Tag health

Sugar And Cognitive Decline

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hero-cookie-candy-bars
How can sugar be such a bad thing when it tastes so wonderful? Well, you might want to consider the consequences of indulging in sweet treats on a regular basis. Consume a diet high in processed sugar and you can almost count on experiencing a pronounced cognitive decline with advancing years. Numerous studies have revealed a decline in cognitive function after consuming processed carbohydrates. A 2011 study published in the British Journal of Nutrition examined habitual sugar intake in over 700 nondiabetic middle-aged subjects of Puerto Rican descent. The results showed that consumption of sugary beverages resulted in lower MMSE scores, while a higher total sugar consumption resulted in lower word list learning scores. Numerous other studies have shown a strong correlation between insulin resistance and lowered cognitive function.

sugary-drinks

As it is, cognitive function begins to decrease by our late 20’s with memory problems surfacing about ten years after that. Some individuals are already doomed to develop insulin resistance with increasing age, and this is magnified dramatically when processed carbohydrates are consumed on a regular basis. Processed carbohydrates such as refined sugar are absorbed more rapidly, causing a surge in insulin release. When this occurs frequently, the result is an increase in insulin resistance. Another consequence of increased blood sugar is decreased blood flow, which also inhibits cognitive function.

By no means am I saying that you have to COMPLETELY eliminate all sugar from your diet all the time (though it isn’t a bad idea). If you allow yourself the RARE indulgence, such as birthday cake, that is fine. The more insidious culprits are the sugary sodas, flavored yogurts and packaged crackers which tend to creep into regular diets. They may be tasty to many people, but they carry a heavy consequence. Knowing all of this, why would you risk “dumbing down” and increasing your dementia risk by eating sugary foods all the time? Now, that is just stupid.

Eliminating sugar from your diet is a great step towards improved health and mental clarity, but you should also make sure to get vital nutrients in on a daily basis. I recommend taking a multivitamin several times a day to optimize absorption, but most of the large brand multivitamin formulations out there are dosed once daily. In addition, the bigger brands do not have high bioavailability. What I love about SWAT Fuel’s .40 Caliber Multivitamin is that the nutrients in the formulation are highly bioavailable, and the supplement is taken three times daily. 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
References:

Br J Nutr 2011 Nov; 106(9):1423-32.

Hand X Band For A Stronger Grip And Great Rehab For Tennis Elbow

drstaceynaito 1 Comment

handxband_diagram
If you think about all the grasping and gripping you do in your daily life, such as opening doors, driving, working out with weights, etc., it’s pretty obvious that you use the muscles which flex your fingers far more often than the ones which extend (or straighten out) the fingers. Over time, this results in overdevelopment of the finger flexors relative to the extensors. A new product called the Hand X Band enables you to selectively exercise the finger extensors, establishing muscular balance and increasing strength. These clever bands are inexpensive, durable, and effective.

The Hand X Band is great for athletes who want to balance their strength and muscular development, but it is also excellent for upper extremity rehab.

You can order direct from the site: http://handxband.com

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

Check Out The Six Pack Fitness Bag Collection!

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6 Pack LogoThis collection is growing next year too, with a whole line of luggage! Please make sure to enter my discount code DRNAITO1014 If you order within the next day, and code DRNAITO1114 if ordering after that. You will receive 15% off your order.

I have used other brands of meal bags, and I honestly love Six Pack bags the best. This company has come a long way, and now they not only have Meal Management Bags, they also have Backpacks, Duffels, Briefcases, Women’s Bags and Accessories to help you keep everything in perfect order. They are top quality, fuctional and stylish. Get one!

http://www.sixpackbags.com

6 pack Elite
6 pack Expert

What a great meal bag option for the fashionable gal!

What a great meal bag option for the fashionable gal!

The Protein Bar Battle

drstaceynaito 1 Comment

I am VERY picky about the protein bars I eat or recommend to others, so when I say that I dig Quest Bars AND B-Up Bars, that is saying a lot. Both brands are gluten free, soy free, very low in carbs, high in fiber, and offer 20 grams of protein per bar. I still remember when Quest had just started out, and had two flavors: Vanilla Almond Crunch and Peanut Butter Supreme, or as I had remembered them, the blue wrapper and the green wrapper. I loved the enthusiasm which Shannon Yorton Penna had in creating the bars and had a hunch the company would grow fast. Quest now has 16 flavors and has expanded to pasta, chips and clothing. Way to go Quest!

It was inevitable that a company would eventually throw down the gauntlet with a distinctive bar of their own. B-Up Bar is a new company with three awesome flavors and is taking off like a rocket, not only because they have great products, but also because the people in the company are friendly, professional and driven just like Shannon and the incredible team at Quest. I truly love both companies and eat both brands of bars, so I thought it would be interesting to look at the features of each brand of bar and also offer my feedback on them.

With Quest, there are TONS of flavors now (16) to satisfy all kinds of palates. They are free of sugar, gluten, and soy, and offer 20 grams of prebiotic fiber, so net carbs are very low. Quest Bars have 20 grams of protein and are sweetened either with sucralose OR stevia and erythritol. Here is the current list of flavors which are available:
Quest Bars flavors
Vanilla Almond Crunch
Peanut Butter Supreme
Chocolate Peanut Butter
Apple Pie
Cinnamon Roll
Chocolate Brownie
Strawberry Cheesecake
Mixed Berry
Coconut Cashew
Lemon Cream Pie
Peanut Butter & Jelly
Banana Nut Muffin
Chocolate Chip Cookie Dough
Double Chocolate Chunk
White Chocolate Raspberry
Cookies & Cream

Me with BUp Bars
Like Quest, B-Up Bars are free of sugar, gluten, and soy, and offer 20 grams of prebiotic fiber, so net carbs are very low. B-Up Bars also offer 20 grams of protein, but they are sweetened with stevia, xylitol and monk fruit extract, all of which are natural sweeteners. B-Up Bars currently come in three flavors, but there will be more delicious flavors added to the group very soon. Here are the flavors:

Chocolate Mint
Sugar Cookie
Cinnamon Roll

I absolutely love the flavor of the majority of Quest Bars (the only one I am not crazy about is the Mixed Berry), and I definitely have my favorites (Peanut Butter & Jelly, Banana Nut Muffin, Chocolate Chip Cookie Dough). My favorite flavors remind me so much of the food items they are named for that I am always tricked into believing that I am indulging in the actual food item. One thing I have noticed, though, is that over the span of a couple of months, these bars tend to harden up a lot, to the point where you can’t even bite into them without risk of chipping a tooth. This can be remedied by zapping the bar (WITHOUT the foil wrapper) in the microwave for a few seconds.

In contrast to the Quest Bars, B-Up Bars are chewier. I love the texture of the Sugar Cookie flavor because it seems softer and fluffier than the other two flavors. My favorite B-Up Bar flavor is Chocolate Mint because the mint flavor is pleasant but not overpowering, and the chocolate chunks break up the soft texture of the bar nicely. It seems that I digest B-Up Bars slightly better than the Quest Bars, but this isn’t enough for me to stop eating Quest Bars!

I noticed one other odd thing after spending a few weeks eating mostly B-Up Bars. When I went back to the sucralose-sweetened Quest Bars, I detected an aftertaste which I didn’t really like, so I guess my palate had adjusted to the natural sweeteners found in B-Up Bars. To be honest, I prefer the sweeteners found in B-Up Bars slightly more because they are more palatable. When I tried a stevia and erythritol sweetened Quest Bar after this discovery, I didn’t pick up any aftertaste.

In conclusion, I love both brands of bars and would recommend them both to friends, family, fans, clients and patients.

http://www.questnutrition.com/protein-bars/

http://www.bupbar.com/

Packing Fit Foods For Travel

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It can be extremely challenging to maintain healthy eating habits while traveling abroad, especially in countries which have not embraced the concept of clean eating. An additional challenge which I encounter when I travel abroad is that it can be extremely difficult to consume the quantity of protein which I am accustomed to on a daily basis (150 to 200 grams per day). If I didn’t have access to wonderful products like P28 Bread, B-Up Bars, Quest Bars, Training Table Sports Meals and Kris Gethin’s Nutrition By Design Meal Cups to pack, I wouldn’t meet my macronutrient needs solely by eating at restaurants. I will continue to pack these convenient meal options when I go to Germany and England next year.

Both the Training Table Sports Meals and the Kris Gethin Meal Cups are whole food sources and pack a ton of protein (27 to 34 grams). The only drawback is that Training Table meals should be heated up in a microwave, and the Gethin meals require boiling hot water to rehydrate the ingredients. For this reason, I always make sure to pack P28 Bread and bars, since they don’t require any preparation. I can easily pack a box or two of bars (and yes, I ONLY eat B-Up and Quest) in my checked bag and also add a bag of P28 Flatbread. I pack the Gethin meals inside a rigid box so that the containers don’t get crushed, but everything else travels well without additional padding.

The only issue I ever run into is when I return to the States and have to go through customs. If I have any food left, the customs officials treat me like I am a drug lord or criminal! The food items which raised the most suspicious eye were the Gethin meals, which surprised me since they are dry. However, I will not allow the U.S. Customs officials to rain on my parade. I will continue to pack Gethin meals because they are so convenient and lightweight. Another great thing about Gethin meals, Training Table and B-Up Bars is that they won’t spoil during my travels.

Here are images of the products I have mentioned here. The only company I have not worked with is Kris Gethin Nutrition By Design, but my opinions of these products are completely honest and unbiased. All of these products are fantastic!

flatbreadbanner_copy

B UP bar collage

Quest Bars

Training Table

Kris Gethin meal

My Education Never Stops

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medical_education_-_steth_with_book
For those of you who think that physicians are done with educational pursuits once they complete the rigors of medical school and residency, think again. We must complete continuing medical education credits (aka CME’s) for the length of our medical careers. This means that we must attend conferences and seminars, take online courses, complete quizzes in medical journals and take recertification exams to retain our board certification. Such CME’s aren’t cheap either. The average cost of each credit hour is $25, so when you multiply that by the 150 hours required in each three year cycle for board certified physicians like me, $3,750 has flown out of your wallet, and that doesn’t take into account the association dues for the governing sites which offer the most desirable and relevant CME credits.

Today I decided to chisel away at my ongoing requirements and took two online CME courses. The first was on diabetic foot ulcers and was quite graphic and disgusting, but since I am required to know how to treat this condition, I tolerated the images which flashed on the computer screen. I then took a course on gastrointestinal disorders which was far less graphic but yielded valuable information which was a great review for me. At the end of my two hour review, I received two CME credit hours which will be counted toward the 150 total hours I will need to accumulate by the end of 2015. I wish I could do most of my CME credits online, but there are limits on online coursework. What that basically means is that I am forced to participate in live courses, which means that I must figure out what courses my schedule will accommodate. In addition, live courses are significantly more expensive. I was investigating medical conferences yesterday and discovered that one major conference would set me back by $1,400 just for the registration alone! Since I cannot afford that conference, I must get creative and find other options which aren’t nearly as expensive.

I research CME opportunities every few months for the most respected and accessible opportunities, so I feel confident that I will find cost-effective ways of fortifying my medical knowledge while fulfilling my CME credits before the end of the current cycle. Since I also recently obtained an NAFC Nutrition Coach Certification, I will need to keep up on CEC’s for that as well. Oh, the learning never ends!