Entries by Bret

Forget Weight loss- Focus on Your Health First!

Forget Weight loss- Focus on Your Health First!     Each month, there are an estimated 4 million google searches about weight loss. 4 million!   On the one hand, that is an astounding number. On the other hand, considering more than one-third of U.S. Adults are obese with two-thirds overweight, along with alarming rates […]

Does Lifestyle Beat Drugs? It Just Might….

  Drugs, Drugs, Drugs. Everywhere we turn we see new ads, new guidelines, and new marketing campaigns showing us how beneficial prescription medications can be for our lives. As we swim in the sea of medications, it is important to step back and realize we do have better options for maintaining our health and preventing chronic […]

Is Perfect The Enemy of Good?

Who are you? An “all-or-none” person? Or a “moderate approach” person?   During my years in clinical medicine, I have learned that there are two types of people when it comes to lifestyle intervention programs: Those who need an “all-or-none” approach and those who need a more moderate approach.   The all-or-none individuals prefer to […]

The Statin Debate and Our Health

Thank goodness. We finally have the last word on statins that will forever lay the risk/benefit debate to rest. At least that is according to the authors of a recent review titled “Interpretation of the evidence for the efficacy and safety of statin therapy.” (DOI: http://dx.doi.org/10.1016/S0140-6736(16)31357-5)   This review study was touted as the end-all, […]

The Mediterranean Diet- What it Means to Me

As I have mentioned in previous posts, nutritional science can be difficult and messy. It frequently can only prove an association but falls short of proving cause and effect. This is most popularly noted in the Seven Countries Study, which noted an association between those who ate a higher fat diet and the incidence of […]

Pasta or Fat? Why not both?

Here we go again. Two new studies came out recently that grabbed impressive headlines about what we should or should not eat. Unfortunately, once again the details may not warrant the high publicity. I have warned about the pitfalls of nutritional research before. Nutritional research is hard. Epidemiological studies require food recall, leave too many […]

A Brief History of Fat

A Brief History of fat Our relationship with fat and dietary cholesterol has just gotten more complicated. Or has it gotten easier? I guess it depends on how you look at it. What we once thought was an absolute truth now no longer seems to be true at all. It was supposedly well known science […]

How much exercise do we really need?

We all know exercise is important for our health. Just knowing that, however, does not always translate into appropriate implementation. Time, motivation, logistical barriers all can get in our way preventing us from getting the amount of exercise we want or need. But what if we could get significant health benefits from only a few […]

Statins, cholesterol and fat, oh my!

What a week it was for primary prevention of cardiovascular disease. Three significant publications with varying implications were released roughly at the same time. If you go by the headlines, each study could dramatically change the way we live and the way doctors practice medicine. If you dig a little deeper, you may find that […]

Golfer’s Elbow- More than meets the eye

Elbow injuries are one of the most common injuries in golf. They are so common, in fact, that there is even a term called “Golfer’s Elbow” referring to an injury of the medial or inside part of the elbow. The only problem with that nomenclature is that “Tennis Elbow,” an injury to the lateral or […]

Sleep as if your health depends on it!

We all need more sleep, right? YAWN! We have said it or heard it hundreds of times. Get more sleep for better health. Yet despite the prevalence of the advice, there is a clear disconnect between hearing it and implementing it. For one, there is a positive stigma or bragging rights associated with “I only […]

PPIs and Dementia- Cause for alarm?

A recent study popularized in the mainstream media claims that a class of popular heartburn drugs called proton pump inhibitors (PPIs) such as Prilosec, Nexium, Protonix and others, may be linked to a higher risk of dementia. On the surface this sounds very concerning. But lets look a little deeper to see how concerned we […]

How much do we really know about statins?

How much do we really know about statins? Statins are one of the most prescribed medications in the U.S., and they are becoming more popular given the recent revision to the cholesterol treatment guidelines. The new guidelines technically make 45 million Americans without evidence of coronary artery disease (CAD) candidates for statins (JACC 2014;63:2889-934). Statins […]

Thoughts on Nuts and Omega-3s

I saw a client last week who ignited the light bulb for this blog. He is a 55 year old man, 5ft 10in, 230 pounds, not very active but trying to improve his exercise. He has never really paid much attention to his nutrition and was a big snacker on chips, pretzels, cookies etc. With […]

SPRINT trial revisited

Last month I wrote a brief blog about the SPRINT trial and the “earth shattering” results that were presented in the lay press (http://www.myboundlesshealth.com/what-is-your-ideal-blood-pressure/) . My main theme was to urge caution until the actual study details were released. I still feel it was somewhat irresponsible to publish dramatic headlines before any study details were […]

The “Skinny” on our Metabolism

Does our metabolism slow as we age, and what can we do about it? Getting older (and wiser) can come with plenty of benefits and positive experiences. By creating a healthy and vibrant lifestyle for ourselves, there is no question that we can age with grace. But is its inevitable that no matter what we […]

“Bacon and Hot Dogs Can Cause Cancer!!”

“Bacon and Hot Dogs Can Cause Cancer!!” This was the dire warning sent out by the World Health Organization last Monday, essentially rocking the world of millions of processed meat eaters everywhere. They also labeled red meat as “possibly carcinogenic.” Who knew? Well it turns out, we pretty much all did, or at least we […]

Intermittent Fasting

Intermittent Fasting- A Revolutionary Concept Making a Comeback “Fasting?! Are you crazy?! I need to eat every 3-4 hours to keep from getting hungry and to regulate my blood sugar!” For some people this statement may be true. However for many it may not actually be the case. The theory of frequent small meals has […]