2013- A Year for YOU!

Happy New Year! I love new beginnings- who doesn't? Whether it is the first of the month, your birthday, an anniversary, or yes, the NEW YEAR- give yourself the precious gift of a new start!
Since this is my blog about all things healthy, I wish for you specifically to give yourself the gift of a new start for health...whatever is most important to YOU.
90% of us struggle with our weight. Whether it is fighting that same darn 10-20 pounds that we battle every year, or perhaps the first time that our metabolism packed its bags and deserted us, Americans have big issues with weight (no pun intended.) What will you do this year?
Let me say right now, if you are not exercising at all, and eating out over half your meals, please do not commit to exercise every day & a brilliant, gourmet, healthy home-cooked meal three times per day! Whatever you choose, set yourself up for SUCCESS!
For 2013, I'd like to encourage you to pick ONE thing today to improve your health. Is it a goal of five servings of fruits and/or vegetables per day? Hooray! Choose it! Is it parking your car at the back of the lot? Awesome! Walking the stairs instead of taking the escalator or elevator? Buying a pedometer? Meditating 5 minutes each morning before you get out of bed? Amen!
My wish for each and every one of you is better health- spiritual, mental, and physical health. I am in the process of finalizing tough decisions in my own life to optimize not only my health, but my family's collaborative "health".
BOTTOM LINE: Start off 2013 with ONE simple step towards better health- choose it today!

2012 Health Action Plan (aka. New Year's Resolutions)

Welcome to the first Friday in 2012! How are those New Year's Resolutions coming along? Already blown them? If so, no worries, because you are not alone. I'm hearing more people say they haven't even MADE their resolutions yet, so really, you could be ahead of the game if you even know WHAT you'd like to change. Though I am sitting here with my laptop in glow of our Christmas tree lights, many people have packed up their holiday decorations or plan to "clean up" this weekend. As we all make the mental shift from holiday time back to ordinary routines, I'd like to encourage you to make CONCRETE PLANS to improve your health- whether you call them New Year's resolutions or not. Here's a starter list:

1.If you have ANY health concerns that you have not fully addressed with your family doctor, call TODAY and schedule an appointment. And PLEASE let the office know what you are truly coming in for- even if you simply say "I have four or five separate minor concerns" if you don't want to list specifically what they are. If you are trying to squeeze in questions about your weight, insomnia, or indigestion during an office visit you've booked for your sore throat (or worse, during your spouse's or child's visit), you are obviously not going to get the full attention and evaluation those issues deserve. I find that patients don't want to "bother" their doctors with "minor stuff like that"- but we'd much rather you schedule a longer appointment to address multiple concerns than to either ignore them or to toss them in as a "by the way, while I'm here..."

2. Step on the scale. This advice is directed at the silent majority of Americans who fall into the "overweight" category, but don't realize it. If you are 100 or even 50 pounds overweight, I'm betting you are aware of it (and same goes for underweight.) However, I have found that many of us don't realize just how many pounds we have added over the last year...or two...or decade. If you fall into this category, please step on the scale, own the number, and move forward with an action plan to improve your health in 2012.

3. Clear out the candy! Cheerful red and green M&Ms, candy kisses, or candy canes decorate many offices and homes during December. Before you replace them with Valentines or Easter candies, consider setting out flowers, candles, or scent infusers instead. Or, simply give yourself permission to put the bowls away. Empty bowls will get filled up...and emptied again & again.

BOTTOM LINE: Make HEALTH a PRIORITY in 2012, and create specific, concrete action items on your health to-do list!

New Year's Resolutions- a WEIGHTy Issue

Happy New Year! Welcome to 2012, the year that holds the potential to be your HEALTHIEST yet! Virtually every list of top 10 New Year's Resolutions leads off with the battle of the bulge- whether it is "lose weight", "get fit", "eat healthy", "join weight watchers", "join a gym" or some other variation. With the vast majority of Americans falling into the "OVERWEIGHT" or "OBESE" categories, these resolutions certainly make sense. Unfortunately, many of us fight the SAME 10, 20, or even 30-plus pounds over and over again. We get motivated, make healthy changes, lose weight...and then gain it back. Ugh. What might we do differently this year?
Here is some food for thought...

1. Figure out the WHY of your eating behaviors, and learn to eat MINDFULLY. Dr. Michelle May's book "Eat What You Love, Love What You Eat" is a FABULOUS start- buy it today. Her focus is how to break the "eat, repent, repeat cycle". AMEN.

2. Speaking of buying- let's put our money where our mouth is- literally! I have heard over and over again that it's too expensive to meet with a dietician, join a gym, or eat fresh fruits & vegetables, or take up a new sport, yet these same people are spending far more discretionary money on their daily Starbucks, hair highlights or a round of golf. Seriously, we need to prioritize our health and be willing to pay for it!

3. Commit to ONE small permanent change each month. Experts say it takes 21 days to cement a new habit, so why not make 2012 the year to develop 12 new healthy habits? Start with something simple, like making sure you eat breakfast every day OR (assuming this was not part of your routine already.) In this case, it can be a granola bar or a cup of yogurt. Remember to keep it simple. If you try to make a change from no breakfast to cooking a veggie omelette and drinking freshly squeezed grapefruit juice- well, I'm not optimistic it will stick!

Whatever you choose, find a way to make yourself accountable. Make a deal with a friend, tell your co-workers, announce it to your family (if you have teens, they will HAPPILY hold you accountable), or simply record it on your smart phone, computer or an old fashioned piece of paper.

BOTTOM LINE: Make 2012 the year you make your New Year's Resolutions last beyond Janaury, and choose GOOD HEALTH!

A WEIGHTy Issue- Quitting Smoking!

Why do people who quit smoking gain weight? Does it always happen, or can it be avoided? Do we really care that weight gain is really less detrimental to our health than smoking?
As a physician, I have found that women in particular choose to keep smoking because they simply do NOT want to gain weight. Period. I will confess that I will occasionally try to appeal to their vanity by discussing the yellow teeth or bad breath that tend to accompany cigarettes, but the reality is that what is important in this situation is helping patients understand why smokers gain weight with quitting, and how it can be avoided. So here are some things to remember:

1. Nicotine is an appetite suppressant, so obviously, when you initially take it away, your appetite is up.
2. Smoking KILLS taste buds, so just about the time the extra appetite from quitting is going away (around a week), suddenly food begins to TASTE better, because now you've actually got healthy taste buds!
3. Happily, ALL FOODS taste better, not only the high fat/high calorie ones.
4. Yes, oral gratification is a habit, so STOCK YOUR FRIDGE with some low calorie, crunchy and delicious snacks like carrot sticks with hummus, or apple slices, or ANY fruit or vegetable. Additionally, suck on sour hard candies the first week or two.
5. Don't forget EXERCISE! Getting and keeping your heart rate up for 30 minutes per day is equal to a low dose of an anti-depressant medicine, so exercise will not only balance extra calories consumed, but will make you HAPPY and less irritable!

BOTTOM LINE: As we approach New Years, move QUITTING SMOKING to the top of your list and know that weight gain is NOT inevitable.

Holiday Weight Gain...Again!

Click! Step away from the Halloween candy. I repeat, step AWAY from the Halloween candy!

Okay, how many times have you walked past the leftover candy and snagged an extra treat today? It is so easy to keep it around just to "finish it off". I'll bet you're even down to the candy you don't even really like, yet you pop one in your mouth because, well, it's there. How do I know? Because I just ate a mini-Snickers, which is my least favorite candy. The Reese's cups were gone last week.

All kidding aside, please take stock of your health TODAY. We are already well into November, which is the heart of "stuff yourself silly" season. Treats and sweets abound, as well as extra adult beverages at every celebration- and those pack on the calories as much, if not more than the edible delicacies! At the office, we are already seeing the extra weight creeping up. The average American gains nearly 10 POUNDS during the holidays. And then what does everyone do? We make a New Year's Resolution to lose weight.

This year, let's be PROACTIVE! Start on that new exercise program right NOW! Take the stairs instead of the elevator. Park a little further away when you go to work or shop. Fill your party plate with healthy choices and eat them first before you head to the dessert buffet. Every bit you do now will make those New Year's Resolutions much easier.

BOTTOM LINE: Do not wait for New Year's to start thinking about improving your health!

My Halloween TRICK for Treats

Can you believe that Halloween is right around the corner? We are officially in "treat yourself" season, as we hit the trifecta of food oriented holidays: Halloween, Thanksgiving and Christmas/Hanukkah. We tend to celebrate with nonstop EATING, and then what do we do every January? That's right, make New Year's resolutions where LOSING WEIGHT tops the list!
This year, let's THINK AHEAD...

Before you toss that bag of yummy Halloween candy in your grocery cart this week, recognize that Halloween is still four weeks away. Will that bag still be around at the end of the month? Come on, now, you know if you are buying it now, you are going to be eating it sooner than later. So, let's SAVE THE HALLOWEEN CANDY for...yes, HALLOWEEN! Start in the grocery store. Do NOT BUY the candy till the DAY BEFORE Halloween. It's way easier not to eat it when it is still sitting on the shelf in the grocery store, rather than sitting on your desk at work or your kitchen counter top. And forget the excuses here: "if I don't buy it now, they wont have my favorite kind", "I wont remember, then we wont have candy to give out", or "but I LOVE those little chocolate candy bars- how many calories does just one have?"

Okay, you asked, so here are a few of my favorites: Snack Size Butterfinger: 170 kcal, Fun Size Kit Kat- 50 kcal, and ONE plain M&M-4 kcal. Now, if you stop at ONE, it's really no big deal. but if you eat a handful of M&Ms each DAY for the next few weeks, or grab a couple fun size chocolate treats, BOOM-you will gain a pound right there. (Remember one pound is 3600 kcal- do the math.)

BOTTOM LINE: Don't wait for NEW YEARS to make a resolution for better health- start NOW by limiting Halloween CANDY to HALLOWEEN DAY!

PS. It's a new month, so CHANGE THOSE AIR FILTERS!

My Valentine to YOU!

Happy Valentine's Day! I have decided to give you, my patients, AND myself a special Valentine- a free "do-over" for any New Year's Resolutions that have perhaps fallen to the wayside. Did you promise to head to the gym after work three days per week, but now a heavy snowstorm blocked your way for a few days, and you simply dropped the whole thing after missing a week? What about walking your dog each morning- same excuse? In Austin, we had SNOW on the ground last week, but today it is literally 73* and SUNNY, so we need to head back outside.

How about eating more plants and less processed stuff? If the main GREEN in your diet is a Girl Scout Thin Mint Cookie, it's time to focus on more color. Even if your choice today is a chocolate covered strawberry vs. chocolate truffles, take that step and grab the luscious strawberries.

Whatever derailed YOUR good intentions, please use this "get out of jail free" card to cut yourself some slack, and START OVER TOMORROW (or better yet, TODAY!) And if your sweetheart asks what you'd like for Valentine's Day, ask for something that will promote your health, like new work out shoes or clothes, a pedometer, a heart rate monitor, or even a gym membership or an exercise bike! If you are still deciding what to get YOUR Valentine, and he or she hates the idea of exercising and you think a gift like that would offend them, at least choose a pampering gift that wont undermine their weight loss efforts, such as a gift certificate for a manicure or massage.

BOTTOM LINE: Enjoy this Valentine's Day and refocus on your HEART healthy habits for 2011!

Do-Over! New Year's Resolutions: Take 2

Welcome to the second Monday in January! Have you "blown" your New Year's resolutions already? If so, you are not alone, and better yet: take a "Do-Over"! Why not let January 10th be another January 1st?

Quite honestly, I'd rather you start over EVERY Monday than simply chunk your resolutions. However, this time, really focus on something SIMPLE and CONCRETE that you can definitely attain. If you have been inactive, for example, don't commit to heading to the gym 5 days per week! Instead, if you have joined a gym, commit to going "on Wednesday mornings, with your buddy, who joined with you." Mind you, I'm not saying to AVOID the gym the other days, but make sure your resolution is something that is possible to keep, so you can feed on your success.

If weight loss is your goal, make sure that you have set realistic goals. It takes a negative 500 calories per day (either eating less or burning off more) to lose ONE POUND PER WEEK. And that is excellent weight loss! I can't tell you how many of my patients feel dejected if they "only" lose 2 or 3 pounds in a month, despite the fact that medically, this is terrific weight loss. Shows like "The Biggest Loser" are motivational, but realize that those participants are more than 100 pounds overweight to begin with, and have chefs and trainers round the clock. If you are only 20 or 30 pounds overweight, plan to lose that in ONE YEAR.

BOTTOM LINE: Keep prioritizing healthy food choices (MORE Fruits and Veggies) and MORE exercise, and 2011 will be a year of success and good health!

MORE Dieting Tips!

As we launch into 2011, many people are motivated to work on weight loss. Yesterday I mentioned a few simple dietary changes that can add up to BIG RESULTS when they become a permanent change. Today, I'd like to focus on my "MORE" concept. I have found that the majority of my patients (and friends and family) have an easier time improving the quality of their diet by focusing on INCREASING the amount of veggies and fruit they consume, rather than focusing on eliminating "bad" food.

Here is my specific recommendation:
Aim to eat 5 to 10 SERVINGS (what you can comfortably hold in your cupped hand) of vegetables and/or fruit per day.

That's it! Really, it's that simple. Don't freak out that there is "no way" to eat that many servings per day. I promise you that even young kids can easily follow this rule. Add in a banana or a handful of berries to your breakfast. Have your morning or afternoon snack include a serving (think an apple, carrots, raisins, etc.)
At lunch or dinner, include a generously portioned salad. If you have two handfuls of lettuce, plus one more handful of either tomato, shredded carrots, avocado slices, peppers, or your favorite vegetable, you've already got 5 SERVINGS! If you layer up the salad or simply add some vegetables to another meal (think yams, green beans, applesauce) then you are up to ten before you know it.

Ultimately, you'll begin to recognize that each meal should contain "color"- at least half the plate filled with vegetables and fruit. You end up filling up on these healthy choices, and eating less of all the extras (such as pasta, rice, bread) that have a much higher calorie count.

BOTTOM LINE: Focus on INCREASING your fruit and vegetable servings for a healthier 2011!

Realistic Resolutions for 2011

Welcome to the first Monday of 2011! Have you set any New Year's resolutions yet? Broken any yet? Let me encourage you to pick one or two HEALTHY resolutions that you can stick to-not just for 2011, but for your entire future.
Weight loss is a priority for the majority of Americans. However, often that means a strict, very low calorie diet (and the emotional misery that arrives as a side dish). Not surprisingly, this method rarely works. What might be a better choice?

How about committing to one of these simple changes:

1. Substitute a GLASS OF WATER for one other beverage (soda, coffee, etc.)
2. ADD one piece of fruit to your breakfast (a banana, or a handful of berries)
3. Eat FISH for at least one meal per week
4. Take a fruit or vegetable SNACK with you to work each day- and EAT IT (instead of vending food fare)

I realize these seem simple, but making these changes a HABIT will lead to a lifetime of benefit! For example, if you drink one can of soda per day, then swapping water for that can will create a caloric deficit that equals 14 POUNDS in one year! Now that is something to toast!

BOTTOM LINE: Set yourself up for success and make at least one CONCRETE HEALTHY CHANGE in 2011!

Here Come the Holidays!!

Okay, Halloween weekend is upon us. Enormous spiders cling on most houses in our neighborhood, and the number of Halloween lights rivals that of Christmas. (Yes, we love Halloween in Austin, don't we?) But it's what I'm seeing at work that is really SCARY.

Patients are already "giving up" and telling me that they will focus on healthy choices come January first.

What? We've got two full months left of 2010! The weather is crisp, and we should be excited to head outside and get active, not get ready for a long winter's nap.

I hear the excuse "but I love to bake for the holidays". Me, too! Bake away, but make some healthy menu choices and/or really kick up your exercise.

Have the pumpkin- chocolate chip muffin, but skip the latte and grab water. Take a second lap around the block or jump on the exercise bike for ten or fifteen minutes after the walk.

BOTTOM LINE: PLEASE do not postpone healthy choices till New Year's Eve! Start now and head IN to 2011 on the upswing!

MORE Trick or Treat!

Ah yes, I am reminding you about MORE again...but really, the time to think about "New Year's Resolutions" and optimizing health and losing weight is NOW, BEFORE you weigh, well, MORE at the end of the holiday feasting season! (pardon the pun)
Today, though, I'm writing in response to yesterday's blog, where I suggest that we-gasp- SAVE THE HALLOWEEN CANDY for HALLOWEEN! I am ALL ABOUT Halloween, in fact, it may be my favorite holiday. My birthday is right after Halloween, so I grew up having costume parties and I have nothing but wonderful associations surrounding this festival. Our house is decorated with ghosts, pumpkins and skeletons from October 1st. I want to be clear that I am NOT saying "don't enjoy Halloween"- I am merely saying let's choose a HEALTHIER way to extend the celebration beyond one day!
So, what can you do if you are a Halloween candy fan? Number one: enjoy Halloween candy ON HALLOWEEN. This year, Halloween falls on a Sunday, so splurge all weekend if you'd like. Just do NOT buy the candy now, and have it sitting on your desk at work or out as "decoration" in your home. How about using some delicious pumpkin spice scented candles to liven up your surroundings instead?
If it's fall FOOD you are craving, whip up some healthy, delicious pumpkin muffins from a Cooking Light recipe, for example.
Enjoy the crisp apples of the season- maybe ONE with caramel wrapping and placed on a stick- but savor the season's fruit every day! We adore kitchen gadgets in general, and literally have three different apple slicers (pictured above). A knife will do the trick, but an inexpensive peeler/slicer makes apples so fun that every kid who visits our house asks to have an APPLE!
BOTTOM LINE: Celebrate HALLOWEEN with healthy TREATS, so you don't have to work to find new TRICKS to lose weight come New Year's.

Trick or Treat?

Can you believe that Halloween is right around the corner? We are officially in "treat yourself" season, as we hit the trifecta of food oriented holidays: Halloween, Thanksgiving and Christmas/Hanukkah. We tend to celebrate with nonstop EATING, and then what do we do every January? That's right, make New Year's resolutions where LOSING WEIGHT tops the list!
This year, let's THINK AHEAD...
The great news is that the weather is generally BEAUTIFUL in the fall (at least here in Texas!) What better time to head OUTSIDE and go for a walk? If you're here in Austin, make time to head down town and stroll, walk or jog around Lady Bird Lake. Wherever you are, respond to that sweet tail wagging of man's (and woman's) best friend, and grab your dog's leash and start WALKING.
Now, here's the "hard" part- which really is not so hard. Let's SAVE THE HALLOWEEN CANDY for...yes, HALLOWEEN! Start in the grocery store. Do NOT BUY the candy till the DAY BEFORE Halloween. It's way easier not to eat it when it is still sitting on the shelf in the grocery store, rather than sitting on your desk at work or your kitchen counter top. And forget the excuses here: "if I don't buy it now, they wont have my favorite kind", "I wont remember, then we wont have candy to give out", or "but I LOVE those little Reeses cups- how many calories does just one have?"
For a great list, check out Daniela Knight, R.D.'s list on her website, http://www.austinnutritioneducation.com/Halloween-Treats.html, but the ones that matter to ME are Snack Size Butterfinger: 170 kcal, Fun Size Kit Kat- 50 kcal, and ONE plain M&M-4 kcal. Now, if you stop at ONE, it's really no big deal. but if you eat a handful of M&Ms each DAY for the next few weeks, or grab a couple fun size chocolate treats, BOOM-you will gain a pound right there. (Remember one pound is 3600 kcal- do the math.)

BOTTOM LINE: Don't wait for NEW YEARS to make a resolution for better health- start NOW by limiting Halloween CANDY to HALLOWEEN DAY!

A Word About New Year's Resolutions

Merry Christmas and Happy New Year! Can you believe we've reached the end of 2009 already? Well, it's time for New Year's resolutions, and I have a suggestion. Instead of creating a huge "to do" list this year, choose ONE WORD that represents something you'd like to focus on for 2010. Write it down and stick on your fridge (or computer home page, or wherever you will see it every day.) In our family, each New Year's Eve our daughters create a small poster for each member of our family with our word printed in large letters and decorated with appropriate symbols. We then post those four words on the wall of our stairway for the year, where everyone can be reminded of their resolutions daily as we trek up and down the stairs.
For example, my word for 2009 was HEALTH- big surprise, right? But it meant not simply medical health, but spiritual, mental AND physical health. Some days that word pushed me to exercise when I didn't feel like it, and other days it challenged me to prayer. In previous years, my words have been "patience", "peace", "simplicity", "family", "finish" and... did I mention "patience"? (I have to focus on "patience" every few years, so it bears repeating. My kids think it's funny because I have "patients" at work and need more "patience" at home!)
I have found that having this one word resolution is far more effective more me than the shopping list of resolutions that I used to espouse each year. The word becomes my theme for the year, almost a mantra for me. I love that with one word, it is a positive statement (rather than quit this or that, or lose weight, etc.)
Thanks to the Austin reporter who many years ago challenged our city leaders to try this single word resolution and shared their experiences in a New Year's column. I confess I've long since forgotten the reporter's name, but the tradition lives on.
BOTTOM LINE: Choose a ONE WORD RESOLUTION for 2010- perhaps HEALTH!!