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Recent Weekly Well Newsletters

Functional Movement Training

2/23/2021

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Our next area to review in the LEVELUp Your Fitness Strategy is Functional Movement.
Functional movements are movements based on real-world situational biomechanics. They usually involve multi-planar, multi-joint movements which place a demand on the body's core musculature and innervation.”  - Wikipedia
In other words, functional movement refers to the ability to move well for the required tasks. What is considered “functional” depends on the task your want to perform.  Typically athletic movements like squatting, running, pushing and pulling are all considered functional, but specific movements should be prioritized for different individuals and sports. For example, pulling movements for rock climbing, balance movements for seniors, and agility movements for soccer players. 

Training to increase functional movement will improve athleticism and the ability to control your body through space.

Functional movement training should be incorporated into your week of physical activity and improved or maintained through sports, resistance exercise, balance drills, agility training, and much more. Since everyone needs different areas of focus, your functional movement training should be unique.

How do I know if I have good functional movement?

Here are some of the factors that contribute to good functional movement:
  • Flexibility and range of motion
  • Balance and coordination
  • Strength and power
  • Speed and agility
  • Injury prevention and injury rehabilitation
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If you feel that you lack these areas, your functional movement could probably use some work! Aim to identify your weak spots and progressively improve them through practice and training.

Identifying your weak points can be challenging, so here are a few simple tests we use at Wellness Garage that can help to assess your functional movement.

  1. Can you balance on one leg without wobbling for 10 seconds? This test looks at balance.
  2. Can you squat down until the back of your thighs touch your calves while keeping your heels on the ground? This test looks at hip mobility and leg strength.  
  3. Can you touch your toes? This test looks at hamstring flexibility.

These are all movements that you can improve with training. If you feel that you need help assessing and improving your functional movement, seek advice from an exercise specialist.

Injuries
If you have a recurring or current injury, correctly rehabbing it will be essential to improving and sustaining high-quality movement long-term. Proper warm-ups and prehab strategies can also maximize injury prevention.

Are weight machines functional?
Although many people consider weight machine training to be “non-functional,” it would be a shame for bodybuilders and other muscle-building athletes to avoid them! Since machines typically do not demand the same level of stability and technique that free weights do, they allow us to push the muscles harder with good form, often targeting muscles in a way that free weights cannot. Machines can also be great for new gym-goers or people with physical limitations.

While machines don’t improve athleticism and body coordination to the same degree as free weights and bodyweight exercises, there is a time and a place for them.
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Photo by Sergio Pedemonte on Unsplash
Functional Resistance Training
Working out can be a great way to improve functional movement. Here are the primary movement patterns in resistance training that will improve strength and athleticism while hitting all of the major muscle groups:

  1. Squat and Lunge
  2. Hip Hinge
  3. Push (horizontal and vertical)
  4. Pull (horizontal and vertical)
  5. Trunk (ab work, trunk stability training)

Functional Resistance Reference Chart
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Most comprehensive workout programs designed to increase muscular strength and athleticism should include these fundamental movement patterns. These movements should generally be prioritized and performed before machine and isolation exercises (i.e. bicep curls, leg extensions, pec flyes).

Other Functional Movements
Other types of athletic training, such as plyometrics and agility training (i.e. jumps, hops, skips, leaps, bounds, shuttle runs), are also very functional; however, they are more advanced and require a greater focus on technique. Make sure you have a base in strength training and technique before attempting these types of workouts. 

Plyometric and agility training should always be performed first in the workout before the body becomes fatigued.

What if I can’t perform one of these movement patterns?

If you have a restriction (mobility, injury, etc.) and cannot perform one of these movement patterns, work around it by hitting the same muscles with alternative exercises. For example, train the shoulder muscles with DB Front Raises and DB Lateral Raises instead of Shoulder Presses. See an exercise specialist if you need help with this.


Neuromuscular Training
Neuromuscular training to improve balance, stability, coordination, and proprioception (kinesthetic sense) is essential for maintaining athleticism and quality of life. This type of training is critical as we age, as it can improve activities of daily living and prevent falls and other injuries.

Specific neuromuscular exercises like balance and agility drills are typically performed at the beginning of a workout (right after the warm-up) while the mind and body are still fresh. Performing at least 60 minutes per week of neuromuscular exercise is most effective in improving athleticism and is typically performed in bouts of at least 20-30 minutes.

Some examples of balance and agility drills include:
  • Single leg stances.
  • Directional steps and lunges (i.e. side lunge)
  • Walking or jogging forwards and backwards
  • Side shuffles or crossovers
  • Single arm weighted carries.
  • Single leg hip hinging.


Stretching
Stretching is a great way to improve and maintain the range of motion at a joint and is often a significant area of focus for individuals looking to improve their movement quality. If you have tight muscles or movement inhibited by a lack of flexibility, consistent stretching can correct this issue.

Several types of stretching increase movement quality and range of motion

Static Stretching
  • Holding a stretch for a period of time.
  • Active Stretching: holding an active pose or activating the muscles to create a stretch (i.e. yoga poses like downward dog, raising your arm, etc.).
  • Passive Stretching: relaxing the body and performing as passive stretch, sometimes using an external resistance (a rope, another person, etc.) to assist with the stretch. Passive static stretching is the standard way of stretching.

Dynamic Stretching
  • Using controlled and coordinated dynamic movement to stretch and activate the muscles (i.e. lunge and twist, inchworms, etc.).
  • Typically used in warm-ups.

Ballistic Stretching
  • Using momentum and bouncing to produce a quick and intense stretch.
  • Ballistic stretching typically poses a greater risk for injury than dynamic stretching.

PNF Stretching (proprioceptive neuromuscular facilitation)
  • Activating the muscle before stretching it (i.e. 3-6 seconds of contraction followed by 30-60 seconds of passive stretching)

Foam Rolling (and other manual release techniques)
  • Manually massaging a muscle area to release tension and increase range of motion.
  • Typically used in warm-ups.

For most people, static stretching (passive) is the recommended method for safely increasing range of motion long-term.

Stretching Guidelines
  • Static Stretching
  • Stretch to the point of tightness or slight discomfort.
  • ≥2-3 times per week for each target joint or muscle group
  • 2-4 sets per exercise.
  • 10-30 seconds in duration (probably 30-60 seconds for older individuals).
  • A total of at least 60 seconds per session for each stretch.

How long does it take to increase range of motion?
While individual results vary, typically, you will see results after four weeks of consistent stretching (2-3 times per week). If you do not see results in this time frame,  try increasing your weekly stretching time or speak with an exercise professional.

When should I perform my stretching?
You can stretch any time of day; however, optimal movement comes by increasing the muscles’ temperature beforehand.  Try 3-5 minutes of light aerobic activity or use external heating sources like a hot pad or a warm bath to warm muscle.

Don’t do static stretching in your warm-up.
Static stretching (roughly >30-45 seconds) immediately before exercise can reduce the ability to generate strength, power, and sports performance, so for this reason, avoid static stretching until after your workout. 

If you want to increase your movement quality and range of motion without decreasing your performance, try dynamic stretching and foam rolling.  These are much better options for your warm-up!

Stretching Program
We have created a sample general stretching plan for increasing range of motion - click here for the details.

Warming Up

Warming up increases exercise performance and reduces the risk of injury by circulating blood to the active muscles, preparing the body for specific movements, increasing mobility, and improving muscle activation and proprioception. Here are some different types of warm-ups that everyone should incorporate into their exercise.

1) General Warm-Up
A general warm-up improves circulation, increases blood flow to the muscles, moderately raises your heart rate, causes you to sweat slightly, and gets your mind ready to start exercising. 

General warm-ups usually take about 5-10 minutes and are often performed as light cardio.

2) Dynamic Movement Warm-Up
Dynamic movement warm-ups are often the most neglected type of warm-up but are very important. A proper dynamic warm-up typically includes short duration stretches and functional movements that will allow you to feel more limber and stable before exercise. Some dynamic warm-ups are used for injury management and muscle activation as well.

Dynamic movement warm-ups can take anywhere between 5 and 20 minutes, depending on how well you are moving that day. Generally speaking, if your movements feel restricted and less stable than usual, prolong your warm-up. Examples of dynamic warm-ups are leg swings, inchworms, lunge and twists, and hops. 

3) Exercise-Specific Warm-Up
Don’t work too hard, too soon! Working up to your maximum output for the day is essential for injury prevention and performance. Slowly working up in weight or speed allows your muscles and nervous system to start acclimating to the stimulus. 

The first thing to do in an exercise-specific warm-up is to make sure you groove the movement. Grooving a movement means practicing it until it feels proficient enough to start increasing intensity (i.e. warming up with the bar before squats, light jogging before sprinting, etc.). Once the movement is grooved, spend a few minutes working up to your full intensity for the day.

Warm-up Program
We have created a sample warm-up you can use before workouts - click here for the details.

Need help starting resistance training?

Get a personalized fitness plan to help you get started, progress or improve your enjoyment of physical activity
​

The  TARGET Fitness Plan  gives you expert advice to transform your exercise habits - whether you are getting started or want to improve your current program.  Our exercise  physiologist will assess what you are currently doing and provide you with a personalized fitness plan based on the LEVEL Up Your Fitness Strategy.

Next Week: Progressing Aerobic Fitness
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Some Tips About Adding Resistance Training

2/16/2021

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Last week, we outlined a strategy to add resistance training to your fitness plan so that you can maximize the health benefits of exercise.

This week, we add some Tips to guide you as well as some sample workouts to get you started.

Remember, if you need personalized support consider doing a TARGET Fitness Plan
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TIPS for Resistance Training

Treat each set as though it’s the only set of the day.
Perform as many good quality reps as possible for each set you do, and don’t worry about how many sets you have left. 

Progression
Progress by adding resistance (weight, band tension, or increase the rep range for bodyweight exercises) once you can exceed your rep range (i.e. 15 reps) on any of your sets.

Variance on reps
The rep range is a guideline, and sometimes you’ll be slightly above or below. That’s ok! For example, if your program calls for 3 sets of 10-15 reps, you may perform 14, 10, and then only 7 reps because your muscles have become fatigued. Don’t worry about it!  If you complete less than 6, consider lowering the resistance.

Tempo
In weight training, take 1 second to lift the weight and 2-3 seconds to lower it back down. We encourage this tempo as a baseline to help master technique, improve stability, keep good tension on the muscles, and prevent the risk of injury from an uncontrolled movement. If you aren’t weight training, treat whatever type of resistance you are using in the same way (i.e. pull the band in 1 second and lower it in 2-3 seconds).
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Breathing
Breathe out on the exertion phase (i.e. lifting the weight) and in on the recovery phase (i.e. lowering the weight down)

Mind Muscle Connection
Make sure you can feel the muscles you are trying to work.

Start with a warm-up
Warming up is essential because it can improve performance and reduce the risk of injury. Start with 5-10 minutes of light aerobic activity (such as steady cycling or walking) and then perform a few dynamic stretches like 10 arm swings and 10 leg swings. More advanced warm-ups are encouraged later on, but this is a great start.

How much weight to use?
Use a weight that causes you to achieve failure (or close) roughly within your rep range—getting the right weight often takes some trial and error.

When to change it up?
Change it up if you aren’t progressing or if you are getting bored. However, it is good to spend at least a few weeks on the same program to give your body time to progress your exercises.

Track your progress
Make sure you write down the date, how much resistance you used, and how many reps you performed. This way, you know if you’re progressing and when to increase your resistance.

Some pain is good!
Resistance training is not easy, and it requires a little bit of pain tolerance, but it has to be the right kind of pain. When you lift, your muscles will start to feel a burning sensation as they temporarily accumulate with lactic acid and other metabolites. This feeling is normal during resistance training and should start subsiding shortly after completing your set. In addition to this, your muscles may swell up a little during training - this is normal and occurs from increased blood flow. Another sensation you may experience is delayed onset muscle soreness (or DOMS) due to acute inflammation. The body attempts to heal the microtears in the muscles acquired through strenuous training. If you have DOMS, you will feel pain or stiffness in the muscles when you contract, move, or stretch them. DOMS doesn’t always occur after training and usually occurs less as you become more adapted to your workouts.

Some pain is not good!
Pain in the joints or sharp pain in your muscles is a concern both if it occurs suddenly or after exercise. If this happens or you are unsure whether exercise is safe for you, consult with your doctor or an exercise professional. Although resistance training is typically relatively safe, training with poor technique or weights that are too heavy for you can result in pain and injury.

Good form is critical
Although it is important to train hard, it is more important to learn how to perform each exercise correctly with a full range of motion (ROM) to stay safe and maximize your training. Ensure you have good form for every rep, and get professional instruction from an exercise professional if necessary. Always learn proper technique before pushing yourself on an exercise.

If you can’t meet with an exercise professional, there are many excellent YouTube channels with videos on exercise techniques. Here are a few of these resources:
  • ScottHermanFitness
  • Renaissance Periodization
  • Juggernaut Training Systems
  • AthleanX

High reps with relatively light weight
High reps and low reps can both be beneficial for improving muscular strength and hypertrophy (muscle growth), according to a study in 2010 by Stuart Phillips at McMaster University in Hamilton, Ontario. As muscles approach failure, more muscle fibres are recruited to help overcome the resistance. This recruitment response is why lighter weights can be used to drive similar strength and hypertrophy adaptations to heavier weights (which recruit more muscle fibres straight away).

It should be noted that training to failure is still challenging and that training to failure with high reps (i.e. 20 or 30) may be more challenging for some people than training with a more traditional number of reps (around 10) because the set takes longer to perform and metabolites continue to accumulate in the muscles.

Don’t overthink it!
A 2020 study published at the Federal University of São Carlos in Brazil compared three different training programs amongst a group of 60-70 year old adults. One group trained to failure, one group just shy of failure, and one group with a fixed amount of reps (10 reps). The fixed rep group did less than a third of the failure group’s total work, yet all groups had similar increases in strength and functional performance (walking speed and getting out of a chair).

When you are starting resistance training, the bottom line is that showing up to do the workout matters more than the degree of effort and numbers of reps.

Although trained lifters need to push themselves to drive adaptation, newer lifters can get away with just performing the exercises with reasonable effort.


Next Steps
  • Continuing to progress
  • Setting goals
  • Changing it up when needed

Workout Programs
See our selection of beginner workout programs for those with different levels of fitness and equipment availability. We recommend these full-body workouts 2-3 times per week with at least one day of recovery in between sessions.
Resistance Training No Equipment Workout #1
Resistance Training Dumbbells Workout #1 
Resistance Training No Equipment Workout #2
Resistance Training Dumbbells Workout #2
Resistance Training No Equipment Workout #3
Resistance Training Bands Workout #1
Resistance Training Bands Workout #2
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Need help starting resistance training?

Get a personalized fitness plan to help you get started, progress or improve your enjoyment of physical activity
​

The  TARGET Fitness Plan  gives you expert advice to transform your exercise habits - whether you are getting started or want to improve your current program.  Our exercise  physiologist will assess what you are currently doing and provide you with a personalized fitness plan based on the LEVEL Up Your Fitness Strategy.

NEXT Week - Functional Movement
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Add Resistance Training

2/9/2021

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Once you have mastered LEVEL ONE of our LEVELUp Your Fitness Strategy:
  • 150 minutes per week of moderate to vigorous physical activity
  • Avoidance of prolonged sitting or standing > 1hr - moving throughout the day
You will be getting most, but not all, of the benefits of exercise.

The improved cardio-respiratory fitness you will get from mastering LEVEL ONE has many benefits, including increased longevity (low cardio-respiratory fitness is associated with twice the incidence of all-cause mortality).
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However, an independent factor, muscular strength (along with mass), provides an increased longevity boost of a similar magnitude. 

Muscular fitness also improves:
  • Resting metabolic rate
  • Weight loss (and weight loss maintenance)
  • Insulin resistance
  • Bone density
  • Brain health

So to get the full complement of benefits from exercise, we recommend that you LEVELUp by:
  • Consistently performing ≥two days of resistance training for all major muscle groups.
  • While performing and maintaining full functional movements.

Resistance training is any exercise where your muscles resist external forces.  

This external resistance can come from your body weight, weights (barbells, dumbbells), machines, bands, or anything heavy!

The goal is to improve muscular fitness by increasing:
  • Strength
  • Power
  • Size (mass)
  • Endurance 
To maximize muscular fitness, aim to train all major muscle groups at least twice a week. 

For beginners, this means either two full-body workouts - for more advanced programs, this could represent multiple split-body workouts each week.

What are the six major muscle groups?
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Which exercises hit the major muscle groups?
There is a limitless supply of exercises to choose from for resistance training, and it can be challenging for beginners to prioritize specific exercises over others.

Choosing the exercises for your workout can be simplified by focusing on four major categories of exercises.
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A functional full-body workout includes at least one exercise from each of these four categories. These four categories will cover the major muscle groups.

If you are creating your workout, choose four exercises, one from each category!

Here is an example of a weight training workout that incorporates an exercise from each of the four categories:
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Variables for Resistance Training

Reps (repetitions)
How many times you perform an exercise in a row (i.e. 10 squats).

Sets
How many times you perform a group of reps (i.e. 2 sets of 10 squats). Perform all sets of a given exercise before moving on to the next.

Resistance
How much resistance you use (i.e. a load of 20 lbs, a red resistance band pulled back 1 meter away, your body weight).

Rest
How long to take a break before repeating another set of the given exercise (i.e. 1-minute rest between sets of push-ups).

Recovery
Recovery is the process of allowing the body to recover from the training stimulus. Muscles are damaged slightly during resistance training and take about 48 hours to recover and get stronger, making sure not to train the same muscles hard every day. Getting proper sleep, nutrition, and taking time off of hard training is essential to maximize recovery.

Training to Failure
Training to failure means performing as many reps as possible of a given exercise until the muscles can no longer produce enough force to overcome the resistance or until the proper technique starts to break down. Perform most exercises within a few reps of failure (about 0-4) to ensure the muscles are challenged enough to drive adaptation.

Guidelines for the Workout

There are many ways to train, but we recommend that beginners utilize the following guidelines:
  • Train all major muscle groups 2x/week
  • 2-3 sets for each exercise
  • 10-15 reps for each set
  • 1-2 minute rest between sets
  • Train to failure (or close to failure)
  • Keep good form for every rep
  • Take at least one day of recovery before training the same muscles again

​Need help starting resistance training?

Get a personalized fitness plan to help you get started, progress or improve your enjoyment of physical activity
​

The  TARGET Fitness Plan  gives you expert advice to transform your exercise habits - whether you are getting started or want to improve your current program.  Our exercise  physiologist will assess what you are currently doing and provide you with a personalized fitness plan based on the LEVEL Up Your Fitness Strategy.

NEXT Week - Part 2 - Tips on Resistance Training


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150 minutes per week - the second step to an active lifestyle

1/31/2021

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Exercising for 150 minutes or more per week at moderate to vigorous intensity will provide you with most of the health benefits of exercise. 

Multiple sessions, as short as ten minutes, add up to keep you fit and healthy.  Combining exercise with moving throughout the day while avoiding long periods of sitting provides a strong foundation for a healthy life.
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Photo by Lital Levy on Unsplash
In our LEVELUp system, we refer to this as:
Level 1
  • 150 minutes per week of moderate to vigorous physical activity
  • Avoidance of prolonged sitting or standing > 1hr - moving throughout the day
If you have not been exercising, we recommend that you ease into this over several weeks, gradually building your minutes.

Remember, consistency is much more important than intensity.

When you consistently hit these targets for 6-8 weeks, you will be ready to progress to Level 2.

What is moderate to vigorous physical activity?
Intensity depends on your fitness level.  Your breathing will be an excellent guide.

During moderate-intensity exercise, you will be breathing more rapidly than at rest, but you can still have a conversation, although your sentences will be a little shorter as you catch your breath.

At vigorous intensity, holding a conversation becomes more difficult or impossible!

Some examples of moderate-intensity: 
  • Brisk walking.
  • Light jogging.
  • Bike riding.
  • Light sports (i.e. badminton, pickleball).
  • Push-mowing the lawn.
  • Heavy cleaning (i.e. mopping, hard gardening)
  • Most forms of resistance training that consistently elevate the heart rate​

​Vigorous Intensity: Sweating, out of breath, do not want to chat
  • Jogging and Running
  • Fast Bike Riding
  • Intense Sports (i.e. hockey, tennis, basketball)
  • Hiking
  • Circuit training
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Photo by Jenny Hill on Unsplash
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Photo by James Lewis on Unsplash

​How should I start?

We recommend starting with 10-15 a day at moderate intensity, building gradually to 20-25 minutes.

In the beginning, hold back on anything vigorous and give your fitness a chance to build while protecting yourself from injury.

After four weeks, you will be ready to add some intensity and pick up the pace.  

If you want to run, a walk-to-run program is a great way to improve rapidly.

One of the biggest challenges many people face is the comparison with your previous self.  If you haven’t been exercising for a while, a good rule of thumb is to take your previous workouts and cut them in half or a third while decreasing your intensity similarly.




150 minutes sounds like a lot of time!
Spreading out your exercise across six days maximizes the benefits while only taking 2% of our waking hours.

We recommend at least three days per week of exercise.  The challenge when you start is that the individual session may seem long if you exercise fewer days.

Either way - make a plan that works for you.

We also recommend that everyone at this level take at least one day off per week from exercise.  A day off will keep you fresh.  Of course, you will need to stay active and move throughout your off-day.

​How do I know when to increase the duration of exercise?
Go slow and listen to your body.  Moderate exercise should feel relatively easy and should leave you feeling refreshed and energized.  You should not be fatigued the following day.  

If you feel fatigued at any point as you build up, decrease the duration for a few days until the fatigue passes, then build by adding a few minutes every few days.

Decreasing the duration is always better than taking the day completely off.

Let fatigue be your guide.

If I haven’t exercised previously (or in a long time), what should I do?
For most people getting started, walking will be the first mode of exercise. Walking is simple, low-risk, and accessible to most people, and moving briskly or going up hills can be a great way to elevate the heart rate. 

If walking is not accessible to you, consider swimming, cycling, or using an exercise machine (i.e. stationary bike, rowing machine, elliptical, etc.).

What if I’m ready to push myself?
Wait until you have been exercising for at least four weeks before you push yourself.  This will give you a base of fitness that will prepare you for higher intensity.  It will also decrease your risk of injury.

After four weeks, you can increase your intensity in a workout and see how your body responds.  

Every few weeks, you can add another vigorous-intensity workout until you reach three per week.

Always follow a vigorous (hard) day with a moderate (easy) day.  

If you are fatigued on the day you have scheduled your vigorous workout, go with another moderate (easy) day.

Listen to your body and progress slowly.

Walk before you jog, jog before you run, run before you sprint.

Injuries are common when intensities become too high too quickly. You should always start with lighter efforts and gradually increase the effort as your body feels healthy and ready. Remember, now is the time to build excellent behaviour patterns and a strong aerobic base. The time for intensity will come later.

Making the Change
Developing consistent exercise behaviours is key to mastering Level 1. Here are some tips to help keep you consistent:
  • Plan your exercise times.
  • Be flexible (i.e. if you miss your morning walk, don’t worry, you have all day to do it).
  • Exercise with a friend (but don’t be afraid to exercise alone).
  • Use an accountability buddy to keep you on track (i.e. friend, colleague, spouse).
  • Pair exercise with existing behaviours. For example, walk for 20 minutes every night after dinner.

Once you are up to 150 minutes per week, keep it up for 6-8 weeks, and you will have mastered Level 1!

We hope that you can keep the Level 1 behaviours indefinitely, but we encourage you to take the next step and move to Level 2. More exercise will generally provide more significant benefits, and incorporating Level 2 behaviours certainly will.

Asking for Help
If you are experiencing any of the following, consider meeting with your doctor, physiotherapist, or an exercise professional like a kinesiologist or exercise physiologist to help you on your exercise journey:
  • Pain that is stopping you from exercising.
  • Pain during exercise.
  • Confusion regarding which type of exercise is right for you.
  • Fear of exercise or injury.
  • Confusion around progressing weekly exercise.

Final Plan
We will use the FITT principle (frequency, intensity, type, time) to highlight our plan to master Level 1.

F - Move every hour, exercise daily.
I - Moderate to vigorous intensity.
T - Steady aerobic exercise.
T - Move breaks for 2-5 minutes, exercise for 20-25 minutes.

Good luck mastering Level 1! If you need help changing your behaviours, Wellness Garage is here for you.

​Need help applying this to your busy life?

Get a personalized fitness plan to help you get started, progress or improve your enjoyment of physical activity
​

The  TARGET Fitness Plan  gives you expert advice to transform your exercise habits - whether you are getting started or want to improve your current program.  Our exercise  physiologist will assess what you are currently doing and provide you with a personalized fitness plan based on the LEVEL Up Your Fitness Strategy.
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Move throughout the day - the first step to an active lifestyle

1/26/2021

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The first step to an active lifestyle is to move throughout the day.

Exercise protects against chronic disease and premature death.  

Conversely being sedentary, increases the risk against these same diseases and is itself associated with premature death.
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It has been estimated that prolonged sitting is responsible for 3.8% of deaths and that every hour of sitting is as harmful as the benefit from twenty minutes of exercise.

A recent meta-study of over 1 million people demonstrated that it takes large volumes (60-75 minutes per day) of moderate to vigorous exercise to offset the risk of prolonged sitting.  Even at this level of activity, some risk remains.

The highest risk group is people who spend more than eight waking hours sitting and do not exercise.

The lowest risk group spend less than 4 hours being sedentary and exercise 150 minutes or more per week.

Prolonged sitting carries increased risk for both men and women across 
  • All age groups
  • BMI categories
  • Physical activity levels
  • Healthy participants

Simply put, prolonged sitting is very damaging to your health and cannot be offset by exercising alone.

Unfortunately, sedentary behaviour is an epidemic in modern life.  

In Canada, a review across all occupations showed that all workers spent a high proportion (65% to 73%) of their day being sedentary.

How is all this sitting damaging our health?

There are at least three mechanisms that drive the health risk of being sedentary:
  1. What we are not doing - every hour of being sedentary is an hour we are not active.  Doing “non-exercise” activities for 5 hours per day is equivalent to running for an hour!
  2. Being sedentary is associated with higher blood sugars and increased levels of harmful fatty acids in our bloodstream.
  3. Prolonged sitting leads to chronic inflammation - an inappropriate activation of our immune system to attack our bodies.  Chronic inflammation is at the root of many chronic diseases.
(from Lieberman, Daniel. Exercised (p. 70). Knopf Doubleday Publishing Group)

A striking demonstration of how quickly this happens was a Danish study where healthy young men were instructed to limit their daily steps to less than 1500 per day.  After just two weeks, they developed:
  • Metabolic changes suggestive of  insulin resistance (higher levels of insulin, glucose and triglycerides)
  • Loss of muscle
  • Increased abdominal fat

Combatting this sedentary behaviour through regular intervals of physical activity can significantly reduce these risks and provide health benefits.

A multi-year analysis of 4757 people demonstrated that breaking up sitting with short breaks decreased waist circumference, reduced inflammation marker and improved blood glucose.
​

Sitting is not the only sedentary behaviour!

While we have focused on sitting, remember that lying and reclining are also sedentary behaviours.  

Even standing is better - studies show that it uses about 8-10% more energy than sitting.

Moving every hour for a few minutes is optimal to gain the health benefits from exercise. Make sure to develop a few strategies that you can implement to increase your physical activity throughout the day.

What are some ways that I can incorporate movement into my busy life?
At work: 
  • Make a meeting mobile -take a walk while you meet.
  • Use your lunch break to take a walk, exercise, or stretch. 
  • Do sit to stands/squats from your chair.
  • Jumping jacks or skipping for 2 minutes.
  • March on the spot or pacing -try this while you are taking a phone call. 
  • Take a break and try planking. 
  • Drop and do some push-ups from your floor, desk, or wall.
  • Walk up and down the stairs or hallway.
  • Take the stairs instead of the elevator.
  • Do 20 squats before you make a phone call or after you send an email.
  • Use the bathroom on a different floor.
  • Fill up your water bottle more frequently by taking a trip to the fountain.

​
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Doing errands: 
  • Take the stairs.
  • Park down the street.
  • Park at the far end of the parking lot (you won’t compete for a spot).
  • Do an extra 'lap' around the grocery store.
  • Take an extra load when doing the groceries.
  • Take breaks during long drives by getting out of the car and walking for a few minutes.
Around the home: 
  • March on the spot when brushing your teeth.
  • Walk for 5 minutes right after a meal to help with digestion and glucose uptake into the muscles.
  • Do squats, jumping jacks, push-ups, or anything else while you wait for the microwave.
  • When catching up with family/friends, make it active by doing a walk or bike ride.
  • Use a step tracker and challenge yourself each day.
  • Close the rings on your smartwatch.

Start by choosing one or two behaviours that resonate with you, or perhaps create your own. Aim to increase your heart rate/breathing and muscle activity for 2-5 minutes every hour.

Making the Change

It takes effort to implement a new behaviour, and it will not happen unless you plan for it. Take a moment and consider where, when, and how you will implement this physical activity into your day. Consider the barriers to these behaviours and how you will accommodate or overcome them.

Sample Scenario
You are planning to walk around your floor three times every hour at work.

Barrier 1: Getting busy with work and being “in the zone,” forgetting about it
Solution 1: Setting an alarm or timer for every hour and putting the break in your schedule

Barrier 2: Getting caught in a long, sedentary meeting
Solution 2: Walking during potential breaks, pacing around the room or standing if possible, making sure to move before and after the meeting

Planning for success is an essential step in changing your behaviours, and setting SMART goals is critical. 

Sometimes I just don’t have time.

The reality is, you will have time to be healthy if you make time to be healthy.

At moments (especially at work), tasks can be overwhelming, and time can feel restricted. Often the last thing you want to do when this happens is get up and move because you just want to finish up what you’re doing. 


Taking a 2-minute break from 58 minutes of steady work is not a huge time commitment. This short break is almost certainly going to improve your performance of the task, as physical activity is an excellent avenue for mental clarity.

If you have found that breaks and distractions have impeded your productivity in the past, perhaps physical activity breaks will have a different effect. If not right away, then give it some time. Your body will get used to it and will thank you in the long run.

Moving throughout the day is the vital first step of living a healthy and active lifestyle. If you need help changing your behaviours, Wellness Garage is here for you.
​

Need help applying this to your busy life?

Get a personalized fitness plan to help you get started, progress or improve your enjoyment of physical activity
​

The  TARGET Fitness Plan  gives you expert advice to transform your exercise habits - whether you are getting started or want to improve your current program.  Our exercise  physiologist will assess what you are currently doing and provide you with a personalized fitness plan based on the LEVEL Up Your Fitness Strategy.
​
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LEVEL Up Your Fitness

1/19/2021

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LEVEL Up Your Fitness - your strategy for an active lifestyle and improved health

​Following the EAT Better Strategy - our next series of posts will address activity and exercise and how to be sure that you are getting all the benefits from an active lifestyle.

In this post and those that follow over the next several weeks, we will answer these questions:
  • Why is physical activity important?
  • Am I doing enough physical activity?
  • What type of physical activity should I be doing?

We will also offer lots of tips and recommendations to help you develop your plan.

Why is physical activity important?
​The most straightforward answer to this is that you will feel better if you are active and exercise regularly.  Humans evolved to be active.  When you move regularly and vigorously, you will feel:
  • Improved sense of well-being
  • Improved self-esteem
  • Increased strength
  • Increased energy levels
  • Improved mood
  • Decreased depression and anxiety symptoms
  • Decreased stress
Your body will also show positive changes:
  • Improved immune function
  • Lower blood pressure
  • Improved glucose levels
  • Improved cholesterol levels
  • Improved bone density
  • Decreased symptoms from arthritis​

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Photo by Evan Wise on Unsplash
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Photo by Jenny Hill on Unsplash runner
These benefits combine to improve longevity, reducing premature death from all causes by 16% and from cardiovascular disease by about 25%.

Looked at another way, lack of physical activity is estimated to be the 4th leading cause of death and the principal cause for approximately:
  • 21–25% of breast and colon cancers
  • 27% of diabetes and 
  • 30% of heart disease burden
(Reference: Global health risks: mortality and burden of disease attributable to selected major risks. Geneva, World Health Organization, 2009)

These benefits come from relatively minimal efforts:  20 minutes of exercise and the avoidance of prolonged sitting every day.

Twenty minutes a day to feel better and live longer - not a bad trade-off!
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Photo by Jay Kudva on Unsplash biker
The World Health Organization has set 150 minutes of moderate to vigorous activity/exercise and the avoidance of prolonged sitting (>8 hrs per day) as the threshold required to get most of the benefits from physical activity.

Of course, the benefits do not stop at 150 minutes, and many people feel better with two, three or four times that amount.

Not everyone incorporates consistent physical activity into their week, and these guidelines can be intimidating for those with busy schedules or a lack of exercise experience. 

In fact, only 17% of Canadians get 150 minutes of “moderate-to-vigorous physical activity” per week.  (2019 Canadian Health Measures Survey)
To help people get the benefits from an active lifestyle:

​The LEVEL Up Your Fitness Strategy
  1. Move throughout the day
  2. 150 minutes per week
  3. Resistance training
  4. Functional movement training
  5. Progressing aerobic fitness
  6. Planning for success
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Photo by Jonathan Borba on Unsplash situp
This strategy will get you started and help you progress.  Master each principle before working on the next.  If you are new to exercise, start at the beginning.  If you currently exercise, review each principle and begin with the lowest one you are not yet doing.

By following this strategy, you will develop habits that incorporate aerobic, resistance and functional movement activities, allowing you to accrue the benefits of exercise sustainably forever.

We categorize exercise behaviours into two levels and encourage mastery at Level 1 to maximize physical activity enjoyment while minimizing injury.

Level 1
At this level, you meet the WHO standard and accrue most of the health benefits from exercise.
  • 150 minutes per week of moderate to vigorous physical activity
  • Avoidance of prolonged sitting or standing > 1hr - moving throughout the day

After 6-8 weeks of consistently hitting these targets, you have mastered Level 1. You will have the foundation to progress your exercise to the next level, getting even more benefit in the process.

Level 2
This next level expands on the foundational behaviours by incorporating a portfolio resistance, aerobic, and functional movement training into your routine.
  • 150 minutes per week of moderate to vigorous physical activity
  • Avoidance of prolonged sitting or standing > 1hr - moving throughout the day
  • Consistently performing ≥two days of resistance training for all major muscle groups
  • Performing and maintaining full functional movements 

After 6-8 weeks of consistently hitting these targets, you have mastered Level 2.

We hope that everyone can become Level 2 athletes, progressing their fitness and enjoying the benefits for the rest of their lives.

Next week: Move throughout the day - the first step to an active lifestyle.

Need help applying this to your busy life?

Get a personalized fitness plan to help you get started, progress or improve your enjoyment of physical activity
​

The  TARGET Fitness Plan  gives you expert advice to transform your exercise habits - whether you are getting started or want to improve your current program.  Our exercise  physiologist will assess what you are currently doing and provide you with a personalized fitness plan based on the LEVEL Up Your Fitness Strategy.
​
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EAT Better - Putting it All Together

1/11/2021

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Over the last 7 posts you have learned how to 
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Now it is time to put it into action - so let’s address some common questions:

Where to start?

Start with at the beginning - implement steps 1, 2, 3:

  • Build your meals around a healthy protein package
  • Load up on veggies, fruits, legumes, and whole grains
  • Balance your meals with healthy fats

Working on these key behaviours will leave you well-nourished and satiated.  Getting enough protein and fibre balanced with healthy fats will prevent you from over-eating.

Your body will do what it is designed to do with these actions - superbly balance food intake with your energy requirements.

Focusing on these first three steps will make the following behaviours easy:
  • Avoid ultra-processed foods
  • Only drink the calories you love - learn to love water.

The final behaviours are fine-tuning.  Many of us eat for reasons other than hunger - boredom, stress, habit, reward etc.  

Learning to take the time to listen to your body’s satiation signals will help you be more intentional about why you are eating.
  • Stop eating when you are 80% full.

Give your body a food break every day.  
  • Go 12 hours without eating.

Let your body show you the incredible ability it has to balance energy over time.  

Let your body show you that you have enough energy already.  

Doing a 12 hour fast every day has some powerful physiological benefits, but its real power may lie in the fact that you cut out the empty calories from nighttime snacking.   

In doing so, you also strengthen your ability to differentiate between hunger and the other signals driving you to eat: boredom, stress, habit, reward, etc.

Some other questions:

What do I do if I want to lose weight?
  • Start with the EAT Better Strategy - after 4-6 weeks of mastering these behaviours, you will see some changes - if not, you will be ready to take other steps to lose weight sustainably.  For most of the people we work with, Eat Better is ALL they need to do.

What if I have diabetes?
  • Again, start with the EAT Better Strategy - your blood sugars will improve.  If you are taking medications, work with your doctor (or get a referral to work with us), and create a plan to adjust your medication in line with your improving blood sugars.

What if I have heart disease, hypertension, high cholesterol, osteoarthritis, osteoporosis, etc.
  • I think you know what is coming - Start with the EAT Better Strategy.  It is a foundational strategy that can be fine-tuned depending on your underlying condition.

What should I do if I need help?
  • Work with our nutritionists and dietitians to apply the EAT Better Strategy to your life.  They will consider your preferences, environment, strengths and weaknesses and help you plan to EAT Better.  Learn more about the TARGET Nutrition Plan.
  • Join us in our upcoming workshops to apply this strategy to your life.

​Download a weekly EAT Better Planner
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The EAT Better Strategy:
  1. Build your meals around a healthy protein package
  2. Load up on veggies, fruits, legume, and whole grains
  3. Balance your meals with healthy fats
  4. Avoid ultra-processed foods
  5. Only drink the calories you love - learn to love water
  6. Stop eating when you are 80% full
  7. Go 12 hours without eating
Putting It All Together

Need help applying this to your busy life?
Get a personalized nutrition plan to gain clarity and improve your health:
​

The  TARGET Nutrition Plan takes a personalized, evidence-based approach to help you make better choices.  Our nutritionists assess what you are currently doing and provide you with a personalized plan (including meal plans).  Everything you need to transform your diet.​
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Go 12 Hours Without Eating

1/4/2021

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“Eat like a king in the morning, a prince at noon, and a peasant at dinner.”
​Maimonides (1135–1204), a medieval Jewish philosopher/doctor
The seventh and final behaviour in our Eat Better Strategy is straightforward: Go 12 hours without eating.

Eliminating the extra calories from nighttime snacking may be the most significant impact for many, but embracing 12 hour daily fasts aligns with two principles derived from human evolution - circadian rhythms and fasting physiology.
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The earth’s predictable, 24 hour, light/dark (diurnal) cycle has led evolution to develop circadian rhythms.

The light part of the cycle activates many genes while turning off others, preparing our body for what the day holds:
  • activity
  • exertion
  • movement
  • stress
  • eating
  • digestion

At night, the process reverses with the active daytime genes shutting down and others activating, setting our system up for the expected nighttime activities:
  • sleep
  • rest
  • recovery
  • memory formation and consolidation

Up to 40% of our genes are affected by the diurnal rhythm.  Light is the dominant trigger,  but the presence or absence of food also plays a key role.

Bottom Line:  our bodies expect food in the daytime and fasting in the evening - evolution has designed us this way.

Above and beyond the timing of eating, going without eating can trigger biological processes of repair and restoration collectively known as fasting physiology.

From an evolutionary perspective, the ability to survive periods of starvation makes sense.  Cells reprogram themselves during periods of fasting; recycling damaged intracellular proteins and organelles such as mitochondria. This process, called autophagy, provides energy and building blocks for cellular maintenance.  Suppression of autophagy is associated with oxidative stress, inflammation, ageing and cancer.

Research has demonstrated that intermittent fasting (IF) provides many benefits:
  • improve cardiovascular function - decrease blood pressure, reduced resting heart rate, increase parasympathetic tone
  • decreased oxidative stress
  • improve insulin sensitivity - lower blood sugars
  • reduce oxidative stress
  • reduce inflammation
  • reduce visceral fat
  • reduce body fat (while preserving lean muscle mass)
  • improve lipid profiles
  • improve cognition - increased neurotrophic factor production, improved synaptic plasticity, improve neuroendocrine response

Consistently going 12 hours without food will likely provide many of these benefits and provide you with the foundation for IF.

Before trying IF, we recommend that you follow the Eat Better Strategy principles for 4-6 weeks.


If you are taking medications - please check with your doctor and develop a plan before initiating intermittent fasting or time-restricted eating.

The EAT Better Strategy:
  1. Build your meals around a healthy protein package
  2. Load up on veggies, fruits, legume, and whole grains
  3. Balance your meals with healthy fats
  4. Avoid ultra-processed foods
  5. Only drink the calories you love - learn to love water
  6. Stop eating when you are 80% full
  7. Go 12 hours without eating
Putting It All Together

Need help applying this to your busy life?

Get a personalized nutrition plan to gain clarity and improve your health:
​

The  TARGET Nutrition Plan takes a personalized, evidence-based approach to help you make better choices.  Our nutritionists assess what you are currently doing and provide you with a personalized plan (including meal plans).  Everything you need to transform your diet.​
​​
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Stop eating when you are 80% full

12/28/2020

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The EAT Better Strategy:
  1. Build your meals around a healthy protein package
  2. Load up on veggies, fruits, legume, and whole grains
  3. Balance your meals with healthy fats
  4. Avoid ultra-processed foods
  5. Only drink the calories you love - learn to love water
  6. Stop eating when you are 80% full
  7. Go 12 hours without eating
Putting It All Together

Your body's ability to maintain weight over extended periods is truly a feat of nature.

At a high level, maintaining weight over the long run, energy expended must equal energy consumed.

For example, if you maintain your current body weight within two pounds, your body has matched your energy intake to your output with less than 1 % deviation.

This feat is achieved through a symphony of signals between your brain and gut, carefully balancing hunger and satiation, adjusting your resting metabolic rate up or down like a thermostat to maintain such a fine balance.
In your brain, the hypothalamus is the control centre for hunger and satiation, receiving nervous and hormonal signals to increase appetite or stop feeding.

This signal to stop eating is vital to prevent overeating.
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When we eat, nutrients in the food stimulate the release of multiple hormones, cholecystokinin, PYY, GLP-1, GIP, PP, from the cells lining our intestines. As the meal progresses, the circulating hormone levels increase until a "satiation threshold" is reached at the hypothalamus. Paired with this is direct information from the nerves in our distended stomachs and indirect signalling metabolites from bacteria in our gut - all these messages telling us we are full!

Our challenge is not that it is hard for us to know whether we have eaten enough; it just takes time. On average, it takes 20 minutes for these signals to cross the satiation threshold.

If we eat too fast, it is easy to overeat as we realize we are full, really full, too late.

The best strategy is what the Okinawans call "Hara Hachi Bu" - stop eating when you are 80% full.

More often than not, you will feel fully satiated as a few more minutes go by, and your satiation hormones have had their time to work.


A closely related strategy is simply slowing down and taking your time with your meal, breaking it into several small courses over 30 to 40 minutes like the French.

Either way, you will find it easier to prevent overeating and help your body perform the wonder of energy balance.

Need help applying this to your busy life?
Get a personalized nutrition plan to gain clarity and improve your health:
​

The  TARGET Nutrition Plan takes a personalized, evidence-based approach to help you make better choices.  Our nutritionists assess what you are currently doing and provide you with a personalized plan (including meal plans).  Everything you need to transform your diet.​

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Only drink the calories you love - learn to love water

12/22/2020

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The EAT Better Strategy:
  1. Build your meals around a healthy protein package
  2. Load up on veggies, fruits, legume, and whole grains
  3. Balance your meals with healthy fats
  4. Avoid ultra-processed foods
  5. Only drink the calories you love - learn to love water
  6. Stop eating when you are 80% full
  7. Go 12 hours without eating
Putting It All Together
​

Your body has a complex system to alert you to eat when hungry and stop you from consuming too much,

Drinking beverages with calories bypasses this control and leads to over-consumption, excess calories and energy overload.

In other words, drinking your calories makes it more likely you will get fat.
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Substituting water for calorie-laden drinks not only eliminates the extra calories, studies show Increasing your intake of water can contribute to weight loss via two mechanisms:
  1. Decreased feeding - replacing liquid calories with water leads to a decrease in overall caloric consumption.  Being fully hydrated leads to early satiation, that feeling of fullness that decreases your appetite.  Many people do not adequately distinguish between hunger and thirst and eat when thirsty.
  2. Increased fat burning - though not completely understood, many animal and human studies show that increased hydration can increase your metabolism by expanding cell volume, fat breakdown, and energy expenditure.
Of course, water does so much more - it is vital for virtually all body processes, including digestion, energy metabolism, blood pressure regulation, immunity, muscle and bone function. 

Getting enough water should be simple - drink when you are thirsty.  Many fail to heed their thirst and forget to drink, becoming chronically, mildly dehydrated and prone to weight gain.

So if you cannot remember to drink, let your urine be your guide.  Drink to maintain your pee at a light yellow colour.  Dark yellow and orange urine tells you your body needs more water.

How to get more water?  
Start your day with a glass of have and carry a water bottle with you all day and make drinking it a habit.


If water seems boring, try infusing your water by adding:
  • lemon
  • lime
  • grapefruit
  • orange
  • cucumber
  • ginger
  • mint
  • crushed berries
to a pitcher or even directly to your water bottle.

Missing the carbonation of pop, then carbonate your water before infusing it.  Carbonation, while lowering pH, has no detrimental effects, and if it gets you to drink more, it is worth the effort.

What about coffee and tea? 
It is a myth that the caffeine in coffee and tea dehydrates. The only thing you have to watch out for is what else is in your favourite drink.  Many of the beverages from Starbucks and other cafes are amongst the most calorie-laden, sugar-packed concoctions ever created.


Alcohol is a double whammy -  not only does alcohol itself have calories, but most drinks also are loaded with calories from fast carbs.

Bottom line - only drink what you love; learn to love water.

​
Need help applying this to your busy life?
Get a personalized nutrition plan to gain clarity and improve your health:
​

The  TARGET Nutrition Plan takes a personalized, evidence-based approach to help you make better choices.  Our nutritionists assess what you are currently doing and provide you with a personalized plan (including meal plans).  Everything you need to transform your diet.​
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    Dr. Brendan Byrne

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