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The cold season is here! Soups are a great way to stay warm and healthy during this season. They are also quick, easy and taste great. Typically, soups served at restaurants can be high sodium, fat, and/or calories. When homemade, you can control the ingredients and how much salt is added. They are easy to reheat and an easy way to get more vegetables in your diet. Here are a few of my favorite healthy recipes.

Carrot Ginger Soup

Cooking Time: 30 minutes

Yields: 4

Ingredients:

  • 6 carrots
  • 1 medium onion
  • 1 teaspoon sea salt
  • 4 cups water
  • 6-inch piece fresh ginger, juiced
  • Fresh parsley to garnish

Directions

  1. Wash, peel and cut carrots and onion into chunks.
  2. Place vegetables and salt in a pot.
  3. Add water and bring to boil. Cover with a lid.
  4. Simmer on low heat for 25 minutes.
  5. Transfer soup into blender, adding water if necessary to achieve desired consistency.
  6. When blending is done, squeeze juice from grated ginger and add to soup.
  7. Garnish with parsley.

Notes

  • For extra flavor, sauté vegetables before cooking.
  • Substitute carrots with squash, parsnip or beets. Squash and beets need 35 to 40 minutes to cook.

Creamy Parsnips Soup with Polka Dots

Cooking Time: 25 minutes

Yields: 4

Ingredients:

  • 4-6 parsnips, cut into chunks
  • 1 large yellow onion, cut into chunks
  • 1/2 teaspoon nutmeg
  • 1 teaspoon sea salt
  • 4 cups water
  • 1 cup green peas

Directions

  1. Place parsnips, onion, nutmeg, salt and water in a pot and bring to a boil.
  2. Cover the pot and simmer 20 minutes, or until the parsnips are soft.
  3. Using an immersion blender purée soup until very creamy. If necessary add more water to get desired consistency.
  4. Add green peas and mix with a spoon.
  5. Once peas are heated through, serve in individual bowls

Notes

  • Use 2 cups rice or soy milk and 2 cups water for a more silky texture.
  • Replace some of the parsnips with carrots.

Creamy Broccoli Soup

Cooking Time: 30 minutes

Yields: 4

Ingredients:

  • 1 bunch broccoli
  • 5 cups water
  • 1 small onion, chopped
  • 2 cloves garlic, minced
  • 2 tablespoons barley miso
  • 1 cup cooked brown rice

Directions

  1. Wash broccoli and separate stems from florets.
  2. In a pot, bring water to a boil.
  3. Add broccoli stems, onion and garlic.
  4. Reduce heat and simmer for 15 minutes.
  5. Remove 2 cups of liquid from pot and dissolve miso paste in the liquid, return to pot.
  6. Add brown rice.
  7. Use an immersion blender to cream the soup.
  8. When smooth add broccoli florets, cook 10 more minutes.

Chicken Ginger Soup

Cooking Time: 60 minutes

Yields: 4

Ingredients:

  • 2 1/2 pounds skinned chicken (on the bone)
  • 3 long stalks celery
  • 1/2 bunch scallions
  • 3-inch piece fresh ginger, cut into slivers
  • Sea salt to taste
  • 2 teaspoons fresh lemon juice
  • 1 bunch chopped fresh parsley or cilantro

Directions

  1. Place the chicken in a pot with enough water to cover it.
  2. Cover the pot and bring to a boil over medium-high heat.
  3. Add celery, scallion and ginger.
  4. Reduce heat and simmer, covered, for 11/2 hours.
  5. Remove the chicken, allow it to cool. Pull the meat from the bones.
  6. Return chicken to the pot and add salt, lemon juice and parsley or cilantro.
  7. Mix well and serve


Winter is just around the corner. The days are short and there is a brisk chill in the air. While you don’t have to give up on fresh air workouts just yet, there are a few things you should know to keep you warm and safe as the temperatures drop.

Here are a few tips to help you keep up your outdoor sessions.

Layers. Wear many layers of moisture-wicking fabric to keep you dry as well as warm. Your body temperature will feel about 20 degrees warmer when you are moving at high intensities, so keep this in mind as you get ready for your workout. Wear a scarf or facemask over your mouth and nose to help warm the air before it gets to your lungs.

Protect your extremities. Be sure to cover your hands and have warm socks on your feet. Also, consider wearing a hat. Remember that your body will take longer to warm up in the cold which increases your chance of injury.

Don’t push it. This weather is not conducive to setting personal time or distance records. It is best to run long and slower in this weather.

Have fun and stay safe. If we can help you with your fitness needs give us a call!



Many people feel excited about the coming holiday season and begin planning, and remembering past celebrations and good family times together. The media and ads often hype the coming season both because it is a shared experience in the mass market and also because it is a productive way to encourage shopping to boost sales and business. The festive lights and special events are also ways to increase excitement and celebration. So what’s wrong with it all?

The thing that can go wrong is that people build up their expectations and typically remember only the positive aspects of previous family experiences. Then when reality strikes and there is conflict at the dinner table among family members, or rekindling of old strains and resentments and jealousies, people become greatly disappointed and dispirited.

What to do? Manage your expectations. Try to be realistic when imagining your family visits. Keep in mind that it is very difficult for us mere mortals to live up to Norman Rockwell paintings. Realize that family members have flaws and try to concentrate on giving rather than getting. Contemplating what you are grateful for and trying to create meaningful experiences with loved ones can counteract some of the inevitable disappointments that might occur. Then if things go well, it will serve as an added benefit to the gratefulness and meaningfulness you are working on constructing.

Here’s hoping you have an enjoyable and meaningful holiday season!



We’ve all experienced it, mid-day hunger pangs. It’s that time of the day, when the vending machine calls out to you or the temptation of your colleagues candy stash is preventing you from concentrating. Whatever the case may be, workday snacking does not have to be unhealthy. In fact, it can be smart, convenient, and deliciously nutritious.

Nutritious 100-200 calorie snacks can provide you with the energy boost you need to sustain your mid morning or afternoon hunger pangs .When choosing a snack, make sure that the snack has a combination of protein, carbohydrate, and healthy fat, to help control your blood sugar level and stave off hunger until the next meal.

Here are a few ideas for snacks to keep your hunger at bay and your mind sharp at work!

  • 1 mini whole wheat bagel with a smear of natural peanut butter
  • 10 grapes with 8 whole grain crackers (Kashi TLC crackers are a great option!)
  • Proportioned cheese: Laughing Cow wedges or part skim string cheese with 1 small apple
  • 1 greek yogurt with 10 almonds
  • Raw veggies such as carrots, peppers, or broccoli with hummus
  • 4 oz of low fat cottage cheese with 1 tbsp of fruit preserves
  • ¼ cup of trail mix with a piece of fruit
  • 7 whole grain pretzel rods with 1 tbsp natural peanut butter
  • ¼ cup salsa with 11 whole grain tortilla chips

OR follow these guidelines to choose your own healthy snack

  • Less than 5-8 grams of sugar
  • Less than 240mg of sodium
  • More than 3 grams of fiber
  • 3 grams of fat per 100 calorie serving
  • Less than 7 ingredients
  • Avoid foods with partially or fully hydrogenated oils and artificial sweeteners (aspartame, sucralose, saccharin) in their ingredient lists.


It’s an experience almost everyone has had: you wake up to find one eye seemingly glued shut. You carefully pry your lashes from the crust that has them stuck to your cheek revealing an eye that is red and watery – the dreaded pink eye.

Pink eye is the common name for conjunctivitis, inflammation of the thin membrane that covers the eyeball and inner surfaces of the eyelids. Acute conjunctivitis can be caused by an infection, allergies, or an unknown irritant. Infectious pink eye can be viral or bacterial and both are quite contagious.

Though many people think pink eye is always caused by a bacteria and needs an antibiotic eyedrop, the most common cause of infectious conjunctivitis in adults is the adenovirus, the same virus that can cause the common cold. Sometimes viral pink eye comes as part of a general cold syndrome with swollen lymph nodes (glands), fever, sore throat, and a runny nose. The eye can have a burning, sandy, or gritty feeling, is often crusted shut in the morning, and will have a watery or mucus discharge throughout the day. The other eye usually becomes infected in the next day or two. Just like a cold, viral pink eye symptoms often get worse for the first three to five days then gradually improve over one to two weeks. There is no cure for viral conjunctivitis and antibiotic eye drops will not reduce the duration or intensity of symptoms. Over the counter antihistamine eye drops or artificial tears can help with the eye discomfort. A warm or cool wet washcloth (whichever feels better) can also be soothing.

Bacterial conjunctivitis can involve one or both eyes. Whereas the discharge with viral conjunctivitis is watery with perhaps some mucus, bacterial conjunctivitis causes a thick white, yellow, or green discharge. The affected eye will continuously ooze throughout the day, with more pus-like discharge accumulating just a few minutes after the eye is wiped. An antibiotic drop or ointment can improve symptoms and reduce the likelihood of spreading the infection to others.

Both viral and bacterial conjunctivitis are spread by contact, usually with objects which have come into contact with the infected person’s eye secretions. For an example, an infected person touches her eye then touches her phone or a door handle. Some organisms can live for many hours on a surface so it is easy to see how it can spread. Infected individuals should consider themselves contagious as long as they have eye discharge and should not share tissues, towels, cosmetics, or bed linens. They need to discard any cosmetics that may have become contaminated. They should avoid touching the infected eye and wash their hands frequently to help reduce spread to others. Antibiotic eye drops can reduce the spread of bacterial conjunctivitis but do nothing to reduce the spread of viral conjunctivitis. Viral conjunctivitis is like a cold and the decision to return to work or go to a social gathering should be similar to how one would behave with the common cold.

Contact lens wearers need to wear glasses until their eye is no longer red. Their lens case should be discarded and the contact lenses disinfected overnight or replaced if disposable.

If you are not sure if you have viral or bacterial pink eye or you think you need an antibiotic please make an appointment to be seen in the office. Calling first thing in the morning (as soon as you unstick your eye, of course) can help us be sure to see you that day.

A red eye that is associated with moderate to severe pain, loss of vision, or intense sensitivity to light (cannot keep the eye open for more than a few seconds) indicates a more serious condition that could potentially lead to blindness if left untreated. Contact lens wearers are at higher risk of more serious infections, particularly with extended-wear lenses. Evaluation should be sought immediately at an Opthalmologic ER such as Wills Eye or Scheie Eye Institute.



Recently, patients have been asking about the FODMAP diet. Typically, this food method is often recommended to relieve chronic digestive complaints such as gas, bloating, diarrhea, constipation, and abdominal pain. FODMAP is an acronym for Fermentable Oligo-, Di-, and Mono-saccharides And Polyols. This is a diet that limits, but does not eliminate, foods that contain:

  • Lactose
  • Fructose
  • Fructans
  • Galactans
  • Sugar alcohols (polyols)

These compounds in food are poorly absorbed and rapidly fermented by GI bacteria, leading to increased water and gas in the GI tract, which then leads to GI tract distention that causes changes in GI motility, bloating, discomfort and flatulence.

To assess your tolerance for these compounds, eliminate foods high in FODMAPs for 6-8 weeks and then gradually reintroduce foods to identify bothersome foods. Reintroduce one food every four days with a 2-week break between symptom causing foods. The goal is to identify the threshold at which you are able to consume FODMAP containing foods without causing negative GI symptoms.

In order to follow the initial FODMAP process, an individual must be able to identify which foods are to be avoided during the 6-8 weeks of elimination. Foods that contain lactose should be avoided. Lactose is a carbohydrate found in cows, sheep’s and goat milk. Foods such as yogurt, ice cream, milk, and ricotta and cottage cheeses should be limited.

Fructose is a carbohydrate found in fruit, honey, high-fructose corn syrup (HFCS), and agave syrup, but not all fructose containing foods need to be limited on a low FODMAPs diet. Fructose malabsorption is similar to lactose intolerance, in that fructose is not completely digested in the GI tract due to the lack of an enzyme, but unlike lactose intolerance the absorption of fructose is dependent on another carbohydrate, glucose. Therefore, fructose containing foods with a 1:1 ratio of fructose to glucose are generally well tolerated on the FODMAPs diet. Foods such as apples, pears, and mangoes will likely trigger abdominal symptoms because these fruits have excess fructose compared with glucose. Try to avoid fruits such as apples, pears, cherries, raspberries, peaches, watermelon, orange juice, and blackberries.

Fructans are carbohydrates that are completely malabsorbed because the intestine lacks an enzyme to break their fructose- fructose bond; thus leading to symptoms of bloating and gas. Foods that contain fructans include wheat, onions and garlic.

Galactans are carbohydrates are malabsorbed for the same reason as fructans; the intestine does not have the enzyme needed to break down galactans. Examples of galactans include beans and lentils.

Lastly, Polyols are also known as sugar alcohols. They are found naturally in some fruits and vegetables and added as sweeteners to sugar-free gums, mints, cough drops, and medications. Sugar alcohols have varying effects on the bowel. When trying to limit sugar alcohols, look at ingredient lists for the following: sorbitol, xylitol, mannitol and maltitol.

Following a low FODMAP diet can be a challenge without the help of a FODMAP knowledgeable dietitian.  As with any diet change, be sure to discuss whether the low FODMAP diet is appropriate for you with your health practitioner.

For further explanation as to which foods should be limited and which foods are suitable for a FODMAP diet please reference the various resources listed below.

http://stanfordhospital.org/digestivehealth/nutrition/DH-Low-FODMAP-Diet-Handout.pdf

http://www.ibsgroup.org/brochures/fodmap-intolerances.pdf

http://www.med.monash.edu/cecs/gastro/fodmap/low-high.html

http://www.todaysdietitian.com/newarchives/072710p30.shtml



When women start strength training, a phrase I commonly hear is “I don’t want to be bulky. I don’t want to look like a body builder.” I want you women out there to know one thing, that’s probably not going to happen. The main component to building bulky muscle, besides a strict training regime, is testosterone. Most women have about as much testosterone as a pre-teen boy. To get the body builder look a female has to work out around 40 hours a week and be on a special diet and supplement program. However, this myth has scared many women away from strength training. Many women only focus on cardio. While cardio is a great and necessary part of fitness, by skipping strength training you are missing a crucial piece of the health and fitness puzzle.

This is extremely important for women because strength training had been linked to increased bone density which helps to combat osteoporosis and its associated risks. Strength training is also a way to help target specific problem areas or body regions, something cardio can’t do.

Don’t mistake me, cardio is still very important and helps with heart health and increases endurance and stamina, but don’t forget the other part of the equation.

Our fitness specialists are here to help you with your fitness needs. Call today to schedule a consultation.



Fats (also known as “lipids”) function as energy molecules in metabolism, components for the structure of cell membranes, and as hormones. Our bodies need fat, even though the media continues to inundate us with “low-fat” and “fat-free” products. You need fat in the diet to feel full, which is a reason why many can overeat on “fat-free” food. Dependent on the source of information, the daily recommendations and many different types of fat can be confusing. I hope this article will help to rectify some of the common confusion.

All fats (or lipids) are composed of fatty acids, which are chains of carbon and hydrogen atoms. The chemical composition determines the type of fat.

Main types of fats:

  1. Saturated Fats
  2. Unsaturated Fats
    1. monounsaturated
    2. polyunsaturated
  3. Trans-fatty acids

Saturated fats

You will find these in beef, poultry, pork, cow’s milk, coconut, avocado, palm oil, and full-fat dairy. They are solid at room temperature. Chemically, they consist of carbon atoms saturated with hydrogen atoms. While opinions are mixed about the amount needed per day, it is generally recommended to limit consumption of red meats and butter. Too much saturated fat in the diet can lead to increased risk of heart disease.

Unsaturated fats

There are two types of unsaturated fats: polyunsaturated and monounsaturated.

  • Monounsaturated:
    • You will find these in avocados, olives, olive oil, nuts, sunflower oil, seeds,halibut, sablefish, mackerel, vegetables high in oleic acid. They are liquid at room temperature but become solid when chilled. Their chemical makeup consists of one double-bonded carbon molecule. They raise good HDL cholesterol and lower bad LDL cholesterol. They are generally considered heart healthy and these foods should be eaten daily.
  • Polyunsaturated:
    • You will find these in salmon, sardines, mackerel, herring, trout, fresh tuna, flax seed, flax seed oil, walnuts, soybean oil. They are liquid at room temperature, even when chilled. Their chemical makeup has more than one double-bonded carbon atom. These fats are considered “essential” because the body cannot make them and must rely on food sources to get them. Strive to eat fish 3 times per week and plant-based polys often.

Omega 3 fats are considered anti-inflammatory and associated with lower risk of death. These fats raise good HDL cholesterol and lower bad LDL cholesterol.They are generally considered heart healthy. Omega 3 fats are found in wild-caught salmon, mackerel, anchovies, walnuts, flaxseed, and green leafy vegetables.

Omega 6 fats are more abundant in our diet.They can be found in vegetable cooking oils (soybean, sunflower, canola and corn oil). They are also common ingredients found in many of the foods we consume. Most need to increase their intake of Omega 3 fats and lower their intake of Omega 6 fats. Too many Omega 6 fats can be pro-inflammatory.

Omega 9 fats are not essential in the diet because they can be created in the human body. These fats can be used in the body as a substitute for omega 3’s or 6’s if they are not present. However, they are not an ideal replacement and the body will eventually suffer from this. They are found in animal fats, vegetable oils and olive oil.

Trans Fats

You will find these in margarine, processed foods, candy, chips, soda, flaky pastries, and some peanut butters. These fats are are made by adding hydrogen bonds to liquid oils to make a more shelf-stable product. These fats have been proven to promote heart disease. They can raise bad LDL cholesterol and lower good HDL cholesterol. They can lead to plaque buildup in the arteries. Consumers should entirely avoid products with partially hydrogenated oils listed in the ingredients.



Fall is here, and the weather outside is perfect! The summer humidity is gone and the bone chilling cold of winter is still a few months away. Get outside and breathe in that fresh air while you still can! It is the ideal time for outdoor activities like apple picking or hiking. Hiking is the idyllic exercise this time of year. It can help strengthen the heart, body, and mind. But, prior to hitting the trails, as a beginner hiker, there are a few tips you should follow to make the most of your autumn outing and stay safe while doing it! First and foremost, be ready for a workout.

Even if you regularly do cardio workouts on flat ground, uneven terrain can be a very different, often using different muscle groups. Incline intensifies aerobic work and burns more calories! Secondly, be sure to prepare adequately for your hike. This includes cardio, strength training, balance and flexibility training prior to the adventure. This will help prevent injury to joints and muscles as well as helping you avoid soreness afterwards. Thirdly, be sure to pack for the trip. Have a water bottle handy and be sure to keep hydrating throughout the hike.

Pack small snacks that are high in protein to munch on along the way. Make sure you have checked the weather reports before leaving. Wear appropriate clothing and shoes and bring along layers or a jacket in case the weather changes suddenly. Lastly, don’t go alone and be sure to set a pace that is comfortable for everyone in your group. Work your way up from hills or trail walking to more uphill trails. Have fun and enjoy! We’d love you help you with your individual fitness journey, call today to set up a consultation.



There has been a long standing debate about whether or not granola merits its reputation as the “healthy person’s cereal”. Before adding granola as a healthy choice into your daily routine, apply our dietitian’s guidelines to purchasing granola.

1. Check the sugar. Granola can be loaded with sugar. Evaporated cane juice, molasses, brown rice syrup, oat syrup solids, are all sources of sugar. I advise you to aim for less than 8 grams of sugar per serving.

2. Watch the calories. These typically amount to several hundred calories per serving size. Healthier granolas have less than 200 calories per ¼ cup serving, 270 calories per 1/3 cup serving, or 400 calories per ½ cup serving.

3. Keep portion size small. This point is key: The serving size for granola is smaller than cereal, not a whole bowl. Typically it’s a quarter or a third of a cup. So rather than filling up a bowl with only granola and milk, try using granola to enhance other healthy food items such as Greek yogurt, oatmeal, muffin or pancake mix etc.

4. Trim the fat.  A lot of granolas contain heart-healthy unsaturated fats from nuts and omega-3s from seeds, but even they can still add up. Look for granolas that have between 2 and 3 grams of fat per quarter cup serving or <3 grams of fat per 100 calorie serving.

5. Review the Oils. Many granola varieties list palm oil and hydrogenated oils on their ingredient list. With their high saturated fat, these oils are bad for the heart.  Look for healthier alternatives like organic coconut oil and extra-virgin olive oil, respectively.

6. Scan for fillers. Even the ingredient list on healthy-leading brands can contain some surprises, like inulin (a soluble fiber that can cause digestive problems), soy protein isolate, and other sneaky ingredients. Try to avoid these fillers.


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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