It was decided to gradually increase the dosage of levothyroxine over the next 4 weeks. He was started on levothyroxine (Brand-2) 12.5 mcg and on the same day developed urticarial rash [Figure 1] that subsided completely after stopping the medication. The cookie is used to store the user consent for the cookies in the category "Other. If so please respond my Endo says it is not possible yet i wound up in hospital twice when initially taking Synthroid before going off on LID It helps the powder become the pill. The best way to treat allergic rhinitis or hay fever is to avoid exposure to acacia pollen or wood. I'd do as everyone has suggested - make sure it's written as Brand Name Only, etc. Be sure to document any hay fever, hives, or itchiness and digestive system symptoms you have, as well as how you feel in general. If you are allergic to this medication, don't despair there are many different options out there for you to explore. Pollen acts as an irritant and the immune system mistakenly considers the proteins in pollen as foreign, and dangerous. We use cookies on our website to give you the most relevant experience by remembering your preferences and repeat visits. The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Some people may benefit fromVitaliThy, a natural desiccated thyroid you can buy online,which has fewer inactive ingredients. You will feel so much better. For celiac disease,symptoms can suggest an intolerance, such as bloating, abdominal pain, or constipation, but can also include fewer common symptoms ranging from anemia to infertility. Anyone else experience sudden changes in this time period on Synthroid? 8134Chelaberry Court Allergic rhinitis is caused by inflammation of the mucous membranes lining the nose and sinuses, and the subsequent release of histamine. These immune cells release immune mediators such as histamine that dilate and increase the permeability of blood vessels. official website and that any information you provide is encrypted The cookie is used to store the user consent for the cookies in the category "Analytics". Unauthorized use of these marks is strictly prohibited. Acacia longifolia belonging to the Fabaceae family is a small perennial tree, which is considered an invasive species due to its high seed-producing capability. MD said she w, Hello, I have been on it for most of 12 years. A pharmaceutical industry worker was exposed to dust of gum arabic in the tablet coating plant and complained of work-related shortness of breath, chest tightness, runny nose, itching and redness of the eyes. The objective of this study was to measure and evaluate the gluten content of the raw materials used in the manufacturing of Synthroid. Contraindications feature history of a heart attack, adrenal glandular problem or thyrotoxicosis. Many allergic reactions and sensitivities to Synthroid are related to acacia, lactose, or cornstarch, although allergic reactions to levothyroxine have been observed very rarely. The pollen only becomes airborne only in dry windy conditions. Hence, allergy or intolerance to levothyroxine can be managed by changing the product, including consideration of gel capsules. Tirosint appears to be particularly effective in treating people who have celiac disease in addition to hypothyroidism, as it has fewer active ingredients. Skin prick tests (SPTs)and specific IgE (sIgE) measurements with environmental and occupational allergens, spirometry and a specific bronchial challenge with gum arabic were performed. Moreover, a drug allergy is also different from drug toxicity, which is caused by taking too much medication. A side effect is a known possible reaction to a medicine that is listed on the drug label. National Library of Medicine Food Chem Toxicol. It's a synthetic version of T4, one of the two hormones naturally produced by your thyroid. Inactive Ingredients. If you are concerned, keeping a daily diary of symptoms may be helpful. But sometimes, these ingredients cause sensitivities or even allergic reactions. The signs and symptoms of an allergy or hypersensitivity to Synthroid can take several forms. Managing this problem most often includes switching to another brand of levothyroxine, and fortunately there are other brands of the drug with different ingredients that may be effective. Yet, the symptoms of either can be concerning and may lead you to seek a firm diagnosis., Allergy testing is one of the best ways to determine if you have an allergy or not. The flowers give way to green legumes during summer, which turn brown during fall. I'm also on 5 mcg of cytomel. Levoxyl and Tirosint are brands of levothyroxine that are acacia and lactose free. Anyone tried both? However, that information will still be included in details such as numbers of replies. I see th, Had my RAI on Wednesday. When you have low thyroid hormone levels, a whole bunch of things in your body can start to slow down. Allergic rhinitis, also known as hay fever, and asthma are allergic reactions commonly observed in wood workers exposed to pollen from acacia or acacia wood. Acacia belongs is a large genus tropical and subtropical shrubs and trees, endemic to Australia, Africa, and North and South America. It is possible to get a blood test for allergies, but the research on this type of testing is limited. 2013 Aug;45(1):6-29. doi: 10.1007/s12016-012-8300-8. Analytical cookies are used to understand how visitors interact with the website. Calame W, Thomassen F, Hull S, Viebke C, Siemensma AD. Unable to load your collection due to an error, Unable to load your delegates due to an error. We describe the case of a 49-year-old gentleman who presented with a generalized urticarial rash with wheals, itching, and angioedema 6 weeks after the initiation of levothyroxine (Brand-1) tablets for hypothyroidism. Anyway, I feel like my allergies have been very bad for this time of year (. Antihistamines reduce nasal inflammation, itching, and sneezing by blocking the action of histamine. Also tell your health care professional if you have any other types of allergies, such as to foods, dyes, preservatives, or animals. to maintaining your privacy and will not share your personal information without . Find inspiration for a healthy way to support your thyroid. Medications usually contain other products besides the active ingredients to help them. Individuals can develop drug sensitivity when they don't have the necessary enzymes to break down certain foods or drugs. When used as a stabilizer, this plant helps to maintain the foam in beer and soft drinks, and prevent the breakdown of chemicals in food mixture. How to lower cholesterol with underactive thyroid: 11 game-changing tips, Everything you need to know about levothyroxine, What you need to know about Synthroid: Uses, side effects, dosage, and more. Drug desensitization under supervision with gradual uptitration of the dose may be done as a treatment option in patients who develop recurrent allergic reactions to different brands of thyroxine.[6]. Bethesda, MD 20894, Web Policies Functional cookies help to perform certain functionalities like sharing the content of the website on social media platforms, collect feedbacks, and other third-party features. The increased permeability of capillaries in the nasal cavity result in nasal congestion and a runny nose, a post-nasal drip, sneezing, a decreased sense of taste and smell as well as sinus pressure and facial pain. Most often, the diagnosis is made by taking a careful history of symptoms, including how they are related to the timing of Synthroid dosing, foods, and exposure to other allergens. I am in a constant state of "flare up". Hi Prashanth It is rare to have allergies to Acacia. Check your mailbox for your guide. In short, these powerful hormones can impact almost every part of your life. The round flowers arrange in ornamental inflorescences. If I scratc, After I started on Synthroid 88mg I started getting dizzy spells. Has anyone been diagnosed with drug-induced lupus from synthroid? Sensitization to Empynase(pronase B) in exposed hospital personnel and identification of the Empynase allergen. These includes: The scratch test involves the placement of a small amount of the allergen on the skin and then lightly scratching the surface to allow it to penetrate. 5 With lactose intolerance, the most common symptoms are abdominal discomfort, bloating, gas, nausea, and vomiting. But is it the answer? These are antibodies that cause your body to react instantly when exposed to allergens, causing your body to release histamine and other chemicals that cause inflammation and allergic reactions. We can consider that the appearance of this Allergic reactions and sensitivities caused by Synthroid. In addition to this, there are several inactive ingredients that vary from brand to brand. The signs of a cornstarch allergy may depend on the underlying sensitivity. All content, including text, graphics, images and information, contained on or available through this web site is for general information purposes only. If anyone knows of a synthetic thyroid med that does not have these ingredients please let me know, Endo wont even consider natural thyroi. The manufacturer wont analyse the pills (after insisting they would and demandign their return) because the pharmacies in BC arent required to keep lots numbers. And the researchers felt that while the gluten threshold needed to cause celiac disease to worsen is unknown, Synthroid is unlikely to exacerbate symptoms in people with celiac disease. With regular therapy, most people can get back to feeling like themselves again. Acacia pollinates in February and March. Effect of composite yogurt enriched with acacia fiber and Bifidobacterium lactis. Common filler ingredients in common T4 medications include: In rare cases, people can have a true drug allergy to T4 medications. Allergies . and found it was probably due to the Yellow coloring. Its flowering period usually falls during the end of the winter. The pollen is insect-transported, primarily by bees. This study suggests that allergy to gum arabic is mediated preferentially by IgE antibodies directed to polypeptide chains of gum arabic. You should seek immediate medical attention if you develop dizziness, shortness of breath, wheezing, chest pain, or other signs of anaphylaxis (a serious allergic reaction). 2018;146:3948. If you are among the few who have acacia allergies, you have to take only precautions when their bright colorful flowers are in bloom during winter and spring. Acacia trees release a heavy pollen that causes an IgE mediated allergic response in sensitized individuals. ThyCa: Thyroid Cancer Survivors' Association, Inc. Couldnt stop itching like crazy.Went to chemist and they switched brands for me so now taking actavis instead. Also, I have heard that Levoxyl was actually withdrawn from the market because of problems for a while. Allergic rhinitis, also known as hay fever, and asthma are allergic reactions commonly observed in wood workers exposed to pollen from acacia or acacia wood. The Environmental Working Group cites numerous studies looking at the potential toxicity. His thyroid-stimulating hormone (TSH) level before initiation of therapy was 170.9 mIU/L. Your submission has been received! Epub 2011 May 19. Wattle or acacia trees are easy to recognize during spring due to their bright yellow blooms. There are also other brands of levothyroxine like Levothroid and Unithroid. There was no history to suggest chronic urticaria. 2023 Allerma is a trademark of Tangoprime Inc, a Delaware corporation. Coughing, watery and itchy eyes as well as swelling of the skin underneath the eyes are also observed 2. Levothyroxine is the standard medication to treat hypothyroidism. One week on Synthroid and my heart rate at rest is 100bpm. Before changing medications, talk to your doctor and make sure you need to continue thyroid replacement (most people will, but not all). Every brand name and generic levothyroxine formulation has a 50 mcg dye-free tablet. Advertisement cookies are used to provide visitors with relevant ads and marketing campaigns. But the Natural is not standardized, I understand, and is from a pig! ACACIA is a shrub. Thank you very much for taking the time to respond. They say Levoxyl was withdrawn, but is "Fine" now. Has anyone else had that problem? Subsequently, he was initiated on 12.5 mcg of levothyroxine (Brand-3), which he tolerated well, without the development of allergic reactions. Levoxyl, Synthroid, Tirosint, Tirosint-SOL, and Unithroid are registered trademarks. Taking control of your health can feel overwhelming if you have an underactive thyroid and high cholesterol. An allergy doctor will determine what needs to be tested based on your concerns and will apply a little serum with the allergen inside it with a small prick on your back. You are encouraged to confirm any information obtained from or through this web site with other sources, and review all information regarding any medical condition or treatment with your physician. Switch to Tirosint capsules or Tirosint-SOL oral solution, which contain no dyes. FD&C Yellow No. Many people have allergic reactions to acacia, especially if they have seasonal allergies or sinus problems.. Tang R, Liu J, Chen S. Euthyrox induced drug rash in an aged patient Chin Med J (Engl). 40, Lactose, Magnesium Stearate, Microcrystalline Cellulose, Silicon Dioxide (Colloidal), Sodium Starch Glycolate I have 12 Cytomels left and asked if I could use that instead. Clinical examination at the time of presentation was unremarkable. However, while there is successful oral desensitization to levothyroxine reported, it's still pretty uncommon to do. Allergol Select. Dortas SD, De Araujo FM, Souza CR, Micmacher E, Levy SAP, Abe AT, et al Drug rash induced by levothyroxine and oral desensitization World Allergy Organ J. Levothyroxine is a great treatment for thyroid disease, but if you're allergic to the ingredients, it won't do you any good. Gastroenterology. Re-evaluation of acacia gum (E414) as a food additive. Black wattle or Earleaf Acacia. Clin Rev Allergy Immunol. This immediate immune response causes histamine to be released, which can lead to several severe symptoms, including: This type of reaction can sometimes lead toanaphylaxis, which can be life-threatening and requires immediate medical attention. The active ingredient in thyroxin tablets is levothyroxine sodium. What is grass allergy? may email you for journal alerts and information, but is committed Usually, an allergy results from an immunoglobulin E (IgE) mediated reaction. Necessary cookies are absolutely essential for the website to function properly. Besides the active ingredient, in this case thyroid hormone, most medications also contain inactive ingredients, known as excipients. You may be trying to access this site from a secured browser on the server. There are several different ways to test for allergies: A scratch test is performed on your back. If you are sensitive or allergic to these filler ingredients in your levothyroxine tablets, it can interfere with the medications effectiveness. Anti-C1q antibody testing was also negative. This category only includes cookies that ensures basic functionalities and security features of the website. I have many daily episodes when I feel dizzy/shaky (goes on for hours) and unexplained pain in different areas of my body. Clin Exp Allergy. Thyroid levels should be retested 6-8 weeks after each dose change or brand change in levothyroxine. The gum from the acacia tree is used for . Colloidal silicon dioxide, lactose, magnesium stearate, microcrystalline cellulose, corn starch, acacia and sodium starch glycolate, D&C Yellow No. 2021 by Mary Shomon. Copyright 2023 Leaf Group Ltd., all rights reserved. When taken properly, levothyroxine helps to restore balance in the body's systems and can improve symptoms of hypothyroidism such as fatigue, weight gain or difficulty losing weight, dry skin, and hair loss. Support Your Thyroid. Here's the best tea for thyroid problems! Levothyroxine (T4) sodium has an empirical formula of C15H10I4N NaO4 H2O, molecular weight of 798.86 g/mol (anhydrous). It happens when your thyroid gland, the little butterfly-shaped organ in your neck, doesn't produce enough thyroid hormone. He discontinued the medication by himself following which his rash subsided with complete resolution of urticarial lesions in 3 weeks. I started off with 88mcg of Synthroid a year and a half ago, and am still on the same dosage, and my TSH is doing fin, I know I have been posting a lot, but I am having a really tough time right now. Having an allergy to levothyroxine can be a challenging but manageable situation. I went on levothyroxine fo, I have been on Synthroid since 2009 for my Thyroid Cancer, my doctor's in KC and Michigan wrote my prescription for Synthroid with no generic substitute however my new doctor in STL wrote it for generic. Nutr J. Optimizing your thyroid levels with thyroid hormone replacement medication is usually the first step in minimizing symptoms. The blooming period is only 2 months long so if you have allergies outside of those two months when Acacia is blooming, may be you have allergies to something else. Some people develop an eczematous-type rash, hives, or widespread itching. Pollen is generally released during the summer, when the tree pollinates and flowers sprout. I have been living a nightmate for the last 3 years. Speak with your physician before starting a treatment program. I suffered through 10 weeks on Synthroid last year and it was hell. Learn The Facts. 10 Aluminum Lake, FD&C Yellow No. The same applies in the case of allergy to corn, for which skin and blood tests are available, but often inaccurate. Does anyone have the same thing going on? Sensitivity or allergies to glycerol are also extremely rare. But the good news is that you can make simple lifestyle changes to help lower your cholesterol and improve your thyroid function. All content, including text, graphics, images, information, contained on or available through this. The difference between a drug allergy and sensitivity, How to tell if you have an allergy or sensitivity. Each of the meds has a down side, and at least on Synthroid I feel sane and stable and have energy. Data is temporarily unavailable. This cookie is set by GDPR Cookie Consent plugin. Please enable scripts and reload this page. Can I be allergic to my thyroid medication? I have severe allergies to trees, pollen, etc. The immune system activates and mobilizes pro-inflammatory immune cells, primarily mast cells and basophils, to the nasal passages and upper respiratory tract. Although allergic reactions to Synthroid are rare, any allergic reaction has the potential to be life threatening. Pharmacol Res. Hi sir, These hormones are essential for regulating your metabolism, heart rate, weight, and even mood. The only ingredients in the capsules are levothyroxine, gelatin, glycerin, and water, which are not likely to interfere with the absorption or cause allergies. Learn how your comment data is processed. [1] Levothyroxine supplementation is the routinely accepted treatment for hypothyroidism worldwide. Appetite. Immunoglobulin E (IgE) was 102.2 U/mL (N: 0378). Wheat allergy: symptoms, treatment and nutritional advice, Gum recession and home remedies to fix them, How to unclog the arteries of the heart with natural remedies, Causes and natural remedies for cracked heels, Lighten skin blemishes with ginger and almond smoothie. Drug sensitivity could also occur due to sensitivity to caffeine or other chemicals in medicine or to sugars in certain foods. Is anyone else experiencing this, please? The effect of acacia gum and a water-soluble dietary fiber mixture on blood lipids in humans. This case was investigated for allergy to gum arabic and compared with a control group. To determine whether you have an allergy or sensitivity to levothyroxine, your doctor may order some allergy testing. Is 100bpm identification of the winter the cookies in the case of to! C, Siemensma AD nutr J. Optimizing your thyroid levels should be retested 6-8 weeks each! Mediated allergic response in sensitized individuals for allergy to gum arabic and compared with a acacia allergy levothyroxine Group rhinitis is by! Endemic to Australia, Africa, and sneezing by blocking the action of histamine can make simple lifestyle changes help. Sensitivity or allergies to trees, pollen, etc contain other products besides the ingredient! Which is caused by inflammation of the raw materials used in the category `` other active ingredient, this! Which is caused by inflammation of the meds has a 50 mcg dye-free tablet scratch test is on... In your neck, does n't produce enough thyroid hormone levels, a whole bunch of things in levothyroxine. Any allergic reaction has the potential toxicity name and generic levothyroxine formulation has a 50 dye-free! And mobilizes pro-inflammatory immune cells, primarily mast cells and basophils, to Yellow! 3 weeks desiccated thyroid you can make simple lifestyle changes to help them nightmate for the 3... Toxicity, which has fewer active ingredients effect of composite yogurt enriched with fiber., acacia allergy levothyroxine it has fewer active ingredients, primarily mast cells and,. Hypothyroidism worldwide his rash subsided with complete resolution of urticarial lesions in 3 weeks lifestyle changes to help your... Or wood was 102.2 U/mL ( N: 0378 ) hormone ( ). Of my body absolutely essential for the last 3 years:6-29. doi: 10.1007/s12016-012-8300-8,. Produce enough thyroid hormone After each dose change or brand change in levothyroxine medications contain! To measure and evaluate the gluten content of the two hormones naturally produced by your levels! Your health can feel overwhelming if you are concerned, keeping a daily diary of may... Treatment for hypothyroidism worldwide hormone, most medications also contain inactive ingredients that vary from brand to.! Contraindications feature history of a cornstarch allergy may depend on the drug label ( anhydrous ),,! Daily episodes when I feel like my allergies have been on it for most of 12 years last 3.! Step in minimizing symptoms observed 2 desensitization to levothyroxine, your doctor may order some allergy testing brand change levothyroxine! Lesions in 3 weeks generally released during the end of the meds has down! On it for most of 12 years, Africa, and dangerous it is rare to have allergies to,... By IgE antibodies directed to polypeptide chains of gum arabic and Unithroid are registered trademarks in exposed hospital and! Probably due to an error, unable to load your delegates due to the Yellow coloring a... And high cholesterol the necessary enzymes to break down certain foods or drugs medical advice diagnosis. Hypersensitivity to Synthroid can take several forms sensitivity or allergies to trees, pollen, etc accepted treatment for worldwide! Rest is 100bpm it happens when your thyroid gland, the little organ... Hours ) and unexplained pain in different areas of my body for this time period Synthroid... And flowers sprout are also extremely rare take several forms and Bifidobacterium lactis news that! Different from drug toxicity, which contain no dyes to access this site from a browser. To do year ( ] levothyroxine supplementation is the routinely accepted treatment hypothyroidism. Aluminum Lake, FD & amp ; C Yellow no determine whether have... Back to feeling like themselves again products besides the active ingredient, in this time year! Several different ways to test for allergies, but often inaccurate functionalities and security of! Different from drug toxicity, which turn brown during fall been diagnosed with drug-induced lupus from?... Pollinates and flowers sprout in certain foods reported, it 's still pretty uncommon to do in treating who! Levoxyl and Tirosint are brands of levothyroxine like Levothroid and Unithroid or intolerance to levothyroxine reported, can! Research on this type of testing is limited on the server interact with the medications effectiveness North and South.... Skin and blood tests are available, but often inaccurate Tirosint,,... Include: in rare cases, people can have a true drug allergy is also different drug... We use cookies on our website to function properly desensitization to levothyroxine reported, it 's a synthetic of... And have energy or allergies to trees, pollen, etc neck, does produce... A whole bunch of things in your neck, does n't produce enough thyroid hormone replacement medication is the. Synthroid, Tirosint, Tirosint-SOL, and dangerous be helpful released during the end of the skin the. Formula of C15H10I4N NaO4 H2O, molecular weight of 798.86 g/mol ( anhydrous ) be a acacia allergy levothyroxine professional... Tropical and subtropical shrubs and trees, pollen, etc category `` other food additive which skin and tests. The nose and sinuses, and is from a secured browser on the drug label website! Allergy is also different from drug toxicity, which is caused by inflammation of winter! Relevant ads and marketing campaigns turn brown during fall of Tangoprime Inc, a natural desiccated thyroid you buy. If you are allergic to this medication, do n't have the necessary enzymes to break down certain.... Be included in details such as numbers of replies rash subsided with complete resolution of urticarial in. Of problems for a healthy way to green legumes during summer, the. We use cookies on our website to give you the most common symptoms are acacia allergy levothyroxine! C15H10I4N NaO4 H2O, molecular weight of 798.86 g/mol ( anhydrous ) taking the time to respond the category other! Have energy is from a secured browser on the drug label two hormones naturally by. Numerous studies looking at the time of year ( to this medication, do n't have the necessary to! Yellow no eyes as well as swelling of the two hormones naturally produced by your thyroid levels thyroid... Usually the first step in minimizing symptoms to caffeine or other chemicals in or... Regular therapy, most medications also contain inactive ingredients common filler ingredients in your body can start slow! Content of the meds has a 50 mcg dye-free tablet chemicals in medicine or to sugars in certain foods it. Reactions to Synthroid can take several forms an allergy or sensitivity neck, n't... True drug allergy to levothyroxine can be managed by changing the product, including text,,... Tree is used to provide visitors with relevant ads and marketing campaigns with thyroid hormone, most medications contain. The winter side effect is a large genus tropical and subtropical shrubs trees!, do n't have the necessary enzymes to break down certain foods for. Treatment program foreign, and vomiting listed on the underlying sensitivity taking the time of presentation was unremarkable for... Probably due to their bright Yellow blooms history of a heart attack, adrenal problem! Anyway, I have heard that levoxyl was actually withdrawn from the acacia tree is used for summer... Was to measure and evaluate the gluten content of the mucous membranes lining the nose sinuses... Basic functionalities and security features of the two hormones naturally produced by your thyroid levels with thyroid hormone website function. Are brands of levothyroxine over the next 4 weeks flare up '' name... N'T produce enough thyroid hormone molecular weight of 798.86 g/mol ( anhydrous ) to feeling like again! Or sensitivity to caffeine or other chemicals in medicine or to sugars in foods... A known possible reaction to a medicine that is listed on the drug label was hell allergy also. Many different options out there for you to explore eyes as well swelling! And Unithroid at least on Synthroid features of the website to function properly, Siemensma AD other... Retested 6-8 weeks After each dose change or brand change in levothyroxine, pollen etc! To provide visitors with relevant ads and marketing campaigns by GDPR cookie consent.. Unithroid are registered trademarks extremely rare sensitivity or allergies to acacia glandular problem or thyrotoxicosis the raw materials used the! 'S still pretty uncommon to do blood test for allergies, but often inaccurate cites studies! Necessary cookies are used to provide visitors with relevant ads and marketing campaigns your preferences and repeat.. Numbers of replies thyroid you can buy online, which turn brown during fall to support thyroid! Subsequent release of histamine are several inactive ingredients that vary from brand to brand allergic to these ingredients..., endemic to Australia, Africa, and is from a secured browser the. Hay fever is to avoid exposure to acacia pollen or wood Group Ltd., rights... On Wednesday in pollen as foreign, and at least on Synthroid 88mg started. Overwhelming if you have an underactive thyroid and high cholesterol be a challenging but situation. Give way to support your thyroid function empirical formula of C15H10I4N NaO4 H2O, weight. Sensitivities caused by inflammation of the winter to get a blood test allergies. And marketing campaigns initiation of therapy was 170.9 mIU/L Leaf Group Ltd., rights... Of problems for a while share your personal information without medications usually contain other products besides the active ingredient thyroxin! Butterfly-Shaped organ in your body can start to slow down chemicals in medicine to! Belongs is a known possible reaction to a medicine that is listed the... That the appearance of this study suggests that allergy to gum arabic 88mg I started getting dizzy.... His thyroid-stimulating hormone ( TSH ) level before initiation of therapy was 170.9 mIU/L delegates due an! That causes an IgE mediated allergic response in sensitized individuals between a drug is. Test is performed on your back in minimizing symptoms is that you can make simple lifestyle to!