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The Essence of Great Health During Ramadan—By Dr. Nelson Aluya

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Ramadan is far more than abstaining from food and drink. It is a sacred season of discipline, renewal, and elevation of the human spirit. For Muslims around the world, it is a month where the body, mind, and soul are aligned in purposeful worship. Observed as one of the Five Pillars of Islam, fasting during Ramadan nurtures taqwa (God-consciousness), strengthens self-control, cultivates gratitude, and deepens empathy for those in need.

As a physician serving patients from diverse racial, ethnic, and religious backgrounds for over two decades, I have spoken at numerous Pre—Ramadan Health Fairs and seminars for the last fifteen years, and have walked alongside many individuals seeking guidance on how to manage their health, take their medications and fast safely. I believe that Ramadan offers tremendous spiritual and even physiological benefits when approached with knowledge, preparation, and medical wisdom.

*The Divine Foundation of Fasting*
Ramadan occurs during the ninth month of the Islamic lunar calendar. Its obligation is rooted in the Qur’an:

“O you who believe! Fasting is prescribed for you as it was prescribed for those before you, that you may attain taqwa.”
— Surah Al-Baqarah (2:183)

The Qur’an further clarifies the period and purpose:

“The month of Ramadan in which was revealed the Qur’an, a guidance for mankind and clear proofs for the guidance and the criterion…”
— Surah Al-Baqarah (2:185)

Fasting extends from dawn (Fajr) until sunset (Maghrib) for 29–30 days, beginning with the sighting of the new moon. In 2026, Ramadan is expected to begin around February 18 or 19, depending on lunar observation.

The Qur’an also provides compassionate exemptions:

“…And whoever is ill or on a journey – then an equal number of other days…”
— Surah Al-Baqarah (2:185)

Islamic law exempts the ill, travelers, the elderly who cannot tolerate fasting, pregnant or breastfeeding women if fasting may cause harm, menstruating women, and children. This divine mercy underscores a foundational principle: preservation of health precedes ritual obligation when harm is likely.

*Ramadan: A Holistic Act of Worship*

The fast is not merely physical deprivation. It is moral and spiritual refinement.

The Prophet Muhammad (peace be upon him) said:

“Whoever does not give up false speech and evil actions, Allah is not in need of his leaving his food and drink.”
— (Sahih al-Bukhari)

Thus, Ramadan is:
– A purification of the soul
– A strengthening of discipline
– A cultivation of patience
– A renewal of gratitude
– A communal celebration through shared Iftar

*Preparing for Ramadan: A Physician’s Perspective*

Fasting without knowledge can be harmful. The body undergoes metabolic transitions during prolonged fasting:
– Glycogen( sugar)stores are depleted.
– Fat metabolism( breakdown) increases.
– Ketone bodies(chemical produced in place of sugar during fastin) are produced.
– Hormonal shifts occur (including insulin reduction and glucagon increase).
– Fluid balance ( Dehydration)changes in the absence of water

While many experience modest weight loss, others gain weight due to excessive caloric intake at Iftar.

Preparation must therefore be intentional.

*1.Know Your Health Status*

Before Ramadan, assess:
– Physical and mental health
– Level of daily activity
– Chronic medical conditions
– Nutritional needs
– Work demands
– Hydration capacity
– Medication schedules

*2. Schedule a Pre-Ramadan Medical Visit*

The “Visit — Your Doctor and You” is critical.

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A pre-Ramadan consultation should include screening or review of may have developed along the way:
– Diabetes
– Hypertension
– Heart disease
– Chronic lung disease
– Kidney disease
– Autoimmune conditions
– Cancer
– Pregnancy

For those who insist on fasting despite chronic illness, coordinated medical supervision is essential.

The Qur’an emphasizes balance:

“…And do not throw yourselves into destruction with your own hands…”
— Surah Al-Baqarah (2:195)

Health preservation is not a lack of faith — it is an expression of wisdom.

*Suhoor and Iftar: Strategic Nutrition*

*Suhoor (Pre-Dawn Meal)*
The Prophet encouraged Suhoor:

“Take Suhoor, for in Suhoor there is blessing.”
— (Sahih al-Bukhari)

A balanced Suhoor should include:
– Complex carbohydrates (oats, whole grains)
– Lean protein (eggs, legumes, yogurt)
– Healthy fats (nuts, olive oil)
– Adequate hydration
– Limited salt to reduce thirst.

*Iftar (Breaking the Fast)*

Traditionally, the fast is broken with dates and water, following the practice of the Prophet. Dates provide:

– Natural sugars for quick glucose replenishment
– Fiber
– Potassium
– Antioxidants

However, moderation is key. Heavy fried foods, excessive sweets, and large portions often lead to:

– Weight gain
– Blood sugar spikes
– Gastric distress
– Sleep disruption

Ramadan should not become a festival of overconsumption. The Qur’an reminds:

“…Eat and drink, but do not be excessive. Indeed, He does not like the excessive.”
— Surah Al-A’raf (7:31)

*Medication Management During Ramadan*

Medication timing often requires adjustment:
– Once-daily medications may shift to Iftar.
– Twice-daily regimens may need restructuring.
– Insulin dosing requires individualized modification.
– Diuretics ( water pills)may increase dehydration risk.
– Certain medications cannot be safely delayed.

Never adjust medications independently. Collaborative planning between patient and physician is essential.

*Who Should Not Fast?*

The Qur’anic exemption in Surah 2:185 is both clear and compassionate.

Those advised not to fast include:
– Uncontrolled( Sugar) diabetics
– Advanced heart failure patients
– Severe chronic kidney disease
– Active cancer patients undergoing therapy
– Frail elderly individuals
– High-risk pregnancies

Faith is not measured by physical endurance but by sincerity and obedience. For some, abstaining from fasting is the true act of submission.

*Mental and Spiritual Health During Ramadan*

– Ramadan strengthens psychological resilience:
– Structured routine enhances discipline.
– Night prayers (Taraweeh) improve communal bonding.
– Increased charity fosters empathy.
– Qur’an recitation enhances reflection and calm.

Scientific literature( Books ) ,increasingly recognizes that mindful fasting, spiritual meditation, and communal connection improve emotional regulation and stress resilience.

*Community, Compassion, and Character*

Ramadan is a communal equalizer. Rich and poor experience hunger together. Shared Iftar meals strengthen bonds across socioeconomic lines.

The Qur’an emphasizes generosity:

“And they give food in spite of love for it to the needy, the orphan, and the captive…”
— Surah Al-Insan (76:8)

True health is not merely biological — it is relational, spiritual, and ethical.

*The Balance Between Faith and Medicine*

As a physician who has cared for thousands of patients across cultures and beliefs, I have learned that faith and medicine are not adversaries. They are allies.

Ramadan teaches restraint. Medicine teaches prudence. Together, they preserve life.

The essence of great health during Ramadan lies in:
– Spiritual awareness
– Medical wisdom
– Nutritional balance
– Disciplined moderation
– Compassion for oneself and others

When approached correctly, Ramadan becomes a month of metabolic recalibration, spiritual elevation, and communal unity.

*My Spiritual Reflection*

Ramadan is not a test of starvation — it is a training of the soul.

It refines character. It disciplines appetite. It strengthens gratitude. It elevates consciousness.

And when practiced with knowledge and preparation, it can nurture both spiritual vitality and physical well-being.

“…Allah intends for you ease and does not intend for you hardship…”
— Surah Al-Baqarah (2:185)

May this Ramadan be one of wisdom, balance, safety, and profound renewal amin.

— Dr. Nelson Aluya

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President Tinubu Adds Days to Working Vacation, Returns at Weekend

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By Yusuf Danjuma Yunusa

President Bola Ahmed Tinubu will return to Nigeria this weekend after extending his working vacation in Europe by a few days, the State House announced Monday evening.

The President departed Nigeria on August 30 for London to begin the working vacation, which was initially expected to last three weeks. According to a statement issued by Bayo Onanuga, Special Adviser to the President on Information and Strategy, the President has since relocated to Paris, France, where he held meetings with French President Emmanuel Macron and businessman Mr. Vincent Bollore, whose media group includes Canal+, Multichoice, and Universal Music Group.

Despite his absence, the statement emphasized that President Tinubu has remained actively engaged with domestic affairs, particularly directing an independent panel to investigate the deaths of 37 illegal miners in Minna following their detention by the Nigeria Security and Civil Defence Corps.

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The President has delegated Vice President Kashim Shettima to represent him at official functions. However, Vice President Shettima departed Abuja on September 20 for New York to attend the 81st United Nations General Assembly. In his absence, Secretary to the Government of the Federation, Senator George Akume, will continue to represent the President at official engagements.

On the political front, the statement noted that Senator Abubakar Yari, Director-General of the Presidential Campaign Council (PCC), has been leading consultations with prominent traditional rulers across the country alongside other notable party leaders.

The extension comes as the President’s initial three-week vacation timeline elapsed, with the State House confirming he will now return to the country at the weekend.

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Court Adjourns El-Rufai’s N1 billion Suit Against ICPC, AGF, Police

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By Yusuf Danjuma Yunusa

The Federal High Court, Abuja Division, on Monday adjourned a N1 billion rights suit filed by former Governor of Kaduna State, Nasir El-Rufai, against the Independent Corrupt Practices and Other Related Offences Commission (ICPC) and others until October 27 for a definite hearing.

Others named in the suit are the Inspector-General (IG) of police and the Attorney-General of the Federation (AGF) as the second and third respondents, respectively.

Justice Joyce Abdulmalik adjourned the suit to allow counsel to the former governor, Akinyemi Aremu, to respond to the counter affidavit filed by the AGF opposing the claims.

When the case was called, Mr Aremu informed the court that the matter was scheduled for hearing.

Counsel for the AGF, Maimuna Lami-Shiru, however, told the court that the AGF had filed a counter affidavit.

She prayed the court for leave to move their motion seeking an extension of time to deem their counter affidavit as being properly filed and served.

El-Rufai’s lawyer, Mr Aremu; Ezekiel Rimamsomte, who appeared for the IG, and the ICPC counsel did not oppose the application, and the judge granted it as prayed.

Mrs Abdulmalik then adjourned the case until October 27 for a definite hearing.

Earlier in the suit, the ex-governor sued the ICPC, the chief magistrate at the Magistrate’s Court of the FCT, Abuja, the IG, and the AGF as first to fourth respondents, respectively.

He, however, dropped the name of the magistrate from the case following his inability to specify the name of the magistrate who was sued as the second respondent, after the judge made the observation.

Mr El-Rufai is, therefore, demanding N1 billion in damages against ICPC, the IG and the AGF.

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In an originating motion on notice marked FHC/ABJ/CS/345/2026, dated and filed February 20 by Oluwole Iyamu, SAN, the former governor sought seven reliefs.

He prayed the court to declare that the invasion and search of his residence at House 12, Mambilla Street, Aso Drive, Abuja, on February 19 at about 2:00 p.m. by the ICPC and IG amounts to a gross violation of the applicant’s fundamental rights.

He said it violated the dignity of the human person, personal liberty, fair hearing, and privacy under Sections 34, 35, 36, and 37 of the Constitution.

He urged the court to declare that “any evidence obtained pursuant to the aforesaid invalid warrant and unlawful search is inadmissible in any proceedings against the applicant, as it was procured in breach of constitutional safeguards.”

Mr El-Rufai, therefore, sought an order of injunction restraining the respondents and their agents from further relying on, using, or tendering any evidence or items seized during the unlawful search in any investigation, prosecution, or proceedings involving him.

He sought an order directing the first and third respondents (ICPC and IG) to forthwith return all items seized from the applicant’s premises during the unlawful search, together with a detailed inventory thereof.

He also sought an order awarding N1,000,000,000.00 (one billion naira) as general, exemplary, and aggravated damages, among others.

In its counter affidavit, the ICPC said it received a petition against Mr El-Rufai and, acting on it, commenced an investigation that led to the search at his residence.

It argued that its operatives acted under a valid search warrant issued on February 18 and executed on February 19 between 1:37 p.m. and 3:56 p.m. at 12 Mambilla Street, Asokoro, Abuja.

The commission said its officials were accompanied by Nigeria Police Force personnel and that the exercise was witnessed by Mr El-Rufai’s wife, Hadiza El-Rufai, and his son, Mohammed El-Rufai.

The ICPC, which urged the court to dismiss the suit, listed the items allegedly recovered from the residence.

The police, also in its counter affidavit deposed to by Ewa Anthony, argued that it had the statutory power to detect, arrest, investigate and prosecute offenders.

It argued that the search at Mr El-Rufai’s residence was carried out pursuant to a search warrant issued by a competent court of law.

The anti-graft agency disagreed with the ex-governor, insisting the search warrant was a genuine court order.

It said its officers who carried out the operation complied with all applicable legal procedures in executing the search warrant.

According to the police, the applicant is trying to use the honourable court to shield him from the security investigation and prosecution in court.

It, therefore, prayed the court to dismiss the suit in its entirety.

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Tinubu Becomes First Post-1999 Nigerian President to Miss Three Consecutive UNGAs

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By Yusuf Danjuma Yunusa

President Bola Tinubu has again delegated Vice President Kashim Shettima to lead Nigeria’s delegation to the 81st United Nations General Assembly (UNGA) in New York, marking the third consecutive year he has personally skipped the global summit since taking office in 2023.

The Minister of Information and National Orientation, Mohammed Idris, said on Monday that Tinubu is “currently on annual leave,” describing the delegation to Shettima as “neither unusual nor a diminution of the country’s diplomatic standing”. Idris insisted Shettima “carries the full mandate of the President and the Federal Republic of Nigeria” and will deliver the national statement.

However, the explanation has done little to quell public scrutiny. Tinubu last personally attended UNGA in September 2023 for the 78th session, shortly after his inauguration. He has since been absent from the 79th session in 2024, the 80th in 2025, and now the 81st in 2026—a pattern unmatched by any Nigerian president since the return of democracy in 1999.

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Former Vice President Atiku Abubakar, through his media aide Phrank Shaibu, demanded a “full explanation,” arguing that three consecutive absences “could no longer be dismissed as coincidence or routine delegation” but constituted “a pattern of presidential evasion”. Atiku questioned whether Tinubu’s “documented history with United States law-enforcement agencies has become a burden on Nigeria’s foreign relations”.

At the centre of the opposition’s claim is a long-standing U.S. forfeiture case in which $460,000 was held in an account linked to Tinubu, after American authorities alleged the funds represented proceeds of narcotics trafficking or were involved in prohibited financial transactions. Atiku also questioned why the administration spent up to $9 million on American lobbyists to improve Nigeria’s standing in Washington while the President repeatedly stays away from New York.

The Presidency has not directly addressed the drug-case allegation. A ruling party chieftain, Olatunbosun Oyintiloye, dismissed the claims as “political propaganda,” noting that no U.S. court has reopened a criminal case or pronounced Tinubu guilty of drug trafficking.

Nigeria’s Permanent Representative to the UN, Jimoh Ibrahim, had earlier announced that Tinubu would attend and that a seat had been secured for him near U.S. President Donald Trump. That seat remained empty.

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