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Should you workout when sick with a cold

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Should You Workout When Sick with a Cold?

When you're down with a cold, it's common to wonder whether it's safe or beneficial to continue your workout routine. In this article, we will discuss the topic "Should you workout when sick with a cold?" and provide an overview of the positive aspects, benefits, and conditions where exercising during a cold can be suitable.

I. Positive Aspects of Exercising when Sick with a Cold:

  1. Boosting blood flow: Engaging in moderate exercise can enhance blood circulation, which may help alleviate congestion and clear out nasal passages.
  2. Mental well-being: Regular exercise releases endorphins, which elevate mood and help combat the feelings of lethargy and illness associated with a cold.
  3. Maintaining routine: Sticking to your workout routine, even when unwell, can help maintain discipline and prevent a complete halt in your fitness journey.
  4. Immune system support: Moderate exercise has been shown to strengthen the immune system, potentially aiding in faster recovery from a cold.

II. Benefits of Exercising with a Cold:

  1. Improved energy levels: Despite feeling under the weather, engaging in low-intensity exercise can increase energy levels and prevent excessive fatigue.
  2. Enhanced sleep quality
Title: Can I Workout When I'm Cold? Absolutely! Here's How to Stay Active and Warm Introduction: Hey there, fitness enthusiasts! We know that winter weather can sometimes make us feel like curling up in a cozy blanket with a cup of hot cocoa. But guess what? You can still get your workout on even when you're feeling a little chilly! So, can I workout when I'm cold? Absolutely! Let's dive into some fun and effective tips to keep you active and warm during those frosty days. 1. Embrace Layering: When it comes to working out in the cold, layers are your best friends. Start with a moisture-wicking base layer to keep sweat away from your body. Add a breathable mid-layer for insulation, and top it off with a wind-resistant outer layer. This way, you can easily remove or add layers as you warm up or cool down during your workout. Trust us, you'll feel like a winter fitness fashionista! 2. Warm Up Indoors: Before heading outside, take a few moments to warm up your muscles indoors. Engage in dynamic stretches, such as leg swings, arm circles, or even a mini dance party. This will get your blood flowing and help prevent any potential injuries. Plus

Workout or rest when cold

Title: Should You Workout or Rest When Cold? Meta-description: Discover whether it's better to push through a workout or take a rest when feeling under the weather. Read on to make an informed decision for your fitness routine during cold weather in the US. Introduction: As the temperatures drop and cold weather sets in, many people find themselves questioning whether it's better to push through a workout or take a rest when feeling under the weather. This article aims to provide insights into this dilemma, helping you make an informed decision for your fitness routine during the cold weather in the US. # The Importance of Listening to Your Body # When it comes to maintaining a healthy lifestyle, it's crucial to listen to your body's signals. During cold weather, it's common to experience symptoms such as a runny nose, coughing, or fatigue. These symptoms can make it difficult to decide whether to continue with your workout routine or take a break. # Factors to Consider # To determine whether you should workout or rest when you are feeling cold, consider the following factors: 1. Severity of symptoms: Assess the severity of your symptoms. If you have a mild cold with only minor discomfort, you may be able to engage in a low-intensity workout. However, if your symptoms are

Is it bad to exercise when sick with a cold?

As a general guide, mild to moderate physical activity is usually fine if you have a common cold. Symptoms of a common cold include a runny nose, nasal congestion, sneezing or minor sore throat. If you have a cold, you should consider reducing the intensity or length of your exercise.

Is it bad to work out when it's cold?

Exercising in cold weather can put the body at risk of hypothermia, which occurs when body temperature drops below 95°F. Consider the wind chill when preparing for cold weather activities. Plenty of layers and moisture-wicking clothing are the best defense, along with limiting exposure.

Should I lift weights with a sore throat?

However, it is possible to work out with other symptoms, such as sore throat and headache. You should gauge your workout intensity by frequently stopping to asses how your body is reacting. If your symptoms seem to be worsening or you feel generally unwell, slow down, and try a less strenuous workout.

Can I go to the gym with a cold sore?

If you're experiencing mild symptoms such as a few small blisters or itching, it may be safe to continue exercising. However, if your symptoms are severe, such as large painful blisters or open sores, it's best to avoid exercise until the outbreak subsides.

Should you workout when not fully recovered?

If you skip rest days, it could lead to longer spells out through injury. Working out when your body and mind are tired means you're more likely to have bad form, trip or stumble. You're also at risk of overuse injuries as you constantly stress and strain the body and don't allow it the necessary time to repair itself.

Frequently Asked Questions

Should I workout if I feel like I'm getting sick?

Consider reducing the intensity and length of your workout. Instead of going for a run, take a walk, for example. Don't exercise if your signs and symptoms are "below the neck," such as chest congestion, a hacking cough or upset stomach. Don't exercise with people if you have COVID-19 or other contagious illnesses.

Am I still building muscle if I'm not sore?

You do not have to have muscle soreness to build muscle or increase your fitness level,” says Vardiman. You might feel tight or tired, but not particularly sore after you work out. He points out that even if you're increasing the frequency and difficulty of your workouts over time, you might not be very sore.

Is it better to lift or do cardio when sick?

Some exercises are safer than others, even if you have a mild illness. For some people, moderate cardio can help boost your energy and clear congestion, Andrea Hulse, DO, an internist at Sibley Memorial Hospital, told Health. Generally, you'll want to lower the intensity of your workouts while sick.

Does cardio help fight sickness?

Physical activity may help flush bacteria out of the lungs and airways. This may reduce your chance of getting a cold, flu, or other illness. Exercise causes change in antibodies and white blood cells (WBC). WBCs are the body's immune system cells that fight disease.

Will exercise help a cold or make it worse?

Is it OK to exercise if I have a cold? Answer From Edward R. Laskowski, M.D. Mild to moderate physical activity is usually OK if you have a common cold and no fever. Exercise may even help you feel better by opening your nasal passages and temporarily relieving nasal congestion.

Can you lift weights with a cold?

Generally, working out while sick is safe if you have above-the-neck symptoms like a light headache and a runny or stuffy nose. Still, reducing the intensity of your workouts is essential if you are sick. You might need a few days off if you have symptoms below the neck, such as chest congestion, nausea, and vomiting.

Is it good or bad to workout in the cold?

"In colder temperatures your heart doesn't have to work as hard, you sweat less, and expend less energy, all of which means you can exercise more efficiently." Studies also have shown that exercising in cold weather can transform white fat, specifically belly and thigh fat, into calorie-burning brown fat.

Can you sweat out a cold with exercise?

No scientific evidence supports sweating out a cold. However, a person may find some relief through light exercise or taking in steam from saunas, showers, or bowls of hot water. To recover from a cold, a person needs to rest and drink plenty of fluids.

How to get rid of a cold fast?

The Do's and Don'ts of Easing Cold Symptoms
  1. Stay hydrated.
  2. Gargle with salt water.
  3. Over-the-counter medications : Over-the-counter decongestants, antihistamines and pain relievers, such as ibuprofen or acetaminophen, can reduce some cold symptoms.
  4. Humidify the air .

Is working out while sick back?

It's OK to work out during some mild illnesses. But if you're experiencing diarrhea, vomiting, weakness, a fever, or a wet cough, it's best to rest your body. Engaging in regular exercise is an excellent way to keep your body healthy.

What should I workout when sick?

Consider reducing the intensity and length of your workout. Instead of going for a run, take a walk, for example.

Is it OK to lift while sick?

Generally, working out while sick is safe if you have above-the-neck symptoms like a light headache and a runny or stuffy nose. Still, reducing the intensity of your workouts is essential if you are sick. You might need a few days off if you have symptoms below the neck, such as chest congestion, nausea, and vomiting.

Does working out while sick help you recover faster?

If the body is fighting an existing infection and then exposed to the stress of exercise this may not benefit the immune response. But while there's currently no evidence that exercising while sick with a cold can help you get over it faster, that doesn't mean you can't exercise if you want to.

Is working out while sick pointless?

If your symptoms are above the neck ― sore throat, coughing, sneezing or runny nose ― it's typically OK to still work out. But if your symptoms are below the neck ― chest congestion or hacking cough, muscle aches, fatigue or upset stomach ― it's a good idea to rest.

Is it OK to workout if you have a cold?

Is it OK to exercise if I have a cold? Answer From Edward R. Laskowski, M.D. Mild to moderate physical activity is usually OK if you have a common cold and no fever. Exercise may even help you feel better by opening your nasal passages and temporarily relieving nasal congestion.

Is it good to work out when it's cold?

Exercising in cold weather increases the risk of hypothermia (abnormally low body temperature). Seek emergency care right away if you develop symptoms such as intense shivering, extreme fatigue, slurred speech, or loss of coordination.

Should you workout when sick with a cold?

Consider reducing the intensity and length of your workout. Instead of going for a run, take a walk, for example. Don't exercise if your signs and symptoms are "below the neck," such as chest congestion, a hacking cough or upset stomach. Don't exercise with people if you have COVID-19 or other contagious illnesses.

Is it OK to workout in a cold place?

While exercising outside in the winter can be perfectly safe, it does require some extra precautions. The physiological and metabolic impact of exercising in cold weather can be intense. The body needs to work harder to perform in a harsher climate and be able to generate adequate heat to keep warm.

How soon after a cold can I exercise?

Ideal Time To Start Your Workout Wait until your body decides you're ready for it. For e.g., while recovering from a respiratory illness wait at least 2 weeks after your symptoms have resolved to start your workouts. Avoid working out even when you have a fever.

Do cold symptoms get worse after exercise?

When your cold comes with a fever, exercise could stress your body even more. So wait a few days to get back to your regular exercise program. Also be careful about working out too hard when you have a cold. It can make you feel worse and slow down your recovery.

Will working out make my cold better or worse?

Is it OK to exercise if I have a cold? Answer From Edward R. Laskowski, M.D. Mild to moderate physical activity is usually OK if you have a common cold and no fever. Exercise may even help you feel better by opening your nasal passages and temporarily relieving nasal congestion.

FAQ

Is it OK to workout when getting over a cold?
Is it OK to exercise if I have a cold? Answer From Edward R. Laskowski, M.D. Mild to moderate physical activity is usually OK if you have a common cold and no fever. Exercise may even help you feel better by opening your nasal passages and temporarily relieving nasal congestion.
What should I workout in when its cold?
Here are some tips to stay safe and healthy while you enjoy your cold-weather workouts. Wear layers. Dress in clothing that you can easily take off and put back on as needed. Start with a thin layer of synthetic material, such as polypropylene, which draws sweat away from your body.
How can I shorten the duration of a cold?
Cold remedies that work
  1. Stay hydrated. Water, juice, clear broth or warm lemon water with honey helps loosen congestion and prevents dehydration.
  2. Rest. Your body needs rest to heal.
  3. Soothe a sore throat.
  4. Combat stuffiness.
  5. Relieve pain.
  6. Sip warm liquids.
  7. Try honey.
  8. Add moisture to the air.
How many days off work for a cold?
As a minimum, people should stay away from work two to three days with a cold, and for the first week of influenza, recommends Dr Brooks. She says if you are sensing your body needs more rest, it's better to stay home. If you aren't sure, see a GP.
Should you exercise at the start of a cold?
A few days off from exercise when you're sick shouldn't affect your performance. Resume your normal workout routine gradually as you begin to feel better. Check with your doctor if you aren't sure whether it's OK to exercise. If you choose to exercise when you're sick, reduce the intensity and length of your workout.
Does exercise keep colds away?
Physical activity may help flush bacteria out of the lungs and airways. This may reduce your chance of getting a cold, flu, or other illness. Exercise causes change in antibodies and white blood cells (WBC). WBCs are the body's immune system cells that fight disease.
Is it good to exercise if you feel a cold coming on?
"When it comes to working out with a cold, it's important to listen to your body. If you have what are considered common cold symptoms like runny nose, congestion and sore throat, then a workout may not be a bad idea if you feel up to it. Although, scaling it back a bit might be helpful," said Gonzales.
Should you rest if you feel a cold coming on?
Rest. Your body needs rest to heal. Soothe a sore throat. A saltwater gargle — 1/4 to 1/2 teaspoon salt dissolved in an 8-ounce glass of warm water — can temporarily relieve a sore or scratchy throat.
How do you prevent being sick when you feel it coming?
4 Ways to Kill a Cold Before it Starts
  1. Reduce Stress. When we are stressed, our bodies create more inflammation-causing hormones than when we are calm and relaxed.
  2. Get Plenty of Sleep. Studies have also shown that poor sleep can jeopardize immune function.
  3. Stay Hydrated.
  4. Eat Fruits & Vegetables.
Does going to the gym get rid of a cold?
Moderate exercise won't prolong your illness or make your symptoms worse, but it may not shorten them, either. One possible benefit of exercising with a cold: If you're generally well-hydrated, a workout can break up congestion, notes Dr. Durst. However, your congestion could worsen if you're dehydrated.
When should you not workout?
Listen to Your Body If you are experiencing more severe symptoms like fever, nausea, headaches or diarrhea, the gym is a definite no-go. Exercising with these conditions can make matters worse and cause complications. Consult your health care provider about your symptoms, and allow time for your symptoms to improve.
Is rest or exercise better for a cold?
Is it OK to exercise if I have a cold? Answer From Edward R. Laskowski, M.D. Mild to moderate physical activity is usually OK if you have a common cold and no fever. Exercise may even help you feel better by opening your nasal passages and temporarily relieving nasal congestion.
Is it better to sleep or exercise when you have a cold?
Generally, mild to moderate exercise is usually okay if your symptoms are above the neck. But, symptoms below the neck may mean that you need to rest. Your body will tell you whether to rest or sweat with a cold. But if you're still unsure, ask your healthcare provider for advice.
Should I workout when its cold?
Exercising in colder temperatures offers many advantages. Even though the temperature has dropped, this doesn't mean you have to bring your workouts indoors. "When it gets into the 40s and 30s, you can still enjoy your regular outside routines, like walking, running, and even cycling," says Dr.
Is it best to rest when you have a cold?
Rest : This is the time to recharge your body's immune system. Rest and sleep are the best ways to do that. Make sure you're sleeping between eight to 10 hours at night. This is also a great chance to take a break from strenuous exercise for two to three days.
Is it OK to do cardio when you have a cold?
Is it OK to exercise if I have a cold? Answer From Edward R. Laskowski, M.D. Mild to moderate physical activity is usually OK if you have a common cold and no fever. Exercise may even help you feel better by opening your nasal passages and temporarily relieving nasal congestion.
Does exercise flush out a cold?
“There is no difference in how the body responds to exercising when it is fighting a cold virus. Some of the participants in a study even said they felt better from their exercise session in spite of their colds, but this did not help them get better faster.”
How cold is too cold for cardio?
The verdict. The bottom line: If the temperature falls below 0° F, it's best to skip the outdoor workout.
Is it better to rest or exercise with a cold?
Generally, mild to moderate exercise is usually okay if your symptoms are above the neck. But, symptoms below the neck may mean that you need to rest. Your body will tell you whether to rest or sweat with a cold. But if you're still unsure, ask your healthcare provider for advice.
Does cardio help get over a cold?
Answer From Edward R. Laskowski, M.D. Mild to moderate physical activity is usually OK if you have a common cold and no fever. Exercise may even help you feel better by opening your nasal passages and temporarily relieving nasal congestion.

Should you workout when sick with a cold

Is it good to do cardio in the cold? Great cardiovascular workout Cold weather forces your body to work harder during training, and this also applies to your cardiovascular system. As the heart works harder to pump blood around the body during cold weather exercise, this invigorating workout helps to keep your heart health in tip-top shape.
Does cardio make you less sick? Physical activity may help flush bacteria out of the lungs and airways. This may reduce your chance of getting a cold, flu, or other illness. Exercise causes change in antibodies and white blood cells (WBC). WBCs are the body's immune system cells that fight disease.
Does exercise clear mucus from lungs? Physical activity can be one of the best ways to help clear sputum out of your lungs. Physical activity that makes you breathe more deeply and quickly which will loosen the sputum and move it through your lungs, towards your mouth. It is important to be active and use an Airway Clearance Technique.
Should you lift weights when sick? When someone is sick, their body is trying to fight off and recover from an illness. As such, it is crucial to keep exercise light. It may not be the best idea to push the body to its limits, such as doing sprints or heavy weightlifting.
When can I start running again after a cold? When should you return to running after suffering with a cold? It's best to wait a full 24 hours after your symptoms have gone, but especially if you have had a raised temperature or fever, before you go back into training. Again, it's best to resume with short, easy paced runs and rebuild distance gradually.
Does cardio help lung congestion? Physical activity can be one of the best ways to help clear sputum out of your lungs.
Is it bad to do cardio when you have a cough? Working out with a phlegmy cough is different than lifting weights with a mild and dry cough. An occasional dry cough: Continue your exercise routine, if you feel up to it. A moderate cough: Stick to light activity, if you feel up to it. A frequent or productive cough: Do not work out; rest until your symptoms improve.
Should you exercise with bronchitis? You should hold off on exercise while you're symptomatic, typically for three to 10 days. You may continue to have a dry cough for several weeks. You can exercise with this dry cough, but vigorous aerobics like running or dancing may be difficult. Once your symptoms begin to improve, you can start exercising again.
Is it OK to exercise with a respiratory infection? Consider reducing the intensity and length of your workout. Instead of going for a run, take a walk, for example. Don't exercise if your signs and symptoms are "below the neck," such as chest congestion, a hacking cough or upset stomach. Don't exercise with people if you have COVID-19 or other contagious illnesses.
When should you not exercise with a cold? Don't exercise if your signs and symptoms are "below the neck," such as chest congestion, a hacking cough or upset stomach.
Is it good to exercise outside when you have a cold? Generally, working out while sick is safe if you have above-the-neck symptoms like a light headache and a runny or stuffy nose. Still, reducing the intensity of your workouts is essential if you are sick. You might need a few days off if you have symptoms below the neck, such as chest congestion, nausea, and vomiting.
Is it safe to exercise in extreme cold? According to Kettering Health, if the temperature falls to 18 degrees below zero with wind chill factor or colder, you should skip your outdoor workout. If you have heart issues, cold weather exercise can strain your heart, forcing it to beat faster to maintain circulation and causing your blood pressure to rise.
Is it good to workout when you got a cold Mild to moderate physical activity is usually OK if you have a common cold and no fever. Exercise may even help you feel better by opening your nasal passages 
How long should you wait to exercise after a cold? "There is no hard and fast rule for when to return to exercise after a cold or flu," says Eccles. Nieper agrees. "From a sports medicine point of view, there are no specific signals that you're ready to return," he says. "Once your symptoms have gone, try a gentle 10-minute work-out and see how it feels.
Is it good to workout when congested? As a general guide for exercise and illness, consider this: Exercise is usually OK if your signs and symptoms are all "above the neck." These include a runny nose, nasal congestion, sneezing and minor sore throat.
Does exercise help sinus congestion? Relieving nasal congestion through light exercise can be helpful when your symptoms are not severe and are limited to your nose, throat, or other parts of your head.
What is the best exercise for a congested person? Best: Walking But even just a 20-minute walk can help you reap the benefits of regular exercise, and it may help improve your cold symptoms, as well. “If your sinuses are plugged up, walking will stimulate you to take deep breaths and can help open up those passages,” says Besser.
Is it better to rest or exercise when sick? If your symptoms are above the neck ― sore throat, coughing, sneezing or runny nose ― it's typically OK to still work out. But if your symptoms are below the neck ― chest congestion or hacking cough, muscle aches, fatigue or upset stomach ― it's a good idea to rest.
Is it OK to workout with a cold and cough? Is it OK to exercise if I have a cold? Answer From Edward R. Laskowski, M.D. Mild to moderate physical activity is usually OK if you have a common cold and no fever. Exercise may even help you feel better by opening your nasal passages and temporarily relieving nasal congestion.
Does working out help when you're congested? However, it's OK to work out if you're only experiencing some nasal congestion. In fact, getting some exercise may help open up your nasal passages, helping you breathe better (10). Ultimately, listening to your body to determine whether you feel well enough to exercise with a stuffy nose is the best bet.
  • Should I exercise with a phlegmy cough?
    • Working out with a phlegmy cough is different than lifting weights with a mild and dry cough. An occasional dry cough: Continue your exercise routine, if you feel up to it. A moderate cough: Stick to light activity, if you feel up to it. A frequent or productive cough: Do not work out; rest until your symptoms improve.
  • Does cardio help get rid of cold?
    • Maintaining physical activity allows the body to boost immunity and metabolism to fight off infections, like a cold. Here are beneficial ways to exercise while sick: Walking. Light jogging (as long as you don't feel more breathless than normal)
  • What is the best exercise when you have a cold?
    • If you have a cold, you should consider reducing the intensity or length of your exercise. For example, instead of going for a run, take a walk.
  • Is it better to do cardio or weights with a cold?
    • If you're craving cardio, stick to light cardio—and don't go for as long as you normally would, says Adam. Strength training, meanwhile, can be challenging because you likely already feel fatigued. “It's not a good idea to go with heavy weights, but lighter weights should be fine,” she says.
  • Is it better to lift weights in the cold?
    • Because whatever workout you do, the cold weather will max out your caloric burn. This is due to the body working much harder to keep its core temperature regulated. As the body works to stay warm, the metabolism is kicked into overdrive and your body burns through more calories and fat.
  • Is it better to rest or be active when sick?
    • In general, a person with symptoms in their head and nose, such as those of a head cold, may benefit from working out. A person with symptoms in their chest or stomach or someone with a fever should avoid exercising, however.
  • Can exercise help get rid of a cold?
    • Since exercising is good for our immune system, some people might think that exercising while you're sick can help you “sweat it out.” Unfortunately, when it comes to the common cold, there's no evidence exercising while sick can shorten the illness or make it less severe.
  • Does a cold affect running performance?
    • It is generally okay to run with a cold, but it makes sense to scale back the typical duration, frequency, and intensity,” she says. If you decide to run, keep the pace easy and stick to shorter distances. Many runners find that running with a head cold actually makes them feel better—at least temporarily.
  • How do you exercise with an extreme cold?
    • Protect your head, hands, feet and ears. Wear a hat or headband and thermal socks. You may need running shoes one size larger than usual to accommodate thicker socks. If it's extremely cold, consider wearing a scarf or ski mask to cover your face.
  • Is it better to workout or rest with a cold?
    • As a general guide, mild to moderate physical activity is usually fine if you have a common cold. Symptoms of a common cold include a runny nose, nasal congestion, sneezing or minor sore throat. If you have a cold, you should consider reducing the intensity or length of your exercise.
  • Does cardio help you get over a cold?
    • Frequent high-intensity exercise can stress the body, which may temporarily weaken your immune system and delay your recovery. So if you work out with a cold, start with low- or moderate-intensity exercise. Consider the following exercises when you have mild cold symptoms above the neck: Walking.
  • What happens if you do cardio while sick?
    • Some exercises are safer than others, even if you have a mild illness. For some people, moderate cardio can help boost your energy and clear congestion, Andrea Hulse, DO, an internist at Sibley Memorial Hospital, told Health. Generally, you'll want to lower the intensity of your workouts while sick.
  • Does exercise help you get over a cold?
    • Answer From Edward R. Laskowski, M.D. Mild to moderate physical activity is usually OK if you have a common cold and no fever. Exercise may even help you feel better by opening your nasal passages and temporarily relieving nasal congestion.
  • Can you sweat out a cold?
    • No scientific evidence supports sweating out a cold. However, a person may find some relief through light exercise or taking in steam from saunas, showers, or bowls of hot water. To recover from a cold, a person needs to rest and drink plenty of fluids.
  • Is it better to rest or workout when sick?
    • If your symptoms are above the neck ― sore throat, coughing, sneezing or runny nose ― it's typically OK to still work out. But if your symptoms are below the neck ― chest congestion or hacking cough, muscle aches, fatigue or upset stomach ― it's a good idea to rest.
  • Cardio when sick cold
    • Jul 18, 2023 — Some exercises are safer than others, even if you have a mild illness. For some people, moderate cardio can help boost your energy and clear 
  • Is it ok to do cardio when you have a cold
    • Feb 26, 2019 — As a general guide, mild to moderate physical activity is usually fine if you have a common cold. Symptoms of a common cold include a runny nose 
  • How to get better from a cold fast in order to workout
    • Oct 10, 2013 — First, Besser says, use the “neck rule”: If your symptoms are above the neck – sneezing, sinus pressure, stuffy nose – then breaking a sweat is ...‎Best: Jogging · ‎Best: Qi Gong · ‎Best: Yoga
  • Does exercise help speed up a cold?
    • Since exercising is good for our immune system, some people might think that exercising while you're sick can help you “sweat it out.” Unfortunately, when it comes to the common cold, there's no evidence exercising while sick can shorten the illness or make it less severe.
  • How sick is too sick for work?
    • “In general, if you have a fever, cough or fatigue, you should stay home,” says Kevin Hur, MD, a rhinology specialist at Keck Medicine of USC.