The best way to drink

TGIF! I don’t know about you but my week was super busy and today isn’t any exception.

Monday night I attended a launch party for Bobbi Brown’s new book Beauty From the Inside Out. I contributed a section to this beautiful book, “About Alcohol”. Bobbi, like us at Foodtrainers, enjoys a cocktail but also likes sorting out the best way to incorporate alcohol and still feel (and look) good.

She had a pretty coconut water, seltzer and vodka mason jar mixture at the party.

Oddly enough, also this week, Men’s Journal wanted a nutritionist to chime in on hangover helpers. Now I personally do not encounter hangovers very often. For the most part I’m a one and done drinker but I also follow our 1:1 rule. More on that here. I know there are some health experts who do not drink and others who do not wish to publicize if they do. We're all for transparency in life (and with (clear) cocktails too.

Are you someone who likes a drink or prefers to pass? What do you drink? Do you think alcohol can be part of an otherwise healthy lifestyle?

Don't be burned but heartburn meds

If you’re someone who takes medicine daily, any medicine, it’s important to step back and consider whether you still need to be taking it. I’d also brush up on the side effects. While I’d love doctors to focus on getting patients off unnecessary meds, let’s face it medicine is a business. But if you, or someone close to you, are one of the 15 million Americans who take a certain type of acid blockers, there are some serious side effects.

There is a class of acid blocking (“heartburn”) meds called PPIs. Examples of PPI’s are Prevacid, Nexium and Prilosec. The concerns about taking these meds long-term have been out there; however, almost daily I have a client in my office who feels they’re totally safe.

Whenever I see one of these meds in a new client’s chart I ask a few questions.

How long have you been taking this medication?

Have you tried going off of it?

What modifications do you make in your diet for your reflux or heartburn?

The answers are quite similar. Most clients have been on their acid blockers for a while- usually years. They haven’t tried to discontinue them and they “can eat anything on these meds so there’s no need to change their diets.” Sigh. It’s so backward. The meds are like pain killers; they aren’t improving the condition. And just because you “can eat anything” doesn’t mean you should.

Stomach acid has important functions. We need an acidic environment for maximum vitamin and mineral absorption. On PPIs you see more bone fractures because calcium absorption is compromised. There have been cardiac side effects researched as well. There is an increased heart attack risk on PPIs. There’s also less gut diversity or less “good” bacteria when there’s less acid. Our gut flora is connected to mood and food cravings. Stomach acid helps digestion and prevents infection.

These meds should be used short term or occasionally. If you are interested in going off of your PPIs, you need to wean yourself gradually you can have rebound symptoms. As you decrease your dose, address your diet. For starters, try decreasing alcohol, sugar and caffeine. You can try a spoonful of apple cider vinegar diluted with water before meals. I also like a probiotic, vitamin D and glutamine supplement to restore your gut health.

While I only focused on these acid-blocking medications, talk to your physician if you are interested in discontinuing a particular drug. And yes, there are certain cases where you absolutely need a particular med, even the acid blockers. More often than not, this isn’t the case.

There's No Such Thing as Weight Maintenance

There’s a big misconception when it comes it weight loss. Actually, there are so many but I’m fixated on one today. Many clients, during their sessions say things like “when I’m on maintenance I’ll eat pizza” or “I’m going to keep exercising until I get to my goal weight.” The clients who make these statements are committed to their food plans and sessions; they just see their work as finite. To me, a commitment to wellness shouldn’t be seen any differently from a marriage. Can you imagine, unless you happen to be George Clooney, entering a long-term relationship saying I will love you until 2014? I hope not.

There was an article in the New York Times Magazine written by Tara Parker Pope, right around New Years. It was on the “most emailed” list for days so it was well circulated. The feedback I received was that people found the article, entitled “The Fat Trap” thoroughly depressing. Ms. Pope talks about hormonal and metabolic changes that occur with weight loss making weight loss more difficult the further you go. Also in the article is a profile of woman who goes to great lengths to maintain her results. We’re told that she weighs and measure her food, works out over an hour almost every day and keeps a food journal. I understand why some could be disheartened, it sounds like a lot of work. And yet, maintaining your weight is a lot of work (though weighing and measuring isn’t something I endorse).

The term lifestyle gets tossed around but many still view food modifications as means to an end (or a smaller end). However, there’s no graduation day or finish line with weight or health. There’s only a potential U-turn if you’re not careful. As for postponing treats or certain foods until you’re “done” that’s dieting 101. Learning to treat yourself and go back is one of the most important weight loss skills.  Few plan to live their lives without pizza (or other treat) so we may as well learn to have it, perhaps with a side salad, and not feel we’re off to the unhealthy races. Sure, the amount of exercise or food that works may be slightly different when your goal is to maintain your weight than to lose more weight but you still need to budget. II advise my clients that it’s better not to use the word “maintenance” at all, which seems to connote this food Shangri-La, and focus on doing that hard work every day.  After a while, it’s not as hard.

Do you think the word "maintenance" is a trap? I have my suspicions but where do you suspect this thinking originated? Did you read "The Fat Trap"?