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Mirabai New Year Article

Health Coaching: A New Way To Keep Those New Year’s Resolutions

So you go to your annual check-up and your doc says “whoops your blood pressure is up and you’re 15 pounds heavier than last year. I’ll give you some meds, but you’ll have to lose weight and get into shape, OK?

You say OK, you walk out and then what?

Join a gym, hire a personal trainer, go on a diet, take a walk? You might do one or several of these because, after all, it’s a new year and a new you.

Right? Right, and you try something. But how long is it till you throw up your hands and say, “ugh, I got started and now I’m off the track just like last year.”

What went wrong? Maybe nothing, except you might not have been psychologically ready to take those steps.

For any change there is a process. One of the models that are used is the transtheoretical model of behavior change (TTM) developed by James O. Prochaska , Ph.D

There are 5 stages:

Precontemplation – going along not aware of a need for, or not wanting a change.

Contemplation – recognizing a need to do something to improve your situation and considering making some sort of change.

Preparation – doing some research, making small changes, or at least thinking about what you’re going to do to help yourself.

Action – Actively making lifestyle changes,

Maintenance – Having made changes, keeping the healthy lifestyle going.

All too often we jump from contemplation to action without being ready for the change. It can feel like getting off a plane in Antarctica wearing shorts and a T-shirt. You wanted to be there but you weren’t ready for what that change would be like, and what you’d need to do to stay there comfortably.

But there is help, a new kind of help.

The health and fitness industry is rising to the challenge of our increased involvement with our own health care.

Many of us still think of fitness professionals as muscle heads with great bodies and not much else. Those types will always exist, but more educational opportunities including degrees and certifications are spawning a new breed of health & fitness professional, one that’s part of the health as well as the fitness industry.

Enter the Health & Wellness Coach

Not to be confused with a personal trainer, the Health & Wellness Coach is a consultant who helps you go, through, preparation, to action and on to maintenance. The coach helps you determine your health and wellness goals and needs. Once you have a path to your goals the coach continues to work with you to help you find the behavior modifications, activities, facilities and allied health professionals (MDs, Ph.Ds, Nurse Practitioners RDs, PTs, Personal Trainers, Exercise Instructors, etc.) to support your healthy lifestyle. You can do this on your own, but having someone with health industry knowledge who has your back, who is nonjudgmental, who just wants to help you focus and succeed can make all the difference.


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.

Healthy-Lifestyle-Nutrition-Exercise-Medicine

Using a Lifestyle Medicine Approach to Support Health

The American College of Lifestyle Medicine (ACLM) defines lifestyle medicine as an approach to prevent, treat, and sometimes reverse chronic diseases to promote optimal health. Individuals are encouraged to follow a healthy eating pattern that is predominantly plant-based, engage in regular physical activity, experience restorative sleep, manage stress with success, avoid risky substances, and engage in positive social connections. There are a variety of tools and strategies that medical, health, and fitness professionals can utilize to have a collaborative conversation with clients and/or patients that can evoke change. It is useful to have a structured framework to facilitate the conversation.

Using the 5 A’s Framework to Structure the Conversation

Many medical providers and personal trainers have not been trained to facilitate a conversation surrounding an individual’s desire and readiness to change. This is a useful tool for structuring the conversation and ultimately setting SMART goals if the client or patient is indeed ready to commit to making a change.1

Assess
To begin the conversation, ask if the patient is currently engaging in the healthy behavior that is being contemplated as well as exploring their feelings about this specific health behavior. This dialogue will give you some insight about current beliefs and behaviors as well as identifying any gaps in their knowledge.

Advise
Here you can put on your expert hat and provide the individual with evidence-based information that highlights the benefits of making a health behavior change. If your client or patient is receptive, now is the time to provide them with specific strategies or a prescription.  For example, if they are looking to lose weight, you could prescribe a combination of cardiovascular and muscle strengthening exercises to support that goal.

Agree
As the conversation continues, collaboratively work to identify goals based on where they are showing interest and energy as well as where they have confidence in their ability to successfully make a sustainable change.  In this part of the conversation, you can help your client and/or patient create a SMART goal that is relevant and aligns with their values to promote self-efficacy.  

Assist
It is now time to discuss potential barriers and explore strategies that could be helpful in overcoming these challenges. This is also an opportunity to discuss social and environmental support structures that have the capacity to promote accountability and ultimately lead to self-monitoring.  

Arrange
As the conversation draws to a close, arrange a follow-up visit to monitor progress and convey that you are there to provide motivation, accountability, and support.  This is also an opportunity to refer your client and/or patient to community resources or to other health, fitness, or nutrition professionals that can support the behavior change process.

Redefine Health with Lifestyle Medicine

Using a lifestyle medicine approach highlights the need to promote optimal health by addressing health behaviors across the dimensions of wellness. This approach has the capacity to prioritize mental health as it is integrally related to our physical health and impacts our relationships with others. Lifestyle medicine is an emerging field that prioritizes our conversations with clients and patients creating rapport and trust that ultimately enables them to experiment with behavior change.  Health coaching and lifestyle medicine are a powerful combination used in delivering evidence-based interventions that have the capacity to help others redefine their health.


Suzanne Stringer, Master of Health Science, CHES, CHC, CPT is a health coach and personal trainer. She collaborates with clients to co-create goals that enable them to experience success as they work through the behavior change process. Additionally, Suzanne is an adjunct faculty member in the Health Sciences Department at AACC.


References

  1. American College of Lifestyle Medicine.  (2021).  Foundations of Lifestyle Medicine Board Review Manual.  American College of Lifestyle Medicine.  

 

Success

Coming Soon! Foundations of Wellness and Lifestyle Coaching

Having a foundation in coaching skills equips fitness professionals and wellness professionals to help their clients succeed at lifestyle improvement. 

MedFit Classroom’s upcoming course will provide you with a thorough overview that enables you to be much more coach-like in your work with clients.  

In this new course, authored by Dr. Michael Arloski, you’ll…

  • Learn how to help your clients go well beyond just goal setting and make use of behavioral change methodologies that create real progress.  
  • Gain the skills needed to help clients mobilize their motivation to make positive lifestyle changes and accomplish goals they never thought possible.  
  • Become proficient in having The Wellness Coaching Conversation, a conversation that demonstrates understanding while eliciting and empowering the client to choose an active role in their own health. 
  • Through the use of select coaching skills training videos and demonstrations you’ll learn about the use of Active Listening Skills and Powerful Questions to help your clients assess their own wellness and develop a Wellness Plan for growth and change.
  • Gain accountability and support skills that ensure progress towards lasting lifestyle improvement. 
  • Explore the use wellness and health coaching models and how they can be implemented in your setting.  

This course is ideal for the fitness or wellness professional looking to either integrate the skills and methods of coaching into their own professional work, or to serve as an introduction to the path of learning how to become a health and wellness coach.

Dr. Arloski is a pioneering architect of the field of health and wellness coaching.  He and his company, Real Balance Global Wellness, have trained thousands of health and wellness coaches worldwide.  His book, Wellness Coaching for Lasing Lifestyle Change is a foundational book of the field, and his new book Masterful Health and Wellness Coaching: Deepening Your Craft takes the field to a new depth.  

Join MedFit Classroom’s course waitlist to receive a notification when this new course goes live, and receive a special discount!

health-wellness-coach-with-client

The Health And Wellness Coach’s Value Proposition

Every potential coaching client is looking to have the question ‘What’s in it for me?’ answered. Every coach needs to be able to succinctly answer that question by conveying what they will provide for their client.

Potential coaching clients are rarely familiar with what a coach, especially a health & wellness coach, can do for them. They are used to dealing with educators and consultants, medical and otherwise, not coaches. Usually clients expect to be directed, educated, and led in the best direction for them. All too often they hear a wellness coach tell them something like:

“I’m not going to tell you what to do. I’m not going to tell you what to eat or how to exercise. You’re the one in charge. You’re the one behind the steering wheel. You’ll be making your own wellness plan, and I’ll help you follow it.”

Why should this person become your client when it appears that they, themselves, are going to be doing all the work? Our client-centered approach to coaching does not mean we are not providing value, however we have to communicate the value of what we offer, and do it very clearly. What will the client gain from coaching?

This is true for the self-employed coach as well as the coach working for a wellness program, a disease management company, an insurance carrier, or any other organization that provides wellness and health coaching. It is about engagement. When coaches are confronted with the “incentivized” client, who is reluctantly complying with coaching in order to get their prize (or much-needed insurance discount), conveying the Health And Wellness Coach’s Value Proposition is more vital than ever.

Here is my way of presenting The Health And Wellness Coach’s Value Proposition. Please adapt to your own words and use it!

The Health And Wellness Coach’s Value Proposition*

“Thank you for your interest in improving your lifestyle and your life. You may be new to coaching, and especially wellness coaching, so let me share with you the value that it brings.

Wellness/health coaching is all about you living the best life possible for you. To do that most people find there needs to be some improvements in their way of living, their lifestyle. Making those improvements, those changes is challenging when you have to do it all by yourself. Perhaps you’ve already had some experience with that.

When I work with someone in coaching I’m here to serve you. You are the one in charge of your life and our work together. It’s your hands on the steering wheel. I’m not going to tell you what to do and give you a pre-maid wellness plan. But, together we can co-create a plan to help you succeed at making the lifestyle improvements that you want to make.

As your coach I will be working with you to get very clear about where you are at with your health and well being right now. We’ll help you take stock of that by exploring together, using some coaching tools that will help give you a more complete picture, and by going over the lifestyle improvement recommendations you’ve gotten from treatment professionals. Then we’ll work together to help you form a clear picture of the kind of life you want to live, your healthiest life possible for you. We’ll compare where you’re at and where you want to be and together form a solid plan to help you get there.

Once we have that plan we’ll work together as allies to help you be accountable to yourself and follow through on the steps you need to be taking on a regular basis to help you achieve the goals you have in your plan. I’ll be with you throughout the journey. I’ll be there to help you strategize over, under, around and through the barriers that come up. I’ll help you with challenges that make it tough for you to live the healthy life you want and together we’ll help you keep on track. Together we’ll help you find and develop the sources of support that will make your changes last. We’ll evaluate our progress and adjust the course along the way as we need to. My goal is to assist you in becoming self-sufficient in your wellness, to be able to live a healthy life in a completely sustainable way.

I bring the value of a professional that knows about succeeding at lifestyle improvement. I bring the value of an ally.”

*Created by Michael Arloski, Ph.D., PCC, CWP. Please adapt to your own words and use it! If used intact you must include authorship credit and contact information (Real Balance Global Wellness Services, Inc, https://www.realbalance.com). 


Originally published on Real Balance blog. Reprinted with permission.

Dr. Michael Arloski is the CEO and Founder of Real Balance Global Wellness Services, Inc. (www.realbalance.com). Real Balance has trained thousands of wellness coaches worldwide. Dr. Arloski is a board member of The National Wellness Institute, and a founding member of the executive team of The National Consortium For Credentialing Health and Wellness Coaches. He is author of the leading book in the field of wellness coaching: Wellness Coaching For Lasting Lifestyle Change, 2nd Ed.

Senior-Woman-Deep-Breath

Weight Loss Happens On The Exhale… The Nasal Exhale

Every person longing to be slim has heard the same advice forever: Eat less and exercise more. So simple, so logical, so what happened? America is the land of the overweight and the frustrated. For millions of people, every road has led to the same locked door. Until now. I’m going to give you the secret to helping you help your clients reach their weight loss goals in a healthy, lasting and fulfilling way.


For reasons ranging from stress to the influence of advertising, the majority of Americans find it difficult to lose the weight and keep it off. In addition, they are famously sedentary. According to the Centers For Disease Control & Prevention, 70% of adults are overweight or obese, contributing to health risks including heart disease, high cholesterol, high blood pressure, diabetes, stroke, and more (1). Either for health or vanity reasons, many of these overweight men and women try to slim down and usually gain back at least as many pounds as they lost. The secret to effectively losing weight and transforming patterns of behavior happens with breath. 

How Breath Influences Fat Burning

The way we breathe, fast or slow, mouth open or closed, shallow or deep affects our biochemical, physiological, biomechanical and psychological states of being. Nasal diaphragmatic breathing signals our parasympathetic branch of the autonomic nervous system while mouth breathing signals our sympathetic branch.  The difference determines whether you’re fat-burning or sugar-burning. Can you guess which turns you into a fat-burning machine? You guessed, nasal breathing.

Most of our clients are living in a stressed state (or the sympathetic branch of our nervous system). Not only is this the sugar-burning system, it also leads to abnormally high levels of cortisol. High cortisol levels promote weight gain (2).

In addition, nasal breathing increases oxygenation while mouth breathing decreases oxygenation. The speed at which your body burns oxygen or fuel for fat-burning benefits depends on how well your body utilizes oxygen. As we diaphragmatically nasal breathe, we stimulate the vagus nerve. “The vagus nerve regulates metabolic homeostasis by controlling heart rate, gastrointestinal motility and secretion, pancreatic endocrine and exocrine secretion, hepatic glucose production, and other visceral functions.” (4)

How The Fat Leaves On The Exhale

Fats are large molecules made up of oxygen, carbon, and hydrogen. When the oxygen we breathe reaches these fat molecules, it breaks them down into carbon dioxide and water.  The blood then picks up the carbon dioxide – a waste product of our bodies – and returns it to the lungs to be exhaled.  Therefore, the more oxygen our bodies use, the more fat we will burn.  

Nasal breathing is more efficient than mouth breathing in terms of supplying oxygen to the body as well as the transfer of oxygen and carbon dioxide between the lungs and red blood cells. When performing cardiovascular exercise, it is therefore preferable to inhale and exhale through the nose. (3)

Have you ever wondered where the fat goes? If you’re like most of us, you probably think the majority of fat is excreted through bodily fluids. Surprisingly, it’s not. Based on the research from the British Medical Journal, the majority of fat turns into carbon dioxide which is exhaled when we breathe. (5)

See My Interview With Ruben Meerman

Transforming Patterns of Behavior

The person who’s been sedentary for years won’t suddenly be persuaded to run a marathon. Core changes must come first in order to make everything else possible.  Using “breath as medicine” to improve health and the training experience, we cultivate the “choosing mind,” where we can alter lifelong patterns. 

People become sedentary and develop poor lifestyle patterns based on habit, boredom or emotional triggers.  So, there’s more involved than just losing the physical weight. Our issues are in our tissues. We’ve got to transform the emotional and physiological weight which is embedded in our unconscious and subconscious minds.  

Mindful breathing while exercising is being “neurofit” meaning we’re influencing physiological changes in the brain related to behavior. Life is a sensory experience and the body keeps score. Focusing on the breath allows a person to slow down, unwind and look inward. This is crucial for people whose lives are chronically hectic and stressful, who eat without thought, regardless of hunger. With deep, powerful breathing, they can break old patterns while cleansing internal systems. How does this happen?  By stimulating the vagus nerve (which only happens through nasal diaphragmatic breathing), we strengthen the areas of the brain responsible for emotional self-regulation. (6)

The body always lives in the present. It will never crave a Twinkie because of unrequited love, an upcoming review with a cranky boss, or an unhappy childhood. It cares only about what it needs from moment to moment to maintain homeostasis. The typical brain calls for millions of automatic acts in a day – from adjusting endocrine levels to blinking to deploying white cells for battle. As the connection between body and mind is fortified with breath, the choosing mind emerges reconnecting with our body to hear its’ objective voice which discriminates between emotional reactivity and true desire.

All that from a simple breath. 

Continuing Education: Breath as Medicine

Ed Harrold’s Breath AS Medicine breath coach training focuses on breath regulation concepts & strategies by applying the principles and philosophy of yoga breathing (or pranayama) to improve breathing rates and patterns. Breath AS Medicine is a highly effective modality for both the prevention of illness as well as therapy for managing and/or reversing existing chronic illness.

Click here to learn more about Ed Harrold’s Breath AS Medicine e-learning courses. Use coupon MedFit20 for 20% off either the 15 or 25-hour trainings.

A shorter 6-hour course is also available on MedFit Classroom. Click here for details.


Ed Harrold is an author, inspirational leader, public speaker, coach and educator. Ed’s mastery in the science of mindful breathing has guided him to apply conscious breathing practices in corporate performance coaching, fitness & athletic training, healthcare trainings, stress reduction and overall health and well-being.

Today, Ed blends the fields of neuroscience and the wisdom of contemplative traditions into effective strategies to improve well-being in Corporate America, Healthcare, athletic performance and individual health. Ed’s fluency in mindfulness-based strategies combined with the belief in the human potential gives him the depth and understanding to meet individuals and group needs across industries and platforms.

 Ed is the author of  “Life With Breath” and “BodyMindBusiness”; he is a contributing health & wellness editor for Huffingtpost, Thrive Global, MindBodyGreen & PTOnTheNet. Ed’s Breath AS Medicine Training offers CE in the healthcare, wellness coaching, fitness & athletic training sectors. Ed is a Faculty Member of the Medical Wellness Association. Learn more about Ed at www.edharrold.com

 

References

  1. National Center For Health Statistics, Health, United States, 2015.  Table 53.  https://www.cdc.gov/nchs/fastats/obesity-overweight.htm 
  2. Sominsky, L. & Spencer, S. (May 2014). Eating behavior and stress: a pathway to obesity, School of Health Sciences and Health Innovations Research Institute, Retrieved from http://journal.frontiersin.org 
  3. Novotny, S. (2007, February 1). The science of breathing. Ideafit.com. Retrieved from http://www.ideafit.com/ 
  4. Harada, S., Yamazaki, Y., Koda, S., Tokuyama, S. (April 23, 2014). Hepatic Branch Vagus Nerve Plays a Critical Role in the Recovery of Post-Ischemic Glucose Intolerance and Mediates a Neuroprotective Effect by Hypothalamic Orexin-A, Retrieved from http://journals.plos.org/ 
  5. Meerman, A. Brown (December 19, 2014).  When Somebody Loses Weight, Where Does The Fat Go? The BMJ. Retrieved from http://www.bmj.com/content/349/bmj.g7257
  6. Porges SW, Doussard-Roosevelt JA, Maiti AK (1994).  Vagal Tone And The Physiological Regulation of Emotion.  PubMed.  Retrieved from https://www.ncbi.nlm.nih.gov/pubmed/7984159 
trainer-resistance-band-senior-woman-client

You Are The Solution

This article is meant to be a wake-up call to the fitness industry. The health of our population and country are at stake. While advancements have extended our country’s overall lifespan, it has occurred primarily through the use of medications and life-saving procedures rather than through lifestyle changes. The stark reality is that the overall health of Americans is declining as evidenced by the $3.5 trillion spent every year on health care expenditures.

Another alarming statistic is that between 1997 and 2016, there were approximately 4.5 billion prescriptions written per year. 70% of Americans take at least one and 20% take five or more prescription medications (Preidt 2017). The majority of these medications were taken to address lifestyle-related diseases and the subsequent impacts of poor nutrition choices and lack of physical activity. Additionally, many prescription and over-the-counter medications are used to treat osteoarthritis, the most common cause of physical disability in the world. While genetics, weight, and age have been considered as underlying factors, the decrease in quantity, as well as quality, of physical activity have been shown to be much greater factors to the onset and prevalence of osteoarthritis in modern society (Wallace 2017, Osar 2018).

While often attributed to causes outside one’s control (i.e. genetics), the fact is that the diseases contributing to the greatest number of deaths (heart disease, cancer, and Type 2 diabetes) and disability (osteoarthritis) are directly related to controllable factors. While each has a genetic component, lifestyle has a much greater impact on the incidence and prevalence of these diseases. One of most important and underappreciated components in the overall decline in one’s physical, physiological, and cognitive health, is the lack of physical activity. Less than 20% of the population meet the daily physical activity guidelines and less than 5% of the adult population participates in 30 minutes of physical activity. Even more disturbing is that more than 78 million U.S. adults and 12 million children are obese.

Dr. Caldwell Esselstyn has been attributed with the quote, “Genetics loads the gun, lifestyle pulls the trigger.” This suggests that lifestyle is as important as genetics in the expression of many chronic diseases. This sentiment is reiterated in a recent study from Bodai et. al (2018). “Epidemiological, ecologic, and interventional studies have repeatedly indicated that most chronic illness, including cardiovascular disease, cancer, and type 2 diabetes, are the results of lifestyles fueled by poor nutrition and physical inactivity.”

The health of our population and country is at stake. This is a call for fitness professionals to step up and recognize that you are the first line of defense against the deleterious impacts of lifestyle diseases. It is your responsibility to educate your communities that lifestyle changes, incorporating proper nutrition as well as increased physical and cognitive exercise, should be the first step in addressing chronic lifestyle diseases. You can continue to change the health of our nation by implementing evidence-based nutrition, exercise, and cognitive training programs. Be the solution your clients, your community, and our country needs by investing in advanced education in nutrition, exercise, movement, and cognitive training. Create relationships with allied health professionals so that we can collectively educate, collaborate, and coordinate the changing of our nation’s health care system.


This article was featured in MedFit Professional Magazine.

Dr. Evan Osar, an internationally recognized speaker, author, and expert on assessment, corrective exercise, and functional movement. Dr. Osar is committed to educating and empowering fitness professionals while helping them develop relationships with allied health professionals. He is author of the Corrective Exercise Solutions to Common Hip and Shoulder Dysfunction and has developed the industry’s most complete training certification, the Integrative Movement Specialist™. With his wife Jenice Mattek, he created the online educational resource. For more info, visit IIHFE.com.

References

Bodai, B. I., Nakata, T. E., Wong, W. T., Clark, D. R., Lawenda, S., Tsou, C., … Campbell, T. M. (2018). Lifestyle Medicine: A Brief Review of Its Dramatic Impact on Health and Survival. The Permanente journal22, 17–025. doi:10.7812/TPP/17-025

Centers for Disease Control and Prevention. Osteoarthritis. Retrieved from https://www.cdc.gov/arthritis/basics/osteoarthritis.htm

Centers for Disease Control and Prevention. Leading Causes of Death. Retrieved from https://www.cdc.gov/nchs/fastats/leading-causes-of-death.htm

Centers for Medicare & Medicaid Services. National Health Expenditure Data. Retrieved from https://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/NationalHealthExpendData/NationalHealthAccountsHistorical.html

Osar, E. (2018). The Fundamentals for Training the Older Client with Osteoarthritis. Retrieved from https://www.ptonthenet.com/remote-learning

Preidt, R. (2017). Americans Taking More Prescription Drugs Than Ever. https://www.webmd.com/drug-medication/news/20170803/americans-taking-more-prescription-drugs-than-ever-survey

U.S. Department of Health & Human Services. Facts and Statistics. Retrieved from https://www.hhs.gov/fitness/resource-center/facts-and-statistics/index.html

Wallace, IJ., Worthington, S., Felson, DT., Jurmain, RD., Wren, KT., Maijanen, H. Woods, RJ., Lieberman, DE. (2017). PNAS. 114(35): 9332-9336.

med-fit-client-doctor-exercise

Healthcare Through Fitness

A discussion of medical fitness is rooted in an understanding of the health benefits of fitness and exercise. The documented benefits are endless and include management of chronic disease, management and prevention of osteoporosis, improved mood and sleep disorders, stress relief, management and prevention of obesity.

Health agencies across the spectrum of public health and disease-specific organizations recognize and promote exercise and fitness as an integral part of the management of chronic disease; diseases that include diabetes, cardiovascular disease, Parkinson’s, depression, multiple sclerosis, and arthritis, among others.

If fitness and exercise are well accepted as part of the management strategy for multiple diseases, why is it that access to organized exercise plans, and fitness professionals who can help implement those plans, are not a standard part of the medical treatment paradigm? Why is it not a standard benefit covered by common medical insurance policies?

The reasons are multifactorial and a reflection of the overall healthcare conundrum in our country today. Let’s focus, however, on how to make a change. We need to focus on how to integrate fitness professionals into the medical paradigm. A perfect model for this is an integrative medical fitness center.

What is a medical fitness center? It is a fitness facility with a multidisciplinary staffing approach and has the following characteristics:

  • Regular medical oversight by a medical director
  • Practitioners with nationally-recognized certifications and training in the care of chronic disease
  • Comprehensive health assessments and exercise prescription
  • Exercise classes geared toward specific medical conditions

These centers bring together credentialed staff in a collaborative way to provide exercise prescription plans specific to the needs of an individual with chronic disease.

The concept of the medical fitness center is not new; many currently exist in communities throughout the United States. However, an understanding of their importance in the context of the current healthcare environment has grown. The idea of creating “medical homes” that are collaborative across disciplines and provide a comprehensive healthcare approach is now being recognized to provide a high standard of care while simultaneously decreasing overall healthcare costs. This is true specifically for high-risk individuals who suffer from chronic disease.

Further integration of medical fitness centers, and broad access to exercise and fitness resources, will hopefully become standard of care and widely accessible to all individuals, especially those with chronic disease. This integration will inherently bring fitness professionals into the paradigm of healthcare and promote healthcare through fitness.


This article was featured in MedFit Professional Magazine. 

Dr. David Kruse attended medical school at UC San Diego, after graduating from UC Berkeley. He holds board certifications in family and sports medicine. He practices sports medicine with the Orthopaedic Specialty Institute, in Orange, CA. Dr. Kruse is the Chief Medical Officer for the MedFit Network and on the Medical Advisory Board for the MedFit Education Foundation. He is currently a Team Physician for USA Gymnastics, Orange County Soccer Club, and Biola University. Visit his website, krusesportsmd.com

Aimee-Carlson-Toxin-Terminator

Toxicity & Detox

When I first began my own personal health journey, I had no idea what a toxin was. Having worked in the automotive business for better than 30 years, I thought toxins consisted of the various chemicals and products we used in that business. I knew we had to carry MSDS (Material Safety Data Sheets) for every product we had in the facilities. I related toxins to workplace environments, and truly had no idea that they were also hidden in our homes!

The automotive industry was highly regulated. In fact, there are several agencies that oversee the practices within automotive businesses, establish the regulations that must be followed and perform on-site inspections. As a mother and a grandmother, I was enraged to find out there were no such regulations on the products that we purchase off the shelves in the stores. I incorrectly made the assumption that these products were safe for me and my family to use.

This is what led me to become The Toxin Terminator. I knew there needed to be a voice in this field. When it comes to being healthy, many people seek out help with how they eat or look at their physical fitness and how they move each day. But they aren’t paying attention to the number one contributor to the symptoms they are experiencing, toxins! In fact, even if they do, it can be such a confusing path to go down. Marketers have learned the terms they need to use to give the illusion of their products being safe. We call this greenwashing. This is one of the reasons why it is so important for people to have a certified person working with them to help them navigate this complex arena and overcome the root cause of their symptoms.

Learning about toxins, the symptoms of toxin overload and where they are, was the first step in my journey of overcoming chronic disease. The toxins are what flip the switches on, and the detox is how we turn those switches off and truly heal the cells, so the body gets well. Through my journey, I have met with hundreds who have also reversed their chronic disease. Through my podcast and masterminds, I have had the opportunity to meet and discuss this topic with top researchers, doctors, coaches, industry thought leaders and people just looking to feel better. I personally became certified as a Toxicity and Detox Specialist so I would be able to help others walk through their own healing journey.

According to the Centers for Disease Control, 6 out of 10 adults suffer from a chronic disease and 40% have two or more. 90% of healthcare dollars in the United States are spent on chronic disease and 70% of all deaths are caused by a chronic disease. These numbers are out of control. It is my mission to decrease these numbers. Last year taught us all too well the danger of these numbers and the importance of our own personal health and reducing our underlying factors.

People are ready to take control of their health and we can do this together!

Join Aimee for a Webinar on This Topic!

Register for this free webinar, Counting Chemicals: Everyone is busy counting calories, when they should be busy counting chemicals!


Aimee Carlson is a lifetime entrepreneur, owning and operating a multi-location national franchise, to a professional network marketer, best-selling author, podcast host of The Toxin Terminator and certified Toxicity and Detox Specialist.