Agility Physical Therapy and Sports Medicine Receives 2021 Best of Greenwood Village Award
Greenwood Village Award Program Honors the Achievement
GREENWOOD VILLAGE April 27, 2021 — Agility Physical Therapy and Sports Medicine has been selected for the 2021 Best of Greenwood Village Award in the Doctors of Physical Therapy category by the Greenwood Village Award Program.
Each year, the Greenwood Village Award Program identifies companies that we believe have achieved exceptional marketing success in their local community and business category. These are local companies that enhance the positive image of small business through service to their customers and our community. These exceptional companies help make the Greenwood Village area a great place to live, work and play.
Various sources of information were gathered and analyzed to choose the winners in each category. The 2021 Greenwood Village Award Program focuses on quality, not quantity. Winners are determined based on the information gathered both internally by the Greenwood Village Award Program and data provided by third parties.
About Greenwood Village Award Program
The Greenwood Village Award Program is an annual awards program honoring the achievements and accomplishments of local businesses throughout the Greenwood Village area. Recognition is given to those companies that have shown the ability to use their best practices and implemented programs to generate competitive advantages and long-term value.
The Greenwood Village Award Program was established to recognize the best of local businesses in our community. Our organization works exclusively with local business owners, trade groups, professional associations and other business advertising and marketing groups. Our mission is to recognize the small business community’s contributions to the U.S. economy.
Many people start to suffer what is called hormonal alopecia. It is the systemic loss of hair from all over the body with the loss, or gain, of certain hormones. The most common type of hair loss for women is due to thyroid dysfunction. The areas that we typically notice is the thickness of mane hair, or a shrinking ponytail. But, eye lashes coming out and or thinning of the brows, particularly the outer 2/3’s is fairly significant and should be noted. It IS A REASON to have you thyroid tested.
In Many cases, thinning brows, or a slimmer ponytail might be your only true indicator that the thyroid is struggling. This is because the sleep issues in the current day and age are rampant. Devices, job and school requirements and stimulant intake disrupts what we consider “normal sleep”. Since most think 1 bowel movement every 2 days is normal, this may also be missed. (See Previous Blog). Weight fluctuates for many college students and athletes as they exit high school and collegiate sports as well, so that might not be a great indicator.
Why Is my Hair Thinning a symptom?
Because the hair grows sin 4-6 week cycles, If you are not able to maintain growth due to poor thyroid function, you will start to see global sparseness in the hair. The patterns is across the entire scalp, not just the top or the front. It is related because the thyroid controls the ongoing functions that support the system as a whole to remain WHOLE. If you are lacking in nutrients required, you will start seeing hair loss sooner than diagnosis. This is because “Sub-Optimal” levels of thyroid can lead to long term damage.
All of these terms fall together when we think about thyroid dysfunction, but there are a lot of reasons why each symptoms is important. There are also many ways to support the thyroid without medicating it first.
The Blogs of the last few weeks had focused on weight management and goals around weight. This can be considered an extension, but for different reasons. The thyroid is the endocrine gland primarily responsible for metabolism. Many don’t know this, but the thyroid gland can control heart rate, sleep cycles, hunger cycles, sweet tooth, salty cravings, and kidney and bladder function. Your thyroid also can have an impact on mental clarity, focus, memory and mood. (1)
HPA-axis: Health in balance
The thyroid, anterior pituitary gland and hypothalamus create that HPA axis in conjunction with the adrenal glands and are a self regulatory system for maintenance of glandular function and hormone production in the body. The HPA axis is stimulated primary by signals released from the liver. When given the right stimulus, with all the available nutrients in surplus, the system is flawless. IF there is a lack of nutrients, or there is toxic load increase in the liver, the system hits some bumps. Those bumps can cause major health issues.
Hypo- Low Thyroid:
This condition occurs for many reasons. There is a subclinical hypothyroidism that many times goes undiagnosed until a problem arises, but is often still last to be treated. People with hypothyroid often suffer feeling cold all the time. They have cold hands and feet, even if it is 100 degrees outside. Bradycardia, or a rather slow heart rate at rest is also a symptom. Now many athletes have bradycardia, but most don’t also feel cold all the time. slow heart rate at rest is looking at someone who drops often into high 40s or low 50s after being at rest lying down for 10 minutes. Weight gain is a symptoms of low thyroid. Constipation. This, as discussed in the last blog, is a huge factor. Many think not voiding fecal matter for 1-2 days is normal. IT. IS. NOT. People also often feel tired, lack of desire, lack of motivation.
Hyper- Fast or high Thyroid
Some might think this is what they want. I can introduce you to a few people who can tell you that if this persists longer than a month, you want it to stop. Tachycardia. The opposite of Bradycardia. You can see resting heart rates above 120. Now, if your not sure what that feels like, go for a run walk for 30 minutes where you run for 1 min walk 1 min. And try and cary on a conversation. It’s HARD. It’s EXHAUSTING. And let’s say you are a nurse who must wear scrubs, lab coat, Procedure covering gear, shoe covers, hair covering, face covering, and talk through discharge instructions with each patient. Are you sweating yet? Imagine this daily. Usually, the doctors will ask for you not to exercise until it is regulated as well. That would be awful for many who use exercise as a mental health boost. These people also often have muscle weakness, intolerance to heat, tremors, and diarrhea.
How do you Support Thyroid Naturally?
Eat a healthy well balanced diet with a lot of fruits and vegetables. (15 vegetable, 5 fruit/day0
Get enough protein (males 2.4 g/kg body weight per/day; females 1.9g/kg body weight/day)
Have some protein come from collagen.
Set a sleep schedule
Use a Good Quality Vitamin.
Each iodized salt
Eat crustaceans (selenium, iodine and zinc all support thyroid).
Eat Brazil Nuts (4/day for selenium requirements)
Get tested Early and Often.
As young as 18 but before age 24. (normally recommended at age 32)
Run a FULL Thyroid panel (most run TSH and Total Thyroid)(2)
In the last blog on the 25th of February, You may have noticed that I mentioned regular bowel movements as a way to loose weight. Or that not having 3 bowel movements a day can cause weight gain. So Why is this?
Constipation is the Devil when it comes to Detoxification
Constipation occurs when our food bolus byproducts move through the intestines too slowly. This can be caused by a bunch of different factors, so let’s go over a few.
Your Body needs between 80-120 ounces of non-caffeinated Fluids a day, mostly from water. You can have 4-6 ounces of juice or lemonade. Even the occasional Sprite or decaf root beer. But mainly, it should be water
water helps bulk up stools so they can pass easier through the intestines
Sticky materials move slower, so hydration makes them less sticky.
Hydration is key daily throughout the, not all in one day or all at one time. I’ve heard many people say they drink 90% of their water before lunch, yet they still eat dinner. That meal has trouble making it through because less water is still available to move it.
the number one reason you can not loose weight is that your body is storing toxins as fat.
The environment, Food, Stress daily causes toxins to increase.
Bowel movements, along with perspiration (Sweating) and Urination are the number one ways to eliminate Toxins
You stop STORING that weight of your Poop.
Some individuals carry up to 20 pounds of poop inside them
Gas is not longer trapped, causing you to weight less, because the poop is exiting as well.
If you get rid of the toxins in your poo multiple times a day, there is less to cause inflammation
You dont strain to go to the bathroom, decreasing the risk of inflammation, hemorrhoids and fissures in the colon/anus.
What other things cause constipation?
A variety of things can cause more constipation that the list above. Some of those include viruses. In June of 2016, the Yale Daily News reported finding that herpes type viruses, including shingles, epstein-barr and chicken pox, could cause constipation.
The Westchester Health Blog indicated that parasites are often linked with constipation. Bloating and gas as well as 8 other symptoms could indicate that you have a parasite.
A slow gallbladder can also cause constipation.
What should my Bowel movement look like?
Remember too that constipation can look a variety of ways. Difficulty going, not going enough, rabbit like pellets, stools that have lines, cracks or fissures.
Your Stool should be somewhere between the texture of a ripe banana to soft serve ice cream. It should take you less than 10 minutes to complete a bowel movement. You should not have to “bear down”, grunt or hold your breathe. And it should occur no less than 3 times a day, but optimally 4 times daily.
How many of you have tried a “detox”, “Cleanse” or a “reset”?
How many of you gained weight during that time?
I did. Every February for a decade, I did a 4 week detox and reset. I focused on getting 15 servings of vegetables, 3 servings of fruit, and 3 6ounce servings of Protein a day. I skipped the caffeine, cut out sugar and had NO PROCESSED FOODS. The last two years that I did that cleanse I gained 12-14 pounds of fat in 28 days.
How do I know it was fat?
None of my pants fit. which meant it was abdominal weight gain. That weight gain is ALWAYS fat around the organs. It is also the most dangerous type of fat. Because it causes metabolic disorders like: Heart Disease, PCOS, Diabetes, Infertility, Menopause, Kidney dysfunction, Fatty Liver syndrome, etc.
So Why did it happen?
If you remember from last summer, I wrote a blog about Lemon water and detoxification. That Blog is important because it contains information about why we gain weight.
“The solution to pollution is dilution”
Your body only knows one way to “dilute” toxins. Toxins come from all over the place. The air, the food that we eat, The Body products we loose, The STRESS we don’t manage. IF your body can not get rid of the toxins, it will store it. The place it stores best, because it is the most binding area, is FAT CELLS. If your toxic load is too high, you will store in the fat cells.
What other things make you hold onto your fat, instead of burning it?
NOT Pooping 3 times a day
Failure to defecate a few times a day causes the toxins to be re-absorbed into the blood stream.
If your hormones are out of balance, particularly if you are estrogen dominant, No Nutrition Plan will work. IT is important to get hormone testing done each year after the age of 30, First Pregnancy, or infertility issues. So what hormones?
Vitamin D deficiency was labeled as having 25(OH)D3 less than 50nmol/L.
In Functional medicine, we would like to see this number closer to 70nmol/L;
but most physicians say that 33nmol/L is adequate because it falls in “normal range”.
VitD is the number one vitamin used to repair ALL tissues and is the Backbone for every hormone produced in the body, including thyroid.
Thyroid dysfunction that is Misdiagnosed.
Most physicians don’t order a TPO antibody test. This test can indicate AUTOIMMUNE thyroid, which requires a different medication than Synthroid
Many people on Thyroid meds still suffer from poor sleep, foggy brain/memory, thinning hair and eye brows.
Thyroid isn’t tested regularly, even with a family history, until age 32. If you have family history, start asking for it to be tested annually at age 20 or if you have irregular or heavy menstruation; Difficulty loosing weight, fatigue that seems excessive.
Your genetics can cause obesity for a variety of reasons. In this blog I cover some of the reasons. What is the most important thing to know? Only 5% of the world actually has a FAT gene. But, other genetic factors can lend to increased weight/mass on the body.
Oxidative stress: In the world outside our bodies that looks like rust. On us it looks like dry, dull skin, wrinkles, inflammation and weight gain
Inability to Methylate: your body uses B vitamins to produce and recycle some hormones so that your body has less stress. It also uses B vitamins as a methyl donor for Glutathione. This is the most important antioxidant that you can use in the body for tissue repair.
Poor Detoxification Methods: Sometimes we are genetically set up to fail in Detoxification through the liver. This organ does 87% of detox in the body, so it’s important to support these pathways.
Poor Lipid metabolism: some of us are predisposed to have the ability to burn fat and eliminate cholesterol. The only way to manage this is with a LOW FAT diet and exercise. These people DON’T respond to cholesterol medications.
Parasites, Mold, Heavy Metals
When most of us do a cleanse, we focus only on foods, but we forget things like metal fillings in our mouth. We forget that Parasites can come from ANYWHERE and can pass undetected until they cause a health crisis. Mold creates so much dysfunction in the body that it can not work on healing, it can only focus on fighting.
It takes a different type of cleanse to get rid of these types of infections
Lyme disease can be included here
epstein-barr can be cleared through this type of cleanse.
If you have more questions about doing an in-depth cleanse, Let’s Talk. Set up a Discovery Visit Here.
Today, I want to talk about weight loss and health goals.
3/4 people set a goal of weight loss each January
According to consumer reports, 75% of Americans want to loose weight each year. 68% of them report they will use cardio to do it. But, as we should all well know by now, running on the treadmill won’t get the results you want.
Why Cardiovascular activity isn’t enough:
Let say that in a day, you take in 1800-2500 calories. Those calories start with a 480 calorie drink from Starbucks and some egg bites or an egg sandwich. Near 10 am, you have s light craving so you wander to the break room (read kitchen currently in this pandemic) and look at what’s available. You choose the one donut that is left. At lunch time you think you’ll eat a bit healthier, so you grab a salad with a hardboiled egg, some bacon and avocado. Then you put on the ranch or blue cheese dressing that comes in the package. You also have a cookie at the end of lunch, because, hey, you ate healthy. you can cheat, Right? Then for dinner you have chicken and rice.
You calorie intake: closer to 2900; Fat intake: 108 grams; Carb intake: 178 grams; Sugar intake: 98 grams (15 is daily requirement); Proteins intake: 81 grams
This is the standard American diet (SAD for future reference).
“You can’t out run a bad diet”
This statement is more than true, but what is a good diet? How do I make adjustments? What Diets are not fads?
KETO: According to Wikipedia, the diet is high fat, adequate proteins, low carb diet used in medicine to treat epilepsy. The diet brings the body into ketosis by having the liver convert fatty acids into ketone bodies that cross the blood brain barrier. Ketosis occurs in the absence of carbohydrates transitioning into glucose. The diet originated in the 1920s.
This brings up the question: what is adequate protein? Answer: 1 gram of protein for every pound body weight at a healthy weight. Avg female is 115g-145g/day Avg male 145g-190g/day. Keep in mind the body only absorbs between 28-40 grams at a time. And that can be based on activity level. After a strenuous workout your body will use more.
What is low carb: 75-100 grams.
Calories: 1 gram of fat = 9 calories; 1 gram of carb or protein = 4 calories.
Who should NOT do this diet: people that already have ketones in their urine due to diabetes, or other metabolic disorders. People with Kidney dysfunction, kidney stones, or kidney and bladder infections. People who lack a gallbladder, have high cholesterol or have pain after 30 minutes to 2 hours after eating.
When and how long might i do this diet: 6-8 weeks maximum to train to the body to burn fat for fuel. Then switch to High Protein Nutrition plans.
Calorie restrictive: 1200kcal
This diet again should be maintained for short periods of time because it can have health benefits, but also detriments.
You must focus on hitting your protein goal daily and not eating processed foods so that you can eat plenty of vegetables and 3 servings of fruit per day.
This Type of eating should be “Cycled” in a fashion of 6 weeks on 6 weeks off or 12 weeks on 12 weeks off, depending on how much weight you have to loose.
Daily goals: Protein 125, Carb 100 or less, fat 35-45 depending on carb intake.
Paleo: goal of 1800-3500kcal per day depending on fitness, age, sex
Originally posited as a healthier way to eat in 1890; Made famous in 2002 with the book “The Paleo Diet”
5 Previous books also exist.
Goal is to eat absolutely No Processed foods, No Dairy, No Alcohol, No Salt, No Processed Oils, No Coffee, No Grains, No Sugar and No Legumes.
You can eat Honey and Pure maple Syrup when In Season only (think spring/summer.)
Fairly similar to the Mediterranean diet when looked at overall. Think 15 servings of veggies and fruit, 6 oz protein each meal. Almost no processed food. (although does allow alcohol and 2-3 oz espresso daily).
Mediterranean Diet: Goal of 1600-3500kcal daily based on activity levels and Weight loss goals.
Consume 6-8 oz of vegetables 3-4 oz of fruit 1-2 ounces of yogurt or cheese and 4-6 oz of fish, lamb, or bird (Chicken, Turkey, pheasant, quail, etc) each meal.
Snacks are fruit or vegetables, including olives and nuts
You can have 6 oz wine daily. 2-3 oz of espresso, without sugar and milk, daily
1 serving of grains (unrefined) per day or 1/2 cup
Started as research in the 1960s regarding why Americans have more health concerns like heart disease, obesity, diabetes than Mediterranean European Counter parts.
Also shown to reduce risk of Depression, Alzheimer’s, Seizures, Cognitive decline.
Intermittent Fasting: around since 1915, there are a variety of options: Calorie goals should still be 1600kcal-3500kcal on the feeding times based on activity levels, weight loss goals, age and sex.
8:16: you limit eating to an 8 hour window and fast for 16. Many recommend starting to eat later in the day as dinners out are more likely social events than breakfast. You should still stop eating 3 hours prior to bed time, or 7pm; which ever comes first. So daily you would eat between 11am-7pm.
5:2 You Pick 2 days out of the week to fast, not back to back in the beginning, and then eat in a 10 hour window on the other 5 days. (See Proposed Schedule below)
Sunday eat between 10am-6pm
Tuesday Eat between 10am – 6pm
Wednesday Eat between 10am-6pm
Friday Eat between 10am-6pm
Saturday Eat between 10am-6pm
6:1 This way has you fasting for 14 hours, eating for 10 hours for 6 days, complete fasting for 1 day.
Sunday eat between 10am-6pm
Tuesday Eat between 10am – 6pm
Wednesday Eat between 10am-6pm
Thursday eat between 10am-6pm
Friday Eat between 10am-6pm
Saturday Eat between 10am-6pm
2019 study showed reduced risk of
High Blood Pressure and
Important things to note:
If you have a sweet tooth, don’t keep sweets in the house. You will pop those in your mouth first after a fast and undo the good you did by fasting.
Diabetics should always consult physician and monitor numbers regularly (every 2 hours) until the body adjusts to the schedule
Exercise will likely be impacted
Strength training is the best way to loose FAT
I am sure you have heard the saying “Muscle weighs more than fat”. Well, that is inaccurate. The truth is muscle takes up less room that fat of the same weight. By almost half. So if you want to loose fat and be healthier, you have to build muscles.
Another misnomer is that strength training makes women bulky. NOT TRUE. Strength training, when done correctly, can actually trim you down at the waist, bicep, thigh and calf. Instead of focusing on a lot of weight, spend 6 days a week doing weights with 4/6 2-3 sets of 15-20 reps. You will get great tone, no bulk and improved strength. I can attest to this. I’ve been lifting heavy 3 days a week for the last 18 months. My thighs have lost 1/2″, but I have gained strength in my squat, Hamstring curl and dead lift. The other 3 days I focus on lots of reps with very little rest. I also do no less than 20 min cardio to warm up each session. Did you see that? 20 Minutes. Then, on day 7 I do a recovery cardio day.
Recovery includes family bike rides, hikes, walks. A light easy swim, Walk on a treadmill if the weather is bad, Rowing machine. All of it at “conversational pace”. Meaning I could sing the national anthem while still doing the activity without much effort.
One TRUTH that you need to hear: Muscle takes energy to maintain. That means that even at rest, the more muscle you have, the more calories you burn.
Where Do I start with strength Training then?
I use an app where a coach guides me through a series of questions to determine the right programming. The app allows me to take pictures, Measurements, Weigh in, Track food, Track Reps and sets with weights of each activity prescribed. I can also write notes about sleep, how I felt, what stressors were present, etc.
There are a bunch of these fitness apps. Mine is $50/year. If you want the link, email me
YouTUBE. There is so much stuff out there. You can find a workout with sheets as the resistance. No other equipment required.
Ask a friend who already works out
Search fitness on instagram or FB
What about the TIME it takes?
If you can not carve our 40 minutes a day for yourself, look at your priorities. I own a business, work 50 hours a week, run an online business, have twin boys in separate sports, cook a family dinner EVERY night and I still exercise EVERYDAY. I don’t do much social media and I don’t watch TV. I am an avid reader (2-3 225 page books/week).
Many of you know that since January of 2020, I have incorporated Essential Oils in my practice. I use these oils to help with Air Purification, Calming, Relaxation and support of certain systems of the body. This decision did not come lightly. You see, I was introduced to dōTERRA back in 2011 when a friend of mine asked to borrow the clinic to host a class. I willingly gave her the space to use for free, but was not interested in joining her team. Over the years, many have approached me about different MLM Oil companies and asked me if they could simply use oils from Sprouts and Whole Foods.
After doing some research, I would tell people that they should not ingest the oils unless they could get independent testing results. It turns out, most of those companies won’t release all their testing results and they do it in house. Even as a medical professional, they would not release oil testing results to me. One particular company even goes so far as to say in a letter to its Sales Associates that they don’t need to give the results. The people should just believe what they are told.
As a Consumer, How do you know what to buy and use or not use?
This one is hard. You see, the incorporation of essential oils into my practice came after i received my Functional Medicine Certificate. I was on a web class discussing hormone pathways and support for those pathways and they kept mentioning things like Peppermint Oil, Grapefruit Oil, Majoram, Fennel, Frankincense and Cinnamon and Clove Oils. This company that was doing the education only provides one service: Urine and saliva testing of metabolized hormones.
They don’t sell oils.
They didn’t recommend a brand
They didn’t say internal or external use.
So I did more research…
This is why I USE and Recommend dōTERRA Oils.
Yes they are an MLM, but you can ask my up-line, I have no builders, just customers. In fact, I probably should have signed up to just be a retail seller as it would make more sense currently, but retail purchase is expensive for a minimum order and I wanted to try them first.
86% of all of the company sales are customers, not SELLERS
they have a 68% return purchase rate for multiple years of re-purchase
They are the only one I could find at the time that really backed what they said in ALL aspects.
Many Don’t Believe me
Yep, Every oil company will tell you the ethically source. They will tell you that they don’t adulterated or alter their product. they will tell you its organic. They will even tell you that they get their oils the same place dōTERRA does.
Don’t believe it. In Many independent studies, not just one, dōTERRA comes out above its competitors.
Of the 10 who’s reviews stay up, Améo Oils and dōTERRA are the only that make the cut.
Brands hat you find at area stores like NOW and Aura Cacia are tainted. Brands that you order online that claim to source from dōTERRA sources are tainted like RockyMountain Oils and Plant Therapies.
This Letter https://tinyurl.com/y44glwtu show legal action taken against Revive Oils for its misrepresentation and it references another oil company. You can look up that long standing feud as well, and how a Judge with independent labs said no, that product is adulterate.
Synthetics Cause Harm
As a Medical Provider and Functional Medicine Specialist, My job is to first o no harm. Turns out, 90% of side effects could be eliminated through a few tests and removal of synthetics from our food, diet, and drugs.
Have you noticed the drug commercials with the lists of side effects at the end that are as long as the product information?
Genetic testing like the DNAMedCheck can indicate if you should try a certain type of drug to help with your particular health concern. the DNAHealth Test can also indicate if your genetics are even likely to benefit from the type of therapy recommended. For instance, My body does not process lipids well. Turns out I also am not likely to benefit genetically from statins to control cholesterol. The best recommendation: Diet of low fat and Exercise. Not a Statin drug for cholesterol.
Plant based Therapies have been around for years. There are independent studies done that show that specific essential oils in combination with antibiotics boost effectiveness in drug resistant bacteria and viruses. Notice is said in combination. Here is one Example
This Example shows the immune boosting properties of some oils to support the body’s natural processes.
If we can recommend plant therapies in conjunction with drugs with harmful side effects, why would we not? Could we lower the need for the medications with harmful side effects by supporting the body rather than fighting it? In studies on Cinnamon and Diabetes, it turns out that a lot of blood markers improved. Cholesterol, Glucose, triglycerides.
The hard part is leading the horse to DRINK. Most, if not all, Chronic illness in the United States are caused by the Standard American Diet and our lack of Exercise. So just like anything else, Oils are NOT A CURE for anything. But neither are drugs. Both are meant to support a system to obtain better health and then remove it until a time when it is again necessary.
Problem: High rates of fast food, poor quality high carbohydrate processed foods, lack of regular exercise that includes both resistance and cardiovascular training, Poor Hydration to move things through our digestive tract and high intake of sugary drinks.
Solution: Exercise 6 days a week for 30 min of cardio vascular, 30 min of resistance training. You can not our run a bad diet though. So 2-3 Meals a day focused on 6 oz of LEAN Protein, 1 cup of veggies that are green and 1/2 cup of Fruit, legume or grain (oatmeal, rice, corn, quinoa, Millet). Calorie goals should be 1500-2200kcal/day. with 50% – 60% coming from protein. Water intake minimum should be 80 oz. With exercise and a dry climate, 100-130 oz.
Supplementation: with essential oils to promote immune health, detoxification and help with seasonal threats. With Omega 3s to assists in brain health, cardiovascular health and joint lubrication. Vitamin D for tissue and hormone repair. B vitamins for the nervous system.
I started writing it the first week of July 2020. I struggle with it because I know people who struggle with Body Acceptance. I Know people who Body shame others. I know people with significant Body Dysmorphia and Eating disorders.
One of my goals as a Functional Medicine Wellness Coach is to Empower People to Health. So I feel obligated to write this particular article. But also, obligated to be vulnerable with you and caring in what I write. There is a Movement called Health at Every Size, or HAES for short. It wants people to recognize that a person who is Morbidly Obese can be as healthy as a person of “Normal” size. (20-25% body fat in the pictures below).
HAES challenges some of the key assumptions of traditional approaches to weight management. These include
that adiposity poses significant morbidity and mortality risk,
that weight loss will prolong life,
that anyone who is determined can lose weight and keep it off through appropriate diet and exercise,
that the pursuit of weight loss is a practical and positive goal,
that the only way for people living with obesity to improve health is to lose weight, and
that obesity-related costs place a large burden on the economic and health system, and this can be corrected by focused attention to obesity treatment and prevention
Principles of HAES:
Movement for health not weight loss or performance
So What does the research say?
HAES says that not every approach works the same on each individual and a 2015 Study in the American Journal of Public Health denounced HAES research stating that While the exact proportion of obese people who are metabolically healthy varies depending on what criteria are used to define both obesity and health, it is smaller than the proportion of obese people who are not metabolically healthy. As it is currently not possible to predict which people will remain metabolically healthy despite excessive weight gain, it may be dangerous to make blanket community statements that people can have health at every size.
Interpreted: We are unsure who is really healthy and stays that way according to cardiac and lung function, Diabetes as well as Cholesterol levels. This also includes things like Sleep Apnea.
Study published in the Journal of American Diet Association in 2005 Showed that persons of obese nature improved metabolic fitness in cardio, lipid profiles, social behavior, depression and self esteem. But Intuitive eating not without risks: Food is calorie dense and nutrition deficient, which allows for people who lack satiety gene to over eat, as they don’t feel full, Causes those with sweet tooth gene to eat more sugars which lead to further obesity and then other health concerns. Cost of Nutrient poor versus nutrient rich foods is significantly different and has a significant impact on Socio-economic habits and allowances. Then the environment which someone grows up in with genetic predisposition for obesity or thinness.
On top of all of this, body acceptance is lacking world wide in the female population. The Number of women who berate themselves daily about weight, acne, size of hips or thighs is remarkable. It shows how we look at the world as a society and what society believes is attractive versus what’s healthy is out of balance. There is also research that has been published on the difference, particularly in women, on how providers see and treat women. It showed that if a woman was obese, no matter the reason for her visit, she was more likely to be lectured about weight ad diet. A woman who was put together with good clothing, hair, makeup was less likely to be taken seriously regarding pain. Also, a woman who was dressed in sweats, hair in a bun and no make-up was looked on as drug seeking if there was a complaint of pain. As providers of Healthcare it means that we need to be aware of the bias we come to the table with and try to think of the person in front of us. Try and connect more intimately with the complaint they have in front of us and try and treat equally, regardless of size.
Here is some startling information: If you use the calculator found here:Calculate BMI and HERE: Calculate Body Fat You can get a sense of where you fall according to Normals. I have a BMI of 25.1, putting me at obese. My Body Fat with this crude calculation is 36.5%, placing me also in the obese category.
Moving for health, Not Fitness
Movement for health is a great tipping point many have difficulty overcoming, Particularly in the Endurance category and Body Building Category. The ability to just go for a walk to walk and enjoy the outdoors is lost on many. The use of E-bikes has improved the number of persons in a specific socioeconomic class enjoying trains throughout the cities in the US recently. The other portion of this coin is Movement sometimes takes an inner motivation that people don’t possess and therefore need a significant amount of goals or push to get the exercise in.
The Skeletal system:
Whether or not a person with excess weight develops metabolic diseases such as diabetes or cardiovascular disease, sooner or later the mechanical effects of excess weight and the resultant gait abnormalities, combined with systemic inflammation, are likely to take a toll. As one example, adults who are overweight have a 2.2-fold greater chance of developing knee osteoarthritis than those with a BMI under 25 kg/m2, and this increases to a 2.6-fold greater risk for adults with a BMI of 30 kg/m2 or more. Moreover, every increment in BMI contributes to escalating difficulties in performing activities of everyday life, such as walking, getting out of a chair and climbing stairs.
How do we know that inflammation happens overtime with obesity? Studies of adipose tissue show that they have their own homeostasis in relation to Hormone secretion and cytokine production. The Adipose or Fat tissue actually makes its own estrogen and Cytokines. In the current environment with COVID-19 showing a Cytokine storm as the leading cause of Intubation in ventilator use, we know that an Obese person is more likely to suffer this fate. Intubation comes with a host of problems later down the road such as poor lung function. Poor lung function leads to decreased ability for the Cardio-respiratory system to keep up with the body’s needs.
In addition to this, Cytokines can actually cause destruction of small Blood vessels in the capillary beds.
After this time, carrying excess weight may become ‘hard wired’ into the parts of the brain that regulate body weight, and it may be almost impossible to make any changes at all. In normal animals, exposure to an energy dense diet that is high in fat, or high in fat and sugar – similar to the default diet of modern societies – initially leads to physiological changes that would tend to counteract weight gain, as recently reviewed
The study by Sainsbury showed that animals originally will stop eating or eat lighter meals when exposed to high sugar and high fat diets in order to regulate body fat. This is done by the hypothalamus supporting release of Leptin. What happened over time though was that the animals became leptin resistant in a period of 9-12 months and then developed higher body fat and lost the ability to feel satiety. They never felt full, so kept over eating.
Studies in 2006 and 2007 showed that Obese Rats that were continually fed the same diet developed a leptin resistance. In the 2007 study, Rats were able to “reset” Their Leptin resistance and become a healthier weight again with dietary changes. However, the 2006 study showed that the rats actually reached a “Set Point” that was higher than the original point at which the body thought it was healthy. This is why some people say things like “I have to starve myself to get below X and maintain it.” This is where the Genetics come into play. If you are predisposed to weight gain and have a difficult time taking it off, using Lipids circulating in your blood as energy or converting stored fat to energy, you may develop a higher “set point” This is the Definition of epigenetic. The effect the environment, including nutrition, has on the genes you were born with. The really dangerous part of that: IT leads to future generations of obesity due to the fact that the DNA is changed.
The HAES movement says wait until it is convenient to do something about the weight. Epigenetics says you can not waste that time. By Age 50, it may be too late. If you have a family history of obesity and you want to see positive changes for your future generations, it should start prior to pregnancy and certainly through your lifetime and the child’s lifetime. That does not mean Body Shaming. It means education about healthy choices and responsibility. It will take 3 generations to DAMAGE the DNA and 5 generations to REVERSE the Damage.
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Blagojevic M, Jinks C, Jeffery A, Jordan KP: Risk factors for onset of osteoarthritis of the knee in older adults: a systematic review and meta-analysis. Osteoarthritis and cartilage / OARS. 2010, 18: 24-33. 10.1016/j.joca.2009.08.010.
Enriori PJ, Evans AE, Sinnayah P, Jobst EE, Tonelli-Lemos L, Billes SK, Glavas MM, Grayson BE, Perello M, Nillni EA, Grove KL, Cowley MA: Diet-induced obesity causes severe but reversible leptin resistance in arcuate melanocortin neurons. Cell Metab. 2007, 5: 181-194. 10.1016/j.cmet.2007.02.004.
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Size acceptance and intuitive eating improve health for obese, female chronic dieters.
Bacon L, Stern JS, Van Loan MD, Keim NL, J Am Diet Assoc. 2005 Jun; 105(6):929-3
Is it because we don’t really know what that means? Is it because all anyone can say is “Tax the Rich More”? Does anyone, including your congressional Representative, understand why the system works in places like France, Finland, Norway, Germany and Canada?
Let me explain, in simple terms, what Medicare for all would need to look like to work effectively.
In Germany, the system works well for most people. Everyone kicks in what they need to in Taxes. Taxes that are fairly qual across the board. The Government then controls costs of services in some manner. The manner is how much prices for tests, drugs, and procedures can be set initially and then also increased to account for inflation. The other reason it works so well: Less Administration, more Healthcare Workers. Germany’s system runs on 10-15% of all healthcare jobs, including at the insurance level, being administrative, non-billable persons. The US is more than Double this rate at 23%. That is up from 8.3% in 2016.
In France, the Taxes are around 46% of income. Do you know what they are in the US? 24%. Thats right. Just above half. Now, I am not saying that you can not tax the rich more, but everyone has to have a tax increase. One of the benefits of the systems in Europe that are Thriving is that all persons believe that healthcare is needed. They all know that they need to contribute when and where they can. And They ALL understand that everyone plays a part, not just the wealthy. What we need, to support the claim of Healthcare and Education for all, Is Higher Taxes. I know, shoot the messenger. But with Trillions of dollars in deficit, How do we expect to cover this “Right” as some like to call it.
Where is all the Money in Healthcare Going?
In the US, Administrative jobs in healthcare have grown 3000% since 2007. If you don’t believe that the cost of healthcare has gone up because the cost of employing these persons, think again. But why do we need so many non-billable persons administrating what gets done? Rules and Regulations put in place by Insurance companies. Legal Suits Filed for the smallest incidence of something going wrong in a surgery, that maybe couldn’t be helped. The act of trying to “Manage Costs”. The staggering statistic that 1 in 8 Americans or 16million persons are employed in Healthcare in the US, yet this number does not include the Insurance and Pharmaceutical industry according to the US Bureau of Labor and Statistics.
To Summarize what we need to make Medicare for All Work:
A Global across the Board increase in Income taxes by no less than 10%. At EVERY tax bracket.
Decrease in administrative Roles in Healthcare to bring back the 1 admin for every 4 providers ratio (according to the 2015 AAFP the ration is currently 3 admin for every 1 Provider)
Limits in Prescription Drug Costs
Personal Accountability for Health in Nutrition and Exercise Recommendations that are Followed by the Patient
Decrease the Hoops to Jump through to Access Care.
Lawsuits only filed in case of wrongful death or injury due to negligence or not following the Gold Standard of Care
So when you see that A. O-C. or other Democrats are asking for, look at all of their statements. Alexandria Ocasio-Cortez Clearly states that she thinks healthcare and education programs like those in Finland, Germany and Norway could work here in the US. Her statements clearly include Trade School Education too, not just 4 year university.
Yes, it’s a socialistic ideal, but so is Medicare, Medicaid, and Social Security as well as Welfare, Food stamps, Section-8 housing, Headstart Programs, and Daycare assistance Programs. In some extent, so are Pension Plans that are outdated and bankrupting companies.
*Statistics taken from Taxinfo.org and BLS National website.
Toxic Load refers to the Accumulation of toxins in the body from ingesting them in the air we breath, food we eat, water or other things we drink and exposure to chemicals from lotions to cleaners. Toxic load is further affected by Genetics. If we have failed or broken Toxic removal pathways, Our ability to tolerate toxins is lower.1
What does that mean for you? Well, A lot of people don’t realize that they are exposing themselves daily and what to do to reverse exposure. If you use pesticides, household cleaners from a brand store and eat non-organic GMO food, you are exposing yourself. You also expose yourself to toxins if you live in an area with high radiation, overhead power lines, poor air quality and Highly dense cities. People who live in the mountains and countryside have fewer daily toxin exposures from city persons, but they may use chemicals in farming or farming equipment that cause a toxin load to increase. =
Toxin Build Up in the body has been linked to cancer, autism, neurocognitive decline and Mental health issues.3 It also leads to chronic autoimmune conditions. Many people can reverse simple disorders with doing a full metabolic detox. The most
common thing to start with is increased water intake. If you have high exposure to toxins in your environment, You should aim to drink 100 oz of water a day. If you are exercising, particularly outside with poor air quality, aim for 120oz per day.
Let's talk about Bathroom habits:
Many people think it is not a problem that they only poop 1-2 times a week, but that lack of excretion causes a lot of toxins to build up in the gut.(4) The gut bacteria then start to grow out of control for the bacteria that make you crave more unhealthy foods and sugary drinks. They can actually tell your brain that you don’t like vegetables. Unbelievable right? Read the book the Gut Brain. It goes in detail about healthy gut bacteria and healthy brain function. There is even some research to suggest that people with poor gut bacteria
are more likely to be overweight than people with good gut bacteria.7
Urine is a great way to get rid of toxins as well. Your kidneys filter out some things that are not processed by the liver and things that are processed by the liver and concentrate the urine to get rid of the un-needed items. They also have the ability to filter out toxins and concentrate them into the urine and push it out. Going Pee, every two hours is a normal amount, which means that you need to drink enough water to get to the bathroom every two hours.
So what if we could help you with Bathroom habits and Detox and get your body supported in a Natural way?
Digestive enzymes are a great way to improve bathroom habits. A lot of people have concerns about probiotics, because they have heard mixed reviews about them. The problem with probiotics is this: Not all are created equal, just like supplements. You want to go with a refrigerated Probiotic in most cases. One that is not stored in Sugar (think yogurt). If you don’t want to go Probiotic route, go with digestive enzymes and Prebiotics. These things help break down food so you can better absorb it. This then makes it so that you can ease bathroom habits.
Another Way to detox is drinking Lemon in the water, particularly in the morning and keeping it warm. Not hot, But warm. Lemon has high levels of limonene in it, which helps the liver detox well. Another way to help with detox is to do a cleanse. That cleanse can be for the Gut, the Liver or the Kidneys, but typically they all go hand in hand. A typical cleanse can go from no less than 10 days up to 90 days. It depends on the toxic load. 10 days can help you clean out, 23 helps you actually detox and form habits, 90 days will restore your health. This is the primary way that you start to reverse damage to the body.
The hardest part about a cleanse is Budget. Whether it is time or money, budget is the most common complaint. Often, I will also hear “I can not eat like that because my family doesn’t like it”. Well, If your family is eating the same as you are right now, what is their toxic load? Are you wanting to start the family out with poor health or great health? 90 days to change the eating habits and health of your ENTIRE FAMILY. Can you imagine the benefits? Less physician visits. Less medications. What does that cost you?
Essential Oils can also help with Detoxification as well. Lemon,
grapefruit, Cinnamon, Peppermint, Anise, fennel, Ginger, Caraway, coriander and Tarragon all help with Digestion motility. Increasing Digestive motility increases the body getting rid of toxins.
So what detox is right for you?
That is subjective, but in general, the goal should be to eat 100 grams of protein, 5 servings of fruit (½ cup each) and 7 servings of vegetables (½ cup each) with most being organic. Also, 100-120oz of water daily. Snacks to a minimum and healthy fat like a ¼ cup of nuts or ½ avocado with salsa.
Message me for more information about regaining your health.
Nutr Today. Author manuscript; available in PMC 2017 Jul 1.
1) Jones OA, Maguire ML, Griffin JL. Environmental pollution and diabetes: a neglected association. Lancet. 2008 Jan 26;371(9609):287-8./li>
(2) Lang IA, et al. Association of urinary bisphenol A concentration with medical disorders and loratory abnormalities in adults. JAMA. 2008 Sep 17;300(11):1303-10.
(3) Environmental Working Group “Study Finds Industrial Pollution Begins in the Womb” (www.ewg.org/reports/bodyburden2/newsrelease.php)
(4) McCallum, J.D., Ong, S., M Mercer-Jones. (2009) Chronic Constipation in Adults: Clinical Review, British Medical Journal. 338:b831
(5) National Institutes of Health (https://digestive.niddk.nih.gov/ddiseases/pubs/constipation/)
(6) Crinnion, WJ (2011) Sauna as a Valuable Clinical Tool for Cardiovascular, Autoimmune, Toxicant-induced and other Chronic Health Problems, Alternative Medicine Review 16(3): 215-225