the dental campaign democrats say they need the files to identify any conflict of interest. or the welcome to in good shape coming up. strain and pain are the best ways to avoid soul muscles. safe medication news why patient instructions are so crucial and of aping versus smoking just how dangerous are a cigarette. and here's your host dr constantly. always showing good shape is very trendy not like this cigarettes are out today we've paid.

let's see what dr kevin fitz too has to say about it. so is everything all right now because we wait and we don't smoke not quite since the dangers in the long term side of even a ping is just unknown so far and it's obviously not a device to stop smoking easier it's are dangerous just recently a twenty four year old died in the united states because an easier it exploded in his hands but the real risks of the cigarettes they elsewhere. while there's been a slight decrease in the number of regular smokers since two thousand the number of vapors has been rising rapidly these cigarettes are widely viewed as less harmful

play. is banned in far fewer places. the institute for therapy and health research in germany recently conducted a new survey about the impact on tenth graders. are twice as likely to start smoking regular cigarettes later on. it's proven that each cigarettes contain far fewer toxins than conventional tobacco cigarettes. recent products their long term effects are unknown. you could call it the biggest field study that's taking place in the health sector world. choose from hundreds of refill solutions called. the additives that give them their

flavor however contain less than appetizing substances. for example has the buttery taste but can cause a severe respiratory disorder commonly known as popcorn long. the vapor produced by the heating device of an isa is laced with tiny particles which settle in the lungs. the results include compromised function and inflammation. we know from experiments that the vapor causes inflammation and. this suggests that in addition to inflammation could result in long term damage such as cancer. for heavy smokers though. still be the lesser evil. which three years ago he used to smoke thirty cigarettes a day. is only option when it came to kicking the tobacco habit.

no i mean after a couple of weeks or months i noticed that my smoker's cough was gone you can be close my nose is so stuffed up anymore. i can smell and taste things a lot better so things have definitely changed. venting is less harmful than regular cigarettes and is a way of cutting down on or quitting smoking. but the cigarettes also impact health and they may induce users especially youngsters to turn to tobacco cigarettes as well. she said counsellor of the tour because the station and smoking convention center here at the event this clinic pulling things happened today only today we're talking about smoking and very pain so what actually is in the paper well it's difficult to answer because is dependent on the substances in the liquid of the secret so we

have about a thousand different flavors which makes it very difficult to find out what exactly is in their way but you know the main ingredient is a proper link recall which is for some patients difficult and dangerous because they might have an asthmatic allergic reaction to it ok so and this is different to normal cigarettes then yes absolutely in other greedy and so to speak is formaldehyde so what's dangerous about that it's a carcinogenic substance and you may know it from your colors or home. from wallpaper and you should avoid it whenever you can tell me something about the different kinds of flavors like herbs of fruits other dangerous as well. well the substances they have various strange names and they aim to get children hooked to

eat. secrets if you hear the names you know what i mean it's called gummy bear all cherry banana flavors which would attract children children are actually quite healthy exactly this is what they try to pretend that this is the less harmful variation of smoking but do those vapors actually harm the smoker or are they just more addictive we don't know yet especially since we don't have long term data so far. so we try to be you know careful and a little bit hesitant about recommending that those devices are sober at least the addictive exactly and they do harm your health this much we know can you give me an update on the nicotine levels to nicotine levels depend on each country and the problem is the nicotine level doesn't tell the whole truth because it's also

important which temperature your device can allow you to use so if it allows very high temperatures you may feel much more nicotine then through normal cigarettes and this is obviously more dangerous than but you could turn down the nicotine level as well so you could promote suspicion well the concentration might decline yes but then your smoking patterns might adapt to the lower levels so we don't have a control because all those devices they have not been through security control or anything like that so it's really difficult you know from a scientific point to few to decide what to think about those devices. i think they're very addictive to young people because they come with the u.s.b. port they come with an app and it's all so modern so young people are not smoking it longer they have julie. although jewel is

a relative newcomer on the market for babying products it's already doing great business in the u.s. it's cartridges contain very highest levels of nicotine and young people find the brand especially appealing. i lean hard nosed just how attractive you cigarettes are for many teenagers. now seem to have to pass the seventh and eighth grade is extreme it's that you're young thirteen or fourteen and you have something that not everyone can afford so of course others a curious and gentle tastes. dr martin coston is also concerned about the development. you get it you cigarettes are a disaster for young people they have a high nicotine content which can be harmful to their cardiovascular system. and they can lead to addiction. kind of a pain to get you cigarettes are marketed as a way to come off regular cigarettes. some young people actually since their health

isn't the problem with a lot of flavor variety of uses that you don't actually use the nicotine and that's the dangerous part of it of but the appeal of the cigarettes continues to grow even though it's impossible to determine what kind of long term effect they being product could have on young people. on a world wide victory much as this fascination come from well the numbers have doubled in the last two years and i think it's part of the. developmental progress which has been made through ritual it's also been invented by two young guys in the back room of you know their flat and yeah it's just a little device looks like in a used piece stick and it has a little tank full of nicotine and it makes you very easy very fast addicted to nicotine looks very fancy but it's too dangerous isn't it absolutely because what we can see from the united states now is that many teenagers have switched from

julian to normal cigarettes so what do you think of those fancy devices just gateway drugs to reduce cigarettes this is what we observe now from countries which have started with the cigarettes much earlier than like germany and we can see many young people switching from cigarettes back to normal tobacco and normal cigarettes yes speaking about tobacco there is some eve isis that he dump regular tobacco so how do you judge this yeah well it's called he did not burn products and they also dangerous because there's also an effect on human cells so the risk to gether transposes or something is higher with those devices but what we can see the second hand smoke seems to be less harmful. but we have to say all the published data is about two thirds just from the tobacco industry so we need some more time to some

more independent yes. what i would she shows they are even if she shows up. well she says they come from the orient and very style now and we have increase our number here in germany i don't know about five hundred percent each day kind of and especially the shisha heating process is very dangerous because of the carbon monoxide which is released and many toxic which is absolutely toxic exactly and there's many young people just fainting in the cafes and be delivered to emergency rooms a good lot of patients who want to stop smoking and some of them did cigarettes so they just switched is a good idea well what we can see from the data for germany many of those patients stay just you know do it like for three four months and then go back to the normal cigarettes some of those even used those secrets and normal cigarettes as

a dual use or so it's just not the right way to do it ok so if you want to kick the habit you should opt for the real way some ways to quit smoking. they are two of the most common aids for quitting smoking nicotine gum and nicotine patches both provide the body with some nicotine as a way of minimizing withdrawal symptoms and they can really help you kick the habit says addiction expert to be as hotel. replacement therapy in the proper dose used for around two months can double your chances of quitting. they're also prescription medicines meant to help with withdrawal that are active in. medians is supposed to curb your appetite for cigarettes. you from a form of the idea was that these drugs would make people quit but the habit so powerful that people just continue smoking. them but after all. other approaches

don't involve active substances among them quit smoking out you're meant to put in your daily cigarette consumption the app then shows you how stopping will improve your health over time as well as how much money you'll save it also allows you to share your withdrawal experiences with others going through the same process. and you wonder if you get one hundred people and under another hundred a brochure it's the ones with the op that are much more likely to quit the concept needs a bit of refining but i already use apps of lot of ifs it is a yes. but the most effective way to stop smoking is with a course and preferably one in a group then you get competent advice and have a support network in place. mommies and course of course professional help and a group makes it fun

a year on success rates are nearly fifty percent reports and i mean. so it is possible to stop smoking you just have to go about it in the right way. studies show that courses for smoking cessation have the best results in the long term so i say that well the social support is a very effective tool in those courses and also the medical support but also to learn techniques how to deal with stress and other triggers for smoking so you offer such kind of courses as well so what's in the course well we talk about you know our special patterns each person has for smoking clues or we also do relaxation techniques we also do self suggesting methods to help to sustain from smoking and what about drugs and pills for smoking cessation yeah in some cases when people are very dependent we also recommend medical support and there is a few products on the market which are very helpful. in your opinion what are the

biggest obstacles and smoking cessation. well difficult to say sometimes it's the fear of starting to stop and it's also sometimes you know the fear to be unsuccessful again because usually people are not used to it it's a little bit like riding a bike you know the children they start to learn how to ride a bike by falling from it but later on in life it's not so common. so you would suggest be courageous and don't fall for the words winds of the cigarettes company absolutely so that's what to say and also look for some help out there and look for some professional thanks so much for having me today in smoking is a waste of time so don't smoke but use the time you again go to your computer and fight to sleep. on an upcoming show will be looking at first some couple struggle

to have a baby what can stand in the way of conception and what treatments are there if you have a question send it to in good shape dot com just right for tila she treatment in the subject line we look forward to hearing from you if. you cannot get enough of the show no problem because you cannot overdose on it and it's a totally different story when it comes to sport because if you exercise too much you will get muscle aches no problem we've got some tips for you. the gym is full you've started your workouts but it's hard to stay motivated you over did it yesterday and your muscles are stiff and sore so if you give it i lifted too much weight and started too soon after training break so sore muscles it's all just even walking up the stairs hurt or doing normal things like sitting down on a chair. after my first time when i was. training for

a half marathon i sometimes couldn't climb the stairs afterwards i pulled myself up on one hundred and my legs really hurt a lot. but what's causing your muscles to take hands habit is a sports medicine specialist he says that contrary to common belief it's not down to a build up of excess asked it is a. muscle soreness occurs when muscles are overstressed when they're forced to cope with loads they aren't used to or have to do something at a higher level of intensity than usual. over. the soreness has caused fine micro injuries that occur in the muscle tissue so micro trauma often occurs around areas where the muscles are attached. what's the best way to relieve soreness if the aches a severe should you keep exercising or take a break. vital for keep working out but carefully lower exertion levels.

are called if i were really sore i'd take a break to avoid making it worse and irritating the muscle even more it helps to take the dog out for relaxed walk after leg exercises the experts agree no matter how bad it takes don't take a complete break from your exercise regime you need some moderate muscle strain to accelerate the breakdown of voiced products and promote circulation don't just take it too easy get your heart beat up to about sixty to sixty five percent of your maximum pulse frequency a moderate jogging is good to get active recuperation go on for the body tolerate start kind of activity much better than being passive. and perceive a minute and right after exercise can heat prevent soreness or cold i don't even take a cold shower after exercise that helps a bit as soon as much as i don't use heat or cold it has to go away on its own to take a hot shower. they say it encourages relaxation. but i don't know if

a hot water bottle on my legs would help after running. after belongs directly after exercise cold makes sense as a stimulus for halting the inflammation process longer term treating soreness with moderate heat makes more sense because that stimulates metabolic processes tipping the heat can be applied around ten to twelve hours after exertion visiting a so one hour is one option and what about all the point that is supposed to help finish good thought and i think they're good especially when you have back problems because they relax the muscles i think they can help if it's really bad then use horse limits and so i'll use pain soft sometimes but muscle bombs have a limited effect because they don't penetrate deeply enough into the tissue can help but be cautious with bombs containing pain relief as. you have to understand that substances like ibuprofen and. stop the inflammation

process the desired muscle adaptations along with it so that's why you have to strike a balance between this adaptation what you want and the dose of painkiller you're taking which works a process. in other words it limits the read growth of muscle tissue faster also recommends avoiding pain relief as in tablet form he's observed mounting misuse of common pain killers among people participating in events like marathons so how does pain medication relieve soreness. you have these micro injuries and the pain reliever masks the pain but pain is a warning signal for the body to take notice to take something seriously. the moment that i mask the face and continue to stress the muscles i can damage them further commission to be sure to misquote. what about stretching before or after exercise. stretching is really important although i hate it the english miss it's

been in before workout i always stretch to warm up sometimes i don't stretch as much as i should. just as the stretching is fundamentally important in the run up to your workout as well as on the cool down face it prepares your muscles for the workout gets them ready to perform. and then in the cooldown phase they should be stretched out again was couldn't be any fun so also recommends drinking a protein rich shake around forty five minutes after a workout that gives the muscles the building blocks they need to regenerate clue to. what i like to alight centrist elements they also play a key role you know men are all water contains those substances and it makes sense to mix it with fruit juices to replace fluids. so to summarize to avoid muscle soreness stretch before and after sport listen to your body and don't

push yourself too hard. if you're sick you go and see your g.p. and he would prescribe you some pills then the problems start when do you have to take the pills before a meal after meal instead of a meal with milk with water. come on just ask your family doctor. some medications should be taken on an empty stomach or before eating. that means thirty minutes to an hour before a meal this is when the ph value of stomach acid rises that makes it easier for the active ingredients to be absorbed enabling them to work faster. other drugs should be taken with a meal the partly digested food protects the stomach sensitive mucous membrane from the active ingredients. and

there are also medications which should be taken after eating that's because some food types can actually prevent some active ingredients being absorbed in such cases you should wait for two hours after eating to take your dose. it's also important to take the correct dose that enables the active ingredients to reach the correct strength in the body. if you forget to take a dose never try and compensate by taking double the amount then there'd be too much of the drug in the bloodstream. coming off medications should also only be done in agreement with your doctor even if you feel fit again you should for example always complete a course of antibiotics. if pathogens are not fought for the correct amount of time they can become resistant. to antidepressants too should never be stopped abruptly

doing so can make the depressive symptoms far worse always phase them out gently under the careful supervision of your doctor. milk and dairy products contain calcium. this can bind two components in drugs and create non-surgical complexes in the stomach. these in turn can reduce the effectiveness of antibiotics and treatments for osteoporosis. grapefruit juice meanwhile can block enzymes in the digestive tract that help to break down drugs like heart and blood pressure tablets cholesterol lowering drugs sleeping tablets and painkillers this can alter the effect of the medicines or raise the risk of side effects alcohol can inhibit or boost the effectiveness and side effects of antidepressants sleeping tablets and allergy medications even if

a sip of wine does. usually affect your ability to drive if you're on medication and have that slip you might be unfit to get behind the wheel. occasionally medications can cause dangerous side effects these can range from breathing problems to severe skin rashes loss of consciousness dizziness or seizures if you're experiencing these it's important to call an ambulance immediately. as a patient you're responsible for taking the right dose in the right way make sure that you read the patient information leaflet so that you are prepared for any potential side effects. that's it for today see you next week and i'm so then let's all try to stay in good shape.

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