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Exercise – Just Get it Done

by Mila McManus, MD

The best time of day for exercise is the time of day you will do it.  The best exercise is the one you will do.

It seems to be the norm now to argue over many topics as though there are only two solutions, a right way and a wrong way.  But in reality, the answer is not dichotomous. Rather, there are gray areas in between, a number of good options available, and most often the need for individuals to choose what works best for them. Much like we say there is not one diet that is right for all people, the same is true with exercise. The best time of day for exercise is the time of day you will do it.  The best exercise is the one you will do.

AM Prose: Some research suggests that exercising in the morning in a fasted state may be most helpful in weight control and training adaptations.  It can also be logistically suitable for early risers. Those who train in the morning tend to have better training adherence and expend more energy overall throughout the day.  Morning exercise is associated with better weight control, and better skeletal muscle adaptations over time compared to exercise performed later in the day, according to Dr. Normand Boulé from the University of Alberta[1].

PM Prose: Alternatively, Dr. Jenna Gillen from the University of Toronto[2], who has debated Boulé, points out that mild to moderate intensity exercising done soon after meals typically results in lower glucose spikes after meals in people with diabetes. Her argument is supported by at least one recent meta-analysis where post-meal walking was best for improving blood sugar in those with prediabetes and type 2 diabetes.   The Look AHEAD Trial of over 2400 adults with type 2 diabetes found that some of the participants, after a year of making afternoon exercise part of their lifestyle, experienced a complete remission of diabetes. And for night owls, afternoon or evening exercise may just be more practical.

AM/PM Prose: It may be beneficial for some people to split exercise into two timeframes. Exercising some in the morning and some later in the day or early evening can offer several benefits. Exercise following the largest meals of the day aids in balancing blood sugar throughout the day. For those who sit for long periods, exercising twice a day helps to reduce stiffness and increase flexibility, increase focus and alertness, and reduces overall anxiety and stress levels.

Exercise is essential for physical and mental health.  It is highly protective against disease and aging. It even helps prevent cancer and recurrence of cancer!  Pick your form of exercise, pick your time, and get it done. Studies show that even as little as 5 minutes is helpful!

[1] Boulé, Normand G.; Rees, Jordan L.. Interaction of exercise and meal timing on blood glucose concentrations. Current Opinion in Clinical Nutrition and Metabolic Care 26(4):p 353-357, July 2023. | DOI: 10.1097/MCO.0000000000000936

[1]Jenna B. Gillen, Stephanie Estafanos, and Alexa Govette. 2021. Exercise-nutrient interactions for improved postprandial glycemic control and insulin sensitivity. Applied Physiology, Nutrition, and Metabolism46(8): 856-865. https://doi.org/10.1139/apnm-2021-0168

 

By |2023-10-28T09:52:27-05:00November 7th, 2023|Articles, General|

Jackpot Wellness: Longevity Reset to Eternal Vitality

I’m excited to introduce you to Dr. Krystal Carey. She is a dedicated nurse practitioner on a mission to uncover the remarkable potential of our bodies to heal themselves.

Many experts are successfully reversing seemingly untreatable illnesses. Meet these experts directly to you through an online summit.

She is a nurse practitioner who is passionate about bringing the truth to the public about how our bodies can heal themselves.

For decades, conventional medicine has been the go-to solution for health, but a wealth of evidence suggests otherwise. Many experts are successfully reversing seemingly untreatable illnesses. Jackpot Wellness: Longevity Reset to Eternal Vitality Summit’s purpose is to spread the message that most chronic diseases can be reversed, giving people hope that their bodies have the power to heal when provided with the proper support.

Previous Summit interview:


By |2024-03-02T19:41:54-05:00October 27th, 2023|Articles, General|

Red Light Therapy

by Mila McManus, MD

If you are in our facility, take a few minutes to step into our Red Light Therapy tepee and give it a free trial try!

When you’re at our facility, take a few minutes to step into our Red Light Therapy teepee and experience the benefits:

  • Combats Lethargy
  • Boosts Liver Function (detoxification and more)
  • Stimulates Skin Repair
  • Beneficial for Lungs, Bones, Heart, and Kidneys
  • Reduces Scar Tissue
  • Promotes Circulation
  • Pain Relief
  • Enhances the Senses
  • Improves Nutritional Metabolism
  • Regenerates Blood
  • Promotes Muscle and Wound Healing

While you’re enjoying it, check in on social media to show everyone how cool it is and how cool you are!

FREQUENTLY ASKED QUESTIONS

How often can I do Red Light Therapy?

Red Light Therapy is recommended three to five times weekly for best results. The number of sessions per week may vary depending on your needs and goals. 

How long is a Red Light Therapy session?

Red Light Therapy sessions only take 10 minutes. You stand between 2 red light panels so your entire body absorbs the light.

Does Red Light Therapy help with skin issues?

Red Light Therapy stimulates cellular energy, encouraging skin renewal and healing. This helps improve the skin’s look, feel, and texture. It enables the skin to recover from injury while providing anti-aging benefits for the skin. This light improves levels of collagen and elastin. These are partly responsible for youthful-looking skin.

Is Red Light Therapy safe?

Red Light Therapy is safe and painless. It generates a minimal amount of heat. Although the red lights may be bright, using the service without eyewear is fine unless desired for comfort.

Does Red Light Therapy help with oxidative stress?

Oxidative stress occurs when there is an imbalance between the production of reactive oxygen species (ROS) and the body’s ability to detoxify them. One of the ways that Red Light Therapy helps to reduce oxidative stress is by stimulating the production of antioxidants in the body that can neutralize ROS and prevent them from causing damage to cells.

Reference: https://lightpathled.com/

By |2024-01-17T17:12:51-05:00October 26th, 2023|General|

Food Solution Summit 3.0 Free Gift

Thank you for Watching the Food Solution Summit 3.0 and for taking the time to listen to Dr Mila McManus and the other Health Experts speak about our relationship with foods. Please complete the following form to receive your download link for your Oral Food Challenges Guide. 

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By |2024-01-18T10:00:17-05:00October 24th, 2023|General|

Breast Implants

by Mila McManus, MD

if you have unexplained illness, or have chronic illness and aren’t improving with treatment, consider having your implants removed.

Breast augmentation is a popular plastic surgery in the United States. Interestingly, in 2021, amidst the COVID lockdowns, there was a 44% increase in breast implants from the year before! Simultaneously, there was also a 32% increase in women having their implants replaced, and a 47% increase in women having their implants removed. [i]

While silicone and saline breast implantation is generally regarded as low complication risk, more women are expressing concerns in social media and with their doctors about a broad range of symptoms that are very real. More than 100 symptoms have been associated with breast implants, the most common in the constellation being chronic fatigue, brain fog, anxiety or depression, chest and breast pain, hair loss, headaches, chills, photosensitivity, rash, chronic joint and muscle pain, gastrointestinal issues, dry mouth and eyes, and weight changes.[ii] Because these symptoms are associated with other conditions, it’s important to carefully rule out causes unrelated to the breast implants.

Breast implant illness [BII], can best be described as an inflammatory response to a foreign substance in the body. There are some rare cancers associated with the implants and they can and do rupture or leak, which also adds to illness. Many women testify to the significant decline in health after receiving breast implants, and restored health following breast implant removal. The scientific community continues to conduct studies to gain further insight into these observations and complaints, but as of yet, breast implant illness is not yet a formal diagnosis.  Nevertheless, if you have unexplained illness, or have chronic illness and aren’t improving with treatment, consider having your implants removed.

[i] Https://utswmed.org/medblog/breast-implant-illness/#

[ii] Gland Surgery 2021;10(1):430-443.

By |2023-10-18T05:21:25-05:00October 18th, 2023|Articles, General|

Clinical Trials Tie Semaglutide to Improved Cardiovascular Health

by Mila McManus, MD

It appears that not only does semaglutide help many people to lose weight, but it is also having a favorable impact on cardiovascular health. 

It appears that not only does semaglutide help millions of people lose weight, but it is also having a favorable impact on cardiovascular health.  According to the New England Journal of Medicine, the reduced risk for heart failure appears to be a result of upstream metabolic drivers.

In one trial, people with heart failure who received weekly injections of semaglutide for 52 weeks experienced substantial improvements in symptoms and physical function than those who received a placebo. This trial involved 529 participants with obesity.  In a larger trial by Novo Nordisk, involving 17,604 adults with cardiovascular disease who were also overweight or obese, semaglutide reduced major adverse cardiovascular events by 20%.

To learn more about semaglutide and our Weight Loss Program, contact us at 281-298-6742.

References:

Semaglutide Improves Heart Failure and Cardiovascular Disease. Medical News in Brief: Journal of the American Medical Association. September 6, 2023.

By |2023-10-11T06:25:32-05:00October 11th, 2023|Articles, General|

Heart Attack Prevention:

State of the Art Cleerly Coronary Analysis To Detect Artery Plaque

by Mila McManus MD

There have been several papers confirming that accumulation of plaque within the arteries is the strongest predictor of a heart attack.

Our medical providers often refer patients for coronary artery calcium [CAC] scans which are used to detect and quantify atherosclerosis [hardened and calcified plaque].  There have been several peer reviewed papers, including ICONIC,[1] PROMISE,[2] and SCOT-HEART,[3] confirming that accumulation of plaque within the arteries is the strongest predictor of a heart attack.

The healthcare system misses more than half of patients who appear to be the picture of health but suffer a heart attack. In other words, more than half of the people who suffer from a heart attack do so without any symptoms! [4]  Though a CAC scan is affordable and significantly more informative than a stress test, even the CAC scan misses the buildup of non- calcified plaque. More alarming is that 70% of heart attack victims are considered low risk by traditional methods of assessing heart disease. [5] Conventional methods are only identifying a small portion [30%] of people who could have a heart attack at any moment. Stress testing, one of the most conventional methods, misses 75% of the lesions responsible for heart attacks. [6]

 Researchers have found that there is more than one kind of plaque, some creating a higher risk for heart disease than others. The more immediate risk lies in softer, non-calcified plaque which is not detected through the CAC scan.  The good news, however, is that through a newer, state of the art non-invasive coronary computed tomography angiography, or CCTA analysis with Cleerly artificial intelligence technology, these higher risk plaques can be identified. The CCTA+Cleerly analysis is the first approach that may truly prevent heart attacks by detecting the largest predictor of heart attacks: the high risk soft plaque. This analysis has proven superior to the CAC scan over 2, 5, and 10 year periods in one study. [7]

While our practitioners will continue to encourage our patients to get the CAC scan for its affordability and increased insight to potential disease that cannot be determined by a stress test, we are very excited about the CCTA analysis through Cleerly Health. While more costly, the analysis can provide more precise and comprehensive information needed to prevent a heart attack. The CAC scan cannot detect and quantify low-density, non-calcified plaque, which is more likely than hardened and calcified plaque to rupture and cause a potentially fatal blood clot.[8] Furthermore, several studies have concluded that the CCTA+Cleerly analysis shows coronary atherosclerosis in 41-53% of patients with a CAC score of zero. CCTA+Cleerly analysis also provides physicians with calcium scoring, making the CAC scan unnecessary when the CCTA analysis is used. 

Whether or not you have high cholesterol or a family history of heart disease, talk to your healthcare provider about the Cleerly Health CCTA analysis. It could save your life!

Be proactive. Be Well.

References:

[1] Coronary Atherosclerotic Precursors of Acute Coronary Syndromes. Journal of the American College of Cardiology. June 5, 2018.

[2] Prognostic Value of Coronary CTA in Stable Chest Pain: CAD-RADS, CAC, and Cardiovascular Events in PROMISE. Journal of the American College of Cardiology. July 13, 2020.

[3] SCOT-HEART Trial: Reshuffling Our Approach to Stable Ischemic Heart Disease.  British Journal of Radiology. September 1, 2020.

[4] Benjamin E.J. et al. Circulation 2019.

[5] Chang, H.J. et al. Journal of American College of Cardiologists. 2018.

[6] Akosah K.O. et al. Journal of American College of Cardiology. 2003.

[7] Nurmohamed, N.S. et al. AI-Guided Plaque Staging Predicts Long-Term CVD. JACC: Cardiovascular Imaging. 2023.

[8] The Fallacy of the Power of Zero. Journal of the American College of Cardiology: Cardiovascular Imaging. June 2022.

By |2023-09-27T05:50:43-05:00September 28th, 2023|Articles, General|

Processed Foods: Odds Are Against Us

by Nancy Weyrauch Mehlert, MS

More than 75% of the food in our grocery store is ultra-processed food, while only 25% is real, whole, non-MAN-ufactured food. 

The most common nutrition questions we get in our practice are whether or not a particular packaged product is “good” or not.  The questions come in about supplements, protein powders, other superfood powders, and all kinds of chips, protein bars, cereals, pastas, and seemingly better peanut butter cups and gummy bears. When it comes to food questions, 99% revolve around wanting the convenience of ready-made and packaged foods. Many of the packages look pretty impressive. Grocery stores and food producers bend over backwards to create convenience, all-the-while convincing you of its nutritional value, healthiness, or goodness. Many of the catch words marketers are hoping will speak to your common sense in the healthy food arena, such as non-GMO, Organic, No Sugar Added, Gluten Free, Keto, Paleo, All Natural, Nothing Artificial, are usually present. But do all those words really make it good for you?

Some words are popular right now that confuse even the best label readers, such as ultra-pasteurized or grass-fed, cage-free, pasture-raised, and natural flavors. “Ultra” is a great example of a word or prefix that can be misleading. Most people think of ultra as an improvement, a finer, better feature. But in the food industry, with rare exception, ultra-filtered or ultra pasteurized simply means another step was taken to further refine and process that food. And what about cellulose powder?  Sounds harmless enough, right? Did you know that it is refined wood pulp? When did man ever eat wood?

So here’s the thing. There is plenty of data now demonstrating that more than 75% of the food in our grocery store is ultra-processed food, while only 25% is real, whole, non-MAN-ufactured food.  In other words, odds are against you when you are shopping that you will find the good 25%. Meanwhile, the other 75% are being highly marketed, end-capped, taste sampled, specially signed, and stunningly packaged with all the titillating sensory words and colors that attract and draw you to the 75%. And a lot of it looks really healthy.

The point here is to remind you, if it’s in a package, man put it in the package. If you pick it up in a drive-thru, it is ultra-processed. If it is not in the original state from which it comes out of nature (a whole fruit, vegetable, nut, meat from the bone), we should all be asking ourselves just how much had to be done to make this product. This is especially true of powders, flours, pressed bars, baked goods, dressings and sauces, chips, and other snack and convenience choices. Even if all of the ingredients are whole food, many are still heavily processed, void of fiber and precious nutrients. Aiming to swap these percentages in our favor rather than against us is a good goal.  Seek to make 75% of your food whole from the store periphery and farmers’ markets.  One challenge may be to find all of the packaged food in your house that has a Nutrition Facts and Ingredient label and put it on your kitchen counter. Then ask yourself how much of that makes up your daily diet.

Diets rich in ultra-processed foods cause an increased risk for cognitive decline, dementia, stroke, cancer, and all cause mortality.  Consistently, data also shows that people in general today also suffer from significant nutritional deficiencies. Ultra-processed foods fail to provide adequate nutrition.  Compared to the historical past, prior to the explosion of the processed food industry, people ate mostly local foods, and whole, real food.  And during that time we did not experience the explosion of lifestyle disease and nutrient deficiencies we see today. 

No doubt, this is a tough challenge. We all have busy lives, careers, and family responsibilities, and all of the stresses that are common to us all. Changing how we eat and what we eat takes time and effort. It is not easy, especially at first. New habits can nevertheless be developed that, once practiced, are also convenient and easy. If we reorganize our priorities, we might find that we are able to endure the challenges of life as well as pursue our dreams more easily than ever before.  

Resources:

Mila McManus MD. Highway To Health: A Nutritional Roadmap.(2019)

https://www.medscape.com/viewarticle/994958 [Diet and the Brain: From Ultra processed Foods to the Farmers Market]

Joseph Mercola MD. Kids Intentionally Poisoned by Artificial School Lunches. (September 6, 2023)

 

By |2023-09-21T06:40:06-05:00September 21st, 2023|Articles, General|

Twelve Weight Loss Hacks

by Mila McManus, MD

Weight loss never seems to be as simple as just changing diet or increasing exercise. 

Weight loss never seems to be as simple as just changing diet or increasing exercise.  Often, it is more of a multi-faceted approach that stimulates the body to burn fat. For example, we know that diet, exercise, proper hydration, stress reduction, and quality sleep work well together to stimulate weight loss.  Also, within each of these lies many nuanced hacks to help you make even more progress. Check out these hacks and start practicing them for improved weight loss and overall health.

  • Dress up your carbohydrates. Keep carbohydrates (vegetables, fruit, grains, sugar) in context with fat, protein, and fiber. Naked carbohydrates, eaten by themselves, get to the intestines very quickly. This usually causes hunger, carb cravings, weight gain, fatigue, elevated insulin levels, brain fog, inflammation, and ill health.  Mix your carbs with fat, protein, and/or fiber. All three inhibit and slow down carb digestion.
  • Drink some vinegar before a meal. More than a dozen research teams around the world have repeatedly discovered that vinegar has a favorable impact on fat loss. Adding vinegar right before meals for three months, subjects lost 2-4 pounds and reduced visceral fat, waist and hip measurements, triglyceride levels, and blood glucose levels. Blood glucose levels were reduced from 8 to 30 percent. Vinegar contains acetic acid and, when absorbed through the GI tract, it moves from the bloodstream to the muscles which then increases uptake of glucose from the blood. Before a meal, vinegar helps to release glucose more slowly from your food into the bloodstream, while also encouraging the muscles to take up glucose from the blood more quickly. One tablespoon of any kind of vinegar added to eight ounces of water is the recipe. But don’t use this hack expecting it to slow down your hamburger, fries, and milkshake! Pair it with a healthy, whole food meal.
  • Pick dessert rather than a sweet snack. It is better to eat dessert than a sweet snack. For example, if you want to indulge in a brownie, it is better to consume it after eating a meal with fat, fiber, and protein, than to isolate it at 3pm or 9pm by itself away from a meal.
  • Start with your rabbit food (raw or cooked vegetables) first. At mealtime, eat your veggies first, followed by protein and healthy fats. Then place higher carb foods, such as potato, grains (rice, corn, wheat, etc.), fruit, or dessert at the end of the meal. Fiber expands and creates a barrier while protein and fats are slower to digest.  This lines up the fast carbohydrates at the end of the line and are stalled by everything before it.
  • Eat, then get moving. Moving immediately after a meal uses up available blood sugar rather than storing it in fat.  The more carbohydrates you can burn, the better!
  • Stop eating at least 3 hours before bed. Sleeping with food in the stomach causes fat storage and interrupts sleep quality. During sleep, we detoxify, reset hormones, calm the adrenal stress response system, and heal.  If you are digesting food instead, none of this occurs.
  • Stop counting calories. Instead, eat quality. 100 calories in a Donut is NOT the same as 100 calories of nuts. Calories are not nearly as important as quality, real whole food! RUN from ultra-processed foods. If you count anything, count carbohydrate grams. Lower them until weight loss begins. Your carb gram number will be unique to you, and is best advised by a qualified healthcare professional.
  • Go savory for breakfast. If you are going to start the day with breakfast, start with protein, fat, and fiber – limit grains and fruit, especially tropical fruits, such as banana, pineapple, or mango, as well as dried fruits like raisins, prunes, or apricots. Avoid putting two carbohydrates together (e.g., oatmeal with raisins or blueberries and brown sugar, jam and toast, fruit juice and a muffin).
  • Limiting sugar is the hack, not using one kind over another. Sugar is sugar. At a molecular level, they all spike blood sugar. In other words, whatever it is called, and there are more than 60 kinds of sugar found in our foods, (e.g., table sugar, honey, coconut, date palm, maple syrup, corn syrup, brown sugar, glucose syrup, naming just a few), all of them will spike your blood sugar, which is what you want to avoid.
  • Flee from fructose. It is more harmful than glucose or sucrose. Fructose is overwhelming to the liver, turns to fat, precipitates insulin resistance, and makes us gain more weight than will glucose. It also makes us hungrier rather than satiated.  Agave syrup is 90% fructose and honey is 40%. The highest fructose-containing fresh fruits include grapes, bananas, jackfruit, and papaya, and all dried fruit and fruit juices. Sweet tea, coconut water, soft drinks, fast food hamburgers, and ketchup are other considerable sources of fructose.
  • Savory snacks are ideal. Eating in between meals is best done with savory, salty, fatty foods such as nuts and nut butters, guacamole, hummus, olives, and bean chips, to name a few. When we eat fruit or any type of sugary food by itself without fat, fiber, and protein, we are setting ourselves up for fat storage, sugar spikes and dumps, and fatigue.
  • Intermittent fast to turn on your fat burning mechanism. While intermittent fasting (IF) and an extremely low carbohydrate (ketogenic) diet are not a suggested daily lifestyle, they are an excellent strategy for breaking a weight gaining streak and resetting the body’s ability and willingness to burn fat. Chronic high carbohydrate consumption and snacking prevents the body from needing to burn fat and the body gets very lazy about doing so. Instead, your body demands more carbohydrates for fuel rather than accessing fat stores.  Intermittent fasting (IF) with a more ketogenic diet reminds your body to access fat stores. One word of caution, intermittent fasting should not be done suddenly, and it might be wisest to ask your medical provider and our nutritionist if IF is a good option for you and how best to implement this strategy. Moreover, some people don’t do well cutting out carbs cold turkey.  If you are going to attempt a keto diet, decrease carb intake gradually and be sure to supplement with minerals (e.g. salt, potassium, magnesium).

Best wishes and be Well!

 

References:

Inchausepe, Jessie. The Glucose Revolution. (London: Short Books, 2022).

https://www.myfooddata.com/articles/high-fructose-foods.php#printable

By |2023-09-13T13:26:27-05:00September 14th, 2023|General|

Sodium Part II:  15 True, New, and Surprising Factoids!

by Mila McManus, MD

In our August newsletter , we questioned if sodium, or salt, is really bad for you and answered a resounding NO. Salt is important! First, the body requires sodium. Second, sodium must be understood in the context of potassium levels. And finally, not all salts are the same. Purchasing quality salt matters [e.g., Redmond’s Real Salt™, Himalayan Pink Salt from Pakistan].

This week, we continue with true, new, and surprising factoids about sodium[i] that you need to know!

Salt cravings are biologically normal, just like our thirst for water. We should pay attention to our salt cravings and respond by increasing our salt intake.

  • Sugar cravings are not biologically normal, causing fat accumulation, insulin resistance, chronic inflammation, oxidative stress, and mitochondrial damage.
  • A high sugar diet increases your need for salt, and satisfying your salt cravings may be a key to kicking your sugar cravings. 
  • Salt restriction/depletion increases LDL and total cholesterol levels.
  • Salt restriction/depletion causes insulin resistance and sugar cravings.
  • Sodium is required for vitamin C absorption.
  • Salt is essential for vitamins and minerals to be pushed into the bones, making them strong.
  • Low sodium level results in sodium being pulled from the bones, and brings calcium and magnesium with it!  This results in bone loss.
  • Early humans, well before refrigeration, used salt to preserve most foods and consumed as much as 100 grams of salt without issues of cardiovascular disease and hypertension.
    • [The DASH diet for hypertension recommends only 1500-2300 mg per day[ii]].
  • The rise in hypertension in the early 1900’s actually parallels a reduction in salt intake.
  • The salt “thermostat” regulates intake and prevents addiction to salt. However, introduction of sugar results in a definitive thirty-fold escalation in intake, with evidence of bingeing, tolerance, and structural changes in the brain in response to consuming sugar, all three criteria for addiction.
  • Sugar, unlike salt, is the real villain, along with harmful industrially processed seed oils.
  • When we sweat [e.g., exercising, using a sauna, working in hot weather], we lose about ½-1 teaspoon of salt per hour, on average.
  • Pre-loading salt before excessive sweating will provide greater endurance by dilating vessels for better heat dissipation and slowing of the heart rate.
  • When fasting or lowering carbohydrates below 50 grams per day [ketogenic diet], it is important to increase salt intake. This is because lowering sugar intake will lower insulin, and this leads to more salt wasting [excretion].

Eat Salt!

[i] DiNicolantonio, James. The Salt Fix. (New York: Harmony Books, 2017).

[ii] https://www.nhlbi.nih.gov/education/dash-eating-plan

By |2023-09-07T10:53:04-05:00September 7th, 2023|General|