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How to lower blood pressure – 5 ways to control blood pressure without medication

High blood pressure is experienced by around one-third of Britons, although not many will know about it according to the NHS. The only way to find out if your blood pressure is too high is to have your blood pressure checked out. If you are someone who is particularly susceptible to high levels of blood pressure, then you need to get your blood pressure measured more often to ensure you stay on top of it and keep it within the realms of medical safety.

You’re likely to be more at risk of developing high blood pressure if you:

  • Are overweight
  • Eat too much salt, not enough fruit and veg
  • Do not do enough exercise
  • Drink too much alcohol, coffee or other caffeine-based drinks
  • Smoke cigarettes
  • Don’t get much sleep, or have disturbed sleep
  • Are aged over 65
  • Have a relative with hypertension or high blood pressure
  • Live in a deprived area.

READ MORE: Healthy blood pressure range: 8 signs your blood pressure is too high

Reduce your salt intake

Even a small drop in the amount of salt you eat can improve your heart health and reduce blood pressure by about six mm Hg if you have hypertension.

The effect of salt intake on blood pressure varies among population groups, but in general, you should be limiting ingestion to 2,300 milligrams (mg) a day or less.

However, a lower salt intake of 1,500mg or less is ideal and recommended for most adults.

To reduce salt, consider:

  • Reading food labels and steering clear of “red” labelled salty foods
  • Eating less processed foods, as this is when most of the salt is added into foods
  • Don’t add extra salt, try using herbs and spices to flavour your food instead
  • Cut back gradually if it’s a big part of your diet and cutting down feels like hard work

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Reduce your stress levels

Chronic stress may contribute greatly to hypertension, but more research is needed to determine the exact effects of chronic stress on blood pressure.

Occasional stress can contribute to the condition if you react to anxiety-inducing situations by eating unhealthy foods, drinking alcohol or smoking cigarettes.

Take some time to think about what’s causing your stress – whether it be work, family, finances or personal illness.

Once you’ve put your finger on what’s causing the anguish, consider how you can eliminate or reduce its effects from your life.

If you can’t eliminate all your stressors, at least try to cope with them in a healthier way, by:

  • Changing your expectations – for example, avoid trying to do too much and learn to say no
  • Focus on issues you can control and try and solve them – such as if you’re having conflict at work, take steps to fix it
  • Avoid stress triggers – for example, if rush-hour traffic is causing you stress, try leaving earlier, and avoid people who cause you stress if possible
  • Make time for yourself – such as making time to sit in a quiet spot and breathe deeply every day, and allow hobbies and activities into your schedule
  • Practice gratitude – expressing gratitude to others can help reduce your levels of stress

Regular exercise

If you haven’t already, one of the best things you’ll ever do for yourself and your body is to incorporate regular exercise into your life.

Regular physical activity, such as 150 minutes of walking a week, or about 30 minutes for most days of the week, can lower your blood pressure by about five to eight mm Hg.

However, consistency is key here as if you stop exercising then your blood pressure will just rocket back up.

If you have elevated blood pressure, exercise can help you avoid developing hypertension, while if you already have it, regular physical activity can bring it down to normal and safer levels.

Some examples of cardio exercises to try include:

  • Walking
  • Jogging
  • Cycling
  • Swimming
  • Dancing
  • High-Intensity Interval Training
  • Strength training (at east two days a week)

If you are not sure how to get started, contact your GP about developing an exercise regime right for you and your life.

Author: Myriam Toua
This post originally appeared on Daily Express :: Health
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Diabetes diet: The £1 fruit to lower your risk of high blood sugar symptoms – Dr Sara

Diabetes is a serious medical condition that causes blood sugar levels to become too high. If you already have diabetes, you could benefit from adding more berries to your diet, according to This Morning‘s Dr Sara.

Diabetes is a common medical condition that’s been diagnosed in about five million people across the UK.

Type 2 diabetes is by far the most common, and it’s caused by the body not producing enough of the hormone insulin, or the body not reacting to insulin.

Without enough insulin, the body struggles to convert sugar in the blood into useable energy.

Diabetes patients might have to make some diet or lifestyle changes to maintain normal blood sugar levels.

READ MORE: Diabetes type 2 symptoms: Three signs of blood sugar damage in feet

Dr Sara told Express Health: “Think about the types of fruit you’re eating and the volumes of fruit, because purely just knocking back the fruit without the vegetables aspect of things could certainly increase your sugar levels.

“I would usually recommend berries as a good fruit when it comes to blood sugar levels, because they don’t contain huge amounts of sugar.

“You can have a nice handful of them – so like a little fistful – and that would be an appropriate amount to have without worrying too much about your sugar intake.”

Patients should also consider eating more wholegrains, she added.

Wholegrains contain carbohydrates that take longer to break down.

That subsequently means it takes longer for the carbs to turn into sugars, which is ideal for diabetics.

Processed foods, meanwhile, have sugars already broken down.

When these enter the body, it means the sugar goes straight into the blood, causing rapid blood sugar spikes.

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This post originally appeared on Daily Express :: Life and Style Feed
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Bariatric Surgery Tied to 22% Lower 5-Year Stroke Risk

Patients with obesity who underwent bariatric surgery had 46% lower odds of stroke 1 year later, similar odds of stroke 3 years later, and 22% lower odds of stroke 5 years later, compared with matched control patients, in new research.

Michael D. Williams, MD, presented the study findings (abstract A002) at the annual meeting of the American Society for Metabolic & Bariatric Surgery.

The findings are “very good news,” even though the protection against stroke declined further out from the surgery, John D. Scott, MD, scientific program chair of the ASMBS meeting, told this news organization.

The investigators matched more than 56,000 patients with obesity who had bariatric surgery with an equal number of similar patients who did not have this surgery, from a large national insurance database, in what they believe is the largest study of this to date.

“Any intervention that decreases your risk of [cardiovascular] events is good news,” said Scott, a clinical professor of surgery at the University of South Carolina, Greenville, and metabolic and bariatric surgery director at Prisma Health in Greenville, S.C. “And having a 22%-45% chance of reduction in stroke risk is a very worthwhile intervention.”

Asked how this would change the way clinicians inform patients of what to expect from bariatric surgery, he said: “I would advise patients that studies like this show that surgery would not increase your risk of having a stroke.

“This is consistent with many studies that show that the risks of all macrovascular events decrease after the comorbidity reductions seen after surgery.”

According to Scott, “the next steps might include a prospective randomized trial of medical treatment versus surgery alone for [cardiovascular]/stroke outcomes, but this is unlikely.”

Similarly, Williams told this news organization that “I would tell [patients] that surgery is an effective and durable method for weight loss. It also can improve comorbid conditions, particularly diabetes and hypertension.”

Even with this study, “I’m not sure it’s appropriate to say that bariatric surgery will reduce the risk of stroke,” he cautioned.

“However, as we continue to investigate the effects of bariatric surgery, this study contributes to the greater body of knowledge that suggests that reduction in ischemic stroke risk is yet another benefit of bariatric surgery.”

The assigned discussant, Corrigan L. McBride, MD, MBA wanted to know if the lower odds ratio at 1 year might be because preoperative patient selection might eliminate patients at high risk of poor cardiovascular outcomes.

Williams, a resident at Rush Medical College, Chicago, replied that it is difficult to eliminate potential selection bias, despite best efforts, but this study shows that he can tell patients: “Having surgery is not going to increases your risk of stroke.”

“This is an important study,” McBride, professor and chief of minimally invasive surgery and bariatric surgery, University of Nebraska Medical Center, Omaha, told this news organization.

“It is the first large study to show a decreased [or no increased] risk of stroke 1, 3, and 5 years after bariatric surgery compared to matched patients, and it had enough data to look at stroke as a standalone endpoint,” McBride said. “It is important too, for patients and their physicians to understand that there is a lower chance of them having a stroke if they have surgery than if they do not.”

“Important,” “Good News” for Stroke Risk After Bariatric Surgery

The impact of bariatric surgery on remission of type 2 diabetes is well known, Williams noted, and other studies have reported how bariatric surgery affects the risk of major adverse cardiovascular events — a composite of stroke, myocardial infarction, coronary artery disease, and all-cause death — including a study presented in the same meeting session.

However, a very large sample size is needed to be able to demonstrate the effect of bariatric surgery on stroke, since stroke is a rare event.

The researchers analyzed data from the Mariner (PearlDiver) all-payer insurance national claims database of patients in the United States.

They matched 56,514 patients with a body mass index over 35 kg/m2 and comorbidities or a BMI of more than 40 who underwent sleeve gastrectomy or Roux-en-Y gastric bypass during 2010-2019 with 56,514 control patients who did not undergo bariatric surgery.

A year after bariatric surgery, patients in that group had a lower stroke rate than patients in the control group (0.6% vs. 1.2%), and they had close to 50% lower odds of having a stroke (odds ratio, 0.54; 95% CI, 0.47-0.61).

Three years after bariatric surgery, there were 44,948 patients in each group; the rate of stroke was 2.1% in the surgery group and 2.2% in the control group, and there was no significant difference in the odds of having a stroke (OR, 0.96; 95% CI, 0.91-1.00).

Five years after bariatric surgery, there were 27,619 patients in each group; the stroke rate was lower in the bariatric surgery group than in the control group (2.8% vs 3.6%), but reduced odds of stroke was not as great as after 1 year (OR, 0.78; 95% CI, 0.65-0.90).

Williams has no relevant financial disclosures. McBride and Scott disclosed that they are speakers/trainers/faculty advisers for Gore. Scott is also a consultant for C-SATS (part of Johnson & Johnson).

This article originally appeared on MDedge.com, part of the Medscape Professional Network.

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This post originally appeared on Medscape Medical News Headlines

High blood pressure: One of the ‘most effective’ ways to lower your BP right now

A healthy blood pressure range falls between 90/60mmHg and 120/80mmHg, but many people – around a third of Britons – exceed those guidelines. What can be done about it right now? Lowering your blood pressure will be in your best interest to minimise the risk of:

  • Heart attack
  • Stroke
  • Kidney disease
  • Eye disease
  • Cognitive decline.

“You don’t have to embark on a major life overhaul to make a difference in your blood pressure,” noted Harvard Health Medical School.

“If you have a medical condition, you should consult a GP before starting,” the NHS cautioned.

To get a glimpse into what the NHS 12-week weight loss plan involves, week one details simple dietary swaps you can make for breakfast, lunch and dinner.

For example, “swap white bread for wholemeal or wholegrain varieties” for when you’re having a slice of toast.

When it comes to lunch, it’s advisable to swap white rice and pasta for wholemeal versions to increase your fibre content.

The plan also tells you the best type of protein to eat to feel fuller for longer. These are:

  • Beans, peas and lentils
  • Fish
  • Lean cuts of meat
  • Skinless white-meat poultry
  • Lower-fat dairy products (milk, cheese, yoghurt)
  • Eggs
  • Tofu
  • Quorn.

“No matter how healthily you eat, you can still put on weight if you’re eating too much,” the NHS warned.

So this is where portion control really comes in handy, which is why it’s helpful to:

  • Eat with smaller plates and bowels
  • To eat slowly
  • Not to eat in front of the TV
  • Aim for two portions of vegetables on your plate.

The NHS plan also gives advice for when you’re eating out, such as:

  • Avoid appetisers including bread, nuts or olives
  • Stay clear of ‘supersize’ or ‘go large’ options
  • If you’re having dessert, share it and go for fruit-based options
  • Stop eating before you feel full.

Did you know it can take around 20 minutes for your stomach to tell your brain that you’re full?

This is why it can be so easy to mindlessly keep eating, not realising that you’re stuffing in calories for the sake of it.

If you’d like to begin your weight loss journey right now the best thing you can do is download the NHS Weight Loss Plan.

The next step requires commitment and persistence, which is down to you.

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Diabetes type 2: Best diet to help lower your blood sugars and reduce serious health risks

Type 2 diabetes means your body does not produce enough insulin to regulate blood sugar levels. Blood sugar – the main type of sugar found in blood – can inflict damage on the body if left to rise uncontrollably. The resulting damage doubles up as the first perceptible warning signs of type 2 diabetes for most people. What is the best diet to follow to help keep blood sugars healthy?

A low Glycaemic Index (GI) diet has been rated as one of the best diets to follow as it measures how carbohydrate-containing food raises blood sugar glucose.

The diet measures the rank of food according to their effect on the blood sugar levels.

The rates at which different foods raise blood sugar levels are ranked in comparison with the absorption of 50 grams of pure glucose, which is used as reference food and has a GI value of 100.

The diet was created in the early 1980s by a Canadian professor, Doctor David Jenkins.

In a study published in the US National Library of Medicine National Institutes of Health, low-glycaemic index diets for type 2 diabetes were analysed. 

The study searched PubMed, the Cochrane Library, EMBASE, and clinical trials registries for published and unpublished studies up until 1 March 2019 relating to GI diets and their ability on blood sugar levels.

The results showed low-GI diets were effective at reducing glycated haemoglobin (HbA1c), fasting glucose, BMI, total cholesterol, and LDL, but had no effect on fasting insulin, triglycerides, or insulin requirements.

The reduction in fasting glucose and HbA1c was inversely correlated with body weight.

The greatest reduction in fasting blood glucose was seen in the studies of the longest duration.

“Low-GI diets may be useful for glycaemic control and may reduce body weight in people with prediabetes or diabetes,” concluded the study.

In another study with the US National Library of Medicine National Institutes of Health, glycaemic index in the diet of European outpatients with diabetes was analysed. 

The study said: “The relation of the GI to serum cholesterol (total, LDL, and HDL), and fasting triacylglycerol was analysed in 2810 people with type 1 diabetes.”

It concluded that the study in European patients with type 1 diabetes showed that a lower dietary GI is related to lower Hb A(1c) concentrations, independently of fibre intake.

The consumption of bread and pasta had the biggest effect on the overall dietary GI of European outpatients.

Many people may have diabetes without even knowing it, because the signs and symptoms don’t necessarily make you feel unwell.

Common diabetes symptoms include having cuts or wounds that take longer to heal, having an unquenchable thirst, and passing more urine than normal.

You should speak to a doctor if you’re worried about the warning signs or symptoms of diabetes, or if you think you may be at risk.

Diagnosing the condition early is very important, because patients are more at risk of some deadly complications, including heart disease and strokes.

This is where one’s diet becomes crucial as it can either help or hinder the condition.

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Statins side effects: Digestive issues you should not ignore – you may need a lower dose

The NHS reaffirmed: “If you find certain side effects particularly troublesome, talk to the doctor in charge of your care. Your dose may need to be adjusted or you may need a different type of statin.”

Types of statins:

  • Atorvastatin (Lipitor)
  • Fluvastatin (Lescol)
  • Pravastatin (Lipostat)
  • Rosuvastatin (Crestor)
  • Simvastatin (Zocor)

Digestive issues can include constipation, diarrhoea, indigestion and/or farting.

Aside from a statin side effect, there are various reasons why you might be constipated.

This can range from not eating enough fibre (from fruit and vegetables) to not drinking enough fluids.

Other causes of constipation include:

  • Not moving/exercising enough
  • Spending long periods sitting or lying in bed
  • Ignoring the urge to go to the toilet
  • Dietary changes or change to your daily routine
  • Stress
  • Anxiety
  • Depression

How to treat constipation

To make your poo softer and easier to pass, you need to:

  • Drink plenty of fluids and avoid alcohol
  • Increase the fibre in your diet
  • Add some wheat bran, oats, or linseed to your diet

Once you implement these guidelines, it can take a few weeks for symptoms of constipation to improve.

It’ll also help to rest your feet on a low stool while going to the toilet, added the NHS, especially if the knees raise above the hips (as though you’re squatting).

And you’ll need to incorporate more movement into your daily life, such as going for a walk.

If you use laxatives (medication that encourages bowel movements), they should only be used for a short period of time.

If you’ve been regularly constipation, and it lasts a long time, you’re advised by the NHS to speak to your doctor about it.

Diarrhoea

After a long bout of constipation, diarrhoea can occur, which can be a sign of “faecal impaction”.

This is when poo has built up in the last part of the large intestine (i.e. the rectum).

When you’re suffering from diarrhoea, it’s important to remain well hydrated.

Sipping on water is the best option, as fruit juice or fizzy drinks can make diarrhoea worse.

Do I have indigestion?

Known as dyspepsia, you may have the following symptoms after eating or drinking:

  • Heartburn – a painful burning feeling in the chest, often after eating
  • Feeling full and bloated
  • Feeling sick
  • Belching and farting
  • Bringing up food or bitter-tasting fluids into your mouth

To help ease indigestion, cut down on caffeine and alcohol, and prop your head and shoulders up in bed.

It’ll also help to avoid rich, spicy or fatty foods, not to smoke, and to not take aspirin as this can make indigestion worse.

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High blood pressure: Noni juice shown to 'significantly' lower BP – what is it?

High blood pressure, medically known as hypertension, means your blood pressure is consistently too high and means that your heart has to work harder to pump blood around your body. This extra exertion can lead to heart and circulatory diseases like heart attack or stroke. Fortunately, you can reverse a high blood pressure reading by drinking noni juice, research suggests.

In contrast, the consumption of chokeberry juice slightly decreased only diastolic blood pressure by 3.6 percent.

Conversely, consumption of three portions of energy drinks caused a significant increase in diastolic blood pressure by 14.7 percent.

What’s more, blood sugar levels of participants consuming noni juice decreased by 7.3 percent, while the consumption of energy drinks caused an increase of 15.8 percent.

Consistently high blood sugar levels are a dangerous feature of type 2 diabetes.

“The results of the study showed that noni juice may be effective in lowering blood pressure and blood sugar levels,” the researchers concluded.

General dietary tips to lower high blood pressure

One of the most effective countermeasures against high blood pressure is cutting down on salt.

Salt raises your blood pressure – the more salt you eat, the higher your blood pressure.

According to the NHS, you should aim to eat less than six grams (0.2oz) of salt a day, which is about a teaspoonful.

“Eating a low-fat diet that includes lots of fibre, such as wholegrain rice, bread and pasta, and plenty of fruit and vegetables also helps lower blood pressure,” explains the health body.

You should also aim to eat five portions of fruit and vegetables every day, it adds.

In addition to eating well, you should also engage in regular physical activity.

The Mayo Clinic explains: “Regular physical activity makes your heart stronger. A stronger heart can pump more blood with less effort.”

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Lower Steroid Dose Proves Effective for New-Onset ANCA Vasculitis

A reduced dose of prednisolone plus rituximab was as effective as a conventionally high dose in treating patients with newly diagnosed antineutrophil cytoplasmic antibody (ANCA)–associated vasculitis, according to a new Japanese study, along with significantly fewer adverse events as well.

“To our knowledge, this is the first trial in ANCA-associated vasculitis showing that a lower glucocorticoid dose may reduce serious adverse events,” wrote Shunsuke Furuta, MD, PhD, of the department of allergy and clinical immunology at Chiba (Japan) University Hospital, and colleagues. The study was published June 1, 2021, in JAMA.

To determine the most effective and safe dose of glucocorticoids for treating this specific subset of patients with vasculitis, the researchers launched an open-label noninferiority clinical trial at 21 hospitals in Japan. A group of 140 patients with new-onset ANCA-associated vasculitis (AAV) without severe glomerulonephritis or alveolar hemorrhage were enrolled and split evenly into two treatment subgroups: reduced-dose prednisolone (0.5 mg/kg per day) plus four doses of rituximab (375 mg/m2 per week) or high-dose prednisolone (1 mg/kg per day) plus rituximab. The median age for all enrolled patients was 73, and approximately 58% were women.

Of the 140 original patients, 134 (95.7%) completed the trial. After 6 months, 49 participants in the reduced-dose group (71%) and 45 in the high-dose group (69.2%) achieved remission, as assessed via the Birmingham Vasculitis Activity Score. The difference between the two groups – 1.8 percentage points (one-sided 97.5% confidence interval, –13.7 to infinity) – met the prespecified margin of –20 percentage points for noninferiority (P = .003 for noninferiority). Relapse within 6 months occurred in three participants in the reduced-dose group and zero in the high-dose group, frequencies that the researchers identified as not statistically different (difference, 4.3%; 95% CI, –0.5% to 9.3%; P = .24).

Serious adverse events occurred less frequently in the reduced-dose group (21 events in 13 patients, 18.8%), compared with the high-dose group (41 events in 24 patients, 36.9%), as did serious infections in the reduced-dose group (7 events in 5 patients, 7.2%) versus the high-dose group (20 events in 13 patients, 20%). Two patients died in the reduced-dose group and three died in the high-dose group; those frequencies were noted as not statistically different (difference, –1.7%; 95% CI, –4.7% to 8.2%; P = .67). Causes of death included subarachnoid hemorrhage in a 58-year-old in the reduced-dose group, along with a case of sepsis in an 80-year-old and two gastrointestinal bleedings in a 75-year-old and an 85-year-old in the high-dose group.

End-stage kidney disease (ESKD) occurred in one patient in the high-dose group and none in the reduced-dose group. Cumulative survival rates at 6 months were not significantly different between the reduced-dose (97.1%) and the high-dose (95.3%) groups (95% CI, –4.7% to 8.2%; P = .58).

Less Glucocorticoids Makes Sense for Subset of Patients With Milder Vasculitis

“We always worry about how much steroids we’re giving our patients,” said Anisha B. Dua, MD, an associate professor of rheumatology at Northwestern University, Chicago. “And it’s not a shock to find out that we can use less. That’s been the theme of many studies across vasculitities that have been coming out: ‘Maybe we are using too much steroids.’ It’s really important to have actual data supporting that, though, so clinicians can feel more confident and figure out what population it applies to.”

She added that, because the study focused on patients with milder disease, it’s no surprise that remission was achieved with a lesser dose.

“I see a lot of vasculitis patients, and this gives me more confidence in a subset of them – new ANCA vasculitis, MPO positive, not very severe disease – to get away with using less steroids up front,” she said.

To apply these findings more broadly across vasculitis patients, Dr. Dua stressed the need for a follow-up study, preferably a randomized, controlled trial, with an expanded population and a longer duration.

“There were 3 relapses in the low-dose group and zero in the high-dose group in the first 6 months,” she said. “I’d be interested to know when those happened and also, over time, whether the low-dose regiment up front impacts the rate of relapse in the long term.”

The authors acknowledged the study’s limitations, including the necessity of an open-label trial because of the inevitable visible effects of high-dose glucocorticoid on patients. They also addressed the potential subjectivity of the Birmingham Vasculitis Activity Score, though they added that “other endpoints, including death, ESKD, and serious adverse events, were objective.” Finally, they acknowledged that their study was nationwide but not international, with disease phenotypes that were typical of Japanese patients with AAV. That said, “previous studies have shown that treatment responses are similar between Japan and other countries,” they wrote.

The study was funded by an intramural competitive grant from Chiba University Hospital. The authors reported numerous potential conflicts of interest, including receiving grant support, lecture fees, and personal fees from various pharmaceutical companies.

This article originally appeared on MDedge.com, part of the Medscape Professional Network.

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This post originally appeared on Medscape Medical News Headlines

Bitcoin boost as expert warns 'the lower the drop, the higher the bounce'

Bitcoin has seen its value sink again after Bank of Japan Governor Haruhiko Kuroda joined a growing list of central bankers expressing scepticism about the industry’s usefulness in the real world. The cryptocurrency slumped by seven percent to near $ 35,500 (£25,000), down to levels seen in the crypto meltdown last week. Ethereum has also crashed by 7.5 percent from £1946 to £1812 over the same time period.
Dogecoin has plunged even further, this time by around eight percent from £0.24 to £0.22.

Tesla CEO Elon Musk sparked a recent crypto crisis after his company stopped accepting Bitcoin as a mode of payment.

He tried to throw his weight behind crypto once more, but this has done little to undo the damage.

He said: “The true battle is between fiat [money] and crypto. On balance, I support the latter.”

The future of crypto is the subject of big debate, with the recent turmoil turning many off investing.

Fawad Razaqzada, market analyst at ThinkMarkets, said last week that a big drop is often followed by a surge.

He said: “The bigger the drop, the higher the bounce.”

However, he added that crypto’s up and down nature will remain, meaning Bitcoin will continue to be an unpredictable asset.

Mr Razaqzada said: “But it remains to be seen whether the recovery will hold.

“Cryptos will likely stay volatile for a while as speculators weigh the impact of China’s ban and Tesla’s U-turn against the recent growth in institutional interest.”

Another big name to cast doubt on crypto recently is JPMorgan, who warned in a report last week that institutional investors are dumping Bitcoin in favour of gold.

The American investment bank added: “The Bitcoin flow picture continues to deteriorate and is pointing to continued retrenchment by institutional investors.

“Over the past month, Bitcoin futures markets experienced their steepest and more sustained liquidation since the Bitcoin ascent started last October.”

David Sacco, an expert in cryptocurrencies from the University of New Haven, told Express.co.uk earlier this year that Bitcoin will one day reach the $ 1million (£722,000) mark.

READ MORE: ‘Problem’s brewing’ for Bitcoin as its future plunged into doubt

But other experts, including Giles Coghlan, believe cryptocurrencies won’t go mainstream.

He told Express.co.uk: “I think the advantage of transferring Bitcoin has gone now we can exchange current currencies so easily with small fees.

“When you see an asset and think, ‘Wow this can only go one way’ – that is a recipe for either making a fortune or losing a fortune.

“What I’d say is yes, you can invest in cryptocurrencies. I would advise all clients against using heavy leverage and manage their risks.

“Know exactly how much of your capital is at stake at any one time and have a clear exit plan.

“In my line of work you see people do disastrous things if you don’t understand how leverage works, which is the use of borrowed money to take on greater risk.”

Express.co.uk does not give financial advice. The journalists who worked on this article do not own Bitcoin.

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This post originally appeared on Daily Express :: Finance Feed

Stroke: One 'simple' way to lower your risk first thing in the morning

Symptoms of AF include palpitations, chest pain, tiredness, shortness of breath, and dizziness. The fluttering feeling of the condition can last for a few moments to a few hours. Why does this occur? The British Heart Foundation (BHF) stated that “damage to the heart is the most common cause”. This can be the result of high blood pressure, coronary heart disease, diabetes or a handful of other conditions, such as:

  • Heart valve disease
  • Congenital heart disease
  • Pericarditis
  • Cardiomyopathy
  • Heart surgery
  • Sick sinus syndrome
It can also be brought on by “physical and mental stress”, and is associated with:

  • Asthma
  • Lung cancer
  • Pulmonary embolism

The American Heart Associated said that you may avoid AF and, consequently the risk of a stroke, by “foregoing your morning cup of coffee”.

AF increases the risk of a blood clot forming inside of the heart muscle, which can be life-threatening.

For example, if the blood clot travels to the brain it can lead to a stroke.

READ MORE: Diabetes type 2: Out of control blood sugars could cause the Somogyi effect

There can be triggers for AF, which may be unique to the person with the condition.

For instance, some people might experience heart fluttering if they drink coffee.

Thus, if drinking coffee triggers a bout of heart fluttering for you, it’s best to avoid the beverage completely.

Other common triggers can include stress, alcohol, certain exercises, and some foods.

A stroke can cause significant damage to the brain, and recovery can take years.

If the person is lucky enough to survive, they might have a heightened risk of vascular dementia.

Furthermore, there can be lasting debilitating after effects of the brain attack.

For instance, it can affect a person’s speech, mobility and grip, and it may cause bladder issues.

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