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Judge signals he may decide to stop sales of conventional abortion pills



During a four-hour hearing last week that could deny nationwide access to widely used abortion pills, Federal Judge Matthew Kaczmarik of the Northern District of Texas signaled his conservative Christian beliefs early and often.

Speaking from a courtroom bench in Amarillo, Texas, Kaczmarik repeatedly used language that imitated the vocabulary of anti-abortion activists. It also reflected the wording of lawyers seeking to overturn a twenty-year-old FDA approval for mifepristone, one of the drugs in a two-pill regimen approved for early termination of pregnancy.

Every time a Justice Department lawyer representing the FDA spoke of “medicated abortion,” Kaczmarik would fall back into the language of conservative Christian activists, using nicknames such as “chemical abortion” and “mail-order abortion,” phrases that ran counter to conventional medical terminology.

Stakes in action Hippocratic Medicine Alliance v. US Food and Drug AdministrationHigh: Abortion rights advocates fear that Kaczmarik, appointed by then-President Donald Trump and a former lawyer for the First Freedom Institute, a conservative Christian legal group, could pass a decision within days to force manufacturers to remove mifepristone from the market across the country. If this happens, clinics, obstetricians and gynecologists across the country will be able to prescribe only misoprostol, the second drug in a two-pill regimen, for the treatment of miscarriages and early terminations of pregnancies. misoprostol still extremely safe but less effective and has more side effects.

The decision will be unprecedented in the history of approved drugs and could affect the health of millions of women, even in states where abortion is still legal.

“One conservative judge influences women’s rights in California and New York,” said Greer Donley, an assistant professor of law at the University of Pittsburgh School of Law and an expert on reproductive health law. “The ultimate goal is to stop as many abortions as possible by any means necessary.”

When the conservative majority on the Supreme Court overturned the federal right to abortion, Justice Brett Kavanaugh, a Catholic, wrote that the court did not outlaw abortion throughout the United States. “On the contrary,” Kavanaugh wrote, “the court’s decision properly leaves the issue of abortion to the people and their elected representatives within the democratic process.”

But nine months after the announcement of the decision in Dobbs vs. Jackson Women’s Health OrganizationChristian legal groups have made their strategy clear: eliminate abortion nationwide by filing lawsuits in federal courts that make scientific claims not supported by mainstream medical organizations to raise doubts about the safety of abortion pills and contraception.

These legal decisions, which conservatives may once have denounced as “judicial activity,” are in part necessary because abortion rights consistently win positive votes, with voters even in conservative states such as Kansas another Kentucky refusal to impose restrictions.

“Anus DobbsThere are more and more efforts to move the case away from the popular majority and into the hands of judges like Kaczmarik,” said Mary Ziegler, law professor and abortion historian at UC Davis School of Law. “Because voters are not being sold for fetal rights and because the only route to a national abortion ban probably comes from the conservative courts,” she said.

Ziegler added of anti-abortion campaigners, “They don’t want solutions that only work in Tennessee and Texas.”

The strategy of questioning established and accepted science is not new in conservative circles and is not limited to abortion.

For decades, conservative Christian legal groups have introduced scientific ambiguity where there was none: Claims that abortion causes breast cancer or infertility are not supported by medical and scientific research, but nevertheless found their way into state law, requiring doctors in some states tell patients about it. non-existent abortion risks.

And in a recent opinion that discontinued access to birth control for teens without parental consent in Texas, the same judge as in the mifepristone case, Kaczmarik, exaggerated the health risks of prescription contraceptives in his decision, arguing that states have an interest in protecting girls’ health.

“Some popular birth control methods have serious side effects,” Kaczmarik wrote, later quoting Planned Parenthood’s educational material, which said, “Complications are rare, but they can be serious. In very rare cases, they can be fatal.”

the case Deanda vs. Becerra, was filed by a Christian father who brought religious objections to the federal family planning program. And in the case of mifepristone, Christian fundamentalist groups argue that the drug is unsafe, despite extensive research and decades of testing to the contrary.

The Alliance Defending Freedom, which bills itself as the world’s largest legal organization dedicated to defending “God’s design for marriage and the family,” is pushing for a ban on abortion pills. Eric Baptiste, the group’s attorney, said in a statement following the March 15 hearing that “FDA approval of chemical abortion drugs more than 20 years ago has always stood on shaky legal and moral grounds.”

He added: “It is time for the government to do what is required by law: to protect the health and safety of vulnerable women and girls.”

Conservative legal groups such as the ADF have made good use of and built on small court wins, such as the 2007 ruling. Gonzalez vs. Carhartwhich upheld the federal ban on the rarely used method of abortion.

The decision was of minimal practical importance, as the procedure in question was rarely performed, but it established an important legal principle: when there is scientific uncertainty in legal disputes—is a medical procedure, device, or drug safe? are decided by the legislature.

“The court ruled that in the event of scientific uncertainty, the decision on the tie-break goes to the legislature,” Ziegler said.

But there is no doubt that mifepristone is safe: over 5.6 million women have successfully used medical abortion since 2000, according to the FDA. In 2008, the Accounts Chamber of the Government investigated FDA approval of mifepristone and the completed process complied with FDA regulations.

In the courtroom, Baptist admitted that no court has ever ordered the FDA to remove a drug from the market over the agency’s objections, and legal observers say there remains a huge question as to whether a court can order the Secretary of the Department of Health. and Human Services, which oversees the FDA.

But Laurie Sobel, deputy director of women’s health policy at KFF, who listened to the hearing in a Dallas courtroom, said anti-abortion lawyers argued that mailing abortion drugs robs states of their ability to protect women and children. (The hearing, which Kaczmarik did not initially announce publicly, was not broadcast to the public, and the court has yet to release the transcript.)

But Jessica Elsworth, an attorney representing Danco Laboratories, the manufacturer of mifepristone, told the court that abortions remain legal in all states because they are allowed to prevent a patient’s death or serious bodily harm. She argued that the use of mifepristone was the safest method of abortion, noting that a judge’s decision in this case could ban it in all states.

“If Kavanaugh said, ‘We’re going to send him back to the states to be decided by their elected representatives,’ that’s the exact opposite,” Donley said.

Kaczmarik appeared ready to issue a preliminary injunction in favor of anti-abortion groups and asked the ADF Baptist what remedy he was seeking.

Baptiste replied, “The Court has an interest in preventing dangerous drugs from entering the market.” He added: “Any relief you provide must be complete. The harm of chemicals knows no bounds.”

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Sleep like a pro with these 6 expert tips



Editor’s note: Dana Santas aka “mobile manufactureris a certified strength and conditioning specialist and professional sports coach and author of Practical Solutions for Back Pain Relief.


How you sleep every night plays a vital role in your daily life. So it’s no surprise that professional sports teams use the expertise of sleep doctors to ensure their elite athletes get the quality sleep they need to perform at the highest level.

As a mobility coach working in Major League Baseball, I can attest that during spring training, when each day starts early, players and coaches alike fear losing an hour of sleep when we “jump ahead” to daylight saving time.

It is difficult not only for professional baseball players. A 2022 study found that more than 30% of adults report an hour of sleep deprivation—when you get less sleep than your body needs—while nearly 1 in 10 adults are two hours or more short of sleep.

Adults need at least seven hours of a good night’s sleep US Centers for Disease Control and Prevention. Sleep deprivation and irregular sleep patterns are associated with an increased risk of heart disease, dementia, obesity, and mood disorders such as depression and anxiety.

I asked two of my favorite MLB sleep experts to share some of the same advice they give professional baseball players so everyone can learn to sleep like a pro.

It is important to get the recommended seven plus hours of sleep each night.

According to the doctor, regular adherence to the schedule of sleep and wake-up times helps. Cherie D. Mah, sleep medicine physician specializing in elite athlete sleep and performance. “Our body loves regularity and will anticipate sleep with a regular sleep schedule,” Mach said. “As a reminder, set your daily alarm on your phone to go off 30 minutes before you want to start your calming routine.”

Pay attention to what your body and brain are telling you about your sleep schedule. Chris Winter, neuroscientist and host of the Sleep Unplugged podcast. “If you go to bed at 9pm but it always takes you two hours to fall asleep, why not try going to bed later?”

If you want to sleep better, you need an environment that promotes sleep. “Make your room look like a cave,” Mach said, “you want it to be really dark, quiet and cool, and also comfortable.”

She recommends getting a comfortable bed, using blackout curtains or eye masks, wearing earplugs, and setting the room temperature to between 60 and 67 degrees Fahrenheit (about 16 to 19 degrees Celsius).

Do you judge how well you slept by how quickly you fell asleep?

The amount of time it takes you to fall asleep, called sleep latency rate, is an inaccurate measure of sleep quality, Winter says. How long it takes to fall asleep varies from person to person. Most sleep experts, including Winter, agree that the average sleep delay is between 5 and 20 minutes.

“Someone who sleeps ‘before their head touches the pillow’ is not a sleep champion, just as a person who can eat their entire lunch in three minutes is a highly nutritious eater,” Winter said. “Often this can be a wake-up call rather than a sign of good sleep.”

According to Mah, many people jump straight into bed at breakneck speed, which leads to sleep problems. She suggests that her clients develop a 20-30 minute calming routine to help them transition to sleep. Activities can include light yoga, breathing exercises and reading, “just not on a tablet or phone that emits disturbing blue light frequencies,” she said.

Shortly before bedtime, activities such as light yoga can help calm the racing mind.

Both Mach and Winter report that getting people to refrain from using technology an hour before bed is the biggest challenge for their clients. “It’s hard to convince people to change behaviors that don’t cause immediate pain,” Winter added.

Despite the popularity of nightcap cocktails, Mach and Winter agree that alcohol interferes with sleep. They suggest avoiding it entirely, or at least not enjoying it a few hours before bedtime. They also recommend limiting your caffeine intake at the end of the day. “The half-life of caffeine is about six hours, so it’s best to cut it out in the late afternoon and early evening,” Mach added.

Along with all the other health benefits of regular exercise, research shows a strong link to better sleep, something Winter often points out to his clients. “If you’re complaining about your sleep and lack of exercise, you must have a good reason not to,” he said. “From a research standpoint, this is far more effective at deepening and improving sleep quality than any fancy gadget in existence today…and it’s free!”

There is one caveat: because some research has shown that the benefits of exercise are reduced and may even worsen the quality of sleep if done late at night, avoid vigorous exercise at least an hour before bedtime.

sleep deficit it is the difference between the amount of sleep needed and the amount of sleep actually received, accumulating over time if not compensated.

Many clients come to Mah without knowing the concept of sleep debt and the need to pay it off. What’s more, she said they’re surprised to find that “it often takes more than one night or one weekend to pay off accumulated sleep debt significantly.”

If you develop a sleep deficit, try going to bed an hour earlier or sleeping an hour later for several days—or as long as it takes for you to feel adequately rested.

By catching up on sleep, you can increase your daily alertness and help prevent inflammation.

Getting enough sleep is not only good for increasing daily alertness – 2020 study found that adults who got enough sleep were less likely to exhibit increased levels of inflammation that contributes to chronic disease.

At the same time, it’s important not to worry about sleep, Winter says. Focusing too much on things like “falling asleep faster” or the notion that people “can’t sleep” creates a sense of dread that he considers “highly problematic.”

“It is physiologically impossible not to sleep at all, so nature has covered you,” he said. “Control the variables that you can control, such as schedule, environment, etc., and put it out of your mind.”

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It’s Time to Dedicate Yourself to Raising Children – Chicago Tribune



Dear Amy! I have a very difficult and tense relationship with my mother, and I don’t know what to do about it.

Now I am 19 years old.

My mother is a drug addict and alcoholic, and because of this, she missed most of my early childhood.

When I was about eight, she finally sobered up, but she still had a lot of psychological problems, most likely from years of substance abuse, and she never matured.

She thought only of herself. She hurt me over and over again. She put her motherhood on hold and wasn’t there for me.

I finally had enough when she missed my high school graduation last year. She then lied to me about why she missed it (turns out she was at home the whole time).

I tried to tell her how much it hurt me. In response, she cried, did theatrics, felt sorry for herself, and, in fact, told me that she was giving up on our relationship because she was “failing all the time.”

I begged her to try to change for me, but it seems she would rather wallow in her own grief and cry about how much I hate her.

I don’t hate her; I would like her to try her best so that we can spend the rest of our lives together.

I didn’t see her for almost a year and didn’t speak to her for several months. I’m completely lost and I have no idea how to deal with this.

– Lost, confused and sad daughter

Dear daughter, you are the child of an addict, and you have taken on the heavy burden that your mother’s addiction placed on you.

And, like many children of drug-addicted and narcissistic parents, you would love to force your parent to change so that you can have the healthy parent-child relationship you so desire.

Unfortunately, your mother is unwilling or unable to change for you.

You can, however, change, and that change must be in the direction of securing your own future health and happiness, as well as accepting the lousy card you have played and its limitations.

Your mother’s erratic and frustrating behavior has taught you to take responsibility for the outcome, but you need to find ways to fold that heavy backpack you’ve been carrying.

Every human being craves love and permanence, and you will find it, but most likely not in your mother.

Now is the time for you to make a commitment to educate yourself (and I feel you will be very good at it).

Trusting and emotionally healthy relationships with others will also help you heal.

I suggest you join a “friends and family” support group such as Al-anon or Adult Children of Alcoholics (adult, and read “Adult Children of Emotionally Immature Parents: How to Heal from Distant, Rejecting, or Selfish Parents” by clinical psychologist Lindsey Gibson (2015), New Harbinger.

Dear Amy! My daughter is engaged to her college boyfriend. Now they live together.

Even though my daughter’s income is well below his, he insists that she pay 50 percent of her expenses. She starts falling behind and goes into debt to keep up.

I would like to know your thoughts.

– Concerned parent

Dear Worried! I’m wondering why your daughter’s fiancé has the right to decide and dictate his family finances?

If they are counting on a marriage in which they will be true partners, then these important issues should be discussed and decided mutually, and not dictated by one partner.

If she manages her money responsibly, but cannot afford to live on these terms, then something needs to change. Ultimately, being in debt is very expensive.

My big point is that this is a red flag. The pressure of duty will add to the pressure of a partner who (at least from this point of view) sounds bossy.

Dear Amy! Like other readers, I was appalled by your response to “Anonymous,” a reader who complained about “free-range” children at family events.

These parents are not only lazy, they are careless. I can’t believe you stood up for them!

– Disorder

Dear Upset! After warning about the dangers and dangers of children running “free range” in other people’s homes, I stood up for these parents.

Anonymous did not mention that these kids were rude or disturbing others – only that they were allowed to run on their own.

(You can write to Amy Dickinson at or send an email to Ask Amy, PO Box 194, Freeville, NY 13068. You can also follow her on Twitter. @askingamy or facebook.)

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Weight loss: are injections the answer to the fight against obesity?



The attraction is clear – but should we turn to appetite suppressant injections?

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