The Power of NO (Updated Post)

How often do you agree to do something when you are either completely unmotivated to do it, or are so over-burdened by other responsibilities that you feel like you are shackling yourself to an impossible schedule? Maybe you’re known as the “nicest person” who always manages to make time for everybody no matter what. And maybe you don’t want people to think otherwise about you, despite the fact that your energy and your patience are worn thin by people who always seem to drain the very lifeblood from you, and expect you to do everything for them at the drop of a hat.

Have you ever considered using the word NO once in a while? By setting limits and boundaries, you will keep energy vampires at bay, and you give yourself a chance to balance out your life so that you don’t burn yourself out. I am sure that the people who have taken your availability for granted will be stunned when you respond to a request with NO, but they’ll get used to it. Whenever I gather the courage to refuse a request, a feeling of complete relief washes over me, especially if I feel like I am drowning in the wide expanse of my to-do list.

When you refuse a request, task, or invitation, you finally allow yourself to take a break. As long as you aren’t shirking responsibilities, you absolutely should feel like you deserve to clear the space around you, especially if you are in dire need of recharging your own batteries. There’s something I say to patients quite frequently, and that is, remember to put the oxygen mask over your OWN face. If you don’t nurture yourself, you won’t perform as well in all the roles you play in your life, whether it’s employee, boss, parent, spouse, etc.

It’s completely acceptable to draw the line in the sand, and to establish boundaries which preserve your sense of self and which keep your life, and your spirit, balanced and happy. If you are having difficulty asserting yourself and getting to the power of NO, then try this: whenever someone asks you for a favor or invites you somewhere, just say that you need to think about it or check your schedule, which is not a lie, and that you will let that person know soon. That gives you a window of time to evaluate the situation, and to determine if you have the time or the resources to accommodate the invitation or request.

Another important consideration is whether you have the inclination to take part in the task or event. Be honest with yourself! I see too many people agree to do things they don’t want to do, then they are steeped in misery. This doesn’t give you permission to be difficult, selfish, or uncooperative, but it certainly gives you some breathing room. If your heart isn’t in it, then don’t do it!

Remember that you will be better equipped to serve others if you take care of yourself first.

Ham, Cheese and Pickles

During a recent urgent care shift, I encountered a man in his mid-50’s who had presented to the center with complaints of sinus pressure and cough. After I gathered more history and conducted a physical exam, the patient went on a tangent, asking me numerous questions about healthy foods. A commercial construction foreman, he was accustomed to being on site during the day, and insisted that his daily lunch was quite healthy and acceptable. As he prepared to tell me about this daily meal, he beamed with pride. What was it? Several slices of ham from the refrigerated section of the supermarket, a few slices of cheese, and a handful of pickles. He truly believed that the meal he consumed daily was incredibly healthy and nutritious. He even stated that he was consuming a high protein meal with produce (the pickle). The patient went on to tell me that when he was done with work, he often stopped at Arby’s to pick up a sandwich for dinner, and felt that the animal protein from these sandwiches wasn’t harmful in the least.

I shake my head in amazement when I encounter patients who have completely convinced themselves that somehow, their eating habits are completely clean and healthy, when they are actually abysmally deficient in nutritional value. What is more surprising is how insistent these people are on continuing their unhealthy habits, even when they ask for advice. The patient I mentioned above listened to me discuss the power of food as fuel, as sustenance, and nodded when I suggested he visit the fresh produce section of local grocery stores, select uncured meats, and avoid frequenting fast food establishments like Arby’s. I also mentioned that his blood pressure readings of 181/125, 179/127, and 185/122 (non-symptomatic) were rather alarming, especially since he stated that he had “forgotten” to take his blood pressure medications that morning. Was it fair to shake him out of his fog and inform him that with malignant hypertension, and a diet sure to compound the problem, he was on a short course to an unfavorable event like a stroke or heart attack? Did he even care if he was at high risk?

This is the kind of situation which I as a physician must often dance around. I have to determine how receptive a patient is to advice, and I also have to figure out the best way to speak to the patient without offending or discouraging him or her. It can be very tricky to reason with someone who has most likely gone through his entire life somehow believing that ham, cheese and pickles constitute an acceptable daily meal in anyone’s life!

Looking For Fitness, Wellness, and Life Inspiration?


If you are looking for that fire which will encourage you to reach out towards your fitness, wellness and life goals, then be sure to tune into the motivating, inspiring podcasts at https://micro.fit/ where the motto is, “For big results, think small”. That’s right…small changes in your lifestyle can create dramatic results in your life!

I am honored to be one of the featured podcasters for this wonderful app! My podcast runs on Fridays, so be sure to check it out each week for new topics and fresh perspectives on life balance, goal setting, motivation and fulfillment.

Click on this link to access the podcast page directly:

https://micro.fit/podcasts

Gather Around the Table with PlateJoy

I love this company, and wanted to share a special February deal which they are running…

Some of the fondest memories you can have are usually made around the dinner table. It’s a time to disconnect from the world and connect as a family. There’s just something about good conversation, good food, and laughter and PlateJoy will help you create these moments.

What is PlateJoy? Well, it’s only the best thing to come from the meal plan craze! Unlike the usual meal kit subscriptions, PlateJoy.com offers more flexibility with personalized plans that include recipes and grocery lists to make cooking easy. They even offer optional ingredient delivery when you want it, with no packaging waste, and at a more affordable price too.

Simply take the lifestyle quiz on their site to help them understand what suits you and your family best. Once completed, you’ll receive a custom plan that’s right for you! This can include quick and easy dinners, slow cooker recipes to really take the work out of it, and even kid-friendly options. The choices are truly amazing, and you will love bringing the family together for a nice home-cooked meal.

Also, with Valentine’s Day basically here, PlateJoy makes the perfect last-minute gift. They say that a couple that cooks together, stays together, so grab your meal plan subscription today! You’ll even save $20 off your PlateJoy membership with code COOKWYOU through 2/20/18.

So, whether it’s a family affair or just dinner for two, let PlateJoy take the stress out of cooking for you! Find out more at PlateJoy.com.

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The Power of NO

How often do you agree to do something when you are either completely unmotivated to do it, or are so over-burdened by other responsibilities that you feel like you are shackling yourself to an impossible schedule? Maybe you’re known as the “nicest person” who always manages to make time for everybody no matter what. And maybe you don’t want people to think otherwise about you, despite the fact that your energy and your patience are worn thin by people who always seem to drain the very lifeblood from you, and expect you to drop everything for them at the drop of a hat.

Have you ever considered using the word NO once in a while? By setting limits and boundaries, you keep energy vampires at bay, and you give yourself a chance to balance out your life so that you don’t burn yourself out. I am sure that the people who have taken your availability for granted will be stunned when you respond to a request with NO, but they’ll get used to it. A feeling of complete relief washes over me when I gather the courage to refuse a request, especially if I feel like I am drowning in the wide expanse of my to-do list. Remember that you will be better equipped to serve others if you take care of yourself first.

Natural Antidepressant Combinations I Recommend

Despite the fact that I was trained in the traditional ways of medicine, I prefer to utilize natural supplements and foods to treat conditions, only turning to prescription medications as a last resort for my patients. I have a particular aversion to prescribing antidepressant medications, and honestly believe that such meds only serve as a bandage for the root cause, which almost invariably is a combination of hormonal imbalance and malnutrition.

When a patient comes to me complaining of symptoms of depression, I always recommend the following three supplements as part of the patient’s daily regimen:

Vitamin D
Folate 800 mcg
B-Complex

Once my patients are on this daily regimen for a few weeks, I have them visit for a follow-up to see if their symptoms have improved. If the improvement is marginal, I add SAMe and 5-HTP to the regimen, both of which are great for treating pain issues. As the patient treatment progresses, I order hormonal assays, checking the thyroid, adrenal glands, DHEA, IGF-1, testosterone, progesterone, and estradiol. If anything is off balance (and in most cases, something is), I will treat the imbalance directly with organ support compounds and bioidentical hormone replacement therapy.

In addition to natural supplements, I also recommend that patients consume whole foods, and avoid processed foods at all costs. I encourage them to find balance in their daily lives, and often demonstrate breathing exercises or discuss meditation with them. I also remind them to stop and enjoy what they have in their lives, to be grateful for what they have instead of dwelling on what they lack.

Rather than turn to SSRI’s, please consider the natural approach first if you are dealing with depression!

If you are in the Los Angeles area, and you would like to schedule an exam, please call Urban Med at (213) 406-8055 to make an appointment.

How I Stay In Shape These Days


Image shot by Tim Sevard in October of this year.

Since many people have been asking me about how I have been keeping in shape these days, I decided to devote a blog post to the subject. Though I am retired from competing, and am no longer bodybuilding stage-ready, I model frequently, and I also hold myself to very high standards when it comes to body conditioning. The most important factor in staying lean year round is FOOD, so I make sure to eat clean about 95% of the time. I consume about 100 to 120 grams of protein daily, all from whole foods rather than protein powders, and I drink plenty of water throughout the day. I limit my consumption of sugar and avoid processed foods.

Supplements are also an important part of my daily life. Most of the supplements I take have been in my daily regimen for many years, and I rarely miss a day’s dose. They are what I rely on to keep my body healthy at the cellular level. My goal is to maintain my health without ingesting prescription medications. In fact, the only prescription substance in my regimen is bioidentical progesterone cream.

I continue to challenge my body with frequent exercise, and still rely mostly on weight training for the bulk of my exercise. However, I incorporated aerial classes into my regular routine a couple of years ago for an extra challenge. At one point, I had been taking aerial classes 3 to 4 days per week, but my body was screaming out in agony. After a visit with my orthopedist, we discovered that I had arthritis in both elbows and my neck, and numerous issues in my shoulders, so I decided to back off from the intense aerial schedule I was following. These days, I only take a lyra class once every couple of weeks.

I have also been attending kundalini yoga classes on average of one day per week, and I love the unique physical, mental, and spiritual challenges which they present. Though kundalini yoga is a highly meditative form of yoga, the movements (called kriyas) are INTENSE, and I must often take breaks during these movements. I highly recommend this form of yoga for anyone who wants an intensely spiritual experience.

As for weight training, I train an average of six days per week when I am in town. I have adjusted my weight training to support aerial arts movements like straddle mounts, single knee hangs, pullovers and splits, and work my posterior chain (back, glutes, hams) more vigorously than my anterior chain. I usually follow a split consisting of three leg days and three upper body days which are further split (eg, back/arms, delts, chest/abs). I have also been changing the exercises, rep ranges, and lifting styles on a weekly basis to keep myself challenged. It’s definitely worked, because I am getting delayed onset muscle soreness from almost every workout.

Another Annual Orphan Thanksgiving

This year I am upholding my own Thanksgiving tradition with what I refer to as Orphan Thanksgiving. It is a cozy and enjoyable event for the people who share in this wonderful celebration. I invite friends who don’t have a place to go for the holiday, usually because their relatives live far away.

Though there is a considerable amount of food prep involved, I get a kick out of making each dish and roasting and carving the turkey. You might think that this desire to cook huge holiday meals and have people over is something that was handed down to me from my mother, but my mom never entertained guests in our home, and she never considered herself a cook. My mother’s idea of cooking was to heat up Stouffer’s entrees or throw a piece of meat on the broiler, and when the holidays arrived, she made restaurant reservations instead of spending time in the kitchen. Somehow I had a natural affinity for cooking and baking, and I also quickly discovered how much I enjoyed hosting events. I am certain that my desire to host parties evolved from my tendency to nurture others.

Thanksgiving-Dinner-New-York-CityWhat’s on the table this year? Turkey, stuffing, sweet potato casserole (a HUGE hit), mashed potatoes, and green bean casserole. I’m letting my guests bring dessert to ease the cooking and baking load, since I make these feasts by myself. Since I fully believe in enjoying “normal” foods during the holidays, provided they are enjoyed in moderation, I have no problem featuring a few “forbidden” foods on the holiday table.

Happy Thanksgiving, everyone!

The Magic Of Kundalini Yoga

I fell into kundalini yoga quite by accident earlier this year, when I decided to sign up for a class at a local yoga studio which was listed on ClassPass. From the first class, I was deeply moved, intrigued, and interested in continuing the practice. I hadn’t been aware of the fact that kundalini yoga is considered to be the most powerful and spiritual form of yoga, but I am grateful that it is now a part of my life. Kundalini yoga also complements my daily meditation practice.

How is kundalini yoga different from other forms of yoga? While it can be VERY physical, kundalini yoga is incredibly spiritual and meditative. You will spend a decent amount of time in “easy pose”, which is a standard pose for meditation. Kundalini yoga consists of chants, repetitive movements, and coordinated breathing techniques which are all designed to increase consciousness and activate the body’s energy centers. Because this type of yoga targets energy blockages, sessions can be emotional, intense, sacred, and filled with a sense of connectedness to everyone.

An article by James McCrae states that the objective of kundalini yoga is “decentralized and selfless – help people actualize their Higher Self”. The practice of kundalini yoga has been around since approximately 1,000 B.C. – 500 B.C. during the time in which the Upanishads were written. Kundalini, or “coiled snake”, refers to the energy of creation which sits at the base of the spine, and which can be activated and made to move up the spine and throughout the entire body. It was brought to the western world in the late 1960’s by Yogi Bhajan.

Kundalini yoga can be regarded as the fast track to spiritual enlightenment, and can bring about immense positive changes to one’s life. It increases awareness, brings a sense of well-being, and also creates a stillness and calmness which help to deflect the stresses of the modern world.