The Easy Ratio That’ll Make A Perfectly Healthy Kids Lunch

Packing a nutritionally balanced lunch that your kids will actually eat can sometimes feel like a crapshoot – the second you think you have your lunch game on lock, that’s the day they’ll come home with the elaborate bento box you packed them still intact.

As parents, we feel responsible for our kids’ health and that understandably translates into a lot of stress over what they’re eating or not eating.

“Your job as a parent is to offer healthy, nutritious foods as often as possible, on a consistent schedule,” said Aubrey Phelps, a functional perinatal and paediatric nutritionist. “But it’s up to your child to decide what to do with them.”

The best way to grow a happy, healthy eater is to keep offering what you’d ideally want your child to eat – and don’t take it personally if they choose not to eat it. When it comes to school lunches, Phelps recommends keeping it simple: “Focusing on specific vitamins or minerals can miss the big picture,” she said.

If you use the following macronutrient formula to pack your kids’ lunch and vary the sources of each, you’re almost guaranteed to have a healthy, balanced meal that will keep them focused and energised at school.

The Formula

50% veggies and fruit

25% lean protein and healthy fats

25% starch or whole grains

+ fluids

The ideal school lunch formula is often referred to as the plate method – a visual representation of what a well-rounded meal looks like.

“Every child needs a healthy balance of macronutrients (protein, carbs, fat) and vitamins and minerals,” Nicole Avena, a New York-based health psychologist and author of What to Feed Your Baby and Toddler told HuffPost. “The plate method helps ensure that no one nutrient is overpowering the rest.”

If your child has a lunch that’s mostly carbs or whole grains and some protein, for instance, they’ll likely feel tired in the afternoon. Carbs not only make you sleepy due to their ability to increase tryptophan and serotonin levels in the body (both of which are sleep-inducing compounds), but they can quickly raise your blood sugar, and the subsequent drop can leave you feeling tired, Avena said. Even a larger portion of protein and smaller amount of carbs can make your child sleepy.

“Proteins and fats are often more difficult to digest than carbs and nutrients that come from fruits and vegetables,” Avena said. “This can potentially lead to fatigue, since your body needs to use up more energy during digestion.”

Making sure their lunchbox contains every element of this formula means your child will consume the balance of nutrients necessary to focus and enjoy their school day without feeling sluggish.

Let’s break down the formula.

Veggies And Fruit – 50%

Try: carrot sticks, bell pepper strips, grape tomatoes, cucumber, grapes, apple slices, watermelon, berries.

The biggest portion, or half of the lunchbox, should contain 2-3 different kinds of vegetables and fruit – preferably, two vegetables and one fruit, as children’s daily intake of vegetables tends to be lower than their fruit intake, according to a 2019 review published in the American Journal of Lifestyle Medicine.

This is actually an example of what NOT to do. Don't go heavier on fruits than vegetables, since most kids tend to eat more fruits anyway.

This is actually an example of what NOT to do. Don’t go heavier on fruits than vegetables, since most kids tend to eat more fruits anyway.

“Vegetables and fruit provide antioxidants to fight off disease, including vitamin A for skin and eye health, lutein for eye protection (from blue light) and vitamin C for immunity,” said Amy Shapiro, New York City-based registered dietitian and founder of Real Nutrition.

Produce is also rich in water to keep kids hydrated, and contains fiber for sustained energy and improved digestion.

Lean Protein And Healthy Fats – 25%

Try: chicken, turkey, tofu, edamame, hard-boiled eggs, Greek yogurt, string cheese, nuts, seeds.

“Protein is the nutrient that takes the longest to digest, so having it as part of your child’s lunch will keep them full and their blood sugar stable,” Shapiro said.

Depending on the type of protein provided, it may also contain amino acids for growth and muscle repair, zinc for immunity, and iron and vitamin B12 for energy.

On to healthy fats: “Fat helps to keep you full, provides energy and allows for the bioavailability and absorption of many of the vitamins we eat through other foods,” Shapiro said. “By including fat in your child’s meals, you’ll help them stay full longer and be more energized.”

Enough fat is often cooked into your food or a part of the meal already, so it doesn’t necessarily need to be a separate addition, Shapiro said. (Eggs and nut butters, for example, offer a one-two punch of protein and healthy fats.)

Starch Or Whole Grains – 25%

Try: whole grain bread, cereal, granola, brown rice, quinoa, crackers, air-popped popcorn.

“Carbohydrates are broken down into sugar in the body, providing energy for immediate use and reserves for later use,” Shapiro said. “Ideally, whole grains or whole wheat should be included, as they’re rich in nutrients, digest more slowly and are high in fiber to aid in balanced blood sugar and digestion.”

They also contain B vitamins, which are important for energy and metabolism.

But if your child isn’t the biggest fan of whole grains, don’t fret: “Vegetables and fruits also fit into the carbohydrate category, so you don’t always have to think about bread or grains if your child doesn’t like them,” Shapiro said.

Starchy vegetables and fruit include carrots, corn, potatoes, winter squash and bananas.

Fluids

Even just mild dehydration can cause a decline in cognitive function.

“Being dehydrated can affect reaction time, attention, memory and reasoning,” Avena said. “Children are potentially more at risk of dehydration because they’re more likely to be dependent on someone else for their fluid intake.”

Send your child to school with a large water bottle so they get enough fluids during the school day — and remind them to keep it at their desk.

“Out of sight equals out of mind,” Phelps said. “I also recommend a water bottle that’ll keep the water cold or room temp (however your child prefers) so they don’t get turned off by drinking warm water.”

It doesn’t have to be plain water, either: They might prefer fruit-infused, coconut or sparkling, or a different liquid entirely, like milk or 100% fruit or vegetable juice.

“If your kid really struggles to drink enough, consider sending hydrating foods,” Phelps said. “Soups, smoothies, juicy fruits like grapes and melon, bell peppers, even yogurt, are all hydrating options that can help keep kids on track.”

The easiest way to measure out lunchbox portions

Children are intuitive eaters – they’ll eat when they’re hungry and stop when they’re full, with the amount of lunch they eat fluctuating day-to-day – so there’s really no such thing as perfect portions to pack.

The easiest way to ensure you’re in the ballpark? Use your child’s hands as your guide.

Think of your child’s hands as a plate – palms up, pinkies together. Half of their “plate” (or one hand) should be veggies and fruits. The palm of the other hand protein, and fingers complex carbs.

“Using this method, the amounts needed change as your child grows (and so will their needed portion sizes),” Phelps said.

She’s also a fan of the bento box-style lunch containers, which are already sectioned off into child-friendly portions. You can fill one section with vegetables and fruit, one with protein and healthy fats and one with starch or whole grains sans guesswork. These ratios don’t necessarily need to be tweaked if your child has specific dietary needs.

“Appropriate substitutions are needed to ensure they have a filling and nourishing meal, regardless of the nutrition modifications that are needed,” Maya Feller, a Brooklyn-based registered dietitian, told HuffPost. The overall rule of thumb, however, generally stays the same.

Ratios and formulas should only be used as a guideline, not a hard rule, because children themselves should dictate how much they need to eat.

“If parents find their child is consistently eating 100% of foods packed throughout the day, it could be a sign they’re going through critical stages of development and require more energy,” Feller said.

It’s also important to keep in mind this is one meal out of their entire day — so if a lunchbox comes home practically full, it’s not game over. “We want to look at nutrition over the course of the day, not one meal,” Shapiro said.

When in doubt, you can check in with your kids: Ask how lunch was and make food and portion modifications based on the feedback given.

Remember: nutrition is cumulative

View your child’s nutrition over the course of a week, not a day – or a meal. “They’ll get what they need over time,” Shapiro said. “Some days are great and some days are off and it all balances out.”

The most important thing a parent can do is create a good relationship with food. That’s more important than creating the perfect lunch.

“Kids tend to be more black and white thinkers, so I don’t recommend focusing on ‘healthy’ or ‘unhealthy’ or ‘fun’ foods,” said Krystyn Parks, a California-based paediatric registered dietitian. “All food is food. All foods have a purpose.”

Perfection isn’t the goal – setting routines that work for you and your child are.

“Find your own routine, get your kids involved in the choices and don’t measure yourself against another person,” Feller said. “No one day – or meal – is going to be perfect in terms of nutrition.”

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12 Ways Therapists Are Personally Coping With Covid Anxiety (Again)

When the Covid-19 pandemic broke out in early 2020, we asked therapists and other mental health practitioners to share coping mechanisms for dealing with our weird new normal and mounting anxiety about the coronavirus.

Now the world is (somehow) entering the 19th month of the pandemic, and we’re calling on them again.

As the Delta variant of the virus continues to spread, infecting high numbers of unvaccinated people in the US in particular, we could use some therapeutic advice to help dial down our anxieties.

Below, mental health practitioners across America share how they’re coping with so much uncertainty, and the techniques they personally use when they start to worry about Covid getting bad again.

I remind myself this isn’t my first Covid rodeo.

“In times like these, I remind myself: I am not a pro at living through a pandemic, but I am not a novice, either. I remind myself that I can take precaution and maintain the way I have been for over a year. I can do the best that I can. My best is enough.” Akua Boateng, a psychotherapist in Philadelphia

I practise gratitude.

“It’s always helpful to focus on what we can control, but focusing on what we are grateful for is transformative. Practising gratitude always helps my anxious worries melt away. When the world feels uncertain, I love to physically write down on paper all the things I’m grateful for that come to mind, no matter how big or small. This small gratitude practice helps me shift my thinking away from ‘powerless’ to ‘powerful,’ from feeling like a victim to feeling like a victor. (As a mental health professional, I know that gratitude rewires our brains’ thought patterns for the better!) And in the moments my mind seems to want to cling extra-hard to anxiety, I take the opportunity to call a friend and share what’s on my mind. Connecting with another human being for a little compassion and empathy is always a good idea!” ― Therese Mascardo, a psychologist and founder of Exploring Therapy

I let myself process all my emotions about Covid: the good, the bad and the ugly.

“I personally give myself permission to name and experience the wide range of emotions stemming from the current pandemic and new variant; these feelings range anywhere from grief, anger, helplessness to hope. I let these feelings run through me and also share my thoughts and feelings with my support system of family and friends. This reminds me that I’m not alone with what I am experiencing.” ― Alyssa Mancao, a licensed clinical social worker in Los Angeles

“I practise regular self-validation and self-compassion, meaning that I allow and accept the emotions that show up with kindness, and without allowing self-judgment and self-criticism to prevail. Emphasis on ‘practice’ here, not perfection. At the end of the day, we’re all humans going through a shared traumatic experience together. I allow myself space to take time for myself, consider what I’m capable of, workload-wise (aware that I have the privilege to do that), and recalibrate and adjust as these times ahead change.” ― Brooke Huminski, a psychotherapist in Providence, Rhode Island

I limit the amount of Covid news I consume.

“What helps me to manage my Covid anxiety is to set limits and boundaries around the information that I am consuming. That can look like only watching the news for 10 minutes per day and not constantly refreshing my feeds. It is also helpful to set boundaries with friends and family in terms of sharing news stories, fatality rates and other information that can affect my mood. Simply stating, ‘Hey, I appreciate you wanting to keep me in the loop of what is going on, but these articles are creating more anxiety for me.’ Especially since we are all managing a climate in which there are so many opinions and an influx of false information spreading, it is important to filter what you are consuming and set boundaries.” ― Aaliyah Nurideen, a licenced clinical social worker in New Jersey

"[I] set limits and boundaries around the information that I am consuming," one social worker tells HuffPost. "That can look like only watching the news for 10 minutes per day and not constantly refreshing my feeds."

“[I] set limits and boundaries around the information that I am consuming,” one social worker tells HuffPost. “That can look like only watching the news for 10 minutes per day and not constantly refreshing my feeds.”

I ground myself in nature.

“Even though all I want to do after a long day of sessions is collapse on my couch and eat Cheez-Its, I force myself once or twice a week to the beach where I can put my feet in the sand and listen to the waves. Take an evening walk or sit on my back patio and listen to the birds chirping.” ― Jennifer Chappell Marsh, a marriage and family therapist in San Diego

With so much out of my control, I’m focusing on what I can control.

“To me, the key to handling worry (whether it’s about Covid or anything else) is to make decisions about what I can actually control and then redirect my attention to what I’m actually doing with my time in the present moment. So if worry comes up about the latest COvid news, for instance, I might take some brief time to decide if I want to update any personal decisions I’ve made about activities or precautions in my life related to COvid. That should be a relatively quick thing (lingering for too long in decision-making mode is bad for anxiety), and then I try not to analyse questions I can’t actually answer, like ‘When will this end?’ or ‘Will I get Covid?’ Those questions are impossible to answer with certainty, so instead of trying to eliminate the uncertainty, I allow the uncertainty to exist and redirect my attention towards whatever activity I am actually doing with my time in that moment. Basically what I’ve just described there is mindfulness and acceptance of uncertainty, which are proven effective strategies for anxiety and worry.” ― Michael Stein, a psychologist in Denver specializing in anxiety and obsessive-compulsive disorder

“In grappling with my own Covid anxiety, I’ve worked on more actively accepting uncertainty. This means recognising when things are outside of my control, and gently encouraging myself to release any attempts I’m making to control those things. At the same time, I’m also staying mindful of the things that are still within my control – even if they feel small. We all make numerous decisions throughout the day – from what we eat, to what we wear, to who we interact with ― and reminding myself that I have choice in all of those things helps me to stay connected to my sense of agency in the world and my own capacity as a human being.” ― Madison McCullough, a psychotherapist in New York City

I try to meditate every day.

“I’ve committed to a morning and evening meditation practice. Even if I only have five minutes, it really grounds me as I enter the day and night. Insight Timer is a fantastic free app that provides a variety of meditations to meet your personal needs.” ― Aimee Martinez, a psychologist in Los Angeles

I try not to overextend myself.

“I’m a psychologist and a human: I have to contend with the same rush of emotions when I see the news stories involving loss, the politicisation of the virus and vaccine, and ‘business as usual’ even in the face of crisis. What has helped me over the past 19 months is figuring out what is in the locus of my control: that is, how can I not take blame for national events and focus more on what is more proximal to me? For example, just because I do an interview urging vaccinations on CNN does not mean I should see a spike in appointments the next day. What I can do, however, is check in on the one person I had a conversation with about vaccinations, to see how I can support their decision with evidence and love. But sometimes even checking in [on] other people can be a big source of frustration. That means limiting my locus just to myself: Am I wearing a mask? Am I sleeping and eating right? Have I sent loving messages to those around me? Just those seemingly small check marks can reduce the anxiety I have about exposure, increased risk, or supporting my loved ones.” ― Riana Elyse Anderson, a psychologist and assistant professor at the University of Michigan School of Public Health

“I’ve committed to a morning and evening meditation practice," one social worker says.

“I’ve committed to a morning and evening meditation practice,” one social worker says.

I’m practising radical acceptance.

“Right now, I am practising radical acceptance (a distress tolerance skill). I have accepted the uncertainty of the situation, which doesn’t mean I like it or want it, but means I have chosen to say to myself, ‘This just is what it is and I cannot control this situation. I am focusing on what I can control.’ I focus on having a relaxing morning routine and doing things that relieve stress every day.” ― Rebecca Leslie, a psychologist in Atlanta

I lean into my hobbies.

“Arkansas is a Covid hot spot, so my Covid policies are self-care via masking, doing only telehealth sessions with clients, being vaccinated, and going out only when necessary, though I walk in nature for an hour daily with my dogs. To stay challenged, I’m learning two new hobbies ― knitting and woodworking. Bottom line, there’s a lot of lemonade that can be made from pandemic lemons.” ― Becky Whetstone, a marriage and family therapist in Little Rock, Arkansas, and co-host of “Curly Girls Relationship Show

I seek harmony.

“When Covid became a thing, my big focus was on creating balance in my life. I worked hard at balancing being a great therapist, being my most present self to my two toddler children, being a listening ear to my medical colleagues working on the front lines, being an anchor to my extended family as they grieved the loss of several family members and friends, and taking the baton from my husband as he took on the lion share of pandemic parenting. This time around, I seek harmony. I am striving to live in the flow of my life by establishing routines, permitting myself not to follow routines, creating structures in my life, and allowing myself room to move within those structures. Less abstractly, I am listening more to what I need to be there for others. I am also accepting the limitations to my excellence. I am not here to find balance in all the many responsibilities and goals I have. I am here to live my life to the fullest, which means living in the flow of the good, bad, and blah days.” ― Dana Crawford, a psychologist and cultural bias consultant in New York City

I remind myself I’m doing all I can to stay safe.

“When I begin to feel anxious, as we all do ― often triggered by something I heard on the news, or a notice from my child’s school about another infection ― I fall back on cognitive behavioral tools. I remind myself of the statistics with this virus. Despite the high infection rate and the virulence of the delta virus, the death rate is still low. I remind myself that I am doing all I can do by following medical advice. I choose to put the rest of my worry on a shelf. I also choose to enjoy this present moment and not allow my fear to steal it from me. I will often repeat this to myself a few times, add some deep breaths and distract myself with a healthier thought, and I’m on my way again.” ― Zoe Shaw, a psychotherapist, relationship coach and author of “A Year of Self-Care”

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Is It Covid Or A Back-To-School Bug? Here’s When To Keep Your Kids Off

The start of the school term often brings snot, coughs and dodgy tummies. But the last 18 months has taught us all to be hyper-vigilant about health, so we’re looking at back-to-school bugs a little differently.

Previously, we may have sent children into the classroom with a mild sniffle, but now, with Covid still a factor, parents may be wondering whether to keep kids home. We’ve also been warned that cases of norovirus are likely to spike this September, just to add fuel to the fire.

But why do kids get poorly at the start of term anyway? And when they’ve already missed so much school last year, when’s the correct time to keep them off? Dr Sameer Sanghvi, who’s clinical technology lead at Lloyds Pharmacy Online Doctor, answered our questions.

Why do kids get ill at the start of the school term?

“Often children (and teachers) get ill at the start of term because they’re suddenly exposed to lots of people, after a summer often spent mainly with a small number of family and friends,” says Dr Sanghvi.

“The more people you mix with, the more likely you are to catch and spread germs off one another. And we all know children, even after the last year, aren’t quite as good as adults at good hygiene practices like washing their hands thoroughly, covering their faces when they cough and blowing their noses etc.”

The start of term can also be very tiring, especially for young children, who aren’t as used to being sat in a classroom all day.

“When we get tired our immune systems sometimes find it harder to fight off bugs. So this can also mean kids (and anyone who works in a school) might be more susceptible to picking something up,” Dr Sanghvi explains.

“Coughs, colds and norovirus can all be very contagious, particularly in an environment like a school, where you have lots of people in one room for long periods of time.”

What are the most common symptoms of Covid in kids?

By now, we all know the importance of self-isolating if you’ve got Covid. But kids get a lot of sniffles at school, so how can you tell the difference?

“Like with adults, the main symptoms of Covid-19 in children are still a high temperature, a new, continuous cough and a loss or change of taste or smell,” says Dr Sanghvi.

“With the start of term it’s likely lots of kids will get a cough, cold or runny nose. But if you think your child has Covid-19 symptoms, you should book them a test. That’s the easiest way to confirm if it is or isn’t Covid-19.”

If it’s not Covid, is it okay to go to school?

“It can be hard knowing when to keep a child off school. Sometimes it’s okay to send them in with a mild illness, but other times it better to keep them at home,” says Dr Sanghvi.

“If your child has Covid-19 symptoms, you should get them a test and keep them off school unless they get a negative result.

“Generally speaking, if your child has a fever, they should be off school until it’s gone (unless it’s due to Covid-19, in which case they’ll need to self-isolate and follow the advice from Test and Trace).”

As a rule, if your child has been sick or has diarrhoea, they should be off school for 48 hours from the last time they vomited or had diarrhoea, she adds.

“The NHS has lots of advice for different conditions like cold sores, chicken pox, impetigo and many others, and when to keep your kids off school,” says Dr Sanghvi. “So it’s always best checking their website, and don’t forget if you’re worried about your child, you can always ring up your GP and speak to them.”

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Keeping Getting A UTI? Here Are Some Common Reasons Why

Urinary tract infections – or UTIs – can be painful, annoying and recurring, if you don’t take action to reduce the chances of getting one. While more common in women, as they have shorter urethras, meaning bacteria can pass through more easily, the issue also affects men.

Symptoms of a UTI include needing to pee suddenly or more often than usual, pain or a burning sensation when peeing, smelly or cloudy pee, blood in your pee, pain in your lower tummy, feeling tired and unwell, and in older people, changes in behaviour such as severe confusion or agitation.

If you notice any pain and continuous discomfort then definitely chat to your doctor about it. While it may just be symptoms of a UTI, which can be treated with antibiotics, doing a urine test can rule out any other conditions. There are also things to be mindful of if you want to stop getting regular UTIs.

Stella Ivaz, a urologist at London Bridge Urology, tells HuffPost UK: “We give patients lifestyle advice, and that usually includes good fluid intake, making sure you empty your bladder regularly so flushing the system. Wipe the correct way. And sex is a trigger so try voiding after intercourse so if a few bacteria did have the chance to make their way up, you try and empty that as soon as possible.”

Sound advice – and read on for more details on how best to avoid UTIs.

Not urinating properly

It sounds simple, but just make sure you finish peeing and completely empty your bladder before you get off the toilet.

You might not be aware but you may be leaving the bathroom with urine still left inside. To make sure you get it all out, you can try a method called double voiding.

This includes weeing, then standing for a few seconds, before trying again. You’ll see residual urine now coming out.

This is a good way of avoiding a UTI as static urine can build up over time and cause the infection.

Taking care after sex

During sex, all sorts of fluids are exchanged and different orifices are used, so naturally it’s going to include the swapping of bacteria.

The reason that sex increases the likelihood of UTIs is because the physical act of love-making causes a woman’s urethra to come into contact with bacteria from the genitals and anus – hers and a partner’s. After contact is made, it’s easy for bacteria to travel up into the urinary system and cause an infection.

This is one of the reasons that women experience more UTIs than men. In fact, close to 80% of premenopausal women who get a UTI had sex within the previous 24 hours. To avoid the chances of a UTI, make sure to pee after sex to flush out any potential bacteria.

Not wiping properly

This is another one which sounds simple but alas, it isn’t always done properly.

If you’re wiping from down up – as in, from the anus towards the vagina, then you’re likely inviting rectal bacteria into it. Not wiping properly can cause cystitis or (more common) urethritis.

Cystitis is usually caused by E. coli, a type of bacteria commonly found in the gastrointestinal tract. However, sometimes other bacteria are responsible. Sexual intercourse may also lead to cystitis, but you don’t have to be sexually active to develop it.

Urethritis can occur when gastrointestinal bacteria spreads from the anus to the urethra. Because the female urethra is close to the vagina, sexually transmitted infections, such as herpes, gonorrhoea, chlamydia and mycoplasma, can also cause urethritis.

Diabetes

Diabetes and urological health issues are closely connected. Diabetics are prone to UTIs because diabetes can impact blood flow, nerves and sensory function in the body, indirectly worsening urologic conditions.

Over time, people with diabetes may lose some sensory function. This can make it hard to know that you have to go to the bathroom. As a result, people may wait too long to go to the bathroom, or if the urine stays in the bladder too long, it may raise your chance for getting a bladder or kidney infection.

And finally, Covid

Don’t sound the panic alarm just yet, as Covid-19 itself doesn’t put you at risk of having a UTI. But treatments for the virus have caused UTIs in some cases. People who received steroids or had been catheterised during their treatment for Covid may be at greater risk of infection.

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Why ‘Before And After’ Photos Are More Problematic Than You Think

Before and after photos are ubiquitous for a reason. They’re what marketers call a “social trigger” – a type of content that prompts those who see it to feel or act a certain way. They make it clear to viewers that one situation (the “after”) is more desirable than another (the “before”).

Think of before and after photos focused on weight loss, for example. If a group of people looked at a single photo of someone standing in a bathing suit, each person in that group might have a different reaction. Some might feel attracted to the person, others might feel indifferent about the person and others might focus on something else entirely – like what the person is wearing or how the sunset looks behind them.

But if that same photo is shown next to another photo of the same person, in which they wear a similar bathing suit but have a larger body, the reactions of the group looking at the photo become much more uniform. They notice the size of the person’s body in both photos before anything else. That comparison is the trigger.

While before and after photos might work for marketers and content creators, they’re often toxic for the rest of us. Sure, some are harmless – a photo of a dirty plate before it gets cleaned with dish soap versus after, or a messy bookshelf next to a tidied-up one. However, any pair of before and after photos that shows a human being sends a dangerous message: that certain types of bodies (or faces, hair types, skin tones, lip shapes, etc.) are better than others.

Here’s why these types of photos are even more insidious than you think:

They trigger unhealthy comparison.

“While sometimes well-intentioned, the impact of before and after photos lend to social and body comparisons, which can cause harm to anyone – especially people struggling with body image and eating concerns,” said Chelsea Kronengold, associate director of communications at the National Eating Disorders Association.

Many people seeing these photos will themselves to look more like the “before” than the “after.” And because the whole point of the before-and-after comparison is to say that the “after” is better, they’ll likely end up feeling less-than, or like their bodies need to be “fixed.” Over time, this can lead to real harm.

“Body dissatisfaction and thin-ideal internalisation are potential risk factors for all types of eating disorders,” Kronengold said. “People with negative body image are not only more likely to develop an eating disorder, but are also more likely to suffer from depression, isolation, low self-esteem and obsessions with weight loss.”

Before and after photos can trigger unhealthy comparison to others and an obsession with our own body types.

Before and after photos can trigger unhealthy comparison to others and an obsession with our own body types.

They reinforce weight stigma and anti-fat bias.

Before and after photos exist in every corner of social media, but they’re most pervasive in the weight loss space. Often, these posts elicit comments that seem positive, like, “so inspiring!” or “you look great!” But there’s a problematic flip side to these comments: The implication is that the person didn’t look great in their larger body, and that being thinner is always better.

“These subtle and overt messages contribute to weight stigma and perpetuates unhealthy diet culture messages that changing your body, losing weight or being thinner, is viewed as a ‘morally superior’ accomplishment,” Kronengold said.

This weight stigma (discrimination based on a person’s weight) is incredibly pervasive in our society, and it has serious negative effects. A 2018 review in the Journal of Advanced Nursing found that experiencing weight stigma increased a person’s risk of diabetes, eating disturbances, depression, anxiety and body dissatisfaction. It was also linked to an increase in chronic stress and chronic inflammation, and a decrease in self-esteem.

Weight stigma springs from the belief that thinner is better, and that fatness is unhealthy. But that’s not really the case. One 2016 review published in JAMA found that people in the “overweight” body mass index category live the longest. Another 2016 study published in the International Journal of Obesity found that 50% of people classified as “overweight” and nearly percent of people classified as “obese” were metabolically healthy. Meanwhile, 30% of people classified as “normal” weight were metabolically unhealthy.

The relationship between weight and health is incredibly complicated, but it’s fair to say that you can’t determine whether or not someone is healthy by looking at a photo of them.

Kronengold also pointed out that even before and after photos showing weight gain reinforce weight stigma. The eating disorder recovery space is filled with before-and-afters that showcase an extremely thin “before” body next to a less-thin (but still relatively small) “after” body.

“Many of these eating disorder before and after photos send the message that individuals with a history of anorexia and/or a low BMI are the only people impacted by eating disorders,” Kronengold said. “This reinforces the stereotype that eating disorders have a certain ‘look,’ and can alienate people with other eating disorder diagnoses and/or in higher-weight bodies.”

“It’s a very real phenomenon that people who post these before and after photos often feel boxed in by their visual ‘success stories’ when their bodies inevitably change over time.”

– Ashley Seruya, New York City-based therapist and writer

They don’t show the whole story.

Another massive problem with before-and-afters when it comes to bodies is that they only show two moments in time. Bodies are always changing — even the person posting the photos won’t look like their “after” forever.

“It’s a very real phenomenon that people who post these before-and-after photos often feel boxed in by their visual ‘success stories’ when their bodies inevitably change over time,” said Ashley Seruya, a New York City-based therapist and writer.

And yes, it is inevitable that their bodies will change, because the vast majority of people who lose weight will gain it back within a few years. A 2020 review published in the BMJ found that although diets lead to weight loss and health improvements after six months, that effect disappears at the one-year mark across all types of diets.

Another 2020 review concluded that diets cause more harm than good, since permanent weight loss is rare and negative physical and mental health side effects are common.

They put far too much value in appearances.

Just because someone is smiling in an “after” photo doesn’t mean that they’re mentally healthy. In fact, both Seruya and Kronengold said that it can be damaging to assume that someone has experienced positive life changes just because they “look better.”

“I think it’s almost always going to be dangerous to place our self-worth in something as uncontrollable and unpredictable as the human body,” Seruya said. Because, truthfully, how someone looks is very rarely an indication of their well-being.

“Instead of emphasising body transformations, we should be celebrating mental health wins, major life events, and accomplishments that have nothing to do with appearance and/or weight,” Kronengold said.

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Here’s How Your Diet Can Help You Have An Easier Period

Our menstrual cycle affects so much of our life. From hormonal acne and serious mood swings to generally feeling quite crappy, I’m sure if some of us had the option to skip our periods we would. And f, like me, you’re someone who has always had bad period pain, it can leave you feel a bit helpless.

There are lifestyle adjustments we can adopt that can help towards making our periods easier to deal with, though – and one of them is the food we eat at different stages of our cycle.

Lifesum, a nutrition app that aims to help users improve their baseline health through what they’re eating, has found that small changes to your diet can improve your symptoms during each phase of your menstrual cycle.

“What you eat plays a huge role in overall health creation, including how you feel throughout your cycle,” says Dr Alona Pulde, star of the Forks Over Knives documentary and member of the Lifesum health advisory board.

“Most people think of periods as just a week-long occurrence, but in reality, it’s a month-long cycle and nutrient-dense foods can help replenish your body and balance your hormones throughout.”

Roxane Bakker who is a registered dietician and head of nutrition at Vitl agrees that it’s important to look after yourself when you’re menstruating, particularly when it comes to your diet. Choosing foods that can help restore balance to your hormones are always a good option,” she says. “Vitamin B6 specifically is a key player in balancing your hormones. What you eat can sometimes help to relieve some of the uncomfortable symptoms you experience on your period”

There are four different stages to the menstrual cycle: the menstrual phase, the follicular phase, the ovulation phase, and the luteal phase. Each phase of our cycle requires different care and dietary needs, Dr Pulde suggests.

While dietary tweaks can help you ease your period pains, they aren’t solutions to medical conditions such as endometriosis, PCOS, or dysmenorrhoea. If your periods are so painful they’re affecting day-to-day life, speak to your doctor.

“Remember, everyone’s body works differently, and our needs vary,” adds Dr Pulde. “Focusing on a balanced, varied nutrient-dense diet that provides enough energy is key – not only for performance, but for our overall wellbeing.”

The Menstrual Phase

This first phase of the menstrual cycle is the time where our oestrogen and progesterone levels are lowest; you shed your uterine lining, and bleeding occurs. This usually lasts between three and seven days. During this time you can experience cramping, fatigue, low back pain, and mood swings.

This is a time when you’re losing a lot of blood so it’s important to stock up on iron-rich foods. Animal products such as red meat, poultry, and fish (heme iron) or plant-based products, including leafy greens, beetroot, and legumes (non-heme iron) are essential during this time.

“As you can imagine, fruit and vegetables are a staple when it comes to any healthy diet,” Bakker adds, “but they’re essential when it comes to managing period cramps. They’re a vital source of fibre which in some cases can help to relieve the stomach pains associated with menstruating.”

Be sure to avoid foods that are highly processed during this time, such as sweetened breakfast cereals. “They can make period symptoms worse, causing inflammation and bloating,” says Bakker. “Caffeine and alcohol also impact inflammation. And studies show that they can worsen PMS symptoms.”

The Follicular Phase

During this phase, which can last anything from 11 to over 20 days, depending on the length of your cycle, oestrogen levels start to rise again. Your energy should increase and you may notice you have greater motivation.

Eating fibre-rich foods (fruits, vegetables, whole grains, and legumes) and fermented foods (kombucha, kimchi, sauerkraut) will help to metabolise and clear excess oestrogen.

The Ovulation Phase

You may experience some cravings at the time of ovulation, around day 12 to 14 of your cycle, so you should be eating foods that are rich in fibre and high in nutrients and consuming enough of these food types to fill you up.

These include fruits (berries, apples, pears, bananas); vegetables (broccoli, Brussels Sprouts, artichoke, kale, sweet potatoes); legumes (beans, lentils, peas); whole grains (quinoa, oats, whole wheat pasta, barley); and nuts and seeds (almonds, pistachios, and sesame/pumpkin/sunflower seeds).

The Luteal Phase

The luteal stage of our cycle begins after ovulation, when both oestrogen and progesterone levels rise. During this time, pain can feel a bit more intense as large amounts of prostaglandins, a chemical that stimulates contractions, is released.

To help experience less cramping and lesson the physical symptoms of PMS, tuck into anti-inflammatory nutrients such as omega 3 (walnuts, flaxseed, chia seeds), antioxidants like vitamin C (found in fruit – particularly berries – and vegetables) and vitamin E (found in leafy greens, avocado, and whole grains).

“In this phase, it’s common to feel tired,” says Dr Pulde. “Eat complex carbs that provide fibre and vitamins to balance moods and curb cravings.”

Avoid or cut back on caffeine and alcohol if you can, she adds, and if you find your energy levels dropping, reach for the healthy snacks, such as hummus and veg sticks or homemade fruit and nut bars.

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Help, My Kid Is A ‘Whiteatarian’ Who Only Eats Beige Food

It was parents’ weekend at my daughter’s college, and we were treating her to dinner at an off-campus bistro. The waitress arrived, and she gave her order: “I’ll have the baked salmon with a side of sauteed spinach, please.”

I dropped my menu, my jaw and the mistaken notion that I knew what this kid had been up to since we’d dropped her off a couple of months ago. I had spent most of the past 18 years trying to nudge her – sometimes gently, sometimes with growing desperation º into eating something, anything, other than noodles with butter and salt, half a bagel with plain cream cheese or – her true love –Rold Gold Tiny Twist pretzels.

The idea of fish had always made her shudder. The mere mention of “green things” like spinach could lead to tears. So what was up with her dinner order tonight? She shrugged. “They serve salmon in the dining hall sometimes, and my friends all eat it. Everybody at school likes spinach, too.”

I feigned disinterest and changed the subject, but inside I was doing the parental equivalent of a victory dance. I had relinquished my title as mother of the world’s most adamant whiteatarian, all for the low, low cost of tuition at a liberal arts college that was 1,000 miles away from home.

Your kid is hardwired to act like this

Before I do any more gloating about the sight of my beloved progeny actually putting spinach in her mouth, let’s take a step back to those early years, when I was driven to frustration by a girl who refused anything that wasn’t white. What made her act that way, anyhow?

Well, mums and dads, you already know that children are annoying for lots of reasons, including a tendency toward tantrums, a love of pre-dawn wake-up times and, of course, picky eating. Would it help if I told you that their eating preferences are pretty much hard-wired into their sweet-smelling little noggins?

Look familiar?

Look familiar?

The National Institutes of Health says infants have an “innate preference for sweet and salty tastes and tend to reject sour and bitter tastes.”

And, guess what, it gets worse. “After the age of one, vegetables begin to taste very bitter to children,” Alisha Grogan, a paediatric occupational therapist who specialises in picky eating and sensory processing, tells HuffPost.

“When humans had to forage in the wild, children’s sensitive taste buds prevented them from eating anything poisonous.”

Some kids remain loyal passengers of the S.S. Sweet And Salty even as they get older, often to the exclusion of any food that might actually provide, you know, some nourishment. A range of different studies have reported that, by the time they reach age 3, between 6% and 50% of kids are described as picky eaters by their parents.

And if you think they’re doing this just to piss you off, you’re right, at least when it comes to the younger set. “Toddlerhood is when many kids start to exert their autonomy and push boundaries with parents,” paediatrician Dina Kulik tells HuffPost. Not only do they get to remind you who’s boss, they also literally make themselves happy with each bland, beige bite. “Simple sugars are easy to eat, they taste good and they provide a quick dopamine hit, much like other stimulating drugs,” she says.

Can your kid live on beige food alone?

Is a diet of pasta and bread sustainable for health? Kulik said there are concerns. “The risk of iron deficiency, especially, is high on a very starchy diet,” she says. Even though many manufactured grain-based products are supplemented, she said, kids following the whiteatarian plan are often low in iron, vitamin D, calcium and B12.

Think this bagel with cream cheese looks plain enough? Think again – those sesame seeds could even be too much for a picky eater.

Think this bagel with cream cheese looks plain enough? Think again – those sesame seeds could even be too much for a picky eater.

In the short term, anyway, the nutritional prognosis is not totally dire. One study said that, while picky eaters did tend to have lower levels of zinc and iron, their overall macronutrient intakes were not severely reduced. And many of us know at least one adult who still lives on a mostly white diet and seems to survive, if not thrive.

“Many kids can survive on white carbs alone, as long as they’re eating enough of them,” Grogan says. “Carbs often are fortified with all sorts of vitamins and nutrition. However, depending on how limited a child’s diet is, they could have some nutritional deficiencies.”

The only thing you have to fear

In the comedy special John Mulaney & the Sack Lunch Bunch, a boy named Orson Hong sings an ode in which he declares that “a plain plate of noodles with a little bit of butter is the only thing I’ll eat.” His heartfelt song is more a lament than an homage, and it’s clear that his character is anxious and fearful about ingesting anything but this classic whiteatarian meal.

Fear is a big part of what’s going on, said Amanda Smith, a programme director at Walden Behavioral Care, and it’s important for both kids and parents to acknowledge that. “Some kids might be afraid of different textures, or they might fear that a food will make them choke or vomit,” she tells HuffPost. “It can be overwhelming, scary and hard, so it’s important for parents to try to understand that.”

“Short-order cooking and pressuring a child to eat during meals can lengthen the time a child is selective about what colour foods they’ll eat.”

– Alisha Grogan, paediatric occupational therapist

Keep in mind that once they’ve passed toddlerhood, this eating pattern is about them, not you. “If an older child is still eating only white foods, they aren’t trying to punish their parents or stress them out,” Grogan says. “Eating is hard for them. One way to help is to neutralise the topic, and to avoid labelling foods as good and bad or healthy and not healthy.”

Here’s what you can do

“I suggest not fighting or negotiating,” Kulik says. She suggested an attitude of: “Here’s the plate of food. If you want it, great.” Then, she advises, “If not, don’t start a battle. There is evidence kids need to try a food more than a dozen times to realise they like it. When you simply give in and offer the carbs, they don’t learn to try anything new, and the fear and pickiness persist.”

“Short-order cooking and pressuring a child to eat during meals can lengthen the time a child is selective about what colour foods they’ll eat,” Grogan adds.

In extreme cases, a child might have what’s known as Avoidant/Restrictive Food Intake Disorder or ARFID. The disorder, Kulik explains, is characterised by “very selective eating habits or disturbed feeding patterns.”

She cites estimates that anywhere between 5% and 14% of children in inpatient eating disorder programs, and up to 22% of children in outpatient programs, have the disorder. “It’s important to note that this is a true mental disorder, and the vast majority of kids who are whiteatarians don’t have it,” she says.

Don't forget about tan foods, the close cousin to white foods.

Don’t forget about tan foods, the close cousin to white foods.

“If you have concerns, start with a visit to your child’s medical provider,” Smith suggests. “They’ll be able to assess any medical factors that could be playing a role, and they can check your child’s growth progress, weight and vital signs, and then run some lab work.”

You’ll also want to pay attention to patterns that develop at mealtimes. “If kids are having emotional tantrums or breakdowns over new foods being near them or on their plate, or if they’re gagging or throwing up when new or other-colored foods are near them, then it could be something more serious,” Grogan says.

“If your child is limiting intake to fewer than 20 foods, or you’re noticing physical symptoms relating to their diet, consulting with a health practitioner is advised,” says Sarah Appleford, a registered clinical nutritionist with an interest in children’s health, including fussy eating and gut issues.

“It’s more than just a phase if they’re refusing food at most meals, exhibiting anxiety or stress, have undeveloped eating skills or sensitivities based on texture, colour, appearance, noise or smell at the table and away from the table. Physical symptoms can include slow growth, fatigue, pallor of the skin or complaints of tummy pain or gastrointestinal upset such as constipation.”

Look to the rainbow

Along with every other awful thing, this issue is on the rise, according to the experts. “We’re seeing a growing number of kids with anxiety disorders, and extreme fussy eating behaviour is often a component,” Appleford says. But there is some good news, she adds: “Most children will naturally grow out of fussy eating as they gain more skills and confidence around food.”

“Parents can find it to be very stressful to have a child who only eats white foods, because it’s difficult to go to parties or even pack a lunch,” Grogan says. “But kids — even the pickiest — can learn to eat a variety of different coloured foods.”

In the meantime, listen to the experts and try to cut yourself (and your child) a little bit of slack. You might also want to start saving for that liberal arts college experience that will liberate their taste buds and turn them into rainbowtarians, just a few long years from now.

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How To Watch The Tokyo Paralympics – And How Not To, Please

“I love the Paralympics but this time round they need to be more than just a feel-good story.” Sophie Christiansen CBE is a British dressage rider who has competed in four successive Paralympic Games. Already an eight-times gold champion, she hopes to up that medal tally at this year’s games in Japan.

Post-Olympics, the Paralympics light up Tokyo again this week, starting with Tuesday’s opening ceremony. But something about this year’s games feels different. After all, the games, which celebrate the sporting achievements of disabled people, and have been held every four years since Rome in 1960, are taking place a year later than planned due to (and during) a global pandemic. One in which disabled and vulnerable people are among those most affected.

Christiansen is leading a campaign with Scope and the British Paralympic Association with a rallying call to turn cheers into change. “I want to use them as a platform to show the reality of living as a disabled person in the UK,” she says.

This is because, like so many others in the disabled community, she’s concerned interest in the Paralympics does not translate into support for disabled people.

Sophie Christiansen: 'The Paralympics need to be more than a feel-good story'

Sophie Christiansen: ‘The Paralympics need to be more than a feel-good story’

Channel 4 certainly anticipates an audience for the games, having launched its most ambitious Paralympics schedule yet with a high-budget promo. At first glance, the ad seems like any other piece of media selling disabled people’s lives as a sob story or the ultimate bravery, until you focus on the narrative.

Instead of framing Paralympians as “super humans”, a message that saw the broadcaster heavily criticised in 2016, this new campaign shows the everyday struggles of disabled people and, in turn, para-athletes – from making hospital appointments to taking medication, and the general inaccessibility of life, whether at sporting facilities or, for one woman, her local greasy spoon.

“So you might as well quit, if you haven’t got it,” rings out the Bugsy Malone backing track, echoed in a pointed clip of Boris Johnson saying the same – before the “super” in the phrase “super humans” is smashed right through.

Evidently, the broadcaster want us to know it has listened – and that there’ll be no more switching off the comments on YouTube as in 2016. This year, Channel 4 and More 4 will carry live subtitles. The opening ceremony will have live signing and enhanced open AD/commentary simulcast on 4Seven, while the majority of content on the Paralympics microsite will also have subtitles.

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Unfortunately, the messaging that accompanies the campaign lets it down: “To be a Paralympian, there’s got to be something wrong with you.” To non-disabled people, that may read as tongue-in-cheek, but for many people with disabilities, it brings back memories of being taunted with “what’s wrong with you?!”

Causing an even bigger uproar online is the accompanying billboard and bus shelter campaign, which uses the slogan: “It’s rude not to stare”.

It’s clear Channel 4 are trying to be subversive here, but when you’ve grown up being told you don’t fit in, that there is something wrong with you, and that if you don’t control your disability, people will stare, these words can still hurt.

There’s also the fact that most people seeing the advert won’t have experienced bias or hate because of their disability, so to them it won’t read as “watch the Paralympics.” It reads as “make disabled people your inspo porn.” Again.

The ads have certainly divided disabled people, and that’s to be expected. Contrary to some reports, we don’t all think the same about things.

Comedian and presenter Rosie Jones is part of The Last Leg team, presenting live from Tokyo. “I really think since the Paralympics have been on Channel 4, it’s a completely different thing,” she says, while acknowledging her possible bias. “Maybe I’m being naive but I don’t think there’s been an ‘inspiration porn’ aspect. It’s all about balance and it’s like, ‘yeah, great, we know how we got disabled, now can we watch then just smash the rowing or the cycling.’”

Inspiration porn, a term widely used by the disability community, was first coined by activist Stella Young to describe a situation where a disabled person is seen as inspirational purely because of their disability – for example, an Instagram post showing a disabled athlete running a race on prosthetic legs with the text: “If they can do it, what’s your excuse.”

These sort of clichés ignore the hard work disabled people put in to get to the top of their game, despite the ableism thrown at them – whether the game in question is sport, as for Paralympians, or in Jones’s case, stand-up comedy.

For her part, Jones attributes a reduction in inspirational imagery to a rise in disabled talent – for the first time, more than 70% of Channel 4′s presenters for the Paralympics have disabilities themselves. “The storytelling comes with a sense of authenticity you wouldn’t get if the entire team were abled bodied.”

Although what Jones says has some truth in it, much Paralympics coverage still leans on sob stories and in-depth personal details from disabled people’s lives in order to get an emotive response from non-disabled viewers. But former Paralympian wheelchair racer Baroness Tanni Grey-Thompson, who will be commentating the games for Channel 4, believes there’s a clear solution.

“They need to show sport, and they need to commentate on it as just sport.”

– Dame Tanni Grey-Thompson

“If we’re in the studio having a discussion about the politics of disability, then that’s the time to educate and talk about someone’s disability, not when they’re getting ready to compete,” she says. “They need to show sport, and they need to commentate on it as just sport.”

In something of a Catch-22, the very fact that disabled people are ignored or overlooked so much of the time is what leads people to pay closer attention when they are doing something out of the ordinary, like competing in the Paralympics, and to hold them to impossible standards.

Something that could be solved, perhaps, if the world was built more for disabled people

Liz Johnson: 'It&rsquo;s assumed that Paralympians represent all disabled people'

Liz Johnson: ‘It’s assumed that Paralympians represent all disabled people’

“If we invested more attention in creating a world in which everyone was enabled and empowered to get on with their lives, being disabled wouldn’t be seen as something to be ‘pitied’ or dramatised,” says Liz Johnson, former Paralympian swimmer, commentator and co-founder of The Ability People and Podium, a platform for people who are unable to work conventionally, due to disability or impairment, to share and promote their skills and expertise.

“It’s assumed that Paralympians represent all disabled people. But just as not every person wants to be an athlete, nor does everyone with a disability want to be a Paralympian,” says Johnson. “The better representation we give to disabled people from all walks of life, doing all kinds of jobs, the more we’ll level the playing field and stop ‘othering’ people who happen to have a disability.”

Now more than ever, the Paralympics wants to champion sporting excellence while using its legacy to draw attention to the lives of disabled people – but how big a burden is this on an event that happens only once every four years?

Tokyo hope Kadeena Cox at the IPC World Para Athletics Championships.

Tokyo hope Kadeena Cox at the IPC World Para Athletics Championships.

“We can’t expect the Paralympics to do everything. If we wait for the Paralympic movement to raise the bar, it’s never going to raise,” says Grey-Thompson. “We need government and other people to raise the bar. If you just let the Paralympic movement do it, it means government don’t have to take any responsibility.”

London 2012 was widely seen as a high water mark for disabled visibility, with the Paralympic events as packed as their Olympic equivalents. But by no means was it ‘job done’ for equality.

“Yes, 2012 changed the world for disabled people, but, it didn’t stop, “do not attempt resuscitation” orders being put on 1000s of disabled people last year. It hasn’t changed hate crime doubling against disabled children since 2012. It didn’t change my ability to get on the Northern line,” Grey-Thompson adds.

Mike Sharrock, chief executive of ParalympicsGB, sees the urgency of this moment. “Following the disproportionate impact of Covid-19 on so many disabled people, we now believe more than ever that the success of ParalympicsGB must be a catalyst for meaningful, long-term action,” he says.

“Athletes are powerful advocates to turn the nation’s cheers into change and those medals into a UK-wide movement. The Paralympics might only be four weeks every four years but the message from disabled campaigners and Paralympians alike is clear – we won’t be forgotten when the Paralympics end.”

Ultimately, the International Paralympic Committee, the British Paralympic Association and Channel 4 aren’t the ones in power. We can hold them to account for the ways they portray disabled people, but we can’t expect them to enact meaningful change in our lives. For that, we need to lobby government and, disabled or able-bodied, we can all play our part.

“My concern is the after-care and how quickly people go back to their normal lives and they forget about disabled people,” says Rosie Jones, summing it up. “We’re at a point now as a country where we’re just as excited for the Paralympics as the Olympics, but we shouldn’t be grateful that for four weeks, we’re equal to abled-bodied people. That should be happening all the time.”

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