The Hemp Connection [Search results for migraines

  • Revisiting chia

    Revisiting chia

    I was asked to clarify some comments I recently made about chia, as they were questioned for their accuracy. I'm all for revisiting and making sure my information is accurate, so here is my response.

    First of all, while the information on this blog should be helpful to anyone regardless of whether or not they have PCOS, it IS targeted toward women who have this hormone imbalance. So some of the information I provide is more geared toward their specific nutritional needs and not the apparently healthy population. This should always be kept in mind when reading what I write.

    One of the questions about my post was that I stated that taurine is an essential amino acid. There is actually some debate about this. Some experts say no, we can synthesize it. Others call it a conditional amino acid, meaning in some situations it may be essential.

    Women with PCOS seem to have something going on in their brain and nervous systems that interferes with everything from mood and appetite regulation to speech and language function. (Simply read the responses to my question last week about the symptoms I listed and you will see what I mean.) Much of the dietary protocol we have developed is actually derived from epilepsy research at Johns Hopkins University, with the premise that calming nervous system excitability makes it easier for the brain and nervous system to function as they should when not under duress. Taurine is an amino acid showing promise as an anti-seizure compound, which makes me wonder whether or not a hyperexcitable brain blows through available taurine much more quickly than a brain that does not have to live under these conditions.

    That being said, I am more comfortable with the premise that for the population for whom this blog is written, as well as anyone living with any kind of condition that places stress on the brain (migraines, epilepsy, OCD, anxiety disorder, bipolar disorder, PTSD, schizophrenia, etc.), taurine may actually be an essential amino acid. Research to support my claim still needs to be done, but I am more comfortable being conservative on this one, especially given the responses to last week's questionnaire and the severity of some of the diagnoses I just listed. Better to be safe than sorry.

    Secondly, even if the amino acid profile of chia is complete, the total protein content of chia is relatively low. So if we're advocating for a 30% protein diet in a woman who is being advised to consume 1500 calories a day, she is going to need to consume about 113 grams of protein. That translates into your needing, at this protein level, to consume 700 grams of chia per day, just to get your protein needs. That is also 3,430 calories' worth of chia, more than twice your daily calorie needs. And while its amino acid profile is nearly complete, its nutritional profile is not. It contains no vitamin A, vitamin C, vitamin D, vitamin K, thiamine, riboflavin, niacin, vitamin B6, folate, or iron, to name a few.

    From an omega-3 standpoint, I did invert the numbers. There is no consistent order by which omega-6 and omega-3 ratios are reported, and though I usually check to be sure I did not flip them, I did not this time. I do apologize for that.

    According to http://www.nutritiondata.com/, chia seed contains an omega-6 to omega-3 ratio of 3.03, which is actually quite good.

    The caveat is that the omega-3 this food contains is alpha-linolenic acid (ALA), not EPA or DHA. Most omega-3 experts will contend that in the most perfect of conditions conversion of ALA to DHA is at best 5%. Again, the women this blog serves seem to need a much higher level of DHA than average for a variety of reasons. We find that they seem to do best on 1000 mg DHA daily, the level recommended by Dr. Artemis Simopolous for treating depression. Calculated out, if you are depending on chia seed to get all of your omega-3 fatty acids, from ALA through EPA and DHA, you're going to need to consume about 115 grams of chia seeds per day. Just be forewarned.

    Bottom line, I actually think chia is a healthy food--as part of a varied diet. I especially think that for vegans reading this blog it can be a great addition to your diet. However, I do not believe in superfoods. There seems to be a trend toward wanting to find one perfect food that has it all. I have yet to find it. It's understandable when we're surrounded by a lot of confusing information and we live in a culture where over 10,000 new products hit the grocery shelves each year (I saw half of them in Anaheim last month and it was overwhelming!) that we'd want to have just a few foods and a small nutritional comfort zone. Unfortunately that is not really how human nutrition works.

    This is an especially important philosophy to stick to on this blog, given the fact that we're learning that a very high percentage of the women we're helping have some kind of history of"veganism gone wrong"…in other words, overzealous veganism with a focus on eliminating foods rather than on learning how to eat to be nutritionally complete with no animal products on the menu. We discourage fanaticism and encourage food curiosity and variety!

    We were designed to be omnivores and to eat a variety of foods from a variety of sources. I encourage you, rather than arguing for why you should narrow your choices down to feel more comfortable around food, to learn to negotiate a wider variety of foods you are willing to include in your diet.

    Gaby AR. Natural approaches to epilepsy. Altern Med Rev. 2007 Mar;12(1):9-24.

  • Mother Nature's way to increase your myoinositol levels

    Mother Nature's way to increase your myoinositol levels

    I've been writing this blog long enough to know that as soon as I recommend a supplement, the post is circulated, reposted, retweeted, ad nauseum. If I talk about changing food choices, it sits there like a bump on a log.

    I posted the information about myoinositol supplementation because I knew that many of you are having such a hard time with the side effects of metformin, that it might be helpful to try this compound as an adjunct.

    In the process of researching the topic, however, I came to understand that part of the reason many of you have a problem with your myoinositol levels in the first place…is that your dietary choices may have backed you into a corner.

    Myoinositol isn't new news, really. Back in 1980 a physician and a dietitian wrote a very nice review article and developed some recommendations for increasing dietary inositol that I'm going to summarize here. In a nutshell, it's a dietary intermediate that is found in high quantities in nerve cells. If your nerves are working harder than they were designed to, as is the case when you don't manage your stress, don't attend to good sleep hygiene, overexercise, and eat a poorly varied diet, there is a really good chance you're going to deplete your myoinositol levels more quickly than you can replete them. That is a consequence for ANYONE not taking good care of themselves, it's not a unique feature of PCOS.

    For anyone struggling with medical issues related to hyperexcitable brains, including migraines, epilepsy, anxiety disorder, OCD, PTSD, bipolar disorder, etc., it's highly possible that your daily myoinositol needs are simply higher than average. Everything you see us write about on this blog, from omega-3's to antioxidants, is designed to reduce that hyperexcitability and make it easier for your brain to function as it should. It certainly is not going to hurt to take a supplement, and if you've been asking your brain to run on nutritional empty for a long time, or if you've been working hard to turn your PCOS around with good habits and just don't seem to be getting over the hump with it, supplementing may be a great tool to add to your already good habits.

    There is some thought that people with insulin function problems may have alterations in myoinositol function, which could also increase the daily needed dose.

    I must iterate, however, that a myoinositol supplement is NOT a substitute for a healthy diet. There is no such thing as a donut for breakfast, a Snickers for lunch, and a binge for dinner…cancelled out by a few pills in a bottle. So my guess is that those of you who are making good changes diet and stress management-wise in conjunction with the supplement are the most likely to achieve the benefit of the supplement. That is just how biochemistry works!

    The study I recently quoted (focusing on neuropathy, not ovulation) used a myoinositol dose of 4 grams. The study I quote today found an effective response from a highest dose of 1,500 mg. It doesn't mean that these are the doses recommended for each particular diagnosis, or type of inositol, pill or food…it simply means those are the doses the reseachers decided to study.

    However, since that is the dose reported in the ovulation study, and more of you reading this are interested in conception than nerve pain, I'll post the values of the highest myoinositol containing foods and let you figure out what your best food/supplement combination is to achieve that dose (4000 mg or 4 g daily).

    I'm going to tell you, what I was thinking as I compiled this list was that if you're only concentrating on carb/protein/fat content, you're cutting out all your myoinositol sources. It looks like Mother Nature makes sure that when we eat carbohydrate as it appears in nature, that it comes packaged with a nutrient important for metabolizing it. It's when we refine that sugar and eat it out of context, as with sodas, candy, baked goods, etc…that we dig a hole for our nervous systems.

    We just can't outsmart her, can we?

    The complete list can be found at this link.

    Myoinositol Containing Foods with more than 100 mg/serving
    1/2 cup grapefruit juice 456 1/2 cup canned great northern beans 440 1/4 fresh cantelope 355 1 fresh orange 307 1 slice stone ground wheat bread 288 1/2 cup rutabaga 252 1/2 cup kidney beans 249 1/2 cup orange juice 245 1/2 cup canned oranges 240 1/2 cup canned peas 235 1/2 fresh grapefruit 199 1 fresh lime 194 1/2 cup canned blackberries 173 1/2 cup mandarin oranges 149 1/2 cup canned lima beans 146 1/2 cup kiwi fruit 136 1 cup split peas 128 2 T. creamy peanut butter 122 1 fresh nectarine 118 1/2 cup canned black-eyed peas 117 1/2 cup grapefruit sections, canned 117
    Rex S. Clements, Jr., M.D. and Betty Darnell, M.S., RD. Myo-inositol content of common foods:
    development of a high-myo-inositol diet. Am J Clin Nutr September 1980 vol. 33 no. 9, 1954-1967.

  • To effectively work with PCOS is to understand a woman's health issues throughout her life

    To effectively work with PCOS is to understand a woman's health issues throughout her life

    This post is part of the Women's Health Blogfest. Please click on the links below to read more from other contributors! And thanks to everyone who took the time to participate!

    In the almost 10 years I have been studying PCOS, I've learned much about what drives a woman's motivation to seek out information. The top reasons women find this blog are:

    1. to improve their fertility,
    2. to more effectively manage their weight, and
    3. to feel and look better

    As I've read and met women with the syndrome, I've learned that PCOS is about a whole lot more.

    1. A woman's breastfeeding practices seem to significantly influence her child's hormonal health. Many women I've worked with were formula fed at a time when baby formula did not contain essential nutrients.
    2. Whether or not you as a woman with PCOS were born to term, and potentially whether or not you were part of a multiple birth, seem to be red flags for PCOS risk later in life.
    3. Just because you're a teenager, too young to want to conceive, or a woman who has already had her children, doesn't mean PCOS isn't something to be concerned about. It can mess with your mood, and in turn your energy level and relationships. It can provoke eating disorders. It can elevate your cholesterol. And…through its link to diabetes, it may increase your risk for Alzheimer's disease.

    A blog attempting to tackle a syndrome with such widespread effects is not easy to manage. I've been working since we've started to find experts in areas outside of nutrition to complement what I as a dietitian can discuss and promote. I'm really excited to be partnering with lactation consultants to address breastfeeding issues specific to PCOS, and to have Gretchen Kubacky, PsyD, on board, to help us understand what PCOS can do to thinking, mood, and energy. We have one dietitian, Karen Siegel, who is also an acupuncturist, and another acupuncturist will soon be contributing her insight as well.

    For the very first time, we are collaborating with Green Mountain at Fox Run in Ludlow, Vermont, to offer PCOS Program weeks this coming September! It's been a dream of mine to see this kind of program and there is no better place where it could be launched. Green Mountain is also participating in this blogfest, if you'd like to learn even more, be sure to read their contribution.

    We don't just care about your ovaries. We care about all of you, from birth through retirement, and we hope that as we grow and diversify, the expert opinions you will see expressed here on this blog will address the many important ways we can keep our hormones working positively for us.

    Thanks for stopping by our contribution to the Women's Health blogfest. If you enjoyed us, you can follow us with the signups you see here on the blog, through our Facebook inCYST group, or through Twitter, via @incyst.

    For more information on women's health:

    Angela White at Blisstree’s Breastfeeding 1-2-3 – Helpful Skills of Breastfeeding Counselors
    Angie Tillman, RD, LDN, CDE – You Are Beautiful Today
    Anthony J. Sepe – Women's Health and Migraines
    Ashley Colpaart – Women's health through women
    Charisse McElwaine – Spending too much time on the"throne?
    Danielle Omar – Yoga, Mindful Eating and Food Confidence
    Diane Preves M.S.,R.D – Balance for Health
    Joan Sather A Woman's Healthy Choices Affect More Than Herself
    Laura Wittke – Fibro Study Recruits Participants
    Liz Marr, MS, RD – Reflecting on Family Food Ways and Women's Work
    Marjorie Geiser, MBA, RD, NSCA-CPT – Healthy Women, Healthy Business: How Your Health Impacts a Powerful Business
    Marsha Hudnall – Breakfast Protein Helps Light Eaters Feel Full
    Michelle Loy, MPH, MS, RD – A Nutritionista’s Super Foods for Super Skin
    Motherwear Breastfeeding Blog – How breastfeeding helps you, too
    Rebecca Scritchfield, MA, RD, LD – Four Keys to Wellness, Just for Women
    Renata Mangrum, MPH, RD – The busy busy woman
    Robin Plotkin, RD, LD – Feeding the Appetites of the Culinary, Epicurious and Nutrition Worlds-One Bite at a Time
    Sharon Salomon, MS, RD – Calories, longevity and do I care
    Terri L Mozingo, RD, CDN & D. Milton Stokes, MPH, RD, CDN of One Source Nutrition, LLC – Crossing the Line: From Health to Hurt
    Wendy Jo Peterson, RD – Watch Your Garden Grow

  • Food of the week: Jicama

    Food of the week: Jicama

    Are you someone who has a need for"crunch" in your diet, and who goes looking for it after you've eaten all the healthy foods? There may be some reasons for that.

    We all have a nerve, the trigeminal nerve, that connects to the jaw joint. When that nerve is stimulated by jaw movement, it releases serotonin. So…whenever you bite your nails, clench your jaw, chew gum, crunch, even grind your teeth at night, you give yourself a mild antidepressant effect. (One of the most common keyword combinations, interestingly, bringing people to my main website, is"why do I want to chew ice cubes?")

    So if your need to move your jaw moves out and beyond wanting a little crunch, consider that you may have an imbalance worthy of addressing. I know one of my clients long ago had developed horrible migraines that were related to his tooth grinding, and it wasn't until that was addressed that he was able to focus on changing his food behaviors. It all ends up connecting itself whether or not we want to admit it.

    Anyway, back to jicama. That's pronounced HICK-uh-ma.

    Jicama is a great little crunchy food that is often overlooked, likely because its appearance in the grocery store is not as attractive as, let's say, blueberries or golden beets. But what a delight for those who value inner beauty! Jicama is light, crunchy, even a little bit sweet. The texture has been compared to that of a pear. In its native Mexico, it is often eaten sprinkled with lime juice or chili powder. (C'mon, be adventurous, try it that way…you might be surprised!)

    If you're ever in a pinch, you can substitute jicama for water chestnuts in Chinese cooking. And if it's your turn to bring the fruit/veggie tray to a party…jicama does not turn brown when exposed to air, making it a great alternative to apples.

    Nutrition-wise, an entire cup of jicama only has 45 calories. And it's a good source of vitamin C.

    If you want to really get creative, here's a link to a recipe for jicama slaw: http://www.foodnetwork.com/recipes/bobby-flay/jicama-slaw-recipe/index.html

  • It's not change that's negative, it's how you deal with it that is important

    It's not change that's negative, it's how you deal with it that is important

    Unless you live in a rock in a Pakistani cave where the wi-fi signal can't reach, you are well aware that there are a lot of indignant people this week. They're upset because Facebook made some significant changes to its format.

    Some people stomped and screamed and threatened to move to Google Plus. I saw some of them later in the evening after they'd cooled off.

    Some people just dealt with it.

    The incident reminded me so much of my 3 1/2 year tenure as the Director of Dietary Services at an eating disorder treatment center. I was in charge of the menu, and more importantly to the 30-40 women with anorexia and bulimia I was feeding…the rules defining how they could interact with that food at the table. For the most part, other than the expected negotiations around foods like butter and dessert, things went smoothly and the rules were honored.

    Except…and I'm telling you, I always had to hunker down and grit my teeth and drag myself to work on these days…we changed a menu item or a food rule. Those days, without fail, triggered the worst migraines I have ever had. I'd jokingly write up invoices for my boss for extra hazardous duty pay, since those days I'd sometimes even find notebooks and cans of Ensure flying millimeters from my ear from the direction of a dissatisfied patient. My staff kept a chalkboard in the back on which they took bets on how many petitions for special dispensations from the rules I would get…it was that bad. Humor was our main coping skill for working with such a high-maintenance population.

    The degree of mutiny didn't correlate at all with the amount of change I introduced. I could simply be changing the order of who got their plate first, or I could be adding a new item to the menu. Anything that required adjustment to a new and different way of doing things, met with resistance.

    Unlike Facebook, we did a LOT of proactive work, educating our population about what our changes would be, so they could be prepared. But I can tell you, even with the exhausting degree of communicating we provided our change-averse demographic…the mutinies occurred like clockwork.

    So the other day, watching the reactions to the Facebook changes brought back a lot of flashbacks from my treatment center days. I have a pretty good idea how it felt to be working on the Facebook campus the last 48 hours.

    I've been on Facebook for going on 3 years now. Long enough to know that this is the exact same thing that happens everytime they change. People stomp, scream, whine, complain…then they settle in and learn to use the new system. All is well until the next set of changes rolls out.

    What does this have to do with PCOS? The moment you were given your diagnosis is a lot like the moment you logged on to Facebook and found that the old way of doing things was no longer pertinent. You were knocked out of your comfort zone. You were told that you were going to need to learn to do things differently.

    How are you dealing with the new changes?

    Are you investing most of your energy into fighting the change?

    Or are you able to see the humor in the situation and work to learn a new (and maybe even better in a few ways, as I'm finding) way of doing things?

    Consider that how you respond to events like the Facebook change may give you insight into how you deal with your PCOS. Learning to roll with, and accept change, can be a crucial part of your PCOS success. The unfortunate reality is, no matter how angry it makes you that you got the diagnosis, no matter how uncomfortable the changes you need to make may make you feel, if you don't eventually get on board, the world is going to progress without you.

    I'd really hate to see you be left behind.

  • Symptom checklist for PCOS

    Symptom checklist for PCOS

    I'm posting inCYST's symptom checklist, developed by Mia Elwood, LCSW, of Healthy Futures in Scottsdale, Arizona. Mia's lecture on mood disorders and PCOS is part of the inCYST professional training. I like Mia's list because it addresses many of the food and mood aspects of PCOS that are not often written about. And in my opinion, when moods are not taken into consideration, their imbalances can generate many of the behaviors that make it hard to manage PCOS.

    If you're new to this blog, or if you haven't seen this, take a moment and run through the symptoms. If this sounds like you, one of our inCYST providers is happy to help you figure out your personal action plan. You can also print this out and show your medical caregiver to give them a more complete picture of the issues you need help with.

    If you wish to duplicate this for any reason, please include the copyright information at the bottom as Mia deserves credit for her original work. Thanks!

    If you feel this profile describes you, stick around and read more! Pay particular attention to Ellen Reiss Goldfarb's post on lab tests you can get to monitor how your diet, exercise, sleep, and lifestyle changes are helping you to get back into balance.

    Screening for Polycystic Ovary Syndrome and Other Hormonal Contributors
    Name ________________________ Date _______________ Current Age _____

    *Code answer with a YES(Y), NO(N), MAYBE(M), NOT APPLICABLE(NA), or HAVEN’T PAID ATTENTION(HPA).

    Sometimes, hormones contribute to our symptoms. These questions help to explore whether hormones may be contributing to any of your symptoms.

    When was your first period? Age ___ When was your last menstrual period? ___ What is your current height? ___ What is your current weight? ___

    ___Do you believe that you are perimenopausal or in menopause? If so, what symptoms are you experiencing that lead you to believe this?

    ___Have you had regular periods consistently throughout your life? Explain:

    ___Do your symptoms (that you are here for) change in any way according to your cycle? If yes, how do they change and when in your cycle do you notice a change?

    ___Has your menstrual flow become lighter/much heavier than usual for you?

    ___Have you ever gone more than two months without a period?

    ___Do you have skin that is dark or thick, especially on the neck, groin, underarms, or skin folds? ________

    ___Has your menstrual flow become lighter/much heavier than usual for you?

    ___Do you have any skin tags, teardrop-sized pieces of skin usually found in the neck area and/or armpits?

    ___Have you or any family members had bipolar disorder, an eating disorder, epilepsy, or migraines?

    ___Do you take any psychotropic medications? (antidepressants, mood stabilizers, etc.)

    ___Have you ever had trouble getting pregnant?

    ___Has your sex drive decreased?

    ___Do you feel you have excess hair growth? ___ Where? ___face ___back ___chest ___other____________

    ___Do you feel more irritable than usual?

    ___Have you lost/gained weight recently without your eating/exercise habits changing? _________________

    ___Is it hard for you to lose weight or maintain a genetically healthy weight?

    ___Do you have more mood swings than you used to?

    ___Do you have severe acne? (if adolescent) or adult acne?

    ___Is your waist to hip ratio greater than 0.8? Ratio _________

    ___Have you noticed your hair thinning or hair loss?

    ___Do you have strong cravings for sweets or carbohydrates?

    ___Do you or any family members have a history of PCOS, insulin resistance, diabetes, hypoglycemia, gestational diabetes? Who?

    ___Are you experiencing any other symptoms (emotional,physical, cognitive) that you feel may be related to hormones or your cycle (or lack of one)? Describe

    Created by Mia Elwood, MSW/Healthy Futures-MSE, LLC, 2004/www.healthy-futures.com

  • Are you in Columbus, Ohio and looking for help with your PCOS?

    Are you in Columbus, Ohio and looking for help with your PCOS?

    inCYSTer Michal Hogan recently did a presentation about PCOS at Ohio State University. Michal is a wonderful resource to women in Columbus…if you missed her presentation I strongly encourage you to seek her out for individual counseling. In addition to being PCOS-trained, she is an incredible detective when it comes to working with food sensitivities and allergies. Sometimes those can interfere with your success.

    Michal has a lot of success with migraines and fibromyalgia as well, which are common issues occurring with PCOS.

    If you'd like to contact Michal, you can call her at 866.396.4438. Or, get to know her at her website, http://www.nutritionresults.com/.

  • 5 Steps to Feeling Well

    The most common question I get as an Herbalista is, "What can I do to feel well again?" There are many things we can do to incorporate wellness in to our body, mind, soul, and earth and I use this 5-step acronym that I've developed to simply my options: FHEEL F= Food

    The first step to feeling better is to examine what we're fueling up on. It tends to be in our best interested to avoid fried and fatty foods in general, but especially so for those of us with PCOS. Instead, aim to eat plenty of fresh vegetables and healthy proteins with some fruit, dairy, and whole grains sprinkled in. Try and get a rainbow-colored variety of foods in your diet, striving for more of the darker/richer colored foods (kale, spinach, dandelion greens, mustard green, collard greens, broccoli, beets, blackberries, blueberries, pomegranates, squashes, sweet potatoes, carrots) and less of the lighter and whiter foods (citrus, raspberries, strawberries, bananas, pastas, rice, sugar, white potatoes, butter, dairy).

    H= Herbs

    If a whole foods diet isn't giving you everything you need in the moment, adding herbs can help! Start with adding simple spices to your meals like garlic (detoxifying herb that is great for the digestive system), rosemary (supports the brain and is antibacterial), and ginger (supports the circulatory and digestive system and is helpful for migraines). Other culinary spices that are easy to incorporate are cinnamon, turmeric, pepper, fennel, cayenne, thyme, sage, and clove. I highly recommend talking with a Holistic Healthcare practitioner, Naturopath, Herbalist, or other trained botanical medicine professional about herbs that can be specifically helpful to your desired wellness goals.

    E= Essences and Essential Oils

    Both Flower Essences and Essentials Oils are lovely tools that really support more the emotional, spiritual, and mental journey of wellness. Flower Essences have no reaction to medications, allergies, children or pets and work specifically on our current state of emotions. There are as many brands as there are flowers, from all parts of the world, so please read up on the companies as well as the products before choosing an essence. Essential oils are potent blend of botanical oils that have specific methods of delivery. Because there are highly concentrated amounts of naturally occurring chemicals in essential oils, it is extremely important to handle them with an informed and delicate manner. As always, consult with an Aromatherapist or Flower Essence practitioner for recommendations.

    E= Energy Therapies and Exercise

    When there still seems to be components of our wellness that need some extra attention, energy therapies and exercise can be very beneficial. Research the many benefits of Massage Therapy, Yoga, Acupuncture, Reiki, Polarity, Reflexology, Circuit Training, and many other healing arts and fitness programs. With any area of wellness, there are both reputable, competent companies and practitioners of theses energy therapies, as well as not so reputable nor competent companies and practitioners. Choose wisely after researching local resources in your community. I like to ask where they received their training from, how long have they have been in practice, and also what the whole process is from start to finish before signing up or paying for an appointment. Other energy therapies and exercises that can be helpful are: meditation/prayer, affirmations, journaling, hypnotherapy, life coaching, joining a gym/health club, getting a personal trainer, and dance styles like zumba/jazzercise/ballroom/swing/two-step and line dancing.

    L= Lifestyle Changes

    Making some more intense changes in lifestyle habits may be necessary in order to achieved our desired wellness goals. Most often, habits like smoking, drinking, eating too much fast food or snacks, not exercising, drinking soda and sugary beverages,and having too much or too little sleep can tremendously impact the state of our health. When setting your wellness goals, really emphasize the reasons for choosing those specific goals and concentrate on those reasons during the challenging moments. Tell your friends and family about your wellness goals the lifestyle changes you are making to help keep you accountable and motivate you during the ups and downs. Create a vision board or goal chart to showcase your progress. There are many tools and apps available to help you at any age or stage of wellness and life so identify those goals, develop a route to wellness, seek advice if you need help meeting those goals and chart your progress to see how well you're doing and how close you are to meeting and exceeding those goals!

    I leave you with this last tidbit to remember, words of wisdom I try to live by: Wellness is a Journey, Not a Destination. Strive for Progress, Not Perfection… Know that every step, every breath, and each moment counts as progress, so long as we consciously choose to be well.

    ~Choose to be and"fheel" well-- The Herbalista