Late Night Binge: Habit or Hunger?

Late night snacking is one of the number one problems with America’s eating habits today. Cookies and milk after dinner, bowl of popcorn while watching your Wednesday night sitcoms, a handful of M&M’s from the dining room candy bowl. It all adds up, and increases blood sugar before bedtime, which in turn will cause you to store body fat as your sleep.

Now are you eating due to hunger or habit? Majority of poor eating requires behavior modification, not just a “diet plan”. So let’s talk about a few things that can be done in order to prevent that late night binge.

Step outside for some air

When you head to the kitchen for that late night snack, step outside for some air, take the dog for a walk around the block one or two times before you choose something to eat. A combination of the fresh air, time to think, and endorphin production might change your mind about that sleeve of Oreos.

Change the type of snack

It’s not necessarily the time that you are eating the food, but how the food is broken down in the body and how your body reacts. Carbohydrates break down as sugar in the body. Insulin kicks in to bring the blood sugar down. Insulin will remain high as you sleep due to your sugary treat, and insulin tells the body to store body fat. If you spike your insulin before bed, you will essentially be storing fat while you sleep. So choose a snack that is low in sugar, contains a sufficient amount of protein (>10g), and has a good source of fats. The fat and protein sources will satiate you without increasing insulin production. Walnuts are a great choice!

Eliminate mindless eating

Walnuts would be a great evening snack to munch on to cure that late night craving, but did you know a serving size is only a quarter of a cup? A person could easily eat over a full cup of walnuts if they are paying attention to the television rather than how big their handfuls are, and a cup of walnuts has over 800 calories in it. This could be half the necessary calories in someone’s daily diet! Don’t keep snack containers and bags next to the couch in order to prevent overeating mindlessly. Make sure to measure out a serving size of your snack in the kitchen and only make one trip.

Make sure not to skip meals during the day

Whether you feel hunger or not throughout the work day, your body requires fuel in order to function properly. If the body is not supplied with enough energy to work efficiently, you will in turn crave high caloric foods later in the evening, your body’s feedback mechanism to make up for what it lost. Set alarms on your phone to remind yourself to eat so you can prevent the late night binge. Don’t let the day get away from you!

Avoid sugary foods

Did you know sugar is highly addictive? The same sensors in the brain are signaled when eating your chocolate ice cream that would be affected if you were to inject illicit drugs into your system. Once the brain is signaled, the body will crave more, and even withdraw from the sugar when you look to eliminate it. Remind yourself of this before choosing a sugary treat!

Healthy weight loss or maintenance is not putting yourself on a diet. It’s behavior modification and making healthy lifestyle habits for a long and healthy future!


 From Maze Men’s Health

Kristie brings her expertise as an Exercise Physiologist to Maze, focusing on helping patients improve health behaviors in order to assist in the therapy of male sexual dysfunction and improvement of endothelial function. She takes both a lifestyle and behavioral approach to creating wellness goals for patients in order to benefit their treatment outcome.


Super Bowl Survival Guide

The big game is almost here and with that comes a lot of temptation. There goes your diet and all of your hard work, right? WRONG! Research suggests that the average American ingests upwards of 2,400 calories on game day! That’s insane! There are PLENTY of guilt-free ways to still enjoy yourself. After all, it’s unrealistic to think you will never see…or eat…fattening foods ever again. There will be many parties and events throughout the year that could break your new healthy lifestyle…if you let them. If I’ve learned anything over the course of a lifetime filled with yo-yo dieting, it’s that deprivation is the quickest way to fail. Here are some tips to help get you through any party:

Moderation is Key: There is nothing wrong with tasting a little bit of each of your favorite foods. You can have a little bit of everything without totally destroying your diet. Just don’t overdo it. Remember what you’re working towards and what your end goal is. Keeping that goal in mind will help with your self-control and allow you to “taste everything, eat nothing.”

Bring Healthy Snacks: If you know you will absolutely not be able to control your portions, pack some healthy snacks for yourself or make a healthy dish to share. Your friends and family will welcome a light, healthy contribution amidst all of the heavy, greasy foods on the table. You can make turkey chili as a lighter substitute for the regular version or create a healthy dip. Some healthier dips include hummus, guacamole, or spinach artichoke dip (made with Greek yogurt instead of sour cream.)

Avoid Sugary Drinks: Chances are you will be packing in plenty of calories with all of the delicious food so you should steer of the extra sugar and calories that most soda and alcoholic drinks bring. Try to stick with water and seltzer for most of the game. If you are going to have alcohol, I suggest one of the many SkinnyGirl cocktails or a light beer. Generally these drinks will pack in only 100 calories per glass/bottle so as long as you drink responsibly, it won’t be a diet disaster.

Don’t Beat Yourself Up: If these tips don’t work and you do end up pigging out, RELAX. It’s only one day. Ignore the “food noise” in your head.  You should be able live your life without worrying about every bite you take.  If you do overdo it on Super Bowl Sunday, make it your business to get right back on track! Hit the gym HARD on Monday and get back to your normal healthy eating. One day of bad eating won’t undo all of your hard work—as long as you keep your end goal in mind.


By Gina Stallone

Post Concussion Syndrome

Post Concussion Syndrome

Post Concussion SyndromeConcussion is a traumatic brain injury (TBI) from an impact to the head or injury to the body that shakes the brain. Neurons, or nerve cells, living in the brain can be damaged causing inflammation and a disruption in brain function. Symptoms often resolve but sometimes can linger and become what is known as Post Concussion (or Concussive) Syndrome (PCS).

This condition can be debilitating, altering normal daily activities and significantly reducing quality of life. Often people suffering from PCS feel like they are not themselves anymore. Symptoms can begin within the first seven to ten days after injury and often resolve within three months. They can be stubborn, though, and last well over a year. These symptoms can include:

  • Headaches
  • Fatigue
  • Personality changes or irritability
  • Anxiety
  • Changes in sleep patterns or Insomnia
  • Loss of concentration an memory
  • Sensitivity to noise and light

In many cases, patients are told to simply “wait it out” and that there is not much that can be done. Conventional treatment usually consists of pharmaceutical medication to alleviate symptoms, but these treatments have side effects and often don’t address the source of the problem. Cognitive therapy can be helpful in cases involving personality, concentration and memory changes.

According to the Mayo Clinic, most headaches associated with PCS are actually tension headaches that result from neck injury that occurred along with the head trauma. This can be due to connective tissue/fascial tension, muscle tension and/or trigger points, joint dysfunction, nerve irritation in the neck and head.

A blow to the head will directly affect the cervical spine (neck), thoracic spine (upper back), TMJ, and shoulders. These regions must be evaluated and addressed as a whole functional unit instead of individual parts each doing their own thing.

In the event of a head trauma, always obtain a medical evaluation to rule out severe or dangerous conditions. These are rare, but important to be aware of and to address immediately. It is also important to note that if playing a sport and a concussion is sustained, the athlete should NOT return to play until properly cleared by a physician. The brain is very sensitive during this time and is vulnerable to more serious injury or damage.

The majority of cases that are not life-threatening nor require invasive interventions respond very well to natural therapies. The combination of treatments we’ve found to be extremely effective in treating stubborn cases of PCS is as follows:

  • Acupuncture influences the brain and can help to regulate function post injury. It has a very calming effect and has been shown to be effective in treating headaches associated with TBI.
  • Manual soft tissue techniques such as Fascial Manipulation and Active Release Techniques can help to release tension in the fascial and muscles of the head and neck. Most people typically do not consider the soft tissues of the head and face, but our skull is covered in fascia and muscle. These tissues can certainly hold a lot of tension which can cause local and radiating pain. These tension points must be released in order to resolve the condition.
  • Chiropractic manipulation can help to mobilize the joints in the cervical spine and normalize the mechanics allowing for better movement and function.
  • Nutritional supplementation to resolve inflammation and support brain and connective tissue function. Common supplements that are often helpful are magnesium, curcumin, essential fatty acids from fish oil and resveratrol. Always consult with your physician and a professional trained in the use of supplements before beginning any supplementation program to be sure it is safe and appropriate for you. It is also important to note to not take fish oil supplements if taking anticoagulant medication especially in the event of a brain injury.

If you have had a concussion or head trauma and are experiencing symptoms, seek the guidance of a professional who can properly diagnose and help you. Ask about these natural, safe options that are available and take back your life.


Jonas W.B., et al. A Randomized Exploratory Study to Evaluate Two Acupuncture Methods for the Treatment of Headaches Associated with Traumatic Brain Injury. Medical Acupuncture 2016, 28 (3)

Stecco A., Gessi M., Stecco C., Stern R. Fascial components of the myofascial pain syndrome. Current Pain and Headache Reports. 2013 17 (8)

Espi-Lopez G.V., Rodriguez-Blanco C., Oliva-Pascual-Blanca A., Molina-Martinez F., Falla D., Do manual therapy techniques have a positive effect on quality of life in people with tension-type headache? A randomized controlled trial. European Journal of Physical and Rehabilitation Medicine 2016, 52 (4)

Sen A.P., Gulati A., Use of Magnesium in traumatic brain injury. Neurotherapeutics 2010, 7 (1)

Lei E.,Vacy K., Boon W.C., Fatty acids and their therapeutic potential in neurological disorders. Neurochemistry International 2016 May; 95

Yuan J., et al. Curcumin attenuates blood-brain barrier disruption after subarachnoid hemorrhage in mice. Journal of Surgical Research 2017 Jan; 207

Feng Y., et al. Resveratrol attenuates neuronal autophagy and inflammatory injury by inhibiting the TLR4/NF -kB signaling pathway in experimental traumatic brain injury. International Journal of Molecular Medicine 2016 Apr; 37(4)

Dr. Robert Inesta

Fish Oil

Keep Taking that Fish Oil

Omega-3 fatty acids have been recommended for their heart health benefits, and professionals in the health field have long been suggesting increasing omega-3’s in our diets.  These healthy fats are found in fatty fish, and experts recommend 2 servings per week to obtain the benefits.  Fish oil supplements have become increasing popular, especially since many people do not eat fish and because of the issues with mercury in our diets. However, some recent research has cast some doubts on whether the supplements have the same beneficial effects as the natural sources. A new study published in Mayo Clinic Proceedings reviewed 34 different studies on EPA and DHA Omega-3s and found that they do indeed lower the risk of heart disease. So keep taking those fish oil pills – your heart will thank you for it!

Apple Cider Vinegar

Apple Cider Vinegar

What is apple cider vinegar and where is it found?

Apple cider vinegar is crushed apples that have been fermented. It is found in bottles in your local grocery store.

.What are the benefits?

Apple cider vinegar can be used both orally and topically. Orally, it is used to treat diabetes and gastroparesis. Some take it for weight loss, dyspepsia, hypertension, osteoarthritis, osteoporosis, and to delay the aging process. Topically, it is used as a skin toner, acne treatment, for sunburn relief, and to treat insect bites.

Are there interactions with food or medications?

Before taking apple cider vinegar, consult a physician if you taking other blood glucose lowering drugs. Care should also be taken while on diuretics

Are there side effects?

None reported.

Winterize your body

Winterize Your Body

Rick Weinstein, MD, MBA

Cold weather and icy conditions are not only a risk factor for your car in the winter but also for your body. Just as you need to warm up your car before you drive in the winter you need to do the same for yourself if you will be pursuing outdoor activities in the colder months. Before you exercise you need to increase circulation to your muscles and get your heart pumping. I advise my patients to do a light jog or jump on an exercise bike for 5 minutes indoors before going outside to exercise. Once you are warmed up, a good stretch will help prevent injuries. For skiers and snowboarders it is very important to stretch calf muscles, hamstrings and quads.

To stretch calf muscles, do the runner’s stretch. Bring one leg 2 feet behind the other and keeping your back knee straight, lean against a wall. To stretch your hamstrings, sit on the floor in a V and reach for your toes one leg at a time. And finally stretch your quads, lie on your stomach and bring your foot your butt pulling using the arm on the same side. Do each stretch for each leg for 20 seconds and repeat 3 times. If something else feels tight when warming up, stretch that out as well.

In the winter, you may put snow tires on your car for optimal driving. This is also a good idea for yourself. You should wear the appropriate clothing for the winter. Typically you will start out your winter work out feeling very cold, but over time you will start to sweat and even fell warm. Being able to loosen clothing such as unzipping a jacket or opening vents will help you from getting too hot. Layers are important and being able to loosen or remove these layers is key. You lose a lot of body heat through your head (especially children), so I recommend starting with a hat but overtime you may want to remove this. Of course if you ski, always wear your helmet.

Even though you are feeling cool during the winter work outs, hydration can still be an issue. Try to drink enough water before you work out and keep drinking while you are exercising. If you will be exercising for less than an hour, you only need to drink water. If you are going for more than an hour, you will need to replace the electrolytes you are sweating out. Drinks such as Gatorade can replace the lost electrolytes as well as lost water.

If something is hurting, don’t make the mistake of pushing through it. If it continues to hurt or you have a real injury, call your local orthopedic sports medicine specialist’s office number. Keep that doctor’s number on your cell and don’t hesitate to call and get checked. My office is very busy Monday mornings from the weekend injuries, but I always get my patients in to see me the same day for urgent injuries. Try and prevent injuries before they happen, but if you need to be seen see a local specialist ASAP.

healthy food

Why Diets Fail

By Gina Stallone and Miguel Villafane

“Diets don’t fail – people do.” This old adage couldn’t be more true. We have become very accustomed to having everything at our finger tips and having everything right away. However, when it comes to creating a healthier lifestyle, it takes time to figure out your individual needs and determine what will work best for YOU in the long run.

There is an abundance of misleading information on the internet. People want a quick fix so they will believe pretty much anything they read as long as it comes from a person who looks the part. Unfortunately, those people may not be a credible source. There is no quick fix. It took you many years to form these unhealthy habits…and in some cases it’s been an entire lifetime. Therefore, it’s important to understand that it will likely take time to develop long-lasting healthy habits.

The word diet itself tends to have negative connotations but it shouldn’t. People often equate the word “diet” with starvation or deprivation when, in fact, that couldn’t be further from the truth. The word diet refers to what you eat daily. This consists of your macronutrients (protein, carbs, fats) as well as micronutrients (vitamins & minerals). The quickest way to fail is to eliminate things you love. You will end up eating those things again at some point…only instead of a normal portion it will be a binge-fest. Don’t deprive yourself! Figure out ways to create healthier alternatives of your favorite foods. This will allow you to still eat the things you love…without realizing that it’s good for you!

You can go through a series of tests to determine what nutrients your body lacks and go from there or you can just start off simple. The average person wants to just lose a few pounds and/or get healthier…maybe feel better or more confident.  Make small changes. This can be as simple as switching from white rice to brown. Start incorporating complex carbs over simple and aim to have a higher protein count above all. Meal prep to avoid the common excuse “I had no time” – we all have time for what we want. If you want to be healthier or lose weight, make the time even if it’s when the kids go to bed or during a nightly program. It could even mean preparing a little extra during your nightly dinner preparation. Little steps will equal big success in the long run and will help create healthy habits that last a lifetime.

Take some time to determine your motivation for this diet. Once you figure that out, you will see how easy it is to stick to it! That motivation will help keep you going if a slip-up happens or if you find yourself becoming discouraged. Surround yourself with supportive people. Having a genuine system around you will not only keep you accountable but help you reach your goals. The whole process can seem very intimidating but if you make it work for YOU and understand that NO diet is perfect just like no person is, things will seem a lot less scary.

Cell Phones

More Time on Smartphone, More Likely to be Obese

According to the Journal of Pediatrics, a new study found that adolescents who spend more time on their tablets and smart phones were most likely to become obese. This is due to the fact that teens who use their devices 5 or more hours a day are two times as  likely to have decreased physical activity and an increased consumption of sugary beverages. Smartphones and tablets are taking on the same role as excessive television watching. None of this is a surprise, since using our tablets and phones increases sedentary behavior and gives us  the opportunity to snack more. As our society becomes more dependent on computers and devices, it is harder and harder to eliminate them from our lifestyles. It is more important than ever to make sure our children get outside and exercise, and to limit the use of electronics!




Westchester Personal Training

Why Personal Training Works

People today often consider using a personal trainer a luxury rather than a necessity. In today’s economy, we have many choices about where to use our expendable income, and many people feel that paying a trainer is not worth the expense. However, when you take into account the millions of dollars wasted on diet pills, quick fixes, and unused gym memberships every year, personal training seems like a bargain! Fifty percent of gym members stop going to the gym after three months. None of these people got any results! Statistically, when people work out on their own, only 3 out of 10 see results. On the other hand, 9 out of 10 people see results when working with a trainer.

The benefits of hiring a personal trainer far outweigh the costs. First and foremost, trainers accurately evaluate your current level of fitness and prescribe exercises and routines appropriate to your fitness level. This avoids unnecessary strains and injuries and ensures you reach your goals more efficiently. This is especially important for individuals with pre-existing medical conditions and injuries. You certainly deserve to feel better and not worse after a workout!

Trainers also provide a very good orientation to working out, especially if you are a beginner. Many people aren’t sure what they should be doing in the gym and don’t know what exercises or weights they should use. There is “no one size fits all” exercise program because people have different goals, strengths, and weaknesses. Personal trainers can individually design programs so that you see quicker results and are more productive with your time. They also teach proper form and technique; doing exercises wrong increases the risk of injury. In addition, trainers add variety to workouts to focus on different muscle groups and make the workout interesting so you don’t get bored.

Athletes and those training for events can also benefit from the expertise of trainers. Personal trainers can tailor programs to ensure you are strengthening the correct muscles, keeping the best range of motion, and avoiding injury. They can help you reach your optimal level of fitness so you are better prepared for your sport.

Personal trainers are also very motivating. In our busy society, it is difficult to find the time to exercise or to push ourselves to get to the next fitness level on our own. Trainers know when to push you and when to back off. Also, people feel accountable to their trainers and having an appointment ensures they don’t skip the gym.

Lastly, trainers are results-oriented. They keep track of your progress and make changes to routines to help better achieve your weight and fitness goals. If you are going to invest in going to the gym, why not do it right? With personal training, your chances of looking and feeling your best become more of a reality than a dream.

By: Denise Groothuis


3 Uplifting Activities for Bad Mental Health Days

When you have a mental illness, you know there are good days and bad days. Your good days may allow you to forget about your illness while your bad days often feel like you’ll never enjoy your favorite activities again. It’s very difficult to overcome a bad mental health day and sometimes, you just have to accept it and look forward to the next day. However, there are some ways you can potentially battle those bad days. Here are a few activities that can uplift mood and fight your bad days.

Clean Up

When you have a bad day, it is very tempting to lie in bed all day and do nothing. However, this can actually make you feel worse about yourself and your condition. While it may not be feasible to clean your entire house, there are a few things you should do to feel better about yourself.

First of all, take care of yourself. Take a nice, long shower or bath and put clean clothes on. You can even simply don a fresh pair of pajamas. Feeling fresh and clean will offer a small mental health boost as well as shield your self-esteem from the effects of a bad mental health day.

Next, you should focus on your living space. You don’t have to get your room or home spotlessly clean but picking up your area does wonders for your mind. Even if you are only up for clearing clothes off the floor or wiping a dust bookshelf, you can feel secure in that you have accomplished something beneficial.

Eat Healthy Foods

Consuming an unreasonable amount of unhealthy comfort food is another impulse many people get on their bad days. Some will also lose their appetite and do without eating. It is crucial that you eat well not only for your physical health but also for your mental well-being.

Studies have shown that comfort foods are not actually what make you feel better but rather the act of eating. Sure, a pint of ice cream sounds better than a lettuce wrap, but a healthy choice will supply your body with essential vitamins and minerals that will give your energy levels a boost and fuel your body and mind with the nutrients they need for optimal performance.

Self-esteem can easily take a hit if you feel guilty about eating poorly or if you simply do not eat on your bad days. If you struggle with motivation to cook on these days, you might want to consider freezing healthy leftovers to defrost.

Do a Little Exercise

Exercising is one of the best ways to boost mood and feel better. However, convincing yourself to exercise on a bad mental health day can seem impossible. The best way to navigate this issue is to find an alternative form of exercising that is enjoyable to you.

Trying to force yourself to go to the gym might do more harm than good while turning on your favorite show and utilizing a TV workout can actually be fun. Even if you can only contemplate a short walk around the block, you are still helping yourself feel better.

Coping with bad mental health days can be difficult and sometimes, the bad day wins. It’s okay to have bad days every once in awhile, but that doesn’t mean you shouldn’t try to turn down days into uplifting ones.

A few simple activities might not completely erase a bad day, but they can certainly help. Try changing your clothes, picking up your clothes and other items off the floor, or going on a little stroll around the neighborhood. You might be surprised by the big effect seemingly small actions can have on your mood and energy level.

Article by:
Jane Moore