Tips for Decreasing Your Cholesterol

Maybe you just heard from your doctor that your cholesterol is high and now you have to either take medications or try and bring it down before your next appointment. So, why is this important? Elevated cholesterol levels are just one of the risk factors for heart disease and stroke. Having too much cholesterol in the blood will lead to a build-up in the walls of your arteries.  This then leads to "hardening of the arteries" and subsequent slowing of the blood flow to the heart. If this blood flow becomes cut off by a blockage, you could find yourself with a heart attack.

Below, I have 5 tips to get you started on the journey to lowering your cholesterol with your diet!

Tip #1: Increase Your Fiber Intake
Not only does fiber fill you up, but it also binds to cholesterol and excretes it from the body. Aim for at least 25g per day if you are a female and 38g if you are a male. You can find fiber in foods like fruits, vegetables, beans, and whole grains. One thing to remember with fiber is to not go from eating only 5g per day to 25g day in one shot. Slowly increase your intake and drink lots of fluids to avoid any GI discomfort!

Tip #2: Opt for Healthy Fats
Everyone has been demonizing the fats and it is really the type of fat you want to be mindful of. Include more healthy fats like nuts, seeds and avocado, which contain the unsaturated fats that decrease inflammation in the body and also increase your HDL (good cholesterol).

Tip #3: Watch Trans and Saturated Fats
Trans fats are pretty well known for the negative effects on your health; however, the jury is still mixed on saturated fats. While new research shows that saturated fats don't necessarily increase your cholesterol, they also don't offer any benefits like the unsaturated fats do. You can find trans and saturated fats in baked goods, chips, fried foods and more.

Tip #4: Decrease Your Refined Sugar Intake
More and more research studies are showing a link between refined sugars and an increased risk for heart disease. The American Heart Association also found that sugar increases triglycerides in the body. The AHA recommends no more than 24g of added sugars per day for women and no more than 36g for men. This means watching out for the cakes, cookies, ice creams, and sugary beverages.

Tip #5: Make Time for Exercise
Exercise helps to increase your good cholesterol (HDL) and decrease the bad (LDL). It also helps with weight control and decreasing blood pressure. Aim for at least 30 minutes per day (if not more) and mix it up between the cardiovascular (biking, walking, running, swimming, etc) and resistance (push-ups, chest press, leg press, etc) exercises for the greatest benefit!
**As always, check with your doctor before starting an exercise program.

Hopefully, you can find something in this list to start working on to help manage your cholesterol levels. Remember, the best way to start is by evaluating your current diet or exercise program and setting goals for improvement!



Resources: NIH

Tips for Motivating Yourself to Lose Weight

How many of you reading this post have a general idea of what to do to achieve a healthy diet, yet still aren't doing it? Ever think about what is holding you back from jumping in and getting going? Maybe, you tend to start eating healthy and by the end of the week or even day you give up? I would say this sums up the majority of my clients. Recently, someone said to me, "I know I should eat more fruits and vegetables, I just don't do it." A lot of people simply lack the motivation to lose weight or improve their diet.

So, how do you get yourself motivated? Start by being honest with yourself. It is easy to convince yourself that you are eating enough vegetables, fruits, whole grains, and lean proteins. Want to put this to the test? Keep a food diary for 1-week and see how your perception is measuring up to reality. If you are drinking enough water, eating at least 3 fruits and 4 veggies per day, limiting the refined/sugary carbohydrates and getting in lean proteins, then kudos to you :) If not, start by picking one aspect that you can change to improve your diet.

Going along with that, motivate yourself by really giving healthy eating your all. It is great to do small changes in order to break the bad habits; however, don't make changes that are so small you don't see any results. Minimal changes will only mean minimal results. Do you really think that will keep you motivated on your healthy lifestyle journey? Instead, go in strong and build the momentum that will push you through the rough patches. By really giving your best effort, you are more likely to see improvements and success faster, which will only motivate you to keep going. Also, those first few successes will really prove to yourself that you can do it. One thing to remember here, don't expect to give it your all and see results the next day. I always say to my clients, "You did not get to this point overnight. It is going to take time for you to get where you want to be." That being said, set small goals for yourself (monthly or even weekly) to keep pushing towards something positive.

If you feel discouraged throughout this journey, remind yourself, "Why am I doing this?" Maybe, it is to control your Diabetes, look better for the summer, feel good about yourself, have more energy, reduce knee pain...The list goes on and on. If you are only losing weight or changing your diet because your doctor told you to, stop now and think of one reason why it is important to YOU.

Everyone always says that you should find support when trying to lose weight or eat healthy. Now, this doesn't mean you need to go out and find a support group or pay money online. You can find support and motivation in friends, family, and even social media. Join groups on Facebook, follow healthy bloggers, look for other people in your shoes, create an Instagram dedicated to healthy living, etc. There are so many ways you can find the support you need to motivate you daily!

My last piece of advice for how to motivate yourself is to stop the negativity. Stop that train of thoughts that starts with, "I'm such a failure..." or "I'll never lose weight..." or "I'll never be as thin as I was back..." These statements are not productive and certainly won't motivate you. Change that negativity into something that is productive like, "I did not eat such a healthy lunch, but for my dinner I am going to plan better and have..." or "I did not lose weight this week, but I do have more energy from eating better..." or "I looked great in my 20s and am going to look great in my..." You are your biggest motivator and supporter, so don't let your inner demons sabotage your health.

Give yourself the best chance you can to succeed by really giving it your all. Build your momentum, get excited, and motivate yourself to start (or continue) on that healthy lifestyle journey!

Conventional Vs. Organic Produce

One of the debates going on now is whether or not organic produce is more nutritious than conventional produce.

As per the USDA, "Produce can be called organic if it's certified to have grown on soil that had no prohibited substances applied for 3 years prior to harvest. Prohibited substances include more synthetic fertilizers and pesticides.""Synthetic fertilizers, sewage sludge, irradiation, and genetic engineering may not be used." Organic farms and processors support animal health and welfare, do not use genetically modified ingredients, separate organic food from non-organic, and preserve natural resources.

There are some minimal differences in the nutritional profile between organic and conventional produce with organic being higher. This difference, however, is not substantial enough to fully say that all organic is better than conventional. There is some alarm being raised with the pesticide use on conventional produce. Pesticides are regulated by the EPA and are mainly used to protect the produce from bugs and extend their shelf life. There has been some links in research from exposure to pesticides to cancers and brain/central nervous system defects.

Before you start throwing away everything in your fridge, know that there is a threshold for the amount of pesticides you can consume safely. Also, different fruits and vegetables have varying levels of pesticide residues. I love the Safe Fruits and Veggies pesticide calculator because you can see how much of the item you would need to eat in order to see any negative effects from the pesticides. For example, a woman would need to consume more than 2332 servings of kale in one day to have any sort of effect of the pesticides even if the kale had the highest levels of residues. For women and potato consumption, the amount is more than 7379 servings in one day to see any harmful effects.

Check out the link below for a complete list of the dirty dozen (produce with the highest level of pesticide residue that are best to buy organic) and clean fifteen (produce with the lowest level of pesticide residue).
-->Dirty Dozen (best to buy organic) --> LINK
--> Clean 15 and Dirty Dozen Cards --> LINK

One of the biggest complaints about buying organic is that it is more expensive than the conventional. While this may be true, think about how much of the produce you consume that is on the dirty dozen list and if you could spend a little bit more money in this area than in other areas (like on snacks or treats). I don't want those of you reading this to think that if you can't afford organic, that means you should avoid fruits and vegetables. That is certainly not the case! Fruits and vegetables can reduce the risk of so many diseases. Also, it is way better to eat a conventionally grown apple than it is to eat potato chips or donuts.

One way to keep your produce safe is to make sure it is washed thoroughly. For conventional or organic produce, the FDA recommends washing fruits and vegetables under running water just before eating or cooking, using a brush to scrub produce with hard surfaces, and cutting away any damaged or bruised areas. If you buy lettuce or greens in a bundle, the recommendation is to toss the outer layer. By following these steps, you can decrease, if not eliminate, the pesticide residue on your produce.

Below are some other great links I discovered for pesticides and safety levels along with organic practices and standards!

Risk Level Calculator --> LINK
Research on Pesticide Residues --> LINK
Organic Standards USDA --> LINK
Introduction to Organic Practices --> LINK

Eating fruits and vegetables (conventional or organic) is way better than eating the processed junk foods. Finally, organic chips and pretzels are still just chips and pretzels. So, don't be blinded by the use of the word organic for covering up junk!

Health Benefits of Chocolate

I am sure many of you reading this post have heard about the health benefits of chocolate. Does this  mean you have free reign to eat as much as you want? Let's slow the wagon down for just a second.

I'll start off by saying that while chocolate can be good because of the antioxidant content, I wouldn't go as far as saying it is "healthy." Depending on the type of chocolate you get, you are still looking at something with a higher content of calories, fat, and sugar. Also, I would much rather someone aim for getting their antioxidants from berries (that have fiber and other nutrients) than a piece of chocolate.

Indulging in the occasional piece of dark chocolate can definitely be something that fits into your diet; however, there are some tips for choosing the right kind of chocolate to reap the benefits. Let's break down the research to see what benefits (besides good taste) chocolate has to offer.

Dark chocolate can decrease your risk of stroke, lower the "bad" LDL cholesterol, and decrease your risk of heart disease. Some studies have been showing that continued consumption of chocolate decreased the risk for coronary heart disease and stroke. There are also some suggestions that cocoa flavanols may reduce some measure of age-related cognitive decline. Most of these health benefits can be attributed to the flavonoids, which help repair damage from environmental toxins and antioxidants, which help to decrease inflammation and fight free radicals in the body. The antioxidants may also help to lower blood pressure. These antioxidants and flavonoids can also be found in fruits and vegetables, with high concentrations in apples, cranberries, and onions. Tea and red wine also contain flavonoids.

In terms of which chocolate is better, you want to aim for a minimum of 60-70% dark chocolate. One ounce of dark chocolate with 60-69% pure cocoa contains a good source of manganese, copper, and magnesium. There are also trace amounts of phosphorus, potassium, zinc, selenium, calcium, and B vitamins. There is no recommendation for the amount of chocolate per day; however, keep the maximum to 1-ounce per day to avoid spiking the calories and saturated fat. If you are wondering about white chocolate, it contains zero cocoa solids and cocoa powder (ground cocoa solids), so it really isn't considered chocolate at all. Basically, it is just a combination of sugar, cocoa, butter, milk and soy lecithin. This pales in comparison to dark chocolate which is at least 35% chocolate liquor (cocoa solids + cocoa butter).

While chocolate has been showing some promising health benefits in the research, it is important to remember that the type and quantity does matter. So, stick with at least 60-70% dark chocolate and limit yourself to 1-ounce per day. If you don't think that you can stick with a small amount, aim instead for getting your antioxidants and flavonoids from fruits and veggies!

References: 
www.todaysdietitian.com 
http://my.clevelandclinic.org/services/heart/prevention/nutrition/food-choices/benefits-of-chocolate
https://www.nlm.nih.gov/medlineplus/antioxidants.html

Why Calories Don't Really Matter

One of the first things I hear when someone is trying to lose weight is that they need to start counting or watching their calories. It goes back to the the old saying of "calories in, calories out." If you eat less, and exercise more you'll lose weight guaranteed. Makes sense right? Well, not so much.

A calorie is a measure of energy and everything you eat has calories in it. We need those calories to survive. Most Americans are consuming way too many calories and they are mainly the heavily processed, refined types. I see so many food diaries that have a ton of sugar, salt, and unhealthy fats in them. Let's face it, you can be eating a restricted diet of only 1,100 calories and still end up with Diabetes and Hypertension. Why is this? Because all calories are not created equal! It really boils down to the food quality. Let's say you have 100 calorie pack of baked chips and 100 calorie pack of roasted almonds. You would probably say that the almonds are better for you (and your right); however, would your answer change if I gave you a 150 calorie serving of almonds? Maybe. The reality is, your body processes these foods differently. Fat and protein are slower digesting, which means you stay fuller for longer (and more satisfied). Refined carbohydrates (like in the chips) have little to no fiber, minimal nutrients and basically just spike and drop your blood sugar levels leaving you hungry an hour (or less).

I often think of calorie counting as restriction, free-range to eat the overly processed food-like-products, and a band aid on the true issues. Let's explore those points. I have a lot of people tracking their intake for appointments**. One big thing I see with clients is that they get to the end of the day, have "no calories left" and end up going to bed hungry without eating dinner. Skipping meals and eating super low calorie won't help with continued weight loss. You are just slowing down your metabolism to compensate for the minimal calories, burning calories less efficiently, and probably making yourself miserable.

On to the overly processed food-like-products. Again, we are talking about food quality. Ever think or hear something like this before, "I have 100 calories left for the day. A piece of chocolate is only 40 calories. I can eat that instead of a medium apple, which has 120 calories and save myself 80 calories, while sticking with my recommended intake." Better yet, "I can eat a to go breakfast sandwich, a bagel with cream cheese and a frozen dinner meal AND stay within my calories." No. NO. NO!

Lastly, most clients I see are overeating from stress, boredom, or heightened emotions. Just counting calories and sticking to a magic number isn't going to fix these issues. Eventually, you may end up stopping the calorie counting and returning to your old habits. You have to focus on changing these behaviors first before any healthy eating plan can stick.

While you do want to watch how much food you are eating, think of calories as more of a reference than the end-all-be-all. So, ditch the calorie counters and go for the whole foods approach. Focus more on adding quality foods like fruits, vegetables, lean proteins, and whole grains. Skip the processed junk and your body will be sure to thank you later!

Click to Watch

**Food journaling and tracking your intake can be a great tool for identifying areas of missing nutrients, meal skipping, and overall food quality. I don't want this to be mistaken for the ridge calorie counts. 

Tips for Keeping Your New Year Resolutions

It's that time again! What time do you say? Time to start making your New Year Resolutions! Recently, I was asked to make a resolution for a video. What did I say? Absolutely nothing. I don't know what "firm decision to do or not to do something" I want to make (Google definition). Sure there are things that I want to do or change; however, do I really need to wait until January 1st to do them? Why can't I just start now, or January 2nd? I feel like if I think about something I want to change or do, I should just start when I get the idea. I think of this epic resolution time as procrastination. "I'll start my diet in the new year; I'll be nicer in the new year; etc, etc. But this is just my opinion :)

Anyway, for those of you on the New Year Resolution boat, here are some tips to help you stick to the ones you choose. Whether your resolutions are for a weight loss or simply a healthier lifestyle, it is important to keep a few of these tips in mind.

Make Your Resolution Something You Truly Want! 
---Don’t just do what everyone else is doing; you may end up not fulfilling your true goals.

Start Small! 
---Make a list of long and short-term goals.
---It takes a lot of work to change a behavior, so small steps are important.
---Be specific as to what you want to accomplish to make your goals more attainable.

Pair Up! 
---If your resolution is to start exercising, join the gym with a friend or take a walk with a neighbor.
---This will also tie in with keeping you motivated.

Plan Ahead! 
---If you are trying to eat healthier, plan your meals so you won’t have to worry about snacking on unhealthy foods.
---If you are starting an exercise plan, set a time each week when you will you be exercising and stick to it.

Keep Track of Your Progress! 
---This will help you to stay motivated.
---It is certainly difficult to alter or change a behavior, so every bit of motivation will be beneficial.
---Also, you can look back at where you started and see how much progress you made.

Don’t Be Too Hard On Yourself! 
---Don’t give up on yourself when you “fall off the wagon.” Think of these days as learning experiences.
---Also, you could think about ways you could handle them differently in the future.
---For example, if you know every Thursday there are cookies in the break room and you always eat multiple cookies, either don’t go in there on Thursdays, bring your own snack, or take one cookie and leave the room so you won’t overindulge.
---While it is important to be healthy, it is also important to be happy. Indulging every once in a while can help you to live a healthier lifestyle and not just “be on a diet.”

Snacking and Healthy Eating on the Go

Scenario 1: From the minute you get up in the morning, you are running like crazy, whether it is with your job, your family, your hobbies, or all of the above. You may have just enough time to grab breakfast in the morning. If not, your stomach is grumbling leading to the perfect setting for that salty, fatty, not-so-good snack. Scenario 2: You don't eat all morning and before you know it, your stuffing cold leftovers into your mouth at the fridge. Scenario 3: You experience both scenarios mentioned before, depending on the day.

Whatever your scenario may be, here are simple tips and recipes to help you curb the cravings and snack healthy!

Let's start off with a brain buster question. Are 100-calorie pack snacks "healthy?" Truth is, no. They are basically 100 calories worth of carbohydrates. Since simple carbohydrates turn into sugar in your body, they are basically 100 calories worth of sugar. While they are better than eating chips out of the bag and help with portion control, they are no match for the endless possibilities of healthy snacks.

Tips for Healthy Snacking
1. Design your snacks like mini-meals. Include protein, fat, and healthy carbohydrates.
2. Resist the urge to snack when you are bored or stressed. Try going for a walk or reading a book to get your mind off of food.
3. Don't snack in front of the TV. This leads to mindless eating and lack of portion control.
4. If you are one to eat from the chip/pretzel bag, take out a serving and put the rest away in the cabinet.
5. Make snacking interesting! Try something new and different (like macadamia nuts or avocado slices).

Tips for Snacking On-The-Go
1. Pack your snack the night before, or at the beginning of the week. If you are making non-perishable items (trail mix or homemade granola bars) portion out a serving so they are easy to grab on the way out.
2. Remember to read the nutrition label. Sugar should not be one of the first 4 ingredients!
3. Choose high-fiber snacks like fruits and vegetables to keep your fuller for longer.
4. Stash carrots, peanut butter, and crackers in your bag or desk drawer so you always have healthy food nearby.
5. If the vending machine is all you have as an option, opt for nuts (protein and fat) or a lower sodium food.

Simple Snacks for Home or On-The-Go
-bananas dipped in yogurt, rolled in nuts, and frozen
-bananas dipped in peanut butter and frozen
-apples and peanut/almond butter
-apples and cheese
-trail mix with dried fruit, nuts, popcorn, etc
-hummus (mashed chick peas, olive oil, garlic) and vegetables
-avocado deviled eggs (hard boiled eggs, yolks mashed with avocado and spices)
-smoothie made with protein powder or peanut butter
-mini sandwich with tuna or egg salad
-yogurt with blueberries and granola

Hopefully, these tips help you to curb those cravings and snack healthy. Happy snacking!

Tips for Eating Out

True or false?: A salad is the healthiest item to choose on the menu.

Surprisingly, the answer is false. Most entree salads have more toppings than lettuce or other vegetables. These "healthy salads" can really pack on the saturated fat and extra calories. For example, a Fiesta Chicken Salad from Applebee's has 880 calories, 43g of fat (11g saturated fat, 1g trans fat), 83g of carbohydrates, and 2,170mg of sodium! Now, let's compare this to a "healthier" option at Applebee's: Ziesta Roma Chicken and Shrimp. This entree has 410 calories, 11g fat (3.5g saturated fat), 23g of carbohydrates, and 2,090mg of sodium. Even though the sodium content is still high (this is expected when you go out to eat) it is a much better option than the salad.

Tips for choosing the "healthiest" options when eating out.
1. Skip the bread basket! If you want to splurge on the tasty bread anyway, ask the waiter to only bring out 1 piece of bread (or 2 if you are eating with a partner).
2. Order water! Most restaurants provide you with free refills so it might be difficult to stop the flood of soda once you have ordered the first glass.
3. Order soup before your main course. Choose a broth-base soup over a cream-based one.
4. When visiting the salad bar, pass the cheeses and croutons. Stick with clear dressings (like Italian), fresh vegetables, nuts, and beans.
5. If you order a salad, try and substitute toppings for fresh vegetables. Also, ask for the dressing on the side so you can control how much gets poured on.
6. Choosing fish, chicken, or pork are usually better options than beef.
7. Marinara and tomato-based sauces are usually healthier than creamy sauces or gravies. If you opt for the cream sauce, either ask for it on the side or ask that the chef "go light."
8. Eat slowly. It takes your brain about 20 minutes to register that you are full. Stop to enjoy your dinner conversation and sip some water.
9. For sandwich toppings, opt for lettuce, tomatoes, avocado, and/or onions.
10. Don't be shy about making requests!

Key Words to Look for on the Menu:
1. Buttery, breaded, buttered, fried, and creamed: They usually mean loaded with saturated fat and calories.
2. Grilled, baked, steamed, broiled, and roasted: Best to pick!

For Restaurants with Large Portions:
1. Ask for a take-home box with your meal. Place half of your meal in the container before you begin. This will help you from overeating and cleaning your plate.
2. Order your entree and share with a friend!

As a final note, if you are normally eating a healthy diet, don't be afraid to splurge once in a while!



Resources
http://www.fatsecret.com/calories-nutrition/applebees/fiesta-chicken-chopped-salad
www.choosemyplate.gov