Exercise is Medicine by ACSM

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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.

31 Mar

Eating. We have to do it, but man on man do we overdo it. In fact, it’s very possible that people don’t even know what ONE true serving size is. We eat what is in front of us, and generally when there is more in front of us…. we eat more. Mom and Dad said finish what is on your plate. When we were kids, no one had just one plate of spaghetti. Going back for more meant you liked it, you are complimenting the cook, and your stomach can fit another helping.

We consider a “petite” filet, 8oz. Well, about the size of a deck of cards is what a true one serving size of chicken, fish, or most meats should be. I always love to point out to my Southern California friends what the amount of avocado should be. Think about guacamole. I could eat an entire bowl. When in fact, ¼ avocado is one serving. Even though this is a healthy fat, it doesn’t mean it’s a free for all.

The struggle becomes real when we get to side dishes. Rice. Oh rice. I could eat it for days, especially when I went to South Korea. 1/3 cup is the true portion size and that is about the same amount of carbohydrates as 1 slice of bread. So when we just keep eating sushi or have a rice bowl somewhere with meat, in the end, we had about 6 slices of bread.

Juice is a troublemaker too. With the sugar content, even if totally fresh, ½ cup is one serving. Daily orange juice in the morning adds up. Plus, many folks mix these juices with their cocktails.

Bagels. Well if we went by portion control, a New York bagel is 6-7 servings.

I’m rocking the boat I know 😊

It’s just too easy to have more. When you buy a soda, let’s say 20oz, you naturally want to and do drink the whole bottle. Clearly, that is more than once serving. I think back to the amount of Gatorade I used to have. So much sugar, but I didn’t know. We didn’t used to know. We didn’t used to talk about calories. In fact, I don’t think I knew what a calorie or serving size was until I got to college. But now that we live in a world of processed foods and more is better, the health consequences are starting to bring awareness to this.

Please read the Nutrition Facts labels and consider how much you are consuming. Oh yeah, imagine Thanksgiving haha. Food is celebration and comfort. We have to reconsider this and focus on nourishment. Don’t distort your portions and your results won’t be distorted. Re-teach yourself. You can do it. Plus, you will save money and have left-overs to enjoy the foods that much longer.

21 Mar

Granola has that healthy but sometimes no-so-healthy make up of ingredients. A basic granola recipe contains the following ingredients: oats, some type of sweetener such as sugar or honey, and some type of crisp made from wheat or rice. Then other add ons might include nuts, dried fruits, or even coconut. The major controversy with granola is that only ¼ cup Is one serving, and most of the time granola is not consumed in this small quantity. Some eat it by the cup as cereal or others drown their acai bowls with the crunch. Well, that one fourth cup is composed of 100 calories, 17 grams of carbohydrates, 3 grams of protein, 2.5 grams of fat, and 1.5 grams of fiber. Now when nuts, raisons, dark chocolate, or other toppers are included, these numbers rise. A standard cup of granola contains 597 calories and 29 grams of fat. That is so much for such a small amount.

What this means is that filling a bowl with granola and milk to start the day equates to having a 600 calorie breakfast filled with sweeteners. When it comes to granola, a light sprinkle is the recommended serving size to stick to that ¼ cup. This might mean having a little on top of yogurt or a handful as a snack, not a free for all just because it can be bought in health food stores. All calories aside, granola does contain magnesium, calcium, phosphorus, zinc, manganese, and selium. It is considered a whole grain and contains folate, Vitamin E, and thiamin. Granola is also a healthy fat. Magnesium is needed for energy production. Calcium is needed for bone health. Selium, zinc, copper, and manganese are all great for red blood cells, bones, and connective tissue. Folate and thiamin are types of Vitamin B which help with cell growth, metabolism, and nerve function.

Granola certainly has its pros and cons. It is not all bad and it is not all good. It is certainly a type of food that can be misleading. Health food stores even make their own and one tends to think that this snack is a great option versus a bag of chips or candy bar. However, there aren’t always labels on the back to tell you just how much sugar or other ingredients are involved. The key is portion control and not getting carried away with reaching for more and more. There are all sorts of granola bars too. Label reading is very important, especially when it comes to what constitutes what one serving is.

16 Mar

Both taste amazing!!!! Most of us can eat almond butter or peanut butter right out of the jar. We grew up on peanut butter and jelly sandwiches. Celery and peanut butter. Peanut butter cookies. Almond Joy candy bars. Chocolate covered almonds. Roasted almonds. Licking your lips yet?? Actually, this gooey goodness loves to get stuck in your teeth. A popular choice for sure. The National Peanut Board said that 90% of homes has peanut butter in their cabinet. So let’s see which one stacks up as the better choice on your fitness journey.
Both of these butters are heart-healthy monounsaturated fats. These are the type of fat that helps lower cholesterol and reduce the risk of heart disease and stroke. Almond butter has 5 grams of monounsaturated fats versus 3.3 grams in peanut butter  this fat type per tablespoon. Winner: Almond butter.Fiber is a very important component of our eating and most people don’t get enough. A good digestive track requires adequate fiber. We need 21 to 38 grams per day depending on age and gender, so every little bit helps. Almond butter has 1.6 grams of fiber per tablespoon versus 0.9 grams in peanut butter. Winner: Almond butter.
Vitamin E has many antioxidants and these butters contain this fat-soluble vitamin. Vitamin E is also important for our immune system. Almond butter has 4x the amount of vitamin E than peanut butter. Winner: Almond butter.
Both butters contain minerals we need including iron, zinc, potassium, and calcium. Almond butter is a better source of all of these minerals. Winner: Almond butter.
Check out this calorie comparison…. If you took one cup of peanuts it has 854 calories versus one cup of almonds which has 546 calories. So take these grounded and you see the calorie difference. Winner: Almond butter.
I’m an advocate for almond butter. Every better decision adds up. There isn’t much bad to say about it expect maybe the pool of liquid that forms at the top of a new container. Other than that, almond anything and I’m in. Of course in moderation and with portion control. Every BODY can incorporate almond butter on their fitness journey, provided no nut allergies. Read the labels, find the best brand available to you, and hey top a rice cake with some almond butter and that’s a great FIT Snack 😊

08 Mar

Cosmetic treatments have become increasingly popular. Botox is the brand name for a type of toxin that come from the bacterium Clostridium botulinum. This toxin has multiple purposes depending on the type and ranges from types A to G. The injection of type A is the most popular, also called botulinum toxin type A. Type A is the most potent form and is approved by the FDA in 2002. There is one other similar form called Dysport, which is also FDA approved.

Contrary to popular belief, Botox doesn’t remove wrinkles. Rather, this toxin works to temporarily disable the facial muscles that cause wrinkles. Common areas include the frown lines and crow’s feet. Botox communicates to these nerves telling the muscles not to contract. The muscles become paralyzed. Botox is most effective on the “dynamic wrinkles” which are only visible when the muscle contracts. That is why the areas of the mouth and eyes which involve frowning, smiling, and squinting, can be treated with this toxin.

Not every area and person is treated the same with Botox. With age, comes the decrease in the elasticity of the skin. This means that sometimes, a crease can become permanent. Botox won’t be able to eliminate these deep creases, but it can reduce the visibility of them. This toxin goes into effect within 48 hours and there is a noticeable difference within 5 to 10 days. This effect will last between 3 and 5 months. Most people who use Botox go for injections again based on this timeline.

Botox might be considered the miracle wrinkle treatment for some people. It won’t be able to reverse the clock, but it can certainly increase confidence and appearance. It is not be abused. It is also important to check the validity of the professional you use and where they are getting their materials from. When done wrong, a frozen face can result. Some people even have Botox parties. The procedure is quick and doesn’t require anesthesia. A fine needle is used. There might be temporary bruising or a headache, but that is not the case for everyone. Botox is also not covered by insurance, as it is deemed a cosmetic procedure. Prices vary based on your doctor and much needs to be used.

Feeling good and looking good is important to us. It isn’t vain to want to have less wrinkles, but also go for a consultation to see if any procedure is right for you. You are never fully dressed without a smile, so do more of what makes your frown turn upside down.

01 Mar

Whether we remember it or not, we all dream. We might even dream up to 4 to 6 times per night. Sometimes we find ourselves entertained while other times we are left feeling disturbed after a bizarre dream. After all, dreams are stories, similar to movies playing in our head. They can be so vivid that we can actually wake up feeling happy, sad, mad, confused, or even scared. Dreams are most vivid during deep sleep which is called rapid eye movement (REM). During this time, the brain is very active.

Sigmund Freud believed that dreams tell us about our subconscious. Our thoughts, motivations, and unconscious desires are revealed. What we might think society perceives as unacceptable, we think and feel during our dreams.

Dreams are somewhat of a mysterious phenomenon, with some researchers saying they serve no purpose while others claim dreams are necessary for our mental health. They may have no connection to reality, but some experts have found that when restricted from the act of dreaming a person can wake up feeling depressed, anxious, have a hard time concentrating, experience weight gain, and overall feel a sense of tension. Dreams could just be night time stories that keep us asleep. Dreams help us sort out our life’s problems, process emotions, and incorporate our memories. A person can go to bed troubled by a problem and wake up with a solution. Re-occuring dreams might have meaning that help us discover our deepest fears and concerns. For example, a dream someone has over and over about falling off a cliff or being chased might really be about a hidden trigger or stressor. On the other hand, every dream can be unique and interpreted differently.

Nightmares are bad dreams we don’t like. They stir up emotional problems, stress, and may be caused by illnesses or medications. The bottom line is that no matter how scary the dream is, it is not real. Lucid dreams occur when we are in between REM and being awake, so they seem extremely real. The brain is really active. Dreams don’t predict the future but can sometimes feel coincidental. Most of the time we don’t even remember our dreams. Imagine if we were able to remember all of our dreams. We might not be able to separate reality from what we dreamt. During REM it is possible that our brain shuts off the memory device so we only recall what we thought about just before we wake up. People who wake up several times in the night are more likely to remember their dreams. Sometimes just being conscious that you want to remember your dreams will help you recall them better.

There are different theories when it comes to interpreting our dreams, but think of them more as your brain’s free play time. It is entertaining itself as we sleep until we rise again and it’s back to work. Some say dreams do come true, but the truth is that we will never really know that answer. For now, it’s nice to believe that dreams really do come true especially when we are young and imaginative.

22 Feb

We are all too familiar with that feeling of being stuffed. For some it’s a rare occasion, but for others each meal can present the chance to eat and eat until overeating strikes again. We might do this at the end of a long day. It’s a holiday so why not? Or maybe when home alone all inhibition lets loose. Then we feel frustrated with ourselves for letting this stomachache happen….once again. The truth is that right out of the gate we are nurtured with food. We eat to live, but somewhere along the lines living to eat can become the lifestyle. We have an emotional connection to food outside of just nutritional purposes.

Yet, the act of eating can get out of control. It can become a coping mechanism for negative emotions. Some people think about food all the time. We might laugh and joke after eating large quantities at Thanksgiving, but some people feel ashamed and guilty after far too many of their meals. For some people, overeating can just be a mindless habit. The duration of the movie requires snacking and then pretty soon the box is gone and the entire liter of soda.

Some people who overeat might have an actual eating disorder such as binge eating disorder (BED). This is characterized by eating large quantities of food in a short period of time. A person with BED might do this at least once per week for the course of 3 months or longer. Eating is associated with feelings of stress, loneliness, and then guilt and regret after eating so much. To be clear, not all people who overeating have binge eating disorder. For some people it’s just a love of food, while others might suffer from negative body image. Sometime dieting gone astray can lead to overeating. Feelings of deprivation lead to a desire for foods that were off limits and the more the better. The foods that were forbidden become more and more attractive.

The composition of foods can make them addictive in nature. High fat, high sugar, and high salt foods taste to please us. The brain senses the euphoric feeling much like drug use. Then the person become dependent of these foods as they crave their comfort and satisfaction. The difference is that no one can cut food “cold-turkey”. We are faced with eating each and every single day, more than once. The act of eating can become an addiction too.

If there’s strong ties to deep emotional problems and food seems to be the solution, then seeking help is important. A person needs to determine their triggers, especially those that transpire negative body image. A counselor can certainly help. Food should also not be constantly deprived or labeled as “good” or “bad”. Tuning into hunger cues is important. Understanding the why of the overeating leads to a better solution. A change of scenery can help change the environment you put yourself in during eating. Don’t be on autopilot and let the habit carry on and on. There is a lot more to life then chewing, but we have to find a healthy relationship with food in order to be healthy mentally and physically.

16 Feb

Whatever the reason be it getting busy or forgetting to eat, skipping meals has been a topic of debate whether is good or bad. The bottom line is that the brain’s main fuel is glucose, and not giving the body food is also not giving the brain food. Eating isn’t just about the stomach.

Contrary to popular belief, skipping meals doesn’t equate to weight loss. Most of the time, when a person does not eat for an extended period of time, they end of overindulging later. Hunger levels rise and binging can happen. Overeating out of extreme hunger can easily happen. Blood sugar can also start to drop. This leads to feeling tired and the body is communicating that it wants to shut down until re-fueled. When blood sugar drops, mood also tends to drop. Becoming irritable is common. Sometimes when you finally reach the point that you have to eating something, you ravenously take whatever is available and this might not lead to the best choices. Grabbing what you find first might temporarily solve the problem but can catch up with you later on the waistline.

Skipping meals might seem save like saving calories, but most time overeating ends up happening and more harm then good takes place. Not eating means no fuel in the tank and this means less energy. Less energy usually means less motivation, causing performance to suffer. Skipping meals can lower metabolic rate, which is not conducive to weight loss efforts. Blood sugar and insulin responses also change. Some people start to feel really fatigued and even dizzy.

Weight loss is a tricky game. Food is something we have to think about all the time. All the choices and the free will to have them makes temptation and taste-buds a troublesome combination. Not every day has to be centered around food, but the topic is addressed on a daily basis. The key is finding a healthy relationship with food, planning ahead, and knowing what triggers and environments lead to poor decisions. If we are what we eat, then we certainly don’t want to eat nothing. Our bodies deserve premium fuel, so don’t leave the tank empty and expect great performance. You can only go so far for so long before skipping meals just doesn’t seem to be beneficial in the end. Eat for your nourishment and for your health, not because you are bored, stressed, or just because it is there.  

11 Feb

One of the most common questions I am asked is, “How much cardio should I be doing??” We are told we need to exercise and cardiovascular activities are the first item we refer to doing. There are a multitude of benefits when doing cardiovascular activity, but sometimes you might be doing more harm than good if you are doing too much. Just because you run ten miles per day doesn’t mean the weight will melt right off (even though one would assume this). So let’s take a look at the cardio overload affect and see what happens to the body when this occurs. 

There are a number of indications your body will show as signs that you are doing too much cardio. Every BODY is different. Here is what we are supposed to be doing:

“The U.S. Department of Health and Human Services and the American College of Sports Medicine recommends that adults ages 18 to 64 engage in a minimum of 150 minutes of moderate-intensity aerobic exercise spread over three to five days a week. Or do 75 minutes of vigorously intense aerobic exercise spread over three days a week. These minimum recommendations outlined in the 2008 Physical Activity Guidelines for Americans decrease your risk of chronic diseases such as diabetes, high blood pressure, heart disease and osteoporosis” (http://www.livestrong.com/article/145445-recommended-amount-of-cardio-exercise/). It’s easy to think that the longer I run on the treadmill, the more calories I’m burning, so the more weight I will lose. Wrong!!!!!Cardio doesn’t have the same after math effects that strength training has for us. Meaning, “Unfortunately, the positive fat-burning effects of cardio exercise are short-lived. Once you stop exercising, your body’s metabolism quickly returns to its normal state. If cardio is your go-to exercise then you are forced to do more and more in order to see ongoing weight-loss results. This becomes problematic because increased cardio training can lead to decreased muscle mass. If your body loses even the slightest bit of muscle, your resting metabolic rate (i.e. how many calories you burn when you’re NOT exercising) dips even further. Your body will begin to shed fat even more slowly…unless you do even more cardio” (http://www.huffingtonpost.com/dave-smith2/4-indicators-that-youre-doing-too-much-cardio_b_9321966.html). And cardio is hard on our joints so having to pound the treadmill longer and longer to see results becomes strenuous on both the body and mind. Plus, one can burn through muscle so although we might be getting smaller and seeing the scale drop, we are not re shaping the body appropriately. It’s similar to the effect of not working out after a surgery or injury. The scale might actually go down, due in part to muscle atrophy.  

Training smarter, not harder is the appropriate expression here. The cardio myth goes like this, “There is this horrible misperception in our society about fat loss. A lot of people think that if you starve yourself and do two or three hours of cardio each day, the fat is just going to melt off. Actually, performing too much cardio will put your body in a catabolic state and burn hard-earned muscle. The loss of muscle will not only reduce strength, but it will also slow down your metabolism. If your metabolism slows down too much, you’ll have a tough time burning fat” (http://www.bodybuilding.com/fun/ask-the-ripped-dude-how-much-cardio-is-too-much.html). 
Personally, I can run for hours (literally). But I have learned, especially while training for my competitions, that at some point I’m actually not doing myself any favors. Mentally, I love the clarity of just running and going until I just have to stop. Physically, I don’t want to burn through muscle. There is no science that says how much is too much, but realistically anything over 60 minutes is probably more counterproductive than good. Females love their cardio, but ladies, we have to use strength training to re-shape our bodies and ward off osteoporosis.

When I meet a client and they ask me why they haven’t seen results when they do the Elliptical or jog every day, well, we know that the cardio myth has come into play. It might be breath of fresh air to hear that you don’t have to run for hours on end to see results. Rather, use cardio in combination with strength training to achieve optimal results. Every BODY is different, and we learn on our fitness journeys what methods work best for us. Don’t be fooled I won’t write you a pass for P.E. that says you don’t have to run the mile haha, but I will tell you that don’t have to run 5 miles every day to achieve your fitness goals. 

02 Feb

A diet rich in whole grains, vegetables, legumes, and fresh fruits and vegetables is great for overall health and can even help weight loss. However, this food plan is all about the choices that fall under these categories. Muffins are part of the mistake that can cause weight gain. The average medium sized muffin contains about 430 calories, 18 grams of fat, and close to 60 carbohydrates. This doesn’t include the possible 35 grams of sugar. No wonder they taste so good. For breakfast, as a snack, with tea or coffee, a muffin is a tasty, satisfying food that many approve of. The problem is that a muffin isn’t a nutritionally sound option. Then we to consider the giant muffins from Costco, the ones that taste good from Souplantation (although sadly gone), the one’s the vending machine has, and then there’s always 7-11. They taught and tease use because they are a grab and go food. They’re easy and filling.

Just because a muffin has some blueberries, is gluten-free, or made from scratch, doesn’t mean the waistline isn’t going to suffer. Even if just half, only 200 calories, those calories could have better been served with 3 eggs and a banana or ½ cup of oatmeal. More bang for the caloric content, but we don’t always make decisions based on that rationale. Often times a muffin isn’t the main meal either, although could count up to be this.

Muffins date back to the 18th century coming from either the British or Europeans. It is similar to a raised flat bread, shaped like a cupcake. Some even call it a healthy “cupcake”. The main ingredients are flour, vegetable oil, and of course sugar. Flavors range from chocolate to bran and all the types of fruits in between. It is typically eaten for breakfast and enjoyed a mid-morning snack or for brunch.

Let’s take a look at one of Costco’s chocolate muffins just for shock value. This muffin has 690 calories, which if a person is at a 2,000 calorie intake per day, that’s about 35% right there. This makes up 79 grams of carbohydrates and 16 grams of fat. Then there are only 3 grams of fiber and 10 grams of protein. All that considered, that is a lot for one muffin and a lot for just one item. There are other types like banana nut or poppy seed, but these still come in the 600 calorie range. A muffin is therefore an occasional food choice, not one to have with breakfast on a daily basis. As good as they are, there are not good for the body long-term. We all know the derogatory term that can be used for the shape of a persons’ stomach ☹