Diet & Nutrition Archives - Black Health Matters https://blackhealthmatters.com/category/lifestyle/nutrition/ Black Health Matters, News, Articles, Stats, Events Wed, 31 Jul 2024 20:46:00 +0000 en-US hourly 1 https://wordpress.org/?v=6.6.1 https://blackhealthmatters.com/wp-content/uploads/2022/03/favicon.png Diet & Nutrition Archives - Black Health Matters https://blackhealthmatters.com/category/lifestyle/nutrition/ 32 32 A Holistic Approach to Postpartum Weight Gain Benefits Patients https://blackhealthmatters.com/a-holistic-approach-to-postpartum-weight-gain-benefits-patients/ Wed, 31 Jul 2024 19:35:22 +0000 https://blackhealthmatters.com/?p=43121 “People from racial and ethnic minority groups are disproportionately affected by postpartum weight retention (PPWR).” According to a report published in Women’s Health, examining a narrative mapping literature to the […]

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“People from racial and ethnic minority groups are disproportionately affected by postpartum weight retention (PPWR).” According to a report published in Women’s Health, examining a narrative mapping literature to the National Institute on Minority Health and Health Disparities Research Framework. “80% of Black and 69.5% of Hispanic/Latina/o/x birthing people begin pregnancy overweight or obese compared to 55% of white, non-Hispanic birthing people.”

The report indicates that up to 50% of birthing people retain 10 pounds or more, and up to 25% retain more than 20 pounds.

Being proactive about your patient’s PPWR now could avoid the associated comorbidity medical risks such as cardiovascular disease and type 2 diabetes in the future.

Recognizing the Roadblocks

There is room to improve the postpartum wellness journey and obesity outcomes for your patients who give birth—currently, care often centers around the most visible challenges associated with the post-delivery period. However, that period is extensive, and patients need instruction on caring for their mind and body during that time.

A review published in Heylion found that “When communicating with patients from different cultural backgrounds, physicians were found to be authoritarian, biomedical-focused, and not involved with patients in decision-making.” Perceptions like these create roadblocks to effective obesity treatment.

Why Cultural Sensitivity Matters

Leah Hairston, a birth and postpartum doula who earned the recognition of John Hopkins Social Innovation Lab and as a semifinalist for Pharell Williams’ Black Ambition Prize last year, Sweet Bee Services, spoke to the need for professionals who understand the cultural sensitivity challenges faced in postpartum.

“There’s a dearth of access to Black dietitians and nutritionists,” she told Black Health Matters.

The American Journal of Clinical Nutrition states, “Reproduction has been identified as an important factor for long-term weight gain among women.”

Hairston and her team offer solutions to the people they serve. “People feel a lot more at ease because there’s somebody who looks like them who also understands,” she explained.

Hairston gave an example of the need for cultural sensitivity in postpartum nutrition: “My family’s Caribbean. So, I’m gonna eat plantains and rice and beans. I don’t want to feel like rice and beans are a punitive meal,” she explained. But I might not need to eat six helpings of rice and beans.”

She values practitioners who are “able to honor the things that are important to me and my family while also honoring our budgetary restrictions and any other needs that we might have.” She brings that awareness to her work.

Rethinking Postpartum Evaluations

Birthing persons require support far beyond the first few months of the postpartum era, but an article from Nutrition Research Reviews reported that “much less attention is being given to the postpartum period beyond 18 months.”

Postpartum patients need thorough evaluations to determine if they have obesity. These evaluations need to go beyond the sparse required check-ins for birthing persons.

“There is a great need for postpartum women to identify the implications of postpartum obesity. There is also a need for healthcare professionals to treat postpartum women with greater competency, having a structured postpartum follow-up with counseling and motivation for weight loss and investigations like hemoglobin, TSH, and blood sugars at follow-up,” according to a 2022 article published by the Journal of Obstetrics and Gynecology of India.

The Annals of Hematology noted that “postpartum anemia has been linked to several important postpartum morbidities, including depression, reduced cognition, and fatigue.” Still, it is critical to learn how it plays into postpartum obesity.

Dr. Danielle Wright-Terre, founder of the Honey, a postpartum community and app, commented on gaps in the postpartum care process that begin earlier than that. “Regarding check-ins for the mom, there are gaps,” she said. “There needs to be more guidance on the physical recovery aspect.”

Many doctors focus on ruling out issues for new mothers instead of being evaluated for ways they can thrive.

“The postpartum phase is just to make sure mom is doing well from a mental health standpoint. After that visit, if nothing is identified, her next visit is at 12 months, and that’s the annual visit. So, there’s not a lot of check-ins,” Dr. Wright-Terrell continued.

Key Factors Impacting PPWR

According to the Journal of Clinical Medicine, “Irregular sleep and mealtimes during the postpartum period could also interfere with body weight. Emerging evidence suggests that the misalignment of eating and fasting patterns with the body’s circadian rhythm could impact metabolic function and consequently body weight.”

Irregular sleep can also contribute to an individual becoming obese.

“Individuals who regularly slept less than seven hours per night were more likely to have higher average body mass indexes and develop obesity than those who slept more,” in a study published by BMJ Open Sport & Exercise Medicine.

Current Obesity Reports states, “Epigenetic programming that occurs at conception and throughout pregnancy predisposes children born to mothers with obesity to a range of chronic metabolic conditions including type 2 diabetes and heart disease.”

Taking an Individualized Approach

Healthcare practitioners must individualize their engagement with birthing people. Not all people who give birth are the same, and they do not all come from the same culture.

An informed perspective can help a practitioner be more effective.

Dr. Wright-Terrell pointed out that people who deliver without complications might not need to wait the widely recommended six weeks before engaging in movement that might help their mind and body. She said sometimes they “can start moving and gentle exercise as soon as 72 hours after delivery.”

Talking to your patients to determine what is best for them can help you make recommendations that suit their goals best.

“I try not to restrict my patients in terms of movement because movement is really powerful and healthy overall, and it can help you feel more like yourself.”

Referrals are crucial in helping people with uteruses re-engage with their fitness plans. Hairston uses referrals to help her clients understand the resources available to them.

“A nutritionist is covered under your insurance when you’re pregnant and usually in the first couple weeks of postpartum, and so it should be pretty easy to find somebody in-network,” she said.

Dr. Wright-Terrell explained the importance of educating patients on how their fitness goals can be achieved through seeking specific care to prevent sustained weight gain. For example, physical therapy can help build core strength, which is essential to pursuing weight loss through physical exercise. “Another great resource that I feel is underutilized is physical therapists, specifically pelvic floor physical therapists,” she said.

Dr. Wright-Terrell states, “Every OB should have a low threshold to send out the referral” for a specialist to accommodate them.

When HCPs approach patients holistically, we may have a better chance of reducing PPWR in our community.

Supported by an educational grant from Novo Nordisk Inc.

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Probiotic & Prebiotic Drinks Like Poppi Soda: Are They Worth The Hype? https://blackhealthmatters.com/poppi-soda-probiotic-and-prebiotic-drinks/ Mon, 01 Jul 2024 12:00:59 +0000 https://blackhealthmatters.com/?p=42506 If you plan on dodging that nasty summer cold rolling around the neighborhood with an onslaught of bubbly beverages, you might want to rethink your strategy. Probiotics and prebiotic beverages […]

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If you plan on dodging that nasty summer cold rolling around the neighborhood with an onslaught of bubbly beverages, you might want to rethink your strategy.

Probiotics and prebiotic beverages have increased in popularity in recent years. Several companies have begun offering over-the-counter probiotic and prebiotic products boasting benefits ranging from digestive improvements and improved mental health to cardiac wellness and clearer skin. Some even theorize that they can curb the likelihood of contracting common viruses.

Emphasis on gut health has swept the wellness world by storm. There are even lines of celebrity supplements with probiotic and prebiotic SKUs. People fill their coolers with brightly covered wellness drinks thinking they are a cure-all, but their advantages are complicated.

A 2020 article from Foods clarified that “The term” “health “benefit,” (often” stated on the label) is not a regulated specificity, nor has a clear medical meaning.” This has not stopped consumers from chasing after them by purchasing probiotics and prebiotic beverages (like Oilpop, Culture Pop, and Poppi). They are the cornerstone of the functional beverage market, joining protein shakes and collagen concussions as perceived miracle potions.

“The public awareness of diet-related issues and ever-increasing evidence about probiotic health benefits have increased consumer interest in probiotic foods,” according to a 2023 article in Frontiers in Microbiology.

That article expressed the importance of probiotics being administered in “adequate” quality.” Poppi,” a major player in the beverage industry, is facing legal challenges for their health claims in the form of a class-action suit that alleges that they did not infuse an adequate amount into each of their cans. Still, the amount of “adequate” can vary for each person.

The market has swelled to over ninety billion dollars despite this. “From an”industrial perspective, there are always challenges related to adding health-enhancing components, including probiotics, to food matrix,” according to Foods.

Not only are the benefits of probiotic beverages difficult to determine but there are potential risks associated with prebiotics and probiotics being examined by researchers. These can potentially be increased in select marginalized publics like those late in their pregnancies, immunocompromised individuals, and chronically ill children.

Dr. Janese S. Laster, a board-certified doctor in Internal Medicine, Gastroenterology, Obesity Medicine, and Nutrition and the founder of Gut Theory Total Digestive Care in Washington, D.C., explained that probiotics and prebiotics are best introduced to a regimen that includes physicians.

She also said that more information is coming to the public about probiotics and prebiotics as efforts to design and execute productive studies are expanding.

We don’t have enough data and so there’s a bunch of research going on,” explained Dr. Laster. “But right now, we don’t have enough information to make a determination.”

What do you need to know about probiotics and prebiotics before using them?

Their usage affects everyone differently.

“We don’t know what that perfect makeup is. The only thing we know currently is that people who tend to be the healthiest people, people who have no GI symptoms, tend to have a really, really high diversity of all types,” said Dr. Laster. “We don’t know which is the perfect one each person needs. So that’s the big issue and what we’re trying to figure out and determine.”

There are different kinds of probiotics.

“Not all of them are created equal,” said Dr. Laster. “Most things won’t make it through to your small bowel where they can actually have some effects.”

Research the strain you are considering and discuss it with your doctors before working it into your diet.

Probiotics can be affected by heat.

The way you store your probiotics matters. Research best practices for how to store the probiotics you are taking so that you can obtain the most benefits from them.

Probiotics don’t outweigh a poor diet.

Chugging probiotic-infused soft drinks will not undo the damage caused by an unbalanced diet. (Think about integrating these 10 prebiotic foods into your diet.)

Dr. Laster declared that foods that are high in fiber, like certain fruits and leafy vegetables, are still crucial to achieving one’s health goals. “These are things that we know actually change the microbiome,” she said.

“If you put fertilizer on the ground with Cheetos, nothing’s growing,” she said. “But if you put it there with apple seeds, you’ll get an apple tree at some point. So it’s about sort of what you’re feeding your gut, and just having a probiotic on top of a diet that is completely processed isn’t going to do anything.

It’s difficult to tell what probiotics you lack.

Tests claiming to identify the perfect probiotic cocktail for you might not be entirely accurate. “There’s no real good ways to test that at this point,” said Dr. Laster. She noted that it’s important to understand that many of these tests have legal disclaimers explaining that they can not be used for medical management.

“People will go online and come and see us and say oh, I got this test done that I wasted $700 on, now you tell me what to do with it.”

 

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BHM Talks to Marcia Lee About Her Journey to Better Health, Food as Medicine and & Choosing Vulnerability https://blackhealthmatters.com/bhm-talks-to-marcia-lee-about-her-journey-to-better-health-food-as-medicine-and-choosing-vulnerability/ Thu, 27 Jun 2024 18:20:48 +0000 https://blackhealthmatters.com/?p=42496 On this episode of the Black Health Matters podcast, our digital marketing and operations marketing manager, Claudia Lopez, had the opportunity to speak with Marcia Lee, Founder of “Cut the […]

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On this episode of the Black Health Matters podcast, our digital marketing and operations marketing manager, Claudia Lopez, had the opportunity to speak with Marcia Lee, Founder of “Cut the BS, Your Health, Your Choice Podcast”,  a staunch health and fitness advocate. Listen to their inspiring discussion or read it below.

Claudia:
All right, so my name is Claudia Lopez.

00:00:15:19 – 00:00:45:18
Unknown
I am the digital marketing and operations manager at Black Health Matters. And today I am here with Miss M. Marcia Lee. She is a fitness and wellness guide. A mentor and I am inspired very deeply by her journey and her story. And I wanted to make sure we gave air and space for her journey and allowed her to share with other people because, really, in today’s day and age, we need inspiration.

00:00:45:20 – 00:01:10:04

We need to be able to see ourselves within other people. And we need to understand that there is, a path forward and that there is positivity to look forward to and growth to look forward to. So, Miss M, would you like to introduce yourself and tell people how your journey started? Thank you, Claudia, for having me on.

00:01:10:06 – 00:01:33:13
Marcia
So my journey began in 2009 when I went to the doctor for my hanging physical, and she said, Miss Lee, you are a borderline diabetic. And I’m like, I say, our family picks up everything but money. Mind you, everybody in my family is a diabetic but me. I didn’t want to become a statistic. So she asked me what it was.

00:01:33:13 – 00:01:57:23
Unknown
I know as far as my diet and exercise regimen. I said the only thing I was doing was going to a happy hour, mostly eating chicken wings and French fries and having cocktails. But it wasn’t until I. I was taking my car home, and I had seen this as a free fitness class setup, so I dropped her off and circled back to the rec center to sign up.

00:01:58:01 – 00:02:24:04
Unknown
But while I was waiting to sign up, I saw a flier that said that in D.C. residents, if they lose 20% of their body weight, they can start the onset of chronic diseases like diabetes and hypertension. I said yes; where do I sign up? I signed up for the first day of orientation. We got to the orientation process, and the dietitian gave us these books.

00:02:24:04 – 00:02:47:08
Unknown
I said, what are these books for? She says, a food journal. I’m like, what? What food? You’re gonna say you’re buying my food, right? I don’t want you to know what I’m eating. But eventually, I understood the assignment. It was necessary for me to be successful in the program. So what we did was try. I had tracked what I ate and my exercise regimen.

00:02:47:08 – 00:03:09:06
Unknown
So the weights have reached a plateau. She was able to review every day. She was able to review the journal, do my exercise, and review my exercise regimen, and we were able to come together, and it actually worked out. But at the end of the 16 week program, I had lost four dress sizes. I wasn’t close with alphabets to close to numbers.

00:03:09:06 – 00:03:35:09
Unknown
You know how good that feel I was. My class was. I had to change my entire wardrobe. It took me six months to get rid of all those clothes I had, and I had all the clothes. But during that process, I actually started exercising, too. I went from not exercising at all to exercising daily. To this day, I’m still exercising regularly, and I have kept my weight off for 15 years.

00:03:35:10 – 00:03:54:00
Unknown
This was the first time in my life that I was able to put a handle on the weight. I never let myself go 5 or 10 pounds over at all. I do a reset spot oversee; I think it is focused and disciplined, and it’s very work. Clearly, a lot of people don’t realize that this whole weight loss journey is work.

00:03:54:02 – 00:04:27:00
Unknown
And this was man, this was this was free. We go to the exhibit, and bam, and all of that. This was hard work, determination, and will. They will want to put in the work. It really is putting in the work. It’s changing your whole way of thinking about food. And then I look at food as medicine. So I went from making pharmaceutical companies rich as far as buying assets and laxatives because when I was bigger, all that stuff I was put in my body was no good.

00:04:27:02 – 00:04:52:18
Unknown
So now I don’t even take I haven’t taken a laxative. You or antacid in years. I rarely have to even do it as it’s so, so rare, so infrequent in my life now. But the exercise journey has been really, really phenomenal as well. I would like to thank my DC Parks and Rec family for all the free, low, and no-cost fitness and wellness classes.

00:04:52:20 – 00:05:14:10
Unknown
Then I’m able to partake in and I still partake until this day. I’m also an ambassador for the DC, a wellness initiative that may have thousands of hours of started. So I am one of the community ambassadors also, every Wednesday for health and wellness. I love it. So, like I say, I’ve done like I say nothing.

00:05:14:10 – 00:05:39:21
Unknown
Now I do. I didn’t like walking cloudy and wouldn’t walk like two inches. Now I walk all the time, I walk, I hike, and do yoga. I do Zumba, I do freestyle dance, I do can I do everything wellness now? Claudia? I’m always trying new things. When I go on vacation, it feels good, Claudia, that I don’t have to sit back because I’m too tired, because I’m winded.

00:05:39:23 – 00:06:02:06
Unknown
I keep up with the best of me already. I love it, so that’s my journey. But in 2019, my brother Michael, that. And you know what? He had to suffer from depression. But he had been depressed for years. But he didn’t say anything. It wasn’t until the day before he passed when he told my brother, I’m depressed and I need help.

00:06:02:08 – 00:06:26:09
Unknown
We’re Claudia. He was there within 24 hours. And I’m like, you know what? Let me let me put some light to the darkness that I was feeling at that time. So I decided I wanted to be an advocate for health and wellness, especially in communities of color. Claudia, because we’re very, shy about our well-being. We don’t want to talk about it.

00:06:26:10 – 00:06:45:09
Unknown
So I’m a I’m a big advocate of therapy. I could be the poster girl on any or any signage that I do or not. I could be the poster girl for therapy because for me, therapy worked. You have to want to put in the work, find the right therapist, be ready. Be very. Be ready to do a deep dive in your life.

00:06:45:11 – 00:07:08:02
Unknown
Be ready to have a breakthrough because of you. Once the breakthrough comes, you can see things for what they are. And then you, you can, you know, you can be active, Courtney. You can play in your life. You can change your how to be of your mental health and well-being. So, I also teach people how to cook healthily on a budget.

00:07:08:02 – 00:07:27:17
Unknown
I don’t keep your income levels until people are always about preparation and planning. And that’s it. I say you can eat very well. And my goal my long-term goal, Claudia, is to get people to get them to do it so that it will be eaten, ask, whatever. Because there’s too much, you know, how much money are you spending? It’s like 60 bucks for one meal.

00:07:27:17 – 00:07:48:19
Unknown
You know how much food you can buy. And we’re lucky, Claudia, we are in, I’m in DC with, DC Department of Parks and access to my community gardens. And they give out free vegetables every week from May through the end of November. Do you know how good I eat? I eat well, anyway, but I’m eating fresh. And I’m so sad during the winter months when it’s not as robust.

00:07:48:21 – 00:08:10:07
Unknown
But I take advantage of that. I usually go home and cook it; sometimes, I see people on social media. What I’m cool with is the vegetables. I’ve gotten some from the different markets and you know how you know how it, no, cause these to make these yourself. So that’s my goal, Claudia. That is my goal to be and just to teach people how to live the best version of themselves.

00:08:10:09 – 00:08:26:11
Unknown
And they could be the best version of themselves. And they put in the work. And it’s not as hard as people think. Once you start doing it, Claudia, it becomes a routine, and you’re not going to want to go. I hear all the time I say that you know, you cannot go out to eat, but don’t make that habitual.

00:08:26:13 – 00:08:52:19
Unknown
It kind of matters what we eat because, well, processed foods are sugars and starches. And I say, you know, keep things to animals. That’s my goal to teach people how to do that. Claudia, I think one one aspect of what you spoke on that is extremely important for people that they can lack when it comes to a physical journey or a mental journey or, you know, anything really in their walk of life is motivation.

00:08:52:21 – 00:09:19:10
Unknown
And how do we stay motivated in order to be able to create these changes within our lives? So what would you say to someone who wants to start a journey or is thinking about starting a journey but maybe isn’t finding the motivation within themselves right now to be able to begin? Well, it’s not what I say because a lot of people don’t like me, you know, some people don’t like being around other people, and that’s fine.

00:09:19:15 – 00:09:38:23
Unknown
But as a quality, become your best friend when you do. I said, you have so many different exercises for all when I tell you all levels by all levels. But, and I always tell people then you can, you can find an accountability partner. It doesn’t have to be a process. You can find a virtual accountability partner.

00:09:39:01 – 00:09:56:21
Unknown
You can meet somebody. Hey, let’s do a FaceTime. Let’s do a Google Meet. Let’s do a zoom. Let’s do it; when I type a digital platform that you may have, or even those who don’t want to, take a virtual digital platform and do a phone check. Hey, how are you doing them? What? You don’t know? Hey, guys, I know, let’s have a call.

00:09:57:02 – 00:10:14:03
Unknown
Let’s get a check-in. But for me, it says I like to be outdoors. My fitness family. Trust me, it was a wellness check. It was. It was a check-in regular accountability was like, oh, where are you at today? Why do you like it? You know, it was always it was always group text. Okay, we’re doing this today.

00:10:14:03 – 00:10:35:06
Unknown
We’re doing that today. So, for me and for anybody, you can have accountability partners, whoever is in person or virtual, because you understand people. People are where they are. And I’m willing if you work with me, I can meet you where you are because everybody, you know, no two people are the same. And I respect that. That’s very true.

00:10:35:08 – 00:10:37:08
Unknown
One other thing that I think,

00:10:37:08 – 00:11:02:09
Unknown
is important that you mention was what we consume and how you treat food and how you view food. So what do you think? For one, what are some foods that are positive contributors to our lives, and what are some foods that maybe we should try to cut out a little bit more or just lessen to improve that journey to wellness?

00:11:02:09 – 00:11:20:17
Unknown
so for the average person, you know, and, you know, bad Claudia, all that junk food, potato chips and all that potatoes are the worst. And I know when I was on that page of trying for a while, the weight came on quick and I said, you have this potato chip. So nad cut that out and processed foods.

00:11:20:17 – 00:11:21:13
Unknown
Claudia.

00:11:21:13 – 00:11:24:11
Unknown
Because the processed foods, processed foods are a killer.

00:11:24:11 – 00:11:42:01
Unknown
And you know Claudia, and when I go in the stores, I know how to leave food labels. And I look at all the ingredients they have, all these ingredients. You need to have spent a year in that. But now, any time you don’t know how to pronounce it, most of the time, bait is not it not, is not as good for you.

00:11:42:03 – 00:12:08:18
Unknown
But as far as like like the healthy things, you know, summertime is good for blueberries and strawberries and blackberries, all the things down. Those are superfoods and healthy foods. No. Avocados. Because all the different lettuce and cucumbers are king, are white, and people are, but what it is, is all a preparation is all it going how you prepared food eggs?

00:12:08:18 – 00:12:29:08
Unknown
At first, I was a big fat a big fan of airplanes. Now I’m the airplane queen. Everybody was they made this like curry recipe, you know because I tried different things because for me it’s. And always tried things once. And I think Claudia the air because I’m vegan people always say, oh again is vegan. I lose weight.

00:12:29:09 – 00:12:56:03
Unknown
Is this food for everybody who’s listening? Attention, listeners, being bored is food. It’s food. It’s real food. It’s just no animal products or no dairy. But being food is food. You will not go hungry. Isn’t that weird? Quiet. Come out of your comfort zone. You don’t have to eat meat all day, every day. You don’t have to eat a piece of meat in your mouth.

00:12:56:03 – 00:13:05:12
Unknown
You don’t try different things. And I tell people, just try this, try, different things. You don’t do meat every day, do meat maybe every other day, or maybe do meat,

00:13:05:12 – 00:13:12:02
Unknown
maybe one once a week. Or do you do meat this Monday or whatever? This try to come and switch it up a little bit

00:13:12:02 – 00:13:14:18
Unknown
and be open to try new things.

00:13:14:21 – 00:13:38:17
Unknown
Definitely. I know it’s cookout season, right? So we’re about to enter that time when everyone wants to grill and they want to have all the sweets, and they may be doing the pie competitions and whatever else they can get their hands on. So it is going to be vital to to look at Whole Foods, the types of whole foods that you can bring to your family events to,

00:13:38:17 – 00:13:46:04
Unknown
contribute and how, you know, that’s going to impact everyone in your family and your journey and how you share that, that part of your journey with each other.

00:13:46:04 – 00:14:03:12
Unknown
so one of the things that you mentioned was the mental health journey and how we navigate things like depression and how the men in our lives navigate things like depression.

00:14:03:16 – 00:14:10:07
Unknown
So how do we how do we start to have those conversations with the men in our life

00:14:10:07 – 00:14:13:03
Unknown
It’s men’s health awareness. So I want to make sure that,

00:14:13:03 – 00:14:20:12
Unknown
we share with other women how they can be or be present for the men in their lives.

00:14:20:18 – 00:14:25:08
Unknown
But that’s a great question for you. Thank you for asking that. So women,

00:14:25:08 – 00:14:45:21
Unknown
let the men be vulnerable. Let them have the space to be vulnerable because people think that men’s poses is real; they don’t have any emotion. And all of that. But, you know, clearly they just like us, they human and they’ve always been taught, take it like a man, you know, don’t show any emotion.

00:14:45:21 – 00:15:05:14
Unknown
But it’s okay to show emotion. And I’m loving this generation them to be a they are embracing that. They are doing therapy. The younger generation, Gen Z, is a millennial. I love how God is doing, and they are really. Thank you for showing your vulnerability. And I always say to them, Claudia, they don’t want to talk to you.

00:15:05:16 – 00:15:23:11
Unknown
It’s a lot of men’s groups. It’s a lot of great men support group, you know, virtual and in-person. Whatever you do, that is probably talking to other men that are willing to some, you know, that are wanted to process that. I want to know some some of the similar journeys. But we have to understand that we have to let men be vulnerable.

00:15:23:13 – 00:15:45:20
Unknown
If a man wants to cry, let them cry. And when I see a man, for I have seen men in my life, I love it. I’ve had men reach out to me. When can I see therapy? Do you know how good that makes me feel? They say. They said no. I say where can I go for therapy? So I’ve given people references and I think that I think, I think that’s phenomenal that, that that’s phenomenal.

00:15:45:20 – 00:16:11:09
Unknown
But again, and even for women, I don’t want to discount women because sometimes women are to be hard to that black woman strong. But I want a strong. You know what? I’m sorry. I’m sorry.  I’m sorry. Sometimes everybody has everybody has a right to break down, to have a break through men, women, men, and women.

00:16:11:10 – 00:16:39:04
Unknown
Because sometimes it takes a breakdown to have a breakthrough. And we have to respect that and allow that. We have to have a place to be safe. We have to have a space to be vulnerable, and we have to have a space where they can talk and be themselves without any type of repercussions or any type of perception that they can’t because they sought help.

00:16:39:06 – 00:16:53:02
Unknown
Man it, you know, what’s up with that? We have to really allow that. And I’m glad the younger generation is doing that now, as the generation is really being taken, pay and paying attention to that. And I’m glad they have more resources.

00:16:53:02 – 00:16:59:10
Unknown
so I love that you mentioned that maybe it’s, it’s coming a little bit easier for the younger generation.

00:16:59:13 – 00:17:12:02
Unknown
and I want to know, you know, as someone I have I have two fathers, I have my step father and I have my biological father. And I often try to have these conversations with them. Right.

00:17:12:02 – 00:17:13:12
Unknown
And I’m wondering

00:17:13:12 – 00:17:16:06
Unknown
how I can almost meet them on their level,

00:17:16:06 – 00:17:22:21
Unknown
because it is more of a challenge to try to convince them,

00:17:22:21 – 00:17:24:12
Unknown
being able to be vulnerable

00:17:24:12 – 00:17:26:14
Unknown
So, how do we bridge that gap with

00:17:26:14 – 00:17:35:05
Unknown
our older generations? How do we bring them into this wider awareness that maybe it’s easier for the younger generations to get Ahold of?

00:17:35:05 – 00:17:43:06
Unknown
Well, I could be speaking of being a baby boomer, but, Claudia, you know what? We have to start having authentic conversations.

00:17:43:08 – 00:18:10:00
Unknown
a lot of the older generation is so much stuff on the road. A lot of stuff is available. And I my suggestion to you as far as your dating wisdom day, sit them down. Maybe you could sit down. sit down with them. Just say tell me. Tell me your story. Sometimes it just does. Is is not as simple, but maybe a question, but tell me about the story of what you know.

00:18:10:00 – 00:18:30:17
Unknown
Well, what were some of your challenges? What do you want to know? You know what I mean? Because a lot of times, Claudia, nobody has asked them how they grew up, you know, what was their story? You think about it. So for me, the men of my family, my, my oh, I mean, my uncle founded tell me the same thing.

00:18:30:17 – 00:18:50:12
Unknown
You know, later in life, you know, a lot of times, Claudia, the men, they were more vulnerable later, my Uncle George, you know, he’s passed away, but he was born of a vulnerable. And I said, thanks for being vulnerable because if because quality, number one, they have to feel, you have to make them feel comfortable is speaking first and foremost.

00:18:50:12 – 00:19:19:09
Unknown
You gotta you gotta make that make make that set uncomfortable. Just can’t come at them. Just be natural. Hey, you know what? You see how up for real? This this is this is like this just, you know, just just make it comfortable. Or even Claudia, maybe give him a book, a journal. So they lay down and, you know, want to talk my device of things down, and we can go over.

00:19:19:11 – 00:19:42:03
Unknown
Maybe we could discuss that. Or, like you don’t us don’t we? Could they talk about you, Mom? I hear you like. Yeah, maybe you like it. You can keep that between the two of you, but that this is not going out here in the YouTube universe. This is what our universe. Because I want to see, you know, how you grew up.

00:19:42:05 – 00:20:19:11
Unknown
What would you what were your challenges? What do you see for me in the future? Because a lot of times, Claudia, men and boys, followed by example. So if they’re seeing men, they dads, uncles, fathers, I mean, that is being uptight and now vulnerable and not showing. And they have to say anything that’s been, you know, like you say, showing a vulnerability, how you think they want me now think about it.

00:20:19:13 – 00:20:40:19
Unknown
And it is generational, the trauma, because you don’t even know what’s going to come out. And a lot of people have gone through trauma like generational. Yeah. That, that, that is still that is still locked in their hearts and locked in they soul and locked in a spirit. And maybe you can one that can open that.

00:20:40:23 – 00:20:41:15
Unknown
Future.

00:20:41:15 – 00:20:42:19
Unknown
So I have

00:20:42:19 – 00:20:45:01
Unknown
I have one final question for you.

00:20:45:01 – 00:20:49:08
Unknown
and then if you have any takeaways that you want to make sure that the audience receives,

00:20:49:08 – 00:21:03:20
Unknown
what importance and value do you see when it comes to sisterhood? I think is often there’s the perception of like the hardened or the tough or the strong black woman.

00:21:03:22 – 00:21:18:23
Unknown
But I think there’s also, especially in the younger generation, I see this, this perception of women often being pitted against each other or extremely competitive with each other rather than elevating each other. There’s,

00:21:18:23 – 00:21:31:04
Unknown
the withholding of information and care and storytelling and journey telling because it this is for me, you know, and it’s hard for people to share.

00:21:31:06 – 00:21:49:03
Unknown
So what has been your journey when I’ve just come to sisterhood, how has that impacted your journey and how can we support the women in our community? That is that’s an excellent question with Claudia. You know, coming up, we don’t have social media.

00:21:49:03 – 00:21:56:20
Unknown
First and foremost, we do not have social media. So our whole communication was different. Everything was impersonal on the phone.

00:21:56:20 – 00:22:22:21
Unknown
It wasn’t the that absent what we do is the Facebook or Tik Tok and all of that due to it wasn’t all that, it was the actual human interaction for me personally, I do have a sisterhood. I’m very I’m extremely fortunate to have sisterhood in my life. I have I have groups, I have different groups of sisterhood. I have women I’ve grown, I’ve grown up with.

00:22:22:21 – 00:22:46:15
Unknown
I have my fitness community, I have people, I have friends who have formed a decade. You know, this is just for me. And I have the leading me who have become my friends now. But, Claudia, unfortunately, as I say, unfortunately, social media sometimes is a fraud, and people can’t be authentic to that because they have the Hannah post.

00:22:46:17 – 00:23:00:20
Unknown
So that’s going to be it’s not hard, but we just have to teach. We have to just show people that we all are in this journey together. And, like I said, that strong black woman,

00:23:00:20 – 00:23:09:19
Unknown
situation that goes for black women. So we got to get rid of that, that dialog because yes, we can we can pull it out.

00:23:09:21 – 00:23:33:13
Unknown
but it’s also okay to be vulnerable, and it’s also okay for us to be in a group. It’s okay for us to cry is okay for us to laugh together. It is okay for us to share our stories is okay for us. And, you know, and with the younger people. To Claudia again, the sisterhood, a lot of times I see I grew up with my mother, and they have friends.

00:23:33:15 – 00:23:57:12
Unknown
They always have circles of friends. So a lot of times, Claudia, I grew up with that. So for me, I had a circle. So a lot of people did not see their cards with circles of friends. So a lot of times and then with a lot of times with the anxiety and depression and different other types of social illnesses, mental health situations, you know, it’s going to be a little difficult.

00:23:57:15 – 00:24:20:23
Unknown
And then the bullying aspect is real, the bullying aspect. So a lot of people now are not going to feel comfortable really going out to reach out because of their vulnerabilities. And maybe they might be bullied or not. Like for whatever reason or not, in the clique. Yeah. So we just have to teach. We just have to teach them what we have.

00:24:21:01 – 00:24:45:21
Unknown
We have to teach our ladies. Love yourself first so that you are loved. You are loved by yourself, with yourself, and for yourself. And once you have to have those affirmations. You have to say those affirmations for you. Do affirmations, maybe add some meditation, maybe add some breathwork, add some things that have been not additional in the past.

00:24:45:22 – 00:25:16:15
Unknown
Have some things to make to be focused. Focus on pulling your inner being and maybe instead, you know, keep your journal, start the drawing that you’re doing is don’t keep your journals, write down things, and maybe, start a club. You could even start if you don’t want to give; you want to be in person. You understand? Do journey, do x y and leverage majority, or do like like if you want to be more intimate, do a zone, do a go, do something, or do some type of virtual journaling classes.

00:25:16:16 – 00:25:35:00
Unknown
Don’t do like do like a rap session. Hey girls, this girl’s rap time, ladies’ rap time was had, you know, different things than we have to think we have. We have to go. We have. We have to hit the mediums and the platforms and where they are and where you think they were. They were the best. We seem to have information,

00:25:35:00 – 00:25:50:04
Unknown
Is there anything that you would like to make sure our audience like? Key takeaways. What specifically should our audience take away from this call? What should they carry with them? What should be their next move?

00:25:50:08 – 00:25:51:22
Unknown
Your next move is

00:25:51:22 – 00:26:09:14
Unknown
where do you see yourself? But sometimes people always, you know, you go on job interviews and people talking about people always ask, where do you want to be in five years? Well, you know, I say when I tell them, I mean, I don’t even know where I want to be in five days. This. See this; see where you want to be.

00:26:09:16 – 00:26:28:06
Unknown
Set yourself up, do goals. But don’t I always say, don’t make goals so unrealistic that they’re not attainable? What do you want to be in a week? What do you want to be in a month? When you want to be a three month, three months, what do you want to be in that months? But clearly, everybody’s journey is not designed that.

00:26:28:08 – 00:27:07:13
Unknown
And I recognize that. And I know for me, like you, it clearly I made that U-turn when I dropped my car. That was that was that was it for me. And I tell people everybody has a different body at that moment than you. Term was my bottom, the rise to the top. So I tell people, when you are ready, you will know when you’re ready. You will take action, but know when you’re ready, there are support systems out here that can help you attain your wellness journey, your health journey, your fitness journey, and your eating journey we have looked at food as medicine.

00:27:07:13 – 00:27:30:00
Unknown
Food is the way to heal our soul and our body and not just to eat. Think of it like that and think of exercise as oh my gosh, I gotta exercise. But think of exercise as a as a part of your movement, of your movement active of your mental movement. It is, it is, it is or not. Also visible is a mental movement.

00:27:30:04 – 00:27:51:05
Unknown
The exercise begins like that. And you can start slow and work your way up. Because I think a lot of times people see people working out like they have lost their mind. But no sudden slow is levels for everybody to be successful in their journey. Thank you for all you, thank you, thank you so much. Medicine.

 

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Stop Believing These 10 Exercise Myths https://blackhealthmatters.com/stop-believing-these-10-exercise-myths/ Wed, 26 Jun 2024 14:10:21 +0000 https://blackhealthmatters.com/?p=42465 It’s time to set the record straight about ten common exercise myths and rethink any you may still live by. Many of us have been influenced by them in some […]

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It’s time to set the record straight about ten common exercise myths and rethink any you may still live by. Many of us have been influenced by them in some way. But it may even come as a surprise to learn that most of these popular misconceptions are not backed up with scientific evidence.

The American Council on Exercises says it best, “Fitness myths have always and will likely continue to plague the industry and confuse even the most experienced fitness fan. If it sounds too good to be true, it probably is.”

Myth 1: Wearing a waist trainer or plastic suit helps you lose weight.

While waist trainers can temporarily slim the waist, they don’t cause permanent changes or lead to meaningful weight loss. Any weight loss may be due to sweating out fluids instead of fat or because the trainer compresses your stomach and makes you eat less. This is not a viable, sustainable way to lose weight. Waist trainers can also cause breathing difficulties, digestion issues, and organ damage if worn long-term. However, Harvard Health says that waist trainers can be helpful if a doctor recommends temporary use after certain surgeries to help rebuild core muscles.

According to Boxing Science, wearing a sauna suit won’t increase your metabolism, especially while resting. When you wear a sauna suit you will sweat to maintain your body temperature and possibly lose water weight, but you won’t burn any more fat than without it.

FACT: Waist trainers/sauna suits will make you sweat, but they do not help you lose fat.

Myth 2: Lifting heavy weights makes you bulky.

According to the American College of Sports Medicine (ACSM), “Nothing could be further from the truth.” Research confirms that women can and should lift weights (including heavy ones) without fearing becoming more than healthy, toned and strong.”

Women have lower testosterone levels than men, making it harder to build muscle mass. The key is to focus on lifting heavy weights with low reps. This type of lifting activates muscle growth without triggering the release of excess testosterone. Unlike cardio, building strength and lean muscle mass increases your metabolic rate at rest, your body’s ability to burn more calories.

Fact: Lifting heavy weight does increase muscle mass, strength, and size. However, excessive body fat is to blame for men’s and women’s “bulky” looks. Heavy weight training helps build muscle, increase metabolism, and lose body fat.

Myth 3: Crunches/Sit-ups (or spot training/targeted workouts) help you lose belly fat.

As much as we want to believe it, you cannot target fat loss in specific areas of your body. When you lose weight, you lose it from all over your body, not just one specific area. Exercises targeting a specific area, such as crunches for abs, can help strengthen and tone that part of your core, but it will not necessarily reduce fat in that area.

There’s a saying: Abs are made in the kitchen, not in the gym. It’s simply impossible to “burn off” fat in one body part by exercising.

If you want to reveal hidden abs, your best bet is to reduce your body fat percentage through sustainable healthy eating habits and a strength training exercise routine. You will have to do various exercises that target muscles around your entire trunk, including in your core, abdominals, and back.

FACT: Crunches are a popular exercise for strengthening your core, but they are not the best way to get those fab abs. Doing too many crunches can lead to back pain and poor posture.

Myth 4: Muscle weighs more than fat.

Lean tissue weighs more than fat tissue is a common misstatement. According to the National Institutes of Health (NIH), 1 lb of lean muscle tissue weighs 16 oz, as does 1 lb of fat tissue.

FACT: Muscle tissue is dense; fat tissue takes up more space or volume than muscle, but their weight is the same.

Myth 5: My muscle turns to fat if I stop working out.

Nope. Muscles do not turn fat when you stop exercising. Simply put, muscle and fat cells are entirely different tissues. More specifically, muscle tissue is more metabolically active than fat tissue and functions differently in the body.

The National Association of Sports Medicine (NASM) helps clarify this common misconception. “Without consistent regular strength training and proper nutrition to build muscle, there is a much greater chance of body fat increasing. This is not because your muscles turned to fat. It’s because the ideal environment was created for fat stores to grow and the worst opportunity for the muscle to develop.”

FACT: When you stop exercising, your muscles can shrink and weaken (atrophy), leaving room for fat tissue to replace them. It can cause a shift of fat-to-muscle ratio in your body, but the muscle does not become fat.

Myth#6: Early morning is the best time to work out.

This myth that early morning exercise is the gold standard is compelling. But if you’re more of a night owl than an early bird, having the energy output for an effective morning may not be best for you.

The most important part of developing an effective exercise routine is to find a time of day that works for you and stick to it.

The NIH explains that consistent exercise timing, especially morning exercise, may facilitate greater exercise intensity, help to protect your exercise time, make planning easier, and foster good exercise habits.

While few studies definitively prove that exercising in the morning increases your metabolism more than other times of the day, some people choose to start the day with a workout for the myriad health benefits: body & mind, elevate their mood, reach step goals or because it just makes them feel great for the rest of the day.

FACT: The best time to work out is the time that works for you.

Myth 7: Squats are bad for the knees.

Squats are highly effective at strengthening the knee joint and surrounding muscles when executed with proper form and without pain. Lower body strength can help prevent and recover from common knee injuries.

However, squats can be painful and irritating for people with conditions like a runner’s knee, osteoarthritis, or meniscus tears. Poor execution can also increase the strain on your knees and lead to injury.

NASM breaks it down for us. “Although many variations of the squat exist, some truths will always prevail – maintain your knee/foot alignment, ensure hinging and timing of forward knee translation, facilitate adequate ankle mobility to avoid dysfunction, maintain a rigid pelvis (sacrum, thoracic spine, and head) and aim to achieve parallel alignment between your tibia and trunk.”

Finding the best squat for you is what’s important. Consider gradual progression from seated squats to ball or wall squats to develop the strength required to perform the stand-alone version.

FACT: Squats are not bad for your knees. Improper squat form is bad for your knees.

Myth 8: Running will make you fit.

The American College of Sports Medicine (ACSM) defines health-related physical fitness as a set of attributes people have or achieve that allow them to perform physical activity. It also includes the ability to perform daily activities with vigor and alertness, without undue fatigue, and with enough energy to enjoy leisure activities and handle emergencies.

Running is an excellent way to improve cardiovascular health and burn calories efficiently, but just running won’t necessarily make you fit.

Not only that, running is not for everyone and not the only way to achieve whatever your definition of being fit may be.

FACT: Running or other cardiovascular activities combined with strength training and a proper nutrition plan create a well-rounded fitness routine for optimal fitness.

Myth 9: Stretching before a workout will prevent injuries and soreness.

Are you surprised? It turns out that stretching a healthy muscle before exercise does not prevent injury or soreness. Harvard researchers found no evidence that static stretching before or after a workout prevented injuries or sped recovery (or did anything useful).

Theoretically, stretching before exercises should make the muscles more pliable and less likely to tear. However, studies that compared injury or muscle soreness rates in people who stretch before exercise and those who don’t found little benefit to stretching. Studies suggest stretching a cold, tight muscle could lead to injury.

FACT: The most effective type of stretching before a workout is a dynamic series of exercises involving the whole body, large muscles, and multiple joints. The goal is to activate the muscles you will use during the workout. It is worth mentioning that there is no evidence that static stretching at the end of the workout, during the cool-down portion, does any harm.

Myth 10: Longer workouts are more effective than short ones.

The quality of a workout is more important than its length. Pushing yourself to do longer workouts can lead to overtraining, which can cause injuries, imbalances, and a loss of motivation.

The World Health Organization (WHO) recommends a combination of vigorous and moderate aerobic activity and two or more muscle-strengthening workouts weekly.

FACT: A consistent, balanced approach to fitness that includes strength training, cardio, rest, and recovery is critical to achieving your personal fitness goal.

 

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Most Overweight and Obese Cities in the U.S. 2024 https://blackhealthmatters.com/most-overweight-and-obese-cities-in-the-u-s-2024/ Wed, 12 Jun 2024 19:04:45 +0000 https://blackhealthmatters.com/?p=42343 Obesity is a global pandemic and a significant public health concern in the United States. The World Health Organization estimated that one in eight people is now living with obesity. […]

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Obesity is a global pandemic and a significant public health concern in the United States. The World Health Organization estimated that one in eight people is now living with obesity. Just two years ago, in 2022, 43% of adults were overweight; the stats about worldwide obesity amongst adults have nearly tripled since 1990. In the U.S., four out of five Black women are living with obesity, according to the Office of Minority Health.

Obesity disproportionately affects our community as we have some of the highest rates of obesity or being overweight compared to other groups in the United States. The CDC states that Black adults in the United States have an obesity prevalence of 38 percent among 48 states and D.C. There are a multitude of reasons why obesity is heightened within the U.S., and the array of unhealthy food choices on every corner and highway surely doesn’t help.

Of course, the first step to progress is recognizing the issue and learning about the specifics, and hopefully, this can lead us down the path to finding personal ways to mend obesity within the nation. Below are the top twenty overweight and obese cities in the U.S. for 2024. Put together by WalletHub; this rundown used 19 key metrics across 100 of the most populated cities. Is your city ranked among these 20?

 

Overall Rank Metro Area Total Score Obesity & Overweight Health Consequences Food & Fitness
1 McAllen, Texas 85.54 4 2 2
2 Jackson, Mississippi 84.58 2 6 8
3 Shreveport, LA 83.82 7 4 17
4 Mobile, AL 83.11 10 7 11
5 Little Rock, Arkansas 82.31 5 24 7
6 Knoxville, Tennessee 81.71 25 1 18
7 Memphis, Tennessee 81.65 23 3 4
8 Lafayette, LA 81.64 8 25 15
9 Baton Rouge, Louisiana 81.28 11 5 26
10 Chattanooga, Tennessee 81.15 20 8 13
11 Birmingham, Alabama 81.02 18 12 3
12 Columbia, South Carolina 80.06 21 16 10
13 Oklahoma City, Oklahoma 80.03 9 31 21
14 Tulsa, Oklahoma 79.64 6 22 36
15 Fayetteville, AR 79.34 14 26 28
16 Augusta, Georgia 79.31 31 13 6
17 New Orleans, Louisiana 78.91 13 23 25
18 Canton, OH 78.78 39 10 23
19 Wichita, Kansas 78.39 37 17 12
20 Youngstown, Ohio 78.23 22 41 16

 

While this isn’t a personal attack on any of the cities mentioned, it is a call for awareness. We should strive to improve the health of our cities. Although there is no one-size-fits-all solution for combating obesity, being vocal about this issue can make a difference, whether amongst ourselves, our loved ones, or a broader community.

 

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Goodr’s Community Market Is An Investment in Atlanta’s Health and Wellness https://blackhealthmatters.com/goodrs-community-market-is-an-investment-in-atlantas-health-and-wellness/ Fri, 31 May 2024 22:07:15 +0000 https://blackhealthmatters.com/?p=42153 When Goodr, a sustainable food waste solution company founded by Jasmine Crowe-Houston in 2017, partnered with Invest Atlanta to open The Community Market, they essentially helped make IVillage@MLK a new hub […]

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When Goodr, a sustainable food waste solution company founded by Jasmine Crowe-Houston in 2017, partnered with Invest Atlanta to open The Community Market, they essentially helped make IVillage@MLK a new hub for health and wellness. Located at the Hamilton E. Holmes MARTA Station, it has the potential to become a catalyst that sparks change in the health outcomes of that neighborhood for years to come.

The Centers for Disease Control reports that residents in the area had a higher-than-average incidence of obesity, diabetes, and heart disease. But at the same time, a study by the Atlanta Regional Commission found that some residents reported limited access to healthy food options while others couldn’t afford them. It’s the same catch-22 we see in every urban neighborhood. Unhealthy food is cheaper and at our fingertips. But this program seeks to combat those norms.

The Community Market is spearheaded with a commitment of $1 million from the City of Atlanta’s Economic Opportunity Fund-Food Access. It is anchored by a Goodr Grocery store, one of Goodr’s Core Relief Hunger Solutions, which invites 300 local families in District 10 to shop each month at no cost. However, the goal is to give them access to fresh produce, meat, and shelf-stable goods and the ability to shop with dignity. District 10 City Council member Andrea Boone and other leaders in Fulton County will work together to identify families. As the program gets its footing, Goodr is optimistic that it can increase the number of families it can accommodate by year two.

The Goodr Grocery Store
Goodr Founder and CEO, Jasmine Crowe-Houston

 

But the project’s genius is that they didn’t stop at the grocery store alone.

“There are a lot of Black people in our community that need access to health resources and education. We are grateful to have partners excited to work with us and provide better resources to our community,” Jasmine Crowe-Houston, Goodr’s Founder and CEO, says. “Goodr has leveraged existing partnerships with organizations such as Grady Hospital, the American Heart Association, and Eat Urban Fresh. These partnerships will provide monthly resources such as healthcare screenings and healthy meal preparation.”

However, the holistic approach to the project gives us even more hope for its success. Goodr goes beyond providing the neighborhood access to healthy food and teaching folks how to prepare meals, offering preventative screenings and one of our favorite parts, a wellness room. “Goodr has also included a “wellness room” that allows a safe space for people to meditate or decompress,” Crowe-Houston explains. “Our goal is to normalize taking care of not only your physical health but also your mental health.”

The Goodr Wellness Room

 

 

 

 

 

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Weight and Measures: Accessing Patients Health Beyond BMI https://blackhealthmatters.com/weights-and-measures-assessing-patients-health-beyond-bmi/ Tue, 28 May 2024 22:51:51 +0000 https://blackhealthmatters.com/?p=42100 “What is healthy weight?” Dr. Terilyn Scott-Winful asked at the Black Health Matters Understanding Obesity What Are You Weighing For webinar earlier this year. “When we talk about the Body […]

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“What is healthy weight?” Dr. Terilyn Scott-Winful asked at the Black Health Matters Understanding Obesity What Are You Weighing For webinar earlier this year. “When we talk about the Body Mass Index, this index needs to be taken with a grain of salt. When we apply it to the general population, it’s most useful for research purposes.”

Last year, the American Medical Association addressed the prickly past of the BMI’s ascent from the gold standard in evaluating body composition, acknowledging it as an imperfect clinical measure that shouldn’t be used as the lone assessment tool. “The AMA recognizes issues with using BMI as a measurement due to its historical harm, its use for racist exclusion, and because BMI is based primarily on data collected from previous generations of non-Hispanic white populations,” they declared.

However, many physicians still use BMI as a metric in their charting. The BMI not only fails to maintain predictability when it is employed on an individual level, but it also has historical issues baked into its conception. It was not mindfully designed to consider diversity.

Acknowledging that BMI measures height and weight but does not evaluate fat distribution in a person’s body is helpful. Someone with an especially muscular frame could be miscategorized due to the failure of BMI to account for weight that does not fit its narrow limitations. Yale Medicine confirmed that “a person with lots of muscle and minimal body fat can have the same BMI as a person with obesity who has much less muscle.”

Dr. Scott-Winful noted theoretically that BMI may be a good place to begin a diagnosis. They are not comprehensive labels that require no explanation. “These broad categories of underweight, healthy weight, overweight can help serve as a starting point to be able to stratify if a patient potentially has a problem,” the physician certified in gastroenterology and obesity medicine explained.

The AMA recommended that physicians combine BMI with other measurements to assess the health of their patients fully. Doctors can also explain that while BMI is a widely adopted standard against which patient progress is measured, other options can help them understand their health.

Studies show that patients with higher BMIs are less respected than patients with a healthy weight, and physicians report seeing patients who are obese as less compliant and self-disciplined,” according to the British Journal of General Practice. Discussing the merits and the value of the BMI could help promote more effective dialogues.

Body Fat

One of the other measurement tools Dr Scott-Winful uses is body fat. This index changes for males versus females. “What’s acceptable for a female patient may be considered increased body fat in a male patient,” Dr Scott-Winful pointed out. “But it’s also important to note that you can have a normal Body Mass Index and have an elevated body fat percentage and still be pretty unhealthy.”

Waist Circumference

Dr. Scott-Winful’s third assessment with her patients is measuring their waist circumference. “Waist circumference is also an index that it’s important to look at primarily because this is one of the metrics associated with metabolic disease,” said Dr. Scott-Winful.

“Having a waist circumference in general of 35 in women and 40 in men can be associated with increased risk of diabetes, heart disease, and high cholesterol. But it’s also important to note that that changes based on ethnic background,” she continued. So, for black patients, having a lower waist circumference is a cutoff as well as Latino and Asian patients, and this has been demonstrated in studies.”

But there are also some additional diagnostic tools worth exploring that will help physicians assess the health of their patients:

Waist-To-Hip Ratio

The Journal of American Medical Association established that “some individuals store proportionally more fat around their visceral organs (abdominal adiposity) than on their thighs and hip.” Research reported at Stockholm’s European Association for the Study of Diabetes (EASD) in Stockholm, Sweden, suggested that an individual’s waist circumference might better indicate their overall health than their BMI.

This research is still being conducted, but it is a helpful way to illustrate a patient’s challenges. It’s also easy to measure.

Focusing on waist circumference also provides patients with information about visceral fat, which clings to one’s midsection.

Magnetic Resonance Imaging

Harvard’s School of Public Health labeled magnetic resonance imaging, also referred to as dual-energy X-ray absorptiometry, as a more sophisticated option for obtaining accurate body measurements. It provides the nuance that the BMI is missing by accounting for the “measurement of specific body fat compartments, such as abdominal fat and subcutaneous fat.”

There are detractors for this method. It requires expensive equipment, and it can not be conducted on pregnant people. Explain this to your patient if it is inappropriate and suggest other alternatives.

Relative Fat Mass

Scientific Reports published a study “compared with BMI, RFM had a more linear relationship with DXA (dual-energy X-ray) whole-body fat percentage among women.” This makes it a potential tool that could replace the BMI.

Moving beyond BMI will allow you to provide even better healthcare solutions for your patients.

Supported by an educational grant from Novo Nordisk Inc. 

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10 Things Patients Don’t Like About Their Doctors https://blackhealthmatters.com/10-things-patients-dont-like-about-their-doctors/ Thu, 02 May 2024 18:43:55 +0000 https://blackhealthmatters.com/?p=41691 Going to the doctor’s office should offer relief, but for some patients, it is a stressful endeavor where they feel unheard and dismissed. Clinical and non-clinical interactions between doctors and […]

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Going to the doctor’s office should offer relief, but for some patients, it is a stressful endeavor where they feel unheard and dismissed. Clinical and non-clinical interactions between doctors and patients are fraught with logistical challenges and emotional landmines. These have patients flocking to find other options and recoiling in frustration. We have all (or many of us have ) experienced some of these mishaps in our personal healthcare journeys.

Here are the ten things we do not like about our doctors and how we would like them to improve.

They withhold the context of information.

A patient’s test results may be part of the doctor’s job, but they can be life-changing for the person on the other end of the call. The 21st Century Cures Act may have forced practitioners to offer results sooner, but delivering them without context can be jarring for recipients. Relying on digital portals without taking care to add a human component is a huge mistake.

Black woman measuring her tummy

They only focus on one aspect of your health.

It has been documented that a preoccupation with one condition can lead to misdiagnosis. For example, some healthcare practitioners are so focused on patient weight that they ignore complaints in other areas. Sometimes, their refusal to see what impacts a patient’s health can stop them from progressing in the area they are focused on. Making recommendations requires considering the whole picture to be safe.

They lack empathy.

Bedside manners are crucial to creating and maintaining a solid doctor-patient relationship, especially if that patient is managing a chronic condition, whether they have obesity or prediabetes. What works for a doctor may not work for a patient, so doctors must find a way to empathize with their patients to treat them properly. Judging a patient for non-compliance without taking the time to consider what their day-to-day life is like is ineffective and demoralizing. Without empathy, it is hard to establish trust. “Doctors are the only people on the planet who have the idea that you can tell people, ‘Here, work on this every day, and I’ll see you in two or three months,” said Dr. Steven Feldman, MD, PhD, in a study published by the Association of American Medical Colleges.

They are dismissive.

There is nothing worse than pouring out your struggles to have them dismissed. Black people, and Black women in particular, are commonly misdiagnosed even when their symptoms are glaring. Dismissing patient concerns is not how to gain their trust and resolve their issue.

They don’t explain themselves.

Spending your life around medical jargon can make you immune to how it sounds to a layperson. Doctors need to practice relaying information digestibly so patients can understand them clearly. The need for healthcare literacy is so personal. Northwestern and the CDC have created programs designed for professionals to learn how to speak with their audiences.

They don’t listen to us.

A study published by the Irish Journal of Medical Science found that perceiving their physician as unwilling to listen to them was a significant reason that people opted to change caretakers. The doctor might be the medical expert, but we are the experts on ourselves, so our voices must be heard.

They show their biases.

Systemic issues start at the person-to-person level. Everyone is entitled to their opinions, but placing them front and center can be alienating regarding patient care. However, doctors must ask themselves if invisible bias impacts their medical advice.

They lack availability.

Work-life balance is important, but failing to have options for your patients can lead to them skipping out on essential appointments or seeking other options. It is highly stressful to schedule a follow-up with your physician only to learn they are not available for months. Failing to create flexible patient scheduling options means you do not value their time.

They are often behind schedule.

When patients finally book an appointment, they are treated to the joy of squatting in a waiting room until the doctor is available. According to a report from CBS News, “The average time you spend waiting at the doctor’s office is 24 minutes.” The courtesy we’re expected to extend to doctors goes the other way to us. There are instances where we have been turned away when we’ve been ten minutes late. Punctuality is part of professionalism, even for doctors in the medical field.

They have an inefficient office culture.

If everyone in a doctor’s office is not on the same page, it creates patient issues. It is not uncommon for patients to fill out all the necessary paperwork for their appointment ahead of time, but they are asked to do it again when they reach the office. One person taking a sick day or being unable to navigate a system should not completely upend the patient’s experience with your office. This needs to change.

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SWOT Analysis: How To Identify the Power and Pitfalls of Your Medical Practice https://blackhealthmatters.com/swot-analysis-how-to-identify-the-power-and-pitfalls-of-your-practice/ Thu, 02 May 2024 18:43:17 +0000 https://blackhealthmatters.com/?p=41686 There is no guarantee that the first doctor a patient meets is right for them. For those with obesity, the challenge may be even more significant. According to Johns Hopkins, […]

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There is no guarantee that the first doctor a patient meets is right for them. For those with obesity, the challenge may be even more significant. According to Johns Hopkins, frustrations may mount for some patients. Researchers found that 37% of patients who had obesity switched providers up to three times a year, which impacted the continuity of their care.

“The practice of “doctor shopping” among overweight patients may be a result of negative experiences with the health care system, whether that be off-putting comments by office staff, unsolicited weight loss advice by providers, or improperly sized medical equipment and office furniture, says Kimberly A. Gudzune, M.D. M.P.H., an associate professor of medicine at Johns Hopkins School of Medicine, led the study.

In subsequent research, Gudzune noted that clinicians might avoid performing exams on patients with obesity, encounter technical difficulties, and feel unprepared when it comes to training to treat patients with obesity, and as a result, weight loss counseling became a lower priority when talking to their patients. These further impact patients who avoid screenings for cancers, from pap tests to mammograms to colonoscopies.

To find the right provider, patients might have to research before committing. The doctor-patient relationship is integral to the pursuit of their overall health. As a doctor, you should help foster a safe space to manage their healthcare concerns and your goals for them. This safe space must include all people, including those who have obesity.

Conduct a SWOT analysis to determine if your practice can be someone’s healthcare home. They are generally used to evaluate a business’ pitfalls and successes. However, this tool can be applied to any decision. In this case, it helps you approach the process methodically and dispassionately to consider what is most important to your patient.

Any patient-doctor relationship can be measured using it. This SWOT analysis will help you estimate your practice and its ability to treat different types of patients. Here’s what to consider in your SWOT analysis:

Strengths

Presenting yourself as an open slate is a strength. Please don’t make assumptions about your patient feelings or self-esteem.

  • Black women have embraced their curves for years and feel more confident. Don’t detract from that. Focus on the facts instead. “Compared to women of other racial/ethnic groups, overweight and obese Black women exhibit acceptance of a larger body size,” according to Current Cardiovascular Risk Reports. Acknowledge that and use it to connect with them. Be congenial without being overly familiar.
  • Learn how to market your empathy as a plus to potential patients.
  • Your knowledge is a strength as well. Share the kinds of things you have learned in continuing education.
  • Is there clinical equipment or a soothing environment that can make your space feel more comfortable and inviting for patients?
  • Can you ensure that some chairs and robes fit them?
  • Is your location convenient for the type of patients you treat?
  • Do you have hours that will work with their schedule?

Start to think about the demographics of the people you treat and how you can show your support for them through consideration.

  • Ask them what their communication style is. Learn how different styles work with your own.
  • Work to ensure patients feel comfortable talking to you about everything, including their weight. A joint study by the Monash Business School and the Texas A&M University found that patients have difficulty asserting themselves due to a perceived “imbalance of power between the patient and medical staff.”
  • Ask them if they feel like there are subjects they want to discuss. They want to tell you but can’t. Ask them if they would like someone else in the room, a friend or family member, or on FaceTime. Or offer one of your nurses. It will lead to more effective treatment.

Weaknesses

The use of the words obese and obesity can be triggering, and according to one study, it felt discriminatory to Black patients.

  • Those who have obesity have seen how it leads to stigma when it comes to healthcare.
  • Providers spend up to 28% less time with overweight patients, limiting patients’ ability to relay symptoms and seek solutions. That fact should inform your care.
  • It’s important to know what you know and don’t know as a doctor, especially when treating someone facing stigmas. Before accepting a new patient, ask yourself if you are familiar with treating patients who share their lifestyle and concerns. Ask yourself if you give this advice to anyone in their circumstance or if you are jumping to conclusions based on looks.
  • Ask your patient what their preferred language choices are and stick to them.
  • Consider your language carefully. Familiarize yourself with the ways that terms and tools are evolving. This is particularly useful when discussing weight with patients.
  • Before referring to the Body Mass Index, consider how it was created and who informed the research. Acknowledge its limitations so that you can establish trust. An Oxford University study found that “subtle aspects of communication, like word choice and tone of voice, influenced patient outcomes” in the weight loss arena. The AMSA has recommended physicians reconsider how they discuss weight. Exercise caution and consider your patient’s viewpoint.

How can you make this doctor-patient relationship benefit your patient’s life? Are you doing everything you need to ensure information flows two ways? How can you grow as a healthcare provider?

Dr. Courtney Whittle, MD, M.S.W. Diplomate of ABOM, acknowledges how patients react to doctors bluntly and rudely discussing their weight. Because culturally, our thickness might be celebrated in some circles while it may be deemed unhealthy in others, the shift can be jarring. “How many of us have gone to the doctor, heard someone bring up our weight, and been ready to take our earrings off,” she asked the audience during the Black Health Matters Winter 2024 Health Summit & Expo, who swiftly recognized the scenario.

“Weight is personal, and although you may be their physician, your questions can seem invasive,” the doctor continued. When listening to patient complaints about their ailments, do not dismiss them with a terse instruction to do more cardio or cut carbs. Listen closely and make sure you are doing so consistently and respectfully. The patient is not the enemy. You’re supposed to be working together.

If you sense your patient suspects bias, ask your patient if they are comfortable sharing their concerns with you and trusting that you will take them seriously. Most importantly, you must listen to them and take in any evidence they provide with an open mind. Please don’t belittle them.

Opportunities

Recent research reveals the importance of the 5A model (ask, assess, advise, agree, assist/arrange) in delivering meaningful consultations in weight management for patients with obesity. The study authors note patients with obesity often want to help set goals of losing 5 to 10% but have difficulty talking about their weight.  “The 5A model also effectively improves physician-patient communication, patient motivation, and healthcare practitioner confidence in counseling patients.”

The 5A model is multifaceted and would require training if you want to incorporate it into your practice, but it is something to consider if you have a large percentage of patients who have obesity.

When audio tapes were analyzed in the University of Oxford study, they found it was not just the words that mattered but tone and delivery when talking to patients with obesity. When weight loss referrals were given with neutrality or highlighted health issues, only 50% of participants participated in a weight loss program offered. But when it was framed as good news, there was 83% program participation.

Threats

Ask yourself what issues arise from working with you as a healthcare provider.

Review your previous charts and highlight any notes you made that could be misconstrued. Patients have access to these notes. They are a helpful tool but “may also cause patients to feel judged or offended.”

  • The New York Times reported that an analysis of outpatient clinic records published in JAMA Open Network on stigmatizing language with terms that used combative, argumentative, failed, and noncompliant on charts of diabetic patients, 3.15 percent of those terms were in charts of Black patients versus 2.6 of them of white patients.
  • Revisit remarks you make that are taken out of context. Keep a file of comments and complaints and check them regularly. Learn how you can do better.

These can stem from complicated factors like a potential lack of cultural competency to more practical issues like their office’s distance from your home or workplace.

  • Will they struggle with parking, filling them with dread every time they have to pop over for a follow-up?
  •  Are there unconscious biases you are unaware you and your staff need to uncover when it comes to obesity?

According to Gudzune, patients with obesity have a 68% greater incidence of emergency room visits, not because it leads to hospitalization, but because they don’t have the continuous care of a primary care physician.

The American College of Obstetricians and Gynecologists found that “weight bias often is implicit and beyond physicians’ immediate awareness, making it difficult to identify and remedy.

Current Psychology reports, “Empathy is crucial in healthcare required to develop healthy and effective patient communication.” This is more crucial in larger patients.

With the right perspective and environment, your obese patients will be more likely to view their unhealthy weight as a medical concern and work with you toward solutions.

Supported by an educational grant from Novo Nordisk Inc. 

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RDN Johane Filemon on How Supplements Fit into to Your Nutrition Plan https://blackhealthmatters.com/rdn-johane-filemon-on-how-supplements-fit-into-to-your-nutrition-plan/ Wed, 10 Apr 2024 02:13:40 +0000 https://blackhealthmatters.com/?p=41440 Self-care and wellness are the buzzwords of the moment, but it isn’t easy to know where to begin the journey of optimal health. However, we know nutrition is a crucial […]

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Self-care and wellness are the buzzwords of the moment, but it isn’t easy to know where to begin the journey of optimal health. However, we know nutrition is a crucial factor. We spoke with Johane Filemon, a Registered Dietician Nutritionist who runs a company called Wonderfully Nutritious, about the role supplements play in a balanced diet.

BHM: How does access to nutritious food directly correlate to our health conditions?

Johane Filemon: Our community has experienced health disparities since the genesis of this country. Today, access to basic medical needs and a qualified and licensed nutritionist is hard for many in our community, primarily due to their financial capabilities and access to health insurance. Others have poor access to nutrient-dense foods due to the food deserts surrounding them. Because of this, you will find that many are experiencing more health conditions linked to the foods they eat and the lack of nutrients they provide. They lack knowledge of nutrition and have to eat what they have access to.

BHM: Are there any specific vitamin or mineral deficiencies that impact us as a collective?

JF: Vitamin D deficiency is often prevalent in our community. The pigmentation or melanin in our skin reduces Vitamin D production. The fact that most of us are indoors most of the time does not help. Low Vitamin D levels have been associated with decreased immune system function. It is essential to consume foods high in Vitamin D and take daily Vitamin D supplementation to maintain adequate Vitamin D levels.

BHM: Which vitamins and supplements are essential for our overall health, and what are the best ways to ensure their safe and effective use?

JF: There are 13 essential vitamins that our bodies require to function daily. Food is the first place we should aim to get them. Vitamins A, B, C, E, and K come from various foods. This is why consuming a diet of colorful plant-based foods is important, so we often consume these various nutrients. Supplements should come in second to support what we cannot get from the foods we eat, which can be due to various reasons.

BHM: What are your top tips regarding prioritizing our health and wellness while limiting the risk of getting overwhelmed?

J F: Making changes that benefit our health and wellness doesn’t happen overnight and can take baby steps. Stressing over these changes can be counterproductive for our overall health. This is why we need to give ourselves a lot of grace as we make these changes. This does not mean we should not be proactive; it is okay to make one change at a time. Start with consuming more colorful plant-based foods. A diet that consists predominantly of various plant-based foods allows for more consumption of different vitamins and minerals, promoting good gut health by feeding the good bacteria in our gut and our overall body.

BHM: As research often suggests, Black people have higher rates of diabetes, hypertension, and heart disease. What are the best ways within nutritional wellness to combat these conditions?

J F: Start with the basics! Consuming a predominantly plant-based diet where 1/2 of your plate is non-starchy vegetables and fruits as tolerated, 1/4 of your plate a protein, and 1/4 a starch. When managing diabetes and hypertension, tolerance of different foods can be person-specific. It is essential to get the recommendation of a dietitian nutritionist who can evaluate a person’s current health status when making recommendations for better success.

BHM: How can people verify their quality and purity when taking supplements? Are there any red flags they should look for when choosing them?

JF: Unfortunately, supplements are not regulated. I recommend always asking an expert for advice on which supplements are best, especially if a medical diagnosis and prescription medications are also being consumed. Look for supplements that have minimal extra ingredients. Any supplements that claim to heal or make extreme changes “overnight” and “it’s all you will need” to get the results you are looking for should be a big red flag.

Eating a well-balanced diet is the primary source of good nutrition. Still, Supplements and wellness products can be helpful for an additional wellness boost. BHM has created a list of a few Black-owned wellness and health brands.

Veev Nutrition

Veev Nutrition is a brand that focuses on gut health and well-being. Our Johane Filemon founded it! Veev Nutrition is a supplement line created with premium ingredients with a proven history of fighting inflammation, building a diverse gut microbiome, and repairing the damage caused by toxins in our environment and food. An additional bonus of this brand is that it is black and woman-owned, so not only will your support aid in your health, but it will also contribute to our community.

Body Complete Rx

Body Complete Rx, founded by Samia Gore in 2017, is a black and woman-owned wellness brand offering plant-based supplements designed to support many health and fitness goals. Body Complete Rx worked with renowned nutritionist Dr. Ruby Lathon to formulate and launch five product lines, each prioritizing a different wellness goal to support a well-rounded, healthier life.

 

Peak + Valley

 

Peak + Valley, founded in 2015 by Nadine Joseph, is known for its supplements for brain and skin health and stress support. Nadine traveled worldwide to source herbs to support and uplift the global herbal community through direct sourcing practices. Nadine’s brand reflects her upbringing, as she looks for natural remedies at the intersection of science and traditional medicine. With Peak and Valley, she hopes to build a better herbal trade with transparent sourcing, unquestionably high-quality ingredients, and science-backed knowledge.

Black Girl Vitamins

Black Girl Vitamins is another excellent brand for those seeking support for vitamin deficiencies. The founder, Maxine, created Black Girl Vitamins to address the nutritional needs of underserved Black women and the scientifically proven nutritional deficiencies common within our community. According to their website, some of the areas that they focus on include:

  •  Vitamin D, 82% of black women are deficient.
  •  Iron, Black women are 3x more likely to have anemia.
  • Cholesterol, the highest prevalence of heart disease, occurs in the black community.
  •  Pregnancy, the highest infant and maternal mortality, as well as PCOS, occurs among black women.

Black Girl Vitamins carefully crafts products to nourish and empower Black women so that they can thrive on their wellness journeys.

Golde

Golde is Black and Japanese-owned and was founded in 2017 by Trinity Mouzon Wofford and Issey Kobori. Golde is making wellness accessible, fun, and easy for everyone, providing its supporters with healthy superfood essentials. Their product lineup focuses on superfoods that address common health needs, including stress relief, gut health, skin hydration, and immune support. Of all their products, their matcha additives are immensely popular and have other products that can benefit unique needs.

Before trying any of these products, please speak to your healthcare provider to ensure they will be safe and effective. Remember, it is never too late to prioritize your health, nutrition, and wellness.

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Registered Dietician Maya Feller On Inclusive Wellness and Nutrition https://blackhealthmatters.com/registered-dietician-maya-feller-on-inclusive-wellness-and-nutrition/ Tue, 12 Mar 2024 16:52:41 +0000 https://blackhealthmatters.com/?p=41030 She’s founded a patient-centered nutrition practice, shared insights and recipes on shows like Good Morning America and Today, and inspired hundreds of thousands of viewers to take their health into their own […]

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She’s founded a patient-centered nutrition practice, shared insights and recipes on shows like Good Morning America and Today, and inspired hundreds of thousands of viewers to take their health into their own hands.

Maya Feller, a registered dietitian, is making wellness inclusive and accessible for all. Learn how she found this passion, what inclusive nutrition means, and three wellness tips you can start using today.

Finding Her Purpose

Feller first learned how important personalized nutrition was while training for a marathon.

“My running partner ended up in the hospital twice. The first time, she was over-hydrated. Then, she was under-hydrated. I researched running nutrition and found an entire field dedicated to it. I decided to become a dietitian and fell in love with nutrition science,” said Feller. “When I started working in the community, I felt such a sense of purpose. I decided to focus on inclusive nutrition. No community deserves to be left out of the wellness conversation.”

She turned this dream into a reality by opening a practice to help people of all backgrounds manage or revert chronic conditions. Feller considers social determinants of health in her day-to-day work with patients.

“Wellness looks different for everyone. Everything from your zip code to education and finances impacts the ability to live your best life,” said Feller. “Wellness doesn’t mean free from disease. If you have a chronic condition, wellness means managing it well.”

NKF is here to help no matter where you are in your kidney health journey. Join the Kidney Learning Center to find the online course you need to take the next step with confidence.

Providing Inclusive Nutrition

Medical Nutrition Therapy (MNT) is at the core of Feller’s practice. These evidence-based protocols help people manage conditions like high blood pressure and diabetes, two leading causes of kidney disease. In some cases, MNT involves medication and lifestyle changes like exercising more.

Lifestyle changes can be hard enough, but for some, they may feel insurmountable.

“If you don’t have access to affordable, nourishing foods, you may have to rely on items with excess added sugar, salt, and fat. These items can increase chronic conditions like diabetes and cardiovascular disease. If you’re tired from working multiple jobs, what can you put on the table that is easy, affordable, and nutritious?” Feller asked, “How do we work in that framework to put food on the plate that supports metabolic health?”

The answer to this difficult question is getting creative and starting small.

“Start by buying frozen or canned vegetables. Incorporate shelf-stable, nutrient-rich items like beans and rice into your diet,” said Feller. “If it’s safe, go out and move your body even if only for ten minutes. Take a few minutes to leave your office building or house to go sit in the sun and stretch your body.”

Over time, these smaller changes can add up and make even big goals like lowering blood pressure more achievable.

“If you can, reach out to a trauma-educated mental healthcare provider. You deserve the help.” Feller said, “The emotional component of this work is just as important as the nutritional and physical.”

Do you need support? NKF Peers may help. We can connect you with another experienced kidney patient to talk about kidney disease, dialysis, transplant, or living kidney donation.

Feller’s Top Nutrition Tips

Inspired to improve your own health and wellness? Feller has three tips to get started: rest, hydrate, and add more plant-based foods to your diet.

1. Focus on rest

According to the U.S. Department of Health and Human Services, getting enough sleep has many benefits.

The benefits of sleep include:

  • Getting sick less often
  • Staying at a healthy weight
  • Lowering the risk of chronic conditions like diabetes and heart disease
  • Reducing stress
  • Improving mood

But rest involves more than sleep.

“Prioritizing emotional well-being is imperative when thinking about health and wellness. That can look like taking the space to rest and relax,” said Feller. “Look at how rest fits into your life and determine what it looks like to you.”

Rest takes many forms, including doing a hobby you enjoy, moving your body, or meditating. It depends on what activities you enjoy and the types of experiences that fill up your cup.

Here are eight stress-management techniques to try.

2. Hydrate properly

As Feller learned early in her journey, drinking the right amount of water is crucial. Too much or too little can impact how the body works and even cause kidney damage. There’s no fixed rule for how much water everyone should drink. It depends on many factors, including;

  • Age
  • Climate
  • Amount of exercise
  • Pregnancy
  • Chronic conditions

“Everyone’s hydration needs are different but be mindful of sugar-sweetened beverages and alcohol.” Feller said, “These two things can impact anyone’s blood sugar and pressure. Speak with a healthcare provider to determine what proper hydration looks like to you.”

Learn how to be water-wise.

3. Eat more plant-based foods

A recent study found that eating more plant- and less animal-based foods can lower the risk of or slow the decline of kidney disease.

“Lean into the fiber and nutrient-rich foods from your childhood. What is recognizable, enjoyable, and accessible to you? This could be anything from jicama, plantains, or beans.” Feller said, “Eat the rainbow. Berries, nuts, and seeds are fantastic, but there are many more options, like quinoa, millet, teff, and red, black, or wild rice.”

Check with a healthcare provider before changing your diet–especially if you have kidney disease or other chronic conditions. They will help you determine which plant-based foods are right for you.

Find a registered kidney dietitian near you.

This story appears through our partnership with The National Kidney Foundation.

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Should You Focus On Exercise When You Want to Lose Weight? https://blackhealthmatters.com/should-you-focus-on-exercise-when-you-want-to-lose-weight/ Wed, 17 Jan 2024 21:20:53 +0000 https://blackhealthmatters.com/?p=40100 Exercise may not be the best way to lose weight. A quick Google search on exercise reveals many impressive health benefits and weight loss is not among them. It turns […]

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Exercise may not be the best way to lose weight. A quick Google search on exercise reveals many impressive health benefits and weight loss is not among them. It turns out exercise alone offers minimal impact on weight loss, despite what we have believed for decades.

That means much of the weight loss rhetoric we’ve been fed in high doses hasn’t only been confusing and misguided. Still, it has also been expensive, driving Americans to spend billions on gym memberships and exercise equipment guaranteed to help us lose weight.

We Are Following Some Outdated Advice

Dr. Fatima Cody Stanford, MD, MPH, MPA, Associate Professor of Medicine, Mass General Hospital, Pediatrician, and Obesity Medicine Physician Scientist, urges us to forget everything we think we know about losing weight, specifically what she calls an oversimplified idea suggesting to lose weight, we must burn more calories than we consume.

In an article on the Harvard Health website, she insists, “This idea of ‘a calorie in, a calorie out’ when it comes to weight loss is not only antiquated, it’s just wrong.” The archaic claim seems to ignore that how effectively the body burns calories depends on its metabolic rate, gut health, and the quality of food intake. Now that makes sense.

The Mayo Clinic reports, “Sometimes the effectiveness of exercise for weight loss is oversold, and people may overestimate how effective it will be toward their goal of losing weight. And for most people, conflicting theories like this that contradict everything they’ve ever been told about how to lose weight is extremely difficult just to accept.”

Curious about how others might react to this information, we reached out to Andrea Farquharson, who has lost weight, burning loads of calories with exercise in the past, to find out where she is on her weight loss journey. “I just celebrated my 50th and have minimal motivation to work out, especially dealing with bursitis in my left hip,” she laments. She works out four days weekly with trainers, seeing no results. We know she’s not alone.

What Do Doctors, Nutritionists, and Psychologists Have to Say?

To shed some light on the dichotomy of exercise vs weight loss, I turned to medical doctors, registered dietician nutritionists, and psychologists to hear their take on what exercise Can & Can’t do for weight loss. If exercise doesn’t significantly impact weight loss, then what does? Dr. William D. Stanley, MD, FASAM, who specializes in internal medicine & addiction, tells us that as a primary care physician, he takes the responsibility of seriously conveying to patients the importance of maintaining a healthy weight. He says, “It is just as important as exercise is to prevent weight gain. Practicing healthy, balanced eating habits may matter more.” Dr. Cody Stanford agrees that improving the quality of foods and making sustainable lifestyle improvements are crucial to achieving and maintaining a healthy weight.

We now know that eating well is important more important than ever, resulting in weight loss as a symptom of intentional lifestyle changes.

Researchers at NIH & CDC agree that exercise can have profound effects on preventing chronic disease, reducing cancer risk, improving mobility and quality of life, preventing injuries, improving sleep, and increasing longevity. Exercise may delay and, in some cases, prevent mental and physical impairment, like Alzheimer’s and dementia, supporting the ultimate goal of living a happier, healthier life in mind, body, and soul. Exercise cannot compensate for an unhealthy diet, lifestyle choices, or a toxic relationship with food. It can’t effectively treat eating disorders.

Katrice Mayo, MS, RDN, CLT, is passionate about developing healthy lifestyle changes with her clients over time that nourish and fuel the body and build muscle while prioritizing adequate rest and reducing stress. She says, “Chronic stress and the stress response will (negatively) impact what you choose to eat, why and how you’re eating.”

Rather than focusing on the number on the scale, Mayo maintains that an essential part of sustainable weight loss is eating more quality whole foods and less processed food with trans fat and little or no nutritional value. She cautions people to choose real food for energy and to think twice before choosing processed protein or energy bars or protein bars over nutrient-dense, whole food.

Experts, we hear you. Weight loss is unique for all of us.” Embracing exercise and learning how to nourish the body—paying attention to hunger cues, learning to stop eating when you’re full, and frequently evaluating when and why will help you learn more about your nutritional needs and help with maintaining your weight loss.

Where Should You Begin?

Dr. Radisha Brown, Psychologist and CEO of IThrive Therapy believes, “On any weight loss journey, the most important relationship is the relationship with ourselves. This dynamic sets the tone for all other relationships, including our connection to exercise & food.

If you want to lose weight, ask yourself if you’re ready. Be honest about what you’re willing to start changing. Seek counseling if you think you need emotional support around food, and get support and create your community.

If you haven’t considered working with a nutritionist, know that “working with a nutritionist is more than being provided a meal plan to lose and maintain weight,” says Carlie Saint-Laurent Beaucejour of CravewithCarlie.com. She maintains that a Registered Dietician Nutritionist offers personalized nutrition care that considers your unique social/emotional, physiological, and mental health, the whole you when helping you shift that mindset.

Whether it’s a medical professional or fitness trainer, surround yourself with positive, like-minded people who share your commitment to making positive, informed nutrition and lifestyle changes that support your individualized needs and health goals.

Check out this assessment from The Mayo Clinic to see whether you are ready to make some changes.

Supported by an educational grant from Novo Nordisk Inc. 

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Yo-Yo Dieting Doesn’t Work: So Why Do We Keep Doing It? https://blackhealthmatters.com/yo-yo-dieting-doesnt-work-so-why-do-we-keep-doing-it/ Mon, 15 Jan 2024 15:00:23 +0000 https://blackhealthmatters.com/?p=40016 Yo-Yo dieting, or weight cycling, is a common practice for those seeking to reduce their weight. It has been proven to be unsustainable, ineffective, and potentially harmful to long-term weight […]

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Yo-Yo dieting, or weight cycling, is a common practice for those seeking to reduce their weight. It has been proven to be unsustainable, ineffective, and potentially harmful to long-term weight loss goals. Yet, most of us keep doing it anyway. Here’s why.

An article in Frontiers in Genetics reported that after a yo-yo dieting style cycle, “Weight regain often starts within the first year, and the pre-intervention weight is reached or even surpassed in the subsequent 2 to 5 years.” It also stated, “Limiting or preferentially avoiding weight cycling in the first year after weight loss appears crucially important for sustainable long-term weight maintenance.” Another article published by the American Diabetes Association suggested that the practice “exacerbates the risk for T2D and cardiovascular disease.”

“Accumulating evidence suggests the existence of an autoregulatory adaptive mechanism or ‘famine reaction’ that predisposes to obesity following a period of starvation,” it reported. “While self-reflection and making goals can help us feel more focused and accomplished, restrictive dieting, excessive exercise, or other sudden behavioral changes that are characteristics of New Year’s resolution around weight loss are often an attempt to feel in control when other aspects of our lives feel out of control,” explained Taryn Crosby, LCSW, a psychotherapist and Founding Partner of MCMCollab. “Ultimately, yo-yo dieting, in addition to having potential medical health consequences, can affect our mental health.”

Dr. Dominique Pritchett, PsyD, LCSW,  considers participating in yo-yo dieting symptomatic of other issues. “That trickles to other parts of our life,” she told Black Health Matters. “I’m a big strategy person. If we’re approaching anything without a strategy, we will likely fail or hurt badly going through it,” she continued. “I believe people can be more successful with creating changes in their life, getting off the yo-yo, and sustaining their wellness with a solid strategy.” Dr. Pritchett suggested working with a professional to settle on sustainable tactics. “Chances are, it’s just not showing up in the diet, but it’s shown up in other places in your life. So, go talk to a professional,” she said. “That objective perspective has to come from someone.” Working with a professional can help you accurately assess your habits instead of focusing on what you think they should be. “Shoulding is an unrealistic fantasy belief,” said Dr. Pritchett. If limited access to care prevents you from seeking professional assistance, you can observe and document your habits to try and stop the yo-yo approach.

Dr. Janel Gordon, M.D., DipABOM, DipABLM, a Triple Board Certified Family, Obesity & Lifestyle Medicine Physician, believes “people intend to stay on the wagon when they slide into yo-yo-ing.”

Action Tips

Learn What Works For You

“Look at what you’re doing really, really well,” Dr. Pritchett advised. She recommends asking yourself, “What do you feel good doing? What are you getting results from?” “Replicate what’s working, but make sure it matches your personality,” she added.

Do Your Research

Dr. Gordon advocates for balancing out your diet instead of diving into extremes. “Maybe you’re trying to cut back on carbs, but carbs are not evil. We need all the macronutrients. We need carbohydrates. We need fat, we need protein,” she said.

Avoid Comparing Yourself To Others

Just because the latest diet craze worked for your friend or co-workers doesn’t mean it will work for you. “People respond differently to different tactics,” said Dr. Gordon. Think about what is feasible for your schedule and your circumstances. If you’re working with a healthcare professional, tell them what your day-to-day looks like so they can recommend the appropriate options. “If I’m talking to a male high school student versus if I’m talking to a single mother of three who has to catch a bus, drop her kids off at their daycare, and still figure out what’s nutritious to eat for herself and her kids, I’m going to be giving different recommendations.”

 

Supported by an educational grant from Novo Nordisk Inc. 

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Budget Ozempic: Talk to Your Teens About This Dangerous Trend https://blackhealthmatters.com/budget-ozempic-talk-to-your-teens-about-this-dangerous-trend/ Mon, 15 Jan 2024 14:00:23 +0000 https://blackhealthmatters.com/?p=40009 TikTok trends, like dancing, can be lots of fun. But others are downright dangerous. Something called “Budget Ozempic” is one of them. And teen girls are the most susceptible. These […]

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TikTok trends, like dancing, can be lots of fun. But others are downright dangerous. Something called “Budget Ozempic” is one of them. And teen girls are the most susceptible. These so-called remedies may include supplements like Berberine, a chemical found in plants like goldenseal, European barberry, and tree turmeric, to name a few. Since it is sometimes used by folks who want to regulate their blood sugar and high cholesterol, it has gotten the nickname of a natural Ozempic. But what teens seem to be doing more of is using over-the-counter laxatives, diuretics, and diet pills as their budget weight loss solution. A study published this week in the JAMA Network says 1 in 10 adolescents have used a nonprescription weight loss product in their lifetime.

This study looked at the habits of those 18 and younger. It analyzed 90 studies involving more than 600,000 participants. Regarding girls, 1 in 10 didn’t just use a nonprescription weight loss remedy in their lifetime; they’ve used them in the past year.

Why is this dangerous? Here’s the issue: use of diet pills and other weight loss medicines can result in other health issues. Experts warn that in the long term, unhealthy weight control behaviors, including weight loss products without a doctor’s prescription, can contribute to increased body weight. Using these products can also put youth at risk for developing eating disorders within just a few years. According to StatNews, studies have also found that the use of the products is associated with low self-esteem, depression, and substance use. And young people have died from using these solutions.

“The incidence of eating disorders has increased pretty dramatically after the pandemic. We’ve seen the numbers skyrocket,” Dr. Paula Cody, medical director of adolescent medicine at the University of Wisconsin School of Medicine and Public Health, told CNN. “So I think that the concern I had before was not a small matter then — I’m even more concerned now.”

According to an article written on the subject. You are probably thinking eating disorders are not an issue in our community, but we are not immune. According to the National Eating Disorders Association (NEDA), eating disorders “affect people from all demographics of all ethnicities at similar rates. People of color — especially African Americans — are significantly less likely to receive help for their eating issues.”

Rachel Goode, an assistant professor in the School of Social Work at the University of North Carolina Nutrition Research Institute and an adjunct assistant professor in the Center for Eating Disorder Excellence, says looking at eating disorders in our community is complex. And what you should know is that eating disorders from our community are often associated with the strong Black women syndrome.

The good news is that states are making moves to regulate the sale of the supplements. New York, for example, New York State has banned over-the-counter diet pills. Lawmakers have also introduced legislation to regulate them in California, Maryland, Massachusetts, Missouri, and New Jersey.

What do you need to do? Find out if your teens, especially your daughters, know  about “budget Ozempic.” Share the dangers. If you suspect they have body image issues, check out resources like About Face and The National Alliance for Eating Disorders.

 

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The BHM Guide to Rx Weight Loss Medicines https://blackhealthmatters.com/the-bhm-guide-to-rx-weight-loss-medicines/ Tue, 09 Jan 2024 00:54:52 +0000 https://blackhealthmatters.com/?p=39858 The weight loss landscape has dramatically shifted thanks to prescription weight loss options. Many in our community are curious because they have changed how folks approach shedding excess pounds. Injectable […]

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The weight loss landscape has dramatically shifted thanks to prescription weight loss options. Many in our community are curious because they have changed how folks approach shedding excess pounds. Injectable drugs and pill choices approved for weight loss are dominating public discourse, and speculation about who is and isn’t using these products, especially celebrities, is ongoing.

Every day, a news item explores these prescriptions’ benefits, side effects, and potential risks. CEOs and influencers have sung their praises. There is even a trendy TikTok song inspired by their popularity. Even traditional weight management brands have gotten in on the action.

WeightWatchers now rebranded as WW, a staple in the weight loss industry, has begun offering access to medical interventions, including semaglutide, via their WeightWatchers Clinic’s launch. Last year, the company acquired Sequence, a digital health platform for clinical weight management. WW offers one-on-one clinician care, insurance coordination, and other membership privileges through their clinic. Noom, an industry newcomer, has launched the Noom Med program, where consumers can access medical advice for their mental and physical health and prescriptions for GLP-1 obesity drugs after being evaluated by professionals who will determine their eligibility.

If you are considering prescription weight loss options, here’s what you need to know.

What Are Your Options?

Injectables

Injectables have become an increasingly visible option for prescription-aided weight loss. They are approved for weight loss for those who have been categorized as clinically obese (BMI >30) or are overweight with medical conditions like high blood pressure or high weekly at gradually increasing doses. Some of the options on the market include Ozempic and Wegovy (semaglutide), Mojourno and Zepbound (tirzepatide), Saxenda (liraglutide), and Imcivree (setmelanotide). Familiarize yourself with the non-brand name versions of the medications so that you can ask your healthcare provider the necessary questions.

How Do They Work?

Injectable drugs behave similarly. “Dulaglutide, liraglutide, semaglutide were designed to act the same way as GLP-1,” according to Reviews in Endocrine & Metabolic Disorders. Glucagon-like peptide-1 (GLP-1) agonists are a class of medications utilized to treat type 2 diabetes and obesity.

What this means: When we use these drugs, they slow down food digestion and make us feel fuller longer. we eat less, and our appetites are reduced, and we lose weight as a result.

What are The Common Side Effects?

There are a variety of common side effects associated with these medications. “A lot of people will experience upset stomach, nausea, indigestion, sometimes, constipation, heartburn,” according to Dr. Danielle Timmons, a family medicine doctor in Decatur, GA. Injection site reactions and hyperpigmentation are common as well. However, these side effects are not universal.

“Everybody reacts differently,” said Dr. Timmons. “Some people will have more profound side effects than others.”

“Some people can have more severe reactions,” she explained. These include “persistent vomiting and severe nausea.” Side effects are not necessarily permanent, either. A study found that when it came to liraglutide, for example, “The most common adverse effects were gastrointestinal and primarily occurred early in the treatment course.”

Dr. Timmons noted that there can be an “uptick in those symptoms” associated with “going up to the next higher dose.” “Your body’s just trying to get used to that new dose,” she said. Some patients, however, have more serious gastrointestinal issues, including pancreatitis, gastroparesis (stomach paralysis), and bowel obstruction.

While GLP-1 drugs result in rapid weight loss, there is no such thing as a quick fix. Understand that these injectables are designed to be used long-term, with you eventually moving into a maintenance phase to maintain their effect. If you stop taking these drugs, you could regain some of the weight you’ve lost.

Pills

If you aren’t interested in injectable medications, you can explore the weight loss prescriptions available in pill form. Some of the names of these options include Metformin, Bupropion-naltrexone (Contrave), Orlistat (Xenical, Alli) – sometimes available over the counter, Phentermine-topiramate (Qsymia), and phentermine (Adipex, Lomaira) are pill options.

How Do They Work?

“Metformin works by helping to restore the body’s response to insulin. It decreases the amount of blood sugar the liver produces, and the intestines or stomach absorb,” according to the Journal of Research in Medical Sciences. Depending on the dosage given by your doctor, you can take it once or more daily with food. While phentermine decreases appetite, topiramate also does so and makes you feel fuller longer after eating.

What Are The Risks?

Beware of starting an over-the-counter option without consulting your physician. A study published in 2021 noted, “Phentermine-topiramate is not recommended for patients with significant cardiac history such as coronary disease and uncontrolled hypertension.” Patients in clinical trials also experienced insomnia, irritability, anxiety, headache, attention disturbances, depression, dry mouth, and kidney stones.

Certain patients can also have adverse reactions to metformin. The Food and Drug Administration (FDA) warned that lactic acidosis was a possible side effect.

“Lactic acidosis is a rare but serious metabolic complication that can occur because of metformin accumulation during treatment with metformin,” wrote the organization. Metformin has come under scrutiny for other reasons as well.

When Do The Side Effects Require Intervention?

If you’re taking these medications and the side effects are impacting your day-to-day life, medical intervention may be needed. “Are you getting up from your cubicle multiple times daily because you must run to the toilet? Are you unable to hang out with your friends?” According to Dr. Timmons, that’s an issue you must address immediately. “It’s important to discuss the issues with your PCP (primary care physician) so that the symptoms can be monitored,” Dr. Timmons added.

Diet and Exercise Still Matter

If you decide to explore prescription weight loss medicine, don’t be under the mistaken impression that you can eat anything you want. These medications work best with lifestyle changes like staying hydrated, eating a healthy diet, and exercising.

Exercise is particularly essential when taking GLP-1 medications because of the possibility you will lose muscle mass and bone density.

You must consider adding strength training and cardio to your lifestyle. Because injectables, in particular, lead to rapid weight loss, you can get a condition that usually impacts older people called sarcopenia ( the gradual loss of muscle mass, strength, and function). But there are also Ozempic butt and Ozempic face, which we are not immune to because “Black don’t crack.”

Now that you have some background, you can discuss your options with your physician to see what weight loss treatment might work best for you. Take note of the questions below to prepare for a discussion with your HCP. Then, make the decision that you believe will work best for you.

What To Ask Your Doctor Before Committing To Prescription Weight Loss Meds

  • Am I a candidate for prescription-aided weight loss?
  • How does this medication work?
  • How many studies have included patients with [insert your specific medical condition here]?
  • What are the most common side effects of this medication?
  • What are the rarest side effects of this medication?
  • How will this medication affect my nutrient intake?
  • How would you suggest I alter my lifestyle to fit this medication?
  • How will this medication interact with my current medication(s)?
  • What is the lowest maintenance dose for this medication?

 

Supported by an educational grant from Novo Nordisk Inc. 

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Black Men & Obesity: It’s Time Our Brothers Take Their Weight Seriously https://blackhealthmatters.com/black-men-obesity-its-time-our-brothers-take-their-weight-seriously/ Fri, 05 Jan 2024 15:15:25 +0000 https://blackhealthmatters.com/?p=39771 When 32-year-old Brandon Browner passed out in the middle of the street one evening after work, he woke up in the intensive care unit. At nearly 300 pounds, his excess […]

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When 32-year-old Brandon Browner passed out in the middle of the street one evening after work, he woke up in the intensive care unit. At nearly 300 pounds, his excess weight, in conjunction with a poor diet, had resulted in a severe health scare. When he arrived at the emergency room, his pressure was 196/100, which had also weakened his heart, leaving him at risk for a heart attack.

Many Black men don’t think being obese is a big deal. For them, it is not a fatal health condition like cancer or heart disease. But that is not true. Dr. Chika Anekwe, an obesity medicine physician at Massachusetts General Hospital, says research has found 195 diseases influenced by excess weight. While Black women have a higher obesity rate at nearly 55%, more than one-third of Black men, 36.9%, are also challenged by obesity.

 Browner’s experience was a wake-up call. His condition was so severe the hospital would not release him for another three months.

During that time, he was forced to change his diet. “It was hospital food, so no salt, protein and vegetables, sugar-free applesauce. When I was first admitted to the hospital, I couldn’t wait to get out and eat some real food. But after spending so much time in that hospital bed, I’ll do whatever I can to never go back.”

Browner admits he doesn’t always adhere to his diet but has made profound lifestyle changes that have stuck.” I eat a lot more fruit and vegetables, go to the gym three times a week, and drink a lot more water. I never want to go through that again.”

Taking a Proactive Approach

While Browner’s health scare forced some changes, other Black men have seen the warning signs and decided to be proactive. Robert Thompson, 47, was motivated to make a change when, during his annual checkup, he noticed the scale was getting too close to 300 pounds. “While I cut off soda and sweets, the main factor was exercise. I started by going on long walks, which turned into working out with weights and runs. Just moving around more helped out a lot with my weight. I ended up going down to 220 pounds,” Thompson said.

“It’s the little changes that can help and you will see that they start to add up. What you eat matters too. You don’t have to cut out anything but you do have to consume less of it and add more beneficial calories,” Thompson explained.

The Impact of Pandemic Pounds

COVID-19 caused an uptick in obesity, especially in the black community. Rafael Mendez, 52, saw a rapid weight gain in just a few short months in 2020. “I work in an office, so  I wasn’t physically active every day before the shut-down,” he said. “But being in the house and having 24-hour access to my kitchen did a number on me. It started with just light snacking during the day, and before I knew it, I ate a bowl of cereal every hour during the workday.” In three months, he gained 15 pounds.

Since Mendez couldn’t get to a gym, he needed to get innovative about exercise. “I started out taking walks on my lunch break, and eventually, I was able to turn walking into jogging. Then, I researched exercises I could do in my home or backyard. I also had to break the habit of eating all day. I found healthier snacks like rice cakes and pita chips. It took me a little while, but I was able to lose the weight I gained.”

Beware of Belly Fat

Brothers must also be aware of the dangers of excess fat around the abdominal area. We often consider it excess padding, limited to subcutaneous fat just below the skin. However, the fat that lies deeper in the abdomen can be more problematic. Visceral fat can surround their internal organs. The Mayo Clinic says it can contribute to the following conditions:

  • High blood pressure.
  • An unhealthy amount of fat in the blood.
  • Sleep apnea.
  • Heart disease.
  • High blood sugar and diabetes.
  • Certain cancers.
  • Stroke.
  • Fatty liver.

Making a Mindset Shift

So, how can we get our men to take obesity seriously? Florida A&M Nutrition professor Dr. Jenelle Robinson believes we must first change our thinking about eating healthier foods. “You need to get away from the word, ‘I’m on a diet’ and say, ‘this is my dietary lifestyle,'” said Robinson.  “My dietary lifestyle is x, y, or z, and I live that way.”

Six Steps That Help Lead to a Healthier Lifestyle

Consult with your HCP About the Risks.

Not only should you consult with your physician, but you should consult with them about an action plan that is tailored to you specifically. A Journal of General Internal Medicine study found that some African Americans reported that it was only after they developed a condition such as diabetes or heart disease and their physician discussed the connection to their weight that they finally understood what their health risks were.

Talk With Your Village or Circle

Like many issues with black men, our obesity/ health is often an issue that we keep to ourselves. But people in our communities often deal with the same things as us. Having an open forum with each other can be mutually beneficial. What questions are you asking your doctor? What are some methods people around you are using to manage their weight?

Hire a Dietician or Nutritionist

Being healthy is not a one-size-fits-all type of deal. Everything needs to be personalized to your needs. One person may need to eat more fruits and vegetables, while another may need to incorporate more protein into their diet. Having a nutritionist tailor a diet that is right for you can help you reach your goals more quickly.

Work With a Personal Trainer

When it comes to weight loss, a healthy diet and exercise regimen go hand in hand. And just like dieting, exercise is not one size fits all. For example, if you have problems with your feet, running on the treadmill might not be ideal. Or if you have issues with your back, you may want to ease off doing heavy weightlifting. That’s why hiring a personal trainer is a great idea. Not only can they give you a personalized exercise regimen to help you reach your goals, but they can also give you tips on what foods you should be consuming for your body type and your nutritionist.

Team Up With An Accountability Partner

Goals are always more challenging to reach alone. So consider linking up with an accountability partner or perhaps a group of accountability partners. The journey to a healthier lifestyle had as much to do with your mental and physical health. Having an accountability partner gives you an outlet to express yourself. Share the challenges you are going through that have worked well and not so well. Sharing these things can help everyone reach their goals faster.

Set Realistic Goals

You didn’t gain the weight overnight, so you should not expect to lose the weight overnight. There is no microwave solution for weight loss, and if there is one out there, chances are it will not be sustainable over a long period. By setting unrealistic goals, you risk getting discouraged when you don’t reach them. Set attainable goals and crush them. Rome was not built in a day. Slow and steady wins the race. So pace yourself. You’ve got this!

Supported by an educational grant from Novo Nordisk Inc. 

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Stress & Your Weight: Here’s What You Need to Know https://blackhealthmatters.com/stress-your-weight-heres-what-you-need-to-know/ Fri, 05 Jan 2024 14:00:52 +0000 https://blackhealthmatters.com/?p=39775 Stress heavily impacts health outcomes. Facing personal challenges, dealing with work stressors, or even encountering everyday microaggressions can impact plans to lose or gain weight. “There are several connections between […]

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Stress heavily impacts health outcomes. Facing personal challenges, dealing with work stressors, or even encountering everyday microaggressions can impact plans to lose or gain weight. “There are several connections between stress and weight,” according to Dr. Chris Pernell, Public Health And Preventive Medicine Physician CEO of The Esther Group.

Unfortunately, when we are stressed, our cortisol levels are higher, and we can pack on pounds much easier,” said Jeanine Downie, M.D., director of Image Dermatology. She labeled risks associated with obesity particularly harmful to Black people. “African-Americans, both males and females, are consistently more overweight than their white counterparts,” continued Dr. Downie. “Obesity has a huge role in the destabilization of our health as a people. It can lead to diabetes, high blood pressure, cancer, stroke, heart attack and more.”

A Korean Society for Biochemistry and Molecular Biology study identified cortisol as “a biochemical marker of chronic stress.” The same study stated that “Stress is now recognized as a universal premorbid factor associated with many risk factors of various chronic diseases,” and “chronic, excessive stress causes cumulative negative impacts on health outcomes.”

The Journal of Molecular Biochemistry suggested that “stress management could be adopted as an adjunct to traditional methods of treating obesity, namely lifestyle interventions, drugs, and bariatric surgery.”

The Journal of Obesity found that “the more stress one has, the greater amount of cortisol is produced in the body leading to accumulation of fat in the abdominal area, namely abdominal or visceral obesity.”

“Cortisol can then impact the regulation of other hormones,” explained Pernell. She cited ghrelin, leptin, and adrenaline as examples of hormones impacted by stress. Visceral fat, often in the mid-section, is often associated with high cortisol levels. “If we think about stress through acute versus chronic stressors, we can see different impacts on the body,” said Dr. Pernell.

Stress Can Impact Your Diet

Dr. Downie mentioned the importance of finding healthy ways to manage chronic stress. Stress “primarily interferes with cognitive processes such as self-regulation,” according to Dr. Taylor C. Wallace, PhD, CFS, FACN CEO, Think Healthy Group. “It can affect behavior by inducing overeating and consuming foods high in calories, saturated fat, and added sugars,” he told Black Health Matters in a statement.

A study published in the Health Psychology Review found that “stress was associated with increased consumption of unhealthy foods.” Still, it indicated that further research was required to examine the “stress-eating relationship.”

Stress Can Impact Sleep Patterns

Stress levels also impact the ability to rest and recover, a vital part of improving one’s fitness level. “Shortened sleep time and decreased physical activity are common behaviors in individuals experiencing significant stress,” added Dr. Wallace.

Action Steps For Managing The Stress and Weight Connection

Exposure to stress can be involuntary. “There are certain triggers that are outside of a person’s control, especially triggers that are in their environment,” said Dr. Pernell. There are methods to combat the effects of chronic stress and pursue the healthiest lifestyle you’re capable of. “How you will respond to the stress or the triggers in your environment is important,” Dr. Pernell added.

Take Advantage Of Any Quiet Moments

Meditation does not have to sit crisscross with a completely clear mind for forty-five minutes in a dimly lit studio full of Lululemon-wearing baddies. You can take a few seconds to reset anytime at any place with quick breathing exercises. “Mindful breathing exercises can help with your cortisol level,” said Dr. Downie.

Rest Up

Time spent doom scrolling at night might make it harder to get your desired results from that gym session. Both doctors advise taking adequate time for quality rest. “Sleep deprivation can reduce leptins,” warned Dr. Pernell. “Sleeping decreases your stress level,” explained Dr. Downie.

Prioritize Exercise

“Exercise decreases your stress level,” said Dr. Downie. “Endorphins can elevate and boost moods,” said Dr. Pernell.
Not a fan of the workouts you’ve tried? See what works for you that you will be likely to stick with. Pick something fun! Dr. Pernell recommended “finding other things to do that promote self-care and promote joy.”
Supported by an educational grant from Novo Nordisk Inc. 

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How to Talk to Your Doctor About Weight (5 Tips & Sample Scripts) https://blackhealthmatters.com/how-to-talk-to-your-doctor-about-weight-5-tips-sample-scripts/ Tue, 02 Jan 2024 14:39:43 +0000 https://blackhealthmatters.com/?p=39619 Weight is listed on every medical intake form. Before you even enter a room with a doctor, they will know your weight. That number can inform their assessments and recommendations […]

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Weight is listed on every medical intake form. Before you even enter a room with a doctor, they will know your weight. That number can inform their assessments and recommendations both consciously and unconsciously. Weight stigma, which is individuals’ social devaluation and denigration due to their excess body weight, leading to negative attitudes, stereotypes, prejudice, and discrimination, can ease its way into many daily interactions, including those with one’s doctor. “Effective doctor-patient communication is a central clinical function,” according to a study by the Ochsner Journal. This includes discussing weight. Discussing weight with your doctor can be uncomfortable but necessary and unavoidable. The way you do it matters. A 2017 study published in the Journal of Patient Education and Counseling found that patient coaching makes a difference in patient-physician communication. See tips for how to prepare yourself to discuss weight with your healthcare provider so that you can be sure to get the best care possible.

Do Your Research

Do your research on any concerns you have. Consult authenticated sources and write down connections to what you are experiencing. Anytime you have your doctor’s undivided attention, it is a chance to ask questions. Please write down your questions and go through them one by one. Make it clear where your questions are coming from so your provider does not dismiss them as hypochondria or “WebMD-itis.”

Sample Language:

  • I have a list of questions I’d like to ask based on what I am experiencing.
  • We have limited time, but I’d like to focus on these concerns.
  • Can you explain how my BMI interacts with this issue directly?

Present Your Receipts

Have your receipts ready at all times! Weight concerns ultimately lead to conversations about lifestyle. Prepare your answers for your doctor so you are not caught off guard. They might have several questions about how often you exercise and what type of exercises you do. Wearable technology is a great way to track this information. Your smartphone might also have access to a step counter that can shed light on your movement habits. If you do not have access to technology for this task, try journaling your habits before your appointment. Write down your stress levels, how long you sleep each night, and other relevant information that impacts weight. Knowing your full insurance benefits, including nutrition and alternative health methods, is also helpful.

Sample Language:

  • Thank you for bringing up your concerns about my weight. I want to share some information about my habits and resources with you.
  •  I’d like to know how best to proceed, considering my lifestyle.
  • That won’t work for me, considering my day-to-day schedule and obligations. Can we discuss other options?

Enlist A Friend or Family Member

Everyone deserves competent care, and “standardized communication and educational strategies to achieve patient empowerment are challenging because patients’ support needs are complex” and “influenced by health literacy level and social and cultural differences.” If these factors erect barriers in your case, bring a friend or family member to advocate for you effectively.

Sample Language:

  • This is my [Insert relationship here]. I’d like them to stay and help me navigate this conversation.
  • It would be helpful if [Insert relationship here] could help me express my thoughts and concerns.

Master Redirection

If your healthcare provider is harping on weight and ignoring your other concerns, use redirection to ensure you can express what you want to focus on.

Sample Language:

  • I have heard your concerns about my weight. Can we spend some time reviewing the symptoms that I have concerns about?
  •  I want to focus on these specific things.
  • Would you make this same recommendation if I were a patient with a lower BMI? Why or why not?

Record Your Interactions

Always ask for documentation! If you suspect your doctor is more focused on the number on the scale than the connective tissue fusing your health, ensure you record everything.

Sample Language:

  • Thank you for sharing your recommendation. Can we move on?
  • Please document that information in my chart so that I can ensure my records are accurate.
  • How can I get a copy of your recommendations for my records?

Supported by an educational grant from Novo Nordisk Inc. 

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Why Are People Taking Weight Loss Medicines Calling Poison Centers? https://blackhealthmatters.com/why-are-people-taking-weight-loss-medicines-calling-poison-centers/ Fri, 15 Dec 2023 19:43:20 +0000 https://blackhealthmatters.com/?p=39625 Oprah Winfrey recently revealed that she is taking weight loss medication as a maintenance tool. People reported that the media mogul said that weight fluctuations “occupied five decades of space […]

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Oprah Winfrey recently revealed that she is taking weight loss medication as a maintenance tool. People reported that the media mogul said that weight fluctuations “occupied five decades of space in my brain, yo-yo-ing and feeling like why can’t I just conquer this thing, believing willpower was my failing.” Many have speculated that the she is taking semaglutide injections, prescribed for diabetes and weight loss, with names like Ozempic and  Wegovy. And where you get these medications matters.

Oprah isn’t alone. Last year, doctors wrote 9 million prescriptions for the medication. A one-month supply could cost up to $1,000 if it isn’t covered by insurance. Your physician sets the dosage amount, which may increase over time. When you are on these medications, you are responsible for the injections. And that is where some people have been reporting issues. Poison Centers nationwide are reporting a large uptick in calls by 1500%. Patients have called because of errors with dosing, taking the wrong amount, or accidentally double dosing.

Increased calls may be happening because people have turned to alternatives like Medispas and online sellers to get weight loss solutions at more affordable prices. However, the medications received may not be semiglutides, but a version containing semiglutide sodium, which the FDA hasn’t tested or approved as safe, or a compounded version with a dosage that hasn’t been approved.

Ozempic and Wegovy, prescribed by a medical professional, come in injectable pens with a dial to manage the dosage. With compounded versions, you may be given a glass vial and syringes. Patients have called the poison center when using the latter version when they have accidentally taken 10x of the recommended dosage.

Novo Nordisk, who manufacturers Ozempic, has taken legal action against illegal sellers, and the FDA has said, “Patients should only obtain drugs containing semaglutide with a prescription from a licensed health care provider, and only obtain medicines from state-licensed pharmacies or outsourcing facilities registered with FDA.” And has written letters to the National Association of Board of Pharmacies and Federation of State Medical Boards warning them about the compounded medicines.

And if you are already on the weight loss drug, know the signs of an overdose.

According to the Missouri Poison Center, signs of a semaglutide overdose include:

  • Feeling lightheaded or dizzy
  • Feeling shaky or jittery
  • Sweating, chills, and clamminess
  • Irritability or impatience
  • Headache
  • Weakness
  • Fatigue
  • Nausea and/or vomiting
  • Seizures
  • Confusion
  • Passing out

If you think you have overdosed on a weight loss drug,  call your local poison control center or the national hotline at 800-222-1222.

And, if you are considering one of these weight loss solutions, do your research, get your prescription from a doctor, and do not look for a hookup to save money.

 

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5 Black-Owned Bakeries With Gluten-Free Goodies https://blackhealthmatters.com/5-black-owned-bakeries-with-gluten-free-goodies/ Wed, 13 Dec 2023 19:22:31 +0000 https://blackhealthmatters.com/?p=39580 Food sensitivities are a fact of life for many of us. The holiday season can be particularly challenging for those who have been diagnosed with Celiac disease or have gluten […]

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Food sensitivities are a fact of life for many of us. The holiday season can be particularly challenging for those who have been diagnosed with Celiac disease or have gluten sensitivity. Both conditions mean that gluten, often found in wheat, barley, and rye, is a no-go in the diet. That means forgoing many breads and desserts. But including options that include gluten-free options may take a little planning ahead. Here are five black-owned bakeries with delicious gluten-free goodies around the country. Bonus: many of them offer shipping.

Maya’s Cookies, San Diego

Maya Masden has been baking delicious gourmet, soft-vegan cookies for eight years. Her popularity among vegans and nonvegans has won her the distinction of being America’s #1 Black-owned Vegan Cookie Company. While many of her offerings contain soy and wheat, this Wheat-Free Candy Cane Chocolate Chip Cookie is among her comprehensive collection of cookies. The Holiday Tin, $39, includes six 3-ounce cookies. Maya’s Cookies ships Monday – Thursday, but orders must be received by Wednesday noon PST to go out that week.

Southern Roots Bakery, San Antonio

Marcus and Cara Pitts’s vegan journey was inspired by wanting to create healthier options for a family member. A business was born when Marcus developed a Vegan donut recipe that became a hit with family and friends. Many of the desserts are available. The couple has adapted their offerings to include the Gluten Free Cake Donut ($48.99 for a half dozen). It is nut-free, made with rice flour, and available in  Original Vanilla, Lemon Drop, and Red Velvet, or you can order a mix. This item ships free nationwide.

Plant Based Sweets by Lotus, Baton Rouge

If you are planning a gathering for New Year’s Eve or Day. Now is the time to check out the offerings at Plant Based Sweets by Lotus. The baking business, started by Marla and Allen Howard, was inspired after the couple transitioned to a vegan lifestyle in March 2019. The goal was to put a vegan spin on some of their favorite recipes. Through their business, they hope to contribute to building a healthier community. Some recipes, like this Vegan Chocolate Cake, $74.99, are offered in Vegan or Vegan Gluten-Free. This double-layer 8″ cake is also nut-free upon request.

Mo’Pweeze, Denville, NJ

Christine Miller, founder and head baker at Mo’Pweeze, began her baking business in 2013 which is a plant-based, small-batch destination where all of its products are free of the top 10 allergens (dairy, eggs, tree-nut, peanut, gluten, soy, fish, shellfish, sesame, and mustard), and both vegan and kosher. She is doing something right because USA Today recognized her spot in their Readers’ Choice Awards as one of the 10 Best Gluten-Free Bakeries. The bakery sells breads, cookies, donuts, cakes, and muffins. But the Brookies, $30 for 6, a hybrid between a brownie and cookie, are unique. Mo’Pweeze orders are shipped within 24 hours but order ahead to ensure you receive your treats in time.

Cutie As a Cupcakes, Schererville, IN

Owner Michelle A. Wainwright started Cute as a Cupcake as a cupcakery destination in 2015. Her food trucks sell over 30 sweet treat flavors, including Salted Carmel, Coconut, and Turtle. Plus, she sells gluten-free and vegan options of some of her most popular flavors. But because they are challenging to travel with, let alone ship, Wainwright has developed a perfect portable option with her Cutie Cupcakes in a Jar. The individual flavors come in two sizes, four oz.($5.00) and eight oz. ($8.50) each, or you can order a gift pack of six for $57. This is ideal for accommodating one or many individuals with gluten-free options.

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Do You Want to Go Vegan For the Holidays? These Chefs Will Inspire You https://blackhealthmatters.com/do-you-want-to-go-vegan-for-the-holidays-these-chefs-will-inspire-you/ Tue, 05 Dec 2023 18:54:22 +0000 https://blackhealthmatters.com/?p=39359 Are you feeling inspired to add some vegan dishes to your holiday menu? We get it. With the rise of health-conscious decisions and conscious consumption, we’re all looking for ways […]

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Are you feeling inspired to add some vegan dishes to your holiday menu? We get it. With the rise of health-conscious decisions and conscious consumption, we’re all looking for ways to pick up a few good habits. While it may feel overwhelming, folks like Tabitha Brown make adding vegan options to your holiday festivities approachable through her social media recipes and book Cooking From the Spirit: Easy, Delicious, and Joyful Plant-Based Inspirations. To help you even more, we curated a collection of five more vegan chefs who share their take on classic family dishes that will fill your stomach and warm your heart. From appetizers to entrees to desserts, their recipes will ensure every course is covered.

Tabitha Brown’s Cooking From The Spirit

1. Jenné Claiborne — @sweetopotatosoul

Inspired by her nana, Jenné combined her love for experimenting with food and her conscious decision to go vegan to whip up delicious recipes that don’t skimp on flavor.  To make this holiday season as seamless as possible, read through the curated collection of classic recipes like mac and cheese and a smokey collard greens recipe on Instagram here.

Sweet Potato Soul’s Smokey Vegan Collard Greens

 

And if you’re looking for more cozy and comforting recipes, grab a copy of her book,  Sweet Potato Soul:100 Vegan Recipes For The Southern Flavors of Smoke, Sugar, Spice, and Soul.

2. Bryant Terry — @bryantterry

Although he currently resides in Oakland, CA, Bryant Terry was raised in Memphis, TN, in a family that owns farms across several states. Today, Terry is a multidisciplinary artist and chef who has authored several cookbooks that carefully marry food and activism to offer a range of dishes perfect for the holidays. For example, try this Warm Butter Bean side dish, which can be found in his cookbook entitled ‘Vegetable Kingdom: The Abundant World of Vegan Recipes.

Bryant Terry’s Warm Butter Bean entree

 

Check out ‘Vegetable Kingdom: The Abundant World of Vegan Recipes’ and more on Terry’s website.

3. Kim — @sodeliciouslyvegan

Atlanta-based YouTube creator turned vegan chef Kim of ‘The Chic Natural’ has a collection of 90 simple, easy-to-replicate recipes for various occasions. Her beginner-friendly recipes are perfect for reducing stress during the holidays.  Kim’s cookbook includes recipes for our favorite soul food dishes, like cornbread mac and cheese. You can look at her Instagram here or pick up Kim’s cookbook, Deliciously Vegan.

Kim, The Chic Natural’s Vegan Soul Food

4. Charity Morgan — @charitymorgan

As a chef to some of your favorite celebrities and athletes, Charity Morgan is passionate about showing others how they can easily transition to a plant-based diet. Formally trained at Le Cordon Bleu College of Culinary Arts and with over 15 years of culinary experience, Morgan strives to create recipes that are easy to follow, filled with ingredients your body will thank you for, and, above all, delicious.

If you’re looking for a vegan rendition of a few crowd-pleasers this holiday season, you can find inspiration on her Instagram and in her cookbook, Unbelievably Vegan: 100+ Life-Changing Plant-Based Recipes.

Charity Morgan’s Vegan Mashed Potatoes

5. Todd Anderson — @TurnipVegan

Todd Anderson is a San Diego-based vegan cook, co-owner of Spoiled Vegans Cafe, and author of the It’s All About Plantz and Mushrooms cookbook. Todd believes that the key to vegan cooking is following your heart.  If you’re looking for a perfect vegan dessert to satiate your sweet tooth, Todd offers a recipe for the classic, nutty pie—a combination of sweet, salty, crunchy, and creamy. Todd’s Salted Chocolate Walnut Pie delivers a whole-mouth feel that perfectly matches a vegan ice cream.

Follow Todd for inspiration on Instagram @TurnipVegan, or pick up his cookbook here.

Salted Chocolate Walnut Pie

These choices offer something for everyone. We hope you enjoy them during this holiday season. Cheers to hearts and bellies filled with love and goodness.

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