by Dan | May 7, 2017 | Exercise, Goals, Motivation, Wellness/Health
It was a busy weekend…one of my daughters, Molly, graduated from SDSU. Megan will graduate in 2 weeks from George Mason University. They both spent a lot of time, and hard work, earning their degrees. Molly graduated with a degree in Health Education, and will be going to study Ultrasound. We all need to keep striving for things in our life, to keep working on improving ourselves, and to learn more. There is always something to learn! If we quit trying to learn, life becomes stale and boring. The famous saying, “The more we know, the more we don’t know” rings true also. We always need to work on becoming a better person, both physically and mentally.
As parents, you always try to be there for your kids, to keep encouraging, to keep working, to keep striving. If you want it, you have to earn it! This is no different than working on exercise and our diet…if we want to become healthier, we have to work at it, and again, we have to keep learning on how we can do this better. Molly had a sign on the top of her cap, “Finally done with this B.S.” Now this can be taken many ways, but of course, it really means Bachelor of Science!
The crowd at graduation was huge for SDSU…and it was already split into a morning, afternoon, and later afternoon sessions! We heard, and more importantly, those graduating heard, that if you want something in life, you have to earn it. Always keep striving, and even though their college days may be over, our learning never ends! Remember that!
We are proud of you Molly, just like we are with our other kids, and just like all parents are of their own kids. We are there for you, will be there to support you, encourage you, but…we can’t do it for you! You have to push yourself. You have to want to earn it. You have to want to be better. Boy, this sounds an awful like what I say in this blog many times. We have to want to be healthier, and have to want to watch our diet, and eat better. We have to want to exercise for our own benefit…and we have to keep learning on how we can do it better!
My nurse, Chris, made an awesome cake to celebrate. Thank you Chris! It was delicious. And, because it was a special occasion, and I did my run in the morning, and also did my weight workout as well, I splurged this time and I had a second piece of cake later that evening! It was totally worth it! Sometimes, you have to reward yourself as well. So, everybody, keep moving, keep learning, and keep striving to become a better you!
Dr. Dan
Consecutive Exercise Day #: 3508
by kelsey | May 4, 2017 | Diet, Heart Health, Weight Management, Wellness/Health
Our Doctor of Pharmacy, Deidra Van Gilder, PharmD covers the hot topic of supplements in our in our 12 week wellness program. Supplements are a hot topic and you may wonder what the professionals in the field recommend on this topic as there is a lot of information to be found on the internet. The below information is from Deidra herself….hope it is helpful to you!
Fish Oil
Fish oil contains two important components: DHA (docosahexaenoic acid) and EPA (eicosapentaenoic acid). Another substance called ALA (alpha-linolenic acid) may be as effective as DHA and EPA although it doesn’t have as much evidence for its use. ALA is the component of flaxseed that is thought to lower cholesterol. Fish oil is typically recommended for people with high triglyceride levels.
Foods that contain Fish Oil: Anchovies, Catfish, Cod, Halibut, Herring, Mackerel, Tuna, Trout,
Salmon, Sardines
Uses:
- There is strong evidence for the use of fish oil to lower triglycerides and increase HDL at doses of 2-4 grams daily. Be aware that it may increase LDL.
- There is evidence to support the use of fish oil 1 gram daily for prevention of recurrent stroke or heart attack in patients with cardiovascular disease.
- There is some evidence for the use of fish oil in rheumatoid arthritis to reduce morning stiffness and joint tenderness. It is the most beneficial when used with anti-inflammatory medications.
Dose: 1 – 4 grams daily divided into twice daily dosing. The fish oil capsules may be stored in the freezer to decrease incidence of fishy burps and aftertaste.
Adverse Effects: fishy aftertaste or fishy burps, heartburn, loose stools, nausea, upset stomach, alterations in glycemic control, increased risk of bleeding
Drug Interactions: warfarin, aspirin, clopidogrel, oral contraceptives
Calcium
Calcium is important for many functions of the body including bone and teeth health. Calcium is most commonly used for treatment and prevention of low calcium levels and osteoporosis.
Foods that contain Calcium: milk, cheese, yogurt, dark green leafy vegetables, and calcium fortified foods or juices
| Recommended Dietary Allowance (RDA) for Calcium |
| Men age 19-70 |
1000 mg/day |
| Men age 71 & older |
1200 mg/day |
| Women age 19-50 |
1000 mg/day |
| Women age 51 & older |
1200 mg/day |
Dosing: Dosing for calcium supplementation is dependent on calcium intake from dietary sources. The preferred source of calcium is through the diet. The two most commonly used forms of calcium for supplementation are calcium carbonate and calcium citrate. Calcium carbonate (Tums) is well tolerated especially when taken with a meal. It is the calcium supplement of choice in patients with poor kidney function. Calcium citrate (Citracal) may be taken on an empty stomach, but should be avoided in people with poor kidney function. Calcium citrate is the recommended choice if elderly or people taking a PPI (proton pump inhibitor), antacid, or H2 blocker.
The maximum amount of elemental calcium that the body can absorb at a time is about 500 mg. If doses higher than 500 mg are needed, separate the doses by 4 hours.
Adverse Effects: constipation, bloating, stomach upset, gas, kidney stones
Drug Interactions: PPI (omeprazole, esomeprazole), H2-blockers (famotidine, ranitidine), iron supplements, tetracycline antibiotics, quinolone antibiotics, bisphosphonates, phenytoin, and verapamil
Vitamin D
Vitamin D helps the body maintain normal levels of calcium and phosphorus. Vitamin D is available in two forms, ergocalciferol (Vitamin D2) and cholecalciferol (Vitamin D3), both are considered equivalent. Vitamin D can be obtained from brief sun exposure, foods, and can also be found calcium supplements or multivitamins. Since vitamin D helps with calcium absorption, many supplemental products contain both calcium and vitamin D. Vitamin D is commonly used for treatment or prevention of vitamin D deficiency, osteoporosis, and preventing falls. There is also some evidence for the use of Vitamin D3 ointment for controlling skin cell growth in patients with psoriasis not responding to other therapies.
Foods that contain Vitamin D: fish, eggs, fortified milk, cereals, salt water fish, cod liver oil
| Recommended Dietary Allowance (RDA) for Vitamin D |
| Men & Women age 19-70 |
600 IU/day |
| Men & Women age 71 & older |
800 IU/day |
Dosing: Vitamin D supplemental dosing is dependent on current vitamin levels and intake. Dosing may range from 400 – 1,000 IU daily so it is important to talk to your physician about the proper dosage for you based on your vitamin D level.
Adverse Effects: Generally well tolerated, nausea, high calcium levels, anemia
Drug Interactions: atorvastatin, digoxin, thiazides, verapamil
Flaxseed
Flaxseed or flaxseed oil is a food product that contains ALA (alpha-linolenic acid). Flaxseed has a high content of fiber and may be used for constipation if taken with plenty of water. Flaxseed can reduce total cholesterol and LDL cholesterol, but has no effect on triglycerides.
Dosing: 15-40 grams (~1 tablespoon 2-3 times daily) of freshly ground flaxseed or flaxseed oil daily for high cholesterol levels. Flaxseed may be prepared as ground, partially defatted, oil, or in bread and muffins. Ground flaxseed is typically recommended over the oil as it offers greater benefits than the oil. Freshly ground flaxseed should be kept in an airtight container and stored in the refrigerator up to three months.
Adverse Effects: increased number of bowel movements, bloating, abdominal pain, diarrhea, constipation (if not taken with plenty of water), gas
Drug Interactions: blood pressure lowering medications, medications used to treat diabetes, anticoagulant/antiplatelet medications (warfarin, aspirin, clopidogrel)
References:
Natural Medicines, Food, Herbs & Supplements, Somerville, MA: Therapeutic Research Center;
11 May 2017. < http://naturaldatabase.therapeuticresearch.com/>
National Institutes of Health Office of Dietary Supplements, National Institutes of Health.
Dietary Supplement Fact Sheets. NIH; 2016. <https://ods.od.nih.gov/factsheets/list-all/>
Flaxseed: is it as beneficial as fish oil? Pharmacist’s Letter/Prescriber’s Letter
2009; 25(7):250708.
If you have any other questions about supplements, vitamins, and minerals, don’t hesitate to contact us!
-Kelsey
by Dan | Apr 30, 2017 | Equipment, Exercise, Goals, weight lifting, Weight Management, Wellness/Health
When it comes to exercise, cardio type exercise is important, but weight training/resistance type exercise is also very important. You should incorporate this into your weekly exercise routine 2-3 times per week. You don’t have to have fancy equipment, you can do many of the exercises by using your own body weight. Certain accessories can allow you to do even more of a variety of exercises, and you still don’t have to spend a lot of money. It is nice to have the space to be able to do it though. I set this up in my garage, but if you don’t have this space, then an area in your house will work to do bodyweight exercises. This may also be the time to consider having a membership to a gym to have unlimited access to whatever equipment you want to use. Here first, is one of me doing a pull-up. The strap helps initially by learning the technique of doing this, with full lift over the bar, and then back down with full extension of your arms.
Next is some squats that can be done either with no extra weight, or using weight, such as this, with a kettle bell, which comes in many different weight sizes. Just remember to start low, if any weight at all.
A similar technique for doing a bodyweight squat can be done using a weighted ball, and doing what are called wall balls. Squatting down with the ball in your hand, and then standing as you throw the ball up against the wall. Then when you catch, you drop back down into a squat.
You can also do pushups or planks, which are also great for arm strength, and for working on your core muscles…those muscles of your abdomen, and extending around your sides to your back. The upright position of the pushup is your plank position, which you can hold, starting at 10 seconds, and working your way up to try and hold for a minute.
You can come up with may varieties of different exercises to do, with your own body weight, and incorporating some additional light weight accessories. You can then expand as you want to progress as you want, depending on your interests. Here is mine…”Reiffenberger Anytime!”
So, become a better you. Work on those resistance exercises, weight training. It is amazing how much stronger you can feel. You are in control of your exercise, activities. Just do something! Keep moving everybody! I just surpassed 3500 consecutive days!
Dr. Dan
Consecutive Exercise Day #: 3501
by kelsey | Apr 27, 2017 | Diabetes, Diet, Food, Heart Health, Weight Management, Wellness/Health
Currently, about half of all American adults have one or more chronic diseases, many of which are associated with poor dietary intake and lack of physical activity. The Dietary Guidelines for Americans is a resource that provides nutrition and dietary advice designed to help Americans achieve and maintain a healthy body weight, meet nutrient needs, and reduce the risk of diet-related chronic diseases. Every five years, a new edition of the Dietary Guidelines is published. A committee of researchers in the fields of nutrition, health, and medicine develop this document through the analysis and evaluation of current scientific evidence.
The 2015-2020 Dietary Guidelines for Americans emphasize the importance of following a healthy eating pattern. An eating pattern is the combination of foods and beverages that make up a person’s dietary intake over time. A healthy eating pattern includes:
Vegetables, a variety including dark green, red and orange, legumes (beans and peas), starchy, and other subgroups
Fruits, especially whole fruits
Grains, at least half of which are whole grains
Dairy, fat-free or low-fat, including milk, yogurt, cheese
Protein foods, a variety including seafood, lean meats and poultry, eggs, legumes (beans and peas), and nuts, seeds, and soy products
Oils, including those from plants such as canola, corn, olive, peanut, safflower, soybean, and sunflower; oils are also naturally present in nuts, seeds, seafood, olives, and avocados
A healthy eating pattern limits saturated fat, trans fat, refined starches, added sugars, and sodium. Keep in mind that improving your eating pattern and lifestyle doesn’t have to happen overnight. Start with small shifts in food choices. For example, try shifting from: white bread to whole wheat, full-fat cheese to low-fat, soft drinks to water, potato chips to unsalted nuts, and butter to olive or canola oil. A healthy eating pattern should be paired with appropriate levels of physical activity. Adults need at least 150 minutes of physical activity each week, and children ages 6 to 17 years need at least 60 minutes of physical activity per day.
For more information on an eating pattern specific to your body’s needs, contact a local registered dietitian or healthcare professional.
-Written by Amanda Berckes, SDSU Dietetic Intern
by kelsey | Apr 26, 2017 | Diet, Weight Management, Wellness/Health
According to the Boston Medical Center, approximately 45 million Americans diet each year and spend $33 billion on weight-loss products in their pursuit of a slimmer body. However, over a third of American adults are obese.
Fad diets usually help people lose weight quickly; however, the pounds usually come right back when quitting the diet. In the end, such diets are unsuccessful because they do not promote healthy eating habits and behaviors that can be incorporated into an individual’s everyday life.
Here are a few things to look for to help you identify a fad diet. Beware of diets that…
- Omit or restrict food groups or macronutrients (i.e. cutting out all carbs or foods from the grains food group): The main food groups are vegetables, fruit, protein foods, grains, and dairy. Foods from these groups provide the nutrients our bodies need to function properly.
- Are very low in calories (i.e. less than 1000 calories a day): Severely restricting calories will cause a person to lose weight, but they will likely miss out on essential nutrients and become lethargic from the lack of energy intake. Plus, very low-calorie diets are not sustainable over the long run.
- Promise quick weight loss (i.e. more than 2 pounds a week): A realistic and healthy weight loss goal is ½ – 2 pounds a week. Slower but more apt to keep it off!
- Make you purchase a specific company’s products (i.e. pills, shakes, meal replacement bars, etc.) ; Oftentimes meal replacements can be included in a healthy diet and help you lose weight. However, people often struggle when they stop consuming those products because they did not learn how to make healthy food choices.
- Do not have scientific evidence to back them up: Fad diets usually have claims without scientific evidence to back them up. Instead, they use endorsements and testimonials to entice people. These endorsements lack credibility as they could be from paid actors or diet coaches trying to make money by selling their products.
- Doesn’t allow you to enjoy your favorite foods every once in a while: Food should be enjoyable! The key is portion size and moderation. When told to give up certain foods, people tend to overindulge on “cheat days” or once they reach their weight loss goal.
- Doesn’t promote physical activity: To lose weight, a person must create a negative calorie balance by burning more calories than they consume. Engaging in physical activity will aid in weight loss and help keep the pounds off. Not to mention the many other benefits of regular exercise!
Bottom line: if it’s too good to be true, it probably is!
-Written by Amanda Berckes, SDSU Dietetic Intern
by kelsey | Apr 25, 2017 | Cooking Tips, Diet, Heart Health, Weight Management, Wellness/Health
Salt is in a lot of our foods and most commonly found in packaged, processed foods. Limiting your salt or sodium intake can help prevent the buildup of extra water in your body and this can be beneficial for high blood pressure, heart failure, kidney disease, or other conditions that result in fluid retention. It is recommended to keep your sodium intake between 1500-2300 mg/day. 1/4 teaspoon of salt has about 600 mg sodium, so it doesn’t take much to get to that recommendation, which is why being more aware of your salt intake and choosing salt-free seasonings is beneficial for your health! You can use Mrs.Dash or No Salt to add flavor, but herbs are especially useful to add flavor without adding salt. If you aren’t familiar with working with herbs, you can use the chart below to select an appropriate herb for your food selection. Give these a try!
Food
|
Herbs to try
|
| Eggs |
Basil, dill weed (leaves), garlic, parsley |
| Fish |
Chervil, dill, fennel, garlic, basil, bay leaf (crumbled), French tarragon, lemon thyme, parsley |
| Poultry |
Garlic, oregano, rosemary, savory, Lovage, marjoram, sage |
| Beef |
Bay, chives, cloves, cumin, garlic, hot pepper, marjoram, rosemary, savory |
| Lamb |
Garlic, marjoram, oregano, rosemary, thyme (try making little slits in the lamb to be roasted and insert herbs) |
| Pork |
Coriander, cumin, garlic, ginger, hot pepper, pepper sage, savory, thyme |
| Cheese |
Basil, chervil, chives, curry, dill, fennel, garlic, chives, marjoram, oregano, parsley, sage, thyme |
| Soups |
Bay, chervil, French tarragon, marjoram, parsley, savory, rosemary |
| Salad |
Basil, borage, burnet, chives, lovage, parsley, French tarragon, garlic. Herb vinegars are great on salad for extra flavor. |
| Tomato Sauce |
Basil, bay leaf, marjoram, oregano, parsley, celery leaves, cloves |
| Fruit |
Anise, cinnamon, coriander, cloves, ginger, lemon verbena, mint, rose geranium, sweet cicely |
| Bread |
Caraway, marjoram, oregano, poppy seed, rosemary, thyme |
| Vegetables |
Basil, burnet, chervil, chives, dill, French tarragon, marjoram, mint, parsley, pepper, thyme, savory |
| Italian Blend |
Basil, marjoram, oregano, rosemary, sage, savory, thyme |
| Barbecue Blend |
Cumin, garlic, hot pepper, oregano |
Herb Blends to Replace Salt
|
|
| Saltless Surprise |
2 teaspoons garlic powder and 1 teaspoon each of basil, oregano, and powdered lemon rind (or dehydrated lemon juice). Put ingredients into a blender and mix well. Store in glass container, label and add dry rice to prevent caking. |
| Spicy Saltless seasoning |
1 teaspoon each of cloves, pepper, and coriander seed (crushed), 2 teaspoons paprika, and 1 tablespoon rosemary. Mix ingredients in a blender. Store in airtight container. |
