of south so they can plant crops and find food processor. floods and droughts climate change become the main driver of mass migration you couldn't write any apocalyptic scenarios you want and probably more. the climate exodus starts if you're curious on t.w. . welcome to in good shape coming up. strain and pain are the best ways to avoid sore muscles. safe medication news why patient instructions are so crucial and of a pin vs smoking just how dangerous are in cigarettes. and here's your host dr kasten. always showing good shape is very trendy

not like this cigarettes are out today we've paid. let's see what dr kirby unfit still 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 evading it's just unknown so far and it's obviously not a device to. it's

. been a slight decrease in the number of regular smoker since two thousand the number of vapors has been rising rapidly. plus 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 we find that very troubling. it's proven that east cigarettes contain far fewer toxins than conventional tobacco cigarettes. but as they're relatively recent products their

long term effects are unknown and. you could call it the biggest field study that's taking place in the health sector world. can choose from hundreds of 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. the vapor produced by the heating device of any cigarette is laced with tiny particles which settle in the lungs. the results include. function and inflammation. experiments that the vapor causes inflammation and cells. this suggests that in

addition to inflammation it could result in long term damage such as cancer. or congo. for heavy smokers though they being might still be the lesser evil artist made this which three years ago he used to smoke thirty cigarettes a day vaporing was his 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 it was my nose isn't 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 you cigarettes also impact health and they may induce users especially youngsters to turn to the back of cigarettes as well. she

said counsellor of the talk because as asian and smoking convention center here at the event this clinic in pulling things happened it 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 there way but you know the main ingredient is a proper link recall which is for some patients difficult and dangerous because they know 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 awarded whenever you can tell me something about the different kinds of flavors like herbs or fruits are they dangerous as well. well the substances they have various strange names and they aim to get children hooked to use cigarettes if you. here the names you know what i mean it's called gummy bear all cherry banana flavors which would attract children children are actually sounds 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 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 the 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 the very high temperatures you may inhale much more nicotine then through normal cigarettes and this is obviously more dangerous than but you could turn down the nicotine levels rose 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 deep 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 and longer julie. although jewel is a relative newcomer on the market for vaporing products it's already doing great business and 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. not to seem to after class of seventh and eighth grade is extreme it's not your young thirteen or fourteen and you have something that not everyone can afford so of course others a curious academic tastes. dr martin kasten is also concerned about the development. it's a good that cigarettes are

a disaster for young people they have a high nicotine content which can be harmful to their cardiovascular system. and it can lead to addiction. to up and get you cigarettes are marketed as a way to come off regular cigarettes as a whole some young people actually since their health isn't the problem with a lot of flavor variety uses that you don't actually taste the nicotine and that's the dangerous part of it all 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. development progress which has been made through a chill it's also been invented by two young guys in the back room of you know the

death let and yeah it's just a little device looks like in a used piece steak and it has a little tank full of nicotine and it makes you very easy very fast that they get it 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 a gateway drug to real cigarettes this is what we observe now from countries which have started with these 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 devices that he'd up 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 cell. else so the risk

to gether trumbo so 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 go somewhere in. what i would she shows even as. well she says they come from the orient and very on style now and we have an increase on the bars 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 face 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 their normal cigarettes some of those states even use 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 there are so 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 a scooter. replacement therapy. in the proper dose used for

around two months can double your chances of quitting. there are also prescription medicines meant to help with withdrawal their active ingredients are supposed to curb your appetite for cigarettes. the idea was that these drugs would make people quit but the habit so powerful that people just continue smoking towards them by. other approaches don't involve active substances among them quit smoking acts 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 say it also allows you to share your withdrawal experiences with others going through the same process. and if you give one hundred people and up another hundred a brochure it's the ones with the up that are much more likely to quit the concept needs a bit of refining but i already use apps are lost but if this is a yes. but the most effective way to stop smoking is with the course

and preferably one in a group then you get competent advice and have a support network in place. mom is in course. professional help and a group makes it fun a year on success rates are nearly fifty percent of the courts and i mean. so it is possible to stop smoking you just have to go about it in the right way. studies show that causes for smoking cessation have the best results in the long term so i said 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 sort of what's in the course well we talk about you know special patterns each person has for smoking clues or we also do

relaxation techniques well to do self suggesting methods to help to sustain from smoking and what about drugs i mean pills for smoking cessation yeah in some cases when people are very dependent we also recommend medical support and there's a few products on the market which are very helpful. in your opinion what are the biggest obstacles 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 people 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 sort of by that so you would suggest be courageous and don't fall for the words memes of you secrets company absolutely so that's what you say yeah and also look for some help

out there and look for some professional great thanks so much for having me today you know smoking is a waste of time so don't smoke but use the time you gain go to your computer and go to see me. on an upcoming show we'll be looking at the first teletype 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 me in good shape. dot com just write fatality treatment in the subject line we look forward to hearing from you if. you cannot get enough of the show 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 workout but it's hard to stay motivated you

over did it yesterday and your muscles a stiff and sore so if you give a high lifted too much weight and started too soon after training break so sore muscles it's not just even walking up the stairs hurt or doing normal things like sitting down on a chair. the first time when i was training for a half marathon i sometimes couldn't climb the stairs afterwards i pulled myself up on the on my legs really hurt a lot of them. but what's causing your muscles to take hands habit fatah is a sports medicine specialist he says that contrary to common belief it's not down to a build up of excess absent as a miscue. 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. this is sort of over. the soreness has

caused fine micro injuries that occur in the muscle tissue so the micro trauma often occurs around areas where the muscles are attached. what's the best way to relieve soreness if the aches the severe should you keep exercising or take a break. but it will create working out but carefully lower exertion levels. i could 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. walk after leg exercise 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 the body tolerate start kind of activity much better than being passive.

and right after exercise can heat prevent soreness or cold i don't take a cold shower after exercise that helps with. kind of i don't use heat or cold it has to go away on its own to take a hot shower in months after they say he encourages relaxation but i don't know if a hot water bottle on my legs would help after running. after belongs directly after exercise called make sense as a stimulus for halting the inflammation process longer term treating soreness with moderate heat makes more sense because that stimulates metabolic processes to. the heat can be applied around ten to twelve hours after exertion visiting a sauna is one option and what about all the point that is supposed to help him is called thought of 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 use pain soft sometimes 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. and. stop the inflammation process and the desired muscle adaptations along with it so that's why you have to strike a balance between this adaptation. you want and the dose of painkiller you're taking which will suppress it. in other words it limits the really gross of muscle tissue fatah also recommends avoiding pain relievers 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 injury 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 pain and continue to stress the muscles i can damage them to be sure to muscular. what about stretching before or after exercise. stretching is really important although i hate it. been seen before workout i always stretch to warm up but sometimes i don't stretch as much as i should. be stretching is fundamentally important in the run up to your workout as well as in the cooldown phase prepares your muscles for the workout gets them ready to perform . and then in the cooldown phase they should be stretched out again was good. 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. to.

electric lights and trace elements they also play a key role. mineral 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. . when prescribe you some pills and then the problems start when do you have to take the pills before a meal after meal instead of the new 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 they're 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 blood stream. 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. 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 combine two components in drugs and create non soluble 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 doesn't usually affect your ability to drive if you're on medication and have that sip 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 experience any 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. and so then

try to stay.

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