Monday, November 26, 2012

Avoiding Holiday Weight Gain


Avoiding Holiday Weight Gain

With the holidays upon us many of you may find the New Year brings with it the dread of gaining weight.  Yet it can be confusing just what to eat to avoid the seemingly inevitable holiday bulge.  The headlines are full of tips on “this diet” or “that diet”.  The medical literature banters back and forth about the benefits and risks of “low carb” versus “low fat” versus “high protein” as we hyper-analyze measurements such as good cholesterol, bad cholesterol, insulin, glucose, weight and blood pressure. 

It seems the more we study the more confusing it gets.  If we are so smart then why is it we can’t seem to get a handle on the weight issue?  How can we turn around our weight concerns and avoid the typical holiday weight gain?  Certainly our diet plays a key role in weight control and overall health, and some simple guidelines deserve a closer look.

I’ve read dozens of books on diets – South Beach, Atkins, Zone, Paleo, Mediterranean, and more….  There are some similarities, and some common-sense threads they all share.  Here is my take on the lot of them with a few pearls I’ve learned along the way.

First, consider both how much we eat.  There is no question that taking in way more calories than necessary leads to weight gain.  There is no question that weight loss will not happen unless we limit our intake to a reasonable amount.  Super-size meals equal super-size waistlines.  The next time you sit down to a meal consider that it takes twenty minutes for the brain to “catch-up” to the stomach.  Eat half a sandwich or half the entrĂ©e, wait a bit, and see if you are still hungry.

Now let’s look at what we eat.  Start with carbohydrates.  Our ancestors got their carbohydrates from raw, organic fruits and vegetables.  We are designed to get six, eight or even ten servings per day.  Are you there yet?  90% of Americans don’t get five per day, and this is where we are supposed to get many vitamins and nutrients that are vital for proper metabolism and hormone function.

Sugar and starch are also carbohydrates.  In the year 1900 the average American ate about 3 pounds of refined sugar per year.  Flash forward to a 1994 study that showed we were up to between 50 and 150 pounds per year!  Good grief, I don’t think we need fancy research studies to figure this one out.  We are not designed for so much sugar!

Starch is a very simple carbohydrate that is digested and broken down so quickly that it may as well be sugar.  Breads, potatoes, pasta and rice are classic examples.  I’m not saying don’t eat these, just don’t eat so much, and when you do, try for whole-grain products that take longer to break down and have more nutrients. 

Why should fruits and veggies be raw?  Enzymes for digestion and the nutrients for good health are found in raw foods.  Canning kills enzymes and about 50% of the nutrients are lost.  Why organic?  Aside from avoiding all the crazy chemicals (a whole other matter) our foods get nutrients from soil, and soils that rely on synthetic fertilizers are mineral depleted.  Organic farming practices encourage nutrient rich soil, which means nutrient rich food.  Plus, to me, organic produce usually tastes better.

Proteins and fats typically come together in food.  We are designed for lean protein that is high in omega-3 fats, such as wild game and fish.  This does not jive with the American sources including grain-fattened red meat, dairy and processed foods such as chips and pastries.  Again, I’m not suggesting to avoid red meat or dairy, but to recognize there are other protein rich foods and we are getting proportionately way too much saturated fat from our typical protein sources.  Lean toward grass-fed beef, venison, free-range chickens and eggs, wild salmon and tuna, European or Greek style yogurts, fermented soy products such as Tempeh, and protein rich grains such as quinoa.  Beans are over-rated protein sources that are really quite starchy.

Fats are perhaps the most misunderstood dietary element.  Since the American Heart Association (AHA) began its ideological low-fat campaign back in the 1980s we have seen obesity rates skyrocket.  Hmmm… it seems trading fat for sugar and starch isn’t working out so well.  The AHA missed the point in that we need “good” fats, for fuel but also for the essential fatty acids, omega-3 and omega-6, which have important roles in metabolism and inflammation.  Along with the above-mentioned protein sources, look for the right oils from fruit (olive), nuts (almonds, pecans, walnuts, coconut oil), or seeds (flax, chia, pumpkin). 

The best beverage is plain, pure water and plenty of it.  Keep a mug of water handy all day to get enough!  Green tea is perhaps the most healthy, flavored beverage.  Ditch the soda, even the sugar-free versions.  Enjoy alcohol in moderation, less than 2 drinks per day, with red wine as the ideal libation.

Have a few servings of fruit with breakfast, and have a large salad with lunch or dinner, including lots of greens with brightly colored red, yellow, orange or purple veggies.  Add a healthy protein source with meals.   Enjoy sparkling water or tea with lunch and wine with dinner. 

Enjoy the holiday feasts and festivities but let a little discretion and common sense reign.  Eat, drink, and be merry – that is, eat healthy, drink moderately, and be merry about your wise food choices.  Follow these guidelines tightly throughout the holidays and you may find the New Year doesn’t have to bring in new weight!

FREE Seminar
“Keys to Great Health”
Monday, December 10th, 6pm at the IMC
RSVP at 245-6911

Bio

Scott Rollins, MD, is Board Certified with the American Board of Family Practice and the American Board of Anti-Aging and Regenerative Medicine.  He specializes in Bioidentical Hormone Replacement, thyroid and adrenal disorders, fibromyalgia and other complex medical conditions.  He is founder and medical director of the Integrative Medicine Center of Western Colorado (www.imcwc.com) and Bellezza Laser Aesthetics (www.bellezzalaser.com).  Call (970) 245-6911 for an appointment or more information. 

Tuesday, November 13, 2012

The Face of Winter, Protecting Your Skin from Dry, Cold Weather


The Face of Winter

Protecting Your Skin from Dry, Cold Weather



By Lisa Holmes, CLS & Scott Rollins, MD

                             

Winter cold, dryness and sun is damaging to our skin.  Fluctuating from the extremes of cold and harsh outside weather to warm indoor air is hard on our skin, causing scaly, chapped and flaky conditions.  The dry winter air really pulls the moisture out of our skin leaving it cracked and dry.  Just as we make a transition in our clothing – from lighter layers to thicker warmer layers – we need to do the same for our skin.


If your skin is feeling dry and chapped in the winter, then you might need to change from your usual summer soap and cleanser routine.  The sweaty, oily skin from summer is gone!  It’s time to use a gentle, non-irritating or hypoallergenic soap.  Limit products with fragrances that might irritate the skin.


Thicker, cream or oil based moisturizers provide the best protection from the dry winter air.  The most susceptible areas are the cheeks, lips and eye regions.  The type you choose largely depends on the dryness of your skin and your tolerance for the greasy feel of the moisturizer.  Oils are definitely greasy, but they seal in moisture well, and block against windburn.  Creams aren't as greasy, soak in well when you rub them in, and they also trap moisture well.  Lotions tend to add the least moisture, but they soak in to skin quickly so they don't feel as greasy.  However, many lotions contain alcohol, which helps quicken their absorption, but can also dry the skin.


Be sure to keep your skin protected with a sunscreen.  Don’t be fooled by cold weather – the sun reflects off the snow and can cause damage to the deeper layers of your skin.  Use only sunscreens that block both the ultra-violet (UV) type A and B rays.  UVA is present year round and causes skin aging and cancer.  UVB is around mostly in summer and causes sunburn – although with altitude and reflection off of snow, UVB is still present enough to cause horrible sunburn even in winter. 


The only sunscreen ingredients that truly block both UV rays are the physical sun blocks, zinc oxide or titanium dioxide.  The numerous chemical sunscreens not only don’t block both UV rays but are also linked to hormone disruption, cancer and other health issues.  Finding the correct moisturizers and sunscreens can be daunting, so be sure to ask a licensed skin care professional for the appropriate protection for you and your skin.


Another important factor in keeping skin protected is hydration.  Water seems to be a forgotten factor in the colder months, but it is just as important during winter as in summer.  Hydration is an important factor to helping our skin stay supple and plays a key role in the absorption of our skin care products.


Using anti-aging products at home, such as retinol or retinoic acid, may require a shift to a lower strength or even a temporary halt in your program during winter months.  The anti-aging effects of retinol creams are due to the stimulation of skin to exfoliate or clear the skin surface of dirt and dead skin cells.  This is excellent for promoting a youthful healthy glow to skin but can make the skin more tender and susceptible to drying.


Professional Skin Care


In the colder months our blood circulation slows resulting in a dry and dull skin tone making it important to keep up with your facials, which increase blood flow rejuvenating your skin and returning a healthy youthful glow.


Professional facials, often thought to be a luxury, should be done routinely to help prevent damage to skin, remove signs of aging, improve skin tone, and prevent acne.  By having a licensed Aesthetician monitor your skin monthly, they can spot changes before bigger problems arise.  And as part of our services we can recommend specific products for your home skin care regimen that will help you maintain optimal skin health between facials.


Microdermabrasion is a wonderful procedure that gently exfoliates the.  Using a diamond tipped wand the skin is gently scrubbed while a vacuum pulls away the surface debris and dead skin cells.  The procedure is painless and simply feels like someone is rubbing a finger across the face.  Microdermabrasion promotes a smooth and healthy skin surface.  Doing a few treatments during winter can help promote skin turnover without the more drying effects of exfoliating creams.


Chemical peels are similar to microdermabrasion but instead of using a physical technique a chemical is used to stimulate skin shedding and turnover.  Numerous chemicals are used to stimulate healthy new skin cells.  We offer a variety of chemical peels, varying from gentle all natural peels, to popular standard chemical peels, and the most aggressive such as Levulan that require a blue-light to “photo-activate” the peel. 


Fall and winter can be a perfect time to get laser skin care treatments.  Surface imperfections such as fine lines, dark spots, or surface blood vessels are all treated easily in a 30-minute rejuvenation treatment.  With no downtime at all the rejuvenation procedure is a quick and easy treat for your skin.


Deeper wrinkles and sagging skin are targeted with more aggressive skin tightening treatments such as Pixel or the state-of-the-art CO2 iPixel from Alma Lasers.  These treatments have a bit of social downtime in which it is preferable to be able to stay home and indoors for a few days to begin the healing phase.  Usually within 1-2 days after Pixel, and 4-6 days after iPixel, patients are ready to go back to work or resume regular activities.  I would avoid extreme outdoor activities such as skiing for several weeks after these procedures.


Don’t let the long cold winter months keep you hibernating.  Hydrate, use a quality moisturizer and sunscreen, and see your licensed skin care professional for the proper skin care products and services that will protect you and improve your skin.  Then, get out and enjoy our many Colorado mountain winter activities!


Free Seminars


Laser Skin Care Essentials

Monday, November 26th at 6pm, at the IMC


RSVP at 245-6911 or online at rsvp@imcwc.com


Bio


Lisa Holmes is a Licensed Aesthetician and Certified Laser Specialist.  She is certified in chemical peels and microdermabrasion.  Lisa believes in helping her clients achieve and maintain optimal skin health and beauty by using only professional medical spa grade products and is proud to feature ABI skin care as well as Youngblood Mineral makeup.  She is available for a FREE consultation at Bellezza Laser Aesthetics, 254-1195.  For more information please visit www.bellezzalaser.com.


Scott Rollins, MD, is Board Certified with the American Board of Family Practice and the American Board of Anti-Aging and Regenerative Medicine.  He specializes in Bioidentical Hormone Replacement for men and women, thyroid and adrenal disorders, fibromyalgia, weight loss and other complex medical conditions.  He is founder and medical director of the Integrative Medicine Center of Western Colorado (www.imcwc.com) and Bellezza Laser Aesthetics.  Call 245-6911 for an appointment or more information.