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Did you know that life would cease to exist without enzymes? We are constantly bombarded with information regarding proteins, fats, and carbohydrates – in other words, “macro” nutrition. Not as much emphasis is placed on the “micro” nutrition that fuels our system every day. Micronutrients are specific nutrients that are needed by our body in smaller amounts, but this is not to say that they do not play a pivotal role in our physiology. Micronutrients encompass vitamins, minerals, phytonutrients/phytochemicals, and enzymes.

Enzymes can be the answer for vitality, weight loss, immunity, and longevity. Enzymes act as energizing forces or “catalysts” to speed up biochemical reactions in our body. Enzymes perform special functions in the body and are required for all metabolic processes, including cellular reproduction, metabolism, growth, digestion, elimination of wastes, thinking, reasoning, immunity, and memory. There are three classes of enzymes: metabolic enzymes (working in the body’s blood, tissues, and organs), digestive enzymes (produced in the body for digestion), and food enzymes (contained in raw food). Every cell, tissue, organ, and system functions from enzyme reactions. Even minerals, vitamins, hormones, and neurotransmitters need enzymes to be present in order to function properly. Without them, life would cease to exist.

Foods found in nature in their raw state have an abundant supply of enzymes. Mother nature has placed enzymes in raw food to aid in the digestive process instead of forcing the body’s own supply of enzymes to do this. We inherit a specific amount of enzymes at birth, and this can be decreased as we age by eating an enzyme-deficient diet and too many processed foods (ie packaged foods) and fast foods. Enzymes are affected by temperature and food enzymes are destroyed at temperatures above 129F. This is important to remember because many people are eating foods that are too heavily processed and cooked at too high a temperature, which subsequently decreases or diminishes enzyme activity. Without the proper amounts of food enzymes in our diet, our organs work harder and begin to wear out over time. This can manifest into degenerative diseases like cancer, heart disease, and diabetes. Raw foods with live enzymes help to alleviate the stress put on our organs.

Now that spring is here, green smoothies are a perfect way to add some life back into your diet! Check out this website for some delicious green smoothie recipes:

                        http://www.rawfamily.com/recipes



A recent study published in the February 23, 2012 issue of the New England Journal of Medicine provides evidence that colonoscopies cut the risk of death from colon cancer by over 50%.

Despite good data supporting the efficacy of colon cancer screening, many patients are still not being screened.

Worldwide colon cancer is the second most common cancer diagnosed in women, and the second most common cause of cancer death. For most patients, an initial colonoscopy is recommended at age 50. Patients with a family history of colon cancer, colon polyps or inflammatory bowel disease (Crohn’s Disease or Ulcerative Colitis) may require screening at an early age.

The test involves a bowel prep, which essentially means taking a few doses of laxatives and a clear liquid diet for a day before the test. To make it easier for patients, I recommend that patients schedule the test for early in the morning. Patients are given sedation through an IV and the test is painless, patients may experience mild cramping and gas for several hours after the test. If a polyp is found during your colonoscopy it can be removed, thus preventing colon cancer.

Lifestyle can also affect your risk of developing colon cancer. To lower your risk: Engage in regular physical activity; choose a diet high in fruits and vegetables; avoid processed meats; limit your consumption of alcohol and maintain a normal body weight.



Metabolism is comprised of two processes, catabolism and anabolism. Catabolism, or “Destructive Metabolism”, occurs when the body breaks down complex molecules into simpler compounds. This process releases energy and heat necessary for activities such as exercise. Anabolism, or “Constructive Metabolism,” does just the opposite in that it synthesizes simple substances into more complex living matter. This process enables your body to grow and repair itself, speeds up chemical reactions, and regulates various body processes (American Heritage Medical Dictionary). Both Catabolism and Anabolism require fuel to properly function, and this fuel comes in the form of pre-workout and post-workout meals. Not only is the type of food consumed in each phase important, the timing becomes crucial as well so that your body gets the nutrients it needs when it needs them to perform at a high level during exercise and recover most effectively after exercise!

What And When Should I Eat Before Exercise?

Fueling your body before it enters the Catabolic phase will require you to maintain your Glycogen stores, which is what your body primarily uses for energy during exercise. Consuming an easily digestible (low fiber and low fat) snack 30-60 minutes before working out will ensure that your body has enough fuel to perform at a high level. Snacks consisting of simple carbohydrates, which your body can quickly and efficiently break down during your workout, are optimal. A piece of fruit, a glass of skim milk, sweet potatoes, and yogurt are all great examples of easily digestible pre-workout snacks high in carbohydrates that will give your body the energy it needs to maximize performance (www.livestrong.com).     

What And When Should I Eat After Exercise?

After exercising and while blood flow is increased, consuming a meal 30-60 minutes post-workout consisting of carbohydrates and lean protein will help your body replenish the glycogen stores lost and signal your body to leave the Catabolic state and enter the Anabolic state. Carbohydrates made up of a moderate to high Glycemic Index, such as bananas, watermelon, and raisins enable your body to refuel glycogen used during exercise and helps speed up the recovery time to prepare for the next workout. Low-fat proteins, especially whey proteins, trigger the body to move from a Catabolic phase to an Anabolic phase. Because whey has 100% bioavailability, your body is able to use all of it and also absorb it more quickly than other forms of protein which aids the efficiency of the muscle recovery process after exercise (American College of Sports Medicine). Some natural examples (non-supplement or powders) of foods containing whey protein are milk, low fat ricotta cheese, and yogurt.

Our bodies are machines that run on the fuel created by the food we consume. Knowing how and when to fuel your body before and after exercise becomes paramount in maximizing the effectiveness of your workout! Call us today at the Rittenhouse Women’s Wellness Center to learn more about this overall approach to becoming the healthiest and strongest you can be!



It seems to be a big challenge for many of us to properly nourish our bodies in the winter. Comfort foods such as macaroni and cheese and hot cocoa can be even more tempting when the weather is brisk outside and we are striving to stay warm. Unfortunately, these comfort foods can be high in calories, fat, and sodium (to name a few). They can also wreak havoc on our health and lead to increased weight, lower energy levels, and depletion of vital nutrients that are essential to our well-being. We need the nutrients found in fruits and vegetables more than ever in the winter months to fight off colds and retain our vitality. It is essential to choose seasonal, local, and organic fruits and vegetables as often as possible.

Seasonal and local foods are important for several reasons. Seasonal foods give you the nutrients that nature intended for that specific time of year. Also, many of the fruits and vegetables we see in the supermarket today are being transported at great distances and are picked too soon before they are fully ripe. This is detrimental to the nutrient density of the foods and causes these foods to be highly depleted in vitamins, minerals, and other essential ingredients. In addition, foods transported at a great distance can be sprayed with chemicals and other harsh ingredients in order to ripen or prolong the freshness. The produce then has even less vital nutrients and is laden with chemicals and artificial ingredients.

Seasonal food will likely come from a local farm. This in turn is a great benefit to our environment and your wallet. Some delicious winter vegetables include potatoes, turnips, broccoli, cauliflower, carrots, beets, squash, fennel, endive, kale, and brussels sprouts. Winter fruits include oranges, grapefruits, pomellos, tangerines, clementines, kiwis, kumkwats, lemons, and pears. This list is not conclusive and the availability of foods will vary by region. The following website is a great resource to finding local and organic farms in your area:

www.localharvest.org

Seasonal Recipe for Winter:   Potatoes with Kale

Ingredients

  • 1 pound medium red potatoes
  • 4 cups shredded kale (see procedure below)
  • 2 tablespoons extra-virgin olive oil
  • 1 large onion, chopped
  • Salt to taste

Instructions

  1. Cover the potatoes with water and boil them until tender. Peel while hot, then cool in cold water and drain. Cut into thick slices. Refrigerate if you are cooking the potatoes in advance.
  2. Just before serving, wash the kale, drain, and remove the stems and midribs. Stack leaves, roll up lengthwise, and shred crosswise.
  3. In a large skillet, heat the olive oil and add the onion. Sauté over medium-high heat, stirring, until onion just begins to brown.
  4. Add kale, tossing it about until it all wilts. Reduce heat to medium and stir-fry kale for 5 minutes.
  5. Add the potatoes and cook until they are heated through. Season to taste and serve.

Nutrients Per Serving – Serves 6
Calories: 135.9
Protein: 3.5 grams
Fat: 5.0 grams
Saturated Fat: 0.7 grams
Monounsat Fat: 3.3 grams
Polyunsat Fat: 0.6 grams
Carbohydrate: 20.5 grams
Fiber: 3.3 grams
Cholesterol: 0.0 mg
Vitamin A: 6,366.3 IU
Vitamin E: 1.3 mg/IU
Vitamin C: 51.7 mg
Calcium: 72.1 mg
Magnesium: 33.7 mg

Recipe found from www.DrWeil.com



The winter weather can be very harsh on your skin, but it doesn’t have to be. With just these 5 tips and some loyalty you should be glowing in no time. For starters, always remember to treat your face differently than your hands and feet. The hands and feet tend to crack and flake more than the skin on your face does. For those areas, use a petroleum jelly or a thicker Vaseline type cream. Avene carries a hand cream for these tricky areas that does wonders for your skin.

Seek a specialist. Talking to an aesthetician or a doctor is a great way to get professional advice on your skin and the advice that you may be looking for. Sometimes this small investment is worth it in the long run. A professional can recommend and diagnose any issues that you are facing with your skin in the winter time. Sometimes it can be more than just dry, cracked skin and it’s best to take care of it sooner than later.

Exfoliate and moisturize more. I’m sure you hear the word “moisturize” quite often in the winter time in regards to your skin. The one thing that most people tend to forget is that you need to exfoliate the dead, dry skin first, then moisturize so that you are moisturizing new fresh skin. This will give you that summer time glow that seems to be missing in the winter. Moisturizing with a light creamy based lotion will be the best, something heavy but not too greasy. Avene Clean-ac Moisturizer will leave your skin hydrated, soft and supple. A microdermabrasion is the best way to receive a deep exfoliation without any downtime so you can slaw away all of that dry, chapped, dull skin.

Hydrate more than ever. Drinking water has always been recommended but in the winter, drink more! The more water you have in your system, the more hydrated your skin will be. Everything that your body intakes is shown through your skin, so the more hydrated you are the more hydrated your skin will look and feel. Luke warm water is the best for you, so fill up that water bottle!

Cover up, it’s cold outside. Layers are the best way to protect your skin from the harsh winds and temperatures. Make sure that you are wearing gloves to protect your hands and a scarf to protect your face. The harsh winds can chap your skin and the cracking of the skin comes next, so be prepared and bundle up.

SPF. Never forget to protect your skin with sunscreen. Even though it’s winter, it doesn’t mean that the sun isn’t out and it can’t damage your skin. The winter sun is even more damaging because the rays reflect off of the snow making it more intense. Don’t count on your makeup either; find yourself a facial lotion sunscreen with a SPF of 30 or higher.

By following these suggestions, you can almost guarantee that your skin will never again suffer from extreme dryness through the winter months. If you have questions or would like to meet with a professional call the Dermacenter at 215-735-7990.



Whooping cough is on the rise in the U.S., including the Philadelphia area. Staying up to date with your vaccinations can help protect you and your loved ones.

Whooping cough, also known as pertussis, comes as a vaccine in a combination with tetanus and diphtheria vaccines. The combo vaccination is known as tdap. Most people complete the initial series of vaccinations when they are young and the CDC now recommends a tdap booster every ten years for adults. Whooping cough can infect people at any age but those who are unvaccinated or are too young to be fully vaccinated are at most risk for serious complications, including death. It is important to make sure you are up to date with your tdap booster if you are spending much time around little ones as they most often contract the disease from a caretaker or family member. Expectant moms can get the tdap booster after the 20thweek of pregnancy or may be offered it immediately after delivery.

Whooping cough is spread from person to person by respiratory droplets, such as through coughing and sneezing. Droplets usually don’t travel more than three feet so reasonably close contact is required. Initial symptoms are similar to that of the common cold: runny nose, sneezing, and a mild cough. The cough then worsens to bouts of spasmodic coughing sometimes followed by a deep forced inhalation which can sounds like a ‘whoop.’ This phase of coughing can last one to six weeks, though sometimes up to ten weeks. Being vaccinated reduces the risk of contracting whooping cough and can decrease the severity of symptoms. If you have close contact with some with a confirmed diagnosis of whooping cough please contact the office, prophylactic antibiotics may be administered regardless of vaccination status.

For more information visit http://www.cdc.gov/features/Pertussis/



It’s February! The New Year is fully on its way and a whole month has gone by since we’ve all made those resolutions to eat healthier, lose some weight, and start exercising more. Now is a good time to check in on those goals and evaluate your progress. In the winter we tend to seek food that make us feel warm and comforted, but many of these can be high in calories and fat. This can also be a challenging time to keep up your good intentions to exercise, when it’s chilly outside and so much more tempting to stay cozy on your couch. Keep in mind eating well and exercising also helps to boost immunity and prevent illness during the winter months. With some planning and creativity, you can keep on top of your goals for keeping the weight off and staying healthy.

1. Work out at home – If it’s too cold outside for you to even think about going out to the gym, why not try a new exercise DVD, or pick up some weights. Put on some music and dance or do some good old fashioned jumping jacks. You can even download exercise videos online. Since you don’t have to even leave your living room, there’s no excuse for not working out.

2. Walk indoors – On a treadmill, of course, but if you don’t have one you can put on your sneakers and head to your local mall. Aim to walk 30 minutes to 1 hour, and to keep your heart rate up be sure to save any shopping errands for afterwards. Check with your mall to see if they open early for walkers or if they have any walking clubs.

3. Try a new indoor (or outdoor) sport – Volleyball and tennis are fun ways to stay active, and are not for the warmer months only. Indoor team sports will also help keep you motivated because you have people depending on you to keep the game going. And, since winter only comes once a year, take advantage of the activities of the season and go ice skating, snowboarding, or skiing.

4. Go shopping – for winter workout clothing! Invest in gear that is appropriate for exercising outdoors. If you are comfortably dressed for the weather, you will be more likely to get outside.

5. Supplement with Vitamin D – Shorter days and keeping indoors means less exposure to sunlight, which can lead to lower levels of Vitamin D production in your body.

6. Enjoy the winter harvest – While in summer we naturally think of fresh fruits and veggies, winter has its own gems when it comes to produce. Vitamin-rich fresh foods in season include beets, broccoli, brussels sprouts, citrus fruits, kale, kiwis, persimmons, sweet potatoes, winter squash, and turnips.

7. Sip a cup of cocoa – using skim milk and sweetened with half the sugar or a little agave. A hot cup of green tea also makes a soothing substitute when you start getting those candy bar cravings.

8. Eat whole grains and healthy carbs – These boost serotonin, the “feel-good” brain chemical that helps us beat the winter blues. Try whole grain breads, brown rice, and pasta, as well as sweet potatoes and pumpkin.

9. Warm up with soup – Broth-based soups chock full of beans and veggies are filling and satisfying on a cold winter’s day. A homemade soup using dried beans or lentils is easy to make. Avoid creamy soups which are high in fat and calories or canned soups which are high in sodium.

Tuscan Chicken, Bean and Spinach Soup

YIELD: 6 Servings COURSE: Soups/Stews Ingredients 1 tablespoon olive oil 1 tablespoon unsalted butter 2 garlic cloves, minced 1 cup cup chopped carrot (about 3 medium) 1 medium onion, chopped 1 1/2 cups sliced mushrooms (about 6 ounces) 2 cups chopped peeled butternut squash (about 1 3/4 pounds) 2 (15-ounce) cans cannellini beans, rinsed and drained 4 cups fat-free, less-sodium chicken broth 2 cups organic vegetable broth (such as Emeril’s brand) 1 tablespoon Italian seasoning 3 cups cups shredded, cooked chicken breast 2 slices Applewood-smoked bacon, cooked and crumbled 10 ounces fresh spinach 1/2 teaspoon freshly ground black pepper 1/2 cup (2 ounces) grated fresh Parmigiano-Reggiano cheese Preparation 1. Heat oil in a Dutch oven over medium-high heat; add butter, stirring until melted. Add onion and next 4 ingredients (through garlic); cook 3 minutes, stirring frequently. Mash 1/4 cup beans with a fork. Add beans, broths, and Italian seasoning to pan; bring to a boil. Reduce heat and simmer 10 minutes or until vegetables are tender, stirring occasionally. Add chicken; cook 2 minutes or until thoroughly heated. Add black pepper and spinach, stirring occasionally until spinach wilts (about 3 minutes). Ladle about 2 cups soup into each of 6 bowls; top each serving with 5 teaspoons cheese and 11/2 teaspoons bacon.

Nutritional Information

Amount per serving Calories: 401

Saturated fat: 4.1g

Monounsaturated fat: 3.7g

Polyunsaturated fat: 1.2g

Fat: 10.7g Protein: 31.2g

Carbohydrate: 41.7g

Fiber: 9.6g

Cholesterol: 69mg Iron: 6mg

Sodium: 743mg

Calcium: 284mg (Nutrition Guidelines for Healthy Living Cooking Light MARCH 2009)



Fitness circles have historically tossed around the term “aerobic” in reference to a form of exercise, specifically cardio exercise. However, “aerobic” actually defines one of the two ways in which our bodies produce energy while exercising, the other way being an “anaerobic” process. The aerobic and anaerobic metabolic processes involve different types of exercise and provide different benefits for our health. In order to maintain a balanced approach to fitness, you should make sure to include both types in your weekly routine.

Definitions

Our bodies produce energy aerobically, which means “with oxygen,” and anaerobically, which means “without oxygen,” during exercise. Aerobic metabolism occurs during endurance-minded exercise and involves slow-twitch muscle fibers. In order to produce energy for this type of activity, our bodies break down carbohydrates “with oxygen.” Once the carbohydrate or glucose supply diminishes, the oxygen in our bodies begins to use stored fat as fuel. Anaerobic metabolism occurs during activities involving short, powerful bursts of speed and utilizes fast-twitch muscle fibers. Different from aerobic metabolism, anaerobic metabolism uses glycogen from blood sugar to fuel our bodies instead of oxygen (www.livestrong.com).

Activities

The aerobic process occurs during activities that moderately raise the heart rate for an extended amount of time ranging anywhere from several minutes to several hours. Some examples of these activities include running, cycling, and swimming. For instance, depending on your fitness level, walking at 4.5mph for 30 minutes would be considered an aerobic activity. The anaerobic process happens when exercise is performed at a high rate of speed for a short period of time followed by a rest period. This type of exercise greatly increases your heart rate and includes things like strength training, weight lifting, and interval training while running, cycling, swimming, etc. For example, pick the quickest pace you can go for 30 seconds on a treadmill then switch to a moderate pace for 2 minutes. Alternating between these speeds in this manner is considered an anaerobic activity.

Benefits

The aerobic and anaerobic metabolic processes provide different, but essential benefits to our health. Exercise focused on the aerobic metabolic process, such as running or biking, increases heart health by lowering blood pressure and your resting heart rate. It also improves circulation and reduces the risk of cardiovascular disease. Activities involving the anaerobic metabolic process, such as strength training, help increase muscle strength and muscle mass, which helps the body to burn calories more effectively. It also improves bone density mass, thus aiding in avoiding fractures. Lastly, studies have shown that engaging in exercise involving both forms helps to improve mental health!

The best approach to your fitness health is a balanced approach that involves both low to moderate intensity and high intensity exercise regimens so that your body engages both aerobic and anaerobic metabolism. Come see us today at the Rittenhouse Women’s Wellness Center so we can help you achieve this balanced approach!



Have you thought about the health and fitness changes you want to make for 2012? Instead of simply setting goals like losing weight or getting to the gym more often, think of your health like a business plan. Companies do not aimlessly go along hoping that profit margins will increase one day. They set specific goals and timelines defining what they want to do and when they want to get there; then they take action to make those happen. Here are some tips to help you develop your health and fitness “business” plan for the New Year!

Make your goals specific and measurable.

When setting your goals, try considering all of the benefits that exercise can bring your life no matter how small the accomplishments might seem. Be specific and make sure your goals are measureable. If you want to lose body fat or weight, how much do you want to lose? If you would love to be able to do a push-up, how many? Instead of setting goals like “feeling” healthier or stronger, try defining them more concretely such as being able to walk up a set of stairs without feeling breathless or reducing the medications you take. By setting specific, measureable goals you can see exactly what you have improved upon, because a tangible start and finish exists.

Create a short-term and long-term timeline for accomplishment.

Once you have set your goals, develop a long-term timeline for accomplishing them. Which ones do you want to achieve in 3 months, 6 months, 1 year? Put your timeline on paper and make sure it is realistic. Once you have this big picture in mind, now you must decide the steps necessary to hit those marks. Spend some time creating daily and weekly short-term action plans, such as getting to the gym three times per week or taking time to stretch every morning after getting out of bed. These daily and weekly activities bridge the gap between today and your long-term timeline.

Know yourself and what you need.

Half of the battle with reaching your goals is knowing yourself. Be honest with yourself and what it is that you need in order to succeed. If you are the type of person who cannot work out once you get home from the office, work around it. Instead of expecting that this will change, hit the gym before you get home or at lunch and get it out of the way. If you know you do not work as hard by yourself as much you would like, hire a personal trainer or take a class and let someone else push you.

Forgive yourself.

Setting fitness goals and striving to meet them will positively impact your life, however you will experience bumps along the way. There may be some days that you miss your work-out or some days when you do not push yourself in the gym as much as you had intended. Know that this is okay from time to time and recommit yourself to your goals. Instead of beating yourself up for what you did not accomplish or how you failed, focus on the positives! Find small victories in what you have accomplished so far and continue to move forward!

Remember to enjoy the journey.

You cannot know how far you have come until you know where you have been. Remember to look at each day as a new challenge while keeping your long-term vision on the horizon. Try not to look so far ahead that you lose sight of what you need to accomplish every day. Instead, master those baby steps along the way as they are your keys to success!!

We are here to support you in reaching your fitness goals at the Rittenhouse Women’s Wellness Center, and we wish you the best as the New Year approaches!



Happy New Year everyone!  Since healthy eating resolutions are tops on many people’s lists, here are five tips to help you start off the New Year:

  1. Don’t go on a “diet” – Having a list of “forbidden” foods or a rigid diet plan makes you more likely to obsess about your food choices and feel guilty when you don’t stick to it.  Sometimes, if you’re in a diet mindset, just having dessert may make you feel bad enough to go off your healthy eating plan altogether. To feel your best and give your body the nutrients it needs, focus on eating more fresh, whole foods and less sugar and processed foods.  It’s okay to eat the foods you love, as long as you have them in moderation and you watch your portions.
  2. Start small – Make realistic goals and make a reasonable plan to reach them. Doing too much too soon can make you feel overwhelmed and can lead to early burnout. If you’ve never exercised before, it’s not realistic to say you’re going to run every day. Start with a few days a week of walking first and then work your way up as you feel stronger.  If you want to cut down on the dessert you eat every night, try having it every other night to start, and then decrease by one night a week from there.
  3. Try a food diary – Make yourself more accountable and aware of what you eat throughout the day.  Pinpoint times when you seem to eat more, for example if you usually snack at work or attack the bag of potato chips late at night; or if you make it a habit to have seconds at dinner.
  4. Portions, portions, portions! – Portion sizes are the key to losing and maintaining your weight.  It’s easy to lose track of what an accurate portion size is nowadays, especially when you’re eating out. Practice eating slowly and stopping when you are full.  Try taking a smaller portion than you usually would (eating on smaller plates also helps) or leave those last few extra bites instead of feeling obligated to finish everything on your plate.
  5. Eat out one less day a week – This will be beneficial for your waistline and your budget!  The best way to know what you are putting into your body is to prepare the food yourself.  The calorie counts for some restaurant foods may encompass more than half your daily requirements, and sometimes even dishes that are marketed as healthy are high in sodium and have hidden fats.  Grab a cookbook for quick dinner meals, make a meal plan and shop for the ingredients for the week to help you stay on track.  Also, pack your own lunch for work (or school) – it’s an easy way to take control of what you eat at work, since ordering out can be tempting if you don’t have anything planned.

Stay positive – changes don’t happen overnight.  If you have setback, just brush it off and keep going. Remember, healthy eating is for a lifetime.   When you make long-term health a priority over short-term weight loss goals, you’ll be encouraged to do the best you can for your body. Don’t give up and surround yourself with people who will support your goals. Have a happy and healthy 2012.


A Note from RWWC

“Since our founding in 2008, our goal has been to provide primary care for women. Our team of physicians and nurse practitioners are dedicated to providing preventive care, diagnosis and treatment of acute and chronic disease(s) and coordination of care with specialists.”

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