Tag: guest post

Morning, Afternoon, and Night... Which Foods Will Do You Right?

If you are not in competition prep or following a weight loss plan from me www.trainitright.com/programs use the tips in this guest post for healthy eating:

Before you grab that morning cup of coffee on an empty stomach, that lunchtime slice of pizza, or indulge in a steak dinner or ice cream while watching TV, understand that what you eat and when you eat it can lead to stomach upset. It can also trigger more severe issues in your gut. On the flip side, there are some foods that when eaten at certain times of day may soothe already existing stomach issues or may even prevent stomach ailments from occurring down the line. We spoke with Dr. Gina Sam Assistant Professor in the Division of Gastroenterology, Department of Medicine at Mount Sinai School of Medicine, New York who offers insights on what and when to eat certain foods for a healthy gut.

Best Bets for Morning

Yogurt

It’s important to start the day with a healthy breakfast that factors in stomach health. Probiotics found in Greek yogurt is ideal as it regulates the growth of harmful bacteria that grown in the digestive tract. Probiotics also keep colon lining healthy as it breaks through gastric acid and gets to the colon. In 2015 a study published in the The Korean Journal of Gastroenterology showed that yogurt might improve intestinal function for those with inflammatory bowel disease. Those who are lactose intolerant can enjoy lactose free yogurt.

Oatmeal

Oatmeal is a great bet for breakfast and can be topped with blueberries another gut friendly food. Oatmeal doesn’t cause acid reflux. It soothes any morning stomach upset and regulates bowel movements.

Fresh Fruit 

Honeydew, cantaloupe, and watermelon are great options for those sensitive to reflux. Bananas help restore potassium, electrolytes and normal bowel function, especially if you have diarrhea. Bananas are also high in fiber, which is great for digestion.

The Lunchtime Lowdown

Salads

Eating leafy greens daily is a great for digestion. Lunchtime salads that include grilled salmon; chicken or turkey won’t cause reflux and will be easily digestible throughout the afternoon. If you are sensitive to acid then you will want to avoid onions or tomatoes and for some even the seeds in cucumbers can trigger a bout of stomach cramping. Be careful with lemon juice and vinegar in salad dressings, which can promote reflux. Try adding fennel with arugula and baby spinach along with parsley. Parsley is known to help digestion and settles the stomach.

Kimchi

This delicious Korean coleslaw is made primarily with cabbage, which promotes the growth of healthy bacteria in the colon. Also cabbage helps to eliminate waste regulating bowl movements. Home made sauerkraut is also a delicious option but be mindful if you are sensitive to spicy foods. This is why it is best to make your own so you can regulate the amount of spice.

Mediterranean Plates

Lunchtime is optimal for grilled veggies, legumes such as lentils with olive oil along with grilled fish or chicken. Preparing a plate of various whole grains, cauliflower, carrots, figs and pears are all great sources of fiber for the mid day.

A Digestible Dinner

You really want to focus on ease of digestion at dinnertime. Foods that are high fat

can overwhelm the stomach, resulting in acid reflux and heartburn. Steatorrhea or pale colored stool is excess fat in the feces. People with IBS fare better when they avoid high fat foods. That said here are some options for a healthy gut.

Grilled Fish

Cold-water fish such as salmon, halibut, or tuna when grilled in olive oil are full of omega-3 fatty acids, which can address any inflammation in the digestive tract. According to a 2014 study featured in the World Journal of Clinical Cases, omega-3’s were sites as being beneficial to those with ulcerative colitis.

Grilled Chicken with Couscous or Brown Rice

Chicken another lean meat that offers protein and is easy to digest goes great with couscous or brown rice especially if you tend to get acid reflux after late meals. Another option for a side dish is guacamole or avocado slices with lime. Artichokes also feed the good bacteria in your gut as does asparagus and lentils.

Stomach Friendly Snacking

When it comes to snacking there are several options you can reach for. Granny smith apples with almond butter, baby carrots and hummus, hallowed out cucumber and cottage cheese, kale and zucchini chips and assorted nuts (not peanuts) are all healthy and good for the gut.

You know your body best. Pay close attention to what agrees with you at varying times of the day and if you notice changes in how you take to certain foods see your doctor.

About Dr. Gina Sam: 

Dr. Gina Sam, MD/MPH is an Assistant Professor in the Division of Gastroenterology, Department of Medicine at Mount Sinai School of Medicine, New York. She is the Director of the Mount Sinai Gastrointestinal Motility Center specializing in achalasia, gastroesophageal reflux, functional disorders, irritable bowel syndrome, gastroparesis, and anorectal disorders including pelvic floor dyssnergia and fecal incontinence.

In addition, she does practice General Gastroenterology including colon cancer screening with colonoscopy. She also has a special interest in Women's Health Issues.
Dr. Sam graduated from Tufts University School of Medicine with her medical degree and her Master's in Public Health with a concentration in Community Health in 2003. She has established the Mount Sinai Gastrointestinal Motility Center at Mount Sinai Medical Center providing a multidisciplinary approach to motility and Functional gastrointestinal disorders.

We talk openly about asthma & allergies. Giving same transparency to mental health issues will lift the crippling silence, says award-winning columnist, author, OCD & anxiety survivor

Last week, Harry Potter series star Devon Murray bravely opened up about his decade-long struggle with depression.  But why did it take him so long?

Maggie Lamond Simone, author of Body Punishment  -- who has struggled her entire life with OCD, anxiety and depression -- knows all too well that shame, the fear of stigma and a general lack of awareness about the signs and symptoms of mental illness keep a significant number of people from speaking up about their condition.

The silence, Maggie says, can cause utter devastation by perpetuating a culture of secrecy,  causing shame to deepen, destroying self-esteem and alienating those affected.  It can also prevent people from seeking the treatment and support they need.

The only way forward toward ending what NPR has called a silent epidemic, Maggie says, is to lift the taboo around calling mental illnesses by their name.  Here’s how:

Identify the illness.

Mental illnesses come in all shapes and sizes, from depression and anxiety to OCD, eating disorders and addiction.  Be intentional about identifying the specific condition you, a friend or a loved one is suffering from. This will help make the condition and its manifestations seem less mysterious and confusing, lifting a layer of stigma.

Get in the habit of calling each illness by its name.

When consistently referred to by its proper name, a mental health condition becomes merely an aspect of the individual suffering from it rather than a defining characteristic -- as with asthma or allergies.  After all, just as nobody chooses to have asthma or is identified by it, nobody chooses to have -- or should be identified by -- OCD.

Be intentional in talking openly about mental illness.

Whether you struggle personally with a mental health condition or know somebody who does, be intentional in speaking about it openly.  Again, think of how you’d speak of asthma.  The condition itself won’t go away, but with a name and no shame it becomes just another aspect of whoever has it. It can be managed.

Finally, remember: speaking up will lead to a domino effect that will go a long way toward alleviating suffering and devastation.

Maggie would be happy to talk about this in more detail, and / or I’d be glad to send you a copy of her book.  Let me know if you’re interested!

About Maggie Lamond Simone

Maggie Lamond Simone is an award-winning columnist and author. With two titles already to her name, her third book, Body Punishment: OCD, Addiction and Finding the Courage to Heal (Central Recovery Press) was released in April 2015. It traces Simone’s journey struggling with obsessive-compulsive disorder, anxiety, and depression. Her writing has been featured in multiple publications and collections, including Cosmopolitan Magazine, The Zen of Midlife Mothering (2013), Not Your Mother’s Book on Do-It-Yourselfers (2013), P.S. What I Didn’t Say (2009), and Chicken Soup for the Soul: My Resolution (2008).  Simone has been a guest on NPR and is a regular blog columnist for the Huffington Post. An an adjunct professor in the department of communications at SUNY Oswego and Onondaga Community College in Syracuse, she lives in Central New York with her husband and two children.

About Body Punishment

For as long as she can recall, Maggie Lamond Simone has been plagued by self-loathing and urges to harm herself physically while emotionally sabotaging her life. In Body Punishment:  OCD, Addiction and Finding the Courage to Heal (Central Recovery Press, April 2015), she reveals it all. The obsessive thoughts that drove her to cut, starve, pick, drink, pluck, purge, and otherwise hurt herself. The profound shame, the utter despair and the confusion over her own inner workings that prevented her from establishing stable, long-term goals and healthy relationships.  Through this poignant story of her painful, eye-opening journey she explores the issues of substance abuse, anxiety, and depression that commonly occur with OCD, all in an effort to further the dialogue around mental illness and eliminate the shame and help others find a way forward toward healing.

BELLY BLOATING BUSTERS:

Avoiding Foods That Make You Look & Feel Fat for Every Life Occasion 

www.drcal.net

When planning for a fun get-together with friends everything goes through your mind, from your wardrobe to jewelry and make-up. What many of us don’t plan for, however, is our meals.  Eating the wrong foods before an event can sabotage your beauty plan. Certain foods can give your gut an instant bloat that looks and feels awful. However, there is a solution to this dilemma. Instead of skipping dinner to squeeze into your LBD or grabbing bagels for a quick morning bite, there are belly bloat busters. Dr. Christopher Calapai, D.O. is an Osteopathic Physician board certified in family medicine and anti-aging medicine. Here are some of his suggestions:

For a girl’s night out: Don’t be afraid to have a large meal beforehand (large meaning more than just a PB&J). If you are planning for an active night, whether dancing, bowling or party hopping, you will need the fuel. Dr. Calapai has created the perfect meal for this situation:

-      1 grilled chicken breast (approx 4 oz)

-      1/2 cup cooked brown rice and lentils

-      1 cup steamed string beans

This combo will fill you up without weighing you down, and will give you the energy you need to dance the night away!

For a dinner- date: You’re wearing a stunning new BCBG dress that already had to be zipped up by your roommate. When you’re at the restaurant with your guy refrain from ordering a salad to make it look like you’re being healthy. All the veggies in the salad will actually cause your stomach to bloat more. Dr. Calapai  advises that a fish dish with one side of grilled veggies is the way to go! “Wild Salmon is jam-packed with heart healthy vitamins and omega 3 fatty acids. If Salmon is not an option, mackerel, sea bass and lemon sole are all good options as well. As for the veggies, try to steer clear of cruciferous veggies (such as cauliflower, broccoli) that can cause bloating. Instead opt for grilled zucchini, asparagus, or carrots - which will keep your tummy tamed!”

For a day at the beach: It’s finally getting warm out and you can take that bathing suit out of hiding. If you’re going to the beach you need a healthy, energizing meal to get you through the morning but you don’t want it to show in your stomach.  You’re probably thinking that the easiest thing to eat before you head out is some Special K with skim milk. It’s low in calories after all, right? It doesn’t matter how low-cal it is, the dairy and multi-grains will expand in your intestines, causing your gut to stick out. Instead of cereal, Dr. Calapai has an awesome recipe for oatmeal pancakes. Take 1/2 cup raw oats, 3 egg whites, 1/2 apple, and a dash of cinnamon and throw in a blender to create the pancake mix. This high fiber non-fat breakfast choice offers whole grain fiber plus additional fiber from the apple, and protein from the egg whites. It's a great filling way to start the day, and will not create any abdominal gas or bloating, so you can go bikini-bare with ease!

For an afternoon luncheon: Eating a well-balanced lunch is essential for boosting energy and productivity; giving you power over that mid-day slump and keeping your metabolism active.  A lot of times people want to skip lunch in hopes of losing weight and grab an energy drink to keep them going. This is so bad! The carbonation from an energy drink will make you more bloated then a light lunch. Dr. Calapai says, “For a mid-day luncheon, your best bet is a salad chock-full of fresh veggies and greens, and topped with a piece of grilled fish, low-fat tuna salad, or fresh turkey breast slices. Throw a few walnuts or almonds on top and dress with a low fat/low sugar dressing, to finish off your delicious salad creation!”

Before Sex: Luckily, you can eat your dinner or dessert (or both, on good dates) and enjoy sex too. Just lay off the foods that can trigger digestive issues, a real problem if you have a sensitive stomach or suffer from date-related anxieties, which can amplify digestive issues, according to Dr. Calapai. An 8-ounce piece of meat could trigger gas that's particularly foul-smelling. "Gas associated with red meat is more odorous because of chemicals it produces in the colon," Dr. Calapai explains. That's because when you overeat protein, it goes straight to the colon for fermentation where it creates some seriously offensive byproducts.  A safer bet is salad greens, cucumbers, tomatoes, bell peppers, mushrooms. Instead of a Margarita drink: Tequila straight up, or wine (a safer bet). This way, you're only up against naturally occurring sugars.

For traveling days: These days airports are getting bigger and so are the food courts. It’s tempting to give in to the convenience of fast travel food, but the combination of a high-sodium smorgasbord and air travel equals a very bloated body from head to toe. You absolutely must resist because there are better options. Eat before you leave for the airport.  Dr. Calapai suggests packing your carry-on with fruits, veggies, and granola bars. Believe it or not these are available at kiosks. Also, avoid the beverage service on board. Stick to water, you will have a happier flight and feel revived upon arriving at your destination! 

Dr. Christopher Calapai D.O.

Anti-Aging Physician and "The Stem Cell Guru

Dr. Christopher Calapai, D.O. is an Osteopathic Physician board certified in family medicine, anti-aging medicine and chelation therapy. Proclaimed as the "The Stem Cell Guru" by the New York Daily News, Dr. Calapai is a leader in the field of stem cell therapy in the U.S.

His stem cell treatments have achieved remarkable results in clinical trials on patients with conditions as varied as Alzheimer's, arthritis, erectile dysfunction, frailty syndrome, heart, kidney and liver failure, lupus, MS and Parkinson's.

Dr. Calapai started his practice in New York City in 1986 and for over 25 years he has hosted nationally syndicated radio shows, including his two weekly call-in shows on WABC 770-AM, where he offers health and medical advice. He has a show on Saturday morning 8-9am and Sunday evening from 6-7pm. He has consulted with numerous high-profile individuals including Mike Tyson, Mickey Rourke, Steven Seagal, and Fox series Gotham's, Donal Logue and worked as a medical consultant for the New York Rangers hockey team as well as various modeling agencies.

Dr. Calapai received his medical degree from New York College of Osteopathic Medicine and he consults in Manhattan with practices on Long Island, in East Meadow and Plainview. He has appeared on News12 and in the pages of 25A Magazine and Social Life Magazine.

He is the author of E-books Heavy Metals and Chronic Disease, Reverse Diabetes Forever! Seven Steps to Healthy Blood Sugar, Top Ten Supplements You Can't Live Without, and Glorious Glutathione. Learn more about Dr. Calapai on his website, www.drcal.net.

Trust Your Gut…6 Stomach Issues Not to Ignore

We’ve all eaten or have drunk something that didn’t agree with us. We’ve all caught a stomach bug that was settled with rest, and over-the-counter aid and some chicken broth. While many times we can go at it alone and solve a stomachache ourselves, there are certainly times where it’s necessary to see a doctor. Dr. Gina Sam Gastroenterologist with Mount Sinai in New York City and Associate Professor provides insights on symptoms indicative to common conditions and advises when it’s time to see the doctor.

Indigestion

Common symptoms include feeling full fast during a mean, a slicing pain, burning or tightness between your breastbone and navel or bloating. The tricky thing with indigestion is that it can be triggered by something else that is worse. Persistent indigestion may be a side effect of a medication, caused by smoking, thyroid disease, ulcers, infection, or gastroesophageal reflux disease (GERD). “If you rarely have indigestion and feel funny or discomfort after a spicy meal that may go away on it’s own. However, if indigestion is a daily occurrence for more than 2 weeks and is coupled with trouble swallowing, fatigue or weakness then absolutely see your doctor to be sure it isn’t due to something more serious,” advises Dr. Sam.

Lactose Intolerance

When the small intestine fails to product enough lactase, an enzyme that digests milk sugar (lactose) food reaches the colon before it has been processed and absorbed. Undigested lactose interacts with normal bacteria in the colon leading to diarrhea, nausea, bloating, cramping, gas and sometimes even vomiting. These symptoms usually begin 30 minutes to two hours after consuming foods or drinks with lactose. Dr. Sam explains that the challenge with lactose intolerance is that it often leads to calcium deficiency so it’s always a good idea to see your doctor to create a plan that explores which foods trigger discomfort and which are still okay.

Kidney Stones

According to Dr. Sam kidney stones don’t cause symptoms until they pass on from the kidney towards your bladder. That’s when there may be cloudy or foul smelling urine that can appear brown, or pink. There may also be a frequent need to urinate but the ability to urinate small amounts. Nausea and vomiting along with fever and chills are also symptoms. Usually when lower back pain is so severe sleeping and even sitting is difficult the patient seeks medical attention. “When you have kidney stones you just know something isn’t right, yet sometimes it takes people longer to see several symptoms before they seek medical attention,” explains Dr. Sam.

Gallstones

Gallstones are stones that form in the gallbladder, a tiny sac that hangs out under the liver, emptying bile as needed to digest fats. These stones cause swelling and can block the duct into the intestine, resulting in pain. Gallstone pain tends to strike the right side of the upper abdomen, particularly after fatty meals triggering the gallbladder to contract. “If the gallbladder is inflamed, any contraction of that nature will be amplified and typically will cause pain to the patient,” says Dr. Sam.

Appendicitis

While it’s more common to people ages 10-20 it can strike at any age. Typical symptom is pain specifically in the lower right quadrant of the abdomen however, half of those with appendicitis have pain elsewhere. Also not everyone has his or her appendix in the same place making the pain site vary. “This is why it is important to monitor symptoms closely. Many of the symptoms are similar to ones associated with other conditions such as kidney stone, Crohn’s disease even ectopic pregnancy,” offers Dr. Sam. She further explains that the patient can expect several tests (blood, urine, MRI, CT or ultrasound) to confirm diagnoses. Some doctors don’t want to risk waiting for test results and based on how the patient describes his or her own symptoms may opt to surgically remove the appendix.

Side Effects From Medications

“No drug is without side effects and sometimes that includes abdominal pain.

Oral bisphosphonates, a popular class of drugs that helps preserve bone density and prevent osteoporosis, can cause swelling—and therefore pain—in the lower esophagus,” says Dr. Sam. Pain medications known as NSAIDs (nonsteroidal anti-inflammatory drugs) such as ibuprofen and aspirin can also cause swelling in the stomach lining and may even lead to ulcers.

Rule of thumb is to trust the gut. When something feels more serious, it usually is. Some stomach issues can either be symptoms of other more serious issues or if left unaddressed, can escalate into something worse. “Whenever you’re feeling prolonged discomfort and sharp pain it’s worth seeing your doctor,” advises Dr. Sam.

About the doctor:

Dr. Gina Sam, MD/MPH is an Assistant Professor in the Division of Gastroenterology, Department of Medicine at Mount Sinai School of Medicine, New York. She is the Director of the Mount Sinai Gastrointestinal Motility Center specializing in achalasia, gastroesophageal reflux, functional disorders, irritable bowel syndrome, gastroparesis, and anorectal disorders including pelvic floor dyssnergia and fecal incontinence.

Three Ways To Bring Wheat Back Into Your Diet
by Dr. John Douillard

The gluten-free industry is predicted to reach 15.6 billion in sales in 2016, with 28% of people set on avoiding wheat and gluten products. Many are choosing to avoid wheat because they don’t feel good after eating it, want to lose weight or have been convinced it is unhealthy.

Before you give wheat a life sentence as a bad food, here are some whole wheat facts and tips that may allow you to successfully break bread once again.

Eat Wheat Tip #1: Be Choosy

Many gluten-free experts suggest that ancient wheat had much less gluten than our modern wheat and, therefore, conclude that ancient wheat is better than our modern wheat. But wait…are we sure it is the gluten that is the cause of the “gluten sensitivity”?

One study compared the ancient wheat, Kamut, with some modern wheat strains. They found that the ancient Kamut actually had twice the amount of hard-to-digest A-gliadin glutens than the modern wheat. The Kamut, with twice the gluten, was shown to reduce inflammation two-fold, while also lowering blood sugar and cholesterol significantly more than the modern wheat.

In another report by the Journal of Agriculture and Food Chemistry, the average American ate 86 pounds more wheat flour in the year 1900 than they did in 2008, suggesting that the increase in celiac disease and gluten sensitivity may not be from the gluten after all.

The Takeaway: Ancient strains of wheat that include Einkorn, Emmer and Kamut have been found to have more antioxidant activity than modern wheat and are good grains to start with as they are also typically prepared without industrial processing. But, not all modern wheats are created equally. Spelt is a much easier grain to digest because it has 40% less of the hard-to-digest anti-nutrients called phytic acids than common whole wheat. Anti-nutrients protect grains, beans, seeds and nuts from invading bacteria. Sprouting whole wheat is another technique to break down the anti-nutrients, making the bread easier to digest. Rye has been shown to have a significantly lower glycemic index and is better if you are concerned about your blood sugar.

Eat Wheat Tip #2: Eat Fermented Wheat

There is no doubt that the gluten in wheat is a hard-to-digest protein, but history suggests that we are well-adapted to digest it. For starters, new research from the University of Utah have found evidence that early humans have been eating C-3 grasses such as wheat and barley for at least 3.4 million years – not 10,000 years as you may have heard.

As for adapting to wheat, we have. Studies have found microbes that specifically  produce enzymes for breaking down gluten in the mouth, esophagus, stomach, small and large intestines. There are also enzymes produced in the small intestine that can break down the hard-to-digest A-gliadin glutens.

The Takeaway: Early bakers discovered that fermenting the wheat flour with beneficial bacteria made the wheat much easier to digest. In a handful of studies, sourdough bread was found to reduce the gluten content of the bread, even rendering it “gluten-free.” In fact, when they served this bread to patients with celiac symptoms, they did not measure any increased intestinal inflammation. This is not suggesting that folks with celiac can safely eat or should try eating sourdough bread, but for those with gluten sensitivity, sourdough bread is a good place to start. You can find healthy versions of these at an artisan bakery or a natural food store.

Eat Wheat Tip #3: If You’ve Never Heard of It, Don’t Eat It.

Did you ever wonder why the bread you buy in the supermarket stays “fresh” and squishy for weeks without getting hard or moldy, while old-fashioned baked or artisan breads get hard in just a couple of days?

Modern breads are loaded with dough conditioners and preservatives that keep the bread squishy and “fresh” or resistant to mold for weeks. In addition to the many chemicals and added sugars put in most breads, the most dangerous of all is the added oils. Most breads have added oils in them, which are key for their so-called freshness, squishiness and shelf life.

The oils used are typically super refined, bleached, boiled and deodorized, which leaves them nothing like the oil when it was originally pressed from the seed or vegetable. Freshly cold pressure oils will go rancid more quickly when exposed to light, and baking even the best oils renders them indigestible for both humans and the bacteria that naturally make bread get hard and moldy.

Remember, the human body is made up of cells that are 90% bacteria and only 10% human – and if the 90% is doing the heavy lifting for most our body’s immunity, mood and functions, don’t you think we should be eating foods that both humans and the bacteria can digest?

The additives and baked oils are what makes foods processed. In one study, when folks ate a diet of processed foods, they had a 141% increased risk of belly fat, high blood pressure, high cholesterol and high blood sugar. When they ate a non-processed diet including whole wheat, they saw a 38% reduction in risk of the same concerns.

The Takeaway: The ingredients in a healthy and digestible loaf of bread should look something like this: organic whole wheat, water, salt, starter – with no cooked oils. As for the rest of the potentially toxic ingredients unnecessarily found in most breads, avoid sugars or sweeteners, even natural ones like cane sugar, honey or molasses. Also, avoid breads with ingredients you do not recognize. If you don’t know what it is, than it’s probably best to not eat it.

Dr. John Douillard, DC, CAP, is a globally recognized leader in the fields of natural health, Ayurveda and sports medicine. Over the past 30 years, he’s helped over 100,000 patients repair their digestive system and eat wheat and dairy again. He is the creator of LifeSpa.com and author of the book, Eat Wheat: A Scientific and Clinically-Proven Approach to Safely Bringing Wheat and Dairy Back into Your Diet, releasing nationwide January 2017. For more information, please visit, www.eatwheatbook.com and connect with Dr. Douillard on Twitter, @johndouillard.

10  SURPRISING REASONS YOU ARE GAINING OR NOT LOSING WEIGHT THAT HAVE NOTHING TO DO WITH OVEREATING 

www.drcalapai.net

When we see people who are overweight, many commonly assume that the individual is overeating and not exercising.   Neither of these instances is cause for prejudice, fat shaming or other negatives.  There are men and women who seemingly do everything right when it comes to diet and exercise and they are either gaining weight or simply unable to shed pounds.  This can be incredibly disheartening and wreak havoc one one’s self esteem. Here are 10 surprising reasons provided by Dr. Christopher Calapai as to why this might be occurring.  Dr. Christopher Calapai D.O. is a New York City anti-aging and stem cell specialist, and long-time nutrition advisor to the New York Rangers hockey team.  

Lack of Sleep

There are two issues at work with sleep and weight gain. First, if you're up late, the odds are greater that you're doing some late-night snacking, which means more calories. The other reason involves what's going on in your body when you're sleep-deprived. Changes in hormone levels increase hunger and appetite and also make you feel not as full after eating.

Medication

“Many anti-depressant medications cause weight gain—so if you're depressed and taking pills for it, expect to see a bump in weight between 5 and 15 pounds, with continued gradual accumulation over the years,” says Dr. Calapai.  If you're not taking pills, there’s evidence that feelings of depression can correlate to weight gain. If patients are taking anti-depressants  that could be the culprit of their weight gain, they should see their prescribing doctor and be weaned off slowly. “There's a long list of medications that can cause weight gain: If you're taking birth control pills, excess hormones for hormone therapy, steroids, beta-blockers for heart disease and blood pressure, anti-seizure meds, breast cancer medications like Tamoxifen, some treatments for rheumatoid arthritis, and even some migraine and heartburn medications, you may notice pounds creeping on,” says Dr. Calapai.

Your gut is slow

Digestive issues, including slow bowel movements, may also account for excess pounds. "Ideally, you eat, and then, an hour or so later, you have a bowel movement," says Dr. Calapai. "But once or twice a day is still in the healthy range."  If you're not so regular, dehydration, medications, low fiber, or even a lack of good flora in your gut could be to blame. If constipation is your only symptom, then trying probiotics can help your digestive tract work properly.  If you're still having trouble, check with your doctor to rule out a range of disorders, including hypothyroidism or a neurological issue.

You're getting older 

It's the one condition that's unavoidable. "Often, I hear patients tell me they think their metabolism is slowing down," says Dr. Calapai. "This is real. We don't burn as many calories at 40 or 50 as we used to burn at 20. So we need more exercise and less foo to keep the metabolism going.  "Remember that all calories are not equal when it comes to weight," says Dr. Calapai.  "Eating lean protein will cause your body to burn calories more efficiently. On the other hand, carbs are something your body tends to burn more slowly and even store in your body more readily."

You have plantar fasciitis

"Many musculoskeletal conditions, including plantar fasciitis, but also osteoarthritis and knee or hip pain, can result in unintentional weight gain," says Dr. Calapai. "Plantar fasciitis certainly can force you to cut back on your activity enough to cause weight gain."

You have Cushing's Syndrome

Weight gain accompanied by high blood pressure, osteoporosis, and changes in your skin tone and quality, including purple or silvery stretch marks on your abdomen and ruddy cheeks, could be a sign that your body isn't processing nutrients the way it should, due to a cortisol-producing tumor on one of your adrenal glands. The syndrome affects only about 15 in every million adults annually, so proceed with caution before demanding a battery of tests. "Cushing's Syndrome is not terribly common," says Dr. Calapai, "but one of the telltale signs is that your fat distribution is more in the midsection of your body, leaving your arms and legs looking more slender."

LIQUID CALORIES

It is often overlooked that liquids have calories. Calories from juices and soft drinks can quickly add up and at restaurants where free refills are the norm, the calorie build-up can go unrecognized. Wright also explains that liquid calories have no satiety factor. “Satiety relates to how long we stay satisfied after we consume something. If you ate 500 calories of healthy solid food, he/she would be full and unlikely to eat anything for quite some time, but after drinking the same amount of calories in orange juice, cola or root beer, you might be hungry minutes later.”

WEIGHT TRAINING

Many people do not realize that weight gain is not just fat gain. Weight training can increase your muscle mass, therefore increasing your weight. When you gain muscle faster than you lose fat, your body mass is increasing.

Polycystic Ovarian Syndrome (PCOS):

PCOS is one of the most common reproductive problems diagnosed in younger women, striking perhaps up to 10% of women who are of childbearing age (i.e. roughly 12-45 years old). It involves the development of many small cysts on the ovaries, as well as menstrual disturbances. The hormone disruption caused by PCOS has many unpleasant consequences, including unwanted weight gain (usually because of a higher resistance to insulin). If you also suffer from acne, find that you are hairier than most women and do not have regular periods, ask your doctor about being tested for PCOS. This usually involves blood tests and an ultrasound of your ovaries. If you do have PCOS then you can lose the unwanted weight, but the unfortunate fact of the matter is that you will have to adopt an attitude towards healthy eating and exercise that is substantially more diligent than that of your peers.

Quitting Smoking:

Although making the decision to stop smoking is extremely good for your body in a great many respects, most people who do quit smoking end up gaining around 7-10 pounds. Most of this is due to the fact that reaching for cigarettes tends to be replaced with reaching for snacks, but the new absence of nicotine in your body will also lead to a drop in metabolic rate (so you won't be able to eat as much as you used to without gaining weight).

“Carb intake makes it difficult for your body to burn fat as a primary fuel . Low carb diets work well to burn fat and lower cholesterol and lose weight, “says Dr. Calapai. If you suspect you are gaining weight that you can't attribute to your eating habits, medications, or lack of exercise, a few tests—including a blood test and urinalysis, to get an accurate check of your body's cortisol levels, will give your doctor the first clues to this condition. If the levels are deemed excessively high, then your doctor will order further tests, like a CT scan of your pituitary and adrenal glands, to determine if such a tumor exists. If the tumor is confirmed, doctors will likely perform surgery to remove the tumor (and possibly the affected gland), followed by a course of steroids to help regulate the remaining gland.

Endangered But Not Extinct: A Doctor That TRULY Listens

What if we were to compare a typical visit to the doctor with a visit to your favorite local business:  your hairstylist, banker, or real estate agent? If you regularly see these local professionals who have become a fixture in your schedule, then you have trust in their professional wisdom.  I bet they spend some “quality” time with you -- making eye contact, perhaps a bit of small-talk, and even sharing some family updates. Usually, you would not feel rushed, and you may even enjoy the encounter.

In the world of healthcare, which requires intimate professionalism, you would, at least, expect that the same basic premise of the business/client relationship would apply. For example, you would not expect your accountant to see you (as his 65th client of the day) and still be able to address all of your needs in 15 minutes. Likewise, you would also not understand if your mechanic scheduled you to drop your car off at 2:00, but still required you to wait 2 hours before spending only 7 minutes with the car -- meaning yours most likely would not be adequately repaired.  As well, you might move on to a new hairstylist if you had to wait more than 5 weeks just to have a basic haircut. And, when you did finally make it to the chair, I would expect that you would walk out if there were a computer that the stylist insisted typing on, with full attention to it, instead of you. The sad reality of our insane healthcare system is that we have come to expect and accept all of these behaviors in our appointment experiences with our healthcare providers.

“Wall Street”-style medicine ran by health insurance companies and executive CEOs without medical training has gradually taken over the reins of clinic management in all specialties. The quality of a patient encounter is currently based on factors that have little to do with the relationship between a doctor and a patient. Instead, measurable “metrics” are stressed which press the efficiency of the provider to get from room to room. Incentives are provided with increased pay to those providers who are able to force-fit more patients into their schedule. The administrative work generated from each visit from inefficient computer-based electronic health records keep the provider’s head down and attention distracted, so a personal conversation with real connection is virtually non-existent. The doctors who agree to work in this environment are not able to bring their compassionate selves to the visit with their patients due to the pressures of being a human calculator at warp speed to fulfill the demands from management.

So, how do you find a good doctor in the fast-food-style industry that healthcare has become? There are indeed some standing supporters of authentic, empathic doctors that doggedly retain the art of medicine in their practice. They are no further than your local towns, but you do have to look for them. Just as health food stores are not as populated as fast food restaurants, it might be a bit of a worthwhile hike to find a doctor who strives to make an empathic bond with each patient. In order to practice the type of medicine that is not dictated by insurance companies, some may have creative fee structures. But, those who truly care about the health of all most likely will have charges that agree to your budget, and often have ways you can be reimbursed by your insurance company if they are not under your coverage umbrella.

Why should we seek a doctor that “listens” to us? The truthful answer is that a problem is uncovered and often solved in a setting of a trusting relationship. The bond of empathy forms a connection that “plugs” the physician and the patient into a higher level of communal problem solving, together. Science has proven that compassion helps to restore a sense of peace and a resting state, as well. This  “dose of ease” is often what we all seek in solving problems or curing any disease state -- from ulcers to high blood pressure, and much more.  When there is a release of strain, body systems are able to shut off the frantic “fight or flight” modes that exhaust our body’s systems. In the sacred relationship between a patient and physician, the gears of natural healing and hope can begin to engage. Fear can be put to rest for peace of mind, and the collaborative, open space for discussion can mean that understanding and clarification can take place. This is not too much to ask for in your next visit with your healthcare provider.

In my book, “Discovering Your Own Doctor Within,” I include real patient stories that delve deep into what is possible when there is a commitment to listening with an open heart.  No metrics, no computers, no rush…  The ability to hone laser-like attention into deeper sources of symptoms arises naturally and easily. Often, when a person is truly heard, he/she begins to share clues that surprise even them. This saves money on unneeded procedures. More importantly, it also gives us hope that the human side of medicine is still maybe only endangered, but not extinct.

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About the author
Dr. Amy E. Coleman is the CEO and founder of Wellsmart, a company that cultivates technologies and healthcare strategies that strengthen the patient/doctor relationship. She served as a United States Air Force flight surgeon, and was appointed the youngest and first female Commander of the U.S. Air Force Special Operations Clinic. There, she helped guide global medical missions and build creative clinic systems, including those employing complementary care methods still employed today throughout the Air Force.

WRAPPING YOUR MIND AROUND THE “NEW YOU” AFTER WEIGHT LOSS

5 Common Things That Happen When

You Lose A Noticeable Amount Of Weight

www.comprehendthemind.com 

Whenever someone chooses to commit to a weight loss journey, it’s not just a physical transformation that happens, but a mental transformation as well. Regardless of how long it takes for people to reach their goal weight, there are significant things that occur along the way that impact their body image and confidence. For all of the positive reinforcement once receives, they might also notice some negativity or odd reactions from those they are close to. Read on for tips and insights from leading experts that will offer clarity and solutions for anyone seeking to transform or who already has.

1. You shed friends along with pounds.

Dr. Sanam Hafeez PsyD a NYC based licensed neuropsychologist, a teaching faculty member at the prestigious Columbia University Teacher’s College, explains that, “It is normal to lose friends as you lose pounds. As you see the payoff from the lifestyle changes you’ve made you may feel disconnected with friends who may still eat and drink things you no longer do. You’re evolving,” offers Dr. Hafeez. She also adds that, “It’s common to notice jealousy, and digs. You may even experience exclusion from dinners out presuming you wouldn’t want to indulge.”

Have faith that your true friends will love you at any size. “It will actually be difficult to tolerate any gossip, negativity or activities that are counterproductive. The last thing you need are people who bring you down when you are doing something positive for your well being. Look out for yourself. At times that may mean distancing from certain people,” advises Dr. Hafeez.

2. Loose skin becomes the new thing you notice.Once you reach your goal weight, you may love how you look in clothes but naked in or a bathing suit is a whole other story. This is most common when weight loss is significant. Even when weight training is part of the regimen, loose skin does happen.

Dr. John Zannis a board certified plastic surgeon based in New Bern, North Carolina frequently sees and treats patients who went through a weight loss transformation. According to Dr. Zannis, “Loose skin can gather at the stomach, under arms, breasts, buttocks, inner thighs, face and neck. The more significant the weight-loss is, say 50 pounds and above, the more likely a plastic surgeon is sought out to explore body lifts that specifically address loose skin after weight-loss.”

3. You have more energy, are excited about life and can do more!

As you change your diet, add daily exercise to your new lifestyle and see the weight melt off, you gain energy! You don’t feel the need to hit the snooze button anymore. You may wake up energized for that 7am powerwalk or you may be inspired by that beautiful new dress you get to wear to work, another dress size dropped. Yay!

“Use newfound energy to your advantage, encourages Dr. Hafeez, your brain is forming new neuropathways as your perception about your body starts to change. That flight of stairs that was once an obstacle is much easier. Simple things like putting on shoes, picking up toys and pushing a vacuum are done with ease. As you take notice of what your body can do, you gain more confidence and want to do more. This energizes you both physically and mentally,” she adds.

4. Shopping gets interesting.

It is common to get overwhelmed with options now that you can shop the way you always dreamed of.  Perhaps your new strong, shapely legs have inspired you to wear dresses again for the first time in years. Or after always covering your arms, you may opt for sleeveless tops. Either way, trying new looks outside of your comfort zone can be daunting. Dr. Hafeez advises to, shop on your own or with someone you really trust. “It is important that shopping is made to be fun by approaching it as a style experiment. Don’t expect everything to look perfect just because you are a much smaller size. Some things will work, others won’t. Look for clothes that feel good. When you smile in the mirror that’s a sign you’re on track.”

5. You make yourself, your health and well being top priority and start to inspire others.

When you lose a noticeable amount of weight other people want to know how you did it and how you are keeping the weight off. Your immediate family may also adapt to your dietary changes and experience weight loss by association. When your kids see you wake up every morning to exercise they see that anything worth having requires commitment. Your significant other may be inspired to also lose weight. “When you take care of yourself and are in a positive mindset, it has a positive impact on everyone you interact with. When the mind and body are aligned you love the way you look and feel, you’re happy and someone others can look up to.”

For information on Dr. Sanam Hafeez visit: http://comprehendthemind.com/about-us/

For information on Dr. John Zannis visit: http://www.zannisplasticsurgery.com/plastic-surgeon-new-bern-nc/

WRAPPING YOUR MIND AROUND THE “NEW YOU” AFTER WEIGHT LOSS

5 Common Things That Happen When

You Lose A Noticeable Amount Of Weight

Whenever someone chooses to commit to a weight loss journey, it’s not just a physical transformation that happens, but a mental transformation as well. Regardless of how long it takes for people to reach their goal weight, there are significant things that occur along the way that impact their body image and confidence. For all of the positive reinforcement once receives, they might also notice some negativity or odd reactions from those they are close to. Read on for tips and insights from leading experts that will offer clarity and solutions for anyone seeking to transform or who already has.

1. You shed friends along with pounds.

Dr. Sanam Hafeez PsyD a NYC based licensed neuropsychologist, a teaching faculty member at the prestigious Columbia University Teacher’s College, explains that, “It is normal to lose friends as you lose pounds. As you see the payoff from the lifestyle changes you’ve made you may feel disconnected with friends who may still eat and drink things you no longer do. You’re evolving,” offers Dr. Hafeez. She also adds that, “It’s common to notice jealousy, and digs. You may even experience exclusion from dinners out presuming you wouldn’t want to indulge.”

Have faith that your true friends will love you at any size. “It will actually be difficult to tolerate any gossip, negativity or activities that are counterproductive. The last thing you need are people who bring you down when you are doing something positive for your well being. Look out for yourself. At times that may mean distancing from certain people,” advises Dr. Hafeez.

2. Loose skin becomes the new thing you notice.Once you reach your goal weight, you may love how you look in clothes but naked in or a bathing suit is a whole other story. This is most common when weight loss is significant. Even when weight training is part of the regimen, loose skin does happen.

Dr. John Zannis a board certified plastic surgeon based in New Bern, North Carolina frequently sees and treats patients who went through a weight loss transformation. According to Dr. Zannis, “Loose skin can gather at the stomach, under arms, breasts, buttocks, inner thighs, face and neck. The more significant the weight-loss is, say 50 pounds and above, the more likely a plastic surgeon is sought out to explore body lifts that specifically address loose skin after weight-loss.”

3. You have more energy, are excited about life and can do more!

As you change your diet, add daily exercise to your new lifestyle and see the weight melt off, you gain energy! You don’t feel the need to hit the snooze button anymore. You may wake up energized for that 7am powerwalk or you may be inspired by that beautiful new dress you get to wear to work, another dress size dropped. Yay!

“Use newfound energy to your advantage, encourages Dr. Hafeez, your brain is forming new neuropathways as your perception about your body starts to change. That flight of stairs that was once an obstacle is much easier. Simple things like putting on shoes, picking up toys and pushing a vacuum are done with ease. As you take notice of what your body can do, you gain more confidence and want to do more. This energizes you both physically and mentally,” she adds.

4. Shopping gets interesting.

It is common to get overwhelmed with options now that you can shop the way you always dreamed of.  Perhaps your new strong, shapely legs have inspired you to wear dresses again for the first time in years. Or after always covering your arms, you may opt for sleeveless tops. Either way, trying new looks outside of your comfort zone can be daunting. Dr. Hafeez advises to, shop on your own or with someone you really trust. “It is important that shopping is made to be fun by approaching it as a style experiment. Don’t expect everything to look perfect just because you are a much smaller size. Some things will work, others won’t. Look for clothes that feel good. When you smile in the mirror that’s a sign you’re on track.”

5. You make yourself, your health and well being top priority and start to inspire others.

When you lose a noticeable amount of weight other people want to know how you did it and how you are keeping the weight off. Your immediate family may also adapt to your dietary changes and experience weight loss by association. When your kids see you wake up every morning to exercise they see that anything worth having requires commitment. Your significant other may be inspired to also lose weight. “When you take care of yourself and are in a positive mindset, it has a positive impact on everyone you interact with. When the mind and body are aligned you love the way you look and feel, you’re happy and someone others can look up to.”

For information on Dr. Sanam Hafeez visit: http://comprehendthemind.com/about-us/

For information on Dr. John Zannis visit: http://www.zannisplasticsurgery.com/plastic-surgeon-new-bern-nc/

8 Steps to Reverse Your PCOS:

A Proven Program to Reset Your Hormones, Repair Your Metabolism and Restore Your Fertility

by Dr. Fiona McCulloch N.D.

For years, an estimated 116 million women have been affected by an unidentified disorder that affects weight, fertility, female hormones, hair, skin and has risk for chronic disease—and most women don’t even know they have it. Answers and treatments are finally available.

The upcoming new book by veteran naturopathic doctor Fiona McCulloch, 8 Steps to Reverse Your PCOS: A Proven Program to Reset Your Hormones, Repair Your Metabolism and Restore Your Fertility (Greenleaf Book Group, September 20, 2016), dives deep into the science underlying the mysteries of Polycystic Ovary Syndrome (PCOS) offering the newest research and discoveries on the disorder and a detailed array of treatment options.

“8 Steps to Reverse Your PCOS is an encyclopedic-style book that has vast implications for PCOS, diabetes and weight loss, and it is the first book that introduces the idea of insulin counting,” says Dr. McCulloch.  “Insulin counting involves the measurement of how much a portion of any given food we eat raises blood insulin levels which can, if implemented, change the life of about one out of every ten women in the world—the percentage who suffer in silence from PCOS.”

In her book, Dr. McCulloch also introduces the key health factors that must be addressed to reverse PCOS. Through quizzes, symptoms checklists, and lab tests, Dr. McCulloch gives readers the tools they need to self-identify which of the factors are present in their bodies and what they can do to treat them. Readers will be empowered to be the heroines of their own health stories with the help of this unique, step-by-step natural medicine system to heal their PCOS, and since PCOS is linked with specific genes, helping their daughters with their reproductive and overall hormonal health.  Further, women will learn about the tests, which are important to understand when speaking with doctors. Medical professionals, who understand that conventional medical treatments for PCOS are not very effective overall and who are increasingly seeking reliable, scientifically-backed source materials from naturopathic doctors, will find this to be an up-to-date new source for materials written for practitioners.

8 Steps to Reverse Your PCOS also includes the following topics:

• Bisphenol A (BPA) may induce PCOS after a single exposure for two generations onward
• Insulin resistance is a key component of PCOS, and insulin counting may help women reverse their PCOS
• One in ten women suffer from PCOS which is related to risks for weight gain, slow metabolism and diabetes and 50% of those don’t know they have it
• 70% of women with PCOS are considered to be insulin resistant or heavy
• PCOS also causes distressing cosmetic symptoms including hair growth on the face, hair loss from the head and acne which can result in low self-esteem, depression and anxiety
• Environmental toxins and genetics have been linked to causing PCOS
• Women with PCOS have a different reproductive cycle and often hit their reproductive peak later impacting family planning
• Insulin counting has a wide range of implications for PCOS, diabetes and weight loss
• Evidence-based natural medicine and supplements impact autoimmune conditions and thyroid conditions

Fiona McCulloch, N.D., founder and owner of White Lotus Integrated Medicine, is a naturopath practitioner having worked with thousands of people seeking better health over the past fifteen years. She is a data-junkie who specializes in evidence-based therapies for PCOS, thyroid health, autoimmunity, weight management and infertility among other unique conditions that can all benefit from a system reboot.

Dr. McCulloch is also a medical advisor for IVF.ca: Canada’s premier fertility community and is on the medical advisory committee for the PCOS Awareness Association. As a woman with PCOS herself, she is dedicated to increasing both awareness and research of this important condition that has far reaching effects on the lives of so many women. When she was a young girl, Dr. McCulloch would spend hours “compounding” mixtures made from plants and trees in the woods near her house.  Today, Dr. McCulloch is a graduate of the Canadian College of Naturopathic Medicine (2001) and the University of Guelph (biological science).  She is married and the mother of three boys.  She can be reached on Facebook, LinkedIn, and Twitter. 

Dr. McCulloch’s new book, 8 Steps to Reverse Your PCOS, will be available on September 21, 2016 on Amazon and all fine booksellers.