Tag Archives: fitness and health

Two Sources of Pain for Women

At some point in life, lots of women experience pain in their stomach, back, hips and/or knees. The sources of these pain points may feel elusive, but in many scenarios, there are two culprits to blame. I’m here today to help you identify whether you, or a woman you care about, has one of these conditions.

Q Angle

 PAIN SOURCE #1: LARGER Q-ANGLE

Women have wider hips than men. This is not surprising information. In some women, a wider pelvis results in a steeper angle between two landmarks: the ASIS and the patella.

The ASIS stands for Anterior Superior Iliac Spine. Don’t be intimidated – this is easier to identify on your body than it is to pronounce. Place your hands on your hips, like you’re standing with a little sass (thumbs pointing back and fingers forward). Feel where your middle and ring finger fall on the front of your hips. Slide your fingers slightly inwards and you will feel a bony part of your pelvis if you push into your flesh. You found it!

Next, place two fingers on your kneecap. You found the patella! So much easier. 

The Q-Angle is an angle measured between these two landmarks. It’s best done by a physical therapist or qualified fitness professional using a goniometer. Yuck, so many dull scientific words.

For a great visual, check out the illustration on this website: http://bit.ly/1CWkk4X (scroll down just a little on the page)

Why is this relevant to you? 

If you’ve experienced knee pain or instability, ACL issues, pain with running or jumping, and/or hip pain, then you may have a “large” Q-Angle. This doesn’t mean there is anything wrong with you, so don’t panic! It simply means that your kneecap tends to be pulled at a harsh angle, causing stress on the surrounding soft-tissue structures.

Although it’s super unfair that nature has made women more prone to knee pain than men, there are simple ways to ensure knee health. Here are a few:

1) Strengthen your quadriceps. Your quads are the large muscles on the front side of your thighs. These muscles are above the knee and help stabilize your kneecap’s movement. You can strengthen these muscles through controlled leg extensions, leg presses, and squats.

Leg Extension

2) Foam roll your IT bands. Your IT-bands are dense, connective tissue on the outside/lateral aspect of your thigh. Tight IT-bands can add tension and stress to the knee.  Since there is already a strong pull on your kneecap based on a large Q-Angle, it’s important not to add any unnecessary tension to the knee.

A foam roller is a cylinder made of densely packed foam. You can roll your body back and forth on the roam roller to relieve tension in any area. It’s like you’re a big ball of dough on a rolling pin! Not what a woman wants to imagine herself as, I know, but the analogy works!

If foam rolling hurts a lot, it’s a sign your connective tissue is really tense and needs this release. You can reduce discomfort by placing one leg in front of the other, distributing your body weight into the assisting leg.

Note: It’s really important that you don’t roll directly over joints. Ouch. 

3) Control knee stability during lower body exercises. If you watch yourself in a mirror, or even look down at your knees, while performing a lower body exercise, you may notice that your knees drift slightly inwards. When your knees drift towards one another, it creates stress on the joint capsule. Although this may improve with leg strengthening exercises, it may also be a factor of form.

You can increase your awareness by simply being mindful of your form. If you notice that your knees are drifting inwards, simply exert a little effort and move them wider. It doesn’t have to be excessive. It should feel more comfortable and will help you feel better balanced.

4) Strengthen your “outer thighs.” This may surprise you, but there aren’t any “outer thigh” muscles per say. When you perform exercises to target this area, you’re actually working muscles in the outer region of your hips/gluts. More specifically, muscles called your gluteus medius and gluteus minimus. 

A wider Q-Angle means that these muscles are pulled and elongated a bit more than usual, resulting in them being less stable and strong. Since knee health depends a lot on ankle and hip stability, it’s a good idea to strengthen these oft-forgotten muscles. You can do this through side lunges, lateral movements, lying side leg lifts, clams, and more.

 

PAIN SOURCE #2: DIASTASIS RECTI

Even if your baby-making years are far ahead or behind you, this is relevant information because it may impact you some day, or it may have taken place during pregnancy without your awareness. For women who plan to have children soon, or who are currently pregnant, listen even closer.

Diastasis Recti

We’ve all admired another person’s six-pack at some time or another, right? Well, imagine that the rippled six pack has an enormous split down the middle, separating and pulling the two halves away from one another so that the abdomen looks a little more like two three packs. This is what Diastasis Recti looks like. For a great visual, click here: http://bit.ly/1JQoYaS

Why does this happen?

When a woman gains weight with pregnancy and extra pressure is placed on the abdomen as it stretches, the core muscles are under great strain. The six-pack muscle naturally stretches with a growing uterus, but in the case of Diastasis Recti, the connective tissue that coats your core (the linea alba) gets stretched to a greater degree. The split can sometimes appear as a ridge in the abdomen and can be felt by placing fingers into the crevice. Diastasis Recti is usually diagnosed when the space is two finger widths.

What are the consequences?

Diastasis Recti can compromise a woman’s overall core strength, leading to secondary conditions that challenge overall health and wellbeing. Some women also experience a post-pregnancy “pooch” that they just can’t seem to get rid of because it isn’t a factor of weight loss. Diastasis Recti may present with multiple other conditions such as:

  • Back pain and instability
  • Compromising posture
  • Pelvic floor dysfunctions Hernia
  • Pelvic pain and instability
  • Gas and Digestive problems
  • Fecal incontinence (Constipation)
  • Pelvic floor dysfunction (SPFD)
  • Urinary incontinence
  • Pelvic organ prolapsed

One of our readers shares her personal experience…

When Jenna knew something was wrong:

“Sometime in the middle of my third trimester (while pregnant with my first child), I realized that I had Diastasis Recti. I was only aware of the condition because of my background in nursing school. The particular activity that made me aware of my abdominal separation was trying to sit up in bed (the wrong way). As my stretched-out abs attempted to engage, I saw what looked like a mountain ridge down the middle of my abdomen. This was a little frightening to see and though I was not experiencing pain, I could tell something was not right. When I mentioned this event to my caregiver, I received no concern and no education was given regarding how to protect myself when bearing weight or how to properly exercise my core post pregnancy.

Roughly two years later, I gave birth to my second child and suffered three tears. Even after my injuries healed, my pelvic pain lingered. It was noticeable with long periods of standing at my kitchen counter or when taking long walks outside. The pain was especially acute when I would sit up from a reclined position in bed after nursing my newborn for night-time feedings. I made an appointment to discuss the pain with my provider. She recommended pelvic physical therapy for my ‘pubic symphysis dysfunction.'”

How Jenna got better:

“I am so thankful that I took this recommendation! My pelvic PT taught me about the anatomy of the female pelvis and how childbirth impacts and often compromises core strength. I learned how to measure my diastasis recti and what exercises I could practice to help approximate the abdominal muscles. I learned how to protect my core by creating a “pelvic brace” for exercising and weight lifting. I also learned the proper posture for carrying my baby, how to get in and out of bed, and safe body mechanics for lifting my car seat.

Over a five week period, my pain significantly improved and was rarely noticeable! Only after a two week period of not exercising did my pain return (minimally). I discovered the reason for this is because I’m still breastfeeding my baby and this allows the relaxin hormone to linger, thereby creating instability at the pubic symphysis and also making it difficult to build muscle. While breastfeeding, maintaining my core stability means that I have to exercise regularly (4-5 times a week) and practice Kegel exercises daily. If I can commit to these practices, I remain pain free!”

Thank you, Jenna, a million times over for sharing this personal journey!!! It takes a lot of courage to share it and no doubt other women will benefit from hearing it. 

How do I exercise to prevent or correct Diastasis Recti?

If you believe that you have diastasis recti, then I suggest you work with a reputable physical therapist for at least a few sessions, to get on the right track. As mentioned in the former testimonial, it’s important to learn proper biomechanics for sitting up in bed, lifting heavy objects, and bracing your core during exercises. A great place to start is by checking these exercises, performed by my lovely former colleague, Alison, and presented by my wonderful friend and former PT Cari: http://www.releasept.com/videos/low-back-core/ (The first nine videos work on core bracing in a gentle, but effective, way.)

Jenna’s PT, Stephanie Fournier, has also been extremely generous with her time, and has offered us some answers to important questions about this condition. See her interview below.

 

INTERVIEW WITH WOMEN’S HEALTH CLINICAL SPECIALIST

Maternal Health

1) How many women do you encounter postpartum who have severe pelvic and core instability, and/or a diagnosable condition?

First, I would define severe pelvic and core instability as any pain or dysfunction in the postpartum period that is affecting activities of daily living. This could include severe pain, restriction in activities, avoidance of activities, or slowing a woman down in her normal activities. That being said, the exact number is hard to quantify since I treat in an outpatient clinic where I am only going to encounter those women who do have problems (core instability and/or pain) and who are coming to me via doctor or self-referral. However, I do believe that pain and dysfunction in the postpartum period go largely under diagnosed. What I hear most often from patients is that they tried to talk to a friend, family member, or healthcare provider about their pain/instability/limitation and they are told things such as, “That is normal, you just had a baby,”… “It will get better after the pregnancy,”… “You just have to live with it.”

Some research numbers to reflect on:

  • Incidence of lower back pain and pelvic girdle pain (PGP) in pregnancy range from 68.5% to 76% in prospective studies (Wang, 2004; Kristiansson, 1996; Ostgaard, 1991). And the incidence of PGP alone in pregnancy was 20%, in one prospective ,study (Vleeming, 2008). Why the discrepancy? Most likely pain is under reported.
  • 70% of women experience some sort of lower back or pelvic pain during pregnancy.
  • 1/3 of women report severe limitations in activities of daily living as a result of back and pelvic pain (Ostgaard, 1991). The risk for back pain increases postpartum (Ostgaard, 1997).
  • Most importantly, women having back and pelvic pain are 3x as likely to have postpartum depressive symptoms than those without pain (Gutke, 2007).

2) How do most women identify that they have Diastasis Recti? What tips do you have for identifying it as early as possible?

Most women that I see in the clinic do not realize that they have a diastasis recti (DrA). Often, they are coming to me for pelvic pain (posterior pelvic girdle pain, pubic symphysis dysfunction, lateral hip pain, or abdominal pain) and it is something that we find during our evaluation. They might have noticed a tent or pooch in their abdominal area with sits ups, supine to sit (getting in and out of bed) but didn’t exactly know what it meant. For identifying early on, women can measure themselves with their fingers or a tape measure or just look at their tummy when they are rolling in bed or sitting up in bed.

To measure; the patient starts in supine with their knees flexed. They can place their fingers horizontally in the umbilicus and raise their head up. They are measuring how many fingers they can place inside the gap in the rectus abdominis. [It should be noted that this finger method is highly unreliable and it is better to use a tape measure, however the tape measure is hard to do on yourself]

Some more research numbers to be aware of:

  • 66% of women develop a DrA by their 3rd trimester.
  • 39% of women have a significant DrA several years after delivery. Significant is defined as separation of 2.5cm or more (Ranney, 1990).
  • More than 50% of women presenting for urogynecological examination presented with a DrA. These are postmenopausal women. Likely, the DrA developed during the child bearing years and never fully resolved postpartum, leading to poor core stability and pelvic organ prolapse (Spitznagle, 2007) .
  • DrA is associated with varying degrees of stress urinary incontinence, fecal incontinence, and pelvic organ prolapse (Spitznagle, 2007). This is why treating DrA early on in the postpartum period is so important to me. We could potentially be helping women to avoid major symptoms and even surgery.

Also, Parker (2008) found that women with DrA tend to have higher degrees of pelvic or abdominal pain.

3) How soon after pregnancy can women start working their core muscles again? How do you suggest they start?

I recommend that women return to activity postpartum as they feel comfortable. However, I do have a few recommendations for those women who do have a DrA [separation of 2.5cm or more at the umbilicus, 4.5cm superior to the umbilicus, and 4.5cm inferior to the umbilicus].

  • Avoid obliques, regular crunches/situps, and planks until the DrA is reduced to 2.5cm or less OR the woman can affectively activate a co contraction (transverse abdominis + pelvic floor muscle contraction)
  • When treating a DrA, I start with initiation of TrA (transverse abdominis) which they can start day one postpartum with or without a c-section
  • Progress to DrA curlup (Neville, 2008)
  • Various TrA stabilization activities or progressions, depending on the individual
  • Consider corset or elastic binder per the individual
  • Avoid bearing down (valsalva) and sitting straight up (in bed/jack-knife)
  • As always, ensure proper pelvic floor muscle activation (including power, endurance, and coordination)

Thank you, Stephanie, for sharing your wisdom and expertise! You went above and beyond!

If you have any questions about this content and/or exercises to improve your health, then please don’t hesitate to reach out! Upon request, I’m happy to share the medical studies that Stephanie referenced too.

Being a woman can be tough stuff, but there’s no reason why we can’t feel amazing and pain free!

Yours in health and wellness,

Maggie

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References:

https://www.abdominalconnections.com/diastasis-recti/

http://gregnuckols.com/2013/07/17/do-women-need-to-train-any-differently/

http://www.webmd.com/baby/guide/abdominal-separation-diastasis-recti

 

 

 

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Skinny Girls Who Eat Junk

You’re not alone if you’ve ever wondered how other girls can get away with eating junk, while also retaining a slim waistline. I’ve had dozens of women complain to me that their friends can seemingly nosh on cheeseburgers and fries, down a pint of Ben & Jerry’s, or indulge in the bread basket on girls night out, without putting on a single pound. It’s time to solve the mystery! Here are a few ways that these girls-we-love-to-envy keep their weight in check.

Skinny Girls

1) They are burning calories through activity 

I can easily recall my super skinny days, back in high school, when I could chow down nachos, eat two plates of pasta, and a big bowl of Breyer’s chocolate ice cream every night, but this was only thanks to playing sports all year round. I was exercising for several hours every single day, and I was still growing. Could I get away with this now? No. Can I still get away with indulging here and there? Yes, because I exercise and practice portion control when eating. Good news, you can too!

It’s the same, simple answer we keep returning to: Calories Consumed = Calories Burned, for weight control.

2) This may just be a snapshot of their diet, not the way that they routinely eat

As I mentioned above, no one…and I mean no one, can get away with eating junky foods 24/7 that are calorie laden and fattening. Over time, it results in weight gain. If your skinny friend isn’t gaining weight, then she must be exercising portion control at other, less social and less visible, times of the day. She may be vocal in social settings, saying how she loves eating chips or hot dogs all the time, but she’s probably just being theatrical, or perhaps she’s trying to justify her indulgence out loud. It’s probably not meant to shame you or make you question your own weight and eating habits. Laugh it off and stick to the choices you want to make for yourself. If we tell teens to avoid peer pressure about drugs and alcohol, then certainly we can exercise a little self-control about food in social settings, right?!

3) They don’t beat themselves up for eating what they want

I have coached lots of women to stop self-shaming when they eat foods they desire. It’s one of the most important things that I help with women with, and many of them tell me that being easier, not harder, on themselves has helped them manage their health for the first time in years. Ironically, emotional reactions to food, and feelings of shame, often lead to MORE eating, not less.

An article from MyFitnessPal’s Hello Healthy blog states that “we usually end up getting mad at ourselves for overeating. This sets us up for a vicious cycle of stuffing feelings with food (and thus not dealing with them), possible weight gain or excessive exercise and self-recrimination … until the cycle starts all over again. How frustrating!”

So, if you have a late-night of eating the whole bag of popcorn, when you intended to only scoop out two handfuls, move on from it. Tell yourself that tomorrow is a new day and that you have the power to make good choices each with each and every meal and snack.

But, maybe your friend isn’t getting away with as much as you think…

“Smoke and Mirrors”

Although some girls enjoy their greasy and sugary foods without immediate weight gain, there may still be health consequences to their actions. They may not be getting all the essential nutrients that their bodies need. For example, if “Kelly” tends to eat instant oatmeal and a banana in the morning, a turkey wrap and chips at lunch, and a small dish of pasta at night, she is probably not getting enough protein in her diet.

Although Kelly’s portions are modest, allowing her to remain slim, she may have brittle hair and nails because of the missing protein. This, combined with a lack of fruits and vegetables, may also cause Kelly to have skin problems (skin that lacks luster, breakouts, is aging quickly, etc.). Additionally, if she isn’t getting all of the essential vitamins and minerals that her body craves, then Kelly may not have good energy throughout the day.

In short, what’s happening on the outside of our bodies (i.e., how we look) is not always reflective of what’s happening on the inside…

So, is it okay to eat junk or is “clean eating” the best practice for weight control?

what to eat

It depends. It’s important to figure out what is going to work best for you. While clean eating, i.e., focusing on a natural diet full of fruits, veggies, and lean proteins, is definitely a step towards a healthy lifestyle, WebMD explains that certain diet protocols for clean eating, like The Eat-Clean Diet, are “so structured, restrictive, and unrealistic” that they “may be difficult to follow long term.”

WebMD further suggests that any diet plan that is based more on opinion, than on scientific evidence, must be taken with a grain of salt. Although people love to share their personal triumphs, we should all be wary of professionals who base their dietary recommendations solely on their own experiences. We’re all a little different physically and emotionally, and that changes how we eat and what we want to eat.

If you feel like you’re only eating healthy because you “should” be, then you’re in a deprivation mentality, missing out on the experience of pleasureful eating. When kept in check, pleasureful eating can be a part of a healthy eating plan.

Once you’ve recognized that there is not a “good” or “bad” food persay, you can start to break the chains of a dieting mentality. As I alluded to in my Detox Diets: Do They Work? post, “including foods considered unhealthful in a healthful eating plan can foster satisfaction to ensure a healthful eating pattern over the long haul.”

Here is one defintion of normal eating provided by Human Kinetics:

“…being able to eat when you are hungry and continue eating until you are satisfied. It is being able to choose food you like and eat it and truly get enough of it – not just stop eating because you think you should. Normal eating is being able to use some moderate constraint in your food selection to get the right food, but not being so restrictive that you miss out on pleasureable foods. Normal eating is giving yourself permission to eat sometimes because you are happy, sad, or bored; or just because it feels good.”

Note: This is different from chronic emotional eating.

We’ll discuss that another day. 

This perspective implies that eating mostly nutrient dense foods will be helpful for your body, and that there is room to eat “forbidden foods” for pleasure here and there. An ice cream on a Friday night won’t spoil your waistline. Enjoying your favorite bubbly on a date night doesn’t mean you’ve ruined a healthful eating streak. If we stop fearing foods, we may just find that we don’t crave them as often, and we can start enjoying them in moderation alongside a balanced eating plan.

So, eat clean all the time if it works for you. If it doesn’t, don’t shame yourself. Just try to balance your intake of indulgent foods, and find ways to eat mindfully at every meal. The greens that once tasted bitter or repulsive can and will taste better once you take the time to think of ways to prep them to fit your palate. And, well…chocolate cake will always manage to taste amazing.

it's okay to indulge at times

 

Me + Lava Cake = Love

Yours in health and wellness,

Maggie

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References:

Hudnall, M., & Kratina, K. (2005, January 1). Disordered Eating in Active and Sedentary Individuals.

http://www.huffingtonpost.com/2014/07/17/bad-hair-nails-diet-foods_n_2964618.html

https://blog.myfitnesspal.com/how-to-break-free-of-emotional-overeating/?utm_source=mfp&utm_medium=email&utm_campaign=weekly20150330&mkt_tok=3RkMMJWWfF9wsRokuKvPZKXonjHpfsX66%2B0tUK6%2FlMI%2F0ER3fOvrPUfGjI4DTsVlI%2BSLDwEYGJlv6SgFSrTFMblm0LgLXhM%3D

http://www.webmd.com/diet/eat-clean-diet-review?page=3

30 Day Exercise Plan: Surge into Spring

Bloom and thriveFeel free to call it a 30 day workout plan, a 30 day bust it to bikini season, a revamp of your fitness, whatever. Call it what you like! I only ask that you take this 30 day plan, and ANY exercise plan, with a grain of salt. There is no one-size-fits-all routine. But, this particular exercise plan will help satisfy a ton of your body’s needs. It is suitable for beginners and advanced exercisers alike, and can be completed in or out of a gym! There are lots of extra suggestions too, for how you can make the routine your own and boost your results. So, get ready to surge into spring. Get ready to thrive!

Below, you will see a 10 day program that incorporates all three energy zones of training. To put this simply, the exercises in this program tap into strength, speed, and endurance training. Why all three?

Strength (or building towards strength) – assists in muscle balance, spinal health, osteoporosis prevention, weight loss, toning, lean mass acquisition, and more.

Speed – short runs, or cardio workouts, with speed intervals, and/or High-Intensity Interval Training (HIIT) will help boost caloric expenditure in a short period of time and may aid in stimulating growth hormone.

Endurance – allows you to workout for a longer period of time while enjoying the benefits of fat burning and reaching an endorphin high.

There are many more benefits to each training zone. These highlights are just the start.

Go ahead, take a look at the example routine below that shows 10 exercise days that will balance your body, burn energy, and make you feel ready for warm weather. This routine should be repeated 3x, from start to finish, during the 30 day period.

Surge into Spring

For more details about how the exercise suggestions above can be turned into actual workouts, see the Beginner (B), Intermediate/Fit (F), and Advanced/Athlete (A) level suggestions below:

DAY 1:

B – brisk walk/slow jog for 45 min

F – 45 min jog/run

A – 45 min fast run with 30 seconds sprinting every 3-4 minutes (one way to do this is to do it once every new song on your playlist)

DAY 2:

B – 30 min lifting upper/lower combos

F –  45 min lifting upper/lower combos

A – 60 min lifting upper/lower combos

DAY 3:

B – brisk walk/slow jog for 45 min

F – 60 min jog/run

A – 75 slow to moderate pace run

DAY 4: REST DAY!

DAY 5:

B – 30 min upper and core workout

F – 45 min upper and core workout

A – 45 min upper and core workout heavy (aim for weights that fatigue you or cause failure within 8-10 reps)

DAY 6:

B – brisk walk/slow jog for 45 min

F – 45 min jog/run

A – 45 min fast run with 30 seconds sprinting every 3-4 minutes (one way to do this is to do it once every new song on your playlist)

DAY 7:

B – 20 min HIIT

F – 30 min HIIT

A – 40 min HIIT

*For more information about HIIT workouts, check this out: How to HIIT

DAY 8: REST DAY!

Day 9:

B – 30 min upper, lower and core workout

F – 45 min upper, lower and core workout

A – 45 min upper, lower and core workout heavy (aim for weights that fatigue you or cause failure within 8-10 reps)

DAY 10:

B – 20 min jog + 5 sun salutations + 3 burpee rounds of 8 reps

F – 30 min run + 8 sun salutations + 5 burpee rounds of 8-10 reps

A – 45 min running – every 6-8 min stop to do a 2 sun salutations and 2 burpee rounds of 8-10 reps *if you become dizzy then save the salutations and burpees for the end of the run

Notes to make this work for you:

  • Repeat days 1-10, 3x
  • As you cycle through the routine the second and third time, note that days 9, 10, 1, 2 and 3 are without a day off, so be sure to manage your energy and plan for a purposeful rest day
  • If you feel overly exhausted towards the end of the five consecutive days of exercise then eat a slightly heavier carb meal or two, to boost energy
  • If, at any time, you feel prone to injury or pain, cease exercise for a few days before resuming and/or contact a medical or fitness professional who can help you
  • Any of the running days can be substituted for low-impact cardio on machine equipment. I have included running suggestions simply because it’s a great form of exercise that can be done both in and out of the gym. Do what is best for you, though
  • Rain day contingency plan (for those exercising outdoors) – swap a run day with a strength day, or email me! I will whip up a routine for you in no time (it’s what I do)
  • Confused about which exercises to select for lower vs upper body? Want to know how to make this work for you? Leave a comment or contact me directly – I won’t leave you hanging if you’ve got questions

Over 30 days, this routine can help you lose anywhere from 2.5 – 6 lbs. Not bad considering that the vast majority of these workouts are under an hour, right?! The general weight loss recommendation for women is typically .5 – 1 lbs/week. We’re right on pace with those recommendations, if not pushing them a little bit because I know that women get extra invigorated once the weather turns warm. That said, we’re not going overboard and trying to lose “21 lbs in 21 days.” Yikes, was an organ removed?! We’re aiming for progress that is manageable for the long term. It’s not fun to feel fabulous in June and “junky” again by July, is it?

These weight loss estimates are only based on these workouts, not on the level of intensity you may bring to the table while doing them. The estimates also don’t take into consideration the calories you continue to burn after your workout. Additionally, these estimates assume that you’re eating for weight maintenance. If you eat a little less than your maintenance caloric level, then you can lose a little more. Even 150 calories less a day can be helpful for weight loss and will ensure that you’re not feeling deprived or swinging between binge eating days and starvation.

Here are a few general suggestions to help improve your diet during your program:

  • Eat veggies at lunch and dinner – this is so crucial for satiety, nutrition, and training your taste buds to appreciate truly yummy, natural, and healthy foods
  • Don’t skip breakfast – c’mon we’ve heard this one since we were 5!
  • Remember to drink water
  • Limit processed sugars/sweets – if you like sweet treats, I’m not one to tell you never to have them – simply try to plan a time of day in advance for when you will enjoy them. This will help prevent you from going overboard and will allow you to focus on the taste and anticipate the enjoyment
  • Try to limit processed foods by planning meals ahead of time and shopping the perimeter of the grocery store (where the fresh stuff is!)
  • Have a back-up plan – carry nuts, an apple, a protein bar, or any healthy snack to help avoid low blood sugar swings and keep up energy (my friends know that I can be quite the soccer mom – snacks are always on hand!)

As you can see, this isn’t reinventing the wheel. We don’t have to struggle to find the perfect routine or the next fitness fad. We just have to put simple actions into motion so that we can have healthy lifestyles that fill us with joy.

Good luck! I’m here if you need me!

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Yours in health and wellness,

Maggie

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