Understanding Return to Duty Drug Tests and Their Importance for Safety-Sensitive Roles
AACS Counseling is here to guide individuals through this process, offering expertise and support every step of the way.
The RTD test ensures that employees in safety-sensitive roles are free from substances that could impair their ability to perform necessary tasks safely. These positions often involve responsibilities where the well-being of the general public is at stake, such as operating commercial vehicles, aviation roles, or providing public transit services.
The DOT mandates that RTD tests be conducted under direct observation to maintain the integrity of the process. A trained professional supervises the sample collection to prevent tampering or substitution. This level of scrutiny is part of what makes the RTD process so important and reliable.
Passing the RTD test is essential not only for reinstating an individual into safety-sensitive duties but also for reinforcing public trust and accountability in transportation and related industries. It sends a clear message about commitment to safety and sobriety.
One of the most common questions surrounding the RTD process is, 'How much will it cost?' Typically, an RTD test ranges from $50 to $100 depending on a few factors like the facility's location or additional testing requirements.
Here's a quick breakdown of the costs you might encounter: Testing Fee: Generally between $35 and $75.
Generally between $35 and $75. Collection Fee for Direct Observation: Typically ranges from $10 to $25.
Typically ranges from $10 to $25. Location-Based Costs: Testing centers in urban areas may charge more than suburban or rural facilities due to higher operating costs.
Testing centers in urban areas may charge more than suburban or rural facilities due to higher operating costs. Certification Compliance Fees: DOT-certified testing facilities may add fees for adhering to strict federal guidelines.
While these costs might vary, it's always a good idea to contact the testing facility beforehand to confirm the total expense.
The RTD drug test is more than just a checkbox on the road to reinstatement. For safety-sensitive positions, it upholds vital standards that protect both workers and the public.
Here's why the RTD process matters so much: Enhances Safety: Employees in roles like truck driving or aviation directly impact public safety. Ensuring they are substance-free minimizes risks on the roads, in the air, or across public transit systems.
Employees in roles like truck driving or aviation directly impact public safety. Ensuring they are substance-free minimizes risks on the roads, in the air, or across public transit systems. Promotes Accountability: Completing this process demonstrates that employees are serious about rehabilitation and following workplace policies.
Completing this process demonstrates that employees are serious about rehabilitation and following workplace policies. Solidifies Compliance: Employers who enforce stringent testing protocols maintain DOT compliance, avoiding penalties and ensuring smooth operations.
Employers who enforce stringent testing protocols maintain DOT compliance, avoiding penalties and ensuring smooth operations. Rehabilitation Milestone: For employees, completing the RTD process represents a turning point in their recovery and professional readiness.
Navigating the Return-to-Duty process can be overwhelming, particularly with its unique requirements and financial considerations. AACS Counseling specializes in helping employees meet DOT compliance requirements, making the process as stress-free as possible. From certified assessments with a Substance Abuse Professional (SAP) to guidance on conducting an RTD drug test, AACS Counseling has the expertise to support individuals and their employers throughout every phase of the RTD process.
The comprehensive advice and resources provided by AACS Counseling can save time and frustration, equipping employees with the knowledge and tools to achieve full compliance and take control of their professional future.
Whether you're just starting the Return-to-Duty process or need further guidance to complete it, AACS Counseling is here to support you. Understanding the importance of RTD drug testing and its associated costs is just one step toward resuming your career safely and confidently.
For a full breakdown of RTD testing costs and more tips on navigating this process, visit AACS Counseling's detailed guide. Take the first step toward compliance and start your Return-to-Duty process with expert guidance from AACS Counseling today.
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Time Business News
13 hours ago
- Time Business News
What Is an Intensive Outpatient Program and How Does It Work?
When someone struggles with substance use, mental health challenges, or co-occurring disorders, treatment does not always require full-time residential care. For many individuals, an Intensive Outpatient Program (IOP) offers a balanced solution providing structured treatment while allowing participants to continue working, studying, and living at home. At AACS Counseling, our IOPs are designed to give clients the right level of support to foster recovery, prevent relapse, and build a healthier future. But what exactly is an Intensive Outpatient Program, and how does it work in practice? An Intensive Outpatient Program is a structured form of treatment that provides comprehensive therapy and support services several times a week, without requiring 24/7 inpatient care. Substance use disorders (alcohol, drugs, and prescription medications) Mental health conditions (depression, anxiety, trauma, bipolar disorder) Dual diagnosis cases (co-occurring mental health and addiction) Unlike standard outpatient care, which may involve one therapy session per week, IOPs typically require 9 to 15 hours of therapy weekly, spread across multiple days. IOPs are most effective for individuals who: Do not require medical detox or 24-hour supervision Are motivated to actively participate in their recovery Have a stable home environment that supports sobriety or mental health progress Are transitioning from inpatient rehabilitation and need continued support Have work or family responsibilities that make residential treatment difficult A parent with young children who cannot leave home for 30 days of inpatient care A college student managing both schoolwork and recovery An employee needing treatment while maintaining their career The first step is a comprehensive intake assessment. At AACS Counseling, our licensed clinicians evaluate: Mental health history Substance use patterns Medical background Family and social environment Recovery goals From this assessment, we create a personalized treatment plan that aligns with each client's needs. An effective IOP integrates multiple evidence-based therapies, including: Cognitive Behavioral Therapy (CBT): Helps identify and reframe negative thought patterns. Dialectical Behavior Therapy (DBT): Teaches emotional regulation, distress tolerance, and mindfulness. Motivational Interviewing (MI): Encourages internal motivation for change. Group Therapy: Builds community, accountability, and peer support. Family Therapy: Strengthens relationships and educates loved ones on recovery. Psychoeducation: Provides knowledge about addiction, mental health, relapse triggers, and coping strategies. Typical IOPs include: 3 to 5 sessions per week 3 hours per session A mix of group and individual therapy Flexible scheduling (daytime, evening, or weekend options) This structure allows clients to continue work, school, or family responsibilities while attending treatment. Beyond therapy, IOPs may include: Case management Relapse prevention training Coping skills workshops Career or academic support Coordination with psychiatrists for medication management At AACS Counseling, we also provide aftercare planning, ensuring clients have ongoing support after completing the program. IOPs act as a middle ground between inpatient rehab and standard outpatient care: Step-Down Care: For clients finishing inpatient programs, IOP helps transition back into daily life. Step-Up Care: For clients who need more support than weekly counseling but do not require residential treatment. Flexibility: Continue working, studying, or caring for family. Affordability: Less costly than inpatient rehab while still comprehensive. Strong Support System: Frequent sessions and group therapy provide accountability. Real-Life Application: Clients practice coping strategies in their everyday environments. Community Connection: Reduces isolation by engaging with peers in recovery. Feature Inpatient Rehab Intensive Outpatient Program (IOP) Standard Outpatient Care Level of Care 24/7 supervision 9–15 hrs/week, structured therapy 1–3 hrs/week Environment Residential facility Live at home, attend sessions Live at home Cost Highest Severe cases, detox needs Moderate Lowest Best For Moderate cases, transition support Mild conditions, maintenance care When you join an IOP at AACS Counseling, you can expect: Personalized treatment: Tailored to your specific diagnosis and goals. Evidence-based therapies: Backed by clinical research. Safe, supportive environment: Confidential and judgment-free. Skilled professionals: Licensed counselors and therapists specializing in addiction and mental health. Holistic care: Addressing emotional, psychological, and practical needs. 'IOP is not as effective as inpatient rehab.' → In reality, studies show IOPs can be equally effective for many individuals, especially when family and community support are strong. 'IOP is only for mild cases.' → Many moderate-to-severe cases benefit from IOP, especially after detox or residential care. 'I can't work while in IOP.' → Most IOPs are designed with flexible schedules for working adults and students. Q1: How long does an IOP last? Most programs run for 8–12 weeks, though duration depends on progress and clinical recommendations. Q2: Does insurance cover IOP? Yes. Many health insurance providers cover intensive outpatient services. Our team at AACS Counseling helps verify coverage. Q3: What happens after I finish an IOP? We provide aftercare planning, which may include standard outpatient therapy, support groups, or alumni programs. Q4: Can I attend an IOP virtually? Yes. Many providers, including AACS Counseling, offer telehealth IOP options. The path to recovery does not look the same for everyone. An Intensive Outpatient Program (IOP) provides structured care, accountability, and flexibility for individuals who need treatment but cannot pause their daily responsibilities. At AACS Counseling, we specialize in delivering IOPs that balance professional clinical care with compassion and real-world support. Whether you are seeking help for substance use, mental health, or co-occurring conditions, our IOP can help you rebuild your life—step by step. 📞 Contact us today to learn more about our Intensive Outpatient Programs and schedule an assessment. 👉 Learn More About Our IOPs TIME BUSINESS NEWS
Yahoo
a day ago
- Yahoo
The 5 best vitamin E supplements in 2025, according to a dietitian
Vitamin D and magnesium may get all the buzz, but vitamin E deserves attention too. This fat-soluble vitamin helps protect your body, supporting the immune system and reducing inflammation. And while most healthy adults can get enough of this key nutrient through food, the best vitamin E supplement can be a helpful tool for people with restrictive diets or those managing certain conditions. But first, what exactly is vitamin E? "Vitamin E is a powerful antioxidant that helps protect your cells from damage caused by free radicals," says Lauren Manaker, RDN, LD and owner of Nutrition Now Counseling. "It also supports your immune system, helps maintain healthy skin and plays a role in keeping your blood vessels functioning properly." In other words? "Think of it as a protective shield for your body's cells," says Manaker. And that's not all. According to Seema Shah, RD and owner of SeemaShahRD Whole Nutrition, vitamin E may also reduce both the intensity and length of menstrual cramp pain. You can find vitamin E naturally in foods like nuts, seeds and plant-based oils, as well as supplements. While not necessary or appropriate for everyone, vitamin E supplements may be helpful for people with very restrictive diets, increased nutritional needs or certain conditions that affect the body's ability to digest and absorb fat, such as: Cystic fibrosis Crohn's disease Celiac disease Cholestasis Abetalipoproteinemia (a rare genetic disorder) Ataxia and vitamin E deficiency (AVED, an inherited disorder) Table of contents Best overall vitamin E supplement More vitamin E supplements we like for 2025 Comparison table How much vitamin E do you need? Synthetic vs. natural vitamin E: What's the difference? How to choose the best vitamin E supplement for you Potential side effects and safety concerns How we tested Other products we tested FAQs Meet our experts A note on supplements The products included on this list are dietary supplements. Statements about these products have not been evaluated by the Food and Drug Administration. These products are not intended to diagnose, treat, cure, or prevent any disease. Dietary supplements are not appropriate for everyone and may interact with other supplements or medications, so talk to your health care provider before adding a dietary supplement to your routine. Best overall vitamin E supplement (back to top) More vitamin E supplements we like for 2025 (back to top) Comparison table Here's a quick side-by-side comparison to help you decide which vitamin E supplement might be right for you: Form Dose Amount per serving Standout features Life Extension Super Vitamin E Soft gel 1 per day 268 mg Easy to swallow Third-party tested Affordable NOW Foods Vitamin E-200 Soft gel 1 per day 134 mg Affordable Easy to swallow ISO-certified labs Doctor's Best Vitamin E Soft gel 2 per day 13.4 mg Third-party tested Includes tocotienols The Vitamin Shoppe Dry Vitamin E Capsule 1 per day 268 mg Oil-free Vegan-friendly Third-party tested Affordable A.C. Grace Company Unique E Soft gel 1 per day 268 mg Third-party tested Includes mixed tocopherols Minimal odor Affordable (back to top) How much vitamin E do you need? For healthy adults, it's recommended to consume 15 mg of vitamin E per day, unless you're lactating, in which case your needs are slightly higher at 19 mg per day. The good news is that most healthy adults are able to meet this goal through foods like nuts, seeds, peanuts and some fruits and vegetables. Here are some of the best sources of vitamin E and how much of this key nutrient they provide: Sunflower seeds: 1 ounce = 7.4 mg (49% DV) Almonds: 1 ounce = 6.8 mg (45% DV) Sunflower oil: 1 tablespoon = 5.6 mg (37% DV) Peanut butter: 2 tablespoons = 2.9 mg (19% DV) Spinach: 1/2 cup cooked = 1.9 mg (13% DV) Kiwifruit: 1 medium = 1.1 mg (7% DV) Because vitamin E is a fat-soluble vitamin, consuming excess amounts through supplements can be toxic. To reduce your risk of adverse effects, it's recommended to consume no more than 1,000 mg per day. (back to top) Synthetic vs. natural vitamin E: What's the difference? When shopping for supplements, it often feels like you need a dictionary — or good ol' Google — at your fingertips, and vitamin E supplements are no exception. Here are some terms you might come across, and what they actually mean: Tocopherols: Vitamin E isn't just a single nutrient — it's actually a whole family of antioxidant compounds. The most well-known members of this group are tocopherols, which come in several forms, including alpha, beta, gamma and delta. While alpha-tocopherol gets most of the spotlight (and is most common in supplements), blends that include other types may offer a wider range of antioxidant benefits. D-alpha tocopherol: Sometimes simply labeled as "natural vitamin E," d-alpha tocopherol is frequently found in vitamin E supplements and is the form that the Recommended Dietary Allowance (RDA) for vitamin E is based on. It's typically derived from plant oils and is "better absorbed, recognized and utilized by the body compared to synthetic," says Shah. Gamma-tocopherol: Another natural form of vitamin E, gamma-tocopherol is widely found in the diet and may offer unique benefits for protecting against damage caused by free radicals. Tocotrienols: Tocotrienols are the other major group in the vitamin E family. Although they're not as common in our diets — or as well studied — as tocopherols, research shows promise. A 2022 article in BioFactors suggests that tocotrienols may help protect against certain types of cancer. Similarly, a 2023 review in Cureus found they might support heart health. While these early findings are encouraging, more research is needed to fully understand the benefits of tocotrienols. Synthetic vitamin E (aka dl-alpha tocopherol): This form of vitamin E is made in a lab. While supplements containing this form are typically less expensive, synthetic vitamin E isn't as easy to absorb, meaning you may need to consume larger amounts to get the same benefits. (back to top) How to choose the best vitamin E supplement for you Not all vitamin E supplements are created equal, so knowing what to look for can help you choose a safe and effective option. Vitamin E type: Bioavailability matters when it comes to vitamin E, so it's worth choosing the natural form: Look for d-alpha tocopherol, d-alpha tocopheryl acetate or d-alpha tocopheryl succinate on the label. These are better absorbed than the synthetic version, dl-alpha tocopherol, which your body doesn't use as efficiently. While some early research suggests that other natural forms of vitamin E might offer extra benefits, d-alpha tocopherol is the most studied — and it's the form used to set the RDA. Dose: Adults need 15 mg of vitamin E per day, yet many supplements provide well over this amount. To reduce the risk of side effects, look for supplements with 540 mg (800 IU) or less — and never more than 1,000 mg — of natural vitamin E per day, unless recommended otherwise by a health care professional. Supplement form: Vitamin E supplements typically come in pill form, with soft gels being more expensive, but generally easier to swallow than tablets. That said, liquid, chewable and gummy versions also exist. Ultimately, the best form is the one you can take safely and consistently. Other ingredients: Especially if you have food allergies or follow a specific diet, make sure to review the ingredient list to ensure a supplement fits your needs. Manaker also recommends avoiding products with unnecessary fillers or additives. In other words? The shorter the ingredient list, the better. Third-party testing: To ensure a supplement contains what it claims to on the label, look for products that have been tested for purity and potency, ideally by a third-party organization like United States Pharmacopeia (USP) or NSF. Price: You don't need to splurge on the most expensive supplement. Instead, look for an option that fits your budget without compromising on key factors, like vitamin E type, ingredients and testing. (back to top) Potential side effects and safety concerns Vitamin E has a few important caveats to be aware of, as taking it in supplement form may not be safe or appropriate for everyone — especially when taken in high doses. It may increase bleeding risk: According to Dr. Erica Park, "taking high doses in supplement form, especially over 300 mg a day, can increase the risk of bleeding." For this reason, vitamin E supplements should not be combined with blood-thinning medications, like aspirin or warfarin, unless under medical supervision. It may interact with other medications: In addition to blood thinners, Park notes that vitamin E supplements may affect how well other medications, like tamoxifen or cyclosporine, work. "If you're on medications or going through cancer treatment, check with your doctor before taking vitamin E supplements," she says. It may cause side effects: Common side effects of vitamin E supplements include nausea, fatigue, headaches, diarrhea and stomach cramps. "Some people may also have skin reactions if using it in creams or oils," Park adds. It can be toxic: Excess vitamin E can build up in your body and have serious health consequences. To reduce this risk, avoid consuming more than 1,000 mg of vitamin E from supplements per day. (back to top) How we chose To guide the selection process, I consulted with two fellow registered dietitians and a medical doctor to get their expert take on what really matters when choosing a vitamin E supplement. As a registered dietitian myself, I also drew on my own clinical experience and knowledge of supplements to evaluate each product through both a scientific and practical lens. In total, I tested 18 vitamin E supplements from 11 different brands, reviewing each one carefully to bring you a list of the best options currently on the market. Since we couldn't directly test the long-term health benefits of each supplement (that kind of research would take months, if not years), we focused on practical factors you can evaluate right away, including: Ease of use: We evaluated how simple the packaging was to open, whether the instructions were clear and straightforward and how easy the soft gels or capsules were to swallow. Taste and aftertaste: We noted whether the supplement had any noticeable flavor or aftertaste and considered whether it might be unpleasant or off-putting for regular use. Form of vitamin E: We prioritized supplements that used the natural form of vitamin E (d-alpha tocopherol) and noted when products included additional natural tocopherols, which may offer broader antioxidant support. Dosage appropriateness: We assessed whether the vitamin E dosage stayed within safe limits—ideally 540 mg (800 IU) or less per serving — to minimize the risk of side effects from long-term use. Ingredient quality: We reviewed the full ingredient list for unnecessary fillers, artificial additives or allergens that might limit suitability for people with specific dietary needs. Overall value: We compared cost per serving across products to determine which options delivered the best balance of quality and affordability. Testing and transparency: We looked for products tested for label accuracy and purity, giving preference to those with third-party certification for added trustworthiness. (back to top) Other products we tested Not every supplement we tested made the final cut, but several came close — and could still be a solid choice depending on your needs. Here's a quick look at the vitamin E supplements that just missed our top list: NOW Foods Vegetarian Dry E-400: This budget-friendly vitamin E capsule is a solid option for those needing a dry (aka oil-free) formulation. It scored high in our testing thanks to its ease of use, lack of fishy odor and affordability. All NOW supplements undergo extensive in-house testing at ISO-accredited labs. However, because it isn't third-party tested, The Vitamin Shoppe's Dry Vitamin E earned our pick as the "best oil-free." NOW Foods E-400 With Mixed Tocopherols: Like NOW Foods' Dry E, this supplement performed well during testing. However, it isn't third-party testing, and we simply liked other products more. NOW Foods Vitamin E Oil: This vitamin E supplement is affordable and could be a good alternative for those who dislike pills. However, it was challenging to determine the exact number of drops dispensed, making it difficult to know if I was taking an accurate dose. The Vitamin Shoppe E 268 mg (400 IU): At just $0.16 per serving, this supplement nearly made our list as "best affordable" thanks to its small, easy-to-swallow soft gels and third-party testing for purity and potency. It features highly bioavailable d-alpha tocopherol plus mixed tocopherols for broader antioxidant support, though specific amounts aren't listed. Aside from a mild fishy odor common in gelatin-based capsules, it's a user-friendly, budget-friendly pick for daily vitamin E supplementation. The Vitamin Shoppe High Gamma Vitamin E With Mixed Tocopherols: While we liked the formulation and found the soft gels easy to swallow, this supplement had a strong fishy odor that was hard to ignore. KAL Vitamin E 200 IU: Kal supplements is a lesser-known supplement brand. Based in Utah, products are manufactured in the United States and feature carefully selected ingredients. I liked how easy the brand's vitamin E 200 IU supplement was to take and its minimal ingredient list. However, the product contains gelatin and isn't third-party tested for purity and potency. KAL Vitamin E 400 IU: This supplement was also easy to take, but there were other, more affordable options in this dosage range that were third-party tested for label accuracy. KAL Vitamin E 1,000 IU: High-dose vitamin E supplements may increase the risk of hemorrhagic stroke and are not recommended for most people. For this reason, they should only be taken under the guidance of a health care professional. If medically appropriate, this high-dose vitamin E supplement offers a potent, affordable and easy-to-swallow option with highly bioavailable d-alpha tocopherol. However, it's not third-party tested, has a mild fishy odor and isn't suitable for vegans. GNC Vitamin E: While very affordable, it contains the synthetic form of vitamin E (dl-alpha tocopherol), which is not as bioavailable. Nature's Bounty Vitamin E-1000 Pure dl-Alpha: Like the GNC supplement, this supplement contains the synthetic form of vitamin E, which is not as easily absorbed by the body. Metagenics Vitamin E Mixed Tocopherols: There's a lot to like about this vitamin E supplement: Third-party tested for purity and potency, d-alpha-tocopherol, mixed tocopherols and relatively short ingredient list. However, it isn't vegan-friendly and is significantly more expensive than other supplements we tried. Standard Process Cataplex E: This supplement contains a blend of vitamin E and selenium, which work together to support overall health. However, the dose of vitamin E provided is quite small — just 3.3 mg or 22% of the daily value. While it might be helpful for bridging gaps in an otherwise healthy diet, you could easily get this amount from food rather than spending money on a supplement. Oleaphen High Phenolic Olive Oil: Oleaphen High Phenolic Olive Oil is specifically formulated to be high in vitamin E, delivering 140 mg per 5 mL serving, along with heart-healthy polyphenols and phytosterols. It's a flavorful, vegan-friendly way to add a nutritious drizzle of vitamin E to meals, though its strong peppery taste and high cost may not work for everyone. Still, it's an excellent option for those seeking a natural, whole-food approach to boosting vitamin E intake. (back to top) FAQs What is the best form of vitamin E for absorption? "The best-absorbed form of vitamin E is called d-alpha tocopherol," says Park, adding that this is the natural form your body prefers. "It's even better absorbed when taken with a meal that has some healthy fat," she explains, "like avocado or olive oil." Keep in mind that many vitamin E supplements contain oil or another source of fat. If you have a condition that affects fat absorption, look for products labeled as "dry" vitamin E, a fat-free formulation designed to be gentle on the stomach. Should I take vitamin E with food? Yes, for optimal absorption, vitamin E should be taken with food, ideally a meal containing some fat. This is because vitamin E is a fat-soluble vitamin and requires fat for proper absorption in the body. (See our favorite healthy olive oils.) Can vitamin E help improve skin or hair health? Vitamin E plays an important role in maintaining healthy skin and hair, largely thanks to its antioxidant properties. A 2021 review in PLOS One found that people with inflammatory skin conditions like psoriasis, eczema and acne often had lower blood levels of vitamin E. In such cases, supplementation may help support skin health. However, for otherwise healthy individuals, the benefits of oral vitamin E for skin aren't well established — and when it comes to hair, research hasn't shown that taking vitamin E supplements leads to noticeable improvements. Do vitamin E supplements increase the risk for prostate cancer? An older study from 2011, known as the SELECT trial, raised concerns after finding a 17% increased risk of prostate cancer in men who took vitamin E supplements regularly for seven years. However, according to the National Cancer Institute, there's still not enough solid evidence to say whether vitamin E supplements increase the risk of prostate cancer. For personalized guidance, talk with a health care professional to determine whether vitamin E supplements are appropriate for you — particularly if you have a history of prostate cancer or are at increased risk. (back to top) Meet our experts Lauren Manaker, RDN, LD and owner of Nutrition Now Counseling Seema Shah, registered dietitian and owner of SeemaShahRD Whole Nutrition Erica Park, MD, MBA, FAAPMR, board-certified physician (back to top) Our health content is for informational purposes only and is not intended as professional medical advice. Consult a medical professional on questions about your health.
Buzz Feed
a day ago
- Buzz Feed
Products To Have On Hand To Prevent Heat Exhaustion
It's tempting to spend as much time as possible outside before summer winds to a close, but with much of the United States facing extreme heat, you should be prepared for heat-related illnesses like heat exhaustion. According to experts, there are several products that can help you beat the heat. First, what do you even need to prepare for? 'Heat exhaustion is a condition that occurs when your body's normal cooling mechanisms are overcome by conditions that raise your temperature,' Dr. Daniel Bachmann, an emergency medicine physician and professor of emergency medicine at the Ohio State University Wexner Medical Center, told exhaustion can be the gateway to something more serious. 'It's the body's warning signal before more severe heat-related illnesses occur, such as heat stroke,' said Dr. John Gallucci Jr., a dual-licensed physical therapist and athletic trainer and the CEO of JAG Physical Therapy. 'If left untreated, heat exhaustion can escalate quickly, so recognizing these early signs is crucial to ensure safety.'If you've never experienced heat exhaustion, it may feel different than expected. 'What many people miss is that heat exhaustion doesn't always feel like you're 'hot,'' said Cheryl Nelson, a meteorologist and FEMA-certified natural disaster and travel preparedness expert. Nelson is also the CEO of Prepare with Cher, LLC. 'In fact, you may feel chilly or suddenly exhausted — which is why it's so important to know the full range of symptoms.'Symptoms can include 'undue fatigue, transient ataxia (slurred speech, stumbling, falling, incoordination), dizziness, headache, nausea, vomiting, and rapid heart rate,' Lt. Col. David DeGroot explained, though he added that not all of these symptoms need to be present to diagnose heat exhaustion. DeGroot is the director of the Army Heat Center at Martin Army Community Hospital in Fort Benning, experts also told us that some populations are more at risk than others, including but not limited to young children, older adults, people with chronic illnesses, and those who are outdoors for long periods of time, like construction Haris Vakil, a fellowship-trained primary care sports medicine physician with a board certification in family medicine and certificate of added qualification in sports medicine, added that back-to-school season can pose a particular risk. 'Pediatric athletes in general have a difficult time with heat exhaustion earlier in fall sport season such as with football, because they haven't quite acclimated to hot temperatures and being outside for so long,' he said. Below, experts gave their tips on some products you should keep on hand to help you and your family stay cool and prevent heat exhaustion, whether you're lounging on the beach, going for a run, or taking your kids to team tryouts. A water bottle, so you always have hydration on hand This first step is probably pretty obvious, but you need to drink water. "Stay well-hydrated to allow your body to utilize sweating as one method of cooling," Bachmann is everything, according to Gallucci. "Don't wait until you're feeling thirsty to begin hydrating," he said. "The more active you are, the more hydration you need." According to Nelson, you should also skip out on drinking alcohol when heat illness is a concern, since it can dehydrate you pick for a water bottle is the Owala FreeSip, also recommended by former shopping writer Haley Zovickian. The double-wall insulation can keep your water cold for up to 24 hours, and the wide opening makes it easy to clean the bottle as well as add ice. The lid is also leakproof with a carry loop that doubles as a lock. The FreeSip comes in tons of colors, including the blue shown here, and four sizes; you can check Owala's Amazon storefront to see them it from Amazon for $24.99+. Electrolyte drink packets for a hydration boost Water alone won't do the trick, however. "Staying hydrated with a balance of electrolytes, or salt loading leading up to the event, in conjunction with water is essential," said Vakil. "Most individuals only drink water, and dilute necessary internal balancing salts, and cause more harm when ignoring electrolyte replacement."One easy way to do this is by adding electrolytes directly to your water. "Electrolyte drink packets (like Liquid I.V. or Nuun tablets) help to replenish key minerals lost through sweat," Gallucci I.V. packets come in so many flavors and contains three times as many electrolytes as the leading sports drink, according to the brand. They're also packed with eight vitamins and nutrients, and come in single-serving packets that you can toss into your bag and easily use on the go. Experts aren't the only ones who like these packets, either — they've earned more than 84,000 5-star ratings on them from Amazon for $23.46+ (available in 19 flavors). Or these similarly hydrating electrolyte tablets Both Nelson and Gallucci also named Nuun tablets as a good source of electrolytes, with Nelson saying they "provide sodium and potassium to help retain fluids in the heat."Like the Liquid I.V. powder, the tablets dissolve in water, and the tube packaging makes it easy to have more than one on you if you need it. These contain five electrolytes and just 1 gram of sugar, with a ton of refreshing flavors available.P.S.: If you're really in a pinch, Vakil suggested a simple at-home solution. "This solute balance can be readily achieved by simply adding two tablespoons of honey or agave nectar to liven up a glass of water," he said. "The two-tablespoon threshold for electrolyte replenishment can also work by addition of lemon or lime juice, or even raw maple syrup!"Get them from Amazon for $20.94+ (available in a variety of pack sizes and flavors). A cooling towel to help lower your body temperature In a previous story about preventing heat exhaustion, multiple experts recommended Frogg Toggs cooling towels, which activate when wet with water and can cool you up to 30 towel can absorb up to eight times its weight in water, and you can wear it around your neck to cover it from the sun, too. The towel comes in 10 review: "If you are a 'sweater' then you have to have 1 of these. Because it holds that extra water it keeps your neck cool and you can truly wipe the sweat out of your eyes. When it gets gross wring it out, rinse it and it's ready to go again. It is long enough so it stays around your neck. A + when your bending down alot. I recommend hanging it on your shower bar with a plastic pant hanger over night. After a few days it's definitely ready for the wash! This towel is a must have in the summer!" — RashockleyGet it from Amazon for $9.99. Some loose and moisture-wicking clothing What you wear in the heat makes a difference, too. "Wear moisture-wicking clothing," Nelson suggested. "Cotton stays wet, which can trap heat. Instead, opt for technical fabrics designed for sweat evaporation and ventilation."Gallucci agreed that "staying dry goes a long way," while Vakil added, "Limiting time in direct sunlight, dressing intelligently such as with hats and loose-fitting, light-colored clothing, and the use of sunglasses can all reduce the heat stimulus to the body."Nelson specifically recommends UPF-rated hats and clothing. "Lightweight long sleeves and wide-brimmed hats with UPF 50+ can reduce sun exposure and help your body stay cooler," she brand Baleaf offers UPF 50+ shirts for both men (in sizes S–3XL) and women (in sizes XS–XXL) that have long sleeves, quick-dry and moisture-wicking fabric and a lightweight, relaxed feel. The shirts come in a ton of solid colors, including some lighter hues, to implement Vakil's it from Amazon in women's sizes for $19.99+ and in men's sizes for $19.99. A hat for more sun protection Both Gallucci and Vakil recommended hats as a way to keep the sun off your head and decrease heat stimulus. We like this unisex Einskey hat, which has a wide brim and UPF 50+ protection. Designed with a breathable mesh panel and moisture-wicking sweatband, the hat is lightweight and easily foldable to take with you while you're out and about in the heat. The adjustable chin strap ensures a snug fit, and the water-repellant fabric can keep you dry from rain. This comes in a ton of solid colors as well as some camo it from Amazon for $10.39+. Broad-spectrum sunscreen to avoid sunburn and overheating "Sunscreen isn't just about skin health," Nelson told us. "It's a heat illness prevention tool, too."According to Gallucci, this is because "sunburn can impair your body's ability to cool down, leading to higher risk of heat exhaustion." He added, "Broad-spectrum sunscreen is crucial to keeping your skin protected, and can help reduce your risk of overheating and sunburn."Nelson recommended SPF 30+ more specifically, and we like this Sun Bum roll-on sunscreen that was a hit among our readers during Prime Day. This travel-size bottle is Hawaii 104 Reef Act compliant and contains skin-nourishing ingredients like vitamin E in addition to the sun protection benefits. Commerce managing editor Emily Ruane also previously mentioned that the roll-on application is great for it from Amazon for $16.15. A handheld misting fan Bachmann suggested using misting devices "to promote evaporative cooling," and other experts agreed."Portable misting fans or water spray bottles are great items for immediate cooling, especially for kids playing outside or outdoor workers," Gallucci said, and Nelson told us, "They're great for sporting events, theme parks, or yard work."This bestselling O2Cool misting fan works with two AA batteries and has a simple one-speed motor that's powerful but quiet; no need to fuss with different knobs or settings. The tank has a 9-ounce capacity for water, and can even hold ice for an extra cool breeze. This fan comes in tons of fun colors, and you can buy it alone or in a it from Amazon for $11.88+. A smart watch to measure your heart rate "A good indicator of exertion level is heart rate, so any device that can provide a reliable measure of heart rate, like a smart watch, can be a useful tool to control how hard someone is working," DeGroot told us. "For example, if a soldier is a runner and their heart rate in cool conditions is 140-145 beats per minute, in the heat we'll have them slow down enough to keep their heart rate in the same range."Civilians should also be aware of when to take it easy in the heat. The Apple Watch Series 10 has a heart rate monitor, and can notify you when your heart rate is unusually high or low. That's in addition to other health insights like sleep tracking, workout activity and more vitals like respiratory rate. The watch can even connect you with emergency services with the press of a button (say, in case you or someone with you does end up with heat stroke), and is a good investment for your health and safety beyond showing you your step it from Amazon for $299+ (available in six colors). A pair of sunglasses for sun protection Vakil mentioned that sunglasses can reduce heat stimulus, and really, they're a summer staple you should already own. This multipack offers UV protection with polarized lenses, are lightweight and have a pretty timeless, classic design that comes in a bunch of colors. The glasses are also shatterproof and can block them from Amazon for $15.19. An umbrella for shade Both Bachmann and Nelson recommended having an umbrella for shade. "These can reduce radiant heat exposure when standing or walking outdoors," Nelson said. Our pick is this reader-favorite Coolibar umbrella, which has been a hit among readers in the past. Designed with a UPF 50+ rating and a glare-reducing underside, the water-repellant umbrella blocks 98% of UVA/UVB rays. The umbrella has a 42-inch arc and an ergonomically designed handle with a simple push-button open and close mechanism. The umbrella comes in four it from Amazon for $55. A fan for when you're hanging out indoors Just because you're inside and out of direct sun doesn't mean you're off the hook when it comes to heat illness, so you should still take precautions. "For indoor environments, a fan is very helpful, as it helps with evaporation of sweat," DeGroot 36 inches tall and able to circulate 25 feet of air per second, this Dreo tower fan has four modes and four speeds you can adjust using the included remote. The fan has 90-degree oscillation to help cool down the whole room, as well as an eight-hour timer. The compact fan is also less than 12 inches wide, and its hidden handle makes it easy to carry around so you can set it up wherever you need cool air in the it from Amazon for $71.99+ (available in four colors).
