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Seasonal allergies aren’t limited to spring. For many people, the onset of autumn — and the beginning of ragweed pollination — brings itchy eyes, a stuffy nose, and other telltale allergy symptoms. Here’s more on what triggers fall allergies and the best ways to treat and prevent them.

How to Navigate Fall Allergies

While spring allergies are primarily caused by grass and tree pollen, the main culprit of fall allergies is ragweed pollen, which begins in late summer, peaks in September, and can continue into October or even November.

Other pollen-producing weeds that can cause fall allergy symptoms include:

Mold is another common trigger of fall allergies, with piles of fallen leaves a ripe breeding ground for mold growth.

Like all seasonal allergies, fall allergies have intensified in recent years as a result of climate change. Rising temperatures and higher levels of carbon dioxide in the atmosphere have extended the pollination of many plants, including ragweed, which allows for a longer allergy season.

Even if you are more prone to allergies than others, there are steps you can take to prevent symptoms. Here are our top prevention tips specifically for fall allergies.

Avoiding known allergens is the best way to prevent an allergic reaction. To limit your exposure to ragweed pollen, shut the windows as much as possible on windy days when pollen counts are high. (You can find your local pollen count online or in a weather app.) If you’re going outside on a high-pollen day, wearing a hat and sunglasses can protect your face from pollen and reduce the chances of symptoms developing.

If you are sensitive to mold, it’s best to have someone else rake the leaves — and be sure to toss those aging jack-o-lanterns well before they start to rot. If you have to do some fall yard work yourself, wear a mask to reduce mold exposure as much as possible.

Be mindful of indoor mold growth as well. Using a dehumidifier can help you keep the humidity in your home at optimal levels.

An outdoor pollen encounter can bring the allergen into your home. To keep the house or apartment pollen-free, change your clothes and take off your shoes as soon as you're inside. Wash clothes and bedding regularly as an additional preventive step.

These precautions are especially important if you have allergy-induced asthma, the most common type of asthma, which occurs when exposure to pollen, mold, or other allergens results in inflammation in the airways.

Although fall allergies are triggered by different substances than spring allergies, they can be treated with the same over-the-counter allergy medications. 

Over-the-counter nasal sprays including Nasacort® (triamcinolone), Flonase® (fluticasone), and Rhinocort® (budesonide) prevent nasal inflammation and reduce stuffiness and sneezing. They may be taken in advance of allergy season to potentially prevent the onset of symptoms altogether.

Eye drops can relieve itchy, red, or watery eyes.

Oral antihistamines including Zyrtec® (cetirizine), Clarinex® (desloratadine), Allegra® (fexofenadine), Alavert® (loratadine), Claritin® (loratadine), Xyzal® (levocetirizine), and Benadryl® (diphenhydramine) can be taken preventatively or on an as-needed basis to reduce sneezing, sniffling, and itching. These medications offer fast relief, going into effect from 15 minutes up to two hours. Benadryl can cause drowsiness and is not recommended to take before driving or other activities that require your attention.

Decongestants including Afrin® and Sudafed® can be taken to relieve stuffiness, however they can worsen symptoms when taken over an extended period of time and should not be used as a long-term treatment.

Many of the above OTC allergy medications are available for purchase at the Essentials Store in the Alto app! To browse the selection, tap the "Store" icon along the bottom of the app or in your account on desktop.

If you have allergy-induced asthma, allergy medications will likely be a part of your asthma treatment plan, but they are not a substitute for asthma medication. In addition to consulting an allergist, speak with your primary care provider as soon as asthma symptoms appear so that you can find the best treatment plan.

If your allergy symptoms persist after trying over-the-counter medications and consulting with your primary care provider, it may be time to see a specialist. Allergists and immunologists have extensive training in allergy treatment. In addition to helping identify specific allergy triggers, these specialists can also facilitate additional treatment options like immunotherapy. This process gradually exposes you to allergens to decrease your sensitivity to them. It can be administered as injections or sublingual tablets placed beneath the tongue. 

Stock up on allergy essentials in the Alto app

Purchase allergy season essentials like Claritin, Flonase, Zyrtec, Allegra and more right from your Alto account. You can order these over-the-counter products whenever you need them or add them to your next prescription delivery.

If your allergy treatment plan includes prescription medications, we can help. We’ll coordinate with your doctor and insurance to offer your medications at the best price we can find. Our expert pharmacists are available via in-app messaging to answer any questions you may have about symptoms or side effects.

This content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or another qualified health provider with any questions you may have regarding a medical condition.

All third party trademarks (including logos and icons) referenced by Alto Pharmacy remain the property of their respective owners. Unless specifically identified as such, Alto’s use of third party trademarks does not indicate any relationship, sponsorship or endorsement between Alto and the owners of these trademarks.

There’s something to be said for the mentality of “age is just a number,” but it’s a fact that our minds and bodies change with time, and new health considerations arise as we grow older.

A Guide to Healthy Aging

Healthy aging, which encompasses your physical, emotional, and cognitive wellness, is a journey rather than a destination. While it requires an ongoing investment in your well-being, small steps and everyday choices can make a big impact. Here’s what to prioritize.

Access to primary care is a challenge in the US, and 40% of US adults report delaying or going without care due to financial barriers. Skipping a routine screening can be serious: according to the CDC, up to 40% of all fatalities linked to the five leading causes of death in the U.S. — heart disease, cancer, chronic lower respiratory diseases, stroke, and unintentional injuries — are preventable.

Since your risk for high blood pressure, high cholesterol, heart disease, diabetes, and other common conditions increases as you grow older, staying on track with preventative care is a key component of healthy aging. If you have been diagnosed with any of these conditions or another chronic illness, attending regular doctor’s appointments is also critical to feeling your best.

If you smoke, quitting is one of the most important steps you can take to maintain good health as you grow older. It’s never too late (or too early) to drop the habit: quitting smoking at any age can lower your risk for cancer, heart attack, stroke, and lung disease.

If you’re having difficulty, don’t be discouraged. It often takes multiple attempts to stop smoking for good. Ask your doctor for resources to support your efforts.

Regular physical activity is fundamental to heart-healthy living and to healthy aging. Not only can consistent exercise increase life expectancy, it is also correlated with a better quality of life and less physical discomfort.

Health experts recommend a minimum of 150 minutes of moderate-intensity physical exercise and two days of muscle-strengthening activities each week. The latter is very important for older adults, as muscle mass naturally declines as you age.

Remember that some physical activity is better than none, and you can break up your weekly exercise hours into smaller chunks that feel more manageable. Find additional tips on developing a fitness routine that works for you here.

More than 1 in 3 US adults report getting less than the recommended seven hours of sleep per night. There are several ways that the process of aging can interfere with a good night’s sleep:

Aging-related changes to your brain chemistry affect your circadian rhythms — the 24-hour cycles that control your body’s internal clock and regulate your mood, hunger, and sleep.

Changes in hormone production, like decreased melatonin levels, can also disrupt sleep as you grow older.

Some of the health diseases that are more common in older adults, like heart disease, diabetes, and arthritis, can contribute to poor sleep.

Aging-related lifestyle changes — for example, a less structured routine in retirement — can also result in more difficulty sleeping.

Simple steps can help improve sleep health. Start with the following:

Maintain a consistent sleep schedule, going to bed and waking up at the same time every day, including weekends.

Avoid the use of electronic devices close to bedtime.

Get plenty of natural light and stay physically active during the day, but avoid exercising close to bedtime.

Avoid consuming food or beverages close to bedtime, particularly caffeine, alcohol, and high-sugar or high-fat foods.

Keep your bedroom dark and quiet and maintain a comfortable temperature.

As you prioritize healthy aging, be sure to give your mental well-being plenty of attention. Many age-related physical changes — including the loss of vision and hearing and changes in memory and mobility — can make it challenging to maintain strong social ties. For this reason, older adults face an increased risk of isolation and loneliness.

Good mental health is important in and of itself — after all, each one of us deserves to experience fulfillment at every stage of life. But there are also physical and cognitive benefits of maintaining positive relationships as you age. Loneliness is associated with a greater risk for dementia, and strong, meaningful social connections are linked to better physical health.

To enjoy the later chapters of life — and to support your cognitive and cardiovascular health — stay connected to friends and loved ones, seek community in various forms, and look for opportunities to give back. Remember that small acts of connection go far — and that four-legged companions count too. (We’re serious — having a pet is good for those cholesterol and blood pressure numbers!)

Choose a reliable and flexible pharmacy partner

Alto Pharmacy makes it simple to live your healthiest life by providing an easier, more supportive, and more affordable prescription experience. Our pharmacists are here with information and answers, even during nights and weekends. And the Alto app gives you control and convenience in managing your medications, with auto refills, medication bundling, and custom dosing reminders.

Every year, thousands of people in the US develop illnesses that are preventable with vaccines, in some cases resulting in serious health complications or hospitalization. In honor of National Immunization Awareness Month this August, take a moment to learn more about the importance of vaccination and make sure you are up to date with recommended vaccines. 

National Immunization Awareness Month 2023

Vaccines, which were first developed in 1796 for smallpox, provide the best defense against many diseases. They are one of the safest ways to protect your health, as side effects are typically mild and resolve themselves without treatment.

Building on your immune system’s natural function, vaccines lower the risk of getting certain diseases or developing serious complications. And in lowering your chance of spreading these diseases, they also help you keep your loved ones safe.

Immunization remains important throughout your whole life, even if you received routine vaccines as a child. Not only does the protection of some vaccines weaken over time, you may develop new risks for illnesses based on age, occupation, travel, or changes to your overall health.

Many chronic conditions — including type 1 and type 2 diabetes, heart disease, COPD, and asthma — increase your risk of developing serious complications from vaccine-preventable diseases. For this reason, vaccines are a critical part of managing these conditions, even if you are also taking medication to control symptoms. Here’s more on the importance of immunization when living with a chronic illness.

Diabetes can make it more difficult for your immune system to fight infection and illness, putting individuals with the condition at a greater risk for complications of the flu, pneumonia, meningitis, and other vaccine-preventable diseases. Additionally, some of these illnesses can interfere with diabetes management — for example, the flu can drastically increase blood sugar levels.

Like diabetes, heart disease makes it more difficult for your immune system to protect you from illness, leading to a greater risk for complications. The flu can also increase a person’s risk for heart attack and stroke.

COPD and asthma can increase swelling of the airways and lungs. When individuals with these conditions get vaccine-preventable diseases that similarly impact respiratory function, they are more likely to experience complications. Adults with these respiratory conditions also face a greater risk for flu-related complications.

Not sure which vaccines you need? We have helpful information about the CDC’s recommended vaccination schedules below, but be sure to confirm with your provider as well!

The CDC recommends that all adults stay up to date on the following vaccines:

Covid-19 vaccine - currently, everyone ages six years and older needs one dose of the updated Pfizer-BioNTech or Moderna covid-19 vaccine to be up to date. Adults ages 65 and older are eligible to get a second dose of these vaccines.

Flu vaccine - recommended once every year for all infants, children, and adults over the age of six months 

Additional recommendations for specific age ranges include:

19-26 years old: Make sure you’re also up to date on the chickenpox, hepatitis B, HPV, and MMR vaccines. Ask your provider if additional vaccines are recommended, including the MenB vaccine.

27-49 years old: Make sure you’re also up to date on the hepatitis B and MMR vaccines. Ask your provider if additional vaccines are recommended, including the chickenpox and HPV vaccines if you haven’t already received them.

50-64 years old: Make sure you’re also up to date on the shingles vaccine. Ask your provider if additional vaccines are recommended, including the hepatitis B and MMR vaccines if you haven’t already received them.

65 years and older: Make sure you’re also up to date on the pneumococcal and shingles vaccines.

CDC vaccine recommendations for children ages six and under

CDC vaccine recommendations for children ages 7 to 18.

Getting the Tdap vaccine during pregnancy gives your baby short-term protection against whooping cough, which can be life-threatening for newborns. Additional vaccines may be recommended before, during, and after pregnancy. Learn more about vaccines and pregnancy here.

Some international travel may require additional vaccines, depending on your itinerary and vaccination history. You can find more information about travel vaccines here.

Most recommended vaccines are offered at doctor’s offices, and your provider is a great place to start. Ask if they offer the vaccines you need. If not, they can give you a referral.

Pharmacies and community health clinics are other common vaccination locations. Some people are even able to get certain vaccines at their workplace.

If you have health insurance, another option is to ask your insurance provider for a list of vaccine providers in your network.

The Vaccines for Children program offers free vaccines to children and adolescents 18 and under who meet any of the following criteria:

Do not have health insurance or coverage of recommended vaccines

A chronic illness diagnosis is a significant unexpected life event, one that can understandably bring many feelings to the surface, from fear and anger to grief and shame. It often means changes in day-to-day life and potentially shifts in your identity and relationships as well.

Facing a Diagnosis of a Chronic Illness

It’s not uncommon for the uncertainty of a diagnosis to affect a person’s mental health. About one-third of everyone with a serious chronic illness experiences symptoms of depression. Those with a history of depression or who faced significant stress prior to their diagnosis may have a higher risk for mental health issues. But no matter your health history or the specific challenges of your condition, taking good care of yourself and prioritizing your emotional needs can help you adjust to life after a diagnosis.

While learning to live with a condition is an ongoing and personal journey, the tips below can give you a starting point as you move forward and find the coping strategies that work best for you.

Instead of self-blame, focus on moving forward

When facing a challenge or in times of shock, it’s only natural to want to know why, or to think about what we could’ve done differently. Unfortunately, in the context of a chronic illness diagnosis, there isn’t always a satisfying answer to be found. Sometimes a condition runs in your family. In other cases, there may be no explanation of why you developed your illness.

Even if your condition is preventable, considering what you could have done in the past won’t give you more control over present circumstances. The best thing you can do for your health at this moment is to face your diagnosis head-on and move forward.

That means different things to different people, but acknowledging the limitations of a chronic illness while staying hopeful is key. You may not be able to do some of what you could once do easily, and you may need to adjust your responsibilities with work, school, or caregiving. However, that does not mean that everything is beyond your control.

It can be helpful to get literal about what’s changing. One strategy is to make a list of activities or tasks that are challenging to do with your illness and proactively think up solutions or alternatives. Depending on the specific challenges you’re navigating, that could mean asking for assistance with meal prep or taking up gentler forms of exercise.

As important as it is to move forward, it’s okay if it takes you time to do so. You are processing a substantial life change, so give yourself the space that you need.

Your health journey is yours, with options and choices to make about treatment, lifestyle changes, and forms of support. Knowledge can empower you to decide how you want to live with a chronic illness.

Finding a provider that you trust is a crucial first step in learning more about your condition. It’s important that you can openly share your concerns and ask any questions you need to. In addition to looking for a physician with the appropriate expertise and credentials, make sure that you feel comfortable around them.

Though your provider may be treating you for a physical condition, let them know how you feel emotionally as well. Mental health issues can make it more challenging to stay on top of your treatment needs and manage your condition. Your provider is here as a resource and can offer referrals for counseling or medication if needed.

Medication is critical to the management of many chronic conditions. Appropriate medication use is necessary to experience the full therapeutic benefits, but unfortunately, medication is only taken as prescribed 50% of the time.

You’ll likely gain comfort and familiarity with your treatment plan in time, but there may be a learning curve to managing your medications, especially if you take more than one. Here are several tips.

Educate yourself about potential interactions and side effects

You should always know the answers to the following questions about any medication you take — your pharmacist is a great resource for information.

Can I take this medication with other medications?

Should I avoid certain foods or drinks when taking this medication?

Are there known potential medication interactions? If so, what signs should I watch for?

Even if you experience side effects, never stop taking a medication without first consulting your doctor. Rather, keep a log of side effects and share them with your care team. Your doctor may be able to adjust your dosage or help you safely switch to an alternative medication.

Find your preferred medication reminder system

There are a variety of tools to help you remember when to take your medication, from pill organizers to setting alarms and linking the act of taking your medication to another daily activity. The Alto app includes custom medication reminders.

It’s also important to find your preferred system for remembering refills. Our app’s medication management features include auto refills and medication bundling. If you aren’t using a medication management app, check your prescription labels regularly to see how many refills are remaining.

This is your health journey, but you don’t have to go at it alone. One of the best ways to reduce stress during this time is to take some responsibilities off of your plate. That will likely mean leaning more on others, so make sure to surround yourself with supportive and reliable people.

Nonprofits related to your condition can provide additional support and valuable resources. If you feel overwhelmed by the feelings that have arisen, don’t hesitate to ask your provider for referrals to a therapist for individual counseling.

Read Finding Support After a Chronic Illness Diagnosis

Mindfulness and physical activity are both important tools as you navigate this health journey. The former is all about present moment awareness and focusing on what’s happening right now, which is important since you may have many anxieties and fears about the unknown. Studies have also shown that mindfulness practices can help you cope with pain and stress. It doesn’t have to be a big endeavor. Just several minutes of quiet meditation, breathing exercises, guided imagery, or listening to music each day can make a big difference.

Physical exercise isn’t just good for your physical health — it’s also linked to improved mood and mental wellness. If some of your go-to activities are no longer possible because of your illness, there are plenty of alternatives to consider. To ensure that your fitness habits are appropriate for your needs at this time, consult your provider before trying any new exercises.

As a reliable pharmacy partner, we make sure you’re never on your own in navigating the complexities of treatment for a chronic illness. Our pharmacists are here with information and answers, even during nights and weekends. And the Alto app gives you control and convenience in managing your medications, with auto refills, medication bundling, and custom dosing reminders.

Summer may be a time to take it easy, but that doesn’t mean letting health and fitness goals slip by the wayside. Not only is the year’s halfway point an opportunity to recommit to your wellness — and perhaps check in with those New Year’s resolutions — there are seasonal health considerations to account for as temperatures rise and you spend more time outside. We’ve rounded up our top summer wellness tips to help you stay safe and healthy amidst the beach days, BBQs, and road trips.

Five Ways to Stay Healthy This Summer

Many of us are familiar with the discomfort of a sunburn after a long summer day outdoors. While the pain and redness are short-lasting, prolonged sun exposure may cause long-term damage to the skin and increase your risk of skin cancer, which is one of the most common types of cancer.

Limiting your exposure to UV rays is the most impactful way to protect your skin. Here are several steps you can take.

Apply a broad-spectrum sunscreen with a sun protection factor (SPF) of 15 or higher every day — up to 80% of UV rays can pass through clouds. If you’re going to spend a lot of time outdoors, opt for an SPF of 30 or higher.

Avoid direct sunlight as much as possible between 10 am to 4 pm daylight savings time (9 am to 3 pm standard time), when UV radiation peaks.

Check the UV Index here for a daily forecast of local UV radiation strength on a scale of 0 to 11. Extra precautions against UV rays are recommended when the index is a three or higher.

Wear protective clothing like long-sleeve shirts and wide-brimmed hats.

Hydration is paramount during summer months, as hot, humid weather decreases the amount of fluid in your body. To prevent dehydration-related issues like heat injury, consume plenty of fluids and take extra precautions during extreme heat or strenuous exercise.

A glass of water isn’t your only option for staying hydrated — consuming water-rich foods like cucumbers, celery, tomatoes, strawberries, watermelon, and other fruits and veggies will also increase your daily water intake.

If you take medication, ask your pharmacist if it can affect your body’s ability to cool itself, in which case you may need to double up those hydration efforts.

Regular physical activity is part of practicing a heart-healthy lifestyle, not to mention its numerous other benefits like better quality of sleep, good bone and digestive health, and reduced stress. 

Most health experts suggest aiming for 150 minutes each week. If you find it challenging to reach this target, you’re not alone: according to the New York Times, less than 5% of all US adults complete this weekly minimum. When it comes to exercise, there’s a big correlation between consistency and enjoyment, and one of the biggest barriers to starting and maintaining a routine is finding the right fitness activities for you.

Summer brings many new exercise options to explore, from hiking and mountain biking to transitioning from treadmill to trail. Whatever your preferred outdoor workout may be, let those warm, sunny days get you moving.

As you explore your outdoor exercise options, have a backup workout plan in place in case temperatures soar. Extreme heat is more than a discomfort, it’s a legitimate health risk to stay mindful of.

Heat-related illnesses occur when the body cannot regulate its temperature after exposure to intense heat. While everyone should avoid extremely high temperatures, some individuals are more susceptible to these reactions, including young children, pregnant women, older adults, and people with heart disease or poor circulation.

There is a spectrum of severity of heat illness. Heat exhaustion is less severe than heat stroke, which requires urgent medical attention. Symptoms of heat exhaustion to watch for include:

If you experience these symptoms, move to a cool, shaded location, rest, and drink cold water or sports drinks. Seek medical care if symptoms worsen or don’t improve within an hour.

Heat exhaustion may precede heat stroke, which affects the nervous system. Indicators that someone is experiencing heat stroke rather than heat exhaustion include disorientation or confusion, loss of consciousness, and seizures. A person with heat stroke requires emergency medical care. While waiting for medical services, they should remain in a cool, shaded area and try to lower their body temperature with cold cloths or water.

Fortunately, the skin protection tips above can prevent heat illness, too — a sunburn makes it more difficult for your body to stay cool. Staying hydrated and wearing loose, lightweight clothing also help.

5. Manage your medication while traveling - we can help!

During summer travel season, make sure you have everything you need to manage your health while away from home. Here are several quick tips from our guide on medication management while traveling.

If traveling internationally, research your destination’s medication laws. Many medications that are legal in the U.S. aren’t allowed in other countries, including some over-the-counter treatments. Some countries also require you to carry a copy of your prescription or a letter from your provider.

Always pack important medications in your carry-on when traveling by plane. Note that while there are medical exceptions to TSA limits on liquids, gels, and creams, you should allow for a longer screening process when traveling with these items.

Confirm the temperature your medications should be stored at and take it into account when packing. For example, if you take insulin, you can use an insulated medication bag to hold it at an appropriate temperature while traveling.

Want more tips for managing your health while traveling? We have additional resources tailored to specific health considerations:

A Guide to Traveling During Fertility Treatment

Last but not least: be sure you have enough medication for your whole trip. Need a refill before it’s covered by insurance? No problem! We’ve streamlined the steps to request a vacation override so that you can get your medication in a pinch.

Transfer your prescriptions to Alto for a better pharmacy experience, including support with insurance and savings opportunities and same-day delivery.

A diagnosis of a chronic illness brings significant changes to many areas of life. While the journey of learning to live with a condition looks different for everyone, the importance of support is universal.

Support can and should take many different forms. New physical and mental health needs are both common when navigating a chronic condition, and there are resources to draw on for both facets of your wellness.

Finding Support After a Chronic Illness Diagnosis

A diagnosis of a chronic illness brings significant changes to many areas of life. While the journey of learning to live with a condition looks different for everyone, the importance of support is universal.

Support can and should take many different forms. New physical and mental health needs are both common when navigating a chronic condition, and there are resources to draw on for both facets of your wellness.

We encourage you to think broadly in building your support system, even when focusing more specifically on your physical or mental health. In the case of physical health, specialists like diabetes educators can supplement a provider’s care with more personalized guidance. And with mental health, different forms of support may be necessary to address the various ways that a diagnosis affects you individually as well as your relationships.

Here are some suggestions to help you build a strong support system after a chronic illness diagnosis.

Many chronic illnesses require medical care from a specialist with the expertise to address specific symptoms rather than a primary care physician. Medical specializations for chronic conditions include the following.

A pulmonologist specializes in the treatment of respiratory conditions including chronic obstructive pulmonary disease (COPD).

An endocrinologist specializes in the treatment of endocrine disorders including diabetes.

A rheumatologist specializes in the treatment of inflammatory autoimmune diseases including rheumatoid arthritis and lupus.

A gastroenterologist specializes in the treatment of digestive health conditions including celiac disease and inflammatory bowel disease.

A neurologist specializes in the treatment of diseases of the brain, spinal cord, and nervous system including dementia, Parkinson’s disease, and epilepsy.

Your primary care provider can help you make sure you’re seeing the right specialist for your diagnosis. In some cases, they may have the necessary expertise to treat your condition themselves. For example, if a primary care provider is board-certified in infectious diseases and internal medicine, they may be able to oversee antiretroviral therapy treatment for HIV.

There are many possible ways to look for a specialist. You can ask your primary care provider for referrals, contact your insurance company, or reach out to others you know with the same condition. If you don’t know many people affected by your illness, joining a support group can be a great way to build connections and get recommendations.

Many of the factors that people consider when looking for a primary care physician — communication style, for instance — are also relevant to finding a specialist for treatment of a chronic condition. How comfortable you feel around your provider can significantly affect your experience of living with an illness. Facing a diagnosis head-on requires you to feel informed, and to feel informed, you need an open dialogue with your medical team.

A provider’s background and training is particularly important when looking for a specialist, since treatment is often more complex. How many years they’ve been practicing can be an indicator of experience, but remember that it’s just one metric. Depending on your needs, you may be well served by working with a physician in the middle of their career.

Other factors that reflect a provider’s qualifications include research interests, and active involvement in research, and their affiliation with organizations related to their field. You may also consider where they completed residency and fellowship training — some hospitals and institutes are known for certain medical specialties.

Depending on your specific diagnosis, it may be important to look for a provider who is affiliated with a specific hospital. For example, more advanced COPD can cause flare-ups, or periods of intensified symptoms, which in some cases may require treatment in a hospital setting.

You may encounter treatment-related decisions that depend on personal preference. For example, some people who experience chronic pain as a result of their illness want to explore non-pharmacological options, or ways to manage pain without medication. If that’s of interest to you, look for a provider whose care philosophy aligns with your needs and views.

You may benefit from working with specialized healthcare professionals in addition to your medical team. Diabetes educators are professionally certified to coach individuals living with the condition. They offer support for numerous aspects of diabetes management, from insulin administration to insurance navigation and lifestyle changes.

Read What Does a Diabetes Educator Do and How Can They Help You?

Similarly, registered dietitian nutritionists who specialize in COPD can help you make dietary changes as part of treatment for the condition. (Since food affects your breathing, people with COPD are typically advised to consume more fats while reducing their intake of carbohydrates.)

Building a support system often involves asking for more help from your friends and family. Since stress management is part of navigating a chronic illness, look for opportunities to take responsibilities off of your plate. Communicate what you need as specifically as possible, and remember that people are ready to help.

You may find that you have less energy to focus on others. Prioritize relationships with supportive people who are sensitive to what you’re experiencing, and whom you want with you on this journey — it’s your decision who you share personal health details with.

Chronic illnesses can bring shifts in identity as you make changes to your routine and lean more heavily on others. Stress is common, too, as a diagnosis often comes with much uncertainty. For these reasons and others, your diagnosis may affect your mental health. In fact, some studies have found that living with a chronic condition increases a person’s risk of depression.

Therapy offers the support you need to process the emotional experience of a diagnosis. For many people, individual counseling provides a safe space to openly share their feelings and concerns related to illness. Many therapists have special training to support you in coping with a chronic illness, so look for this expertise as you search for the right practitioner.

If you have kids, a therapist can also support you in sharing your diagnosis with them in age-appropriate ways. If you are concerned about how your diagnosis has affected the entire family unit and your relationships, family and/or couples therapy may help you navigate the changes together.

There’s no substitute for support from those who have been in your shoes and faced the same challenges. Peer-led support groups give you the opportunity to express your feelings to people who have firsthand experience of your condition. They can also share the coping strategies they’ve found most helpful.

As a starting point, look for a nonprofit related to your specific diagnosis. Many organizations offer both in-person and virtual groups, so connecting with others is not confined to geography. 

One final component of a strong support system: a reliable pharmacy partner. Our pharmacists are here with information and answers, even during nights and weekends, and the Alto app gives you control and convenience in managing your medications, with auto refills, medication bundling, and custom dosing reminders.

From strengthening your heart to promoting better sleep, regular exercise offers a number of physical and mental health benefits. But getting up and moving can be easier said than done. Here are some suggestions for building a fitness routine that sticks.

How to Start and Stick to a Fitness Routine

No one is immune to the physical and mental benefits of exercise. Beyond helping to manage a wide range of health conditions — from hypertension and diabetes to COPD and anxiety disorders — regular physical activity strengthens cardiovascular health, supports healthy sleep patterns, and lowers your risk for many preventable diseases.

But while there are many reasons to exercise, getting up and moving is often easier said than done. Less than 5% of US adults get 150 minutes of weekly exercise — the minimum suggested by the U.S. Department of Health and Human Services. And up to 65% of all those who begin a fitness program don’t continue it beyond the 3-6 month window, according to the New York Times.

Whether you’re trying to get back in the swing of a fitness routine or struggling to carve out time for your favorite workout, use the suggestions below to build an exercise plan that sustains you for the long haul.

On those days when life gets in the way of sticking to your routine, it’s easier to stay committed if you have a clear reason to prioritize exercise.

While the benefits of physical activity are universal, motivation looks different for everyone. Perhaps you’re navigating a recent diagnosis of a chronic condition or proactively taking care of your mental health. Whatever your reason may be, keep it in the back of your mind. And if you haven’t found one yet, here are some additional exercise benefits to consider:

It can help slow aging-related changes like the loss of bone density or shifts in cognitive function.

It’s fundamental to practicing a heart-healthy lifestyle.

There are as many reasons to exercise as there are activities to choose from. And if you don’t consider yourself an “exercise person,” there’s a good chance you haven’t found your go-to workout just yet.

As you make your fitness plan, give some thought to how you really want to spend those 150 minutes each week. Research and experts both agree that people are more likely to stick to an exercise routine if they actually enjoy it, and your chosen workout often plays a role in the consistency of your habits.

Take your interests, strengths, and personality all into account. Are you most comfortable at a fast or slow pace? Inspired by nature? Enjoy a healthy dose of competition? More fond of team sports or solo challenges? You might be surprised by the amount of options.

When in doubt, think of activities you feel confident doing or skills you would like to continue to build. If certain types of exercise aren’t the right fit, there’s often an alternative to consider. For example, the rowing machine is a great alternative to swimming for anyone seeking a low-impact cardio workout.

Create a routine that sustains your goals.

Repetition and consistency will keep you going when motivation wanes, so build a routine that sustains your habits.

First and foremost, make sure there’s time in your schedule for exercise. Block off a half hour for a workout on your calendar, just as you would for a meeting or doctor’s appointment. Make sure to have a back-up plan, too — if your 7 am pilates class isn’t feasible one week, leave room for a midday walk or run around the neighborhood.

Life too busy? We have a couple of tips for those short on time:

High intensity interval training (HIIT), which alternates quick spurts of intense effort with brief rest, is a great way to fit aerobic exercise into a packed schedule.

Take a few shorter walks throughout the day instead of a 30-minute or hour-long stroll — you’ll still reap the benefits!

Goals are a key component of any exercise plan, but it’s important that they are achievable. Over-ambition is one of the biggest barriers to progress and consistency: if you aim too high right out of the gate, you may find yourself quickly discouraged and decide to throw in the towel altogether.

Be specific: Rather than setting out to “exercise more,” commit to exercising for a certain number of days a week.

Be flexible: Aiming for a range of 3-5 days each week can help you still feel accomplished if you need to slightly scale down during busy times.

Focus on the process: Many behavioral science experts suggest structuring your goals around the process or activity — for instance, how long you exercise — rather than an outcome, which is less within your control. It takes time to form a new habit — 18 to 254 days, to be precise — so simply showing up is a worthwhile goal to work toward.

Gradually build on your goals: Once you have a foundation in place, keep yourself motivated by expanding your goals. If you’re a runner, you might try to gradually increase the length or distance of your regular workout. Make sure to check with a doctor or fitness expert about finding an appropriate level of fitness intensity.

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