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Tips for Gaining Weight- the HEALTHY Way

Tips for Gaining Weight- the HEALTHY Way
Gaining weight should be “simple.”  Eat more calories than you expend and you’re sure to gain weight, right?  Gaining weight in a healthy way, though, can be a bit more challenging.  Here are 11 steps to help you assure that you are doing what’s best for you and your body as you pursue your weight gain goals.

1.  Set attainable goals.  Face it, very few people are destined to appear on the cover of a fitness magazine.  Our body shape and size is determined primarily by genetics and secondly by our lifestyle.  Healthy weight gain is a slow process that requires patience and realistic goal-setting.

2.  Eat breakfast.  Every day.  A well balanced breakfast is an excellent way to wake up your metabolism and your appetite.  Make sure you have a grain, some protein, and a fruit to start your day.  Try a yogurt berry parfait with granola OR a bagel sandwich with eggs & cheese and some juice.  In a hurry?  Grab a fruit smoothie OR cereal with milk and
berries.

3.  Follow basic nutrition recommendations.  Contrary to popular belief, living on fast food, pizza, and milkshakes is not the best approach to weight gain.  Although these foods can be incorporated into your meal plan, be sure to balance them with fruits, vegetables, whole grains, and a variety of protein sources, such as meat, nuts, beans, and dairy.    

4.  Plan to eat 5-6 times/ day, at least.  Prevent excessive fullness by eating reasonable portions spread throughout the entire day.  Plan to have 3-4 meals each day with several snacks in between.  At the end of the day, your “energy in” must be greater than your “energy out” in order to gain weight.

5.  Vary your diet, especially the protein.  Eating the same foods every day can be boring.  Get creative and try something new.  Start with a variety of protein sources: cheese, nuts, beef, fish, yogurt, pork, beans, chicken, yogurt, turkey, cottage cheese, lamb, eggs, etc.

6.  Pack snacks to-go for extra calories.  Trail mix, granola bars, fruit with peanut butter, chips, dried fruit, veggies and dip, cheese and crackers, nuts, smoothies, sunflower seeds, and cookies are portable options that can help you keep up with your needs throughout the day.  Cereal with milk, ice cream, and hot chocolate can be great snacks to end your day.

7.  Choose caloric beverages.  You’re going to drink something, so pick fluids with calories.  Juices, milk, and even an occasional soda (non-diet, of course) will do the trick.  Drink plenty of fluids that supply calories like juice, milk, milkshakes, and sports beverages. For example, drinking 1 quart of grape or cranberry juice supplies 1000 calories. 1 quart of 2% milk supplies 720 calories.

8.  Consider high-calorie nutritional supplements.  Energy-dense, high-quality nutrition can be hard to come by, but Ensure Plus, Boost Plus, and Carnation Instant Breakfast provide quick and easy calories with the added bonus of vitamins and minerals.  Consider using these products as your “nutrition medicine” on the days you’re not feeling hungry, but know you still need to eat.

9.  Balance cardio, flexibility, and strength-training exercises.  Exercise, especially cardio work-outs, burns calories that you must replace by eating more.  However, it can help to stimulate your appetite and assure that you build an appropriate amount of muscle.  3-5 days of physical activity each week can assure optimal outcomes.
(Note: Severe malnutrition can require a period of inactivity as the body heals and repairs.  Consultation with a medical provider and/or dietitian can help to establish a safe plan in these situations.)

10. Get regular sleep
The human body needs adequate rest in order to “keep up.”  On average, most people need 8 hours of sleep/ night.  However, some people function well on 6 hours/night while others need 10+ hr/ night to feel fully rested.  Bottom line, listen to your body and get the sleep you need.

11. Set realistic goals
Genetic factors can play a large role in physique. You are not going to look like Arnold if your parents look like Pee Wee Herman.

17 Worst Habits for Your Heart

Here are the worst habits for your heart, and how to avoid them.
woman-paper-heart-habits

Bad habits for your heart


Everyone wants to have a healthy heart. Still, cardiovascular disease affects more than 1 in 3 adults in the United States.

The good news is that some simple, everyday habits can make a big difference in your ability to live a healthy lifestyle.

Here are the 17 worst habits for your heart, and how to avoid them.


Watching TV

Sitting for hours on end increases your risk of heart attack and stroke, even if you exercise regularly.

"Intermittent exercise doesn't compensate for the time you sit," says Harmony R. Reynolds, MD, associate director of the Cardiovascular Clinical Research Center at NYU Langone Medical Center, in New York City.

Why? The lack of movement may affect blood levels of fats and sugars.

Dr. Reynolds advises walking around periodically and, if you're at work, standing up to talk on the phone.


Leaving hostility and depression unchecked

Are you feeling stressed, hostile, or depressed? It can take a toll on your heart.

While everyone feels this way some of the time, how you handle these emotions can affect your heart health. “Those likely to internalize stress are in greater danger; research has shown a benefit to laughter and social support,” Dr. Reynolds says.

“And it’s helpful to be able to go to someone and talk about your problems.”


Ignoring the snoring

More than a minor annoyance, snoring can be a sign of something more serious: obstructive sleep apnea. This disorder, marked by breathing that is interrupted during sleep, can cause blood pressure to skyrocket.

More than 18 million Americans adults have sleep apnea, which increases the risk of heart disease. People who are overweight or obese are at higher risk for sleep apnea, but slim people can have it too.

If you snore and often wake up feeling tired, talk with your doctor; there are easy ways to screen for apnea, says Robert Ostfeld, MD, associate professor of clinical medicine at Montefiore Medical Center, in New York City.


Not flossing

While the exact reason is unknown, there is a strong link between gum disease and heart disease, Dr. Ostfeld says.

If you don’t floss, sticky, bacteria-laden plaque build up over time, which can lead to gum disease. One theory is that these bacteria trigger inflammation in the body.

“Inflammation promotes all aspects of atherosclerosis,” Dr. Ostfeld says. Treating gum disease can improve blood vessel function.


Withdrawing from the world

It's no secret that on some days, other human beings can seem annoying, irritating, and just plain difficult to get along with.

However, it makes sense to strengthen your connections to the ones you actually like. People with stronger connections to family, friends, and society in general tend to live longer, healthier lives.

Everyone needs alone time, but you should still reach out to others and keep in touch whenever you can.


You’re either all or nothing

Call it the Weekend Warrior Syndrome.

“I see so many people in their 40s and 50s dive into exercising with good intentions, hurt themselves, and then stop exercising all together,” says Judith S. Hochman, MD, director of the Cardiovascular Clinical Research Center at NYU’s Langone Medical Center.

With exercise, it’s wise to aim for slow and steady. “It’s more important to have a regular exercise commitment,” says Dr. Reynolds. “Be in it for the long game.”


Drinking (too much) alcohol

Sure, studies suggest a small amount of alcohol may be good for your heart. Alas, too many over-imbibe.

Excess alcohol is linked to a greater risk of high blood pressure, high levels of blood fats, and heart failure. In addition, the extra calories can lead to weight gain, a threat to heart health.

If you drink, stick to no more than two drinks per day for men, and no more than one a day for women. (One drink means a 12-ounce beer or 4-ounce glass of wine).


Overeating

Being overweight is a major risk factor for heart disease, and 72% of men and 64% of women in the U.S are overweight or obese.

Try to eat less, avoid oversize portions, and replace sugary drinks with water.

Dr. Reynolds and Dr. Hochman also suggest cutting portion sizes for high-calorie carbohydrates (think refined pastas and breads) and watching out for foods labeled “low-fat,” which are often high in calories.


Assuming you're not at risk

Cardiovascular disease—including stroke, heart disease, and heart failure—claims more lives in the United States than any other illness, including cancer.

"Don't assume you're not at risk," says Dr. Ostfeld.

High blood pressure and cholesterol, diabetes, being overweight, and smoking are all risk factors that should be kept in check.


Eating red meat

It’s best to think of red meat as an occasional treat rather than the foundation of a daily diet. Red meat is high in saturated fat, and there’s also evidence that processed meat, such as bacon and hot dogs, increases your risk of cardiovascular disease and colorectal cancer. Ideally, less than 10% of your diet should come from animals and animal products, Dr. Ostfeld advises.

Can’t part with the beef? Choose a lean cut of red meat and limit your intake. “People have to know that if you want a steak a few times a month, it’s OK,” Dr. Hochman says. “It’s what you’re eating three times a day that’s the issue. Be in it for the long haul. Eat a balanced diet.


Being a health procrastinator

Check in with an MD so that you know your numbers for cholesterol, blood pressure, and blood sugar.

If these are elevated, you're at risk for silent killers like heart disease, stroke, and diabetes.

One thought: The lifetime risk of developing hypertension, or high blood pressure, for adults in their mid-50s is approximately 90%, even with those who never had a problem before. "The general point is that just because you didn't have it at 24 doesn't mean you don't have it at 54," Dr. Ostfeld says.

Smoking or living with a smoker

Sure, you've heard it a million times before: Don't smoke. But it bears repeating.

"Smoking is a total disaster for your heart," says Dr. Ostfeld. Smoking promotes blood clots, which can block blood flow to the heart, and contributes to plaque buildup in the arteries.

It's also a smart bomb aimed at everyone around you, Dr. Ostfeld says. In fact, about 46,000 nonsmokers who live with a smoker die from heart disease each year because of secondhan


Stopping or skipping meds

Let's be honest: Taking pills is a pain. There can be side effects. And it's easy to forget your meds, especially if you feel fine.

"High blood pressure is called the silent killer because you don't feel it," Dr. Ostfeld says. "Saying you feel fine is not a justification for stopping these pills."

There are 30 types of high blood pressure medications, so there are choices if one isn't working, Dr. Hochman says. "If one medication doesn't work, we can try something else."


Avoiding fruits and vegetables

"The most heart-healthy diet is a plant-based diet," Dr. Ostfeld says. That means loading up on fruits and vegetables, nuts, whole grains, low-fat dairy, and protein, and keeping junk food to a minimum. In fact, new federal dietary guidelines recommend that half of each meal should be composed of fruits and vegetables.

Research has found that people who eat more than five servings of fruits and vegetables a day had about 20% lower risk of heart disease and stroke than people who ate less than three servings per day.


Ignoring physical symptoms

If you used to walk up three flights of stairs without a problem, but suddenly you're short of breath after one flight or have chest pressure, it's time to call your doctor—now. Never assume it's because you're out of shape.

Doctors say "time is muscle," meaning the quicker you get treatment for possible trouble, the less likely you are to have permanent damage to your heart muscle.

"It's better for it to be much ado about nothing than sitting on a heart attack for six hours," which is not uncommon, Dr. Ostfeld says


Being a salty snacker

The more salt you consume, the higher your blood pressure rises. One in three American adults has high blood pressure, a major risk factor for stroke, kidney failure, and heart attack.

“Steer clear of packaged junk food, read the labels for sodium content, and stick to the outer portions of the supermarket, which is where the fruits, vegetables, and (unsalted) nuts are,” Dr. Ostfeld says.

Most of us should keep sodium intake below 2,300 milligrams a day. If you have high blood pressure or are over 50, cut back to 1,500 milligrams.


Eating empty calories

Foods high in sugar, fat, and oil deliver calories, but very few—if any—nutrients your body can use.

Studies have shown that a diet full of empty calories increases the risk of obesity and diabetes.

Look for foods dense in nutrients, such as vegetables, fruits, whole grains, seafood, eggs, beans and peas, and unsalted nuts and seeds. Lean meats and poultry, along with fat-free and low-fat milk, are good choices as we

25 Health Tips to Swear By

25 Health Tips to Swear By

How sex, dental floss, and belly laughs can make a good life great. Best-selling author Mehmet Oz, M.D., explains.


1. ROTF, LMAO

Laughing not only eases stress, promotes social bonding, and lowers blood pressure, it may also boost your immune system. So bring some humor into your life, whether it's through friends or even a new TV show (preferably mine).


2. Don't skip breakfast

Fiber in the morning means less hunger late in the afternoon, when you're most likely to feel tired and gorge yourself on sugar. My morning dose comes from steel-cut oatmeal, usually mixed with raisins, walnuts, and flaxseed oil. An early start on eating also keeps your metabolism more active throughout the day; breakfast eaters are thinner than people who just rush out the door.


3. Hit the sack

Conan and Dave are funny, but they're not worth the strain on your system. Seven hours of sleep a night not only helps you live longer, but also lowers your stress, sharpens your memory, and reduces cravings for pants-splitting foods. Set a bedtime and stick to it. My target is 10:30 p.m. I record the late shows and then watch them the next day as I pedal a stationary bike.


4. Admire your work

Don't be so trigger-happy with the flusher. Turn around and take a look at your poop, which speaks volumes about your gut and overall health. Poop should be smooth and S-shaped, like your colon. If it comes out too lumpy, or drops into the bowl like marbles, you're constipated. Increase your fiber and water intake. This happens to me when I travel, so I fiber-load before a trip to avoid getting irritable. But you don't need Metamucil-here are 30 great-tasting ways to add fiber to your diet.


5. Don't pamper your bad back

Even if you're hunched over in agony, taking to your bed will only make a bad back worse. The latest research shows that bed rest weakens back muscles and prolongs the suffering. Married men may suffer more than single men because of all the pampering. I used to love milking the care from Lisa, but the best solution is to get up, take a pain reliever, and be a soldier.


6. Taste the colors

Foods with bright, rich colors are more than just nice to look at. They're also packed with flavonoids and carotenoids, powerful compounds that bind the damaging free radicals in your body, lowering inflammation. (Sadly, Skittles do not count.) Eat nine fistfuls of colorful fruits and vegetables each day and you'll reap the benefits without having to give up other foods. Whenever I shop the produce aisle, I'm reminded that these foods are often more powerful than the drugs sold in pharmacies. My favorites are arugula and blueberries.


7. Brushing is not enough

If you plan to spend your later years eating more than yogurt and applesauce, invest in some floss. No matter how thoroughly or long you brush your teeth, you're missing a good portion of their total surface. That's like washing one armpit after a workout. But the dangers of skipping floss go beyond hygiene: The bacteria that linger can increase your risk of heart disease. I use Reach Ultraclean floss, which stretches to glide between teeth.


8. Take a deep belly breath

Do this anywhere, anytime. Push out your bellows and suck air through your nose until your lungs are full. They'll fill with nitric oxide, a chemical found in the back of your nose that opens up blood vessels. The dose of oxygen will make you feel happier and more alert. This is my secret technique for calming down before a show or a tough stitch in the OR.


9. Join a yoga class

Yoga is the most important exercise of my daily routine. Being surrounded by beautiful women in spandex should be reason enough for you to join a class, but if you need more motivation, consider this: Yoga eases stress, lowers blood pressure, slows heart rates, and increases flexibility. And there's nothing mystical about it. Loosening your muscles will make them more adaptable, so you may be less likely to injure yourself playing sports. Sure, some of the poses may look ridiculous, but that's for a reason you'll learn quickly enough. Yoga can reach and work muscles that are ignored during routine sports and daily life. My favorite maneuver is the sun salutation.


10. Don't be an island

Ever wonder why women live longer than men do? One major reason: They form tight networks and actually talk about their problems. If you face life's stresses alone, you will make yourself older. Bankruptcy, for example, causes enough stress to wreak havoc on your body. With another person's love and support, that inner aging can be reduced. You really can remake your body into a sleeker, fitter, stronger version of its younger self: Here's everything you need for your best body at 40+.


11. Avoid fad diets

The secret to weight loss is not to avoid carbs, fats, yellow foods, solid foods, or foods that start with the letter G. The real trick is to lower your daily intake by about 100 calories. You'll hardly notice, but it'll add up to a loss of about 10 pounds in a year. Calorie restriction has been shown to lengthen life (in rats and monkeys). I cut back once a year to reset my appetite and tastebuds. Healthy food tastes great afterward. Frankly, any food would.


12. Be a smart patient

Your doctor can help keep you in good health, but the responsibility ultimately falls on you. Seek a second opinion before undergoing any procedure, because 30 percent of the time, that opinion will change the diagnosis or plan. Keep a written medical history, and educate yourself about any family problems, even if that means calling your creepy uncle. You might even consider signing onto Microsoft HealthVault so your files are accessible in case you find yourself in trouble away from home.


13. Lose the beer belly

Most men fasten their belts below their waists. It's just another way of avoiding the truth about that gut. Grab a tape measure and put it around your body at the level of your belly button. That number should be less than half your height. So for my 6-foot, 1-inch frame, I need to keep my waist under 36.5 inches. If avoiding heart attacks and diabetes isn't enough motivation to eliminate that gut, consider this: For every point your body mass index is over 25, your testosterone drops 3 percent, which isn't very manly.


14. Go green

I drink green tea three times a day. It's packed with heart-boosting and cancer-stopping polyphenols that black tea doesn't offer. (These beneficial chemicals are lost when it's fermented.) Green tea also delivers a boost of alertness, but from a smaller dose of caffeine than black tea. Green tea can even fight dandruff, although only if you pour it directly onto your scalp. (It's probably a good idea to let it cool down first.)


15. Sweat till you're wet

If you can work up a sweat for just one hour a week, you'll enjoy a range of benefits: reduced risk of heart attack, better mood, and lower blood pressure. I like interval training on the elliptical, with 15 pullups and 15 dips every 10 minutes. Your muscles will become more efficient, so you'll have more stamina for more enjoyable activities that also work up a sweat.


16. Put it in the bank

Most people rank personal finance as their No. 1 stressor, usually because they feel powerless. Stress not only shortens lives, it also drives people to habits like smoking, drinking, or bingeing on food. Keep some money in a special bank account, safe from your lust for a new television, and you'll establish an emotional comfort zone with major health benefits.


17. Have as much sex as possible

If a 50-something man could have sex 700 times a year, the exercise and stress reduction would make him look and feel years younger. I wouldn't recommend quitting your day job in order to hit that number—but what's the harm in trying? The next time your loved one says she has a headache, tell her she's literally killing you. It works for me. Or use this fun schedule to have sex eight times this week.


18. Know your numbers, and then aim lower

Take the part of your brain dedicated to your steak house's phone number and reassign it to your heart's vital signs. These include blood pressure (which ideally should be below 115 over 75), LDL cholesterol (under 100), resting heart rate (under 70), and fasting blood sugar (under 100). If your numbers aren't ideal, change your diet until they improve.


19. Add some weights

Just 30 minutes twice a week spent lifting weights can build significant muscle mass. What's more, working all that muscle burns tons of calories, making it a great way to lose your gut, too. Don't have weights? Try lifting yourself: Pullups are the most valuable muscle-building exercises I do. Oprah's trainer, Bob Greene, pointed out to me that pullups work the back, pecs, arms, and belly all at once. And since you're lifting yourself, you'll think twice before eating that doughnut, because you'll just have to lift it later. A simple setup in a door frame is convenient and inexpensive.


20. Grab your nuts

Nuts are among the best sources of healthful fats and protein around. I keep a bag of walnuts in my fridge and use their massive dose of omega-3 fatty acids to boost my brainpower while I see patients. Half a handful eaten about 30 minutes before a meal will temper your appetite and help you avoid the drive-thru.


21. No, seriously, grab your nuts

Testicular cancer is the most common cancer in men in the 15-to-35 age group, but it's usually curable if it's caught early enough. I strongly urge you to grab your testicles. Check them for bumps at least once a month. Each testicle should feel smooth and slightly soft, and one should hang slightly lower than the other, like two avocados (which, in Aztec, actually means "testicles") growing on a tree. Here is everything else you need to know to to keep your package healthy.


22. Hit the dance floor

Crosswords and card games aren't the only way to keep your brain razor sharp. It turns out that any kind of dancing with complex moves is stimulating enough to give your neurons a workout. Even the simplest moves provide some physical exercise. So don't be such a wallflower on your next night out. As a bonus, dancing may help you with tip No. 17.


23. Do your penis a favor and step on a treadmill

Men who exercise enough to burn 200 calories a day significantly lower their chances of impotence. That's because impotence often has the same cause as heart attacks: blocked arteries. Your penis is like a dipstick for your arteries, so check it. If you're interested in keeping it up later in life, lace up the sneakers now.


24. Learn to cook

Think you know how much butter goes into those mashed potatoes at a restaurant? You're probably off by half. If you can cook, you not only save money but also gain control over what goes into your meals. Plus, for most women, a man who knows how to cook is as sexy as one who stars in movies. I have trouble boiling water. Thankfully, I'm already married.


25. Some pills should be popped

The indoor life gives modern man protection from the elements and the ability to watch Gossip Girl in private. Unfortunately, roughly half of us are deficient in vitamin D, of which the sun is a major source. This crucial vitamin may aid in fighting cancer, diabetes, and heart disease. I take a 1,000 IU supplement each morning.