Live Better
Reaching your personal goals with a chronic illness

(BPT) – Content sponsored and provided by Pfizer.
Janet H., a wife and mother from Alabama, had many things to celebrate in her life – two beautiful children, a wonderful husband, her dog Falco, and a rewarding career. She was proud that even with all of this, she was able to achieve her personal goal of staying active. However, she was diagnosed with a chronic disease the week before her 40th birthday.
Janet enjoyed moderate exercise, so when she began to have persistent joint pain and swelling in her knees, she suspected it was from an old injury. After initial visits with an orthopedic specialist, she was referred to a rheumatologist who diagnosed her with moderate to severe rheumatoid arthritis (RA) – a chronic, autoimmune disease of the joints.[i]
“I remember thinking that if this is what 40 is like, I don’t know if I can handle 50,” she says. “I wasn’t sure how RA would affect my life.”
Unfortunately, this story is all too common, as RA impacts approximately 1.6 million adults in the United States.[ii],[iii] Many living with a chronic condition like RA can feel that their life is put on hold while trying to manage their symptoms, doctor’s appointments, and the daily demands of life. Working toward personal goals can be put on the backburner, but does it have to be?
With her rheumatologist, Janet was motivated to find a treatment plan that could help relieve her RA symptoms before being prescribed XELJANZ® (tofacitinib) 5 mg twice daily tablets, an oral medication for adults with moderate to severe RA in which methotrexate did not work well enough. Janet’s rheumatologist reviewed the potential side effects of XELJANZ and explained that it is taken twice daily and has a BOXED WARNING for serious infections and malignancies.
Within three to six months, Janet felt improvement in her RA symptoms and found herself thinking about ways to become more active. She spoke with her rheumatologist and, together, they came up with exercise goals including yoga classes, cycling, and walking her dog with her husband and children. She also says one of her biggest milestones was walking her daughter down the aisle and gaining a new son-in-law. Eventually, Janet even worked with her rheumatologist to switch to a once-a-day version of XELJANZ, called XELJANZ XR extended release tablets.
Here are some of Janet’s tips to help someone living with a chronic illness work toward their personal goals:
Plan ahead: Living with a chronic condition can put a pause on spontaneity. Plan ahead when it comes to things like travel or big life events to allow ample time for adjustments and preparation.
Partner up: Find a significant other, friend or sibling who can join you on your journey toward reaching your goals. Sometimes living with a chronic condition requires extra support from others, so having a partner to plan with can help make that support seamless
Consult your doctor: Before considering any new travel or physical activity, make sure to consult your doctor. Discuss your plans and how you and your doctor can work together to help ensure you can meet these goals.By following these tips, Janet says that she has been able to better manage her RA and have more time to focus on her family, friends and herself.
“I hope my story can help other adults who are living with moderate to severe rheumatoid arthritis and inspire them to share their stories,” she says.
What is XELJANZ/XELJANZ XR?
XELJANZ/XELJANZ XR is a prescription medicine called a Janus kinase (JAK) inhibitor. XELJANZ/XELJANZ XR is used to treat adults with moderately to severely active rheumatoid arthritis in which methotrexate did not work well.
It is not known if XELJANZ/XELJANZ XR is safe and effective in people with hepatitis B or C.
XELJANZ/XELJANZ XR is not recommended for people with severe liver problems.
It is not known if XELJANZ/XELJANZ XR is safe and effective in children.
IMPORTANT SAFETY INFORMATION
What is the most important information I should know about XELJANZ/XELJANZ XR?
XELJANZ/XELJANZ XR may cause serious side effects, including:
Serious infections. XELJANZ/XELJANZ XR can lower the ability of your immune system to fight infections. Some people can have serious infections while taking XELJANZ/XELJANZ XR, including tuberculosis (TB), and infections caused by bacteria, fungi, or viruses that can spread throughout the body. Some people have died from these infections. Your healthcare provider should test you for TB before starting and during XELJANZ/XELJANZ XR treatment, and monitor you closely for signs and symptoms of TB infection during treatment. You should not start taking XELJANZ/XELJANZ XR if you have any kind of infection unless your healthcare provider tells you it is okay.
You may be at a higher risk of developing shingles (herpes zoster).
Before starting XELJANZ/XELJANZ XR, tell your healthcare provider if you:
think you have an infection or have symptoms of an infection, such as fever, sweating, or chills; cough; blood in phlegm; warm, red, or painful skin or sores on your body; burning when you urinate or urinating more often than normal; muscle aches; shortness of breath; weight loss; diarrhea or stomach pain; or feeling very tiredare being treated for an infectionget a lot of infections or have infections that keep coming backhave diabetes, chronic lung disease, HIV, or a weak immune system. People with these conditions have a higher chance for infectionshave TB, or have been in close contact with someone with TBlive or have lived in, or have traveled to certain parts of the country (such as the Ohio and Mississippi River valleys and the Southwest) where there is an increased chance for getting certain kinds of fungal infections (histoplasmosis, coccidioidomycosis, or blastomycosis). These infections may happen or become more severe if you use XELJANZ/XELJANZ XR. Ask your healthcare provider if you do not know if you have lived in an area where these infections are commonhave or have had hepatitis B or CAfter starting XELJANZ/XELJANZ XR, call your healthcare provider right away if you have any symptoms of an infection. XELJANZ/XELJANZ XR can make you more likely to get infections or make worse any infection that you have.
Cancer and immune system problems. XELJANZ/XELJANZ XR may increase your risk of certain cancers by changing the way your immune system works. Lymphoma and other cancers, including skin cancers, have happened in patients taking XELJANZ/XELJANZ XR. Tell your healthcare provider if you have ever had any type of cancer.
Some people who have taken XELJANZ with certain other medicines to prevent kidney transplant rejection have had a problem with certain white blood cells growing out of control (Epstein Barr Virus-associated post-transplant lymphoproliferative disorder).
Tears (perforation) in the stomach or intestines. Some people taking XELJANZ/XELJANZ XR can get tears in their stomach or intestine. This happens most often in people who also take nonsteroidal anti-inflammatory drugs (NSAIDs), corticosteroids, or methotrexate.
Tell your healthcare provider right away if you have fever and stomach-area pain that does not go away and a change in your bowel habits.
Changes in certain lab test results. Your healthcare provider should do blood tests before you start receiving XELJANZ/XELJANZ XR, and while you take XELJANZ/XELJANZ XR, to check for the following side effects:
changes in lymphocyte counts. Lymphocytes are white blood cells that help the body fight off infections.low neutrophil counts. Neutrophils are white blood cells that help the body fight off infections.low red blood cell count. This may mean that you have anemia, which may make you feel weak and tired.Your healthcare provider should routinely check certain liver tests.
You should not receive XELJANZ/XELJANZ XR if your lymphocyte count, neutrophil count, or red blood cell count is too low or your liver tests are too high. Your healthcare provider may stop your XELJANZ/XELJANZ XR treatment for a period of time if needed because of changes in these blood test results.
Your healthcare provider should do blood tests to check your cholesterol levels 4-8 weeks after you start XELJANZ/XELJANZ XR, and as needed after that.
What should I tell my healthcare provider before taking XELJANZ/XELJANZ XR?
Before taking XELJANZ/XELJANZ XR, tell your healthcare provider about all of your medical conditions, including if you:
have an infectionhave liver problemshave kidney problemshave any stomach area (abdominal) pain or been diagnosed with diverticulitis (inflammation in parts of the large intestine) or ulcers in your stomach or intestines, or narrowing within your digestive tracthave had a reaction to tofacitinib or any of the ingredients in XELJANZ/XELJANZ XRhave recently received or are scheduled to receive a vaccine. People taking XELJANZ/XELJANZ XR should not receive live vaccines but can receive non-live vaccinesplan to become pregnant or are pregnant. It is not known if XELJANZ/XELJANZ XR will harm an unborn baby. You should use effective birth control while you are taking XELJANZ/XELJANZ XR and for at least 4 weeks after you take your last dose.Pregnancy Registry: Pfizer has a registry for pregnant women who take XELJANZ/XELJANZ XR. The purpose of this registry is to check the health of the pregnant mother and her baby. If you are pregnant or become pregnant while taking XELJANZ/XELJANZ XR, talk to your healthcare provider about how you can join this pregnancy registry or you may contact the registry at 1-877-311-8972 to enrollplan to breastfeed or are breastfeedingTell your healthcare provider about all of the medicines you take, especially any other medicines to treat your rheumatoid arthritis. You should not take tocilizumab (Actemra®), etanercept (Enbrel®), adalimumab (Humira®), infliximab (Remicade®), rituximab (Rituxan®), abatacept (Orencia®), anakinra (Kineret®), certolizumab pegol (Cimzia®), golimumab (Simponi®), ustekinumab (Stelara®), secukinumab (Cosentyx®), azathioprine, cyclosporine, or other immunosuppressive drugs while you are taking XELJANZ/XELJANZ XR. Taking XELJANZ or XELJANZ XR with these medicines may increase your risk of infection.
Tell your healthcare provider if you are taking medicines that affect the way certain liver enzymes work. Ask your healthcare provider if you are not sure if your medicine is one of these.Taking XELJANZ/XELJANZ XR
When you take XELJANZ XR, you may see something in your stool that looks like a tablet. This is the empty shell from the tablet after the medicine has been absorbed by your body.
What are other possible side effects of XELJANZ/XELJANZ XR?
XELJANZ/XELJANZ XR may cause serious side effects, including hepatitis B or C activation infection in people who carry the virus in their blood. If you are a carrier of the hepatitis B or C virus (viruses that affect the liver), the virus may become active while you use XELJANZ/XELJANZ XR. Tell your healthcare provider if you have the following symptoms of a possible hepatitis B or C infection: feel very tired, little or no appetite, clay-colored bowel movements, chills, muscle aches, skin rash, skin or eyes look yellow, vomiting, fevers, stomach discomfort, or dark urine.
Common side effects of XELJANZ/XELJANZ XR include upper respiratory tract infections (common cold, sinus infections), headache, diarrhea, and nasal congestion, sore throat, and runny nose (nasopharyngitis).
To learn more about XELJANZ/XELJANZ XR, a treatment option for moderately to severely active RA, visit XELJANZ.com.
Please click the direct link to the full US Prescribing Information for XELJANZ/XELJANZ XR, including BOXED WARNING and Medication Guide: http://labeling.pfizer.com/ShowLabeling.aspx?id=959.
[i] National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS). National Institutes of Health, Department of Health and Human Services. Handout on health: rheumatoid arthritis. August 2014. http://www.niams.nih.gov/Health_Info/Rheumatic_Disease/default.asp. Accessed December 4, 2017.
[ii] Sacks J, Lou Y, Helmick, C. Prevalence of specific types of arthritis and other rheumatic conditions in the ambulatory health care system in the United States 2001-2005. Arthritis Care Res. 2010;62(4):460-464.
[iii] Howden L, Meyer J. 2010 U.S. Census Bureau results – U.S. Census Bureau, 2010 Census Summary File 1.
Live Better
This Mother’s Day, give the gift of giving back

(Family Features) Celebrate Mom and other special women in your life with a Mother’s Day gift that makes a lasting impact for children.
When you shop at UNICEF Market, you’re not only choosing beautifully hand-crafted artisanal gifts, but also supporting its efforts to keep children healthy, educated and safe across 190 countries and territories. A portion of every sale could provide safe water, enhance schools, supply essential services or protect infants from preventable diseases.
Each item, from jewelry and apparel to homeware, is sourced from talented artisans who receive fair prices for their creations, strengthening their communities and supporting their families. In fact, the gifts give back three times over: They support artisans and help communities thrive, assist vulnerable children and make for thoughtful, compassionate Mother’s Day gifts.
Choose a meaningful gift that honors the special women in your life while empowering children with the tools for a better future.
Featured Gifts
- Aqua Handblown Recycled Glass Carafe and Cup Set, ‘Delicate Aqua’
Add a touch of elegance to any space with this eco-friendly carafe and glass set, handblown from recycled glass by artisans in Mexico. Perfect for your home office or bedside table, it’s a beautiful and practical way to support sustainability.
- Handmade Artisan Jewelry
Choose from a stunning collection of handmade jewelry crafted by artisans from around the world, including first-edition Beads of Hope Bracelets from Guatemala. From modern designs to timeless elegance, each piece tells a story of cultural heritage and artistry.
- Unique Home Decor
Bring a global touch to your home with handcrafted decor from Africa, Latin America and Asia. Whether it’s a rustic accent, a Peruvian rug or an African sculpture, these pieces can add character and charm to any room.
Inspired Gifts for Moms and Babies
For a gift that truly gives back, consider UNICEF’s Inspired Gifts. These donations support life-saving programs and can be sent via email or printed as a card. Perfect for those who have it all, these gifts honor the special women in your life while supporting children across the globe.
- Mom and Baby Care
Ensure the safety and well-being of both mother and baby with a package that includes essential medications for a smooth and safe delivery. This gift directly supports the health of moms and babies in need. - Bundle of Hope
Your donation can provide children with the essential tools for learning and growing: clean water, soap, exercise books, pencils, vaccines and therapeutic food. This gift helps ensure all children have the resources they need for healthy, productive futures.
This Mother’s Day, celebrate moms and children around the world with a gift that keeps on giving by visiting market.unicefusa.org.
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Live Better
Big upgrades for small spaces: Bathroom reno for style, function

(Family Features) Home renovations happen for a variety of reasons – whether to reflect personal style preferences, replace worn out materials or adapt to a family’s evolving functional needs. Among the most popular upgrades homeowners tackle, bathroom renovations can be a smart and worthwhile investment.
Updating a bathroom, even a small one, requires careful planning to ensure both aesthetic appeal and long-term functionality. To maximize the value of your investment, focus on a design that is timeless and products that offer a blend of beauty, comfort and performance.
“As a designer and renovator, I know firsthand the impact fixtures can have on a home,” said Keith Bynum, home renovation expert, designer and HGTV star. “American Standard has been my go-to for renovation projects because their products are built to last, beautiful and timeless. The brand’s approach aligns with my own – creating stylish, convenient spaces with high-quality products that cater to real-life needs and improve the way we live.”
Discover these expert tips for selecting the perfect products for your bathroom upgrade from American Standard, a trusted leader in bathroom and kitchen plumbing fixtures that is celebrating 150 years of designing innovative products that are truly “built for life.”
Sinks
Your sink should not only enhance the visual appeal of your bathroom but also meet your practical, everyday needs. Striking the right balance between aesthetics and practicality is essential when choosing the perfect sink for your space. If you’ve never shopped for a sink before, you may not realize how many styles there are to choose from.
An undermount sink sits with its edge below the level of the countertop, creating a seamless surface that makes it easier to clean while hiding from view. A drop-in sink is placed into an opening with the rim creating a lip that forms a barrier between your sink and counter. A vessel sink resembles a standalone basin, often used as a decorative and contemporary alternative to traditional sinks in powder rooms. The sleek and clean design of a pedestal sink makes it a perfect solution for smaller spaces, although additional storage may be needed.
Once you decide on the sink, you’ll also need to determine what furniture to pair with it. Some popular options to complete the look and enhance usability include a console, vanity top, floating vanity or washstand.

Toilets
When considering a toilet, performance is essential. It should meet your everyday needs, operate efficiently and provide additional features that make daily maintenance easier.
You’ll find most toilets on the market fall into one of three categories: one-piece, two-piece or smart. One-piece toilets have a seamless design, with the tank and bowl fused together for a look that is sleek and easier to clean. Two-piece toilets consist of a separate tank and bowl, making them a popular choice for easy installation and maintenance. Smart toilets offer advanced features like bidet functions, automatic flushing, self-cleaning capabilities and customizable settings designed to enhance user comfort, hygiene and convenience.
Another important consideration is your toilet’s shape and height. Elongated bowls provide added comfort while round bowls are a space-saving solution for smaller bathrooms. When it comes to height, standard toilets are suitable for most people, but higher toilets allow for easier standing and sitting accessibility.
An option like American Standard’s line of Champion toilets, engineered to never clog and powerful enough to flush a bucket of golf balls in a single flush, provide cleaner, more efficient flushes so nothing disrupts your daily routine. These DIY-friendly, low-flow toilets use just 1.28 gallons per flush to conserve water. They also feature PowerWash rim technology, which scrubs the bowl with every flush, and unique EverClean Antimicrobial Surface protection to guard against mold, mildew and odor- and stain-causing bacteria.

Faucets
Bathroom faucets come in a variety of styles and configurations to suit any design preference. Durable finishes resist tarnishing and scratches, keeping your faucet looking new for years to come. Many models also feature ceramic disc valves for silky-smooth handle operation and water-saving technology to help conserve resources and lower water bills.
A variety of bathroom faucet configurations can meet your bathroom design needs. Designed for sinks with a single-hole or four-inch escutcheon, the monoblock faucet provides easy use with a single-handle design for controlling water volume and temperature. Sinks with three faucet holes spaced four inches apart pair well with a centerset design, providing a compact and space-efficient solution ideal for undermount bathroom sink installations.
If your sink holes are spaced 8-16 inches apart, a widespread design will coordinate well with undermount and vessel style sinks that feature a deck, offering both style and practicality. The vessel faucet is designed for above-counter or vessel sinks, delivering a sleek, contemporary aesthetic that enhances modern bathrooms.
Bathtubs
Whether used for daily hygiene or as a relaxing retreat, the bathtub is a focal point of bathroom design. From classic alcove and elegant freestanding tubs to convenient walk-in options, each type caters to different needs and aesthetics. The secret is determining how you’ll use the tub so you can maximize the features and functionality while complementing your overall design.
You can expect to find a range of features, including ADA compliance for enhanced accessibility, deep soak capabilities for a luxurious bathing experience and slip-resistant surfaces for added safety.
The trim and faucets also play a crucial role in your tub’s overall look and performance. For families, one practical choice is the Aspirations Waterfall Tub Spout from American Standard, which is designed with rounded edges for kid-friendly safety while creating a soothing, spa-like cascade. It also conveniently doubles as a storage shelf or leg rest for shaving.
To explore product collections, find design inspiration and learn more about The American Standard 150th Down Payment Contest in honor of the 150th anniversary – where 10 deserving individuals have the chance to win $15,000 each to help them take the next step toward home ownership – visit americanstandard.dja.com/story.
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Live Better
Refunds to new rides: 3 essential tips

(Family Features) Tax refunds have started rolling in, which means many people are looking to use this influx of cash to make purchases they’ve been putting off. According to an Oxford Economics report, the amount of money received from income tax refunds this year could be among the highest in recent years, so many people may have more money in their pockets to spend this spring.
One purchase typically rises to the top this time of year: used vehicles. The Oxford report shows used vehicles are one of the most popular purchases for Americans during tax refund time as this coincides with higher resale values of used vehicles. When making this purchase, it’s important to consider several factors to make a smart financial decision.
Make Sure the Purchase Fits Within Your Budget
Data from Kelley Blue Book and Cox Automotive suggests average used car prices are around 50% less than new vehicle prices. Trusted used car companies and dealerships often feature a wide selection of inventory, including different makes and models, so customers can select a vehicle that excites them and fits within their budget.
“While there are several considerations to keep in mind when shopping for a vehicle, consumers should never exceed their budget,” said Laura D. Adams, personal finance expert, host of the “Money Girl” podcast and a paid Enterprise Car Sales spokesperson. “A vehicle that is near new is often an excellent sweet spot for consumers looking for quality without wanting to make the leap to purchase an expensive, new vehicle.”
Searching for a vehicle with a retailer you trust can help make it easy to stay within your budget. For example, with Enterprise Car Sales, the price listed is the price you’ll pay.
Keep the Monthly Payment Low
The more you can invest in the down payment on a vehicle, the lower your monthly cost will typically be and the less interest you will typically pay over the length of the loan. This can lead to lower, more manageable monthly payments.
“In setting a budget for a quality used vehicle, it’s important to consider the initial down payment, the monthly payments, and the interest,” Adams said. “When consumers can put a little more toward the initial down payment, while staying within budget, they often thank themselves later when they have lower monthly payments and less interest accrued.”
There are many online resources that can help consumers make this calculation. For example, an auto loan calculator can show you how a down payment can affect interest charges.
Purchase a Reliable Vehicle
No matter who you buy from, ensuring you are purchasing a high-quality, reliable vehicle is of the utmost importance. Do your research before signing on the dotted line and conduct a test drive if you can.
“When conducting your search, it’s important to put companies and dealerships you trust at the top of your list,” Adams said. “Maintenance costs can sometimes creep up down the road, so it’s important to make this significant purchase from a company or dealership you trust.”
Some dealers also provide additional benefits to help protect a purchase. For example, all vehicles purchased through Enterprise Car Sales are “Enterprise Certified,” pass a rigorous inspection by ASE-certified technicians and come with a 12-month or 12,000-mile limited powertrain warranty (whichever occurs first), 12 months of roadside assistance and a 7-day or 1,000-mile (whichever occurs first) buyback policy.
With a little research and careful planning, you can find a reliable used vehicle that excites you. Visit enterprisecarsales.com for more information.
SOURCE:
Enterprise Car Sales
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