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World leaders in obesity research are optimistic about new guidelines out of Canada, which take a more holistic approach to diagnosing and treating obesity.One critical point is for doctors to stop relying on a person's body mass index alone for diagnosis.“Body mass index tells me how big you are. It doesn't tell me how sick you are,” said Dr. Arya Sharma, Scientific Director of Obesity Canada. “So, you can have two people with the exact same BMI numbers, two people, they are both 35, one person has sleep apnea, diabetes, hypertension, fatty liver disease, infertility whatever, and the next person with that body mass index has none of those problems.”Sharma says under these new guidelines, they are concerned that more people could be classified as obese. A person might fall under the BMI number for obesity but still have weight-related health issues.Currently, about 30% of Canadians are obese. In the United States, it’s about 42%.The head of the U.S. National Center for Weight and Wellness applauds the new approach.“That very well may be lead to a seminal shift in how the general medical population addresses obesity and for that, I think they really deserve a lot of credit,” said Dr. Scott Kahan, Director of the National Center for Weight and Wellness.Another critical issue the new guidelines address is weight bias among health professionals and people living with obesity.“Patients also tend to blame themselves, so they have an internalized weight bias, so the patients also think, ‘so this is my fault and I’ve done this to myself,’” said Sharma.Doctors say your body fights back against weight loss biologically, which is why Sharma says obesity is a chronic disease for which there is no cure but can be managed. And today, there are more proven treatments than ever, not diets.“The only reason why medication and surgery have much better long-term results is because they actually change the biology in the sense to make it much harder for the body to defend its weight,” said Sharma.Obesity is a complex disease that can be caused by genetics, psychological or environmental factors among others. 2133

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on Thursday.The coffee chain is rolling out a buy one, get one free deal, offering a free drink if you buy one that's at least a grande size.To get the deal, you have to be at a participating store between 2 p.m. and 7 p.m., and you have to place your order through the Starbucks app.The offer includes both traditional favorites and holiday specials, such as the Eggnog Latte and Peppermint Mocha.The deal is part of the company's Happy Hour promotion that's available on select Thursdays.To download the Starbucks app, click here.This story was originally published by 573

in search of migrants as they come out of courtrooms, according to multiple agencies.Both Hamilton County Clerk of Courts Aftab Pureval and Hamilton County Sheriff Jim Neil said they did not know it was happening and expressed concern that ICE's presence in the courthouse could interfere with the judicial process."I've seen them every couple of months, different agents," said Niro Wijesooriya, a bailiff in the Hamilton County Courthouse. "Usually, one or two agents show up, and come in and introduce themselves to me and say they're looking for a particular defendant that's on the docket, and that they will be outside the courtroom."He said they blended in by wearing plain clothes and went unnoticed in the courthouse.This happens in the municipal courts, According to Wijesooriya, ICE agents are showing up at municipal court cases where the most serious charges are misdemeanor domestic violence and assault. He said he was worried the presence of ICE agents could potentially deter immigrant victims and witnesses from giving testimony."So some people who are dangerous to our community might continue to be freed because of the reluctance of immigrants to testify," he said.Pureval's office said he was previously unaware of ICE's presence within the Hamilton County Courthouse and would prefer if the federal agency gave his office a courtesy call before coming.Sheriff Jim Neil agreed."I was recently advised that the U.S. Immigration and Customs Enforcement (ICE) officials arrested individuals in a municipal court at the Hamilton County Courthouse. My office was not aware of this activity — nor would I be aware of it — because my office is not responsible for security in these courtrooms," he wrote in a statement. "We are only responsible for security in the Courts of Common Pleas and the hallways within the Courthouse. Hamilton County Clerk of Courts Aftab Pureval is in charge of security in the municipal court rooms."Furthermore, my office does not have a partnership of any kind with ICE regarding these types of enforcement actions. While I do not have the authority to prohibit another law enforcement agency from entering a courthouse that is open to the public, my primary concern is that anyone who is a victim or witness to a crime should be able to fully participate in the judicial process to further justice and remove dangerous criminals from our streets."The civil rights director for the League of Latin American citizens echoed Neil's sentiment and said he believes the news that ICE enters the courthouse to look for people will prevent the immigrant community from coming to court.In a statement, ICE spokesperson Khaalid Walls wrote that current policy "instructs agency personnel to avoid conducting enforcement activities at sensitive locations unless they have prior approval from an appropriate supervisory official or in the event of exigent circumstances. The sensitive locations specified in the guidance include schools, places of worship, and hospitals. Under the policy, courthouses are not considered sensitive locations."The statement from ICE continues:Now that many law enforcement agencies no longer honor ICE detainers, these individuals, who often have significant criminal histories, are released onto the street, presenting a potential public safety threat. When ICE officers have to go out into the community to proactively locate these criminal aliens, regardless of the precautions they take, it needlessly puts our personnel and potentially innocent bystanders in harm's way.Courthouses are sometimes the only location that ICE can expect a fugitive/criminal alien to appear at a scheduled time, and courthouse visitors are typically screened upon entry to search for weapons and other contraband, so the safety risks for the arresting ICE officers and for the arrestee are substantially diminished.In such instances where ICE officers seek to conduct an arrest at a courthouse, every effort is made to take the person into custody in a secure area, out of public view, but this is not always possible.It's currently unclear if ICE has detained a suspect within the Hamilton County Courthouse before the court process.This story was originally published by Courtney Francisco on 4248

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