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Be Warned: FDA Issues New Stronger Warnings About Risks Of Fluoroquinolone Antibiotics

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For decades, people who have been hurt by fluoroquinolone antibiotics—Cipro/ciprofloxacin, Levaquin/levofloxacin, Avelox/moxifloxacin, and Floxin/ofloxacin—have been advocating for the U.S. FDA (Food and Drug Administration) to restrict how this dangerous class of drugs is prescribed and used.

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The “side-effects” of fluoroquinolone antibiotics are severe, and, in some cases, disabling, as described in this woman’s account of how Cipro/ciprofloxacin, taken for a simple urinary tract infection, affected her life:

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B.C (Before Cipro): I was a hiker, biker (rode my bicycle across the US carrying 50 pounds), hockey player, horseback rider, swimmer; thin, fit, worked in moderately physically demanding profession, no known health issues other than a simple UTI.

A.C: (After Cipro): Five days and 10 pills later: crippled with unrelenting pain, unable to walk, sit, stand, use arms, fingers, or type due to severe body-wide tendon pain; hallucinations, tinnitus; central, autonomic, and peripheral neurological issues; severe neuromuscular damage; vision and hearing issues; severe endocrine abnormalities (glucose, thyroid); severe cardiac issues; autoimmune issues.

A.C. Permanently : Five years later: Still suffering and disabled; can’t work, lost profession, lost financial security, lost marriage, lost hope for any reasonable quality of life. Denied by medical profession due to no known diagnostic biomarkers; denied legal recourse due to generic; denied SSDI due to the first two and denial by the FDA and everyone involved, and ultimately, will be denied as the most probable cause of my death.

It is unacceptable for a drug to cause this level of pain and disability to a person, but, unfortunately, this situation is not unique to the woman described above. There are thousands (perhaps millions) of other people who have been hurt by this dangerous class of drugs.

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FDA Makes Changes to Warning Labels

In May of 2016, the FDA announced that the risks of fluoroquinolone antibiotics outweigh their benefits for treatment of many common infections—including urinary tract infections, sinus infections, and bronchitis. Because of this decision, fluoroquinolone manufacturers (Bayer and Johnson & Johnson) are being required to change the warning labels on this type of drugs.

The FDA announcement stated:

FDA is advising that the serious side effects associated with fluoroquinolone antibacterial drugs generally outweigh the benefits for patients with sinusitis, bronchitis, and uncomplicated urinary tract infections who have other treatment options. For patients with these conditions, fluoroquinolones should be reserved for those who do not have alternative treatment options.

An FDA safety review has shown that fluoroquinolones when used systemically (i.e. tablets, capsules, and injectable) are associated with disabling and potentially permanent serious side effects that can occur together. These side effects can involve the tendons, muscles, joints, nerves, and central nervous system.

As a result, FDA is requiring the drug labels and Medication Guides for all fluoroquinolone antibacterial drugs to be updated to reflect this new safety information. FDA is continuing to investigate safety issues with fluoroquinolones and will update the public with additional information if it becomes available.

While drug safety advocates realize that this change is only one small step in the right direction, and that much more needs to be done to prevent people from suffering from disabling fluoroquinolone toxicity, it is a victory nonetheless. Hopefully, doctors and patients alike will see this announcement and recognize that Cipro, Levaquin, Floxin, Avelox, and their generic counterparts, are dangerous drugs with severe side-effects, and that they should not be used unless an infection is life-threatening and there is no alternative antibiotic available. After all, it is not appropriate to even risk someone suffering from a permanently disabling side-effect unless they will die without the drug.

Often, Side-effects Aren’t Transient

When most people read the long list of side-effects listed on a pharmaceutical warning label, they think that even the most severe effects listed are transient—that they will go away as soon as the person stops taking the drug. While this may be true for some pharmaceuticals, it is not true for fluoroquinolone antibiotics. Adverse reactions to fluoroquinolones can be delayed for weeks or months after a person finishes taking the Cipro, Levaquin, Avelox, or Floxin prescription, and they can be permanently disabling. For the FDA to acknowledge that, “fluoroquinolones when used systemically (i.e. tablets, capsules, and injectable) are associated with disabling and potentially permanent serious side effects that can occur together,” and for them to put that on the warning labels for the drugs, is a huge step in the fight for getting the disabling symptoms of fluoroquinolone toxicity, and other drug reactions, recognized.

A paradigm shift is occurring as people are recognizing that many pharmaceuticals are leading to chronic illness and disability. Fluoroquinolones, and many other drugs, are causing cellular damage that is resulting in symptoms of many chronic illnesses including fibromyalgia, ME/CFS, autoimmune diseases, neurodegenerative diseases, POTS, psychiatric illnesses, thyroid dysfunction, and more. The FDA is recognizing that fluoroquinolone “side effects can involve the tendons, muscles, joints, nerves, and central nervous system,” and the time has come for studies to be conducted to determine whether fluoroquinolones and other cell-damaging drugs are linked to these “mysterious” diseases of modernity.

As more and more articles about the dangers of fluoroquinolone antibiotics and other dangerous pharmaceuticals come out, more and more people are having a personal paradigm shift as they realize that they are not sick because of “bad genes” or even germs, but rather because their cells have been damaged by over-prescribed, dangerous pharmaceutical drugs. I encourage everyone who is suffering from a multi-symptom, chronic illness to look back through their medical records, and compare their symptoms to the medication warning labels for the drugs they have taken. Make the connection—because knowing the cause is a huge step in the direction of finding a solution.

The Reality of Adverse Drug Reactions (ADRs)

Whenever a person takes a pharmaceutical, he or she is playing Russian Roulette with his or her health. There is always a chance of being one of the “rare” (or not-so-rare, as the medical system is one of the leading causes of death in America) people who suffer from an acute side-effect, or worse, someone who suffers from a chronic illness after taking a cell-destroying pharmaceutical. The reality of adverse drug reactions is described well in “Adverse Drug Reactions (ADRs): We’re ALL at Risk.” Think about this before you take a pharmaceutical drug:

Pharmaceutical companies of course want to minimize, downplay, and outright deny ADR’s because they don’t want to open themselves up to culpability and liability issues and lose profits. From the limited “safety studies” that Pharma does on a drug pre-market, to “publishing bias” of only publishing research studies with data in their favor, to minimizing and hiding the adverse effects as they sell their products to the medical profession and us, Pharma does all they can to get a drug to market and profit from it. Once the drug gets to market, the big experiment occurs, as the drug is unleashed en masse on the general population. For those taking the drug, it’s essentially a game of Russian Roulette, no matter how “informed” you are. At that point in time, if things go wrong, it usually takes tens of thousands, hundreds of thousands, or millions of people suffering severe ADR’s before any action, if any, is taken (think ThalidomideDES, and more recently, Vioxx). YOUR life may be wrecked, but it’s no big deal to Pharma, the FDA, or even your doctors. If you experience a severe ADR, their lives will continue on, while your life becomes just another long lost statistic, simply considered the “cost of doing business”.

Become an Advocate

The acknowledgement of the severe and disabling effects of fluoroquinolones by the FDA, and the upcoming warning label changes, came about because thousands of people who had been hurt by fluoroquinolone antibiotics filed reports with the FDA, and hundreds of people testified before the FDA in multiple meetings about adverse reactions to these drugs. Slowly but surely, the FDA is listening, and changes are taking place. The severe and disabling effects of fluoroquinolone antibiotics are being recognized. Hopefully this recognition will help to change how these dangerous drugs are prescribed, so that fewer people will suffer in the future.

I encourage everyone who has been hurt by a pharmaceutical drug to report their reaction to the FDA, and to tell their story in whatever way possible. It is through patient advocacy that adverse drug reactions are going to be recognized, and that prescribing patterns for dangerous drugs will change. It is with patient advocacy that paradigms will shift, and people will realize that the pharmaceutical industry, while ostensibly trying to cure diseases, is causing too many people to become ill and disabled.

If you have been hurt by a prescription drug, especially if you have been hurt by a fluoroquinolone antibiotic, I encourage you to share this post and other information about fluoroquinolone toxicity. It is only when people are willing to stand up and say, “this happened to me,” that the medical establishment will realize that these reactions are not near as “rare” as they would like to believe.

Sources and Recommended Reading

May 12, 2016 FDA Announcement, “Fluoroquinolone Antibacterial Drugs: Drug Safety Communication – FDA Advises Restricting Use for Certain Uncomplicated Infections

Wall Street Journal, “FDA Requires Stronger Warnings for Antibiotics’ Side Effects

PBS Frontline, “Certain Antibiotics Spur Widening Reports of Severe Side Effects

The author’s website about fluoroquinolone toxicity – https://floxiehope.com/

Dive Deeper

These days, it’s not just knowing information and facts that will create change, it’s changing ourselves, how we go about communicating, and re-assessing the underlying stories, ideas and beliefs that form our world. We have to practice these things if we truly want to change. At Collective Evolution and CETV, this is a big part of our mission.

Amongst 100's of hours of exclusive content, we have recently completed two short courses to help you become an effective changemaker, one called Profound Realization and the other called How To Do An Effective Media Detox.

Join CETV, engage with these courses and more here!

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Alternative News

Norway Investigates 29 Deaths in Elderly Patients After Pfizer Covid-19 Vaccination

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In Brief

  • The Facts:

    Norway has registered a total of 29 deaths among people over the age of 75 who’ve had their first Covid-19 vaccination shot, raising questions over which groups to target in national inoculation programs.

  • Reflect On:

    Should freedom of choice always remain here? Should governments and private institutions not be allowed to mandate this vaccine in order to have access to certain rights and freedoms?

What Happened: 29 patients who were quite old and frail have died following their first dose of the Pfizer COVID-19 vaccination. As a result, Norwegian officials have since adjusted their advice on who should get the COVID-19 vaccine.

This doesn’t come as a surprise to many given the fact that the clinical trials were conducted with people who are healthy. Older and sick people with co-morbidities were not used in the trials, and people with severe allergies and other diseases that can make one more susceptible to vaccine injury were not used either. It can be confusing given the fact that vaccination is being encouraged for the elderly in nursing homes and those who are more vulnerable to COVID-19.

Steinar Madsen, medical director of the Norwegian Medicines Agency (NOMA), told the British Medical Journal (BMJ) that “There is no certain connection between these deaths and the vaccine.”

On the 15th of January it was 23 deaths, Bloomberg is now reporting that a total of 29 deaths among people over the age of 75 who’ve had their first COVID-19 shot. They point out that “Until Friday, Pfizer/BioNTech was the only vaccine available in Norway”, stating that the Norwegian Medicines Agency told them that as a result “all deaths are thus linked to this vaccine.”

“There are 13 deaths that have been assessed, and we are aware of another 16 deaths that are currently being assessed,” the agency said. All the reported deaths related to “elderly people with serious basic disorders,” it said. “Most people have experienced the expected side effects of the vaccine, such as nausea and vomiting, fever, local reactions at the injection site, and worsening of their underlying condition.”

Madsen also told the BMJ that,

There is a possibility that these common adverse reactions, that are not dangerous in fitter, younger patients and are not unusual with vaccines, may aggravate underlying disease in the elderly. We are not alarmed or worried about this, because these are very rare occurrences and they occurred in very frail patients with very serious disease. We are not asking for doctors to continue with vaccination, but to carry out extra evaluation of very sick people whose underlying condition might be aggravated by it. This evaluation includes discussing the risks and benefits of vaccination with the patient and their families to decide whether or not vaccination is the best course.

The BMJ article goes on to point out that the Paul Ehrlich Institute in Germany is also investigating 10 deaths shortly after COVID-19 vaccination, and closes with the following information:

In a statement, Pfizer said, “Pfizer and BioNTech are aware of reported deaths following administration of BNT162b2. We are working with NOMA to gather all the relevant information.

“Norwegian authorities have prioritised the immunisation of residents in nursing homes, most of whom are very elderly with underlying medical conditions and some of whom are terminally ill. NOMA confirm the number of incidents so far is not alarming, and in line with expectations. All reported deaths will be thoroughly evaluated by NOMA to determine if these incidents are related to the vaccine. The Norwegian government will also consider adjusting their vaccination instructions to take the patients’ health into more consideration.

“Our immediate thoughts are with the bereaved families.”

Vaccine Hesitancy is Growing Among Healthcare Workers: Vaccine hesitancy is growing all over the globe, one of the latest examples comes from Riverside County, California. It has a population of approximately 2.4 million, and about 50 percent of healthcare workers in the county are refusing to take the COVID-19 vaccine despite the fact that they have top priority and access to it.  At Providence Holy Cross Medical Center in Mission Hills, one in five frontline nurses and doctors have declined the shot. Roughly 20% to 40% of L.A. County’s frontline workers who were offered the vaccine did the same, according to county public health officials. You can read more about that story here.

Vaccine hesitancy among physicians and academics is nothing new. To illustrate this I often point to a conference held at the end of 2019 put on by the World Health Organization (WHO). At the conference, Dr. Heidi Larson a Professor of Anthropology and the Risk and Decision Scientist Director at the Vaccine Confidence Project Emphasized this point, having  stated,

The other thing that’s a trend, and an issue, is not just confidence in providers but confidence of health care providers. We have a very wobbly health professional frontline that is starting to question vaccines and the safety of vaccines. That’s a huge problem, because to this day any study I’ve seen…still, the most trusted person on any study I’ve seen globally is the health care provider.

A study published in the journal EbioMedicine  as far back as 2013 outlines this point, among many others.

Pfizer’s Questionable History:  Losing faith in “big pharma” does not come without good reason. For example, in 2010 Robert G. Evans, PhD, Centre for Health Services and Policy Research Emeritus Professor, Vancouver School of Economics, UBC, published a paper that’s accessible in PubMed titled “Tough on Crime? Pfizer and the CIHR.”

In it, he outlines the fact that,

Pfizer has been a “habitual offender,” persistently engaging in illegal and corrupt marketing practices, bribing physicians and suppressing adverse trial results. Since 2002 the company and its subsidiaries have been assessed $3 billion in criminal convictions, civil penalties and jury awards. The 2.3-billion settlement…set a new record for both criminal fines and total penalties. A link with Pfizer might well advance the commercialization of Canadian research.

Suppressing clinical trial results is something I’ve come across multiple times with several different medicines. Five years ago I wrote about how big pharma did not share adverse reactions people had and harmful results from their clinical trials for commonly used antidepressant drugs.

Even scientists from within federal these health regulatory agencies have been sounding the alarm. For example, a few years ago more than a dozen scientists from within the CDC put out an anonymous public statement detailing the influence corporations have on government policies. They were referred to as the  Spider Papers.

The Takeaway: Given the fact that everything is not black and white, especially when it comes to vaccine safety, do we really want to give government health agencies and/or private institutions the right to enforce mandatory vaccination requirements when their efficacy have been called into question? Should people have the freedom of choice? It’s a subject that has many people polarized in their beliefs, but at the end of the day the sharing of information, opinion and evidence should not be shut down, discouraged, ridiculed or censored.

In a day and age where more people are starting to see our planet in a completely different light, one which has more and more questioning the human experience and why we live the way we do it seems the ‘crack down’ on free thought gets tighter and tighter. Do we really want to live in a world where we lose the right to choose what we do with our own body, or one where certain rights and freedoms are taken away if we don’t comply? The next question is, what do we do about it? Those who are in a position to enforce these measures must, it seems, have a shift in consciousness and refuse to implement them. There doesn’t seem to be a clear cut answer, but there is no doubt that we are currently going through that possible process, we are living in it.

Dive Deeper

These days, it’s not just knowing information and facts that will create change, it’s changing ourselves, how we go about communicating, and re-assessing the underlying stories, ideas and beliefs that form our world. We have to practice these things if we truly want to change. At Collective Evolution and CETV, this is a big part of our mission.

Amongst 100's of hours of exclusive content, we have recently completed two short courses to help you become an effective changemaker, one called Profound Realization and the other called How To Do An Effective Media Detox.

Join CETV, engage with these courses and more here!

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Awareness

Psycho-Acoustic Medicine: Science Behind Sound Healing For Serotonin Production

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In Brief

  • The Facts:

    A number of studies and experiments have shown that sound can be used as medicine for various ailments and diseases.

  • Reflect On:

    Is our modern day medical industry truly interested in the health and well-being of people, or do profit and control take more priority?

Mental illness has reached an all time high in the world, and yet the modern day medicines to relieve symptoms have gained controversy. This is, in part, why people have dug up the past to better understand alternative ways of healing.

Sound, for instance, has been a tool for promoting the physical and emotional health of the body for as long as history can account for, deeply rooted in ancient cultures and civilizations. The ancient Egyptians used vowel sound chants in healing because they believed vowels were sacred. Tibetan monks take advantage of singing bowls, which they believe to be “a symbol of the unknowable” whose “vibrations have been described as the sound of the universe manifesting.”

“Our various states of consciousness are directly connected to the ever-changing electrical, chemical, and architectural environment of the brain. Daily habits of behavior and thought processes have the ability to alter the architecture of brain structure and connectivity, as well as, the neurochemical and electrical neural oscillations of your mind.”

Psychoacoustics is the scientific study of the perception of sound, and it has fueled researchers paths to better understand how it can be used as medicine. For instance, in 1973, Dr. Gerald Oster, a medical doctor and biophysicist, proved, in his research paper, “Auditory Beats in the Brain,” how sound affects the how the brain absorbs new information, controls mood, sleep patterns, healing responses, and more, and how quickly. Thus, specific frequencies of sound and music can be used to generate neurotransmitters such as serotonin.

brain_scan

To understand the fundamentals of sound in healing, we must first understand our brain waves. The nucleus of our thoughts, emotions, and behaviors, is the communication between neurons. Brain waves are generated by way of electrical pulses working in unison from masses of neurons interacting with one another. Brain waves are divided into five different bandwidths that are thought to form a spectrum of human consciousness.

The slowest of the waves are delta waves (.5 to 3 Hz), which are the slowest brain waves and occur mostly during our deepest state of sleep. The fastest of the waves are gamma waves (25 to 100 Hz), which are associated with higher states of conscious perception. Alpha waves (8 to 12 Hz) occur when the brain is daydreaming or consciously practicing mindfulness or meditation.

According to Dr. Suzanne Evans Morris, Ph.D., a speech-language pathologist:

Research shows that different frequencies presented to each ear through stereo headphones… create a difference tone (or binaural beat) as the brain puts together the two tones it actually hears. Through EEG monitoring the difference tone is identified by a change in the electrical pattern produced by the brain. For example, frequencies of 200 Hz and 210 Hz produce a binaural beat frequency of 10 Hz (The difference in 210 Hz and 200 Hz is 10 Hz). Monitoring of the brain’s electricity (EEG) shows that the brain produces increased 10 Hz activity with equal frequency and amplitude of the wave form in both hemispheres of the brain (left and right hemisphere).

It is thought that different brain wave patterns are connected to the production in the brain of certain neurochemicals linked with relaxation and stress release, as well as better learning and creativity, memory, and more. Such neurochemicals include beta-endorphins, growth factors, gut peptides, acetylcholine, vasopressin, and serotonin.

A series of experiments conducted by neuro-electric therapy engineer Dr. Margaret Patterson and Dr. Ifor Capel, revealed how alpha brainwaves boosted the production of serotonin. Dr. Capel explained:

As far as we can tell, each brain center generates impulses at a specific frequency based on the predominant neurotransmitter it secretes. In other words, the brain’s internal communication system—its language, is based on frequency… Presumably, when we send in waves of electrical energy at, say, 10 Hz, certain cells in the lower brain stem will respond because they normally fire within that frequency range.

Additional research upholds the beliefs of mind-body medicine in this sense, stating that brainwaves being in the Alpha state, 8 to 14 Hz, permits a vibration allowing for more serotonin to be created.

It’s important for us to come to terms with the fact that there is science behind age-old medicinal practices that do not require putting unknown substances in our bodies to alleviate issues like stress, depression, anxiety, and more.

But even more intriguing is to think something as simple as sound, as music, which we have come to treat as utterly pleasurable entertainment, has not only been used to promote healing and well-being, but has proven to work through research as well.

If your mental health is of concern, try listening to a binaural beat to generate alpha waves between 8 and 14 Hz to produce more serotonin. Another option is to take advantage of music that promotes a relaxed alpha state in the brain such as classical music.

Related CE Article: Research Shows We Can Heal With Vibration, Frequency & Sound

Dive Deeper

These days, it’s not just knowing information and facts that will create change, it’s changing ourselves, how we go about communicating, and re-assessing the underlying stories, ideas and beliefs that form our world. We have to practice these things if we truly want to change. At Collective Evolution and CETV, this is a big part of our mission.

Amongst 100's of hours of exclusive content, we have recently completed two short courses to help you become an effective changemaker, one called Profound Realization and the other called How To Do An Effective Media Detox.

Join CETV, engage with these courses and more here!

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Awareness

Study: Short Break From Cosmetics Causes “Significant Drop of Hormone Disrupting Chemicals”

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In Brief

  • The Facts:

    A study led by researchers at UC Berkeley and Clinica de Salud del Valle de Salinas demonstrates how even a short break from certain kinds of makeup, shampoos and lotions leads to a large drop in levels of hormone-disrupting chemicals in the body.

  • Reflect On:

    Why is this industry so poorly regulated?

A study led by researchers at UC Berkeley and Clinica de Salud del Valle Salinas has demonstrated how taking even a short break from various cosmetics, shampoos, and other personal care products can lead to a substantial drop in the levels of hormone-disrupting chemicals present within the body.

The results from the study were published in the journal Environmental Health Perspectives. Researchers gave 100 Latina teenagers various personal care products that were labeled to be free of common chemicals including phthalates, parabens, triclosan, and oxybenzone. These chemicals are used regularly in almost all conventional personal care products such as cosmetics, soap, sunscreen, shampoo, conditioner, and other hair products, and animal studies have shown that they directly interfere with the body’s endocrine system.

“Because women are the primary consumers of many personal care products, they may be disproportionately exposed to these chemicals,” said study lead author Kim Harley, associate director of the UC Berkeley Center for Environmental Research and Children’s Health. “Teen girls may be at particular risk since it’s a time of rapid reproductive development, and research has suggested that they use more personal care products per day than the average adult woman.”

Results

After just a three-day trial with the girls using only the lower-chemical products, urine samples showed a significant drop in the level of chemicals in the body. Methyl and propyl parabens, commonly used as preservatives in cosmetics, dropped 44% and 45%, respectively, metabolites of diethyl phthalate, used often in perfumes, dropped by 27%, and both triclosan and benzophenone-3 fell 36%. The authors of the study were surprised to see an increase in two lesser common parabens, but, being minor, could easily have been caused by accidental contamination or a substitute not listed on the labels.

Co-director of the study Kimberly Parra explains why having local youths participate in the study was of particular importance:

The results of the study are particularly interesting on a scientific level, but the fact that high school students led the study set a new path to engaging youth to learn about science and how it can be used to improve the health of their communities. After learning of the results, the youth took it upon themselves to educate friends and community members, and presented their cause to legislatures in Sacramento.

Included in the CHAMACOS Youth Council were 12 local high school students who helped design and implement the study. One of the teen researchers, Maritza Cárdenas, is now a UC Berkeley undergraduate majoring in molecular and cell biology.

“One of the goals of our study was to create awareness among the participants of the chemicals found in everyday products, to help make people more conscious about what they’re using,” said Cárdenas. “Seeing the drop in chemical levels after just three days shows that simple actions can be taken, such as choosing products with fewer chemicals, and make a difference.”

The researchers noted that cosmetics and personal care products are not well-regulated in this country, and that getting data about health effects from exposure, particularly long-term ones, is difficult. But they say there is growing evidence linking endocrine-disrupting chemicals to neurobehavioral problems, obesity and cancer cell growth.

What Can You Do?

Well, you can be sure to check the labels on any products you purchase. Most personal care products contain a list of ingredients, but unfortunately many cosmetics do not. If you use a particular brand that you really love you can try contacting the manufacturer directly and asking them for an ingredient list.

You can also opt for more natural and organic products, but be sure to keep in mind that in the industry of personal care products, the words “natural” and “organic” are often meaningless. A safe bet would be to buy these products from a health food store and be sure to read the ingredients or ask the sales clerk. Generally, when products do not contain specific chemicals, the manufacturers are happy to label them as such.

The less demand for these chemically-laden products there is, the less these chemicals will be used. I’ve said it before and I’ll say it again: VOTE WITH YOUR DOLLAR! We have the power to create the type of world we want. Be the change.

Check out The Story Of Cosmetics below!

Dive Deeper

These days, it’s not just knowing information and facts that will create change, it’s changing ourselves, how we go about communicating, and re-assessing the underlying stories, ideas and beliefs that form our world. We have to practice these things if we truly want to change. At Collective Evolution and CETV, this is a big part of our mission.

Amongst 100's of hours of exclusive content, we have recently completed two short courses to help you become an effective changemaker, one called Profound Realization and the other called How To Do An Effective Media Detox.

Join CETV, engage with these courses and more here!

Continue Reading
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