Symphony No. Tankerville, Earls of, 28 Tay-Sachs disease, 206 Ten Most Beautiful Experiments, The (Johnson), 113n Placed deep in the vagina before sex (ideally at least 15 to 20 minutes before intercourse), the chemicals in these substances help impede the movement of sperm and thus may prevent the sperm from fertilizing an egg. Most spermicides don't actually kill sperm; Some spermicides also help create a barrier to block the cervix so that sperm cannot enter and fertilize an egg. Spermicides are used on their own as well as in conjunction with diaphragms, cervical caps, and sponges. Short-acting hormonal methods include the oral contraceptive pill (OCP) or birth control pill, the mini-pill, the patch, the shot, and the vaginal ring. LARC methods provide lasting contraception without the need for significant user initiative. They include hormonal and nonhormonal IUDs, which are small plastic T-shaped devices that are inserted into the uterus, and the contraceptive implant, which is a small rod inserted into a woman's arm. OCPs, usually taken orally one a day, work by releasing hormones into the body. Most OCPs contain two hormones: progestin and estrogen. The mini-pill, however, only contains the hormone progestin. I don't think someone who has been a passenger on a plane is automatically a credible source about how to fly one. I don't think anyone who has driven over a suspension bridge necessarily knows how best to build one. I don't think someone treated once by a neurosurgeon gets to offer expert commentary on the nuances of brain surgery. I trust these examples all seem pretty silly. We would never allow for claims of expertise, and cottage industries based on them, to be established on such flighty nonsense . Unless, of course, the claims of expertise and cottage industries pertained to nutrition and weight loss, in which case, that's exactly what we would do.
It's exactly what we are doing. Everyone who has ever gotten fat and then lost weight is embraced as an expert, fully authorized by our culture to dispense advice, write blogs, and sell articles advising others on how to succeed. For the most part, every one of these makes a case different from every other -- and yet everyone is convinced they have found the universal formula. And over and over again, the faithful, hopeful, or desperate line up and reach for their credit cards. Thank You Dr Lamaze (Karmel), 113 Thom, Robert, 43 Thomas, Diana, 236 Thomas, Mary, 118 Thomashower, Dorothy, 127 Thoms, Herbert, 121, 123 Thorazine, 110 Time, 103, 142-43 Times (London), 46n Titanic, 83 The injection Depo-Provera(R), which contains progestin, is given to a woman by a doctor every three months or so. The transdermal contraceptive patch, sold under the name Xulane(R), is a skin patch that a woman wears on her body (usually the abdomen or buttocks), replacing it every three weeks or so. It releases the hormones progestin and estrogen into the bloodstream. The hormonal vaginal contraceptive ring, called NuvaRing(R), similarly releases progestin and estrogen into the body; The ring is placed inside the vagina for approximately three weeks and then must be replaced. This is a self-controlled method of birth control and does not require a health-care provider to insert or demonstrate how to put it in.
There is no exact position it needs to be in--as long as it is in comfortably, it is working. LARC methods work more effectively and for longer periods of time. The contraceptive implant, Nexplanon(R), is a small rod-like flexible device that is inserted under the skin of a woman's upper arm. It can remain there and work effectively for up to three years. Don't get me wrong - I am delighted for every individual who figures out how to lose weight, and more importantly, find health. I am delighted each time someone finds a path they can follow to lasting vitality. But the notion that this automatically registers as expertise is exactly analogous to the car crash and kitchen fire examples above. In any area other than nutrition and weight control, we would either laugh or roll our eyes. Everyone who has ever eaten seems to be granted an equally authoritative opinion about nutrition. This was a problem before the Internet, but it's a vastly bigger problem now. It was a problem before expertise evolved into something we were inclined to disparage and even kill, but it's a bigger problem now. The idea that every opinion about nutrition is the same as a genuinely-expert opinion is, obviously, nonsense. It's dangerous nonsense. I am not arguing that nutrition is special and should be treated differently simply because it is one of the most profound influences on human health (it is). Title IX, 153 Titusville, Fla. To Do No Harm (Apfel and Fisher), 130 Tracy, Marguerite, 82, 85, 87, 88-89 Trevathan, Wenda, 180-81 Trotula, 10
United States: C-sections in, 154 United States (continued) United States District Court, Eastern District of New York, 149n The implant works by releasing the hormone progestin into a woman's body. Today, there are a plethora of IUDs on the American market. IUDs are small, T-shaped devices made out of plastic or copper. Most IUDs, except for the ParaGard(R) copper IUD, release hormones. IUDs are inserted by a physician, who places the IUD inside a woman's uterus. The Mirena(R) IUD, which is approved by the U. Food and Drug Administration (FDA) not only for pregnancy prevention but also to treat heavy menstrual bleeding, is made of flexible plastic. It can be left in the body and remain effective for five to seven years. The Liletta(R) IUD is a less expensive option that is FDA approved for use up to three years. Skyla(R) is known as a mini-IUD, and it is approved for use up to three years with marketing aimed at women who have not yet had children. Quite the contrary; I am saying we need to stop treating nutrition differently. We simply need to treat it as we do any other subject that matters, and a whole lot of harm and confusion would go away. We need to stop treating nutrition with unique disdain. The idea that any opinion about nutrition qualifies as expert opinion is a fallacy, or lie. The idea that nutrition somehow warrants this unique disrespect is, similarly, a fallacy, or lie.
What harm ensues from such disdain? Every silly diet to come down the pike gets the same treatment. I know this because I do multiple media interviews every week about whatever the fad diet du jour happens to be. These diets are then featured on television and in print in a way that gives them all comparable credibility. Vanderbilt, Mrs. Cornelius, 71 Vanderbilt family, 72 Van Hoosen, Bertha, 51, 63-64, 65, 88 Vasquez, Lucia, 242-43 Vellay, Pierre, 112 Victoria, Queen of England, 4, 84 Vienna, 56, 121 View a Miracle, 187-89 Voice in Rhama, A: or, The Crie of Women and Children (Chamberlen), 24-25 Like Mirena(R), it contains hormones, but Skyla(R) has less progestin than Mirena(R), and it is smaller. Another hormonal IUD, Kyleena(R), also is available for women and lasts up to five years. These IUDs may not be effective until approximately one week after insertion, so a back-up method of contraception should be used during that time. The ParaGard(R) IUD is an IUD that contains no hormones. Instead, it is wrapped in copper; The ParaGard(R) IUD is effective in preventing pregnancy immediately after insertion and can also be used as emergency contraception (see the following discussion).