It ’s seven in the morning on the beach in Santa Monica , California . The low sun glints off the waves and the cloud are still golden from the cockcrow . The view stretches out over thousands of miles of Pacific Ocean . In the space , white villas of wealthy Los Angeles residents disperse the Hollywood hills . Here by the shoring , curlew and sandpiper constellate on the moist grit . A few metres back from the piddle ’s sharpness , a smattering of people seat transversal - legged : members of a local Buddhist center about to begin an hour - long silent meditation .

Such spiritual practices may seem a world out from biomedical inquiry , with its focus on molecular unconscious process and quotable upshot . Yet just up the coast , at the University of California , San Francisco ( UCSF ) , a team led by a Nobel Prize - winning biochemist is load into territorial dominion where few mainstream scientists would dare to tread . Whereas westerly biomedicine has traditionally shunned the subject field of personal experiences and emotion in relation to physical health , these scientists are localize state of mind at the centre of their oeuvre . They are engaged in serious studies suggest that meditation might – as Eastern traditions have long claimed – slow ageing and lengthen life .

§

Hostinger Coupon Code 15% Off

Elizabeth Blackburn has always been fascinated by how life work . Born in 1948 , she grew up by the sea in a remote Ithiel Town in Tasmania , Australia , amass ants from her garden and jellyfish from the beach . When she start out her scientific life history , she moved on to dissect sustenance system molecule by speck . She was suck to biochemistry , she says , because it offered a thoroughgoing and exact reason “ in the shape of mystifying knowledge of the modest possible subunit of a unconscious process ” .

Working with biologist Joe Gall at Yale in the seventies , Blackburn sequenced the chromosome tips of a single - celled fresh water creature called Tetrahymena ( “ pool trash ” , as she describes it ) and discovered a repeating deoxyribonucleic acid motif that acts as a protective crown . The caps , dub telomeres , were subsequently found on human chromosome too . They harbor the end of our chromosomes each clip our cells divide and the DNA is copied , but they wear down down with each division . In the 1980s , bring with graduate pupil Carol Greider at the University of California , Berkeley , Blackburn discover an enzyme call telomerase that can protect and rebuild telomeres . Even so , our telomeres dwindle over sentence . And when they get too short , our cells start up to malfunction and lose their power to separate – a phenomenon that is now recognised as a key process in senescence . This work at last bring home the bacon Blackburn the 2009 Nobel Prize in Physiology or Medicine .

In 2000 , she get a visit that changed the course of her research . The phoner was Elissa Epel , a post doc from UCSF ’s psychiatry department . psychiatrist and biochemist do n’t usually have much to talk about , but Epel was interested in the damage done to the dead body by continuing stress , and she had a radical proposal .

Burning Blade Tavern Epic Universe

Epel , now director of the Aging , Metabolism and Emotion Center at UCSF , has a long - standing interest group in how the nous and consistence relate . She cites as influences both the holistic health guru Deepak Chopra and the pioneering biologist Hans Selye , who first described in the 1930s how rats submit to long - term stress become inveterate inauspicious . “ Every emphasis leaves an unerasable cicatrix , and the organism pay for its survival of the fittest after a stressful situation by becoming a little older , ” Selye say .

Back in 2000 , Epel wanted to find that scar . “ I was interested in the idea that if we front deep within cells we might be capable to measure the wear and rent of stress and daily lifespan , ” she says . After learn about Blackburn ’s work on senescence , she wondered if telomere might fit the bill .

With some trepidation at approaching such a senior scientist , the then postdoc asked Blackburn for service with a field of study of mothers going through one of the most stressful situation that she could think of – like for a inveterate ill child . Epel ’s plan was to demand the womanhood how stressed they feel , then look for a relationship between their state of creative thinker and the state of their telomere . Collaborators at the University of Utah would measure telomere length , while Blackburn ’s team would measure level of telomerase .

Ideapad3i

CC - BY : Sara Andreasson

Blackburn ’s inquiry until this point had involved elegant , just controlled experiments in the science laboratory . Epel ’s work , on the other hand , was on real , complicated the great unwashed survive real , complicated biography . “ It was another Earth as far as I was concern , ” say Blackburn . At first , she was in question that it would be possible to see any meaningful connexion between stress and telomere . factor were seen as by far the most of import factor determining telomere distance , and the idea that it would be potential to measure environmental influences , let alone psychological ones , was extremely controversial . But as a mother herself , Blackburn was drawn to the idea of studying the plight of these stressed women . “ I just thought , how interesting , ” she read . “ You ca n’t help but empathise . ”

It take four year before they were eventually quick to roll up pedigree samples from 58 women . This was to be a pocket-sized cowcatcher survey . To give the highest chance of a meaningful answer , the woman in the two groups – stressed mothers and controls – had to match as closely as possible , with exchangeable ages , life style and backgrounds . Epel recruited her subject with meticulous care . Still , Blackburn says , she saw the trial as nothing more than a feasibility exercising . Right up until Epel call her and state , “ You wo n’t believe it . ”

Last Of Us 7 Interview

The result were crystal clear . The more punctuate the mothers said they were , the short their telomere and the lower their levels of telomerase .

The most frazzle women in the subject had telomeres that translated into an extra decade or so of senescence compared to those who were least emphasize , while their telomerase levels were halved . “ I was thrilled , ” aver Blackburn . She and Epel had connected literal lifetime and experiences to the molecular mechanics inside cell . It was the first indication that feeling accented does n’t just damage our wellness – it literally ages us .


Anker 6 In 1

Unexpected discoveries naturally suffer skepticism . Blackburn and Epel struggled ab initio to publish their boundary - intersect paper . “ Science [ one of the populace ’s lead scientific journals ] could n’t take a hop it back tight enough ! ” chuckles Blackburn .

When the theme finally was put out , in the Proceedings of the National Academy of Sciences in December 2004 , it sparked far-flung press reporting as well as praise . Robert Sapolsky , a open up stress researcher at Stanford University and author of the bestselling Why Zebras Do n’t Get Ulcers , described the collaboration as “ a leap across a vast interdisciplinary canon ” . Mike Irwin , director of the Cousins Center for Psychoneuroimmunology at the University of California , Los Angeles , says it took a lot of courage for Epel to search out Blackburnian warbler . “ And a lot of courage for Liz [ Blackburn ] to say yes . ”

Many telomere researcher were mistrustful at first . They betoken out that the field of study was small , and interrogate the accuracy of the telomere duration test used . “ This was a speculative idea back then , and in some people ’s eyes unlikely , ” explains Epel . “ Everyone is endure with very different telomere lengths and to recall that we can measure something psychological or behavioural , not genetic , and have that predict the length of our telomeres ? This is really not where this playing field was ten years ago . ”

Lenovo Ideapad 1

The paper spark an detonation of research . Researchers have since linked perceive stress to short telomere in healthy women as well as in Alzheimer ’s caregivers , victims of domesticated abuse and early animation trauma , and people with major low and post - traumatic stress disorder . “ Ten years on , there ’s no inquiry in my mind that the environment has some effect on telomere duration , ” suppose Mary Armanios , a clinician and geneticist at Johns Hopkins School of Medicine who studies telomere disorders .

There is also progress towards a mechanics . Lab study show that the stress endocrine cortisol reduces the activity of telomerase , while oxidative emphasis and inflammation – the physiological fallout of psychological stress – come along to gnaw at telomeres directly .

This seems to have devastating outcome for our wellness . Age - link up condition from osteoarthritis , diabetes and corpulency to heart disease , Alzheimer ’s and apoplexy have all been linked to short telomeres .

Galaxy S25

The fully grown question for research worker now is whether telomere are just a harmless marker of years - related legal injury ( like grey haircloth , say ) or themselves roleplay a function in have the wellness problem that plague us as we age . citizenry with genetic sport affect the enzyme telomerase , who have much shorter telomere than normal , suffer from accelerated - ageing syndromes and their harmonium progressively fail . But Armanios questions whether the smaller decrease in telomere length because of stress are relevant for wellness , particularly as telomere lengths are so variable in the first blank space .

Blackburn , however , order she is more and more convinced that the burden of stress do matter . Although the genetic mutations bear upon the sustenance of telomere have a smaller effect than the utmost syndromes Armanios studies , Blackburn channelise out that they do increase the peril of chronic disease by and by in life . And several studies have establish that our telomere augur succeeding health . One prove that senior gentleman’s gentleman whose telomeres shortened over two - and - a - half yr were three times as probable to die from cardiovascular disease in the subsequent nine years as those whose telomere stayed the same length or got longer . In another subject , looking at over 2,000 hefty Native Americans , those with the shortest telomeres were more than twice as potential to develop diabetes over the next five - and - a - one-half years , even taking into invoice schematic peril factor such as torso mass exponent and fasting glucose .

Blackburn is now proceed into even cock-a-hoop studies , include a collaboration with health care giant Kaiser Permanente of Northern California that has need assess the telomeres of 100,000 multitude . The hope is that combine telomere duration with data from the volunteers ’ genome and electronic medical records will reveal additional links between telomere length and disease , as well as more hereditary mutations that bear upon telomere length . The results are n’t print yet , but Blackburn is delirious about what the data already testify about longevity . She trace the curvature with her fingerbreadth : as the population ages , average telomere length go down . This much we know ; telomeres tend to shorten over clip . But at age 75–80 , the curve swings back up as hoi polloi with shorter telomeres die off – cogent evidence that those with long telomere really do live longer . “ It ’s lovely , ” she tell . “ No one has ever control that . ”

Dyson Hair Dryer Supersonic

In the decade since Blackburn and Epel ’s original survey , the estimation that stress ages us by eroding our telomeres has also permeate democratic civilization . In addition to Blackburn ’s many scientific accolades , she was named one of Time magazine ’s “ 100 most influential the great unwashed in the populace ” in 2007 , and experience a Good Housekeepingachievement award in 2011 . A workaholic fiber played by Cameron Diaz even describe the concept in the 2006 Hollywood film The Holiday . “ It resonates , ” say Blackburn .

But as evidence of the damage induce by dwindling telomere piles up , she is embarking on a new question : how to protect them .

At first , the beach seems busy . Waves splash and splash and splash . Sanderlings bicycle along the shoreline . Joggers and detent walkers amble across , while grouping of pelicans flow out on the water before taking annex or float out of sight . A surfer , silhouetted black against the sky , bobs about for 20 minutes or so , catch the queer ripple towards shore before he , too , is go . The stable position gives a curious sensation of insularism . you may ideate that the birds and joggers and surfers are like thoughts : they dwell unlike forms and timescales but in the end , they all pass .

Hostinger Coupon Code 15% Off

There are 100 of way to meditate but this morning I ’m try a material body of Buddhist mindfulness meditation called open monitoring , which involve paying tending to your experience in the present moment . posture upright and still , and simply notice any mentation that arise – without judging or respond to them – before letting them go . For Buddhists this is a spiritual seeking ; by letting superficial thoughts and outside influences fall away , they trust to get closer to the true nature of reality .

Blackburn too is interested in the nature of reality , but after a vocation spent focusing on the measurable and quantifiable , such navel - stare ab initio held picayune personal appeal and sure as shooting no professional involvement . “ Ten years ago , if you ’d told me that I would be seriously thinking about meditation , I would have said one of us is loco , ” she secern theNew York Times in 2007 . Yet that is where her work on telomeres has work her . Since her initial discipline with Epel , the pair have become involved in collaborations with teams around the world – as many as 50 or 60 , Blackburn estimates , spin in “ wonderful guidance ” . Many of these focus on ways to protect telomere from the effects of stress ; trials indicate that exercise , eating healthily and social support all help . But one of the most good intervention , apparently equal to of slowing the erosion of telomere – and perhaps even lengthen them again – is meditation .

So far the studies are diminished , but they all tentatively direct in the same counselling . In one ambitious projection , Blackburn and her colleagues send player to ruminate at the Shambhala mountain retreat in northern Colorado . Those who completed a three - calendar month form had 30 per centime high levels of telomerase than a similar group on a waiting list . A pilot survey of dementedness caregivers , carried out with UCLA ’s Irwin and published in 2013 , base that volunteers who did an ancient chanting speculation called Kirtan Kriya , 12 minute a day for eight weeks , had importantly higher telomerase activity than a mastery mathematical group who listened to relaxing music . And a collaboration with UCSF physician and self - help guru Dean Ornish , also publish in 2013 , found that military man with downhearted - jeopardy prostate gland cancer who undertook comprehensive lifestyle variety , include meditation , retain their telomerase activity higher than similar men in a ascendence group and had slightly long telomere after five years .

Burning Blade Tavern Epic Universe

In their belated study , Epel and Blackburn are following 180 mothers , half of whom have a youngster with autism . The trial involves measuring the womanhood ’s stress floor and telomere length over two days , then testing the issue of a short class of mindfulness education , delivered with the service of a mobile app .

Theories differ as to how meditation might boost telomere and telomerase , but most likely it boil down stress . The practice involves slow , regular breathing , which may relax us physically by calming the fight - or - flight reception . It probably has a psychological stress - busting effect too . Being able to tread back from negative or stressful thoughts may allow us to realise that these are not necessarily accurate reflection of world but transient , ephemeral events . It also helps us to apprise the present instead of continually worrying about the yesteryear or planning for the futurity .

“ Being present in your activities and in your interactions is precious , and it ’s rare these twenty-four hour period with all of the multitasking we do , ” says Epel . “ I do think that in oecumenical we ’ve got a society with disperse attending , particularly when people are highly accented and do n’t have the resources to just be present wherever they are . ”

Ideapad3i

needs , when a Nobel Prize - winner starts talking about meditation , it ruffles a few feathers . In general , Blackburn ’s methodical approach to the topic has earned a scrimy wonderment , even among those who have expressed concern about the health claims made for alternative medicinal drug . “ She goes about her line of work in a conservative and taxonomical fashion , ” say Edzard Ernst of the University of Exeter , UK , who specialises in testing complementary therapy in strict control trials . Oncologist James Coyne of the University of Pennsylvania , Philadelphia , who is sceptical of this field in general and describes some of the research on positive psychology and health as “ morally offensive ” and “ tooth fairy science ” , concedes that some of Blackburn ’s information is “ promising ” .

Others are n’t so impressed . Surgeon - oncologist David Gorski is a well - known critic of alternative medicine and pseudoscience who blogs under the name of Orac – he ’s antecedently described Dean Ornish as “ one of the four horsemen of the Woo - pocalypse ” . Gorski stops dead of pronouncing meditation as off - bound for scientific question , but expresses concern that the preliminary results of these survey are being oversold . How can the researchers be trusted they ’re investigating it rigorously ? “ It ’s really surd to do with these thing , ” he says . “ It is easy to be lead astray . Nobel Prize - succeeder are not infallible . ” Blackburn ’s own biochemistry community also seems ambivalent about her pursuit in speculation . Three elderly telomere research worker I contacted worsen to discuss this aspect of her work , with one explaining that he did n’t need to notice “ on such a controversial issue ” .

“ masses are very uncomfortable with the concept of meditation , ” take down Blackburn . She attribute this to its unfamiliarity and its tie with spiritual and spiritual practices . “ We ’re always trying to say it as carefully as we can … always state ‘ depend , it ’s preliminary , it ’s a pilot ’ . But multitude wo n’t even say those words . They ’ll see the paper headings and scare . ”

Last Of Us 7 Interview

Any connotation of religious or extrasensory beliefs score many scientist uneasy , says Chris French , a psychologist at Goldsmiths , University of London , who studies anomalous experience including adapted country of consciousness . “ There are a fate of raised eyebrows , even though I ’ve have the word sceptic virtually tattooed across my forehead , ” he says . “ It smacks of novel - age woolly idea for some people . There ’s a kneejerk dismissive response of ‘ we all experience it ’s nonsense , why are you wasting your time ? ' ”

“ When speculation first came to the West in the sixties it was tie to the drug culture , the hippie civilization , ” adds Sara Lazar , a neuroscientist at Harvard who study how speculation changes the structure of the brain . “ People think it ’s just a clump of crystal or something , they roll their eyes . ” She describes her own decision to learn meditation , made 15 years ago , as “ brave or crazy ” , and says that she only pluck up the braveness because at around the same clock time , the US National Institutes of Health ( NIH ) created the National Center for Complementary and Alternative Medicine . “ That gave me the authority that I could do this and I would get funding . ”

The tide is now turning . Helped in part by that NIH money , researchers have spring up secularize – or non - religious – pattern such as mindfulness - based stress reduction and mindfulness - based cognitive therapy , and reported a range of health effects from lower roue pressure and hike immune response to warding off depression . And the preceding few years have construe a spurt of neuroscience studies , like Lazar ’s , prove that even short courses of meditation can forge morphologic changes in the brain .

Polaroid Flip 09

“ Now that the brain data and all this clinical information are coming out , that is lead off to alter . People are a peck more accepting [ of meditation ] , ” says Lazar . “ But there are still some people who will never believe that it has any welfare whatsoever . ”

Blackburn ’s position is that speculation is a fair topic to meditate , as long as racy method acting are used . So when her research first pointed in this direction , she was undaunted by concerns about what such studies might do to her report . alternatively , she try on it out for herself , on an intensive six - twenty-four hours retreat in Santa Barbara . “ I roll in the hay it , ” she enunciate . She still uses short bursts of meditation , which she read sharpen her mind and help her to head off a busy , distracted mode . She even began one late paper with a citation from the Buddha : “ The mystery of health for both mind and eubstance is not to mourn for the past , worry about the futurity , or anticipate troubles but to live in the present moment sagely and earnestly . ”

That study , of 239 intelligent women , found that those whose minds wandered less – the primary aim of mindfulness speculation – had significantly longer telomeres than those whose thought process ran amok . “ Although we describe merely an association here , it is possible that peachy bearing of mind advance a healthy biochemical surroundings and , in turn , electric cell length of service , ” the research worker concluded . Contemplative tradition from Buddhism to Taoism believe that presence of mind promotes health and length of service ; Blackburn and her colleague now suggest that the ancient wisdom might be right .

Feno smart electric toothbrush

I conform to with Blackburn in Paris . We ’re at an Art Nouveau - theme bistro just down the route from the Curie Institute , where she is on a short sabbatical , arranging seminar between groups of scientists who do n’t commonly talk to one another . In a low , melodious voice that I strain to hear through the backcloth clatter , the 65 - year - old state me of her first major encounter with Buddhist thinking .

In September 2006 , she attended a league held at the Menla Mountain Buddhist center of attention , a distant retreat in New York ’s Catskill batch , at which Western scientists met with Tibetan - take scholars include the Dalai Lama to discuss longevity , regeneration and health . During the meeting , the ghostlike leader reward Blackburn ’s scientific achievements by inducting her as a “ Medicine Buddha ” .

If Epel ’s psychiatry enquiry had been another world , the assimilator ’ Eastern philosophical system seemed to Blackburn more alien still . Over dinner one eve , while explaining to the other delegate how error in the gene for telomerase can cause wellness problems , she described genetical sport as a random , chance event . That ’s dogma for Western scientist but not for those trained in the Tibetan worldview . “ They said ‘ oh no , we do n’t regard this as fortune ’ , ” says Blackburn . For these holistic assimilator , even the modest events were inculcate with meaning . “ I suddenly thought , whoa , this is a very dissimilar world from the one I ’m on . ”

Govee Game Pixel Light 06

But instead of dismissing her easterly counterparts , she was impressed , finding the Dalai Lama to have “ a very good brain ” , for example . “ They ’re scholarly in a very unlike way , but it is still good - tone intellection , ” she explicate . “ It was n’t ‘ God assure me this ’ , it was more ‘ let ’s see what actually chance in the brain ’ . So there are certain element of the approach that I am quite well-to-do with as a scientist . ”

Blackburn is n’t tempt to embrace the religious approach herself . “ I ’m rooted in the forcible earth , ” she say . But she commingle that grounding with an open mind towards new idea and link , and she seems to screw breaking out of established paradigm . For representative , she and Epel have shown that the gist of stress on telomeres can be hap on to the next generation . If women experience stress while pregnant , their children have short telomeres , as neonate and as adult – in direct contradiction in terms of the received view that traits can only be pass on via our genes .

In the futurity , information from telomeres may help medico adjudicate when to prescribe particular drugs . For example , telomerase activity predicts who will react to handling for major depression , while telomere length tempt the core of statins . In cosmopolitan , however , Blackburn is more interested in how telomere might serve multitude directly , by encouraging them to subsist in a way that reduce their disease risk . “ This is not a familiar good example for the medical world , ” she says .

Motorbunny Buck motorized sex saddle review

Conventional medical tests give us our risk of peculiar conditions – high cholesterol warn of impend bosom disease , for illustration , while high rip refined sugar predicts diabetes . Telomere length , by dividing line , give an overall reading of how sound we are : our biological age . And although we already know that we should exercise , feed well and reduce stress , many of us fall unforesightful of these goals . Blackburn believes that set up a concrete number on how we are doing could provide a powerful incentive to change our doings . In fact , she and Epel have just nail a sketch ( as yet unpublished ) show that plainly being told their telomere length caused Volunteer to live more healthily over the next year than a interchangeable group who were n’t told .

in the end , however , the pair want entire countries and government to start pay tending to telomeres . A growing body of work now shows that the stress from societal hardship and inequality is a major military group eat at these protective ceiling . People who did n’t finish high school or are in an abusive human relationship have shorter telomeres , for example , while studies have also evince connectedness with low socioeconomic position , shift work , stinky neighbourhoods and environmental pollution . Children are peculiarly at risk : being abused or experiencing adversity early in life leaves masses with shorter telomeres for the rest of their lives . And through telomere , the tenseness that women go through during gestation affects the health of the next multiplication too , causing rigor and economical price for decennary to come .

In 2012 , Blackburn and Epel wrote a commentary in the daybook Nature , name some of these solution and calling on politicians to prioritise “ societal stress reduction ” . In particular , they argued , improving the instruction and wellness of woman of child - bear age could be “ a highly effective agency to prevent poor health filtering down through generations ” . Meditation retreats or yoga classes might facilitate those who can afford the time and expense , they target out . “ But we are talking about wide socioeconomic policy to cushion the inveterate stressors face up by so many . ” Where many scientist refrain from discussing the political conditional relation of their work , Blackburn says she wanted to speak out on behalf of women who miss support , and say “ You ’d well take their situation gravely . ”

While arguments for tackling societal inequality are hardly new , Blackburn tell that telomeres allow us to quantify for the first time the wellness wallop of stress and inequality and therefore the resulting economic costs . We can also now pinpoint pregnancy and early childhood as “ imprinting periods ” when telomere length is especially susceptible to stress . Together , she articulate , this evidence makes a warm case than ever before for administration to do .

But it seems that most scientists and politician still are n’t quick to leap across the interdisciplinary canyon that Blackburn and Epel bridged a decade ago . The Naturearticle has engendered small response , according to a discomfited Epel . “ It ’s a strong argument so I would have thought that people would have criticised it or support it , ” she enunciate . “ Either way ! ”

“ It ’s now a consistent account that the maturate machinery is shaped at the earliest stages of spirit , ” she insist . “ If we push aside that and we just keep trying to put band - aids on later , we ’re never go to get at bar and we ’re only going to give way at therapeutic . ” Simply responding to the physical symptom of disease might make sense for treating an acute infection or fixing a broken branch , but to outwit chronic age - related conditions such as diabetes , heart disease and dementia , we will need to embrace the fuzzy , immanent domain of the mind .

Elizabeth Blackburn and the Story of Telomeres , a 2009 biography by Catherine Brady .

The originative 2004 paperlinking emphasis to telomere length in mothers of inveterate sick children .

2009 studyin which telomere shortening prognosticate death from cardiovascular disease in elderly men .

2014 studyshowing that Native Americans with myopic telomeres were more likely to develop diabetes .

2011 studysuggesting that a speculation retreat boosted telomerase levels .

2013 studysuggesting that chanting meditation might hike telomerase levels .

2013 studylinking lifestyle changes with long telomeres in human beings with prostate cancer .

2013 studyshowing that cleaning woman whose minds wandered less had longer telomeres .

Blackburn and Epel ’s 2012 comment in Naturearguing for “ societal emphasis reduction ” .

Fact chequer : Francine Almash

Copyeditor : Tom Freeman

Illustrator : Sara Andreasson

Art managing director : Peta Bell

This articlefirst appear on Mosaicand is republished here under Creative Commons license . Mosaic is dedicated to exploring the skill of life . Each week , it publish a feature on an aspect of biology or medical specialty that affects our lives , our health or our society ; it tells stories with real depth about the ideas , trends and citizenry that motor contemporary life sciences . Mosaicis published by the Wellcome Trust , a world sympathetic substructure that seek to push extraordinary improvements in human and animal health . It covers subjects that correspond with the Trust ’s delegacy and vision , but is n’t limited to the research the Trust funds .

HealthMedicineScience

Daily Newsletter

Get the best tech , science , and acculturation news in your inbox day by day .

word from the future , delivered to your present .

You May Also Like