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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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Subsidy Gone, Hardship Remains: Economist Blames Policy Missteps, Debt Burden for Nigeria’s Deepening Crisis Amid Tinubu’s Borrowing

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By Yusuf Danjuma Yunusa

Amidst growing public discontent over persistent economic hardship and the Federal Government’s continued reliance on borrowing, former Central Bank Governor and current Emir of Kano, Sanusi Lamido Sanusi, recently questioned the logic behind President Bola Tinubu’s borrowing spree despite the removal of the long-criticised fuel subsidy.

In an exclusive interview with our correspondent, a prominent economist and financial analyst at a reputable establishment, AbdulWahab Olalekan, dissected the paradox, arguing that the administration’s promises to “stop the hemorrhaging” have yet to materialise because the wound has only been relocated.

When asked whether this economic dislocation is driven by global forces or local mismanagement, Olalekan did not mince words. He attributed the severity of the current hardship primarily to “local structural deficiencies and poor policy sequencing”—specifically the twin shocks of subsidy removal and foreign exchange (FX) liberalisation.

“The relocation of this hardship is primarily the result of local structural deficiencies and policy sequencing (FX liberalisation shock following subsidy removal), though it has been heavily compounded by global economic headwinds,” Olalekan said.

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He stressed that most economists agree the removal of the subsidy was a long-overdue necessity. However, the problem, he explained, lies in the “blunt execution of the transition.” He pointed to two critical domestic failures: the absence of effective social safety net programmes to cushion the blow for ordinary Nigerians, and the country’s “huge debt servicing blackhole” which has swallowed much of the revenue that should have trickled down to the populace.

“The severity of the current hardship is less about the removal of the subsidy itself… and more about the underlying fragility of the Nigerian economy and the blunt execution of the transition. Notably, failure to provide effective social safety net programmes to cushion impact and the fact that the country’s huge debt servicing blackhole sucked some of the subsidy revenue that should typically have trickled down to the average Nigerian,” he explained.

But while local dynamics set the stage, the economist acknowledged that global macroeconomic forces have acted as a devastating multiplier. He noted that the current high global interest rate environment has forced emerging markets like Nigeria to borrow at an expensive premium, further worsening the fiscal picture. Additionally, sticky global inflation has directly fed into Nigeria’s import-dependent economy, accelerating imported inflation.

“The high global interest rate environment meant that countries in the emerging and frontier markets like Nigeria had to borrow at an expensive premium further exacerbating our fiscal picture while the stickiness of global inflation meant increased imported inflation since we are largely an import-dependent nation,” Olalekan stated.

He, however, offered a sliver of relief, observing that the inflation trajectory would have been even worse were it not for the operationalisation of the Dangote Refinery and certain reforms introduced by the Central Bank of Nigeria (CBN).

“Thanks to the Dangote Refinery and some of the CBN reforms, the inflation situation could have been worse,” he concluded.

As the Tinubu administration continues to defend its borrowing plan in the face of mounting scrutiny, Olalekan’s diagnosis suggests that without fixing domestic structural flaws and providing tangible relief, removing the subsidy alone will remain a repositioning of pain rather than a cure.

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Obi Meets Jonathan, Consults Former President Ahead of 2027

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By Yusuf Danjuma Yunusa

Peter Obi, the 2023 presidential candidate of the Labour Party, and other South-East leaders on Monday held a closed-door meeting with former President Goodluck Jonathan in Abuja ahead of the 2027 general election.

The meeting, held at Mr Jonathan’s residence, was attended by several South-East leaders.

Present at the meeting were former Enugu State Governor, Okwesilieze Nwodo; former Imo State Governor, Achike Udenwa; former Managing Director of the Niger Delta Development Commission (NDDC), Onyema Ugochukwu and Senator Victor Umeh, among others.

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Mr Obi, who spoke to journalists shortly after the meeting, said they consulted with the former president over the 2027 general elections.

He said Mr Jonathan wished Nigeria well and hoped for free, fair and credible elections in 2027, adding that the country must not become a one-party state.

“He wished that we have free, fair, credible election. That would be his wish. There can’t be one party system. He cannot support such a thing. Nobody can claim to be more of a democrat in this country. In terms of those who have led this country without putting him (Jonathan) as number one,” he said.

He said Mr Jonathan served the country faithfully and is a committed democrat.

On endorsement, he said, “We are not talking about endorsement yet. When I become a candidate, I will come for it. He wishes the country well, and we are here to consult with him.”

“We, some notable South-East leaders have come in consultation to our respected former President Goodluck Jonathan, That’s basically what it is. It is on 2027 elections and it is all about Nigeria.

“We are now seeing him (Jonathan) in the categories we have come to see former President Olusegun Obasanjo, former president Ibrahim Babangida and others, so that is the category we are seeing now.

“They are fathers now. They are not defecting. They are not involved. But we need to consult them, because especially someone like him (Jonathan) who served the country very faithfully, focused, and did what is expected in a democracy in this declining situation,” Mr Obi said.

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How AA Zaura escaped mob attack by miscreant at Farm centre

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A chieftain of the All Progressives Congress (APC), Abdulsalam Abdulkarim Zaura, on Monday recounted how he narrowly escaped a mob attack unleashed by suspected thugs along farm center in Kano metropolis.

Zaura, who recently declared his intention to contest the Kano Central Senatorial seat in the 2027 general elections, under the ruling All Progressives Congress (APC), escaped with several of this vehicles damaged and supporters injured.

The ugly incident ensured while the Businessman along side hundreds of his supporters were on their way to Meena event center for the declaration of his senatorial ambition.

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Speaking through his media aide, Dahiru Maiwuddadu, Zaura said the a group of suspected hoodlums suddenly unleashed attacked on his convey and vandalised several of his vehicles in the process.

According to him, Zaura escaped unhurt, but the attack left a trail of damage and heightened fear among traders and residents.

He asserted that the same set of thugs subsequently went on rampage to invade the GSM market along farm center creating panic on residents.

While commiserating with the victims of the unfortunate attack on the market, the APC Chieftain applauded the quick intervention of the security agencies for bring the situation under control.

He expressed concern over what he described as rising youth-related violence, stressing the need for urgent action to address the root causes and safeguard lives and property.

Zaura called on security agencies to investigate the incident and bring the perpetrators to justice, warning that such acts could undermine peace and economic activities in the state.

He also urged youths to shun violence and embrace peaceful coexistence, dialogue and lawful means of engagement.

The APC stalwart reaffirmed his commitment to supporting policies and initiatives that promote security and economic stability in Kano Central, noting that traders and small businesses must operate in a safe environment to thrive.

He further assured affected traders of his solidarity, describing them as vital contributors to the state’s economy and calling for collective efforts to prevent future occurrences.

The incident has raised fresh concerns over security around major commercial centres in Kano, especially as political activities intensify ahead of the 2027 general elections.

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