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2025

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Mercury Concentrations, Health, And Marine Food Consumption Across Four Eastern Caribbean Populations: Insights From A Novel Community-Based Study, Russell Fielding, Catherine Brown, Jessica Dutton, Martin S. Forde, Heather Harewood, Lisa Hunt, Catherine Macdonald, Cameron Mewhirter, Vincent Reid, Madison Smith, Holly Taylor, Katelyn Zimmerman Jan 2025

Mercury Concentrations, Health, And Marine Food Consumption Across Four Eastern Caribbean Populations: Insights From A Novel Community-Based Study, Russell Fielding, Catherine Brown, Jessica Dutton, Martin S. Forde, Heather Harewood, Lisa Hunt, Catherine Macdonald, Cameron Mewhirter, Vincent Reid, Madison Smith, Holly Taylor, Katelyn Zimmerman

Gulf and Caribbean Research

Mercury (Hg), as an environmental pollutant, can have harmful effects on human health. A common way that people are exposed to Hg is through seafood consumption. This project was designed to investigate Hg exposure through seafood consumption and its health effects among adults in 4 Caribbean countries: Barbados (n = 117), Grenada (n = 90), St. Lucia (n = 126), and St. Vincent & the Grenadines (n = 77). We applied a novel, community—based method, which involved recruiting and paying local barbers and hairstylists to collect hair samples from their clients who consented to join the project as participants. Participants …


Dual Biologic Therapy Induces Remission In Refractory Crohn’S Disease With Vedolizumab And Ustekinumab, Syed Adeel Hassan, Courtney Perry, Patrick Carey, Durham Colohan, Mohamed Gebril Eltaher, Nabila Dawoud, Mahmoud Elkammar, Waqas Rasheed, Casie Mayne, Amy Stuffelbeam, Deborah R. Auer Flomenhoft, Terrence A. Barrett Jan 2025

Dual Biologic Therapy Induces Remission In Refractory Crohn’S Disease With Vedolizumab And Ustekinumab, Syed Adeel Hassan, Courtney Perry, Patrick Carey, Durham Colohan, Mohamed Gebril Eltaher, Nabila Dawoud, Mahmoud Elkammar, Waqas Rasheed, Casie Mayne, Amy Stuffelbeam, Deborah R. Auer Flomenhoft, Terrence A. Barrett

Internal Medicine Faculty Publications

Background

Despite advancements in the therapeutic armamentarium for Crohn’s disease (CD), biologic and small molecule monotherapies are associated with sub-optimal response and remission rates. Utilizing dual biologic therapy (DBT) holds the potential to increase efficacy in the treatment of refractory or partially responsive CD. Evidence pertaining to this strategy remains limited. Methods

We retrospectively examined refractory CD patients treated with a combination of ustekinumab and vedolizumab. Outcomes to DBT at week (wk) 52 were compared to monotherapy. The primary outcome constituted corticosteroid-free remission. Secondary outcomes included adverse events, infections, hospitalizations, surgeries, treatment persistence, and disease clearance. Results

Sixteen of 21 …


Implementing A Remote Patient Monitoring Program To Improve Nutrition Status In Infant With Cystic Fibrosis, Jessica Jones, Stacie Hunter, Kelli Williams, Petrissa Ncomo, Rapheal Peeples, Alex Pottorff, Lauren Lazar, Meghana Sathe Jan 2025

Implementing A Remote Patient Monitoring Program To Improve Nutrition Status In Infant With Cystic Fibrosis, Jessica Jones, Stacie Hunter, Kelli Williams, Petrissa Ncomo, Rapheal Peeples, Alex Pottorff, Lauren Lazar, Meghana Sathe

2025

No abstract provided.


Intestinal Mast Cell Control Of Behavioral And Oral Anaphylactic Responses, Nathaniel Dale Bachtel Jan 2025

Intestinal Mast Cell Control Of Behavioral And Oral Anaphylactic Responses, Nathaniel Dale Bachtel

Yale Graduate School of Arts and Sciences Dissertations

Organisms are challenged on a day-to-day basis with the decision of what, when and how much of a given food source to eat. These fundamental decisions require sensory mechanisms that evaluate the relative quantities of desired nutrients and harmful toxins present in each food source and integration of these factors with the current organismal state. In mammals, this sensing is accomplished by a diverse array of cells types, including epithelial cells, neurons, and immune cells which communicate the value of ingested food with the brain. Moreover, the immune system can store memory of past harm a given food source was …


Here, There: Jewish Identities In The South Through The Lens Of Food, Charles George Pappas Jan 2025

Here, There: Jewish Identities In The South Through The Lens Of Food, Charles George Pappas

Electronic Theses and Dissertations

This thesis examines the role that place performs in the creation of different Jewish identities in the South through the study of foodways practices. The first chapter provides a historical background of Jewish foodways and an analysis of two Jewish cookbooks and their recipes. These texts act as historical markers of the similarities and differences between varying diasporas across space and time and show how these elements impact Jewish culinary practices. Chapter two is centered around an oral history conducted with Jewish chef Laurence Faber and the places that have shaped his approach to the food served at his Knoxville …


Analysis Of Crowd Logistics Networks Using Agent-Based Models, Preetam Kulkarni Jan 2025

Analysis Of Crowd Logistics Networks Using Agent-Based Models, Preetam Kulkarni

Industrial, Manufacturing, and Systems Engineering Dissertations - Archive

Crowd logistics is a system in which an online platform connects a group of non-professional couriers (crowd/carriers), who use their under-utilized resources to offer delivery service to other individuals or businesses (senders) for a fee. While crowd logistics platforms have the potential to offer more flexible and responsive delivery services for much lower rates than traditional logistics providers, it is difficult for platforms to be successful as it is challenging to meet carriers’ and senders’ expectations. Crowd logistics has been applied in the context of food and grocery delivery, parcel pickup and drop-off services and last-mile delivery, however, it has …


Something Different Like Us: A Children's Book Project, Isabella B. Gonzalez Jan 2025

Something Different Like Us: A Children's Book Project, Isabella B. Gonzalez

Williams Honors College, Honors Research Projects

The purpose of this project is to write and begin illustrating a children’s book. The end goal is to complete the full script, finish rough sketches of the entire book, fully illustrate the cover and first two pages, and present the project in the form of an exhibition.

This story follows three little chicks (Dixie, Charlotte, and Phoebe) around a small farmyard as they encounter a new type of animal, a family of rabbits. For the majority of the book, the chicks fear the newcomers since they look so different. The sisters judge, avoid, and suppose the worst of the …


Diabetes Device Knowledge And Confidence Among School Nurses: A Mixed Methods Study, Cassandra F. Moffitt Jan 2025

Diabetes Device Knowledge And Confidence Among School Nurses: A Mixed Methods Study, Cassandra F. Moffitt

Nursing Theses and Dissertations

Problem: Type 1 diabetes is one of the most common chronic medical conditions in childhood. While manageable, these children may spend half of their day in the school setting and often need assistance from a school nurse to manage their care.

Theory: Bandura’s Social Cognitive Theory (1977) served as the theoretical framework for this study.

Research Questions: The research questions explored knowledge, confidence, and additional predictors of confidence related to diabetes devices.

Design/Methods: An explanatory sequential mixed methods design was used. The Diabetes Device Confidence Scale (DDCS) was used to measure device confidence, while Subscale 10 of the KAT-1 instrument …


Food Deserts: How To Make Them Green, Minoo Tehrani, Andreas Rathgeber, Lawrence Fulton, Bryan Schmutz Jan 2025

Food Deserts: How To Make Them Green, Minoo Tehrani, Andreas Rathgeber, Lawrence Fulton, Bryan Schmutz

Business Faculty Publications

Despite tremendous progress in addressing food insecurity, hunger and malnutrition are still widespread across the globe. Different factors, such as low levels of income and education, lack of access to food markets and transportation, high unemployment and population rates, and abandoned homes in a neighborhood, are among the factors that have been attributed to the creation of food deserts in emerging and developed countries. Some of the leading causes of death in the U.S. are heart attack, obesity, and diabetes. These major causes of death have a higher rate among the Black, Latin, and Hispanic populations. Access to healthy and …


Profiling Bile Acids In The Stools Of Humans And Animal Models Of Cystic Fibrosis, Melissa M. Carmichael Jan 2025

Profiling Bile Acids In The Stools Of Humans And Animal Models Of Cystic Fibrosis, Melissa M. Carmichael

Dartmouth College Master’s Theses

Cystic fibrosis (CF) is associated with dysbiosis of the gut microbiome, alterations in intestinal mucus production, aberrant bile acid (BA) metabolism, fat malabsorption, and chronic inflammation. As little is known about BAs in CF, we performed both comprehensive and targeted BA profiling in stool of children with or without CF. Our results reveal that select BA species and metabolites are significantly different between children with CF (cwCF) and healthy controls. There is also a trend towards higher primary cBA and total BA levels for cwCF. Matched bacterial metagenomic analyses showed no change in a-diversity between groups in our small cohort, …


Hnsc 3314 Human Encounters With Death And Bereavement, Tracy Wong Jan 2025

Hnsc 3314 Human Encounters With Death And Bereavement, Tracy Wong

Open Educational Resources

Individual and societal attitudes concerning death and life. How attitudes about death influence the quality of life and health in the West. Impact of technology on the care of the dying. Medical concerns in the treatment of the terminally ill. The bereavement process. Holistic impact of death and bereavement.


A Fatal Case Of Central Pontine Myelinolysis With Chronic Inflammatory Demyelinating Polyneuropathy, Miguel Serrano, Grant Read, Karen Joseph Jan 2025

A Fatal Case Of Central Pontine Myelinolysis With Chronic Inflammatory Demyelinating Polyneuropathy, Miguel Serrano, Grant Read, Karen Joseph

West Florida Division GME Research Day 2025

No abstract provided.


Effect Of Traditional Versus Fenceline Weaning On Lamb Stress, Emma N. Sutton, Kenneth P. Coffey, Eva Wray, Derico Setyabrata, Bryan Kutz, Shawna Weimer Jan 2025

Effect Of Traditional Versus Fenceline Weaning On Lamb Stress, Emma N. Sutton, Kenneth P. Coffey, Eva Wray, Derico Setyabrata, Bryan Kutz, Shawna Weimer

Discovery, The Student Journal of Dale Bumpers College of Agricultural, Food and Life Sciences

Stress in sheep can negatively affect productivity and increase their susceptibility to illness and parasites. The traditional method of weaning lambs is the abrupt separation of lambs from their dams. An alternative method of weaning, fenceline weaning, where offspring are separated from their dams by a single fence but retain visual and auditory contact, has been found to reduce stress in cattle and may also reduce stress in sheep. The objectives of this study were to evaluate body weights, fecal egg counts, and behavior to determine if traditional or fenceline weaning has lower stress associated with weaning in lambs. The …


Town Of Lempster, New Hampshire, Incorporated 1767, Annual Reports For The Year Ending December 31, 2024, Lempster Town Representatives Jan 2025

Town Of Lempster, New Hampshire, Incorporated 1767, Annual Reports For The Year Ending December 31, 2024, Lempster Town Representatives

Lempster, NH Annual Reports

This is an annual report containing vital statistics for a town/city in the state of New Hampshire.


Heightened Menopausal Symptoms Mediate The Associations Between Stress And Depressive Symptoms Among Midlife Women, Nicole Logan, Janis Gaudreau, Bridget Owens, Brietta M. Oaks, Christie L. Ward-Ritacco, Natalie J. Sabik Jan 2025

Heightened Menopausal Symptoms Mediate The Associations Between Stress And Depressive Symptoms Among Midlife Women, Nicole Logan, Janis Gaudreau, Bridget Owens, Brietta M. Oaks, Christie L. Ward-Ritacco, Natalie J. Sabik

Kinesiology Faculty Publications

Objectives:

Investigate associations between stress, cortisol, menopause symptoms, and depression in a sample of midlife women. Because stress has been associated with greater menopause symptoms, we examined this as a mediator for the association between stress and depressive symptoms.

Methods:

Data from a cross-sectional study of 118 women (40-64 y old) were analyzed. Participants completed in-person visits and self-reported questionnaires, including the Menopause-Specific Quality of Life questionnaire, the Perceived Stress Scale, and the Center for Epidemiological Studies Depression Scale. Saliva samples were collected at 4 intervals upon waking (wake, 30 min, 45 min, and 60 min after waking), …


The Csr Authenticity Crossroads: A Comparative Analysis Of Greenwashing In The Cosmetics And Food Sectors, Magdalena Klimczuk-Kochańska Jan 2025

The Csr Authenticity Crossroads: A Comparative Analysis Of Greenwashing In The Cosmetics And Food Sectors, Magdalena Klimczuk-Kochańska

Studia i Materiały Wydział Zarządzania Uniwersytet Warszawski

Purpose: The article aims to investigate the relationship between Corporate Social Responsibility (CSR) strategies, manifestations of greenwashing, and their underlying motivations in selected companies from the cosmetics and food sectors.

Methodology: The study employs a qualitative, comparative case study methodology. Six companies (L’Oréal, Natura & Co., Bielenda, Nestlé, Maspex, and Tony’s Chocolonely) were analysed based on publicly available secondary data, including corporate reports, NGO analyses, and media coverage.

Findings: The study identifies and defines two distinct sectoral logics: companies in the cosmetics sector follow a ‘brand-centric logic’, where greenwashing manifests as product-level marketing claims. In contrast, firms …


The Effect Of Toothpaste Containing Uncaria Gambir Roxb. Extract In Oral Health, Siti Rp. Dewi, Clarissa I. Arif, Aquila H. Tuzzahra, Pudji Handayani Jan 2025

The Effect Of Toothpaste Containing Uncaria Gambir Roxb. Extract In Oral Health, Siti Rp. Dewi, Clarissa I. Arif, Aquila H. Tuzzahra, Pudji Handayani

Journal of Dentomaxillofacial Science

No abstract provided.


Influence Of Sociocultural Aspects And Home Modification On Fall Risks Mitigation Among The Elderly In Thailand, Sumavalee Chindapol Jan 2025

Influence Of Sociocultural Aspects And Home Modification On Fall Risks Mitigation Among The Elderly In Thailand, Sumavalee Chindapol

NAKHARA (Journal of Environmental Design and Planning)

This study investigates the impact of sociocultural dimensions on home modifications aimed at mitigating fall risks among elderly individuals residing in community settings. Personal measurements and questionnaire interviews were conducted across five regions in Thailand. Additionally, fall risk assessments were performed on the households of the elderly participants. These assessments incorporated both personal health factors and environmental risks associated with falls, resulting in quantifiable scores. The factors included health conditions, body size, sociocultural factors such as family conditions, physical-cultural aspects of elevated houses, bathroom and bedroom. The research revealed that these factors are significantly associated with fall risk (ρ <0.01), except body dimensions. Differences in body size among elderly individuals in different regions were significantly related to incidences of fall risk (ρ <0.05 in Chiang Mai female, Khonkaen male, Rangsit female, and Songkhla female). The contribution of this research is that different regions have varying body limitations and living culture. It was concluded that elderly females in Chiang Mai are at the highest risk of falling due to body shrinkage, residing in vernacular houses with hazards, and living alone. Overall, universal design may not be directly applicable for home modification in each region.  Consequently, the study suggested that home modifications alone may not offer a comprehensive solution for mitigating fall risks as sociocultural factors related to living conditions also play a significant role in shaping these outcomes.


The Radiation Oncology Department : Design Guidelines, Implementation Challenges, And Lessons Learned In Thai Public Hospitals, Kullathida Sangnin, Traiwat Viryasiri, Vikrom Laovisutthichai, Noramon Panjapiyakul, Sasipa Onthong Jan 2025

The Radiation Oncology Department : Design Guidelines, Implementation Challenges, And Lessons Learned In Thai Public Hospitals, Kullathida Sangnin, Traiwat Viryasiri, Vikrom Laovisutthichai, Noramon Panjapiyakul, Sasipa Onthong

NAKHARA (Journal of Environmental Design and Planning)

The radiation oncology department (ROD) is a specialized healthcare unit utilizing advanced radiation technologies to deliver precise cancer treatment, which demand complex coordination of space, safety, and multidisciplinary workflows. Although several ROD design guidelines exist, they are tailored to developed economies, remain piecemeal, and lack comprehensive feedback from practitioners in other socio-cultural conditions regarding their implementation process, difficulties, and outcomes. This research thus (1) synthesizes ROD design guidelines, (2) investigates the implementation challenges, and (3) collects insights and experiences from healthcare professionals involved in ROD operations. A mixed-method approach is employed, incorporating literature review, construction drawing analysis, site visits, and …


Second Look Commission, 2025 Annual Report, Tennessee Commission On Children And Youth Jan 2025

Second Look Commission, 2025 Annual Report, Tennessee Commission On Children And Youth

Second Look Commission Annual Reports

The Second Look Commission reviews cases of children from across Tennessee who have experienced a second or subsequent incidence of severe abuse to identify ways to improve the system and help other children avoid a similar fate. This document reports on the findings from the fiscal year.


The Association Between Pain Sensitivity And Low Energy Availability, Sleep, Mental Health, And Stress In Female Endurance Athletes, Taylor R. Moler Jan 2025

The Association Between Pain Sensitivity And Low Energy Availability, Sleep, Mental Health, And Stress In Female Endurance Athletes, Taylor R. Moler

Honors Undergraduate Theses

The disruption of certain physiological functions due to low energy availability (LEA) in female endurance athletes is a prominent concern. This condition resulting from LEA has been described as Relative Energy Deficiency in Sport (RED-S), which can include alterations in metabolism, menstrual function, bone deposition and resorption, mental well-being, and more. The goal of this study was to determine whether pain sensitivity was associated with LEA, sleep, mental health, and stress in female endurance athletes. Participants completed a demographic survey, the Low Energy Availability in Females Questionnaire (LEAF-Q), the Pittsburgh Sleep Quality Index (PSQI), the Patient Health Questionnaire (PHQ-4), and …


Why Are Children's Health Outcomes Different In Counties Across The United States?, Caylen Pavlicek Jan 2025

Why Are Children's Health Outcomes Different In Counties Across The United States?, Caylen Pavlicek

Res Publica - Journal of Undergraduate Research

This paper explores the relationship between family income and health outcomes for children across counties in the United States, focusing on low birth weight as a key indicator. Income disparities among counties often correlate with varying health outcomes for children, particularly those born into lower-income families who lack the resources for adequate healthcare. Utilizing data from 3,113 counties, I examine the impact of income, education, rural versus urban location, healthcare access, and other social determinants on children's health, with a specific focus on birth weight. The findings reveal a strong negative correlation between median household income and low birth weight, …


Marchiafava-Bignami Disease Post-Bariatric Surgery: A Case Report And Review Of Similar Cases, Sohaila A. Alshimemeri, Abdulaziz M. Alshoumar, Abdullah Y. Alfaifi, Abdulaziz I. Almohanna Jan 2025

Marchiafava-Bignami Disease Post-Bariatric Surgery: A Case Report And Review Of Similar Cases, Sohaila A. Alshimemeri, Abdulaziz M. Alshoumar, Abdullah Y. Alfaifi, Abdulaziz I. Almohanna

Neurosciences

ABSTRACT Marchiafava-Bignami disease (MBD) is a rare neurological disorder typically occurring in alcoholic patients. The main disease mechanism is hypothesized to be vitamin B-complex deficiency due to malnutrition. In the literature, there have been few reported cases of the disease occurring in patients who have undergone bariatric surgery. This paper presents a case study of a 45-year-old non-alcoholic female who underwent a laparoscopic sleeve gastrectomy presenting with progressive worsening weakness of her lower limbs and slurred speech. Her condition continued to deteriorate, and she became mute and bedbound. The MRI revealed distinctive characteristics consistent with MBD. The diagnosis was confirmed …


A Narrative Review Of Clinical Practice Guidelines For The Application Of Physical Therapy And Rehabilitation Procedures In The Management Of Multiple Sclerosis, Abdullah I. Alhusayni Jan 2025

A Narrative Review Of Clinical Practice Guidelines For The Application Of Physical Therapy And Rehabilitation Procedures In The Management Of Multiple Sclerosis, Abdullah I. Alhusayni

Neurosciences

ABSTRACT Multiple sclerosis (MS) is a chronic autoimmune disorder characterized by neuroinflammation and progressive neurodegeneration, leading to significant physical and cognitive impairments. Rehabilitation, particularly physical therapy, has emerged as a crucial component in managing MS-related disability by improving mobility, reducing fatigue, and enhancing overall quality of life. This narrative review investigates current international guidelines on physical therapy and rehabilitation for MS. Literature search in databases (January 2010 until August 2025) resulted in three guidelines that met the inclusion criteria. Evidence suggests that structured aerobic and resistance training programmes, combined with balance and flexibility exercises, contribute significantly to maintaining functional independence. …


Breastfeeding In Indonesia On The Rise, But Mothers Need More Support Jan 2025

Breastfeeding In Indonesia On The Rise, But Mothers Need More Support

Neurosciences

No abstract provided.


Comment On: When Assessing The Risk Of Cerebral Edema After Aneurysm Clipping, All Contributing Factors Must Be Taken Into Account Jan 2025

Comment On: When Assessing The Risk Of Cerebral Edema After Aneurysm Clipping, All Contributing Factors Must Be Taken Into Account

Neurosciences

No abstract provided.


Ajwa Date Extract (Phoenix Dactylifera L.): Phytochemical Analysis, Antiviral Activity Against Herpes Simplex Virus-I And Coxsackie B4 Virus, And In Silico Study, Ahmad K. Aljohani, Nader A. Maghrabi, Osama M. Alrehili, Abdulaziz S. Alharbi, Rawad S. Alsihli, Abdulrahman M. Alharthe, Rayan S. Albladi, Khalid A. Alosaimi, Bader M. Albadrani, Samar F. Miski, Hossein M. Elbadawy, Bandar D. Alrehaili, Fahd A. Abdelkarem, Modather F. Hussein Jan 2025

Ajwa Date Extract (Phoenix Dactylifera L.): Phytochemical Analysis, Antiviral Activity Against Herpes Simplex Virus-I And Coxsackie B4 Virus, And In Silico Study, Ahmad K. Aljohani, Nader A. Maghrabi, Osama M. Alrehili, Abdulaziz S. Alharbi, Rawad S. Alsihli, Abdulrahman M. Alharthe, Rayan S. Albladi, Khalid A. Alosaimi, Bader M. Albadrani, Samar F. Miski, Hossein M. Elbadawy, Bandar D. Alrehaili, Fahd A. Abdelkarem, Modather F. Hussein

Saudi Medical Journal

Objectives: To investigate the phytochemical composition of Ajwa date extract and evaluate its antiviral activity and mechanism of action. Methods: High perfomance liquid chromatography, gas chromatography-mass spectrometry, and liquid chromatography-mass spectrometry were used to analyze the phytochemical profile of Ajwa date extract. The antiviral activity was assessed using the MTT colorimetric assay against herpes simplex virus type I (HSV-I) and coxsackievirus B4 (CVB-4). Assessment of the mechanism of action against HSV-I was carried out using 3 protocols. Molecular docking and quantum chemical calculations were carried out to predict the binding affinities of the identified compounds to viral glycoprotein D. Results: …


Graduate Catalog, Georgia Southern University Jan 2025

Graduate Catalog, Georgia Southern University

Graduate Catalogs

No abstract provided.


Measles Cases Surge Worldwide, Infecting 10.3 Million People In 2023 Jan 2025

Measles Cases Surge Worldwide, Infecting 10.3 Million People In 2023

Neurosciences

No abstract provided.


International Society Of Sports Nutrition Position Stand: Β-Hydroxy-Β-Methylbutyrate (Hmb), John A. Rathmacher, Lisa M. Pitchford, Jeffrey R. Stout, Jeremy R. Townsend, Ralf Jäger, Richard B. Kreider, Bill I. Campbell, Chad M. Kerksick, Patrick S. Harty, Darren G. Candow, Brandon M. Roberts, Shawn M. Arent Ph.D., Cscs*D, Fissn, Facsm, Fnak, Douglas S. Kalman, Jose Antonio Jan 2025

International Society Of Sports Nutrition Position Stand: Β-Hydroxy-Β-Methylbutyrate (Hmb), John A. Rathmacher, Lisa M. Pitchford, Jeffrey R. Stout, Jeremy R. Townsend, Ralf Jäger, Richard B. Kreider, Bill I. Campbell, Chad M. Kerksick, Patrick S. Harty, Darren G. Candow, Brandon M. Roberts, Shawn M. Arent Ph.D., Cscs*D, Fissn, Facsm, Fnak, Douglas S. Kalman, Jose Antonio

Faculty Publications

Position Statement: The International Society of Sports Nutrition (ISSN) bases the following position stand on an analysis of the literature regarding the effects of β-Hydroxy-β-Methylbutyrate (HMB). The following 12 points have been approved by the Research Committee of the Society: 1. HMB is a metabolite of the amino acid leucine that is naturally produced in both humans and other animals. Two forms of HMB have been studied: Calcium HMB (HMB-Ca) and a free acid form of HMB (HMB-FA). HMB-FA appears to lead to increased appearance of HMB in the bloodstream when compared to HMB-Ca, though recent results are mixed. 2. …