The Sentinel: Nutrition

10 Health recommendations for the new year

Ready to quit smoking in 2025? Ask your doctor for resources and guidance for quitting tobacco and nicotine.

Photo: Lil Artsy/PEXELS

StatePoint - Looking to improve your health in 2025 and beyond? Check out these recommendations from the American Medical Association:

Make nutritional tweaks: Reduce your intake of sugar-sweetened beverages and processed foods, especially those with added sodium and sugar. Drinking sugary beverages, even 100% fruit juices, is associated with a higher mortality risk, according to a study published in JAMA Network Open. Drink water and choose nutritious, whole foods including fruits, vegetables, whole grains, nuts and seeds, low-fat dairy products, and lean meats and poultry.

Get active: A recent study published in JAMA found that putting down the TV remote and going for a walk can improve healthy aging—highlighting the importance of small everyday habits. Adults should get at least 150 minutes a week of moderate-intensity activity, or 75 minutes a week of vigorous-intensity activity.

Get up-to-date: Get your vaccines in advance of respiratory virus season—including the annual flu vaccine and the updated 2024-2025 COVID-19 vaccine for everyone six months and older, as well as pregnant people. People 65 and older and those who are moderately or severely immunocompromised should receive a second dose of the 2024-2025 COVID-19 vaccine six months later.

RSV can be dangerous for older adults. The Centers for Disease Control and Prevention recommend those 75 and older, and 60 and older at high risk for severe RSV, get vaccinated. Immunizations are also available to protect babies from getting very sick from RSV. This is important because RSV is the leading cause of infant hospitalization nationwide.

If you have questions, speak with your physician and review trusted resources, including GetMyFluShot.org. You can also reduce the spread of respiratory viruses by covering coughs and sneezes, frequently washing your hands, wearing masks, improving air quality, and staying home if you are sick.

Get screened: Make an appointment for preventive care, tests and screenings to help your doctor spot certain conditions before they become more serious.

Know your blood pressure numbers: Visit ManageYourBP.org to understand your blood pressure numbers and take necessary steps to get hypertension under control. Doing so will reduce your risk of heart attack and stroke. If checking your blood pressure at home, visit ValidateBP.org to see if your device has been tested for accuracy.

Learn your type 2 diabetes risk: Take a 2-minute self-screening test at DoIHavePrediabetes.org. Steps you take now can help prevent or delay the onset of type 2 diabetes, which carries a higher risk of heart disease, kidney disease and vision loss.

Drink only in moderation: If consuming alcohol, do so in moderation as defined by the U.S. Dietary Guidelines for Americans—up to one drink per day for women and two drinks per day for men, and only by adults of legal drinking age.

Quit tobacco and nicotine: Ask your doctor for resources and guidance for quitting tobacco and nicotine. Declare your home and car smoke-free to eliminate secondhand smoke exposure.

Follow dosage instructions: When taking prescription opioids or other medications, store them safely to prevent diversion or misuse, and properly dispose of any leftover medication. If you’re prescribed antibiotics, take the full course to prevent antibiotic resistance—a serious public health problem.

Manage stress: Good mental health is part of good overall health. Get sufficient sleep (at least 7.5 hours per night), exercise and ask for help from a mental health professional when you need it.

More health resources and tips can be found by visiting ama-assn.org.

“The best way to address the post-holiday doldrums is to do something good for your health,” said Bruce A. Scott, M.D., president of the AMA. “Even small, positive choices you make now can have a big impact on your long-term wellbeing.”

Exposing misconceptions about infant nutrition for new moms

by Tim Ditman
OSF Healthcare

Photo: Jonathan Borba/PEXELS

DANVILLE - Bringing a new baby home raises the focus on their and mom’s well-being. Toward the top of the list: what and how the child is being fed.

Whether you choose to breastfeed or use formula, misconceptions about infant nutrition are everywhere. Xandra Anderson, a certified lactation consultant at OSF HealthCare, cuts through the noise.

Do I need to change what I put in my body while breastfeeding? This covers a lot of ground, from a mom’s diet to whether she should abstain from alcohol, caffeine, tobacco and medication.

Breastfeeding moms generally don't need to change their diet. Drinking a caffeine-heavy drink before breastfeeding may keep your baby awake longer than normal. After drinking alcohol, wait a few hours to nurse.
Moms can also generally stay on medication while breastfeeding. Talk to your health care provider if you have questions or if you have a medical procedure.
If you smoke, do so after breastfeeding. Then wait a few hours to nurse again.
Have breast milk you can't use in feeding? Use it on baby acne or in their bathwater.

Do I need to change what I put in my body while breastfeeding? This covers a lot of ground, from a mom’s diet to whether she should abstain from alcohol, caffeine, tobacco and medication.

Diet:

Healthy eating is always good. But Anderson says new moms generally don’t have to change their diet for breastfeeding. If your diet is heavy on certain things (like garlic or dairy) and you notice your baby is extra fussy, you can try changing your meals. A provider may also want to test your baby for allergies.

Alcohol and caffeine:

Drink these in moderation and with precise timing, Anderson says.

“Babies are very sensitive to caffeine. If you have a cup of coffee and nurse right away, the baby is going to be awake for a lot longer than normal,” Anderson explained.

“That doesn’t mean you have to not drink coffee. Just maybe not add three shots of espresso to your morning coffee,” she adds with a smirk.

For alcohol, Anderson says the drink will filter out of your breastmilk like it filters out of your blood. So after having a couple of alcoholic drinks, wait two to three hours before breastfeeding or pumping.

“The breastmilk isn’t ruined. You just need to give it time,” Anderson says.

But here’s a lifehack if mom feels full of breast milk and wants to pump right after having a drink: Go ahead and pump, and use the milk on your baby’s acne or in their bathwater. Just keep it away from their mouth.

“It’s antimicrobial. It’s antibacterial. It’s moisturizing,” Anderson says, singing the praises of breast milk. “Our babies are in the most perfect environment in the womb. Once they’re born, their world is cold, dark and dry. They can get dry skin, acne or cradle cap [greasy or flaky spots on the scalp]. Breast milk is a great way to prevent or heal those things.”

Medication and other health care issues:

Anderson says most medication is safe to use while breastfeeding. In fact, it’s important to stay the course – for example, with mental health medication – so you can be the best mom possible. Talk with your health care provider if you have questions.

If you have a medical procedure, also get advice from a professional. For example, Anderson says if you get a hepatobiliary iminodiacetic acid (HIDA) scan for a gallbladder concern, you’ll be radioactive for around 24 hours. Don’t breastfeed during that time. Or if your breasts feel full and you have to pump, dump the milk down the drain.

Tobacco:

Anderson admits it’s tough to kick the habit. But she reminds moms: infants are very sensitive to nicotine. It can disrupt the child’s sleep and feeding and even interfere with organ development. Secondhand smoke can increase the risk of a respiratory infection and sudden infant death syndrome (SIDS).

If you’re smoking with a new baby at home, do so after breastfeeding, then wait two to three hours before nursing again. Wear one jacket while smoking so you don’t get an odor or residue on a lot of your clothes or the baby.

Creatine: Kicking your fitness level up a notch or two, it can work for you

Photo: Alora Griffiths/Unsplash

by Matt Sheehan
OSF Healthcare

In the sports world, victory can be just inches or seconds away.

Photo provided

Dr. Karan Rai

BLOOMINGTON - Think about ‘The Longest Yard’ in Super Bowl 34 between the Tennessee Titans and St. Louis Rams. In the final play of the game, one yard was all that stood between the Titans and the Vince Lombardi Trophy.

Or look at the 2024 Summer Olympics! Noah Lyles earned the United States a gold medal after winning by just five thousandths of a second in the 100-meter final.

Athletes look for game changers to help propel themselves ahead of the competition, and creatine has entered the chat.

Who does creatine work for?

“Creatine, when used appropriately, can improve your max power. It can help with muscle growth in certain individuals, it typically does not have as significant of an impact when you're doing more endurance-based sports," says Karan Rai, MD, a sports medicine physician with OSF HealthCare. "If you're a weekend warrior or CrossFit athlete trying to get a little extra boost, while practicing appropriate hydration and dietary intake, I think creatine has benefits.”

Dr. Rai adds that in the realm of supplements, creatine has been “decently studied over the years.” He says football players, power lifters and track sprinters could benefit from the supplement. However, if you’re training for an upcoming Ironman or triathlon, it’s really not necessary.

Hydrate, hydrate, hydrate!

It’s no surprise that extreme exercise increases the amount we sweat. With or without creatine, that’s reason enough to up your water intake. But Dr. Rai says with creatine, there’s an added reason to why water is so important.

“Commonly I'll find someone who is new to using a supplement and they'll come see me and talk about muscle cramps or excessive fatigue after their workouts,” Dr. Rai says. Oftentimes it's because of an imbalance in their intake, whether that's food intake or hydration."

If you already cramp constantly or are not as experienced in weight training, Dr. Rai would recommend caution in using creatine. He says to talk to your primary care physician or a sports medicine physician to see if creatine is a beneficial option for you.

Best times to use creatine

Before and/or after your workouts are times Dr. Rai recommends taking creatine. He says like most dietary changes, don’t rush it.

"When someone is using creatine, I recommend they start slowly. Typically, utilizing it before the workout and making sure your workout is power based vs. endurance-based matters," Dr. Rai says. “Just starting off, depending on the serving size, use one to two scoops.”

Careful with the caffeine!

Avoid a ton of caffeine consumption if you're using creatine. Caffeine can elevate the heart rate and creatine can cause cramping, so combining those things could lead to "adverse outcomes," Dr. Rai says.

"Supplements are meant for augmentation," Dr. Rai adds. “A healthy diet, hydrating appropriately while cultivating your goals, whether you're a power or endurance athlete, gives the max benefit. Really we should be looking at creatine or sports drinks as a way to augment and get that extra 5-10% we are pushing for, based off our goals.”

If you’re looking to add creatine to your lifestyle, Dr. Rai recommends creating an individualized plan with your doctor or sports medicine team.

Due to limited data, the American Academy of Pediatrics does not recommend creatine for kids under 18.

Myth busting hygene, common health misconceptions you should ignore

You should modify your diet when sick to avoid trigger foods, like spicy or greasy foods, suggests Dr. Awad Alyami, a pediatrician at OSF HealthCare.

Photo: Nhung Tran/Pixabay

by Tim Ditman
OSF Healthcare

DANVILLE - From health care providers to websites to advice passed down through generations, there are a lot of ways to get health care information, especially tips for minor ailments you can treat at home.

Awad Alyami, MD, a pediatrician at OSF HealthCare, breaks down some common myths.

Myth: There’s a one-size-fits-all pill for common illnesses.

Fact: It depends on whether it’s a viral infection (like influenza, the common cold or coronavirus) or a bacterial infection (like pneumonia, strep throat or food-borne illnesses like salmonella).

“For the most part, with bacterial infections you need to see a health care provider. You’re probably going to need an antibiotic,” Dr. Alyami says. “Most viral infections just run their course, and you focus on the symptoms. If you have a fever, you take fever medication. If you have pain, you take pain medication. If kids are six years or older and have a cough, they can use over-the-counter cough medication.”

Dr. Alyami points out that you can take those medications to help with bacterial infection symptoms, too. But you need an antibiotic, too, to get better.

Myth: Feed a cold and starve a fever.

Dr. Awad Alyami

Fact: You should modify your diet when sick to avoid trigger foods, like spicy or greasy foods. But reducing the amount you eat and drink won’t make you better sooner. In fact, Dr. Alyami says hydration is critical.

“When kids have infections and a fever, one of the most common reasons they end up in the hospital is dehydration,” Dr. Alyami says. “When kids are sick, they lose fluids from their body and need hydration.”

So, drink plenty of water and eat nutritious foods as your body can tolerate.

Myth: I can go back to work or school as soon as I start to feel better.

Fact: Dr. Alyami says you should be fever-free (body temperature less than 100.4 degrees) for 24 hours with improving symptoms.

When you go back out, practice good habits like thorough handwashing and avoiding coughing or sneezing into the open air.

Myth: If I don’t look or feel dirty, I don’t need to shower or bathe.

Fact: Dr. Alyami says there’s no “catch all” advice for how often to wash off. Some people will shower or bathe daily. Others will do so every other day or less frequently. Dr. Alyami advises you to shower or bathe when you feel you need to or after you’ve been in a dirty or sweaty environment, like after playing sports or a hike in the woods. People with skin conditions should also clean themselves with care.

“For people with eczema or atopic dermatitis, I recommend daily showers,” Dr. Alyami says. “But they need to be quick because the more exposure to water we have, the more we dehydrate the skin. So, showers should not exceed 15 minutes, and you should apply moisturizer right away afterward.”

Myth: When I shower, bathe or wash my hands, really hot water is best to kill germs.

Fact: Really hot showers can feel good, but they may burn your skin. Dr. Alyami recommends setting your home’s water heater at 120 degrees or less. Then, when you use the shower or sink, warm, but not hot water is best.

Dr. Alyami adds that a cold shower after a sweaty summer activity is OK because it can reduce the chance of heat rash. But frequent cold showers can irritate your skin.

Myth: Q-tips are meant for cleaning your ear.

Fact: “The ear is a self-cleaning oven. Most everything inside the ear will come out on its own,” Dr. Alyami says. “When we put anything inside the ear, we are pushing everything from the outside to the inside, especially earwax. It makes it harder for the ear to clean itself.”

Using Q-tips and similar devices can lead to injuries to the ear canal or eardrum, Dr. Alyami adds. Instead, during your shower or bath, gently clean and dry the outside of your ears. If your ears look or feel off (pain or itchiness, for example), see a provider.

“We can clean you safely in the office,” Dr. Alyami says.

Myth: For cuts and scrapes, apply antibiotic ointment like Neosporin until it heals.

Fact: You can apply the ointment once after cleaning the wound and then again after the wound is healed. But doing so often can lead to contact dermatitis, a bad skin reaction.

Myth: The “five second rule” is OK for eating food that’s fallen on the floor.

Fact: Dr. Alyami puts this one to rest once and for all: Don’t do it. Always eat off a sanitary surface.

He even says that research has shown that bacteria from the floor can attach to food in as little as less than one second. Eating dirty food can lead to vomiting and stomach illnesses.

Your guide to enjoying the pumpkin spice season

Photo: Sabuzak Kim/Pixabay

by Tim Ditman
OSF Healthcare

DANVILLE - Pumpkin spice lattes, apple crisp macchiatos and chai lattes are staples of fall and winter. The drinks can boost your mood and energy and liven up social gatherings.

But drinker beware, says Caroline Brundage, a dietetic intern with OSF HealthCare. She says the concoctions contain more added sugar (sugar not naturally occurring in an ingredient) than you’d think. Some drinks have 50 grams or more of added sugar, she says. And Brundage has noticed more coffee shop drinks with higher levels of saturated fat.

“The biggest risk [of overconsuming these drinks] would be weight gain,” Brundage says. “That can lead to heart disease, diabetes and obesity.”

Her advice to enjoy fall drinks but stay healthy: modify the drinks, and consume them in moderation.

Ingredient swaps

Brundage suggests you do your research before getting hooked on a sugary drink. Look at the nutritional facts for high levels of added sugar, carbohydrates or saturated fat. If you’re purchasing on a coffee shop app, see how you can customize the drink. She points out a couple examples at Starbucks:

A 16-ounce apple crisp oat milk macchiato typically has four pumps of apple brown sugar syrup and a spiced apple drizzle topping. Ask the barista for two pumps and to skip the topping.
A 16-ounce pumpkin spice latte also has flavor pumps (four pumps of pumpkin sauce) and a topping (whipped cream), plus whole milk. Reduce it to two pumps, skip the topping and go with almond milk for fewer calories.

“That will probably cut your sugar intake by over half,” compared to a regular pumpkin spice latte, Brundage says. “So you can still enjoy that pumpkin spice flavor. You’re just not consuming all that added sugar.”

You can also ask your coffee shop if they have a sugar free syrup to use in your drink.

Another option is to make the drinks at home. A plus, Brundage says, is you know exactly how much of each ingredient is in the drink.

“There’s sugar free pumpkin spice creamer [at stores]. If you have an espresso machine, you could do two shots of espresso. Pour some creamer and unsweetened almond milk over that. Add in cinnamon,” Brundage suggests. She says cinnamon adds fall flavor without adding calories.

“You can also do your own pumpkin spice latte. Get canned pumpkin puree, and whisk it up with one tablespoon of maple syrup,” she adds.

Skip the whipped cream or other sugary toppings on these homemade drinks, too.

When and how we drink

Brundage says if you commit to a healthy diet and exercise then want a once-a-week sugary drink reward, the health concerns are not huge. But if you swing through the Dunkin’ drive through a few times per week, you need to keep her advice at the forefront. Consider swapping ingredients, purchasing a smaller size, making the drink at home or cutting back on the number of drinks.

Brundage also likes to pair these drinks with a protein-rich food to make her feel fuller and help prevent blood sugar spikes.

Are pre-workout supplements a healthy option for young athletes?

by Matt Sheehan
OSF Healthcare

PEORIA - Did you have a childhood hero? If so, you likely aspired to emulate them and their achievements. Nowadays, your kids may see their favorite athlete or influencer using pre-workout supplements, whether on social media or in stores, to enhance their performance in the gym or on the field.

What are pre-workout supplements?

Pre-workout supplements come in various names, flavors, and sizes. Some popular options are creatine and branched-chain amino acids (BCAA). While creatine and the main ingredient in most pre-workout supplements is caffeine, most BCAAs don’t contain caffeine.

These supplements are taken before a workout or athletic match with the goals of increasing endurance, muscle mass, and reducing recovery time. But the question is should middle- or high school-aged kids use these supplements? The answer: Probably not.

Photo:Aleksander Saks/Unsplash

What are the risks of pre-workout supplements?

“These can cause increased heart rate or heart burn. You’re also taking a lot of supplements that are going straight to your gut. You can see some nausea, vomiting, diarrhea or constipation. They’re also not well-monitored, the U.S. Food & Drug Administration (FDA) isn’t regulating these very closely,” says Erica Dawkins, a dietetic intern with OSF HealthCare.

Taking it further, kids with heart defects need to steer clear of these supplements.

“A lot of times we see defects or heart irregularities that somebody isn’t even aware of. They don’t know that until they take something like this and have an adverse event,” Dawkins says. “So, if you already know, avoid these because we don’t want to throw that heart into an abnormal rhythm it might not be able to come back from.”

What are the benefits of pre-workout supplements?

“A lot of them will already have beta-alanine or branched-chain amino acids which help improve recovery time and reduce fatigue,” Dawkins says. “We also see some nitrates used that help improve blood flow to the muscles.”

Most pre-workouts are intended for healthy adults in moderation. Pregnant and nursing women are generally advised to avoid them due to the high caffeine content.

Alternatives for improving athletic performance in kids

“Focus first on making sure you’re having quality workouts, then introduce healthy nutrition,” Dawkins says. “We want to make sure we’re getting that nutrition throughout the day. Especially if we’re working out multiple times throughout the day. If you’re working out within two to four hours, make sure you’re getting a snack. We see a lot of benefits for pre-workout snacks or snacks during half-time. We also want to make sure we’re staying adequately hydrated.”

Dawkins says leafy and root vegetables like spinach, lettuce and beets are a great, natural option.

“Those have the natural nitrate in it. So, we’re getting the same effects we would from a pre-workout supplement, just in our regular diet,” Dawkins adds.

Having a conversation with your child’s pediatrician or sports medicine physician is extremely important if you are wondering what supplements should or should not be added into their routine.

Diet program showed remarkable weight loss success

SNS - University of Illinois researchers found that flexible, personalized diet plans were crucial for weight loss in a regimen high in protein and fiber. Participants in a 25-month study within a self-directed dietary education program achieved the most success when they devised their own plans.

An ideal addition to your diet if you are trying to lose weight is raw pears because they are high in fiber. An average, medium-sized piece usually contains about 5.5 grams of dietary fiber.

Photo: David Trinks/Unsplash

At the one-year mark, successful dieters — 41% of participants — had shed 12.9% of their body weight, compared with the remainder of the study sample, which lost slightly more than 2% of their starting weight, according to a paper published in Obesity Science and Practice.

The dieters were enrolled in the Individualized Diet Improvement Program (iDip), which employs data visualization tools and intensive dietary education sessions to enhance participants' understanding of essential nutrients. This approach allows them to create personalized, safe, and effective weight-loss plans, said Manabu T. Nakamura, a professor in Nutrition Science at the University of Illinois Urbana-Champaign and the study's leader.

The main goal of the iDip program is centered around boosting protein and fiber intake while consuming 1,500 calories or less daily.

The iDip team created a one-of-a-kind, two-dimensional quantitative data visualization tool that plots foods’ protein and fiber densities per calorie and provides a target range for each meal. Starting with foods they usually ate, the dieters created an individualized plan, increasing their protein intake to as much as 80 grams and their fiber intake to close to 20 grams daily.

A total of 22 people finished the program, including nine men and 13 women. Most of them were between 30 and 64 years old. They said they had tried to lose weight at least twice before. Many of the participants had other health problems—54% had high cholesterol, 50% had bone or joint issues, and 36% had high blood pressure or sleep problems. Some of them also had suffered from diabetes, liver disease, cancer, or depression.

Throughout the program, participants experienced significant body transformations. They reduced their fat mass from an average of 42.6 kilograms to 35.7 kilograms after 15 months. Additionally, their waistlines shrank by about 7 centimeters after six months and a total of 9 centimeters after 15 months.

Tracking participants' protein and fiber intake, the team identified a strong link between higher consumption of these nutrients and weight loss at three and 12 months.

"Flexibility and personalization are key in creating programs that optimize dieters’ success at losing weight and keeping it off," Nakamura said. "Sustainable dietary change, which varies from person to person, must be achieved to maintain a healthy weight. The iDip approach allows participants to experiment with various dietary iterations, and the knowledge and skills they develop while losing weight serve as the foundation for sustainable maintenance."

5 tips to simplify your workday this fall

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Family Features - Optimizing your workday through careful preparation and effective time management can create a more harmonious balance between your professional and personal life. Finding ways to simplify the day, both at home and on the job, can help you make the most of every minute, so you feel less rushed and better prepared to manage whatever the day throws your way. Make your workdays more manageable with these tips and find more time-saving ideas at BensOriginal.com.

Wake Up on Time

Starting the day with a bang, setting an alarm and sticking to it can be the secret ingredient to a super productive day. Hitting snooze not only makes you groggy, but it cuts into valuable time you need to start your morning routine. Plan to get up late enough to feel rested but early enough to accomplish important tasks, such as breakfast, which gives your body and mind the energy they need for a busy day. Consistent bed and wakeup times can improve the quality of your sleep, giving you the extra boost you need.

Grocery Shop at the Start of the Week

Use your weekends wisely with a smart strategy and foresight to plan ahead so you can save time when workdays get away from you. Planning and prepping meals and keeping your pantry stocked with easy-prep items ensures you’re fueling your body, keeping burnout at bay. For example, Ben’s Original Ready Rice products can be your go-to lifesavers as a delightful lunch that’s ready to serve in 90 seconds. Even when time’s ticking away, you can still enjoy a satisfying dish and keep your energy soaring high.

Keep Your Calendar Organized

Juggling deadlines, meetings and ongoing tasks can be an organizational hassle, but effectively mastering your calendar can make all the difference. Make it a habit to answer meeting requests and ensure they get logged into your calendar promptly. Then, like a pro, schedule other commitments around the meetings, blocking off time as necessary to ensure you leave adequate time at your desk to get your work done. Use your calendar’s labeling and organization tools to help keep you on track. For example, you might color code priority items differently than tasks or meetings that could be moved if necessary.

shopping cart

Photo: Markus Winkler/Unsplash

Simplify Workday Lunches

Bringing your lunch to work can be an ultimate time-saving hack. Enjoying a tasty dish in the breakroom gives you a change of scenery and lets you reset your brain without losing travel time by heading to the nearest drive thru. An option like Ben’s Original Street Food delivers convenience and is a perfect solution for those days when you’re short on time but craving a tasty lunch. It delivers convenience wrapped in a flavor-packed dish, ready to tantalize your taste buds. Look for flavors like Jamaican Jerk-Style Red Beans and Rice with Chicken, Gumbo with Chicken and Andouille Sausage, Fried Rice with Vegetables or a Bean and Rice Burrito Bowl to transport your taste buds around the world, right from the comfort of your office.

Condense Meetings

Whether scheduled or impromptu, meetings can quickly feel like they’re consuming your entire day. If possible, set your calendar availability so you’re only able to take meetings in the late morning or early afternoon. This nifty trick ensures you have ample time to kickstart and wrap up your day with top-priority tasks. Host standing meetings so participants are focused on the topic at hand and less likely to engage in distracting chatter. Prepare agendas for meetings so you can stay on track and handle off-topic discussions outside of meeting times.