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Aug 18

Running to Lose Weight Is a Terrible Idea – The Daily Meal

Its a pitfall of too many dieters: They decide to get healthy by which they mean lose weight so they start eating salads and going on runs.

Ugh.

Experienced runners everywhere hear this and cringe. Running to lose weight is a terrible idea.

Weight loss is not only an appearance-oriented reason to run that likely wont provide enough intrinsic motivation to last, but its also a misguided motivation. Running does not efficiently, if ever, make you lose weight.

Running is what exercise professionals like to call steady-state cardio. This is cardio that lacks the intensity to produce an extreme response by the body; you can tell this because your heart rate remains relatively stable throughout the run.

Your body is smart: It goes first for the stores of energy it saves from intra-muscular stores of fat, circulating free fatty acids, muscle and liver glycogen, and blood glucose, all of which it uses to fuel your daily activities and lower-intensity conditions of exercise.

So youre not actually burning fat with exercise until your body needs more energy much quicker during high-intensity exercise. When your heart rate is at an extreme high, your body recognizes its under extreme conditions, and it dips into its precious, last-resort stores of fat.

If you were to go on interval training runs, where you ran sprints or trudged up hills, you might enter this actual fat-burning zone.

But if were talking normal running, you would have to run for hours and hours to run out of alternative sources of energy (or eat dangerously little, which we do not recommend you do). And even if you do run for hours and hours, it might still not work to dip into your fat stores and lose the weight you want to.

Ive known people who have trained for a marathon with the intention of shedding pounds. During their training, I watched them run mile after mile and become increasingly agitated because they continued to gain weight as the runs got lengthier.

This (understandable) frustration comes from a misunderstanding many people hold about health. The healthier I get, the thinner Ill be! False. Sometimes, the healthier you get, the more weight you put on. Your bodys just trying to survive, after all.

Allow me to explain. When you run, your body expends a great deal of energy especially when youre running long distances. Heres something your body doesnt want to be: tired.

There are a few different places your body searches for its energy: your food, your fat, and your muscle. First, its going to plow through your energy from food. If youre trying to lose weight, its probable that youre eating at a calorie deficit, i.e., expending more energy than you consume. So youre likely not eating the extra calories you would need to support those runs. So when its out of that, it has to choose: Is it going to dip into your fat or your muscle?

It will likely dip into your muscle. Your bodys on preservation mode. What does it need more, the energy stored from fat or the muscle that burns fat?

Try driving a car on just a few droplets of gas at a time. Thats the mechanical equivalent of trying to force your body to function without gathering an energy reserve. Now imagine that a car was smart enough to save gas for later. What do you think itd do?

Your body saves fuel for later. It puts on weight saves some gas. And it plows through the unnecessary muscle (running requires a minimal amount of physical strength). So as you get better at running, as you practice and run longer distances, you might just get heavier. And healthier. Youll gain endurance, build a few key muscles in your legs, improve mental and physical stamina. Youll be more capable, better equipped to outrun an attacker, and have a much stronger heart.

You might just get healthier and heavier. At the same time.

Now, thats not to say you shouldnt run. If you want to run, by all means run! Just dont do it for weight loss.

There are so many more valuable reasons to feel proud of running a marathon or dedicating yourself to training that have nothing to do with fat loss or whether you can fit into those size 4 jeans. Here are a few:

And there are many more. Everyones reason to run is different, but they should all have one thing in common they shouldnt involve running to lose weight.

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Aug 18

12 Ways to Make Losing Weight a Little Easier – BKLYNER

Weight loss is hard, theres no question about that. But its not impossible, says Andrea Skowronek, Registered Dietitian and Coordinator at the Weight Loss Center at The Brooklyn Hospital Center (TBHC).

Here are 12 things Ms. Skowronek and the Centers Dr. Pratibha Vemulapalli advise to make your success more likely.

1. Eat mindfully.Slowing down, focusing on chewing well and recognizing when your body tells you that youre full are important steps in curbing over-eating. Mindful eating also helps you make better food choices.

2. Decrease distractions. This goes hand-in-hand with mindful eating. Dont eat in front of the television or computer, on the run, or while youre working. Focus on the food and relish the meal and its flavors.

3. Keep a food diary. Multiple studies have shown that the simple act of daily recording what you eat and how much helps control weight.

4. Drink only zero- or low-calorie beverages. Sugar-sweetened drinks pack in more calories than you may realize.

5. Quarter your plate. Visually split your plate into fourths. Fill one-fourth with lean protein (chicken, fish or tofu). Fill another fourth with high-fiber whole grains. Complete the other half of the plate with vegetables.

6. Identify and ban trigger foods. Some people cant stop at one potato chip. Others can keep a full bag in the pantry with no problem, but would go nuts with a box of donuts. Dont bring trigger foods into your home.

7. Feed the family well. Dont make diet meals just for you if you are cooking for a family. Healthy meals are good for everybody.

8. Avoid grocery shopping when youre hungry. And shop the walls of the supermarketwhere youll find the whole foods and fresh produce.

9. Keep your hands busy. When you arent supposed to be eating, try activities that make it near impossible to do so. For instance, take a walk, do yoga, knit, play cards.

10. Wait it out. If you are really craving something or you feel hungry after a meal,make yourself wait another 20 minutes to see if the feeling passes. If it doesnt, have the smallest amount possible to satisfy you.

11. Transform fruit into dessertroast, saut or broil fresh slices of your favorite and add a sprinkle of spice before serving. Consider cinnamon, nutmeg, ginger, cardamom, or even a little hot pepper!

12. Get help if you need it. If you are struggling with losing weight or are thinking about weight loss surgery, consider attending a free info session at TBHC Weight Loss Center to learn more. Call Dr. Vemulapalli at 718.250.8920 or email bariatric@tbh.org.

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12 Ways to Make Losing Weight a Little Easier - BKLYNER

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Aug 18

Why exercising by itself isn’t enough for you to lose weight – South China Morning Post

Exercise by itself wont help you lose weight.

This is not to say that exercise isnt good for you; it is, in fact, great for you. It conveys an astonishing array of health benefits.

But and we all hate hearing this many experts, while extolling the benefits of exercise, say the primary villain when it comes to excess weight is whats on our menu. To lose weight, we have to cut calories.

Exercise helps keep lost weight away, but alone it cant do the initial job of losing it.

I think the role of exercise in weight loss is highly overrated, says Marc Reitman, chief of the diabetes, endocrinology and obesity branch of the US National Institute of Diabetes and Digestive and Kidney Diseases, or NIDDK. I think its really great for being healthy, but Im a strong believer that overeating is what causes obesity. To exercise your way out of overeating is impossible.

Is the 80/20 rule true when it comes to weight loss? Hong Kong naturopath says yes

Michael Joyner, a Mayo Clinic researcher who studies how people respond to the stress of exercise, agrees. The key for weight loss is to generate and maintain a calorie deficit, he says. Its pretty easy to get people to eat 1,000 calories less per day, but to get them to do 1,000 calories per day of exercise walking 10 miles is daunting at many levels, because of lack of time and motivation, he says.

To be sure, some people can work weight off, experts say. These include those who exercise vigorously for long periods, and professional athletes, who typically engage in high-intensity workouts.

But they are the exceptions. Those high-level workouts are not something most people do, says Philip F. Smith, co-director of NIDDKs office of obesity research. Walking for an hour wont do it.

Joyner agrees. Theoretically, people can exercise enough to lose without changing what they eat, but they have to exercise a lot, he says.

Burn more calories than you consume to get rid of that big fat problem

Moreover, moderate exercise doesnt really burn all that many calories, especially when you think about a single piece of chocolate cake, which has between 200 and 500 calories. Most people burn only about 100 calories for every mile of running or walking, although this can vary depending on the person, according to Joyner. Put another way, to lose one kilogram, you must run a deficit of about 7,700 calories meaning that if you burn an excess 500 calories a day, it would take more than two weeks to shed that weight.

Kevin D. Hall, an NIDDK scientist who studies how metabolism and the brain adapt to diet and exercise, agrees that a modest degree of weight loss would require large amounts of exercise. However, high levels of physical activity seem to be very important for maintenance of lost weight, he adds, defining high as more than an hour of exercise daily.

In a recent study, Hall concluded that exercise typically result[s] in less average weight loss than expected, based on the exercise calories expended, and that individual weight changes are highly variable even when people stick to exercise regimens.

If you sweat more while exercising, do you burn more calories?

The likely reason is that people tend to compensate for changes in food intake and non-exercise physical activities, Hall wrote. Or, as Joyner puts it: If people replace non-exercise but otherwise active time with sedentary time, sometimes things cancel out.

Strength training or resistance training lifting weights, for example is important for overall health, but, as with other forms of exercise, it doesnt prompt weight loss. (In fact, it may cause the reading on the scale to inch up a bit, because muscle is denser than fat.) Nevertheless, strength training is good to maintain lean tissue, Joyner says.

And you cant count on exercise to increase your metabolism for several hours after.

Exercise, if hard enough and long enough, certainly can do this, Joyner says. But again, it depends on how much, what type and how hard. A two-mile (3.2km) stroll, while a good thing, will not do too much to resting metabolism.

But now the good news: exercise remains one of the best things you can do for yourself. It enhances health in numerous ways.

It strengthens the heart and lungs. It reduces the risk of Type 2 diabetes and metabolic syndrome, a collection of symptoms that include hypertension, high blood sugar, excess body fat around the waist and abnormal cholesterol or triglyceride levels.

Weight-bearing activities, such as running, strengthen bones and muscles. Having strong bones prevents osteoporosis, helping to avert bone-breaking falls in the elderly. For older people, exercise facilitates the capacity for them to stay engaged in life, Joyner says.

Exercise more to fight depression, researchers tell Hongkongers, as 11.8pc say they are sufferers

Exercise also reduces the risk of certain cancers, including breast and colon cancer. It elevates mood, and it keeps thinking and judgment skills sharp.

Overall, it helps you live longer. People who work out for about seven hours a week have a 40 per cent lower risk of dying early compared with those who exercise less than 30 minutes a week, according to the Centres for Disease Control and Prevention.

Exercise in almost any dose does so many good things for people, Joyner says.

Is one exercise more effective than another?

I love to play soccer, Smith says. I would do anything to play soccer, and try to play three times a week until my body cant take it. But people should exercise as much as they can tolerate and enjoy. Thats what they should shoot for.

Reitman agrees. The best exercise is the one you keep doing, he says.

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Why exercising by itself isn't enough for you to lose weight - South China Morning Post

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Aug 18

Your Body Has a Brain Switch to Burn Fat after EatingHere’s How It Works – Reader’s Digest

wowomnom/ShutterstockMore than two-thirds of adults in the United States are obese, and that can leave many at risk for serious health consequences, according to the National Institute of Diabetes and Digestive and Kidney Diseases reports. Now, research suggests a switch in the brain could be to blame for out-of-control weight gain.

The new findings, from scientists at Monash Universitys Biomedicine Discovery Institute and published in Cell Metabolism, indicate that an important process occurs in the brain after we eatand in obese people its possible this function is impaired. The researchers explain that, after we eat a meal, our brains begin the process of circulating insulin thanks to the increase in our blood sugars. The brain should send a signal to the body to begin burning some of that energya process thats referred to as browning the fat. The name comes from adipocytes, cells that store our body fat and change from white to brown and back again. Brown fat is desirable because of the positive effects it has on your metabolism.

When we fast, our brain tells the body to take the browned cells and convert them into white cellsthe long-term energy storage system for the body. This new research indicates that for the obese, the switch to convert brown cells to white flipped on all the timeand it doesnt turn off even while eating. (Here are ways to tell if your weight could be a problem.) This in turn, causes less energy usage and leads to weight gain, Tony Tiganis, PhD and study author explained to Science Daily. As a consequence, browning is turned off all the time and energy expenditure is decreased all the time, so when you eat, you dont see a commensurate increase in energy expenditureand that promotes weight gain, Dr. Tiganis said.

Dr. Tiganis hopes that with further research it might be possible to inhibit the switch mechanism in some way and cause our bodies to lose weight instead of gaining it. Obesity is a major and leading factor in overall disease burden worldwide and is poised, for the first time in modern history, to lead to falls in overall life expectancy, he said. What our studies have shown is that there is a fundamental mechanism at play that normally ensures that energy expenditure is matched with energy intake. When this is defective, you put on more weight. Potentially we may be able to rewire this mechanism to promote energy expenditure and weight loss in obese individuals. But any potential therapy is a long way off.

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Your Body Has a Brain Switch to Burn Fat after EatingHere's How It Works - Reader's Digest

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Aug 18

If Weight Loss Is Your Goal, Diet Plans Are Not The Answer – Huffington Post Australia

Losing unwanted body weight isn't easy. A lot of us have tried and failed many times, subjecting ourselves to the dreaded yet common weight loss/weight gain merry-go-round. This vicious cycle can be demoralising, with many people convincing themselves that something must be wrong with them and they are destined to be overweight forever.

A common 'solution' is the meal or diet plan. After all, you've tried multiple diets and they haven't worked, so all you want now is a nutrition expert to give you a diet plan that will. You believe that if someone tells you exactly what to eat, how much to eat and when to eat it, then you'll lose the weight you want and have the body of your dreams. And why shouldn't you, after all, they're the expert.

However, while this strict diet plan approach may sound like the answer to your prayers, the reality is they very rarely work in the real world. You see, the real world has a habit of getting in the way of our best laid plans:

And whatever you do, don't get sick because the diet plan doesn't care how you're feeling. If you've been told to eat chia-seed pudding for breakfast three times per week, you'd better be prepared to make it no matter how you're feeling.

Think of all the factors in your life that could get in the way of the best laid meal plans, and ask yourself, 'how realistic is it to keep this up for the long run?'

But my friend went on a meal plan and she's kept the weight off for ages now...

There are exceptions to every rule, and if your friend has successfully lost weight and kept it off for several years since going on a diet plan, then I applaud them. However, there's no denying it's difficult to stick to these restrictive diets long-term.

But that's the point, meal plans are not supposed to be followed forever. How boring would life be if we had to eat the same foods in the same amounts at the same times every day for the rest of our lives? If you have a short-term weight loss goals then diet plans can be very effective. Just expect the inevitable weight gain when you're not on the 'plan' anymore.

But what happens when you stop following the diet plan? What happens when life gets in the way? Or you decide that following a meal plan really sucks? Or you actually lose the weight you want?

Diet plans don't address one key factor for successful lifelong fat loss -- habitual and behavioural change. Being told what to eat may provide short term weight loss success, but unless you learn, understand and practice the fundamentals of healthy eating, you'll revert to your eating habits that got you where you were in the first place.

OK, so what do you suggest I do to lose weight?

We live in a fast-paced society, and we all want to lose our excess body weight by the end of the next 12-week challenge. But ask yourself, 'how long did it take to put on this weight that has now become my life?' I'm guessing months at least, but probably years. So why do you think you can get back to your ideal body weight in 12 weeks, and sustain it for the rest of your life?

If eating nutritious foods and having a lean body forever is your goal, most people simply don't need a strict diet plan. After all, we know that lean meats and vegetables is a healthier meal option than hamburgers and fries. But if takeaway food is your usual dinner-time meal, then successfully making the giant leap to eating healthily at every meal without any small steps in between is going to be virtually impossible.

We're already under enough stress with work, family, bills, relationships, and everything else going on in our lives, so don't add to it by trying to turn your eating habits upside down right from the start.

MORE ON THE BLOG:

You Can't Hate Yourself Happy, Or Punish Yourself Skinny

The secret to making lifelong habitual changes to your eating behaviour is to identify positive changes you can make to your diet, and tackle them one at a time. Yes, this will take a while, and you won't lose the 25kg in 12 weeks that your 'fitness expert' has promised you. But small, incremental changes to your diet will add up to extraordinary and lifelong changes in the long run.

I'm sure you already know of changes that you could make to your diet, but here are a few suggestions to get the ball rolling:

Notice how many of these suggestions aren't even strictly 'nutrition' tips. We already know we should eat whole foods most of the time. Your goal should be to have a healthy relationship with food, not love-hate.

So slow down, take it one step at a time, and release the pressure you've put on yourself to lose excess weight quickly through restrictive dieting. Small and realistic changes to your eating habits over the long run will deliver extraordinary results to your health, body weight and wellbeing.

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If Weight Loss Is Your Goal, Diet Plans Are Not The Answer - Huffington Post Australia

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Aug 18

Obesity- The new addiction – Times of India

Any kind of addiction needs both medical and behavioral interventions. Obesity even today is not commonly looked upon as a disease. People who have weight issues are not treated well and often made fun off. As with the most chronic diseases it is important that obesity is also treated with care and proper involvement of health professionals. Obesity is not only an epidemic it may even be considered as an addiction which is very difficult to get rid of. Obesity management needs all sorts of intervention from drugs to diet to exercise to surgery to behavioral support. Although studies done so far have no conclusive outcome on behavior being a modality for reasonable and sustainable weight loss but further studies in this direction will definitely show the way.

Endocrine Society released new guidelines on the treatment of obesity which includes the following:

1. Diet, exercise, and behavioral modification to be a part of all obesity management protocols.

2. Obesity management to be followed for anyone with Body Mass Index (BMI) of 25 kg/m 2 or higher.

3. Drugs may be used in patients where weight loss routine adherence is an issue.

4. To make weight loss doable and to promote long-term weight maintenance, approved weight loss medication can be used.

5. Anti-diabetic medications that promote weight loss (such as Glucagon-Like Peptide-1 [GLP-1] analogs or Sodium-Glucose-Linked Transporter-2 [SGLT-2] inhibitors should be used for obese diabetics.

6. In hypertensive patients use of Angiotensin-Converting Enzyme (ACE) inhibitors, Angiotensin Receptor Blockers (ARBs), and calcium channel blockers are preferred.

7. Oral contraception recommended over injectables in women with a BMI of 27 kg/m 2 or more.

With these guidelines, recently a study published in Preventive Medicine, looked at the role of behavioral intervention to manage obesity. This study looked at research published in the month of February 2016 across various databases and identified twelve studies representing 1862 participants with a mean BMI of 37.5-48.3 kg/m 2 and a mean age of 30-54 years. The study looked at both behavioral and pharmacological interventions both together and independently. The evaluated data was not able to clearly establish the relationship of behavioral intervention as a sustainable modality in reducing weight over a period of 12 months. The authors of this study suggest a more scalable study on interventions in weight management to be undertaken. In such a situation where obesity is becoming a real challenge to mankind we really need to broaden our understanding of this condition and tackle it effectively so that those suffering because of this can lead a healthy and better lifestyle.

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Aug 18

Alcohol May Become Problem For Weight-loss Surgery Patients – Wheeling Intelligencer

One in five patients who undergo one of the most popular weight-loss surgical procedures is likely to develop problems with alcohol, with symptoms sometimes not appearing until years after their surgery, according to one of the largest, longest-running studies of adults who got weight-loss surgery.

The finding reported online in Surgery for Obesity and Related Diseases, the journal of the American Society for Metabolic and Bariatric Surgery indicates that bariatric surgery patients should receive long-term clinical follow-up to monitor for and treat alcohol use disorder, which includes alcohol abuse and dependence.

We knew there was an increase in the number of people experiencing problems with alcohol within the first two years of surgery, but we didnt expect the number of affected patients to continue to grow throughout seven years of follow-up, said lead author Wendy C. King, associate professor of epidemiology at the University of Pittsburgh Graduate School of Public Health.

She and her team discovered that 20.8 percent of participants developed symptoms of alcohol use disorder within five years of Roux-en-Y gastric bypass (RYGB). In contrast, only 11.3 percent of patients who underwent gastric banding reported problem alcohol use.

Starting in 2006, King and her colleagues followed more than 2,000 patients participating in the National Institutes of Health-funded Longitudinal Assessment of Bariatric Surgery-2, a prospective observational study of patients undergoing weight-loss surgery at one of 10 hospitals across the U.S.

RYGB, a surgical procedure that significantly reduces the size of the stomach and changes connections with the small intestine, was the most popular procedure, with 1,481 participants receiving it.

The majority of the remaining participants, 522 people, had a less invasive procedure laparoscopic adjustable gastric banding where the surgeon inserts an adjustable band around the patients stomach, lessening the amount of food the stomach can hold. That procedure has become less popular in recent years because it doesnt result in as much weight loss as RYGB.

Both groups of patients increased their alcohol consumption over the seven years of the study; however, there was only an increase in the prevalence of alcohol use disorder symptoms, as measured by the Alcohol Use Disorders Identification Test, following RYGB. Among patients without alcohol problems in the year prior to surgery, RYGB patients had more than double the risk of developing alcohol problems over seven years compared to those who had gastric banding.

Because alcohol problems may not appear for several years, it is important that doctors routinely ask patients with a history of bariatric surgery about their alcohol consumption and whether they are experiencing symptoms of alcohol use disorder, and are prepared to refer them to treatment, King said.

The American Society for Metabolic and Bariatric Surgery currently recommends that patients be screened for alcohol use disorder before surgery and be made aware of the risk of developing the disorder after surgery. Additionally, the society recommends that high-risk groups be advised to eliminate alcohol consumption following RYGB. However, given the data, King suggests that those who undergo RYGB are a high-risk group, due to the surgery alone.

The LABS-2 study was not designed to determine the reason for the difference in risk of alcohol use disorder between surgical procedures, but previous studies indicate that, compared with banding, RYGB is associated with higher and quicker elevation of alcohol in the blood. Additionally, some animal studies suggest that RYGB may increases alcohol reward sensitivity via changes in genetic expression and the hormone system affecting the areas of the brain associated with reward.

In addition to RYGB, the LABS-2 study identified several personal characteristics that put patients at increased risk for developing problems with alcohol, including being male and younger, and having less of a social support system. Getting divorced, a worsening in mental health post-surgery and increasing alcohol consumption to at least twice a week also were associated with a higher risk of alcohol use disorder symptoms.

King and her team found that although RYGB patients were nearly four times as likely to report having received substance use disorder treatment compared with banding patients, relatively few study participants reported such treatment. Overall, 3.5 percent of RYGB patients reported getting substance use disorder treatment, far less than the 21 percent of patients reporting alcohol problems.

This indicates that treatment programs are underutilized by bariatric surgery patients with alcohol problems, King said. Thats particularly troubling given the availability of effective treatments.

Adolescent and young women may have increased chance of disrupted menstrual patterns after a concussion, according ...

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Aug 18

Real Men Wear Gowns: Why men aren’t taking their health seriously – KARE

KARE 11 Staff , KARE 12:38 PM. CDT August 17, 2017

Content provided by HealthPartners

While it is important for people of all ages to pay attention to their bodies year-round, the stats show that men are not taking their health as seriously as women. But they should.

In fact, men are 24 percent less likely to visit the doctor for regular check-ups than women. Additionally, they are 22 percent more likely than women to neglect their cholesterol tests. Thats a key reason why men suffer heart attacks more frequently in their 50s than women.

Larry Richmond, MD, is a family medicine doctor withPark Nicollet Clinic in Plymouth. He has some practical, easy tips to help men stay healthy, and warns of potentially dangerous warnings that should be checked out.

Why are men less likely to make regular visits to the doctor?

Dr. Richmond: That is a great question. For some who are in good health, they may not think it is necessary. But the reality is that men of every decade need routine checkups. There are conditions that should potentially be checked.

Another reason could be the comfort factor. Maybe they arent comfortable with the idea of getting an exam or a blood draw. Or maybe they have the dread factor, thinking they are going to learn some bad news or get a lecture. That couldnt be further from the truth. We are not here to make people feel bad; we want to help you stay healthy.

What is the number one condition that men are most likely to ignore?

Dr. Richmond: Heart disease is the No. 1 killer of men. Unfortunately, it can affect men in their 40s and younger. The good news is that it can be prevented.

Cancer takes the No. 2 spot, and there are also important screening tests based on age and family history for this.

What are some of the warning signs for heart disease?

Dr. Richmond: People who smoke, dont exercise, have a family history of heart disease, have high blood pressure, or have unhealthy cholesterol or blood sugar levels are all at highest risk. I highly recommend having a physical exam to assess for these risks. Chest pain and difficulty breathing can be signs of current heart disease. I recommend being seen as soon as possible for any chest symptoms.

What types of things can men do to combat these symptoms?

Dr. Richmond: To start, weight management is key. Dont get caught up with shortcuts like energy drinks or weight loss supplements. These have no benefit, and can actually cause health issues like unhealthy heart rhythms. Instead, keep it basic: focus on portions, and stick with sustainable and very specific exercise goals.

The idea of eliminating your favorite foods long-term just isnt realistic. On top of that, Ive had many patients who get going on a commercial weight loss program, or jump into a temporary 60-day challenge program, lose the weight, but end up gaining it all back.

Lifestyle choices are the key to success. Everything in current medical literature suggests that being a non-smoker, active and maintaining a healthy body weight is the best way to minimize heart disease, diabetes, stroke, kidney disease, and even anxiety and depression.

Another condition men are often concerned with but are nervous to ask about is low testosterone. Is this something you can talk about during a regular check-up?

Dr. Richmond: Absolutely. However, the first thing you should know is that routine or baseline testing for low testosterone isnt necessary. Most men do not have low testosterone. There are medications that can help treat this, but there are risks associated with these treatments. Honestly, avoiding alcohol and maintaining a healthy body weight are two easy ways you can combat this.

Find a primary care doctor at:

HealthPartnersInternal MedicineorFamily Medicine

Park NicolletInternal MedicineorFamily Medicine

Stillwater Medical GroupInternal MedicineorFamily Medicine

HealthPartners Central Minnesota Clinic

Hudson Hospital & Clinic

Westfields Hospital & Clinic

Amery Hospital & Clinic

2017 KARE-TV

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Aug 18

Are you plagued by the serial get-out-of-debt disorder? – Washington Post

Theres a group of people who suffer from what Id call serial get-out-of-debt disorder.

I know its a mouthful, but its a real condition for folks who find themselves stuck in a cycle of getting in and out of debt.

This ailment typically affects people who live above their means. One long-term effect of this ailment is the inability to save enough for emergencies, retirement or sending children to college without incurring more debt.

Here is how you can tell if you have this disorder:

You stay in debt, mostly with credit cards. But it could also include personal loans or frequent borrowing from your retirement plan.

You are rarely without a car loan. You repeatedly trade in your car for an upgrade because you feel entitled. Or because youre tired of fixing your car even though the repairs are still far less expensive than buying another vehicle new or used.

You feel remorse about amassing more debt than you can handle.

Your regret creates anxiety, weight loss or weight gain. You cant sleep at night.

If youre married, you fight about the debt with your spouse, putting a strain on your marriage which can manifest in more spending.

You cant take the stack of bills anymore, and you declare that youre ready to be healed.

You hunker down, aggressively cut expenses and maybe even get another job or work more hours to get out of debt.

You finally pay off the consumer debt. Youre in remission. But because you havent dealt with why you got into debt, youre right back in trouble.

[The economic impact of racism]

During a recent online chat, I received a plea for advice from a reader suffering from this condition.

I am in debt. Again, the person wrote. I promised myself it wouldnt happen again after I filed for bankruptcy in 2000, but 17 years later Im back in debt.

The reader says this time the debt is moderate. Shes got $10,000 in credit card debt, which includes charges for car repairs and utility bills.

My mortgage is behind by one month, she wrote. I have steady income, but its just my income, as my husband is an entrepreneur and companies have started paying when they want, which is not on time.

To alleviate their symptoms, sufferers often turn to a common cure.

I am considering asking a family member to co-sign or obtain a loan for me to cover the debt so I can have one bill, the reader wrote. The $10,000 loan would put me at zero debt other than that loan and student loans. Freeing up money would maybe help get me back on track.

So her question to me: Does this make sense? I know I wont default/mess up the family member. I cant get a loan on my own.

[Ways to tame your finances]

Heres the regimen of treatment I recommend for this disorder:

Diagnose why you keep getting into debt. In this case, it could be the unpredictable payments to her husbands business. The Small Business Administration has resources to help. On its website, http://www.sba.gov, search for this blog post: 4 Ways to Better Manage Irregular Income.

But if the earnings from her husbands entrepreneurial enterprise are continually inadequate to meet this couples household needs, then perhaps he could take on another job. Or maybe self-employment isnt working, which is why they are using credit to make ends meet.

Get help. The reader said, Ive learned my lesson, really.

But have you? Really?

If income isnt the issue, you may need therapy if your spending is a symptom of psychological issues. Maybe you need to deal with childhood trauma. Perhaps you spend more when youre under a lot of stress. And when the stress is gone, you clear up your debt. But when it returns, you go back to shopping as a relief.

If its just an aversion to budgeting, get help from a nonprofit credit-counseling agency. To find a local agency, go to the National Foundation for Credit Counselings website: nfcc.org. The agency can also help you negotiate with creditors and set up a debt payment plan.

Dont put a Band-Aid on the problem by dragging in friends or relatives.No, you should not ask a family member to co-sign a loan. You will be putting his or her financial health on the line. Besides, in my experience, when people get a consolidation loan, they get a false sense of financial freedom. The zero balances on their credit cards are too tempting.

Unless you address the root cause of your serial get-out-of-debt disorder and take steps to prevent its reoccurrence, this condition wont be cured.

Read more:

Why youre more likely to have a prenup than your parents were

Why you need to hit pause on your busy work life

This one mistake can cost millennials millions

Is there a freeloader living in your home? Set some ground rules.

Go here to read the rest:
Are you plagued by the serial get-out-of-debt disorder? - Washington Post

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Aug 17

Edge Fitness Proposed Along Glastonbury’s Main Street – Hartford Courant

Edge Fitness is looking to open its 14th club in the state on Main Street.

The proposed location, behind the Chili's restaurant at 2855 Main St., would be the site of the second club east of the Connecticut River, joining one in Manchester. The development, proposed by 26 Cedar Street Associates, would be located nearly 400 feet west of Main Street and accessed through the restaurant's parking area.

Peter J. Alter, attorney for the developer, said the club has been in the development stage since November 2015.

The project, Alter said, had been discussed at 17 previous meetings before taxpayers were given an opportunity to weigh in at Tuesday's town plan and zoning commission public hearing. Alter noted the size of the project complies with zoning regulations.

The commission did not take any action on the proposal.

The site to the east of The Shops At Somerset Square and north of houses along Pratt Street and Pearl Street next to Maggie McFly's restaurant is one of the last open spaces in the northwest corner of town.

Alter said the facility will be set back from Main Street and heavily landscaped. A traffic expert noted there would be "no discernible change in traffic operation based on this project." The peak hours for the club would be Monday, Tuesday and Wednesday from 6 to 9 p.m. and Saturday mornings. There would be 357 parking spaces. Architects for the project noted planners are "taking great care not to visually impact residences."

"It's the right place in town to have this kind of in-fill, smart-growth development," Alter said. "It has no negative impact on values. The idea of having what has become a site for some people to dump and allow to lay fallow is an enhancement to the neighborhood."

During the hearing, the commission had issues about the size and look of the building.

"It's a great big building and you want to add massive signs to it," commission chairwoman Sharon Purtill said.

Ray Harper, owner of Maggie McFly's, said he was concerned about the fitness center using his parking lot. He rents spaces at Somerset Square for his staff to free up parking for the restaurant.

"I don't want to have to be policing my parking lot because how are you getting 500 people in and out of there through one tiny little entrance ... People are not going to want to fight to get in and out of there. They are going to go right into my parking lot ... There will be no way to stop it," he said.

Scott Regina, owner of Anytime Fitness in the Griswold Shopping Center across the street from the proposed Edge, said he was concerned about traffic impacting his business.

"I'm not scared of the Edge," he said. "I am scared you are going to believe the traffic engineer and his parking study. We have a tremendous [traffic] issue at peak times on that corner [Glastonbury Boulevard and Main Street]. At peak times, we struggle to get out of our lot."

The commission continued the public hearing to Sept. 5.

Read the original here:
Edge Fitness Proposed Along Glastonbury's Main Street - Hartford Courant

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