Exercise is Medicine by ACSM

April 2023 // Archive

Date based archive
26 Apr

Self confidence attributes to a happy personality. Low-self confidence attributes to depression, influences how you view yourself, and hinders how you interact with others. It is an important piece to the happiness pie. Maybe your daily routine could use a few small changes to boost your self- confidence.

1.       Smile: This can lead to positive emotions. The physical act of smiling tells your brain to feel secure and upbeat.
2.       Do a good deed: You feel better about yourself when you brighten someone else’s day. Send a card, compliment someone, or bake someone their favorite dish. Your mood will improve.
3.       Volunteer: Meaningful giving can help you feel connected to others and better about yourself for helping someone else.
4.       Dress: Clothing can affect how you feel. Your outfit says something about you. It doesn’t matter if you sit at a desk all day and no one sees it, because you still hold judgment about yourself.
5.       Learn something new: Taking a class or enlightening your mind with new information can perpetuate self confidence as you know you are doing something positive.
6.       Exercise: This can improve your mood, relieve stress, and help the way you feel about your appearance. Self-discipline and reaching fitness goals can be uplifting.
7.       Eat right: Eating healthy helps your appearance and helps your mood. This leads to more energy and more self-confidence.
8.       Posture: Standing up straight displays self-confidence. There are physical benefits to this, but it also communicates that you feel you belong and should be where you are in the moment.
9.     Get organized: Managing small pieces of your life helps you feel in control.
10.   Others like you: Assume that people like you instead of worrying what everyone else thinks. People don’t always focus on your flaws the way that you do about yourself.
11.   Ignore your inner critic: Stop telling yourself that you are not good enough or not worthy. Give yourself some credit.
12.   Avoid the mirror: Stop being addicted to looking at your physical imperfections. You are your own worst critic.
13.   Make eye contact: This is a confidence radiating mannerism.
14.   Stop procrastinating: Creating stress does not make you feel good about yourself. 

Have me time: Spending time on just you is important. Get a facial or your nails done. Go play golf. You are telling yourself you are worth taking time for. 
We all want to be confident about who we are, what we do, and our presence on this Earth. Self-confidence is a personality trait that must be fulfilled for happiness. You can be happy, and it starts by believing that you are enough.

20 Apr

What lights a fire under you?? What grinds your gears, makes you angry, sad, worried, or STRESSED?? We each deal with the components of life differently, and our reactions to circumstances dictate our emotional well-being. Time, relationships, work, school, kids, family…. all these responsibilities can require a balancing act that seems impossible. But that’s life. And unfortunately, stress can have adverse effects on our health… especially weight.


Your body and mind are one and the same. When put under pressure, your brain kicks into a flight or fight mode. And guess what?? Your body wants to use calories in its defense. As such, “Most of us become overeaters when we’re feeling a lot of pressure. This happens thanks to your fight-or-flight response, a.k.a. survival mode — once your body reaches a certain stress level, it does what it feels it needs to. In most cases, that means overeat” (

https://www.webmd.com/diet/features/stress-weight-gain#1).
Initially, adrenaline spikes in the body, making one feel less hungry. However, soon after cortisol takes over. Cortisol is the stress hormone. When activated, inhibition can go out the window. Here’s run down: “Because increased levels of the hormone also help cause higher 

insulin levels, your blood sugar drops and you crave sugary, fatty foods” (

https://www.webmd.com/diet/features/stress-weight-gain#1) . Cheap, convenient, processed foods, are right there to answer the calling.
Here’s the catch: “Today’s human, who sits on the couch worrying about how to pay the bill or works long hours at the computer to make the deadline, does not work off much energy at all dealing with the stressor! Unfortunately, we are stuck with a neuroendocrine system that didn’t get the update, so your brain is still going to tell you to reach for that plate of cookies anyway” (

https://www.psychologytoday.com/us/blog/the-mindful-self-express/201308/why-we-gain-weight-when-we-re-stressed-and-how-not).
We have to learn to relax, sleep, and breathe. Many clients ask me what foods to turn to. Here’s what I found:·         

Dark chocolate: Two studies of 95 adults showed that consuming dark chocolate reduced their cortisol response to a stress challenge.·         

Many fruits: A study of 20 cycling athletes showed eating bananas or pears during a 75-km ride reduced levels compared to drinking water only.·         

Black and green tea: A study of 75 men found 6 weeks of drinking black tea decreased cortisol in response to a stressful task, compared to a different caffeinated drink.·         

Probiotics and prebiotics: Probiotics are friendly, symbiotic bacteria in foods such as yogurt, sauerkraut and kimchi. Prebiotics, such as soluble fiber, provide food for these bacteria. Both probiotics and prebiotics help reduce cortisol.·         

Water: Dehydration increases cortisol. Water is great for hydrating while avoiding empty calories. A study in nine male runners showed that maintaining hydration during athletic training reduced cortisol levels. (

https://www.healthline.com/nutrition/ways-to-lower-cortisol#section11).
Life’s demands throw us for a loop from time to time. Reassure yourself that patience is the key and that this too shall pass. Don’t let your negative thoughts take the wheel. Healthy choices outlast split second mistakes. Be kind to your BODY, even in it’s weak moments.

13 Apr

When your muscle suddenly becomes hard and tight or you feel a quick sharp pain in the calf, a muscle cramp has struck. It can happen while in motion when out for a run or even during a night’s sleep. This type of involuntary contraction is a spasm we would rather forgo. Without warning, the onset of a “Charley horse” (cramp that occurs in the calf area), is marked by temporary pain that we want instant relief from. Cramps are never fun to endure, and one just has to breathe through it, stretch, and massage out the area until alleviation kicks in.

There are a number of triggers that can cause muscle cramps. In order to avoid future spasms, knowing the causes becomes important. A cramp can be the result of poor blood circulation. Exercise related stress can bring on a cramp. Being dehydrated or deficient in magnesium and/or potassium, can be causes. Hot temperature is also a culprit, especially when being active. Not stretching enough can also lead to cramping. There are also medications that can lead to cramping. These include diuretics, certain Alzheimer’s medications, statin medications for cholesterol, as well as some osteoporosis and high blood pressure medications. Nerve compression can also cause a pinch that produces a cramp. Muscle mass lessens with age so what muscle is working may be more stressed than normal and overworked much more easily which can cause cramping. Muscle cramps are common during pregnancy as the body is undergoing a lot of changes. Certain medical conditions like diabetes, liver, or thyroid disorder can also heighten the risks of cramping.

Prevention includes staying hydrated, properly stretching, and making sure to eat healthy foods with nutrients. These include vitamins, minerals, potassium, and calcium. Potassium is found in many choices including vegetables, bananas, berries, potatoes, melon, citrus, meat, fish, and milk. Caffeine found in coffee, soda, and other beverages does affect fluid hydration in the body so be sure to replenish with water. Exercise and activity that lasts over 60 minutes can lead to glycogen depletion which can lead to fatigue which can lead to cramps.

Although only a temporary sensation and typically harmless, an unexpected bout of pain never feels good. It is important to seek a doctor’s help if these cramps are reoccurring or persistent. A nutrient imbalance may not be readily noticeable. Finding the cause can help avoid future incidences. Muscle cramps happen to almost everyone, few and far in between, but when they strike, they aren’t forgotten. The healthy folks of Bonsall and Fallbrook know that less is more when it comes to “Charley horses”.

06 Apr

The most commonly prescribed antidepressants are called selective serotonin reuptake inhibitors (SSRIs). These medication works to increase levels of serotonin in the brain. Serotonin is an important chemical messenger (neurotransmitter) that signals communication between brain cells. More serotonin becomes available as SSRIs block the re-uptake of serotonin so that more is ready for use.

The Food and Drug Administration has approved the following SSRIs:· Citalopram (Celexa), Escitalopram (Lexapro), Fluoxetine (Prozac), Paroxetine (Paxil, Pexeva), Sertraline (Zoloft), and Vilazodone (Viibryd). The FDA requires that these medications are labeled with the type of warning called “black box warnings”. This is because some people can have an increase in suicidal thoughts or behaviors when taking an antidepressant.


The chemical makeup of these different prescriptions can cause side effects. For some, these subside within the few couple weeks, while others lead to trying a different type. Possible side effects include dizziness, drowsiness, blurred vision, headache, agitation, nausea, or diarrhea. Taking the medication at bedtime can help with drowsiness and taking the medication with food can help with nausea. It is important to consider drug interactions if taking other medication and one should consult their doctor if pregnant and taking an SSRI. The key is to consistently take the medication. SSRIs are not considered addictive, but missing doses or abruptly stopping their use can cause withdrawal. It typically takes several weeks for an SSRI to become effective. It is common for doses to have to be adjusted or medications to be switched until the right combination is found.


Although the objective of SSRIs is to treat depression, some people respond differently to certain types. One person can have very different side effects from another person. Patience is critical. Relief will come. When feelings of sadness are so severe that they interfere with daily life, physical and emotional problems can result. Feelings that cause home life and work life to be difficult should be addressed. Depression is one of the most treatable conditions. Most times, 80% of people feel relief when using SSRIs. The brain chemistry can be positively changed to help you feel better. Feelings of sadness can be controlled, and emotions can be regulated. SSRIs specifically target serotonin which can in turn help fight depression, as well as anxiety, and other mood disorders. Some people have side effects and some do not. When the time is right, one can reduce dosage and come off this medication, but this should never be done abruptly. We are meant to smile and enjoy life, and SSRIs provide the assistance and potential relief to do so. Talking to your doctor is important to find the right solution and treatment for depression that works for you.