अमेरिकी फादर्स डे र नेपाली भाद्र कृष्ण कुशे औंसी

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आज जुन १६, २०२४ जुनको तेश्रो आइतबार अमेरिकी फादर्स डे पर्न गएको छ। इतिहासको अध्ययन अनुसार अमेरिकी फादर्स डे को सुरुवात १९०९ देखि सुरु भएको पाइन्छ। खासगरी अमेरिकी फादर्स डे को कुरा गर्दा “Sonora Smart Dodd” भन्ने कुरा भुल्न हुँदैन। 

Sonora Smart ले आफ्ना पिता सिभिल वारका भेटरान William Jackson Smart ले आफ्नी श्रीमतीको देहान्तपछि सन्तानलाइ हुर्काएको कारण उनले पिताको सम्मानमा यो पर्वको सुरुवात भएको हो। यस पहिला नै मनाउने गरिएको  मदर्स डे जस्तै फादर्स लागि पहल गरिएको थियो। यो अभियानलाइ Sonora Smart Dodd को नामले चिनिन्छ।

इतिहास अनुसार पहिलो अमेरिकी फादर्स डे जुन १९, १९२० मा स्थानीय YMCA ले चर्चहरुमा मनाउन पहल गरेको पाइन्छ। तर थुप्रै पहल पछि राष्ट्रपति Woodrow Wilson को समयमा १९१६ पछि पहल गर्दै १९२४ देखि मनुमेण्टको रुपमा स्थापित भएता पनि राष्ट्रिय पर्वको रुपमा होलिडे भनेर राष्ट्रपति Lyndon B. Johnson ले जुनको तेश्रो आइतबारलाइ अमेरिकी फादर्स डे मनाउने भनेर १९६६ मा घोषणा गरेका थिए।

तर पनि १९७२ सम्म यो घोषणा कार्यान्वयनभएन हुन सकेको थिएन। राष्ट्रपति Richard Nixon ले १९७२ मा अमेरिकी फादर्स डे लाइ आधिकरिको रुपमा होलिडेको रुपमा मनाउने कानुनमा हस्ताक्षर गरेपछि यसले आधिकारिकता पाएको हो।

अमेरिकी फादर्स डे का दिन सन्तानहरुले आफ्ना पितालाई उपहार पठाउने, उपहार दिने, खान लैजाने, घुमाउन लैजाने, सम्मान गर्ने, दिर्घायुको लागि शुभकामना दिने चलन छ।  

अमेरिका बाहेक बिश्व बिश्वका युरोप, नर्थ अमेरिका, साउथ अमेरिका, एशिया, मध्येपूरवा, अफ्रिका ओसनियाका गरि १११ भन्दा धेरै देशहरुमा फरक-फरक मिति, कारण र उपक्षमा फादर्स डे मनाइन्छ। अरबीयन क्षेत्रका केहि देशहरुमा Imam Ali को जन्मदिनको उपलक्षमा फादर्स डे मनाइन्छ।

नेपालमा भाद्र कृष्ण औंसीका दिन मनाउने बाबुको मुख हेर्ने पर्वको रुपमा फादर्स डे मनाइन्छ। यस दिन पितालाई सम्मान गरी, मिष्ठान्न खुवाएर, उपाहार दिएर मनाइँदैछ। यसलाई पितृदेवो भवः अर्थात् जन्म दिने बाबुलाई देवता समान मान भन्ने धार्मिक मान्यताका आधारमा छोराछोरीले पितालाई विशेष सम्मान गर्छन्। जसका बाबु जीवित छैनन उनीहरुले गोकर्णेश्वर र बेत्रावती मन्दिरमा गएर पितृ तर्पण र सिदा दान गर्ने परम्परा पनि छ।

यो एक बिशेष मिति पनि यो। यस दिन पुरानो कुशको बार्षिक आयु समाप्त हुने र नयाँ कुश प्रयोगमा ल्याउनुपर्ने हुनाले यसलाई भाद्र कृष्ण कुशे औंसी भनिएको कुरा धार्मिक र वेदका बिज्ञहरुले बताएका छन्।ॐ भवतु सर्वमंगलम्#कृष्णार्पण!

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  7. Tesamorelin is a synthetic growth hormone releasing peptide that has gained attention for its ability to reduce excess abdominal fat in people
    with HIV-associated lipodystrophy and for potential use in other metabolic conditions.

    The drug works by stimulating the pituitary gland to secrete endogenous
    growth hormone, which in turn promotes lipolysis, increases lean body
    mass, and improves insulin sensitivity. Clinical
    trials have shown that daily subcutaneous injections of tesamorelin can reduce visceral adipose tissue by up to 30% over a period of 12 months,
    while also improving markers such as triglycerides and
    C‑reactive protein. However, like any hormone-modulating therapy, it carries a
    spectrum of side effects that users should be aware of.

    Understanding Tesamorelin: Mechanism, Results, and Potential
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    The core mechanism involves binding to the growth hormone secretagogue receptor
    (GHS-R) on pituitary somatotrophs. This triggers a
    cascade that releases growth hormone into circulation. The
    hormone then acts on liver cells to increase insulin-like
    growth factor‑1 (IGF‑1), which mediates many of
    the anabolic and lipolytic effects. Because tesamorelin does not provide exogenous growth hormone directly,
    its side effect profile differs from growth hormone therapy, but overlaps in several respects.

    Common adverse events reported in clinical studies include:

    Injection site reactions such as pain, redness, swelling,
    or itching.

    Peripheral edema, especially when combined with other
    anabolic agents or insulin sensitizers.

    Arthralgia and myalgia due to increased muscle turnover.

    Transient elevation of blood glucose levels, which can be problematic
    for individuals with diabetes or impaired glucose tolerance.

    This is attributed to the counter‑regulatory effects
    of growth hormone on insulin action.

    Headache and fatigue, possibly related to fluid shifts and
    hormonal changes.

    Less frequent but clinically significant events include:

    Hypertension or worsening of pre-existing hypertension due to fluid retention.

    Thyroid dysfunction; tesamorelin can alter thyroid hormone metabolism,
    leading to subclinical hypothyroidism in some patients.

    Changes in lipid profile: while triglycerides often improve, LDL cholesterol may rise slightly, necessitating
    monitoring.

    Rare cases of increased tumor markers or growth of pre‑existing tumors due to the mitogenic potential of IGF‑1.

    Longer term safety data are still emerging. In studies lasting 12–24 months, most adverse events were mild to moderate and reversible upon discontinuation.
    Nonetheless, clinicians recommend regular laboratory monitoring—fasting glucose, HbA1c, lipid panels,
    thyroid function tests, and serum IGF‑1 levels—to catch any deviations early.

    Tesamorelin: A Simple Guide

    For those considering a tesamorelin stack (often paired with peptides such as ipamorelin or growth hormone secretagogues), the practical aspects can be broken down into dosage, timing, injection technique,
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    Dosage and Administration

    The approved dose for HIV‑associated lipodystrophy
    is 2 mg subcutaneously once daily. When used off‑label for
    body composition improvement, many users start at 1–2 mg, adjusting based on response and
    side effects.

    Administer the injection in the abdomen or thigh, rotating sites to minimize scar tissue.

    Timing with Ipamorelin

    Ipamorelin is a selective ghrelin receptor agonist that
    stimulates growth hormone release without significant appetite stimulation. When stacked with tesamorelin,
    ipamorelin can be taken 15–30 minutes before tesamorelin or vice versa, depending on personal
    preference.

    A typical schedule might involve ipamorelin at bedtime to enhance overnight GH secretion,
    followed by tesamorelin in the morning for daily effects.

    Monitoring and Adjustments

    Baseline labs: fasting glucose, HbA1c, lipid profile, thyroid panel,
    IGF‑1. Repeat every 3–6 months.

    Watch for edema: if swelling appears, reduce dose or add diuretic
    under medical supervision.

    If blood glucose rises above target ranges, consider adding
    an insulin sensitizer (e.g., metformin) or adjusting carbohydrate intake.

    Potential Interactions and Contraindications

    Avoid concurrent use of anabolic steroids or testosterone
    without consulting a healthcare provider; the combined anabolic load
    can increase edema, hypertension, and lipid abnormalities.

    Patients with uncontrolled thyroid disease should postpone therapy
    until stabilization.

    Those on medications that affect liver metabolism (e.g., certain antivirals) may experience altered drug levels.

    Lifestyle Complementation

    Pairing tesamorelin/ipamorelin with resistance training amplifies lean mass
    gains while minimizing fat accumulation.

    Adequate hydration and a balanced diet rich in protein support
    muscle synthesis and help mitigate edema.

    Sleep quality is essential; GH secretion peaks during deep sleep, so maintaining consistent bedtime routines can enhance therapeutic outcomes.

    Safety Considerations for the Stack

    While tesamorelin alone has a manageable safety profile,
    adding ipamorelin introduces additional variables.
    Ipamorelin itself is generally well tolerated but can cause mild gastrointestinal upset
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    Moreover, patients with a history of breast or prostate cancer
    should approach such stacks cautiously, as GH/IGF‑1 axis modulation could theoretically influence tumor growth dynamics.
    Regular imaging and oncologic surveillance are advisable if the stack is used in this population.

    Conclusion

    Tesamorelin offers a promising avenue for reducing
    visceral fat and improving metabolic health through
    endogenous growth hormone stimulation. Its side effect profile includes injection site
    reactions, edema, glucose fluctuations, and lipid changes,
    all of which can be monitored and managed with routine labs and lifestyle adjustments.
    When stacked with ipamorelin, the benefits may be
    amplified but so is the need for vigilant monitoring
    of fluid status, blood sugar, and hormonal markers. A structured
    approach—starting with a low dose, consistent injection technique,
    scheduled monitoring, and supportive training and nutrition—helps maximize therapeutic gains while minimizing adverse
    outcomes.

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