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Introduction

Nearly 7% of the world population is obese1 and about 66% of the adults in the United States are overweight or obese.2 Obesity is associated with a number of adverse medical conditions including increased risk of gallbladder disease, hypertension, type 2 diabetes mellitus, coronary heart disease (CHD), osteoarthritis, cancer death and reduced life expectancy.3–8 Obesity is also associated with adverse social and psychological consequences, including bias, discrimination and decreased quality of life.9,10

More effective treatment strategies are urgently needed for obesity management. The total caloric intake or energy density of one’s diet appears to be associated with obesity11–14 and a diet that induces a negative energy balance continues to be an important part of obesity management. Strategies to achieve the difficult task of eating less than desired include reduction of the energy density of foods by increasing food volume by the addition of fluids,15,16 bulk17–19 or their combination;20 or by increasing satiety by various anorectic drugs or macronutrient combinations of high satiety value.

Satiety is positively associated with the protein, fiber and water content of foods and negatively with fat and palatability ratings.21,22 However, within food groups, there may be as much as a twofold difference in satiety values, suggesting that certain foods promote greater satiety independent of macronutrient content or energy density. An egg is an example of such a food that has a 50% greater satiety index compared to white bread or ready-to-eat breakfast cereal.21 Compared to an isocaloric bagel breakfast of equal weight, an egg breakfast had a greater satiating effect, which translated into a lower caloric intake at lunch.23 The resulting decrease in energy consumption lasted for at least 24 h after the egg breakfast.

This study was undertaken to exploit the short-term satiating benefits of an egg breakfast23 for weight loss in a longer-term trial. The objectives were to determine if the incorporation of an egg breakfast in the diet by overweight or obese subjects would (1) induce reduced energy intake and unintentional weight loss, even when not attempting weight reduction; or (2) enhance weight loss when following a reduced energy diet. We compared the effects of an egg vs isocaloric bagel breakfast of equal weight on weight loss, indices of body size and composition, dietary compliance, food cravings and health-specific quality of life.Materials and methods

The study was approved by the institutional review boards at Pennington Biomedical Research Center and at Saint Louis University. Written informed consent was obtained from the participants. We certify that all applicable institutional and governmental regulations regarding the ethical use of human volunteers were followed during this research.

Participants

Of the 160 participants enrolled, 8 did not complete the trial. The final study sample included 152 participants (131 women and 21 men; mean age 45.0±9.4 years; black participants 47.7% and white participants 52.3%). Demographic characteristics of the participants are provided inTable 1

Communicating with someone who is suffering from depression can be challenging, as it can be difficult to know what to say or how to act. However, it is important to remember that your words and actions can have a significant impact on their mental health and well-being. Here are some tips for communicating with someone who is struggling with depression:

  1. Listen without judgment: Let them express their feelings and emotions without interrupting or dismissing them. Show empathy and understanding, and avoid criticizing or judging their thoughts and actions.

  2. Offer support: Let them know that you are there for them and that they are not alone. Offer to help them in any way that you can, whether it be through listening, providing practical support, or accompanying them to therapy appointments.

  3. Avoid giving advice: While it may be tempting to offer solutions or advice, it is important to recognize that depression is a complex condition that requires professional help. Instead, encourage them to seek support from a healthcare professional.

  4. Be patient: Recovery from depression takes time, and it is important to be patient and understanding. Avoid pressuring them to "snap out of it" or rushing their recovery process.

  5. Practice self-care: Supporting someone with depression can be emotionally taxing, so it is important to take care of your own mental health as well. Set boundaries, seek support from others, and prioritize your own self-care.

  6. Validate their feelings: Depression can be a lonely and isolating experience, so it is important to validate their feelings and let them know that it is okay to feel the way they do. Encourage them to express their emotions and offer reassurance that their feelings are valid and important.

  7. Encourage healthy habits: While it may not cure depression, maintaining healthy habits such as regular exercise, a balanced diet, and adequate sleep can help improve mental health and well-being. Encourage them to engage in these habits and offer to participate with them if possible.

In summary, communicating with someone who is struggling with depression requires patience, empathy, and understanding. By listening without judgment, offering support, avoiding giving advice, being patient, practicing self-care, validating their feelings, and encouraging healthy habits, you can help support them through their recovery process.

How Legalized Online Gambling is Better for Society

Whether gambling is healthy for society or not, should not be the question you are asking yourself. History has proven that people are going to gamble whether it is legal or not.

The question we should be asking is, by banning online gambling are we going to make things better or worse?

The answer to that question is simple, banning legalized and regulated online gambling in any form, just makes another way for organized crime to get a hold of peoples money, and then no one but the criminals wins.

If you want to keep a child from seeing an R rated movie you do not ban the movie from the theaters do you? No that would be silly you just make sure that people are doing there best to check and verify that no one under 18 gets into seeing the movie. By banning the movie chances are greater that someone will get a bootleg copy and show it to every kid in the town.

So if you want to keep a child from gambling online then all the online casinos should be regulated and monitored, not banned.

The same goes for terrorists. If you believe terrorist groups are exploiting an unregulated and unmonitored industry such as the online gambling industry, then by regulating it you can see where the money is going and make sure it is not going to fund international terrorist attacks. All that is accomplished by banning it is that the criminals get a stronger grip on the industry.

The ban on online gambling is much like the war on drugs. If marijuana was legalized in the USA crimes related to it would almost go away completely, because it would be sold in stores and it would be controlled, another advantage would be that people would no longer be going to jail for marijuana-related charges, this means thousands of fewer people getting arrested and going to jail every year, which would save us tax money that could be better spent.

By making online gambling in the USA a legalized form of adult entertainment it would also bring in an estimated 1.2 billion dollars in taxes to the American government. This money could be used for schools, police and universal healthcare for all Americans.

This is how you improve society, not by telling people what to do. It is human nature to want what we can not have so the more laws you put in place to stop people from doing something the better the chances are that people are going to do it.

People are just as likely to become addicted to gambling at a regulated casino as an unregulated one, but the difference is that in a regulated casino they will not extend you the amount of credit that will get you into trouble in an illegal casino.

And in a regulated casino, they will have information on how to get help if you have a gambling problem. In an illegal casino, they will not have this type of information, they want you to continue to gamble till you have nothing left, and then they will let you fall and find someone to take your place.

In the long run, society can only prosper if we educate people on the dangers of gambling both online and in a casino, and not from banning an industry that employs thousands of people in countries all over the world. No one gains anything from just telling people they can not do something that they are going to do anyway.

It is about time the government learned this and stopped making the same mistakes year after year.