Tuesday, 9 June 2020

How to Recognize Negative Patterns

The message is: we need women to be aware of reproductive aging and incorporate it into decision making. What if I meet a guy at 42 and my FSH is high (a sign of imminent menopause and aging eggs) and I have no eggs. If, despite all your preparation, that hip just remains painful, do more upper-body exercises. This way you can still improve your overall fitness level while continuing to rehabilitate the injured and painful area. And because HIIT exercises can be done in much less time than traditional MICT exercises, they may be better tolerated by your body. Start Low & Go Slow! Not only the experience with my patients but also my own experience has taught me that it's very easy to overdo a new activity or exercise. Years ago, I did a set of dumbbell flys after not having done them in years. I didn't warm up, but also didn't think I was using overly heavy weights--I just figured I could pick up where I had left off. After all, I was only in my early 40s and didn't feel I had aged any. Well, I soon learned my lesson and had shoulder tendinitis, pain, and restricted motion for almost a year. Another time, I started running inclines on my new treadmill--having not run up hills in years--and spent the next nine months with hip pain from psoas tendinitis. Residents are fed, and successfully I might add, something related to what they tend to eat of their own accord in the wild, based solely on sense and observation. But, of course, we have just such observation regarding ourselves as well. Leaving aside the evidence about diet and health born of robust scientific methods - and there is plenty - we should be far from clueless about the basic care and feeding of Homo sapiens on the basis of simple observation alone. In fact, it almost certainly is - but as I will elaborate throughout this article, allowing for such simplicity would put a lot of careers, industry, and money at risk. Perhaps the reason the truth about food is not obvious is as simple as that. I have colleagues whose careers are much devoted to pointing out the liabilities in our dietary intake assessment methods. They go on to conclude that, therefore, we know absolutely nothing about the basic care and feeding of our species, and need to start from scratch. I agree with them about the first - and, in fact, have started my own company devoted to fixing that problem.

Humans knew perfectly well what to eat since long before anyone devised ANY dietary intake assessment method, let alone a placebo-controlled, double-blind RCT. We knew what to eat before 24-hour recalls, food frequency questionnaires, diet diaries, metabolic wards, or smart phone apps. Thank God I froze my eggs at 37. We are not selling pipe dreams. I think women are appropriately counseled. You can say that women should not be sold the experimental technology. But at the same token, if the technology is available, who's to tell a woman she shouldn't. Given the cost, it is an option for women in a certain income bracket, though Extend Fertility says finance plans are available. I live in LA. People spend this kind of money on boobs, Botox, and lips without thinking, says Lynn Oddo, an Extend Fertility client. This is the way of the future. I guarantee that my daughter will freeze her eggs in the 20s. And then there was the time I spent a couple of hours doing yardwork as soon as the spring thaw occurred--and I strained my wrist. I think about these and other similar events whenever I pick up a new activity, or after taking a break from an old one--raking in the fall, shoveling in the winter, kicking a soccer ball in the spring--and really do go incredibly slowly in the beginning. It's how I keep myself out of trouble. Monitoring your heart is a good way to ensure that you're not overworking it. Heart rate monitors come in all shapes and sizes, from ones you wear on your wrist to ones that strap around your chest. I have one that syncs up with my iPhone, which I put in a handlebar attachment on my bike. I like watching how my heart is responding during intense exercise, as well as during the recovery period. How quickly your heart returns to its baseline rate after a workout is one of the best markers of fitness level.

As you embark on the most advanced and effective fitness regimen to date, I recommend that you make some changes to your diet to support your journey. HIIT workouts, though short, demand a lot from your body. How can the invention of new ways to gather information cost us the information we owned comfortably before they were invented ? There are no dietary intake assessment methods for sea lions, or spiny anteaters, or ground squirrels, either - and yet we are perfectly secure in our knowledge of what THEY should eat. This is where conflating absence of evidence for evidence of absence leads (more on that topic in article 1 ). The plot thickens when we consider that we are not suffering from absence of evidence, either; But we'll get to that in time. There are other variants on the theme of lying, too - of course. There are fools; There are predatory profiteers who genuinely lie, too - albeit cleverly and discretely. They infiltrate our culture with their lies with such subtlety that the lies seem like truth to us. Multi-colored marshmallows as part of a child's `complete breakfast'? I'm just a woman doing this in the very beginning. I'm a pioneer. There are other freezing options in the works. A few teams of scientists are trying to freeze immature eggs so that prepubescent girls undergoing chemotherapy, say, can store oocytes that can be nudged into maturing when the women are ready. Other teams are trying to freeze ovaries, or pieces of ovary, that could be transplanted back into a woman and work as good as new. As for Lindsay Nohr, the two-time cancer survivor, she is pregnant and the mother of a healthy 2-year-old daughter and still has all 29 eggs on ice. Her pregnancy travails, including two miscarriages and detecting a rare defect hindering her husband's fertility, rival any woman's IVF stories. Despite the odds against it, she got pregnant naturally, but says that she and her husband want at least four children, so it's likely she'll dip into her stash at some point.

The fundamental question is not whether freezing will work but what will happen when it does? Will it affect our decisions about motherhood? Putting the best fuel into your new high-octane engine, in the right proportions, will support your system and boost your results--whether you seek improved health and fitness or weight loss. Your diet should be a balance of proteins, low-starch vegetables, complex carbohydrates, and good fats. Try to select organic, grass-fed, free-range lean meats. They have no hormones or antibiotics, are naturally leaner, and can be higher in omega fats and other good nutrients. Protein can also be found in cheese, yogurt, eggs, soy, and fish. Non-starchy vegetables like spinach, cauliflower, and tomatoes contain fewer carbohydrates and calories compared to starchy vegetables like corn, peas, and potatoes. Carbohydrates are one of the body's main fuel sources and are vital in your diet as you engage in HIIT training. Simple carbohydrates should be avoided because they quickly break down into sugar once in the body. Instead, choose complex carbs like whole grains, beans, and apples, which take longer to break down and are higher in fiber. Good sources of fat, such as avocados and nuts, help us lose weight, increase satiety, and increase metabolism. Well, if they say it on TV, it must be ok. It's not what we don't know about diet that most threatens our health; There really is a fundamental truth about food for human health, or a small cluster of fundamental truths if you prefer. There truly is. I know what you are expecting now. This almost certainly isn't the first article about diet you've ever seen. One thing I've learned about people who read articles about diet is that they read other articles about diet. There is a very good chance this isn't your first rodeo.

So, you are likely expecting me to say why this article, and I, are special. Why you will discover truths here that no one else knows; Will the option to freeze encourage women to delay starting families? And if so, is that a good thing or a bad thing? In Liza Mundy's Everything Conceivable, Michael Feinman, a physician with Huntington Reproductive Center in California (part of the Extend Fertility network), says that egg freezing may serve as a cultural pressure (a surprising comment from an egg-freezing entrepreneur). Yet he said to Mundy, What if law firms someday require female partners to freeze their eggs and wait even longer? Whose interest does egg freezing serve? The woman's or that of an ambitious, still pretty unforgiving culture that doesn't really ever see childbearing for female employees as convenient? The egg industry plays into our desire to have everything perfectly planned, beginning with egg meeting sperm. That's all well and good, as we seem to be increasingly able to micromanage conception. And yet, the irony is that all of this obsessive control leads us to one of the most uncontrollable situations ever--parenthood. There is a spectacular 43-second documentary showing thousands of cells forming the embryo of a zebrafish. They're high in nutrients and free-radical-fighting antioxidants, and can protect against heart disease. Some foods fall into more than one category, such as grass-fed beef and Greek yogurt, which are both good proteins and fats. To keep it simple, I recommend that you pick foods from this chart. If your diet needs a lot of changes and clean-up, try to make a couple better choices each day, allowing your system to adjust. The urge to eat these foods will fade. Depending on your current diet, you may benefit from increasing your intake of proteins (which are necessary for building and repairing muscle) and low-starch vegetables, adding some good fats, and reducing your non-complex carbohydrate intake. Always check with your physician before changing your diet, especially if you're pregnant, suffer from chronic medical problems, or take medication. Before, during, and after your workout, drink plenty of water and pick sports drinks without a lot of added sugar to replenish lost fluids and electrolytes.

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