TRT - Testosterone Replacement Therapy in Englewood, NJ

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 HRT For Men Englewood, NJ

What is Testosterone?

Testosterone is a crucial hormone for men and plays an important role throughout the male lifespan. Most of a male's testosterone is produced through the testicles. Also called the male sex hormone, testosterone starts playing its part during puberty.

When a male goes through puberty, testosterone helps males develop:

  • Facial Hair
  • Body Hair
  • Deeper Voice
  • Muscle Strength
  • Increased Libido
  • Muscle Density

As boys turn to men and men grow older, testosterone levels deplete naturally. Sometimes, events like injuries and chronic health conditions like diabetes can lower testosterone levels. Unfortunately, when a man loses too much T, it results in hypogonadism. When this happens, the testosterone must be replaced, or the male will suffer from symptoms like muscle loss, low libido, and even depression.

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How Does TRT Work?

TRT is exactly what it sounds like: a treatment option for men that replaces testosterone so that your body regulates hormones properly and restores balance to your life. Also called androgen replacement therapy, TRT alleviates the symptoms that men experience with low T.

Originally lab-synthesized in 1935, testosterone has grown in popularity since it was produced. Today, TRT and other testosterone treatments are among the most popular prescriptions in the U.S.

Without getting too deep into the science, TRT works by giving your body the essential testosterone it needs to function correctly. As the primary androgen for both males and females, testosterone impacts many of the body's natural processes – especially those needed for overall health. For example, men with low T are more prone to serious problems like cardiovascular disease and even type-2 diabetes.

When your body quits making enough testosterone, it causes your health to suffer until a solution is presented. That's where TRT and anti-aging medicine for men can help. TRT helps balance your hormones and replenish your depleted testosterone. With time, your body will begin to heal, and many symptoms like low libido and irritability begin to diminish.

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What Causes Low T?

For men, aging is the biggest contributor to lower testosterone levels, though there are other causes like obesity, drug abuse, testicular injuries, and certain prescribed medications. Sometimes, long-term health conditions like AIDS, cirrhosis of the liver, and kidney disease can lower testosterone levels.

When a man's testosterone levels drop significantly, it alters his body's ratio of estrogen and testosterone. Lower testosterone levels cause more abdominal fat, which in turn results in increased aromatase, which converts even more testosterone into estrogen.

If you're concerned that you might have low T, you're not alone. Millions of men in the U.S. feel the same way. The best way to find out if your testosterone is low is to get your levels tested.

For sustainable testosterone replacement therapy benefits, you must consult with hormone doctors and experts like those you can find at Global Life Rejuvenation. That way, you can find the root cause of your hormone problems, and our team can craft a personalized HRT plan tailored to your needs.

 Sermorelin Englewood, NJ

Low Sex Drive

One of the most common reasons that men choose TRT is because they have lost that "spark" with their partner. It's not easy for a man to hear that they're not performing like they used to. Intimacy is a powerful part of any relationship. When a once-healthy sex life dwindles, it can cause serious relationship issues.

The good news is that low libido doesn't have to be a permanent problem. TRT and anti-aging medicines help revert hormone levels back into their normal range. When this happens, many men have a more enjoyable life full of intimacy and sex drive.

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Inability to Achieve and Maintain an Erection

Weak erections – it's an uncomfortable subject for many men in the U.S. to talk about. It's even worse to experience first-hand. You're in the midst of an intimate moment, and you can't do your part. Despite being perfectly normal, many men put blame and shame upon themselves when they can't achieve an erection. And while the inability to perform sexually can be caused by poor diet, obesity, and chronic health conditions, low testosterone is often a contributing factor.

Fortunately, weak erections are a treatable condition. The best way to regain your confidence and ability in bed is to speak with your doctor. Once any underlying conditions are discovered, options like TRT may be the best course of treatment.

Hair Loss

 Hormone Replacement  Englewood, NJ

Loss of Strength and Muscle Mass

Do you find it harder and harder to work out and lift weights in the gym? Are you having problems lifting heavy items that you once had no problem lifting?

Recent studies show that when men are inactive, they lose .5% of muscle strength every year, from ages 25 to 60. After 60, muscle loss doubles every decade. While some muscle loss is common as men age, a significant portion can be tied to low testosterone levels. When a man's T levels drop, so does his muscle mass.

Testosterone is a much-needed component used in gaining and retaining muscle mass. That's why many doctors prescribe TRT Englewood, NJ, for men having problems with strength. One recent study found that men who increased their testosterone levels using TRT gained as much as 2.5 pounds of muscle mass.

Whether your gym performance is lacking, or you can't lift heavy items like you used to, don't blame it all on age. You could be suffering from hypogonadism.

Testosterone Replacement Therapy Englewood, NJ

Hair Loss

If you're like millions of other men in their late 20s and 30s, dealing with hair loss is a reality you don't want to face. Closely related to testosterone decline and hormone imbalances, hair loss is distressing for many men. This common symptom is often related to a derivative of testosterone called DHT. Excess amounts of DHT cause hair follicles to halt their production, causing follicles to die.

Because hair located at the front and crown is more sensitive to DHT, it grows slower than other follicles and eventually stops growing permanently. Thankfully, TRT and anti-aging treatments for men in Englewood, NJ, is now available to address hair loss for good.

While it's true that you can't change your genes, you can change the effects of low testosterone on your body. Whether you're suffering from thinning hair or hair loss across your entire head, TRT and other hormone therapies can stop hair loss and even reverse the process.

 TRT For Men Englewood, NJ

Gynecomastia

Also called "man boobs," gynecomastia is essentially the enlargement of male breast tissue. This increase in fatty tissue is often caused by hormonal imbalances and an increase in estrogen. For men, estrogen levels are elevated during andropause. Also called male menopause, andropause usually happens because of a lack of testosterone.

If you're a man between the ages of 40 and 55, and you're embarrassed by having large breasts, don't lose hope. TRT is a safe, effective way to eliminate the underlying cause of gynecomastia without invasive surgery. With a custom HRT and fitness program, you can bring your testosterone and estrogen levels back to normal before you know it.

 HRT For Men Englewood, NJ

Decreased Energy

Decreased energy was once considered a normal part of aging. Today, many doctors know better. Advances in technology and our understanding of testosterone show that low T and lack of energy often go hand-in-hand.

If you're struggling to enjoy activities like playing with your kids or hiking in a park due to lack of energy, it could be a sign of low T. Of course, getting tired is perfectly normal for any man. But if you're suffering from continual fatigue, a lack of enjoyment, or a decrease in energy, it might be time to speak with a doctor.

Whether you're having a tough time getting through your day or can't finish activities you used to love, TRT could help.

 Human Growth Hormone Englewood, NJ

Lack of Sleep

A study from 2011 showed that men who lose a week's worth of sleep can experience lowered testosterone levels – as much as 15%, according to experts. Additional research into the topic found almost 15% of workers only get five hours of sleep (or less) per night. These findings suggest that sleep loss negatively impacts T levels and wellbeing.

The bottom line is that men who have trouble sleeping often suffer from lower testosterone levels as a result. If you find yourself exhausted at the end of the day but toss and turn all night long, you might have low T.

TRT and anti-aging medicines can restore your T levels back to normal, which can help you sleep better with proper diet and exercise.

 Ipamorelin Englewood, NJ

Depression

You're feeling down about everything, and there's no solid explanation for why you're in such a crummy mood. Your daily life is great and full of success, but you can't help but feel unexcited and unmotivated. If you're experiencing symptoms like these, you may be depressed – and it may stem from low testosterone.

A research study from Munich found that men with depression also commonly had low testosterone levels. This same study also found that depressed men had cortisol levels that were 67% higher than other men. Because higher cortisol levels lead to lower levels of testosterone, the chances of severe depression increase.

Depression is a very real disorder and should always be diagnosed and treated by your doctor. One treatment option gaining in popularity is TRT for depression. Studies show that when TRT is used to restore hormone levels, men enjoy a lighter, more improved mood. That's great news for men who are depressed and have not had success with other treatments like anti-depression medicines, which alter the brain's chemistry.

 Sermorelin Englewood, NJ

Inability to Concentrate

Ask anyone over the age of 50 how their memory is, and they'll tell you it wasn't what it used to be. Memory loss and lack of concentration occur naturally as we age – these aren't always signs of dementia or Alzheimer's.

However, what many men consider a symptom of age may be caused by low testosterone. A 2006 study found that males with low T levels performed poorly on cognitive skill tests. These results suggest that low testosterone may play a part in reducing cognitive ability. If you're having trouble staying on task or remembering what your schedule is for the day, it might not be due to your age. It might be because your testosterone levels are too low. If you're having trouble concentrating or remembering daily tasks, it could be time to talk to your doctor.

Why? The aforementioned study found that participating men experienced improved cognitive skills when using TRT.

 TRT Englewood, NJ

Weight Gain

Even though today's society is more inclusive of large people, few adults enjoy gaining weight as they age. Despite their best efforts, many men just can't shed the extra pounds around their midsections, increasing their risk of heart disease and cancer.

Often, male weight gain is caused by hormone imbalances that slow the metabolism and cause weight to pile on. This phase of life is called andropause and happens when there is a lack of testosterone in the body. Couple that with high cortisol levels, and you've got a recipe for flabby guts and double chins.

Fortunately, TRT treatments and physician-led weight loss programs can correct hormone imbalances and lead to healthy weight loss for men.

 TRT For Men Englewood, NJ

What is Sermorelin?

Sermorelin is a synthetic hormone peptide, like GHRH, which triggers the release of growth hormones. When used under the care of a qualified physician, Sermorelin can help you lose weight, increase your energy levels, and help you feel much younger.

 HRT For Men Englewood, NJ

Benefits of Sermorelin

Human growth hormone (HGH) therapy has been used for years to treat hormone deficiencies. Unlike HGH, which directly replaces declining human growth hormone levels, Sermorelin addresses the underlying cause of decreased HGH, stimulating the pituitary gland naturally. This approach keeps the mechanisms of growth hormone production active.

Benefits of Sermorelin include:

  • Better Immune Function
  • Improved Physical Performance
  • More Growth Hormone Production
  • Less Body Fat
  • Build More Lean Muscle
  • Better Sleep
 Human Growth Hormone Englewood, NJ

What is Ipamorelin?

Ipamorelin helps to release growth hormones in a person's body by mimicking a peptide called ghrelin. Ghrelin is one of three hormones which work together to regulate the growth hormone levels released by the pituitary gland. Because Ipamorelin stimulates the body to produce growth hormone, your body won't stop its natural growth hormone production, which occurs with synthetic HGH.

Ipamorelin causes growth hormone secretion that resembles natural release patterns rather than being constantly elevated from HGH. Because ipamorelin stimulates the natural production of growth hormone, our patients can use this treatment long-term with fewer health risks.

 Ipamorelin Englewood, NJ

Benefits of Ipamorelin

One of the biggest benefits of Ipamorelin is that it is suitable for both men and women. It provides significant short and long-term benefits in age management therapies, boosting patients' overall health, wellbeing, and outlook on life. When growth hormone is produced by the pituitary gland using Ipamorelin, clients report amazing benefits.

Some of those benefits include:

  • Powerful Anti-Aging Properties
  • More Muscle Mass
  • Less Unsightly Body Fat
  • Deep, Restful Sleep
  • Increased Athletic Performance
  • More Energy
  • Less Recovery Time for Training Sessions and Injuries
  • Enhanced Overall Wellness and Health
  • No Significant Increase in Cortisol

Your New, Youthful Lease on Life Starts Here

Whether you are considering our TRT services, HRT for women, or our growth hormone peptide services, we are here to help. The first step to turning back the hand of time starts by contacting Global Life Rejuvenation.

Our friendly, knowledgeable TRT and HRT experts can help answer your questions and walk you through our procedures. From there, we'll figure out which treatments are right for you. Before you know it, you'll be well on your way to looking and feeling better than you have in years!

Homes-for-Sale-phone-number973-587-8638

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Latest News in Englewood, NJ

NJ recycling: How does your county rank?

During o the 1990s more than 50% of municipal waste in the Garden State was being recycled, but since that time our numbers have dipped.Today the combined municipal recycling rate in New Jersey has dropped below 40%, but in many respects, recycling is a lot more complex than it used to be.For years, many kinds of refuse, especially plastic containers, were all shipped off to China to be recycled, but starting in 2018 the Chinese no longer accepted a lot of recyclable material from the U.S., which means towns and counties in New...

During o the 1990s more than 50% of municipal waste in the Garden State was being recycled, but since that time our numbers have dipped.

Today the combined municipal recycling rate in New Jersey has dropped below 40%, but in many respects, recycling is a lot more complex than it used to be.

For years, many kinds of refuse, especially plastic containers, were all shipped off to China to be recycled, but starting in 2018 the Chinese no longer accepted a lot of recyclable material from the U.S., which means towns and counties in New Jersey that had been getting paid to dispose of their recyclables suddenly has to start paying to have the material recycled.

Doug O’Malley, the director of Environment New Jersey, said while the Garden State recycling rate is better than some other states, it’s not where it should be.

"Every ton of garbage that’s not recycled, it goes somewhere. There’s no trash fairy, so it either goes to a landfill or it ends up being burned at an incinerator in our community," he said.

He said some New Jersey counties have enacted a county-wide recycling program but what materials are ultimately collected for recycling may differ from town to town.

"Some towns require dual stream recycling where you have to separate out your glass and your paper and plastics, and some counties and towns just have a straight single stream method where they will do the sorting after the material is collected," he said

The state Department of Environmental Protection keeps track of recycling efforts in each county, and some do better than others.

In North Jersey, the leader is Bergen County. Mercer and Middlesex do well in Central Jersey. Cape May and Cumberland score best in South Jersey.

Counties that are recycle-challenged include Hunterdon, Hudson, Union and Atlantic.

To see how your County is ranked by the DEP for recycling you can look here.

O’Malley pointed out that recycling coordinators in different parts of the state oversee different programs, while reminding local residents "that recycling isn’t just a good thing that someone else does, it’s a good thing that everyone should do."

He said to expand the amount of material that will be recycled in Jersey local residents should start asking questions

"Do you have a recycling coordinator in your town, and is that person getting out there and educating more people in the community, and is there enforcement if people aren’t recycling?"

He said some Jersey residents wind up “wishcycling,” putting things in the recycling bin they would like to think should be recycled, such as a bowling ball, but in fact are not recyclable materials, and this slows down the entire recycling process.

"Only 5% of plastics are recycled in this country so just because something is recyclable doesn’t mean it will be recycled," O'Malley said.

Information about residential and business recycling in New Jersey, including what you can recycle in your town and county, is available here.

David Matthau is a reporter for New Jersey 101.5. You can reach him at [email protected]

Click here to contact an editor about feedback or a correction for this story.

Gold, Silver, Bronze Award Wins For Bergen County Enrichment Students

All five students in Bergen County ACT-SO took home gold, silver or bronze in a recent state competition for scholarship awards.BERGEN COUNTY, NJ — All five students in a Bergen County youth enrichment program sponsored by the NAACP took home either gold, silver or bronze in a recent state competition for scholarship awards.Bergen County Academic, Cultural, Technological and Scientific Olympics (ACT-SO) students, who performed at the competition, were recognized in Facebook post from Englewood Mayor Michael Wildes on Tu...

All five students in Bergen County ACT-SO took home gold, silver or bronze in a recent state competition for scholarship awards.

BERGEN COUNTY, NJ — All five students in a Bergen County youth enrichment program sponsored by the NAACP took home either gold, silver or bronze in a recent state competition for scholarship awards.

Bergen County Academic, Cultural, Technological and Scientific Olympics (ACT-SO) students, who performed at the competition, were recognized in Facebook post from Englewood Mayor Michael Wildes on Tuesday.

An Englewood sophomore and Teaneck senior, a news release said, each won gold medals for their performances and will be going to the national convention this weekend in Atlantic City to compete.

Quincy Eby, of Englewood, placed in classical instrumental music performance, and Tyson Sanders, of Teaneck, placed in contemporary vocal performance, ACT-SO Bergen County said on Facebook.

Eby received a bronze medal in the same category last year, earning him a 2022 Governor's Award for the Arts, the organized said.

Additionally, an Englewood sophomore earned a silver medal for his performance, and two Paterson students each won a bronze medal for other skills.

Miles Eby, of Englewood, placed in Classical Music Performance and Oratory. Samantha Mendez placed in photography, and Karla Benoit placed in short story writing.

Miles Eby is also a 2022 Governor's Award for the Arts recipient for his performance in the same category last year, as is Mendez for photography.

""It is wonderful to see the improvement (the students) made to earn these medals," Bergen County ACT-SO chair Adrienne Warrick said in a statement. "I am so very proud of them working with us remotely during the (coronavirus) pandemic and not giving up on their dreams, while sharing and enhancing their talents and skills,"

For more information about the NAACP and ACT-SO, please send an email to [email protected] or visit actsonewjersey.org, or bergennaacp.org.

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Proposed homeless shelter in Flemington, NJ has people fuming

This is one of those moments that should make you stare deep into your soul.People in Flemington were expected to pack a public meeting Tuesday night over a proposed homeless shelter in a nice residential neighborhood.The house at 8 New York Ave. is owned by the Cavalry Episcopal Church and at present is used for Sunday school classes and office space.But Family Promise is a nonprofit that wants to convert the house into a homeless shelter for displaced families.More than 30 years ago people of different faiths fr...

This is one of those moments that should make you stare deep into your soul.

People in Flemington were expected to pack a public meeting Tuesday night over a proposed homeless shelter in a nice residential neighborhood.

The house at 8 New York Ave. is owned by the Cavalry Episcopal Church and at present is used for Sunday school classes and office space.

But Family Promise is a nonprofit that wants to convert the house into a homeless shelter for displaced families.

More than 30 years ago people of different faiths from Hunterdon County churches formed a group to provide temporary housing for homeless folks and they’ve been doing that at a facility in surrounding Raritan Township. Now they want a land use variance in order to use the building on New York Avenue in the middle of a quiet residential neighborhood to house more people.

Some neighbors aren’t having it. Signs reading STOP THE SHELTER have gone up on lawns. People are nervous and angry. The meeting Tuesday night was expected to be so heavily attended they were holding it not at the borough hall but on Stangl Road at a place normally serving as a farmer’s market.

Family Promise says its “proposed supervised transitional housing for children and families experiencing homelessness satisfies a desperate need of the County of Hunterdon.”

They’re not wrong. According to MyCentralJersey.com, they are the only homeless shelter serving the entire county. Which happens to be one of the richest counties in the country, but that doesn’t mean there aren’t unfortunate souls who fall on bleak times. What are they to do?

Yet I also understand the fear of those fighting against it. I’m sure they’re greatly concerned about their property values. It’s likely they’re worried about potential problems being caused by homeless people in the place they raise their kids.

Family Promise says the stories of those who needed their services are heartbreaking. On their website, they share this video of some of them telling their tales.

I understand the neighbors complaining about the project are just looking out for their own families. But isn’t there something to be said for society looking out for each other, too? How do you turn your back on people facing this?

Hard questions with no easy answers. And answers will have to wait more weeks. At the last minute Tuesday night, a postponement was called until Sept. 13 due to the attorney for Family Promise falling ill, according to former Flemington councilman Joey Novick.

The stop the shelter signs will stay up until then, and people facing desperate nights will no doubt have more of them.

Opinions expressed in the post above are those of New Jersey 101.5 talk show host Jeff Deminski only.

You can now listen to Deminski & Doyle — On Demand! Hear New Jersey’s favorite afternoon radio show any day of the week. Download the Deminski & Doyle show wherever you get podcasts, on our free app, or listen right now.

NJ summer camps hosting refugee children from Ukraine

Play is a universal language for kids.That's why select camps throughout the Garden State have opted to host children from war-torn Ukraine, free of charge, for summer 2022."I felt that camp could be a fantastic healing experience for these kids, and I think we we were pretty dead-on with that," said Jonathan Gold, who directs Tamarack Day Camp in Randolph, Oak Crest Day Camp in Somerset, and Pine Grove Day Camp in Wall.The three locations are handling a total of a dozen or so children whose families fled Ukrai...

Play is a universal language for kids.

That's why select camps throughout the Garden State have opted to host children from war-torn Ukraine, free of charge, for summer 2022.

"I felt that camp could be a fantastic healing experience for these kids, and I think we we were pretty dead-on with that," said Jonathan Gold, who directs Tamarack Day Camp in Randolph, Oak Crest Day Camp in Somerset, and Pine Grove Day Camp in Wall.

The three locations are handling a total of a dozen or so children whose families fled Ukraine to live with loved ones in the Garden State.

"We gave them all full scholarships to camp this summer," Gold said.

The children range from age 5 to pre-teen, Gold said.

There is a language barrier, but staffers use online translators when necessary. And, Gold was surprised to learn that some staff members could speak Ukrainian or Russian.

Youth, though, instinctively know how to interact with one another, he noted.

"I don't care what language it is, I don't care what country you come from — if you can start to understand a game, you can communicate, and that's what we've seen happen," Gold said.

This isn’t the first time camps have responded to children affected by tragedy, according to the American Camp Association, NY and NJ. Through the Association's Heal the Children program, camps offered free services to children who lost a parent on Sept. 11, 2001, and again to children whose homes were damaged by Sandy in October 2012.

"Providing children with a rewarding summer at camp is one small way we can help them overcome adversity," said Alicia Skovera, executive director.

On a national level, the American Camp Association worked with the U.S. Department of State to place more than 100 Ukrainian high school exchange students at overnight camps across the country.

Dino Flammia is a reporter for New Jersey 101.5. You can reach him at [email protected]

Click here to contact an editor about feedback or a correction for this story.

What would happen to NJ if we were attacked by nuclear weapons?

We used NUKEMAP by Alex Wellerstein to see what would happen if a nuclear warhead hit New York, Philadelphia, Washington or New Jersey.

The models show what would happen in aerial detonation, meaning the bomb would be set off in the sky, causing considerable damage to structures and people below; or what would happen in a ground detonation, which would have the alarming result of nuclear fallout. The models do not take into account the number of casualties that would result from fallout.

Gallery Credit: Eric Scott

New York City - Aerial Detonation

The blast would be felt as far away as Newark, Elizabeth, Nutley, Fort Lee and Englewood. Buildings would be damaged or destroyed.

Thermal radiation would cause third-degree burns throughout Jersey City, Union, and Cliffside Park.

It would likely destroy or severely damage Newark Liberty International Airport, the Holland and Lincoln tunnels, George Washington Bridge and the rail tunnels under the Hudson River.

Deaths: 1.6 million

Injuries: 2.9 million

New York City - Ground Impact with fallout

It would likely destroy or severely damage Newark Liberty International Airport, the Holland and Lincoln tunnels, George Washington Bridge and the rail tunnels under the Hudson River.

Thermal radiation would cause third-degree burns in West New York and Fort Lee. Fallout would generally be carried away from New Jersey as far away as New Hampshire.

Deaths: 1.3 million

Injuries: 1.4 million

Philadelphia - Aerial Detonation

The blast would be felt up the Route 1 corridor causing damage from Trenton to East Orange.

Buildings would be destroyed as far away as Deptford, Voorhees, Riverside and Delanco.

Thermal radiation would cause third-degree burns from Haddonfield, Cherry Hill, Cinnaminson and Riverton.

Fallout would drift Northeast, spreading as far away as Middletown and Neptune to the East and Mount Olive to the West.

Deaths: 539,000

Injuries: 845,000

Philadelphia - Ground Impact with fallout

The blast would be felt as far away as Cherry Hill, Deptford, Maple Shade and Moorestown.

Thermal radiation would cause third-degree burns from Trenton, Plainfield, East Orange and Yonkers.

Deaths: 441,000

Injuries: 409,000

Trenton, NJ - Aerial Detonation

The blast would be felt up the Route One corridor causing damage from Trenton to East Orange and into New York City.

Buildings would be destroyed from Burlington to Coxs Corner, Princeton, Plainsboro and Pennington.

Thermal radiation would cause third-degree burns from Bordentown to Crosswicks, Lawrence and Ewing.

Fallout would drift Northeast, spreading across most of Central and North Jersey into New York City and as far as Stamford, Connecticut.

Deaths: 126,000

Trenton, NJ - Ground Impact with fallout

The blast would reverberate across the Delaware River to Philadelphia with shockwaves that would reach down to Burlington in the South and Upper Freehold to the East.

Buildings would be destroyed from Mansfield to Crosswicks and Princeton.

Thermal radiation would cause third-degree burns from Long Branch to Bedminster, Morristown, Spring Valley and Fort Lee.

Deaths: 108,000

New Brunswick - Aerial Detonation

The blast would be felt up the Route One corridor causing damage from Trenton to East Orange and into New York City.

Rutgers University, SoFi Stadium and Robert Wood Johnson University Hospital would be reduced to ash.

Buildings would be destroyed from, Kingston to Marlboro, South Amboy, Woodbridge, Plainfield and Somerville.

Thermal radiation would cause third-degree burns from Kendal Park to Spotswood, Metuchen, South Plainfield and Millstone.

Fallout would drift Northeast, spreading across most of Central and North Jersey into New York City and as far as Stamford, CT.

Deaths: 140,000

New Brunswick - Ground Impact with fallout

The blast would reverberate across the Delaware River to Philadelphia with shockwaves that would reach down to Burlington in the South and Upper Freehold to the East.

Rutgers University, SoFi Stadium and Robert Wood Johnson University Hospital would be reduced to ash.

Buildings would be destroyed from Spotswood to Millstone, Bound Brook, South Plainfield and Spotswood.

Thermal radiation would cause 3rd degree burns from Franklin Park to Woodbridge, East Brunswick, Sayreville and South Bound Brook.

Fallout would carry Northeast as far away as Elizabeth, Newark, New York City and Nashua, New Hampshire.

Deaths: 108,000

Atlantic City, NJ - Aerial Detonation

While a nuclear blast in Atlantic City would spare most of inland New Jersey, it would destroy the barrier islands from Long Port to Toms River.

The casinos would fall, the boardwalks would burn and the sand would be contaminated for a generation. Atlantic City International Airport would be leveled.

Buildings would be destroyed from Pleasantville to Margate and Brigantine.

Thermal radiation would cause third-degree burns from Linwood to Galloway and Longport.

Deaths: 57,000

Atlantic City, NJ - Ground Impact with fallout

Thermal radiation would cause third-degree burns from Longport to Barnegat Light.

Fallout would drift mostly out to sea, but would hit the Eastern half of Long Island up to Rhode Island.

Deaths: 57,000

Joint Base McGuire-Dix-Lakehurst, NJ - Aerial Detonation

While New Jersey does have a handful of military targets, the primary target is likely the Joint Base.

If a nuclear missle were to detonate over the base, the entire facility would be reduced to ash.

Buildings would be destroyed from Mount Holly to Manchester Township, Bordentown, Allentown and Red Valley.

Thermal radiation would cause third degree burns from Pemberton to Plumsted and Chesterfield.

Deaths: 14,000

Thermal radiation would cause third-degree burns from Whitesbog to Georgetown and Arneytown.

Fallout would carry Northwest through Millstone, Freehold, Holmdel and Highlands and stretch all the way to Massachusetts.

Deaths: 9,000

Washington, DC - Aerial Detonation

The entire DC area would be reduced to rubble, including the White House, Congress, Pentagon and monuments. Andrews Air Force Base, Annapolis and Arlington National Cemetery would be destroyed.

Deaths: 505,000

Washington, DC - Ground Impact with fallout

The entire DC area would be reduced to rubble and buildings would be destroyed from Alexandria, Virginia, to Silver Spring and Bethesda, Maryland.

Thermal radiation would cause third-degree burns up to six miles from ground zero.

Fallout would carry Northwest through Baltimore, Philadelphia into Trenton and as far as the Northern New Jersey border.

Deaths: 415,000

Injuries: 381,000

‘Anxious time in the world’: Need for mental health services for youth remains dire

You’ve seen data. Dr. Hillary Cohen has seen that and more.The emergency room physician, a senior vice president of medical affairs at Englewood Health, has also seen the suffering behind the numbers.Captured in recent surveys from local and national organizations, New Jersey’s youngest residents are showing up more often to ERs and other hospital inpatient settings due to anxiety, depression, self-harm and other behavioral health complai...

You’ve seen data. Dr. Hillary Cohen has seen that and more.

The emergency room physician, a senior vice president of medical affairs at Englewood Health, has also seen the suffering behind the numbers.

Captured in recent surveys from local and national organizations, New Jersey’s youngest residents are showing up more often to ERs and other hospital inpatient settings due to anxiety, depression, self-harm and other behavioral health complaints.

“These aren’t cases you can follow up with on an outpatient basis, these are individuals in an acute mental health crisis that requires hospitalization,” she said. “And these also aren’t patients who are 16, 17 or 18 years old, it’s increasingly those 10, 11 and 12 years old in which we’re seeing a higher level of acuity.”

Cohen said the bump behavioral health providers are experiencing in the volume of youth and adolescents in crisis exceeds pre-pandemic levels. It’s not leveling off or on the retreat.

She and other sector leaders have their own ideas when speculating on the reasons for it, with all acknowledging that there’s a perfect storm of factors at play that will keep this trend moving in the same direction for the immediate future.

“It’s an anxious time in the world, with enough going on that anyone might feel anxious,” Cohen said. “Youth are often protected from those realities. In a way, that bubble has burst.”

One of the state’s largest inpatient psychiatric programs, Bergen New Bridge Medical Center‘s, has seen upticks in all behavioral health service areas since the pandemic was declared just over two years ago, according to CEO and President Deborah Visconi.

“Even as we’re looking toward emerging out of the pandemic, we’re still continuing to see an uptick in the need for services,” she said. “And, we’re seeing that significant uptick in the need children and adolescents have for services.”

There’s a constant jostling for space in the hospital’s pediatric program, a unit specialized in dealing with patients — who otherwise wind up in one of the state’s generalized emergency rooms.

Responding to the patient surge, Bergen New Bridge has introduced a clinic-based mental health program called the Hope & Resiliency Center for Youth. The program’s multidisciplinary program provides treatment for youth just discharged from inpatient settings as well as providing adolescents in outpatient programs with a more structured level of intervention.

In introducing new programs, organizations still have to contend with reimbursement from health plan payers not being what it should be for acute behavioral health care, Visconi said. That poses a secondary challenge when hiring to fill out new programs.

Debra Wentz, CEO of the New Jersey Association of Mental Health and Addiction Agencies, said that, even with Gov. Phil Murphy’s budget offering funding for the industry and its workers, it didn’t cover every professional.

As the trade association leader describes it, behavioral health reimbursement has been at the bottom of the food chain for so long, it’ll be hard to undo the sentiment expressed in a National Council for Mental Wellbeing survey from last year. To wit, 97% of behavioral health providers find it difficult to recruit, with 82% saying retention was a problem, too.

That has led to pre-pandemic staffing levels having to meet post-pandemic demand for youth mental health services. And that demand is deathly serious, Wentz said.

A New Jersey Hospital Association review found that not only are depression and anxiety increasing in those ages 12 to 17, that age group saw a 95% rise in self-harm cases between 2019 and 2021. National Alliance on Mental Illness data indicates that nearly 20% of high school students report thoughts of suicide, and 9% attempted to take their lives. Actual suicide rates in younger age brackets are trending up, according to various surveys.

“As for why that is, it’s a little bit of everything,” Visconi said. “Of course, there’s the isolation that’s been talked about from students not being in school during the pandemic, and youth not able to go out and do activities as social programs were canceled. There’s also the unemployment rates among caregivers, increased domestic violence and drug abuse affecting families.”

Local mental health leaders add the sometimes-pernicious influence of social media and technology hindering reported sleep today in the youth stress mix.

Exacerbating all that is the proliferation of mass shooting events, such as the May shooting at an elementary school in Uvalde, Texas, in which 19 children were slain. Wentz said that feeling of lacking safety can weigh heavily on youth.

Those events have cast a new spotlight on mental health in the country, with mixed feelings for industry leaders such as Wentz. She welcomes the funding. But it’s inaccurate, she said, to paint that funding as having a direct correlation with preventing mass shootings.

Although it might be a talking point, the link between those behavioral conditions, including serious mental illnesses such as schizophrenia, and violent behavior hasn’t been established in research literature. A 2015 study from Duke University School of Medicine and other institutions found that those with serious mental illness with no past exposure to violence or drug or alcohol use demonstrated a 2% rate of violent behavior — the same as the wider population.

“So, I feel there’s an unfair stigmatization of individuals with serious mental illness going on,” Wentz said.

Wentz always looks for the silver lining. Here, it’s the new bipartisan interest in improving mental health.

There’s been magnified attention recently to mental illness disorders, experts in the sector agree. And part of that is a recognition that these disorders are coming to bear on the lives of young individuals today much more transparently.

“The bright side, if there is one, is that kids and their families are no longer viewing mental health as a stigma,” Visconi said. “They’re more willing to come in to get help.”

In theory, as public health expert Adeola Sonaike explained, women’s professional sports teams have shared locker room psychology resources with men’s teams under team ownership structures.

In practice, she adds, when divvying up the mental health budget pie, what women athletes were afforded left something to be desired.

That’s just a small slice of what the mental health sector is trying to right. For Sonaike, who was in June named chief operating officer of Cedar Grove-based Baker Street Behavioral Health, addressing inequities in access to behavioral health care tops the sector’s priority list.

Among other things, Sonaike’s organization is working to ensure sports psychologists are equally as available to female athletes as their male counterparts. To that end, one of Baker Street Health’s partnerships is with a professional local women’s hockey team, the Metropolitan Riveters.

Sonaike examines the state’s mental health landscape as a whole through an equity lens, as a field prone to disparities in the level of care afforded to individuals, particularly those in different socioeconomic groups.

“Up until very recently, people who had access to mental health care were those who could afford to pay out of pocket, with insurance covering it only if you had good insurance,” she said.

In Sonaike’s view, the pandemic only underscored existing pocketbook-tied inequities. The sector’s leaders agree that getting Jerseyans to seek behavioral health provider care is difficult enough without layering on the challenges of socioeconomic, racial and ethnic disparities.

When it comes to concrete issues, wait times for behavioral health care among Medicaid patients is a hurdle.

“Not all providers accept it, and those that do typically are not using it as the bread and butter of their practice and will cap the number they can accept at any given time,” Sonaike said. “That creates a massive backlog of people on waiting lists. And there’s other issues, too. You have issues with transportation to appointments, people not able to time days off of work. Telehealth can play a role there … but you still need a cellphone, tablet or laptop with a camera.”

The New Jersey Association of Mental Health and Addiction Agencies and the behavioral organizations it represents have taken action on these issues, and pushed policymakers to do so, too.

There’s progress still to be made, according to Debra Wentz, the trade organization’s head. But with the attention these issues are receiving — plus more funding from state and federal leaders for programs meant to address them — there’s an increasingly solid foundation, she believes, that a better system can be built on.

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