2018’s Worst Most-Read Paper

In March of last year, the Journal of the American Medical Association published a viewpoint written by two experts in public health titled “Vitamin and Mineral Supplements. What Clinicians Need to Know”; it was one of the nutrition papers most read and most shared last year. The only problem is that clinicians really won’t find out much by reading it.

I’m going to pick one recommendation because everything after it won’t matter. The authors recommend that all clinicians recommend that patients get their nutrients from food. I absolutely agree with that. They go on to advise clinicians to tell their patients there’s no need to take any dietary supplements if they eat a healthy diet. That’s plain wrong.

We already know that over 90% of all adults do not get enough servings of vegetables, fruit, and whole grains every day—and it’s proven that food contains less nutrition than in the past—yet the authors did not recommend doing a nutrition analysis for the patient. With little to no information about the patient’s diet, clinicians are to tell their patients to eat a healthy diet, don’t take any supplements, and go on their way.

These are exceptional researchers; they know how poor the American diet is because they’ve done much of that research. To publish this opinion was incomplete in my opinion and thus it ranks as one of the worst papers of 2018. With almost a quarter million reads and shares passed along through social media and news feeds, millions read what they wrote, and it will influence millions. My opinion is that millions will be less healthy because they accepted these recommendations and dropped their nutrition insurance: their multivitamin and omega 3s and so on.

That doesn’t mean you take every dietary supplement that comes along. The rule is simple: know what supplements you take and more important, exactly why you’re taking them. And work on eating a healthier diet in 2019 as well.

What are you prepared to do today?

        Dr. Chet

It’s Time to Take Inventory

The New Year is here. For many businesses, it’s time to take inventory. Companies have to know what products and assets they have in order to plan for the upcoming year. If you’ve started or will begin a health improvement program, it’s a good time to take inventory on yourself. You have to know where you begin to track progress. Here are a few areas to consider, depending on your health improvement goals:

Body Mass

Weight is obvious. It’s also important to take some measurements such as waist, hips, chest, neck, arms, thighs, and calves. Tracking inches lost or gained allows you to know where you’re losing fat or gaining muscle. Not sure what you should weigh? Check out the body mass index chart on the Health Info page.

Fitness

There are at least three areas of fitness you can test for yourself or working with a trainer: cardiovascular fitness, strength, and flexibility. There are both simple and complicated tests for each that goes beyond the scope of this memo. The type of testing depends on the priority of each element in your health improvement program. I want to add some muscle mass, so I’m going to test for strength in my arms, shoulders, chest, and legs now and periodically throughout the year.

Medical Metrics

Resting heart rate and blood pressure are easy to test. If you’re working on pre-diabetes or cholesterol levels, you’ll have to get those tested by the pros. However, if you’ve made these a priority, you probably already know where you began at your last physical.

Finally, if you haven’t had a physical to check the medical metrics, get it scheduled. You can still begin your health improvement program without a specific goal in medical metrics, but do it ASAP. If you don’t know where you’re beginning, you have no idea where you’re supposed to go.

What are you prepared to do today?

        Dr. Chet

Before 2018 Goes…

As
this year ends, keep these points in mind as you plan your health (or any)
goals for 2019.

  • Forget what you didn’t accomplish in 2018. You can’t go back to change
    anything, but you can learn from it. If you tracked things, that is; keep that
    in mind for 2019. But no guilt for what you didn’t do. Everything has a season,
    and 2018 apparently wasn’t it for you.
  • January 1st is an arbitrary date to begin to run, to start a diet, or
    whatever else you . . .

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A Look Back to the Future

I
hope you’ve all had a happy holiday and are looking forward to the New Year.
I’m going to finish this year with my opinion of the most significant research
of 2018, studies that illustrate how diseases will be treated and managed in
the future. How far in the future? Hard to say, but sooner than we think.

https://fccdl.in/WxAqaFtG8c

Just
like last week’s audio Memo, you can listen . . .

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Merry Christmas

Paula,
our family, and I wish you and your family a Merry Christmas. As you can see,
our grandson Riley has talked to Santa and he’s ready!

No matter what your beliefs, every religion has a time for peace. We wish you peace today and every day. May your travels be safe, your holiday joyful, and your heart be thankful for your blessings. I hope that is what you’re prepared to do today and tomorrow.

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Tips for a Healthier 2019

Did
you notice there were no Memos this week? Maybe you were so busy with holiday
preparations, you didn’t notice. Rather than write long Memos during the week
before Christmas, I recorded an audio you could listen to at your convenience.

In
the audio, I give you three tips that can help you reach your health goals in
2019. Here is the link to listen:

https://fccdl.in/wxqhUWFlhw

You
can listen on your phone, your tablet, or your computer. If you have Bluetooth
in your car . . .

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Holiday Eating: Your Strategies

As we finish two weeks on planning for holiday eating, I’m turning it over to you, the men and women who read the Memo. There are excellent points in every approach.

This one encompasses just about every strategy and was the first response:

  • Lose weight before the holidays. Be conservative on helpings starting with Thanksgiving. Allow some small portion of goodies or dessert, trying to eat it after protein consumption and while still somewhat full. Try to exercise more—this is more difficult due to the holiday schedule of activities. Stand up every 30 minutes if you . . .

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Holiday Eating: Just Eat

The final strategy of dealing with holiday eating is to just dig in and enjoy every morsel. Christmas holiday foods are generally around during a very limited time. Most of us don’t have one holiday party after another, day in and day out, so just eat. Eat what you like and don’t give it a second thought. It’s just around for awhile and then it’s gone until the next year.

The important aspect is what comes next: reestablishing control. Eat a slimmed down healthy diet for several days to balance your holiday eating exuberance.

There are . . .

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Holiday Eating: Preload

The fourth strategy of dealing with holiday eating is to preload. The idea is to eat some things that are healthy or at least healthier. In that way, you will be partially full and not as prone to overeat. There are two ways to do this.

The first is to eat a salad with a variety of greens: lettuces, kale, spinach, asparagus. Tomatoes are fine as well as cucumbers. Just skip the cheese and protein and use a minimal amount of dressing. Add a soft drink, coffee, tea, or water to fill even more space. If you occupy space with . . .

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Holiday Eating: Modify Your Recipes

The third way of dealing with holiday eating is to modify the recipe—that is, if you’re doing the cooking. This approach can be tricky, especially if you’re baking, and you may want to do a trial run. In some recipes, it’s the chemical reactions between the nutrients that contribute to taste and texture. Simply trying to lower the fat content of a recipe or changing to an artificial sweetener such as stevia may not get the results you want. The sweetness of stevia may be altered by cooking or baking; less fat can change the texture . . .

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