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MELATONIN: IS IT SAFE?   PAGE
                                                         37

                                                                                    M AY
W E B M D.C O M
                                                                                   2019

                  TREVOR NOAH
                  THE DAILY SHOW’ S

                             RAISES HIS VOICE TO HELP OTHERS
                             PAGE 31

      CUT YOUR RISK FOR FALLS • DADS GET THE BABY BLUES, TOO • SKIN CARE GIFTS FOR MOM
MELATONIN: IS IT SAFE? PAGE - RAISES HIS VOICE TO HELP OTHERS THE DAILY SHOW'S - WebMD
WEBMD MAGAZINE
                                                                     Contents                                        M AY 2 0 1 9

                            “THE BODY HAS
                            A FASCINATING
                            WAY OF KNOWING
                            WHAT YOU NEED,
                            EVEN IF YOU
                            IGNORE IT.”

                             FEATURES
SAM JONES / TRUNK ARCHIVE

                                     31 VOICE LESSONS                                                  41 THE MIND OF A 2-YEAR-OLD
                             The Daily Show ’s Trevor Noah bounces   37 HOMING IN ON MELATONIN      You might be surprised at how smart and
                                 back after vocal cord surgery          How safe is this hormone?      sophisticated kids are at this age

                                                                                                                                                    1
                                                                                                                                       W E B M D.C O M
MELATONIN: IS IT SAFE? PAGE - RAISES HIS VOICE TO HELP OTHERS THE DAILY SHOW'S - WebMD
WEBMD MAGAZINE
                                                      Contents                                                            M AY 2 0 1 9

               15                                17                                                                                                 51

                                                       30                            46                            CHECKUP

                                                       28
                                                                                                                   51 C
                                                                                                                       UTTING EDGE
                                                                                                                      New research on osteoporosis
                                                                                                                   52 E XPERT Q&A
                                                                                                                       The meaning behind “naturally derived”
                                                                                                                   53 W
                                                                                                                       HO’S WHO
                                                                                                                      An intro to rheumatologists
                                                                                                                   54 C
                                                                                                                       ONDITION FOCUS
                                                                                                                      The scoop on chronic fatigue syndrome

                                                                                                 45
                                                                                                                   55 H
                                                                                                                       EALTH SMARTS
                                                                                                                      Are you at risk of falling?
                                                      FAMILY                                                       57 B
                                                                                                                       Y THE NUMBERS
                                                                                                                      Facts and stats on strokes
                                                      22 R ELATIONSHIPS
                                                          Research on how quality                                  58 Q
                                                                                                                       UIZ
LIVING                                                    time with your children   FOOD                              Test your knowledge of hepatitis C
                                                          now pays off later                                       59 I NSIGHT
    EALTHY SPACES
10 H                                                                                45 G
                                                                                        OOD FOR YOU                   Who should—and shouldn’t—take

                                                19
                                                      23 P REGNANCY
   The mental health                                                                   Tips for tart and               an aspirin a day
                                                          Five habits you can
   benefits of spending                                                                tasty rhubarb
                                                          break now for your
   time in green places                                                             46 3 WAYS: SALADS
                                                          baby’s health

                                                                                                                    60
    ORK WISE
11 W                                                                                    Toss a satisfying entree
                                                      24 B ABY
   The harm in checking
   work email after hours
                              BEAUTY                      The perils of             48 B
                                                                                        UILD A BETTER
                                                          baby walkers                 Mastering meatloaf
    OMEN’S HEALTH
12 W                          16  SKIN CARE                                        49 FOOD 101
   How stress can put you        The versatility of   25 K IDS’ HEALTH
                                                                                       The wonders of
   at risk for diabetes          coconut oil              A simple way to curb
                                                                                       mollusks
                                                          vision problems
13 M IND MATTERS             17  EXPERT PICKS
                                                      26 T EEN HEALTH
    New knowledge on
    brain anatomy
                                   Gifts for moms
                                                          Warnings on teens                                           IN EVERY ISSUE
                              18 D ERM Q&A
                                                          and marijuana                                               3  EDITOR’S NOTE
14 M EN’S HEALTH                 Scar facts
    Dads and the              19 B EAUTY SMARTS      28 PARENTING                                                   5    U PFRONT
    baby blues                    A cheat sheet           How to instill kindness                                           News about teen vaping,
15 F ITNESS                      on masks                in kids                                                           sleep, and more
    Working out during your                           30 P ET HEALTH                                                 60 TAKE 10
    period                                                A guide to animal
                                                                                              ON THE COVER                Josh Gad’s tips for
                                                          prosthetics                                                     managing anxiety

                                                                                                                                                             2
                                                                                                                                                W E B M D.C O M
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E d i t o r ’s N o t e

                                                                                                                                     FROM THE WEBMD TEAM

                                                                                                                                     What advice about healthy
                                                                                                                                     habits do you give your kids?
                                                                                                                                                                                      I’ve quickly learned that advice
                                                                                                                                                                                   shared with toddlers needs to be
                                                                                                                                                                                    simple and fun. We talk and sing
                                                                                                                                                                                       about what we can do to keep
                                                                                                                                                                                     our bodies strong, brains smart,
                                                                                                                                                                                         and hearts happy. Daniel the
                                                                                                                                                  DANI SIEGEL                      Tiger also helps sell the message               ANNIC JOBIN
                                                                                                                                         WebMD Director, Editorial                                                                WebMD Executive
                                                                                                                                                                                    when Mommy and Daddy aren’t                   Director, News &
                                                                                                                                         Development Operations
                                                                                                                                                                                                  convincing enough.                Partnerships

                                                                                                                                      I have always encouraged
                                                                                                                                         my son to get outside

                                                                                 F
                                                                                       or our cover star, The Daily Show              and play and to eat meals
                                                                                                                                                                                                        SHERA COLLINS
                                                                                       host Trevor Noah, helping impover-             that include lean protein,                                        WebMD Video Producer

                                                                                       ished children have a better chance               vegetables, fruit, and                                      I try to teach my kids that you
                                                                                  at life is one of his most important               water in order to power his                                     don’t have to be the “best” at
                                                                                  missions. As we learn in this issue, he                                                                            something to enjoy it. You can
                                                                                                                                       body. Keeping the fridge
                                                                                                                                                                                                     enjoy gymnastics even if you
                                                                                  credits his own success from growing                    stocked with healthy
                                                                                                                                                                                  don’t make the team; you can run, even if you
                                                                                  up poor in South Africa to where he is             choices went a long way in                   haven’t won a race. I was too self-conscious as a
                                                                                  now in part to his mother and the advice           helping him develop good                     kid to do sports that I wasn’t great at. I wish I’d just
                                                                                  she gave him. As a parent, that’s always                                                        learned to enjoy them!
                                                                                                                                                  eating habits.
                                                                                  heartwarming to hear. We give our kids
                                                                                  lots of pointers and hope they listen to
                                                                                  at least a small portion of it. When it
                                                                                  comes to health, leading by example                                                                                   Blog Makeover
                                                                                  is always a good way to go. But as par-
                                                                                  ents, we can’t help offering our words                                                                                Check out the fresh, new look of
                                                                                  of wisdom as well! For this issue, we                                                                                 WebMD Blogs! With more images
                                                                                  asked our staff what they pass along to                                                                               and improved navigation, the new
P H O T O G R A P H Y: S H A R O N S U H ; S T Y L I N G : M I N D Y S A A D

                                                                                  their own children.                                                                                                   design makes it easier than ever to
                                                                                                                                                                                                        dive into your favorite content. Our
                                                                                                                                                                                                        blogs feature expert perspectives
                                                                                                                                                                                                        and inspiring patient stories on a
                                                                                                          Kristy Hammam                                                                                 variety of condition and wellness
                                                                                                          Editor in Chief                                                                               topics. Visit blogs.webmd.com.
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T I M E LY T O P I C S
                                                                                                    Up f r o n t                                    NEWS YOU CAN USE

                                            Dear Mom
                     M O T H E R ’ S D AY

                                            This month, many people honor the millions of
                                            American women who have delivered and raised
                                            children. Motherhood gives back, too, with a few
                                            health advantages also worth celebrating.

                                                                       4% TO 12%                                                                       50%
                                                 Percentage by                                                               Percentage by which

                     11%                                                                                               26%
                                                 which a woman’s                                                             ovarian cancer risk
                                                 odds of living into                                                         is lowered among
                                                 her 90s increases     Percentage by which a woman’s risk for type           women who’ve had
                                                 if she gives birth    2 diabetes goes down for each 12 months she           children compared        Percentage by which women can lower their
                                                 to her first child    breastfeeds. Her risk for breast cancer drops         to those who haven’t     risk for multiple sclerosis by giving birth to one
                                                 after age 25.         by 4.3% for each year of breastfeeding.               given birth.             child. Having four children cuts the risk by 80%.
G ET T Y I M AG ES

                                                                                                                                                                                                      5
                                                                                                                                                                                      W E B M D.C O M
MELATONIN: IS IT SAFE? PAGE - RAISES HIS VOICE TO HELP OTHERS THE DAILY SHOW'S - WebMD
Upfront

                                                IN THE NEWS

                                                Sleep supplement safety
                                                Melatonin. You’ve likely heard of this popular supplement—maybe you’re among the more than 3 million
                                                adults who take it (some half-million children do, too). But what do you really know about this hormone,
                                                marketed to aid sleep, cure insomnia, curb jet lag, and more? “A lot of people just take it right before they
                                                go to bed as if it were a sleeping pill. It’s not that simple,” one of our experts explains. Some research does
                                                show benefits and general safety with short-term use for some people—but long-term effects for just about
                        COLLEEN                 everybody are less well-known, and concerns about kids are real.
                         PARETTY
                                                One indication is the alarming spike in calls to poison centers in the
                     Editorial Director,
                         colleen@               last few years about melatonin use or misuse. Our report, “Homing
                       webmd.com                in on Melatonin” (page 37), lays out what researchers know about
                                                this hormone—and what they don’t, which on balance is a lot. Read
                                                this before you give melatonin a try or give it to your kids, and check
                                                in with your doctor for help with dosage and timing. A better night’s
                                                sleep and your health are worth the extra effort. —

                     45%
                      Percentage of
                     adults ages 50
                                                       DEPRESSION FOG
                                             Poor thinking skills and serious depression often go hand-in-hand.
                                               While researchers once thought that depression could cause a
                                                                                                                                   WOMEN:
                                                                                                                                  DON’T WAIT
                                                                                                                                  Heart attacks are just
                         to 64 who           decline in thinking skills, a new study says otherwise. People who
                        worry they                                                                                               as common for women
                                             have a first-degree relative with major depressive disorder, but do
                      won’t be able                                                                                                  as men, and fast
                                             not have depression themselves, perform more poorly on thinking
                     to afford health
                                               skills tests than people without a family history of depression.                 treatment makes all the
                       insurance in
                                             That was the result of an analysis of 54 studies of more than 8,000                 difference. Yet women
                        retirement.
                                             first-degree relatives of people with major depressive disorder. The
                     SOURCE: National Poll                                                                                       wait 37 minutes longer
                       on Healthy Aging
                                             finding suggests that weak thinking skills could be a risk factor for
                                                                                                                                  to call for help when
                                                         depression rather than a consequence of it.
                                                                           SOURCE: JAMA                                            they have one. The

                                                                                                                                delay could be because

                                                                                                                                  pain in the chest and

                                                                                                                                  left arm are the most

                                                                                                                                  recognized signs, but

                                                                                                                                  those symptoms are

                                                                                                                                 more common in men.

                                                                                                                                  Women, on the other

                                                                                                                                 hand, often feel back,

                                                                                                                                  shoulder, or stomach

                                                                                                                                        pain during a
G ET T Y I M AG ES

                                                                                                                                        heart attack.
                                                                                                                                SOURCE: European Heart Journal: Acute
                                                                                                                                        Cardiovascular Care

                                                                                                                                                                        6
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Upfront                                                                                                                                                                                                                                                                                     Upfront

CANCER-CLOT                                                                           SPINACH BOOST                                                                                                                                                   LUCK OF THE DNA
CONNECTION                                                                           Do you prefer your spinach hidden in                                                                                                                   How do some people live to 100 relatively disease-free? It

                                                                                     a smoothie rather than on your plate?                                                                                                                  could be in your DNA. Researchers studied DNA floating
 In the year leading up
                                                                                 Good, because that’s the best way to get its                                                                                                               in the bloodstream—not the DNA inside cells—of people
 to a cancer diagnosis,                                                          antioxidant effects. Spinach is packed with
                                                                                                                                                                                                                                             in their 20s, their 70s, and both healthy and unhealthy
    older adults have an                                                           the antioxidant lutein, which can reduce
                                                                                  inflammation in the body. Food scientists                                                                                                                  100-somethings. The DNA developed irregularities with
increased risk of stroke
                                                                                 prepared spinach in many different ways—                                                                                                                   age, which the researchers saw in the samples from the
      and heart attack,
                                                                                  boiled, baked into a lasagna, fried, served
                                                                                                                                                                                                                                            folks in their 70s and the unhealthy centenarians. But the
    particularly the kind                                                            raw in a salad, and blended into juices
                                                                                                                                                                                                                                            DNA of the healthy centenarians looked more like that of
caused by a blood clot,                                                          and smoothies. Heat destroyed the lutein.
                                                                                 Blending the raw leaves released the most                                                                                                                  the 20-somethings than that of the other old-timers. The
    according to a study
                                                                                    lutein for the body to absorb. Fat in the                                                                                                                finding could help researchers understand what makes
     of nearly 750,000
                                                                                  smoothie, from milk or yogurt, makes the
                                                                                                                                                                                                                                               some people live longer—and better—than others.
 people. This discovery                                                             lutein easier for the body to soak up.
                                                                                                                                                                                                                                                                    SOURCE: Aging Cell
 suggests that cancer,                                                                        SOURCE: Food Chemistry

                                                                                                                                                                         SCHOOL VS. SLEEP
    especially advanced-

                                                                                                                                                                                                                                               $1 BILLION
     stage cancers and

 lung and colon cancer              TEEN VAPING ON THE RISE                                                        14%                                            Teenagers are chronically sleep-deprived. Going to bed earlier
                                                                                                            Percentage of high                                   isn’t the solution. The biological clock determines when people
     at any stage, could      Teen vapers are on the rise. More than one in three                      school seniors who report                                fall asleep. For teens, like it or not, that’s later at night. So, when a
 increase risk for these
                            high school seniors have vaped in the last month. That                      binge drinking in the last                              Seattle school district pushed high school start times 55 minutes                     Annual cost of injuries caused by
clots. People who have                                                                                  two weeks. That’s having
                            number was just above one in five last year. They say the                                                                              later, kids got 34 extra minutes of sleep every night, without                  animals—that includes everything from
a heart attack or stroke,                                                                                five or more drinks in a                                changing their bedtime, and their grades went up by nearly 5%.                           dog bites to bee stings.
                             devices are easier to get this year, too. More than 20%                      row. That’s down from                                                                                                                         SOURCE: Trauma Surgery and Acute Care Open
    the researchers say,                                                                                                                                                                   SOURCE: Science Advances
                             of teen vapers say they have vaped nicotine, compared                          almost 17% in 2017.
should make sure they
                            to 11% last year. But teens may not know what they are                        SOURCE: University of Michigan

                                                                                                                                                                       A DRINK A DAY                                                                                            PAIN TRICK
are up to date with their
                             vaping. The most popular devices don’t offer nicotine-
     cancer screenings.
                                                                                                                                                                                                                                                                               Gently stroking babies
          SOURCE: Blood
                                  free options, and some labels are inaccurate.
                                                                                                           WEIGHTY                                                     The heart benefits of moderate drinking                                                                     before medically

                                                                                                           MATTERS
                                                SOURCE: University of Michigan
                                                                                                                                                                    may apply to people with heart failure, too.                                                                   necessary painful
                                                                                                                                                                      Among 393 people with heart failure, the                                                                procedures, such as the

    8,986
                                                                                                         Obesity causes nearly                                         ones who drank seven or fewer alcoholic                                                                  heel stick test shortly
                                                                                                            one in 25 cancers                                        drinks per week outlived those who didn’t                                                                    after birth, reduces
                                                                                                         worldwide, including                                      drink at all. Limited drinking could increase                                                              brain activity associated
                                                                                                           breast, colorectal,                                       good cholesterol and improve blood sugar                                                                    with pain during the
  Number of children
                                                                                                            esophageal, and                                              control. Natural chemicals in beer and                                                                procedure. The perfect
    and adolescents
                                                                                                           pancreatic. Weight                                       wine called polyphenols might increase the                                                                stroke for pain reduction,
   who died between
  1999 and 2016 from                                                                                     might also contribute                                       body’s concentration of nitric oxide, which                                                               researchers found in an
 prescription and illicit                                                                                                                                              is important for blood vessel health. The                                                                experiment, covers 3
                                                                                                        to gallbladder, liver, and
  opioid poisonings—                                                                                                                                               benefits came from just one drink a day. The                                                               centimeters (a little more
                                                                                                          ovarian cancers and
                                                                                                                                           G ET T Y I M AG ES

     an increase of                                                                                                                                               findings aren’t a free pass for heavy drinking,                                                              than 1 inch) of a baby’s
                                                                                                           multiple myeloma.
      almost 30%.                                                                                                                                                         which has many health consequences.                                                                       skin per second.
                                                                                                          SOURCE: CA: A Cancer Journal
         SOURCE: JAMA                                                                                                                                                                                      SOURCE: JAMA
                                                                                                                 for Clinicians                                                                                                                                                          SOURCE: Cell Press

7                                                                                                                                                                                                                                                                                                                   8
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MELATONIN: IS IT SAFE? PAGE - RAISES HIS VOICE TO HELP OTHERS THE DAILY SHOW'S - WebMD
Upfront

                                                                           SLEEP                                    THE LONELIEST
                                                                                                                      NUMBERS
                                                                           AWAY THE                        Three out of four people feel seriously

                                                                           CRAVINGS                        lonely at any given time, according to

                                                                                                            a study of healthy people ages 27 to
                                                                           Sleep quality and weight
                                                                                                           101. Loneliness peaks in the 20s, 50s,
                                                                           regulation are tightly
                                                                                                                              and late 80s.
                                                                           linked. In fact, just one
                                                                                                                      SOURCE: International Psychogeriatrics

                                                                           lost night of sleep makes

                                                                           junk food more desirable,

                                                                                                       KEEP IT CLEAN
                                                                           according to an MRI study

                                                                           of lean, healthy men’s

                                                                           brains when offered
                                                                                                       “Is that stethoscope
                                                                           junk food after a good
                                                                                                       clean, Doc?” A
                                                                           night’s sleep and after a
                                                                                                       new study finds
                                                                           sleepless night.
                                                                                                       that the tool is a
                                                                           SOURCE: Canadian Medical
                                                                           Association Journal
                                                                                                       breeding ground

                                                                                                       for infection-

                                                                                                       causing bacteria,

                                                                                                       including staphylococcus,
                                           TAKE THEM OUT                                               the source of staph
                      An estimated 1 million annual outpatient and emergency room visits
                                                                                                       infections.
                         are a result of serious eye infections from sleeping in contacts.
                                                                                                       SOURCE: Infection Control
                                                                                                       and Hospital Epidemiology
                                             SOURCE: Annals of Emergency Medicine

                                                    GO MED
                     What makes the Mediterranean diet so good for your heart? In a 12-year
                     study of nearly 26,000 women, those who stuck most closely to the diet
                     were up to 28% less likely to have a heart attack or stroke. They also had
                      lower levels of inflammation, better blood sugar control, and less body
                     fat. The Mediterranean diet emphasizes vegetables, fruits, whole grains,
                     legumes, and nuts; swaps butter for healthy fats such as olive and canola
                     oils; substitutes spices for salt; reduces red meat to a few times a month;
G ET T Y I M AG ES

                                 and includes fish or poultry at least twice a week.
                                                        SOURCE: JAMA

                                                                                                                                                                           9
                                                                                                                                                               W E B M D.C O M
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H E A LT H Y H A B I T S
                                                                             Living                               MEANINGFUL CHANGE

                                              Green
                                                                             RESEARCHERS AT THE INSTITUTE FOR GLOBAL HEALTH IN BARCELONA
                     H E A LT H Y S PAC E S

                                                                             TRACKED 6,500 ADULTS AGES 45 TO 68 FOR 10 YEARS. During that

                                              Is Good
                                                                             time, the middle-aged and older adults took tests that measured
                                                                             short-term memory, reasoning, and vocabulary. Then the researchers
                                                                             used satellite images to measure the greenness of each person’s
                                                                             neighborhood. The people who lived in the greenest areas showed
                                              WHETHER IT’S THE UNTAMED       the slowest decline in thinking skills over time. It could be, the
                                              WILDERNESS OR A NEIGHBORHOOD   researchers say, that green spaces promote healthy behavior.
                                              PARK, SPENDING TIME IN GREEN   Spending more time in these places—especially exercising,
G ET T Y I M AG ES

                                              PL ACES IS GOOD FOR YOUR       socializing, or just releasing stress—might help preserve thinking
                                              MENTAL WELL-BEING              skills as you age. —SONYA COLLINS

                                                                                                                                                 10
                                                                                                                                      W E B M D.C O M
Living                                                                                                         Search for the slideshow How to Break
                                                                                                                                    Your Phone Habit at WebMD.com.

                                                                                                           boundaries have largely been dissolved, enabling
                                                                                                           employers and employees to remain tethered on an
                                                                                                           electronic leash.
                                                                                                              In one 2016 study of 365 adults, Belkin and her
                                                                                                           colleagues found that, on average, employees spend
                                                                                                           about one full extra day per week checking work-related
                                                                                                           email outside of normal office hours. Some respondents
                                                                                                           reported checking it as many as 40 additional hours.
                                                                                                              Regardless of how much time they spent actually
                                                                                                           responding to them, the mere expectation by their
                                                                                                           employer to keep an eye on electronic messages
                                                                                                           boosted an employee’s emotional exhaustion by
                                                                                                           requiring cognitively taxing “micro-role transitions
                                                                                                           between work and non-work domains.”
                                                                                                              “Even if employees make a conscious choice not
                                                                                                           to respond while they are with their family, there is
                                                                                                           always a chronic stressor in the back of their mind,”
                                                                                                           Belkin says. “You are either checking messages or
                                                                                                           you are thinking about checking them.”
                                                                                                              In a follow-up study published in July, the
                                                                                                           researchers surveyed 142 full-time employees, as
                                                                                                           well as their bosses and romantic partners. The
                                                                                                           more their boss expected them to check electronic
                                                                                                           messages after hours, the more anxiety and less
                                                                                                           relationship satisfaction their partner felt.
                                                                                                              “Unlike the employee, the significant other is rela-
                                                                                                           tively powerless to take direct action,” the authors note,
                                                                                                           calling partner impact an underreported and “insidious

                     Marriage Killer?
                                                                                                           downside” of electronic communication.
                                                                                                              Belkin, who frequently checks electronic messages
WORK WISE

                                                                                                           after hours herself, acknowledges that in the internet
                                                                                                           age it’s hard not to. But she says employees can take
                                                                                                           several steps to protect their time—and relationships:
                     NEW RESEARCH SUGGESTS MONITORING WORK EMAILS AFTER HOURS
                     CAN HARM PARTNERS’ HEALTH AND RELATIONSHIP SATISFACTION                                     • Ask your employer to establish a rotating
                                                                                                                   on-call schedule, designating certain days or times
                     BY Lisa Marshall
                                                                                                                   that people must monitor electronic messages.
                     REVIEWED BY Patricia A. Farrell, PhD, WebMD Medical Reviewer
                                                                                                                 • Ask your employer to specify in emails whether
                     WORRIED THAT YOUR AFTER-HOURS WORK EMAILS ARE DRIVING A WEDGE
                                                                                                                   immediate action is necessary or if a response
                     BETWEEN YOU AND YOUR SIGNIFICANT OTHER? You’re probably right, new
                                                                                                                   can wait until work hours (often employees think
                     research confirms.
                                                                                                                   they have to respond immediately when it’s not
                        “We found that the more people check their work email, the more
                                                                                                                   really necessary).
                     anxious they feel and the less satisfaction they feel with their overall health
                     and marital relationship,” said Liuba Belkin, PhD, associate professor of                   • Establish strict, no-email times in which you
                     management at Lehigh University and co-author of the studies. “We also                        turn off your phone. (Research shows that the mere
                     found that this anxiety and lack of satisfaction spills over to partners.”                    presence of a smartphone in the room can reduce
                        Belkin notes that in the past, strict physical boundaries existed                          focus.) “Just not even having it in the vicinity
                     between work and home life. But in the age of smartphones, those                              during family time can help a lot,” says Belkin.

                     BY THE NUMBERS

                     8                                          65%                                                       55%
                                                                                     Percentage of employees
G ET T Y I M AG ES

                            Number of hours per week,                                who believe their company                                    Percentage of employees
                            on average, that employees                               has high expectations                                        who have a hard time
                            monitor work emails outside                              of them to monitor work                                      detaching from work
                            of office hours.                                         emails after hours.                                          after hours.

                                                                                                                                                                            11
                                                                                                                                                              W E B M D.C O M
Living

                          Reason to Relax
W O M E N ’S H E A LT H

                          A NEW STUDY SUGGESTS STRESS PUTS WOMEN AT RISK OF DEVELOPING DIABETES

                          BY Kara Mayer Robinson
                          REVIEWED BY Brunilda Nazario, MD, WebMD Senior Medical Editor

                                 Looking for a doctor?
                                 Use WebMD’s Physician
                                 Directory. Go to
                                 WebMD.com/findadoctor.

                          A STUDY FROM THE AMERICAN HEART                     a known diabetes risk factor. And it can
                          ASSOCIATION FINDS THAT OLDER WOMEN                  trigger anxiety, depression, and mental
                          with mounting stress were almost twice as           health problems, which make it harder
                          likely than women with little or no stress to       to take good care of yourself. If you don’t
                          develop diabetes.                                   eat well and exercise, you’re more likely to
                             When you’re stressed, your body makes            develop diabetes.
                          more hormones such as cortisol, growth                 According to the study, both acute and
                          hormone, glucagon, and adrenaline,                  chronic stress bump up your risk. Acute
                          which make your blood sugar levels go               stress is when you suddenly find yourself
                          up, explains Nadia Ali, MD, an integrative          in a traumatic or negative situation, like
                          medicine doctor in Wayne, Pennsylvania.             losing your job or having a serious accident.
                          This can lead to insulin resistance, which          Chronic stress happens over a long period of
                          can trigger diabetes.                               time, such as when you have ongoing prob-
                             Stress also raises your blood pressure,          lems with work, finances, or relationships.

                          ASK YOUR DOCTOR
                          YOUR DOCTOR         Q How does         Q Do I have              Q What lifestyle    Q Should I see
                          CAN HELP YOU
                          UNDERSTAND
                                              stress affect      an underlying            choices do you      a therapist?
                          YOUR RISK AND       my body?           medical                  recommend?          Your doctor can
                          RECOMMEND
                                              Your doctor may    condition that           If you’re feeling   help you decide
                          STRATEGIES                             needs to be
                          TO COPE             run tests to see                            stressed, your      if it’s best to get
                          WITH STRESS.        how stress affects monitored?               doctor may          professional
                          NADIA ALI,          your insulin level,   Your doctor can       suggest specific    help—and help
                          MD, SUGGESTS        insulin resistance,                         changes to your     you find it.
                                                                    identify if there’s
                          STARTING
                          WITH THESE
                                              and inflammation.     something else at     diet and exercise
                          QUESTIONS.                                play and help you     program.
                                                                    manage it.
Search for the quiz How
                       Living                                                                                                            Your Brain Works: Myths
                                                                                                                                         and Facts at WebMD.com.

                       Know Your Own Mind
M I N D M AT T E R S

                       A NEW STUDY REVEALS VARYING HUMAN EXPERIENCES MAY ALTER THE ANATOMY OF THE INDIVIDUAL BRAIN,
                       MAKING YOURS—OVER TIME—AS IDENTIFIABLE AS A FINGERPRINT

                       BY L auren Paige Kennedy REVIEWED BY Neha Pathak, MD, WebMD Medical Editor

                       UNTIL RECENTLY, SCIENTISTS BELIEVED THAT HUMAN BRAINS WERE                 He and his team studied 200 healthy people who underwent
                       ANATOMICALLY INDISTINGUISHABLE. However, one recent study               MRI brain scans three times over the course of two years. They
                       from the University of Edinburgh suggests men, on average, have         evaluated more than 450 features of brain anatomy, including
                       slightly higher brain volume than women, even when corrected for        volumes of gray and white matter, total brain volume, and
                       body size—although researchers are hard-pressed to identify exactly     thickness of the cortex—with interesting conclusions.
                       which specific substructures within the brain might hold this extra        Jäncke notes that people with special skills, such as
                       volume. And women, on average, have thicker cortices than men,          competitive chess players and professional athletes, showed
                       which are associated with higher cognitive test scores.                 unique characteristics in the regions of the brain that
                          But examining a typical brain and being able to identify one         control for such gifts, clearly distinguishing them from the
                       from another based solely on its structure? Scientists didn’t           average person.
                       think it possible.                                                         He adds that even short-term experiences—such as
                          That notion is changing now with a new study conducted by            breaking an arm, resulting in its temporary immobility—can
                       a team of researchers at the University of Zurich (UZH). “We            also alter the brain’s physical characteristics, with a reduction
                       were able to confirm that the structure of people’s brains is very      in the thickness of the brain’s cortex in the specific areas
                       individual,” says the study’s author, Lutz Jäncke, a UZH professor of   responsible for controlling that arm. “We suspect those
                       neuropsychology. Jäncke says his team’s research shows a combi-         experiences that have an effect on the brain interact with the
 G ET T Y I M AG ES

                       nation of genetic and non-genetic influences affect not only brain      genetic makeup, so that over the course of years every person
                       functioning but also individual anatomy.                                develops a completely individual brain anatomy,” Jäncke says.

                                                                                                                                                                13
                                                                                                                                                     W E B M D.C O M
Living

                       Baby Blues
 M E N ’S H E A LT H

                       NEW FATHERS DEVELOP DEPRESSION AT TWICE
                                                                                                                                              Search for the article
                       THE RATE OF OTHER MEN
                                                                                                                                              10 Tips for New Dads
                       BY M att McMillen REVIEWED BY Michael W. Smith, MD, WebMD Chief Medical Editor                                        at WebMD.com.

                       DEPRESSION IN NEW DADS CAN HAVE LASTING                   more invested in their relationships and family        QUESTIONS
                       CONSEQUENCES FOR THE WHOLE FAMILY. A study                compared to men whose testosterone remains
                       by British researchers, released in December,             high. However, if it gets too low, depression
                                                                                                                                        FOR YOUR
                       revealed that fathers with postpartum                     risk rises. “You want it to be somewhere in the        DOCTOR
                       depression raise daughters with higher risk of            middle,” says Saxbe.
                                                                                                                                        Q Am I depressed?
                       developing depression as teens.                              It’s too soon to say whether testosterone-
                          Though researchers have begun to catch up              replacement therapy might help new fathers             The symptoms of depression
                       with the reality of postpartum depression among           avoid or recover from depression. Another              vary but often center around
                       men, the public remains largely unaware despite           unknown: Whether changes in testosterone levels        loss: loss of energy, loss of
                       the numbers of men affected, says psychologist            could be used to help predict which fathers-to-be      hope, loss of self-esteem,
                       Darby Saxbe, PhD, an assistant professor of psy-          have an elevated risk of depression, a complicated     loss of interest (including
                       chology at the University of Southern California.         disease that has many causes and triggers.             interest in your newborn).
                          “About 10% of new dads become depressed,”                 But, Saxbe says, men can help themselves,
                       says Saxbe. “That’s about twice the rate of               either to reduce their risk of depression or to help   Q Do I need treatment?
                       depression among other men.”                              them feel better when they become depressed:           Self-care is essential, but
                          Why new dads—or moms, for that matter                                                                         your depression may require
                       —become depressed remains incompletely                    Maintain your social life. Stay close to loved         outside help, which may
                       understood, but Saxbe’s own research indicates            ones. Strong friendships and family relation-          include cognitive behavioral
                       that the most masculine of hormones—testoster-            ships provide invaluable support as you adapt to       therapy, an effective type of
                       one—plays a role. In a study published in 2017,           your new role.                                         talk therapy, and/or anti-
                       Saxbe reported that men with lower levels of                                                                     depressant medication.
                       testosterone were more likely to have symptoms            Stay active. Join a gym, play sports with
                       of depression, like feelings of helplessness,             friends, or find some other way to work out            Q How long will
                       troubled sleep, faded interest in work and in             regularly. Exercise improves your mood and may         this last?
                       activities they once liked, and a rise in irritability,   help balance your hormone levels.
                       anxiety, and anger, to name just a few.                                                                          That varies from man to
                          Saxbe says that men’s testosterone levels                                                                     man, and, unfortunately,
                                                                                 Sleep. Tricky when you have a new baby, sleep
                       fluctuate over the course of pregnancy and                                                                       postpartum depression
                                                                                 is nevertheless essential to your mental health.
                       during the postpartum period, and a drop can                                                                     may raise your risk of more
                                                                                 Nap when the baby sleeps, catch up on week-
                       have some positive effects. Men with lower                                                                       depression down the road.
                                                                                 ends, do whatever it takes to prevent or reduce a
                       testosterone levels are less aggressive and feel          sleep deficit.
                                                                                                                                        Q How might this affect
                                                                                                                                        my family?
                                                                                                                                        Your depression may boost
                                                                                                                                        the likelihood that your chil-
                                                                                                                                        dren will develop behavioral
                                                                                                                                        and emotional problems as
                                                                                                                                        early as age 4, especially if
                                                                                                                                        mom’s depressed as well or
                                                                                                                                        there’s parental conflict in
                                                                                                                                        the home.
G ET T Y I M AG ES

                                                                                                                                                                         14
                                                                                                                                                            W E B M D.C O M
Search for the slideshow 13
                     Living                                                                                                          Ways to Get Rid of Your Period
                                                                                                                                     Cramps at WebMD.com.

                     Business As Usual
    FITNESS

                     SHOULD YOU SKIP WORKING OUT WHEN YOUR PERIOD COMES?
                                                                                                                                     4 TIPS
                     NO WAY, SAYS OUR EXPERT. HERE’S WHY.                                                                            EXERCISE IS GOOD FOR
                                                                                                                                     YOU, EVEN DURING YOUR
                     BY K ara Mayer Robinson
                                                                                                                                     PERIOD. TRY THESE TIPS
                     REVIEWED BY Brunilda Nazario, MD, WebMD Senior Medical Editor                                                   FROM SHERRY ROSS,
                                                                                                                                     MD, TO MAKE IT AS
                     UGH, THESE CRAMPS MAKE ME WANT TO CURL UP             time to try a new form of training, especially if         SEAMLESS AS POSSIBLE.

                                                                                                                                     1.
                     ON THE COUCH. IT’S BEST IF I SKIP THE GYM TODAY.      it’s high-intensity). Yoga and Pilates are good               GET COMFY
                        If this is you every 28 days or so, think again.   choices when you have your period because                     Dress comfortably
                     Working out during your period can actually           they give you more energy and minimize                    and keep it simple.
                     help you feel good. “Exercise is helpful for          cramps and bloating, says Ross. “My other                 Pick fabrics like nylon,
                                                                                                                                     spandex, and polyester,
                     many of those disruptive and annoying period          favorites are brisk walking, jogging, swimming,           which are comfy, non-
                     symptoms,” says Sherry Ross, MD, OB/GYN               and the elliptical machine,” she says.                    absorbent, and flexible.
                     at Providence Saint John’s Health Center in
                     Santa Monica.
                        For starters, exercise eases mood swings,
                                                                           Equip yourself
                                                                           Hook yourself up with the right products. “Wearing        2.   ADD BREATHING
                                                                                                                                          EXERCISES
                                                                                                                                     Do breathing exercises
                     lower back pain, and cramps. It can minimize          a sanitary pad could be bulky and messy,” says Ross.      before you work out. Not
                     bloating, water retention, weight gain, and           Try a tampon or menstrual cup. If your flow is            only will this ease you into
                     fatigue. “The feel-good and mood-boosting             heavy, back it up with a thick panty liner.               exercise, it can help with
                     endorphins and serotonin also help ease depres-          Put in a new tampon before your workout                anxiety, depression, and
                     sion, social withdrawal, and stress experienced                                                                 emotional roadblocks.
                                                                           and change it immediately after. No time for a

                                                                                                                                     3.
                     during certain times of the month,” Ross says.        post-workout shower? Apply a feminine vaginal                   TAKE CARE
                                                                           wipe to the outside of your vagina to remove                    Make sure you’re well
                     Smart moves                                           unwanted bacteria.                                        hydrated before, during,
                     Unless you’re losing a lot of blood, feeling             When you’re not working out, take ibuprofen            and after your workout. If
                     dehydrated, dizzy, weak, depleted, or sick, it’s                                                                you have to stop midway
                                                                           and apply a hot water bottle to your stomach. This
                                                                                                                                     to change a tampon or
                     better to continue your routine and work out          can soothe your cramps and headaches so you can           sanitary napkin, do it.
                     rather than stay on the couch, says Ross. But         get moving later.
                     you may need a few strategies to keep you
                     going when you’re not feeling up to snuff.
                                                                              “Listen to your body,” says Ross. If you feel tired,
                                                                           weak, nauseous, and dizzy, take a day off. But try        4.     TUNE IN
                                                                                                                                            Listen to your body.
                                                                                                                                     Don’t pressure yourself or
                        If you have heavy bleeding and cramping, try       to be active at least 30 to 45 minutes, four to seven
G ET T Y I M AG ES

                                                                                                                                     overexert yourself. Lean
                     gentle, safe activities. Swap your high-octane        times a week, she says—“It may be the best way            in to your strengths and
                     gym workout for a long walk. Instead of rock          to avoid physical and emotional upheaval” during          weaknesses—and know
                     climbing, try yoga (and now probably isn’t the        your period.                                              when to say when.

                                                                                                                                                                    15
                                                                                                                                                       W E B M D.C O M
BEHIND THE SCIENCE
                                                               Beauty                                             INSIDE OUT

                                 Coconut
                                                               COCONUT OIL ISN’T JUST MAKING WAVES AS A GOOD-FOR-YOU FOOD.
                     SKIN CARE

                                                               The natural ingredient, made of fatty acids including bacteria-blocking linoleic
                                                               acid and moisture-boosting lauric acid, is also a beauty basic that works

                                 Cure-All
                                                               wonders on most skin and hair types. “If you have very dry skin, use it on top of
                                                               a humectant to lock in hydration,” says Michelle Henry, MD, a New York City
                                                               dermatologist. However, use caution if you have an oily or sensitive complexion
                                                               as coconut oil can lead to blocked pores or irritation and, in some people, skin
                                 TRY COCONUT OIL AS A FACE
                                                               allergies. Dandruff or flaky scalp got you down? Use the oil in the evening as
                                 WASH, HAIR CONDITIONER, AND
G ET T Y I M AG ES

                                                               a hair treatment that you can leave in or rinse out, adds Rhonda Klein, MD, a
                                 MUCH MORE
                                                               dermatologist in Westport, Connecticut. “Some people even swear by coconut
                                                               oil as a lubricant for shaving,” she adds. —AY R E N JAC KSO N - CA N N A DY

                                                                                                                                                16
                                                                                                                                     W E B M D.C O M
Beauty                                                                               “T           Sk
                                                                                                                                              Beauty
                                                                                                             h             in
                                                                                                         lip is h             M
                                                                                                             s el               ed

                     Pretty
                                                                                                         lin wh ps                 ic
                                                                                                             e s i l e t o Li a H
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                     presents
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                     WELL BEYOND MOTHER’S DAY FROM SUSAN BARD, MD,
                     DERMATOLOGIST AT VIVE DERMATOLOGY IN BROOKLYN                                                                                 th f in p
                                                                                                                                                     .” e
                     BY Ayren Jackson-Cannady                                                                                                  u
                     REVIEWED BY Karyn Grossman, MD, WebMD Medical Reviewer                                                                     p
                          Check out the Women’s Health
                          Message Board at WebMD.com.

                                                                                eye light
                                                         tool time

                                                                                    SkinCeuticals A.G.E. Eye Complex, $98
                                                      Clarisonic Mia                  “Containing caffeine, this stimulates
                                                    Prima Sonic                         circulation to help minimize dark
                                                   Facial Cleansing                  circles, puffiness, and fine lines so you
                                                  Brush, $99                                   see results quickly.”
                                                  “Give her the gift
                                                  of time with this
                                                  ultrasonic face
                                                   brush that
                                                   gently cleanses
                                                    and exfoliates
                                                    to simplify
                                                     mom's skin-care
                                                      routine while
                                                       clearing the
                                                       way for her
                                                        serums and
                                                        treatments to
                                                         work more

                                                                                                          ayrush-On
                                                         effectively.”
                                                                                                       l
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                                                                                                r
                                                                                          de unforSgPeFt 50,a$pplitcrautiin amsaykto le
                                                           THE OPINIONS
                                                           EXPRESSED IN THIS
                                                                                                        t      6          o        e
                                                                                                                                                                       P H O T O G R A P H Y: R I C K L O Z I E R

                                                            SECTION ARE OF

                                                                                        w S n es n' e nt
                                                            THE EXPERTS AND

                                                                                      po iencescree n maknd wosuper nd ge
                                                            ARE NOT THE OPIN-
                                                            IONS OF WEBMD.
                                                           WEBMD DOES NOT
G ET T Y I M AG ES

                                                           ENDORSE ANY
                                                                                                   nsc    ee     a   o    ,a ”
                                                                                                Su scr eeze s als aby es.
                                                           SPECIFIC PRODUCT,
                                                          SERVICE, OR
                                                                                           o   re
                                                                                        ol        s u n br       i
                                                                                                                F o r b  t p
                                                                                                                          y
                                                                                                er on a al SP afe f skin
                                                          TREATMENT.
                                                                                       C
                                                                                              d     i     r
                                                                                            ow at       e    , s ve
                                                                                         “P plic min kids nsiti
                                                                                            ap his to se
                                                                                         re    T ly on
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                                                                                                ap                                                               17
                                                                                                                                                     W E B M D.C O M
                                                                                                                                                                 17
                                                                                                                                                     W E B M D.C O M
Beauty

                                                                                                                                         Search for the article
                                                                                                                                         Scars and Your Skin
                                                                                                                                         at WebMD.com.

                     Scar
                                                                                           Q Can over-the-counter creams and treatments make a scar
DERM Q&A

                                                                                           look better?
                                                                                           KORMEILI There’s conflicting data about most products. There’s no

                     Treatments
                                                                                           concrete evidence that vitamins applied topically, like vitamin E or C,
                                                                                           can improve wound healing. Silicone sheets may help with wounds
                                                                                           that tend to get raised, but they do little for wounds that heal with
                                                                                           depression or icepick marks.
                     CONGRATULATIONS—YOU HAVE A SCAR. THAT’S A SIGN
                     YOUR BODY IS DOING WHAT IT’S SUPPOSED TO.
                                                                                           Q How do dermatologists treat scars?
                                                                                           KORMEILI No two scars are the same, so we use a variety of creams,
                     BUT TREATMENTS CAN HELP MINIMIZE ITS APPEARANCE.
                                                                                           injections, and lasers based on their appearance. I may use one
                     BY K ara Mayer Robinson                                              type of laser to treat the redness, one type of laser to treat the white
                     REVIEWED BY Mohiba K. Tareen, MD, WebMD Medical Reviewer              line, and inject it with PRP (platelet-rich plasma) or cortisone to
                                                                                           guide the healing process. For surgeries, we use the best sutures and
                                                                                           surgical techniques to minimize scarring. I use a protocol of creams
                     A SCAR IS YOUR BODY’S WAY OF HEALING A WOUND. It creates
                                                                                           for burns to guide the healing process.
                     new collagen to repair damaged tissue from an injury. But
                     because it’s different from collagen you were born with, it may       Q What’s the newest innovation in treatment?
                     look and feel different. It may be raised, depressed, white, red,     KORMEILI There’s a great deal of research for skin-care products
                     brown, pink, or silver.                                               with peptides. Some peptides may help generate new collagen,
                        While a scar may be a good conversation starter—“I fell off my     which helps wounds heal. Because most over-the-counter
                     bike when I was 5!”—sometimes it’s better not to have a reminder      cosmetic products aren’t under FDA control, it’s hard to know
                     of what you’ve been through. We asked Tanya Kormeili, MD, a           which have the best effect.
                     dermatologist in Santa Monica, California, to shed light on scars
                                                                                           Q When should I see a doctor?
                     and explain how to minimize their appearance.
                                                                                           KORMEILI When you have a medical issue with your skin or
                     Q What causes most scars?                                             something isn’t healing, see a doctor. If you have acne, get med-
                     KORMEILI Scars are the direct result of injury to the skin, usu-      ical treatment before it scars you. If you burn yourself, have a
                     ally down to at least the dermis, or second level. Surgery, burns,    dermatologist help. Ask for surgical scar treatment after surgery.
                     or injuries from accidents can do that. Some types of acne, like      It’s less expensive to get professional help early than to wait until
                     deep lesions, can also cause scarring.                                the damage is permanent to find a solution.

                     AN OUNCE OF PREVENTION
                     STOP A SCAR BEFORE         HANDS OFF. Don’t pick       KEEP IT CLEAN. Take good      COVER UP. Keep your           GET HELP. If your scar isn’t
G ET T Y I M AG ES

                     IT SETTLES IN WITH         at your scabs or acne.      care of your injury. If you   scar covered to boost the     healing well, get profes-
                     THESE TIPS FROM            Nail marks and repeated     don’t keep the area clean,    healing process. Avoid        sional help. A dermatologist
                     DERMATOLOGIST              trauma can cause            it may become infected.       exposing a fresh scar to      will take a look to see what
                     TANYA KORMEILI, MD.        more scarring.                                            the sun.                      it needs to get better.

                                                                                                                                                                   18
                                                                                                                                                        W E B M D.C O M
Beauty                                                                                                      Sign up for the Skin & Beauty
                                                                                                                             Newsletter at WebMD.com.

                                                                                                                                                                                  also reduces shine and helps the pores            Mask, $45, to quench dehydrated                       EXPERT PICK: Bae likes the AHAs packed
                                                                                                                                                                                  look smaller.                                     skin. “The second ingredient is sodium                in the Aveeno Positively Radiant
                                                                                                                                                                                                                                    hyaluronic, a derivative of hyaluronic                MaxGlow Peel Off Exfoliating Face
                                                                                                                                                                                  EXPERT PICK: Dobos likes Glamglow                 acid—a humectant that can hold 1,000                  Mask, $10.
                                                                                                                                                                                  Supermud Clearing Treatment, $59.                 times its weight in water and draw mois-
                                                                                                                                                                                  It contains a blend of kaolin clay and            ture into the skin.”                                  SKIN COMPLAINT: SENSITIVITY AND
                                                                                                                                                                                  exfoliating alpha and beta hydroxy acids                                                                IRRITATION
                                                                                                                                                                                  to keep pores clear and soften skin.              SKIN COMPLAINT: DULLNESS                              Ingredients to look for: anti-
                                                                                                                                                                                                                                    Ingredients to look for: alpha hydroxy                inflammatory agents
                                                                                                                                                                                  SKIN COMPLAINT: DRYNESS                           acids, vitamin C
                                                                                                                                                                                  Ingredients to look for: hyaluronic acid,                                                               Masks packed with soothing ingredients
                                                                                                                                                                                  glycerin                                          A layer of dulling skin cells can cause a             can help calm irritation and redness as
                                                                                                                                                                                                                                    lackluster complexion, so the gentle exfo-            long as you opt for mild, gentle formulas.
                                                                                                                                                                                  “Masks in general are especially good at          liating benefits of alpha hydroxy acids               “Masks can be great after certain laser
                                                                                                                                                                                  hydrating,” Dobos says. “And sheet masks          (AHAs) like glycolic, lactic, and citric              procedures,” Bae says. “The hydrating
                                                                                                                                                                                  are especially efficient at moisturizing. They    acids can slough away the surface cells               and cooling benefits can help heal the
                                                                                                                                                                                  increase the amount of time hydrating ingre-      and reveal fresher skin, explains Yoon-               skin after a procedure.”
                                                                                                                                                                                  dients come into contact with your skin—the       Soo Cindy Bae, MD, a board-certified                     Celebrity facialist Joanna Vargas
                                                                                                                                                                                  fibers have an occlusive quality and hold         dermatologist in New York City and a                  says one of the best options comes
                                                                                                                                                                                  moisture in longer.” Another perk of hydrating    clinical assistant professor of dermatol-             straight from the kitchen. She mixes
                                                                                                                                                                                  masks is that they help plump fine lines, Jacob   ogy at the New York University School of              2 tablespoons oatmeal, 1 tablespoon
                                                                                                                                                                                  says, so they have an anti-aging effect.          Medicine. She also suggests looking for               honey, 1 tablespoon Greek yogurt, and
                                                                                                                                                                                                                                    vitamin C as an ingredient because it will            1 teaspoon apple cider vinegar as a
                                                                                                                                                                                  EXPERT PICK: Dobos recommends Glow                affect the production of melanin to help              natural anti-inflammatory remedy for
                                                                                                                                                                                  Recipe Watermelon Glow Sleeping                   brighten and even skin pigmentation.                  any skin type.

                                                                                                                                                                                                                                                                                          Continued on page 21

                 Behind the Mask
                                                                                                                                                                                  THE SCOOP
BEAUT Y SMARTS

                                                                                                                                                                                                                                    BROW-ZING
                                                                                                                                                                                                                                    WHEN IT COMES TO SHAPING UP YOUR BROWS, YOU HAVE PLENTY OF OPTIONS.
                 HERE’S YOUR CHEAT SHEET TO FINDING THE BEST FACIAL MASK FOR YOUR SKIN CONCERNS—
                                                                                                                                                                                                                                    HERE’S HOW TO FIND THE BEST ONE FOR YOU.
                 STRAIGHT FROM THE PROS
                                                                                                                                                                                                                                    WAXING                      TWEEZING                  THREADING                  MICROBLADING
                 BY L iesa Goins REVIEWED BY Mohiba K. Tareen, MD, WebMD Medical Reviewer
                                                                                                                                                                                                                                    Pros: In a hurry? This      Pros: For a straight      Pros: Threading,           Pros: Microblading,
                                                                                                                                                                                                                                    is the quickest way to      and crisp brow line,      in which a string is       which is essentially
                                                                                                                                                                                                                                    clean up your brows.        tweezing is the way       used to pull out facial    a semi-permanent
                 ONCE A BEHIND-CLOSED-DOORS                 The attention masks are getting may          how to find the right option for you based                                                                                 “You’re able to remove      to go. Tweezers can       hairs individually or      tattoo, helps fill in
                 BEAUTY RITUAL, masking has              be new, but they’ve been an essential part      on your concern. Where you decide to wear                                                                                  a good amount of hair       grasp thick or thin       in small groups, can       any brow holes or
                 become something that celebrities,      of a skin-care regimen since selfies have       your mask, though, is totally up to you.                                                                                   all at once, and it comes   hairs with unrivaled      be just as precise         gaps. “This method,
                 including Bella Hadid and Lady          had hieroglyphics for captions. “Although                                                                                                                                  out from the root,” says    precision.                as tweezing if done        which lasts six
                                                                                                                                                                                                                                    celebrity brow artist                                 correctly. It’s also       months to one year,
                 Gaga, broadcast on social media—        masks have been around for centuries,           SKIN COMPLAINT: OILINESS AND                                                                                               and expert Giselle Soto.    Cons: Tweezing can        one of the most            is great if you’re an
                 and even wear during flights.           manufacturers have now developed newer          BREAKOUTS                                                                                                                                              be tedious as you         affordable options         ‘on the go’ person
                    “I think masks have become so        technologies and newer skin-care ingredi-       Ingredient to look for: Kaolin clay                                                                                        Cons: Waxing may            can only tweeze           for brow shaping.          because you won’t
                 popular because in today’s world it’s   ents, so patients are finding that masks can                                                                                                                               cause redness—and           one hair at a time.                                  need to worry about
                 all about instant gratification and     be an effective way to deliver ingredients to   “Clay masks are good for anyone who has                                                                                    sometimes swelling—         Therefore, if you self-   Cons: On top of being      taking an extra 20 to
                                                                                                                                                                                                                                    depending on the            tweeze, you may find      one of the most            25 minutes filling in
                 self-care,” says Carolyn Jacob, MD,     the skin,” says Rajani Katta, MD, a derma-      acne concerns or oily skin because kaolin                                                                                  sensitivity of your         yourself shaping your     painful options for        your eyebrows with
                 a dermatologist in Chicago and          tologist in Houston and a clinical professor    absorbs sebum from the skin,” says Kelly                                                                                   skin. Unfortunately,        eyebrows in the mirror    brow grooming, a           makeup,” says Soto.
                 an associate clinical instructor at     of dermatology at the University of Texas       Dobos, a cosmetics chemist in Cleveland.                                                                                   waxing isn’t an option      for nearly an hour.       license or certification
                 Northwestern School of Medicine.        McGovern Medical School in Houston.             “Sebum plugs up pores and is the food for                                                                                  for any individual                                    is not required to         Cons: Results vary
                 “In as little as 10 minutes we can      “Plus, they’re just fun to use.”                bacteria, which cause the inflammation                                                                                     who uses doctor                                       do threading.              by skin type. Risks
                                                                                                                                                                                                                                    prescribed skin                                                                  include potential scar
                                                                                                                                                             G ET T Y I M AG ES

                 feel like we are doing something           With their popularity comes an over-         and destruction of the follicle in acne and                                                                                                                                                                 tissue and future
                                                                                                                                                                                                                                    medications or over-
                 good for ourselves while getting        whelming array of choices. Since there are      acne scarring,” Jacob adds. So targeting                                                                                   the-counter products                                                             follicle damage.
                 the satisfaction of doing something     so many formulas designed to treat just         sebum at the source helps stop the cycle of                                                                                such as Accutane,
                 good for our skin.”                     about any skin complaint, we asked experts      breakouts. Plus, absorbing oil from the skin                                                                               Retin-A, or a retinol.

                 19                                                                                                                                                                                                                                                                                                                      20
                 W E B M D.C O M                                                                                                                                                                                                                                                                                               W E B M D.C O M
Beauty

                     Continued from page 20
                                                                                                                                    AISLE DO
                     NO MATTER YOUR SKIN GOALS, YOU ALWAYS
                          NEED TO FOLLOW DIRECTIONS.                                                                                CUTICLE
                                                                                                                                    CARE
                     EXPERT PICK: Jacob says the thermal                       BOTTOM LINE                                          TO SCORE A PRO MANICURE AT
                                                                                                                                    HOME, START BY SPRUCING UP YOUR
                     spring water in the Avène Soothing                        No matter your skin goals, you always
                                                                                                                                    CUTICLES. TAKE YOUR NAILS FROM
                     Sheet Mask, $9.50, is a soothing staple                   need to follow directions, Katta says:               “EH” TO EXTRA SPECIAL WITH THESE
                     for softening and calming skin.                           “While masks can help increase the                   EXPERT-APPROVED PRODUCTS.
                        Since most of us have some combination                 penetration of active ingredients into
                     of skin complaints, Dobos suggests a                      the skin, that means that if they’re not
                     multi-masking strategy—applying mask                      used correctly they can also increase your                         PRODUCT PICK
                     formulas targeted to different zones of                   risk of irritation and redness.” Take note                         SPA RITUAL
                     the skin. So apply a hydrating mask to                    of instructions on how long to leave the                           CUTI-CLEAN ($17)
                     the cheeks that tend to be drier and a clay               mask on and how to remove it to ensure                             “This makes the skin soft
                                                                                                                                                  and easy to push, and it
                     mask to the oilier areas of the nose and                  you’ll have skin you’ll want to show off
                                                                                                                                                  also helps with any staining
                     chin, for example.                                        once you are unmasked.                                             on the nail plate. Bonus:
                                                                                                                                                  Spa Ritual is vegan, so
                                                                                                                                                  everything is super natural.”
                                                                                                                                                  Kimmie Kyees manicurist,
                                                                                                                                                  St. Petersburg, Florida
                     DIRTY SECRET
                     “I don’t wash my pillowcases frequently. How bad is that?”

                                                                                                                                                  PRODUCT PICK
                                                                                                                                                  WELEDA SKIN FOOD
                                                                                                                                                  HAND CREAM ($13)
                                                                                                                                                  “Rich and beeswax-based,
                                                                                                                                                  this is a great product for
                                                                                                                                                  the driest areas of skin like
                                                                                                                                                  hands, feet, elbows, and
                                                                                                                                                  knees. It’s thick but glides
                                                                                                                                                  on perfectly and just works.
                                                                                                                                                  Plus, it smells divine.”
                                                                                                                                                  Erica Marton
                                                                                                                                                  celebrity manicurist,
                                                                                                                                                  St. Petersburg, Florida

                                                                                                                                                  PRODUCT PICK
                     AGING FACTORS                                             FRESH FACE                                                         VASELINE JELLY ($4)
                     “I believe four factors aside from genetics               “Washing your face morning and night can help                      ”This really is one of the
                     contribute to unwanted aging changes—pollution,           combat the issues connected to pillowcase                          best moisturizers money
                     irritants, light, and climate. Pillowcases collect        debris. Before bed, make sure your skin is free                    can buy, and it keeps the
                     irritating dust mites and other pollution particles       of makeup and dirt from your environment and                       skin barrier healthy. It
                     in the air, two factors linked to signs of aging. Plus,   do a gentle cleanse first thing when you wake                      also doubles as a wound
                                                                               up to ensure you’re removing any residue from                      healer for scrapes on the
                     multiple studies show that pollution particles are a
                                                                               your pillowcase.”                                                  go and is an amazing
                     major cause of wrinkles and age spots.“
                                                                                                                                                  cuticle softener.”
                                                                                                                                                  Mona Gohara, MD
                     FLIP AND SWAP                                             LINEN LINEUP                                                       associate clinical professor of
                     “I suggest turning over your pillowcase every             “Some people may develop red pimples due to                        dermatology, Yale University
                     other day and using a new one every fourth day.           irritation from bed linens. In this case, consider
                     Washing in a detergent that helps remove dust             switching to a 400-thread count cotton, sateen,
G ET T Y I M AG ES

                     mites is also key. I like All Free Clear because it       or silk case to prevent friction that can irritate
                     doesn’t contain irritating dyes or fragrances.”           these breakouts.”                                    THE OPINIONS EXPRESSED IN THIS SECTION ARE OF
                                                                                                                                    THE EXPERTS AND ARE NOT THE OPINIONS OF WEBMD.
                                                                                                                                    WEBMD DOES NOT ENDORSE ANY SPECIFIC PRODUCT,
                     —Loretta Ciraldo, MD, dermatologist, Miami                                                                     SERVICE, OR TREATMENT.

                                                                                                                                                                                       21
                                                                                                                                                                            W E B M D.C O M
H E A LT H Y T O G E T H E R
                                                                                    Fa m i l y                                    SMARTER LIVING

                                                Quality
                                                                                       HARVARD RESEARCHERS ASKED NEARLY 4,000 MIDDLE-AGE ADULTS TO
                     R E L AT I O N S H I P S

                                                                                       ASSESS AND SCORE THEIR CHILDHOOD RELATIONSHIPS WITH THEIR
                                                                                       PARENTS—did they spend quality time with you? Were they there for

                                                Time
                                                                                       you when you needed them? Did they understand your worries and
                                                                                       problems? Did they teach you about life? Then they evaluated how well
                                                                                       the adults felt they were doing in their own lives. They learned that
                                                                                       depression and substance abuse occurred much less frequently among
                                                PROVIDE YOUR CHILDREN WITH WARMTH      adults whose parents had been more loving, affectionate, supportive,
G ET T Y I M AG ES

                                                AND ATTENTION TO HELP THEM             and communicative. In fact, their children grew up much more likely
                                                FLOURISH THROUGHOUT THEIR LIVES        to thrive emotionally, psychologically, and socially. The lesson: Spend
                                                                                       quality time with your children now, and, this research reveals, they will
                                                                                       continue to benefit long after they leave your nest. — M AT T M c M I L L E N

                                                                                                                                                                    22
                                                                                                                                                         W E B M D.C O M
Fa m i l y
                                                                                                                                          Search for the slideshow
                                                                                                                                          Looking and Feeling Your

                     Breaking Bad
                                                                                                                                          Best During Pregnancy at
                                                                                                                                          WebMD.com.
 PREGNANCY

                     THESE FIVE BAD HABITS COULD THREATEN YOUR PREGNANCY AND UNDERMINE YOUR
                     BABY’S FUTURE HEALTH—HERE’S HOW TO BREAK THEM
                     BY Stephanie Watson REVIEWED BY Nivin C.S. Todd, MD, WebMD Medical Reviewer

                     BAD HABITS ARE HARD TO BREAK, BUT PREGNANCY IS A              Pregnant women need just 200 to 300 extra
                     POWERFUL MOTIVATOR. These five behaviors pose risks        calories per day. Too much weight gain can lead            BY THE
                     to your baby—and you.                                      to high blood pressure, gestational diabetes,              NUMBERS

                                                                                                                                           25
                                                                                and a larger than normal baby. It also increases
                     Smoking                                                    your child’s risk of being overweight or obese
                     Smoking is unhealthy at any stage of life, but             in adulthood.
                     especially when you’re breathing for two. This bad            “Women should track their own weight during
                     habit has been linked to miscarriage, birth defects,       pregnancy to make sure they’re not excessively
                                                                                                                                                            to

                                                                                                                                           35
                     and premature birth.                                       gaining,” says Wendy Bennett, MD, associate
                        Pregnant women are “incredibly good at quitting”

                                                                                                                                                           POUNDS
                                                                                professor of medicine at Johns Hopkins Medicine.
                     because they’re so motivated, says Michelle Moniz,         Adjust your diet and exercise as needed to keep
                     MD, assistant professor of obstetrics and gynecology       weight gain under control.
                     at the University of Michigan. Counseling, group
                     therapy, and medications can help you stop.                Bingeing on sugar                                           How much women
                        Smoking pot is risky, too. Marijuana and other          You and your baby need sugar (glucose) for                  should gain if they
                     street drugs (like heroin and ecstasy) can contribute      fuel. Yet eating too much sugar—or starchy                  started their pregnancy
                     to miscarriage, stillbirth, birth defects, and a host of   foods like bread and pasta that your body turns             at a healthy weight.
                     other pregnancy complications.                             into sugar—contributes to weight gain and                   Those who start out
                                                                                                                                            overweight should
                                                                                gestational diabetes.
                                                                                                                                            gain less, about 15 to
                     Drinking alcohol                                             Moms with gestational diabetes deliver large              25 pounds.
                     Each drink you consume travels through the umbilical       babies who have a higher risk for type 2 diabetes

                                                                                                                                           46%
                     cord to your baby. In large amounts, alcohol can cause     when they grow up. Talk to a dietitian if you’re
                     a collection of physical and intellectual disabilities     concerned about your pregnancy diet.
                     known as fetal alcohol spectrum disorders.
                        You might have heard European women enjoy the           Being a couch potato
                     occasional glass of wine during pregnancy, but Moniz       Your larger size is no reason to stop moving. In           Percentage of smokers
                     cautions that any alcohol is a bad idea.                   fact, exercise helps you stay at a healthy weight and      who quit just before or
                        “There is no known safe amount of alcohol in            relieves pregnancy symptoms like constipation and          during their pregnancy.
                     pregnancy,” she says. Ideally, cut back even earlier,      back pain.

                                                                                                                                           150
                     before you are trying to conceive.                            Staying in shape can also make labor less laborious.
                                                                                “Exercise is one way to prepare your body, and your
                     Overeating                                                 baby, for the process,” Moniz says. Just avoid lying
                     Pregnancy never justifies calorie overload. “You           on your back late in pregnancy and engaging in
                     might be eating for two, but one of you is the size of a   activities—like horseback riding or contact sports—        How many minutes
                     gummy bear,” Moniz says.                                   that could lead to a fall or other injury.                 of moderate-intensity
                                                                                                                                           exercise pregnant
                                                                                                                                           women need
                                                                                                                                           each week.

                                                                                                                                           87%
                                                                                                                                            Percentage of women
                                                                                                                                            who drank alcohol before
                                                                                                                                            their pregnancy but
G ET T Y I M AG ES

                                                                                                                                            stopped drinking once
                                                                                                                                            they were pregnant.
Fa m i l y

                     Don’t Walk
BABY

                     DESPITE WARNINGS AGAINST BABY WALKERS, SOME FAMILIES STILL USE THEM.
                     HERE’S A LOOK AT WHY THEY’RE DANGEROUS.
                                                                                                                                      Search for the article
                     BY Erin O’Donnell REVIEWED BY Hansa Bhargava, MD, WebMD Senior Medical Editor                                    Baby Safety at
                                                                                                                                      WebMD.com.

                                                                                                                              4 TIPS
                                                                                                                              PARENTS MAY BE
                                                                                                                              TEMPTED TO PURCHASE
                                                                                                                              BABY WALKERS “TO
                                                                                                                              KEEP THEIR CHILDREN
                                                                                                                              CHALLENGED, HAPPY,
                                                                                                                              AND ENGAGED,” SAYS
                                                                                                                              GARY A. SMITH, MD,
                                                                                                                              DrPH. HERE ARE BETTER
                                                                                                                              WAYS TO KEEP YOUR
                                                                                                                              LITTLE ONE OCCUPIED
                                                                                                                              AND INJURY-FREE.

                                                                                                                              1.    TUMMY
                                                                                                                                    TIME
                                                                                                                              Smith is a fan of placing
                                                                                                                              your infant on her belly on
                                                                                                                              the floor for short periods.
                                                                                                                              This gives her practice
                                                                                                                              lifting her head, rolling
                                                                                                                              over, pushing up on her
                     IT SEEMS LIKE A FUN IDEA: Sitting your infant      Product Safety Commission (CPSC) led compa-           hands and knees, and
                                                                                                                              even starting to crawl.
                     in a baby walker to give him a new way to scoot    nies to make wheeled walkers wider than typical

                                                                                                                              2.
                     around your home. But a recent study found         doorways, or to manufacture them with a brake              STATIONARY
                     that an estimated 2,000 babies visit emergency     that halts the wheels if they drop over the edge           ACTIVITY CENTERS
                     rooms each year with walker-related injuries—      of a step. The CPSC added stricter standards          These toys are usually
                     often to the head and neck—after toppling          in 2010, preventing companies from importing          shaped like traditional
                                                                                                                              baby walkers but lack
                     down stairs.                                       walkers without those safety features.                wheels and keep your
                        Even when they’re on level ground, walk-           Although these rules reduced the number of         infant in one spot. The
                     ers allow young babies to reach hot stoves,        injuries, babies are still getting hurt. “The thing   seats often swivel or allow
                     steaming mugs of coffee, appliance cords, and      that gets my attention is that there’s a very high    baby to bounce around.
                     poisons, or to fall into pools before they fully   proportion of really severe injuries,” Smith says.
                     understand these dangers, explains Gary A.
                     Smith, MD, DrPH, director of the Center for
                                                                        These include skull fractures, concussions, and
                                                                        burns to the head and neck. Strong babies can
                                                                                                                              3.    PLAYPENS
                                                                                                                                    To keep baby
                                                                                                                              contained for a little
                     Injury Research and Policy at Nationwide           override the brake to push themselves down            while, consider a playpen
                     Children’s Hospital in Columbus, Ohio, who         stairs, and walkers zip around at lightning           (sometimes called a
                                                                                                                              “play yard”). Never leave
                     led the study on walker injuries.                  speed. “A child can move up to four feet a sec-       baby in a mesh-sided
                        “The device is inherently dangerous by          ond in a mobile baby walker,” says Smith.             playpen with the side
                     design, and for that reason simply shouldn’t          Smith acknowledges that well-meaning               lowered, though. And if
                     be on the market,” Smith says. The American        parents use walkers because they want to keep         the playpen has a raised
                                                                                                                              changing table insert,
                     Academy of Pediatrics has called for a ban         their infants stimulated and entertained. They
                                                                                                                              remove it before putting
                     on the manufacture and sale of baby walkers,       believe babies will be safe if they just super-       baby in to play.
                     which are still sold in the U.S.                   vise them closely. (They might also think that
                        Smith’s research does reveal some good
                     news—the number of walker-related injuries
                                                                        walkers will help babies learn to walk, which
                                                                        is untrue, he adds.) But Smith says he has met        4.    HIGH
                                                                                                                                    CHAIRS
                                                                                                                              Need to keep baby busy
                     has declined dramatically since 1990, when         attentive, conscientious parents who were             while you make dinner?
                     more than 20,000 children visited emergency        stunned by their child’s walker accident. “It         The American Academy
G ET T Y I M AG ES

                     rooms due to walkers. In the following decade,     doesn’t matter if you’re standing right there,”       of Pediatrics suggests
                     companies began making stationary activity         he says. “Kids are going to move so quickly           strapping older babies into
                                                                                                                              a high chair to play with
                     centers without wheels. And voluntary federal      that you don’t have time to react before they’re
                                                                                                                              toys placed on the tray.
                     standards established in 1997 by the Consumer      down the stairs.”

                                                                                                                                                            24
                                                                                                                                                 W E B M D.C O M
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