
my.clevelandclinic.org/podcasts/sports-essentials/functional-movement-screenings
Health is Wealth

Honey can help make a sore throat more bearable by tamping down inflammation and coating your throat
If your throat is scratchy, sore or raw, you may already have a home remedy in your pantry: honey. Honey has been used for centuries to soothe sore throats — and there’s good science behind why it works.
Family medicine specialist Elizabeth Rainbolt, MD, gives us the buzz.
Honey is a natural sugar that can be surprisingly helpful when it comes to managing a sore throat and other cold and flu symptoms.
The reason why? It has to do with the nectar bees collect from plants. Nectar is sugar, but it has something going for it that your average table sugar doesn’t.
“The nectar the bees gather contains small amounts of enzymes, vitamins, minerals and more,” Dr. Rainbolt explains. “So, when bees make honey and we eat it, some of those healthy plant-based benefits make their way into our bodies.”
Honey can help soothe your sore throat in a few different ways.
Inflammation (swelling) in your throat is part of what gives you that can’t-swallow feeling. Honey contains nutrients that may help to tamp down inflammation.
“Honey is a good source of flavonoids, which are a kind of plant chemical with anti-inflammatory properties,” Dr. Rainbolt shares.
So, when your throat is on fire, reaching for some honey can help ease swelling and give you some relief.
Another thing about those flavonoids in honey: They’re naturally anti-microbial. That means they can help your immune system fend off invaders that can get you sick, like viruses and bacteria.
Manuka honey in particular may help fight Streptococcus mutans, a common bacterium behind some throat infections.
“Manuka honey contains a unique compound called methylglyoxal, which gives it extra antibacterial power,” Dr. Rainbolt explains. “It may help reduce certain types of bacteria in the mouth and throat.”
But honey isn’t a replacement for medical care. If you’re dealing with strep throat or another bacterial infection, honey might help make your throat feel a little better — but it’s not a cure. Talk with a healthcare provider if you think your sore throat is something more serious than irritation from things like a cold or allergies.
Honey is thick and sticky, which helps coat the lining of your throat. It can act as a protective layer that can reduce irritation and make it easier to swallow.
“Think of honey like a natural cough drop,” Dr. Rainbolt says. “It forms a coating that calms the tissues in your throat and reduces that raw, scratchy feeling.”
The same soothing effect that helps your sore throat can also quiet a nagging cough. In fact, research suggests honey may be more effective than over-the-counter cough suppressants, especially for nighttime symptoms.
Calming the cough means less stress on your throat — and less pain.
There are a few different ways to get your honey fix for a sore throat:
“For a double-soothing effect, combine honey with warm liquids like tea or lemon water,” recommends Dr. Rainbolt. “Just avoid using boiling water — that can destroy some of honey’s beneficial properties.” Instead, let your hot water sit for a few minutes before you stir in your honey.
All honey has benefits, but some kinds pack a little more punch to knock out a sore throat:
“If the honey is crystal-clear, it’s likely been highly processed,” says Dr. Rainbolt. “Look for raw, dark, or cloudy honey to get the most health benefits.”
Honey is a natural remedy for sore throats. But natural doesn’t mean without risks. Keep these things in mind:
When used properly, honey might help ease a sore throat and deliver an antibacterial and anti-inflammatory boost, especially when used in combination with other home remedies.
But it’s not a magic elixir. If you think it could be strep throat or have other troubling symptoms, talk with a healthcare provider.

Strengthening your pelvic floor can help you avoid incontinence issues and sexual dysfunction
You do bicep curls to keep your arms strong. Crunches to keep your core in shape. Squats to build lower-body stability.
But there’s another muscle group that you may not be giving the attention you need. It’s your pelvic floor, a network of muscles in your pelvis that’s critical to your quality of life.
How do you do pelvic floor exercises? And do you really need to?
Gynecologist Amy Gee, MD, shares advice about how to strengthen your pelvic floor and why it matters.
Your pelvic floor sits in the lower part of your torso between your abdomen and legs. It forms a kind of bowl that supports your bladder, bowels, rectum, urethra and other pelvic organs. Exercising your pelvic floor helps maintain strength and integrity so those vital organs can work their best.
Exercises that target your pelvic floor can help you avoid troubles like:
Because of the nature of the female anatomy, pelvic floor exercises are more commonly recommended for women.
“The vaginal canal is an open space. And that void can lend itself to issues for females if your pelvic floor becomes weakened,” Dr. Gee explains.
But people of any sex can benefit from a strong pelvic floor.
The muscles in your pelvic floor tend to weaken as you age. Pregnancy and vaginal births can speed that along. And if you’re carrying extra weight (particularly around your midsection), it can put added pressure on your pelvic floor muscles.
Urinary incontinence is one of the most common signs of a weak pelvic floor. That can look like:
Dr. Gee recommends pelvic floor strengthening for most people starting in their 20s. But it’s worth pointing out that, while many of us can benefit from exercising our pelvic floor, it may not be for everyone.
Some people have particularly tight muscles in their pelvic floor. It’s called pelvic floor dysfunction and can cause issues like trouble releasing pee or poop. And it can cause pain during intercourse if the muscles in your vagina can’t relax.
In that case, exercises to strengthen your pelvic floor muscles can exacerbate your troubles. Talk with a healthcare provider about options for pelvic floor relaxation exercises.
It’s not especially difficult to engage your pelvic floor muscles, but it can take some practice to identify the right muscles to squeeze.
To start, pretend you have to pee. Now, squeeze the muscles you’d use to hold it. Those muscles are your pelvic floor.
Still not sure you’re getting the right spot?
“Sometimes, it can help to place a finger in your vagina and squeeze until you feel those muscles activate,” Dr. Gee advises.
Still not finding it? A pelvic floor physical therapist may help.
Physical therapists sometimes use extra tools to help you target the right muscles.
That can include things like biofeedback techniques, which use sensors to monitor your muscle activity as you engage your pelvic floor. That feedback can help you target the right muscles to perform the exercises correctly.
Some people also try vaginal weights, which are special weights shaped like cones or teardrops that can be inserted in the vagina and used to train your pelvic floor. It’s not about adding weight in the same way you would if you’re bench-pressing. Think of these tools as less about pumping up the resistance and more as a way to help you identify the correct muscles so you can make sure you’re engaging your pelvic floor properly.
Before we jump into the exercises, let’s set some expectations.
For starters, there are no quick fixes to strengthen your pelvic floor. Like any other muscle, it takes some time to build up.
“I always tell patients to equate it to trying to increase your cardio; it takes time and dedication,” Dr. Gee shares. “And like with any other exercise program, you want to start slowly and build up.”
She recommends these exercises.
Kegel exercises are the most widely recommended pelvic floor exercises. And for good reason — they’re the only exercises that specifically target your pelvic floor.
“There is a lot of different advice about how to best do Kegels,” Dr. Gee notes. “But there’s no data that shows any specific regimen that’s best for everyone.”
That said, here’s one way to get started:
Easy? Try a set of four one-second Kegels and then hold the fifth for five seconds.
“Holding a Kegel for several seconds can be pretty challenging,” she recognizes. “But the more you try, the more stamina you’ll build. I try to tell patients to work toward a five-second hold. If you can get there, you’re doing really well.”
Here’s a pro tip for people dealing with stress incontinence — a tendency to leak urine when you sneeze, cough, laugh or lift things: Do a quick, strong Kegel right before the activity that causes you to leak. (It’s called “the knack.”)
And another tip: Tickle in your nose? Squeeze before you sneeze.
Learn how to do a cat-cow yoga pose from exercise physiologist, Katie Lawton, MEd.
If you’re up for a bigger challenge, you can incorporate Kegels into other stretches and exercises, like cat-cow pose.
Here’s how:
It’s important to remember that, while cat-cow and other exercises are good for things like building flexibility and strength in your body, holding the Kegel is the part that targets your pelvic floor. If you’re not squeezing your pelvic floor muscles, you’re not targeting that muscle group.
“You have to be cognizant about purposefully engaging your pelvic floor if you want to get the benefit. Think to yourself, Am I just clenching my butt? Or am I actually contracting my pelvic floor?” Dr. Gee advises.
Bridge pose can help strengthen the muscles in your back and legs. And with some extra effort, your pelvic floor, too.
Here’s how to do it:
You can also exercise your pelvic floor while doing squats. Squeeze as you lower and release as you stand. Up the ante even more with squat variations, like jump squats, sumo squats and using barbells.
Kegels and other pelvic floor exercises are typically safe to do at home. But many people benefit from working with a physical therapist trained in pelvic floor dysfunction.
“Learning the appropriate technique is important, and it’s helpful to have a trained professional guide you through it,” Dr. Gee states.
Seeing a physical therapist who specializes in pelvic floor problems is especially important if you experience pelvic pain or signs of prolapse.
“Underlying back and hip pain can contribute to pelvic pain. A specialist can make sure you’re addressing all of the issues,” she adds. “For pelvic pain, physical therapy is really a mainstay of treatment.”
Talk with a healthcare provider about your concerns and whether pelvic floor therapy could be right for you.

August 24, 2026/Diet, Food & Fitness/Nutrition
The best choices are high in omega-3s and protein and low in mercury
Fish has earned its reputation as one of the healthiest proteins you can put on your plate. But with so many options in the seafood case, it can be hard to know which ones deserve a spot in your shopping cart.
“It can get overwhelming sometimes with so many choices,” says registered dietitian Julia Zumpano, RD, LD. “The key is choosing fish that give you the most nutritional benefit while limiting your mercury exposure.”
Fish is packed with lean protein, but its biggest nutritional advantage is omega-3 fatty acids. These healthy fats can help support heart and brain health and lower inflammation, among other benefits.
Zumpano’s top choices for fish are all high in omega-3s and protein, as well as other vitamins and nutrients.
They’re also low in mercury, a toxic metal that brings health concerns in high amounts.
Here are five fish choices to search out at the market.
Don’t let their tiny size fool you: “Sardines offer big health benefits,” says Zumpano.
A 3-ounce serving provides about 2 grams of omega-3 fatty acids — one of the highest amounts of any fish. They’re also a good source of calcium and vitamin D, essential nutrients your body needs to work right.
Another perk? They’re inexpensive and easy to keep on hand. You can buy sardines packed in olive oil or tomato sauce and add them to:
If you’re watching your sodium intake, compare nutrition labels and choose lower-sodium varieties when possible.
Herring is another oily fish loaded with omega-3s. While it contains slightly less omega-3 than sardines, herring still delivers plenty of heart-healthy fats. It’s also swimming in vitamin B12 and vitamin D.
Depending on your preferences, herring can be eaten:
“Herring has a stronger, fishier flavor because it’s rich in those healthy oils,” Zumpano notes. “If you’re trying it for the first time, using mustard and dill is a traditional preparation that’s a great place to start.”
Mackerel is another excellent source of omega-3s and lean protein, but there’s one important catch: Not all mackerel is created equal.
It’s best to choose the smaller Atlantic or Spanish mackerel, which are relatively low in mercury, clarifies Zumpano. And pass on king mackerel, a larger predator fish that contains much higher mercury levels.
Mackerel is tasty grilled, baked or poached. The fish pairs well with vegetables, salads and whole grains for a balanced meal.
No list of healthy fish would be complete without salmon. Popular with diners for its rich and meaty texture, salmon is another excellent source of protein, omega-3 fatty acids and key vitamins.
When it comes to nutritional value, wild salmon holds a slight edge over responsibly raised farmed salmon, notes Zumpano. But both are excellent choices.
“If you have the opportunity to choose wild Pacific salmon, it’s a great option,” she adds. “But don’t be afraid to eat farm-raised Atlantic salmon if that’s what’s available or fits your budget.”
Rainbow trout is another option in the seafood case that checks a lot of good-for-your-health boxes. It’s rich in lean protein and omega-3 fatty acids while also providing important key vitamins and nutrients.
“Rainbow trout has a mild flavor and soft texture, too, so it’s easy to work into meals,” says Zumpano. Try it baked, grilled or pan-seared. It goes nicely with veggies, salads or whole grains for a balanced plate.
No fish is completely “bad” for you, given the protein and other nutrients they offer. But some are worth eating less often because they’re lower in omega-3s or potentially higher in mercury or other contaminants.
This list includes:
While fish consumption in the United States has risen in recent years, most Americans still don’t eat from the seas often enough, says Zumpano. That adds up to a lot of people missing out on an important source of omega-3 fatty acids.
In general, health experts recommend that adults eat two 4-ounce servings of fish per week as part of a healthy and balanced diet. (Pregnant or breastfeeding women should limit it to one serving per week, given the mentioned mercury concerns.)
Zumpano recommends adding a variety of seafood to your meals. If you’re looking for choices other than the fish cited here, check out the “best choices” list put together by the U.S. Food and Drug Administration (FDA).
“Fish is one of the healthiest sources of protein you can eat,” reiterates Zumpano. “When you choose fish that’s high in omega-3s and lower in mercury, you’re getting the greatest nutritional benefit.”

Honey can help make a sore throat more bearable by tamping down inflammation and coating your throat
If your throat is scratchy, sore or raw, you may already have a home remedy in your pantry: honey. Honey has been used for centuries to soothe sore throats — and there’s good science behind why it works.
Family medicine specialist Elizabeth Rainbolt, MD, gives us the buzz.
Honey is a natural sugar that can be surprisingly helpful when it comes to managing a sore throat and other cold and flu symptoms.
The reason why? It has to do with the nectar bees collect from plants. Nectar is sugar, but it has something going for it that your average table sugar doesn’t.
“The nectar the bees gather contains small amounts of enzymes, vitamins, minerals and more,” Dr. Rainbolt explains. “So, when bees make honey and we eat it, some of those healthy plant-based benefits make their way into our bodies.”
Honey can help soothe your sore throat in a few different ways.
Inflammation (swelling) in your throat is part of what gives you that can’t-swallow feeling. Honey contains nutrients that may help to tamp down inflammation.
“Honey is a good source of flavonoids, which are a kind of plant chemical with anti-inflammatory properties,” Dr. Rainbolt shares.
So, when your throat is on fire, reaching for some honey can help ease swelling and give you some relief.
Another thing about those flavonoids in honey: They’re naturally anti-microbial. That means they can help your immune system fend off invaders that can get you sick, like viruses and bacteria.
Manuka honey in particular may help fight Streptococcus mutans, a common bacterium behind some throat infections.
“Manuka honey contains a unique compound called methylglyoxal, which gives it extra antibacterial power,” Dr. Rainbolt explains. “It may help reduce certain types of bacteria in the mouth and throat.”
But honey isn’t a replacement for medical care. If you’re dealing with strep throat or another bacterial infection, honey might help make your throat feel a little better — but it’s not a cure. Talk with a healthcare provider if you think your sore throat is something more serious than irritation from things like a cold or allergies.
Honey is thick and sticky, which helps coat the lining of your throat. It can act as a protective layer that can reduce irritation and make it easier to swallow.
“Think of honey like a natural cough drop,” Dr. Rainbolt says. “It forms a coating that calms the tissues in your throat and reduces that raw, scratchy feeling.”
The same soothing effect that helps your sore throat can also quiet a nagging cough. In fact, research suggests honey may be more effective than over-the-counter cough suppressants, especially for nighttime symptoms.
Calming the cough means less stress on your throat — and less pain.
There are a few different ways to get your honey fix for a sore throat:
“For a double-soothing effect, combine honey with warm liquids like tea or lemon water,” recommends Dr. Rainbolt. “Just avoid using boiling water — that can destroy some of honey’s beneficial properties.” Instead, let your hot water sit for a few minutes before you stir in your honey.
All honey has benefits, but some kinds pack a little more punch to knock out a sore throat:
“If the honey is crystal-clear, it’s likely been highly processed,” says Dr. Rainbolt. “Look for raw, dark, or cloudy honey to get the most health benefits.”
Honey is a natural remedy for sore throats. But natural doesn’t mean without risks. Keep these things in mind:
When used properly, honey might help ease a sore throat and deliver an antibacterial and anti-inflammatory boost, especially when used in combination with other home remedies.
But it’s not a magic elixir. If you think it could be strep throat or have other troubling symptoms, talk with a healthcare provider.

We all want to protect our kids whether it be from falls, bumps and bruises — or avoidable infections and diseases. To help your child avoid illness, it’s important to encourage good habits and take steps to boost their immune system from an early age.
“Most of what makes a child’s immune system strong is common sense,” says pediatrician Adriane Lioudis, MD. If you keep these five tips in mind, you’ll stack the deck in your child’s favor for a healthier life.
While it’s a very personal decision (that isn’t always possible), if you are able to exclusively breastfeed your child for at least six months, it may have benefits. Some research shows that breastfeeding your child might possibly reduce allergies, Dr. Lioudis says.
Eighty percent of infections are spread by touch. Teach your little one to take the time to wash their hands after sneezing, coughing and going to the bathroom. Washing hands with warm water and soap for at least 20 seconds can remove bacteria and viruses and can reduce the chance of lung infections by up to 45%.
Follow your pediatrician’s advice when it comes to the childhood vaccination schedule. Immunizations start in infancy and continue to adulthood and prevent measles, mumps, chickenpox, rotavirus and other infections.
“Get the flu shot for your child yearly, as well,” Dr. Lioudis says. This is particularly important for children with asthma and other chronic health conditions.
Also, if your family will be traveling internationally, it’s important to seek advice from your child’s healthcare provider about any needed vaccinations.
To maximize immunity, children must get enough sleep.
Sleep requirements for each night vary by age:
Not getting enough sleep limits the body’s ability to produce proteins called cytokines that help fight infection and reduce inflammation.
A healthy diet is also important for your child’s immune system.
Dr. Lioudis recommends encouraging your child to “eat the rainbow” when it comes to fruits and vegetables. A good selection of whole grains should be part of their diet as well. Keep processed foods to a minimum. Proper food choices can help ensure that your child gets enough vitamins — such as vitamin A and E. These vitamins are needed to maintain good health and a strong immune system.
“Even if you follow these tips, your child might still get between seven and 11 colds each year,” says Dr. Lioudis. She adds that you can expect each one to last up to two weeks.
Also, keep in mind that some things billed as common “remedies” aren’t effective in boosting immunity. For example, there’s no definitive proof that large amounts of vitamin C or echinacea help prevent colds or shorten them, she says.
However, if your child has a compromised immune system, work closely with your pediatrician to find ways to improve his or her immunity. Each child needs a personalized approach because their individual immune system varies, Dr. Lioudis says.
“There’s generally a different protocol with immunocompromised children. There are some vaccines we have to add in on top of what most children have, but it’s something that we must determine on a case-by-case basis.

We all want to protect our kids whether it be from falls, bumps and bruises — or avoidable infections and diseases. To help your child avoid illness, it’s important to encourage good habits and take steps to boost their immune system from an early age.
“Most of what makes a child’s immune system strong is common sense,” says pediatrician Adriane Lioudis, MD. If you keep these five tips in mind, you’ll stack the deck in your child’s favor for a healthier life.
While it’s a very personal decision (that isn’t always possible), if you are able to exclusively breastfeed your child for at least six months, it may have benefits. Some research shows that breastfeeding your child might possibly reduce allergies, Dr. Lioudis says.
Eighty percent of infections are spread by touch. Teach your little one to take the time to wash their hands after sneezing, coughing and going to the bathroom. Washing hands with warm water and soap for at least 20 seconds can remove bacteria and viruses and can reduce the chance of lung infections by up to 45%.
Follow your pediatrician’s advice when it comes to the childhood vaccination schedule. Immunizations start in infancy and continue to adulthood and prevent measles, mumps, chickenpox, rotavirus and other infections.
“Get the flu shot for your child yearly, as well,” Dr. Lioudis says. This is particularly important for children with asthma and other chronic health conditions.
Also, if your family will be traveling internationally, it’s important to seek advice from your child’s healthcare provider about any needed vaccinations.
To maximize immunity, children must get enough sleep.
Sleep requirements for each night vary by age:
Not getting enough sleep limits the body’s ability to produce proteins called cytokines that help fight infection and reduce inflammation.
A healthy diet is also important for your child’s immune system.
Dr. Lioudis recommends encouraging your child to “eat the rainbow” when it comes to fruits and vegetables. A good selection of whole grains should be part of their diet as well. Keep processed foods to a minimum. Proper food choices can help ensure that your child gets enough vitamins — such as vitamin A and E. These vitamins are needed to maintain good health and a strong immune system.
“Even if you follow these tips, your child might still get between seven and 11 colds each year,” says Dr. Lioudis. She adds that you can expect each one to last up to two weeks.
Also, keep in mind that some things billed as common “remedies” aren’t effective in boosting immunity. For example, there’s no definitive proof that large amounts of vitamin C or echinacea help prevent colds or shorten them, she says.
However, if your child has a compromised immune system, work closely with your pediatrician to find ways to improve his or her immunity. Each child needs a personalized approach because their individual immune system varies, Dr. Lioudis says.
“There’s generally a different protocol with immunocompromised children. There are some vaccines we have to add in on top of what most children have, but it’s something that we must determine on a case-by-case basis.
You know exercise builds muscles, strengthens bones, keeps your heart healthy and your mind sharp. But it also does something that you might not think much about: It helps keep your immune system — your internal defenses against infection — in tip-top shape.
If you take time for some physical exertion each day, it helps get your body ready to attack bacteria, viruses and toxins that can sneak in and make you sick.
But how much exercise is effective? Do too little or too much, and it won’t have the best effect on your immune system.
Clinical immunologist Leonard Calabrese, DO, answers common questions about how exercise can impact your immunity and how to use your workouts to shut out a world of would-be invaders.
A: If you exercise moderately on a regular basis, it tunes up the immune system in many ways. It enhances your broad-based defenses against viral infections, such as those causing upper respiratory infections.
Working out regularly also reduces the risk of many chronic diseases such as cardiovascular, respiratory illnesses and metabolic diseases, such as type 2 diabetes.
A: Fortunately, you don’t have to push yourself to the limit to rev up your immune system. In fact, your immune system needs less of a workout than you get with your average cardio routine.
Focus on getting 20-30 minutes of moderate exercise, five days a week, and your immune system will thank you.
A: Moderate exercises, including biking or walking briskly in your neighborhood, are good ways to get your blood flowing. Swimming is also a good option for non-weight-bearing exercise for your joints.
Also try mind-body exercises such as Tai-Chi, Qi Gong and yoga, which are all options that help keep your joints flexible. These exercises also reduce chronic stress, which in itself is a powerful immune booster. These exercises can also help alleviate osteoarthritis and fibromyalgia symptoms.
A: Yes, though, the level to which it can slow your system down is still up for debate.
Research shows that exercising for more than 1.5 hours without refueling your body or giving it enough time to recover suppresses your immune responses for up to a few days. During that time, your cortisol levels rise, your white blood cell count drops and you’re more likely to develop a respiratory infection.
This problem usually affects elite athletes, such as marathon runners, most.
On the flip side, staying sedentary also increases your risk of infection, inflammation and chronic disease.
A: Yes, it can. This is a complex issue, but I like to tell my patients to do a “neck check.” If your symptoms are mostly of a mild cold without fever or lower respiratory symptoms, such as a productive cough, wheezing or shortness of breath, mild exercise can actually reduce congestion and may make you feel better.
If your symptoms are primarily in your lungs or you have a significant fever its better to rest until things settle down. Regardless, good hydration is important.

| If you hear the term “longevity” and think only about living longer, you’re missing half the point. “What we actually want is both more years and more of those years lived in good health,” says Dr. David Barzilai, a longevity physician and the medical editor of Harvard Health Publishing’s Special Health Report Pathways to Longevity. “Almost no one wants additional years of frailty and dependence; they want more years of feeling well, moving freely, thinking clearly, and staying engaged with the people and work they love.” To that end, recent years have seen an explosion in interest in longevity and healthy aging, largely driven by “science that’s genuinely more exciting than it was a decade ago,” says Dr. Barzilai, also a lecturer at Harvard Medical School. | |||||
While it’s clear that genetics play a role in living longer and staying healthy, lifestyle appears to be just as important. Five lifestyle patterns consistently show up in longevity research: movement, nutrition, sleep, stress management, and social connection.
“Good health is surprisingly unglamorous,” Dr. Barzilai says. “What matters most are the basics people already know about but rarely execute consistently over decades. There is no magic to it.”
Here, Dr. Barzilai expands on each of the five pillars of longevity.
Movement is the closest thing people have to a “master signal,” he says. “It improves nearly every system at once, from insulin sensitivity to brain health to bone density. And cardiorespiratory fitness is one of the strongest predictors of mortality we have ever measured.”
Dr. Barzilai recommends combining various forms of movement to maximize health, including twice-weekly resistance training and 150 minutes of moderate or 75 minutes of vigorous aerobic activity each week. “And everyday movement counts on its own,” he says. “Breaking up long stretches of sitting with two to three minutes of light activity measurably improves glucose and blood-pressure responses.”
Nutrition shapes the metabolic environment our cells live in day to day, governing blood glucose, inflammation, and the raw materials for muscle and repair, Dr. Barzilai says.
We’re living longer than ever—but are we living well?
Harvard Medical School’s Special Health Report, Pathways to Longevity, looks beyond “anti aging” hype to share what science really says about extending your healthspan—the years you stay strong, independent, and mentally sharp.
From nutrition and movement to sleep, stress, social connection, and the latest longevity drugs, this report turns complex research into clear, practical steps you can start now.
“The principles that have held up across decades of research are unglamorous and durable: build meals around whole foods,” he explains. “Get enough protein, which becomes more important, not less, as you age. And avoid the large blood glucose spikes you get from refined carbohydrate eaten on its own, which in practice means anchoring meals with protein, healthy fats, and fiber.”
Sleep is fundamental to longevity because that’s when the body takes care of essential maintenance — clearing metabolic waste from the brain, consolidating memory, and resetting the hormones that govern appetite and stress, Dr. Barzilai says.
Experts recommend adults get seven to eight hours each night. Research also shows that consistency matters more than quantity. “That is encouraging,” he says, “because a steady wake time, weekends included, is something most people can actually manage.”
Stress itself isn’t a problem, since our body’s acute stress response — which sharpens focus and fuels energy levels — can protect us from genuine threats.
“The trouble comes when it never switches off,” Dr. Barzilai says. “Chronic stress holds the body in a low-grade alarm state that, over years, wears on the cardiovascular and immune systems, disrupts sleep and metabolism, and appears to accelerate several of the underlying processes of aging.”
The most dependable ways to regulate stress are physical and social rather than purely mental, he says. “People reach for a relaxation app and overlook that movement, sufficient sleep, exposure to daylight, and time with people they trust are often the more powerful levers. Regular exercise in particular is one of the best-validated stress and mood interventions we have.”
Social connection is probably the longevity pillar people neglect most, Dr. Barzilai says. “People will track their macros and their step count to the decimal and never think to protect their friendships with the same intentionality, even though the survival data on relationships rival the data on much of what they are measuring,” he says.
If you’re feeling isolated, try to make connecting with others a regular commitment rather than a grand gesture, he says. “Begin with one recurring, low-pressure point of contact: a standing weekly call with one person, a class or volunteer commitment that puts you in the same room with the same faces again and again, a daily walk somewhere you will see neighbors. Pick one recurring contact and protect it like an appointment, and treat a few real relationships with the same seriousness you would give your blood pressure or your exercise.”
| Which pillar of longevity is most important?The habits most strongly linked to living a longer, healthier life are also some of the simplest: move regularly, eat well, sleep sufficiently, manage stress, and stay connected to others. But which one counts most? It’s impossible to gauge, says Dr. David Barzilai, a longevity physician and lecturer at Harvard Medical School.“How much each pillar matters depends heavily on where a given person is starting from,” he says. “For someone sedentary, adding movement is transformative. For someone running on five ragged hours of sleep, fixing sleep will do more than another workout. For someone isolated, rebuilding connection may be the highest-yield change of all.”“What I can say with confidence is that the most underrated pillar is social connection, and the most foundational day to day are sleep, physical activity, and nutrition, since they are the ground the others stand on,” Dr. Barzilai adds. “But the useful question is not which pillar wins in the abstract. It is which one you are personally weakest in right now, because that is where your next improvement will pay off most.” |

Honey can help make a sore throat more bearable by tamping down inflammation and coating your throat
If your throat is scratchy, sore or raw, you may already have a home remedy in your pantry: honey. Honey has been used for centuries to soothe sore throats — and there’s good science behind why it works.
Family medicine specialist Elizabeth Rainbolt, MD, gives us the buzz.
Honey is a natural sugar that can be surprisingly helpful when it comes to managing a sore throat and other cold and flu symptoms.
The reason why? It has to do with the nectar bees collect from plants. Nectar is sugar, but it has something going for it that your average table sugar doesn’t.
“The nectar the bees gather contains small amounts of enzymes, vitamins, minerals and more,” Dr. Rainbolt explains. “So, when bees make honey and we eat it, some of those healthy plant-based benefits make their way into our bodies.”
Honey can help soothe your sore throat in a few different ways.
Inflammation (swelling) in your throat is part of what gives you that can’t-swallow feeling. Honey contains nutrients that may help to tamp down inflammation.
“Honey is a good source of flavonoids, which are a kind of plant chemical with anti-inflammatory properties,” Dr. Rainbolt shares.
So, when your throat is on fire, reaching for some honey can help ease swelling and give you some relief.
Another thing about those flavonoids in honey: They’re naturally anti-microbial. That means they can help your immune system fend off invaders that can get you sick, like viruses and bacteria.
Manuka honey in particular may help fight Streptococcus mutans, a common bacterium behind some throat infections.
“Manuka honey contains a unique compound called methylglyoxal, which gives it extra antibacterial power,” Dr. Rainbolt explains. “It may help reduce certain types of bacteria in the mouth and throat.”
But honey isn’t a replacement for medical care. If you’re dealing with strep throat or another bacterial infection, honey might help make your throat feel a little better — but it’s not a cure. Talk with a healthcare provider if you think your sore throat is something more serious than irritation from things like a cold or allergies.
Honey is thick and sticky, which helps coat the lining of your throat. It can act as a protective layer that can reduce irritation and make it easier to swallow.
“Think of honey like a natural cough drop,” Dr. Rainbolt says. “It forms a coating that calms the tissues in your throat and reduces that raw, scratchy feeling.”
The same soothing effect that helps your sore throat can also quiet a nagging cough. In fact, research suggests honey may be more effective than over-the-counter cough suppressants, especially for nighttime symptoms.
Calming the cough means less stress on your throat — and less pain.
There are a few different ways to get your honey fix for a sore throat:
“For a double-soothing effect, combine honey with warm liquids like tea or lemon water,” recommends Dr. Rainbolt. “Just avoid using boiling water — that can destroy some of honey’s beneficial properties.” Instead, let your hot water sit for a few minutes before you stir in your honey.
All honey has benefits, but some kinds pack a little more punch to knock out a sore throat:
“If the honey is crystal-clear, it’s likely been highly processed,” says Dr. Rainbolt. “Look for raw, dark, or cloudy honey to get the most health benefits.”
Honey is a natural remedy for sore throats. But natural doesn’t mean without risks. Keep these things in mind:
When used properly, honey might help ease a sore throat and deliver an antibacterial and anti-inflammatory boost, especially when used in combination with other home remedies.
But it’s not a magic elixir. If you think it could be strep throat or have other troubling symptoms, talk with a healthcare provider.