The Cenegenics Times
Transcription
The Cenegenics Times
The Nutrition & Fitness Department Newsletter Issue 08 4th Quarter 2012 The Cenegenics Times Photo Shoots Enhance Your Motivation to Do It! Top 8 Holiday Workouts! s rap e W sh c ttu ty di e L r en ay pa k ic lid h C t ho a t ji erfec a F p LATEST FROM CENEGENICS ® Message from the CEO – John E. Adams As we enter the last quarter of 2012, it’s nonstop forward motion at Cenegenics. We’re excited to announce our newest center—Cenegenics Puerto Rico—has officially opened in San Juan. It is our first center outside the contiguous U.S., creating a doorway to the Caribbean, Central America and South America. Overseeing the center is our physician partner Dr. Claudia Villate, board-certified in internal medicine and an eight-year Cenegenics physician affiliate. Meanwhile, our Cenegenics Atlanta center moved to a new 5,000-square-foot facility to better accommodate its ongoing growth. Kudos to the center’s CEO/CMO, Cenegenics physician partner Dr. Randy Smith and his team . . . and much success at their prestigious new surroundings in Sanctuary Park. On the research front, Cenegenics had its scientific expert review—“Topical Testosterone Gel for the Treatment of Male Hypogonadism”—published in Clinical Medicine Insights, a journal of Libertas Academica. Among those joining our Chief Medical Officer Dr. Robert D. Willix, Jr. in the collaborative effort was Dr. Ernst R. von Schwarz, the Chief Medical Officer of the Heart Institute of Southern California/professor of medicine at UCLA’s David Geffen School of Medicine. Even better news? We’re developing new services, centers and programs to make 2013 another year where we go beyond medical excellence. Visit our news/blog site at CenegenicsPost.com. Like our Facebook Fan Page and follow us on Twitter. The official Cenegenics Facebook page: Facebook.com/Cenegenics If you’ve got a Twitter account, follow us here: Twitter.com/CenegenicsAMM Watch official Cenegenics videos: YouTube.com/CenegenicsAMM Message from the CMO Robert D. Willix, Jr., MD – Cenegenics Boca Raton CENEGENICS' PROACTIVE GOAL FOR THE HOLIDAYS You probably have forgotten last year’s holiday debacle—the guilt because your blood sugar had never been so high, not even your fat person’s clothes fit and you missed more workouts during the holidays than you actually completed all year. Well, it’s time for the blessed holidays to begin. It starts with too much candy on Halloween, then the pumpkin pie on Thanksgiving, the home-made cookies, pie and ginger bread or the dreaded fruit cake at Christmas. It then crescendos with the January 1st hangover and the New Year’s resolutions. • Set a goal to compete in a charity race with someone who never dreamed s/he could do any race • Let our Cenegenics team show you how to prepare for the holidays by lowering your risk with our anti-inflammatory nutrition plan • Donate your time or money helping the needy (e.g. work at a soup kitchen) Couple all these festivities with the guilt, the tight jeans, feelings of failure and slight depression . . . and you’ve got the holiday cycle. Break it! The number one reason for a family doctor visit is stressrelated illness. But the holidays don’t have to be stressful—if you change the pattern. Let’s start with a new paradigm from the Cenegenics' Proactive Guide to a Better Life. If you want to reduce your stress and have a rewarding holiday season, start thinking of how to reach out to someone you don’t know. 2 THE CENEGENICS ® TIMES Message from the Editor Jenn Zerling, MS, CPT – Cenegenics Beverly Hills It’s that time again . . . Happy holidays! Can you believe the year is already in its last stages? A s the year winds down, you have an opportunity to reflect on all your 2012 accomplishments and dive into your goal sheets for 2013. Throughout that process, it’s imperative to keep vigilant on your age management journey, not allowing your eating and exercise patterns to slip. Yes, there are celebrations in this season— delicious meals, and for some, the bubbly libations. But you also have the option of remaining strong within the fundamentals of leading a healthy way of life . . . yet still revel in the holiday spirit. This issue of the TIMES gives you tools on how to jam through the holiday season without losing focus. Your focus can easily shift when your schedule shifts. However, it is truly up to you to stay on track despite what the holidays bring. How? Schedule your workouts, your meal preparation and make the decision to follow through with each item you set for yourself every day. No matter how busy you get, take care of you so you can be the great executive, spouse, parent and friend that you are to others. By taking care of yourself, you optimize your relationships, both in business and personally—and you also feel physically, mentally and emotionally awesome! Another way to truly stay focused in your program is to schedule your annual exam. This exam is very motivating because it revisits your initial assessment results and allows you to get better. Call your program coordinator today to schedule your annual exam. It’s quite rewarding to witness your fitness levels, body composition, labs and other clinical assessments improve. You get to choose how you march into 2013. Will you possess an ambitious mind that clears the way for optimal health? Or will it be a repeat of last year? The choice is yours. The fitness and nutrition team is here to assist you to be at your best . . . after all, you certainly deserve it! Take your VO2 max results to the next level by switching up your interval program. Some ways of measuring improvement is retesting your VO2 max test at your annual exam, feeling your rate of perceived exertion strengthen during exercise, decreasing your recovery in between interval sets and, of course, through visible physique transformation. Connect with your lifestyle counselor at CenegenicsLivingOnline.com. We love hearing from you—and welcome any suggestions or feedback you may have. Email them to me at jzerling@cenegenics.com. 3 FITNESS Top 8 Holiday Workouts Alison Frerichs, CPT – Cenegenics Atlanta During this time of the year, many people find it challenging to incorporate an active, invigorating exercise routine into their tremendously busy holiday lifestyle and travel planning. H elp is here. Pick a workout for each day to improve lean muscle mass during the season. Most gyms have classes or trainers for more guided expertise TRX workout. Do squat rows with “Y Fly,” low rows, power pulls and one-arm curls. Rest one to two minutes in between exercises; exercise to full muscle fatigue or failure—typically to AMRAP (as many reps as possible). HIIT workout (high-intensity interval training). A sample program to follow: • Warm-up jog of 0.5 – 1.5 miles • Perform an alternating jog/run or rapid walk/jog for 2 miles. After every quarter mile (or 3 – 4 minutes), stop and do 25 pushups. Sprint the last quarter mile (or last 3 – 4 minutes) • Tricep dips (on bench or chair if not in a gym), 4 sets to failure • Pull ups (if no bar is available, substitute mountain climbers), 4 sets to failure Supersets. Choose two or three major muscle groups and superset each exercise (for example, chest/back or biceps/ triceps). Select two to three different exercises for each body part and perform two to three sets of each. Navy S.E.A.L. fitness. 46 situps, 47 pushups, 1.5-mile run in 13:05 minutes, 500-yard swim in 14:10 minutes (or do a run). Pyramids or drop sets. Once a week, change the rep range or weight amount for successive sets. No more than 60 reps recommended. DVD series workouts. Think P90X, Insanity or Cathe Friedrich. Pack them in a suitcase or download an application on your phone! Yoga. Do yoga for 45 to 60 minutes to stretch muscle fibers , improve core strength and relax your mind. Boot camp. Most gyms offer 45-or-60 minute classes almost daily—i.e. timed 60-second intervals in a full-body workout, variety of exercises, even plyometric exercises. Remember, your Cenegenics nutrition/ fitness counselor is always available as a resource for your specific nutrition and exercise needs. What's your heart rate zone during cardio workouts? You need to know. It can mean the difference between over/under training—or exercising at the right intensity. Make every cardio session count. Use a Polar heart rate monitor. Ask your fitness/nutrition counselor how to incorporate your heart rate zone into your fitness program. yy The EnergyPointer shows if the effect of your training is fitness improvement or fat burning yy Displays calories burned yy Comes with comfortable textile transmitter and coded heart rate transmission to avoid cross-talk 4 NUTRITION Inflammaging ... The New Word on the Street Barbara H. Schuman, ACSM-CPT, NSCA-CPT – Cenegenics Boca Raton Every day the media is posting news stories about the rise of obesity, diabetes, heart disease, Alzheimer’s and cancer. What’s not making the daily headlines is the most dramatic detail linking all these ailments. W hat is that? Chronic inflammation or inflammaging is a condition generally not treated on its own by mainstream physicians, unless it occurs alongside another complaint, such as arthritis. The stealthy silence of chronic, low-level inflammation conceals its devastating capacity to destroy our health at a cellular level and accelerates our aging process. • Chronic inflammation is activated through extreme calorie consumption, an abundance of saturated and transfats and excessive amounts of refined carbohydrates, which causes elevated blood sugar levels. Refined carbohydrates include bread, pasta, rice and all cereals. When sugar circulating in your blood stream comes in contact with proteins and lipids, a destructive reaction results in compounds called advanced glycation end products (AGES). These attach to the cell receptors activating numerous inflammatory molecules and genes associated with producing all the chronic ailments associated with aging. • Here’s how to combat inflammaging: To discover the inflammatory rating of most foods, go to www. inflammationfactor.com. A handy App called IFTracker (Inflammation Tracker) is available on the iPhone. Combining your knowledge of low-glycemic index nutrition with the food ratings on this site will help you achieve a higher-level success in the war against inflammation! • 2-6 grams of omega -3 fish oil per day resolves acute/chronic inflammation, reducing the occurrence and consequences of cardiovascular disease, metabolic syndrome, lung disease, neurodegenerative diseases and cancer. Exercise lowers the cytokines and pro-inflammatory molecules independent of weight loss. References 1. Karin et al. Innate Immunity gone awry: Linking microbial infections to chronic inflammation and cancer. Cell.2006; 124 (4): 823-825 • Avoid eating charcoal grilled meats blackened from high temperature. 2. Mosquera JA. Role of the receptor for advanced glycation end products (RAGE) in inflammation. Invest. Clin, 2010 Jun; 52(2): 257-68 • Increased soluble and insoluble fiber intake, 27-64 grams/day can decrease C-reactive protein (CRP) along with other inflammatory markers. 3. Francheschi,C. Inflammaging as a major characteristic of old people: Can it be prevented or cured? Nutr Rev. 2007 Dec;65(12 Pt 2):S173-6 4. Das UN. Essential fatty acids and their metabolites could function as endogenous HMG-CoA reductase and Ace enzyme inhibitors, anti-arryhthmic, anti-hypertensive, anti-atherosclerotic, anti-inflammatory, cytoprotective, and cardioprotective molecules. Lipids Health Dis. 2008;7:37 5. Gonzalez-Periz et al. Obesity induced insulin resistance and hepatic steatosis are alleviated by omega-3 fatty acids: a role for resolvins and protectins. FASEB J.2009 Jun:23(6):1946-57 6. Matasuyama W et al. Effects of omega-3 poyunsaturated fatty acids on inflammatory markers in COPD. Chest. 2005 Dec;128(6):3817-27 7. Tassoni D et al. The role of eicosanoids in the brain. Asia Pacific J Clin Nut 2008;17 Suppl 1:220-8 8. Wendel, Heller AR. Anticancer actions of omega-3 fatty acids-current state and future perspectives. Anticancer Agents Med Chem. 2009 May;9(4);457-70 9. Bruunsgard, H. Physical activity and modulation of systemic low-level inflammation. J Leukoc Biol. 2005;78(4):819-835 10. Viassara H, Cal, Crandall J et al. Inflammatory mediators are induced by dietary glcotoxins, a major risk factor for diabetic angiopathy. Proc Natl Acad Sci USA. 2002; 99(24): 15596-15601 11. North et al. The effects of dietary fibre on C-reactive protiein, an inflammation marker predicting cardiovascular disease. Eur J Clin Nutr. 2009;63(8);921-933 12. Gordon et al. Adrenal and gonadal steroids inhibit IL-6 secretion by human marrow cells. Cytokine. 2001;16(5):178186 13. Galland, L. Diet and Inflammation. Nutr Clin Pract. 2010; 2(6): 634-640 14. Krishan, AV et al. The role of Vitamin D in cancer prevention and treatment. Endocrinol. Metab. Clin. North Am. 2010;39(2):401-18 15. Meydani M. Vitamin E and atheroclerosis; beyond prevention of LDL oxidation. J Nutr. 2001 Feb;131(2):366585 • • DHEA, an adrenal hormone that is a precursor to testosterone and estrogen, can suppress inflammatory cytokine activity. Micronutrients such as magnesium, vitamin D , vitamin E , zinc and selenium have proven effective in reducing inflammation. Good daily defense: chile peppers, kale, spinach, onions, garlic, caviar, salmon, halibut, sardines, anchovies, ginger, turmeric, cayenne pepper, Brazil nuts, almond butter and olive oil. 5 LIFESTYLE Holidays Can Go Hand-in-Hand with Healthy Choices! Kate Sanders, MS, ACSM HFS – Cenegenics Boston The holiday season is rich with the company of friends and family. It is equally rich with well-intentioned "enablers" who inadvertently cause you to revert to poor behaviors that will throw you off your Cenegenics program. T he last thing you want to do is upset your host by declining her Grandma’s special pumpkin pie. Or perhaps you want to sneak in a quick workout on a holiday and you "catch a lot of slack" from your family. Enablers have good intentions, as they encourage you to relax and enjoy the festivities. However, feasting on pumpkin pie, skipping workouts and sitting on a couch sipping on a glass of eggnog, add up in calories—and perhaps even pounds! So, how do you strike a balance between enjoying holiday treats, staying on track and disabling the enablers? Avoid derailing your plan by considering the following scenarios: 1. Plan your meals in advance. Decide what you want to eat, or not eat, ahead of time. If you are dining at a restaurant, check out the menu and make your selection before getting there. If you’re headed to a party, commit to "no dessert" or "one glass of wine." Then, stick to your plan. 2. A friend asks you to meet for dinner on Thursday, but you had intentions of working out. One option is to suggest an alternative day, but refrain from sharing why Thursday will not work. Most people see exercise as optional, not mandatory. Save yourself a defensive debate that may very well lead to skipping the workout. You may also consider engaging in your workout and seeing your friend afterward. 3. Whether you’re attending an office party or Thanksgiving dinner, bring a dish that you will eat. This is a built-in guarantee that you will have at least one healthy option to choose from. Chances are your peers won’t even realize you’re eating ‘differently’ from anyone else. A lot of times, our biggest obstacle to improved health is not ourselves but other people. This is magnified during the holiday season. Stand your ground and remind yourself that a healthy way of life can be maintained in the company of friends and family, even during the holiday season! It all boils down to your willingness and motivation to stay on track with your age management plan. 6 RECIPE OF THE QUARTER Fajita Chicken Lettuce Wraps Brandi Reed – Cenegenics Beverly Hills The perfect dish for holiday parties or for your family can be made in less than 25 minutes. Ingredients: Preparation: 1 bag of frozen French green beans You will need two sauté pans. 1 bag of mélange fire-roasted bell peppers In the first pan: Heat 3 tablespoons of grapeseed oil, then add the sweet potato. Sauté until slightly brown for about 15 minutes. 1 bag of pre-washed romaine hearts 1 large sweet potato, diced into small, thin squares 4 oz of plain feta cheese 1 basket of cherry tomatoes, diced horizontally 1 avocado, diced into small chunks Free range chicken breasts (pre-seasoned is an option) While that is sautéing: Heat the remaining tablespoon of oil in another pan at medium-to-low heat. Add in the chicken, keep turning for about 10 minutes. Add in the entire bag of bell peppers and ¼ cup of feta cheese. Sauté for another 10 minutes. Back to the pan of sweet potatoes: Add in 1 cup of the French green beans. Sprinkle salt, lemon pepper and red pepper flakes and toss with the diced sweet potatoes. Sauté for another 5 minutes or until potatoes are soft and green beans are cooked. Finale: Take one romaine leaf and place some of the chicken dish inside the leaf, topping it with tomatoes and avocado. Use salsa for added flavor. Then, scoop out some of your sweet and spicy potatoes with green beans and place it onto your dish for a delicious healthy side dish. Bon appétit! D TH OWNL EP DF OAD HE RE ! 4 tablespoons of grapeseed oil ½ tablespoon of sea salt ½ tablespoon of lemon pepper ¼ teaspoon of crushed pepper flakes Preventing disease is what we do. Heart Dis ease Preventio & Stroke n Program Unique. A dvanced. C ompr from Cenege nics® Med ical Institut e . . . the Glo bal Leader ehensive. in a Proact ive Medical Powerful. Approach for Optimi zed Health Now we’re targeting it head on with a totally new level of medicine—and a focus on heart attacks and stroke. 7 NUTRACEUTICAL OF THE QUARTER Probiotics Beth Traylor, MD, FAAFP – Cenegenics Las Vegas The holidays are fast approaching. Whether you view them as a time for celebrations with friends and family or downright stressful, there is one undeniable truth you need to know. A nd here it is: They present quite a challenge when it comes to sticking to a healthy diet and exercise regimen. Don’t despair and just throw in the towel. While there is no magical fix for the damage that may be done with indiscriminate feasting and lack of exercise, evidence suggests that probiotics may be one means of mitigating against at least some of the damage that can occur from a high-glycemic holiday diet. Here’s why. The human gastrointestinal tract is a complex entity that is responsible not just for nutrient absorption, but also a multitude of other regulatory systems involved in the maintenance of health and wellness. It functions as a barrier to toxins and diseases, acting as a barrier to “screen” what moves into and out of the bloodstream. It is an immune modulator and even plays a role in nervous system function by releasing chemical mediators that affect not just the “gut,” but the entire central nervous system. Your gut is home to trillions of microbes representing more than 500 different species of bacteria or yeasts. Most are normal organisms, critical for health, assisting in eliminating disease-causing microorganisms. They are needed for required vitamins, i.e. biotin, pantothenic acid and vitamin B12. According to nutritional expert and noted author Jonny Bowden, PhD, CNS, processed carbohydrates (i.e. bread and cereals) are like “Miracle Gro” for pathological organisms. Alteration of the normal balance of bacteria and yeast— whether it is from high-glycemic carbs or antibiotic use—can wreak havoc on the body. The use of fermented dairy products to treat disease and maintain health has been discussed since Biblical times. In the early 20th century, serious work on the subject was undertaken by the Pasteur Institute in Paris. The actual term “probiotics” was coined and first introduced in 1953. Since then, modernday research into the role of healthy gut organisms has skyrocketed. Check the benefits. • Build a healthy immune system • Reinforce the barrier function of the intestinal lining preventing bacteria and toxins from adhering and/or being absorbed into the body— and also prevent food allergies by blocking allergens from being absorbed, which also may have a beneficial effect in decreasing eczema for those with atopic dermatitis • Secrete antimicrobial substances called “bacteriocins” that actually kill off the pathogenic (disease-causing) organisms • Deliver cholesterol-lowering effects in animal studies • Exhibit potential anticarcinogenic properties by reducing cancerproducing enzymes in the gut • Exhibit antioxidant properties • Facilitate detoxification • Build healthy intestinal lining • Aid vitamin K and B production • Reduce incidence of antibioticassociated diarrhea • Help maintain remission in inflammatory bowel disease patients • May be useful in treating the gut inflammation seen in many chronic fatigue syndrome patients • Restore the normal balance in females with vaginal and/or urinary infections Beware, not all probiotics are created equal. Many over-the-counter probiotics—even those sold in higher-end retail outlets—don’t contain sufficient bacterial species in adequate quantities of living organisms to have any benefits. 8 TA-65® About TA-65® TA-65® is a proven telomerase activator* that was discovered by California biotech company Geron, and licensed to T.A. Sciences. The patented supplement targets one of the primary causes of aging, shortened telomeres—the protective end-caps of DNA at both ends of every chromosome. Cells divide daily, creating a problem as the years march on. With cell division, telomeres grow shorter, eventually altering the chromosomes and leading to cell death or senescence (cellular aging where cells malfunction and can no longer divide). How is TA-65® made? TA-65 is a naturally occurring single molecule found in the ancient Chinese herb Astragalus. T.A. Sciences has developed a proprietary process to refine and purify TA-65. Our process begins with tons of plant material harvested from selected farms in one small region in China. In our plant extraction facility, the raw Astragalus root is chopped up and refined. After initial extraction, the base ingredient is further purified and then sent to an outside government testing facility where it is tested for purity, heavy metals, and pesticides. The product is then sent to a FDA-certified, state-of-the-art, laboratory for final purification that ends up with 90+% pure TA-65. Why not simply buy Astragalus extracts in a health food store? Astragalus extracts can be found in most health food stores, but such products contain little or no TA-65. We tested 4 commonly available Astragalus extracts and none of them contained any measureable amounts of TA-65 (the test assay is accurate to one part per million). Our proprietary production process starts with 3 tons of plant material and ends up with capsules that we guarantee contain 5mg of TA-65. DR. SAYS … Telomere Testing and Treatment Mickey Barber, MD – Cenegenics Carolinas Our partnership with Life Length®—a leading telomere testing and services company—allows us to test and analyze critically short telomeres by taking a patient's blood sample. I f the lab results indicate short telomeres, we have a set of comprehensive therapies that may slow the shortening of telomeres and reverse signs of aging due to critically short telomeres. The therapeutic process may even cause some telomeres to lengthen, which could mean previously aging cells may become younger than before. This isn’t magic—it’s science. Numerous studies demonstrate links between chronic stress and poor health, including risk factors for cardiovascular disease and poor immune function. There are studies that offer evidence that psychological stress is significantly associated with higher-oxidative stress, lower telomerase activity and shorter telomere length, which are known determinants of cell senescence and longevity in peripheral blood mononuclear cells from healthy premenopausal women. How do we treat shortened telomeres? Besides recommending changes in diet, exercise and lifestyle (multiple recent studies indicate that longer telomeres are associated with higher physical activity levels), we offer the nutraceutical TA-65®, an all natural molecule that is isolated from the astragalus root and known as a telomerase activator. Most human cells have the potential to live a lot longer than they do. Whether they "just live a lot longer" or are actually immortal is directly related to the expression of an enzyme present in almost all cells but "turned off." That enzyme is called telomerase, and TA-65 turns it on. Can you buy TA-65 online and take it? You can, but there are no guarantees that what you’re getting is actually TA-65— not to mention that not everyone needs supplementation with neutraceuticals and the dose should be carefully monitored based on lab work. We’ve seen amazing results with this treatment in practice, not just in reduction of risk factors for heart disease and other age-related health problems, but also anecdotally from patients who have experienced the positive effects from TA65 personally. And because I am a pre-menopausal woman in my 50s as well as a Cenegenics patient, I have experieinced these improvements firsthand. Recently someone asked me if I had plastic surgery on my face since I last saw him a few months prior. I haven’t . . . and the only change is my taking TA-65! 10 PATIENT KUDOS Patient interview by Jenn Zerling, MS, – CPT Cenegenics Beverly Hills R.D. JZ: You’ve had such amazing results. What made you join Cenegenics? RD: I felt like I was a mess. I knew something was wrong and was trying to correct the situation by myself. I knew I needed help, so I reached out to a doctor at the Cenegenics Las Vegas office, then I got Dr Life’s book. The book’s diet seemed to be too much of an effort. JZ: What seemed like too much effort in the book? RD: Well, I knew I was overweight and had too much body fat. I wasn’t feeling well. My whole life goal was to not be afraid of aging. Every time someone said, “I’m gonna be 40,” I would say, “I’m looking forward to being 40!” Then when someone said, “Ugh, I’m gonna be 50,” I would say, “I’m looking forward to being 50.” My plan was to be the same at 40, then 50, 60 and so forth. But then at 60, I was getting sluggish and my attitude and eating habits sucked—and I didn’t maintain my weight properly. Before I came to Cenegenics, I was about 215 pounds. The problem is, everyone always told me I looked great, I guess because of my frame. Then I would get home, look in the mirror and ask myself, “What the heck are they talking about? I felt like a fat pig!” 2011 RD: His diet is pretty restrictive. I was thinking of getting down to below 10%, but then I didn’t know if I can handle that kind of lifestyle. At the time, I was 68 1/2, and didn’t think I could change my ways. But it kept resonating with me and that’s when I called Dr Lal and made an appointment. JZ: What was your body fat percentage when you started your Cenegenics program? RD: It was almost 30%. JZ: It was 26.6%. That was back in June 2011. By April 2012, it was down to 9.3%. RD: It’s gotta be about 7% now. JZ: Very possible. But to keep it in perspective, you went from 51 pounds of fat last year to 16 pounds this year—a 30-pound drop in fat. RD: Well, that’s what the program is designed to do as long as you adhere to it! JZ: Yes, those are the key words, as long as you adhere to it. Richard, you mentioned before that you were such a mess. Can you define what that meant for you? 11 PATIENT KUDOS Interview cont'd… JZ: So how did you decide to change in that moment? RD: Looking at the photos of Dr Life and the other men and what they accomplished made me realize that if they can do it, I can do it easily. JZ: What life situations threw you off track right around 60 to cause you to gain a lot of weight and be thrown off your path of healthy aging? RD: Just uncontrollable eating habits. I was enjoying everything. And then my daughter got married. I didn’t expect that because she was almost 40, then she had a baby. At that point, I realized what I wanted was to see this grandchild go to college and get married. So I knew I had to do something about my health. JZ: How old are you Richard? RD: I will be 70 on October 4th. I’m very happy with the results. My biggest fear is getting stupid and eating like a fool again. But I’m so happy with where I’m at . . . I just need to keep a vigilant eye. JZ: I feel confident you will forever use the tools we’ve given you to keep up the lifestyle you attained. RD: Exactly! I keep reminding myself of that! 2012 JZ: What an urgency factor! RD: I also have two grandsons who like to hunt, so I had to stay in good shape to do these things. And looking at Dr Life, I told myself that if I can look half as good as him, then I will be okay. JZ: Are the lifestyle changes you made sustainable for you? RD: The nutrition is very easy to follow, and I love the food you have me on. I love fruit and cottage cheese, and proteins. My dinners are much smaller. I no longer do 16 ounces of steak. I’ve cut back in half. JZ: Do you drink alcohol? RD: I do, but I’ve cut down substantially, having only a glass of wine about three times a week and maybe once a month, an iced vodka. I used to drink beer, but I cut that out. 12 MEDICINE IN THE RAW The Perfect Storm Paul Thompson, MD – Cenegenics Dallas Fort Worth We’re quickly approaching that time of year—the ultimate health challenge that is the trifecta of obesity, also known as the winter holiday season. T he scheduling couldn’t be worse. Three holidays revolve around over-consumption, one right after another. If that’s not bad enough, there’s a warm-up event called Halloween, when high-sugar treats are as plentiful as food stamps. The biggest problem with these holidays is their close approximation in time. They are like a train of temptation blowing through our healthy disciplined routine. Without planning, that train is likely to knock us off track if we aren’t careful. As we say in the Boy Scouts, “Be, be, be prepared.” Keep these tips in mind so come January, you won’t be digging out your big boy pants. 1. Cheat Day. One day a week of splurging is okay, so don’t beat yourself up over it. Get back on your exercise and nutrition routine pronto. If one day turns into a week, then you’ll need to go back through the induction phase. That means keeping your glycemic index down below 54 for two weeks straight. No cheat days and no alcohol! 2. Social functions. That’s a nice word for alcohol-and-food-laden gettogethers. Step away from the bar and food table. Don’t graze at the buffet. Fill a small plate and move away from the temptation. Eating with your fingers? Remember to extend the pinky. 3. Alcohol. Dry red wine is your best choice—and it has notable heart benefits. Two glasses for men and one for women. Go over that and you lose the health benefits, personal restraint and maybe your dignity and your job. Skip the fruity, sugary punch and mixers. Just drink plain water. 4. Workouts. Make every attempt to continue your workout routine. There is no excuse to skip your workout no matter where you are. A few days off your routine can lead to a disaster. With that said, you can’t rely on your workout to fix mistakes made with consumption. You can’t out-exercise bad nutrition! These rules should help keep your program on track through the firestorm. If you should fall off your horse, stand up, brush yourself off and get back on. What if? What happens when your business offers your employees/top execs healthy aging coaching from the world leader in the field? Plenty. For starters . . . yy yy yy yy yy lower healthcare costs lower workers' comp/disability greater work capacity & performance healthier, stronger, happier work culture better stress management Check out the possibilities. Optimized Health™. www.optimizedhealth.net 13 CORPORATE WELLNESS Jenn Zerling interviews Katrina Hall from the Cenegenics Carolinas offices Cenegenics Carolinas Friendly Competition JZ: Tell us about your program. KH: We’re doing an incentive with all of our employees for the two clinics in the Carolinas. Using the Olympics theme, Riley (the Cenegenics Nutrition and Fitness counselor in Charleston) and I (the counselor in Charlotte) drew names out of a hat and assigned staff members to one of two teams. Members from both clinics—including the two doctors from each clinic—were on either Team Katrina or Team Riley. Our roles are to help improve each person’s VO2 max within a time frame set between mid-July and October. During that time, we are using Cenegenics Living Online (CLO) so that staff members are wellversed with the site since we use it with our patients, while getting them results. Our main goal is to implement better aerobic capacities by writing interval programs and weight training workouts for each team member. Riley is training everyone twice a week to participate in the Susan B. Komen 5K run. This is a great opportunity for everyone because many of the participants have never done a 5K before. All team members are getting assistance from Riley since they all live in Charleston, and I’m in Charlotte. JZ: How are you ensuring fairness with team members since Riley sees his team every day and you don’t since you’re in a different office? KH: Despite the fact I’m in a different office than my team, every team member still got an exercise prescription written for them based on their VO2 max test and their current fitness level. JZ: So your main reason for doing this contest is to teach other employees about what you and Riley do for Cenegenics? KH: Exactly! We all get consumed in what we do each day, that it’s easy to not fully understand each other’s roles in the clinic. By getting the team members to do this fitness contest, they can talk about the different assessments and get excited with the patients about what’s behind each test. As each person performed their test, everyone watched while Riley and I explained what was happening during the test. We also want to promote the Cenegenics plan to all of our employees so they can reference it with our patients and feel great themselves. We want our team to be on the same lifestyle plan as our patients. Continued next page ... 14 CORPORTATE WELLNESS Interview cont'd… JZ: Who came up with this idea? KH: Riley did. He was making enough comments and harping on team members about their poor nutrition and inactivity. I don’t get to see them, so I don’t know what they’re doing over there. One day, he told me that the team was not following the Cenegenics lifestyle and we should start a program in the form of a friendly competition. When we discussed this with Carrie, the Charleston office manager who is super competitive, she agreed it would help improve the health and knowledge of our team and help them understand what Riley and I do. JZ: How are you keeping everyone engaged and motivated to stick with it? Are there timelines, retests and recurrent communication to pump them up? KH: I have two out of my four team members using CLO, so they’re logging their workouts and asking me for modifications if they don’t have certain pieces of equipment. I am talking with each team member on a weekly basis. Now, when I call over there to ask them questions about a patient, I hear them yelling in the background, “So and so isn’t following the nutrition plan!” That fosters an energy in the office, making it fun and engaging. I also send out helpful, encouraging emails to keep them engaged on their plan. Riley does weekly meetings with his team. Since I’m not there, I make it my business to reach out to my team members every week as much as possible so they feel supported. And just like I do with my patients, if someone needs more follow-up, then I plan based on an individual’s need. JZ: Do you find it’s a disadvantage for your team members since Riley is there and you don’t have the ability to offer that handson touch with your team members? KH: No, because that office is very busy, and the relationship operates the same way as with our patients. We did set some rules up front that Riley can’t do one-on-one personal training with his team to be fair since I’m in Charlotte. JZ: Is this competition something you can offer other corporations for their employees, as part of our new Cenegenics corporate wellness program? KH: I think it would be a great idea to implement in companies to help promote corporate wellness. Our patients love that we are doing this and actually post their vote on our Facebook fan page who they project is going to win. The competition makes things very exciting for everyone. JZ: In October, when you re-measure the VO2 max score, how will you determine the overall winner? KH: We realized after retrieving the starting numbers in the beginning, that my team has higher VO2 scores so the winner will be based on the higher percentage of change, which is fairer and a true testimony to who is training and who is not. JZ: Do you have any daily posts from the participants on Facebook with updates of their progress? KH: We update it every couple of weeks. JZ: What is this program called? KH: The Cenegenics Carolinas Olympics. We did this to correspond with the Olympics. On our website, we ask, who do you think will take the Gold? Just a little friendly competition at its best! 15 COUNSELOR OF THE QUARTER Cenegenics is growing substantially fast. That means our Cenegneics teams are growing, too. So we’re featuring one of our talented Cenengenics fitness and nutrition team members each quarter so you can meet the faces behind our age-management mission. ELIO CONSTANZA Born: New York, NY Age: 34 years old Current location: Miami, FL, since 2006 Education: University of Massachusetts Amherst B.S. in Sports Management National Academy of Sports Medicine: CPT, IFS, PES Experience: Over 10 years working in the health club industry as a trainer, in operations and in fitness management and upper management at The Sports Club/LA, Equinox and Lifetime Fitness Boca Raton. Outlook: Elio enjoys helping people improve their overall physical condition through exercise, nutrition and supplementation. He appreciates his role at Cenegenics Miami, which allows him to be part of a team who teaches individuals the necessary tools for healthy aging. “Prevention is the key to good medicine, which is a proactive approach in place of a reactive, symptom treatment Band-Aid. That’s why I love my job. “ —Elio 16 HIGHLIGHTS New Book Jenn Zerling is proud to announce the publication of her first book, Breaking the Chains of Obesity, 107 Tools, which is a toolbox of how to get your weight off, if weight loss is one of your main age management goals. Click here to view the book on Amazon.com. Click here for the book review. Cenegenics Beverly Hills Annual Photo Shoot Every year, Beverly Hills hosts an annual photo shoot for all of their patients as a motivation tool. These photo shoots give the patients a sense of urgency to help sharpen their focus on pristine healthy nutritional behaviors and improved fitness levels. Patients come to this event with their own level of progress. Beverly Hills is proud of all of their 2012 “models.” Everyone showed excellence. This year, http://thexgallery.com shot the patients. 17