How to reduce risk of developing arthritis

From the-star.co.ke

• According to the Centres for Disease Control and Prevention, specific symptoms vary depending on the type of arthritis but usually include joint pain and stiffness.
• The experts have warned that obesity is a predisposing factor for developing the condition, adding that those people whose Body Mass Index is above 25 are at risk of suffering from the disease.

 Arthritis is an inflammation or swelling of one or more joints.

Health experts say arthritis is not one disease alone, but rather an umbrella term for more than 100 conditions that affect body joints.

According to the Centres for Disease Control and Prevention, specific symptoms vary depending on the type of arthritis but usually include joint pain and stiffness.

The experts have warned that obesity is a predisposing factor for developing the condition, adding that those people whose Body Mass Index is above 25 are at risk of suffering from the disease.

“Extra weight puts more stress on joints, particularly weight-bearing joints like the hips and knees,” CDD says.

Wycliffe Tatayo, a physiotherapist at the Kenyatta National Hospital orthopaedics unit says if the BMI is more than 25 then you are prone to getting the disease because of what he termed as axial loading.

“You are loading your knee, your hip and they are the common areas affected by osteoarthritis so that wear and tear is most likely to occur,” he says.

Tatayo says as people age the wear and tear of the cartilage is expected even though in some instances it happens a bit earlier.

People above 45 years are more prone to the condition but experts also link the condition to genetics/family history and anatomical factors where someone was born with a deformity.

CDC recommends that making lifestyle changes can decrease your risk of getting some types of arthritis or making arthritis worse noting that healthy eating and physical activity can help you lose weight and stay at a healthy weight.

“Many microbial agents, like bacteria and viruses, can infect joints and potentially cause the development of some types of arthritis. See your doctor right away if your joints are swollen, warm, or red. It might be an infection,” CDC states.

It is also important that you protect your joints from injuries by doing special exercises for those joints as joint injury or overuse such as knee bending and repetitive stress can damage a joint and contribute to the development of osteoarthritis.

“Make sure your worksite is free of fall hazards and has the space, equipment, and tools that fit your physical ability and limitations,” it warns.

It is also advisable that you stop smoking as it increases your risk of developing rheumatoid arthritis.

According to the Mayo Clinic, an online medical site, the most common types of arthritis are osteoarthritis and rheumatoid arthritis.

Osteoarthritis causes cartilage, the hard, slippery tissue that covers the ends of bones where they form a joint to break down while rheumatoid arthritis is a disease in which the immune system attacks the joints, beginning with the lining of joints, the site explains.

https://www.the-star.co.ke/news/realtime/2023-02-05-how-to-reduce-risk-of-developing-arthritis/

Add These 5 Foods To Your Diet To Reduce Inflammation And Ease Arthritis Pain

From food.ndtv.com

Arthritis Pain: In an Instagram post, nutritionist Lovneet Batra highlighted how including herbs in the diet can reduce arthritis pain 

Herbs have been used for traditional cures for centuries. With their healing and restorative powers, herbs do much more than simply adding flavour and colour to your favourite dishes. While fruits, vegetables, nuts and seeds contain a great amount of vitamins and minerals, the nutrients in herbs are often overlooked. Herbs can help you ease digestion, prevent tumours and boost the immune system. In an Instagram post, nutritionist Lovneet Batra highlighted how including herbs in the diet can reduce arthritis pain.

Arthritis is a chronic condition that affects more than 180 million people in India. Lovneet Batra explained that there are two major forms of arthritis - Osteoarthritis (OA) and rheumatoid arthritis (RA) - which are associated with severe joint pain and reduced quality of life.

“Living with arthritis and bearing all the swelling and pain in joints is not easy. The movement restriction and unbearable pain can make everyday tasks difficult for arthritis patients. Fortunately, dietary changes can significantly reduce the inflammation and help in managing the disease,” she added in the caption of the post. 

Arthritis Pain: Arthritis can be managed with good diet.

Here're 5 Herbs To Ease Arthritis Pain:

1. Aloe Vera 

Aloe Vera has several therapeutic properties and health benefits. It possesses anti-inflammatory and antioxidant properties that can prevent arthritis. “Its gel is packed with anthraquinones that could help in relieving arthritis,” said Lovneet Batra. 

2. Turmeric 

Turmeric is one of the most versatile spices and is used as one of the key ingredients in curry. Turmeric's healing power is quite magical.

Consuming this spice reduces inflammation. Its main ingredient, curcumin, is touted for its pharmaceutical-like abilities. If you have arthritis, gout, or muscle pain, add a little turmeric to your meals.

3. Thyme 

This herb also has anti-inflammatory and anti-microbial properties which makes it an ideal pick to deal with arthritis. You can either add dried or fresh thyme to chicken, beef, or vegetable stock to enhance the flavour or you can infuse it in tea leaves. Thyme also works as a seasoning. 

4. Ginger 

Ginger has the ability to suppress inflammatory molecules called leukotrienes and to synthesize prostaglandins that cause pain and inflammation. While ginger tea is quite popular among tea lovers, people use it while preparing delicious curries. Ginger is even used as a garnish in salads. 

5. Garlic 

Just like ginger, garlic is also used in everyday cooking. Garlic contains diallyl disulphide, an anti-inflammatory compound that decreases the effects of pro-inflammatory cytokines. 

https://food.ndtv.com/health/nutritionist-lists-down-5-herbs-to-ease-down-arthritis-3753212

What People Ask Me About Living with Rheumatoid Arthritis

From creakyjoints.org 

In recognition of Rheumatoid Arthritis Awareness Day, patient advocate Eileen Davidson shares answers to the most common (and bizarre) questions people ask her about living with RA

I tell people I have rheumatoid arthritis (RA), a lot. I’m a patient advocate and writer, after all. These positions require that I talk about RA, disability, and chronic illness often, occasionally on live TV or in public speaker engagements. I want people to understand my disease because there are many misconceptions and stigmas surrounding it. My disease has also made a massive impact on my life. In fact, it’s hard to not mention it because of the impact it has on me.

Sometimes people want to hear about it; sometimes people don’t. It really depends on the person, or where I’m discussing my disease. In my advocacy work, especially when I’m involved in arthritis research, the more open about my condition the better. However, when it comes to my social life, it’s a different situation. When I reveal I’m living with a chronic illness like RA, people tend to respond by either offering an empathic response, asking questions, or going awkwardly silent and changing the subject.

Then, of course, there are the people who instantly start to offer advice without asking you about your disease journey. Sorry Barb, I’ve tried turmeric and yoga.

In recognition of Rheumatoid Arthritis Awareness Day, held today on February 2, I wanted to answer some of the most common (and most bizarre) questions I get asked about living with rheumatoid arthritis.

What Is That?

I often meet people who don’t know what rheumatoid arthritis is, or they only hear “arthritis” and assume I’m talking about osteoarthritis. These are two very different diseases.

Rheumatoid arthritis is an autoimmune disease that starts off in your joints but isn’t limited to only your joints. RA is systemic, so it involves organs like your heart, lungs, and kidneys. The main symptoms of the disease include pain, fatigue, weakness, cognitive dysfunction, and fever.

Does It Hurt All the Time? Are You in Pain Now?

Rheumatoid arthritis pain varies. If I’m in a flare, there is a good chance that I’m experiencing pain all the time. Where I have permanent joint damage, I will experience pain in those joints mostly when I overuse them. But the pain isn’t limited to my joints — it can also be felt through my related irritable bowel syndrome, muscle pain and headaches.

Many of those living with RA, like myself, have comorbidities, or other conditions that coexist with my autoimmune disease. For me, I also live with fibromyalgia, osteoarthritis, endometriosis, anxiety, and depression. It’s safe to say, yes, something does hurt somewhere all the time.

Aren’t You Too Young for Arthritis?

Yes, old people get arthritis. But so do babies, toddlers, children, young adults, and adults. I was diagnosed at 29, but I started showing signs of RA in my early 20s. While RA is commonly diagnosed between the ages of 40 and 60, that’s not the case for everyone. There are also juvenile versions of RA.

Which Joint Is Affected?

RA usually starts in the smaller joints of the hands or feet, but it’s not limited to those joints. RA can also impact the knees, hips, neck, and shoulders. What’s more, RA causes inflammation throughout the body that, over time, can damage organ tissues.

RA usually does not affect the spine, that’s spondyloarthritis, a type of arthritis that attacks the spine and, in some cases, the joints of the arms and leg. However, I also live with osteoarthritis, fibromyalgia, and poor posture, which all cause an achy back.

How Does that Affect Your Everyday Life?

RA can affect my daily life in different ways; for instance, if I’m dealing with fatigue, pain, cognitive dysfunction, or sleep problems. I’m also more susceptible to infection, so every day is a new day and a new challenge with rheumatoid arthritis.

To be honest, my biggest challenge with RA is the debilitating fatigue, which I can mostly expect every day. I do not experience chronic pain every day, especially if my disease is well controlled. Fatigue stops me from doing the things I want to and need to do. Some days, I can struggle just to have a shower and feed myself where other days I have the energy to tackle everything. If I do, I usually end up paying for overexerting myself a day or two later.

How Did You Know Something Was Wrong?

I knew something was wrong with me because I had pain and swelling in my hands and feet and my knees. I was told originally that it would go away after my pregnancy, but instead, it got worse. It wasn’t just the pain that caught me off guard but other red flags, including sleep problems, extreme depression, constantly being sick, cystic acne, feeling hot all over, and intense fatigue.

What Helps You with That?

My medications, eating healthy, regularly moving, pacing myself, managing stress, the sauna — there are many things that help me, but it can be different for another person living with RA.

Is It Fatal?

Now these are some scary facts about rheumatoid arthritis. While people do not die from RA, the disease can lead to serious complications that comprise our overall health. A person with RA may have a reduced life expectancy. Having RA makes you more likely to experience a serious cardiovascular event like a heart attack or stroke because those with RA are twice as likely to develop heart disease compared to someone without the condition.

Living with rheumatoid arthritis also puts you at greater risk for lung disease, cancer, stomach problems, other autoimmune conditions, and depression. Another big factor to consider is people with RA are more susceptible to potentially serious and even fatal infections.

But You Don’t Look Sick?

People mostly only see me when I’m well enough to go out, with my hair and make-up done and dressed out of my pyjamas. Come over to my house on the days I am not feeling well enough to go out, and then you’ll see that I do look like a hot mess.

It Can’t Be that Bad?

Just because you can’t see it, doesn’t mean it can’t be serious. I also don’t need to be old for it to be debilitating. We need to step away from thinking arthritis isn’t a serious disease — it is.

How Do You Cope?

I enjoy a good cry every now and then but if I am crying for weeks on end, I reach out for mental health support. That can be through talk therapy, adjusting or starting medications, and facing what might be causing me so much grief. Regular self-management of my overall health helps me cope better all together.

Do You Have to Take Medications for That?

Definitely, I can barely function without them. I know some people think rheumatoid arthritis can be healed naturally, but not my kind. Medications help restore some of my life back from this ugly disease.

What Caused That?

The true cause of rheumatoid arthritis is not fully understood.

• Research suggests a genetic component may be a contributing factor. I have an aunt who suffered from rheumatoid arthritis 40 years before me.
• Smoking and second-hand smoke is also another possible contributing factor — my mother was a smoker throughout my entire childhood.
• Depression and trauma can bring out a variety of autoimmune diseases. I’ve lived with depression and anxiety for three decades.
• Environment, stress, infection, are other factors that might cause RA.

I try not to focus on why I have RA but rather what I do about having RA.

How Do You Stay Positive?

I don’t always. I am not a fan of toxic positivity and living with chronic disease sometimes just sucks. I won’t sugar coat it, some days I can’t stay positive and that’s OK, because it’s my real emotions and I shouldn’t have to cover them up to make others comfortable.

Have You Tried…Turmeric, Kale, Yoga, Sitting in Radium Caves?

There is a lot of misinformation out there surrounding arthritis and other chronic illnesses. I mean a lot. I’ve heard the major ones — try this diet, try this supplement, try this lifestyle — as well as some really bizarre suggestions like how my RA would be cured if I sat in radium caves or drank sea water.

The truth is, I stick to what my health care professionals say and advice from other patients in my community.

Have You Tried [Insert Recommendation] — It Cured My Friend

Not all arthritis is the same. Rheumatoid arthritis has no cure. Someone’s rheumatoid arthritis may go into remission, which rarely happens without medications and there is still risk of the disease coming back. The variety of RA I have is considered moderate to severe, so the chances of me reaching remission is lower than someone with mild to moderate RA.

What Do You Want People to Know About Arthritis?

Being an experienced arthritis advocate, the media loves to ask me what I want others to know about rheumatoid arthritis. It really comes down to one major thing: The disease is serious, and I wish those who don’t experience it would understand this and the impact it has on your daily life.

https://creakyjoints.org/about-arthritis/rheumatoid-arthritis/ra-patient-perspectives/rheumatoid-arthritis-day/

14 anti-inflammatory foods

From restless.co.uk

When it comes to diet, health, and nutrition, sometimes it can feel like there’s no end to the contradictions. Are fats good or bad? Will a daily glass of red wine extend your life, or shorten it?

The constantly changing advice about what to eat and what not to eat can seem overwhelming. But one thing doctors and nutritionists agree on is that anti-inflammatory foods are good for us – and one of the best ways we can reduce inflammation is to change the way we eat.

So why exactly are anti-inflammatory foods so beneficial? And which types of foods are best for fighting inflammation and helping us to stay healthy?

What are anti-inflammatory foods?

Inflammation isn’t always a bad thing. Inflammation is the body’s way of fighting illness, injury, and infection, and it’s actually a necessary part of the healing process. But, chronic inflammation is very different.

Certain diseases, like psoriasis, rheumatoid arthritis, and asthma can lead to persistent, low-level inflammation, which can cause weight gain and disease. 

There’s plenty of evidence to suggest that eating certain foods can lower your chances of having inflammation, and with it, reduce the risk of chronic disease. Another perk is that anti-inflammatory foods are generally very healthy.

So even if eating these foods doesn’t directly help with inflammation, it can give your health and immune system a boost, and reduce your chances of suffering from other health problems.

14 anti-inflammatory foods

Now we know why anti-inflammatory foods are good for our health, let’s take a look at some of the top examples…

1. Berries

Berries might be small but they pack a serious punch when it comes to health. Aside from being high in fibre, vitamins, and minerals; berries (like blueberries, raspberries, blackberries, and strawberries) also contain anthocyanins – a group of plant compounds that have powerful anti-inflammatory and antioxidant effects.

Antioxidants help prevent inflammation, which can reduce your risk of suffering from neurodegenerative diseases.

Our bodies produce natural killer cells (NK cells), which help to keep our immune system functioning properly – and one study found that men who ate blueberries every day produced markedly more NK cells than those who didn’t. Another study revealed that overweight adults who ate strawberries had lower levels of some inflammatory markers that are linked to heart disease.

An easy way to eat berries every day is to sprinkle them onto your breakfast cereal or porridge, or make a smoothie. Or you can just eat them by themselves as a delicious and healthy snack.

2. Avocados

Avocados might be everywhere right now, but this trendy green fruit really is a nutritional powerhouse.

Packed with many key nutrients including potassium, magnesium, fibre, folate, vitamin C, and vitamin E; avocados are a great source of healthy unsaturated fat. Plus, they also contain carotenoids and tocopherols, which are linked to a reduced risk of cancer. 

This study shows that there’s a compound in avocados that could reduce inflammation in skin cells. Another study found that when people ate some avocado with a hamburger, they had lower levels of inflammatory markers compared to people who ate only the hamburger.

Avocados make a great addition to sandwiches and salads, and they’re also delicious on toast or in dips like guacamole.

3. Broccoli

Like cauliflower, Brussels sprouts, and kale, broccoli is a cruciferous vegetable that’s packed full of plant nutrients.

Studies show that eating lots of cruciferous vegetables is linked to a reduced risk of heart disease and cancer – and this may be because of the antioxidants they contain, which have powerful anti-inflammatory effects.

Broccoli is especially high in sulforaphane: an antioxidant that fights inflammation by reducing your levels of cytokines and NF-kB (which can cause inflammation).

Broccoli is an incredibly versatile food and goes well with pretty much any style of cuisine or dish – from soup to salads or pasta. For some inspiration, take a look at some of these broccoli recipes on the BBC Good Food website.

4. Oily fish

Oily fish is a great source of omega-3 essential fatty acids, which have anti-inflammatory effects. These types of essential fatty acids (EPA and DHA) can’t be made by our bodies, which means we have to get them through our diet. Salmon, sardines, herring, mackerel, and anchovies contain the highest amount of these important fatty acids.

Research shows that EPA and DHA reduce inflammation that causes metabolic syndrome, heart disease, diabetes, and kidney disease. Another study found that people who ate salmon or took EPA and DHA supplements saw reductions in certain inflammatory markers.

However, a study of people with irregular heartbeats also revealed that there was no reduction in inflammatory markers when EPA and DHA were consumed, so more research is needed.

You can check out some healthy and tasty oily fish recipes on The Guardian.

5. Whole grains

Whole grains like oatmeal, brown rice, barley, quinoa, bulgur wheat, and whole wheat bread are also powerful weapons against inflammation. They contain high amounts of fibre, magnesium, zinc, B vitamins, vitamin E, and polyphenols – all of which are believed to help control inflammation.

If you don’t currently eat many whole grains, there are many easy swaps you can make without much effort. Simply swap white bread for whole wheat brown bread, white pasta for brown pasta, and white rice for brown rice, quinoa, or bulgur wheat.

For some recipe inspiration, you might want to take a look at this selection of whole grain recipes on Serious Eats.

6. Peppers

Both chilli peppers and bell peppers are high in vitamin C and antioxidants that have significant anti-inflammatory effects.

Bell peppers contain the antioxidant quercetin, which is thought to lower a certain marker of oxidative damage in people with sarcoidosis (an inflammatory disease that causes small patches of swollen tissue to develop on organs in the body).

Chilli peppers are also packed with sinapic acid and ferulic acid, which can reduce inflammation and help promote healthy ageing.

For more ideas on how to get creative with peppers in the kitchen, check out these recipes from BBC Good Food.

Note: Many people believe that the family of nightshade vegetables – which includes potatoes, tomatoes, peppers, and eggplants – can make arthritis pain and inflammation worse because they contain the alkaloid, solanine. Alkaloids are naturally produced compounds found in various plants.

However, health experts have dismissed this as a myth, as there is no scientific evidence to prove it. The British Nutrition Foundation says, “There is a surprising lack of any clinical human studies and so currently there is no scientific evidence that nightshade vegetables make arthritis symptoms worse.

“It is also worth noting that solanine is also found in blueberries, apples, cherries, okra and artichokes, none of which is in the nightshade family and not included in anecdotal reports of adverse effects.

“The fruit and vegetables that contain solanine are rich in nutrients and antioxidants. However, if you think you may have an adverse reaction to vegetables like potatoes, tomatoes and peppers then talk to your GP or a health professional involved in your care, such as your specialist nurse.”

7. Mushrooms

Mushrooms are low in calories and high in many key nutrients including selenium, copper, and all of the B vitamins. Plus, they’re also one of the best plant-based sources of vitamin D.

But mushrooms also contain phenols and other antioxidants that act as anti-inflammatories – and one mushroom in particular called ‘lion’s mane’ is believed to help lower inflammation related to obesity.

Some of the most popular types of mushrooms include button mushrooms, portobello mushrooms, shiitake mushrooms, and even truffles. Though, it’s important to be aware that some studies suggest that cooking mushrooms actually reduces their anti-inflammatory compounds. Eating them raw or only lightly cooked may be the best way to take advantage of their anti-inflammatory benefits.

For ideas on how you can include more mushrooms in your diet, check out this list of mushroom recipes from BBC Good Food.

8. Extra virgin olive oil

The main fatty acid in olive oil is a monounsaturated fat called oleic acid, which makes up 73% of the total oil content.

Many studies suggest that oleic acid lowers inflammation and may also help reduce the risk of heart disease, brain cancer, and other serious health conditions. The antioxidant in oleic acid (oleocanthal) has even been compared to powerful anti-inflammatory drugs like ibuprofen.

In one study, several inflammatory markers were found to lower significantly when participants ate more than 50ml a day.

However, when it comes to olive oil, not all products are created equal, and extra virgin olive oil provides better anti-inflammatory benefits than more refined olive oils.

To check out some of the best olive oil recipes, check out this article from The Guardian.

9. Tomatoes

Tomatoes aren’t only high in vitamin C, which acts as an antioxidant and can help give our immune system a boost – but they also contain a powerful antioxidant called lycopene. Studies suggest that lycopene may be especially helpful for reducing pro-inflammatory compounds that are linked to several types of cancer.

One study found that drinking tomato juice decreased inflammatory markers in overweight women – although it didn’t have the same effect in obese women.

Because tomatoes release more lycopene when they’re cooked, it’s better to cook tomatoes rather than eat them raw if you want to take full advantage of their anti-inflammatory properties.

Cooking them in olive oil is best, as this helps you absorb even more lycopene (lycopene is a carotenoid, a nutrient that’s absorbed more easily alongside a source of fat).

You can check out some healthy tomato recipes from Delicious Magazine.

10. Dark chocolate

If you consider yourself a bit of a chocoholic, there’s good news: dark chocolate contains cacao, which is packed with flavonoids and antioxidants.

The flavonoids in dark chocolate are behind chocolate’s anti-inflammatory power, and research shows that they help to maintain the health of endothelial cells, which line our arteries.

One study of smokers found that participants experienced significant improvements in endothelial function within only a couple of hours of eating dark chocolate. However, it’s only certain types of dark chocolate that possess these anti-inflammatory benefits. It’s best to choose dark chocolate that’s at least 70% cacao, and to avoid milk or white chocolate.

It’s also important to be mindful that while dark chocolate is an anti-inflammatory food, it’s also high in calories, so be careful not to eat too much. Around 30–60g a day is the recommended advice (this usually amounts to only a few squares!).

11. Green tea

If you only ever drink one beverage again, there’s a good argument to be made that it should be green tea. Green tea is packed with antioxidants and anti-inflammatory properties – in particular, a substance called epigallocatechin-3-gallate (EGCG).

Studies show that EGCG prevents inflammation by reducing the production of pro-inflammatory cytokine cells and protecting your cells from damage to their fatty acids. For this reason, it's been found to reduce the risk of heart disease, cancer, Alzheimer’s disease, obesity, and many other chronic health conditions.

Why not try swapping your morning coffee or black tea for green tea? It also contains caffeine, so it can give you a little boost.

12. Turmeric

Turmeric is known to have many health benefits, including helping to prevent heart disease, Alzheimer’s Disease, and cancer. But it’s especially known for being high in curcumin (an anti-inflammatory compound) – and consuming turmeric has been shown to reduce inflammation linked to arthritis, diabetes, and other diseases.

Studies suggest that consuming just one gram of curcumin every day helps decrease inflammatory markers in people with metabolic syndrome (when combined with piperine, an alkaloid present in black pepper, as this helps your body absorb curcumin better).

From fragrant curries to warming noodle soups, check out these tasty turmeric recipes from Olive Magazine.

13. Grapes

Grapes are another type of fruit that is extremely good at fighting inflammation. They contain anthocyanins, which help to reduce inflammation and may reduce the risk of several different diseases, including heart disease, diabetes, obesity, and Alzheimer’s.

Grapes are also an excellent source of resveratrol, which is another compound that has many health benefits including reducing inflammation.

One study found that among people with heart disease, those who ate grapes every day saw a decrease in inflammatory gene markers.

More good news is that red wine also contains resveratrol – and pinot noir in particular has much greater amounts of resveratrol compared to other grape varieties (although, researchers recommend drinking no more than 160ml of wine a day, and only with a meal).

14. Cherries

Last on our list is cherries. While more research has been done on the health-boosting benefits of tart cherries as opposed to sweet cherries – both kinds are rich in antioxidants that reduce inflammation and can therefore lower your risk of disease.

Cherries contain phytochemicals (such as anthocyanins and catechins) that fight inflammation. One study found that when people ate 280 grams of cherries every day for a month, their levels of inflammatory markers decreased, and remained low for another month after that.

Final thoughts…

While eating these types of anti-inflammatory foods can boost your overall health as well as help prevent inflammation, it’s equally important to cut back on your consumption of foods that can actually promote inflammation.

Processed meats, fried foods, sugar-sweetened drinks, refined carbs, and oils containing trans fats are linked to increased levels of inflammation – and even low levels of inflammation can lead to disease if it persists.

However, the best way to keep inflammation in check is to eat a balanced diet, containing a wide variety of healthy, fresh, antioxidant-rich foods like the ones listed here.

https://restless.co.uk/leisure-and-lifestyle/food-drink/anti-inflammatory-foods/?contact_id=5e74dd65-8bd7-48a2-a626-ded9a62b692b&utm_campaign=23-02-02&utm_source=midweek-email&utm_medium=email&utm_content=midweek-email-general-23-02-02&bsft_clkid=e9020451-ed43-46d4-8132-a2002df05b5f&bsft_uid=7e4bbf6c-1c5d-4033-98b6-b63187fc0584&bsft_mid=3bbf6fba-ec87-4e09-a790-cbede98b3548&bsft_eid=47ebca27-7e36-4189-8952-98849e28887b&bsft_mime_type=html&bsft_ek=2023-02-02T06%3A30%3A35Z&bsft_aaid=3fb5a0c8-1d80-4f30-8749-7b9799f02c6c&bsft_lx=3&bsft_tv=11