Proper Nutrition for Exercise/Weight Loss or Maintenance

1. Drink lots of water-64 oz per day (eight glasses). Try to avoid
sweeteners, sweeten water with fresh berries or use lemon to
add flavor instead. Avoid both sweetened and diet soda, they do
not rehydrate and contain toxic chemicals. Drinking a glass of
water, tea, or broth 30 minutes before a meal has been shown to
promote weight loss.
2. Get quality lean protein in your diet. Egg protein, cottage cheese,
whey protein are most bioavailable (easiest for your body to
absorb). Beans are also an excellent source of both protein and
fiber. Protein is needed for your body to put on lean muscle. A
serving of protein is roughly the size of the palm of your hand.
3. Fiber-minimum of 25 grams per day for women, 38 for men. It is
important to get both water soluble fiber (ex-pectin in apples) and
insoluble (ex-fiber from wheat bran). Fiber enhances blood sugar
control, and keeps you feeling full to reduce the number of
calories you eat per day. Most people have to take a fiber
supplement to get this much fiber, start slowly, a 1-2 mg
supplement before meals and at bedtime, working up to 5 mg at
these times provides 20 mg fiber per day.
4. Eat plenty of fresh vegetables and fruits, 6-10 servings per day.
Fresh is best, but frozen is an option when fresh is not available.
Avoid canned fruit and vegetables which lose a lot of nutrients in
processing. Canned vegetables also contain a lot of sodium.
Liners of cans are also lined with BPA, a toxic chemical that has
been banned from baby bottles in the U.S. due to its toxicity.
5. Eliminate processed food from your diet, often full of chemicals,
fillers, refined sugar, and trans fats that promote weight gain and
make your heart less healthy. Be careful; the box may say “0 g
trans fat/serving” but if the label has “partially hydrogenated” in
the ingredients list, there is trans fat. Crackers, margarine,
cookies, boxed cake mixes often contain trans fats.
6. Reduce refined sugar intake (white sugar). Avoid artificial
sweeteners, with the exception of Stevia. You may use honey,
maple syrup, or agave syrup to sweeten drinks or food; these are
lower on the glycemic index so they do not cause a large increase
in your blood sugar.
7. To lose two pounds per week, you need to cut back by 500-1,000
kcal/day. Only drop those calories one week at a time. (For
example, a male who is eating 3000 kcal/day should go down to
2500 for the first week, then 2000 the next week.) Do not lower
your daily caloric intake below 1200 kcal per day, this promotes
muscle mass loss. There are lots of free online resources to track
what you are eating, the number of calories eaten, fat grams, etc.
One example is myfitnesspal.com
8. Low to moderate intensity exercise mobilizes fat. With moderate
intensity exercise, you are sweating, but still able to carry on a
conversation. You need a combination of
endurance/cardiovascular exercise (walking/biking etc) and
resistance exercise (bands, light weights) for weight loss and
maintenance of weight. Depending on the type of exercise, you
burn more calories for a few hours afterward. Resistance exercise
builds muscle mass to increase your metabolism.
9. If you are trying to lose weight, consider utilizing a quality meal
replacement once per day, such as Ultrameal. Be careful of the
ingredients in the meal replacement. No more than 200 calories
per shake, at least 15 grams of quality protein (whey or soy best),
and at least 3 grams of fiber per shake. Make sure it contains no
high fructose corn syrup or sucrose (table sugar). Fructose is fine
for a sweetener; this is the sugar derived from fruit and is lower
on the glycemic index. Avoid meal replacements with artificial
sugar as these often stimulate appetite and lead to weight gain.
10. Be wary of weight loss supplements, both with ephedrines and
ephedrine free. These do increase metabolism but also can lead
to tremors, high blood pressure, liver damage, and stroke.

Don't Let Your Pillow Keep You Awake

Rest and sleep are the body's chance to heal itself from the postural, physical, and nervous insults of the day. The use of some of the following pillows can improve the quality of rest and repair, allowing one to wake up more rested and ready to face another day.

Different Types of Pillows
It is important to note that not all pillows work well for everyone.  A short trial of one week should be enough time to decide whether or not the pillow is providing benefits.

• Knee Pillows - Side Sleeping -  using a traditional pillow either between the knees (when sleeping on the side) or below the knees (when sleeping on the back) can help alleviate strain on the lower back.  When sleeping on the side, bending the knees and placing a pillow between the knees prevents the knees from coming together and keeps the spine in the neutral position.  When there is no support between the legs, the upper leg rotates downward, pulling the pelvis, and distorting the natural curve of the spine.  Adding support between the knees can prevent back pain induced by these types of forces and allow the back to heal and rest while sleeping.  Usually a firm pillow between the knees works better than a softer pillow because it serves somewhat as a kickstand to keep the upper leg from rotating over the lower leg.
• Knee Pillows - Back Sleeping - when sleeping on the back, placing a pillow underneath the back of the knees helps reduce the load on the lower back.  Some people even prefer to have two pillows to elevate their knees higher.  With two or more pillows underneath the knees, the lumbar spine is flattened, putting less force on the facet joints of the spine.  This position is the best overall to help the back rest comfortably, and many people find that this is the only way they can sleep during a severe bout of back pain or while recovering from spine surgery.
• Body Pillows - a pillow that is as long as the body can serve several functions for people who prefer to sleep on their side as the top portion can be used to support the head and neck, while the bottom portion supports the knees and legs.  Some people find this more comfortable than using separate pillows for the head and knees.  In particular, women who are pregnant may find that a body pillow that provides added support for the abdominal area helps them rest comfortably.  Throwing the top leg over the body pillow while side sleeping should be avoided as this places a twisting force on the lower thoracic and lumbar spine.
• Neck Pillows - a pillow that is contoured to fill the spaces under the head and neck can be helpful for people with cervical spine problems.  Also called cervical pillows or orthopedic pillows, this type of pillow had a deeper depression where the head lies, and extra support under the neck.  People with cervical pain may favor these pillows, as they fill the hollow space created by the neck and help keep the neck in alignment with the spine.  Some orthopedic pillows tend to wear out after one or two years and may need replacing.

Using a variety of pillows for both comfort and support can make a big difference in alleviating or avoiding back pain and getting a good night's sleep.  For people with spinal disorders, the right type of support can be especially important in helping the spine rest comfortably.

For example, most down or feather pillows offer very little structural support compared to pillows filled with firmer materials.  People who suffer from moderate or sever spinal dis degeneration, spinal stenosis, myofascial pain, or trauma often seem to experience a more restful night's sleep with a firmer pillow.  Pillow filled with grain or buckwheat hulls are often effective for people with any of the above mentioned conditions.

Our offices sell a variety of different chiropractic pillows including the contoured pillows and the buckwheat pillows.  Ask your chiropractor if you would benefit from a specific pillow for your condition.

New Rules for Health Flexible Spending Accounts

Many Flex Plans have a "use it or lose it" rule which requires employees to spend the money in their account by the end of the year or they will lose it.  Some plans already have a "grace" period which allows carryover of unused monies for 2 1/2 months into the next year.  The IRS recently issued a new notice that permits employers to allow employees to carryover up to $500 for expenses in the next year.  A Health FSA cannot have both the $500 carryover and the grace period, so be sure to check with your employer to see which option they offer.

With deductibles resetting as of January 1st, some pre-planning can help you minimize your out of pocket medical costs.  If your deductible for 2013 is already met, be sure to schedule any needed medical treatment now.  Also, check your Health FSA balance to determine if you want to use the dollars in 2013 or if you want to carryover some money to 2014 to help meet new deductibles.  This new rule is helpful because it allows employees to save their FSA dollars for needed medical treatment rather than stocking up on items like eyeglasses at the end of the year so as not to lose their money.