
Why fibermaxxing is TikTok's latest wellness trend
This trend, which follows a previous focus on protein, involves incorporating more fiber-rich foods such as fruits, vegetables, nuts, and seeds into daily meals.
Social media influencers have shared recipes and personal experiences, reporting benefits such as reduced bloating, improved gut health, and alleviation of constipation.
Experts, including doctors from Zoe Health, support fibermaxxing, highlighting its focus on abundance and the addition of plant-based foods rather than restriction.
The trend addresses a significant fiber deficiency among Americans, with studies showing only five percent consume the recommended daily amount, despite fiber's crucial role in digestion, blood sugar regulation, and cholesterol reduction.
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NBC News
34 minutes ago
- NBC News
A cross between a nicotine pouch and an energy drink: What to know about caffeine pouches
David Gomez, a school resource officer for the Boise County Sheriff's Office in Idaho, started noticing caffeine pouches last spring. Students were using the pillow-shaped pouches, which can contain more than 200 milligrams of caffeine, alongside nicotine pouches like Zyn. They'll use them either as a disguise for nicotine pouch usage — caffeine and nicotine pouches often look virtually identical — or a complement to it, Gomez said. 'They'll use the Zyn pouches that they put in their lip, and then they'll take a caffeine pouch,' he added. 'They don't care what it is they're putting in their lip.' The use of caffeine pouches among teens is still relatively rare. But some experts and educators have concerns that that could soon change. Teen-friendly marketing of these products is spreading on social media. And Richard Mumby, the marketing executive who helped launch the e-cigarette Juul, which was widely blamed for sparking a teen vaping epidemic, is back with a caffeine pouch startup called Wip. Wip joins a growing market drafting off the popularity of nicotine pouches and trying to sell Americans on a new alternative to caffeinated beverages. Caffeine is part of 'the fabric of many Americans' everyday lives,' Mumby told NBC News — but he argues there's room for improvement. Wip and its competitors are pitching caffeine pouches as a convenient, portable and affordable alternative to caffeinated drinks. A cross between nicotine pouches and energy drinks, they are placed between the lip and gums to quickly deliver a hands-free hit of caffeine. Pouches typically last anywhere from roughly 20 minutes to an hour, but their caffeine buzz can linger longer. Wip's pouches come in flavors like mint, strawberry kiwi and sour cherry, and each one contains either 100 or 200 milligrams of caffeine — the latter being roughly equivalent to two cups of coffee, or half the amount of caffeine most adults can safely consume in an entire day, according to the U.S. Food and Drug Administration. The health effects of caffeine pouches are not well-studied. But not all experts are sold on this new form of caffeine delivery. Rob van Dam, a professor of exercise and nutrition sciences at George Washington University's Milken Institute School of Public Health who studies caffeine, voiced concerns about the potency of some pouches on the market, particularly for consumers who are not used to them. 'It may be a bit different than coffee,' he said. 'It may hit faster, and you may overdose, in a way, more quickly.' The potential appeal to teens is another concern, given the existing popularity of nicotine pouches and energy drinks. (Philip Morris, which makes Zyn, has previously told NBC News that 'Zyn's marketing is directed toward legal age nicotine users who are 21+.') While there are no federal age restrictions on the sale or use of caffeine, the American Academy of Pediatrics recommends that teens consume no more than 100 mg of caffeine per day — or, even better, avoid using it at all, said Dr. Mark Corkins, chair of the AAP's Committee on Nutrition. Youth caffeine use came under increasing scrutiny following high-profile reports of death and serious injury among young people who consumed Panera Bread's heavily caffeinated Charged Lemonade, which the brand discontinued in 2024 as part of a 'menu transformation.' Separately, medical visits related to kids drinking other caffeinated beverages are also on the rise: From 2022 to 2023, America's Poison Centers charted a 24% increase in calls related to energy-drink consumption among people younger than 20. And the rate of pediatric emergency room visits related to caffeine usage roughly doubled between 2017 and 2023, although such visits remain rare, according to data from Epic Research. 'Caffeine, in general, is an area we are very concerned about,' Corkins said. 'Pouches are just another delivery form.' A growing market — and an ethical 'gray zone' Caffeine pouches aren't entirely new. The brand Grinds started selling coffee pouches about 15 years ago, initially targeting the niche market of baseball players who wanted an alternative to chewing tobacco. At first, business 'was like flying a plane into headwinds,' said co-founder Patrick Pezet. 'No one knew what pouches were. It was totally foreign.' Business has increased steadily over time, growing by 20% to 50% each year since the company launched, Pezet said. Especially in the last five years or so — in parallel with the rise of the popular nicotine pouch brand Zyn — there's been a dramatic shift in the public's awareness of and willingness to use mouth pouches, Pezet said. (Wip said in a press release that almost half of adults ages 18 to 40 are interested in using pouches for energy.) Caffeine pouches are still a small market, particularly compared to the multibillion-dollar U.S. coffee industry or even the nicotine pouch industry. Still, Pezet said, his company has a growing customer base, mostly made up of adults who want an alternative to nicotine products. Another sign of growth: an explosion of competitors. 'We keep close tabs on the entire market,' Pezet said. 'There's probably 50 to 60 total caffeine pouches or energy pouches out there. Two or three years ago, that number was a couple dozen.' As the market proliferates, it has given rise to a 'gray zone' of legal but ethically dubious promotion to young people, Pezet said. (A blog post on Grinds' website says 'there is absolutely no age restriction on purchasing or using Grinds Coffee Pouches,' but Pezet said the brand directs its marketing toward customers 18 and older.) In some social media posts, creators explicitly promote caffeine pouches to students. 'Can you pop a lower decky in school?' asked an influencer in one TikTok post about pouches from the brand LyvWel, using a slang term for mouth pouches. 'One-hundred percent, guys. You can use the lower deckies in school. You don't have to be 21 to buy them.' A representative for LyvWel said the post was not created, approved or sponsored by LyvWel. 'Although caffeine products are legally available to anyone who can purchase tea, coffee, or energy drinks, LyvWel was created specifically as an alternative for adult nicotine pouch users,' the representative wrote in an email. 'We do not market to teens.' Some TikTok creators who review and promote caffeine pouches appear to be teenagers themselves, although it is not clear whether their posts have been approved by the brands they mention. 'Viral, organic social-media marketing' Dr. Robert Jackler, a professor emeritus at Stanford Medicine who studies tobacco-industry advertising, sees echoes of Juul in Wip's marketing. Wip is active on TikTok and Instagram — two platforms used heavily by young people — and features athletes and fitness influencers in its posts, a combination that Jackler said is 'patently youth-oriented' and reminiscent of the lifestyle-focused, influencer-driven marketing campaigns that Juul ran under Mumby, now the Wip CEO. Such marketing prompted multiple lawsuits alleging Juul purposely targeted underage customers. Juul executives have repeatedly denied that allegation and have not admitted wrongdoing in legal settlements. But the company's product became nearly synonymous with youth vaping at a time when almost 30% of high school students used e-cigarettes. '[Mumby] is doing the same kind of viral, organic social-media marketing that he did with Juul,' Jackler said. 'We take responsible caffeine consumption and responsible marketing of our product seriously,' a Wip spokesperson said in a statement provided to NBC News. 'While there are no legal age restrictions on caffeine products, we have adopted marketing guidelines that exceed the age-related standards set by the American Beverage Association for most common energy drinks. Wip is not intended for use by anyone under the age of 18, and our guidelines ensure the product is marketed responsibly. We proactively train all external partners on our marketing guidelines so there is education and alignment at every layer of our business.' Despite their spread online, caffeine pouches do not seem to be nearly as ubiquitous in schools as Juul was at its prime, nor as either energy drinks or nicotine pouches are today. An estimated 64% and 5% of teenagers have tried energy drinks and nicotine pouches, respectively, while there is little data on youth caffeine pouch usage. Dylan Lippold, a middle school teacher in Wisconsin, said he remains more concerned about energy drink consumption among his students. 'I would walk into a class and see five or so kids drinking [an energy drink] in the morning,' he said. 'That's a little concerning that a middle schooler needs that much caffeine to get going for the day.' Health concerns Caffeine is often seen as a harmless, or even beneficial, stimulant — and within reason, it can be. Although most experts agree it's possible to become dependent on caffeine, it's not considered as addictive as nicotine. And in addition to providing energy and mental clarity, caffeine consumption can come with significant health benefits, studies conducted among adults have shown. 'In population studies, people drinking three or four cups of coffee per day have a lower risk of cardiovascular diseases, like coronary heart disease and stroke,' van Dam said. 'But going beyond that, like more than five cups of coffee per day, we do not see the same benefits.' And, he noted, it's not clear whether the caffeine in energy drinks or pouches carries the same benefits as classic coffee. At high levels of consumption, caffeine can cause side effects that range from relatively benign (anxiety, jitters, GI distress, difficulty sleeping) to more worrisome (heart palpitations, high blood pressure, increased heart rate). In rare cases, heavy caffeine consumption can cause fatal complications, including cardiac arrest, studies show. For children and teenagers, who are typically smaller and weigh less than adults, the thresholds of safe caffeine consumption are lower. The AAP recommends against pediatric caffeine usage not only because of the potential for toxicity, but also because kids who need to use a lot of caffeine probably aren't getting enough sleep, Corkins said. 'Even if you get a stimulant, it's not a substitute for sleep,' he said. Research also suggests that children who consume more than 100 mg of caffeine during a school day are more likely than those who don't to struggle with self-control and behavioral issues. For users of all ages, caffeine pouches, like nicotine pouches, may pose a threat to oral health, added Jackler, who in addition to studying tobacco marketing is an ear, nose and throat doctor. Routinely placing a foreign substance between the lips and gums may lead to gum recession and dental problems, so 'it's not necessarily an optimal way of taking in your caffeine, especially if it's something you're doing all day,' Jackler said. Consumers should also be aware that caffeine pouches may not be tightly regulated, van Dam said. While the FDA has cracked down on the sale of 'pure and highly concentrated' caffeine products — like tubs of caffeine powder that contain thousands of servings that users must measure out themselves — caffeine pouches are regulated 'as either dietary supplements or conventional foods, depending on their composition and marketing,' an FDA spokesperson said. Supplements typically do not go through FDA review and approval before being sold to consumers. Labeling is another concern, Jackler said: Some energy pouches on the market do not clearly state how much caffeine they contain. Even with accurate labels, the potency of some caffeine pouches raises eyebrows. Two-hundred milligrams of caffeine is 'really the maximum amount that's being recommended in one sitting,' van Dam said, and some brands meet or exceed that amount in a single pouch. The pouch industry isn't alone in that; energy drinks and coffee drinks can also pack in huge amounts of caffeine per serving, often also without clear labeling. But these products are both more familiar to consumers and easier to pace, in that people can stop sipping if they start to notice side effects, van Dam said. A caffeine pouch, by contrast, delivers a concentrated dose of caffeine fairly quickly, and 'once it's absorbed, it's absorbed,' he said. Research also suggests that consuming nicotine and caffeine at the same time can compound their negative effects on the heart — a concern, given that some users alternate between nicotine and caffeine pouches. Given these dangers, Jackler fears what could happen if caffeine pouches go the way of nicotine pouches, 'where kids put in four pouches in the upper lip and three pouches in the bottom lip,' he said. 'Young people, particularly, think that if a little bit helps, they're going to take even more.


BBC News
an hour ago
- BBC News
Our body is a mosaic of fungi. Some scientists think they could be influencing our brain
The fungi within our bodies may have a much greater effect on our health than we've long given them credit for. Amongst the millions of tiny life forms living on and inside our bodies are countless species of fungi. Our skin is a mosaic of them, membranes inside the nose and vagina are full of them, and fungi even live alongside the bacteria inside our guts. While we might acquire some fungi from our mothers at birth, new fungi are also constantly entering our bodies; we ingest yeasts every time we drink beer or eat bread, and we inhale floating fungal spores with every breath. Many of these fungi are quickly killed off by our immune systems, but others are transient passengers or lifelong acquaintances. Lately, scientists have been exploring how our fungal inhabitants could even influence our brains, minds and behaviour. Doctors have long known that fungi can cause dangerous brain infections. But researchers are now also finding curious – albeit sometimes controversial – hints that these microbes might have other neurological effects on humans. The idea might evoke images of the human-zombifying fungus from HBO's apocalyptic series The Last of Us. But while scientists agree that the idea of fungi taking complete control over our bodies is implausible, they're earnestly investigating whether some fungi inside us could contribute to brain-damaging diseases, or if gut-dwelling fungi could influence our behaviour and mental health. Much more research is needed, experts say. But these possibilities are important to study – both to understand the deep and complex relationships with the microbes within us and to explore new ways of boosting our health. In general, humans are pretty good at resisting fungi (our warm body temperature tends to make it hard for them to take hold). And many of the fungi that do might actually be good for us, possibly supporting our immune systems or helping wounds to heal, says microbiologist Matthew Olm of the University of Colorado Boulder, US. "I would say fungi are definitely a critical part of being a healthy human," he says. But many other fungi can cause infections, from athlete's foot to thrush. This happens when we encounter new, harmful fungi in our environment or when fungi that naturally coexist with us are under certain conditions triggered to explode in abundance, says Rebecca Drummond, a fungal immunologist at the University of Birmingham, UK. It's rare for fungi to reach the brain, thanks to protective barriers in the lungs and intestines, along with the brain's own defensive wall, the blood-brain barrier, and immune cells that are primed to destroy any fungi that slip through. But fungal brain infections do happen, and the number of cases has increased in recent decades. This is due to a growing number of people with weakened immune systems, Drummond says, partly because of the global spread of the immune-crippling virus HIV, especially in parts of Africa but also due to rising use of immune-suppressing medications in cancer patients and organ transplant recipients. "The more of these immune-modulating drugs we use, we'll see more of these fungal infections," Drummond says. Fungi that infect the brain sometimes originate in the lungs, including Aspergillus or Cryptococcus, which we inhale as airborne spores that can germinate, grow and spread if left unchecked, Drummond says. Less often, common gut residents such as Candida albicans grow out of control and, once in the brain, branches out and produces nerve-killing toxins, Drummond adds. Cryptococcus, meanwhile, can grow into tumour-like masses. "Obviously, that causes huge amounts of damage," she says. Fungal brain infections are often fatal, with Aspergillus reaching mortality rates of above 90%. They can be tricky to treat, says Drummond: there aren't many antifungal medications, and not all drugs get across the blood-brain barrier to kill off brain-dwelling fungi. Some fungi have also already developed resistance to these drugs. People who survive fungal infections of the brain are often left with long-term brain damage. Aids patients who have survived cryptococcal meningitis, which arises from a brain infection by Cryptococcus x, suffer vision impairments, memory loss and dizziness, says Drummond. Scientists have long known of the dangers of fungal brain infections. But in recent years, some have been exploring the possibility that fungi are getting into the brain much more frequently than previously believed, and may even be contributing to the loss of nerve cells that occurs in conditions like Alzheimer's disease. To Richard Lathe, a molecular biologist at the University of Edinburgh, UK, some of the most interesting evidence for this theory comes from a handful of cases where fungal and other microbial brain infections were coincidentally discovered in people initially diagnosed with Alzheimer's disease. In several cases where doctors prescribed infection-fighting medication, "the symptoms of dementia remitted", Lathe says. "Quite remarkably, some of them went back to work". Lathe believes that microbes slip across the blood-brain barrier quite frequently but are usually suppressed or killed in people with healthy immune systems. Because our immune systems weaken with age, that could allow microbes to accumulate in the brain, perhaps triggering nerve-killing inflammation. "It's only when the immune system declines that you see damage," he says. Scientists have long linked Alzheimer's to a build-up of certain proteins in the brain, but there's now a growing debate over whether the presence of those proteins is the cause or merely a symptom of the disease. Lathe argues these proteins are actually produced as a defence mechanism against microbial intrusion, based on research suggesting the proteins have infection-fighting properties. Further evidence that brain-intruding microbes could be causing Alzheimer's comes from experiments in mice, where scientists have witnessed the fungus Candida albicans entering the brain after the rodents' immune systems were compromised. And in one pre-print study – which hasn't yet been peer-reviewed by other scientists – Lathe and his colleagues examined brain slices from deceased healthy people and Alzheimer's patients. They found large quantities of bacteria, viruses and fungi in both groups – but more in the brains from patients who had Alzheimer's. If microbes are indeed a factor in Alzheimer's, we may be able to mitigate or even prevent the disease by strengthening people's immune defences, for instance with vaccines that have been shown to boost general immunity. But this theory is young, Lathe says. "It's a new idea." And a debated one, too. Olm and others argue it's hard to rule out that the microbial genetic material may have appeared because of contamination, as fragments of microbes tend to be ubiquitous. Lathe finds that unlikely, though, pointing to reports that microbe fragments in brain tissue are just as abundant inside the samples as they are on the surface, whereas contamination from the air would mostly settle on the brain surface. Still, Olm says that finding more microbe fragments in Alzheimer's brains isn't proof that those microbes cause the disease. For instance, those people's brains might simply have had a weaker blood-brain barrier or some other issue, meaning more microbes entered their brains over time before being killed off by their immune systems. However, new evidence that microbes can invade the brains of animals like fish strengthens the notion that this could be happening in mammals – and perhaps even humans, Olm says. In a 2024 study, scientists labelled bacteria with tiny, fluorescent green molecules and added them to tanks housing salmon and trout. "After a week, you see these microbes making their way into the fish brain, lighting the fish brain up green," Olm says, and curiously, "[the microbes] seemingly live there without huge consequences for these fish over their lifetime." In any case, the notion of fungi and other microbes getting into the brain in old age – either due to a weakening brain immune system or a worn-out blood brain barrier – is more plausible. "I think we've now reached that threshold where there's enough smoke around this hypothesis… it's worth spending money on figuring out if that is happening," Olm says. More like this:• What your snot can reveal about your health• Why the microbes that live on your skin matter• The mystery origins of Candida auris Interestingly, fungi might not need to enter the brain in order to influence it. In a 2022 study, immunologist Iliyan Iliev of Weill Cornell Medicine in the US and colleagues found that adding Candida albicans to the guts of mice made them more resilient to damage of their gut linings caused by bacterial infections or heavy antibiotic use. Strengthening the gut wall may be a defence mechanism by the body to prevent the fungus and other microbes from escaping the gut and infecting other tissues, Iliev says. But the big surprise came when the team observed the rodents' behaviour. Remarkably, fungi-colonised mice were much more likely to sniff, communicate and engage with other mice – meaning that exposure to the fungi appeared to have some sort of behavioural effect too. Based on other experiments, the scientists theorise that certain molecules released by the mice's immune cells enter the bloodstream and somehow stimulate certain nerve cells in the brain that are involved in behaviour. "It was very surprising to us," Iliev recalls. It's a mystery why, at least in mice, this crosstalk between gut fungi and the brain exists. Is it a coincidence that fungus-triggered immune signals affect the brain, or "is that actually deliberately done by the fungus to benefit its survival?" Iliev asks. Perhaps mammalian bodies somehow benefit from changing their behaviour in response to fungi, Iliev speculates. There's no evidence yet that this crosstalk between gut fungi and the brain happens in humans, but the possibility would be worth investigating, Olm says. In recent years, evidence has mounted that gut-dwelling bacteria may be able to send signals to the brain via the immune and nervous systems, or by producing substances associated with the symptoms of depression, anxiety, and relaxation. In principle, Olm says, "there's no reason to think that fungi aren't doing this as well". (Read more about how gut bacteria could be influencing the brain). Some scientists are even investigating whether fungi could be involved in mental disorders. Several studies have found differences in the makeup of gut fungi in people who suffer from depression or bipolar disorder. In women with schizophrenia, those who showed signs of exposure to the gut-dwelling Candida albicans tended to score lower on tests of memory and other cognitive abilities, according to a 2016 study by Johns Hopkins neuroscientist Emily Severance and her colleagues. She is exploring the possibility that Candida overgrowth – caused by stress or antibiotics, for instance – provokes an imbalance of gut microbes, altering the substances they produce in ways that make susceptible people more likely to develop schizophrenia. If true, it could allow doctors to treat schizophrenia symptoms by giving people probiotics that help reverse the overabundance of Candida – which would in any case be helpful, she says. But finding an association doesn't mean that the fungi cause schizophrenia. It could simply be that these patients are somehow more prone to high levels of Candida. So far "we can only come up with associations", says Severance. 'I think that that's typical for a field of study that is very exciting – but still very early on in the timeline.' Which of our fungal inhabitants – if any at all – are really influencing our brains is something scientists hope to learn in the coming years. "[Fungi are] definitely important," Drummond says, "but exactly how they're important, I think, is still being worked out." One thing is already clear: while bacteria have long been in the limelight, it may be time we also pay serious attention to the fungi quietly shaping our health from within. -- For trusted insights into better health and wellbeing rooted in science, sign up to the Health Fix newsletter, while The Essential List delivers a handpicked selection of features and insights. For more science, technology, environment and health stories from the BBC, follow us on Facebook, X and Instagram.


Telegraph
an hour ago
- Telegraph
The Midults: My wife sleeps in the spare room more and more
Dear A&E, My wife has started sleeping in the spare room more and more and I'm a bit concerned. We've only been married for a year and are in our early 30s. And I don't really snore, unless I've been drinking. I am worried that we are already drifting apart, and the separate bedrooms are just the beginning. Our sex life is great but I want all of her. Love, – Uneasy Dear Uneasy, We are obsessed with sleep. We talk about sleep like we used to talk about sex: how much are you getting? How long does it last? Was it good? Sleeping seven to nine hours a night is the holy grail; a key factor in positive mental health, physical health, all the healths. We pathologise it, we catastrophise about it, because, like sex, we're mostly not getting enough. We are tired all the time and we worry about being tired all the time, which means we don't sleep; an unvirtuous circle. We have Oura rings (one friend admitted to being a bit disappointed when her Oura ring told her she was getting a surprisingly healthy amount of sleep) to track our REM cycles. And we don't merely avoid caffeine after 2pm – that's rookie sleep hygiene. No, we try to practise clean bedtime routines: We don't drink, we don't eat anything too heavy; no screens; you name it… anything in order to give ourselves the best chance of hitting that dreamy eight hours of oblivion. And it's not just us mid-lifers who are poring over sleep apps and signing up to be measured and biohacked to within an inch of our lives. Your thirty-something wife is just another of her cohort who is feverish about nighttime routines: the problem of sleep deprivation in millennials is so widespread that they are commonly known as 'The Tired Generation'. So, dear Uneasy, your feelings are collateral damage in this crusade. Sure, it's lovely to be wrapped around someone now and again, but nothing beats sleeping alone. Sleeping with someone else can be quite trying once the honeymoon is over. There are temperature issues, one is always too hot, while the other is too cold. You say snoring is not often a factor but you might talk, or move, or just breathe a bit too much. And then there's the bed itself: duvet weight, tucked in sheets, disagreements over optimum mattress type. Emilie's husband likes a firm mattress; Emilie, not so much. So they have a compromise mattress which in the end appeals to neither. Emilie sneaks down to sink into her trusty memory foam mattress in the spare room at every given opportunity. Everyone is happy. Lack of sleep can inflict significant damage on a human body and it can also be a huge potential threat to a relationship. People usually want to bring their best selves to a marriage, a self that can be severely compromised by a bad night. And, if children appear, it becomes imperative that at least one person sleeps in order to keep the show on the road. Perhaps your wife would rather sleep in the other room to be able to make the most of her waking hours; rather than emerging from a tough night full of dread. The good news is, dear Uneasy, from our point of view, you are doing pretty damn well: you are getting sex and sleep. However, as you are worrying – and presumably, as a result, not bringing your best self to the day – why not do a little investigating and join her quest for the perfect sleep situation? Work out what exactly it is that is sending her scuttling off to the other room. Is there a temperature issue, in which case get separate duvets (a game-changing idea courtesy of the scandis). Does she like to read in bed but you want the light off or vice versa? (A Kindle is a good solve here). Is the mattress right? Is the bed big enough? Are the curtains heavier in the other room? Perhaps with a little tweak you might find your sleepily ever after. If not, take comfort in the fact that you are not alone, in sleeping alone. A friend of ours, who is a very distinguished interior designer, says that the third meeting with a client is always when 'the snoring room' come up. 'Of course, we're very happy,' they all say, 'It's just that the snoring is unbearable.' Separate rooms do not equate to separate lives. One last thing, dear Uneasy. It is interesting to us that you say in your letter that you 'want all of her'. Perhaps that sounds romantic to you, and it might well be. It might also be a lot of pressure, on both of you. Careful, because none of us can be everything, or give everything, to someone else. It is important in any relationship to have room to grow, to oxygenate and flourish. An urge to be possessed, to be held all the time, might initially have felt very natural and exciting, but over time, could feel a little stifling. Don't tuck her in too tight. We are not saying that this is what is making her bolt for the other bedroom, but it is worth keeping an eye on. Good luck and good night.