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praetorianphoto/iStock(NEW YORK) -- Annually, about 247,200 cases of breast cancer are diagnosed in the U.S. and nearly 42,000 people die each year from breast cancer, according to the Centers for Disease Control and Prevention.

Besides certain types of skin cancer, more women are diagnosed with breast cancer than any other cancer in the U.S., regardless of race or ethnicity.

The United States Preventative Services Task Force (USPSTF), an independent, volunteer panel of national experts in prevention and evidence-based medicine which most doctors follow, has expanded its recommendations for screening for BRCA1 and 2 gene mutations, "some of the most common gene mutations seen in inherited breast cancers," Dr. Banu Arun, professor of Breast Medical Oncology and co-director of Clinical Cancer Genetics at the University of Texas MD Anderson Cancer Center, told ABC News' Good Morning America in an interview.

Before Tuesday, women with a family history of certain types of cancer were encouraged to have additional screenings for a risk assessment that may predispose them to being diagnosed with breast cancer. The updated recommendations now also looks at the woman’s personal medical history and will encourage additional risk assessment if she has concerning risk factors herself.

Women who have "had breast, ovarian, tubal, or peritoneal cancer and have not been tested or who have ancestors associated with BRCA1/2 gene mutations" should also be assessed for risk, Dr. Carol Mangione, task force member and professor of medicine and public health at UCLA, told GMA.

There are several quick risk assessment tools that health care providers can use. If it is positive, the USPSTF recommends "genetic counseling and, if indicated after counseling, genetic testing."

"We do not recommend routine assessment of people who do not have a personal or family history or ancestral connection," Dr. Mangione said. "The harms of doing so outweigh the risks."

If doctors "implement these recommendations in their routine clinical practices it will increase patient and provider awareness. More patients will be tested and we will miss less," said Dr. Arun.

Dr. Arun recommends, "Knowing your family history, living a healthy lifestyle, engaging in physical activity, and having proper weight control" to help reduce the risk of developing breast cancer.

However, the new recommendations, do not "address many persistent problems," according to Dr. Susan Domcheck, executive director of the Basser Center for BRCA at the Abramson Cancer Center at the University of Pennsylvania, who released an editorial published in JAMA. The changes are "certainly valuable," she commented in a Penn Medicine news release, but "they do not include newly diagnosed breast or ovarian cancer patients or advanced cancer patients in its recommendations."

Dr. Domcheck and the USPSTF indicate the need for additional research regarding BRCA mutations and risk factors, including the effect of race, ethnicity and socioeconomic status.

Copyright © 2019, ABC Radio. All rights reserved.



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kate_sept2004/iStock(NEW YORK) -- Breastfeeding has proven health benefits for mom and baby.

The American Academy of Pediatrics recommends exclusive breastfeeding for about six months of life when possible. Breast milk is the perfect source of nutrition and contains mom-made infection-fighting agents that protect babies against infection. At six months, the AAP recommends continued breastfeeding for one year or longer as complementary solid foods are introduced.

But learning how to breastfeed can be an extremely frustrating process for moms. Getting the basics right can set you, and your baby, up for breastfeeding success.

Here's what you need to know:

1. How to tell if your baby is hungry

One of the first ways your baby communicates with you is by displaying “hunger cues." We all know that a crying baby may be hungry, but if you pay attention you can pick up on more subtle “hunger cues” before they start bawling.

When a baby smacks his or her lips, sticks the tongue out, brings fists to mouth and turns their head side to side they are letting you know that they are ready to be fed.

2. Prep

Especially when just starting to breastfeed it's important that your environment is calm, quiet and comfortable. You should be in a space where you feel comfortable.

Your seat should have good back support and any support pillows you plan to use should be within arm's reach.

Sometimes babies get too cozy when breastfeeding and start to drift off to sleep after a minute or two feeding. To prevent your baby from getting "milk drunk" and falling off the breast too early, you can strip them down to their diaper before a feed.

If your baby is in the middle of a crying fit, try to comfort them and calm them down before you attempt to feed.

3. Take a cuddle break

Hold your baby skin to skin between your breasts. Skin to skin contact is a wonderful way to bond with your baby and who doesn’t love a cuddle? But it also helps promote milk production.

Once your baby is situated on your chest, observe him or her. Is your baby's head bobbing? Is you baby showing other hunger cues on your chest? If so, great!

Time to master the hold.

4. Breastfeeding holds

These are two of the tried and tested favorite breastfeeding holds of moms everywhere:

Cross-cradle hold

This hold is an excellent starting point for new moms and a great way to support your baby’s latch.

Hold baby's head at your right breast and baby's body toward your left side. Baby’s tummy should be nestled up against yours. Your left hand should be behind your baby's ears and neck with your forearm supporting your babies back. A pillow can be placed underneath the left arm to support mom’s arm. Hold your right breast with your right hand as if you are squeezing a sandwich and direct the nipple toward the baby’s mouth to help the latch.

Clutch or 'football' hold

This hold is ideal for those recovering from a C-section or have a larger chest as it keeps the baby's weight off your belly.

Cradle baby by your right side, level with your waist. Support your baby’s head with your right hand, baby’s mouth facing toward the front of the right breast and near the nipple. Baby’s back will rest on your forearm -- think Tom Brady clutching a football under his arm.

A pillow underneath the right arm can help support the baby’s weight and prevent arm aches.

Use your left hand to cup right breast so you help direct nipple to baby’s mouth and support latch.

5. All about the latch

Ah, the latch. This can be the toughest hurdle breastfeeding moms need to overcome. The main thing we want to see is baby’s mouth open wide, tongue over bottom gum and as you bring them toward breast for their chin to be the first thing that makes contact with your breast when baby is latching on.

You can encourage the baby’s mouth to open wide by brushing the nipple gently against the baby’s upper lip.

For new moms it can be hard to get a sense of how much nipple and areola (the pigmented skin that surrounds the nipple), a baby should take into their mouth when latching on. It's helpful to remember that when breastfeeding your nipple should be positioned against the roof and toward the back of the baby's mouth. They should have a good portion of areola in their mouth.

6. Still having trouble?

If you continue to have trouble breastfeeding, you can always reach out to your doctor or a lactation consultant.

Three of the most common breastfeeding problems encountered by new moms are pain, difficulty latching and milk production.

Problem 1: Breastfeeding hurts!

The most common cause of breastfeeding pain is that your baby is not latching correctly.

Another common cause of pain is nipple soreness. To combat nipple soreness after breastfeeding, wipe damaged nipples gently with moist cotton wool to remove any debris and then let nipples air dry. This helps to prevent infection. Once the nipples are dry, a lanolin cream or a few drops of breast milk can be applied on the nipples. Cooling packs also can provide comfort.

Another tip: Breast shells can also be worn to prevent sore nipples chaffing against clothing between feedings.

Problem 2: My baby still isn't latching correctly.

There are lots of different reasons your baby may not be latching correctly.

Frequently when moms complain of poor latching, they are describing nipple feeding. This is where a baby is just sucking on the tip of the nipple at the front of their mouth and not taking enough nipple and areola into their mouth.

If baby gets too fussy or too tired, he or she will not cooperate with your best efforts to feed them. The best time to feed baby is when they are quiet with their eyes open.

Around 10% of women have inverted nipples. This isn’t a problem for most babies, but some can have difficulty. You can wear nipple formers in between feeds to help inverted nipple protrude more, making it easier for baby to feed.

Problem 3: I don't think I'm making enough milk?


The most important advice we can give a mom struggling to produce enough milk is that you need to take care of yourself first.

Two weeks after the baby is born, your only job should be to rest, eat and feed baby. Enlist you partner, family and friends to help around the house. Holding baby skin to skin can also help with milk supply. If you need to be at work and are pumping, keeping a picture of baby with you along with a scent cloth can help milk production.

It’s good to keep in mind that when a baby is first born their stomach is only the size of a marble. The first milk you produce, called colostrum, is designed to provide adequate nutrition. It's so nutritious it’s nicknamed “liquid gold" and a little goes a long way.

7. How do I know my baby is getting enough milk?

The best way to assess if a baby is getting enough milk is by closely tracking their weight gain with their pediatrician.

However, if your baby is making less than six wet diapers a day, it may be a sign they may be not receiving enough milk and may need to be seen by a doctor.

8. What if this doesn’t work for me and my baby?

Don’t panic, there is help out there.

There can be many, many reasons that breastfeeding doesn’t work out or that a mother will decide that it isn’t the right choice for her family.

Not breastfeeding your baby means nothing about you as a mother or the bond you share with your baby.

You can also always contact your baby’s doctor or seek help from a lactation consultant.

Copyright © 2019, ABC Radio. All rights reserved.



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Cindy Dwyer(NEW YORK) -- Cindy Dwyer, was diagnosed with stage three brain cancer in 2013, and underwent surgery, 35 days of radiation and a year of chemotherapy. After upending her life and battling her illness, Dwyer, now 57 years old, made a full recovery -- except for a patch on her head where the tumor was removed.

Her doctor told her that the hair follicles were burned, but after months of waiting, Dwyer came to terms with the fact that her hair wasn’t coming back.

She said she started looking around for something that would make her love her hair again.

"I was searching for a hair piece that would work for me," Dwyer told ABC News' Good Morning America, noting she finally found a line of hair pieces or "toppers" crafted from human hair from a brand called the Lauren Ashtyn Collection. "When the topper was placed on my head I looked in the mirror, and I was filled with joy. I felt whole again. It was one of the best days of my life.”

Many think that only men have to worry about hair loss, but according to the Cleveland Clinic, more than 50% of women will experience noticeable hair loss. Female-pattern hair loss (FPHL) affects approximately 30 million women in the U.S., the Cleveland Clinic reports, and women over 40, women who just gave birth and women undergoing chemotherapy are among those most commonly affected.

For women experiencing hair loss, the impact that a hair piece can have on their lives goes beyond the superficial.

In addition to giving women their confidence back, they can also help women who need to keep up a certain appearance for their job.

One such woman is Jackie Kostek.

Kostek, a reporter based in Chicago who appears on segments of You and Me, a local morning talk show, said she started noticing that her hair was thinning about four years ago.

“One day I came home, put my hair in a ponytail, when I looked into the mirror I was shocked. It dawned on me that my hair was getting thinner,” Kostek recalled.

Then she started seeing more of her hair in the bathroom sink, and less of it on her head.

“For about six months, I cried every single day,” she said. “I wondered if a man would ever find me attractive again, or if I’d be able to fulfill my lifelong dream of working in television—being an on-air reporter and anchor.”

After doing some research, she realized that her hair was likely falling out due to stress and genetics.

She tried a bunch of remedies for about seven months, to no avail. But then she started researching extensions and turned to a hair piece.

Kostek shared her hair loss journey in a segment with her viewers as she reached out to the Lauren Ashtyn Collection see if they’d be willing to help her. The result was an on-air segment of Kostek trying on a topper for the first time, and having it trimmed to match her haircut.

The Lauren Ashtyn Collection uses human hair and matches the color and style to each client, the company told GMA. It began as a company that catered to hair extensions for women, but has expanded its offerings to provide clip-in toppers for women with mild to severe hair loss.

There are many hair loss treatments on the market today, including Rogaine, Aldactone and iron supplements.

In addition to the Lauren Ashytn Collection, whose pieces retail from $450 to $900 on average, brands such as Uniwigs, Headcovers, and Wigs.com all provide hair pieces for women who experience balding or hair loss.

Copyright © 2019, ABC Radio. All rights reserved.



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mediaphotos/iStock(NEW YORK) -- Melanie Yvette Martin is a 31-year-old blogger who works out out three times a week, doing everything from running to kickboxing, spin and dance classes.

And three times a week, Martin, of Brooklyn, New York, encounters the same problem of having to wear an uncomfortable or unflattering sports bra.

"My biggest issue is always support and feeling like I look good in them, enough to only wear a sports bra to the gym and not a big, bulky T-shirt," she told ABC News' Good Morning America. "And there is lots of movement in my classes, so it would hurt my chest, and sometimes my bra's strips dig into my skin and taking the bras off is always annoying."

Martin, a DD cup size, is not alone in needing a sports bra to work out but not having the right one for her body, according to Lexie Sachs, associate director of the Textiles, Paper and Plastics Lab at the Good Housekeeping Institute.

"A sports bra should not be any type of hindrance to your workout or cause physical discomfort," she told GMA. "If anything, a sports bra should be kind of a fueling power to a good workout. It should not get in the way."

Sachs and her team of textile experts at Good Housekeeping have led the way in evaluating dozens of sports bras, including having real women ranging from A through H cup sizes test them out during workouts.

"I would say the biggest mistake comes down to not thinking about your own size and activity level, or getting stuck in your head what you think you should be buying in a sports bra," Sachs said. "It's kind of life-changing [when women] realize a sports bra does exist for their size that makes them feel good and look good."

Here are Sachs' four tips for shopping for a sports bra.

1. Try on different sizes: The size you wear in a regular bra may not be the size you need in a sports bra, and sizes vary widely from brand to brand, so make sure to try on options instead of just grabbing your normal size, recommends Sachs. Once you've purchased a sports bra, check in at least twice a year to make sure it's still giving you the support you need.

2. Check the bust and band: Any gaping or loose fabric in the bust area can be a sign a bra is too big, while spillage is a sign the bra is too small. The back band of a sports bra should sit flat against your back, making the bra fit snugly but not too tight, according to Sachs. If the band rides high on your back, it's a sign the bra is the wrong fit.

3. Give it a fitting room trial: If you are using the bra for high-impact workouts, do a few jumping jacks in the dressing room or jog in place to check the support. If you are going for more low-impact, do some quick yoga moves in the bra to make sure it does not constrict you, recommends Sachs.

4. Do a quick water test: Not all sports bras are as moisture-wicking as they claim to be according to Sachs. She recommends doing a quick test by placing a drop of water on the fabric. If the water quickly spreads out, that's a good sign. If the water beads up, that's a sign the bra is not moisture-wicking.

Copyright © 2019, ABC Radio. All rights reserved.



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Pinellas County Sheriffs Office(CLEARWATER, Fla.) -- A Florida man was arrested after he was caught with five ecstasy pills that were the color orange and in the shape of President Trump's face, police said.

Brendan Dolan-King, 23, had the ecstasy pills hidden inside his air vent at his home in the city of Clearwater, according to an arrest report from the Pinellas County Sheriff’s Office.

They were labeled “Trump NL," according to the report.

A spokesman for the Clearwater Police Department told ABC News that officers occasionally find ecstasy pills in different shapes, including ones featuring a Batman or Superman logo.

However, he added, “we have not seen one in this shape before.”

Police also allegedly found a tan powder in the air vents that was later positively identified as fentanyl through lab testing.

The testing also confirmed that the Trump-shaped tablets were MDMA, commonly known as ecstasy, according to police.

Police were responding to a call about an overdose Friday night when they made the discovery, according to the report.

Dolan-King was a resident of the home where the overdose happened, the report said.

He was charged with possession of a controlled substance. It was not immediately clear if Dolan-King had legal representation.

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Hailshadow/iStock(ATLANTA) -- The number of measles cases continues to grow, though at a slightly less rapid pace than was recorded earlier in the year.

The Centers for Disease Control announced Monday that there were 21 new cases of measles in the most recent recorded week, bringing the total number to 1,203 confirmed cases.

In early May, there were 60 new cases in a week, and in late April, that number jumped to 78 cases in one week. There were 71 new cases the week before that. The numbers through May 17 showed an increase of 41 cases from the prior report.

The number of cases this year already reached the highest number since measles was declared eliminated in the country in 2000.

The 1,203 figure also means it is the greatest number of measles cases in the U.S. since 1992, according to the CDC. There are now 30 states that have confirmed cases, with recent additions including Ohio and Alaska.

There are six ongoing outbreaks, where three or more cases are in effect, which is down from higher numbers earlier this year.

The outbreaks still remain in New York's Rockland and Wyoming Counties, New York City, Washington state, Los Angeles County in California, and El Paso, Texas.

More than three quarters of the cases were linked to outbreaks in New York, the CDC reported. Those outbreaks, including the ones in Rockland County and New York City, started in 2018 and carried through to the present.

According to the Rockland County health department website, the outbreak there was tied to 296 cases, and in New York City there have been 653 confirmed cases, the city's health website states.

The CDC reported that of the 1,203 confirmed cases, 124 people were hospitalized and 64 people reported having complications that included pneumonia and encephalitis.

The majority of cases were reported to have infected people who had not been vaccinated against the disease.

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ABC News(HILLSBOROUGH COUNTY, Fla.) -- A couple from Florida is fighting to regain custody of their son after they chose alternative methods to treat his tumor.

Noah McAdams was diagnosed with acute lymphoblastic leukemia earlier this year. The 4-year-old's parents, Joshua McAdams and Taylor Bland-Ball, stopped chemotherapy two days into treatment.

Instead, McAdams and Bland-Ball turned to medical marijuana and CBD oil -- the increasingly popular cannabis extract that's sold over the counter.

"He had vicious mood swings, making him violent, making him very emotional, and he also started to lose his hair right away after the first treatment," Bland-Ball said of her son in an interview with Good Morning America.

McAdams and Bland-Ball took Noah to Kentucky where they sought a second opinion. The Hillsborough County Sheriff's Office had asked for the public's help to locate the family after McAdams and Bland-Ball failed to bring Noah to the hospital for a medically necessary procedure on April 22.

"The parents have further refused to follow up with the life saving medical care the child needs," the Hillsborough County Sheriff's Office wrote on Facebook. "The parents have possible criminal child neglect charges pending."

The parents were found one week later and the state of Florida placed Noah in the custody of his grandparents, who were ordered in May to resume chemotherapy.

An official with the Hillsborough County Sheriff's Office told GMA that the office would not comment on an active case.

Now, McAdams and Bland-Ball are back in court fighting to get their son back.

"This is not about whether we're choosing alternative therapies, natural therapies. This is about our rights to seek other options," Bland-Ball said.

"They're saying that this child is in immediate danger when the fact that there is no cancer showing in his blood and there is no indication that at any point in time, that any cancer is going to come back in his body," Michael Minardi, McAdams' and Bland-Ball's former attorney, told GMA in May following the judge's ruling for Noah to resume chemo.

Dr. Bijal D. Shah, head of the Moffitt Cancer Center's acute lymphoblastic leukemia program, said blood tests don't show the full picture.

"We have no way of saying that he is cured of leukemia this early in therapy," Shah, who is not treating Noah, told GMA. "We cannot assume cure because we see remission."

Shah said the current protocol for treating acute lymphoblastic leukemia has a 90 percent cure rate for patients who follow the treatment plan.

St. Jude’s Children's Research Hospital confirmed this statistic for GMA.

Julie Cantor, M.D., and a faculty member at UCLA, said this case is different because Noah is actually ill.

"He has an identifiable disease and he has a treatment that according to the evidence, has a very high rate of success," Cantor told GMA.

Noah is now receiving both chemotherapy and CBD for treatment.

His parents' trial is expected to end Monday.

Copyright © 2019, ABC Radio. All rights reserved.



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Trae Patton/NBC(NEW YORK) -- Chrissy Teigen sent social media ablaze when she shared with her more than 11 million social media followers a photo of her extremely swollen bottom lip.

Teigen, a mom of two with husband John Legend, said she was in Utah attending a wedding and blamed her swollen lip on altitude sickness.

"did u know angioedema can be triggered from altitude sickness? learn something new every day! my lip about to explode. goodbye world," she captioned a photo of her lip.

did u know angioedema can be triggered from altitude sickness? learn something new every day! my lip about to explode. goodbye world pic.twitter.com/3uMfbCJYn5

— christine teigen (@chrissyteigen) August 17, 2019

Some of Teigen’s followers were quick to comment that they have experienced the same thing.

"Wait Chrissy did you just explain to me why my lips randomly swell up when I move between places with differing altitudes bc this happened multiple times to me when I went between my college town in Flagstaff and the valley I’m shook," wrote one user.

"I got altitude sickness while in Denver recently and my lips got puffy! I didn’t know it could be related- I felt like dying," wrote another.

Altitude sickness is caused by the low oxygen levels at destinations higher than 8,000 feet above sea level. It is usually provoked when people travel to high altitudes too quickly, according to the Centers for Disease Control and Prevention (CDC).

The CDC compares the symptoms of altitude illness to those of a hangover, including a headache, fatigue, lack of appetite, nausea and vomiting. More serious symptoms can typically include swelling of the brain and lungs, according to the CDC.

Teigen, 33, said that in her case the "terrible altitude sickness" that hit her triggered angioedema, which is swelling in the deep layers of the skin, according to the American Academy of Allergy Asthma and Immunology (AAAAI).

Acute angioedema, where the swelling only lasts for minutes or days, is typically caused by an allergic reaction to medications or foods. When the condition returns over a long period of time it is known as chronic recurrent angioedema, according to AAAAI.

It is "unclear" whether changes in altitude can trigger angioedema, according to Dr. William Reisacher, otolaryngologist at New York-Presbyterian and Weill Cornell Medicine.

"The most common causes of angioedema are allergies to something that contacted the lips or while being on medications know as ACE inhibitors," he told ABC News' Good Morning America. "The lips can also swell when there is a source of inflammation elsewhere in the body."

In 20% of angiodema cases, the cause of the swelling is unknown, according to Reisacher.

The key to treating angiodema is finding the underlying cause of the reaction and avoiding any triggers, Reisacher explained. Medications like antihistamines and steroids may also help reduce symptoms.

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MillefloreImages/iStock(NEW YORK) -- A South Dakota mother was in for a huge surprise during a recent trip to the hospital earlier this month for what she thought was kidney stones.

"Started getting pains, figured it was kidney stones cause I went through them before," Dannette Giltz told ABC affiliate KOTA-TV.

Giltz didn't realize it, but she was going into labor and having triplets. The new mother of five had been pregnant for 34 weeks.

"You don't ever see triplets being conceived naturally, let alone going 34 weeks without knowing. So everyone's like, 'We can't believe it.' I am like, 'We're still in shock. Trust me, we know what you mean,'" Glitz said. She added, "It's crazy."

The triplets' 10 year-old brother said this is a dream come true.

"I wished for a baby brother and a baby sister and I knew this day was always gonna come," said Ronnie Giltz, according to KOTA-TV.

The triplets' father is still in shock and can't believe he has three newborn kids.

"Once we left the hospital, she's out of the hospital, I know she's OK. I am overwhelmed. Honestly, it's still exploding in my head," Austin Giltz said, according to the affiliate.

In the midst of this huge surprise, the triplets were named Blaze, Gypsy and Nikki.

Giltz said she was amazed by how much support she got from her community and added that she couldn't have gotten through this time without them. A friend of the Giltzes created a fundraiser on Facebook to support their family, raising over $1,600.

According to the mother's Facebook posts, the newborn triplets born on Aug. 10, weighing about 4 pounds each, are in good health and expected to come home in a few days.

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dolgachov/iStock(NEW YORK) -- More than 78,000 people have signed a petition online calling on WW, formerly Weight Watchers, to remove its new app aimed at children ages 8 to 17.

The app, called Kurbo by WW, is "designed to help kids and teens ... reach a healthier weight," according to a statement released by WW.

The app uses the Traffic Light System, which divides foods into red, yellow and green groups. It also steers children toward eating more "green light" foods like fruits and vegetables.

The free app, which offers 1:1 coaching for a fee, also lets kids track their food and their behaviors around food. Further, it gives them access to recipe videos and healthy eating, and living-focused games, according to WW.

The app has drawn criticism from some parents and nutritionists who fear the app is too geared to weight loss and could hurt kids' relationship with food.

"The story that you are hearing over and over again is all of us who started struggling at the age that this app is targeted for saying it was already bad enough without an app," said Holly Stallcup, the woman who started the Change.org petition and who says she is in recovery from an eating disorder. "If we had had this app in our hands to literally log every bite of food to eat, we know that some of us would have actually died from our diseases because it would have so enabled our unhealthy, mentally ill thinking."

At least 30 million people in the U.S., of all ages and genders, suffer from an eating disorder, according to statistics compiled by the National Association of Anorexia Nervosa and Associated Disorders (ANAD), a non-profit organization that supports people with eating disorders.

One part of the criticism leveled against Kurbo by WW is that it includes success stories that feature before and after photos of children as young as 8 years old, how much weight they have lost and their testimonials.

"Looking at before and after pictures of kids who have lost weight is absolutely something that could lead to children to feel horrible about themselves and it really is a form of body shaming," Keri Glassman, a New York City-based registered dietitian.

"They could have created an app for children that promoted healthy eating and healthy lifestyle and good health education and information and help children boost confidence," she said. "But I feel like the way this app was built is so similar to Weight Watchers, and just geared completely towards weight loss, weight loss, weight loss."

Childhood obesity is described by the Centers for Disease Control and Prevention (CDC) as a "serious problem" for American children. The CDC estimates obesity affects around 13.7 million children and adolescents, ages 2 to 19, in the U.S.

WW says it acquired Kurbo last year and then "conducted qualitative research to inform product development that would improve the user experience and make the prior Kurbo program more holistic."

One of the app's co-founders is a mom whose child struggled with weight, according to WW.

"According to recent reports from the World Health Organization, childhood obesity is one of the most serious public health challenges of the 21st century. This is a global public health crisis that needs to be addressed at scale," Joanna Strober, co-founder of Kurbo, said in a statement released by WW. "As a mom whose son struggled with his weight at a young age, I can personally attest to the importance and significance of having a solution like Kurbo by WW, which is inherently designed to be simple, fun and effective."

In addition to the free content, Kurbo by WW's subscription-based content includes services like one-on-one 15-minute virtual video sessions with specially-trained, Kurbo certified coaches and content for parents like recipes, shopping lists and a newsletter.

The added coaching services cost $69 per month or less if you subscribe for multiple months.

Weight Watchers rebranded itself as WW last year to emphasize the company's focus on wellness, and not just weight and dieting.

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Adene Sanchez/iStock(NEW YORK) -- Ah, sleep. Why is our most precious recharging resource so scarce in our busy, modern lives?

We all know the excuses: demanding schedules, social lives and screen time. Sometimes it's subconscious, but we're all making decisions to do these things instead of getting the sleep we need.

ABC News Chief Medical Correspondent Dr. Jen Ashton walked us through some of the most common myths about sleep to set the record straight:

Myth 1: I can function just fine on 5 to 6 hours of sleep, so I don't need to change my habits

FALSE: 95% of adults need 7 to 9 hours of sleep a night.

Getting enough sleep, is a "massive problem in this country," according Ashton.

"Sleep has a PR problem. I think we look at sleep like it's a luxury, but it's actually a medical necessity," she said. "Just because you can function on less sleep doesn't mean you should function on less sleep."

Myth 2: If I don't get enough sleep during the week, I can make it up over weekend

FALSE: "Our body's circadian rhythms are finely tuned and connected to regular sleep behavior. And our hormones, our metabolism, all kinds of neurotransmitters, are all tied into those circadian rhythms and when we're sleeping," Ashton said.

Weekend schedules often vary from our weekdays, but it's best to not alter your sleep schedule by more than an hour on either end.

"Locking down a sleep schedule is not just important for infants and babies; it's really important for adults as well," Ashton said.

Myth 3: I might be tired the next day, but there are no long-term effects of not getting enough sleep

FALSE: "People who consistently get insufficient sleep are at increased risk for neurocognitive decline, dementia, poor concentration, mood disorders like depression and anxiety -- and that's just from the neck up," Ashton said.

Poor sleep affects our ability to efficiently metabolize food, and puts us at increased risk for cardiovascular disease and cancer, Ashton added.

Myth 4: It's OK and faster to fall asleep with the TV on

FALSE: "Don't fall asleep with the TV on," Ashton said. "You might think you're asleep, but your brain is registering that light, and it's actually stimulating your brain and helping to prevent good, quality sleep."

On that note, any light that's visible to you -- even a street lamp in the distance or a hall light under the door -- is affecting your sleep. Blackout curtains are your best friend.

Myth 5: You get better sleep when your bedroom is cold

TRUE: If you often get up in the middle of the night, it might be your body waking you up because you're sweating or too hot.

Ashton keeps her room at a cool 66 degrees year-round for a restful and undisturbed night of sleep, but you can adjust your levels to whatever feels comfortable for you.

Myth 6: Bedtime starts when you get in bed

FALSE: You should unplug an hour before you want to go to bed. Put your phone down, turn off the TV and get off the computer. Even dimming the lights in your house will signal to your brain that it's time to go to sleep.

Treat yourself to a warm bath or shower, drink chamomile tea or read a good book.

Then by the time you get into your bed, "Your brain should say I'm here to sleep," Ashton said.

Myth 7: Getting exercise during the day will help you get better sleep

TRUE: If you exercise for 30 to 60 minutes during the day, you'll be more tired by the time you get into bed.

Ashton also recommends meditation at some point in the day as another way to ensure you fall asleep more easily.

Myth 8: It's OK to use sleeping pills

FALSE: "I can't emphasize this enough -- there are no prescription sleeping pills that are approved for long-term use," Ashton said.

While they can be safe and effective in the short term, they affect your brain chemistry and are harmful to use long term.

Myth 9: You can't get too much sleep

FALSE: Too little or too much sleep is bad for you.

"Too much sleep sends different messages to our body ... maybe we're sick, maybe we're injured," Ashton said.

"It disrupts our circadian rhythms, our metabolisms. Don't be lured into this false sense of security that more is better -- when it comes to sleep, that's not true," she added.

Myth 10: Naps disrupt your sleep

FALSE: Nappers, rejoice! A quick, 20-minute power nap can help your body recharge and won't impact your sleep.

For all of us who often find ourselves taking non-optional naps during the day, remember: A nap longer than an hour is too much, and you can't nap in lieu of getting the full seven to nine hours you need.

"When you hear the recommendation of seven to nine hours a night," Ashton said, "that refers to continuous sleep."

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Paolo_Toffanin/iStock(WASHINGTON) -- Federal health officials are investigating potential links between lung illnesses and e-cigarettes amid the soaring popularity of so-called vaping among young people.

Since June 28, there have been at least 94 cases reported across several states involving people with "severe pulmonary disease" possibly tied to vaping, with the majority of those affected being teenagers and young adults, according to the U.S. Centers for Disease Control and Prevention.

At least 30 of those cases were reported in Wisconsin, the CDC said in a statement Friday.

The CDC said it is working with health departments in Wisconsin, Illinois, California, Indiana and Minnesota to investigate a potential link between breathing problems and the use of e-cigarettes, which are thought to be healthier than traditional means of smoking.

"Additional states have alerted CDC to possible (not confirmed) cases and investigations into these cases are ongoing," the statement said. "There is no conclusive evidence that an infectious disease is causing the illnesses."

While some cases in each of the states are similar and appear to be linked to e-cigarette product use, more information is needed to determine what is causing the illnesses, the CDC said.

The U.S. Food and Drug Administration also is investigating reports of seizures among e-cigarette users.

Seizures are a potential side effect of nicotine toxicity, but a recent uptick in "reports of adverse experiences with tobacco products that mentioned seizures occurring with e-cigarette use (e.g., vaping) signal a potential emerging safety issue," the FDA said in April.

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iStock(NEW YORK) -- For parents of the 6.1 million American children with ADHD, going back to school can be a major source of anxiety.

Many children with Attention Deficit Hyperactivity Disorder (ADHD) struggle with school performance, making friends and their general sense of well-being.

Medication is frequently a part of ADHD treatment, but along with medications, there are many proven lifestyle and behavioral changes parents can use at home.

Impulsivity -- that is, not thinking through the consequences of an action -- is a central feature of ADHD. A new study from the American Academy of Pediatrics shows that children who sleep more than nine hours a night and spend less than two hours on screen time are less impulsive.

With children heading back to school, now is the perfect time to work on strategies like getting more sleep and less screen time to set your child on the road to success this school year.

There are many proven lifestyle and behavioral changes parents can implement at home to set their child with ADHD, or any child, on the road to success this school year.


Here are a few tips to get started:


Tip 1: Take care of yourself

The demands of parenting a child with ADHD are both physically and emotionally exhausting. This is a parenting marathon, not a sprint.

Do not underestimate the amount of extra energy that goes into parenting a child with ADHD. Self-care is an essential skill for effective parenting, which includes taking “child-free” breaks when you are feeling overwhelmed.


Tip 2: Breakfast and calories

Focusing while hungry is hard for anyone. Children with ADHD have a hard enough time without their tummy rumbling in first period.

A breakfast high in protein should be eaten every morning before they go to school. Studies show this improves concentration throughout the day.

Kid-friendly breakfasts that are quick and easy to prepare include meals like oatmeal with peanut butter topped with banana or eggs on toast and fruit smoothies made with yogurt.

Further, you can ask your doctor whether the ADHD medication your child is on is an appetite suppressant. If it is, keep a close eye on how much your child is eating and whether they’re losing weight.

For the child who takes ADHD medications twice a day, giving them a snack later in the evening when the drug “wears off” can help make up for the calories they missed throughout the day.

Tip 3: Keeping it positive

Try to maintain a positive attitude when parenting your child. Children with ADHD are often on the receiving end of a lot of negativity for their “bad behavior.”

Remember that your child’s behavior is related to a disorder; most of the time, they are probably not trying to be bold or careless.

“Catch them being good,” said Dr. Paul Simmons, a developmental-behavioral pediatrician with more than 45 years of experience treating children with attention disorders, in an interview with ABC News. “Praise them for any improvements made ... especially in areas where they struggle.”

Tip 4: Organizational tips for home


Eliminate the morning pre-school struggle by establishing a bedtime and morning routine.

At night, have your child pick out their clothes for the following day. Make sure they have all their homework, books and sports gear packed and ready for the morning.

Have an alarm clock in their room that they set every night rather than setting an alarm on a phone. An hour before bed, all devices should be turned off and handed over to a parent -- and be prepared for a lot of excuses and push back from tweens and teens on this one -- and enforce it by only having the device chargers in your bedroom.

Showering at night helps kids wind down and also saves time in the morning. For the 15 to 30 minutes before lights out they should be in their room.

Lighting should be limited to a lamp with the overhead light turned off and they should be engaging in an activity that they find relaxing. Try to go through this routine at the same time and in the same way every night.

Again, children should get at least nine hours of sleep a night.

You should aim for your kids to wake up at more or less the same time every school morning. Give them five minutes to get out of bed after the alarm goes off before you start getting them up.

Depending on your child's age, give them 5 to 20 minutes to get ready and 15 minutes for breakfast before it’s time for school. Only when your child is fed, dressed and heading out the door to school should they be given back their smartphone.

During weekends, supervise them cleaning out their school bag and repacking it with everything they will need for the upcoming week. This is a lot more helpful than it sounds.

Simmons has this advice for homework, too.

“For a child with ADHD, have them do their homework in an area with no distractions. An adult should loosely supervise them. No homework in bedrooms because they will get distracted," he said. "Every 15 to 20 minutes let them take a break for two to three minutes.

"But make sure breaks aren’t too long," he added, "or they will have trouble staying engaged.”

For older children with more homework, make sure to remind them of activities, like football practice or social engagements, they have coming up so they can plan when to study.

If you or your child’s teacher become concerned that your child is displaying excessive hyperactivity, impulsivity or inattention see your child’s pediatrician for help.

This article was written by Dr. Áine Cooke, senior pediatric resident at Washington University in St. Louis and a member of the ABC News Medical Unit.

Copyright © 2019, ABC Radio. All rights reserved.



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WoodysPhotos/iStockBY DR. NITHIN PAUL

(NEW YORK) -- Surgeons in Michigan are prescribing fewer opioid medications after operations, but here's the kicker: Their patients are not complaining.

A new study further explores whether too many opioids were being given to patients and how new guidelines can help surgeons curb usage without affecting pain relief.

In the study, opioid dosages often were decreased to 18 pills from 26 pills, with "no clinically important changes in pain scores."

"The results here are promising," said Dr. Joshua Sharfstein, co-author of "The Opioid Epidemic: What Everyone Needs To Know" and professor of practice at the Johns Hopkins Bloomberg School of Public Health. "Most [physicians] prescribe by routine, and changing those routines is hard. This shows that some changes are possible."

Cop In the seven months after the guidelines were released, the number of prescriptions for fewer pills almost tripled, to 59% from 20%, according to the study. Many physicians prescribed about eight fewer pills, and patients consumed about three fewer.

The Michigan Surgical Quality Collaborative and the Michigan Opioid Prescribing Engagement Network reviewed data on how 50,000 patients took opioids for pain management. New guidelines were developed for surgeons on how to prescribe opioids for nine common surgeries including hernia repair and gallbladder removal.

About 12,000 patients were tracked across 43 hospitals. When more than half of those patients were interviewed about their pain levels, most didn't report feeling an increase in them and were satisfied with their care.

This study comes at an important time.

Opioid medications, which are highly addictive, are causing an epidemic in this country. The Centers for Disease Control and Prevention has determined that about 130 Americans die every day from overdosing on opioids.

Dr. Joceline Vu, one of the study's authors and a surgical resident at University of Michigan, thinks that these new guidelines can be a part of the solution.

"For healthy people, surgery may be the first time they are exposed to opioids," she told ABC News. So if people unfamiliar with taking opioids are given more than required, that person could become dependent on them, she added. Or the pills could find their way into the community.

Sharfstein agreed with Vu, adding that this is one part of a large and complex problem.

Before these guidelines, Vu said there wasn't a systematic way for surgeons to determine how many pills to give to patients when they're released from the hospital. Many physicians, Vu added, worried that prescribing too few pills could mean their patients feel more pain and consequently report lower satisfaction scores, which are used to judge a hospital's success.

Vu went on to say that not only have the guidelines been useful in preventing prescriptions of too many pills but that patients never felt their pain or concerns were ignored.

"It is important that this study be read, and people realize that changes are possible," said Sharfstein, adding that in fighting the opioid epidemic on several fronts, evidence-based recommendations could prove crucial.

Nithin Paul, M.D., M.P.H., is a family medicine and preventive medicine resident physician at Medstar and Johns Hopkins University writing for ABC News' Medical Unit.

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Doug Nash(NEW YORK) -- Reports of health problems from a dangerous so-called “miracle cure” marketed widely online in recent years as a mineral solution known as “MMS” -- whose promoters tout it as a treatment or cure everything from HIV/AIDS and cancer to autism and fibromyalgia –- are back on the rise, according to a new warning issued by the U.S. Food & Drug Administration (FDA).

In a statement released earlier this month, FDA officials warn that ingesting MMS is “the same as drinking bleach” – a warning that was echoed by medical experts, toxicologists and chemists contacted by ABC News in a new probe of the mixture and its promoters.

"Product directions instruct consumers to mix the sodium chlorite solution with citric acid -- such as lemon or lime juice .... before drinking," the warning FDA notes. "When the acid is added, the mixture becomes chlorine dioxide, a powerful bleaching agent."

Meanwhile this month, the founder of a fringe healing "church" known for marketing the mixture -- who changed course and declared in a church newsletter that "MMS cures nothing!" after being featured in an earlier 2016 ABC News investigative report -- is back to hawking MMS as the solution to "whatever ails you."

FDA spokesman Jeremy Kahn said the statement was issued in part to combat the product’s increasing web presence.

“We’ve seen an uptick in social media traffic and searches all over the web,” Kahn told ABC News. “We’re hoping to remind folks that this product is still out there, it’s dangerous, and to beware.”

The FDA has documented at least 20 reports of MMS poisonings, Khan said, including the hospitalization of a child. FDA records on the agency's website document the April, 2015 hospitalization of a 10-year-old girl with autism after ingesting MMS.

But the FDA is only relying on self-reported incidents, according to Kahn, and does not as a practice follow up with people after they report symptoms of MMS poisoning.

“I can guess there are cases from 2019 that are still processing in our system,” he said. “There are probably many cases that we just don’t receive notice of.”

'The vision of her face'

Marketed under names like “Miracle Mineral Solution,” “Master Mineral Solution,” “MMS” or “CD protocol,” the potentially toxic mixture was ingested by Sylvia Nash, 56, shortly before her death in 2009, according to her husband, Doug Nash, a planetary geologist and former investigator for the National Aeronautics and Space Administration's (NASA's) Apollo Lunar Sample Analysis Program.

"She had decided to try MMS because she succumbed to the arguments of its proponents that MMS could aid in protecting the two of us against malaria in our [then] current travels on our sailboat in the western Pacific Islands," he told the FDA in a report he submitted to the agency about his wife's death. While doctors who performed the autopsy did not conclude a cause of death, Nash is convinced it was MMS.

Nash said that she initially suffered diarrhea, nausea and vomiting -- but those were all symptoms that proponents of MMS say are not uncommon and can be an indication that the treatment is working, Nash said at the time.

"But it didn't get better," he said. "It got worse and worse."

The couple had planned to sail around the world, beginning in late 2004 and take their time heading south from California and then west. Sylvia had been a crewmate at the start, but Nash said that just six months into the trip, they were "connected."

"And eventually, we married," he said.

After sailing off South America, followed by a two-year spell in New Zealand, they made their fateful stop in the Vanuatu islands in August 2009.

Nash said his wife wanted to take measures against malaria, but hadn't liked the medicine she had taken once before. Instead, she met fellow travelers on one of the islands selling something else.

Nash told ABC News in 2016 that his late wife died in his arms, slumped over with her eyes rolled back in her head, just hours after ingesting MMS.

"The vision of her face, just inches away from mine, and those eyes suddenly de-focusing on mine,” said Nash. “That’ll haunt me for the rest of my life.”

In 2016, ABC News took a closer look at religious leader Jim Humble, founder of the Genesis II Church of Health and Healing, which at one point was based in Angleton, Texas. Humble pedaled the elixir, claiming that he had treated more than 5,000 cases of malaria using only MMS. He claimed to have discovered the solution while mining gold in South America.

Nash had told ABC News that his wife was in excellent health prior to ingesting two drops of MMS mixed in lime juice, the initial dose recommended in Humble's protocol -- and that 12 hours later she was dead, according to the 2011 report he submitted to the FDA.

'They might as well be selling Clorox'

U.S. officials and medical experts have told ABC News that MMS is just a kind of industrial bleach.

"They might as well be selling Clorox,” said Ben Mizer, who as a federal prosecutor with the U.S. Department of Justice’s Consumer Protection Branch unit prosecuted four people for MMS sales in 2013. "You wouldn't drink Clorox, so there is no reason to drink MMS,” Mizer told ABC News in 2016.

That same year, ABC News tracked Humble down in a small village outside Guadalajara, Mexico, where in an interview he defended his claims that MMS is a universally effective cure-all.

“Many women with breast cancer have been cured,” Humble told ABC News. Asked whether he believes himself to be a con man, Humble replied, “Well, I don’t think so.”

Yet after he was featured on ABC News’ 20/20, Humble changed his tune about MMS -- recanting his praise for the mixture and telling his followers that he no longer believed in the healing powers of MMS.

“For lack of a better way to express things at the time – or because others put words in my mouth, in the past I have stated that MMS cures most of all diseases. Today, I say that MMS cures nothing!” Humble wrote in a 2016 Genesis II newsletter.

'For whatever ails you'

But now Humble is back to marketing MMS.

“Whatever the problem, there is a great chance that if MMS is used properly it will help one recover their health,” Humble wrote in a blog post earlier this month. In the post, he touts a self-published 2016 “MMS Recovery Guidebook” as containing a plan to cure a raft of serious illnesses with MMS.

“This plan IS for whatever ails you,” he writes in the post. "In other words, it is the protocol for Lyme, or Parkinson’s, or cancer, or fibromyalgia, herpes, Alzheimer’s, hepatitis A, B and C, liver disease etc. etc. etc. you name it, the list goes on.”

ABC News reached Humble this week via email, and in a written response to questions about his marketing of MMS, the preacher once again defended the mixture.

MMS "cannot harm the human body in any way unless one takes way, way too much which is exactly the same as any other substance including simple things like salt and sugar, even drinking too much water can cause harm," Humble wrote in an email to ABC News. "When MMS is taken according to instructions, one is 99.99% safe."

Humble also included a long list of U.S. patents for medical treatments containing chlorine dioxide -- the powerful bleaching agent produced when MMS is combined with citric acid.

Yet a close review of those patents indicates that in many of them, the chlorine dioxide concentration ranges between 0.1 and 2% of the total solution. Websites that tout MMS describe it as containing a 28% concentration of sodium chlorite, according to the FDA's most recent warning.

Dr. David Constable, science director of the non-profit American Chemical Society’s Green Chemistry Institute said that adding citric acid to a mixture that is 28% sodium chlorite and 62% water could dilute the concentration of the subsequent compound, chlorine dioxide, depending on the amount of citric acid added.

“But just converting it to chlorine dioxide is not a good thing,” Constable said. “The key message here should be that no one should ingest chlorine dioxide under any circumstances. This is not a cure. No responsible chemist would ever recommend this.”

As of this week, MMS remains available for purchase directly from the church's website, which is run through Swiss and Icelandic proxy servers.

Kahn said this week that the FDA has learned of several groups meeting recently to strategize a push to market MMS online.

“We try to track any online sellers and bring companies and individuals to [the attention of] appropriate law enforcement agencies.”

Still, Kahn said, the most recent criminal case brought against an MMS seller was in 2015, when Louis Daniel Smith was convicted of conspiracy, smuggling, selling misbranded drugs, and defrauding the United States.

Years earlier, Nash had launched his own personal investigation into his wife's death, and said that he traced the bottle of MMS she had ingested the drops from to a Carson City, Nevada company called Project Greenlife, which was operated by Smith, according to federal prosecutors. In 2011, Nash filed a detailed report about his wife's death with the FDA, only to learn that federal authorities was already on the trail of some MMS proponents. In 2013, prosecutors indicted and eventually convicted Smith.

He was sentenced to a 51-month prison sentence and fined $13,000, court records show. Federal Bureau of Prison records indicate that he remains under supervised release after being released from prison in January.

While Smith was not charged with Sylvia's death, during court proceedings, the government alleged that "Mr. Smith's actions have posed a risk of danger to others, including contributing to the death of at least one individual." Nash said in 2016 that he believes they were referring to Sylvia.

'Flat out dangerous'

Attempts to reach Smith this week were not immediately successful, but in a blog post critical of ABC News' 2016 reporting on MMS, Smith questions whether MMS caused Nash's death, whom Smith refers to in his blog post by her maiden name, Sylvia Fink.

He calls ABC News' reporting a "hit piece" and claims without citation or evidence that "MMS has been used in over 160 countries by hundreds of thousands of people." He goes on to contend that "Doug Nash has not been truthful with the world, and it's time for the world to know. I would be remiss to allow Mr. Nash to continue this charade that has served only to insulate himself from further investigation, while leaving a scarlet letter on the MMS movement that I know from personal, first-hand knowledge has saved countless lives."

In 2016, the year after his conviction, Smith was warned in a letter from the FDA not to market sodium chlorite for human consumption, citing his 2015 conviction.

"You were managing member of PGL International, LLC (PGL) a Nevada corporation which marketed and sold various health-related products, including Miracle Mineral Solution (MMS) a mixture of sodium chlorite and water, through the website projectgreenlife.com," the letter warns Smith. "Sodium chlorite cannot be sold for human consumption and suppliers of the chemical include a warning sheet stating that it can cause potentially fatal side effects if swallowed.

Each of a half dozen independent toxicologists contacted this week by ABC News about sodium chlorite and chlorine dioxide all offered the same conclusion.

"Sodium chlorite and chlorine dioxide in very low concentrations can be used safely to disinfect drinking water," said one of them, Dr. Stephen M. Roberts, director of the Center for Environmental & Human Toxicology at the University of Florida. "Like most other things, the concentration matters. There is no credible evidence that sodium chlorite can be used for medicinal purposes to treat disease."

Another, Dr. William Sawyer, a toxicologist with the non-profit American Board of Forensic Medicine, said that "from a medical standpoint, there's no advantage to using [sodium chlorite], only toxicity."

"There's no therapeutic possibilities with drinking diluted sodium chlorite with citric acid," he said. "This is flat out dangerous."

Nash did not immediately respond this week to ABC News requests for comment on Humble's blog post or the new FDA warning.

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