I am reading a recent article by Jonathan Mike (in PFP Winter 2019 issue) regarding scope of practice for personal training. I feel that I should respond to this for a couple of reasons – first to add some clarity to his foundation of SOP in wellness, and second…
The truck that slammed into me in late July did more than just send me to the hospital. It forced me to take a hard look at myself. My world was different….
This is one of my most requested holiday desserts. The chocolate is so decadent and the cheesecake filling adds another layer of moist richness to the cake. Plus, you can include a spider web design inside the cake using a marbling technique — perfect for Halloween!
A splash of good coffee brings the super chocolate flavor and aroma. And, you’re adding some powerful brain health and feel-good neurotransmitters to the party!
- 1 1/2 cups raw cashews, soaked 4 hours and drained
- 1 large lemon, juiced (scant 1/4 cup)
- 1/3 cup coconut oil, melted
- 1/2 cup + 2 tbsp coconut milk
- 1/2 cup agave nectar or maple syrup (or honey if not vegan)
- pinch of salt
- 2 tbsp salted natural peanut butter
- 1/4 cup berries
- 3 tbsp caramel sauce
Place all ingredients into a high speed blender. Process until completely smooth and creamy. Add any flavor options and pulse to create a swirl effect. Cover tightly with plastic wrap and chill, while making the cupcake batter.
- 2 cups gluten free flour
- 2/3 cup unsweetened cocoa powder
- 1 tsp baking soda
- 1 rounded tsp baking powder
- ½ tsp salt
- 2 tbsp applesauce or coconut oil
- ¾ cup coconut sugar
- 3 tbsp Chia bloomed in ½ cup coffee (this is your egg replacement)
- 1 ½ tsp Vanilla
- 3/4 cup Buttermilk (¾ cup vegan milk plus 1 tbsp white vinegar or lemon)
- 2/3 cup vegan butter (Earth Balance)
- ½ cup vegan chocolate chips
Preheat oven to 350 degrees. Place 24 cupcake papers in pans and spray lightly with pan spray.
Mix all dry ingredients and set aside. Cream butter and sugar until pale and fluffy. Stir in applesauce. Add Chia “eggs” 1/3 at a time. Blend well after each addition. Stir in Vanilla. Now, add dry ingredients, alternating with Buttermilk. Be sure to end with Buttermilk for a lighter texture. Gently fold in chocolate chips. Spoon batter into prepared cups and top with a dollop or swirl of cheesecake batter.
Use toothpicks or a bamboo skewer to pull white batter into a spiderweb design. You can also fill cupcake liners with a little chocolate batter. Add a good dollop on top and cover with additional chocolate batter, for a cheesecake surprise cupcake. Bake approximately 15 minutes. Any cracks should appear moist inside. Cake will spring back to a light touch.
Coconut Cream Ganache
- 1 cup vegan chocolate chips
- ¾ cup coconut cream
- ¼ tsp vanilla
- pinch salt
Warm coconut cream gently in small saucepan. Pour chocolate chips into a heatproof bowl. Pour warm cream over chocolate chips and allow to sit 2 minutes. Stir until smooth and glossy. Add vanilla and salt and cool until slightly thick. Dip cooled cupcakes into ganache and place back on cooling rack, to set ganache.
Don’t want to cover your spiderweb design? Place ganache in fridge and chill 40 minutes. Whip with hand mixer on high to create a fluffy ganache mousse. Pipe around outside edge and your spiderweb will have a delicious frame. Feeling really brave? Let your little ghouls and goblins dip their own cupcakes into the ganache.
When you’re cooking with The Medicine Chef, we always look at the #DeliciousMedicine contained in our recipes. This decadent dessert is no different: loaded with amino acids and phytonutrients of all types… but, sometimes it’s good for the soul to just enjoy the moment and allow yourself to have some indulgences and fun!
Affectionately referred to as The Walking Encyclopedia of Human Wellness, Fitness Coach, Strength Competitor and Powerlifting pioneer, Tina “The Medicine Chef” Martini is an internationally recognized Naturopathic Chef and star of the cooking show, Tina’s Ageless Kitchen. Tina’s cooking and lifestyle show has reached millions of food and fitness lovers all over the globe. Over the last 30 years, Tina has assisted celebrities, gold-medal athletes and over-scheduled executives naturally achieve radiant health using The Pyramid of Power: balancing Healthy Nutrition and the healing power of food, with Active Fitness and Body Alignment techniques. Working with those who have late-stage cancer, advanced diabetes, cardiovascular and other illnesses, Tina’s clients are astounded at the ease and speed with which they are able to restore their radiant health. Tina believes that maintaining balance in our diet, physical activity, and in our work and spiritual life is the key to our good health, happiness and overall well being. Visit her website, themedicinechef.com
Very likely. We have an endocannabinoid system (ECS) running through our body so when it receives cannabinoids (like CBD) and terpenes it may very well run better. Some CBD wins include…
Heart disease is devastating to both our health and our economy. It is the number one cause of death in the country. Cardiovascular disease (CVD) accounted for 32.1 percent of deaths in the United States in 2013 – one out of every three deaths is due to this preventable disease.1 A significant number of research studies have documented that heart disease is easily and almost completely preventable (and reversible) through a diet rich in plant produce and lower in processed foods and animal products.6-9
As the prevalence of CVD escalates, medical costs are rising rapidly. The American Heart Association has projected that by 2030, 40.5 percent of the US population will have some form of cardiovascular disease, and the direct medical costs attributed to cardiovascular diseases will triple compared to 2010 costs.2
Risk factors for heart disease are commonplace for U.S. adults:32.6 percent have hypertension, 13.1 percent have total cholesterol above 240 mg/dl,3 9.3 percent of U.S. adults have diabetes,4 and 68.5 percent of U.S. adults are overweight or obese.5 As a result, it has become considered normal in our society to have atherosclerosis, and to die from cardiovascular disease. If you eat the standard western diet that most people eat in the modern world, you will surely develop heart disease and may die from it.
Fighting heart disease: Superior nutrition versus drugs and surgery
In 2015, I published a scientific article in the American Journal of Lifestyle Medicine demonstrating, with survey data and case histories, the dramatic weight loss and cardiovascular benefits possible with a Nutritarian diet. Respondents who started out obese lost an average of over 50 pounds two years after the switch to a Nutritarian diet. After one year, in those who started out with hypertension, there was a 26 mm Hg average reduction in systolic blood pressure. In respondents who were not taking cholesterol-lowering medication, there was an average 42 mg/dl decrease in LDL cholesterol, and an average decrease in triglycerides of 79.5 mg/dl.10
The surgical interventions commonly used to treat heart disease, such as angioplasty and bypass surgery are futile. The COURAGE trial and additional studies conducted since have documented that patients undergoing those invasive procedures do not live longer or have fewer heart attacks compared to those receiving medical therapy with modest lifestyle changes.11-12 Surgical interventions are not long-term solutions to heart disease; they merely treat a small portion of a blood vessel, while cardiovascular disease continues to progress throughout the vasculature.
Drugs that treat hypertension and elevated cholesterol carry serious risks and do not stop heart disease from progressing. Cholesterol-lowering statin drugs are known to increase the risk of diabetes, impaired muscle function, cataracts, liver dysfunction and kidney injury. 13 Each different class of blood pressure-lowering medications is associated with its own risks and side effects. ACE inhibitors commonly cause a persistent cough; diuretics are linked to increased risk of diabetes; beta blockers are associated with increased likelihood of stroke; calcium channel blockers may increase risk of heart attack and breast cancer; and ARBs are associated with increased risk of lung cancer.14-20
The risk associated with these treatments is unacceptable when there is a safe, effective alternative —smart nutrition and exercise – that can actually reverse heart disease and obliterate the need for risky and even futile medical care. Atherosclerotic plaque can be reversed, and cholesterol lowered without drugs or surgery.
Success stories (two of numerous)
Ronnie weighed over 300 pounds when he wound up needing emergency quadruple bypass surgery. Three years later, he was back for an angioplasty and three stents, but his chest pain returned within one month of the surgery. Working with Dr. Fuhrman in the Ask the Doctor Community, Ronnie lost 140 pounds and went off all medications. He runs and plays sports and has served as an inspiration to family members who have also lost weight and begun to live healthier lives. Read his story.
Julia had three heart attacks within three months. After her fifth angioplasty, she still had constant chest pain. She was on 10 different daily medications, suffered migraines, and, at the age of 60, could not walk even one block. Today, Julia has lost 105 pounds, and now enjoys every day pleasures like exercise, gardening, and playing with her grandchildren. She went from a “cardiac cripple” to a healthy, happy woman. Read her story.
Like Ronnie and Julia, over the last 20 years hundreds of my other patients with advanced heart disease have demonstrated that dramatic reversal of advanced disease can even occur in a relatively short time.
Following the lenient recommendations of the American Heart Association and wearing a red dress pin do not form an effective strategy for protecting you or your loved ones against heart disease. Also, drugs and surgery do not cure heart disease. A health-promoting, nutrient-dense (Nutritarian) diet, that I have designed and advanced over the years (coupled with exercise) is dramatically effective and protective for preventing and reversing high blood pressure, high cholesterol and diabetes — as well as heart disease — because it removes the primary dietary cause of heart disease, while providing the most protective and life-span promoting diet-style. For more information, check out my book, The End of Heart Disease.
Everyone needs to know that heart disease can be avoided; and those who already have heart disease deserve to know that they can reverse their disease. Conventional medical care does NOT protect against heart disease-related death. Only a Nutritarian diet can offer dramatic lifespan-enhancing benefits against both cardiovascular disease and cancer.
Originally printed on DrFuhrman.com. Reprinted with permission.
Joel Fuhrman, M.D. is a board-certified family physician, six-time New York Times bestselling author and internationally recognized expert on nutrition and natural healing, who specializes in preventing and reversing disease through nutritional methods. Dr. Fuhrman coined the term “Nutritarian” to describe his longevity-promoting, nutrient-dense, plant-rich eating style.
- Xu J, Murphy SL, Kochanek KD, et al: Deaths: Final Data for 2013. Natl Vital Stat Rep 2016;64:1-119.
- Heidenreich PA, Trogdon JG, Khavjou OA, et al: Forecasting the Future of Cardiovascular Disease in the United States: A Policy Statement From the American Heart Association. Circulation 2011.
- Mozaffarian D, Benjamin EJ, Go AS, et al: Heart Disease and Stroke Statistics-2016 Update: A Report From the American Heart Association. Circulation 2016;133:e38-e360.
- American Diabetes Association: Diabetes statistics [http://www.diabetes.org/diabetes-basics/statistics/]
- Ogden CL, Carroll MD, Kit BK, et al: Prevalence of childhood and adult obesity in the United States, 2011-2012. JAMA 2014;311:806-814.
- Ornish D, Brown SE, Scherwitz LW, et al: Can lifestyle changes reverse coronary heart disease? The Lifestyle Heart Trial. Lancet 1990;336:129-133.
- Ornish D, Scherwitz LW, Billings JH, et al: Intensive lifestyle changes for reversal of coronary heart disease. JAMA 1998;280:2001-2007.
- Esselstyn CB, Jr.: Updating a 12-year experience with arrest and reversal therapy for coronary heart disease (an overdue requiem for palliative cardiology). Am J Cardiol 1999;84:339-341, A338.
- Esselstyn CB, Jr., Ellis SG, Medendorp SV, et al: A strategy to arrest and reverse coronary artery disease: a 5-year longitudinal study of a single physician’s practice. J Fam Pract 1995;41:560-568.
- Fuhrman J, Singer M: Improved Cardiovascular Parameter With a Nutrient-Dense, Plant-Rich Diet-Style: A Patient Survey With Illustrative Cases. Am J Lifestyle Med 2015.
- Boden WE, O’Rourke RA, Teo KK, et al: Optimal medical therapy with or without PCI for stable coronary disease. N Engl J Med 2007;356:1503-1516.
- Trikalinos TA, Alsheikh-Ali AA, Tatsioni A, et al: Percutaneous coronary interventions for non-acute coronary artery disease: a quantitative 20-year synopsis and a network meta-analysis. Lancet 2009;373:911-918.
- Hippisley-Cox J, Coupland C: Unintended effects of statins in men and women in England and Wales: population based cohort study using the QResearch database. BMJ 2010;340:c2197.
- Simon SR, Black HR, Moser M, et al: Cough and ACE inhibitors. Arch Intern Med 1992;152:1698-1700.
- Bangalore S, Messerli FH, Kostis JB, et al: Cardiovascular protection using beta-blockers: a critical review of the evidence. J Am Coll Cardiol 2007;50:563-572.
- Gupta AK, Dahlof B, Dobson J, et al: Determinants of new-onset diabetes among 19,257 hypertensive patients randomized in the Anglo-Scandinavian Cardiac Outcomes Trial–Blood Pressure Lowering Arm and the relative influence of antihypertensive medication. Diabetes Care 2008;31:982-988.
- Wassertheil-Smoller S, Psaty B, Greenland P, et al: Association between cardiovascular outcomes and antihypertensive drug treatment in older women. JAMA 2004;292:2849-2859.
- Group PS, Devereaux PJ, Yang H, et al: Effects of extended-release metoprolol succinate in patients undergoing non-cardiac surgery (POISE trial): a randomised controlled trial. Lancet 2008;371:1839-1847.
- Li CI, Daling JR, Tang MT, et al: Use of Antihypertensive Medications and Breast Cancer Risk Among Women Aged 55 to 74 Years. JAMA Intern Med 2013.
- Sipahi I, Debanne SM, Rowland DY, et al: Angiotensin-receptor blockade and risk of cancer: meta-analysis of randomised controlled trials. Lancet Oncol 2010;11:627-636.
I am a 12 year breast cancer survivor, and experienced what cancer patients go through, not just from theory, but from living it. I’m going to talk about the role that Pilates had in my rehab and why I consider essential for cancer patients and survivors.
After surgery and treatment, most cancer patients are left with lack of flexibility and range of motion, and poor posture because of the scar tissue. Most experience fatigue from chemo and radiation or just stress of the circumstances. Many go through hormonal treatment which reduces the muscle mass, increases the risk of osteoporosis and bone fracture, bone pain, fatigue, mood swings and lack of stamina and stress.
Breathing is an essential part of Pilates. It helps with stress and stamina, reduces fatigue, opens the lungs and helps with mood swings. When we are paying attention to our breathing, we clear thoughts and allow the oxygen and energy flow through our bodies.
Awareness is a principle that helps us increase the consciousness of our body and the parts that are in disharmony and need to be repaired, isolating them from other parts to progressively make them stronger and healthier. Mind –Body connection
Control is another principle helps coordinate the body parts and move them with the correct alignment, avoiding jerky movements used in general workouts (especially using the Core which we call the powerhouse) and increasing BALANCE that is so affected in cancer patients.
Flexibility and range of motion are key in the rehabilitation for mobility and functionality of the limbs or part of the body affected so we start testing the patient range of motion without any resistance at first.
Pilates machines have springs that allow switching among different resistance according to the patient’s condition avoiding injuries and pain,
Allowing the patient to get FLEXIBLE then STRONGER and then MANAGE THEIR OWN BODY improving posture, Functionality, mobility, self-image and self-confidence.
Graciela Perez is a National Academy of Sports Medicine (NASM) Personal Trainer, Aerobics and Fitness Association of America (AFAA) Aquatic Specialist, and a Cancer Exercise Training Institute Cancer Exercise Specialist. She’s been helping people reaching their health and fitness goals since 2003.
We are entering a new era with medical fitness in terms of understanding how exercise can help individuals with chronic illness and stress. This is a very exciting time for the fitness industry…
It is fair to state that this year has been a particularly challenging year for me. Money became a critical issue because I have been unable to find a path forward as a speaker, writer, or consultant. The publishers…
Before hormone balance can be a goal you need a clear definition of what it or hormone imbalance looks like! It’s never just hormones though is it? For the majority of women in midlife and beyond, there’s also a special condition, a joint issue, or a crazy schedule that also needs to be addressed.
If any of these describe you:
- You’re putting on weight lately no matter what you do
- You have belly fat even though you’re weight is OK
- You have cellulite on your thighs, belly, bum, or on your upper arms
- You can’t seem to develop any muscle tone in your legs
- You’ve got a saggy bum in spite of so many lunges and squats you can’t sit down
- You’ve turned up the exercise and eat carefully but still no results
- You’ve got saggy chest and neck skin
- You have touchy joints from prior or current injuries
- You have had breast cancer surgeries
- You’ve had other invasive surgery or joint replacement
- You have a chronic condition
- You can’t sleep well
- Even if you do sleep you don’t wake up refreshed
- You have high levels of stress right now
- You’ve tested your hormones and you’re “normal” but don’t feel it
- You still don’t have any idea how to exercise “normal” or not
- You have depression or anxiety
- You’re taking medications for the above or other things with side effects
- Your digestion is off (even if you thought that was “just me”): You don’t poo every day at least once (more is better); You have rabbits or pudding instead of snakes, You have gas or bloating you just tolerate
What you used to do doesn’t work any more.
Then this is definitely for you… if you want to change. Changing is the obstacle for a significant percent of women that express interest in change. If you aren’t willing to change habits, change beliefs, change what you eat and when, change how you exercise and when, then this will just be another blog. No set of exercises, videos, menu plans will ever help until you decide you are 100% in.
Throw Away the Textbook
Exercise for hormone balance is not your textbook exercise. “I’ve never heard that before,” is not a good excuse to dismiss something as true. How many research studies did you read last week about menopause, hormones, and exercise? They’re at anyone’s fingertips in today’s world. So holding onto old ideas without researching for yourself or finding a voice you trust instead of going by an outdated text is irresponsible. A published textbook is outdated by the time it goes to print. Research in this area is accelerating. Get help and get up to speed on research on hormone balance.
Approximately 6000 women a day go into menopause right now. That’s 2 million a year. Yet, 39% of all sports medicine and exercise research features females at all. It’s safe to say a small slice of that focuses on women in perimenopause, menopause, and post menopause and the hormones that influence and are influenced by her exercise.
It’s time to change the way we prescribe exercise during the change. If a woman begins perimenopause in her mid 40s and lives to her mid 80s she spends 40 years in menopause. Shouldn’t we be optimizing exercise for this large population of currently 38 baby boomer women, 25 million Gen X women and coming soon, an even larger number of millennial women? Fitness is either going to open a new level of health for women, who ultimately influence 80% of household decisions including health, or fail miserably. Conventional exercise prescriptions contribute to hormone imbalance.
Your hormone balance exercise
Start lifting weights focused on major muscle groups. Even if you swear by functional movement patterns, insulin, cortisol, and the half dozen more hormones that influence her fat and health are key for reducing risk of disease. Even if you want to tone those arms, you want to start with major muscle groups. Even if you want a flat belly, start with major muscle groups. Stop long slow exercise sessions and long endurance activity.
Increase your protein at every meal and eat regularly. Get to bed early and make sure you control your environment. If you love your wine or nightcap, you’ll want to stop that. All of these things kill testosterone, a key hormone for building lean tissue and libido. Testosterone gives you a kick of confidence too also important for libido.
These are but a few scenarios of exercise changes you can make for more hormone balance. Each woman has a unique set of health history, physical status, signs and symptoms that make her unique.
Want to learn more on this topic? Register for this FREE WEBINAR, presented by Debra Atkinson, Dr. Michelle Maddux and Danielle Spangler.
Debra Atkinson is the #youstillgotitgirl who is flipping 50 and changing the way thousands of women think about their second half. She’s the host of the Flipping 50 TV Show and the Flipping 50 podcast. As a master personal trainer, strength and wellness coach with over 30 years fitness industry experience, she works with women who are pro-aging with vitality and energy. She is an international fitness presenter, author of hundreds of articles and multiple books. Visit her website, flippingfifty.com