How To Eat when You Have Gout and Diabetes – Part 1

It’s possible to suffer from both gout and diabetes at the same time. People with both gout and diabetes are advised to avoid foods that may affect the levels of uric acid and insulin in the body. Therefore, recommended diets for this group focus on lowering both uric acid and blood sugar levels.

Eating Right

1. Avoid purine-rich foods. Since uric acid is produced from the metabolism of purine in the body, it is best to avoid foods that contain purine. Urate crystals accumulate in the joints if uric acid is elevated and this can aggravate joint pain in gout. Also, uric acid elevation can increase insulin resistance which is a condition wherein the body does not respond to the function of insulin.

This can further elevate the blood sugar levels of a person, leading to diabetic symptoms. Purine-rich foods are mackerel, anchovies, organ meats, dried beans, peas, canned goods, instant noodles, wine, and beer.

2. Avoid foods rich in fructose. Foods rich in fructose consume a lot of adenosine triphosphate (or ATP) when metabolized. This ATP is an energy-supplying molecule that the cells in the body use. Over-consumption of ATP leads to its depletion and results in the generation of substances such as lactic acid and uric acid, thereby increasing the levels of uric acid in the blood.
Also, fructose is considered a sugar. Consuming foods rich in fructose can elevate the blood sugar of a person and lead to the occurrence of symptoms.
Foods to avoid are apples, bananas, pears, agave, melons, asparagus, beans, broccoli, cabbage, onion, tomato, peanuts, raisins, figs, carbonated drinks, fruit drinks, ketchup, canned goods, chocolate, pastries, and breakfast cereals.

3. Avoid alcohol. Alcohol interferes with the removal of uric acid from the body. When alcohol is converted to lactic acid, it reduces the amount of uric acid that is eliminated from the body through the kidneys. This is because the lactic acid competes with the uric acid in terms of being removed by the kidneys through urine.
Increased levels of ethanol (alcohol) in the body increase the body’s production of uric acid by increasing the amount of ATP (Adenosine triphosphate) that is converted to AMP (Adenosine monophosphate) – a precursor of uric acid. Also, alcohol can affect the body’s sensitivity to insulin.

4. Eat high-fiber foods. Dietary fiber absorbs uric acid in the bloodstream, allowing it to be eliminated from the body through the kidneys. Also, pectin (which is a type of soluble fiber) lowers cholesterol by absorbing t from the body.
High levels of cholesterol in the body can increase blood pressure and can lead to the occurrence of diabetic symptoms. Include at least one high-fiber food in each major meal or snacks such as pineapple, oats, isabgol, cucumbers, oranges, barley, carrots, and celery. The ideal daily intake is 21 grams.

5. Eat foods rich in anthocyanins. Anthocyanins prevent the crystallization of uric acid and also prevent it from being deposited in the joints. Also, anthocyanins encourage hypoglycemic activity that may help to lower blood sugar. Foods rich in anthocyanins are eggplant, blueberries, cranberries, plums, black currant, grapes, pomegranates, red-fleshed peaches, and cherries.
You should include at least one of these foods in each major meal or snack.

6. Eat foods rich in omega-3 fats. Increasing your intake of omega-3 fatty acids can help reduce insulin resistance (a condition where the body is able to produce insulin but it is not used effectively), thereby reducing the risk or severity of type 2 diabetes. Also, the eicosa pentanoic acid (EPA) in omega-3 fatty acids can reduce the levels of cholesterol and uric acid. The recommended dose for omega-3 fatty acids is not more than 3 grams daily. Foods rich in omega-3 fatty acids are sardines, salmon, soybeans, flax seeds, walnuts, tofu, brussels sprouts, cauliflower, shrimp and winter squash.

Read more about Diabetes: How To Eat When You Have Gout and Diabetes – Part 2

Source: Google.com, www.wikihow.com

Acute Gout Attack

The goal of treatment during an acute gout attack is suppression of inflammation and control of pain. It is important to note, that if a patient is not on uric acid lowering therapy at the time of an acute attack – then this is not the time to initiate such therapy. However, if a patient is on uric acid lowering therapy at the time of an acute attack, it should not be discontinued.

Treatment of pain and inflammation can be achieved with NSAIDs, colchicine, or corticosteroids (systemic or intra-articular). The choice of which treatment is the right one for a particular patient should be made on the basis of the patient’s co-morbid medical conditions, other medications, and side effect profile.

Uric Acid Lowering Therapy

Indications

Patients who have multiple episodes of acute gout attacks per year or who have tophi on exam are candidates for uric acid lowering therapy. Use of uric acid lowering agents will reduce the frequency of gout attacks and over time, reduce tophi formation, and diminish the risk of joint destruction. The following are indications for uric acid lowering therapy:

tophi or chronic arthritis on exam
failure of colchicine prophylaxis of acute gouty arthritis
renal stones
Prior to chemotherapy as prophylaxis of tumor lysis syndrome
Extremely high levels of serum uric acid (>12 mg/dl)

Uric acid is the end product of purine (nucleic acid component of DNA) metabolism and is produced normally by the body during tissue remodeling and breakdown. About 20% of uric acid is derived from purines ingested in food. Causes of hyperuricemia can be divided into two major categories: decreased clearance of uric acid from the kidney and increased synthesis of uric acid.

Decreased renal clearance – (90% of patients)

Intrinsic kidney disease
heart disease causing decreased blood flow to the kidney
drugs (loop diuretics, low dose aspirin, cyclosporin)
genetic predisposition
age related decrease in glomerulofiltration rate

Increased uric acid synthesis

Dietary indiscretions
Genetic predisposition
Increased tissue turnover–tumors, lymphoproliferative disorders
Stress induced increased turnover of ATP
Alcohol induced turnover of ATP

All patients should be encouraged to modify their lifestyle including limiting alcohol intake, encouraging weight loss where appropriate and decreasing food rich in purines. Co-morbid medical conditions should also be controlled including hypertension, diabetes and hyperlipidemia.

Foods High in Purines

Very High – Hearts, herring , mussels, yeast , smelt, sardines, sweetbreads
Moderately High – Anchovies, grouse,mutton, veal, bacon, liver salmon, turkey, kidneys, partridge, trout, goose, haddock, pheasant, scallops

Source: https://www.hopkinsarthritis.org/arthritis-info/gout/gout-treatment/

Treatment of gout
In an acute attack of gout, drugs against pain and inflammation of the joints, so-called non-steroidal anti-inflammatory drugs, are used in relatively high, anti-inflammatory, doses. In addition, the doctor often prescribes the drug colchicine, which reduces the formation of uric acid crystals and reduces the inflammatory reaction to these crystals in the tissues. The drug allopurinol is then most often used in the long term. It lowers the level of uric acid, thereby helping to reduce the frequency of gout attacks, promotes the dissolution of already formed uric acid crystals and prevents their re-emergence. All gout medications are subject to a doctor's prescription.

You can also support the treatment yourself with a suitable diet and some dietary supplements. Vitamin C and other antioxidants are especially recommended. Pay special attention to the intake of vitamin D, omega-3 fatty acids and vitamin B12. It is possible that you suffer from their deficiency, especially if you follow a strict gout diet. To protect, nourish and regenerate joints, you can also use so-called chondroprotectives containing glucosamine and chondroitin. We can find them in over-the-counter medicines and in food supplements, in so-called joint nutrition. A suitable supplement is also collagen and again vitamin C, which contributes to the normal formation of collagen for normal cartilage function.

Can Intra Herbal Juice be used by diabetics?

28.5.202213.12.2023

Super Healthy Foods

The wrong diet, obesity, and tiredness are problems that affect all populations. The latest scientific findings have revealed a combination of 50 foods to extend and improve your life!

Try the 50 foods that are super healthy

Apples, Avocados, Bananas, Blueberries, Oranges, Strawberries, Eggs, Lean Beef, Chicken Breasts, Lamb, Almonds, Chia Seeds, Coconuts, Macadamia Nuts, Walnuts, Peanuts, Asparagus, Bell Peppers, Broccoli, Carrots, Cauliflower, Cucumber, Garlic, Kale, Onions, Tomatoes, Salmon, Sardines, Shellfish, Shrimp, Trout, Tuna, Brown Rice, Oats, Quinoa, Ezekiel Bread, Homemade Low-Carb Breads, Green Beans, Kidney Beans, Lentils, Cheese, Whole milk, Yogurt, Butter From Grass-Fed Cows, Coconut Oil, Extra Virgin Olive Oil, Potatoes, Sweet Potatoes, Apple Cider Vinegar, Dark Chocolate.

We also recommend:

1/A dose of daylight. Wake the sun and light in the apartment. You can also buy a special lamp that radiates the extremely bright artificial light of the entire spectrum and compensates for the lack of natural sunshine.

2/Ensure sufficient movement. Find motivation to exercise not only during spring tiredness. But try regular swimming, exercise, walk, run, or do something that takes you out.

3/Apply a healthy diet high in vitamins, minerals, and proteins. Sweets deliver energy only for a short time and are therefore not recommended.

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There is a massive amount of foods out there that are both healthy and tasty. Here are 50 incredibly healthy foods. Most of them are surprisingly delicious. Fruits and berries are among the world’s most popular health foods. This is not surprising, given that they taste incredible. Fruits are also very easy to incorporate into the diet because they require little to no preparation.

1. Apples/Fresh Apple sauce

The apple is high in fiber, vitamin C, and numerous antioxidants. Apples are very fulfilling, and perfect as snacks if you find yourself hungry between meals.

2. Avocados/fresh avocado sauce

Avocados are different than most fruits because they are loaded with healthy fats instead of carbs. They are tasty, and high in fiber, potassium, and vitamin C.

3. Bananas/ fresh banana sauce

Bananas are among the world’s best sources of potassium. They are also high in vitamin B6 and fiber. Bananas are ridiculously convenient and portable.

4. Blueberries /fresh blueberries juice

Blueberries are not only delicious but also among the most powerful sources of antioxidants in the world.

5. Oranges/ fresh orange juice

Oranges are well known for their vitamin C content. They are also high in fiber, antioxidants, and taste incredible.

6. Strawberries/fresh strawberries juice

Strawberries are highly nutritious and are low in both carbs and calories. They are loaded with vitamin C, fiber and manganese, and are arguably among the most delicious foods in existence.

Other Healthy Fruits

There are many other healthy fruits and berries that aren’t listed here. Some examples: Cherries, grapes, grapefruit, kiwi, lemons, mango, melons, olives, peaches, pears, pineapples, plums, and raspberries.

7. Eggs

Eggs are among the most nutritious foods on the planet. They were previously demonized for being high in cholesterol, but new studies have shown that they are perfectly safe and healthy. It is a myth that meat is harmful. Unprocessed, gently cooked meat is one of the healthiest and most nutritious foods you can eat.

8. Lean Beef

Lean beef is among the best sources of protein in existence and loaded with highly bioavailable iron. Choosing the fatty cuts is fine if you’re on a low carb diet.

9. Chicken Breasts

Chicken breast is low in fat and calories, but extremely high in protein. It is a great source of many nutrients. Again, feel free to eat fattier cuts of chicken if you’re not eating that many carbs.

10. Lamb

Lambs are usually grass-fed, and their meat tends to be high in Omega-3 fatty acids. Despite being high in fat and calories, studies suggest that nuts and seeds can help you lose weight. These foods are crunchy, fulfilling, and loaded with important nutrients that many people don’t get enough of, including magnesium and vitamin E. They also require zero preparation, which is important because it makes it easier to incorporate them into the diet.

11. Almonds

The almond is a popular type of nut. It is loaded with vitamin E, antioxidants, magnesium, and fiber. Studies show that almonds can help you lose weight, and provide impressive benefits for metabolic health.

12. Chia Seeds

Chia seeds are among the most nutrient-dense foods on the planet. A single ounce (28 grams) contains 11 grams of fiber, and a large part of the recommended intake for magnesium, manganese, calcium and various other nutrients.

13. Coconuts

Coconuts are loaded with fiber and powerful fatty acids called medium-chain triglycerides.

14. Macadamia Nuts

Macadamia nuts are very tasty. They are much higher in monounsaturated fats, and lower in Omega-6 fatty acids, than most other nuts.

15. Walnuts

Walnuts are highly nutritious and loaded with fiber and all sorts of vitamins and minerals.

16. Peanuts

Peanuts (technically legumes, not nuts) are incredibly tasty and high in nutrients and antioxidants. Several studies show that peanuts can help you lose weight.

However, take it easy on the peanut butter. It is very high in calories and incredibly easy to eat excessive amounts of it. Calorie for calorie, vegetables are among the world’s most concentrated sources of nutrients. There is a wide variety available, and it is best to eat many different types of vegetables every day.

17. Asparagus

Asparagus is a popular vegetable. It is low in both carbs and calories but loaded with vitamin K.

18. Bell Peppers

Bell peppers come in several colors, including red, yellow, and green. They are crunchy and taste very sweet, and are a great source of antioxidants and vitamin C.

19. Broccoli

Broccoli is a cruciferous vegetable that tastes great both raw and cooked. It is an excellent source of fiber, vitamin K and vitamin C, and contains a decent amount of protein compared to other vegetables.

20. Carrots

The carrot is a popular root vegetable. It is extremely tasty and crunchy and loaded with nutrients like fiber and vitamin K. Carrots are also very high in carotene antioxidants, which have numerous benefits.

21. Cauliflower

Cauliflower is a very versatile cruciferous vegetable. It can be used to make all sorts of healthy recipes, and also tastes pretty good on its own.

22. Cucumber

The cucumber is one of the world’s most popular vegetables. It is very low in both carbs and calories and consists mostly of water. However, it does contain a number of nutrients in small amounts, including vitamin K.

23. Garlic

Garlic is incredibly healthy. It contains allicin, a bioactive compound with powerful biological effects, including improved immune function. Garlic plays an important role in treating your high blood pressure.

24. Kale

Kale has been very popular in recent years, for good reason. It is incredibly high in vitamin K, vitamin C, fiber, and a number of other nutrients. It is perfect to add a satisfying crunch to salads and recipes.

25. Onions

Onions have a very strong flavor and are very popular for use in recipes. They contain a number of bioactive compounds believed to have health benefits.

26. Tomatoes

Tomatoes are usually categorized as a vegetable, although they are technically a fruit. They are tasty and loaded with nutrients like potassium and vitamin C.

More Healthy Vegetables

These weren’t listed, but are also very healthy: Artichokes, Brussels sprouts, cabbage, celery, eggplant, leeks, lettuce, mushrooms, radishes, squash, swiss chard, turnips, zucchini. Fish and other seafood tend to be very healthy and nutritious. They are especially rich in omega-3 fatty acids and iodine, two nutrients that most people don’t get enough of.

Studies show that people who eat the most foods from the sea (especially fish) tend to live longer and have a lower risk of many diseases, including heart disease, dementia, and depression.

27. Salmon

Salmon is a type of oily fish that is incredibly popular due to its excellent taste and high amount of nutrients, including protein and Omega-3 fatty acids. It also contains some vitamin D.

28. Sardines

Sardines are small, oily fish that are among the most nutritious foods you can eat. They contain hefty amounts of the majority of nutrients required by the human body.

29. Shellfish

Shellfish isn’t eaten very often, which is a shame because it contains more nutrients than almost every other food. It ranks similar to organ meats when it comes to nutrient density. Edible shellfish include clams, mollusks, and oysters.

30. Shrimp

Shrimp is a type of animal found in the sea. It tends to be low in fat and calories, but high in protein. It is also loaded with various other nutrients, including selenium and vitamin B12.

31. Trout

Trout is another type of delicious oily fish, similar to salmon.

32. Tuna

Tuna is very popular in Western countries and tends to be low in fat and calories, but high in protein. It is perfect for people who need to add more protein to their diets while keeping calories low. Grains have gotten a bad rap in recent years, mainly due to them being a forbidden food on the wildly popular paleo diet. However, it is a mistake to lump all grains together. There are many different types of grains, and some of them are very healthy.

Just keep in mind that they are still pretty high in carbs, so they are not recommended on a low carb diet.

33. Brown Rice

Rice is one of the oldest cereal grains and is currently a staple food for more than half of the people in the world. Brown (whole grain) rice is fairly nutritious, with a decent amount of fiber, vitamin B1 and magnesium.

34. Oats

Oats are incredibly healthy. They are loaded with nutrients, and also contain powerful fibers called beta-glucans, shown to have numerous benefits.

35. Quinoa

Quinoa has become incredibly popular among health-conscious individuals in recent years. It is a tasty grain that is high in nutrients like fiber and magnesium. It is also an excellent source of plant-based protein.
Most people eat a lot of bread.

For those who are trying to adopt a healthier diet for the first time, it can be extremely challenging to find something to eat instead of bread. Fortunately, there are several healthy (or at least “less bad”) options available.

36. Ezekiel Bread

Ezekiel bread may be the healthiest bread you can buy at the store. It is made from organic, sprouted whole grains, and also contains several types of legumes.

37. Homemade low-carb pieces of bread

The safest choice for healthy bread is something that you make yourself. Choose healthy bread that is gluten-free and low in carbs. Legumes are another food group that has been unfairly demonized in recent years.

It is true that legumes contain anti-nutrients, substances that can interfere with digestion and absorption of nutrients. However, these anti-nutrients can be eliminated by soaking and properly preparing the legumes before eating them. What we’re left with is an incredibly cheap source of quality nutrition, including a great plant-based source of protein.

38. Green beans

Green beans, also called string beans, are unripe varieties of the common bean. They are very popular in Western countries.

39. Kidney beans

Kidney beans are loaded with various vitamins and minerals and are very high in fiber. Just make sure to cook them properly, because they are toxic when raw.

40. Lentils

Lentils are another popular legume. They are high in fiber and are among the best sources of plant-based protein. Lentils also taste delicious and have a very satisfying texture.

Many people can’t tolerate dairy products. However, for people who do tolerate them, they are a healthy source of various important nutrients. Full-fat dairy products seem to be the best, and studies show that people who eat the most full-fat dairy have a lower risk of obesity and type 2 diabetes. If the dairy comes from grass-fed cows, then that maybe even better, as it is higher in some bioactive fatty acids like CLA.

41. Cheese

Cheese is incredibly nutritious, and a single slice of it contains about the same nutrients as an entire cup of milk. It is also one of the most delicious foods you can eat.

42. Whole milk

Whole milk is very high in vitamins, minerals, quality animal protein, and healthy fats. It is one of the best sources of calcium.

43. Yogurt

Yogurt is made from milk that is fermented by adding live bacteria to it. It has many of the same health effects as milk, except with the added benefits of the friendly probiotic bacteria. The “war” on fat is lost, and many fats and oils have been making a comeback as health foods.

44. Butter from grass-fed cows

Butter from cows that were fed on grass is high in many important nutrients, including the very important vitamin K2.

45. Coconut Oil

Coconut oil is loaded with powerful fatty acids called medium-chain triglycerides. Coconut oil may have benefits for Alzheimer’s disease and has been shown to help you lose belly fat.

46. Extra virgin olive oil

Extra virgin olive oil is the healthiest fat on earth. It contains heart-healthy monounsaturated fats and is very high in antioxidants with powerful health benefits. Tubers are the storage organs of some plants. They tend to contain a number of beneficial nutrients.

47. Potatoes

Potatoes are very popular food around the world. They are loaded with potassium and contain a little bit of almost every nutrient we need, including vitamin C.

They are also incredibly fulfilling. One study found that boiled potatoes were by far the most filling of 38 foods that were tested.

48. Sweet potatoes

Sweet potatoes are among the most delicious starchy foods you can eat. They are loaded with antioxidants and all sorts of healthy nutrients.

49. Apple Cider Vinegar

Apple cider vinegar is incredibly popular in the natural health community. Studies show that it can help lower blood sugar levels and cause modest weight loss.

It is great to use in salad dressings and to add flavor to meals.

50. Dark Chocolate

Not only is dark chocolate the most delicious food on this list, but it may also be the healthiest. Dark chocolate is loaded with fiber and magnesium and is one of the most powerful sources of antioxidants in existence.

SOURCE and PICTURES: https://www.healthline.com, pxhere.com, flickr.com, pikrepo.com

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18.1.202013.12.2023

Ten foods for eye health

Warning signs for eye health

Early treatment for eye health problems can prevent them from getting worse. So people who notice changes in their vision should schedule a comprehensive eye exam with an optometrist or ophthalmologist.

Possible symptoms that a person may be experiencing vision trouble include:

frequent changes in visual clarity
seeing distorted images
seeing floaters or flashes in the field of vision
reduced peripheral vision

Eating a varied diet that includes lots of fruits, vegetables, and lean proteins is enough to ensure most people get the right nutrients for eye health. People who cannot get these nutrients from their diet should ask an eye doctor about eye health supplements. People with vision problems or those with very restrictive diets should talk to an eye health provider about the right foods to eat.

Organizations such as the American Optometric Association (AOA) and the American Academy of Ophthalmology (AAO) continue to recommend nutrients for eye health based on the AREDS reports.

The AREDS reports support the following nutrient-rich foods: Fish, Nuts and legumes, Seeds, Citrus fruits, leafy green vegetables, Carrots, Sweet Potatoes, Beef, Zinc, and Eggs. Water is very important to our bodies too.

1. Fish

Many fish are rich sources of omega-3 fatty acids. Oily fish are fish that have oil in their gut and body tissue, so eating them offers higher levels of omega-3-rich fish oil. The fish that contains the most beneficial levels of omega-3s include:

tuna
salmon
trout
mackerel
sardines
anchovies
herring

Some studies have found that fish oil can reverse dry eye, including dry eye caused by spending too much time on a computer.

2. Nuts and legumes

Nuts are also rich in omega-3 fatty acids. Nuts also contain a high level of vitamin E, which can protect the eye from age-related damage. Nuts are available for purchase in most grocery stores and online. Nuts and legumes that are good for eye health include:

3. Seeds

Like nuts and legumes, seeds are high in omega-3s and are a rich source of vitamin E. Seeds are available for purchase in most grocery stores and online. Seeds high in omega-3 include:

4. Citrus fruits

Citrus fruits are rich in vitamin C. Just like vitamin E, vitamin C is an antioxidant that is recommended by the AOA to fight age-related eye damage.

Vitamin C-rich citrus fruits include:

lemons
oranges
grapefruits

5. Leafy green vegetables

Leafy green vegetables are rich in both lutein and zeaxanthin and are also a good source of eye-friendly vitamin C. Well-known leafy greens include:

spinach
kale
collards

6. Carrots

Carrots are rich in both Vitamin A and beta carotene. Beta carotene gives carrots their orange color. Vitamin A plays an essential role in vision. It is a component of a protein called rhodopsin, which helps the retina to absorb light.

Research on beta carotene’s role in vision is mixed, though the body needs this nutrient to make vitamin A.

7. Sweet potatoes

Like carrots, sweet potatoes are rich in beta carotene. They are also a good source of the antioxidant vitamin E.

8. Zinc

Beef is rich in zinc, which has been linked to better long-term eye health. Zinc can help delay age-related sight loss and macular degeneration. The eye itself contains high levels of zinc, particularly in the retina, and the vascular tissue surrounding the retina. Meats such as chicken breast and pork loin also contain zinc, but at lower levels than beef.

9. Eggs

Eggs are an excellent source of lutein and zeaxanthin, which can reduce the risk of age-related sight loss. Eggs are also good sources of vitamins C and E, and zinc.

10. Water

It may come as no surprise that a fluid essential to life is also vital to eye health. Drinking plenty of water can prevent dehydration, which may reduce the symptoms of dry eyes.

Recommended daily intake

The current daily recommendations for healthy eye nutrients, as suggested by the AAO to slow the progression of eye disease, are:

500 milligrams (mg) of vitamin C
400 international units of vitamin E
10 mg lutein
2 mg zeaxanthin
80 mg of zinc oxide
2 mg of copper oxide

Other eye health tips

According to the AAO, the following strategies can help to ensure healthy eyes:

wearing sunglasses outside, since excessive sun exposure can cause cataracts. A range of sunglasses is available for purchase online.
stopping smoking
getting regular eye exams, particularly if there is a family history of eye disease
wearing eye protection when working with possible eye irritants or dangerous chemicals
washing hands before applying contacts
wearing contacts only for the period recommended by the doctor or manufacturer
protecting eyes from computer-related eye strain by looking away every 20 minutes at something 20 feet away, for 20 seconds

Diabetes is a leading cause of blindness. People with diabetes should carefully monitor blood sugar levels, take medications exactly as prescribed by their doctor, and manage carbohydrate intake while focusing on eating low-moderate glycemic index (GI) foods.

Summary

Eating a varied diet that includes lots of fruits, vegetables, and lean proteins is enough to ensure most people get the right nutrients for eye health.

People who cannot get these nutrients from their diet should ask an eye doctor about eye health supplements.

People with vision problems or those with very restrictive diets should talk to an eye health provider about the right foods to eat.

Source: Medicalnewstoday.com https://www.medicalnewstoday.com/articles/321226.php#takeaway, google.com, pixbay.com, pexels.com, publicdomainpictures.net