Daily Insight: Losing sleep over Sussex

Story image for Health Journal from National Health Executive

The Sussex health economy is thought to be among a small number of areas causing lost sleep for central regulators.

With seven clinical commissioning groups – five of which are in legal directions – in charge of commissioning and two out of three acute providers running large deficits, there is justification for senior officials’ worries.

One response is to concentrate power in the hands of those leaders judged to be competent. Marianne Griffiths, and her Western Sussex Hospitals FT team, were brought in to run the troublesome Brighton and Sussex University Hospitals Trust.

More recently, Adam Doyle has gradually assumed control of the seven Sussex CCGs along with East Surrey, which forms part of the health economy and sustainability and transformation partnership area.

Being joint accountable officer of eight CCGs is no easy job but Mr Doyle seems to have impressed. Three of the CCGs – Crawley, Horsham and Mid Sussex, and East Surrey – have been partially lifted out of directions, with NHS England judging their governance to have improved in the period Mr Doyle has been in charge.

Finance, however, remains an issue and the CCGs are not out of the woods yet. They are forecasting a £51.2m deficit for this financial year. That’s in line with their plan but there is nearly £8m of unmitigated risks plus commissioner sustainability funding – worth a whopping £56.9m over the year – dependent on each CCG meeting its individual target.

Mr Doyle will be celebrating today but the financial challenge may still give him sleepless nights in the months ahead.

Square one

Try running too quickly and you’ll either fall over, or soon find you’re running on your own.

That seems to be what’s happened in Trafford, in Greater Manchester, where leaders of the CCG had envisioned all their GPs creating, and being employed by, a single primary care provider.

But it’s been clear for a while that things haven’t been going to plan. Now, an independent review has detailed the fallout.

Following a survey and interviews with GPs and other stakeholders, the review said there had been some “fierce” criticism of the previous leadership at the CCG, with confusion, anger, and a lack of trust around how the project had been developed.

In line with the recommendations, the CCG’s new leadership will go back to square one and start trying to build a “bottom up” consensus about the best way for primary care to scale up and collaborate.

As plenty of NHS managers have found before, clinicians hold the real power to determ


Jenna Jameson reveals 80 lb weight loss, shares intense Keto diet meal routine with fans

Jenna Jameson is celebrating another huge weight loss milestone. The former adult film star revealed that she has surpassed her 60-pound slim-down and has now lost a total of 80 pounds.

The star took to Instagram on Monday to share the big news with another one of her famous before-and-after body transformation photos.

The mother, who began her weight-loss journey weighing in at nearly 190 pounds, officially surpassed her weight loss goal of 65 pounds. Celebrating her new figure, Jameson gave fans a little insight into her daily meal plan and how she was able to shed the pounds.

“Wake up at 8- have 2 Nescafé coffees with sugar-free creamer and sweetener. 11 am I make 3 scrambled eggs with basil cheese I get from Costco (in a block) I share them with Batelli,” the star said revealing her morning meal routine.

The star went on to share what she ate for her mid-afternoon snack. “I then put Batel down for her nap at 1:30 and I snack on cottage cheese and have a fresca.”

Following her daughter’s nap, around 2 hours later, Jameson said she makes herself “a HUGE bowl of arugula salad with vinaigrette dressing and LOTS of Parmesan cheese. Then at about 5, I grill myself a big ribeye steak with asparagus broiled in avocado oil.”

But after her larger-portioned early evening meal, the 44-year-old said she begins her fast.

“So many people ask if I count macros or check if I’m in ketosis and the answer is no,” she revealed. “I just eat sensibly and intuitively. Also I get asked about ‘snacks’. My advice is to stop snacking. Results come from work. It’s hard, but baby it’s SO worth it!”

At the end of October, Jameson celebrated another milestone and shared an Instagram post applauding 18 months of breastfeeding her baby daughter, Batel Lu.

On Halloween, Jameson posted a touching photo honoring her daughter and their “incredible bond,” which featured an image of the mom snuggling with Batel Lu on the couch while she breastfed her.

“18 months nursing this little angel. I can’t describe the incredible bond full-term breastfeeding creates,” she wrote. “It’s hard work, time-consuming and sometimes frustrating… but I wouldn’t change one second.”


Is Your Diabetes Drug Preventing You From Losing Weight?

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If you have type 2 diabetes (T2D), there’s a good chance you are overweight or obese. It’s also likely your doctor has told you that you need to lose weight in order to regulate your blood sugar. But no matter how hard you try, the pounds don’t budge.

Your diabetes medication may be the problem.

“I hate to give my patients these medications. I tell them to lose weight, and then I write a prescription that increases their appetite or makes them gain weight. It’s like shooting them in the foot,” says endocrinologist Betul Hatipoglu, MD.

Tips to help you lose weight

If you take a diabetes medication and find it hard to lose weight with diet and exercise, here are some things you might want to try:

Make changes gradually. Overhauling your lifestyle is an overwhelming task that can be made easier by doing it gradually. For example, stop eating bread or drinking sugary sodas. Start eating a healthy breakfast. Exercise 10 minutes a day.

“Adopt a healthy behavior you can live with, and add more changes as you are able,” Dr. Hatipoglu advises.

Try a low-carb diet. Insulin resistance makes your body think it’s starving, so it won’t let go of fat. A low-carb diet can break your body’s obsession with fat. When you stop eating carbs, your body will draw down its fat stores. You won’t need to give up carbs forever. Once you start losing weight, you can reintroduce whole grains gradually to see how many carbs you can eat without gaining weight.

Move it. Move as much as you can. Exercise of any kind speeds up the metabolism and accelerates weight loss.

Seek support. If your doctor is associated with a medical center, find out if there is a diabetes management or weight-loss program you can tap into. If not, check the website of the pharmaceutical company that makes your diabetes drug, since many companies have patient support programs.

Consider bariatric surgery. If you continue to struggle with your weight, consider consulting a bariatric surgeon. A weight-loss surgical procedure might be your ticket to success. “There is good evidence that the loss of weight patients experience from these procedures can not only reverse their diabetes, but reduce their risk from its complications,” says Dr. Hatipoglu.

Good news for some

Some newer diabetes medications don’t cause weight gain — or will at least allow patients to lose weight. These drugs — liraglutide (Victoza®) and empagliflozin (Jardiance®) — are also beneficial to the heart.

If you are taking a different diabetes medication and struggling to lose weight, ask your doctor if one of these might be right for you. Be sure to check with your insurance plan to ensure the cost will be covered.

According to Dr. Hatipoglu, some patients find that even when they take one of these newer diabetes medications, they need an extra push to jump start the weight loss process. In these cases, she is not opposed to prescribing weight-loss drugs for short-term use. “They don’t replace diet and exercise, but they offer the little push that many patients need to lose weight,” she says.

Why losing weight matters

Obesity is a major risk factor for the development of insulin resistance, which can lead to type 2 diabetes. People ages 51 to 61 with diabetes have a mortality rate 2.6 times higher than their peers without diabetes. Add obesity to the mix, and the mortality rate jumps to 7 times normal.

Obesity is also a major obstacle to achieving long-term glycemic control. But weight loss can bring about major changes. In fact, losing only 10 percent of your excess pounds can make diabetes disappear


Weight loss after menopause tied to lower breast cancer risk

Older women who lose weight may have a lower risk of developing invasive breast cancer than those who maintain or gain weight, a large U.S. study suggests.

While obesity has long been linked to an increased risk of breast cancer, previous research has offered a mixed picture of the potential for weight loss to help reduce that risk. For the current study, researchers assessed weight and height to calculate body mass index (BMI) for more than 61,000 women twice, three years apart.

Then, researchers followed women for an average of 11.4 more years. During this time 3,061 women developed invasive breast cancer.

Compared with women who had stable weight during the initial three years of the study, women who lost at least 5 percent of their body weight during those first three years were 12 percent less likely to develop breast cancer over the next decade or so.

“Our results are consistent with a woman being able to lower their cancer risk, even if they remain overweight or obese after losing some weight, since almost none of the women in our current cohort analysis lost sufficient weight to achieve normal weight,” said lead study author Dr. Rowan Chlebowski of the City of Hope National Medical Center in Duarte, California.

“That should be an encouraging result for women since modest sustained weight loss can be achievable by many, while weight loss sufficient to return to a non-obese or overweight category is quite difficult,” Chlebowski said by email.

All of the women in the study had gone through menopause, when menstruation stops and production of the hormone estrogen drops. After menopause, women’s main source of estrogen is fat tissue; being overweight or obese can increase the risk of cancer because estrogen can help tumors grow.

“Women who are overweight or obese likely have an increased risk of postmenopausal breast cancer due to increased hormone levels associated with fat cells,” said Dr. Daniel Schauer of the University of Cincinnati College of Medicine, who wasn’t involved in the study.

“These hormones, especially estrogen, can promote the development of postmenopausal breast cancer,” Schauer told Reuters Health by email. “Losing weight decreases the levels of circulating hormones.”

Among the roughly 41,000 women in the study who had a stable weight during the initial three years, participants had an average BMI of 26.7, which is considered overweight.

The 12,000 women who gained weight during the study also started out with an average BMI of 26.7.

Women who lost weight started out heavier.

The roughly 3,300 women who lost weight unintentionally started out with a BMI of 27.9 and half of them lost more than 17 pounds. Women who lost weight intentionally began with an average BMI of 29.9, just shy of the cutoff BMI of 30 to be considered obese, and half of them lost more than 20 pounds.

Weight gain of 5 percent or more was not associated with an increased risk of breast cancer overall, the researchers report in the journal Cancer. But this amount of weight gain was associated with a 54 percent higher risk of developing “triple negative” breast cancer, an aggressive and difficult to treat type of cancer.

The study wasn’t a controlled experiment designed to prove whether or how weight changes over time might directly impact women’s risk of developing or dying from breast cancer.

Researchers only measured women’s weight twice, at the start of the study and again three years later, and any changes in weight women reported after that were not verified by medical exams.

For most people, weight creeps up over time, said Dr. Graham Colditz of the Washington University School of Medicine in St. Louis, who wasn’t involved in the study.

“So, the first realistic goals is to work to stop gaining. There are health benefits to that, even if you’re overweight,” Colditz said by email.

“After that, sensibly and slowly losing weight is a good goal,” Colditz added. “Five to 10 pounds is a great start that’s more easily maintained over time.”


7 weight loss myths you should stop believing

Weight Loss

Weight loss is a common goal of many, but one that can be quite difficult to achieve. This is partially due to the fact that there are many trends and misconceptions related to weight loss, that ultimately lead to dead ends en route to weight loss goals.

We’ve debunked some of the most common weight loss myths that you have to stop believing.

MYTH: Carbs are bad for you.

MYTH: Carbs are bad for you.
Completely cutting out carbs can lead to nutritional deficiencies.
Dan Brian Gerona/Wikimedia Commons/Attribution

Carbohydrates are not inherently bad for you. Cutting carbs completely from your diet can lead to nutritional deficiencies, increased risk of health problems, and low energy levels.

The biggest takeaway from this myth is to recognize that not all carbs are created equally. Sure, sugars aren’t a necessity, but carbohydrates like sweet potatoes, multi-grain bread, fruits, and vegetables, can be difficult to make up for if totally removed from one’s diet.

MYTH: Eating less will make you lose weight.

MYTH: Eating less will make you lose weight.
Depriving yourself of calories slows down metabolism.
Hollis Johnson

Calories are energy. When you don’t eat enough, your body actually panics and goes into starvation mode. This metabolic adjustment essentially makes the body hold onto more fat, since it’s worried it’s not going to get enough food. This results in weight gain, rather than weight loss, so it’s important to not starve yourself.

Ben Greenfield Fitness explained that “Depriving our bodies of calories, it turns out, only tends to slow down our metabolism. Over time, it causes us to gain more unwanted weight.”

Instead of eating substantially less than what you need or are accustomed to eating, find a healthy balance of calorie deficit that works for you.

MYTH: “Fat-free” foods are a must.

Fat-free usually has the same amount of calories.
Caroline Praderio/INSIDER

Fat-free and low-fat food options often contain just as many calories as their full-fat counterparts, and generally, contain a slew of additives and sugars. Health.com explained that we’re more likely to overeat products labeled as low-fat or fat-free due to their association as healthy, yet we’re often times better off to eat a smaller portion or one serving of the full-fat version of the food or food product.

MYTH: A liquid diet is the easiest way to lose weight.

MYTH: A liquid diet is the easiest way to lose weight.
Liquid diets will help you lose weight fast but will slow your metabolism.

While liquid diets may help you to lose weight quickly, drastically cutting calories by adhering to a liquid diet can ultimately slow your metabolism.

Liquid diets often lack the vitamins, minerals, and macronutrients are bodies need, which make them both risky and difficult to sustain long-term. Diets containing both solid and liquid foods are the best method of calorie control.

MYTH: Weight loss and fat loss go hand in hand.

MYTH: Weight loss and fat loss go hand in hand.
Weight loss can be water, muscle or fat.

You haven’t necessarily lost body fat just because the number on the scale goes down a few pounds. Weight loss can be attributed to water loss, muscle loss, fat loss, or sometimes a combination of the three.

A combination of resistance training and cardio is the most effective way to maximize fat loss. As muscle mass increases, there’s a potential to maintain or lose very little weight as muscle is more dense than fat, yet fat mass and overall body fat percentages will likely decrease.


Woah! ’90 Day Fiancé’ Star Nicole Shows Off Her Dad’s Crazy Weight Loss On Instagram

Image result for Newsletter Got a hot tip? Contact Us Subscribe & Save! In Touch Weekly logo      90 Day Fiancé     Duggars     Teen Mom     True Crime  Follow us! Woah! ’90 Day Fiancé’ Star Nicole Shows Off Her Dad’s Crazy Weight Loss On Instagram Nov 12, 2018 4:17 pm By In Touch Weekly      Click to share on Facebook (Opens in new window)     Click to share on Twitter (Opens in new window)     Click to share on Pinterest (Opens in new window)  Get it, dad! Nicole Nafziger from 90 Day Fiancé has been open and honest about her weight loss journey, but now it looks like she’s showing off her father’s slim figure as well. The star took to Instagram on Monday, Nov. 12, to share an update on her dad’s weight loss journey and reveal that he’s part of the motivation that’s helped her achieve her own weight loss goals. Watch the video above to see how different he looks now and don’t forget to subscribe to our YouTube Channel.  “My original motivation to start my weight loss journey!” she captioned a photo of her and her father. “Watching him stay focused on his goal and dedicated to his reason why was so motivating for me. Every night he went for his walk and every day he did what he said he was gunna do. Watching his example helped me really start this journey I wanted for myself. Thank you, dad, for being there for me. I’m glad you enjoy my cooking.”   Nicole also pointed out that her dad lost quite a bit of weight since the last time fans saw him on 90 Day Fiancé. “He looks so great!” she added. “Even went shopping for some new clothes because his regular clothes were so baggy. Thank you for the motivation, dad.”  But her father isn’t the only man in her life who’s helping her keep her eye on the prize. Nicole previously told In Touch exclusively that Azan Tefou is “a great motivator” for her. “I really just want to be comfortable in my own skin,” she shared, adding that Azan always lets her know that “he supports me in my journey and keeps the encouraging words coming.” So sweet!  The TLC star, 24, recently bought a used treadmill

Get it, dad! Nicole Nafziger from 90 Day Fiancé has been open and honest about her weight loss journey, but now it looks like she’s showing off her father’s slim figure as well. The star took to Instagram on Monday, Nov. 12, to share an update on her dad’s weight loss journey and reveal that he’s part of the motivation that’s helped her achieve her own weight loss goals. Watch the video above to see how different he looks now and don’t forget to subscribe to our YouTube Channel.

“My original motivation to start my weight loss journey!” she captioned a photo of her and her father. “Watching him stay focused on his goal and dedicated to his reason why was so motivating for me. Every night he went for his walk and every day he did what he said he was gunna do. Watching his example helped me really start this journey I wanted for myself. Thank you, dad, for being there for me. I’m glad you enjoy my cooking.”

Nicole also pointed out that her dad lost quite a bit of weight since the last time fans saw him on 90 Day Fiancé. “He looks so great!” she added. “Even went shopping for some new clothes because his regular clothes were so baggy. Thank you for the motivation, dad.”

But her father isn’t the only man in her life who’s helping her keep her eye on the prize. Nicole previously told In Touch exclusively that Azan Tefou is “a great motivator” for her. “I really just want to be comfortable in my own skin,” she shared, adding that Azan always lets her know that “he supports me in my journey and keeps the encouraging words coming.” So sweet!

The TLC star, 24, recently bought a used treadmill and has committed to doing 30 minutes of walking per day. She also has been making delicious smoothies and sharing the recipes on Instagram with fans. Our personal favorite? The ones made with almond, cashew, and oat blend milk!

“Overall, I want to be healthy and live a better lifestyle for me and for my daughter, May,” Nicole explained. “I want her to grow up with this healthy lifestyle and learn good things from me and Azan. If over this journey I can help motivate and inspire others to jumpstart their fitness journey, then I guess I’m doing something right with this platform I have.”

Keep up the great work, you two!


This enzyme helps chickens absorb more nutrition from less feed

One of the larger dilemmas faced by food producers — from farms to meat processors — is how to meet the nutritional protein needs of a growing global population while minimizing the impact of those activities on the fragile soil needed to sustain them.

Novozymes, a Danish biotech company that maps its research and development to the United Nations Sustainable Development Goals, is pitching one potential solution: a new enzyme that can be added to feed that helps animals absorb more nutrients from what they’re eating.

For now, the product, Balancius, is specifically intended for broiler chickens. It’s already available through more than 40 trials across North America and Latin America, and is licensed for use in Bangladesh, Pakistan and India. The product itself is part of a feed additive being sold by Novozymes’ longtime business partner DSM, which often commercializes Novozymes’ innovations, said Susanne Palsten Buchardt, vice president of animal health and nutrition, commercial, at Novozymes.

“We aren’t going to get more land; we need to make a more efficient production system,” she said, describing the rationale for this particular innovation.

A backstory born in a pig sty

Novozymes produces enzymes — which you can think of as naturally occurring catalysts for various biological or chemical processes — that are used in more than 40 industry sectors. They are often used to maximize the performance of other materials. For example, enzymes are what improve the performance of certain laundry detergents at lower temperatures.

“We go find nature’s own solution and bring them to commercial state,” Buchardt said. “The difficult thing is not to discover — it is bringing things to scale and proving that it works.”

The idea behind Balancius reaches back to 1984, when scientists discovered a naturally occurring enzyme called muramidase in a Japanese pig sty. It’s a catalyst in an animal’s gastrointestinal system, affecting how foods are digested and absorbed. It specifically works by breaking down bacterial debris that adversely can affect absorption, according to Novozymes technical materials, which improves weight gain.

When the enzymes are combined with animal feed at recommended dosages, they improve “feed efficiency” by about 3 percent. Put another way, a farmer feeding 1 million chickens would be able to save 125,000 tons of feed per year.

While Buchardt declined to discuss per-ton pricing, she suggested that the return on investment is compelling. “As a farmer, if 70 percent of your costs go to feed, then getting more out of that helps quite a bit,” she said.

From an environmental standpoint, that means less land that must be committed to producing crops such as corn that are currently dedicated for non-human consumption. That means more land that might be dedicated to regenerative agriculture or carbon capture applications or to growing more protein for human consumption.

Novozymes has cooked up another fun fact to describe the potential impact: If Balancius were added to the feed for all the broiler chickens currently raised and consumed in Latin America and North America, it would save roughly 4.2 million metric tons of carbon dioxide emissions.

Right now, Balancius is approved for use only with one very specific class of chickens, broilers, and Novozymes and DSM have yet to announce any marquee customers. It’s a chicken-and-egg scenario when it comes to adoption: once one large facility embraces the approach, the biotech company expects other to start using this sort of additive. “Livestock production is inherently conservative,” Buchardt said.

As of 2017, 35 “federally inspected” chicken processing facilities were in the United States, served by up to 25,000 family farmers. Almost 9 billion broilers were produced last year, according to statistics from the National Chicken Council.

Balancius is also being tested with pigs as well as other animals with one stomach, Buchardt said, and the cost-savings potential could be right catalyst for inspiring farmer adoption.


Butte schools’ nutrition services director receives Health Hero award

Butte School District No. 1’s nutrition services director recently received a Health Hero award.

On Oct. 24, Kurt Marthaller was one of eight people and programs acknowledged for striving to improve the health and well-being of their communities.

“These leaders have gone beyond their job descriptions to ensure people have access to healthy food,” said Katie Bark, project director for Montana State University’s Montana Team Nutrition and the award spokesperson.

“Kurt is very humble, but he’s made a lot of changes to increase access to healthy meals through school services,” Bark continued.

According to Bark, Eat Right Montana and Montana Action for Healthy Kids, two initiatives focused on improving the nutrition and health of Montanans, have offered the award for four years. Anyone can nominate a Health Hero, Bark said.

Marthaller was nominated by the AmeriCorps Prevention Resource Center Vista member who works in his office, Haley McKnight.

“Kurt hates to be recognized, but he seemed like the perfect fit,” McKnight said. “The award recognizes the innovations he’s made in school food services, as well as health and nutrition education for students.”

According to McKnight’s award application for Marthaller, his longstanding commitment to improving school breakfast programs is helping alleviate hunger for the most vulnerable students.

"Breakfast in the Classroom" program

Students in Amie Quist’s third grade class at West Elementary School eat breakfast as part of the district’s Breakfast in the Classroom program. West, Kennedy, Butte High, Butte High’s Career Center, and most recently East Middle School, are all part of the program.

As has been previously reported, Marthaller’s office has implemented a Breakfast in the Classroom program in four district schools, which ensures students start their day with breakfast, regardless of economic status.

This week, Marthaller and his colleagues brought the successful program to East Middle School with the help of a $5,130 No Kid Hungry grant from the state.

On Wednesday, the new program’s third day, 119 kids ate breakfast at East—double the number of students that usually eat.

Marthaller has also ensured students have access to healthy foods through education about, and promotion of, the free and reduced meals program. He and his office also started the Angel Fund, which uses donations from various local businesses to help families struggling to pay their child’s outstanding hot lunch accounts.

When asked about the award, Marthaller said he didn’t know what to say.

“It’s kinda nice to get the award, but I’m all about feeding kids, not getting recognition,” Marthaller said. “I don’t want kids to go hungry in Butte, so the more I feed, the better I feel.”


4 Common Nutrition Myths Debunked

Nutrition Myths

With the conflicting dietary tips making the news each day, it is easy to get carried away by simplistic headlines touting all kinds of benefits and risks. To clear your doubts, here are four common nutrition myths debunked.

1. Going gluten-free is a good choice for everyone

Not many dietary patterns have experienced a rise in popularity quite like this one. But unless you are diagnosed with celiac disease, it is not a good idea to eliminate gluten from your diet.

“Gluten-free foods often have less dietary fiber and other micronutrients, making them less nutritious and they also tend to cost more,” said Geng Zong, Ph.D., and research fellow at Harvard University’s T.H. Chan School of Public Health.

In a study published last year, Zong and his research team examined gluten intake in nearly 200,000 participants. Those ate less gluten also consumed less cereal fiber, which put them at higher risk of developing type 2 diabetes compared to their counterparts.

2. Soy causes breast cancer, feminizing effects in men

This myth seems to have emerged due to the presence of a compound in soy which bears chemical similarities to estrogen, albeit at a much weaker level. “Soy will not cause feminizing effects in men, it is safe and healthy for children to eat, and it does not cause or promote cancer,” said Ginger Hultin, dietitian and spokesperson for the Academy of Nutrition and Dietetics.

Indeed, some studies have actually found a protective effect.  “There is evidence that it is good for bone health and the cardiovascular system and it is a nutritionally dense, protein-rich food source,” Hultin added.

3. In order to lose weight, you should stop eating carbs 

“Low-carb and no-carb diets have not been shown to be more effective at weight loss than a balanced diet,” said Stefanie Mendez, a practicing dietician at NY nutrition group and co-founder of Matriarch.

Rather than cutting them out, it is advisable to consume the right type of carbs in the correct portion size. Avoid the refined varieties (which tend to be low in fiber and other nutrients) and opt for whole grains, fruits, starchy vegetables, and legumes.

4. Coconut oil can be beneficial for your heart health

Coconut oil contains a significantly high amount of saturated fat. An estimated 82 percent of its fat content is saturated, which is almost a third more than the amount you would find in butter.

Diets high in this kind of fat have been linked to higher cholesterol levels — this can be a risk factor for heart-related problems such as coronary heart disease and stroke.

Wondering what you should be using as a cooking oil? Extra virgin olive oil, a healthful component of the Mediterranean diet, is your best option according to dietitians.


OU Football: Marquise Brown in a late-season race toward health and a Biletnikoff Award dream


Marquise Brown arrived in Norman as a 144-pound wide receiver with lofty goals.

After two seasons, the Oklahoma junior was named a semifinalist for the Biletnikoff Award (which is awarded to the nation’s top wide receiver) on Monday — and, by the way, now weighs 168 pounds.

On Saturday, Brown could possibly play his final home game at Memorial Stadium when the Sooners take on visiting Kansas in a 6:30 p.m. contest. He’s eligible for early entry into the NFL Draft after spending one year at College of the Canyons before transferring to Oklahoma.

Brown said he would make any decision about his future after the season. With that unknown, will he soak in Saturday’s atmosphere in what may be his final game?

“I don’t take anything for granted. I’ve been through a lot,” Brown said. “Every time on the field, it could be your last time playing. You never know what could happen. I take everything in when I run out on the field. I live in the moment. I don’t get too far ahead of myself and I don’t focus on the past.”

Brown currently ranks 13th nationally in receiving yards per game (95.6). He has nine catches of at least 40 yards this season, and his 2,051 receiving yards are the most in the first 23 games of an Oklahoma player’s career.

Brown’s reputation for speed preceded him before his sophomore season.

OU coach Lincoln Riley said the Hollywood, Florida product has improved his overall skills as a wide receiver, which has made him stronger at the position.

“It has helped me out a lot, getting open and the route running,” Brown said. “I really don’t need my speed until I need it. It’s been a big improvement. It’s a credit to the people around me who continue to help me as a player.”

Oklahoma quarterback Kyler Murray was asked about Brown’s road to the Biletnikoff Award’s semifinalist list.

“I think that’s a goal of his that he probably set out before the season started. He’s playing up to his expectations,” Murray said. “We set high expectations around here obviously, and he’s obviously one of the best receivers in the country, if not the best. That’s my boy and I’m happy for him, so I think he’s deserving of it all.”

Brown’s health has been monitored in recent weeks. During the TCU game, he suffered an ankle injury that has lingered over the past month.

After going three games without a touchdown, Brown broke through in the Sooners’ 48-47 win over Oklahoma State Saturday with eight catches for 142 yards, including a 51-yard touchdown reception.

Brown was asked about his road to health in recent weeks.

“It’s definitely been tough,” Brown said. “We have a lot of guys on this team. I just go out there and give it my best every week and just hopefully each week try to keep improving.”

Murray was asked if he’s had to adjust to Brown perhaps being a little slower since the injury.

“I mean he’s banged up and he’s still getting behind people, so for me … it doesn’t affect me too much, just knowing on Saturday his adrenaline is rushing,” Murray said. “So most of the time he’s fine, unless he does get hit on it or something along those lines. But other than that, if he’s playing, he’s good. That’s how I see it.”

Brown wore a Biletnikoff jersey to a postgame interview earlier this season. Now, with Monday’s news, he is one step closer to reaching his dream. But the individual award is not his main focus.

“That’s a prestigious award. I’m glad to be recognized as a semifinalist but I know we have bigger goals ahead,” Brown said.