Welcome to the Doctor's Corner

Our practical thoughts on health and other things that will make your life better.

Please note: Caring Sunshine is unique in that we provide expert health help to our customers. If you have specific questions about your situation, we invite you to book a free consultation with Dr. Shannyn Fowl.

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The myth of 10,000 steps a day

Up front, I should say that the concept of getting 10,000 steps a day is not entirely a myth. It is just a bit of an oversimplification. Read on to learn more about how to maximize the health benefits of walking.

1) 10,000 steps is not always feasible.

If you are wondering, 10,000 steps is roughly five miles. Don’t beat yourself up too much if you simply can’t get in 10,000 steps/per day. Even if you are in good shape, it takes 1.5 hours to walk 10,000 steps. I don’t always have that long to walk either.

2) Any amount of steps is helpful.

If you can’t get in 10,000 steps/day, try for 5,000. Recent studies show that you get health benefits (including reduced cancer, heart disease, and dementia risk) from as little as a few thousand steps/day.

For example, one study showed that you lower your risk of dementia by 50% if you walk 10,000 steps/day but can still lower your risk by 25% with just 3,800 steps/day.

3) The speed at which you walk is important.

You would probably be better off walking fewer steps at a faster pace rather than ambling a lot of steps at a slow pace. Studies show that you get a far greater benefit if you walk faster. If you want to measure yourself, try to be in the range of 80-120 steps/minute.

4) There is nothing magical about steps at all really.

If you want to maximize your time, forget about steps and just find a way to get a bit breathless for thirty minutes each day. By that, I mean you should be exercising at a level where you would have some difficulty having a conversation.

5) You do not have to get all the steps at once.

If you are moving constantly throughout the day, it can be hard to keep track of your steps, but those steps count too. In fact, there is no real evidence that they are not just as beneficial as the benefit you would get from doing all your walking at once.

6) Remember that none of this is a magic bullet.

I recently overheard a conversation where someone claimed that she walked 30,000 steps per day because of her job. Yet, she clearly was not in great physical shape.

I don’t really doubt her because here is something I know to be true: you can’t overcome other bad health habits and a bad diet with some magical number of steps. It does not work that way.

Even so, tracking steps is a great way to get started on the road to better health. You can get free apps for your phone that will do this for you quite easily and record your progress over time. It can be fun to watch the miles add up. According to my app, I have walked enough to almost cross the Saraha Desert in the past year (1200 miles)!

Traeger Smokers Review (and a chicken recipe)

One of the weapons in our arsenal for healthy eating is a Traeger smoker, which uses wood pellets to cook/smoke food. They are unbelievably easy to use and the food tastes incredible. There are other similar brands of wood pellet smokers on the market and I am sure some of them are just as good.

Let’s talk price. I will tell you upfront that Traeger smokers are not cheap. In general, eating well is not cheap. But on the flip side, a Traeger allows you to quite easily cook better-tasting food than you can get in almost any restaurant. And once you figure that out and start replacing dining out with food you cook at home, a Traeger will pay for itself quickly.

The Traeger almost magically simplifies and demystifies the whole smoking experience. Suddenly, with almost no effort, you can make foods that are unbelievably good. For example, over the weekend, we smoked chicken, and it was probably the best smoked chicken any of us had ever eaten. Here is what all we did:

* Brined (soaked in salt water) the chicken overnight.

* Lightly coated with Meat Church Gospel and Meat Church Honey Hog seasonings (you can buy these online).

* Smoked at 350 degrees for about 30 minutes to an internal temperature of 162 degrees. (You should cook chicken at a relatively high heat so it does not dry out.)

You don’t need a Traeger to eat healthy of course. It is just a thought for those of you that like to eat as much as we do. You can buy Traegers about anywhere online or in your local hardware store. There are many websites where you can research the various models as well. We don’t really think the high-end ones are necessary, but we do recommend you consider one that has the WIFI app capability. It is nice to be able to control your cooking without having to walk out to the smoker so much.

To Have or To Be

In To Have or To Be, Erich Fromm suggests that people fall into two categories: those that need “to have” and those that need “to be.”

* Those that need “to have” are chasing profits, power, and possessions. (I would add attention to his list.) He states that most current culture has a consumerist mindset that leads them in this direction.

* Those that need “to be” understand the importance of experience and can be fulfilled by the experience itself.

I am not recommending the book. It is technical and honestly, I think overreacts to a contemporary problem by promoting an extreme position on the other side. But there is value in the big concepts. As I read, I was inspired to improve my life in two specific areas: social media and politics.

Fromm wrote many decades before social media, but he would be appalled today. Far too much social media is about “having” attention, and very often, we generate social media at the expense of experience. How often do you see people focused on recording an experience such as a sunset for the purpose of posting it on social media? Why do we choose to live great experiences through a 5″ smartphone screen?

The current state of politics is even worse. Rather than focusing on the experience we actually live in with our small circles of friends/family/neighbors, we choose to focus on a game of duplicity many miles away. In that case, we are not even substituting one reality for another. We are rather substituting reality for a warped, fictional view of reality.

In those two areas, we are choosing to swap authentic experience for a very poor substitute. If you stop and think about it, it is obvious that the trade is a poor one.

We live in a great time in history and we can’t change our time. But on the other hand, it is prudent to see how technology and information overload have changed us, sometimes for the worse. Sometimes, we need to remind ourselves to find beauty in the mundane and meaning in simple things.

I am resolved to do better. I hope you will join me.

Emotional Health: Beware of noise

As we wrote in our weight loss series, weighing yourself regularly is an important part of your weight loss journey. However, you need to be careful because if you weigh yourself too often, your emotional health will suffer.

Here’s why: there are going to be normal fluctuations in your weight throughout the day. If you are weighing yourself all day long, you are going to be watching your weight go “up” a high percentage of the time even if you are dropping weight week by week.

Those fluctuations are “noise” because they are irrelevant to the big picture. Who cares if you are apparently gaining weight during some hours of the day if you are losing a few pounds each week?

That noise however will cause your emotions to jump around all during the day. Every time you see the weight rise, you will start to feel like a failure. This is not healthy and may even lead you to give up on losing weight.

Here is a big tip: When you are measuring something, be careful to measure it at proper intervals or you will just end up measuring meaningless noise.

You do not want random noise to affect your mood. For example, most experts recommend that you weigh on a weekly basis to protect your emotions from random ups and downs.

You can apply this principle to other parts of your life as well. Worried about the stock market and your retirement fund? Don’t watch the market every day. Watch it only as often as you need to in order to make the decisions you might need to make.

Or, do you own a business? Be careful about watching your sales constantly. Doing so will wreck your emotions during a slow morning even if you end up with a great sales day overall.

Did your child get a bad grade on a quiz? Before you get too worried, stop to look at their overall grades.

Here is the principle again: if you are experiencing stress in your life, take some time to evaluate what life metrics are giving you stress and whether you are measuring them too often.

Weight Loss: A marathon and not a sprint

n college, I had a roommate who was a wrestler. He was always shifting weight classes, and typically, he was told his weight class just a few days before an event.

What that meant was that he might have to gain or lose ten pounds in less than a week. And strangely enough, he almost always hit his weight target.

He did not do it in a healthy way though. One week, he was eating three Big Macs for breakfast to jump to the next weight class, and the next week, he was starving himself to drop to another weight class.

Obviously, this kind of extreme weight management is unhealthy. Binging on fast food is obviously unhealthy. But starving yourself is unhealthy too and counterproductive because it results in a loss of muscle mass and energy.

Remember: if your weight loss regimen is causing you to lose muscle mass, you are doing it wrong. If you don’t have enough energy, you are doing it wrong.

This is why you want to pace yourself so that you are losing 1-2 pounds/week. If you try to be more extreme than that, you might see great short-term results, but you are setting yourself up to fail long-term.

Here is why that is true. Muscles burn calories, even when at rest. So, if you lose muscle mass, you are actually losing the ability to burn calories down the road. When you stop dieting, you will find that you will gain the weight back even faster.

The same is true for your metabolism. If you give your body fewer calories to work with, your metabolism will slow down as your body adjusts. People with slower metabolisms are going to burn fewer calories. You want to be careful not to retrain your body’s metabolism because again, after you quit dieting, you may end up gaining weight even faster.

When you create a calorie deficiency, you need to be looking for about 500-600 calories/day. In other words, if you calculate that you burn about 2,000 calories a day, you should be trying to consume around 1,500. This will keep you on a healthy weight loss pace where you are losing a pound or two a week.

The moral of the story? Take it easy and take your time. Don’t go too crazy. This is a marathon and not a sprint.

Just to remind you what a healthy weight loss pattern looks like, here again is mine from last year.

Which is more important: diet or exercise?

If you are to believe the bombardment of media that comes in your direction, you can stay healthy with careful eating even if you never break a sweat. Or, you may hear that if you work out religiously, you can eat anything you want and stay healthy.

Of course, both perspectives are biased and driven by whatever someone is trying to sell you. And, of course, both are wrong.

A new study came out a few weeks ago addressing this question. The conclusion is neither careful eating nor exercise by themselves will help you live longer.

If you want to reduce your risk of dying, you actually have to both eat healthy and exercise.

Now, according to the study, here is the good news: you don’t have to be extreme. You can eat some unhealthy food from time to time. And, you don’t have to run marathons. You just need an hour or two a week of physical exercise (the kind that makes you sweat).

In other words, you have to be intentional about what you do to protect your body but you do not have to go extreme.

Our advice is something we have said over and over. Don’t follow the latest health fads. Don’t go on an extreme diet. Don’t start working out four hours a day.

Just make some common sense changes in your diet that make it healthier without ruining your life. And find some activities that you enjoy that will get your heart rate up from time to time.That is all you need to get on the right track.

New Warehouse Build Photos (Part 1)

We documented our move over on our Instagram: HowlettFamily. We want to post those behind-the-scenes pictures here for those who do not have Instagram. After we decided to move, Kelsey and Greg flew out for a week in March to sign on the warehouse and do some initial shopping.

Kelsey was very excited to see the views of the mountains outside the house!

Inside view of the future warehouse.

We still saw snow in March! The is the outside of our building in March.

The front of our warehouse!

Greg checking out the house.

Our first In-N-Out of the trip.

Kelsey inside the empty house!

Bold salsa recipe

This salsa recipe is light years better than you find in most restaurants, way healthier, and way cheaper. You will be shocked at how good it tastes.

Tip: If you cannot afford the high carb/calorie counts in tortilla chips, slice a cucumber and use the slices as chips. Really pile on the salsa because it is the star of the show.

One 14.5 oz can diced tomatoes with juices

One 14.5 oz can fire-roasted diced tomatoes with juices

1 large handful of chopped fresh cilantro (just do it…)

1/4 cup sliced fresh jalapeno pepper (more or less depending on your tolerance of heat)

1/4 cup chopped scallion (or onion)

Juice of 1/2 lime

1 clove of garlic (minced)

Salt to taste

Combine all ingredients with a food processor. Season to taste with salt.

Six easy, non-extreme steps to start improving your health

Most of us do not have to overthink our health. You don’t need to follow fads and keep up with every new study. Really, it is just a matter of following some tried-and-true wisdom that has been around a long time.

Here are my six steps to good health that will not wreck your life.

1) Get engaged

Better health starts with a decision, but a decision is not enough in itself. Once you decide to start improving your health, decide what your plan is going to be, and then, make sure you have a way to monitor your progress.

Remember: the metrics you decide to watch are the metrics that are going to improve. 

You simply cannot play around with this and just do healthy things when you feel like it. Rather, it has to become a regular part of your life.

2) Start moving

You don’t have to overdo exercise. You don’t need hour-long workouts. If you feel you have no time to exercise, just find ten minutes a day to do something relatively intense. The important thing is to get started. Ideally, you will eventually exercise closer to 20 minutes/day, but in the beginning, just get started with something.

3) Begin eating better

Don’t punish yourself or make yourself dread upcoming meals. Forget extreme diets and don’t eat foods you don’t like. Rather, just start making intentionally healthier choices about what you eat. Identify unhealthy foods that you can live without and replace them with healthier options that you like too.

4) Make sleep a priority

Identify reasons why you are not sleeping enough and fix them. You might need a more regular schedule or you may simply need better curtains in your room. But, research has shown over and over that sleep is vitally important to your overall health. You can’t ignore sleep quality and stay healthy.

5) Control your media intake

Your emotional/mental health will affect your physical health. Don’t read/watch things that make you anxious, bitter, or angry. Find ways to replace subpar media with great media that will improve your mind. Read well-written fiction, history, or classics. Or, try the Great Courses (my obsession).

6) Don’t beat yourself up 

You will never be perfect with your plan. Some days, you will not feel like exercising, and some days, you will eat junk food. You won’t always sleep well and sometimes you will binge junky media. When that happens, just acknowledge it, move on, and resolve to do better the next day.

Weight loss: Beware of “rewarding” yourself

If you are doing healthy things and hitting health goals, it is good to celebrate. But, you have to be careful about that because as it turns out, those “rewards” are often devasting. Here is a picture we took this week in an ice cream shop.

Want a milkshake? At this shop, it will cost you up to 2500 calories! In terms of exercise, that is roughly five hours of running or 10 hours of walking.

I can’t prove it, but my guess is that people “rewarding” themselves after a workout leads to an awful lot of weight gain.

Be careful. You cannot out-exercise milkshakes with calories in the four-digit range. I am not saying to never drink a milkshake, but you have to count the cost.