Want to stick to your diet?

The Interactive Healer
DrJeffreyTucker.com 

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Febuary 7, 2011 

 
In This Issue
Want to stick to your diet?
Plank. A Better Abdominal Exercise
Weight Loss Training
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METAGENICS IS 10% OFF 

 
Dear Dr. Jeff,
Dr. Jeffrey Tucker

 

I was at a friends home for a wonderful Valentine’s dinner last night. Among the guests were two incredible MD’s and another Chiropractor. We are all concerned about the future of health care in this country. We know the costs of health insurance is expensive and patients are not happy with the bills they get from doctors. Every doctor I talk to is upset about the current state of affairs in health care. I believe one thing is certain – each one of us has to “choose to stay healthy.”  This means watching our weight, exercising, not smoking, reducing stress, and watch our finances. Every day is sacred, and we can make a firmer commitment to our health. You have the power to do anything you choose to. Please enjoy my health letter and I hope somethings make positive changes in your life.

Sincerely,

Jeff

Click on DrJeffreyTucker.com  so I can keep you updated on important and valuable health information. 
If you have any questions, suggestions or comments, please feel free to email Dr. Tucker at:  DrJTucker@aol.com

Posture and Mobility: Nine Steps to Assessing and Improving Your Health available – order now!

In my e-book Posture and Mobility: Nine Steps to Assessing and Improving Your Health, you are taken through self-assessment tests, and then guided through a progressive and safe exercise format to increase your strength, range of motion, power and endurance. If you have been searching for a way to increase physical health, this book will help you.

 

A recent comment was ”Working through your e-book. My glute medius has never been stronger!”

 
Order directly from Lulu.com and have this professionally-bound book delivered to your door for $37.75 or download the book electronically for only $18.75.
 


ant to stick to your diet? Start snacking
 

Snacking helps control hunger and rein in portion sizes at meals. Here are some of my favorite snack suggestions. Go ahead indulge! 

 

1) UltraMeal Bars. These are the equivalent of an UltraMeal protein shake. They have 190 calories each, 5 grams of fiber, 17 grams of protein, and they’re low-glycemic. And they actually taste good. The calorie range is right, and they are available in a variety of delicious, natural flavors.
2) Eat more peas (fresh or frozen). Half of a cup of peas has 55 calories and 3 grams of fiber; the same amount of corn contains 72 calories with 2 grams of fiber. I avoid corn most of the time. Corn is a grain, not a vege. The high-fiber and low-calorie-density combination of peas means they’re filling and satisfying, and the frozen part makes them interesting. They’re firm, but not rock hard, and they melt in your mouth. 
3) Fage Total Greek Yogurt. Avoid the fruit-on-the-bottom yogurts -  these are high in sugar. I’d rather you toss in chopped dates, figs, or apricots. This yogurt is fluffy, low in calories, and has good protein and fiber.
4) One of the best ways to lose weight is to increase consumption of vegetables. That increases volume and decreases calorie density.
5) Beef Jerky is high in protein and doesn’t raise your level of insulin-a hormone that signals your body to store fat. That makes it an ideal between-meals snack, especially when you’re trying to lose weight. And while some beef-jerky brands are packed with high-sodium ingredients, such as MSG and sodium nitrate, chemical-free products are available. Check the label for brands that are made from all-natural ingredients, which reduce the total sodium content.

          

Bonus: Order Metagenics at 10% 0FF UltraMeal Bars

Plank – A Better Ab Eercise

Start to get in a Pushup position, but bend your elbows and rest your weight on your forearms instead of your hands. Your body should form a straight line from your shoulders to your ankles.  Pull your abdominals in;  imagine you’re trying to move your belly button back to your spine. Hold for 20 seconds, breathing steadily. As you build endurance, you can do one 60-second set. 1 – 2 reps, 1 set.

    The photo of the women doing ab sit-ups is NOT my favorite ab exercise.  I  prefer the plank over situps which may harm the lumbar spine.

Weight TRAINING for Weight LOSS

Over the years I have developed hundreds of workout routines for clients that come in for weight training to lose weight, improve performance, get a “6 pack abs,” tone, eliminate pain, prevent osteoporosis, and many other conditions. Here are some important tips I suggest: 

1) When I review clients current workout programs, I see too many people lifting light weights. Most of the time I have to get clients to use a heavier weight than they would pick. I pick a weight that is based on the strength level of the individual person. But the reality is if you are lifting a weight ten
times, numbers nine and ten should be difficult. If you can lift a weight 20 times but choose to do only ten, you are wasting your time. Period.

2) One of the first questions I ask clients is “How long have you been doing your exercise routine?” Often, I get answers like, “I’ve
done this two to three times a week for a year.” I go crazy when I hear that people do the same routine over and over for months on end. Programs need to be changed every 6-8 weeks. Each persons program needs to be progressive – that means the reps, sets, the load/resistance, and even the exercises need to be changed.

3) Be impeccable in your form. An all-too-common mistake is using such a heavy load that you lose proper technique and cheat in your form. Whether it’s dumbbells, kettlebells, bands or bodyweight, I teach good form and expect you to stick to it!  

4) Learn to use the foam roll, learn to stretch properly for your body, learn how to do bodyweight exercises, bands exercises, free weight and kettlebell maneuvers. You are never too old to start. You need to make working out a priority. You do not need to go to the gym…you do not need a lot of equipment!

Cheers to consistent basic training that makes you feel young and good. If you aren’t sure about your trainer, come in so we can discuss your personal program.

Order Metagenics UltraMeal shake 

Please forward my newsletter to your friends, family and coworkers.  And please feel free to contact me with your questions, comments and suggestions. 
Please stay committed to your health, fitness and nutrition efforts.
 
Warm regards,
 
 
Dr. Jeffrey Tucker
 
 
Functional Movement Screen (FMS). The FMS is seven tests that include a squat, hurdle step, lunge, shoulder mobility, active straight leg raise, push up & rotary stability test. The most recent research completed on the FMS was performed in Quantico, VA at the Marine Officer Candidate School. They screened over 900 Marines and followed them through basic training and found that the individuals who had a score > 14, were twice as likely to not graduate due to injury than those with higher scores. This goes right along with the previous research found in the NFL. Football players who scored less than 14 are more likely to be injured during the season. Are you at risk of injury from your workout? Come in for a Functional Movement Screen and find out! 
Call today to schedule your FMS Consultation:  310-473-2911
 

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Dr. Jeffrey Tucker | (310) 473-2911 | 11600 Wilshire Blvd. Suite 412 | Los Angeles | CA | 90025

Millions of people at risk of hypomagnesemia

Over 20 million people in the U.S. alone use precription strength proton-pump inhibitors (PPIs) to relieve heartburn and acid reflux (Nexium, Prilosec, Prevacid). Precription strength proton-pump inhibitors (PPIs) may deplete your magnesium levels. Low magnesium contributes to a variety of severe health problems. Hypomagnesemia is a deficiency of magnesium.  Magnesiium deficiency can occur in as lillte as one year of starting the drug, but some  people can become deficient within just three months. In approximately one-quarter of the cases reviewed, magnesium supplementation alone did not improve low serum magnesium levels and the PPI had to be discontinued says the FDA. That’s how severe the magnesium deficiency can become. Low magnesium levels can result in serious adverse events including muscle spasm (tetany), irregular heartbeat (arrhythmias), and convulsions (seizures). When your magnesium level is sufficient it helps reduce risk of cognitive decline and plays a key role in DNA production. Magnesium is also essential for keeping your blood sugar in check. Think Type 2 Diabetes here.  Healthy bones rely on magnesium too.

Type 2 Diabetes & Statin Use

Last year, University of Glasgow researchers examined the results of 13 large statin trials that included more than 91,000 subjects.  Results showed that for every 255 patients treated with statins for four years, one would develop type 2 diabetes, apparently as a consequence of statin use.

About 20 million people take statins in the U.S. So, one case of type 2 diabetes for every 255 patients comes to well over 78,000 people who will develop or already have developed diabetes as a statin side effect. (And you can forget about the “four years” business because statin users are users-for-life.) 

For high cholesterol, I advocate therapeutic lifestyle changes – diet, nutrition & exercise. This is my first line of therapy for clients with high cholesterol and/or Type 2 Diabetes. First, lets see if we can control it with medical foods such as UltraMeal by Metagenics along with diet and exercise. I see statins being prescribed with resultant cases of muscle damage, kidney damage, liver damage, and cognition damage. We should put a stop to statin overuse, and prescribe the drug when appropriate and for the right reasons.

Chronic Pain News

Thinking of events as a catastrophe, fear, and being depressed appear to be major predictors of whether acute pain from surgery or injury will morph into chronic pain, researchers reported at the annual meeting of the American Academy of Pain Medicine. For patients with low back pain, ”castastrophizing has been found to be seven times more powerful than any other predictor in predicting the transition from acute to chronic pain,” said Sean Mackey, MD, PhD, chief of the pain management division at Stanford University.

Fear also appears to play a role, Mackey commented. “Those who had more fear during an acute low back pain episode were much more likely to ultimately over-predict the amount of pain they had, which ultimately led to significant increase in fear-avoidance behaviors, with subsequent worsening of symptoms, increase in duration of pain, and increase in disability,” he said.

Depression and anxiety also had similar effects. “About 30% to 65% of patients who have chronic pain also have comorbid depression,” Mackey added. 

Being optimistic was linked to better recovery and higher quality of life (Annals of Surgery 2007; 245: 487-494). 

As part of my chronic pain management strategy, I use therapeutic lifestyle changes including diet, nutrition, attitudinal discussions and gentle exercise. The laser modality is still very, very new to most clients and definitely needs to be tried by chronic pain patients.

Low Vitamin D Status Could Boost Children’s Allergy Risk

Low vitamin D levels could increase the likelihood of children developing allergies, researchers from the Department of Medicine at Rush University Medical Center in Chicago concluded after studying the blood tests of 6,500 people. Lead researcher Michal Melamed, MD, MHS, assistant professor of medicine and epidemiology and population health said: “It is one link in the puzzle, or a first step. It is not the definitive study to show this link but one of the first large studies that shows that this association exists. There are many other reasons to make sure that children and adolescents receive the daily recommended intake of vitamin D—including, importantly, bone health.” Melamed and her team examined serum vitamin D levels in blood collected from a nationally representative sample of more than 3,100 children and adolescents and 3,400 adults in 2005-2006. The study defined children and adolescents as participants aged one to 21. The samples were derived from the National Health and Nutrition Examination Survey (NHANES), a program of studies designed to assess the health and nutritional status of adults and children across the U.S. One of the blood tests assessed was sensitivity to 17 different allergens by measuring levels of Immunoglobulin E (IgE), a protein made when the immune system responds to allergens. No link was found between vitamin D levels and allergies in adults. But, for children and adolescents, low vitamin D levels could be linked to sensitivity to 11 of the 17 allergens tested. Those included both environmental allergens, such as ragweed, oak, dog, and cockroach, and food allergens such as peanuts. Children who had vitamin D deficiency—defined as fewer than 15 nanograms of vitamin D per milliliter of blood—were 2.4 times as likely to have a peanut allergy than were children with sufficient levels of vitamin D—defined as more than 30 nanograms of vitamin D per milliliter of blood.

I recommend children take 1000-2000 IU of vitamin D daily. 

Order D3 from Metagenics @ www.DrJeffreyTucker.meta-ehealth.com

Blood Pressure Benefits of Cocoa

Cardiovascular benefits of cocoa.

Activity of the angiotensin-converting enzyme (ACE)—a target for blood pressure medication—was significantly inhibited by dark chocolate containing 72% cocoa, with the degree of inhibition dependent upon the genotype of the human subjects, according to new findings published in the Journal of Cardiovascular Pharmacology. ACE inhibitors work by inhibiting the conversion of angiotensin I to the potent vasoconstrictor, angiotensin II, thereby improving blood flow and blood pressure.

The new study, led by scientists from the Faculty of Health Sciences at Linkoping University in Sweden, found that cocoa’s effect upon ACE activity was also related to ACE genotype, with ACE inhibition reduced by 21% in ACE I/I and 28% in ACE D/D three hours after consumption. The study deepens our understanding of the potential cardiovascular benefits of cocoa and the compounds it contains.

In terms of blood pressure, a meta-analysis by researchers from the University Hospital of Cologne found that consumption of cocoa had significant positive effects on hypertension. Writing in the Archives of Internal Medicine (2007, Vol. 167, pp. 626-634), the Cologne-based scientists stated: “The magnitude of the hypotensive effects of cocoa is clinically noteworthy; it is in the range that is usually achieved with monotherapy of beta-blockers or angiotensin-converting enzyme inhibitors.” The majority of science into the potential benefits of cocoa have revolved around cardiovascular benefits of the flavanols (also known as flavan-3-ols or catechins) and particularly the monomeric flavanol (-) epicatechin.

For the new study, Ingrid Persson and her co-workers recruited 16 volunteers aged between 20 and 45, and asked them to eat 75 grams of dark chocolate with 72% cocoa content every day for two weeks. Results showed a significant inhibition of ACE activity, with a reduction of about 18% observed between before and after the cocoa intake. Such a reduction is equivalent to those observed with antihypertensive medications, said the researchers. “Our results indicate that lifestyle changes, with the help of foods that contain high catechin and procyanidin content, prevent cardiovascular disease,” said Dr. Persson. Journal of Cardiovascular Pharmacology 57(1):44-50, 2011

Healthy Snacks

Any one of these foods by themself or in combination make some of the best foods to snack on:

avocados + tomatoes + garlic

broccoli + garlic

spinach + garlic

cauliflower + broccoli

asparagus

squash

walnuts

Polymyalgia rheumatica

Conventional medical treatment for polymyalgia rheumatica is steroids (prendisone). It is considered an autoimmune dysfunction. Many of you know I feel autoimmune dysfunction is very frequently the result of dietary factors.
I believe that a more productive approach to this condition might  be a
10 day or 28 day elimination diet, this doesn’t mean fasting. I use anti-inflammatory foods and medical food shakes. 
Some people after the elimination diet chose to follw it up by adding one low glycemic vegetable each morning, on an empty stomach, to see if there is any reaction. If pain returns, I would suggest a period of at least three days without adding any new foods – longer if pain persists.

I have recommended the paleo diet to some clients with PR.

There are some Doctors that feel every autoimmune condition has turned out to have some version of a leaky gut/molecular mimicry connection. 
For any autoimmune condition:
Gluten-free alone is not enough.
Lowish carbs, which may increase TSH, but that doesn’t mean it’s
pathological.
Carbs should be mostly glucose, not much fructose, so mostly roots, tubers,
vegetables, bulbs, but limit fruits.
Peel your vegetables whenever possible because most plant-protective
anti-nutrients are found in the peel.
Forbidden for life:
All cereal grains: Wheat (spelt, einkorn, durum, emmer, kamut), barley,
rye, triticale, oats, rice, corn, maize, wild rice, sorghum, millet, teff,
amaranth, buckwheat, fonio, breadnut, cockscomb, cattail, chia, wattleseed
(acacia), Goosefoots (quinoa, pitseed, kañiwa)
Dairy of any kind.
Nuts and seeds of any kind.
NSAIDs of any kind.
Nightshades (tomato, pepper, eggplant, potato).
Alcohol.
Antacids that contain aluminum hydroxide.
Oral contraceptives.
Iodine (if you have Hashimoto’s).
Legumes

I agree with all these items but I am not sure about eggs. Eggs are a paleo food but I know eggs are considered a highly allergic food. The problem with eggs is what the birds are fed.  If they are fed corn and soy (which almost all are) that could cause all sorts of reactions in people. Most chickens, even if labeled “free range” are fed corn and soy. 

Make sure the thyroid levels checked. Symptoms of all sorts of myalgias are frequently untreated or undertreated hypothyroidism.  Don’t fall prey to tyranny of TSH only test -  “normal” range is far too wide.  Symptomatic people with TSH of over 1.5 likely have a problem.  Free T3 and Free T4 levels as well as all antibodies should be checed as well.   A short trial course of natural thyroid such as Armour or Naturthroid etc  (not Synthroid or other T4 only synthetics) to see if symptoms  improve is far safer (and cheaper) than longterm prednisone.  Not convinced? Read
Broda Barnes’ MD’s classic book on this topic as well as Mark Starr MD’s
newer classic.  Barnes also advocated a low-carb (albeit not necessarily
paleo) diet for hypothyroid conditions.

I can think of one patient who had PR.  She started on the 10 day elimination diet and used the Opticleanse GHI shakes by Xymogen. After that she only ate  grass fed beef and lamb. She ate no pork, poultry or fish. She also only ate sweet potatoes, yams and squash. She ate NO fruit or ANYTHING else. She also sunned herself daily for 1/2 hour. In 2-3 months all the
symptoms went away.  It was a very restrictive diet, however, it worked.

Your choice, try prednisone or diet with XYMOGEN Opticleanse GHI!

Posture

1. In a nutshell, what causes bad posture? Americans spend an average of eight to ten hours each day at work. During our work time, we often sit unconsciously in improper body positions and engage in repetitive movements that create muscle imbalances leading to poor posture; poor self esteem; psychological distress & depressive symptoms; lack of a variety of movement in our activities of daily living; overall poor flexibility.
2. What negative effects does poor posture have on the body? “To live a long, active, energetic life, few things matter more than good posture” – American Journal of Pain Management;  Nerves get abnormal tension placed on them and can cause inefficiencies within the neuomusculoskeletal system; muscle imbalances and joint dysfunctions associated with poor posture can create areas of too much motion in certain spinal segments causing instability. These areas may then wear out prematurely, while other areas may have too little motion in the spine causing range of motion/mobility dysfunctions; anytime we have an asymmetry in the body we are more susceptible to injury – overactive muscles vs underactive muscles can cause asymmetry; poor posture can cause incoordination of muscles and balance systems of the body;  I think one of the reasons actors and actresses have “presence” when they walk into a room is because many of them have been trained in proper posture. 
3. How does one start to improve their posture? Look at the foot/ankle for pronation issues and use an insert or orthotic if necessary – this can help improve gait and posture; improve faulty breathing patterns, especially paradoxical breathing; improve your balance by training it – for example, standing on one leg while maintaining good posture is a simple exercise maneuver; Engage in consistent use of the foam roll to provide self-myofascial release and self massage; stretch overactive (tight) muscles; perform isolated muscle strengthening of weak muscles and movement patterns; use bodyweight, free weight or kettlebells to perform whole body exercises; consult with a practitioner who understands the concepts of good posture – when I teach other doctors, I call this being the “muscle whisperer” – understand what the muscles are saying while performing a posture evaluation. 
4. What are the top 3 things to remember when attempting to improve your posture? 1. Become aware of the things that you are doing, even the things that you don’t even know you are doing that are contributing (harming) to your posture. 2. Think of staying in a ‘tall spine’ posture (while sitting, standing, exercises); take frequent breaks from siting and use the Brugger’s postural relief position as one of the those style of breaks 3. Know what it feels like to be in proper posture alignment and frequently try to duplicate that feeling – sometimes clients don’t even know what good posture feels like and looks like.    
 
Sincerely,
Jeff
www.DrJeffreyTucker.com 

Ankylosing Spondylitis Nutrition Suggestions

Ankylosing Spondylitis (AS)  has an autoimmune link with Klebsiella bacteria through HLA B27, and has been shown to be reduced with a low starch diet and appropriate drugs. Some progressive MD’s recommend “low dose Naltrexone (LDN)  (3mg) for auto immune disease. I have known about LDN for MS patients for several years.
Improve gut flora with probiotics like  UltraFlora DF (Metagenics). 
High dose Vitamin C (determine the appropriate dose of Vitamin C via bowel tolerance testing).

High dose EPA-DHA in fish oils. I recomend EPA-DHA 720 by Metagenics.  

Kaprex, also made by Metagenics is olive leaf extract & Rosemay that blocks the production of prostaglandin E2s.
Other natural remedies include ginger and tumeric.
 
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