Heart Care
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True Story: As a heart doctor, I have to practice what I preach
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In the medical field, ironically, it is easy to adopt an unhealthy diet by eating lunches brought to the office from local restaurants, snacking at desks or ducking into a doctor’s lounge to score a bagel or doughnut. Each meal or snack seemed harmless enough but I surely wasn’t burning off nearly the amount of calories I was consuming. After a while, I stopped checking my weight. I already knew what the scale would tell me. I knew at that point that I had to rediscover healthy habits, which meant paying more attention to my diet.
Many of my patients know I like to address the subject of weight management and body mass index (BMI) at office visits. The consequences of being overweight or obese are real and prevalent. Obesity is directly related to hypertension, hypercholesterolemia and the development of diabetes. Indirectly, excess weight is related to heart disease. This underscores the importance of controlling your weight. But that’s not to say that weight loss and weight maintenance aren’t challenging.
READ MORE: Heart smart: All about fats
Habits, both good and bad, are easy to fall into. When I took a new position several years ago, my focus was on my career and the challenges of a new work environment. Like many people, I used food to help manage my stress. This had predictable results. I was aware of what was happening but work and family took priority before my health. I made all the usual excuses but eventually realized that I needed to practice what I preached. My goal: lose 20 pounds. It was an arbitrary goal but it would get me back to my pre-wedding weight and bring my BMI under 25 and out of the overweight range.
So, how’d I do it?
My first big change was to break the habit of snacking on high-calorie foods. I brought bags of carrots, celery and snap peas to work for those times when my hunger was distracting. I kept the size of my meals in check as well. If I ate until I was full, I would often feel stuffed and tired 30 minutes later. Overall, I tried to limit my daily caloric intake to 1,500 calories or less. I won’t lie, I was frequently hungry. But there is nothing wrong with feeling hungry. That’s what fat burning feels like (thank you, Oprah!).
This was not a deprivation diet. I did not skip meals. Occasionally, I had chocolate, bacon, chicken wings and ice cream. But I ate them in moderation and not regularly. I did not adhere to any particular diet nor did I pay attention to the glycemic index, though I mostly avoided concentrated sweets. As a result, I lost 10 pounds in one month. I was halfway to my goal.
I added exercise to accelerate my weight loss and maintain muscle tone. Initially, I ran and occasionally I added weights. Usually my workouts lasted 30 minutes but never longer than 45 minutes, and I never worked out more than four days each week.
I dropped roughly 13 percent of my body weight in several months. I wanted to regain a certain level of fitness, and set an example for my kids and patients. My weight loss required consistency and dedication. I worked out, downloaded apps (check out My Fitness Pal), weighed myself regularly and drank a lot of water. My family’s encouragement kept me motivated.
A healthy diet is a major factor in reducing your risk for illnesses, one of them being heart disease. According to the American Heart Association, maintaining a healthy diet and lifestyle are your best weapons to fight cardiovascular disease. Take small steps, like I did. Start working towards prioritizing your health and remember that it’s your choices that ultimately count. It’s not only good for you, it’s good for your heart. You can do this!
Author
Salvatore Lauria, MD, is a cardiologist with Anne Arundel Medical Group (AAMG) Cardiology Specialists. To schedule an appointment, call 443-481-6700.
Originally published Feb. 25, 2019. Last updated Aug. 13, 2025.
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Men's Health, Weight Loss, Women's Health
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Nutrition myths: Hype or help?
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There is no shortage of surprising new health studies. But how do you know which are worth your attention? When it comes to nutrition, it’s easy to get caught up in the hype. Let’s look at which headlines to heed or ignore:
“Celery juice is the new diet.”
The latest internet sensation promotes celery juice as a weight loss and digestion remedy, attesting that it can even contribute to reducing inflammation and preventing cancer.
There is no evidence that celery juice helps with weight loss, especially with the juicing process stripping away the fiber and feeling of fullness. There is also no evidence it improves digestion. When it comes to cancer prevention, studies show that certain types of fruits and vegetables either protect against certain cancers or have components that protect against cancer. However, there is no specific research on celery juice and this benefit. The whole celery has a flavonoid, which shows some anticancer effects.
Bottom line: Eat the whole celery for its anti-inflammatory properties that promote the health of gut lining and may help regulate digestion. Like anything else, celery juice is not a cure-all and drinking it will not eliminate other unhealthy eating habits.
“Dark chocolate relieves stress.”
Two studies revealed that dark chocolate-influenced gene activity of participants, increased anti-inflammatory agents and increased infection-fighting cells. The studies also suggest chocolate could positively affect brain function. However, the studies never measured stress, inflammation, mood, memory or immunity.
Bottom line: Presently, a large clinical trial is testing a supplement with cocoa flavanols on heart disease, stroke and memory. Even if the results of the study show that cocoa can help, you would have to eat 600 calories worth of dark chocolate a day to receive the therapeutic dose and reap the benefits.
“Carbohydrates fuel cancer.”
This idea tends to resurface from time to time, hinting that sugar feeds cancer. There is evidence, in fact, that higher insulin levels occur because of high sugar intake along with extra weight around the waist. However, the current thought is that insulin itself can get a tumor started. Evidence shows that people with high insulin levels have a higher risk of breast and colorectal cancer.
Bottom line: Cut back on added sugar but do not count on that to prevent or halt the spread of cancer.
“Your liver needs cleansing.”
The liver is the workhorse organ for blood cleansing, blood cell making and bile production – it does not need your help. There is no validity to claims that we need to rid our livers of toxins.
Bottom line: Our organs cleanse our systems of unhealthy substrates without wasting your money on ever-changing potions.
“Beans and nightshade vegetables are toxic.”
It appears that lectin (a type of protein found in beans and nightshade vegetables that can bind to sugar) is the new gluten. Lectin foods are well tolerated by most people. They are not ‘anti-nutrients’ but, in fact, deliver a host of nutrients, fiber and health benefits.
Bottom line: Lectin foods are mostly denatured with cooking and we have antibodies that deal with them. While some people do not tolerate these foods, telling everyone to avoid them is irresponsible.
If you are looking for credible nutrition information, it can be hard to find in a sea of conflicting information. It can be frustrating and confusing.
Here are some red flags to look for: A story that appeals to your emotion — especially through fear — also twisted science, no science or only anecdotes. Keep in mind that good science evolves slowly. Pay close attention to how your body reacts to certain foods and diets, and do what works best for you.
Authors
Ann Caldwell and Maureen Shackelford are nutritionists and registered dietitians at Anne Arundel Medical Center. To reach them, call 443-481-5555.
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Men's Health, Wellness
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Men’s Health: Lifestyle Changes for Longevity
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Between work, family and personal priorities, a man’s health can sometimes take a back seat as the years go by. But it’s important to stay in charge of making smart lifestyle choices as you get older so you can achieve, preserve and truly enjoy a healthier quality of life.
Make Small Changes: They Add Up
The leading cause of death for men in the U.S. is heart disease, and about half of the men who died suddenly from coronary heart disease had no symptoms before it happened. The top heart disease risks, according to the Centers for Disease Control and Prevention (CDC), are medical and lifestyle factors such as:
Diabetes
Excessive alcohol use
Hypertension
Obesity
Physical inactivity
Unhealthy diet
These factors can also impact your risk for other health conditions like stroke, certain cancers and more. Fortunately, you can take steps to keep your body healthy with the everyday choices you make.
Eat those greens. Making the choice to fuel yourself mainly with wholesome foods, and avoiding sugar and salt, will affect how you feel and reduce your long-term health risks. On an everyday basis, try to fill half your plate with fruits and vegetables and switch up your sources of protein.
Keep it moving. Getting enough exercise is important. The CDC recommends for 20 minutes per day, but even small amounts of physical activity count, especially any activity you like that makes you sweat. Healthy habit shifts like taking the stairs, choosing to park at the bottom of the hill, or knocking out some pushups while you wait for the microwave might help you keep up an active mindset and lifestyle!
Watch what’s in your cup. Choosing water over soda is an easy way to cut down on excess sugar. If you drink alcohol, curbing your intake can have positive effects on a variety of health conditions. Make sure you keep tabs on exactly how much alcohol you consume on a weekly basis.
Get to Know Your Doc
It can be all too easy to avoid getting a checkup at the doctor’s office, especially if you’re feeling healthy. But some diseases don’t show symptoms at first. Seeing a healthcare provider regularly and making tune ups when needed can help you prevent or treat conditions before they get significantly worse.
Talk to your doctor about your blood pressure and cholesterol. Ask if there are any conditions you should be screened for, such as diabetes, or colon cancer if you’re over 50. It’s not always convenient, but taking these steps is within your control.
Take Care of Your Mental Health
Just like you check in with your doctor, don’t forget to check in with your mental health. Stress can affect your lifestyle choices and your body’s immune system. Men and women experience the same types of mental health conditions, but men may not show the same warning signs as women.
If you’re feeling differently lately, don’t ignore your symptoms. You can work to reduce your stress level or find good-for-you ways to manage your stress.
Time for a Change?
It’s never too late to take charge of your health. If you need to make swaps in your food options, move your body more or get rid of a habit that’s not helping you, every day is a new chance to start. What might be uncomfortable at first will soon feel more familiar. And keep it up—your health is worth it.
Author
David Press, MD, is associate chief medical officer at Luminis Health Doctors Community Medical Center.
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Senior Care, Women's Health
General Page Tier 3
Four Tips for Navigating a Healthy Menopause
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Brain fog. Mood changes. Night Sweats. Insomnia. Hot flashes. The reality is menopause is the biggest change women go through since adolescence, and you’ll likely experience some, if not all, of the symptoms.
But are there things you can do along the way to help you navigate it? In most cases, the answer is yes. Every woman’s menopause journey is different, but here are some tips that may help along the way.
Don’t Try to Predict When the Change Will Happen
I see a lot of women who are looking for ways to predict when menopause may start. Since stress is one of those triggers that makes menopause worse, it’s important to just let Mother Nature run her course.
There isn’t a correlation between how early or late you started your menstrual period and when menopause will start. And, you MAY follow in your mother’s footsteps on timing, but then again you might not. Checking your hormone levels doesn’t work either.
At the end of the day, your period is your best gauge. I tell my patients to check in with me once three periods are missed, although women are not considered to be officially in menopause until 12 consecutive months of missed periods. Your symptoms will become more pronounced the longer you’ve missed periods. Also, if your periods are persistently less than two weeks apart, touch base with your doctor.
Avoid the Things that May Make Hot Flashes Worse
Stress
Alcohol (especially wine)
Caffeine
Hot Drinks
Spicy Foods
Sugar
Remember, not all of these things may affect you. Pay attention to what you’re eating around the same time as you have episodes to see if there’s a pattern. For you, it may be something on this list or it might be some other food.
Know What Helps Lessen Hot Flashes or Their Inconvenience
Moderate to Vigorous Exercise (Four times a week)
Losing Weight
Dressing in Layers
Ice Water/Cool Drinks
Meditation/Deep Breaths
Fans
Know There Are Treatments Beyond Hormone Replacement Therapy
It’s hard to know when to seek out additional treatment and every woman is different, so my rule of thumb is if your symptoms are persistent enough to continually disrupt your life you should talk with your doctor. Three common treatments are:
Over-the-Counter Naturals (such as Estroven and IsoRel)—These mimic estrogen. You should give them at least three months to see effectiveness, and they generally have a 30 to 50 percent success rate.
Antidepressants (such as Effexor and Brisdelle)—These are non-hormonal options for women who have blood clots or have had or are at higher risk for breast cancer. Brisdelle was specifically created to treat menopausal symptoms. It’s a lower dose than what would be used for anxiety or depression. You should give them at least three months to see effectiveness, and they generally have a 30 to 50 percent success rate.
Hormone Replacement Therapy (HRT)—I recommend transdermal estrogen or oral natural progestin in the lowest amount that provides relief. HRT is individualized, and I recommend you talk to your doctor because it is not prescribed for everyone like it used to be.
No matter which method you try, look at things in six-month blocks. Are your symptoms better? Are you able to handle it better? If you’re still having moderate to severe symptoms that interfere with your life, check back in with your doctor.
For more information and events geared toward the health needs of women, please visit LivingHealthierTogether.org.
Author
Karen Hardart, MD, an OB-GYN at Anne Arundel Medical Center. She can be reached at 410-573-9530.
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News & Press Releases
General Page Tier 3
AAMC launches new advertising campaign
Blog
We’re launching a major advertising campaign that showcases our commitment to partnering with you to live healthier. The stars of our campaign? You! That’s right, we’re featuring local people just like you who have been AAMC patients, as well as their family and friends.
The ads highlight our network of dedicated healthcare providers who are here to help you take control of your health. Whether you’re looking for a fitness class or nutrition counseling, or someone to repair your heart or fight your cancer — we’ve got you covered from head to toe.
Look for our campaign (and see if you can find all five of our little known health facts) in local newspapers and magazines, on our Facebook and Twitter accounts, on county buses and on the radio.
1. People who own pets tend to have lower blood pressure.
According to the American Heart Association, research shows that owning a pet may be linked with lower cholesterol and blood pressure levels. Researchers haven’t determined the exact cause of this effect, but there are several likely explanations. Pets have also been shown to lower stress and obesity levels in their owners, both of which can affect blood pressure. Dog owners may have an advantage since their pets require frequent walks. In fact, in a study of about 5,000 adults, dog owners were more physically active than people who didn’t own a dog.
Take 48 stressed stockbrokers for example. As part of a study, these men and women all took medication to lower their blood pressure. Researchers then split them into two groups. Half of them adopted a dog or cat, the other half did nothing different. Months later, the study revealed that the group who adopted a pet were significantly calmer during stressful events compared to the other group.
2. Hugs have healing powers.
Those people wearing T-shirts or holding signs declaring “Free Hugs” might be on to something. Most of us know hugs can help us feel connected to other people, but did you know they can actually help prevent sickness? When we feel connected to others, especially through physical touch, we’re less prone to experience sickness caused by stress.
In one study of more than 400 adults, researchers found that the more often people hugged, the more their chances of getting sick decreased. Hugging may be an indicator of overall social support in a person’s life, which also promotes good health. In the same study, the adults who said they have a strong social support system had fewer cold symptoms than those who said their support system was lacking.
3. Happy people are less likely to get sick and usually live longer lives.
Positive emotions and good health often go together. That’s what researchers found when they studied more than 6,000 adults between age 25 and 74 for 20 years of their lives. Specifically, people with “a sense of enthusiasm, hopefulness and engagement in life” were more likely to avoid or better manage diseases like stroke, diabetes, depression and heart attack.
Another study revealed a link between happiness and life expectancy. Older adults who self-reported low levels of happiness died at almost twice the rate in the next five years compared to those who self-reported high happiness levels. Even after excluding factors like sickness, financial trouble and depression, those who were the happiest still had a 35 percent lower risk of death.
4. Laughing 15 minutes a day can burn up to 40 calories.
Burning a few calories doesn’t require going to the gym. Your body burns calories naturally all the time, but laughing creates a spike in caloric burn. Here’s how it works: When you laugh, your heart rate increases anywhere from 10 to 20 percent. A higher heart rate speeds up your metabolism, the bodily reactions that affect your weight.
Research at Vanderbilt University found that you can burn 10 to 40 calories by laughing for 10 to 15 minutes.
5. 20 minutes outside can have the same effect as a cup of coffee.
Next time you start reaching for another cup of Joe to ward off feelings of tiredness, try stepping outside instead. Studies suggest that nature can help us feel more energized and focused. In one study, 90 percent of participants reported higher energy levels when doing activities outdoors. But you don’t have to exercise outside to reap the benefits. Nature’s effect is strong enough that simply being outside can make you feel more energized.
Find more free health tips and tools at LivingHealthierTogether.org.
Our Sources:
https://archive.nytimes.com/well.blogs.nytimes.com/2013/05/09/heart-association-weighs-in-on-pets/?ref=oembed
http://www.heart.org/HEARTORG/HealthyLiving/Owning-a-Pet-May-Protect-You-from-Heart-Disease_UCM_453586_Article.jsp#.V7w_YvkrKUkhttp://www.ncbi.nlm.nih.gov/pubmed/22071630
http://www.scientificamerican.com/article/a-hug-a-day-keeps-the-doctor-away/
http://greatergood.berkeley.edu/article/item/does_happiness_really_help_you_live_longer
http://time.com/4217052/do-happy-people-really-live-longer/http://www.livestrong.com/article/308619-how-many-calories-do-you-burn-each-time-you-laugh/http://www.rochester.edu/news/show.php?id=3639
http://www.sciencedirect.com/science/article/pii/S0272494409000838
http://www.telegraph.co.uk/news/science/science-news/7803320/20-minutes-outdoors-as-good-as-cup-of-coffee.html
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