Category Preventative Health

Replace That Mattress

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mattress
The Better Sleep Council states that mattresses should be replaced every 5 to 7 years, and that the springs in most mattresses will lose their function in that span of time. What is interesting, though, is that other tests on mattresses which are conducted by independent companies have found that many mattresses hold up 8, 9 even 10 years after purchase. So what is the rule of thumb with mattress replacement?

The main factor in determining when to replace a mattress is sleep quality. Since we spend (or should spend) one-third of our lives sleeping, it is imperative to have a mattress which imparts comfortable sleep. So if you have a mattress which is 5 or more years old, you might want to assess whether the quality of your sleep has diminished recently, if you awaken with back pain, or if you are tossing and turning to get comfortable in bed.

My personal story is that I have been sleeping on the same mattress for almost 9 years now, and though it has a 3 inch pillowtop and used to feel like a cloud, I am noticing that I cannot find a comfortable spot on my mattress. As a result, I have decided to ring in the new year with a new mattress, provided I can scrape up the money to buy one. The other tricky thing will be to find one which I love, and which I can afford. Some mattresses go for several thousand dollars, which is far beyond what I can even hope to afford.

Keep in mind that many mattress stores have no interest financing so that you can make your purchase without paying anything for months on end. It may be time to schedule a visit with your spouse or significant other to a mattress store to find a mattress which will improve the quality of your slumber.

It All Adds Up

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good-or-bad foods
When you add the label of “forbidden” to a food, it suddenly becomes quite irresistible, revealing the human tendency to become lured by temptation. Of course it doesn’t help that these so-called forbidden foods are full of sugar and other substances which trigger more cravings. You may be the type of person who occasionally nibbles on a food which is ordinarily on the do-not-eat list, or you may find yourself in a pattern in which you rationalize your dietary transgressions and cannot stop the behavior. If your indulgences are frequent, you have probably noticed the evidence accumulating around your waistline.

While competitors must follow rigid meal plans which discourage the consumption of any fat-laden or sugary treats, those of you who do not compete can follow a clean diet 90% with the occasional treat and suffer minimal consequences, However, individuals who do not follow rigid meal plans may be consuming nutrient-poor foods laden with saturated fat and sugar far more often than they realize. They may also be tricked into ordering a meal which seems to be clean, such as a chicken caesar salad, only to find out that the salad dressing alone can obliterate any possibility of consuming a healthy meal. The temptations continue when people are trying to keep up with busy schedules and ordering less than foods out of hunger and exhaustion. More temptations may also be lying in wait at home. Perhaps you have rationalized a nightly glass of wine or a Pop Tart as a treat for a busy day at work, but when this is practiced on a daily basis, it will surely trap you in a “one step forward, two steps back” pattern which will prevent you from achieving your fitness goals. Suddenly the clean and healthy diet is followed only about 40%, meals are random, and the risk of malnutrition also emerges as a result of erratic and unhealthy eating practices.

The key is to follow nutritional guidelines which will ensure that you get the nutrients and calories which your body requires. If it is too difficult to determine what it is that you need to consume on a daily basis for optimal nutrition, hire a nutrition coach to give you structure and consistency. You will still be able to enjoy the occasional treat, as long as you remember that moderation is the key. Another valuable habit to implement is the daily intake of a multivitamin, preferably one which is taken several times a day to optimize absorption. What I love about SWAT Fuel’s .40 Caliber Multivitamin is that it has high bioavailability of nutrients along with a three time per day dosing recommendation. This is my personal choice of multivitamin, and yes, I do take it three times daily. This formulation is very clean and doesn’t cause the intestinal upset that some multivitamins can cause. I can tell that I actually feel more energized when I take this particular multivitamin as opposed to other brands.

You can order .40 Caliber directly from the website: http://swatfuel.com/products.aspx

Eggs Are Superfoods

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eggs
If you haven’t already incorporated eggs into your regular meal plan, you should. Eggs are an excellent source of protein, and also provide all eight essential amino acids which are necessary for optimal muscle gains. Eggs are also packed with the following nutrients:

· Vitamin A
· Vitamin E
· Vitamin K
· Vitamin B12
· Riboflavin
· Folic acid
· Iron
· Zinc
· Calcium
· Selenium
· Choline

You may have been duped into believing that eggs should not be eaten due to the fat content in the yolks. However, there are only 2 grams of saturated fat and a total of 5 grams of fat in an average egg. The body actually requires a certain amount of saturated fat for proper function, which translates to about 20 grams of saturated fat on a 2,000 calorie per day diet. If you add only four whole large eggs to your daily diet, you will get 20 grams of quality protein with only 8 grams of saturated fat. As for the cholesterol content in egg yolks, it has been determined that dietary cholesterol does not raise blood cholesterol levels. In fact, consumption of eggs can improve blood lipid panels.

Here is a macronutrient breakdown of one large egg:

· 71 calories
· 6 grams protein
· 5 grams fat
· Zero carbohydrates
· 211 milligrams cholesterol
· 70 milligrams sodium
· 37 milligrams Omega 3 fatty acids
· 574 milligrams Omega 6 fatty acids

As a general rule, I purchase large or extra-large eggs for our household so that I can get the most protein possible. The larger eggs cost only a bit more than small or medium eggs and are a very cheap and high quality protein source which can be consumed during contest prep.

Individuals who want to gain muscle, especially during a bulking phase, should incorporate egg yolks in order to meet the high energy requirements that such a phase demands. Eggs are very easily digested and absorbed and can help to ensure a balanced diet. They are also quite versatile and can be eaten with other foods in omelets and high protein pancakes. If you want a quick snack which provides a good amount of protein, you can hard-boil eggs, making them a portable food source which can easily be packed in a food cooler for the day.

One of the best ways to ensure proper nutrition on a daily basis is to take a multivitamin. Though many multivitamins are dosed as one pill daily, the body cannot utilize all the nutrients in one large dose, so it is more beneficial to the body to take a multivitamin several times a day to optimize absorption. What I love about SWAT Fuel’s .40 Caliber Multivitamin is that it has high bioavailability of nutrients along with a three time per day dosing recommendation. This is my personal choice of multivitamin, and yes, I do take it three times daily. This formulation is very clean and doesn’t cause the intestinal upset that some multivitamins can cause.

You can order .40 Caliber directly from the website: http://swatfuel.com/products.aspx

How To Succeed With Your Fitness Goals

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For those of us who are in the fitness world, especially those of us who compete, there is so much structure to our regimens that it is easier to keep ourselves in line. We are conditioned to keep our blinders on and stay the course with food and training. But those who are not immersed in the world of fitness and bodybuilding tend to struggle more with a regular regimen. If no specific fitness or health goal is defined, people tend to zigzag with their regimens, adding more unscheduled fun meals, more alcohol, and more missed trips to the gym.

If you are one of those people who tend to fall off track more easily, there are some guidelines which you can follow (listed below) which will help to keep you in line. More importantly, however, you need to remind yourself WHY holding yourself accountable is beneficial. When you hold yourself accountable, you stoke a fire that propels you towards your health goals. By staying on track, you develop a “can-do” attitude which extends into all areas of your life.

Do somethingHere are some tips on how to keep you on track with your eating habits and exercise plan.

1. Train with a trainer. When you work out with a trainer, you become accountable to that trainer. You need to show up and do the work!
2. Train with a friend. Similar to training with a trainer, when you and a friend agree to meet for a workout, you hold each other accountable. I always recommend setting a day and time and then prohibiting each other from cancelling, no-showing or rescheduling.
3. Prep and pack your food in advance. Prepare your day’s food the night before and store it in individual serving containers so that you can easily pack them into a bag the next morning.
4. Keep junk foods and snacks out of your kitchen. If you have tempting foods in your kitchen, you risk sabotaging your own efforts to stay on a healthy eating plan.

Remember that you can maintain focus on healthy patterns. Keep your eye on the prize!

Mineral Oil Sensitivity

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I was compelled to revisit this topic because I foolishly went against my better judgement and used a product which I happen to hate, with disastrous results. I hate Lubriderm products and think they are a scam due to the presence of mineral oil. Mineral oil is a very cheap filler which is used in skincare products and cosmetics. What many people don’t realize is that some individuals suffer from mineral oil sensitivity and truly cannot come into contact with it. Sadly, I am one of those people.

Lubriderm is touted as a “dermatologist tested” product, which basically doesn’t mean a thing. Apparently the dermatologists who tested this product weren’t aware of the fact that mineral oil can be a very reactive substance for a segment of the population. I for one have ALWAYS been reactive, though I could never understand as a child why I always broke out in itchy rashes within an hour of being exposed to baby oil. To this day, a high concentration of mineral oil will drive me into an itchy frenzy. This was the main reason why I hesitated when the idea of trying Lubriderm once again, but my stubbornness won out.

I used Lubriderm lotion for normal to dry skin for one week, and during that entire time, experienced itchy skin which only got worse at night, as well as a diffuse papular (raised) rash which covered my shoulders, arms, and thighs. On the last day in which I used the Lubriderm, I actually broke out into hives on my thighs!

As soon as I stopped using Lubriderm, the rash cleared up without any intervention. This was a clear sign that I was indeed still very sensitive to mineral oil, and that it was tragic that products could still be found which listed mineral oil among its top 5 ingredients.

PIt’s important to bear in mind that mineral oil is manufactured from crude oil, and as a result can cause pronounced reactions in people who are sensitive. Such reactions aren’t confined to skin rashes, but also include headaches Mineral-Oilor joint aches. Mineral oil can also disguise itself as petrolatum, paraffin, or propylene glycol.

lease please please be aware that mineral oil sensitivity is very real!

Leaky Gut

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food-allergy-leaky-gut-inflammation
If you suffer from sudden food sensitivities, aching joints, digestive upset, fatigue or weight gain, you may be suffering from leaky gut, which is also referred to as increased intestinal permeability. Leaky gut is characterized by the opening of pores in the small intestine, resulting in undigested food particles, bacteria, and toxins traveling to the bloodstream. The presence of these substances in the bloodstream triggers an immune response, whereby the body builds antibodies to the foreign substances but also attacks itself, creating food allergies and autoimmune disorders.

You are probably wondering how something like this occurs and if you are at risk. Let’s look at the main causative factors leading to leaky gut syndrome:

1. Chronic constipation – If you are usually constipated, toxins will often build up in stool, irritating the intestinal lining and causing inflammation, which then causes the pores in the small intestine to expand. In severe cases, Crohn’s Disease, irritable bowel syndrome,or colitis can occur.

2. Chronic stress – The immune system really takes a beating when subjected to chronic stress. If the immune response is compromised, pathogenic bacteria can cause widespread inflammation in the intestines, and leaky gut is a common result.

3. Dysbiosis – This is an imbalance between beneficial and harmful bacteria which can result from antibiotics or poor diet. Inflammation develops, causing the pores to widen.

4. Toxins – We are exposed to many thousands of toxins, but the worst offenders are found in our water supply, pesticides, and in certain medications.

leaky-gut
What Is The Solution If You Have A Leaky Gut?

I have several dietary recommendations for treating a leaky gut.

1. Glutamine – I am already a big fan of glutamine in general, but especially for those who suffer from leaky gut. This amino acid has specific activity in the intestine, and restores healthy soft tissue in the region. Over time, regular supplementation with glutamine has a protective effect against intestinal disease. I tend to be fairly aggressive with glutamine and recommend 6 to 8 grams per day, or more if you engage in frequent exercise.

2. Fish oil – Try to find a formula which contains primarily omega-3 fatty acids. You can also increase your consumption of salmon.

3. Digestive enzymes – Digestive enzymes will aid in the breakdown of food substances, especially in older individuals and those suffering from leaky gut. Try taking them with every meal.

4. Betaine hydrochloric acid – Some people produce insufficient amounts of hydrochloric acid, which is needed to break down food in the stomach. If that is the case, betaine hydrochloric acid optimizes the process.

5. probiotics – Most individuals will benefit from adding probiotics into their daily regimen. Make sure to take at least 25 billion units per day for optimal gut health.

My Nutrition Coach Certification

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NAFC-Logo-05
Despite the fact that I am a fully licensed and board-certified physician, and also hold a Bachelor’s Degree in Exercise Science, I realize that some people get hung up on specific certifications. My education covered nutrition in exhausting detail, which is why I am able to customize meal plans for clients and patients based on a myriad of factors. However, I also obtained a Nutrition Coach certification from NAFC to fortify the credentials I already had.

For those of you who are curious about the course, here are some details:

NAFC’s Nutrition Coach Foundations delivers scientifically-based nutrition education so health and fitness professionals can better serve their clients.

Develop the skills, knowledge and abilities to successfully work with clients seeking goal-based nutritional guidance.
Gain an occupational advantage with enhanced education and a credential to differentiate you from your competition!

NAFC’s Certified Health & Fitness Coaching course blends sound basic science with the latest in nutritional science along with proven coaching skills to help you successfully guide your clients toward better health, better performance, and a better body!

In Section I of this course, you’ll get a strong introduction to the basic sciences; in Section II you’ll become immersed in the field of nutritional science; in Section III you’ll learn about the art & science of being an effective coach; and finally in Section IV you’ll go through a step-by-step set of instructions on how to implement nutritional coaching competently & profitably (including over 30 pages of questionnaires and assessment tools to use with your clients).

No other nutrition certification puts all of these components together. No other nutrition certification was written by a physician with over 35 years of experience in the areas of nutrition, fitness, personal training, anti-aging medicine, and performance enhancement.

The National Association for Fitness Certification was established in 1992 to provide scientifically-based, standards-focused education and training for Group Fitness Instructors, Personal Trainers, and Wellness Consultants. The NAFC’s combination of demanding standards, practical application of scientific principles, and affordable program pricing have defined it as the most rapidly-expanding certifying organization in the industry today.

The NAFC was established by a forward-thinking group of fitness professionals, representing expertise in fields including Exercise Physiology, Adaptive Physical Education, Medicine and Nursing, and Professional Coaching. Their desire was to enhance current fitness certification standards by providing access to convenient and comprehensive – yet practical and affordable – education and skills.

The NAFC follows guidelines established by the American College of Sports Medicine, emphasizing practical information with respect to a comprehensive knowledge base.

Curbside Consults

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Even though my board specialty is family practice, this works!

Even though my board specialty is family practice, this works!

Ask any physician if he or she minds being asked a medical question by a stranger or acquaintance while at a party, and I will bet that the answer will bean emphatic YES across the board. Just because we docs take the Hippocratic Oath and are committed to the service of healing does not mean that we want to be on call wherever we go, doling out free medical consultations to anyone who asks. I am waiting for the day when an auto mechanic asks me to diagnose a medical condition so that I can respond with, “Hey, you’re a mechanic. Would you mind looking at my car and telling me what that ticking noise is?” Honestly, I am SICK OF IT. I have people private message me on Facebook because they know that I am a doctor, and they will go in to great detail in their descriptions of whatever ailment plagues them, then implore me to diagnose them for free.

There have been instances in which my friends have introduced me to people and have said, “Oh! Stacey is a doc…you know what? You should ask her about that thing on your shoulder!”, which is immediately followed by a quick history and an expectation for me to provide a quick consultation and diagnosis. I almost want to say, “Do you have any idea how much my education cost? Do you know how much it costs me for the privilege of being a doctor? Yet you want a free consultation? I’m trying to get to my gym bag here!” There are a few professions which get such queries for free advice, such as massage therapists, chiropractors and attorneys. Perhaps we would communicate our exasperation more clearly if we just said, “You want fries with that?” when someone asked us for free professional advice. I think that reply would stop anyone dead in their tracks.

I implore any of you who are considering asking a doctor for medical advice to resist the urge. We often cannot diagnose sight unseen, and we certainly don’t wish to take on the liability of providing medical advise, diagnoses or treatment suggestions in such an environment. Though you may balk at the process of scheduling an appointment to see a physician and driving to the office, please understand that we cannot provide a fast food type service in medicine. When we are off the clock, let us enjoy our lives outside of medicine.

Conformity In The Medical World

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stethoscope-doctorBefore I dive into this topic, I want to make it very clear that I am proud and honored to be a physician. I endured four years of medical school and three years of residency training because I had a lifelong love of medicine and truly wanted to be a healer. That being said, I have never been nor will I ever be what is considered typical for a physician. Don’t expect me to talk about medical cases and read medical tomes when I am away from the office. Many of my colleagues are so unbalanced that they will eat, breathe and live medicine constantly, but that is not my style at all. Some of them are also social misfits and cannot talk about a non-medical topic without stumbling and bumbling. The social awkwardness of some physicians is so painful to witness that I find myself cringing and looking for a quick exit when social hour begins at a conference or medical dinner.

I keep my fitness background on low profile when in medical circles because I realize that some of my colleagues may regard what I do in the fitness world as highly irregular and downright scandalous. To be honest, I really don’t give a hoot what they think, but because I don’t enjoy being scrutinized by conservative types, I avoid discussing my fitness activities as much as possible when at medical events. I realize that aside from our medical backgrounds, my colleagues and I share almost NOTHING in common. What could I possibly say to a colleague who brings a stethoscope to a medical dinner (yes, I have seen colleagues do this!)? The lives of most docs are boring to an extreme and do not hold my interest. I am not saying that all doctors are like this, but I definitely keep my interaction those who act like medical snobs to a bare minimum. There are a few doctors who will make a point of pimping the other docs at a dinner table. Pimping refers to quizzing on medical topics and cases and is typically performed by a professor or proctor and directed at a student or resident during teaching forums or rotations. It is extremely tacky when a physician attempts to pimp his colleagues and is a clear sign of an inflated ego.
cardinals
I don’t mind standing out in the flock with plumage that is brighter. It honestly suits me. But it doesn’t mean I am less than the other doctors who are out there. I am licensed and board certified, a published medical researcher and see patients on a regular basis. Thank goodness I have a very full life, one that is so varied and exciting that I can easily escape the dry and often depressing climate of medicine and enjoy something that has twists and turns.