by Dr Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP | Diets, Nutrition, Wellness
Most of us already know that eating less and moving more are the keys to dropping extra pounds. But if you’re already doing everything right and can’t seem to lose weight or are even gaining it you may have a hidden health condition that’s sabotaging your efforts. And the symptoms may be so subtle that even your doctor can miss them. Here, some possible weight-loss blockers and how to get the help you need.
A Sluggish Thyroid
Your thyroid gland makes hormones that regulate the way your body uses energy. An underactive thyroid (hypothyroidism) disrupts your metabolism, as well as many other aspects of your health. Some estimate that as many as 10 percent of adults have hypothyroidism, which is more common in women and is most often diagnosed in the 40s and 50s.
Could this be you? Besides weight gain or an inability to lose weight, you may notice fatigue, hair loss, dry skin, joint pain and muscle weakness, heavy periods, increased sensitivity to cold, even depression. Many people with low-grade hypothyroidism just feel off, with no obvious signs of being truly sick.
How to get tested: Ask your internist to run a TSH (thyroid-stimulating hormone) screening. In general, the higher your TSH level, the slower your thyroid is. While traditional normal’ values are between .45 and 4.5, if your level is above 2, you might still struggle to lose weight, explains Jamie Kane, MD, medical director of Park Avenue Medical Weight and Wellness in New York City. Your doctor may also want to check your levels of T-3 and T-4, the two main thyroid hormones. But hypothyroidism isn’t always a straight numbers game; more and more doctors are now treating the symptoms, not just the blood-test results. If a patient isn’t feeling well, it’s often because her thyroid isn’t functioning as well as it should for her body, says Erika Schwartz, MD, an internist in New York City.
How it’s treated: Your doc will usually start by prescribing a low-dose T-4 thyroid hormone like Synthroid. If your symptoms don’t improve, discuss upping your dosage or switching to a combination of T-3 and T-4.
Out-Of-Whack Hormones
As many as 1 in 10 women of childbearing age have polycystic ovary syndrome (PCOS), a condition in which a woman’s ovaries produce an excess of male hormones. In addition to causing ovulation problems and infertility, PCOS may go hand-in-hand with insulin resistance, a glitch in the way your body processes blood sugar, which is often associated with excess fat storage, especially around the waist. Left untreated, insulin resistance can lead to type 2 diabetes.
Could this be you? You may have irregular periods, excess facial and body hair, acne, some male pattern balding, and trouble getting pregnant, along with unexplained weight gain (though not everyone with PCOS has weight issues).
How to get tested: Your gynecologist or internist can test your levels of sex hormones for an imbalance of testosterone, progesterone, and estrogen, says David Katz, MD, director of the Yale Prevention Research Center. She may then test your blood sugar and insulin levels or perform an ultrasound to check for cysts on your ovaries.
How it’s treated: Lifestyle changes are usually the first step. If you’re already eating a healthy diet and exercising regularly, you may have to kick it up another notch to see results. If you have insulin resistance, Dr. Katz says, you’ll also want to cut out refined carbs and added sugars. If you’ve made these changes and still don’t notice a difference, your doc may prescribe a drug called metformin, which is used to treat insulin resistance as well as assist with ovulation (if you’re trying to get pregnant).
Trouble-Making Foods
Most people know if they’re allergic to certain foods like nuts or shellfish, but many aren’t aware of food intolerances. While a true food allergy results when your immune system mistakenly identifies a food as harmful and mounts an immediate response, food intolerances can have a variety of causes, including lack of a certain digestive enzyme (as with lactose intolerance) or sensitivity to food additives, and tend to manifest over time, says Elizabeth W. Boham, MD, RD, a family practitioner at The UltraWellness Center in Lenox, Massachusetts. Eating a trouble foodthe most common being dairy, gluten, eggs, soy, corn, and nutscan lead to bloating and water-weight gain, among other symptoms. Experts estimate that food intolerances affect as many as 1 in 10 people.
Could this be you? You may regularly have bloating, gas, diarrhea, and constipationas well as seemingly unrelated symptoms like mild asthma, eczema, headaches, muscle and joint pain, and fatigue.
How to get tested: An internist or gastroenterologist can help you diagnose the problem, but you can begin to figure it out for yourself through an elimination diet. Dr. Boham suggests that you start by removing gluten and dairy (these are the biggest culprits) from your diet for two to three weeks. If you don’t notice a difference, also eliminate eggs, corn, soy, and nuts, and consider nixing additives such as food coloring and preservatives. After a few weeks, slowly reintroduce the possible culprits, one at a time, noting any reactions.
How it’s treated: If the reaction is severe, you’ll need to cut the offending food from your diet. For mild reactions, try a daily probiotic supplement, which restores the good bacteria in your gut necessary for digestion and can help prevent bloating and water weight gain. Dr. Boham recommends one with at least 10 billion live bacteria per pill.
Pills That Pack On Pounds
Weight gain can be an unwelcome side effect of some drugs, including anti-depressants, steroids, and, more rarely, birth-control pills (due to a temporary increase in water retention).
Could this be you? You may notice weight gain within a few weeks of starting a new medication, though it could take several months before you see any effects, Dr. Kane says.
How to get tested: No special test is needed; you know if you’re gaining weight.
How to get tested: No special test is needed; you know if you’re gaining weight.How it’s treated: Talk to your doctor, who may be able to prescribe an alternative. In the case of anti-depressants, bupropion has been shown to cause less weight gain and possibly even lead to weight loss. With birth control pills, switching to a version with a lower dose of hormones might minimize weight gain. But remember, treating the condition you’re taking the drug for is your biggest priority, so you should never go off any meds on your own.
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by Dr Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP | Diets, Nutrition, Wellness
Restaurants are the number-one place to sabotage your diet, according to new research that will surprise no one who�s ever tried to lose weight while eating out.
The year-long study, which was presented at a recent meeting of the American Heart Association, offers insight into tempting foods and the behaviors they trigger. By using a smartphone app, researchers followed 150 overweight people who were trying to stick to a weight-loss plan throughout their daily lives. The people in the study, most of whom were women, checked in up to five times a day and reported where they were, who they were with and whether they had strayed from their eating plan (or were tempted to do so.)
The dieters were also asked to log in anytime they ate (or considered eating) foods or portion sizes they knew were inconsistent with their plan.
Some clear patterns emerged from this deluge of data. People reported the most temptations when they were in a restaurant or bar, or when they were in the presence of other people eating. They noted fewer desires to overeat at home or work, and even fewer when they were in their car or in other people�s homes.
People had about a 60% chance of succumbing to those temptations at restaurants and when they were around others who were eating. Their odds of lapsing at work or in the car were lower, about 40% and 30%, respectively.
�You might think that everybody knows they�re at higher risk when they go into a restaurant, but people go out into these toxic environments and they forget,� says lead author Lora Burke, professor of nursing at the University of Pittsburgh.
People may also see eating out as an excuse to take a break from their diet, she adds. �We remind people that it�s not a diet they can go on and off; it�s a lifestyle,� she says. �It�s okay if they want to go out Friday night and eat wings, but then they need to cut back on Thursday and Saturday.�
Eating at home was a safer bet, though not a foolproof one. People reported fewer food temptations in their homes and those of their friends than they did in restaurants. But when those temptations appeared, people gave in nearly 65% of the time. Even when they were completely alone, people were still likely to lapse about half the time.
Burke says there aren�t yet any commercially available smartphone apps that collect and analyze this type of data for the general public. But such a tool could be valuable for helping people learn and adapt to their diet-related weaknesses, she adds.
�We can go to an individual and say, �These are the high-risk situations you�re vulnerable to, so you need to keep your guard up and practice strategies for sticking with your plan,�� she says. �We could even intervene by sending a message right back to them when they need it, reminding them of why they may need to work really hard.�
Measuring diet in the moment may also provide researchers with data that�s more detailed and accurate. �When we ask people to recall what they ate and how they felt, there are a lot of biases and problems remembering,� says Burke. �This way, we can be there as people are going through weight-loss challenges and find out exactly what they�re feeling, and when.�
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by Dr Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP | Health, Integrative Functional Wellness, Integrative Medicine, Nutrition, Wellness
Let’s face it, sometimes there’s nothing better at the end of a long day than a glass of wine. But sipping much more than that can wreak havoc with your shape, and not just by adding hundreds of calories to your diet. Alcohol temporarily keeps your body from burning fat, explains integrative medicine specialist Pamela M. Peeke, MD, author of The Hunger Fix. The reason is that your body can’t store calories from alcohol for later, the way it does with food calories. So when you drink, your metabolic system must stop what it’s doing (like, say, burning off calories from your last meal) to get rid of the booze.
“Drinking presses ‘pause’ on your metabolism, shoves away the other calories, and says, ‘Break me down first!'” Dr. Peeke explains. The result is that whatever you recently ate gets stored as fat.
What’s worse: “Research has uncovered that alcohol especially decreases fat burn in the belly,” Dr. Peeke adds. “That’s why you never hear about ‘beer hips,’ you hear about a ‘beer belly.'”
So can a girl ever enjoy a drink without putting on pounds? Absolutely, if you imbibe the right way. In fact, large, long-term studies published in the Archives of Internal Medicine and International Journal of Obesity found that middle-aged and older women who drank moderately (about one drink a day) gained less weight over time than those who never imbibed at all; they were also less likely to become obese.
It’s a complex topic, but JoAnn Manson, MD, professor of medicine at Harvard Medical School and co-author of the studies, says that the moderate drinkers appeared to be more likely to compensate for the occasional drinks by taking in fewer calories from other sources and also tended to be a little more physically active. (In other words, they didn’t get blitzed on margaritas, then dive in to a bowl of fried ice cream.) What else beyond basic exercise and calorie-counting can keep happy hour from turning into hefty hour? Health dug into the research and grilled the experts on how you can have your sips and jeans that still zip.
Rule #1: Always eat when you drink
While the Harvard research suggests it’s wise to factor in those cocktail calories, it’s actually more important to eat right than to eat less, the experts stress. Skimping on food in order to “make room” for drinks will only backfire and send you straight to the bottom of the candied nut bowl. Here’s why: Most cocktails are loaded with simple carbohydrates, “so during a night of drinking, people end up with soaring blood sugar, followed by a ‘crash’ that leaves them ravenous,” says Jason Burke, MD, an anesthesiologist and hangover researcher who runs a hangover treatment clinic in (where else?) Las Vegas.
You can help counteract that effect by nibbling foods that provide long-lasting energy. “Before you go out, have dinner or a snack with protein, fiber, and healthy fat,” says Karlene Karst, RD, author of The Full-Fat Solution. “They stabilize your blood-sugar levels without slowing down your metabolism.” Karst recommends Greek yogurt with berries, almond or hemp butter with an apple, or a protein shake. An added benefit of grabbing a bite beforehand, she says, is that that Pinot or appletini will be absorbed more slowly into the bloodstream, minimizing its diet-damaging effects.
In addition to revving your appetite, tippling also makes you lose your eating inhibitions (“I only live once�I’ll have the steak frites!”). “It temporarily impairs the prefrontal cortex, the smarty-pants part of the brain that allows you to think clearly and rein in impulsivity,” Dr. Peeke says. “So after a certain amount of alcohol (and it’s different for everyone), you’re going to feel yourself not caring and letting it rip with food and probably drinks.” A cocktail (or three) can make you forgetful, too�as in, forgetting that the Death by Chocolate dessert is not on your eating plan.
The trick is to have an easy-to-follow strategy in place before you take that first sip. Scout out the bar or restaurant menu ahead of time and note your picks on your phone. Then set an alert to remind you to order wisely�that way you won’t have to think too much (or rely on that alcohol-impaired prefrontal cortex!) to stay on track.
As with your pre-partying meal, go for something with fiber, protein, and a little bit of healthy fat to help control blood-sugar levels and make you feel satisfied, Karst says.
Rule #2: Know that some drinks make you hungrier than others
When it comes to waist-friendly cocktails, the simpler the drink, the better. Not only do the sweet-and-fancy ones tend to have more calories, but the additional sugar can make you even hungrier: Your blood sugar skyrockets higher than it does on beer, wine, or a shot of something, making the plummet (and the resulting cravings) worse.
And then there are the calories! Booze has 7 calories per gram, making it the second-most calorie-dense macronutrient. (That’s just below pure fat, which has 9 calories per gram.) This means a measly 1.5-ounce jigger of vodka has almost 100 calories. Mix that up with some club soda and lime, and it’s a reasonable tipple, but when you start tossing together a whole bunch of different liquors�whether it’s a hipster fizz made with bourbon, elderflower liqueur, and house-made bitters, or a dive-bar Long Island iced tea loaded with vodka, rum, tequila, and gin�it really adds up (to the tune of 300 calories, in the case of a Long Island).
Even simple mixed drinks like rum-and-Cokes and screwdrivers pack extra calories because of the sugary soda and juice. “So if you’re going to drink, have something straight up and simple like wine or beer,” Dr. Peeke advises. Any wine or beer works, but to trim about 10 calories per glass, choose a ros� or white wine instead of a heavier red. A whole pint of a dark beer is around only 170 calories (compared with 195 for the same amount of regular beer) and may leave you feeling fuller than, say, Champagne, because it’s so starchy and rich, Karst notes. Vodka, gin, or bourbon with club soda and a twist are pretty good bets, too. Club soda is calorie- and sugar-free and dilutes the alcohol and its effect on your cravings. Avoid juices, liqueurs (which are sweet and syrupy), colas, tonics, and super-sugary bottled mixes like the ones for a lot of bar-made margaritas and daiquiris.
Rule #3: Stick to a drink or two, tops
One drink a day is the widely accepted definition of moderate drinking for women, but there’s a misconception among some bar-hoppers that you can go without alcohol all week and save your seven drinks for the weekend. “That’s the worst thing you can possibly do for your weight,” Dr. Peeke says. (And, of course, for your health.) “It has a much bigger effect than one drink a day.”
When you down three or four drinks in one night, your body has many hundreds of alcohol calories to process before it can continue to break down food calories or stored fat. Plus, all those drinks throw your blood sugar even more out of whack so you’re hungry as heck�and because you’re tipsy, your prefrontal cortex is misfiring and you now have zero compunction about ordering the fried mozzarella sticks with a side of ranch (and keeping them all for yourself). The extra calories alone are enough to pile on the pounds; have four drinks every Saturday night and you’ll be up about 10 pounds in a year.
Rule #4: Beware that gnawing, starving feeling the next day
The morning after poses a new diet challenge. As if a hangover weren’t punishment enough, you’re fighting cravings for large amounts of cheesy, greasy fast food. Part of the problem is that you’re dehydrated (don’t forget, alcohol is a diuretic), and that can make you feel even hungrier, Karst notes. But that’s not the only thing at play. “The body needs energy to resolve the effects of a big night of drinking, so it wants the richest source of energy it can find, which is fat,” Dr. Burke says. “Also, greasy foods tend to settle the stomach a bit.”
To avoid that: When you’re out, drink a big glass of water for every drink you have. Then, before going to bed, have some more, along with a snack that is high in fiber and protein such as high-fiber cereal or oatmeal, Dr. Burke suggests. “You’ll get important nutrients into the body that were lost during alcohol consumption,” he adds. “Plus, foods rich in fiber stay in the stomach longer, so you’ll be less prone to hunger in the morning.” With any luck, you’ll also be less likely to overdo it in the a.m., ensuring your figure won’t have to pay the price for a night out.
by Dr Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP | Fitness, Health, Wellness
Add lean protein to every meal and snack
Weight-loss experts have always encouraged us to fill our plates with produce as a way to reap the benefits of its hunger-busting fiber, along with its antioxidants and other nutrients. But if you�ve been laser-focused on loading up on fruits and vegetables, your diet may need more lean protein. You should have a serving every few hours, says Brill. Nuts, eggs, and meat are more caloric than an apple or a pile of power greens�but the protein will keep you full longer and can lower your overall calorie intake for the day.
Moreover, a 2015 study published in The American Journal of Clinical Nutrition showed that incorporating protein into every meal and snack�starting with breakfast�helps control appetite and manage body weight. “A balanced diet that includes some protein helps fuel your muscles,” explains Brill. And as you already know, the more lean body mass you have, the higher your metabolic rate will be. Not to mention, your body has to work harder to digest protein, and through that process you burn even more calories.
RELATED: 13 High-Protein Breakfast Recipes and Ideas
Don�t protein-load. But do try making a more conscious effort to get small, regular doses: Eat eggs or almond butter in the a.m., for example. Make meat, fish, or legumes (like beans and peas) a key component of your lunch and dinner. And snack on hummus, nuts, kefir, or roasted chickpeas�all protein-packed picks to fuel your way to fit.
by Dr Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP | Health, Nutrition, Wellness
Grapefruit
Even if you changed nothing else about your diet, eating half a grapefruit before each meal may help you lose up to a pound a week!
A compound in the tangy fruit can lower insulin, a fat-storage hormone, and that can lead to weight loss. It’s also a good source of protein, and because it’s at least 90% water, it can fill you up so you eat less.
Try this recipe: Ginger-Citrus Fruit Salad
by Dr Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP | Health, Nutrition, Wellness
Spinach
Tender and flavorful, this leafy green is rich in iron, folic acid, and vitamin K. It also contains disease-fighting antioxidants beta-carotene and vitamin C, as well as the phytochemical lutein, which protects eyes against age-related macular degeneration. Use as a substitute for lettuce in salad, lightly saut� with shredded carrot, sliced mushrooms, and garlic for a savory omelet filling, or try this simple Seasoned Spinach recipe for a quick and nutritious side dish.
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by Dr Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP | Chiropractic
Best Nuts for Your Diet
Almonds, Cashews, Pistachios
All nuts are about equal in terms of calories per ounce, and in moderation, are all healthy additions to any diet. “Their mix of omega-3 fatty acids, protein, and fiber will help you feel full and suppress your appetite,” says Judy Caplan, RD, a spokesperson for the Academy of Nutrition and Dietetics.
The lowest-calorie nuts at 160 per ounce are almonds (23 nuts; 6 grams protein, 14 grams fat); cashews (16 to 18 nuts; 5 grams protein, 13 grams fat); and pistachios (49 nuts; 6 grams protein, 13 grams fat). Avoid nuts packaged or roasted in oil; instead, eat them raw or dry roasted, says Caplan. (Roasted nuts may have been heated in hydrogenated or omega-6 unhealthy fats, she adds, or to high temperatures that can destroy their nutrients.)
Watch the video: Guilt-Free Snack: Honey-and-Chili Glazed Almonds �
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