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Caroline Nittolo, Before
Photo: Caroline Nittolo
Name: Caroline Nittolo
Age: 35
Height: 5 feet, 2 inches
Before weight: 271
How I gained it: I have been overweight my entire life, but I gained the majority of the weight over the past five years. My dad was very sick and in the hospital for a long time, and I used food as an escape. I ate fast food three or four times a week; I was a fast food drive-thru queen! My favorite was McDonald's, but I would also go to Wendy's and Burger King. I always felt happy while I was eating the food, but I would feel guilty when I finished.
I never got out of the car, thinking that no one would see how big I was if I used the drive-thru. I ordered super-sized meals, but drank a Diet Coke with them, kidding myself that would make a difference. I do miss Ronald, Wendy, and the King, but they were no friends of mine. They were my worst enemy.
Breaking point: After my father passed away from complications from diabetes, heart disease and high blood pressure, I hit rock bottom, and I was still using food as comfort. I went to see the doctor, and my blood pressure was very high. For the first time, I had health issues, and it scared me. Right around that time, I had to travel for a month on business/pleasure and had to take 14 different flights. I was so mortified that the seat belts didn't fit me! The worst part of the whole experience was that most of the flight attendants automatically brought the seat belt extender to me. They knew just looking at me that I would need it. It was horrible! I knew I was big, but I tried to block out the fact that most people could see how big I really was.
Liz Neporentis a diet and fitness expert and author of 12 fitness bestsellers. She regularly appears on national TV programs and is the president of Wellness 360, a New-York based wellness provider.
OK, last week I blogged about the crappy economy and how you can do a penny-pinching workout. Well I'm sick of talking about the economy! Aren't you sick of it too? So -- not that we won't be visiting that topic again anytime soon -- but I thought we could turn our attention to a subject you can actually do something about: Your heart. Yes, in honor of Valentine's Day (and National Healthy Heart Month), let's talk about the American Heart Association's cardio health stats for women, how they differ from the men's stats and what you can do to protect yourself against heart disease. I know Anne Hathaway's special thermo fat-blasting diet drink and Kate Hudson's amazing portable liposuction machine are more likely to be on your Hot List, but are these tools really going to save your life? No! Read on, please.
One of the reasons that heart disease is under-diagnosed and under-treated in women is that women's heart attacks tend to unfold differently than men's. Rather than the classic crushing pain in the chest and numbness down the left arm that most people associate with having a heart attack, women often experience upper abdominal pain, pain below the chest or lower back pain. They may feel nauseated, short of breath or might experience unusual fatigue for days or even weeks leading up to an attack. Warning signs can be intermittent and often intensify during physical exertion. Women are more likely to delay seeking treatment than men because they don't connect what they're experiencing to a problem with their heart.
Liposuction is a quick -- if not entirely easy -- way to get rid of the belly fat. But while lipo might help you slip effortlessly into that itty, bitty bikini just in time for spring break, it won't do much to improve your health.
Belly fat isn't just unsightly, it's also dangerous. But the belly fat targeted by lipo sits just under the skin, while the stuff you really want to get rid of hangs out around your internal organs. Studies show that while lipo can reduce waist circumference, a risk factor for weight-related diseases, it doesn't appear to impact inflammation in the body.
There's only one way to banish that kind of blubber once and for all, through good old diet and exercise. Lipo can get rid of the fat, but changing your lifestyle once and for all prevents you from ever putting it back on again ... and that trumps instant results any day.
No, really. According to this article from Women's Health, drinking can lower your risk of heart disease by 25 to 50 percent, it can help improve your memory and it can help you lose weight (if you choose the right drink.)
But, bear in mind, this is moderate drinking we're talking about. Chugging a litre of tequila is not going to help your memory or your waistline (the opposite, in fact, as you might already know), so try to take it easy next time you hit up your local drinking establishment.
I'm trying to like running, really I am. Most of the time I do, and always, when I am done with my interval walk / run workout, I'm very glad I did it.
But sometimes, when I just don't feel like moving even an eyelash, let alone my whole body, I look for excuses -- any will do -- to skip my cardio workout.
Well, here's three less excuses I can use when I can't motivate my legs to move the rest of me into fitness. Apparently:
According to a report by the Society for Women's Research, seventy-four percent of women ages 18 to 44 don't have even a clue as to what their cholesterol numbers are. Clearly this is a problem, as high cholesterol is a major risk factor for coronary heart disease, the number one killer of women.
So, what should your numbers be? I'd suggest that you talk to your doctor to find out the answer to this question. In the meantime, here's a pretty good guide:
Total Cholesterol (HDL + LDL + Triglycerides): You should aim to keep it less than 200 mg/dL.
Low-Density Lipoprotein (LDL): Try to keep this bad cholesterol at a level of less than 100 mg/dL.
High-Density Lipoprotein (HDL): Keeping this good cholesterol at around 50 mg/dL or higher is a good idea.
Triglycerides: Keep these energy-storing fatty acids at a level of less than 150 mg/dL.
It's okay to go a little nuts once and a while, especially when it means preventing heart disease.
Women's Health reports that participants in a Penn State study who at 1.5 ounces of pistachios daily for four weeks, then ate three ounces daily for four more weeks, saw a nine percent drop in LDL cholesterol after the four weeks and a twelve percent drop after boosting their intake during the weeks that followed.
According to the Women's Health article, pistachios -- which are rich in good, healthy fats -- help lower levels of interleukin-1 -- an indicator of inflammation, which is a risk factor for heart disease -- by 15 percent. Related studies have shown that walnuts, almonds and many other nuts can also reduce heart disease risk.
A recent review in the Annals of Internal Medicine shows that many people go for their annual physical not because they feel it is necessary, but to ease their worries of the unknown. Makes sense to me. Still, there are other health checks you should undergo on a fairly regular basis, as they may not always present immediately symptoms.
Cholesterol. After turning 45, it's wise to have your cholesterol checked regularly. Younger people should have it checked if they smoke, have high blood pressure and/or diabetes, or a family of heart disease.
Thyroid test. Starting at around age 35, doctors recommend that patients have a blood test every five years or so to check the status of their thyroid function (unless, of course, symptoms of a thyroid issue occur earlier).
Colorectal cancer screening. Start periodic testing for this type of cancer at age 50, or earlier if you have a family history.
Feel free to add some of your own suggestions for health tests people should regularly have performed.
Don't like to floss? Join the club. But there's one downside to membership: you may be denying yourself the opportunity to live an additional 6.4 years.
Researchers from the Cleveland Clinic discovered that bacteria from the mouth can enter the bloodstream, contributing to inflammation and clogging of the arteries. Top-Doc Michael F. Roizen supports these findings, and adds that flossing regularly can increase your life expectancy by 6.4 years.
So, even if you don't like flossing, do it at least once a day to remove food and plaque from your teeth and gums. And, as mentioned, the fact that it may keep you alive and healthy for an extra six years is more than enough to smile about.
Do-It-Yourself diagnosis is usually a pretty bad idea; that is, unless you just so happen to have the letters M.D. that appear at the end of your signature. But for those of us without years of medical school under our belt, assuming that a particular pain, dysfunction, or even blotchy patch of skin is nothing to be concerned about can sometimes be a highly problematic for our health.
The British edition of Men's Health addresses the self-diagnosis problem in the article "7 Deadly Signs," describing how minor symptoms may actually signal major health hazards. Over the next seven days, we will provide a daily summary of one of the various aches and pains that may be indicative of a greater problem, illustrating the importance of maintaining open lines of communication with your physician and why DIY diagnosis can sometimes be dangerous. Health Sign #3: Leg Pain
Could Possibly Be: Heart Disease
Citing researchers from the University of Michigan Cardiovascular Center, Men's Health reports that experiencing leg pain while walking or running is a common symptom of cardiovascular disease. The researchers further stated that if the pain in your leg stops when you stop moving, but worsens when carrying weight or when moving quickly, it may be an early sign that you're at a higher risk for heart attack or stroke as "the arteries supplying the lower limbs narrow."
The compound sulforaphane, found in broccoli, boosts the production of enzymes that protect blood vessels. In addition, it reduces certain molecules that can do cell damage.
People with diabetes have an increased risk of heart disease and stroke due to damaged blood vessels. Cruciferous vegetables, such as broccoli, are beneficial to heart health.
If there's one health maxim that has stood the test of time, it's that "An apple a day keeps the doctor away." Sure, apples are healthy, that much we know quite well. But can eating them truly have an impact of this kind on our health?
They can indeed, says Men's Health, citing a study presented at this year's Experimental Biology Conference. Researchers found that people who had eaten apples and/or apple products within the past 24 hours were less likely to develop metabolic syndrome, in addition to having a 36 percent lower risk of high blood pressure.
Does this mean that the effects of apples on our health happens almost instantly? Not exactly. It has more to do with the overall habits apple eaters follow in the rest of their lives. Researchers say that apple eaters tend to pay more attention to their diet and fitness, which explains that it is less the apple itself, and more the healthy lifestyle that truly keeps the doctor away.
If I told you six ways to help prevent heart disease, would you follow them? I'm just a writer -- so maybe, maybe not. Fair enough. But what if the leading heart disease experts told you six ways to stave off this leading cause of death, would you listen then? Cool. I was hoping you would.
According to a recent WebMD article, if everyone in the U.S. were to follow only a few easy-to-follow steps, it could prevent more than 27 million heart attacks and about 10 million strokes over the next 30 years.
Step One - Quit Smoking
Step Two - Lower your Body Mass Index (BMI) out of the range considered obese
Step Three - Rein in your LDL ("bad") cholesterol
Step Four - Lower your blood pressure to a safe level
Step Five - Get your blood sugar under control, especially if you have diabetes
Step Six - Take aspirin if your physician tells you to due to your heart attack risk
The article goes on to say that 78 percent of U.S. adults aged 20-80 do not currently follow at least one of these steps when necessary.
Want to know another reason -- beyond those you can already think of -- why you should keep doing all those pull-ups, running all those miles, hiking all those trails, swimming all those laps, and playing all those sports? See how this one suits you: staying out of the dentist's chair.
The Journal of Periodontology reports that regular exercise can greatly reduce a person's risk of gum disease. In tests, men who put in a solid 45-minute workout three times a week were 40 percent less likely to develop gum problems than men who avoided workouts like ... well, like most people avoid the dentist.
Liposuction is a quick -- if not entirely easy -- way to get rid of the belly fat. But while lipo might help you slip effortlessly into that itty, bitty bikini just in time for spring break, 
Used to that guilty feeling you get when you head straight to the bar after work on Fridays? Don't beat yourself up -- apparently, _thumbnail.jpg "Vodka and ... well, anything without sugar")
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According to a report by the Society for Women's Research
It's okay to go a little nuts once and a while, especially when it means preventing heart disease.
A recent review in the Annals of Internal Medicine shows that many people go for their annual physical not because they feel it is necessary, but to ease their worries of the unknown. Makes sense to me. Still, there are other 
Don't like to floss? Join the club. But there's one downside to membership: you may be denying yourself the opportunity to live an additional 6.4 years.
Do-It-Yourself diagnosis is usually a pretty bad idea; that is, unless you just so happen to have the letters M.D. that appear at the end of your signature. But for those of us without years of medical school under our belt, assuming that a particular pain, dysfunction, or even blotchy patch of skin is nothing to be concerned about can sometimes be a highly problematic for our health.
If there's one health maxim that has stood the test of time, it's that "An apple a day keeps the doctor away." Sure, apples are healthy, that much we know quite well. But can eating them truly have an impact of this kind on our health?
If I told you six ways to help prevent heart disease, would you follow them? I'm just a writer -- so maybe, maybe not. Fair enough. But what if the leading heart disease experts told you six ways to stave off this leading cause of death, would you listen then? Cool. I was hoping you would.
Want to know another reason -- beyond those you can already think of -- why you should keep doing all those pull-ups, running all those miles, hiking all those trails, swimming all those laps, and playing all those sports? See how this one suits you: staying out of the dentist's chair.
