Health and Me

Aarushi Bhadury

Toxic Relationships Take Away More Than Just Your Confidence – Less Known Effects, You Should Know

Toxic Relationships Affects You In Many Ways

Being in a relationship with someone means a strong commitment and a level of trust you cannot gain in others, sometimes even family. While we can hope for a good relationship and even work towards it, sometimes they can turn toxic and cause a lot of damage to our self-esteem and mental health. According to 2021-22 <span>Australian Bureau of Statistics</span>, about 4.2 million people aged 18 and above have experienced violence, emotional abuse or abuse. 17% women and 5.5% men have experience partner violence, 23% women and 14% men have experienced emotional abuse and 16% women, and 7.8% men have experienced economic abuse from their partners

Sometimes these relationships can become really normalised for people, some do not even believe they are in an abusive relationship unless they experience the drastic effects of it. A toxic relationship could be among anyone, parent and child, romantic partners, friends even work relationships. It is a relationship where you are not respected or supported. There are also other aspects like constant fights, demeaning behavior, abuse, name calling etc. No matter who it is, a toxic relationship can hurt your feelings and your body in the long run. There are many negative consequences of being in a toxic relationship.

<h2><span rel="noindex">Impact of Toxic Relationships</span> On Mental Health</h2>

Toxic relationships significantly impact mental and emotional well-being, increasing the risk of depression through constant feelings of rejection and threat. The <span>National Legal Service</span> UK explains people who have been in toxic relationships unconsciously seek out similar relationships in the future and repeat the harmful patterns. The worrisome nature of such relationships causes people to normalize abusive behaviors. They makes them ignore clear signs of abuse and make their mental health worse. Manipulation and a lack of acceptance picks away at the self-esteem and confidence of the victim, leading to feelings of inadequacy. The emotional burden of perpetually worrying about a partner's problems results in profound exhaustion. 

<h2>Physical Impact From Being In A Toxic Relationship </h2>

Constant relationship stress elevates blood pressure, particularly in men. Ongoing negativity triggers physiological responses that contribute to long-term hypertension, impacting cardiovascular health.

Toxic relationships induce persistent stress, disrupting mental and physical health. This constant strain weakens the immune system, interferes with thyroid function, and destabilizes mood, leading to various health issues.

Frequent conflict activates the body's "fight or flight" response, causing chronic inflammation. This prolonged state of readiness damages the body, increasing the risk of severe health complications over time.

Ongoing stress from unhealthy relationships negatively affects heart health. Conversely, positive, supportive relationships promote cardiovascular well-being, reducing the risk of heart-related problems.

Unhappiness in a relationship can lead to weight gain. Emotional distress from relationship problems distracts from healthy eating and exercise routines, contributing to unhealthy weight fluctuations.

Persistent stress from toxic relationships compromises the immune system's efficacy. The body's ability to fight off infections is diminished, increasing susceptibility to various illnesses.

For those with chronic conditions, relationship conflict exacerbates symptoms. The added stress from fighting intensifies pain and discomfort, worsening the overall impact of existing illnesses. 

Health Conditions A-Z

health

Impact of toxic relationships

australian bureau of statistics

national legal service

Physical Impact of Toxic Relationships

What is a Toxic Relationships

how doToxic Relationships affect you

am i in a Toxic Relationship

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Being in a relationship with someone means a strong commitment and a level of trust you cannot gain in others, sometimes even family. While we can hope for a good relationship and even work towards it, sometimes they can turn toxic and cause a lot of damage to our self-esteem and mental health. According to 2021-22 Australian Bureau of Statistics, about 4.2 million people aged 18 and above have experienced violence, emotional abuse or abuse. 17% women and 5.5% men have experience partner violence, 23% women and 14% men have experienced emotional abuse and 16% women, and 7.8% men have experienced economic abuse from their partnersSometimes these relationships can become really normalised for people, some do not even believe they are in an abusive relationship unless they experience the drastic effects of it. A toxic relationship could be among anyone, parent and child, romantic partners, friends even work relationships. It is a relationship where you are not respected or supported. There are also other aspects like constant fights, demeaning behavior, abuse, name calling etc. No matter who it is, a toxic relationship can hurt your feelings and your body in the long run. There are many negative consequences of being in a toxic relationship.Impact of Toxic Relationships On Mental HealthToxic relationships significantly impact mental and emotional well-being, increasing the risk of depression through constant feelings of rejection and threat. The National Legal Service UK explains people who have been in toxic relationships unconsciously seek out similar relationships in the future and repeat the harmful patterns. The worrisome nature of such relationships causes people to normalize abusive behaviors. They makes them ignore clear signs of abuse and make their mental health worse. Manipulation and a lack of acceptance picks away at the self-esteem and confidence of the victim, leading to feelings of inadequacy. The emotional burden of perpetually worrying about a partner's problems results in profound exhaustion. Physical Impact From Being In A Toxic Relationship High Blood PressureConstant relationship stress elevates blood pressure, particularly in men. Ongoing negativity triggers physiological responses that contribute to long-term hypertension, impacting cardiovascular health.Chronic StressToxic relationships induce persistent stress, disrupting mental and physical health. This constant strain weakens the immune system, interferes with thyroid function, and destabilizes mood, leading to various health issues.InflammationFrequent conflict activates the body's "fight or flight" response, causing chronic inflammation. This prolonged state of readiness damages the body, increasing the risk of severe health complications over time.Heart HealthOngoing stress from unhealthy relationships negatively affects heart health. Conversely, positive, supportive relationships promote cardiovascular well-being, reducing the risk of heart-related problems.Weight GainUnhappiness in a relationship can lead to weight gain. Emotional distress from relationship problems distracts from healthy eating and exercise routines, contributing to unhealthy weight fluctuations.Weakened Immune SystemPersistent stress from toxic relationships compromises the immune system's efficacy. The body's ability to fight off infections is diminished, increasing susceptibility to various illnesses.Worsened Chronic IllnessFor those with chronic conditions, relationship conflict exacerbates symptoms. The added stress from fighting intensifies pain and discomfort, worsening the overall impact of existing illnesses. 

toxic relationships take away more than just your confidence – less known effects, you should know

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Concern regarding pollution and how it affects our health is a worry that affects many of us worldwide. As years pass on by, the pollution levels are also increasing, and so is our mortality risk. The World Health Organization (WHO) explains that exposure to air pollution is strongly linked with stroke, ischaemic heart disease, lung diseases etc. However, these are not the only things you must worry about when it comes to air pollution exposure. A new study shows that it could also affect the way our brain functions. 

A study from Italy, published in a science journal called iScience, found a really important clue in our genes. It seems that when we breathe in polluted air, it can actually change how our genes work in the brain. Think of it like flipping a switch that creates the perfect conditions for diseases like Alzheimer's and Parkinson's to start growing. 

<h2>Early Warning Signs and High-Risk Groups </h2>

The researchers saw some worrying changes even in young adults. Their brain tissue showed signs of DNA damage that looked a lot like what you'd see in someone with Alzheimer's – but decades before they would normally be diagnosed. This is a huge red flag. 

Certain jobs also put people at a higher risk. If you're a miner, factory worker, or driver, you're exposed to more polluted air. Even people who work with plastics face a hidden danger from tiny particles called nanoparticles that can get into their brains. 

But here's some good news: this discovery could mean doctors can check for these changes without needing to do anything invasive, like surgery. They might be able to test for something called extracellular vesicles. These are like tiny packages that carry material from damaged brain cells. So, if we can test for these packages, it could give us an early warning sign from the brain itself. 

<h2>Understanding the Complexities and Taking Precautions </h2>

It's clear that being generally unhealthy and breathing polluted air from a young age can increase your risk of these brain conditions. However, we still need a lot more research to fully understand how everything is connected. Experts from News Medical have pointed out that studying air pollution is tricky because the air we breathe in the real world is a mix of many different pollutants. 

To help protect yourself on days when pollution levels are high, organizations like Asthma + Lung UK suggest some simple steps: 

<ul><li>Stay indoors as much as possible.</li><li>Avoid exercising outside, especially vigorous activity.</li><li>If you're walking, try to stay away from busy roads with heavy traffic.</li><li>Keep your car windows closed when driving in traffic.</li><li>If you do want to be active outdoors, try to do it earlier in the day, as the air tends to be cleaner then.</li></ul>

<h2>Looking Ahead: Prevention and Policy </h2>

There's a big call for more research to understand how air pollution affects younger people and other parts of our brain's thinking abilities. The results of this research could lead to exciting new ways to prevent these diseases. It could also push for better safety rules in workplaces, stricter environmental standards to clean up our air, and even new laws to protect public health from air pollution. 

Pollution and health

Can pollution affect our brain

pollution and Cognitive Decline

Alzheimer's And Parkinsons

Alzheimer's And Parkinsons caused by poor air

Effects of Pollution on Brain

Concern regarding pollution and how it affects our health is a worry that affects many of us worldwide. As years pass on by, the pollution levels are also increasing, and so is our mortality risk. The World Health Organization (WHO) explains that exposure to air pollution is strongly linked with stroke, ischaemic heart disease, lung diseases etc. However, these are not the only things you must worry about when it comes to air pollution exposure. A new study shows that it could also affect the way our brain functions. A study from Italy, published in a science journal called iScience, found a really important clue in our genes. It seems that when we breathe in polluted air, it can actually change how our genes work in the brain. Think of it like flipping a switch that creates the perfect conditions for diseases like Alzheimer's and Parkinson's to start growing. Early Warning Signs and High-Risk Groups The researchers saw some worrying changes even in young adults. Their brain tissue showed signs of DNA damage that looked a lot like what you'd see in someone with Alzheimer's – but decades before they would normally be diagnosed. This is a huge red flag. Certain jobs also put people at a higher risk. If you're a miner, factory worker, or driver, you're exposed to more polluted air. Even people who work with plastics face a hidden danger from tiny particles called nanoparticles that can get into their brains. But here's some good news: this discovery could mean doctors can check for these changes without needing to do anything invasive, like surgery. They might be able to test for something called extracellular vesicles. These are like tiny packages that carry material from damaged brain cells. So, if we can test for these packages, it could give us an early warning sign from the brain itself. Understanding the Complexities and Taking Precautions It's clear that being generally unhealthy and breathing polluted air from a young age can increase your risk of these brain conditions. However, we still need a lot more research to fully understand how everything is connected. Experts from News Medical have pointed out that studying air pollution is tricky because the air we breathe in the real world is a mix of many different pollutants. To help protect yourself on days when pollution levels are high, organizations like Asthma + Lung UK suggest some simple steps: Stay indoors as much as possible.Avoid exercising outside, especially vigorous activity.If you're walking, try to stay away from busy roads with heavy traffic.Keep your car windows closed when driving in traffic.If you do want to be active outdoors, try to do it earlier in the day, as the air tends to be cleaner then.Looking Ahead: Prevention and Policy There's a big call for more research to understand how air pollution affects younger people and other parts of our brain's thinking abilities. The results of this research could lead to exciting new ways to prevent these diseases. It could also push for better safety rules in workplaces, stricter environmental standards to clean up our air, and even new laws to protect public health from air pollution. 

pollution can influence cognitive decline - alzheimer's and parkinsons linked to poor air

Tanya Dutt

‘Mounjaro Stole My Booty’: Woman Who Lost 84 Pounds Reveals Nasty Side Effects Of The Weight Loss  Drug

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In recent years, <span>weight loss injections</span> such as Mounjaro (tirzepatide) have become extremely popular worldwide, promising quick and dramatic <span>weight loss</span>. Nevertheless, even though these medications bring much-needed hope to many who have issues with obesity and diabetes, the journey is normally not without difficult side effects. A 27-year-old British woman named Bethany Diana has spoken openly about her life-changing though tough journey when she lost 84 pounds in nine months on Mounjaro, highlighting the usually unspoken negative aspects of this weight loss medication.

Bethany's tale is inspiring. She lost six stone (84 pounds) and transformed from a size 18 to an eight, a change of body that has obviously increased her self-esteem and general well-being. On her TikTok handle (@bethanydianax), where she has gained over 75,000 likes, she gives her journey publicly, hoping to motivate people. Bethany says she is "such a better version" of herself after losing six stone (84 pounds).

Mounjaro's weight loss effects are documented. The drug, initially created to control type 2 diabetes, functions by imitating hormones that control hunger and blood sugar. Patients will usually feel fuller for a longer time, which, understandably, results in eating less and, as a consequence, weight loss. The NHS does caution, however, that Mounjaro is only to be prescribed to diabetes and certain specific medical needs patients, and that off-label usage to aid weight loss is cautioned against.

<h2>The Unpleasant Side Effects No One Talks About</h2>

Even in success, Bethany did not hold back from sharing the less glitzy details of her weight loss process. In a viral TikTok video that received over 100,000 views, she enumerated the side effects she had:

<ul><li>Diarrhea, a typical gastrointestinal issue.</li><li>Bad breath, one of the lesser-known but unpleasant symptoms.</li><li>Hair loss, which she suffered but did not elaborate on at length.</li><li>"Sulphur burps" – rotten egg-smelling burps caused by hydrogen sulfide gas within the gut.</li><li>Constipation, nausea, heartburn, wind, and acid reflux.</li></ul>

Bethany's honesty provides a vital insight into the drug's effect other than weight loss figures, acknowledging that the journey to change can be painful and even traumatic. 

One of the very noticeable grievances Bethany recounted was that "Mounjaro stole my booty." This expression summarizes a grievance often expressed by users of weight reduction pills — sagging or loss of volume in the buttocks and other places caused by rapid fat loss.

Quick weight loss can cause flabby skin and body reshaping that others will not find attractive or easy to accept. Though Bethany recognizes the transformation, she weighs it against her overall experience and confirms that her side effects were "temporary" but the weight loss was "for life."

Bethany's honesty resonated on social media. Several viewers posted their own side effects, corroborating her experience and generating a community conversation about the drug's impact:

One viewer wrote, "It's the sulphur burps and nausea I find hardest, especially when barely eating." Another confessed, "I had bad breath too, didn't know it was due to the injection." Others described milder effects such as constipation.

Though Bethany's tale comes to a positive end despite the side effects, note must be taken of the safety issues that accompany weight loss and diabetes shots such as Mounjaro and Ozempic. The UK Medicines and Healthcare Products Regulatory Agency (MHRA) has noted more than 80 fatalities attributed to these drugs since they began more extensive use, with 22 deaths that directly involve tirzepatide.

A notably sad example is that of Susan McGowan, a 58-year-old Lanarkshire nurse, who passed away from multiple organ failure and pancreatitis after receiving only two low-dose injections of tirzepatide. Her death was the first to be recorded with this drug as a contributory factor on a death certificate, leading to increased vigilance.

The NHS has since released clear messages cautioning patients never to take anti-obesity drugs without a prescription and under medical guidance, highlighting the risks of unmonitored usage.

Bethany's tale summarizes the promise and the dangers of weight loss injections such as Mounjaro. The medication provides a powerful tool for shedding pounds, especially for individuals with type 2 diabetes or obesity-related complications. But it also comes with a range of side effects — from transient gastrointestinal upset to more serious health threats.

Individuals who contemplate such medications should speak to healthcare providers, carefully consider pros and cons, and be on guard for side effects. Weight loss is a personal, multifaceted experience, and an approach that benefits one may not appeal to another.

The rapid rise of Mounjaro and other drugs signals a shift in how obesity and diabetes are managed with pharmacology paired with lifestyle modification. Further studies are required to learn more about long-term consequences, achieve optimal dosing, and create safer protocols.

weight loss

mounjaro side effects

tirzepatide weight loss

weight loss injections

mounjaro risks

rapid weight loss

weight loss medication side effects

ozempic safety

In recent years, weight loss injections such as Mounjaro (tirzepatide) have become extremely popular worldwide, promising quick and dramatic weight loss. Nevertheless, even though these medications bring much-needed hope to many who have issues with obesity and diabetes, the journey is normally not without difficult side effects. A 27-year-old British woman named Bethany Diana has spoken openly about her life-changing though tough journey when she lost 84 pounds in nine months on Mounjaro, highlighting the usually unspoken negative aspects of this weight loss medication.Bethany's tale is inspiring. She lost six stone (84 pounds) and transformed from a size 18 to an eight, a change of body that has obviously increased her self-esteem and general well-being. On her TikTok handle (@bethanydianax), where she has gained over 75,000 likes, she gives her journey publicly, hoping to motivate people. Bethany says she is "such a better version" of herself after losing six stone (84 pounds).Mounjaro's weight loss effects are documented. The drug, initially created to control type 2 diabetes, functions by imitating hormones that control hunger and blood sugar. Patients will usually feel fuller for a longer time, which, understandably, results in eating less and, as a consequence, weight loss. The NHS does caution, however, that Mounjaro is only to be prescribed to diabetes and certain specific medical needs patients, and that off-label usage to aid weight loss is cautioned against.The Unpleasant Side Effects No One Talks AboutEven in success, Bethany did not hold back from sharing the less glitzy details of her weight loss process. In a viral TikTok video that received over 100,000 views, she enumerated the side effects she had:Diarrhea, a typical gastrointestinal issue.Bad breath, one of the lesser-known but unpleasant symptoms.Hair loss, which she suffered but did not elaborate on at length."Sulphur burps" – rotten egg-smelling burps caused by hydrogen sulfide gas within the gut.Constipation, nausea, heartburn, wind, and acid reflux.Bethany's honesty provides a vital insight into the drug's effect other than weight loss figures, acknowledging that the journey to change can be painful and even traumatic. One of the very noticeable grievances Bethany recounted was that "Mounjaro stole my booty." This expression summarizes a grievance often expressed by users of weight reduction pills — sagging or loss of volume in the buttocks and other places caused by rapid fat loss.Quick weight loss can cause flabby skin and body reshaping that others will not find attractive or easy to accept. Though Bethany recognizes the transformation, she weighs it against her overall experience and confirms that her side effects were "temporary" but the weight loss was "for life."Bethany's honesty resonated on social media. Several viewers posted their own side effects, corroborating her experience and generating a community conversation about the drug's impact:One viewer wrote, "It's the sulphur burps and nausea I find hardest, especially when barely eating." Another confessed, "I had bad breath too, didn't know it was due to the injection." Others described milder effects such as constipation.Though Bethany's tale comes to a positive end despite the side effects, note must be taken of the safety issues that accompany weight loss and diabetes shots such as Mounjaro and Ozempic. The UK Medicines and Healthcare Products Regulatory Agency (MHRA) has noted more than 80 fatalities attributed to these drugs since they began more extensive use, with 22 deaths that directly involve tirzepatide.A notably sad example is that of Susan McGowan, a 58-year-old Lanarkshire nurse, who passed away from multiple organ failure and pancreatitis after receiving only two low-dose injections of tirzepatide. Her death was the first to be recorded with this drug as a contributory factor on a death certificate, leading to increased vigilance.The NHS has since released clear messages cautioning patients never to take anti-obesity drugs without a prescription and under medical guidance, highlighting the risks of unmonitored usage.Bethany's tale summarizes the promise and the dangers of weight loss injections such as Mounjaro. The medication provides a powerful tool for shedding pounds, especially for individuals with type 2 diabetes or obesity-related complications. But it also comes with a range of side effects — from transient gastrointestinal upset to more serious health threats.Individuals who contemplate such medications should speak to healthcare providers, carefully consider pros and cons, and be on guard for side effects. Weight loss is a personal, multifaceted experience, and an approach that benefits one may not appeal to another.The rapid rise of Mounjaro and other drugs signals a shift in how obesity and diabetes are managed with pharmacology paired with lifestyle modification. Further studies are required to learn more about long-term consequences, achieve optimal dosing, and create safer protocols.

‘mounjaro stole my booty’: woman who lost 84 pounds reveals nasty side effects of the weight loss  drug

You're Hurting Your Health If You Are Doing This While Showering

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Showering is a regular and important part of our routine. While some people may not be in the habit of daily showers, it is a cherished part of routine, for which people like taking our dedicated time. Not only do you get time to decompress, but you are also ensuring you do not carry harmful germs or dirt from outside, and cause health issues for yourself or others at home. 

Showers are a fundamental part of our daily hygiene routine. For many, it's a cherished ritual, a moment of peace, or a boost to start the day. Because of this, people have very strong preferences when it comes to their shower habits. Some people like cold and short showers, while others prefer hot and long showers. However, is taking hot showers safe for your health? 

Many enjoy taking hot showers, often finding them relaxing. The temperature of the water is a big part of this personal preference. Some people swear by taking cold showers, believing they offer benefits like boosting energy and improving circulation. On the other hand, a large number of people prefer steamy hot showers, finding the warmth soothing and relaxing for tired muscles. 

However, <span>Dr Maddahali</span> has pointed out something concerning here. Dr Max Maddahali, MD, has shared how long and hot showers may not be the best idea for your health on <span>TikTok</span>. 

Liking hot showers is not essentially a bad thing, however, while a scorching hot shower might feel amazing in the moment, doctors warn that water that's too hot can actually be bad for your health. 

<h2><span rel="noindex">Downside of Hot Showers</span> </h2>

According to Dr Max, very hot water can strip away the natural oils that keep your skin moist, leading to dryness. It can also make the blood vessels under your skin expand, causing redness and irritation. Beyond skin issues, too hot water can damage your hair. There's also a risk that if you take long, hot showers, your blood pressure might drop, making you feel dizzy or even faint. Some people have shared experiences of passing out due to very hot showers. 

Taking showers that are too hot can also weaken your immune system. This means your body might be less able to fight off illnesses. Additionally, hot water can make your body temperature rise too much, potentially leading to dizziness or even heat stroke. Similarly, very cold showers can also make your body temperature drop too much, causing dizziness and slowing your breathing. It's important to pay attention to how you feel while showering. 

Experts suggest that the best shower temperature for your skin is lukewarm or cooler, ideally between 37°C and 38°C (about 98.6°F to 100.4°F). This helps protect your skin's natural oils. If you have sensitive skin, not just the temperature but also the shower spray settings can affect your experience. For colored hair, hot water can make the color fade faster. 

The key is to use a moderate temperature as much as possible to keep your skin, hair, and overall health in good shape. 

Hot Showers and Health

dr maddahali

tiktok

Downside of Hot Showers

Impact on health due to hot showers

Hot showers and health impacts

Showering is a regular and important part of our routine. While some people may not be in the habit of daily showers, it is a cherished part of routine, for which people like taking our dedicated time. Not only do you get time to decompress, but you are also ensuring you do not carry harmful germs or dirt from outside, and cause health issues for yourself or others at home. Showers are a fundamental part of our daily hygiene routine. For many, it's a cherished ritual, a moment of peace, or a boost to start the day. Because of this, people have very strong preferences when it comes to their shower habits. Some people like cold and short showers, while others prefer hot and long showers. However, is taking hot showers safe for your health? Many enjoy taking hot showers, often finding them relaxing. The temperature of the water is a big part of this personal preference. Some people swear by taking cold showers, believing they offer benefits like boosting energy and improving circulation. On the other hand, a large number of people prefer steamy hot showers, finding the warmth soothing and relaxing for tired muscles. However, Dr Maddahali has pointed out something concerning here. Dr Max Maddahali, MD, has shared how long and hot showers may not be the best idea for your health on TikTok. Liking hot showers is not essentially a bad thing, however, while a scorching hot shower might feel amazing in the moment, doctors warn that water that's too hot can actually be bad for your health. Downside of Hot Showers According to Dr Max, very hot water can strip away the natural oils that keep your skin moist, leading to dryness. It can also make the blood vessels under your skin expand, causing redness and irritation. Beyond skin issues, too hot water can damage your hair. There's also a risk that if you take long, hot showers, your blood pressure might drop, making you feel dizzy or even faint. Some people have shared experiences of passing out due to very hot showers. Impact on Your Health Taking showers that are too hot can also weaken your immune system. This means your body might be less able to fight off illnesses. Additionally, hot water can make your body temperature rise too much, potentially leading to dizziness or even heat stroke. Similarly, very cold showers can also make your body temperature drop too much, causing dizziness and slowing your breathing. It's important to pay attention to how you feel while showering. The Ideal Shower Temperature Experts suggest that the best shower temperature for your skin is lukewarm or cooler, ideally between 37°C and 38°C (about 98.6°F to 100.4°F). This helps protect your skin's natural oils. If you have sensitive skin, not just the temperature but also the shower spray settings can affect your experience. For colored hair, hot water can make the color fade faster. The key is to use a moderate temperature as much as possible to keep your skin, hair, and overall health in good shape. 

you're hurting your health if you are doing this while showering

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Toxic Relationships Take Away More Than Just Your Confidence – Less Known Effects, You Should Know

Quick Stories

Pollution Can Influence Cognitive Decline - Alzheimer's And Parkinsons Linked To Poor Air

‘Mounjaro Stole My Booty’: Woman Who Lost 84 Pounds Reveals Nasty Side Effects Of The Weight Loss Drug

You're Hurting Your Health If You Are Doing This While Showering

Health Conditions A-Z

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