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July 2023

Know your NSAIDs

Overview

Screenshot_20230818_134448_ChromeIbuprofen, acetaminophen, and naproxen sodium are all nonsteroidal anti-inflammatory drugs (NSAIDs) that are used to relieve pain and reduce inflammation. However, they differ in their chemical structure, mechanism of action, and side effects.

How NSAID’s Work

Ibuprofen and naproxen sodium work by blocking the production of prostaglandins, which are chemicals that cause pain and inflammation. Acetaminophen works by blocking the production of prostaglandins in the brain, which reduces pain and fever.

From a physician's standpoint, ibuprofen and naproxen sodium are often used to treat pain and inflammation associated with conditions such as arthritis, menstrual cramps, and headaches. Acetaminophen is often used to treat mild to moderate pain and fever.

Possible side effects of ibuprofen and naproxen sodium include stomach upset, heartburn, nausea, and increased risk of bleeding. Acetaminophen can cause liver damage if taken in high doses or in combination with alcohol.

Drug interactions can occur with all three medications, so it is important to consult with a physician or pharmacist before taking them. Inactivity and age can increase the risk of side effects and drug interactions.

It is appropriate to take ibuprofen or naproxen sodium for pain and inflammation associated with conditions such as arthritis, menstrual cramps, and headaches. Acetaminophen is appropriate for mild to moderate pain and fever. It is generally not recommended to take these medications together unless directed by a physician, as this can increase the risk of side effects and drug interactions.

NSAID Generic Name

Best used for:

Name Brand

Ibuprofen

Muscle pain, pain from injury

Advil, Motrin

Naproxen Sodium

Muscle pain, pain from injury

Aleve

Acetaminophen

Mild to moderate pain, fever

Tylenol

Possible Interactions

NSAIDs (Non-Steroidal Anti-Inflammatory Drugs) can interact with other medications and cause adverse effects. Here are some examples:

  • Aspirin: Aspirin is also an NSAID, so taking it with other NSAIDs increases the risk of gastrointestinal bleeding.
  • Blood thinners: NSAIDs can increase the risk of bleeding when taken with blood thinners such as warfarin, heparin, or clopidogrel.
  • ACE inhibitors: Taking NSAIDs with ACE inhibitors, which are used to treat high blood pressure, can reduce the effectiveness of the ACE inhibitors and increase the risk of kidney problems.
  • Diuretics: NSAIDs can reduce the effectiveness of diuretics, which are used to treat high blood pressure and heart failure.
  • Lithium: NSAIDs can increase the levels of lithium in the blood, which can cause toxicity.
  • Methotrexate: NSAIDs can increase the toxicity of methotrexate, which is used to treat cancer and autoimmune diseases.
  • Corticosteroids: Taking NSAIDs with corticosteroids, which are used to reduce inflammation, can increase the risk of gastrointestinal bleeding.
  • Antidepressants: NSAIDs can increase the risk of bleeding when taken with antidepressants such as selective serotonin reuptake inhibitors (SSRIs) and serotonin-norepinephrine reuptake inhibitors (SNRIs).

It's important to talk to your doctor or pharmacist before taking NSAIDs if you are taking any other medications. They can advise you on the potential interactions and help you avoid any adverse effects.

Conclusion

The article provides an overview of the differences between ibuprofen, acetaminophen, and naproxen sodium, which are nonsteroidal anti-inflammatory drugs (NSAIDs) used to relieve pain and reduce inflammation. The article explains how each drug works and lists their possible side effects, drug interactions, and best uses. Ibuprofen and naproxen sodium block the production of prostaglandins, while acetaminophen blocks the production of prostaglandins in the brain. Ibuprofen and naproxen sodium are commonly used to treat pain and inflammation associated with conditions such as arthritis, menstrual cramps, and headaches, while acetaminophen is often used to treat mild to moderate pain and fever. The article cautions against taking these medications together without physician direction due to the risk of increased side effects and drug interactions. It's important to talk to a doctor or pharmacist before taking NSAIDs if you are taking other medications to avoid any adverse effects.


The Glymphatic System

Glymphaticsystem (1)The Glymphatic System is a waste clearance system in the brain that helps to remove toxins and metabolic waste products that accumulate during waking hours. It was discovered in 2012 by researchers at the University of Rochester Medical Center. The system is a network of vessels that run alongside blood vessels in the brain and is responsible for the exchange of cerebrospinal fluid (CSF) throughout the brain.

The glymphatic system is important to brain function, sleep, cognitive ability, and recovery because it helps to remove waste products that can be detrimental to brain health. When the glymphatic system is functioning properly, it helps to clear beta-amyloid, a protein that is associated with Alzheimer's disease. It also helps to remove other toxins and metabolic waste products that can impair brain function.

During sleep, the glymphatic system is particularly active, and this is thought to be one reason why sleep is so important for brain function and cognitive ability. The system is responsible for flushing out toxins and waste products that accumulate during waking hours, and this allows the brain to function optimally during the day.

In terms of recovery, the glymphatic system is important because it helps to remove waste products that can lead to inflammation and cell damage. When waste products accumulate in the brain, they can impair recovery after injury or illness. The glymphatic system helps to clear these waste products and promote healing.

Overall, the glymphatic system is an important mechanism for maintaining brain health and function. It helps to remove waste products that can impair cognitive ability, disrupt sleep, and impair recovery.

The glymphatic system was first discovered in 2012 by Dr. Maiken Nedergaard and her colleagues at the University of Rochester Medical Center. The system is a network of vessels that run alongside blood vessels in the brain and is responsible for the exchange of cerebrospinal fluid (CSF) throughout the brain. The system is driven by astrocytes, a type of brain cell that helps to regulate the flow of CSF through the brain.

One of the main functions of the glymphatic system is to remove waste products from the brain. During waking hours, the brain produces metabolic waste products that can be harmful if they accumulate in the brain. The glymphatic system helps to clear these waste products, which can include beta-amyloid, a protein that is associated with Alzheimer's disease.

Research into the glymphatic system is ongoing, and there is a growing body of evidence suggesting that the system may be important for a range of brain functions. Studies have shown that the glymphatic system is more active during sleep, which may explain why sleep is so important for brain function and cognitive ability. The system is also thought to be important for recovery after injury or illness, as it helps to remove waste products that can impair healing.

There is also research being done into the role of the glymphatic system in neurological disorders such as Alzheimer's disease. Studies have shown that the system may be impaired in people with the disease, which could contribute to the accumulation of beta-amyloid in the brain.

As for videos and podcasts that reference the glymphatic system, there are several available online. Here are a few examples:

  • "The Glymphatic System: Your Brain's Detox System" by Dr. Andrew Huberman (YouTube)
  • "Brainwash: Sleep and the Glymphatic System" with Dr. Matthew Walker and Dr. Maiken Nedergaard (Podcast)
  • "Glymphatic System: Brain Drain or Trash Can?" by Dr. Brian Nahed (YouTube)

These resources provide more detailed information about the glymphatic system and its importance for brain function, sleep, and recovery.


It's Hot in Here!

Heat stroke symptoms
Summers in the Washington, DC area are not for the faint of heart! If you've lived here long enough you know that July and August can be downright miserable when it comes down to high temperatures and even higher humidity.

Here are some tips on how to modify your training during the summer months:

  • Acclimatize to the heat gradually. If you're not used to training in hot weather, start by gradually increasing the amount of time you spend exercising in the heat. This will give your body time to adjust and prevent heat-related illnesses.
  • Wear light, breathable clothing. Clothes that wick away sweat will help you stay cool and comfortable. Avoid wearing cotton, as it will absorb sweat and make you feel hotter.
  • Stay hydrated. Drink plenty of fluids before, during, and after your workouts. You may need to drink more fluids than usual in hot weather.
  • Take breaks. If you start to feel overheated or dizzy, take a break. Drink some fluids, cool down, and then resume your workout.
  • Listen to your body. If you're feeling really hot or uncomfortable, stop your workout and cool down. Don't push yourself too hard in hot weather.
  • Manage your recovery. In hot weather, your body needs more time to recover from workouts. Be sure to get enough sleep and eat a healthy diet.

Whenever you are exerting yourself in these conditions, there is always a possibility of heat cramps, heat exhaustion or heat stroke. Both of these are dangerous, and in some cases can be life threatening. Be aware of the signs of heat cramps, heat exhaustion and heat stroke. If you experience any of these symptoms, seek medical attention immediately:

  • Dizziness
  • Headache
  • Nausea
  • Vomiting
  • Confusion
  • Hot, dry skin
  • Rapid heart rate
  • Loss of consciousness
  • By following these tips, you can stay safe and healthy while training in hot weather.

Early Bird Registration Ends Saturday 07/08/23

Certification Weekend Overview

Dan John Tim Anderson Oct 2023Get ready for an incredible opportunity that comes once in a lifetime! We're thrilled to announce a hands-on training and instruction event featuring two of the world's top trainers and innovators: Dan John and Tim Anderson. This is an event you won't want to miss!

Dan John will be presenting his brand-new body of knowledge called "From Assess to Success." He'll guide you on how to assess and prepare athletes, as well as anyone else, in a logical, safe, and effective manner. This is your chance to learn invaluable insights and techniques from one of the best in the field.

But that's not all! Tim Anderson will be leading attendees through the exciting "Pressing Reset" program. This program is designed to help you recapture movement and awareness that may have been lost or never fully developed. Tim's expertise will empower you with essential skills that can make a real difference in your life.

By the end of this weekend, you'll have a unique opportunity to become certified in both "From Assess to Success" and "Pressing Reset." Imagine the value of holding these certifications from two dynamic, informative, and fun presenters! The knowledge and skills you'll gain will stay with you for months to come.

This event promises an informal and exciting atmosphere. While you soak up knowledge and training, you'll also experience a sense of enthusiasm and excitement. You'll leave feeling motivated and ready to apply everything you've learned to yourself, your clients, and even your family members.

Don't miss out on this extraordinary chance to learn from the best in the industry. Join us for a weekend filled with valuable insights, practical training, and a whole lot of fun!

Certification Weekend Information

Dates: October 07 and 08, 2023
Location: CrossFit Koncepts (Gaithersburg, MD)
Times: 0900 am to 0530 pm (both days)
Registration: To pre-register for this event (via Venmo or Credit Card) contact Michael Krivka at [email protected] or call 301/404-2571
Cost:

  • Early Bird Registration - $399/person by 07/08/2023
  • Pre-registration - $599/person by 08/15/2023
  • At the Door - $799/person after 08/15/2023 

NOTES:

  • Contact Michael Krivka for group rates of 05 or more.
  • Attendance is strictly limited to 40 people.
  • Registration will terminate when 40 people have pre-registered for this event.

ACT NOW - Space is extremely limited and will sell out fast!