those who cannot sweat from exercise due to their health problems. Energy expenditure and weight loss proponents typically quote the Journal of the American Medical Association stating: "A moderately conditioned person can easily sweat off 500 grams in a sauna, consuming nearly 300 kcal, which is equivalent to running 2–3 miles. A h
eat-conditioned person can easily sweat off 600–800 kcal with no adverse effects.[5][6]Cooling down is a part of the sauna cycle and is as important as the heating.[8]Therapeutic sauna has been shown to aid adaptation, reduce stress hormones, lower blood pressure and improve cardiovascular conditions.[9][10][11][12][13][14] Therapeutic sauna sessions are often carried out in conjunction with physiotherapy or hydrotherapy, gentle exercises that do not exacerbate symptoms.[15][16][17] Sauna use may temporarily relieve symptoms of the common cold.[18][19] It increases the heat tolerance threshold and may improve performance in endurance sport.[20] Sauna may help rheumatic pain (with cold shower) but not neuropathic pain,[21] and has also shown usefulness for appetite loss and mild depression.[22] It has also been recommended for reducing symptoms in chronic fatigue syndrome and fibromyalgia,[23][24][25] and rheumatoid arthritis,[26] and for anorexia nervosa,[27] and been proposed for treatment of other conditions including glaucoma,[28] Sjogren syndrome,[29] and obstructive lung disease,[30] and for recuperation after childbirth.