Hashimoto’s, Gluten, and The Immune System – Things Every Patient Should Know

Posted on November 22, 2011 by prerupplicxolez

What does it really take to be gluten free?

This is something that I discuss with patients almost every single day in my clinic and it is surprising the misconceptions that many people have about gluten free diets.

Many thyroid patients have discovered, from various sources, that the first thing they should do after getting diagnosed with Hashimoto’s Disease, an autoimmune form of hypothyroidism, is implement a completely gluten free diet.

When you talk to people that have made this discovery and have made this dietary change on their own these are the things that you will hear them say:

“I am kind of gluten free”

“I am almost gluten free”

Here is the problem:

If you have an immune sensitivity to gluten, a protein found in barley, wheat, rye, spelt, kamut, and processed oats, then your body is creating antibodies to that food every single time it sees it. That means you are creating inflammation in the stomach and throughout the entire body.

So even if you go two days, or even four days gluten-free, and then you have just a little bit, well, you’ve completely reversed everything that you’ve done, and you’ve basically gone back to square one.

Every time you eat it you elevate the antibodies and inflammation all over again and it take weeks or months to clear this out of the body. ‘

What happens for some patients is they get frustrated because they go a few days, they eat a little bit, they go a few days, they eat a little bit, and they never actually make any progress, and so they’ll finally just say, “The gluten-free diet is not working.”

The reality is that for some Hashimoto’s patients, by just removing gluten they make a lot of progress without doing a lot of the other stuff that can be done to really modulate the immune system in Hashimoto’s patients.

For 99 percent of Hashimoto’s patients this dietary step is the first step that must be taken, and that’s a step that you can do all on your own, not knowing anything else about your problem or how the immune system has malfunctioned.

Once a Hashimoto’s patient has made initial dietary changes then diagnostic steps can be taken to determine all the other immune triggers and pathways that all not functioning properly.

What sort of other things does a Hashimoto’s patient need to uncover to get on the fast track to recovery?

What are the every sources of inflammation that you are unaware of but could eliminate if discovered?

What is the extent of the damage to the GI tract from the inflammation?

What is the ORDER of steps that must be taken to move from point A to point B?

The traditional model simply looks at some labs and concludes, “these numbers are off, let’s give you some Synthroid and let those numbers come back into the normal range.”

A lot of the time, on paper, the lab ranges are going to come back into the normal range, but that doesn’t mean that you feel and function good. If those numbers look good and you feel horrible, what have you accomplished?

In all reality, you haven’t accomplished much. They are just manipulating numbers on paper.

Not that you don’t need that part of the treatment, but obviously it’s not addressing the real issue.

So just to recap, if you’ve started a gluten-free diet, it really needs to be 100 percent gluten-free diet, or it’s not a gluten-free diet at all, and you’re not going to get any benefit from it.

Two, if you’ve had this problem for a long time and you’re just making that change, it may take a while before you see any benefit from it. There’s the possibility that you may start to see changes within the first week, but for other people there’s so much damage done as a result that it could take months, and you just have to know that that it is something that has to be done.

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Aftermarket Backup Cameras Are the Smart Choice to Enhance the Safety of Your Current Vehicle

Posted on November 22, 2011 by prerupplicxolez

As many as 300 people die in backover crashes in the United States every year, according to a March 2011 U.S. News and World Report article. Approximately 1/3 of these victims are children. Another 1/3 are elderly victims over the age of 70. And, tragically, many of these accidents are preventable. One of the most powerful tools in avoiding these devastating losses is a simple backup camera. Installed in your car or truck, a vehicle backup camera expands your field of vision, bringing once-dangerous blind spots into clear view.

In fact, backup camera systems are so vital in preventing backover crashes–and saving lives–that the federal government is in the process of finalizing regulations that will require this feature on all new vehicles. While this legislation will cover all new vehicles manufactured after about 2014 (the exact timeline is still pending), that has no impact on the car or truck you already own. The good news is that you don’t have to buy a brand-new car just to access the safety benefits of a rearview camera. Most mobile electronics shops now install both cameras and sensors to provide you with the utmost protection when you’re headed in reverse.

Here’s how it works. Mounted either in your bumper itself or in a special license plate frame, a tiny camera captures video of the entire area behind the rear of your vehicle. Then that image is displayed on a screen that’s conveniently mounted on either your dash or integrated right into your rearview mirror. Working in tandem with sensors that provide an audible beep when your bumper gets too close to any object, backup cameras provide a clear picture of all that’s in your path as you reverse. With a backup camera installed, you can avoid all types of backup collisions with pedestrians, traffic, trees and mailboxes, and more!

Wireless backup camera systems are even easy to install, so there’s no need to string wires all the way from your bumper to your dash. Your car audio and electronics installers will be able to efficiently and effectively install your new camera system, seamlessly integrating the screen into your dash and the camera/sensors into your bumper for a finished look that appears completely stock. And best of all, your new rearview camera will bring you the peace of mind of safer driving for you, and for everyone around your vehicle. For the utmost safety, look into installing a back up camera system today.

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What Is Lipoma?

Posted on November 22, 2011 by prerupplicxolez

We are told that lipomas appear just because of a genetic predisposition. I have a hard time believing that. I feel that something external triggers the genes to produce excessive amounts of fat cells. I have a hypothesis as to why this happens.

Basically, I see only one reason for the growth of a lipoma. It has to be a triggering effect. And I think about the external or environmental triggers. It makes no sense that the body – developed for ages – would create harmless lumps without giving any reasons to create them.

The evolution has a habit of removing all features that are not useful. I mean, we all still have our tailbone, but it has decreased dramatically. Our ancestors had a tail, but because modern man no longer needs it, it has almost disappeared.

In the same way, I think all the tumors would have disappeared long ago, if they are not somehow beneficial for us.

So what then is a lipoma?

Dr. Simoncini who is a controversial Italian oncologist believes that lipoma is a cyst caused by fungi. He believes that fungal infection produces a chain reaction to which the body responds by packetizing the fungal cells with fatty tissue.

I’ve since read expanding my view that it is not necessarily fungus that causes the inflammation, but perhaps a pleomorphic bacteria. Pleomorphic means that either all microorganisms share an ability to resemble each other, or that some bacteria are able to transform themselves in us as viruses, bacteria or fungi.

There are many other clues that point to the bacterial causation. Many known carcinogens (eg, radiation, dioxin, tobacco, asbestos, red meat, alcohol, the immune-suppressing drugs, heavy metals) are praised by bacteria and fungi.

What are the causes lipomatosis?

I think lipomatosis happens because somehow escaped microorganisms or infected cells from the lump create new inflammation locations. I do not think there is any predisposition or dislocation in our genes, if we except the translocation is either inherited by one of our birth parents. In this case, the mutation caused by the microorganism was somehow distributed to the germ cells.

While this is all just speculation, it gives strong evidence, that properties can be found in the course of our lives and our children. This is known as epigenetics which means that non-genetic factors can result in the organism genes behave differently. The DNA that you develop during lifetime makes your children already prone to lipomas. In epigenetics, there is not necessarily mutations but a certain kind of cell memory.

But even if inherited, I do not think lipomas would begin to appear, without a reason. Perhaps some of us have genes that have already taken in a high-alert mode, and even if there is no need to start with the body fat cells gathering around the inflammation, they do so.

But what follows is that even if you do have an inherited translocation, how to change the situation, how your genes by helping to eliminate the cause of the inflammation and thus switching off the genes that produce the clumps are expressed.

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Be Proactive: The Benefits of Ergonomics In The Office Environment

Posted on November 22, 2011 by prerupplicxolez

Ergonomics improve the efficiency of the workplace by prioritising the consideration of usability, comfort and employee safety, and incorporating such in the design – or redesign – of the working environment. Ignoring office ergonomics can seriously compromise the speed and efficiency of your work, as well as risking discomfort and potentially more serious health and safety concerns. On the other hand, making use of an ergonomically designed workstation is an overall more enjoyable, more rewarding experience.

Ergonomic stresses on the body can lead to a number of illnesses and disorders of the muscles, joints and nerves. For example, cumulative trauma disorders are induced and aggravated by repetitive movements and awkward posture, while back disorders occur as a result of pulling and straining muscles, ligaments or spinal disks. Many of these repetitive strain injuries can be avoided simply by taking into account the ergonomic concerns of your workstation.

Furthermore, companies and commercial organisations are obliged to pay out on thousands of injury compensation claims each year, in response to muscles strains and joint overextension injuries sustained by employees as a consequence of an ergonomically unsound working environment. Thus, the improvement of office ergonomics is beneficial to both employer, who can save money on injury compensation; and employee, who can do without injury and discomfort at work.

The act of preempting ergonomic stresses and taking action before a problem even occurs is commonly referred to as proactive ergonomics. Installing fully adjustable desktop support stands for flatscreen lcd monitors and laptops reduces the risk of injury caused by bad posture and overextension as well as improving employee comfort and, consequently, job satisfaction.

Another ergonomic solution to overextension injuries and workplace discomfort is flat computer keyboards that do not require the user to hold their wrists at an awkward upward angle. Wrist pain can signify serious underlying causes such as Arthritis or Carpal Tunnel Syndrome, so avoiding wrist strain during long periods of working at the computer is an essential aspect of office ergonomics. Flat keyboards significantly reduce the risk of wrist pain or discomfort, as the wrist need not be raised at all when using the keyboard. Furthermore, correct placement of the keyboard on the desk, with regards to your sitting position and posture, can help avoid strains to the back or arms.

Proactive office ergonomics is a forward thinking approach to improve the efficiency of any commercial environment. By placing usability and comfort as the first and foremost of concerns when considering the design of a workstation, an employer can ensure that their office space surpasses that of competitors in terms of intuitiveness and employee satisfaction, as well as fundamental efficiency of work.

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The New Cardiopulmonary Resuscitation Guidelines

Posted on November 22, 2011 by prerupplicxolez

Cardiopulmonary resuscitation (CPR) is a lifesaving technique useful in many emergencies, including heart attack or near drowning. A situation when someone’s breathing or heartbeat has stopped. CPR can keep oxygenated blood flowing to the brain and other vital organs until more definitive medical treatment can restore a normal heart rhythm. Ideally, CPR involves two elements: chest compressions combined with mouth-to-mouth rescue breathing. However, what you as a bystander, should do in an emergency situation really depends on your knowledge and comfort level. The bottom line is that it’s far better to do something than to do nothing at all.

This is what I, as a physician of thirty years, recommend to those who ask me what they should do.

If you’re not trained in CPR, then provide hands-only CPR. That means uninterrupted chest compressions of about 100 a minute until paramedics arrive. You don’t need to perform rescue breathing. If you’ve previously received CPR training, but you’re not confident in your abilities, then just do chest compressions at a rate of about 100 a minute. This is the “magic number”, 100! It’s the only real number you need to remember. If you’re trained, and confident in your ability, then you can opt for one of two approaches: Alternate between 30 chest compressions and two rescue breaths, or just do chest compressions.

This advice applies only to adults needing CPR, not to children.

Cardio Pulmonary Resuscitation changed this year, as statistically, “mouth to mouth” shows no significant improvement in CPR effectiveness. This applies to adults and not to children. Mayo Clinic findings have convinced experts to remove the mouth to mouth component out of the protocol traditionally endorsed by the American Heart Association and The American Red Cross. Even without mouth to mouth, the compressions alone, are delivering about 70% oxygenated blood to the brain, giving the victim a huge chance for survival. The alternative, “doing nothing at all”, is fatal.

I am often asked, why doesn’t this apply to children? The reason is that most CPR events occur with older adults who have had a cardiac event which renders them unconscious and unresponsive. Children, on the other hand, are generally healthy and robust from a cardiac stand point. They do not generally have heart attacks, and do not usually suffer from cardiac arrest unless already air starved from a life threatening pulmonary condition such as an asthma attack, depleting them of oxygen. Therefore, replacing oxygen (mouth-to-mouth breathing) is critical for their survival.

Do the smart thing. Get certified in CPR. Always be prepared to make a difference, and be able to save someone’s life.

Dr. Counce

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Why Do Nurses Wear Uniforms?

Posted on November 22, 2011 by prerupplicxolez

When I go to a hospital with family members I really can’t tell who’s a nurse anymore.

My mother was taken to the ER just this week and while we sat and watched the general busy-ness and absolute professionalism of the ER staff, the only people I could really identify were the doctors and they weren’t even wearing a uniform!

In fact we mistakenly asked a cleaner for a pan because she was wearing a uniform that looked more professional than the nurses who were all wearing a mishmash of scrubs and gowns; one nurse had a particularly fun jacket with smiley-faced vegetables all over it. Cute but professional? Hmmmm.

As for scrubs, they might be comfortable but they always look so dowdy and overwashed; the practise of wearing scrubs seems to me to be a case of “life imitating art” or in this case TV! The general unidentifiable jumble of uniforms in the ER detracted from the consummate nursing skill that was all around us.

So I have to suggest that if nurses want to wear a uniform then maybe we should all be wearing the same easily identifiable one – after all that is the whole point of a uniform. Uniforms stand for conformity and consistency. Uniforms are meant to allow people to instantly recognise a cohesive group of important individuals.

If we roll back time as Rich suggests then each level of nurse would be easily recognisable, just as we were when I started nursing in 1975. Up until fairly recently there wasn’t much confusion at all about who was who. Registered nurses wore white shoes and uniforms, student nurses wore caps, blue uniforms and brown shoes, EN’s wore their own colours and so on! Personally I’m not keen on any of that and felt then as I do now that a uniform can be a barrier.

A uniform may identify us but it can also set us apart because uniforms can confer some level of authority and exclusivity that might interfere in the nurse-patient relationship. I believe that type of hierarchical exclusivity was one reason why nurse’s uniforms became the hodgepodge, egalitarian affair they have become. The general assortment of uniforms was meant to place us on a more professional and level field as it were, thus nurses’ uniforms became so casual and diverse that in the 21st century a highly qualified and professional nurse wearing a coat with smiley-faced vegetables seems perfectly okay.

So why do we wear uniforms? Nursing hasn’t always had the professional status we have now – uniforms actually reflect our roots in the lower-class service industries of the 19th century.

That’s the reason for the aprons and caps and big buckles that nurses used to be rigged out in up until the 1960′s and 70′s. Florence Nightingale didn’t do us any favours either by placing us firmly in the armed services and subservient to medical consultants; thus the uniform of a maid or handmaiden. Please….let’s not go back there!

I haven’t worn a uniform for 20 years and I haven’t had any problems with being recognised as a nurse – but that’s probably because I work in the community. Hospital-based nursing does need some different consideration due to the numbers of health professionals working there. However, in the community setting, my nursing practise is recognised by my clients through the way I care for them not by what I wear; and that’s how I knew who the nurses were in the ER this week. They were the ones that spoke gently to my mum, helped her respectfully and effectively and explained what the doctor just said.

I observed what I like to term as the “patient-nurse attunement”. This particular nursing quality just doesn’t exist between other health professionals and their patients. Our nurse attunement connects us to the basic needs in a human — that is to build a relationship, no matter how short term. This nurse-patient attunement allows us to gently and respectfully care for our patients physically, emotionally and socially. I think this is nursing’s absolute speciality and that is how we are known.

By all means have a uniform but let’s have one that is consistent — states what we do and doesn’t allow a barrier to come between us and our patients. But above all don’t believe for a minute that the uniform is what defines you as a nurse.

What do you think? Tell us at Nurse Uncut

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Tips to Choosing an Electric Mobility Scooter

Posted on November 22, 2011 by prerupplicxolez

So you’re thinking about buying an electric mobility scooter to increase your independence and mobility – a big decision and a sizable investment, and since there are quite a few available on the market today, a little research can help ensure that you get the scooter that is best suited to your needs and your pocket.

Budget. The first thing you need to decide is how much you can afford to spend on your scooter. The price range for powered scooters is huge – anywhere between $500 or $600 to $8000 or $9000 or more.

Weight. The next most important decision is the carrying capacity required of the scooter. Do you need a bariatric scooter? Bariatric electric scooters have a weight capacity of 400 lbs which would include the weight of your personal items. Other scooters have a maximum weight capacity of up to 250 lbs or 300 lbs including your personal items.

Purpose. Ask yourself what you want to be able to do with your scooter. Do you need to use it every time you leave your home or just on the longer outings? Do you just want to drive around in the mall or supermarket, or do you want to be able to tackle sidewalks, outdoor recreational areas and anywhere else that takes your fancy.

Portability. Do you need a scooter that is designed to be portable as well, one that can be easily broken down into a few components that will fit inside the trunk of your car, and even be transported as luggage on planes, trains and coaches.

Cruising Range. Is the distance that you can go on one charge important to you or do you just need something for very local errands? Some scooters can only do 6 or 7 miles on a single charge, whilst others can do 15 or 20 miles.

Turning Radius. Is the turning radius of the scooter an important factor for you. Turning radius varies significantly, and can be anywhere from 32″ to 64″ on most powered scooters. So think about where you want to use your scooter – supermarket aisles tend to be quite wide, but the corner store is not. Some restaurants and shops can be quite tight too.

Storage. How much stuff do you need to carry around with you on your scooter? They all have a basket that can accommodate a few items, some have storage under the seat. Bear in mind that you can purchase additional storage baskets that attach to the seat back or various nylon bags that attach either to the seat back or armrest. And if you need to travel with oxygen, you can get a basket specially designed for that too.

Wheels. Powered mobility scooters come with either 3 or 4 wheels – some solid and some pneumatic, so you do need to think about the practicality of repairing flat tires and punctures if you are leaning towards pneumatic tires. Generally speaking, 4-wheeled scooters have a wider turning radius but are more stable. 3-wheeled scooters do have anti tip safety features in place to improve their stability.

With the above tips in mind you are now well equipped to choose the right electric mobility scooter for you.

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What Is A Scaffold Piercing?

Posted on November 22, 2011 by prerupplicxolez

Scaffold piercing has gained a lot of popularity these days among men and women who happen to be body modification enthusiasts. It is their way of expressing themselves as well as delving into body art. Also called industrial piercing, this body modification consists of two piercings along the top of the ear that are connected by a bar that passes through both holes.

In order to make sure that you have a scaffold piercing that would really stand out in a crowd, you have to be sure that the piercing is done by a professional with a lot of experience in the business. This is also to ensure that the piercing is done correctly and that there is no chance of infection at all. Professional body piercers are trained and certified for your protection. Make sure you see a reputable piercer for this job.

Keep in mind that scaffold piercing must be done using only the highest quality of surgical stainless steel that is recommended by professional piercers. Thus, adequate attention must be given to proper after care to avoid infection and skin irritations.

Choose professionals that conduct business under the highest possible sanitary conditions. Pick a piercer who is knowledgeable in scaffold piercing, has a lot of experience and has undergone sufficient training. You would want someone who would be able to put you at ease as the entire procedure can be extremely uncomfortable, even with the use of anesthesia. Do not be afraid to ask to see the piercer’s qualifications.

After the work of piercing is done, you have to make sure that your wounds will not get infected. In order to prevent any kind of infection or irritation, be sure to use the best kind of material suited for piercing. Take your pick from surgical stainless steel, titanium or eighteen to twenty four karat gold. Gold is the most expensive so if you are on a somewhat limited budget, opt for the highest quality of surgical stainless steel that is durable, fashionable looking and safe for your ear.

Scaffold piercing can take a little while to be completely healed so you have to be very patient. Depending on the person’s after care routines, healing can take anywhere from three months to an entire year. You certainly have to be very careful and make sure your piercings are kept clean and not fiddled around with. Do not be surprised if you experience some swelling, a little pain and throbbing after the piercing. This can take a few days to a week maximum for it to be completely gone.

For the first two weeks after you have had your scaffold piercing, take care to clean it about twice a day to prevent any kind of infection from setting in. Keep your hands away from it when you are not cleaning it so you will not transfer any germs to the wound. Keep your hair away from the wound as much as possible. Be diligent in cleaning it for the first two weeks as per instructions to ensure quick healing.

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Top 4 Places for an Amazing Nursing Career

Posted on November 22, 2011 by prerupplicxolez

Nursing profession is one of the most popular careers in the present era and a lot of vacancies are available for those who are dreaming of a successful nursing career. People have an inclination towards nursing profession as there is a lot of potential for earning huge money. Most of the foreign countries pay huge packages for those having valid experience and qualification as a nurse.

Since India is home to a large number of nurses, there are a large number of universities and colleges that offer nursing courses. The nurses get a small amount of money as salary in India, but if they are doing the same job in a foreign country then they would be paid more. So once they complete their nursing courses, they have to work hard for a low salary in India before thinking of making some decent money from nursing. When a nurse gains enough experience, then they can think about moving abroad for a better nursing career and life.

There are a lot of countries where Indian nurses work, and these countries are really helping their nursing career to flourish both career wise and financially. Some of the major places that I recommend for a great nursing career are given below.

Middle East Countries

Middle East Countries or the Gulf Countries are region where most of the Indian nurses try their luck. The major countries in the Middle east that are suitable for nursing career include Saudi Arabia, Oman, Muscat, UAE, Doha, Bahrain, Qatar etc. It is always better if the nursing professionals get a job in the ministry, as they would be able to get better pay packages and other benefits that a nurse deserves. The nurses need to get their all certificates attested from the respective Embassies, before launching their career in the Middle East countries as these days the certificates attestations have been made mandatory.

European Countries

European Countries are another major place for the nurses to build a career in nursing and the major European countries include England, Ireland, Austria, Germany and Italy. These European countries offers a good living atmosphere along with amazing packages when compared to its counterparts in the Middle East, but the expenses in the European countries are too high. One must also qualify tests such as IELTs and other nursing bridging programs before kick starting their career in these countries.

American Countries

American Countries such as the United States, Canada, West Indies, Mexico etc are some of the major areas where the nurses go for building their nursing career in the American continent. To enrol as a nurse in these countries, he or she has to overcome various hurdles such as English language test, nursing tests, other documentations etc. If you are able to overcome these hurdles, then you can easily dream of a great nursing career and life in the American countries. Among the American countries, the United States seems to be over crowded with nurses which has thrown some winds of caution to the nurses.

Australia and New Zealand

Australia and New Zealand are two of the most potential countries which has a great atmosphere to enhance nursing profession and living style. For the last 10 years majority of the nurses planning to move to Australia for fulfilling their nursing ambitions and make their dream of a great living style come true. If you are serious about a nursing career in Australia then you have to clear IELTs and other nurse training programs before starting your career. The nursing programs that are available are focused at making a compatible to work in Australian hospitals. There are a good number of institutes that offer bridging courses for nurses which is backed by experienced faculties and tutors. The institutes that claim to offer health education in Australia must be chosen wisely and should be investigated enough before joining them. Similar to Australia, the neighboring country New Zealand is also one of the best place for nurses as it offers an amazing work atmosphere and good life style.

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The Three Main Styles of Tonneau Covers

Posted on November 22, 2011 by prerupplicxolez

If improved aerodynamics aside from style and safety is what you want for your truck, then installing tonneau covers is the way to go. This truck accessory comes in various styles.

The different styles are each designed to transform your truck and make it work better. You can choose among three main styles – hard, soft and retractable.

Soft – such style would consist typical of a soft top cover or tarp supported by a framework. The tarp is usually made of vinyl or leather, which can be pulled over from an aluminum-made framework. The aluminum framework of the tonneau is fixed to the tailgate and bedside of the truck. The tarp is then fastened down using slide rails or snaps. Some of this style of truck covers are usually flat and laid out across the truck bed. This is the case with brands like the Truxedo Truxport. Meanwhile, frame brows are being used for other styles so that it arcs across the center. This is the case with the Extang Black Max Tonneau. Such style usually helps to channel away the snow or water from the truck bed.

Generally, soft tonneaus are quite affordable but in terms of security, such are least to be depended upon. Many soft styles cannot be locked. Furthermore, because of the materials used, such styles are the fastest to show signs of wear and tear, as compared to the hard cover styles. There are manufacturing companies that have used the look of soft truck bed covers and adapted it into a foldable framework. Such allows for access abilities and versatility that is provided by retractable styles, but relatively cheaper. Similar soft styles are also produced to work well with truck bed mounted with toolboxes.

Hard – these styles are typically made using fiberglass and such can cover the whole truck bed with several folding panels or just a large sheet. Extang Solid Fold is one hard tonneau cover model that offers easier access. One-piece cover units, however, usually cater to customization like paintings that would match the entire truck design. Example of this is the Gaylord TL Series Covers. The weight and price of such style is its downside, though. Hard truck bed covers are usually a bit more expensive compared to the soft styles. In addition, the entire constructions of the cover and its strut systems and hinges that will support it into an open position considerable add more weight to the truck.

Retractable – this is undoubtedly the style which is most advanced and typically, the most costly. Construction materials for this style vary. The cover is usually composed of panels with hinged system that rides on a track system mounted on the bed. The cover then rolls out into a sort of spool that is mounted at the front of the truck bed. Many of such styles allows the user to lock the tonneau tightly, but sometimes, during intervals, also allows various amounts of the truck bed to be left open especially when one has to haul bigger, taller things.

If you are a truck owner who is a stickler for efficient storage and security there are models that integrate your retractable truck bed cover into your truck toolbox for more effective storage and security.

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