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Snack bars are a common go-to snack when you need something to tide you over between meals, and there are so many to choose from. But how healthy are they? "Many are made from different products like oat, nut,” says registered dietitian Sara Scheler with Rose Medical Center. “Or some these days are made with egg whites for added protein." Scheler says you don't have to sacrifice taste for health, but you do have to be careful not to be tricked by the so-called “health bars.” "I tell all my patients to flip it over and look at the nutrition facts,” she says.Here are 3 things Scheler says to look for: A snack bar should be around 200 calories It should be high in fiber It should have about 9 grams of protein and no more than 10 grams of added sugar If you have no dietary restrictions, Scheler says be wary of bars that are sugar free, fat free or gluten-free. “A lot of times when they take the gluten out of the product, they have to put in salt and extra sugar to make it taste better,” the dietitian says. A Clif Bar, for example, has 23 grams of sugar in it. A Snickers bar has less sugar than that. Another popular bar is the Fiber One bar. It's not unhealthy, but some bars don't have enough protein or calories to hold you over to the next meal. Here are a few bars that did made the cut: The Caramel Almond & Sea Salt Bar from KIND is a great choice: 200 calories, 6 grams of protein, 5 grams of sugar and high in fiber. The Honey Almond Flax by Kashi is another good one: 150 calories, 4 grams of fiber, low sugar and 7 grams of protein. 1581

Tamera Mason deals with four competing autoimmune diseases everyday, and her service dog Irene helps her stay on top of things.“She is a diabetic and Addison trained dog,” Mason said.Addison’s Disease is a disorder in which the body doesn’t produce enough hormones. It can be life threatening.“She has kept me safe,” Mason said. “And instead of having an Addison crisis about every six weeks, now in a year and a half I’ve only have two ICU visits. Both of which she predicted and was able to alert me for.”Dogs can learn to “alert” their owners when they smell a certain trigger, like low blood sugar, if properly trained. Irene bumps Mason’s leg.“Irene is 20 to 30 minutes ahead of when the glucose monitor said I was in trouble,” Mason said.Given Mason’s condition and her full time job at an emergency department, it can make all the difference. “I have been very blessed with a dog who truly has superpowers,” Mason said.She got Irene from a nonprofit called Service Dogs of Virginia. They train dogs with different skills based on the future owner’s needs. “We don’t train the dogs to smell the odor, they do that because they’re dogs and they have a nose. What we do is train them to tell us when they smell that odor,” Peggy Law, the founder of the organization, said.Law calls them "toddlers with superpowers. She saw the need for service dogs in her community, saying the demand grew enormously. With that demand comes more businesses entering the industry, but not always for the right reasons. Service dog companies and trainers are not monitored or regulated by any government agency. Instead, a nonprofit coalition has formed in its place.“We are really regarded as the global leaders of the industry for setting standards,” Chris Diefenthaler, the executive director of Assistance Dogs International (ADI), said.ADI has come up with its own peer-review accreditation process to help combat fraud.“It is a very thorough, comprehensive evaluation,” Diefenthaler said.ADI had 273 member organizations worldwide in 2018. In that year, they helped place more than 7,700 service dogs, four percent were diabetic alert dogs. Irene was trained through an ADI-accredited facility.“We have a reasonable sense of when I go to bed at night, being able to wake up,” Mason said.Some aren’t so lucky.“We found out he had skin issues which ended up being from autoimmune diseases from being overbred,” Michelle Ninstant said. Ninstant was desperate to find ways to help her son who had just been diagnosed with diabetes, and heard how service dogs could help.“My son, Zack Johnson, was diagnosed with Type 1 Diabetes back in 2012,” she explained. “He was very brittle, so no matter how much we gave him to carb him up and bring his sugars up he could drop 20, 30 seconds after that.”She found a company selling service dogs, with a price tag of ,000. After waiting nine months, she received Alan, a 13-week-old service dog who was supposed to come with basic training. Within days, Alan was shoeing troubling symptoms, and still had not learned the basics like “sit” or “stay”.“While we’re trying to learn about diabetes in general and then add a service dog onto it, add my sons health issues onto it,” the mother explained. “He’s part of your family so you just don’t want to send him back.”She said in the first year alone, vet bills totaled close to ,000 as they figured out what was causing Alan’s skin and immunity problems.Ninstant ended up training Alan herself with some help, and on multiple occasions Alan helped save Zack.But six years later, you can still see Alan struggle with skin problems and itching.“Alan’s part of our family,” Michelle said.Service Dogs of Virginia keeps up with their clients every year. “We want to make sure they’re doing all the things that they need to to make sure the dog is working well,” Law said.While Law said a service dog isn’t the right solution for everyone, there are ways to make sure you are buying from a trustworthy organization. “I think you have to ask a lot of questions,” she said. 4059

STEAMBOAT SPRINGS, Colo. — Rescuers successfully dug out a person buried in an avalanche at Steamboat Resort in northern Colorado.A resort official 160

Strong opioid dosage is the topic of a two-day public hearing by the Food and Drug Administration — which is trying to discern the benefits and risks.For Katrina King, her opioid addiction began with a back injury. It got so bad she spent two years behind bars after getting caught with forged prescriptions. King blames being put on high-dose medication too strong for her injury."The extended release — introducing that into the picture as such a potent dose so early in my diagnosis without trying anything else — ended up being catastrophic," she said.Some people have suggested the FDA remove high-dose opioids form the market to fight the deadly epidemic. Others argue the stronger meds are necessary to manage pain for some patients and getting rid of it could worsen pain for those people, leading to potential suicides."We don't want to cause additional suffering for people who have unmanageable pain that does make them feel they don't want to live anymore. On the other side of that, I would challenge the pharmaceutical industry and the FDA to come up with other methods of pain control," King said.The FDA will review public comments and decide whether to make change, which could include tougher regulations on reducing the use of high-dose opioids. 1276

President Trump seems nowhere near making a deal with Democrats over border wall funding. And instead of waiting on a compromise, Trump's claiming he can declare an "immigration emergency" to get his way. But experts aren't so sure about that. "I don't think he can go through with it," said James Thurber, professor of government at American University and author of "Rivals for Power: Presidential-Congress Relations." "Maybe it will take a judicial action to force him not to do it, but I think that he probably found out that there was such a thing as the national emergency powers of the president and that stuck with him, and so he tweeted and stated things that were well before legal advice given to him."But is there precedent for Trump's potential move? They have been used by President George W. Bush during times of war and by President Barack Obama after Russia annexed Crimea. "Emergency powers were used to build facilities in Afghanistan and Iraq, but they've also been used since the 1976 National Emergencies Act that defines what you can and cannot do. They've been used probably 30 times, primarily on trade issues but also related to war and war powers," Thurber said.An 1204