happens During a Sexual Health Evaluation?

Your healthcare professional may ask about:

  • When your symptoms began.
  • Whether the symptoms happen every time or only in certain situations.
  • Your medical history.
  • Medicines and supplements you use.
  • Menstrual, pregnancy and menopause history.
  • Pain or vaginal symptoms.
  • Mental health and stress.
  • Your relationship and sexual history.

Depending on the concern, an evaluation also may include a pelvic exam or blood tests.

Some people benefit from referral to a clinician who specializes in women's sexual health, gynecology, menopause medicine, pelvic floor therapy or sex therapy.

Frequently Asked Questions About Women's Sexual Health

What is a normal sex drive for a woman?

There isn't a single normal level of sexual desire. Desire differs among individuals and can change throughout life. A change becomes more important medically when it causes distress or affects your well-being or relationship.

Is it normal for sexual desire to decrease with age?

Changes in sexual desire can occur with aging, but age itself doesn't mean that satisfying sexual activity has to end. Hormonal changes, medical conditions, medications, relationships and emotional health all can influence desire.

Is vaginal dryness always caused by menopause?

No. Vaginal dryness can occur at any age. Hormonal changes during breastfeeding, medications and some health conditions also may contribute.

Why does sex hurt after menopause?

Lower estrogen levels can make vaginal tissues thinner, drier and less elastic. These changes can lead to painful intercourse. Other causes of pain also are possible, so persistent pain should be evaluated.

Can stress cause low sexual desire?

Yes. Stress can affect attention, mood, energy, relationships and the body's sexual response. Reducing stress and addressing its underlying cause may improve sexual well-being.

Should I see a doctor about low libido?

Consider talking with a healthcare professional if low sexual desire is persistent and bothers you or is affecting your relationship. An evaluation can look for physical, hormonal, medication-related, emotional and relationship factors.

Final Thoughts

Sexuality is personal and changes throughout life. There are many healthy ways to experience intimacy, desire and sexual satisfaction.

Your overall health can influence your sexual health, and changes in sexual response sometimes signal medical, hormonal, psychological or relationship concerns.

If a change bothers you, causes pain or interferes with your quality of life, talk with a healthcare professional. Identifying the cause can help you find an approach that improves comfort, confidence and sexual well-being.

*This article is intended for informational purposes only and should not be substituted for medical advice. For medical questions and advice, it is always best to consult with your trained physician.

Source:

Mayo Clinic. (2017). Evolving Sexuality in Women. Rochester, Minnesota; Mayo Clinic.

Migraine: Symptoms, Causes, Triggers, Diagnosis and Treatment

man with a migraine

Migraine is a type of severe headache that can happen repeatedly. Migraine attacks can affect daily activities and may include throbbing head pain, nausea, vomiting, and sensitivity to light, sound or smells. Effective treatments can help reduce symptoms, shorten attacks and prevent future migraines.

What is Migraine?

Migraine is a recurring headache disorder. An attack may progress through as many as four stages: prodrome, aura, headache and postdrome. Not everyone with migraine experiences every stage, and symptoms can vary from person to person.

Migraine attacks may happen rarely or several times a month. In adults, the headache stage typically lasts 4 to 72 hours. In children, it may last 2 to 72 hours.

Migraine Symptoms

Migraine symptoms depend in part on the stage of an attack.

Prodrome

Prodrome can begin one or two days before a migraine. Subtle changes may signal that an attack is coming.

Possible symptoms include:

  • Increased sensitivity to light and sound.
  • Fatigue.
  • Neck pain.
  • Trouble concentrating.
  • Dizziness.
  • Mood changes.
  • Food cravings.
  • Increased urination.
  • Frequent yawning.

Migraine aura

Some people have an aura before or during a migraine attack. Aura develops gradually and may last from a few minutes to 60 minutes. About 1 in 4 people with migraine has aura. Some people also can have aura without a migraine headache.

Aura symptoms result from changes in brain activity and may affect vision, sensation or language.

Visual aura symptoms may include:

  • Flashing or flickering lights.
  • Spots of light.
  • Shiny geometric patterns, zigzag lines or stars.
  • Blind spots that slowly spread.
  • Blurred areas of vision.

Sensory aura symptoms may include:

  • Numbness or tingling in the face or arms that slowly spreads from one area to another.

Language aura symptoms may include:

  • Trouble finding words.
  • Trouble speaking the words you want to say.

Headache

During the headache stage, migraine symptoms may include:

  • Severe, throbbing pain on one or both sides of the head.
  • Nausea, vomiting or both.
  • Sensitivity to light, sound and smells.

Physical activity, including walking or bending over, may make the pain worse.

Postdrome

After a migraine attack, you may feel drained, confused or worn out for as long as a day. Some people instead report a burst of energy.

What Causes a Migraine?

The exact cause of migraine attacks isn't known. Migraine is thought to involve changes in nervous system activity that trigger pain.

Research suggests that changes involving neurotransmitters and neuropeptides in the brain may play a role. One of these neuropeptides is calcitonin gene-related peptide, or CGRP. Some newer migraine treatments target CGRP or its receptor.

Common Migraine Triggers

A migraine trigger is something that may contribute to the start of an attack. Several factors may work together to trigger migraine, and a particular trigger doesn't necessarily cause an attack every time.

Common migraine triggers may include:

  • Sleep changes. Too much or too little sleep may contribute to migraine.
  • Physical exertion and fatigue.
  • Stress or release from stress. Some people experience migraine when stress eases, such as on a weekend or vacation.
  • Anxiety.
  • Bright lights, smoke, strong odors or loud noise.
  • Changes in weather or altitude.
  • Going too long without eating.
  • Suddenly stopping caffeine.
  • Certain foods and drinks. Examples include alcohol, fermented or pickled foods, marinated foods and aged cheeses.
  • Certain food additives. These may include aspartame, monosodium glutamate, nitrates and nitrites.

Hormone changes also may trigger migraine. Changes during the menstrual cycle can contribute to attacks. Birth control pills and hormone replacement therapy may make migraine attacks worse for some people.

Migraine Risk Factors

Migraine can affect people of any age, but it often first appears during the teenage years. Attacks tend to peak between the late teenage years and age 50 and often become less frequent over time.

Other risk factors include:

  • Family history. Having a family member with migraine increases your chance of having migraine.
  • Sex assigned at birth. People assigned female at birth are more likely to have migraine. Migraine often becomes less frequent and less severe after menopause.

How is Migraine Diagnosed?

Migraine diagnosis typically includes a physical exam and a discussion of your medical history.

Your care team may recommend additional tests to rule out other causes if you have unusual migraine-type headaches, other medical conditions or unexpected neurological symptoms. Testing may include a CT scan or an MRI. Your care team also may recommend evaluation by another specialist when needed.

Episodic Migraine vs. Chronic Migraine

There are two main types of migraine based on how often headaches occur:

  • Episodic migraine means having headaches fewer than 15 days a month.
  • Chronic migraine means having headaches 15 or more days a month for more than three months in a row.

Tracking Migraine Attacks

Keeping a migraine record can help you and your care team recognize possible triggers, develop a treatment plan and measure how well treatment works.

Consider recording:

  • When each migraine begins and how long it lasts.
  • Pain level on a scale of 1 to 10.
  • How much the migraine interferes with usual activities.
  • Symptoms before, during and after the attack.
  • What provides relief.
  • Possible triggers during the previous 24 hours.
  • Your stress level before the attack.

Migraine Treatment

Migraine treatment generally has two goals: stopping or limiting symptoms once an attack begins and preventing future attacks.

Acute migraine treatment

Acute treatment is used after a migraine attack begins. These treatments tend to work best when taken early. The goal is to stop or reduce symptoms.

Taking acute medicine as soon as possible after symptoms begin may improve its effectiveness. Rest and hot or cold packs also may help.

Using some acute medicines too often can lead to medicine overuse headaches. The source material advises limiting pain reliever use to no more than two to three days a week and telling your care team if you use acute migraine medicine more than nine days a month.

Medicines for Acute Migraine

Over-the-counter medicines used by some people include:

  • Aspirin.
  • Acetaminophen.
  • Ibuprofen.
  • Naproxen.

Ask your care team which medicine is appropriate for you. If over-the-counter medicine doesn't provide enough relief, prescription treatment may be considered.

Prescription options may include:

  • Nonsteroidal anti-inflammatory drugs, or NSAIDs.
  • Triptans.
  • Dihydroergotamine.
  • Antinausea medicines.
  • Gepants, which inhibit CGRP.
  • Nerve blocks.
  • Neuromodulation.

Tell your care team if you are pregnant or breastfeeding prior to taking any medication. For children with migraine, talk with a healthcare professional about treatment options.

Self-care During a Migraine Attack

Some strategies that don't involve medicine may help reduce migraine symptoms:

  • Rest or sleep. Resting or napping in a quiet, dark room may shorten an attack or reduce its severity.
  • Temperature therapy. A cold pack may help numb pain. Heat from a hot pack, heating pad, warm shower or bath may relax tense muscles.

How to Prevent Migraine

If migraine attacks are severe or happen often, your care team may recommend preventive treatment. Preventive medicine is taken regularly, including on days when you don't have a headache.

It may take two to three months to experience the full benefit of preventive medicine, and it may take more than one medicine or dose to find an option that works well for you.

Medicines that may Prevent Migraine

Preventive treatments may include:

  • Tricyclic antidepressants such as amitriptyline or nortriptyline.
  • Blood pressure medicines, including beta blockers and calcium channel blockers.
  • Antiseizure medicines such as topiramate.
  • CGRP monoclonal antibodies.
  • Gepants.
  • OnabotulinumtoxinA (Botox) injections.

For some people, magnesium, coenzyme Q10 or riboflavin, also called vitamin B-2, may help lessen the frequency, duration or severity of migraine attacks. Talk with your care team before taking these substances, particularly if you use other medicines.

Migraine Prevention Without Medicine

Non-medicine approaches may include:

  • Biofeedback.
  • Cognitive behavioral therapy, or CBT.
  • Muscle relaxation, breathing exercises or guided imagery.
  • Transcutaneous nerve stimulation devices.
  • Counseling or support groups.

Lifestyle and Self-care for Migraine Prevention

Healthy routines may help reduce the number or severity of migraine attacks.

Consider these approaches:

  • Manage stress. Identify stressful situations and use strategies that help you manage your response.
  • Maintain a regular routine. Consistent sleep and meal schedules may help reduce triggers.
  • Exercise regularly. With your healthcare professional's approval, consider aerobic activities such as walking, swimming or cycling.
  • Drink enough fluids. Ask your care team how much fluid is appropriate for you.
  • Avoid overusing pain relievers. Frequent use over time can contribute to medicine overuse headaches and, with some medicines, other side effects.

Frequently Asked Questions About Migraine

How long does a migraine last?

In adults, the headache stage typically lasts between 4 and 72 hours. In children, it may last between 2 and 72 hours. Other stages, including prodrome and postdrome, can extend the overall experience beyond the headache itself.

Can you have migraine without aura?

Yes. Most people with migraine don't experience aura. Even among people who have migraine with aura, attacks without aura also may occur.

Can you have aura without a migraine headache?

Yes. Some people may experience an aura without a migraine headache.

What is the difference between episodic and chronic migraine?

Episodic migraine involves headaches fewer than 15 days a month. Chronic migraine involves headaches 15 or more days a month for more than three consecutive months.

What should you do when a migraine starts?

Acting early is important. Acute medicines generally work best when taken soon after an attack starts. Resting in a quiet, dark room and using hot or cold packs also may help.

Can migraine be prevented?

Preventive medicine, behavioral therapies and healthy routines may help reduce how often migraine occurs and how severe attacks become. Your care team can help determine which approach fits your needs.

Living with Migraine

Migraine can be severe and interfere with daily life. But treatment can help many people have fewer attacks and reduce their severity. Because migraine patterns and responses to treatment vary, work with your care team to develop a care plan that fits your needs.

*This article is intended for informational purposes only and should not be substituted for medical advice. For medical questions and advice, it is always best to consult with your trained physician.

Sources: 

Arnold, M. J. (2026, February 15). Acute migraine treatment: Guidelines from the International Headache Society. AFP. https://www.aafp.org/afp/2026/0200/practice-guidelines-acute-migraine-treatment 

Headaches and pregnancy. ACOG. (n.d.-b). https://www.acog.org/womens-health/faqs/headaches-and-pregnancy 

Mayo Clinic. (2026a). Migraine A Type of Headache. Rochester, Minnesota; Mayo Clinic. 

Mayo Foundation for Medical Education and Research. (2025a, July 8). Migraine. Mayo Clinic. https://www.mayoclinic.org/diseases-conditions/migraine-headache/diagnosis-treatment/drc-20360207 

Mayo Foundation for Medical Education and Research. (2025, July 8). Migraine. Mayo Clinic. https://www.mayoclinic.org/diseases-conditions/migraine-headache/symptoms-causes/syc-20360201 

Moreland, P., Gaffney, B., & Lanham, J. S. (2025, May 15). Migraine headache prophylaxis. AFP. https://www.aafp.org/afp/2025/0500/migraine-headache-prophylaxis 

Migraine | National Institute of Neurological Disorders and Stroke. (n.d.-k). https://www.ninds.nih.gov/health-information/disorders/migraine 

Diabetes Foot Care: Daily Inspection, Socks, Shoes and Skin Care

foot care in bathroom

Taking care of your feet is an important part of living with diabetes. Diabetes can damage the nerves in your feet and reduce blood flow. As a result, a blister, cut or sore may be harder to feel and slower to heal. Without treatment, even a small foot injury can sometimes become a serious infection or ulcer.

A simple daily routine can help you find foot problems early. Check your feet every day, keep the skin clean and protected, wear properly fitting socks and shoes, and contact your healthcare professional when you notice a problem.

Why is Foot Care Important for People with Diabetes?

Over time, diabetes can affect both the nerves and blood vessels in the feet. Nerve damage, also called diabetic neuropathy, may cause numbness or reduced sensation. This can make it difficult to notice an injury. Reduced blood flow may also make wounds slower to heal.

For example, a shoe that rubs against your heel may cause a blister. If you have reduced feeling in your feet, you might not notice the blister right away. Continuing to walk on the area can cause the injury to worsen.

Daily foot care helps you identify changes before they become more serious.

Check Your Feet Every Day

Inspect your feet at least once each day. Choose a time that is easy to remember, such as after bathing or before going to bed.

Look at the tops, sides, soles, heels and areas between your toes.

Watch for:

  • Cuts or scratches.
  • Blisters.
  • Cracks or peeling skin.
  • Redness or other changes in skin color.
  • Swelling.
  • Areas that feel unusually warm.
  • Calluses or corns.
  • Ingrown toenails or other nail changes.
  • Drainage, bleeding or open sores.

Do not rely on pain alone to tell you something is wrong. Diabetic nerve damage may reduce your ability to feel pain, pressure or temperature changes in your feet.

If you notice a new problem, continue to monitor it and contact your healthcare professional when appropriate.

Use a Mirror to See the Bottoms of Your Feet

The soles and heels can be difficult to inspect, especially if you have limited flexibility, arthritis or vision problems.

A handheld mirror can make the examination easier. Sit in a safe, comfortable position and use the mirror to look at the bottom and back of each foot. You also can place a mirror on the floor if that makes it easier to see your soles.

If you cannot inspect your feet safely or clearly, ask a family member or caregiver to help. Mayo Clinic guidance recommends using a mirror or asking another person for assistance when areas of the feet are difficult to see.

Wash and Care for the Skin on Your Feet

Wash your feet every day with lukewarm water. Avoid very hot water because reduced sensation may make it difficult to recognize temperatures that could burn your skin.

Do not routinely soak your feet. Prolonged soaking can dry the skin and increase the risk of cracking.

After washing:

  1. Gently pat your feet dry.
  2. Dry carefully between each toe.
  3. Apply moisturizer to the tops and bottoms of your feet if the skin is dry.
  4. Avoid putting lotion or cream between your toes.

Keeping the skin moisturized can help reduce cracking. But excess moisture between the toes may encourage fungal infections.

If your skin is very dry, cracked or changing in appearance despite regular care, talk with your healthcare professional.

Choose Socks that Protect Your Feet

Wear clean, dry socks every day.

Choose socks that:

  • Fit comfortably without being too tight.
  • Do not have tight elastic bands that leave deep marks.
  • Have minimal or smooth seams.
  • Help keep your feet dry.
  • Do not bunch inside your shoes.

Mayo Clinic recommends clean, dry socks made with materials such as cotton or moisture-wicking fibers and avoiding socks with tight bands or thick seams.

Change your socks if they become damp or wet. Before putting socks on, check that the fabric is smooth and that nothing is caught inside them.

Wear Shoes that Fit Properly

Proper footwear helps protect your feet from cuts, pressure, rubbing and other injuries.

Wear closed-toe shoes or protective slippers that fit comfortably. Your toes should have enough space to move without rubbing against the shoe. Avoid footwear that pinches, creates pressure points or allows your foot to slide excessively.

Before putting on your shoes, check the inside for:

  • Pebbles or other small objects.
  • Torn lining.
  • Rough seams.
  • Folded insoles.
  • Other areas that could rub against your skin.

If you have reduced sensation, you may not feel an object inside your shoe until it has already injured your foot.

Properly fitted, cushioned shoes are particularly important for people with diabetic neuropathy. A podiatrist or other foot specialist can help you choose footwear if you have changes in the shape of your feet, calluses or a history of foot ulcers.

Don't Walk Barefoot

Wear shoes, slippers or other protective footwear, even inside your home.

Walking barefoot increases the chance of stepping on something sharp, burning your feet on a hot surface or developing small cuts that may be difficult to feel.

Mayo Clinic advises people with diabetes not to go barefoot, indoors or outdoors.

Also protect your feet from very hot pavement, sand and other surfaces that could cause burns.

Be Careful with Corns, Calluses and Toenails

Do not try to cut away corns or calluses yourself. Avoid chemical corn or wart removers unless your healthcare professional specifically recommends them. These treatments can injure the skin and may lead to sores or infection.

A healthcare professional or podiatrist can safely evaluate and treat troublesome corns and calluses.

If you trim your own toenails, cut them straight across and gently smooth sharp edges. If you have difficulty seeing or reaching your feet, thick or unusually shaped toenails, poor circulation or reduced sensation, ask your healthcare professional whether professional nail care would be safer for you.

When Should You Contact a Healthcare Professional?

Contact your healthcare professional if you notice a foot problem that concerns you or is not beginning to improve.

Problems that deserve medical attention include:

  • A blister or open sore.
  • Bleeding or drainage.
  • An ingrown toenail.
  • Increasing redness or another change in skin color.
  • Swelling.
  • Warmth.
  • New or worsening pain.
  • A bad smell from a wound.
  • Athlete's foot or another persistent skin problem.
  • A sore that is getting larger or deeper.
  • A wound that is slow to heal.

An open foot ulcer should be evaluated promptly rather than treated only at home. Mayo Clinic also advises seeking care for sores or other foot problems that do not begin to heal within a few days.

Seek medical attention promptly for an open wound that is deep, swollen, unusually warm, draining pus or showing other signs of infection. Fever along with redness, warmth or tenderness can also signal infection.

New burning, tingling, weakness or numbness in the feet also should be discussed with your healthcare professional, particularly when these symptoms interfere with daily activities or sleep.

How Often Should People with Diabetes Have Their Feet Examined?

In addition to checking your feet at home, have your feet examined by a healthcare professional regularly.

Mayo Clinic recommends a thorough foot examination at least once a year. People who have a higher risk of ulcers or other complications may need examinations more often. Your healthcare professional may check sensation, blood flow, skin condition, foot structure and other factors that can increase the risk of injury.

Ask your healthcare professional how often your feet should be checked based on your individual risk.

A Simple Daily Diabetes Foot Care Routine

A daily routine doesn't need to take long.

Look at the tops, bottoms, heels and sides of both feet.

Check between your toes.

Use a mirror for areas you cannot easily see.

Look for cuts, blisters, sores, redness, swelling and skin changes.

Wash your feet with lukewarm water.

Dry carefully, especially between the toes.

Moisturize dry skin, but not between the toes.

Put on clean, dry socks.

Check the inside of your shoes before putting them on.

Wear properly fitting shoes or protective slippers rather than going barefoot.

The Bottom Line

For people with diabetes, small foot problems can sometimes become serious because nerve damage may reduce sensation and poor blood flow may slow healing. Daily inspection gives you an opportunity to spot changes early.

Check every part of your feet each day, using a mirror or another person's help when necessary. Keep your feet clean and dry, moisturize dry skin appropriately, choose comfortable socks and properly fitted shoes, and avoid walking barefoot.

Most importantly, don't ignore a wound because it seems small or doesn't hurt. If you notice an open sore, signs of infection, a wound that isn't healing or another concerning change, contact your healthcare professional.

Frequently Asked Questions About Diabetes Foot Care

Should people with diabetes check their feet every day?

Yes. A daily foot inspection can help identify cuts, blisters, redness, swelling, cracks and sores that may otherwise go unnoticed, particularly when diabetic neuropathy has reduced sensation.

How can I check the bottom of my feet?

Use a handheld mirror or place a mirror where you can safely see the soles of your feet. If you still cannot see them clearly, ask a family member or caregiver for help.

What kind of socks are best for people with diabetes?

Choose clean, dry socks that fit comfortably and do not have tight bands or thick seams. Moisture-wicking fabrics can help keep feet dry.

Should I put lotion between my toes?

No. Moisturizer can help prevent dry, cracked skin on the tops and bottoms of the feet, but lotion between the toes can trap moisture and increase the likelihood of fungal growth.

Can people with diabetes walk barefoot at home?

It's safer to wear protective footwear. Even at home, walking barefoot can expose the feet to cuts, punctures and other injuries that may be difficult to feel.

When should a person with diabetes see a healthcare professional about a foot problem?

Seek professional care for an open sore, wound that is not healing, increasing swelling or warmth, drainage, significant skin-color changes, signs of infection or other concerning changes. Foot ulcers should receive prompt medical attention.

*This article is intended for informational purposes only and should not be substituted for medical advice. For medical questions and advice, it is always best to consult with your trained physician.

Sources: 

Centers for Disease Control and Prevention. (n.d.-b). Tips for healthy feet graphic. Centers for Disease Control and Prevention. https://www.cdc.gov/diabetes/communication-resources/tips-for-healthy-feet.html 

Centers for Disease Control and Prevention. (n.d.-c). Your feet and diabetes. Centers for Disease Control and Prevention. https://www.cdc.gov/diabetes/diabetes-complications/diabetes-and-your-feet.html

Mayo Foundation for Medical Education and Research. (n.d.-a). Amputation and diabetes: How to protect your feet. Mayo Clinic. https://www.mayoclinic.org/diseases-conditions/diabetes/in-depth/amputation-and-diabetes/art-20048262 

Mayo Foundation for Medical Education and Research. (n.d.-c). Diabetes care: 10 ways to avoid complications. Mayo Clinic. https://www.mayoclinic.org/diseases-conditions/diabetes/in-depth/diabetes-management/art-20045803 

Mayo Foundation for Medical Education and Research. (n.d.-c). Diabetic neuropathy. Mayo Clinic. https://www.mayoclinic.org/diseases-conditions/diabetic-neuropathy/symptoms-causes/syc-20371580 

U.S. Department of Health and Human Services. (n.d.). Diabetes & Foot Problems - Niddk. National Institute of Diabetes and Digestive and Kidney Diseases. https://www.niddk.nih.gov/health-information/diabetes/overview/preventing-problems/foot-problems 

Vitamin B Complex: Benefits, Deficiency, Dosage and Side Effects

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Vitamin B complex supplements contain several or all of the eight B vitamins. These nutrients help the body use energy from food and support the nervous system, blood cell production and other essential functions.

Most people can get enough B vitamins by eating a varied diet. But a supplement may be useful when a person has a diagnosed deficiency, follows a diet that limits certain foods or has a health condition that affects nutrient absorption.

Taking more than the body needs does not necessarily improve energy, mood or overall health. Some B vitamins can cause side effects when taken in high doses.

What is Vitamin B Complex?

The eight B vitamins are:

  • Thiamin, or vitamin B1.
  • Riboflavin, or vitamin B2.
  • Niacin, or vitamin B3.
  • Pantothenic acid, or vitamin B5.
  • Vitamin B6.
  • Biotin, or vitamin B7.
  • Folate, or vitamin B9.
  • Vitamin B12.

Although the vitamins are grouped together, each one has a different role. Many are involved in metabolism, which is the process the body uses to convert food into energy. Some also help make red blood cells, support nerve function or contribute to cell growth.

B vitamins are water-soluble. This means the body generally does not store large amounts of them. Vitamin B12 is an important exception because the body can store it for years.

Is Vitamin B Complex Good for You?

B vitamins are essential for health. But whether a B-complex supplement is beneficial depends on a person's diet, medical history and nutrient levels.

A supplement is most likely to help when it corrects a deficiency. There is no good evidence that vitamin B12 supplements increase energy or athletic performance in people who already have enough vitamin B12.

A balanced eating pattern usually provides enough B vitamins for healthy adults. Supplements should not replace nutritious foods or treatment for a medical condition.

What Does Vitamin B Complex do for the Body?

Together, the B vitamins contribute to several body functions, including:

  • Converting carbohydrates, fats and proteins into usable energy.
  • Supporting brain and nerve function.
  • Helping make DNA and new cells.
  • Forming healthy red blood cells.
  • Supporting immune function.
  • Helping maintain healthy skin and tissues.

Vitamin B12 is needed for healthy nerve cells, red blood cells and DNA. Folate also supports red blood cell formation and healthy cell growth.

Vitamin B6 helps support the nervous system and immune system.

Where are B Vitamins Found?

B vitamins occur in many foods. Sources include:

  • Fish, poultry, meat and eggs.
  • Milk, yogurt and cheese.
  • Beans, peas and lentils.
  • Leafy green vegetables.
  • Potatoes and other starchy vegetables.
  • Nuts and seeds.
  • Whole or enriched grains.
  • Fortified breakfast cereals.

Vitamin B12 occurs naturally mainly in animal-derived foods. People who eat a vegan diet may need fortified foods or a supplement to meet their needs.

Folate is found in leafy green vegetables, beans, peas, nuts and some fruits. Folic acid, the manufactured form of folate, is added to many enriched grain products and is commonly included in prenatal vitamins.

Who May be at Risk of a B-vitamin Deficiency?

The risk depends on the specific vitamin. People more likely to develop low vitamin B12 levels include:

  • Older adults.
  • People following vegan or some vegetarian diets.
  • People who have had stomach or intestinal surgery.
  • People with Crohn's disease, celiac disease or another condition that limits absorption.
  • People with pernicious anemia.
  • People who take certain medicines over a long period, including metformin or some acid-reducing medicines.

Reduced stomach acid and certain digestive conditions can make vitamin B12 harder to absorb.

Kidney disease, malabsorption disorders, alcohol dependence and certain medicines may increase the risk of vitamin B6 deficiency.

What are the Symptoms of Vitamin B Deficiency?

Symptoms differ depending on which vitamin is low. Possible signs include:

  • Ongoing tiredness.
  • Weakness.
  • Pale or yellowish skin.
  • Shortness of breath.
  • Dizziness.
  • Numbness or tingling in the hands or feet.
  • Difficulty with balance.
  • Changes in mood, memory or thinking.
  • A sore or swollen tongue.

Vitamin B12 or folate deficiency can interfere with red blood cell production and lead to vitamin deficiency anemia.

Symptoms do not confirm a deficiency. Fatigue, hair loss, constipation, mood changes and skin concerns can have many causes. A healthcare professional may use blood tests and other evaluations to identify the cause.

Can Vitamin B Deficiency Cause Hair Loss?

Some nutrient deficiencies can contribute to changes in the hair, but hair loss alone does not show that a person needs a B-complex supplement.

Biotin is often marketed for hair growth. True biotin deficiency is uncommon, and evidence that high-dose biotin improves hair growth in people without a deficiency is limited. High-dose biotin also can interfere with certain laboratory tests.

People with new, persistent or patchy hair loss should seek a medical evaluation rather than treating it with supplements alone.

Can Vitamin B Complex Cause Constipation?

Constipation is not considered a typical effect of most B vitamins. But combination supplements may contain iron, calcium or other ingredients that can affect bowel habits.

Some B-vitamin supplements may instead cause nausea, stomach cramps or loose stools. Be sure to check the product label to see what else the supplement contains.

Does Vitamin B Complex Help with Anxiety or Mood?

B vitamins are involved in brain function. Low levels of vitamin B12, folate or other nutrients may occur alongside mood symptoms.

But studies have not clearly shown that B-vitamin supplements treat anxiety or depression in people who do not have a deficiency. Supplements should not replace counseling, antidepressant medicine or other proven treatments.

How Much Vitamin B Complex Should You Take?

There is no single standard dose for “vitamin B complex.” Each B vitamin has its own recommended intake, and supplement products vary widely.

For example, the recommended daily amount of vitamin B12 for most adults is 2.4 micrograms. The recommended daily amount of folate for adults is 400 micrograms. Needs may be different during pregnancy, breastfeeding or treatment of a diagnosed deficiency.

A product that contains hundreds or thousands of percent of the Daily Value is not automatically more effective. Before using a high-dose product, ask a healthcare professional whether the dose is appropriate.

When is the Best Time to Take Vitamin B Complex?

A B-complex supplement generally can be taken at any time of day. Taking it with food may reduce nausea or stomach discomfort.

Some people prefer taking it in the morning because B vitamins are associated with energy metabolism. However, a supplement does not act as a stimulant, and there is no established time of day that works best for everyone.

Follow the product directions or the instructions provided by a healthcare professional.

Should Vitamin B Complex be Taken Every Day?

Daily use may be appropriate when a clinician recommends it or when the supplement is used to meet a predictable dietary need.

Not everyone needs a daily B-complex product. The appropriate schedule depends on:

  • Which vitamin is needed.
  • The dose in the product.
  • The reason for taking it.
  • Whether the person can absorb the vitamin.
  • Other medicines and supplements being used.

Are Vitamin B Complex Injections Safe?

Vitamin injections may be appropriate for certain diagnosed deficiencies. Vitamin B12 injections, for example, may be prescribed when a person has severe deficiency, pernicious anemia or difficulty absorbing vitamin B12.

Treatment also may be available as tablets, dissolving products, nasal preparations or other forms. The best option depends on the cause and severity of the deficiency.

Injections should be given only under appropriate medical guidance. Unnecessary injections can cause pain, bleeding, infection or allergic reactions and may provide no benefit to a person whose vitamin levels are adequate.

Can You Take Too Much Vitamin B Complex?

Yes. “Water-soluble” does not mean risk-free.

High doses of vitamin B6 taken over time may damage nerves. Large amounts of niacin can cause flushing and may affect the liver, blood glucose or blood pressure. High folic acid intake can make vitamin B12 deficiency harder to recognize while nerve damage continues.

Vitamin B12 is generally considered safe at recommended doses, but high-dose supplements may cause headache, nausea, diarrhea, weakness or tingling in some people.

When Should You See a Healthcare Professional?

Make an appointment when you have persistent fatigue, weakness, shortness of breath, numbness, tingling, balance problems or unexplained changes in memory or mood.

Seek medical advice before starting a high-dose supplement when you:

  • Are pregnant or breastfeeding.
  • Have kidney or liver disease.
  • Have had bariatric or intestinal surgery.
  • Follow a vegan diet.
  • Have a digestive disorder.
  • Take metformin, seizure medicines or acid-reducing medicines.
  • Are being evaluated for anemia or nerve symptoms.

Blood tests may be needed to check blood cells, vitamin B12, folate or other markers. Treatment should address both the deficiency and its underlying cause.

Frequently Asked Questions

Are vitamin B complex and vitamin B12 the same?

No. Vitamin B12 is one of eight B vitamins. A B-complex supplement usually contains several or all eight.

Is vitamin B complex water-soluble?

Yes. B vitamins are classified as water-soluble, although vitamin B12 can be stored in the body for a long time.

How long does vitamin B complex take to work?

That depends on the vitamin, the severity of the deficiency and the symptom being treated. Blood-related findings may improve before nerve symptoms. Some nerve damage caused by prolonged vitamin B12 deficiency may not be fully reversible.

Can vitamin B complex make urine bright yellow?

Yes. Riboflavin can make urine appear bright or fluorescent yellow. This is generally harmless.

Should vitamin B complex be taken with food?

It can be taken with food. Doing so may reduce nausea or stomach upset.

What happens when vitamin B12 is low?

Low vitamin B12 can cause fatigue, anemia, weakness, numbness, tingling, balance problems and changes in thinking or mood. Untreated deficiency may lead to lasting nerve damage.

*This article is intended for informational purposes only and should not be substituted for medical advice. For medical questions and advice, it is always best to consult with your trained physician.

Sources: 

Biotin - health professional fact sheet. (n.d.-d). https://ods.od.nih.gov/factsheets/Biotin-HealthProfessional/ 

Folate - Health Professional Fact Sheet. (n.d.-h). https://ods.od.nih.gov/factsheets/Folate-HealthProfessional/ 

Vitamin B12 - Health Professional Fact Sheet. (n.d.-k). https://ods.od.nih.gov/factsheets/VitaminB12-HealthProfessional/ 

Vitamin B6 - Health Professional Fact Sheet. (n.d.-k). https://ods.od.nih.gov/factsheets/VitaminB6-HealthProfessional/ 

Vitamin deficiency anemia-vitamin deficiency anemia - diagnosis & treatment - Mayo Clinic. (n.d.-o). https://www.mayoclinic.org/diseases-conditions/vitamin-deficiency-anemia/diagnosis-treatment/drc-20355031 

Vitamin deficiency anemia-vitamin deficiency anemia - symptoms & causes - Mayo Clinic. (n.d.-o). https://www.mayoclinic.org/diseases-conditions/vitamin-deficiency-anemia/symptoms-causes/syc-20355025 

The Science of CPAP Hygiene: Preventing Respiratory Infections and Equipment Breakdown

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CPAP hygiene is not just about keeping equipment fresh. Regular cleaning helps remove skin oils, saliva, moisture, dust and germs that can collect in the mask, tubing and humidifier chamber during nightly use. The safest routine is usually simple: mild soap, warm drinking-quality water, thorough rinsing and complete air drying. Most manufacturers recommend daily care for parts that touch the face or hold water, and weekly cleaning for tubing, headgear and other removable parts. Avoid ozone, ultraviolet light and harsh chemical cleaners unless the manufacturer and your healthcare team specifically recommend them.

Why CPAP Hygiene Matters

Continuous positive airway pressure, or CPAP, is a common treatment for obstructive sleep apnea. A CPAP machine sends a steady stream of air through a hose and mask to help keep the airway open during sleep. When CPAP is used consistently, it can improve breathing, sleep quality and daytime alertness.

Because CPAP equipment is used for hours at a time, it is exposed to normal body moisture, skin oils, saliva, mucus, dust and household particles. Germs from the mouth, throat, lungs or skin can transfer to the mask or hose. Mold, dust and allergens also may collect in equipment if it is not cleaned and dried regularly. The FDA notes that contaminated CPAP parts can make a person sick and that dirt and dust can contribute to machine problems or breakdown.

Cleaning does not need to be complicated. The science behind CPAP hygiene comes down to three goals: remove organic buildup, reduce moisture where microbes can grow, and protect the materials and sensors that help the device work correctly.

Why Daily Cleaning is Recommended for Some CPAP Parts

Daily cleaning is often recommended for the mask cushion and humidifier water tub because these parts have the most contact with moisture and body oils. ResMed, for example, recommends daily cleaning for the mask cushion and humidifier tub, and weekly cleaning for the mask frame, headgear and air tubing.

The mask cushion sits directly against the skin. During sleep, it can collect facial oils, sweat, sunscreen, moisturizers and bacteria from the skin. This buildup can make the cushion slippery, which may lead to air leaks. A leaky mask can reduce therapy effectiveness and may cause dry eyes, nasal dryness or sleep disruption.

The humidifier tub is another high-priority part because standing water and warmth can create conditions where microbes may grow. Emptying, rinsing and drying the chamber daily helps reduce residue and limits the time that water sits in the device.

Why Weekly Cleaning is Recommended for Tubing and Headgear

The hose, mask frame and headgear usually do not need the same daily attention as the cushion or water chamber, but they still need regular care. Tubing carries humidified air from the machine to the mask. Over time, moisture, mineral residue, dust and microbes may collect inside the tube, especially if it is not allowed to dry fully.

Weekly washing helps remove buildup before it becomes visible, causes odor or affects airflow. Headgear and mask frames can collect sweat and skin oils, which may weaken elastic, affect fit or cause skin irritation. Cleaning these parts weekly helps preserve comfort and performance.

A weekly routine also gives you a chance to inspect parts for cracks, stiffness, discoloration, stretched straps, loose connections or cloudy residue. These signs may mean a part needs replacement.

How Cleaning Helps Prevent Respiratory Irritation and Infection Risk

CPAP equipment does not need to be sterile for home use. But it should be clean and dry. Bacteria, viruses, mold and allergens are more likely to persist when moisture and organic material are present. Removing these materials reduces the chance that contaminants will build up in the equipment you breathe through each night.

People with asthma, chronic obstructive pulmonary disease, immune system conditions or frequent sinus infections may be especially sensitive to contaminated equipment or irritants left behind by harsh cleaners. If you have a lung condition or notice increased cough, wheezing, congestion, fever or shortness of breath, contact your healthcare professional.

Do not stop CPAP therapy without medical guidance. Untreated sleep apnea can have health effects, and many CPAP problems can be solved with mask adjustments, humidity changes, cleaning changes or replacement parts.

How Cleaning Helps Prevent Equipment Breakdown

CPAP machines rely on precise airflow, pressure delivery and, in many models, sensors that monitor performance. Dirt, dust and residue can interfere with equipment over time. Moisture that remains in tubing or enters the machine may also contribute to malfunction.

Cleaning protects equipment in several ways:

  • It helps keep air pathways clear.
  • It reduces sticky residue that can affect mask seal and connectors.
  • It limits mineral buildup in the humidifier chamber.
  • It helps prevent odors that may make therapy harder to tolerate.
  • It allows earlier detection of worn or damaged parts.

The FDA specifically warns that dirt and dust may contribute to CPAP machine problems and make a device more likely to break or need replacement.

The Safest Way to Clean CPAP Equipment

Always follow the instructions that came with your specific CPAP machine, mask, hose and humidifier. Different brands and models may have different requirements.

A typical safe cleaning process includes:

  1. Unplug the CPAP machine.
  2. Disconnect the mask, tubing and humidifier chamber.
  3. Wash washable parts with mild soap and warm drinking-quality water.
  4. Rinse thoroughly to remove all soap residue.
  5. Place parts on a clean towel and allow them to air dry completely.
  6. Keep parts out of direct sunlight unless the manufacturer says otherwise.
  7. Reassemble only when all parts are dry.

Use only cleaners recommended by the manufacturer. Mild soap and water are enough for most CPAP accessories. The FDA says most CPAP hoses, masks and accessories can be cleaned with mild soap and water, following manufacturer instructions.

What Not to Use on CPAP Equipment

Avoid harsh or fragranced products unless your manufacturer specifically allows them. These may leave residue, irritate the airway or damage plastic, silicone, foam, seals or tubing.

Do not use:

  • Bleach.
  • Alcohol-based cleaners.
  • Antibacterial soaps not approved by the manufacturer.
  • Strong dish detergents.
  • Scented oils or essential oils.
  • Abrasive scrubbers.
  • Dishwashers, washing machines or dryers unless specifically allowed.
  • Ozone or ultraviolet cleaning devices unless cleared or authorized for your exact use and approved by your device manufacturer.

The FDA has warned that ozone and ultraviolet light devices marketed to clean CPAP equipment may not be proven safe or effective for many uses. The FDA also notes that ozone and UV light can break down CPAP accessories such as hoses and masks.

Why Ozone and UV Cleaners Can Be Risky

Ozone and UV devices are often marketed as convenient CPAP cleaners, but they do not replace manufacturer-recommended washing. Ozone gas may remain inside equipment after a cleaning cycle and may be irritating to breathe. The FDA has received reports of asthma attacks, headaches and breathlessness after use of ozone devices.

UV light may not reach all inner surfaces of tubing or mask parts. It also may damage plastics or silicone over time. This matters because CPAP equipment depends on flexible seals, accurate connections and intact materials. A degraded mask cushion may leak. A brittle tube may crack. Damaged components can reduce therapy quality and increase replacement costs.

How to Protect Sensors and the CPAP Machine Itself

Most CPAP machines should not be washed, submerged or exposed to cleaning sprays. The motor, electronics and sensors are inside the main device. Water, ozone, residue or harsh chemicals may damage these components.

To protect the machine:

  • Keep water out of the main CPAP unit.
  • Empty the humidifier chamber before moving the device.
  • Use distilled water if recommended by the manufacturer to reduce mineral buildup.
  • Replace or clean filters as directed.
  • Keep the machine on a stable surface away from dust, direct heat and floor debris.
  • Do not spray cleaners directly into the machine or air outlet.
  • Do not connect ozone or UV cleaning equipment unless it is specifically approved for your device and accessories.

If the machine makes unusual noises, gives pressure alerts, smells musty or chemical-like, or no longer seems to deliver therapy correctly, contact your CPAP supplier or healthcare professional.

A Practical CPAP Cleaning Cadence

Daily: Wipe or wash the mask cushion. Empty, rinse and air dry the humidifier chamber. Check for obvious moisture, leaks or odor.

Weekly: Wash the mask frame, headgear and tubing. Rinse thoroughly and air dry completely. Wipe the outside of the machine with a slightly damp cloth if the manufacturer allows it. Check filters and replace or clean them as directed.

Monthly or as directed: Inspect the mask cushion, hose, filters and humidifier chamber for wear. Replace parts according to the manufacturer, insurer or clinician-recommended schedule.

This cadence balances safety and device longevity. Cleaning too little may allow residue, odor and microbial growth. Cleaning too aggressively or with the wrong products may damage parts or shorten the life of the equipment.

When to Replace CPAP Parts

Even careful cleaning cannot make CPAP supplies last forever. Silicone cushions soften or lose shape. Headgear stretches. Tubing can develop tiny cracks. Filters clog. Humidifier chambers can become cloudy or mineral-coated.

Replace parts sooner if you notice:

  • Air leaks that persist after adjustment.
  • Cracks, tears or stiffness.
  • Discoloration or cloudy buildup that does not wash away.
  • Persistent odor.
  • Skin irritation where the mask touches the face.
  • Water chamber damage.
  • Reduced airflow or repeated device alerts.

Regular replacement helps maintain therapy effectiveness and may prevent avoidable stress on the machine.

When to Call Your Healthcare Professional

all your healthcare professional, sleep medicine team or CPAP supplier if you have new or worsening symptoms, including cough, fever, shortness of breath, wheezing, chest discomfort, sinus pain, frequent nasal congestion or repeated respiratory infections.

Also ask for help if your mask leaks, your nose or mouth feels very dry, you feel air pressure has changed, or you are having trouble using CPAP. Mayo Clinic notes that common CPAP problems include mask leaks, trouble falling asleep, nasal symptoms and dry mouth, and recommends contacting a healthcare professional or CPAP supplier if problems occur early in therapy.

Frequently Asked Questions

Do I need a CPAP sanitizing machine?

Most people do not need a separate sanitizing machine. Mild soap, warm water, thorough rinsing and complete drying are the standard approach for most CPAP accessories. Follow the manufacturer’s instructions for your exact equipment. The FDA has not cleared or approved most devices that claim to clean, disinfect or sanitize CPAP machines.

Can I use vinegar to clean my CPAP?

Some manufacturers may allow diluted vinegar for specific parts, while others may not. Check your equipment manual first. Vinegar should not be used inside the CPAP machine itself.

Can I put CPAP tubing in the dishwasher?

Do not put CPAP tubing, masks or headgear in a dishwasher unless the manufacturer specifically says it is safe. Heat and detergents may damage the materials.

Why does my CPAP smell bad after cleaning?

A lingering odor may mean soap was not fully rinsed away, parts did not dry completely, the water chamber has buildup, or a filter needs replacement. Rewash with mild soap, rinse thoroughly and allow all parts to dry fully. If odor persists, contact your equipment supplier.

Is it safe to use CPAP when I have a cold?

Many people continue CPAP during a cold, but congestion may make treatment less comfortable. Heated humidification, saline spray or a different mask style may help. Contact your healthcare professional before stopping therapy, especially if you have severe symptoms or other medical conditions.

Final Thoughts

Good CPAP hygiene is a small daily and weekly habit that supports safer, more comfortable sleep apnea treatment. Clean the parts that touch your face or hold water more often. Wash tubing and headgear regularly. Let everything dry completely. Avoid harsh chemicals, ozone and unapproved UV devices that may irritate the airway or damage equipment. When in doubt, follow your manufacturer’s instructions and ask your sleep medicine team or CPAP supplier for guidance.

*This article is intended for informational purposes only and should not be substituted for medical advice. For medical questions and advice, it is always best to consult with your trained physician.

Related Articles: 

A Guide to Using and Caring for CPAP Equipment and Supplies

Getting Replacement CPAP Supplies: A Step-by-Step Guide

How to Clean CPAP Supplies

Snoring and Sleep Health: Nasal Breathing, Mouth Breathing, and Chin Straps

Sources: 

CPAP machines: Tips for avoiding 10 common problems - Mayo Clinic. (n.d.-d). https://www.mayoclinic.org/diseases-conditions/obstructive-sleep-apnea/in-depth/cpap/art-20044164 

Do you need a device that claims to clean a CPAP machine? | FDA. (n.d.-e). https://www.fda.gov/consumers/consumer-updates/do-you-need-device-claims-clean-cpap-machine 

Voluntary recall of equipment intended for use with CPAP devices and accessories: FDA Safety Communication | FDA. (n.d.-j). https://www.fda.gov/medical-devices/safety-communications/voluntary-recall-soclean-equipment-intended-use-cpap-devices-and-accessories-fda-safety 

An Occupational Therapist’s Guide to Preventing Falls in the Bathroom

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Bathroom falls are common because the room combines wet surfaces, tight spaces, stepping, turning and sitting-to-standing movements. A safer bathroom does not always require a full remodel. Often, the biggest improvements come from the right grab bars, a stable bathing seat, better lighting, nonslip surfaces and height adjustments that reduce stress on aging joints.

Why Bathrooms Increase Fall Risk

The bathroom is one of the most challenging rooms in the home for older adults. Floors may be wet. Surfaces may be slippery. Getting in and out of a tub, lowering onto a toilet, reaching for towels or turning in a small shower can test balance and strength.

Falls are not an unavoidable part of aging. Falls among adults 65 and older can be prevented, and taking steps such as removing trip hazards, improving lighting, reviewing medications and adding bathroom grab bars. Making changes to bathroom safety such as changing to nonslip mats, bath seats, raised toilet seats with armrests and grab bars in the shower, tub and toilet area may be helpful. 

Start with a Bathroom Safety Check

Before buying equipment, look at the bathroom during the times it is most often used. Many falls happen during rushed or nighttime routines. Ask these questions:

  • Is there a clear path from the bedroom to the bathroom?
  • Are rugs loose or curled?
  • Is the toilet too low?
  • Is the shower entry difficult to step over
  •  Is there a secure place to hold when sitting, standing or turning?
  • Are towels, soap and shampoo easy to reach without leaning?

A safer bathroom should support three movements:

  1. walking in.
  2. transferring safely and bathing or toileting without twisting.
  3. reaching or rushing.

Bathroom Entrance and Walking Path

The path into the bathroom should be clear, dry and well lit.

Remove throw rugs or replace them with nonslip, low-profile mats. Keep laundry baskets, scales, trash cans and cords out of the walking path. Use night lights in the bedroom, hallway and bathroom. Consider motion-sensor lighting for nighttime trips.

Doorways matter, too. A bathroom door that swings inward can block access if someone falls inside. For people with significant balance or mobility concerns, an outward-swinging door, pocket door or emergency-access hinge may be worth discussing with a contractor or occupational therapist.

Toilet Area: Make Sitting and Standing Easier

The toilet is one of the most important places to add support. Sitting down and standing up require leg strength, balance and joint control. A low toilet can increase strain on the hips, knees and back.

Where to Place Toilet Grab Bars

For many bathrooms, the most helpful setup includes:

A horizontal grab bar on the side wall next to the toilet. This supports sitting, standing and controlled lowering. ADA design standards commonly place horizontal grab bars 33 to 36 inches above the finished floor.

A rear wall grab bar behind the toilet. This can help with stability during clothing management and turning.

A toilet safety frame or raised toilet seat with armrests when wall-mounted bars are not possible. These can be useful in rental homes or bathrooms without proper wall blocking.

Grab bars should be installed into wall studs or properly reinforced blocking. Towel bars are not a safe substitute. They are not designed to hold body weight.

Why Toilet Height Matters

A toilet that is too low forces the hips and knees into deeper bending. This can make standing harder for people with arthritis, joint replacements, leg weakness or balance changes.

A comfort-height toilet, raised toilet seat or toilet safety frame can reduce how far the person has to lower. This may decrease joint strain and make transfers smoother. The goal is not to make the seat as high as possible. The safest height usually allows the person’s feet to rest flat on the floor, with knees and hips positioned comfortably for standing.

Sink and Vanity Area: Reduce Reaching and Leaning

The sink area can become risky when people lean on towel bars, pedestal sinks or countertops for balance. These surfaces may not be stable enough to support body weight.

Keep frequently used items within easy reach. Store toothbrushes, medications, soap, hair tools and shaving items between shoulder and hip height when possible. Avoid storing daily items in low cabinets that require bending or in high cabinets that require reaching overhead.

If standing at the sink is tiring, consider a stable chair or stool only if there is enough space and the chair has nonslip feet. For people who use a walker or wheelchair, a clear approach to the sink can make grooming safer and less tiring.

Shower Area: Choose the Right Seat

A bathing seat can reduce fatigue and lower the risk of slipping. The right choice depends on the shower or tub setup, the person’s balance and how much help is needed.

Shower Chair vs. Bench Chair

A shower chair is usually best for a walk-in shower with little or no threshold. It allows the person to sit while bathing, conserve energy and avoid standing on a wet surface. A shower chair should have rubber tips, a stable base and adjustable legs.

A transfer bench is usually best for a tub-shower combination or any bathing area with a high edge to step over. Part of the bench sits outside the tub and part sits inside. The person sits down outside the tub, then slides across and lifts the legs in one at a time. This reduces the need to step over the tub wall while standing.

In general, choose a transfer bench when stepping over the tub is unsafe, painful or tiring. Choose a shower chair when the person can safely enter the shower but should sit while bathing.

Where to Place Shower Grab Bars

Grab bars should support the movements that actually happen in the shower: entering, turning, sitting and standing.

For a walk-in shower, consider a vertical grab bar near the entrance. This gives support while stepping in and out. A horizontal grab bar along the side or back wall can support standing balance and sit-to-stand movement from a shower chair.

For a tub-shower, a vertical or angled entry bar near the tub edge can help with stepping in and out. A horizontal bar along the long wall can provide support while standing or seated. Avoid relying on suction-cup grab bars for primary support. They may loosen over time and are not a substitute for professionally installed bars.

ADA standards commonly place shower grab bars 33 to 36 inches above the shower floor, though home placement should also consider the person’s height, arm reach, strength and transfer pattern.

Add a Handheld Showerhead

A handheld showerhead allows bathing while seated and reduces twisting, reaching and standing time. A hose at least 60 inches long is often recommended in accessible shower design. Place controls and the showerhead where they can be reached from the seated position.

Tub Transfers: Make Transfers Deliberate

Bathtubs are challenging because they require stepping over a high wall, balancing on one leg and landing on a wet surface. These movements become harder with arthritis, neuropathy, poor vision, dizziness or leg weakness.

A transfer bench is often safer than stepping directly into the tub. Pair it with a handheld showerhead, nonslip strips and properly installed grab bars.

Avoid bath mats that float or bunch. Use adhesive nonslip strips or a high-quality nonslip mat that stays flat and is cleaned regularly to prevent soap buildup.

Floor Surfaces: Prevent Slips Before They Happen

Bathroom flooring should provide traction when wet. Glossy tile, loose rugs and worn bath mats increase risk.

Use nonslip mats outside the shower or tub. Choose mats with a rubber backing that lies flat. Clean up water right away. Keep a towel within reach, but avoid placing towels on the floor where they can slide.

Good footwear also matters. Bare feet, socks and loose slippers can increase slipping. Consider nonskid house shoes or water-safe shower footwear if recommended by a clinician.

Height Adjustments Protect Aging Joints

Small height changes can make a large difference in comfort and safety.

A shower chair should be adjusted so the person’s feet rest flat on the floor. Hips and knees should be close to a 90-degree angle. If the seat is too low, standing requires more strength and puts more stress on the knees and hips. If the seat is too high, the feet may not touch the floor securely, which can reduce balance.

A raised toilet seat should also allow stable foot contact. If feet dangle, the seat is too high. If the knees are much higher than the hips and standing is difficult, the seat may be too low.

A handheld shower mount, soap dish and towel hook should be reachable from a seated position. This reduces twisting, bending and sudden reaching, which can throw off balance.

Lighting and Visibility

Poor lighting can make water, thresholds and floor changes harder to see. Add bright, even lighting in the bathroom and along the path from the bedroom. Use night lights or motion-sensor lights for nighttime bathroom trips.

People who wear bifocals or progressive lenses should be extra cautious when looking down at thresholds or steps, because lens changes can affect depth perception. Regular vision checks are part of fall prevention.

When to Involve an Occupational Therapist

An occupational therapist can assess how a person moves through the bathroom and recommend equipment, placement and routines that match the person’s body, home and goals.

Consider an occupational therapy home safety assessment if the person has fallen, feels unsteady, uses a cane or walker, has arthritis or joint pain, has had a stroke or surgery, has trouble stepping into the tub, or needs help with bathing or toileting.

The occupational therapist may recommend grab bar locations, toilet equipment, shower seating, transfer techniques, lighting changes, caregiver training or a larger bathroom modification.

Bathroom Fall-Prevention Checklist

Use this checklist as a starting point:

  • Remove loose rugs and clutter from the bathroom path.
  • Add night lights or motion-sensor lighting.
  • Install grab bars next to the toilet and in the tub or shower.
  • Use a shower chair for walk-in showers when standing is tiring or unsafe.
  • Use a transfer bench for tub-shower combinations when stepping over the tub wall is difficult.
  • Add a handheld showerhead.
  • Use nonslip mats or adhesive nonslip strips.
  • Adjust toilet and shower chair height so feet rest flat on the floor.
  • Keep soap, towels and toiletries within easy reach.
  • Ask a health care professional about dizziness, medication side effects, vision changes, foot problems or recent falls.

Frequently Asked Questions

Where should grab bars be placed in a bathroom?

Grab bars are commonly placed next to the toilet, behind the toilet, at the shower or tub entrance, and along the shower or tub wall. The best placement depends on the person’s height, strength, balance and how they move during transfers. In many accessible designs, horizontal grab bars are installed 33 to 36 inches above the floor.

Is a shower chair or transfer bench safer?

It depends on the bathroom. A shower chair is often appropriate for a walk-in shower. A transfer bench is usually safer for a tub-shower because it reduces the need to step over the tub wall while standing.

Are suction grab bars safe?

Suction grab bars may provide a light handhold for balance reminders, but they should not be used as the main support for body weight. Installed grab bars secured into studs or reinforced walls are safer.

What toilet height is best for older adults?

The best toilet height allows the person to sit and stand with control while keeping both feet flat on the floor. A raised toilet seat or toilet safety frame may help people with arthritis, leg weakness or pain, but the seat should not be so high that the feet dangle.

Can bathroom falls be prevented without remodeling?

Often, yes. Many safety improvements are simple: remove loose rugs, improve lighting, add nonslip surfaces, use a shower chair or transfer bench, install grab bars and keep items within easy reach. Some people may need more extensive changes, especially after a fall, surgery or new mobility limitation.

*This article is intended for informational purposes only and should not be substituted for medical advice. For medical questions and advice, it is always best to consult with your trained physician.

Sources: 

2010 ADA Standards for Accessible Design | ada.gov. (n.d.-a). https://www.ada.gov/law-and-regs/design-standards/2010-stds/ 

About older adult fall prevention | older adult fall prevention | CDC. (n.d.-b). https://www.cdc.gov/falls/about/index.html 

Fall prevention: Simple tips to prevent falls - Mayo Clinic. (n.d.-d). https://www.mayoclinic.org/healthy-lifestyle/healthy-aging/in-depth/fall-prevention/art-20047358 

Household safety checklist for senior citizens. (n.d.-f). https://www.mayoclinichealthsystem.org/hometown-health/speaking-of-health/household-safety-checklist-for-senior-citizens 

Preventing falls and hip fractures | older adult fall prevention | CDC. (n.d.-h). https://www.cdc.gov/falls/prevention/index.html 

Resistance Band Chest Exercises: 7 Moves to Build Upper-Body Strength

woman using resistance band

Resistance bands can be a simple way to strengthen the chest and other upper-body muscles at home, at the gym or while traveling. They are lightweight, portable and available in different resistance levels.

The chest muscles, mainly the pectoralis major and pectoralis minor, help move the shoulders and arms. These muscles are used when you push, lift, reach or bring your arms across your body. A balanced strength-training routine also should include the shoulders, arms, back, abdomen, hips and legs.

Start with a band that allows you to move with control. Good form matters more than using a heavier band. Stop if an exercise causes pain.

Before You Begin

Talk with a healthcare professional before starting a new strength-training program if you have a chronic condition, chest pain, shortness of breath, dizziness, a recent injury, recent surgery or concerns about exercise safety.

For most people, these tips can help make resistance band exercises safer:

  • Warm up for 5 to 10 minutes with light activity, such as walking or gentle arm circles.
  • Choose a resistance level that feels challenging near the end of a set, but still lets you keep good form.
  • Aim for 1 set of 12 to 15 repetitions for each exercise. As you get stronger, you may add another set or use a stronger band.
  • Move slowly and with control. Do not snap the band or let it pull you back quickly.
  • Breathe during each movement. Try not to hold your breath.
  • Test at least one day before training the same muscle group again.
  • Check the band before each workout. Do not use a band that is cracked, torn or worn.

7 Resistance Band Chest Exercises

1. Resistance band floor press

The floor press works the chest, shoulders and triceps. It can be a good option for people who want a chest press without a bench.

How to do it

  1. Lie on your back with your knees bent and feet flat on the floor.
  2. Place the resistance band behind your upper back, below the shoulder blades.
  3. Hold one end of the band in each hand.
  4. Start with your elbows bent and your upper arms resting lightly on the floor.
  5. Press your hands upward until your arms are almost straight.
  6. Pause briefly, then lower with control.

Form tip: Keep your wrists straight and your shoulder blades gently pulled back.


2. Standing incline chest press

This move targets the upper chest and shoulders. The upward angle helps create a pressing motion similar to an incline press.

How to do it

Place the center of the band under one foot.

Step the other foot forward into a staggered stance.

Hold one end of the band in each hand near shoulder height.

Press your hands forward and slightly upward at about a 45-degree angle.

Pause briefly, then return to the starting position.

Repeat on both sides if you change your stance.

Form tip: Keep your ribs down and avoid arching your lower back.


3. Resistance band push-up

A resistance band push-up adds tension to a traditional push-up. It may be more challenging than a standard push-up.

How to do it

Wrap the band across your upper back, below your shoulders.

Hold one end of the band under each hand.

Start in a plank position with your hands about shoulder-width apart.

Lower your chest toward the floor while keeping your body in a straight line.

Press back up to the starting position.

Form tip: Modify the exercise by doing push-ups from your knees or against a wall if needed.


4. Seated resistance band row

Although this is not a chest exercise, it helps balance the muscles of the upper body. Strengthening the upper back may support better posture and shoulder control.

How to do it

Sit on the floor with your legs extended.

Loop the band around the bottoms of your feet.

Hold one end of the band in each hand.

Sit tall and gently draw your shoulder blades back.

Pull your elbows toward your sides.

Pause briefly, then return to the starting position.

Form tip: Keep your shoulders relaxed. Do not shrug toward your ears.


5. Banded pullover

The banded pullover works the chest, shoulders, upper back and core. It requires control and a secure anchor point.

How to do it

Secure the band to a low, stable anchor behind your head.

Lie on your back with your head near the anchor.

Hold the band with both hands and extend your arms overhead.

Keeping a slight bend in your elbows, pull your hands forward until they are above your chest.

Pause briefly, then return slowly to the starting position.

Form tip: Make sure the anchor is secure before starting. Do not use a loose door, unstable furniture or sharp surface.


6. Single-arm chest fly

The single-arm chest fly targets the chest through a wide, sweeping motion. Use a light band until you are comfortable with the movement.

How to do it

Attach the band to a secure anchor at about chest height.

Stand sideways to the anchor.

Hold the band in the hand closest to the anchor.

Step away until there is light tension in the band.

With a slight bend in your elbow, bring your arm across the front of your chest.

Pause briefly, then return with control.

Repeat on the other side.

Form tip: Keep the movement smooth. Avoid twisting your trunk to pull the band.


7. Alternating resistance band punches

Alternating punches work the chest, shoulders, arms and core. This exercise can also raise your heart rate when done with control.

How to do it

Wrap the band behind your upper back, below the shoulder blades.

Hold one end of the band in each hand.

Stand with your feet hip-width apart or in a staggered stance.

Start with your elbows bent and hands near your chest.

Punch one arm forward until it is almost straight.

Return to the starting position.

Repeat with the other arm, alternating sides.

Form tip: Keep your punches controlled. Do not lock your elbows.



How Often Should You do Resistance Band Chest Exercises?

For general fitness, strength training for all major muscle groups at least two times a week is a common goal. Avoid training the same muscle group on back-to-back days. This gives your muscles time to recover.

A simple weekly plan might include:

  • Chest and upper body: 2 days a week
  • Lower body and core: 2 days a week
  • Aerobic activity: Most days of the week, based on your fitness level
  • Stretching or mobility work: After workouts or on rest days

How to Choose the Right Resistance Band

Choose a band that allows you to complete each repetition with steady form. The final few repetitions should feel challenging, but you should not need to jerk, twist or hold your breath.

Use a lighter band if:

  • You cannot complete the full range of motion.
  • Your shoulders shrug or your back arches.
  • You feel joint pain.
  • The band snaps you back too quickly.

Use a stronger band if:

  • You can easily complete more than 15 repetitions.
  • You do not feel muscle fatigue near the end of the set.
  • You can maintain good form throughout the movement.

When to Stop

Stop exercising and seek medical care right away if you have chest pain, fainting, severe shortness of breath, sudden weakness, numbness, or pain that spreads to the jaw, neck, back or arm.

Stop the exercise and adjust your form or resistance level if you feel sharp pain, joint pain, pinching, dizziness or unusual discomfort.

Frequently Asked Questions

Can resistance bands build chest muscle?

Yes. Resistance bands can help build strength when the band provides enough tension and the exercise is done with good form. Progress over time by adding repetitions, sets or resistance.

Are resistance band chest exercises good for beginners?

They can be. Beginners should start with a light band and focus on slow, controlled movement. Wall push-ups, floor presses and seated rows may be easier places to start.

How many repetitions should I do?

A common starting point is 1 set of 12 to 15 repetitions. The resistance should feel challenging near the end of the set while still allowing good form.

Can I do these exercises every day?

It is best not to train the same muscle group hard every day. Give your chest and shoulders at least one day of rest between strength sessions.

Do I need a door anchor?

Some exercises, such as chest flys and pullovers, require a secure anchor. Others, such as floor presses, push-ups and alternating punches, can be done without one. Always make sure the anchor is stable before exercising.

Key Takeaways

  • Resistance bands are a portable, low-cost option for chest and upper-body strength training.
  • Good form is more important than heavy resistance.
  • A balanced program should include the chest, back, shoulders, arms, core, hips and legs.
  • Start with 1 set of 12 to 15 repetitions and progress gradually.
  • Stop if an exercise causes pain, and talk with a healthcare professional if you have health concerns before starting.

*This article is intended for informational purposes only and should not be substituted for medical advice. For medical questions and advice, it is always best to consult with your trained physician.

Sources: 

Adult activity: An overview | physical activity basics | CDC. (n.d.-a). https://www.cdc.gov/physical-activity-basics/guidelines/adults.html 

Fitness strength training - mayo clinic. (n.d.-b). https://www.mayoclinic.org/healthy-lifestyle/fitness/basics/strength-training/hlv-20049447 

Physical activity guidelines - ACSM. (n.d.). https://acsm.org/education-resources/trending-topics-resources/physical-activity-guidelines/ 

What counts as physical activity for adults | physical activity basics | CDC. (n.d.-b). https://www.cdc.gov/physical-activity-basics/adding-adults/what-counts.html 

Preparing for Breastfeeding: A First-Time Parent’s Readiness Checklist

woman breastfeeding

Breastfeeding is natural, but it is also learned. For many first-time parents, the first days can feel emotional, tiring and uncertain. Preparing before delivery can make those early feedings easier to manage.

You do not need every product on the shelf. But a few practical items can help with comfort, positioning, leaking, milk expression and cleanup. More important, it helps to know what is normal, what is not and when to ask for support.

A good breastfeeding setup includes:

  • A comfortable place to feed
  • Nursing pads for leaking
  • Nipple care products, such as lanolin or another breastfeeding-safe nipple balm
  • A nursing pillow or supportive pillows
  • Burp cloths or washcloths
  • A water bottle and easy snacks
  • Breast pump parts and milk storage supplies, if you plan to pump
  • Contact information for a lactation consultant or breastfeeding support service

The goal is not perfection. The goal is to help you and your baby learn together.

Why Prepare for Breastfeeding Before Delivery?

The first days after birth are busy. You may be recovering from labor or surgery, learning your baby’s cues and adjusting to little sleep. Having supplies ready can reduce stress and help you focus on feeding, recovery and bonding.

Preparation can also help you recognize common breastfeeding patterns. Newborns often feed frequently. They may cluster feed, fall asleep at the breast or need help latching. These experiences can be normal, but they can still feel overwhelming.

Learning the basics before delivery can help you know when to keep practicing and when to ask for help.

Breastfeeding Readiness Checklist: What to Have at Home

1. Nursing pads

Leaking is common, especially as milk supply adjusts. Nursing pads fit inside a bra and help absorb milk between feedings.

You may choose disposable or washable pads. Disposable pads are convenient in the early days. Washable pads may be softer and can be reused. Change pads when they become wet to help protect the skin.

Helpful for: Leaking, comfort, keeping clothing dry
Product note: Look for soft, breathable pads that do not irritate sensitive skin.

2. Nipple care products

Tender nipples can happen in the first days as you and your baby learn to breastfeed. Mild sensitivity may improve as latch and positioning improve. Cracked, bleeding or severe pain is not something to ignore.

A breastfeeding-safe nipple cream, balm or purified lanolin may help soothe dry or tender skin. Some parents also use hydrogel pads for short-term comfort. Follow product directions and ask a clinician or lactation consultant if you are unsure what is safe for your baby.

Helpful for: Dryness, tenderness, friction-related irritation
Product note: Choose products labeled safe for breastfeeding. Avoid heavily fragranced products on the nipple area.

3. Feeding pillow or supportive pillows

Positioning matters. A nursing pillow can help bring the baby closer to breast height and reduce strain on the back, shoulders, neck and wrists. Regular pillows also can work well.

A pillow does not create a good latch by itself, but it can help you stay comfortable while you practice different positions.

Helpful for: Positioning, comfort, longer feeding sessions
Product note: A firm pillow or cushion may provide better support than a soft pillow that collapses.

4. Burp cloths and washcloths

Feeding can be messy. Burp cloths, washcloths or small towels are useful for spit-up, leaking milk and quick cleanup.

Keep a few in the areas where you plan to feed most often.

Helpful for: Cleanup, spit-up, leaking, protecting clothing
Product note: Soft, washable cloths are practical and easy to rotate.

5. Water bottle and one-handed snacks

Breastfeeding can make you thirsty. Keeping water nearby may help you stay comfortable. Easy snacks can be helpful during long or frequent feeding sessions, especially in the early weeks.

Helpful for: Parent comfort and hydration
Product note: Choose a water bottle that is easy to open with one hand.

6. Breast pump and pump accessories

Not every parent needs to pump right away. But if you expect to return to work, share feedings, build a small milk supply, manage engorgement or feed a baby who has trouble latching, a pump may be useful.

Pump accessories may include:

  • Breast shields or flanges in the correct size
  • Valves and membranes
  • Milk collection bottles
  • Milk storage bags or containers
  • Cleaning basin or bottle brush
  • Drying rack
  • Cooler bag and ice packs
  • Extra tubing, if recommended for your pump model

Pump fit matters. A flange that is too small or too large can cause pain and reduce milk removal. If pumping hurts or output is unexpectedly low, ask for help checking fit and technique.

Helpful for: Milk expression, shared feeding, return to work, some latch challenges
Product note: Follow the pump manufacturer’s cleaning instructions. Parts that touch breast milk need regular cleaning.

7. Bottles, if you plan to express milk or combination feed

Some families use bottles for expressed breast milk, formula or both. You do not need to buy many bottles before knowing your baby’s preferences. A small starter set is often enough.

Choose bottles that are easy to clean and compatible with your pump if you plan to pump directly into bottles.

Helpful for: Expressed milk, combination feeding, caregiver feeding
Product note: Inspect nipples and bottle parts often and replace damaged items.

8. Comfortable nursing bras or tanks

A comfortable, supportive bra or tank can make frequent feeding easier. Avoid bras that feel tight or compress the breast, especially while supply is changing.

Helpful for: Comfort, easy feeding access, holding nursing pads
Product note: Soft, stretchy materials may be more comfortable in the early postpartum weeks.

What to Expect in the First Days

Colostrum comes first

At birth, your breasts make colostrum. Colostrum is thick and often yellowish. It comes in small amounts, but it is rich in nutrients and helps support your baby’s immune system.

Because the amount is small, some parents worry that the baby is not getting enough. In many cases, frequent feeding and monitoring diapers and weight are better guides than trying to measure milk in the first days.

Milk usually increases after a few days

As your baby continues to feed, your body receives signals to make more milk. Many parents notice fuller, warmer or heavier breasts a few days after birth. This is often called milk “coming in.”

Some fullness is expected. Severe pain, a baby who cannot latch or ongoing concerns about milk supply should prompt a call to a lactation consultant or health care professional.

Newborns feed often

Many newborns feed 8 to 12 times in 24 hours. Some feed even more often during cluster feeding periods. Feeding on cue means watching for early signs of hunger, such as bringing hands to the mouth, sucking motions, lip smacking or rooting.

Crying is a late hunger cue. Starting before a baby is very upset can make latching easier.

Diapers and weight matter

In the first days, your baby’s care team will track weight, wet diapers and stools. These are important signs that feeding is going well.

Ask your baby’s health care professional what to expect each day after birth and when to call.

Common Breastfeeding Challenges and What May Help

Challenge: Sore nipples

Some tenderness may happen early. But pain that continues through a feeding, cracked nipples, bleeding or dread of feeding may mean the latch needs attention.

What may help:

  • Adjusting latch and positioning
  • Using a nursing pillow for support
  • Applying breastfeeding-safe nipple cream
  • Letting nipples air-dry after feeding
  • Getting help from a lactation consultant

When to ask for help: If every feeding hurts, pain is severe, nipples are damaged or the baby slips off the breast often.


Challenge: Engorgement

Engorgement can happen when breasts become overly full, firm and uncomfortable. It often occurs as milk supply increases.

What may help:

  • Feeding often
  • Gentle hand expression or pumping just enough to soften the breast
  • A supportive but not tight bra
  • Cold packs between feedings, if recommended
  • Help with latch if the baby cannot attach well

When to ask for help: If the baby cannot latch, pain is severe, symptoms are not improving or you develop fever or flu-like symptoms.


Challenge: Leaking

Leaking is common while milk supply adjusts. It often improves over time.

What may help:

  • Nursing pads
  • Changing damp pads regularly
  • Keeping extra pads in a diaper bag or bedside basket

When to ask for help: If leaking is accompanied by pain, redness, fever or signs of infection.


Challenge: Low milk supply concerns

Many first-time parents worry about supply. Frequent feeding, diaper output and weight gain are more useful than breast fullness alone. Breasts may feel softer as supply regulates, and that does not always mean supply is low.

What may help:

  • Feeding often
  • Checking latch and milk transfer
  • Avoiding long stretches without feeding or pumping in the early weeks, unless advised
  • Meeting with a lactation consultant
  • Using a pump when recommended to support milk removal

When to ask for help: If your baby has fewer wet diapers than expected, is very sleepy, has poor weight gain, shows signs of dehydration or your care team is concerned.


Challenge: Pumping discomfort

Pumping should not be sharply painful. Discomfort may be related to suction level, flange size, pump settings or nipple trauma.

What may help:

  • Checking flange size
  • Starting with lower suction
  • Replacing worn valves or membranes
  • Following the pump’s instructions
  • Asking a lactation consultant to observe a pumping session

When to ask for help: If pumping causes pain, bleeding, blisters or persistent nipple swelling.


What Products Can Help - and What They Cannot Do

Breastfeeding products can improve comfort and make feeding easier. They cannot guarantee milk supply, prevent every challenge or replace skilled support.

Products that may help

Nursing pads: Help manage leaking.
Nipple cream or lanolin: May soothe dry or tender skin.
Nursing pillow: Supports positioning and parent comfort.
Pump accessories: Help with expression and milk storage when pumping is part of the plan.
Bottles and storage bags: Useful for expressed milk or combination feeding.
Burp cloths: Help with cleanup.
Personal care items: Support comfort during postpartum recovery.

Products That May Not Be Necessary Right Away

Some items can wait until you know your needs. These may include a large bottle collection, multiple pump part sizes, specialized feeding tools or advanced storage systems.

A simple setup is often best at first. Add products as your feeding routine becomes clearer.

When to Ask a Lactation Consultant

A lactation consultant can help before and after birth. You do not need to wait until things feel unmanageable.

Consider reaching out during pregnancy if:

  • You have had breast surgery or chest surgery.
  • You have flat or inverted nipples and are concerned about latch.
  • You are expecting multiples.
  • You have a medical condition that may affect milk production.
  • You plan to exclusively pump.
  • You want help making a return-to-work pumping plan.

After birth, ask for help if:

  • Latching is difficult.
  • Every feeding is painful.
  • Your nipples are cracked, bleeding or damaged.
  • Your baby is not gaining weight as expected.
  • Your baby has fewer wet or dirty diapers than expected.
  • Your baby seems too sleepy to feed.
  • You have signs of mastitis, such as fever, chills, breast redness or flu-like symptoms.
  • You are worried about milk supply.
  • Pumping is painful or confusing.
  • You feel overwhelmed and need a feeding plan.

Early support can prevent small problems from becoming bigger ones.

A Simple Breastfeeding Setup for Home

Choose one or two feeding areas. Keep supplies within reach.

A bedside or chair-side basket may include:

  • Nursing pads
  • Nipple cream
  • Burp cloths
  • Water bottle
  • Snack
  • Phone charger
  • Small notebook or feeding tracker
  • Extra baby blanket
  • Clean pump parts, if pumping
  • Milk storage bags, if needed

Keep the setup simple, washable and easy to restock.

Frequently Asked Questions

Do I need a nursing pillow?

You do not need one, but many parents find it helpful. A nursing pillow or supportive regular pillows can reduce strain and help bring the baby closer to the breast.

Should I buy a breast pump before delivery?

It depends on your feeding goals, insurance coverage, return-to-work plans and medical needs. Some parents need a pump early, while others do not. If you plan to pump, learn how to assemble, clean and use the pump before the baby arrives.

Is nipple pain normal?

Mild tenderness can happen early. Ongoing pain, cracked nipples, bleeding or pain through the entire feeding is a sign to ask for help. Latch, positioning, infection, pump fit or other causes may need attention.

How many nursing pads do I need?

Start with a small supply. Some parents leak often, and others leak very little. If using washable pads, have enough to rotate through laundry.

What should I do if breastfeeding is not going as planned?

Ask for help early. A lactation consultant, your baby’s health care professional or your obstetric care team can help assess latch, milk transfer, weight, diaper output and parent comfort. Feeding plans can be adjusted. The priority is a fed baby and a supported parent.

Final Thoughts

Preparing for breastfeeding can reduce stress, but it does not mean you need every product available. Start with a few practical supplies: nursing pads, nipple care, supportive pillows, burp cloths and pump accessories if pumping is part of your plan.

Expect a learning curve. The first days often include frequent feedings, tender nipples, leaking and questions about supply. Many challenges improve with time, practice and support.

If breastfeeding is painful, your baby is not gaining weight or you are worried about supply, ask for help. A lactation consultant can help you build a plan that fits your body, your baby and your family.

*This article is intended for informational purposes only and should not be substituted for medical advice. For medical questions and advice, it is always best to consult with your trained physician.

Sources: 

Breastfeeding challenges. ACOG. (n.d.). https://www.acog.org/clinical/clinical-guidance/committee-opinion/articles/2021/02/breastfeeding-challenges 

Centers for Disease Control and Prevention. (n.d.-a). How to clean and sanitize breast pumps. Centers for Disease Control and Prevention. https://www.cdc.gov/hygiene/about/about-breast-pump-hygiene.html 

Centers for Disease Control and Prevention. (n.d.). What to expect while breastfeeding. Centers for Disease Control and Prevention. https://www.cdc.gov/infant-toddler-nutrition/breastfeeding/what-to-expect-while-breastfeeding.html 

Mayo Foundation for Medical Education and Research. (n.d.-b). Feeding your newborn: Tips for new parents. Mayo Clinic. https://www.mayoclinic.org/healthy-lifestyle/infant-and-toddler-health/in-depth/healthy-baby/art-20047741 

Mayo Foundation for Medical Education and Research. (n.d.-a). Feeding your newborn: Tips for new parents. Mayo Clinic. https://www.mayoclinic.org/healthy-lifestyle/infant-and-toddler-health/in-depth/healthy-baby/art-20047741 

Hair Thinning vs. Hair Shedding: What Hair Products Can and Can’t Do

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Hair shedding and hair thinning are often used interchangeably, but they are not the same thing.

Hair shedding usually means more hairs than usual are falling out. This can happen after stress, illness, childbirth, surgery, weight loss, medication changes or other body stressors. In many cases, shedding is temporary.

Hair thinning usually means the hair is becoming less dense over time. The part may look wider, the scalp may be more visible, or the ponytail may feel smaller. Thinning can be caused by genetics, hormones, medical conditions, nutrition issues, certain medications or damaging hair practices.

Hair products may improve how hair looks and feels. Some may reduce breakage or support scalp comfort. A few treatments, such as minoxidil, may help with certain types of hair loss. But shampoos, serums and supplements cannot fix every cause of hair thinning or shedding.

The most important step is identifying the cause.

Why Hair Sheds

It is normal to lose hair every day. Hair grows in cycles, and shedding is part of that cycle. Many people lose about 50 to 100 hairs a day.

Excessive shedding may happen when more hairs than usual shift into the resting phase of the hair cycle. This is often called telogen effluvium. It may occur a few months after a major stressor, such as:

  • Childbirth
  • High fever or serious illness
  • Surgery
  • Significant weight loss
  • Emotional stress
  • Stopping certain medications
  • Nutritional deficiency
  • A major change in health or routine

With shedding, people often notice more hair in the shower, on a pillow, in a brush or on clothing. The scalp may look somewhat thinner overall, but there may not be a clear pattern of bald spots.

In many cases, shedding improves once the trigger has resolved. However, shedding that lasts longer than several months, occurs with other symptoms or causes distress should be evaluated.

Why Hair Thins

Hair thinning is different from temporary shedding. Thinning often develops gradually. The hair shaft may become finer, hair density may decrease, or the scalp may become more visible.

Common causes include:

  • Hereditary hair loss, also called androgenetic alopecia
  • Hormonal changes, including menopause or thyroid disease
  • Iron, vitamin D or other nutritional deficiencies
  • Autoimmune conditions, such as alopecia areata
  • Scalp inflammation or infection
  • Certain medications
  • Tight hairstyles or chemical damage
  • Aging

Pattern hair loss is one of the most common causes of thinning. In men, it may appear as a receding hairline or thinning at the crown. In women, it often appears as a widening part or thinning at the top of the scalp.

Because thinning can have many causes, the same product will not work for everyone.

What Hair Serums Can Do

Hair serums are popular because they are easy to add to a routine. But the term “serum” can mean many things.

Some serums are cosmetic. They coat the hair shaft to smooth frizz, add shine or reduce breakage. These products can make hair look fuller or healthier, but they do not regrow hair from the follicle.

Other products are scalp treatments. Some contain ingredients such as caffeine, peptides, niacinamide, plant extracts or oils. These may help the scalp feel less dry or irritated. Some may temporarily improve the appearance of density. However, most cosmetic serums have limited evidence for true hair regrowth.

A medicated product is different. Topical minoxidil is an over-the-counter medication used to stimulate hair growth and slow certain types of balding. It is most often used for pattern hair loss. It must be used consistently, and results take time. It also does not work for every type of hair loss.

What Serums May Help With

Hair serums may help:

  • Smooth frizz
  • Add shine
  • Reduce the look of flyaways
  • Make hair appear thicker temporarily
  • Reduce friction and breakage
  • Support a dry or irritated scalp, depending on ingredients

What Hair Serums Cannot Do

Hair serums generally cannot:

  • Reverse genetic hair loss on their own
  • Correct a thyroid disorder, anemia or nutritional deficiency
  • Stop shedding caused by a recent illness or stressor
  • Regrow hair where follicles are scarred or permanently damaged
  • Replace medical evaluation when hair loss is sudden, patchy or persistent

What Hair Care Products Can Do

A gentle hair care routine can make a meaningful difference, especially if breakage is making hair look thinner.

Hair breakage is not the same as hair loss from the root. Breakage happens when the hair shaft becomes weak and snaps. This may be caused by heat styling, bleaching, chemical straightening, tight hairstyles, rough brushing or friction.

Hair care products can help protect the hair shaft and reduce breakage. Look for products that match your hair type and scalp needs.

Helpful hair care habits include:

  • Use a gentle shampoo suited to your scalp type.
  • Condition the lengths and ends of hair regularly.
  • Detangle carefully, especially when hair is wet.
  • Limit high-heat styling.
  • Avoid tight hairstyles that pull on the scalp.
  • Avoid harsh chemical treatments when possible.
  • Use a wide-tooth comb or gentle brush.
  • Protect hair from sun, chlorine and friction.

Volumizing shampoos, mousses and sprays can make hair appear fuller. They can be useful for styling, but they do not treat the underlying cause of thinning.

What Supplements Can Do

Supplements may help if hair shedding or thinning is related to a true deficiency. For example, low iron, low vitamin D, inadequate protein intake or other nutritional issues may affect hair growth.

But more is not always better. Taking high-dose supplements without a known deficiency may not improve hair growth and may cause problems. Some nutrients can be harmful in excess. Biotin, a common ingredient in hair supplements, can interfere with certain lab tests, including some hormone and heart-related tests.

A balanced diet is often a better starting point than a high-dose supplement. Protein, iron, zinc, vitamin D, B vitamins and essential fatty acids all play roles in overall health. But supplements should be targeted to the person’s needs.

Consider talking with a healthcare professional before starting a supplement, especially if you are pregnant, breastfeeding, have a medical condition, take medications or are planning blood tests.

Supplements May Help When

  • A deficiency is confirmed or strongly suspected.
  • Diet is restricted or protein intake is low.
  • Hair shedding follows rapid weight loss or poor nutrition.
  • A clinician recommends a specific nutrient and dose.

Supplements are Less Likely to Help When

  • Hair loss is genetic.
  • Shedding is caused by a recent stressor and is already improving.
  • The scalp is inflamed, painful or infected.
  • Hair loss is patchy or scarring.
  • The supplement is being used instead of diagnosing the cause.

What Products Cannot Do

Hair products can support healthy-looking hair, but they have limits.

They cannot always change the biology of the hair follicle. They cannot treat every medical cause of hair loss. They cannot guarantee regrowth. And they cannot replace a diagnosis.

Be cautious with products that promise fast results, “miracle” regrowth or guaranteed reversal of hair loss. Hair growth is slow. Most meaningful changes take months, not days.

A product may be worth considering if it has realistic claims, clear directions, transparent ingredients and a low risk of irritation. Stop using a product if it causes burning, rash, itching, scaling or worsening shedding.

When to See a Healthcare Professional

Make an appointment with a health care professional or dermatologist if you notice:

  • Sudden hair loss
  • Patchy bald spots
  • Scalp pain, itching, redness, scaling or sores
  • Hair shedding that lasts more than a few months
  • A widening part or progressive thinning
  • Hair loss after starting a new medication
  • Hair loss with fatigue, weight changes, menstrual changes or other symptoms
  • Hair loss that causes significant distress

Early evaluation matters. Some types of hair loss are reversible. Others can become permanent if inflammation or scarring damages the follicles.

Questions to Ask Before Buying a Hair Product

Before buying a serum, supplement or hair care product, ask:

  1. Am I seeing shedding, thinning or breakage?
  2. Did this start after stress, illness, childbirth, surgery, weight loss or a medication change?
  3. Is the hair coming out from the root, or is it breaking along the shaft?
  4. Is my scalp itchy, painful, flaky or inflamed?
  5. Does the product treat a known condition, or does it only improve appearance?
  6. Are the claims supported by evidence?
  7. Could this product irritate my scalp or interfere with my medications or lab tests?

Frequently Asked Questions

Is hair shedding the same as hair loss?

Not always. Shedding can be temporary and may happen after a physical or emotional stressor. Hair loss or thinning may be more gradual and can be caused by genetics, hormones, medical conditions or scalp disease.

Can a hair serum regrow hair?

Most cosmetic serums do not regrow hair. They may make hair look smoother, shinier or fuller. Medicated treatments such as topical minoxidil may help some people with certain types of hair loss, but they require consistent use and are not right for every cause.

Do hair vitamins work?

Hair vitamins may help if you have a nutrient deficiency. If you do not have a deficiency, supplements are less likely to make a noticeable difference. High doses can also cause side effects or interfere with lab tests.

How long does it take to see improvement?

Hair growth is slow. If shedding is temporary, it may improve over several months after the trigger resolves. Treatments for pattern hair loss often require at least several months of consistent use before results are noticeable.

Can better hair care stop thinning?

Gentle hair care can reduce breakage and prevent some avoidable hair damage. It may make hair look fuller and healthier. But it may not stop thinning caused by genetics, hormones or medical conditions.

Final Thoughts

Hair shedding, hair thinning and hair breakage can look similar, but they are not the same. Hair serums, hair care products and supplements may improve the appearance and strength of hair. Some treatments may help with certain types of hair loss. But no product works for every person or every cause.

If hair loss is sudden, patchy, persistent or distressing, seek medical guidance. The right diagnosis can help you choose the right treatment — and avoid spending time and money on products that cannot address the real cause.

*This article is intended for informational purposes only and should not be substituted for medical advice. For medical questions and advice, it is always best to consult with your trained physician.

Sources:

Do you have hair loss or hair shedding?. American Academy of Dermatology. (n.d.). https://www.aad.org/public/diseases/hair-loss/insider/shedding 

Mayo Foundation for Medical Education and Research. (2026, February 7). Hair loss. Mayo Clinic. https://www.mayoclinic.org/diseases-conditions/hair-loss/symptoms-causes/syc-20372926 

Mayo Foundation for Medical Education and Research. (n.d.). Stress and hair loss: Are they related?. Mayo Clinic. https://www.mayoclinic.org/healthy-lifestyle/stress-management/expert-answers/stress-and-hair-loss/faq-20057820 

U.S. Department of Health and Human Services. (n.d.). Office of dietary supplements - biotin. NIH Office of Dietary Supplements. https://ods.od.nih.gov/factsheets/Biotin-HealthProfessional/?uid=716126c3b7d63s16 

U.S. National Library of Medicine. (n.d.). Minoxidil topical: Medlineplus Drug Information. MedlinePlus. https://medlineplus.gov/druginfo/meds/a689003.html 

Summer Foot Care: How to Prevent Athlete’s Foot, Blisters and Sweaty Feet

doctor looking at foot

Summer heat, humidity, travel and time spent at pools or locker rooms can increase the risk of athlete’s foot, blisters, foot odor and skin irritation. Most summer foot problems can be prevented by keeping feet clean and dry, wearing protective footwear in shared spaces, choosing well-fitting shoes and treating skin changes early.

People with diabetes, poor circulation or a weakened immune system should take extra care. Even a small blister, cut or burn can become serious without prompt attention.

Why Summer Can Be Hard on Your Feet

Warm weather often means more sweating, more walking and more time in shared public spaces. These conditions can affect foot health in several ways:

  • Heat and humidity can cause feet to sweat more.
  • Damp socks and shoes create an environment where fungi can grow.
  • Sandals and open shoes may increase friction and reduce support.
  • Pool decks, locker rooms and communal showers can expose feet to fungi.
  • Travel often includes long walking days in shoes that may not be fully broken in.

A few simple habits can help keep your feet healthy and comfortable throughout the season.

Common Summer Sources of Athlete's Foot Exposure

Athlete’s foot can spread in places where people walk barefoot, especially when surfaces are damp. Common sources include:

  • Pool decks
  • Splash pads
  • Locker room floors
  • Communal showers
  • Gym changing rooms
  • Shared towels
  • Wet sandals or shoes
  • Hotel bathroom floors

How to Prevent Athlete's Foot

To reduce your risk:

  • Wear sandals or shower shoes in locker rooms, pool areas and public showers.
  • Do not walk barefoot on wet shared surfaces.
  • Wash your feet daily.
  • Dry your feet thoroughly, especially between the toes.
  • Change socks daily, or more often if your feet sweat heavily.
  • Choose moisture-wicking socks instead of cotton when possible.
  • Rotate shoes so each pair can dry fully between uses.
  • Avoid sharing towels, socks or shoes.
  • Use antifungal powder or spray if you are prone to athlete’s foot or sweaty feet.

When Over-the-Counter Treatment May Help

Mild athlete’s foot often can be treated with over-the-counter antifungal creams, sprays or powders. These products work best when used exactly as directed.

Continue treatment for the full recommended time, even if symptoms improve sooner. Stopping treatment early can allow the infection to return. Many treatments require consistent use for one to four weeks, depending on the product and severity of symptoms.

When to Contact A Healthcare Professional

Contact a health care professional if:

  • Symptoms do not improve after two to four weeks of over-the-counter treatment.
  • The rash spreads or becomes painful.
  • Skin is deeply cracked, bleeding or draining fluid.
  • You notice redness, warmth, swelling or pus.
  • Toenails become thick, discolored, painful or brittle.
  • You have diabetes, poor circulation or a weakened immune system.

Toenail fungus may require a different treatment than athlete’s foot.


Blisters

What Causes Blisters?

Blisters form when friction, heat or moisture causes the top layers of skin to separate and fill with fluid. Summer travel, long walks, new shoes and sandals are common triggers.

How to prevent blisters

To help prevent blisters:

  • Break in new shoes or sandals before travel or long walks.
  • Wear moisture-wicking or padded socks with closed-toe shoes.
  • Avoid cotton socks for long walks because they can hold moisture.
  • Use moleskin, blister tape or a friction-reducing balm on areas that rub.
  • Make sure shoes fit properly.
  • Treat hot spots early. A hot spot is a warm, red or irritated area that may become a blister.

Shoes that are too tight can rub and pinch. Shoes that are too loose can allow the foot to slide, increasing friction.

What to do if a Blister Forms

Most small blisters heal on their own. To care for a blister:

  • Keep the blister intact when possible.
  • Cover it with a sterile adhesive bandage or blister dressing.
  • Avoid additional friction on the area.
  • Keep the area clean and dry.

The skin over a blister helps protect against infection. Do not drain a blister unless it is large, painful or likely to break on its own.

If a blister must be drained, use clean technique. Wash your hands, clean the skin, use a sterilized needle to make a small opening near the edge of the blister, gently drain the fluid and leave the overlying skin in place. Cover the area with a clean bandage.

Seek medical care if you notice increasing redness, warmth, swelling, pus, worsening pain or red streaks around the blister.


Sweaty Feet and Foot Odor

Why Feet Sweat More in the Summer

Feet contain many sweat glands. In hot weather, sweating can increase. Sweat itself does not always smell, but bacteria on the skin can break down sweat and contribute to odor. Damp skin also can increase the risk of irritation, athlete’s foot and skin breakdown.

How to Manage Sweaty Feet

To help reduce sweat and odor:

  • Wash your feet daily with mild soap and water.
  • Dry carefully, especially between the toes.
  • Change socks when they become damp.
  • Choose breathable shoes made of mesh, leather or other ventilated materials.
  • Rotate shoes to give them time to dry.
  • Use foot powder or antifungal powder if moisture is a recurring problem.
  • Consider moisture-wicking insoles for athletic or everyday shoes.
  • Let feet air out at home in clean, dry areas.

Avoid wearing the same damp shoes day after day. Shoes need time to dry fully between uses.


Summer Foot Care for People with Diabetes

Foot care is especially important for people with diabetes. Diabetes can damage nerves and reduce circulation. This may make it harder to feel pain, heat or injury and can slow healing.

Small problems, such as blisters, cuts, burns or fungal infections, can become serious quickly. People with diabetes should inspect their feet daily and seek prompt care for wounds or signs of infection.

Diabetes Foot Care Tips for Summer

If you have diabetes:

  • Do not walk barefoot outdoors or in public places.
  • Wear shoes or sandals on hot pavement, sand and pool decks.
  • Inspect your feet every day for cuts, blisters, redness, swelling or drainage.
  • Use a mirror or ask for help if you cannot see the bottoms of your feet.
  • Wash feet with warm, not hot, water.
  • Dry carefully, especially between the toes.
  • Moisturize dry skin on the tops and bottoms of the feet.
  • Do not apply lotion between the toes.
  • Wear properly fitted shoes and socks.
  • Avoid shoes that rub, pinch or leave parts of the foot exposed.
  • Contact a health care professional promptly for any wound, blister, burn or infection.

People with diabetes should not try to self-treat significant foot injuries.

Summer Foot Care Travel Checklist

Before a trip, consider packing:

  • Shower shoes or flip-flops for pools, locker rooms and communal showers
  • Moisture-wicking socks
  • Antifungal powder, spray or cream
  • Mild soap or foot wash
  • Blister bandages
  • Moleskin or blister prevention tape
  • Adhesive bandages
  • Sterile gauze
  • Foot moisturizer or heel balm
  • Nail clippers
  • Emery board
  • Supportive, broken-in shoes
  • Diabetes-friendly socks and footwear, if needed

Pack shoes that match your planned activities. A walking-heavy vacation requires supportive footwear, even in warm weather.

Everyday Summer Foot Hygiene

Daily habits can help prevent many common summer foot problems:

  • Wash feet every day.
  • Dry between the toes.
  • Change damp socks as soon as possible.
  • Trim toenails straight across.
  • Keep toenails at a moderate length.
  • Moisturize dry heels and soles.
  • Check feet regularly for cuts, blisters, redness or peeling.
  • Replace worn-out shoes.
  • Alternate footwear to reduce repeated pressure on the same areas.

When to Seek Medical Care for a Summer Foot Problem

Contact a health care professional if you have:

  • A foot rash that does not improve with treatment
  • A blister that looks infected
  • Redness, warmth, swelling or drainage
  • Severe pain
  • Deep cracks or bleeding skin
  • Thickened or discolored toenails
  • A wound that is not healing
  • Diabetes, poor circulation or a weakened immune system and any foot injury

Early treatment can prevent a minor foot problem from becoming more serious.

Frequently Asked Questions

Can you get athlete’s foot from a pool?

You are more likely to be exposed to the fungi that cause athlete’s foot on damp surfaces around pools, such as pool decks, locker rooms and communal showers. Wearing sandals or shower shoes can reduce your risk.

Should I wear socks in summer?

Socks can help reduce friction and absorb moisture, especially with closed-toe shoes. Choose moisture-wicking socks for walking, hiking or exercise.

Is it better to leave a blister uncovered?

A blister should usually be protected from friction. Cover it with a clean bandage or blister dressing. Keeping the blister intact helps protect the skin underneath.

Why do my feet smell more in summer?

Feet sweat more in warm weather. Bacteria on the skin can break down sweat and contribute to odor. Washing feet, drying them well, changing socks and rotating shoes can help.

What should people with diabetes do for summer foot care?

People with diabetes should inspect their feet daily, avoid going barefoot, protect feet from hot pavement or sand, wear properly fitting shoes and seek prompt care for any cut, blister, burn or infection.

Final Thoughts

Summer foot problems are common, but many are preventable. Keep feet clean and dry, protect them in shared public spaces, wear well-fitting shoes and respond early to skin changes.

If you have diabetes, circulation problems, a weakened immune system or recurring foot infections, talk with your health care professional before travel or increased summer activity.

*This article is intended for informational purposes only and should not be substituted for medical advice. For medical questions and advice, it is always best to consult with your trained physician.

Sources

American Academy of Dermatology. (n.d.). How to prevent athlete’s foot. https://www.aad.org/public/diseases/a-z/athletes-foot-prevent 

American Diabetes Association. (n.d.). Foot complications. https://diabetes.org/health-wellness/complications/foot-complications 

Centers for Disease Control and Prevention. (n.d.). What causes ringworm and fungal nail infections. https://www.cdc.gov/ringworm/causes/index.html 

Mayo Foundation for Medical Education and Research. (2023). Blisters: First aid. Mayo Clinic. https://www.mayoclinic.org/first-aid/first-aid-blisters/basics/art-20056691 

Mayo Foundation for Medical Education and Research. (2024). Athlete’s foot. Mayo Clinic. https://www.mayoclinic.org/diseases-conditions/athletes-foot/symptoms-causes/syc-20353841 

National Institute of Diabetes and Digestive and Kidney Diseases. (n.d.). Diabetes and foot problems. https://www.niddk.nih.gov/health-information/diabetes/overview/preventing-problems/foot-problems 

Supportive Products for Radiation During Breast Cancer

breast cancer ribbon

Radiation therapy can cause temporary changes to the skin and surrounding tissues. You may notice redness, dryness, tenderness or swelling in the treated area. Choosing the right supportive products can help protect your skin, reduce irritation and improve overall comfort during treatment.

Gentle Support Garments for Sensitive Skin

During radiation, the skin in the treatment area becomes more sensitive. Tight seams, underwire bras or rough fabrics may increase irritation.

Recommended options from Mayo Clinic Store:

  • Mastectomy bras and specialty bras: Designed for softness and minimal friction, these bras provide gentle support without irritating sensitive skin.
  • Post-surgical camisoles: Lightweight, breathable camisoles can be worn alone or under clothing to reduce rubbing and pressure on the chest wall.

Why they help:
Soft, well-fitted garments reduce friction and allow the skin to heal while still providing comfort and support.

Compression Garments for Swelling (Lymphedema)

Some people develop swelling in the arm or chest (lymphedema) after surgery or radiation. Managing this early can improve comfort and function.

Available products:

  • Compression sleeves and arm garments
  • Velcro compression wraps
  • Compression stockings and accessories

Why they help:
Compression garments apply gentle pressure to support lymphatic flow and reduce swelling.

“Lymphedema can develop gradually after surgery or radiation, and early management is key,” says Dr. Dean Shumway, a Mayo Clinic radiation oncologist. “Compression garments provide consistent, gentle pressure that helps move lymph fluid through the affected area, reducing swelling and supporting long-term function and comfort.”

Silicone Breast Forms and Prostheses

If surgery is part of your treatment plan, you may consider breast forms during or after radiation.

Options available:

  • Silicone breast forms (standard, lightweight or swim styles)

Why they help:
These products restore symmetry and balance, which can improve posture, clothing fit and confidence during recovery.

Skin Care and Protection Essentials

Radiation therapy commonly causes skin irritation similar to a mild to moderate sunburn.

While specific topical treatments should always be guided by your care team, supportive product categories available through the Mayo Clinic Store include:

  • Gentle skin care products 
  • Gentle cleansers and moisturizers designed for sensitive skin

Why they help:
Keeping the skin clean, hydrated and protected can reduce discomfort and support healing during radiation.

Advanced Dressings for Skin Protection

Radiation therapy can make the skin more fragile, increasing the risk of irritation, breakdown or discomfort in the treated area. In some cases, your care team may recommend advanced wound dressings to help protect the skin.

Available products:

  • Mepitel® silicone wound contact layers
  • Soft silicone dressings designed for sensitive or compromised skin

Why they help:
Mepitel dressings use a gentle silicone layer that adheres lightly to the skin without sticking to the wound surface. This helps:

  • Protect the skin from friction caused by clothing
  • Reduce pain during dressing changes
  • Maintain a moist healing environment, which supports skin recovery

These dressings are designed to be flexible and breathable, allowing them to conform comfortably to the chest area during daily activities.

Important note:
Always use dressings such as Mepitel only under the guidance of your radiation oncology team, as timing and placement during treatment are important to ensure safety and effectiveness.

Accessories that Improve Comfort and Ease of Use

Small accessories can make a meaningful difference in daily comfort and routine.

Examples include:

  • Compression garment aids (donning gloves, applicators)
  • Adhesives and cleaning products for prostheses

Why they help:
These tools simplify the use of medical garments and prosthetics, especially when mobility or skin sensitivity is a concern.

Personalized Fittings and Expert Guidance

Choosing the right product is just as important as the product itself. The Mayo Clinic Store offers:

  • Certified mastectomy fitters
  • Private fitting rooms
  • Customized measurements and recommendations

Why this matters:
Proper fit reduces pressure, improves comfort and ensures that garments and prosthetics work as intended during treatment.

Tips for Choosing Supportive Products During Radiation

When selecting products, consider:

  • Softness and breathability: Choose natural or moisture-wicking fabrics
  • Minimal seams and no underwire: Reduce friction on sensitive skin
  • Ease of use: Front closures or adjustable designs may be more comfortable
  • Proper fit: Avoid garments that are too tight or restrictive
  • Care team guidance: Always follow your oncology team’s recommendations for skin care and compression

A Supportive Approach to Healing

Supportive products are one part of a broader care plan focused on comfort, recovery and quality of life. If you’re undergoing radiation therapy for breast cancer, talk with your care team about which supportive products are right for you.

Sources: 

Breastcancer.org. (2026, March 12). Lymphedema. Symptoms, Treatment, and Risk Factors. https://www.breastcancer.org/treatment-side-effects/lymphedema 

Lymphedema care - la crosse, Wis.. Mayo Clinic Health System. (n.d.). https://www.mayoclinichealthsystem.org/locations/la-crosse/services-and-treatments/breast-cancer-care/lymphedema 

Mayo Foundation for Medical Education and Research. (2025a, January 10). Radiation therapy for breast cancer. Mayo Clinic. https://www.mayoclinic.org/tests-procedures/radiation-therapy-for-breast-cancer/about/pac-20384940 

Mayo Foundation for Medical Education and Research. (2025d, July 26). Breast cancer. Mayo Clinic. https://www.mayoclinic.org/diseases-conditions/breast-cancer/diagnosis-treatment/drc-20352475 

Menstrual Cramps and Pain: Choosing the Right Therapy

woman holding stomach

Menstrual cramps (dysmenorrhea) are common and can range from mild discomfort to pain that interferes with daily activities. Understanding your symptoms and the available treatment options can help you choose a therapy that can be effective for your needs.

What Causes Menstrual Cramps?

Menstrual cramps are typically caused by uterine contractions triggered by hormone-like substances called prostaglandins. Higher levels of prostaglandins are associated with more intense cramps. In some cases, underlying conditions such as endometriosis or fibroids may contribute to more severe or persistent pain.

When to Seek Medical Care

Consult a healthcare professional if you experience:

  • Severe pain that disrupts daily life
  • Cramps that worsen over time
  • Pain not relieved by over-the-counter medications
  • Symptoms such as heavy bleeding, fever, or unusual discharge

Treatment Options for Menstrual Cramps

Treatment depends on the severity of symptoms, your medical history, and personal preferences. Options include medications, heat therapy, and electrical stimulation devices.

Medications for Menstrual Cramps

Over-the-counter pain relievers are often the first-line treatment.

Nonsteroidal anti-inflammatory drugs (NSAIDs)

Examples include ibuprofen and naproxen. These medications reduce prostaglandin production and are most effective when taken at the onset of symptoms.

Considerations:

  • Follow dosing instructions carefully
  • Avoid if you have certain gastrointestinal, kidney, or bleeding conditions
  • Take with food to reduce stomach irritation

Hormonal therapies

Birth control pills, patches, or intrauterine devices (IUDs) may help reduce menstrual pain by regulating or suppressing ovulation.

Considerations:

  • Requires prescription
  • May take several cycles to see full benefit
  • Not appropriate for everyone

Heat Therapy for Menstrual Cramps

Heat therapy is a noninvasive option that can help relax uterine muscles and improve blood flow.

Types of heat therapy devices

Heated patches

Disposable or reusable patches that adhere to clothing or skin and provide continuous low-level heat.

Advantages:

  • Portable and discreet
  • Can be worn during daily activities
  • Provides consistent warmth

Limitations:

  • Limited temperature control
  • May need frequent replacement (disposable types)

Electric heating pads

Plug-in or battery-powered pads that allow adjustable heat settings.

Advantages:

  • Adjustable temperature
  • Reusable
  • Suitable for home use

Limitations:

  • Less portable
  • Requires access to power source (for plug-in models)
Shop Heating Pads

How to Choose the Right Heat Therapy Device

Consider the following factors:

  • Portability: Choose patches for use at work or school; pads for home use
  • Temperature control: Adjustable devices may provide more personalized relief
  • Duration of use: Look for devices with automatic shut-off for safety
  • Skin sensitivity: Select products with protective layers to reduce irritation

Safety tips:

  • Avoid applying heat directly to bare skin for prolonged periods
  • Do not use while sleeping unless the device has safety features
  • Discontinue use if skin irritation occurs

Transcutaneous Electrical Nerve Stimulation (TENS)

TENS units deliver low-voltage electrical currents through electrodes placed on the skin. These currents may help reduce pain signals and stimulate endorphin release.

Benefits of TENS units

  • Noninvasive and drug-free
  • Adjustable intensity levels
  • May be used in combination with other therapies

Considerations when choosing a TENS unit

  • Ease of use: Look for simple controls and clear instructions
  • Portability: Compact units are easier to use on the go
  • Electrode placement: Ensure the device includes guidance for proper positioning
  • Medical conditions: Avoid use if you have certain conditions, such as a pacemaker, unless approved by a healthcare professional

Combining Therapies

Some people find the most relief by combining treatments, such as using NSAIDs along with heat therapy or a TENS unit. A personalized approach based on symptom severity and lifestyle can improve outcomes.

Lifestyle Measures

Additional strategies may help reduce menstrual pain:

  • Regular physical activity
  • Adequate sleep
  • Stress management techniques
  • Balanced diet

Choosing the Right Approach for You

The most effective therapy varies from person to person. Consider starting with conservative options such as NSAIDs or heat therapy, and discuss additional treatments with your healthcare professional if symptoms persist.

A thoughtful approach that prioritizes safety, effectiveness, and convenience can help you better manage menstrual cramps and maintain your daily routine.

*This article is intended for informational purposes only and should not be substituted for medical advice. For medical questions and advice, it is always best to consult with your trained physician.

Sources:

Gibson, W., Wand, B. M., Meads, C., Catley, M. J., & O’Connell, N. E. (2019). Transcutaneous electrical nerve stimulation (TENS) for chronic pain: An overview of Cochrane reviews. Cochrane Database of Systematic Reviews, 2019(2), CD011890. https://doi.org/10.1002/14651858.CD011890.pub2

Mayo Foundation for Medical Education and Research. (n.d.-b). Menstrual cramps. Mayo Clinic. https://www.mayoclinic.org/diseases-conditions/menstrual-cramps/symptoms-causes/syc-20374938 

U.S. National Library of Medicine. (n.d.). ACOG committee opinion no. 760: Dysmenorrhea and endometriosis in the adolescent. Obstetrics and gynecology. https://pubmed.ncbi.nlm.nih.gov/30461694/ 

U.S. National Library of Medicine. (n.d.-d). Period pain | menstrual cramps. MedlinePlus. https://medlineplus.gov/periodpain.html 

Lift Chairs: Comfort, Support and Independence at Home

woman shopping for a lift chair

Lift chairs are specially designed recliners that help individuals sit down and stand up safely and comfortably. With the touch of a button, the chair gently tilts forward to assist with standing, and reclines back for relaxation. For people with mobility challenges, joint pain or recovering from surgery, lift chairs can make everyday movements easier and help maintain independence at home.

What is a Lift Chair?

A lift chair looks similar to a traditional recliner but includes a powered lifting mechanism. This mechanism raises and tilts the chair forward, reducing the physical effort required to stand. Many models also recline into multiple positions, allowing users to sit upright, elevate their legs or lie back comfortably.

Lift chairs are often recommended for individuals who experience:

  • Arthritis or joint pain
  • Limited mobility or balance concerns
  • Recovery after surgery or injury
  • Muscle weakness or fatigue

By reducing strain on the knees, hips and back, lift chairs can support safer movement and improved daily comfort.

Benefits of Lift Chairs

Improved Safety

Standing up from a seated position can increase the risk of falls, especially for those with limited strength or balance. Lift chairs provide controlled, stable assistance, helping reduce that risk.

Greater Independence

A lift chair allows individuals to move from sitting to standing without needing assistance from a caregiver, promoting confidence and independence.

Enhanced Comfort

Many lift chairs include features such as:

  • Plush cushioning and ergonomic support
  • Heat and massage functions
  • Adjustable reclining positions
  • Footrest extensions and lumbar support

These features can help reduce discomfort and support relaxation throughout the day.

Support for Recovery and Daily Living

Lift chairs can be especially helpful during recovery from surgery or injury by minimizing strain and supporting proper positioning.

Why Visit a Store to Choose a Lift Chair?

Selecting the right lift chair is not a one-size-fits-all decision. Visiting a store allows for a personalized experience that can make a significant difference in comfort and long-term satisfaction.

Personalized Fitting

Mayo Clinic Store employs highly trained staff who can help you select the appropriate lift chair based on your unique situation and personal needs. Staff can assist in identifying the right chair based on your height, weight and specific health care considerations. A proper fit ensures optimal comfort, safety and functionality.

Customized Selections

Lift chairs are available in a wide range of sizes, styles and features. Options may include:

  • Heat and massage
  • Powered headrests and lumbar support
  • Programmable remotes
  • Footrest extensions
  • Various weight capacities

With a variety of colors and fabrics to choose from, lift chairs can be customized to fit both your physical needs and personal style.

Try Before You Buy

Testing different models in person allows you to evaluate comfort, ease of use and positioning. This hands-on experience helps ensure the chair meets your expectations before making a purchase.

Please note: Lift chairs are currently available at our store locations in Rochester Crossroads, Phoenix, La Crosse, Mankato, and Eau Claire Westgate.

Convenient Purchase Options

Delivery or Pick Up

For new purchases, lift chairs may be picked up in store. Mayo Clinic Store also offers free delivery within its geographical service area. For additional details, speaking with a staff member can help clarify available options.

Warranty Information

Lift chairs come with a manufacturer warranty. Store staff can provide detailed information about coverage and what to expect over time.

Insurance Considerations

In limited circumstances, lift chair mechanisms may be covered by medical insurance or waiver programs. It is recommended to consult your insurance provider or speak with a Mayo Clinic Store staff member for guidance.

Choosing the Right Lift Chair

When selecting a lift chair, consider:

  • Your height and weight
  • Mobility level and medical needs
  • Preferred seating position and support features
  • Home space and style preferences

A properly fitted lift chair can provide both comfort and functional support, making daily activities easier and safer.

Supporting Comfort and Independence

Lift chairs are more than just furniture; they are tools that can enhance quality of life. By improving safety, comfort and independence, they can help individuals remain active and supported in their own homes.

Visiting a store for expert guidance and personalized fitting can help ensure you choose a lift chair that meets your needs today and in the future.

Sources: 

Mayo Foundation for Medical Education and Research. (n.d.). Lift Chairs Solutions for Healthier Living. Mayo Clinic.

Understanding Probiotics, Prebiotics and the "Biotics" Family

gut microbiome

The terms probiotics, prebiotics and related "biotics" are widely used in health discussions, but their meanings and their benefits can be misunderstood. Clear definitions can help you make informed decisions about diet and supplements.

What are Probiotics, Prebiotics and Other Biotics?

Probiotics are live microorganisms that, when consumed in adequate amounts, may provide a health benefit. These microorganisms can support gut health by helping maintain a balanced microbial environment, producing beneficial compounds such as short-chain fatty acids, strengthening the intestinal barrier and influencing immune responses.

Prebiotics are non-digestible substances (typically types of fiber) that feed beneficial gut bacteria. Unlike probiotics, prebiotics are not alive. They pass through the stomach intact and are fermented in the colon, where they support the growth of helpful bacteria such as Bifidobacteria and Lactobacilli.

Synbiotics combine probiotics and prebiotics in a single product, with the goal of improving the survival and activity of beneficial microbes.

Postbiotics refer to non-living microbial components and byproducts, such as metabolites produced during fermentation, that may still offer health benefits. These are being studied for their stability and potential safety advantages compared with live organisms.

Psychobiotics is a newer term used in research to describe certain probiotics that may influence communication between the gut and the brain. These effects may involve neural, hormonal and immune pathways.

What Does the Evidence Show About Probiotics?

Research on probiotics continues to grow, but results vary depending on the condition being studied and the specific strains used.

Conditions with Stronger Evidence

  • Antibiotic-associated diarrhea
  • Infectious diarrhea in children
  • Irritable bowel syndrome (modest benefit for some people)
  • Certain vaginal and urinary tract infections
  • Restoration of gut microbiome balance after antibiotics

Areas of Emerging Research

Some studies suggest that targeted microbial interventions may influence stress resilience, sleep quality and aspects of mood. Small clinical trials have also explored potential effects on memory and brain-related biomarkers. However, findings are mixed and not yet definitive.

Why Strain Specificity Matters

Not all probiotics are the same. Benefits appear to depend on the specific strain and dose. A label listing only total colony-forming units (CFUs) does not provide enough information to determine effectiveness. Products that identify individual strains may offer more clarity, but choices should be discussed with a health care professional.

Clinical Guidance

Major medical organizations note that probiotic recommendations are condition-specific and strain-specific. There is no universal recommendation for routine daily probiotic use in otherwise healthy individuals.

What is the Gut-Brain Axis?

The gut-brain axis refers to the network of communication pathways linking the gastrointestinal system and the central nervous system. This communication occurs through multiple systems, including the nervous system, immune system and circulatory pathways.

Key Components

The vagus nerve. This is a primary communication pathway between the gut and brain. A large proportion of signals travel from the gut upward to the brain.

The enteric nervous system. Sometimes called the "second brain," this network of neurons in the gut regulates digestion and communicates with the central nervous system.

Neurotransmitters in the gut. Many signaling molecules are produced in the gastrointestinal tract. Approximately 90% to 95% of the body’s serotonin is produced in the gut.

Short-chain fatty acids (SCFAs). These compounds are produced when gut bacteria ferment fiber. SCFAs help maintain the intestinal barrier and may influence brain function and inflammation.

The immune system. A large proportion of immune cells are located in or near the gut, linking gut health closely to immune and inflammatory responses.

What is the Gut Microbiome?

The gut microbiome is the collection of microorganisms living in the digestive tract. In healthy adults, it includes a diverse community of bacteria that contribute to digestion, nutrient production and metabolic processes.

Factors that Shape the Microbiome

  • Diet composition and diversity
  • Antibiotic use
  • Stress levels
  • Sleep patterns
  • Age
  • Use of certain medications

Among these, diet is one of the most important and modifiable factors.

What Happens When the Gut-Brain Axis is Disrupted?

An imbalance in the gut microbiome — sometimes called dysbiosis — has been associated with a range of health conditions. Research suggests links between gut microbial changes and mood disorders, stress responses, sleep disturbances and cognitive function.

However, many of these findings are based on observational or early-stage studies. While the associations are compelling, they do not prove cause and effect, and more research is needed before specific treatments can be recommended.

Diet and the Microbiome

Diet plays a central role in shaping the gut microbiome and supporting gut-brain communication.

Fiber-rich Foods

Dietary fiber is a key nutrient for gut health. When fermented by gut bacteria, fiber produces beneficial compounds such as SCFAs.

Examples of high-fiber foods include:

  • Beans, lentils and chickpeas
  • Whole grains such as oats and brown rice
  • Vegetables such as onions, garlic, leeks and asparagus
  • Fruits such as berries and apples
  • Nuts and seeds

Most adults do not meet recommended daily fiber intake levels.

Fermented Foods

Fermented foods provide live microorganisms along with nutrients. Examples include yogurt with live cultures, kefir, kimchi, sauerkraut, miso and tempeh.

Overall Dietary Pattern

A dietary pattern rich in plant-based foods, whole grains, healthy fats and fermented foods — such as the Mediterranean diet — is associated with both gut and overall health.

What May Harm the Microbiome

  • Diets high in ultra-processed foods
  • Excess added sugars
  • Chronic alcohol use
  • Limited dietary diversity

Practical Steps to Support Gut and Focus

Foundation Strategies

  • Increase fiber intake gradually toward recommended levels
  • Include fermented foods regularly, if tolerated
  • Focus on a balanced, plant-rich dietary pattern
  • Limit highly processed foods and excess sugar

Lifestyle Factors

  • Maintain consistent sleep patterns
  • Engage in regular physical activity
  • Manage chronic stress
  • Use antibiotics only when necessary and as prescribed

Supplements

Some people may consider supplements in certain situations:

  • Prebiotic fiber supplements when dietary intake is insufficient
  • Probiotic supplements for specific conditions or after antibiotics

Because effects vary, it is important to discuss supplement use with a health care professional, especially if you have underlying health conditions.

When to Talk to Your Healthcare Professional

Consider seeking medical advice if you experience:

  • Persistent digestive symptoms
  • Changes in mood along with gastrointestinal symptoms
  • Ongoing fatigue, sleep disruption or cognitive concerns
  • Symptoms that develop after antibiotic use

A health care professional can help determine appropriate evaluation and treatment options.

Final Thoughts

Understanding of the gut-brain connection continues to evolve. The gut microbiome plays an important role not only in digestion, but also in immune function, metabolism and communication with the brain.

While research into probiotics and related therapies is ongoing, the most consistent evidence supports a foundation of healthy lifestyle habits. A balanced diet rich in fiber and whole foods, along with regular physical activity, adequate sleep and stress management, remains the most reliable approach to supporting both gut and overall health.

Before starting any new supplement or making significant dietary changes, consult your health care professional, especially if you have existing medical conditions or concerns.

Sources:

Cryan JF;O’Riordan KJ;Cowan CSM;Sandhu KV;Bastiaanssen TFS;Boehme M;Codagnone MG;Cussotto S;Fulling C;Golubeva AV;Guzzetta KE;Jaggar M;Long-Smith CM;Lyte JM;Martin JA;Molinero-Perez A;Moloney G;Morelli E;Morillas E;O’Connor R;Cruz-Pereira JS;Peterson VL;R. (n.d.). The microbiota-gut-brain axis. Physiological reviews. https://pubmed.ncbi.nlm.nih.gov/31460832/ 

Hill, C., Guarner, F., Reid, G., Gibson, G. R., Merenstein, D. J., Pot, B., Morelli, L., Canani, R. B., Flint, H. J., Salminen, S., Calder, P. C., & Sanders, M. E. (2014, June 10). The International Scientific Association for Probiotics and prebiotics consensus statement on the scope and appropriate use of the term probiotic. Nature News. https://www.nature.com/articles/nrgastro.2014.66 

P;, S. (n.d.). Neurotransmitter modulation by the gut microbiota. Brain research. https://pubmed.ncbi.nlm.nih.gov/29903615/ 

U.S. Department of Health and Human Services. (n.d.-b). Office of dietary supplements - probiotics. NIH Office of Dietary Supplements. https://ods.od.nih.gov/factsheets/Probiotics-Consumer/ 

Wastyk HC;Fragiadakis GK;Perelman D;Dahan D;Merrill BD;Yu FB;Topf M;Gonzalez CG;Van Treuren W;Han S;Robinson JL;Elias JE;Sonnenburg ED;Gardner CD;Sonnenburg JL; (n.d.). Gut-microbiota-targeted diets modulate human immune status. Cell. https://pubmed.ncbi.nlm.nih.gov/34256014/ 

GLP-1 Medications and Muscle Loss: What to Know About Nutrition and Supplements

feet on a scale

Medications such as semaglutide (Ozempic, Wegovy) and tirzepatide (Mounjaro, Zepbound) are changing how obesity and metabolic disease are treated. Many people taking these medications are seeing substantial weight loss, often faster than expected.

What’s less often discussed is that the number on the scale doesn’t tell the full story. Along with fat loss, some people also lose lean body mass, which includes muscle, water and other tissues. In some studies, lean mass has accounted for a meaningful portion of total weight lost.

What are GLP-1 Medications and How do They Work?

GLP-1 stands for glucagon-like peptide-1, a hormone naturally produced in the gut. It plays an important role in regulating appetite and blood sugar.

GLP-1 receptor agonists, which are the class of medications that includes semaglutide and tirzepatide, work by mimicking this hormone. Their effects include:

  • Increasing feelings of fullness after eating
  • Slowing the rate at which the stomach empties
  • Reducing appetite and food intake
  • Supporting blood sugar control

These medications were originally developed to treat type 2 diabetes. They are now widely used for weight management and have also been shown to reduce cardiovascular risk in certain populations.

In clinical trials, people taking these medications often lose 15% to 20% of their body weight, which is greater than what was typically seen with earlier weight-loss medications.

Beyond weight loss, GLP-1 therapies have been associated with improvements in:

  • Blood sugar control
  • Cardiovascular outcomes
  • Fatty liver disease
  • Obesity-related conditions such as sleep apnea and joint pain

These are meaningful benefits. At the same time, rapid weight loss, regardless of method, introduces important considerations for muscle and nutritional health.

What Research Shows About Muscle Loss

Weight loss is not made up of fat alone. When people lose weight quickly, they typically lose a combination of fat mass and lean body mass.

How much muscle is lost?

Research suggests that approximately 25% to 40% of weight loss during GLP-1 therapy may come from lean mass. This can sound concerning, but it’s important to understand what that means.

Lean mass is not just muscle

Lean body mass includes:

  • Skeletal muscle
  • Organs
  • Bone
  • Body water
  • Connective tissue

This means that not all lean mass loss reflects a loss of muscle. Some of the change may be related to shifts in fluid balance or other tissues.

Is this unique to GLP-1 medications?

No. This pattern is not unique to GLP-1 therapy. Any form of significant weight loss, including calorie restriction or bariatric surgery, typically results in some degree of lean mass loss.

In some cases, changes in muscle during weight loss may also reflect improvements in muscle quality, including reduced fat infiltration and improved metabolic function.

Why muscle still matters

Even when expected, muscle loss deserves attention.

Skeletal muscle is:

  • A major contributor to resting metabolic rate
  • A key site for glucose metabolism
  • Essential for strength, mobility and independence

Losing muscle can lower the number of calories your body burns at rest. This may make it easier to regain weight if treatment is stopped, especially since many people discontinue GLP-1 medications within the first year.

Who is most at risk?

Certain groups may be more vulnerable to the effects of muscle loss:

  • Older adults
  • Individuals with low baseline muscle mass
  • People who are physically inactive
  • Women in perimenopause or postmenopause

In these populations, muscle loss can contribute to sarcopenia (age-related muscle decline) and increase the risk of falls, frailty and reduced independence.

Priority One: Protein

Adequate protein intake is one of the most effective ways to support muscle during weight loss.

Why protein matters

Protein provides the building blocks needed to maintain and repair muscle tissue. When calorie intake is reduced, as it often is with GLP-1 medications, protein needs may increase.

Recommended intake

For individuals actively losing weight, many experts recommend:

  • 1.2 to 1.6 grams of protein per kilogram of body weight per day

This is higher than the general recommended dietary allowance of 0.8 g/kg/day.

The challenge with GLP-1 medications

Because these medications reduce appetite, many people eat significantly less overall — including less protein.

Practical strategies

  • Prioritize protein at each meal
  • Choose high-quality sources such as eggs, fish, poultry, dairy, legumes and soy
  • Spread protein intake throughout the day
  • Consider smaller, more frequent meals if appetite is low
  • Set reminders to eat if needed

Protein supplements

Protein supplements can help fill gaps when food intake is limited.

  • Whey protein is well studied and effective for supporting muscle
  • Plant-based options such as pea protein can also be effective

However, protein alone is not enough.

Priority Two: Resistance Training

Exercise, particularly strength training, is one of the most important factors in preserving muscle during weight loss.

Why resistance training matters

Resistance training:

  • Stimulates muscle protein synthesis
  • Helps maintain or increase muscle mass
  • Improves strength and physical function

Studies consistently show that people who combine GLP-1 therapy with structured exercise are more likely to preserve lean mass than those who do not.

What about aerobic exercise?

Aerobic activity is important for cardiovascular health, but it is less effective than resistance training for preserving muscle.

A balanced approach that includes both is ideal.

Getting started

If you’re new to exercise:

  • Begin with bodyweight movements (such as squats or wall push-ups)
  • Use resistance bands or light weights
  • Focus on consistency rather than intensity
  • Gradually increase difficulty over time

Even small amounts of strength training can make a meaningful difference.

Priority Three: Micronutrient Deficiencies

Reduced food intake can increase the risk of vitamin and mineral deficiencies.

Some studies suggest that a notable portion of people taking GLP-1 medications develop at least one nutritional deficiency within the first year.

Common nutrients of concern

Vitamin D

  • Important for bone, muscle and immune health
  • Deficiency is common, especially in people with obesity

Calcium

  • Essential for bone strength
  • Blood levels may appear normal even when intake is low

Vitamin B12

  • Supports nerve function and energy metabolism
  • Low levels may cause fatigue, numbness or cognitive changes

Magnesium

  • Involved in muscle function and energy production
  • Often under-consumed in general diets

Iron

  • Important for oxygen transport in the blood
  • Risk may be higher in menstruating women

Signs of possible deficiency

  • Fatigue
  • Muscle weakness
  • Hair loss
  • Slow wound healing
  • Unusual bruising

Should you take a multivitamin?

A daily multivitamin may help address general gaps in intake. However, targeted supplementation based on lab testing is often more effective.

Talk with your health care professional about appropriate testing and supplementation.

Supplements with Evidence for Muscle Preservation

Some supplements may support muscle health when used alongside nutrition and exercise.

Creatine monohydrate

Creatine is one of the most studied supplements for muscle health.

  • Helps support strength and lean body mass
  • Most effective when combined with resistance training
  • Well studied in older adults

HMB (beta-hydroxy beta-methylbutyrate)

HMB is a compound derived from the amino acid leucine.

  • May help reduce muscle breakdown
  • Often used in clinical settings for muscle preservation
  • Typical dose: about 3 grams per day

Fiber and probiotics

GLP-1 medications commonly cause gastrointestinal symptoms.

  • Fiber can help support regular bowel movements
  • Probiotics may support digestive health

These may improve comfort and help patients stay consistent with treatment.

Managing GI Side Effects

Common side effects of GLP-1 medications include:

  • Nausea
  • Vomiting
  • Constipation
  • Diarrhea

These symptoms can affect more than comfort; they can also reduce food intake and worsen nutritional deficiencies.

Practical strategies

  • Eat smaller meals
  • Eat slowly and mindfully
  • Avoid high-fat or heavily processed foods
  • Stay well hydrated
  • Speak with your health care professional before adjusting your dose

Managing these symptoms can improve both adherence and overall nutrition.

What to Ask Your Healthcare Team

If you are taking or considering a GLP-1 medication, consider discussing:

  • Baseline lab testing (vitamin D, B12, iron, calcium, magnesium)
  • Follow-up testing within 3 to 6 months
  • Referral to a registered dietitian
  • A personalized exercise plan that includes strength training
  • Bone density evaluation if appropriate
  • Ongoing monitoring of dietary intake and hydration

Proactive care can help identify and address potential issues early.

Looking Ahead

Researchers are exploring ways to improve body composition outcomes during GLP-1 therapy.

Early studies suggest that combining GLP-1 medications with other therapies may:

  • Increase fat loss
  • Reduce muscle loss

These approaches are still under investigation and are not yet widely available. However, they reflect a broader shift toward focusing not just on weight loss, but on overall body composition and health.

Final Thoughts

GLP-1 medications represent a significant advance in the treatment of obesity and metabolic disease. For many people, they offer meaningful improvements in health and quality of life.

Muscle loss during weight loss is a real consideration, but it is not unique to these medications, and it can be addressed.

The most effective approach includes:

  • Adequate protein intake
  • Regular resistance training
  • Monitoring of key nutrients
  • Ongoing communication with a health care professional

These strategies can help you preserve muscle, support long-term health and maintain the benefits of treatment.

Before starting any supplement or making significant changes to your routine, talk with your health care professional to determine what’s right for you.

Sources: 

Does ozempic cause muscle loss and how to prevent it?. Drugs.com. (n.d.). https://www.drugs.com/medical-answers/ozempic-cause-muscle-loss-how-you-prevent-3578660 

ExerciseContributor, A. C. on, Author American Council on Exercise Contributor Read More Less, GreenContributor, D. J., GrahamContributor, K., & Expert, P. M. and F. (n.d.). CertifiedTM: June 2025 - GLP-1s and Lean Mass: What the research shows. ACE. https://www.acefitness.org/continuing-education/certified/june-2025/8892/glp-1s-and-lean-mass-what-the-research-shows/ 

ScienceDaily. (2025, February 24). Genetic evidence that diabetes drug GLP-1 receptor agonists achieve weight loss primarily by reducing fat mass more than muscle. ScienceDaily. https://www.sciencedaily.com/releases/2025/02/250224111937.htm 

TNF Pharmaceuticals Launches Study Series aimed at preserving lean muscle mass during GLP-1 Weight Loss treatment | American Pharmaceutical Review - the review of American Pharmaceutical Business & Technology. (n.d.-f). https://www.americanpharmaceuticalreview.com/1315-News/617450-TNF-Pharmaceuticals-Launches-Study-Series-Aimed-at-Preserving-Lean-Muscle-Mass-During-GLP-1-Weight-Loss-Treatment/ 

Creatine Beyond the Gym: What Older Adults and Non-Athletes Should Know

person scooping powder

For decades, creatine has been closely associated with athletes, a staple in gym bags and protein shakes, and often linked to muscle growth and performance.

More recently, that perception has begun to shift. Creatine is now being discussed not only for physical performance, but also for focus help, healthy aging and everyday function. Interest has expanded beyond athletes to include older adults, women, vegetarians and others looking to maintain strength and mental sharpness over time.

Understanding what creatine is, and what the evidence actually shows, can help you decide whether it may have a role in your health.

What is Creatine and Where Does it Come From?

Creatine is a naturally occurring compound found in the body. It plays an essential role in how cells produce and use energy.

Your body makes creatine from amino acids, primarily arginine, glycine and methionine. It is also obtained through dietary sources such as:

  • Meat

  • Fish

  • Poultry

  • Dairy products

In the body, creatine is converted into phosphocreatine, which helps regenerate adenosine triphosphate (ATP), the primary energy source for cells. This process is especially important during short bursts of activity and in tissues with high energy demands.

About 95% of the body’s creatine is stored in skeletal muscle, where it supports strength and movement. The remaining amount is found in other tissues, including the brain.

Dietary intake varies significantly:

  • Omnivorous diets typically provide about 1 to 2 grams per day

  • Vegetarian diets provide much smaller amounts

  • Vegan diets provide little to none

This difference can influence how individuals respond to supplementation.

What Happens to Creatine as We Age?

Creatine levels in the body tend to decline with age. Several factors may contribute to this:

  • Reduced dietary intake

  • Decreased muscle mass (the main storage site for creatine)

  • Changes in the body’s ability to produce creatine

  • Lower levels of physical activity

At the same time, age-related changes in muscle become more noticeable. Muscle strength generally remains stable through early adulthood, but begins to decline around midlife. After age 50, muscle mass and strength gradually decrease, which is a process known as sarcopenia.

Sarcopenia is associated with:

  • Increased risk of falls and fractures

  • Reduced mobility and independence

  • Slower recovery from illness or injury

Maintaining muscle strength and function is an important part of healthy aging. Because creatine supports energy production in muscle, it has been studied as a potential tool to help address these changes.

The Muscle and Strength Evidence: Where it's Strongest

Among all areas of research on creatine, the most consistent findings relate to muscle health.

Studies show that creatine monohydrate, particularly when combined with resistance training, can:

  • Increase lean body mass

  • Improve muscle strength

  • Enhance physical performance

  • Support functional ability in older adults

Research suggests that the combination of creatine supplementation and exercise may help counteract aspects of sarcopenia. This is especially relevant for older adults looking to maintain independence and mobility.

Bone health findings are more mixed. Some studies suggest that creatine may reduce markers of bone breakdown and support bone structure when combined with exercise. However, it has not consistently been shown to increase bone mineral density on its own.

Considerations for women

Emerging research suggests that creatine may offer additional benefits for women, particularly during perimenopause and menopause.

In one recent clinical study, creatine supplementation was associated with:

  • Improved reaction time

  • Increased brain creatine levels

  • Favorable changes in lipid markers

While more research is needed, these findings suggest a potential role for creatine in supporting both physical and cognitive health during hormonal transitions.

A Note on Vegetarians and Vegans

People who follow vegetarian or vegan diets typically consume little to no creatine from food.

As a result, they often have lower baseline creatine levels and may experience a greater response to supplementation.

For individuals who avoid animal products, creatine may help fill a gap that is difficult to address through diet alone.

Forms and Dosing

Form

  • Creatine monohydrate is the most widely studied and recommended form

  • Other forms are available, but none have consistently shown superior effectiveness

Dosing

Common approaches include:

  • Loading phase: 20 grams per day (divided doses) for 5 to 7 days

  • Maintenance phase: 3 to 5 grams per day

Some people choose to skip the loading phase and take a consistent daily dose. This approach also increases creatine levels over time, though more gradually.

Safety

Creatine is generally considered safe for healthy adults when used at recommended doses.

Research has not shown harmful effects on kidney or liver function in healthy individuals. However, certain precautions apply.

Possible side effects include:

  • Temporary water retention in muscles

  • Mild weight gain

  • Occasional digestive discomfort

If you have kidney disease, take medications or have other health concerns, consult your health care professional before using creatine.

Who May Benefit Most

Creatine is not necessary for everyone. However, certain groups may be more likely to benefit.

Those who may benefit include:

  • Adults over 55 seeking to maintain muscle strength, especially with resistance training

  • Vegetarians and vegans with low dietary creatine intake

  • Women in perimenopause or menopause (emerging evidence)

  • Individuals experiencing high mental demands or sleep-related fatigue

  • People recovering from illness, injury or periods of inactivity

Those for whom benefits may be less clear:

  • Younger individuals with adequate dietary intake and regular training

  • People expecting creatine alone, without exercise, to reverse muscle loss

Creatine works best as part of a broader approach that includes physical activity and good nutrition.

Final Thoughts

Creatine is no longer viewed only as a supplement for athletes. Research increasingly supports its role in muscle health, particularly in older adults and when combined with resistance training.

Its potential effects on overall focus are an active area of study. Early findings are encouraging, but more research is needed before firm conclusions can be made.

As with many aspects of health, no single supplement replaces the foundation of:

  • Regular physical activity

  • Balanced nutrition

  • Adequate sleep

If you are considering creatine, talk with your health care professional, especially if you have an underlying condition or take medications. Together, you can determine whether it fits into your overall health plan.

Sources: 

Li, N. (2026, January 12). Creatine supplementation and exercise in aging: A narrative review of the muscle-brain axis and its impact on cognitive and Physical Health. Frontiers in nutrition. https://pmc.ncbi.nlm.nih.gov/articles/PMC12832544/ 

Marshall S;Kitzan A;Wright J;Bocicariu L;Nagamatsu LS; (n.d.). Creatine and cognition in aging: A systematic review of evidence in older adults. Nutrition reviews. https://pubmed.ncbi.nlm.nih.gov/40971619/ 

Sandkühler, J. F., Kersting, X., Faust, A., Königs, E. K., Altman, G., Ettinger, U., Lux, S., Philipsen, A., Müller, H., & Brauner, J. (2023, November 15). The effects of creatine supplementation on cognitive performance-A randomised controlled study. BMC medicine. https://pmc.ncbi.nlm.nih.gov/articles/PMC10647179/ 

T;, C. D. (n.d.). Effects of creatine monohydrate supplementation on muscle, Bone and brain- hope or hype for older adults?. Current osteoporosis reports. https://pubmed.ncbi.nlm.nih.gov/39509039/ 

Magnesium: Forms, Benefits, and What the Research Says

magnesium supplements

If you’ve ever stood in a supplement aisle or scrolled through pages of options online, you’ve likely seen magnesium in many forms: glycinate, citrate, L-threonate, malate and more. The labels can be confusing, and it’s not always clear whether you need magnesium at all, let alone which type to choose.

Interest in magnesium supplements has grown in recent years, as more people learn that different forms vary in how well they’re absorbed and how they may affect the body. Understanding these differences can help you make informed decisions about your health.

What Magnesium Does in the Body

Magnesium is an essential mineral involved in more than 300 enzymatic reactions. It plays a role in many basic processes that keep your body functioning normally.

Key functions include:

  • Energy production through the synthesis of ATP, the body’s main energy molecule

  • Muscle contraction and relaxation, including the heart muscle

  • Nerve signaling, helping transmit messages throughout the body

  • Blood pressure regulation

  • Bone health, working alongside calcium and vitamin D

  • Blood sugar control, supporting insulin function

Because magnesium is involved in so many systems, low levels can affect multiple aspects of health.

How Common is Low Magnesium?

True magnesium deficiency (hypomagnesemia) is relatively uncommon in otherwise healthy people. However, many people may not get enough magnesium from their diet — sometimes referred to as subclinical insufficiency.

Estimates suggest that a large portion of people in Western countries do not meet recommended magnesium intake levels. This may be related to dietary patterns that rely heavily on processed foods, which tend to contain less magnesium than whole foods.

Early signs of low magnesium can include:

  • Loss of appetite

  • Nausea

  • Fatigue

  • Weakness

More severe deficiency may lead to:

  • Muscle cramps or spasms

  • Abnormal heart rhythms

  • Numbness or tingling

Magnesium-rich foods include:

  • Dark leafy greens (such as spinach)

  • Legumes (beans and lentils)

  • Nuts and seeds

  • Whole grains

  • Dark chocolate

A food-first approach is generally recommended whenever possible.

Understanding the forms: Organic vs. Inorganic

Magnesium supplements are commonly divided into two categories: organic and inorganic compounds.

  • Organic forms (such as citrate, glycinate, malate and lactate) are bound to organic molecules like amino acids or acids. These forms tend to be more soluble and are generally better absorbed by the body.

  • Inorganic forms (such as oxide, sulfate and chloride) are not bound to organic molecules and are typically less well absorbed.

Another important concept is elemental magnesium, or the actual amount of magnesium available for the body to use. Some supplements contain a higher percentage of elemental magnesium but are less easily absorbed. As a result, a higher number on the label does not always mean greater benefit.

A Guide to the Most Common Forms

Magnesium glycinate

Magnesium glycinate is bound to the amino acid glycine. It is often described as gentle on the digestive system and less likely to cause diarrhea than some other forms.

This form is commonly used for general supplementation and may be helpful for people seeking support for sleep, stress or relaxation. It is considered one of the more bioavailable forms.


Magnesium citrate

Magnesium citrate is one of the most widely available and commonly used forms. It is well absorbed and relatively affordable.

At higher doses, it can have a mild laxative effect. For this reason, it is sometimes used to relieve occasional constipation.


Magnesium malate

Magnesium malate is combined with malic acid, a compound involved in energy production. It is generally well absorbed and may be less likely to cause digestive side effects than some other forms.

It is sometimes marketed for energy support or muscle discomfort, although more research is needed to confirm these benefits.


Magnesium oxide

Magnesium oxide contains a high percentage of elemental magnesium, but it is poorly absorbed by the body.

It is often used to relieve constipation due to its laxative effect. However, it is less effective than other forms for raising magnesium levels in the bloodstream.


Magnesium taurate

Magnesium taurate combines magnesium with taurine, an amino acid involved in cardiovascular function.

Some research suggests it may support heart health and blood sugar regulation, but evidence in humans is still limited.


Magnesium sulfate (Epsom salt)

Magnesium sulfate is commonly known as Epsom salt and is often added to baths to help soothe sore muscles.

However, there is little evidence that magnesium is significantly absorbed through the skin during bathing. As a result, Epsom salt baths are unlikely to meaningfully increase magnesium levels in the body.

What the Research Shows

Research on magnesium supplementation is ongoing. While some findings are encouraging, results can vary depending on the population studied, dosage and form of magnesium used.

Sleep

Magnesium plays a role in regulating neurotransmitters involved in sleep, including melatonin and GABA.

Observational studies suggest that higher magnesium intake is associated with better sleep quality. Some small clinical trials have shown improvements in sleep, but results are not consistent across all studies. Larger, well-designed trials are needed.


Blood pressure

Magnesium supplementation has been associated with modest reductions in both systolic and diastolic blood pressure.

Some analyses of clinical trials suggest greater benefits in people with hypertension or low magnesium levels. However, regulatory agencies note that the overall evidence remains mixed.


Cognitive health

Magnesium is involved in many neurological processes, and early research suggests it may support cognitive function and mood.

However, most clinical studies are small or short-term, and more rigorous research is needed before making specific recommendations.


Bone health

Magnesium contributes to bone formation and helps regulate hormones involved in bone metabolism, including parathyroid hormone and vitamin D.

Some studies link higher magnesium intake with greater bone density. However, research specifically on supplementation is still limited.


Dosing and Safety

Recommended daily magnesium intake varies by age and sex:

  • Men: 400–420 mg per day

  • Women: 310–320 mg per day

  • Needs may increase during pregnancy

The tolerable upper intake level for supplemental magnesium is 350 mg per day for adults. Magnesium obtained from food does not carry the same risk.

High doses from supplements may cause:

  • Diarrhea

  • Nausea

  • Abdominal cramping

Magnesium can also interact with certain medications, including:

  • Diuretics

  • Proton pump inhibitors (PPIs)

  • Some antibiotics

If you take medications or have a medical condition, consult your health care professional before starting a supplement.

The Bottom Line: What Form is Right for You?

There is no single “best” form of magnesium. The right choice depends on your health goals and individual needs.

A general guide:

  • For overall support or sensitive digestion: magnesium glycinate

  • For sleep or relaxation: magnesium glycinate or taurate

  • For constipation or digestive support: magnesium citrate

  • For cognitive support: magnesium L-threonate (with emerging evidence)

  • For energy or muscle support: magnesium malate or citrate

  • For raising magnesium levels: avoid relying on magnesium oxide

Whenever possible, aim to meet your magnesium needs through a balanced diet rich in whole foods. Supplements can help fill gaps, particularly for individuals with increased needs or reduced intake.

Before starting any supplement, talk with your health care professional to determine what’s appropriate for you.

Sources: 

Cepeda, V., Ródenas-Munar, M., García, S., Bouzas, C., & Tur, J. A. (2025, June 16). Unlocking the power of magnesium: A systematic review and meta-analysis regarding its role in oxidative stress and inflammation. Antioxidants (Basel, Switzerland). https://pmc.ncbi.nlm.nih.gov/articles/PMC12189353/ 

Magnesium supplementation and blood pressure: A systematic review and meta-analysis of randomized controlled trials. CoLab. (n.d.). https://colab.ws/articles/10.1161%2Fhypertensionaha.125.25129 

Matek Sarić, M., Sorić, T., Juko Kasap, Ž., Lisica Šikić, N., Mavar, M., Andruškienė, J., & Sarić, A. (2025, November 20). Magnesium: Health effects, deficiency burden, and future public health directions. Nutrients. https://pmc.ncbi.nlm.nih.gov/articles/PMC12655508/ 

U.S. Department of Health and Human Services. (n.d.-a). Office of dietary supplements - magnesium. NIH Office of Dietary Supplements. https://ods.od.nih.gov/factsheets/Magnesium-HealthProfessional/ 

Acne-Prone Skin Care: A Simple Routine That Can Help Clear and Prevent Breakouts

teenager washing face

Acne is one of the most common skin conditions. It affects teenagers and adults alike. If you have acne-prone skin, a consistent, gentle routine can help reduce breakouts and support healthier-looking skin.

Complicated routines aren’t usually necessary. In fact, using too many products or harsh ingredients can irritate the skin and make acne worse. A simple, balanced approach can be effective.

What Causes Acne?

Acne develops when hair follicles become clogged with oil (sebum), dead skin cells and bacteria. Several factors can contribute, including:

  • Excess oil production

  • Hormonal changes

  • Inflammation

  • Certain medications

  • Friction or pressure on the skin

  • Use of heavy or pore-clogging skin care products

Because acne has multiple causes, treatment often works best when it addresses oil, clogged pores and inflammation while protecting the skin barrier.

A Simple Acne-Friendly Skin Care Routine

An effective routine usually includes just a few essential steps: cleanse, treat, moisturize and protect.

Morning Routine

1. Gentle Cleanser

Wash your face with a mild, fragrance-free cleanser designed for acne-prone or sensitive skin.

Look for labels such as:

  • “Oil-free”

  • “Noncomedogenic” (won’t clog pores)

  • “Fragrance-free”

Use lukewarm water and your fingertips. Avoid scrubbing, washcloths or harsh exfoliants, which can irritate the skin and worsen breakouts.

2. Acne Treatment (if recommended)

Depending on your skin and the type of acne, over-the-counter treatments may help. Common ingredients include:

  • Benzoyl peroxide to reduce bacteria and inflammation

  • Salicylic acid to unclog pores

  • Adapalene (a topical retinoid) to prevent clogged pores

Start with a lower strength to reduce irritation. Apply a thin layer to acne-prone areas as directed.

If you’re unsure which product is right for you, talk with a health care professional.

3. Moisturizer

Moisturizing is important even if you have oily skin. Skipping moisturizer can cause dryness and irritation, which may increase oil production.

Choose a lightweight, noncomedogenic moisturizer to maintain your skin barrier.

4. Broad-Spectrum Sunscreen

Some acne treatments increase sun sensitivity. Daily sunscreen use helps prevent skin damage and discoloration.

Select a broad-spectrum sunscreen with SPF 30 or higher. Mineral (zinc oxide or titanium dioxide) formulas may be better tolerated by sensitive or acne-prone skin.

Evening Routine

1. Cleanse

Wash your face again to remove oil, sweat, sunscreen and makeup.

If you wear heavy makeup, you may benefit from removing it first with a gentle makeup remover before cleansing.

2. Apply Treatment Products

Evening is often the best time to use:

  • Topical retinoids

  • Benzoyl peroxide

  • Prescription acne medications

Apply as directed. If irritation occurs, your health care professional may recommend using the product every other night at first.

3. Moisturize

Finish with a moisturizer to reduce dryness and support healing.

Habits That Help Prevent Breakouts

In addition to a consistent routine, these habits may help:

  • Keep hair products away from your face.

  • Change pillowcases regularly.

  • Clean makeup brushes often.

  • Remove makeup before bed.

  • Avoid using multiple new products at once.

Introducing one product at a time makes it easier to identify irritation or sensitivity.

What to Avoid

Certain practices can worsen acne:

  • Avoid picking or squeezing pimples, which can lead to scarring.
  • Overwashing (more than twice daily)

  • Harsh scrubs or abrasive tools

  • Alcohol-based toners

  • Heavy oils or thick creams

  • Frequently switching products

Irritation can increase inflammation and delay improvement.

When to See a Health Care Professional

Consider medical care if:

  • Over-the-counter products aren’t helping after several weeks

  • Acne is painful, deep or cyst-like

  • You notice scarring

  • Breakouts are affecting your confidence or emotional well-being

Prescription treatments, including topical medications, oral antibiotics, hormonal therapies or isotretinoin, may be recommended for moderate to severe acne.

Final Thoughts

A simple, consistent skin care routine can help manage acne and reduce future breakouts. Gentle cleansing, targeted treatment, moisturizing and daily sun protection form the foundation of acne-friendly skin care.

If acne persists or worsens, a health care professional can help tailor a treatment plan to your skin’s needs. With the right approach, clearer skin is possible.

Sources: 

(UK), N. G. A. (n.d.). Skin care advice for people with acne vulgaris. National Center for Biotechnology Information. https://www.ncbi.nlm.nih.gov/books/NBK573057 

Acne: Diagnosis and treatment. American Academy of Dermatology. (n.d.-b). https://www.aad.org/public/diseases/acne/derm-treat/treat 

Mayo Foundation for Medical Education and Research. (2024e, July 20). Acne. Mayo Clinic. https://www.mayoclinic.org/diseases-conditions/acne/diagnosis-treatment/drc-20368048 

Lifestyle Matters Most: Everyday Habits That Support Healthy Cognitive Aging

man and woman cooking

Cognitive health, or the ability to think clearly, learn and remember, is shaped by many factors. While age and genetics play a role, research consistently shows that lifestyle choices have a powerful influence on how the brain ages. Regular physical activity, restorative sleep, blood pressure control, hearing and vision care, and strong social connections are all linked to better cognitive function over time.

The encouraging news: Many of these factors are within your control.

Why Lifestyle Plays a Central Role in Overall Health

The brain depends on a steady supply of oxygen-rich blood, balanced hormones, quality sleep and meaningful stimulation. Habits that support heart health, sensory health and emotional well-being also support the brain.

Healthy lifestyle behaviors are associated with:

  • Slower cognitive decline

  • Lower risk of dementia

  • Better memory and executive function

  • Improved mood and resilience

Taking small, consistent steps can make a meaningful difference.

Physical Activity: Movement Supports the Mind

Regular physical activity is one of the most effective ways to promote overall health.

Exercise:

  • Improves blood flow to the brain

  • Supports growth of new neural connections

  • Reduces inflammation

  • Helps control weight, blood pressure and blood sugar

Both aerobic activity (such as brisk walking, swimming or cycling) and strength training are beneficial. Even moderate movement, such as gardening, dancing or active household tasks, can contribute to cognitive well-being.

Aim for at least 150 minutes of moderate aerobic activity per week, along with muscle-strengthening activities on two or more days.

Sleep: Essential for Memory

Sleep is not simply rest; it is an active process that supports memory consolidation, emotional regulation and removal of metabolic waste from the brain.

Chronic sleep deprivation is associated with:

  • Difficulty concentrating

  • Impaired memory

  • Increased risk of cognitive decline

Most adults need 7 to 9 hours of quality sleep each night.

To improve sleep:

  • Maintain a consistent bedtime and wake time

  • Limit caffeine and alcohol close to bedtime

  • Reduce screen use before sleep

  • Create a cool, dark and quiet sleep environment

If you experience persistent insomnia, loud snoring or daytime sleepiness, talk with your healthcare professional.

 Blood Pressure Control: Protecting Brain Blood Flow

High blood pressure (hypertension) can damage blood vessels throughout the body, including those in the brain. Over time, uncontrolled hypertension increases the risk of stroke, vascular cognitive impairment and dementia.

Managing blood pressure helps preserve brain function.

Healthy strategies include:

  • Following a heart-healthy eating plan

  • Reducing sodium intake

  • Staying physically active

  • Maintaining a healthy weight

  • Taking prescribed medications as directed

Regular monitoring and partnership with your care team are key.

Hearing and Vision Care: Supporting Cognitive Load

Hearing and vision changes are common with aging, but untreated sensory loss can contribute to cognitive strain.

When the brain must work harder to process muffled sounds or blurred images, it may divert resources from memory and thinking tasks. Hearing and vision loss are also linked to social isolation, another risk factor for cognitive decline.

To support sensory health:

  • Have regular hearing and vision screenings

  • Use hearing aids or corrective lenses as recommended

  • Address cataracts, glaucoma or other eye conditions early

Prompt treatment can improve quality of life and may help protect cognitive function.

Social Connection: The Brain Thrives on Engagement

Humans are social beings. Meaningful relationships and regular interaction stimulate multiple areas of the brain.

Strong social connections are associated with:

  • Better memory

  • Lower risk of depression

  • Reduced risk of cognitive decline

Ways to stay socially engaged include:

  • Volunteering

  • Joining community groups or clubs

  • Participating in faith-based or cultural organizations

  • Maintaining regular contact with family and friends

  • Taking classes or learning new skills

Even small, consistent interactions can make a difference.

Diet Patterns: Nourishing the Brain Over Time

What you eat influences more than heart health and weight; it also affects how your brain functions and ages. Rather than focusing on single “superfoods,” research shows that overall diet patterns have the greatest impact on long-term cognitive health.

A balanced, nutrient-dense eating pattern supports blood vessel health, reduces inflammation and provides essential nutrients that help maintain brain structure and function.

Eating plans associated with improved brain health share common features. These include:

  • Abundant fruits and vegetables

  • Whole grains

  • Legumes and nuts

  • Lean protein sources, especially fish

  • Healthy fats such as olive oil

  • Limited intake of processed foods, added sugars and saturated fats

The Mediterranean-style diet and the MIND diet (Mediterranean-DASH Intervention for Neurodegenerative Delay) are two eating patterns that have been studied for their potential role in supporting cognitive function.

Bringing It All Together: A Whole-Person Approach

Brain health does not depend on a single habit. It reflects the combined impact of daily choices across many areas of life.

“When it comes to cognitive aging, there isn’t a single breakthrough food or supplement that makes the difference. It’s the consistent pattern of daily choices, such as how you move, sleep, eat and stay socially connected that shapes brain health over time,” says Director of Research for the Mayo Clinic Integrative Program Brent A. Bauer, M.D. “Small, sustainable habits practiced year after year have a powerful cumulative effect.”

A comprehensive approach includes:

  • Regular physical activity

  • Consistent, restorative sleep

  • Cardiovascular risk management

  • Sensory health care

  • Social and emotional engagement

  • Dietary patterns

It is never too early or too late to adopt healthier habits.

If you have concerns about memory, thinking or changes in daily functioning, consult your health care professional. Early evaluation can help identify treatable causes and guide appropriate care.

Final Thoughts

Lifestyle matters most when it comes to supporting cognitive aging. By caring for your body, senses and social well-being, you also care for your brain.

Small, steady steps today can help support clearer thinking and a higher quality of life in the years ahead.

*This article is intended for informational purposes only and should not be substituted for medical advice. For medical questions and advice, it is always best to consult with your trained physician.

Sources: 

F;, C. X. B. H. (n.d.). Dietary patterns and cognitive health in older adults: A systematic review. Journal of Alzheimer’s disease : JAD. https://pubmed.ncbi.nlm.nih.gov/30689586/

Neergaard, L. (2025, July 30). To stay sharper while aging, Get Active, Challenge Your Brain, and Eat Healthy. AP News. https://apnews.com/article/brain-health-dementia-exercise-diet-33fe2ed685acc30452005e53eba11410 

U.S. Department of Health and Human Services. (2026, February 13). Healthful diet linked to reduced risk of cognitive decline. National Institutes of Health. https://www.nih.gov/news-events/nih-research-matters/healthful-diet-linked-reduced-risk-cognitive-decline 

Perimenopause and Sleep: Why It Changes and What Can Help

woman sleeping peacefully

Perimenopause, which is the transitional years leading up to menopause, can bring noticeable changes to your body and overall well-being. One of the most common and frustrating concerns during this time is disrupted sleep.

If you’re finding it harder to fall asleep, waking during the night, or rising earlier than usual and unable to return to sleep, you’re not alone. Sleep disturbances are a frequent symptom of perimenopause. Understanding why these changes happen can help you take steps to improve your rest.

What Is Perimenopause?

Perimenopause is the time when your body begins transitioning toward menopause. It can start several years before menopause, often in your 40s, but sometimes earlier. During this stage, estrogen and progesterone levels fluctuate unpredictably.

These hormonal shifts affect many systems in the body, including those that regulate sleep.

How Perimenopause Affects Sleep

Sleep problems during perimenopause are usually caused by a combination of hormonal changes and related symptoms.

Hot Flashes and Night Sweats

Declining and fluctuating estrogen levels can affect the body’s temperature regulation. This may lead to hot flashes during the day and night sweats during sleep.

Night sweats can:

  • Wake you suddenly

  • Make it difficult to fall back asleep

  • Leave you feeling unrested in the morning

Even mild temperature changes can fragment sleep without you fully realizing it.

Changes in Progesterone

Progesterone has natural calming and sleep-promoting effects. As levels decline during perimenopause, you may:

  • Have more difficulty falling asleep

  • Experience lighter, less restorative sleep

  • Wake more frequently during the night

Lower progesterone can also contribute to increased anxiety, which can further interfere with sleep.

Mood Changes and Stress

Perimenopause is associated with higher rates of:

  • Anxiety

  • Depression

  • Irritability

  • Increased stress sensitivity

These emotional changes can make it harder to relax at bedtime or return to sleep after waking.

Increased Risk of Sleep Disorders

Hormonal shifts may increase the risk of certain sleep conditions, including:

  • Insomnia

  • Restless legs syndrome

  • Obstructive sleep apnea

Weight changes and aging-related factors may also contribute to sleep apnea risk during midlife.

Why Sleep Matters During Perimenopause

Sleep plays an essential role in:

  • Memory and concentration
  • Emotional regulation

  • Heart health
  • Metabolism
  • Immune function

Chronic sleep disruption can worsen mood symptoms, increase fatigue, and affect overall quality of life.


What You Can Do to Improve Sleep

While sleep challenges are common during perimenopause, there are effective strategies that can help.

1. Keep a Consistent Sleep Schedule

  • Go to bed and wake up at the same time every day.

  • Avoid long daytime naps.

  • Reserve the bedroom for sleep and intimacy only.

Consistency helps regulate your body’s internal clock.

2. Create a Cool, Comfortable Sleep Environment

Because temperature sensitivity increases during perimenopause:

  • Keep your bedroom cool.

  • Use breathable bedding.

  • Dress in lightweight sleepwear.

  • Consider a fan or cooling mattress pad.

Reducing nighttime overheating can limit sleep interruptions.

3. Practice Relaxation Techniques

Stress and anxiety can worsen sleep problems. Techniques that may help include:

  • Deep breathing exercises

  • Progressive muscle relaxation

  • Meditation

  • Gentle stretching or yoga before bed

Establishing a calming bedtime routine can signal your body that it’s time to rest.

4. Limit Sleep Disruptors

To promote better sleep:

  • Avoid caffeine in the afternoon and evening.

  • Limit alcohol, which can disrupt sleep cycles.

  • Reduce screen time at least an hour before bed.

  • Keep lights dim in the evening.

5. Stay Physically Active

Regular physical activity can improve sleep quality and reduce stress. Aim for most exercise earlier in the day, as vigorous activity close to bedtime may interfere with sleep.

6. Talk With Your Health Care Professional

If sleep problems are persistent or affecting your daily life, consult your health care professional. They can evaluate for:

  • Insomnia

  • Sleep apnea

  • Restless legs syndrome

  • Depression or anxiety

Treatment options may include:

  • Cognitive behavioral therapy for insomnia (CBT-I)

  • Medications for sleep or mood symptoms

  • Hormone therapy, when appropriate

  • Nonhormonal therapies for hot flashes

Your care plan should be individualized based on your symptoms, medical history, and personal preferences.

When To Seek Care

Consider seeking medical guidance if you:

  • Have trouble sleeping most nights

  • Snore loudly or gasp during sleep

  • Feel excessively sleepy during the day

  • Experience mood changes that interfere with daily activities

Persistent sleep problems are not something you simply have to endure.

Final Thoughts

Perimenopause can significantly affect sleep due to hormonal fluctuations, night sweats, mood changes, and increased risk of sleep disorders. Although these changes are common, effective strategies and treatments are available.

With the right support and adjustments, restful sleep is possible during this transition.

If sleep concerns are affecting your health or quality of life, consider speaking with your health care professional about options that may help you feel more rested and balanced.

Sources: 

How perimenopause affects sleep. Lifestyle Medicine. (n.d.). https://lifestylemedicine.stanford.edu/sleep-perimenopause 

Prior JC;Cameron A;Fung M;Hitchcock CL;Janssen P;Lee T;Singer J; (n.d.). Oral micronized progesterone for perimenopausal night sweats and hot flushes a phase III Canada-wide randomized placebo-controlled 4 month trial. Scientific reports. https://pubmed.ncbi.nlm.nih.gov/37277418/ 

Troìa L;Garassino M;Volpicelli AI;Fornara A;Libretti A;Surico D;Remorgida V; (n.d.). Sleep disturbance and perimenopause: A narrative review. Journal of clinical medicine. https://pubmed.ncbi.nlm.nih.gov/40094961/