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Oncology Patients Increasingly Ask About Diet: What to Say? – Medscape

Posted: October 30, 2019 at 12:43 am

SEATTLE Counseling oncology patients about nutrition and dietary trends is part science and part art, according to Kerry McMillen, MS, RD, CSO, manager of Medical Nutrition Therapy at the Seattle Cancer Care Alliance in Washington.

"It's especially confusing for patients in the day and age of the Internet, when you can basically find proof of anything out there, positive or negative," she said here at a workshop at 2019 JADPRO Live, the annual meeting of the Advanced Practitioner Society for Hematology and Oncology (APSHO).

Take for instance the ketogenic diet. The hypothesis behind this diet is that tumors rely on glucose to meet their energy demands, so reducing glucose levels can starve them out, McMillen explained.

Kerry McMillen, MS, RD, CSO

"You know what? Sugar does feed cancer, but sugar feeds every other cell in our body, so it's not really just about sugar," she said. "We know that the relationship between sugar and cancer is more about glucose metabolic regulation, and when people have hyperglycemia for days on end, it increases the metabolic cascade that involves insulin-like growth factor 1 and changes the environment and how your cells behave."

There aren't any rigorous trials supporting efficacy of the ketogenic diet in the oncology population, although research is ongoing. Also, this diet can be at odds with American Institute for Cancer Research (AICR) recommendations to consume fruits, vegetables, and whole grains, and to limit red meat (which now includes pork and lamb) to no more than 18 oz per week.

"You really have to think about how do you balance survivorship needs with these diet approaches. That's something to talk through with patients," McMillen noted.

"If a patient does wish to go on a ketogenic diet, it's really important to realize that they are not going to get the full complement of vitamins and minerals that you would get in a healthy diet, so you definitely want to make sure that they are on a carbohydrate-free multivitamin with trace minerals, including selenium, and they are also getting calcium and vitamin D," she advised. "And we strongly encourage that they do get linked up with a dietitian, just so we can help them figure out what their food choices might be."

Another hot nutrition topic among cancer patients is the alkaline diet. The hypothesis behind this diet is that tumors can't grow in an alkaline environment, so increasing blood pH through food choices can be beneficial.

However, "the science behind being able to change your blood pH is just not there," McMillen said, as the body's homeostatic mechanism works very hard to avoid alkalosis (and acidosis).

"It's really a marketing scam, trying to get people to buy very expensive alkalinized waters and water-dispensing machines that will fix your cancer because you are going to make your body more alkaline," McMillen asserted. "The bottom line is that promotion of an alkaline-based diet and alkalinized water for cancer prevention is not justified or evidence-based."

That said, alkaline foods fortuitously include fruits, vegetables, nuts, and lentils. "In my practice, I tell people that if they are eating healthy and meeting their calorie and protein needs, it's not a problem for them to eat high-alkaline foods because they are healthy foods," she said.

"It's when their diet starts to become so restrictive that they are not meeting their calorie and protein needs appropriately, and they are starting to lose weight. Then it's time to start thinking about opening up their diet," she added.

Oncology patients have also increasingly been inquiring about fasting to reduce the side effects of chemotherapy or achieve weight loss. Here, there is evidence of health benefits for the norm of intermittent fasting, whereby one simply refrains from eating overnight.

"There are actually studies that show that intermittent fasting for 12 hours, 7 pm to 7 am, helps control blood sugar, lowers A1c, helps manage weight, and there has been some data showing that for breast cancer survival, it helps," McMillen said.

Commonly, foods consumed late at night are nutrient-poor and calorie-dense, too. "Our food choices might be less healthy overall when we are doing that kind of mindless eating," she noted. "It's important when people are talking about fasting that we investigate why are they eating at that time, and realize even some simple reductions or changes in what they are eating can help."

Then there are more extreme forms of fasting. Although data from small studies suggest that multiday fasting may reduce the toxicity of platinum-based chemotherapy, there are marked differences across tumors and chemotherapy regimens, and rigorous trials have not been done. In addition, patients at risk for weight loss (or are already underweight) who choose to fast can lose muscle mass and function.

"We are lacking evidence to be able to recommend fasting either 24 hours or multiday at this time. Until we have better, sound randomized controlled trials, it's not a nutrition recommendation that we stand behind as the certified specialists in oncology nutrition," McMillen summarized.

To help cancer patients navigate such nutritional gray areas, McMillen recommends having a dietitian with oncology expertise on the multidisciplinary team, making patients aware of prevention and survivorship guidelines, and pointing them to trustworthy information resources.

"Sometimes, you can kind of meet people where they are at and not get into really intense discussions about something they very firmly believe because that can alter your patientclinician relationship. But it's important as practitioners that we are always able to stand by the latest evidence," she maintained.

Natalie Ledesma, MS, RD, CSO

"First, establish trust and rapport with patients, and then address the topic objectively and scientifically," agreed Natalie Ledesma, MS, RD, CSO, a clinical nutrition specialist at Smith Integrative Oncology in San Francisco and senior dietitian for the University of California, San Francisco Helen Diller Family Comprehensive Cancer Center.

"In all of my work, I want it to be evidence-based. So I try to keep out opinion and media and fad and hype, and just really kind of look at, here is what we know, here is what we don't know, and where does that lead us," she told Medscape Medical News.

When patients are adamant about following a diet that lacks evidence, the foremost consideration is safety, which may entail additional monitoring, Ledesma concurred. And importantly, clinicians should be careful not to alienate patients.

"If we turn a blind eye or are staunchly against a dietary approach no, we can't do this or we can't do that patients are just going to do what they want to do," she elaborated.

"So it's much more beneficial for our community and helping people with nutrition to be open, even if we are not necessarily in agreement, so that we don't close the door on them," Ledesma cautioned. "Because if we do, they are just simply going to not tell us about it, and then we can run into dangers and other negative consequences."

McMillen and Ledesma have disclosed no relevant financial relationships.

Advanced Practitioner Society for Hematology & Oncology Annual Meeting (JADPRO Live) 2019: Presented October 24, 2019.

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Oncology Patients Increasingly Ask About Diet: What to Say? - Medscape

What is the Fast 800 diet? – The Indian Express

Posted: October 30, 2019 at 12:43 am

Whether you are waiting for the festivities to end of the New Year to galvanize yourself into losing weight then the fast 800 diet will gladly come to your rescue. (Picture: Thinkstock)

We all wish to eat and never gain pounds. But sadly, its impossible unless you have a good metabolism. If you are waiting for festivities to come to an end or the New Year to motivate yourself into losing weight, then here is a diet that will gladly come to your rescue.

The 800-calorie diet is an intensive diet which involves eating no more than 800 calories per day. However, this is done along the lines of intermittent fasting, along with elements of what you should eat from the Mediterranean diet.

The diet is not only packed with essential nutrients but plenty of protein and fiber to keep you fuller for a longer period of time. It is a proven way, not only to lose weight but also to keep it off long term. Moreover, not only it is capable of bringing about substantial weight loss, but it also helps in the reversal of Type 2 diabetes, over a one-year period in a primary care setting.

How can the Fast 800 diet help you?

The Fast 800-diet will require you to consume food that has lower carbs, higher-fat meals and is packed with essential nutrients and protein and fiber to improve blood sugar levels and help you lose weight. Sticking to this low-calorie diet also reduces the risk of cancer and prevents dementia.

What does 800 calories look like?

Here are some snack options if you choose to follow this diet.

*Healthy zucchini superfood slice

This is a healthy version of the family-favorite zucchini slice and is loaded with quinoa, zucchini, and kale, and makes for a perfect vegetarian dinner or lunchbox filler.

*Poached eggs with mushrooms and spinach

This contains optimum amounts of iron and protein. You need to poach the eggs and cook them over medium heat. Add spinach as required and toss with mushrooms mixed in butter for flavor. Season with a pinch of sea salt and black pepper.

*Spicy bean chilli

Mix beans with sliced tomatoes and add paprika, cumin and coriander (grounded) to taste while its gently frying. if you want it a little sour, add tomato pure and a mixed tablespoon of dried herbs, season with salt and pepper and bring to simmer. Cover loosely with a lid and cook for 15-20 minutes, stirring occasionally.

The Fast 800 diet can last nearly anywhere from 2-12 weeks and involves eating low-calorie but healthy foods. Thus, low sugar, low starch and no fried food are the norms. It aims to include fish, nuts and seeds, fruits, vegetables, yogurt, eggs, legumes, lentils and olive oil in your diet.

Does the Fast 800 diet work?

Dr. Michael Mosley devised the Fast 800 diet and took several months to gain more than 6 kg. After starting the plan, he admitted that at times, his energy levels felt lower during those two weeks. Thus, he recommended a doctors guidance before embarking on this or any other restrictive diet, as it may not prove to be suitable for everyone.

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What is the Fast 800 diet? - The Indian Express

Dwight Howard Has Shed Some Serious Weight Ahead Of The 2019 Season – Men’s Health

Posted: October 30, 2019 at 12:43 am

The 33-year-old, who now plies his trade with the Los Angeles Lakers, has had a torrid time over the last five years, signing with five different franchises.

After struggling to recover from back surgery last season, Howard, once nicknamed "Superman" during a dominant period with Orlando, turned to an aggressive body transformation in an attempt to recapture his form.

The power forward/centre, who stands at 2.08cm, reportedly shed 11.3kg following his trade from Washington to the Lakers. However, some suggest he lost as much as 18.1kg

So how did he drop the kilos so quickly? Howard embarked on a 30-day fast while also following a strict running program. According to the former defensive player of the year, he's never felt better.

It was really good, it was something that really just tested my mind and my body, Howard told ESPNs Mason and Ireland.

Fasting is not easy, and when you only have one meal a day especially how I was training its like, Man, what am I doing?

But it really just helped me get over a lot of mental barriers that were in the way of me getting to where I needed to get to as a person.

However NBA expert Bill Simmons was baffled by the body transformation, noting that in recent years, star centres have been looking to add more size to exceed in the position.

The Dwight Howard thing is just bizarre, Simmons said on his podcast, The Bill Simmons Podcast.

Hes lost is appears to be 40 pounds, its just a lot. This is a guy who was awe-inspiring how huge he was.

Dwight Howard was just a mammoth specimen of a human to watch, he continued.

And then tonight, he looked like a guy who had been living on Redondo Beach, on the water, doing a vegan diet, doing hot yoga every day. You know, he was a skinny guy and he was wearing a uniform that wasnt baggy or anything. It seemed like he was borrowing Avery Bradleys uniform. It was tight. And the way he played, it was like he was a second round pick from Senegal, who was still trying to learn how to play basketball, but one thing he could do was sprint from end to end. Ive never been more riveted by anything.

Simmons didn't hold back, suggesting that a lighter version of Howard could see him struggle to hold is own on the court.

When centres get old, they just sort of mummify, Simmons added.

We saw that with Shaq, Kareem (Abdul-Jabbar), Hakeem Olajuwon. They just mummify and this was the opposite. Hes turned into vegan, hot yoga guy. Hes completely lost all of his explosiveness, he got stuffed under the rim.

Ive never seen this version of a washed up NBA star before. Ive seen mummified version, Ive seen lost-seven-steps version. He used to call himself Superman, hes Clark Kent now. Hes lost all of his muscle. What happened to it.

Fortunately for Howard, he has the backing of his coach who praised the star for his recent performances.

Dwights shown bursts like that all throughout camp and I said all along, he and JaVale (McGee) are playing at a really high level and a big part of what were trying to accomplish, his coach, Frank Vogel, said of him.

Tonight, in particular, he was off the charts. Obviously 8-for-8, scoring the way we want him to score by crashing and rolling to the basket.

Defensively is where I felt he was dominant. He had four blocks but he changed several other shots, got every rebound it seemed in his area, and he was 16-10 with four blocks. He had a hell of a night.

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Dwight Howard Has Shed Some Serious Weight Ahead Of The 2019 Season - Men's Health

Human diets may not be best option for pets – OSU – The Lantern

Posted: October 30, 2019 at 12:41 am

Almost one-year-old Magpie is happy and playful after her owner, Lily Clarkson consulted the veterinarian about her food diet. Credit: Courtesy of The Ohio State University College of Veterinary Medicine

Popular diets may lead to a ruff life for pets.

Pet owners wanting to put their animals on vegan, vegetarian, grain-free, raw or other homemade diets may not be uncommon, but it also may not be the best for the animals, an expert at the College of Veterinary Medicine at Ohio State said.

Valerie Parker, a veterinary nutritionist at Ohio State, said diet trends can put animals health at risk because they can lack nutrients, and pet parents should remember that animals arent people when it comes to food.

In the last few years, there has been an increase association shown in some dogs eating a grain-free diet and developing diet-associated dilated cardiomyopathy, Parker said. Cardiomyopathy is a heart disease that causes an enlarged heart muscle, making it harder for the heart to pump blood to the rest of the body according to Mayo Clinics website.

Parker said dogs can eat grain-free diets, but it has to be done safely and correctly if owners prefer that method by consulting their vet on brands of grain-free food that contain more nutrients. She also said people shouldnt assume that foods that work for them will also work for their pet because animals have different nutritional needs than humans.

Lily Clarkson, the owner of an almost 1-year-old Australian cattle dog and Australian shepherd mix, Magpie, said she became overwhelmed when seeing all the different diet options for her puppy.

At first, she wasnt sure which option to choose but heard good things about a grain-free diet, and though Magpie didnt have any of the problems that grain-free diets are intended to help with, she wanted to avoid the potential for future problems by starting grain-free.

Parker said there are some health risks that have been associated with vegan diets in dogs, and cats especially have shown amino acid deficiency or other nutrient deficiencies.

If its just a home-prepared vegan diet, then it might have multiple nutrient deficiencies associated with it, Parker said. It can cause derangements of calcium in the blood. It can lead to fractures and diet-associated dilated cardiomyopathy.

Since initially starting Magpie on a grain-free diet, Clarkson said shes switched her to a whole-based diet food called Purina Pro Plan after meeting with her vet.

Theres a ton of research that goes into that brand of food, so I can know exactly where her food is coming from, Clarkson said.

Parker said that when she does nutrition consults, she has owners fill out a form of the animals diet history so she has a good understanding of what theyve been eating. In order to determine the best option, Parker said she takes an individualized approach with the animals using their breed, weight and medical history.

Parker said theres a lot of good information online regarding animal diets, but making sure its coming from a reputable source like a certified vet nutritionist is necessary.

Absolutely go to your veterinarian. There is so much information on the internet, and you dont know where some people are getting their information, Clarkson said. Veterinarians are professionally trained, so why not go to your vet, whos an expert in that area?

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Human diets may not be best option for pets - OSU - The Lantern

Risky Hennepin and Ramsey County streets are increasingly being put on ‘road diets’ – MinnPost

Posted: October 30, 2019 at 12:41 am

At 5 oclock last Friday, at the peak of rush hour, a group of safety advocates stepped out into the middle of busy Lyndale Avenue in an attempt to cross the street. Under normal circumstances, they knew that theyd be taking their lives into their hands. This was the exact block where 54-year-old Theodore Ferrara was hit Oct. 13 while trying to scramble across the busy four-lane street that carries traffic through the dense Wedge and Whittier neighborhoods and beyond. He died three days later.

At first glance, the idea of change on Lyndale might seem hopeless. The Hennepin County arterial street has very high traffic volumes more than 24,000 cars a day. But recent moves by Ramsey and Hennepin Counties this year are signs that the conventional wisdom about four-lane roads might be changing. Both counties have become more aggressive about implementing three-lane road diets, as engineers and policy makers have begun to push the boundaries of where safety measures might work. These new designs, on streets like Broadway NE and Maryland Avenue, might be a sign of a safer approach to urban streets in the Twin Cities.

Almost all of the deadliest streets in Minnesota cities have one thing in common: They are four-lane undivided roads in walkable urban neighborhoods. These kinds of streets are particularly dangerous because they allow drivers to change lanes and speed around slowing or stopped cars. As anyone who has ever driven south down Hennepin Avenue well knows, without a turn lane, left-turning traffic can clog up the center lane for blocks, and drivers routinely speed and swerve amid the chaos.

Its these unpredictable encounters that make four-lane roads so perilous, and the speed-inducing design quickly turns deadly when pedestrians get involved. While state law requires drivers to stop for people trying to cross the street at a corner (even without a striped crosswalk), the four-lane design means that often drivers will whip around a stopped car and hit the poor soul trying to get across the street.

Traffic engineers live with the deadly outcomes because four-lane roads can handle higher volumes of car traffic, especially at intersections with stoplights. The three-lane road diet street design, where turning traffic takes up a center lane, also creates more congestion at busy intersections. Because of the traffic concerns, for years the conventional wisdom stated that three-lane designs only worked to a certain point. On any road with higher volume than, say, 16,000 cars per day, a safer three-lane would was not seen as possible, because it would create too much congestion and driver frustration.

Or at least, thats what the engineers thought would happen. This year, at least in the Twin Cities, the industry standards are beginning to change. In the wake of persistent crashes, first Ramsey and now Hennepin County are implementing four-to-three-lane conversions on arterials with far more traffic than in years past.

Honestly, the foundation really was set a few years ago when [the county] did the Johnson-to-Payne section [of Maryland], said Trista MatasCastillo, who represents the area on the seven-member Ramsey County Board. It came from the community response, and people pushing because of a pedestrian fatality there. When we have fatalities, it really gives us an opportunity to pause and reflect.

The case MatasCastillo references was particularly tragic, when a woman named Elizabeth Durham was killed by a driver of a box truck while trying to cross Maryland Avenue after putting her son on a school bus. After Durhams death, neighbors on the East Side began pushing the county to rethink how it prioritized pedestrian safety. Soon after, county engineers tried out a yearlong test of a three-lane road design on Maryland Avenue near the site of the crash. After a year of data collection, and some community back-and-forth about traffic versus safety, the changes became permanent.

This year, Ramsey County went further, making the three-lane design change on a busier part of Maryland Avenue even closer to the Interstate 35E on ramps. The new design pushes the ADT envelope the threshold of average daily traffic where three-lane designs are considered to work well well beyond the previous standards.

(For the record, the threshold varies by city and county across the country: In Chicago, the limit is 18,000; in Seattle, its 25,000 cars per day.)

Engineers tried out a yearlong test of a three-lane road design on Maryland Avenue. Later, they made the change permanent.

So this street was really dangerous, explained MatasCastillo. Public Works said people were driving average speeds at 47 mph. It is completely residential on both sides of the road. You have peoples front porches, and cars going 50 miles per hour. There were accidents frequently and pedestrians being killed.

The new design has been in place for months, and even with the high traffic volumes, few drivers have been complaining to the county.

It actually works, explained MatasCastillo, who lives just blocks away from the Maryland test. The commuters lost time was minimal, it feels safer, and people can walk.

As with their other test designs, Ramsey Countys Public Works Department has been collecting ongoing data to evaluate the traffic impacts of the change. According to Erin Labree, the deputy director of program delivery for the county, they are collecting information about speeds, crash rates, congestion wait times, turning patterns, and traffic on neighboring side streets to try to evaluate whether drivers are speeding through the neighborhood out of frustration.

Traffic volumes are really high, higher than what we thought a three-lane could handle, said Labree. Its really on the high end, but we did trials to see how it functions, and it functions relatively well. The peak hour in the morning and the evening is when we see congestion occur, but at the other the times of day it operates really well plus there are the added safety benefits for people trying to cross the road.

Even better, crashes are down on Maryland Avenue compared to how it was working in the past. Results are so encouraging that new three-lane designs are being rolled out in other places. After a series of tragic crashes this summer took the lives of three people crossing the street, county engineers have installed road-diet conversions on Larpenteur Avenue and McKnight Road on the north and east borders of St. Paul.

Our takeaway from the Maryland Avenue project it that it has been a success, said Labree. We are looking at more of our four-lane undivided roads in the county, and because traffic volumes [here] are on the higher end of what we have on other roadways, we really expect to do more of these conversions.

Not wanting to be left behind, a similar road diet revolution is gaining traction in Hennepin County. In northeast Minneapolis, where busy-but-dangerous four-lane roads have been the norm for generations, a new three-lane design is pushing past previous engineering boundaries. Earlier this fall, the county installed a new three-lane design on a key stretch of Broadway Street NE, dramatically calming traffic on what was once a chaotic car sewer.

[The county] was scheduled to do a straight mill and overlay, curb to curb, explained Kevin Reich, who represents the area on the Minneapolis City Council. But a lot of conversation had gone their direction from constituents, residents, and some of the business folks about how it functions.

Broadway NE carries around 18,000 cars per day, fewer than Maryland, but the countys decision to adopt the three-lane design means that big changes might be coming for other dangerous arterial roads throughout Minneapolis.

Broadway had been a mini-freeway from the perspective of many constituents, and they were hoping that some of these conversions could make it feel safer, and make some of traffic patterns work a little better, there are dedicated turn lanes that make it better for go and flow, explained Council Member Reich.

According to Bob Byers, an engineer for Hennepin Countys Transportation Planning Division, the Broadway road diet is the highest volume three-lane design the county has ever done. As he explained in an email, the new design has been working surprisingly well, and theyve heard mostly positive comments from community members.

Staff has been driving the corridor during the peak hours, explained Byers. The travel times appear to be very similar, within a minute or two, of what they were when it was a four-lane. This is most likely due to the chaos and left turn blocking that occurred as a four-lane [road].

The new horizons for making street safety change means that design change might finally be coming to some of the Twin Cities most dangerous streets, like Hennepin, Lyndale, Franklin, and Lowry Avenues in Minneapolis, or Dale, Hamline, or 7th Streets in St. Paul.

Dale Street, replied Trista MatasCastillo when I asked her about what streets might benefit from the next road diets. It comes up every single day, [but] it is currently not in the plan. I keep bringing it up. I hope we can do it before someone dies, that we can do these [design changes] not only in response to death but proactively.

For the people who took over Lyndale Avenue last Friday, holding signs with messages like Just Tryna walk n exist or Lives > Lanes, the changes cant come soon enough. Even during rush hour, it should not require a coordinated mass movement to simply and safely cross the street.

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Risky Hennepin and Ramsey County streets are increasingly being put on 'road diets' - MinnPost

Sand and Steel Fitness Moves to Larger Location in West End – Patch.com

Posted: October 30, 2019 at 12:41 am

Sand and Steel Fitness, a top-rated personal training and fitness gym in Alexandria, Virginia, will expand into a new state-of-the-art training facility on November 1. The new location, two and half times the size of the original gym, is conveniently located at 5418 Eisenhower Avenue in Alexandria's fast-growing West End neighborhood. A one-minute walk from the Van Dorn Metro, right off the Van Dorn Beltway 495 exit, offering plenty of parking, Sand and Steel Fitness is the ideal work-out location for anyone looking for a personal, high-quality fitness experience.

Co-owners Paul Roberts and Dawn Anderson are leaving their South Alfred Street location in Old Town in order to expand offerings and services to clients. In addition to Sand and Steel's proven personal training program, the gym will now be able to offer group classes and an open gym, as well as mobility and nutrition coaching. Classes will include yoga, CrossFit, CoreFit, powerlifting, suspension training via Total Resistance Exercises (TRX), kettlebell work, and more. To celebrate the opening of the new gym, Sand and Steel Fitness is offering 25% off personal training rates, group classes, and workout plans.

"Our expansion is a strategic move to increase member options and value. We want to provide the very best coaches, an ideal environment, along with more classes so clients can get even more out of their relationship with Sand and Steel Fitness," said Roberts. "Our new location will provide free group fitness classes to our Get Steel Strong members, a game-changer for results and value."

Passionate about helping people maintain a healthy body and move safely so that injuries can be prevented, Anderson and Roberts created their personal training program five years ago. Roberts has a background as a biomedical engineer and developed a proprietary methodology by analyzing the data of thousands of individual clients and their workout results. The team works with clients to identify goals and create plans to achieve results in the most efficient and effective way.

"People think that getting healthy is going to be hard or that they can't feel better. With our program, you only need four to six hours per month to start noticing results," added Roberts. "So many of us are living with chronic pain and stress. Our mobility training, Beyond Stretch class, and yoga offerings help reduce those issues and teach effective movement."

In addition to offering personal training and group classes, Sand and Steel offers one-one-one nutrition counseling for building customized diet and weight loss plans. A muscle mass, inflammation, and body fat scan is included with each nutrition session for tracking and modification of the member's existing diet.

Roberts studied biomedical engineering, in addition to computer science, at Johns Hopkins University, and went to law school at Rutgers. He met Anderson in 2010 at the Hogan Lovells law firm. Roberts left the firm after a weightlifting injury left him unable to type, and he began studying fitness and mobility exercises to improve his health and prevent injury. Anderson has fibromyalgia and chronic fatigue, and also turned to fitness and nutrition to provide relief. The business partners and engaged couple opened Sand and Steel in 2013.

For more information on Sand and Steel Fitness personal training in Alexandria, nutrition coaching or Alexandria CrossFit classes, visit SandandSteelFitness.com or call 703-854-9960. Follow on Facebook, Instagram, and Twitter.

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Sand and Steel Fitness Moves to Larger Location in West End - Patch.com

‘Elle’ Germany Did Literally Everything Wrong in This Attempt to Highlight Black Models – Yahoo Lifestyle

Posted: October 30, 2019 at 12:41 am

Starting with calling the feature "Black is back."

We're once again in the unfortunate situation of reporting another failed, deeply offensive attempt by people in the fashion industry to highlight ethnic diversity. And this one is especially baffling.

On Tuesday, Diet Prada posted a page from the November 2019 issue of Elle Germany with a feature on "models of color" with the coverline "Black is back" at the top. Yes, "Black is back," as if being Black is a trend that cycles in and out of fashion. "Black is back" appears to be the theme of the entire issue, mostly referring to the color in terms of clothing, but clearly the editors of Elle Germany decided they'd just fold some human beings into the trend.

And it doesn't end there: As Diet Prada notes, the magazine couldn't even keep those human beings straight, misidentifying Naomi Chin Wing as Janaye Furman. It also made an odd choice in highlighting Joan Smalls alongside a group of relative newcomers, given that she's a modeling veteran at this point (and has hardly taken a break from runway appearances).

To make things even worse, the issue features a thin white model on the cover, as is pretty much always the case with Elle Germany, a magazine that clearly has no interest in hiring Black models and only features them in its pages when it fits a trend.

It's another case of the how-did-multiple-people-see-this-and-think-it-was-ok mystery. And another step backward for genuine inclusivity in the industry. A rep for Elle Germany did not immediately respond to our request for comment.

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'Elle' Germany Did Literally Everything Wrong in This Attempt to Highlight Black Models - Yahoo Lifestyle

Psoriasis is the debilitating chronic illness no one talks about. So I’m talking about it. – Mamamia

Posted: October 30, 2019 at 12:41 am

So today is World Psoriasis Day. For anyone who suffers from it, we know we dont need a day for awareness. Were very aware of it.

The trouble is, the world around us isnt. And often, thats by our own design.

Before I talk about my experience with psoriasis, I want to get a few things out of the way.

Psoriasis is a genetic, systemic autoimmune disease that affects 1.6 million people in this country. Worldwide, a staggering 125 million people are affected by it which, broken down, works out to be about one in 16 people. So if you think you dont know someone with psoriasis, youre wrong. Theyve most likely hidden it from you.

The disease causes the overproduction of skin cells, leading to painful rash-like lesions that present in different parts of the body commonly, it affects the joints, limbs, trunk and scalp, but for many people, it can cover the whole body it does not discriminate.

And no, you can not catch it.

The You Beauty team talk skin tags, and why you shouldnt cut them off yourself. Post continues below.

I was one of those eczema kids, always with a rash of some sort and my parents trying desperately to stop me itching. I might have been predisposed to psoriasis, but Ive stillnever discovered the genetic link in my family.

I was 18 when I was formally diagnosed. I had just moved away to college in Bathurst to study journalism and was on my own for the first time. I relished those first few months of independence, made hundreds of friends and drank to excess (it was college there were frequent bar crawls and every week we had theme nights in the uni bar.)

The brutal Bathurst winter kicked in around the time our half-yearly exams were taking place. Ever-studious, I bunkered down in the library to prepare for my tests. Without someone to police me or provide healthier meals, I wasnt eating well or taking care of myself. I was sort of half-existing on a diet of canteen potato bake, Bathurst Maccas, lollies and cereal. In that time, I got the worst tonsilitis of my life. I could barely speak or swallow.

Then it started. A rash of tiny red dots, each slightly raised, had popped up on my chest. They were itchy, and when I scratched, they bled.

As I studied late into the night, coughing and fuelling myself with caffeine and sugar, my stress levels rose. I got itchier.

The rash quickly spread from my chest to my back, down my thighs and up my chin. When it started making its way onto my face, I knew something was very wrong. I thought I had syphilis or some terrible, unsightly STD.

I called my mum and explained the symptoms. Shes a pharmacist, and suspected it may be a fungal rash. Topical creams should be able to treat it, she suggested. So I went to the university nurse.

After a few minutes assessing the rash, the nurse took a deep breath and looked me in the eyes. Oh darling, she said, Im so sorry. She explained that I most probably had psoriasis, a condition I had never heard of.

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Psoriasis is the debilitating chronic illness no one talks about. So I'm talking about it. - Mamamia

Lose it: Celebs who cashed in on weight loss – Fox Business

Posted: October 28, 2019 at 9:46 pm

Actor Joe Piscopo and FBNs Neil Cavuto debate over Adeles endorsement of Hillary Clinton.

English singer-songwriter Adele showed the world that her divorce from husband Simon Konecki was the perfect opportunity for self-care with a cheeky post on Instagram Thursday.

I used to cry but now I sweat #gingermckenna," Adele captioned her kissy-faced life update for fans.

The powerhouse songstress teased her weight loss success whilst partying with Hollywoods elite at rapper Drakes birthday celebration.

She continued, "Happy birthday to one of the kindest and funniest people Ive met @champagnepapi [Drake].

Fitness, nutritionist and body expert Ray Abdwell told Us Weekly that the singer appears to have lost around 15 to 20 pounds when comparing her current figure to pictures from six months ago.

Back in July, the celebrity news outlet reported that Adele hired a personal trainer in Los Angeles to help her reach her fitness goals.

She does 60-minute sessions that includecardio, circuit training and Pilates, an insiderrevealed to Us Weeklyat the time. Shes found a routine thats working for her and is enjoying it more.

Another insider credited Adeles weight loss to dietary changes in an interview with Life & Style Magazine.

While Adele would never starve herself, shes avoiding snacking in-between meals and has cut back on carbs, the source told the editorial publication.

Although it hasnt been revealed whether Adele used a weight loss program to assist her journey, there are plenty of other celebrities cashing in on the multibillion dollar industry.

According to data compiled by MarketResearch.com, the U.S. weight loss market grew at an estimated 4.1 percent in 2018, from $69.8 billion to $72.7 billion. The research firm stated that the total market forecast is expected to grow 2.6 percent annually through 2023 and that influencers will be vital in capturing the future generation of dieters.

The following five celebs have played an influential role in weight loss programs and fitness revolutions throughout the years:

Before she was sculpting bodies on reality TV, Khloe Kardashian was briefly a spokesperson for the diet supplement line QuickTrim. The defunct company reportedly generated $45 million in revenue after it inked a deal with New Jersey-based Windmill Health Products in 2009, however, a $5 million class action lawsuit over false advertising tarnished the brand.

In 2017, Khloe starred in her solo reality TV series, Revenge Body, which aired on E! Entertainment. The show follows the starlet guiding participants through a weight loss challenge. Each episode ends with a dramatic makeover reveal and a celebration of each persons trimmed down figures which serves as a symbolic representation of revenge against anyone who spoke badly about their previous form. The show has had three seasons so far.

Khloe has also been a social media influencer for controversial detox brand Flat Tummy Tea, which earned her criticism in March from actress Jameela Jamil.

Actress Kirstie Alley has been very open with the public about her weight loss struggles. From 2005 to 2008, she was the spokesmodel for weight management program and nutrition company Jenny Craig, Inc. While she was with the company, she lost over 75 pounds and maintained that weight for more than a year before she stepped down from the position.

Shortly after leaving Jenny Craig, Kirstie ventured out on her own with a weight loss elixir called Rescue Me, which was designed to curb hunger. By July 2012, the former Cheers starlet was involved in a class action lawsuit that alleged her business used false claims about her self-proclaimed hundred-pound weight loss.

A few years later, Kirstie admitted she gained the weight back and aimed to lose 80 pounds to wear a bikini again. In 2014, Kirstie joined Jenny Craig as a spokesmodel once more to get back her body and confidence, according to a report from People.

Singer and actress Marie Osmond has been an ongoing success story for weight loss program Nutrisystem, which she joined as spokesmodel in 2008. She lost 50 pounds while following its diet and fitness plans and has maintained her weight for over a decade.

Her partnership with the brand eventually evolved from print advertisements to TV commercials, campaigns and infomercial hosting segments.

Twelve years ago, I made it my goal to take better care of my body so I could live longer and better serve my children; it helped me SEE more clearly the beauty in each day, Marie wrote in an Instagram post earlier this year. It gave me a clearer desire and the energy to serve and spread this message of joy as much as I possibly can!

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Talk show host and media mogul Oprah Winfrey opened up viewers about her weight loss struggles originally in the 1980s back when she starred on The Oprah Winfrey Show. She started her dabble in wellness with a publicized liquid diet using Optifast. She lost 67 pounds using this lineup of drinks and celebrated the achievement with an unforgettable episode where she wheeled in a wagon full of fat.

From that TV moment on, Oprahs weight has yo-yoed. However, she partnered with Weight Watchers in 2015 and appeared in a commercial where she declared her love for bread. In her testimony, the Weight Watchers program has helped her eat healthier food without feeling deprived. Aside from losing over 40 pounds while following the companys dietary and fitness plans, Oprah has given Weight Watchers a stock boost and has even bought a stake in the business.

Oprah is going on tour with Weight Watchers in 2020, which is said to have an overall focus in healthy living rather than obsessing over a number on the scale. The venture is a nine-city tour that kicks off in the beginning of the year.

Actor, producer and director Rob Lowe became the face of the low-carb weight loss program Atkins Nutritionals, Inc. in 2018. Or as the brand likes to put it, Atkins Has Gone Lowe Carb. The diet emphasizes eating protein and healthy fats.

"Having a healthy lifestyle and trying to eat well has been a natural part of my life for a long, long time," Rob told INSIDER regarding his decision to join the weight loss company. "So when [Atkins] asked me to partner with them to help remind people that it was a lifestyle, not necessarily a diet, it was a really good fit. That's what I've been doing anyway."

In a separate 25-second advert shared this summer, Rob tells audiences that Atkins is Keto compliant due to its low-carb, high-fat philosophy which may be the brands way to remain competitive in the crowded weight loss market.

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Lose it: Celebs who cashed in on weight loss - Fox Business

Teresa Giudice Comments on Her Husband Joe’s Post-Prison Weight Loss – Bravo

Posted: October 28, 2019 at 9:46 pm

Show Highlight

Do Teresa Giudice & Joe Giudice Regret #RHONJ?

Joe Giudice has slimmed down considerably since he took up Mixed Martial Arts in prison, and his transformation hasn't gone unnoticed. When Joe and Teresa Giudice sat down to chat with Andy Cohen forThe Real Housewives of New Jersey Special Event: Joe and Teresa Unlockedon Sunday night, Andy was quick to bring up Joe's changed appearance.

Speaking to Joe, who appeared from Italy via satellite, Andy said: "You've caused quite a sensation in the American press with your weight loss." Then, turning to Teresa and referencing her old nickname for her husband, "Juicy Joe," Andy asked: "Teresa, is he still juicy? Oris he juicier? Oris he no juice, or what?"

"Juicy was his muscles, not his body," Teresa explained. "Then he got really full of gravy, very fluffy." Joe had to protest that: "I was never fluffy, honey, I was always very hard; I might have been big, but I wasn't fluffy. I was never fluffy." Teresa responded,"OK, you were swollen, maybe call it that?"

Butback to current Joe. These days, "he's very fit," Teresa said.

For more updates on Teresa and her family, tune into the Season 10 premiere of The Real Housewives of New Jerseyon November 6 at 8/7c.

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Teresa Giudice Comments on Her Husband Joe's Post-Prison Weight Loss - Bravo


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