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diabetesmanagement

Pre-diabetes – A Wellness Opportunity To Help

There is an opportunity for wellness and wellness coaching to impact the lives of millions of people in a life-saving way. 79 million Americans are estimated to have a condition called pre-diabetes. Usually symptom free, without intervention they will develop full-fledged Type II diabetes within ten years and possibly endure physical damage to their heart and circulatory system along the way. Yet, according to the American Diabetes Association, if a person is successful at lifestyle improvement they can completely avoid the onset of diabetes 70% of the time.

Essential oil made from medicinal cannabis

An Introduction to Cannabis’s Role as an Emerging Therapeutic Agent

With cannabis becoming increasingly mainstream in modern culture, its population is becoming aware of its use for a number of purported medical reasons ranging from skin ailments to digestive issues and pain. California has recently allowed its recreational use. Today, the industry is still nascent with a market of ill-vetted products with equally nascent scientific claims. However, cannabis may be unique in its application to holistic care as mediated by the endocannabinoid system and thus it is prudent to know what is useful and what isn’t.

The history of cannabis use is ancient and has resulted in many breeds of cannabis which differ in the phytocannabinoid content, ratio and terpene profile. Cannabinoids are molecules that act on cannabinoid receptors that comprise the endocannabinoid system. The endocannabinoid system modulates the psychological stress, emotionality and inflammation responses. CB1 and CB2 are examples of receptors within this system whose span is diverse, for example, they are found in the brain, gut and persist in osteoarthritic cartilage despite degradation grade. Interaction with these receptors can occur through phytocannabinoids; each of which has differing effects. To complicate matters, phytocannabinoids influence the effects of one another. Furthermore, the method of delivery also influences the effects; for example, ingestion allows the liver time to process phytocannabinoids into its derivatives which have their own effects.

Tetrahydrocannabinol (THC) and cannabidiol (CBD) are two well-known examples of phytocannabinoids. THC has claims to work as an analgesic, antiemetic and antispastic; although, adverse effects include paranoia, lethargy, and tachycardia. THC can also induce euphoria which may play a role in how the analgesic properties work. CBD has claims to work as an anti-inflammatory, antiepileptic and works to block the binding of THC to CB1 and CB2 receptors. The interplay that cannabinoids have on one another has led to the notion of the “entourage effect.” (The idea that cannabis plant as a whole has curative effects.) Pharmacologically speaking, only a combination of THC and CBD, in a 1:1 formulation, manufactured by G.W. Pharmaceuticals has been vetted for its medical claims.

From oils and tinctures to hash and kush, the recreational market has driven into existence a myriad of products with a myriad of claims akin to the early days of the dietary supplement market. Assuming the source comes from one that complies with the current regulation, medical cannabis falls into three categories: plant, processed and formulations. Plant products refer to cannabis products in which the cannabinoids have not been altered and removed from the cannabis plant. These products use no heat or chemicals in their preparation and include: buds, keef, hash.

Processed products apply heat or chemicals to the cannabis plant in order to remove desired terpenes and cannabinoids. Processed products include oils, tinctures, e-juice, etc. and can be assumed to contain a higher percentage of cannabinoids in natural and unnatural ratios. Formulations are processed products whose consistency in manufacturing and medical claims have been vetted by the FDA. Formulations include products like Sativex and Epidiolex. Of course, marketing practices blurs the usage of terms; therefore, it is incumbent of the self to understand the product.


Jakub Pritz, Ph.D. has been working in the cannabis industry since 2015 as a separation operator and consultant for the production of recreational cannabis oils and other cannabis-related products.  He can attest to current cannabis production methods and what the person should be aware of.  His interest is to create botanical extracts of cannabis to be delivered in differing modalities depending on the effects sought and data affirmation.  For example dosage control in inhalation for acute pain relief, transdermal applications for arthritic pain and oral methods for digestive symptoms.  Patrons should be aware of the euphoric effects of THC and the interactions cannabinoids have with one another in varying ratios.   

Prior to this, Jakub held a post-doctoral position at UCSD’s Moore’s Cancer Center where he was in charge of data management and accruing international radiation oncology centers to join the International Evaluation of Radiotherapy Technology Effectiveness in Cervical Cancer (INTERTECC).  This trial required the coordination of several centers to follow strict data collection standards, quality checking of the institution capabilities and implementation of plan protocol.  He received his Ph.D. in Applied Physics (concentration in Medical Physics) from the University of South Florida in 2011.

As an athlete, Jakub competed in the Patriot League as a swimmer, setting records along the way.  During his graduate school years at the University of South Florida, he participated in, coached and competed with their water polo club.

sleep in clouds

Can Sleeping Less Equal Weight Gain? 

Eating fewer calories, exercising more and still having a hard time getting those extra pounds off? Here’s a question for you: How’s your sleep?

I for one, every time I travel, seem to gain a couple of pounds just when I want to look my best.

I noticed that I tend to sleep less and intermittently when I am on the road. Once I settle again in a place, my sleep gets more regulated and I am able to drop those pounds.

I’ve adjusted my sleep pattern, as I have gotten older to help myself sleep better. The earlier I get up in the morning the better chance I have of getting to sleep that night and staying asleep for a longer period of time. I’m more energized, and when I eat, I eat less and feel more filled.

Can Sleeping Less Equal Weight Gain?

It turns out that there are many studies that indicate that sleeping less then 7 hours can increase body weight. One recent study with several pairs of twins, found that the twin who slept more than 9 hours was about half as likely to gain weight as the one that slept only 7.

Sleep deprivation affects your hunger urge. If you sleep less, you feel like eating more and you probably do. That’s because not sleeping increases your body’s level of ghrelin, the hunger hormone and decreases leptin the “I’m full” hormone.

A sleep study in Finland with middle-aged adults who had sleep problems found that women had greater sleep related weight gains than men. Though men were also affected. The study indicated that it seems the fewer hours you sleep the more calories you tend to eat the next day.

If you want a good night sleep here’s are some things to consider:

Exercise: Don’t exercise too late in the day. So many of us go to the gym after work but it can keep you up at night. Late exercise can prevent the body from making sleep-inducing melatonin for several hours.

Caffeine: It can take 6 or more hours to wear off. Having that cup of coffee after dinner, even with a low-fat dessert, may not be such a good idea.

Alcohol: A couple of drinks with dinner can wake you up in the middle of the night and make it hard to get back to sleep. I have a friend who swears by a glass or two of wine at lunch but never alcohol after 2pm. She says she sleeps like a baby at night. I think if I had a glass or two at lunch, I’d sleep like a baby at 2pm and be up for the night at 5.

Stress: And then there is our old buddy stress. We all have some level of stress and how we deal with it can keep us up at night. Getting yourself relaxed in quiet, dark, temperature controlled environment can relieve stress and induce a desire and ability to sleep.

So, what’s it going to be, wide awake at 3am or getting that beauty sleep and waking up lighter and brighter on your toes? Learning to get a good night’s sleep is a process. Don’t stress over it, it may keep you up at night.


Mirabai Holland MFA, EP-C, CHC is one of the foremost authorities is the health and fitness industry. Her customer top rated exercise videos for Age-Onset health issues like Osteoporosis, Arthritis, Heart Disease, Diabetes & more are available at www.mirabaiholland.com. Mirabai also offers one-on-on Health Coaching on Skype or Phone. Contact her at askmirabai@movingfree.com.

athlete eating meal

Sports Nutrition News You Can Use

Staying on top of the latest sports nutrition news can be a full-time job. Between conferences, webinars, and journal articles, I learn a lot of information that I like to translate into practical tips to share with athletes, like you! Enjoy this news you can use! (The research was presented at the International Sport & Exercise Nutrition Conference in the UK.)

If you try to “stay away” from peanut butter, deeming it to be fattening, think again! Peanut butter—and peanuts in any form—contribute to no more weight gain than the same number of calories from carbohydrate-rich snacks. In a 10-week weight-gain study that included lifting weights three times a week, 28 athletic women and men (average age, 25.) consumed:
— an extra 500 calories of peanuts and peanut butter-based snacks, or
— an extra 500 calories of peanut-free carb-based snack foods (such as pretzels, fruit chews, bagels).

The carb-snackers gained about 6 pounds; the peanut eaters gained only about 3.5 pounds. How could this be?

One explanation is the fiber and fat in peanut butter is satiating. That means, it keeps you feeling fed for longer than fat-free foods, such as pretzels. Peanut butter can curb your appetite, so you end up eating fewer calories overall for the day.

This study helps confirm why I vote peanut butter to be one of the best sports foods around (assuming you are not allergic to it)! Peanut butter requires no refrigeration, is anti-inflammatory, nutrient rich, inexpensive, and most importantly, yummy. How about enjoying more peanut butter on bananas for your morning and afternoon snacks?

When an athlete goes on a low-carb / low-calorie diet, their bones also go on a diet. In a study with 327 runners (ages 18-35) who trained 8 or more hours a week, those who restricted carbs and/or trained without having first eaten, experienced 1.5 times more bone injuries More research is needed to learn how carbs and calories can influence bone health. In the meantime, enjoy carb-based grains, fruits and veggies at every meal.

With global warming, athletes who exercise in the heat should take steps to prevent problems related to elevated body temperature. One tip is to pre-cool your body prior to exercise. Try drinking ice water or slushies, or suck on ice chips. Doing so might help you have greater endurance.

A study of professional female soccer players reports they burned about 2,900 calories per day. Of that, about 1,400 calories supported their resting metabolic rate (calories needed to be alive) and about 1,200 calories were burned during exercise, the rest supported general daily activities. This equates to about three 700 to 800 calorie meals per day plus two 200 to 300 calorie snacks. That’s a lot of food! For athletes who may wonder, Why do I feel hungry all the time?, the answer might be because your body is hungry!

When female athletes undereat, they commonly stop having regular menstrual periods. When male athletes undereat, they experience hormonal changes that can lead to loss of sex drive. In a study with 10 healthy, active males (25 years.) who strictly dieted for five days—they ate less food and exercised more—the calorie deficit caused significant physiological changes. The men lost about 6 pounds (losing more muscle than fat, as happens with quick weight loss). Their thyroid hormones dropped, as did their testosterone levels.

Restrictive dieting not only reduces calorie intake, but also intake of protein, calcium, iron, zinc, and many other valuable nutrients needed to maintain optimal health and performance. Don’t consciously restrict your eating and stop eating at meals just because you think you should. Listen to your body; stop eating because you feel content, not just because the food is gone.

Athletes in endurance sports (such as runners, triathletes) and jumping sports (such as basketball and volleyball players) prefer to be light to enhance their performance. The problem is long-term restrictive eating can contribute to health issues. In a study comparing weight-conscious male athletes (age 24.) to a group of fitness exercisers, the athletes were leaner, but they had lower levels of thyroid hormone (a sign they were conserving energy). They also had weaker bones. If you skimp on food to be lean, your best bet is to seek guidance from a registered dietitian (RD) who specializes in sports dietetics (CSSD). This professional can help you healthfully achieve your weight goals. Use the referral network at eatright.org to find your local sports dietitian.

Personal trainers commonly believe they should have a “perfect” physique to achieve success in their careers. This can put them at high risk for developing eating disorders and disordered eating. Among personal trainers who responded to recruitment messages on Twitter and Instagram, 15% reported high levels of disordered eating behaviors (binge-eating, restrictive dieting, over-exercising). Sadly, these trainers are seen as role models. We need authentic fitness leaders who represent a variety of sizes and shapes the average exerciser can attain and maintain. Don’t be fooled; a “perfect body” generally comes with a high cost.

Some women gain “belly fat” at the time of menopause. This might be related to midlife lifestyle changes and aging, as well as to hormonal shifts. Peri-menopausal women who had big dinners and snacked frequently at the end of the day tended to have more belly fat than those who front-loaded their calories. One suggested weight management solution (for both women and men) is to eat less at night. A satiating high-protein breakfast can help reduce the urge to overeat at the end of the day. Peanut butter on a bagel with a side of Greek yogurt, anyone?


Nancy Clark MS RD CSSD counsels both fitness exercisers and competitive athletes in the Boston-area (Newton; 617-795-1875). Her best-selling Sports Nutrition Guidebook is a popular resource, as is her online workshop. Visit NancyClarkRD.com for info.

feet sneakers

The Feet: The Body’s Foundation

The feet are one of the most overused and taken for granted parts of the body. Since the feet are the foundation for the rest of the body, it would only be logical to begin developing strong, aligned, and full functioning feet from the start when developing a personalized fitness program. The feet should be a priority for developing sound fitness education in order to prevent injuries. Most fitness and sport injuries usually involve the feet. Even when the injury is to the knee, hip or back it can usually be traced back to a misaligned foot pattern.

male-trainer-male-client

Fitness: Readiness Assessment & Setting Priorities

My biggest concern as a personal trainer was always the safety of my clients – both physically and medically. Over the years a common theme emerged with each new client relationship that I developed and that was how unprepared people were to really engage in a significant training program and what skills and knowledge they would be required to develop for success. Physicians were often unprepared to advise their patients on what to do, how to proceed, or what limitations and issues needed to be acknowledged by their patients before engaging a trainer to help them “get to the next level”.

stretching

When Should I Stop Stretching?

Stretching is the most overlooked form of exercise. After returning to see my physical therapist, she insisted that I stretch more often so I can improve the range-of-motion in my hips. Geez, I thought I was already doing plenty of stretching, or I thought, just enough so I could audition with confidence for Cirque du Soleil. Apparently, I wasn’t ready. How much more should I stretch?

inflammaging word cloud

Inflammaging: The Link Between Sarcopenia and Cognitive Decline

Awareness is the first step to making changes to live healthier, stronger, and longer. Older adults love to learn, and sharing life-saving information empowers them.

If you ask an older adult client, “What is inflammaging?”, they usually won’t know; yet inflammaging is a key concept to understand because it contributes to the decline of the body and brain, threatening functional independence, and increasing the risk of a devastating fall.