2007 Austin Danskin Triathlon
March 27, 2010
Filed under Triathlon Videos
Video of the Danskin Triathlon held on June 10, 2007 in Austin, Tx. More than 3000 women participated in this sprint distance tri, many for the first time.
Click here to like this post. 
Marathon reporter goes the distance
March 22, 2010
Filed under Running Videos
www.scmp.com Preparing for this year’s Hong Kong marathon was no easy task for reporter Anneliese O’Young. Early mornings, jogs in the snow, hiking with the Hash House Harriers, shoe shopping and consultations with sports therapists and pyschologists all worked her into shape. Training also cut into her drinking time. Check it out in this video diary. Sponsorship she collected went to the Hong Kong Cancer Fund and was in memory of Kevin Sinclair, the veteran SCMP reporter who died last year.
Runners who don’t train well can have marathon of miseries
Today, as an estimated 20,000 runners begin their mad dash from Hopkinton to Boston, Dr. Malissa Wood, a cardiologist, four-time marathoner, and codirector of the Massachusetts General Hospital Women's Cardiovascular Health Center, will be setting up shop in the corner of the medical tent at the finish line.
As soon as they're finished, about 25 amateur runners will stroll or hobble over to Wood's corner to let her take a sample of their blood. They will also get a noninvasive test to see how well their hearts are working after the stress of running for about four hours. And, as they have done every year since 2003, Wood and her Mass. General colleagues will compare these postrace test results to the prerace exams done two weeks earlier.
The Mass. General findings on Boston marathoners — three published papers to date and two pending — are sobering and lend support to the idea that while moderate exercise is perhaps the most important thing a person can do for health, taking it to extremes, like a marathon, may be dangerous.
Among marathon runners, the biggest cardiac risk seems to arise in people who train the least. People who worked up to a marathon by running at least 45 miles a week for at least three to four months ''were golden. They didn't get into any trouble at all," said Wood. ''If they trained less than 35 miles a week, they were in big trouble."
Translated for the rest of us, this means that for people who are not in peak shape ''sudden, strenuous activity can trigger a heart attack," said Dr. Arthur Siegel, a 20-time marathoner and director of internal medicine at Harvard's McLean Hospital in Belmont.
Roughly 450,000 Americans run in marathons every year. And 325,000 do triathlons, which involves swimming, biking, and running, according to USA Triathlon, the sport's organizing body. Many of these are not well-trained athletes but newcomers who race to raise money for charities. That means, said Siegel, that in many such events, participants ''are getting older and slower. That's where the cardiac risk comes in, especially for middle-aged men with previously silent heart disease."
Moderation is the key, said Dr. Harvey Simon, an avid runner, former marathoner, Mass. General internist, and author of ''The No Sweat Exercise Plan," which advocates very moderate exercise — even as moderate as gardening and housework — instead of extreme exertion like marathoning.
''The greatest hazard of exercise is not doing it," said Simon.
''I used to preach 'No pain, no gain,' but now I say, ''No pain, big gain,' " he said. The whole ''aerobics doctrine" that a person needs a lot of strenuous exercise ''inspired the few but discouraged the many," he said. Even walking at the extremely leisurely pace of half an hour per mile has benefits.
Study after study has shown that moderate, regular exercise can indeed reduce the risk of heart disease, diabetes, stroke, hip fracture, and some kinds of cancer.
But exercising moderately takes patience and persistence. If you have not been exercising regularly, you should work up over several weeks to walking 45 minutes a day at least five days a week, said exercise physiologist Kerry Stewart at Johns Hopkins School of Medicine.
At first you may have to stop every few minutes and rest, he said. That's fine — just start up again. If you get chest pains or severe shortness of breath, of course, stop and call your doctor. If you have heart disease or have had a heart attack, check with your doctor before starting or substantially increasing your workouts.
You shouldn't underdo exercise, but you shouldn't overdo it, either. Chronic fatigue, trouble sleeping, muscle tiredness, nagging congestion or sore throat, persistent aches and pains, and depression are common signs that you may be working out too hard, said Siegel. To avoid this, try not to increase your exercise duration or intensity by more than 10 percent over any two-week period.
The easiest way to gauge whether you're working hard enough is to use the ''sing/talk test": Work hard enough that you can't sing but can talk.
Experienced athletes ''know how delicate the balance is between training to obtain optimal performance and overtraining to the point where muscle function begins to deteriorate," said Dr. Christopher Cooper, an exercise physiologist at UCLA. But for amateurs, finding that balance point can be hard.
As for marathoners, Wood and her Mass. General colleagues have found that running 26.2 miles can lead to clear signs of cardiac stress. They have found that cardiac troponin, a chemical that shows up in blood tests only when heart muscle is damaged, rises in 60 percent of runners, and in some, it rises so high that ''if you had just looked at these scores, these people would have been admitted to the hospital for heart attacks," Wood said.
They've found that another chemical, BNP, or brain natriuretic peptide, another red flag for cardiac dysfunction, goes up after a marathon in 60 percent of runners. Platelets also become activated and more likely to form the clots that can trigger heart attacks, according to a just-published paper by Siegel and Alexander Kratz, director of the hematology lab at Mass. General. And, as shown on echocardiograms, the heart's ability to relax after each beat remains impaired for at least several weeks in most marathoners.
Bottom line? You don't have to run a marathon to get into good shape. Just put on comfortable shoes, get out, and walk. Moderately. And consistently.
A balanced diet for runners
August 9, 2009
Filed under Diet And Nutrition, Running
.jpg "A balanced diet for runners")
Top nutrition tips to get you started in running
Getting fit and active through a running training programme is a great way of keeping your body and mind fit and healthy. However, a balanced run training plan also requires a balanced diet, to ensure you have the right energy intake to suit your body's running workouts. Here's the realbuzz introduction to running nutrition, guiding you on the best things to eat if you're looking to build those all-important running energy reserves.
We are all becoming more aware of the physiological and psychological rewards of being physically active, notably through running. If you need to lose weight or want to avoid becoming overweight, then the best way is to increase your physical activity levels, and to reduce your dietary fat intake, which can be achieved by decreasing your intake of starchy and sugary carbohydrates.
Even if you didn’t lose weight, but became fitter, it would help you avoid the many health complications of being overweight and so increase your life quality and expectancy. Furthermore, taking part in regular running exercise or other sports also helps reduce your risk of developing heart disease, diabetes, osteoporosis and certain forms of cancer. And, not forgetting the important role that physical activity plays in your mental well-being.
So, the recommendation that everyone should accumulate 30 minutes or more of physical activity over the course of most days of the week is thoroughly justified. But how do we go about becoming more active? If you’re pretty sedentary at the moment, then what you need to do is to modify your lifestyle to build in more running or other physical activities.
So start by becoming less sedentary, for example decreasing the time you spend watching television, surfing the net or playing computer games. Next try to be more active, take the stairs instead of the lift, park further away from the supermarket, or get off the bus one stop earlier and walk the rest of the way. Then gradually add some sustained exercise to your daily routine, such as brisk walking, cycling or swimming.
Yes, the aim is to be doing at least 30 minutes of continuous exercise five days per week, but gradual is the key, so try three lots of ten minutes to start with, and take it from there. The next question is – how do we fuel these bursts of running and other physical energy?
Dietary considerations for runners
The dietary considerations for fuelling a healthy, active lifestyle can be found in more detail in the following sections, but here are the basics.
As we know, a healthy balanced diet is essential for good health. The key to making our diet healthy and balanced is simply everything in moderation, plus extra carbohydrates if you’re running or exercising.
But why the emphasis on carbohydrates? Well, no matter what type of exercise or running you do, your body will always use some glucose for energy. Glucose is formed from the breakdown of carbohydrates – the sugars and starches in your diet – and is stored as glycogen. However, the body can only store a limited amount of glycogen, so the stores need to be kept topped-up to avoid fatigue. If you don’t eat enough carbohydrates, but continue to exercise you will soon become sluggish and dizzy and your exercise goals will go right out the window!
The more physical activity you do, the more glucose your body uses, the more carbohydrates you need to consume to replenish your stores. Therefore, physically active people need to consume a diet where more than half of it comes from carbohydrate foods. The bulk of your carbohydrate intake should come from the starchy sources such as bread, rice, potatoes and pasta and the remaining from more sugary sources such as sugar, fruit and juices.
However, as most carbohydrate foods, for example pasta or sugars, are eventually broken down into glucose, one type is not necessarily better than the other. But, if you’re running regularly, you need to eat a lot of carbohydrates, and there is only so much bread and pasta you can eat, so this is where sugary snacks and drinks have a useful role to play, both in providing you with energy before you exercise, and in helping you restock your glucose stores after exercise, ready for your next bout of physical activity or your next big run.
Although you need to allow two to three hours after a large meal before exercising, a high carbohydrate snack within 30 minutes of training has several benefits. Eating 25-50g of rapidly absorbed carbohydrate just before exercise will not only improve performance, but will also help maintain your blood sugar levels and so prevent you feeling light-headed. There are plenty of portable high carbohydrate snacks to choose from – bagels, honey or jam sandwiches, cereal bars, bananas, watermelon, dried fruit, jelly beans, juice or a sports drink – so find something you fancy.
Top 10 Disease-Fighting Foods
August 8, 2009
Filed under Diet And Nutrition
 |
||||
 “Let food be your medicine, and medicine be your food.” When Hippocrates, the father of modern medicine, wrote those words more than 2,400 years ago, he was hundreds of years ahead of his time. Today, thousands of studies around the world confirm Hippocrates’ advice: What you eat has a powerful effect on your health. Functional Foods
The buzz today is about “functional foods” that provide health benefits beyond basic nutrition. Researchers say a diet high in fruits, vegetables, nuts and cold-water fish can make your immune system stronger and reduce your risk of heart disease, certain cancers, and age-related vision and mental problems. Supplements vs. Food
Studies say that taking supplements instead of eating whole foods doesn’t provide the same benefits and may actually increase your risk of disease. Researchers think that the combination of natural chemicals found in whole foods work together to promote health. 10 Important Disease-Fighting Foods
Enjoy the benefits of these top food choices, found on your grocery store’s shelves: Spinach
May prevent age-related vision problems; provides folate, a vitamin critical for reducing birth defects; reduces blood levels of homocysteine, an amino acid that increases heart disease risk; may protect the brain from aging Broccoli
High in sulforaphane, a naturally occurring compound that may help destroy tumor-causing chemicals; provides indole-3-carbinol, a phytochemical (nutrient that comes from plants) that may protect against estrogen-related cancers Salmon
One of the best sources for omega-3 fatty acid, a type of fat that may reduce the risk of blood clots and cardiovascular disease; has anti-inflammatory effect; may reduce risk of diseases such as diabetes, stroke, rheumatoid arthritis, asthma, inflammatory bowel disease, ulcerative colitis, some cancers and mental decline Nuts
Loaded with heart-healthy monounsaturated fats, omega-3 fatty acid and vitamin E; helps reduce total blood cholesterol Tomatoes
Rich in lycopene, a phytochemical that seems to play a role in preventing certain cancers Berries
High in cancer-fighting phytochemicals; appear to have brain-protective properties that may help prevent, and possibly reverse, age-related declines in memory and learning ability Beans / Legumes
Excellent source of protein, heart-healthy fiber, folate and antioxidants; may help reduce cholesterol levels Oats
Rich in a type of fiber that’s effective in reducing total and LDL (“bad”) cholesterol; effective in regulating blood sugar levels Purple Grape Juice, Red or Purple Grapes, Red Wine
High in a cancer-fighting compound that may also help reduce the risk of cardiovascular disease Coffee and Tea
Coffee: Appears to reduce risk of heart disease, type 2 diabetes and age-related cognitive decline |
||||
Top 5 Foods That Fight Diseases
August 8, 2009
Filed under Diet And Nutrition
This post will cover disease-fighting foods. Of course, immunity can be boosted by exercising regularly (not over doing it – that compromises the immune system), and hygiene as well. These 3 together are basic things that are in your direct control. We will look at what we can add to our diet to help defend ourselves better against diseases.
1. Soybeans
Soybeans are a known source of proteins, carbohydrates (soluble and insoluble fiber), potassium, magnesium, molybdenum etc. They are also a rich source of the very beneficial isoflavones compounds like genistein. It is also rich in Omega-3 fatty acids and iron. Studies have shown soybean’s significant role in preventing cardiovascular diseases, osteoporosis, promoting gastrointestinal health; lowering the chances of getting breast and prostate cancer and stabilizing blood sugars at healthy level as well as lowering BP and LDL.
2. Walnuts
Walnuts rank among the top dry fruits. They teem with health benefits such as cutting cholesterol levels, reducing risk of CVD, improving cognitive function etc. The Omega -3 in walnuts helps stabilize cardiac arrhythmia and prevents blood clotting within arteries. It prevents the hardening of arteries. Walnuts are rich in I-arginine – one of the essential amino acids that help blood vessels to relax. Not the least, walnuts boost your power to fight infections of the skin, asthma and arthritis.
3. Broccoli
Broccoli is packed with Vitamin C, Vitamin A, Calcium, Magnesium and Iron. In addition to that, broccoli is loaded with indoles and the very potent cancer fighting chemical sulforaphane and beta-carotene. This chemical produces enzymes that fight colon, bladder and ovarian cancers effectively. Broccoli also helps detoxify your system by removing free radicals that damage the heart. By the same virtue, it also protects the skin and helps maintain a healthy stomach flora. How’s that for a single vegetable!
4. Spinach
This leafy green is loaded with beta-carotene, B2, B6, A, C, K, iron and chlorophyll. It is also a good source of folate, magnesium, potassium, zinc, protein, dietary fiber, calcium, phosphorus, omega-3 fatty acids, niacin and selenium. Spinach protects against osteoporosis, heart disease, colon cancer, and arthritis, strengthens bones, purifies blood vessels, increases blood haemoglobin, cures bile related problems, and removes toxins from intestines.
5. Olives
This bitter Mediterranean food is a power fighter. Its sulforaphane boosts the body’s detoxification enzymes. Olives give cellular protection against free radicals. The Vitamin E present in olives work as anti-oxidants that neutralize free radicals. It also protects against heart diseases and supports gastrointestinal health. It is known to reduce cholesterol and chances of colon cancer. Apart from this, the polyphenols in olives may also help reduce the severity of asthma, osteoarthritis, and rheumatoid arthritis. Olives are famous for their anti-inflammatory property.
There are many more foods that I have not included such as oats, tomatoes, capsicums etc. Though the foods I have mentioned have multiple benefits, they could harm those who are allergic to them.
Eat right and stay fit!
What about Caffeine and Athletes
August 5, 2009
Filed under Diet And Nutrition
By Stephanie Nunes, RD
There is much confusion on the health effects of caffeine. I am going to address specific topics that may be of interest to athletes: Dehydration, Bone Health, Sports Performance, Cancer, and Heart Disease.
Extensive research has been conducted on the health effects and safety of caffeine consumption and the general consensus appears to be that moderate caffeine consumption (approximately 300mg/day) is safe. It is estimated that the average daily caffeine consumption among Americans is 280mg/day.
|
A Few Common Sources of Caffeine |
|
| Source | Caffeine |
| 8 oz Brewed Coffee | 135 mg |
| 1 oz Expresso | 30-50 mg |
| 8 oz Green Tea | 25-40 mg |
| 8 oz Black Tea | 40-70 mg |
| 12 oz Coca-Cola | 34.5 mg |
| 12 oz Diet Coke | 46.5 mg |
| 12 oz Mountain dew | 55.5 mg |
| SoBe No Fear | 158 mg |
| 1.45 oz Sweet chocolate bar | 27 mg |
| Exedrin | 65 mg |
Dehydration
Researchers used to believe that caffeinated beverages had a diuretic effect and caused dehydration. Recent research now shows that coffee, tea, and other caffeine-containing beverages do not affect hydration status on those who are already accustomed to consuming caffeine. Caffeine only has a diuretic effect if you consume large amounts of it (500-600 mg/day).
My advice: Enjoy your favorite caffeinated beverage while continuing to focus on maintaining proper hydration with fluids such as water, juices, sports drinks, etc.
Bone Health Research has shown that caffeine is not a significant risk factor for poor bone health when adequate calcium is consumed.
My Advice: Include at least 2 servings of calcium rich foods daily and add milk to your coffee or tea (my favorite is a non-fat mocha!)
Sports Performance
Early researchers thought caffeine's benefit on sports performance was linked to its ability to spare muscle glycogen and increase fatty acid metabolism. Now the current thinking is that the positive effects of caffeine have more to do with "mental energy". Studies on sports performance have shown that caffeine had a 24% improvement in endurance performance and 4% improvement in strength performance. The quantity used which showed the biggest improvement was 6 mg/kg body weight. Less than 3 mg/kg showed a smaller improvement or no improvement at all. It is also thought by some that the amount of caffeine needed for sports performance depends partly on "caffeine sensitivity".
Additional Note: Substances in coffee and tea can interfere with iron absorption.
My Advice: If you suffer from anemia, do not drink tea or coffee with your meals or within one hour after. The best advice would be to drink them an hour before eating. If you don't usually use caffeine but want to try it for sports performance, watch for stomach distress.
Cancer
The American Institute for Cancer Research (AICR) recently released an article, "The Truth about Caffeine and Cancer". The AICR stated that coffee is no longer associated with increased cancer risk. In fact, "because it contains antioxidants and anti-inflammatory compounds, coffee may actually boost health and possibly reduce cancer risk." Tea continues to show cancer combating benefits, especially green tea.
Heart Disease
Recent research has shown no relationship between caffeine ingestion and heart disease. However, there can be exceptions to this rule in that some may react differently to caffeine than others.
My Advice: Check with your physician if you are experiencing elevated blood pressure or arrhythmias.
Summary:
Caffeine beverages can be worked into an athletes meal plan as long as you pay attention to overall daily hydration, continue to eat/drink the recommended calcium products, and follow an overall balanced meal plan that meets your sports- specific nutrient needs.
Stephanie Nunes is a Registered Dietitian and runner residing in San Luis Obispo, California. Her private practice is "Rock Solid Nutrition" and she provides individual counseling, on-line counseling, lectures or presentations for specific groups, and nutrition related articles. If you would like to contact Stephanie for any of these services, her e-mail address is Rocksolidnutrition@sbcglobal.net.
Why Is Exercise Important?
August 2, 2009
Filed under Fitness
We all know we are supposed to exercise but we make excuses not to do it. However, why is exercise so important? Well exercising helps prevent diseases. It reduces the risk for heart disease, cancer, high blood pressure and diabetes. It can even improve your stamina and delay the aging process. That is good news for us women. We never want to age! Exercising makes, your heart and lungs work better so that daily activities become easier. Things like carrying those heavy groceries, playing with your kids and more. Not to mention regular exercise makes you feel better about yourself. I used to exercise everyday and I did indeed feel good and had more energy. There are three types of exercise Aerobic, Anaerobic, Stretching.
You do not have to do anything too strenuous at first. Take a walk; use the stairs instead of the escalator. Even these small steps can make a big difference. If you are trying to lose weight start small and make sure you eat a well balanced diet. Try cooking at home instead of those fat filled take out dinners. Exercise can also benefit your sleep patterns and make it easier to fall asleep and stay asleep. Also making sure you drink plenty of water can actually help you lose weight. I know from experience that this works. I drink a lot of water and a few years ago, it helped me to feel full and lose weight faster. Make sure to drink plenty of water when exercising to avoid dehydration.
Everyone should exercise including children, adults and the elderly. Children need to exercise to grow and develop strong bones. Far too many children are obese. As well, there are adults who are obese. This can lead to horrible health conditions. People need to realize that exercise is the fastest way to lose that weight. You should do some form of exercise a few times a week. Just do whatever you like, swimming, running, walking etc. It will make your body stronger, fitter and more flexible. Just remember to warm up with stretching exercises and then have a cooling down period the same way. Otherwise, you could end up with an injury. No one wants an injury when you are exercising.
Exercise also removes toxins and waste from the body. Without exercise they are stored as fat in the body. That is where water comes in to help flush these toxins from your body. In fact, for optimal health you should be expelling waste a few times a day. However, how many of us actually go to the washroom that often? No wonder we have problems! In this world of immediate satisfaction, we are told to reward ourselves with food. This is the wrong message for some people who are battling weight issues. We all need to get up from our seats, stretch, and move and buy something other then those sweet treats! Wouldn’t you rather be muscle toned, slim, and fit into those jeans then overweight and tired and flabby and have nothing to wear?
Exercise may cut risk of various cancers
August 2, 2009
Filed under News
By Amy Norton
NEW YORK (Reuters Health) – Adults who are regularly active, whether through exercise or work, are less likely to develop a range of cancers, a new study suggests.
The study, which followed nearly 80,000 Japanese adults for up to a decade, found that regularly active men and women had lower risks of developing any type of cancer. When the researchers looked at specific types of cancer, they found that exercise was linked to lower risks of colon, liver, pancreatic and stomach cancers.
They also found that the protective effect was strongest among normal-weight men and women — supporting the theory that physical activity helps lower cancer risk at least partly through better weight control.
Dr. Manami Inoue and colleagues at Japan’s National Cancer Center, in Tokyo, report the findings in the American Journal of Epidemiology.
The researchers followed cancer incidence rates among 79,771 men and women who were between the ages of 45 and 74 at the outset. Between 1995 and 1999, study participants were surveyed about their physical activity levels, diet and other lifestyle habits; the researchers then followed them through 2004, documenting more than 4,300 new cancer diagnoses.
Overall, according to the researchers, the risk of developing any cancer dipped slightly as participants’ activity levels climbed. On average, the most-active men were 13 percent less likely than the least active men to develop cancer; the most-active women had a 16 percent lower cancer risk than their sedentary counterparts.
The link held true when the researchers accounted for a range of other factors, including participants’ age, weight, smoking habits, daily calorie intake.
Physical activity was defined not only as leisure-time exercise, but also the amount of time participants typically spent walking, doing physical labor and housework.
"Our results suggest that increased daily total physical activity — not only exercise — may be beneficial in preventing the development of cancer among Japanese men and women," Inoue told Reuters Health.
The researcher also pointed out that Japan’s population is a relatively lean one and that the relationship between physical activity and lower cancer risk was weaker among overweight study participants.
It’s thought that exercise may help prevent cancer, in part, by controlling body fat. But physical activity also has other effects that could theoretically stave off cancer, Inoue and colleagues point out.
Exercise can, for example, stimulate immune system activity, one of the body’s natural defenses against cancer. It may also alter levels of certain hormones, including sex hormones and insulin-like growth factors, which can feed the growth and spread of tumors.
SOURCE: American Journal of Epidemiology, August 15, 2008.
Caffeine, exercise may help ward off skin cancer
August 1, 2009
Filed under Diet & Fitness, Fitness, Indoor Activities, Outdoors Activities
By Will Dunham
WASHINGTON (Reuters) – Exercise and moderate caffeine consumption together could help ward off sun-induced skin cancer, researchers said on Monday, but cautioned against ditching the sun screen in favor of a jog and a cappuccino.
Experiments on mice showed that caffeine and exercise together somehow made them better able to destroy precancerous cells whose DNA had been damaged by ultraviolet-B radiation, according to scientists at Rutgers University in New Jersey.
"We think that it will be important in terms of prevention, and possibly not only for skin cancer but possibly for other cancers as well," Rutgers cancer researcher Allan Conney, one of the scientists, said in a telephone interview.
The researchers studied groups of hairless mice that were exposed to lamps generating ultraviolet-B radiation that damaged DNA in their skin cells.
One group drank water containing the human equivalent of one or two cups of coffee a day. A second group exercised on a running wheel. A third group exercised and drank the caffeine. A fourth group neither exercised nor drank caffeine.
Both caffeine and exercise alone increased by roughly 100 percent the mice's ability to kill off precancerous cells that could lead to skin cancer compared to the mice that did neither. But the mice that did both showed a nearly 400 percent increase in this ability, the researchers found.
The researchers are eager to discover if the findings would apply to humans, but in the meantime warned people not to give up the sunscreen.
"Don't go out and exercise and drink a lot of coffee and assume you're going to be protected," Conney said.
"Keep in mind that these are studies in mice. Although I think that they may be applicable to humans, it really has to be studied carefully before we can say that," Conney added.
The study was published in the Proceedings of the National Academy of Sciences.
The researchers said some previous studies have provided evidence that exercise and caffeine consumption through coffee may be linked to reduced risk for some other cancers.
STUDYING COMBINATION
Conney said they want to figure out precisely how the combination of caffeine and exercise seems to have a protective effect against skin damage caused by the sun.
"It's great that people are doing research looking for different ways to help reduce the risk of skin cancer," dermatologist Dr. Bruce Katz, a spokesman for the Skin Cancer Foundation and the director of the Juva Skin & Laser Center in New York City, said in a telephone interview.
But the study provided "extremely preliminary data," and there is no evidence of such an effect in people, Katz added.
The foundation said skin cancer is the most common form of cancer in the United States, with more than 1 million people diagnosed with it annually.
Loading ...
