<![CDATA[Couture Health Care.org - Couture Health Care Articles]]>Sun, 19 Nov 2017 01:43:18 -0800Weebly<![CDATA[Do You Know Lisa? Vol 4]]>Mon, 23 Oct 2017 13:28:14 GMThttp://couturehealthcare.org/couture-health-care-articles/do-you-know-lisa-vol-4Do You Know Lisa? Vol 4, is in the final editing and at the publishers. Will be released on Amazon.com in time for 2017 Nurse Practitioner Week in Nov 2017! Watch for your copy! ]]><![CDATA[Ten Ways the Doctor Told You to Lose Weight, Not.]]>Fri, 13 Oct 2017 07:00:00 GMThttp://couturehealthcare.org/couture-health-care-articles/ten-ways-the-doctor-told-you-to-lose-weight-notTen Ways the Doctor Told You to Lose Weight, Not.

When you make an appointment with a provider, weight may come up.  Not a terrible problem as most folks are pretty aware that the scales cried when they stepped on it. What was hurtful was when the provider stated to lose weight but didn’t say how.
Why do they do this? As a provider, I can answer this.

  1. The provider didn’t schedule time to talk about weight. They just noticed it on the vital sign sheet that it was not in the normal range. They need to say something because it isn’t in the normal range. Same as if your blood pressure is too high. Your weight is high. You need to lose weight.
  2. They didn’t say how to lose weight.  They may be on a crunch system of needing to see so many patients per hour and they were behind before they clocked in for the day. They can only discuss what you came in to be seen for and only that or they will be in the office forever.
  3. They don’t have time to school you on nutrition but they might have time to refer you to a dietitian.
  4. They don’t know what you have tried and may not be able to offer you a diet pill. Many want a diet pill and while they will cause you to lose weight, your other health problems may prevent it from working for you. There may even be a law in your state that stops those types of medications from getting prescribed as they are abused.
  5. Do you know what exercise means? Often, it is assumed you don’t. You may really be trying hard and walking everywhere but the weight is hanging on you. What else could you do?
  6. You have a health problem that is stopping you from losing weight. Ask your provider to check your blood work to rule this out.
  7. This isn’t their specialty. They don’t consider themselves a diet clinic and don’t want to mess with it or really don’t have extensive knowledge in weight loss, what works, and what won’t.
  8. They think you want a quick answer and quick result. Maybe you are fully aware that your weight didn’t happen overnight. You gained weight over your marriage or university career. Now what should you do?
  9. Motivation is necessary. Maybe you have been ignoring the weight and they may think calling you out on your weight will make you motivated to do something. When God talks to you, you listen right? So, they are telling you, do something about it.
  10. You leave hurt and angry. Don’t do that. Before you leave the office, book another appointment to discuss your weight or get a referral to someone who can. Maybe the next appointment will be filled with all the information you needed that you may earn yourself an honorary degree on dieting the next time you visit. You won’t know if you don’t set up a follow up appointment.

Do know that understanding you are overweight is the first step in moving toward fixing the problem. Finding out what your body mass index (BMI) should be verses what it is, should be noted on that “you need to lose weight” announcement. 

Author: Lisa Goins PhD, APRN, FNP-BC, RMT is the Founder and CEO of Couture Health Care www.couturehealthcare.org.  

Dr. Goins’ health articles are feature a mix of holistic health, wealth, and spiritual news, reviews, and information for health professionals and the public. 

Dr. Goins is the author of the newly released book Do You Know Lisa? Collection of Questions, Answers, Tips. Volume 3. -2016. Additional books published include: 
Do You Know Lisa? Vol 2,-2015 
CEO Business Objectives: Health, Wealth, and Success-2014
Do You Know Lisa? Vol 1- 2014
Co-author of Dwarven Tavern Story Hooks: Quick Start Story Ideas -2014. 

​Dr. Goins sees clients at Couture Health Care, Hamilton, Ohio, USA and can be found on Google+, Twitter, LinkedIn, Facebook, Couture Health Care.org, and YouTube Channel.

]]>
<![CDATA[Weight Loss and Mental Health Changes in Body]]>Thu, 12 Oct 2017 07:00:00 GMThttp://couturehealthcare.org/couture-health-care-articles/weight-loss-and-mental-health-changes-in-bodyWeight Loss and Mental Health Changes in Body

One of the biggest mistakes of losing weight is that it will change your mental health. It may not. What weight loss will do is change how others may treat you based on how you weigh. There are all types of discrimination but discrimination on weight happens a lot more than many realize. Mainly because there is a standard to everything. The standard size bed, chair, door, and room. If you are the standard weight, then those standard things will fit you just fine.  If you are not the standard size then things won’t fit you. Accommodations will need to be made for you and those accommodations may not be mandatory or mandated they have to be.

Same can be said with mental health. How you see yourself, your self-respect, your self-worth, and chemical changes in the brain may not change with weight loss. Coping skills that were never there before weight loss may not be there after weight loss. You will have to develop these missing coping skills and may or not have changes in medications to get the effect needed. Weight loss may not cure your mental health problems.

This is when talking with a provider before weight loss may be necessary regarding changings in mental health medications. Regular monthly check ups may be necessary with a mental health provider as you move forward with weight loss. Having a mental health specialist to help guide and adjust medications as you lose weight may be beneficial. It will help with creating new coping skills or establishing coping skills.

Joining a support group of folks going through weight loss programs, changes, or directed programs with surgical weight loss programs may be very beneficial post dramatic weight loss.
Mental health is something everyone has and it may be good, bad, or in need of help by talking with someone to needing medications to feel “normal”. It is not as taboo as many use to think. Our world is always changing and living in it requires constant challenges that not all of us having coping skills to deal with and sometimes we need help. This is okay. This is normal to ask for help.

Author: Lisa Goins PhD, APRN, FNP-BC, RMT is the Founder and CEO of Couture Health Care www.couturehealthcare.org.  

Dr. Goins’ health articles are feature a mix of holistic health, wealth, and spiritual news, reviews, and information for health professionals and the public. 

Dr. Goins is the author of the newly released book Do You Know Lisa? Collection of Questions, Answers, Tips. Volume 3. -2016. Additional books published include: 
Do You Know Lisa? Vol 2,-2015 
CEO Business Objectives: Health, Wealth, and Success-2014
Do You Know Lisa? Vol 1- 2014
Co-author of Dwarven Tavern Story Hooks: Quick Start Story Ideas -2014. 

​Dr. Goins sees clients at Couture Health Care, Hamilton, Ohio, USA and can be found on Google+, Twitter, LinkedIn, Facebook, Couture Health Care.org, and YouTube Channel.

]]>
<![CDATA[How Did You Lose the Weight?]]>Wed, 11 Oct 2017 07:00:00 GMThttp://couturehealthcare.org/couture-health-care-articles/how-did-you-lose-the-weightHow Did You Lose the Weight?

Newly thin or dieting folks get this question a lot. Nearly everyone will ask how you did it. Losing weight is a struggle for everyone and not everyone is motivated to start or many want a new way to try that might be easy or work for them.

First up, there is no easy.  Weight loss or weight gain does not happen overnight unless you have a disease like congestive heart failure where you can put on 10 pounds over night in body water. There is no losing a great amount of weight in a week either.  You can dehydrate your body to lose several pounds or laxative city to clean out the GI. Both will show fluid loss on the scales. Not necessarily a healthy thing to do and nor should you. Unless you are getting ready for a colonoscopy, then laxative away. You don’t want to repeat this event.

Second up, it can be very upsetting to think others thought you did this easy and quickly. You didn’t. It can take months to years to get the body you wish. Many who do weight loss surgery have to prep 6 months to a year before surgery to be ready. This is then followed by months up to a year of losing weight. It may mean more surgeries, gym time, and changes in eating the same way every day. It wasn’t an easy way to do it to get the results. Don’t be fooled into thinking it was or is.  

Third, many may even correct you on how you did it or not believe what you are saying is true.  What do you mean you just cut back? Why, do they do this? Because the already tried this and it didn’t work for them, so why would it work for you?

Do they really want to know how you did it? There may be a few folks looking for support or a place to start. Will the diet work for them? Maybe or not, depends on their efforts, not your efforts. That is the part they may not want to believe.

So, what do you say to someone who ask? Because they will ask you. Many don’t want to hear a play by play on how you did it unless you are selling a product or something to them.  Thus, give them a standard sentence of “I go to the gym.” Or “I only eat 1500 calories per day.”  It gives them a focus and they will either be satisfied with the answer or ask a few more questions on how. Mainly they are looking for motivation and help from you. It will be up to you if you want to be supportive or not. 

Author: Lisa Goins PhD, APRN, FNP-BC, RMT is the Founder and CEO of Couture Health Care www.couturehealthcare.org.  

Dr. Goins’ health articles are feature a mix of holistic health, wealth, and spiritual news, reviews, and information for health professionals and the public. 

Dr. Goins is the author of the newly released book Do You Know Lisa? Collection of Questions, Answers, Tips. Volume 3. -2016. Additional books published include: 
Do You Know Lisa? Vol 2,-2015 
CEO Business Objectives: Health, Wealth, and Success-2014
Do You Know Lisa? Vol 1- 2014
Co-author of Dwarven Tavern Story Hooks: Quick Start Story Ideas -2014. 

​Dr. Goins sees clients at Couture Health Care, Hamilton, Ohio, USA and can be found on Google+, Twitter, LinkedIn, Facebook, Couture Health Care.org, and YouTube Channel.

]]>
<![CDATA[Surprising Weight Loss Changes]]>Tue, 10 Oct 2017 07:00:00 GMThttp://couturehealthcare.org/couture-health-care-articles/surprising-weight-loss-changes
Surprising Weight Loss Changes


There are a lot of things that you will not be prepared for when you lose weight. Mainly because you aren’t thinking or realize these things will happen to you. These are going to be the things that you will get tickled about with your new weight loss that many may not understand unless they also when through such a change.

Things that may surprise you now:

Crossing your legs.  Yes, you can do that now. Before there was so much weight on your legs that was not even possible. You will become amazed at being able to do this.  You may want to wear underwear in the company of others as things are more noticeable now.

Fitting into a booth next time you eat out. You have always requested a table with chairs. Now you can sit in a booth with your arms down at your sides. No arms on the table now.  You may even have lost so much weight that someone can sit next to you on your side of the booth!

Freaking out because you are now the size as the general public. Before when you went shopping XXXXL shirt would be there when you went back to get it. Now you are the same size as a good percentage of the population and that shirt will be gone now. When you see it, you have to get it, or you want be able to get it.

Temperature changes. Remember when you would turn up the A/C so you wouldn’t sweat? Now that same choice of temperature has you wrapping up with a blanket. Losing the extra body weight equaled body heat. Not all bad. Suddenly, hanging out side in the sun doesn’t melt you like ice cream on a hot day. You actually want to spend time outside now. You may hardly even sweat at some of the things that use to make you sweat and save countries from droughts from the excess water you produced. You may even get it why girls get those long sleeves to cover up their fingers. You are a bit colder now. Holy Moley! You want to own all the sweaters now when you were strictly just a tee shirt in the winter.

Body cleaning products. Where did all the soap come from? Same dab won’t do you anymore. Soap is everywhere now. Things you use to lather with in great quantities are over the top now. Don’t buy anything you really are okay with because it is going to last longer.  Think, can you deal with pumpkin spice in the spring? Wait there is more! This huge bath tub you own! Did elves come in and change it out? You now have room beside your body with water all around you!  Those with jet tubs are going to find they can swim laps! Who would of thought?

Body parts not in the way. This can be very exciting to not have to move extra rolls to get to things that need to be cleaned. Before it would make showering longer because you broke out in sweat just trying to clean everything. Not anymore. Zip, zip, and you are now done.

Towels are bigger. You can put a towel around you now. Before it only covered the front and you walked size ways through the house to get your clothes, trying to hide your back side. Now you can change into your clothes in the bathroom with no fear of falling or getting those clothes wet. No extra drying time needed now.

Storage is more. That XXXL sweater took up the entire drawer it was in or most of the closet storage. Not anymore! Where did all that space come from? Like, when did you get a walk-in closet?
Space now equals space! Chairs and beds that use to be too small are now huge to you. It does take a while to get use to the change but go you!

Pretty neat things you won’t realize until you have lost weight. Things you didn’t know you would notice and now you get tickled about the changes. 

Author: Lisa Goins PhD, APRN, FNP-BC, RMT is the Founder and CEO of Couture Health Care www.couturehealthcare.org.  

Dr. Goins’ health articles are feature a mix of holistic health, wealth, and spiritual news, reviews, and information for health professionals and the public. 

Dr. Goins is the author of the newly released book Do You Know Lisa? Collection of Questions, Answers, Tips. Volume 3. -2016. Additional books published include: 
Do You Know Lisa? Vol 2,-2015 
CEO Business Objectives: Health, Wealth, and Success-2014
Do You Know Lisa? Vol 1- 2014
Co-author of Dwarven Tavern Story Hooks: Quick Start Story Ideas -2014. 

​Dr. Goins sees clients at Couture Health Care, Hamilton, Ohio, USA and can be found on Google+, Twitter, LinkedIn, Facebook, Couture Health Care.org, and YouTube Channel.

]]>
<![CDATA[Scary Response to Weight Loss Changes]]>Mon, 09 Oct 2017 07:00:00 GMThttp://couturehealthcare.org/couture-health-care-articles/scary-response-to-weight-loss-changesScary Response to Weight Loss Changes

There are things we don’t talk about when we lose weight because we are focused on losing the weight. When you are grossly obese, fat, and overweight most of your life, you don’t know a lot of things that skinny, thin, and folks in the right size all their life know.

There is a huge learning curve on behaviors and changes in behaviors. This can be quite startling, distracting, and even frightening to those who do lose weight loss.

We focus on the weight loss and not the emotional responses from others.  This can be terrifying depending on the results to some. 

Here are some changes that you will notice on a long weight loss journey. This is someone who has never experienced “thin” and it can cause folks to second guess their choice and regain weight.

Everyone treats you different now.  Not just looking at you because you are thin but may take it on another level by talking to you, when prior they wouldn’t give you the time of day, to aggressively wanting to touch you or trying to pick you up, followed by carrying you off. This is very shocking to a newly thin person. Remember no is no. Touch and picking you up is no. The person inside is still the person with less weight on their body. This does not mean they can be touched. It also means you are assaulting them. Touching another person with no person is assault. Period.

Self-defense becomes necessary for the newly thin person. Especially since safety for a fat person isn’t as much of a high priority because very few fat folks get kidnapped. Fat people know they are safer and tend to not have safety as a priority always in the forethought of their minds. The 2 am trip to get ice cream is no big deal. It becomes a big deal when you are thinner. You weigh less and you can be knocked over, picked up, and carried off.

Carrying a concealed weapon (CCW) becomes a concern with women who lose weight quickly and are drawing men and women out of the woodworks. Some folks may even find they have stalkers. Very terrifying and newly thin person may even find they don’t want to leave their homes because of this new fear. A CCW gives them a support system they didn’t know they needed until they were thin.  The extra person was the fat they lost. That person isn’t there anymore.

Assertiveness becomes necessary. Many folks will say she use to be so sweet when she was fat. Now she isn’t. She may have accepted she couldn’t change anything that was said before and let a lot of things roll off her shoulders that now she no longer has to put up with.  Working 24/7 to lose weight, helps one to build up some courage and angry that use to be hushed, is now released. She was assertive in needing to go to the gym, not eat everything in the refrigerator, and tell you no with meaning, is just that, no. She is not responsible for your feelings, you are. She is not the problem now, you are.

Losing a lot of weight is just the beginning for how the person inside is changing. Just because they are skinny now does not mean they will say yes to you, want to date you, or find you more attractive. They remember how you treated them when they were fat, told them no, and didn’t ask them out. That person inside didn’t change. You did.  

Author: Lisa Goins PhD, APRN, FNP-BC, RMT is the Founder and CEO of Couture Health Care www.couturehealthcare.org.  

Dr. Goins’ health articles are feature a mix of holistic health, wealth, and spiritual news, reviews, and information for health professionals and the public. 

Dr. Goins is the author of the newly released book Do You Know Lisa? Collection of Questions, Answers, Tips. Volume 3. -2016. Additional books published include: 
Do You Know Lisa? Vol 2,-2015 
CEO Business Objectives: Health, Wealth, and Success-2014
Do You Know Lisa? Vol 1- 2014
Co-author of Dwarven Tavern Story Hooks: Quick Start Story Ideas -2014. 

​Dr. Goins sees clients at Couture Health Care, Hamilton, Ohio, USA and can be found on Google+, Twitter, LinkedIn, Facebook, Couture Health Care.org, and YouTube Channel.


]]>
<![CDATA[Quick Dieting and Exercising Starts.]]>Fri, 29 Sep 2017 07:00:00 GMThttp://couturehealthcare.org/couture-health-care-articles/quick-dieting-and-exercising-startsQuick Dieting and Exercising Starts.

There are times when you are ready to go and start dieting. You already have your idea, goals, and ready to begin but just need a program. Here is a quick program to get going.

To do list:
  1. Download a cell phone app for counting steps or get a tracker for your shoe to count steps.
  2. Walk 30 minutes every day.
  3. Stop eating anything white (food).

Why stop eating anything white? There are a couple reasons this will help with weight loss. White food tends to have more than enough carbohydrates. Carbohydrates break down into energy. Energy then needs to be stored or spent. If you are not spending your energy, you are storing it in fat rolls.

No white means no white foods; donuts, cereals, breads, pastas, snack cakes, cake, pizza crust, and so forth. You name it and it is white, no.

The advantage? Carbohydrates break down into sugars and sugars feed inflammation. This can cause arthritis to flare up and pain to increase. Cutting out white foods can cut out inflammation. More information can be found at the Arthritis Foundation website. The side effects? No pain and possible weight loss.

Another advantage to cutting out white is if a person is gluten intolerant. Gluten is typically in flour that makes all the yummy white things we love. Cut out the white and gluten is cut out too. Less stomach and intestine irritation. Another advantage is psoriasis suffers will find some relief in a gluten free diet. The side effects? Possible weight loss.  

Author: Lisa Goins PhD, APRN, FNP-BC, RMT is the Founder and CEO of Couture Health Care www.couturehealthcare.org.  

Dr. Goins’ health articles are feature a mix of holistic health, wealth, and spiritual news, reviews, and information for health professionals and the public. 

Dr. Goins is the author of the newly released book Do You Know Lisa? Collection of Questions, Answers, Tips. Volume 3. -2016. Additional books published include: 
Do You Know Lisa? Vol 2,-2015 
CEO Business Objectives: Health, Wealth, and Success-2014
Do You Know Lisa? Vol 1- 2014
Co-author of Dwarven Tavern Story Hooks: Quick Start Story Ideas -2014. 

​Dr. Goins sees clients at Couture Health Care, Hamilton, Ohio, USA and can be found on Google+, Twitter, LinkedIn, Facebook, Couture Health Care.org, and YouTube Channel.

]]>
<![CDATA[Understanding Mileage and Dieting]]>Thu, 28 Sep 2017 07:00:00 GMThttp://couturehealthcare.org/couture-health-care-articles/understanding-mileage-and-dietingUnderstanding Mileage and Dieting

Great news! You picked out a diet and you have started it. Now what? Other than counting calories and monitoring your carbohydrates, fats, and proteins. What else can you do to help the number on the scale move?

Exercise! Many people do not have time or the will to do a vigorous work out but can you walk? Yes? Good? Walking is exercise and you can walk inside around the coffee table or outside around the block.

Rules of exercise: When walking, steps are counted. It roughly takes the right foot pass the left and then the right back with a left to complete a step. A number of steps equal a level of activity.  A step equals to 2-2.5 feet in length.  On average 2,000 steps will equal one mile. One mile can be done in a 30 minutes’ walk of 3.0 mph to 3.5 mph or regular walk with no urgency.  Toss in a quicker pace and 2 miles can be walked in 30 minutes.

How many steps equal what level of activity?

Sedentary steps: under 5,000 steps
Light activity: 5,000 to 7,000 steps
Active: 7,000 steps to 10,000 steps
Highly Active: 10,000 steps +

Translating steps into miles:

One mile is 2,000 steps.
Five miles is 10,000 steps.

Breaking it down to “seriously, I am walking that far?”:

A 5-kilometer race is 3.1 miles or approximately 6,000+ steps.
A 10-kilometer race is 6.2 miles or approximately 12,000 steps.
A lightly active person is walking a 5K and a highly active person is walking a 10K.

To do list:

Think it cannot be done? Access a tracker to place on your shoe or download a free pedometer on your cell phone to count your steps. Walk around for two weeks to get an average of how far you are walking per day. You may be walking more than you realize and that is always a nice surprise.
 
Second, start adding 30 minutes of walking every day. Any time of day will do. This should be 1-2 miles depending on how fast you walk or if you add inclines to your route.

Wanting to go for glory? Needing to lose weight or training for an event…like chasing after grandchildren?  Star walking 60 minutes every day. This should be about 4 miles depending on your speed.

Walking is an activity that unless you have health restrictions by a provider, this should be something everyone can do per day.

Author: Lisa Goins PhD, APRN, FNP-BC, RMT is the Founder and CEO of Couture Health Care www.couturehealthcare.org.  

Dr. Goins’ health articles are feature a mix of holistic health, wealth, and spiritual news, reviews, and information for health professionals and the public. 

Dr. Goins is the author of the newly released book Do You Know Lisa? Collection of Questions, Answers, Tips. Volume 3. -2016. Additional books published include: 
Do You Know Lisa? Vol 2,-2015 
CEO Business Objectives: Health, Wealth, and Success-2014
Do You Know Lisa? Vol 1- 2014
Co-author of Dwarven Tavern Story Hooks: Quick Start Story Ideas -2014. 

​Dr. Goins sees clients at Couture Health Care, Hamilton, Ohio, USA and can be found on Google+, Twitter, LinkedIn, Facebook, Couture Health Care.org, and YouTube Channel.
 
]]>
<![CDATA[Passed Your Annual Exam, Now Start Diet!]]>Wed, 27 Sep 2017 07:00:00 GMThttp://couturehealthcare.org/couture-health-care-articles/passed-your-annual-exam-now-start-dietPassed Your Annual Exam, Now Start Diet!

The provider visit is over and you are healthy and no issues found on your exam. Time to target how much weight loss to lose and how you want to go about it. There is a realistic way to do and an unrealistic way to do it. Unrealistic ways set you up for failure, hurt feelings, and no results.

Do know that many of the fabulous bodies that are in the media and in print, did not get that way over night. Many of them took months and years to get that look.  It will take time to lose weight and shape a body. Understand this is a long-term goal to look great. 

Rules to the weight loss game.
  1. It takes approximately 250 calories a day to lose or gain one pound a week. Two pounds per week is 500 calories per day.  This means that if you ate one candy bar of 250 calories a day that by the end of the week you will gain one pound. Two candy bars a day will result in two pounds at the end of the week.  To lose one pound, 250 to 500 calories must be removed per day to get the weight loss of 1-2 pounds a week.
  2. Understand that the body holds fluids. Fluids are weight. There is some body weight that will not change no matter what is done to it. The body’s organs and skeleton have weight and there is fluid that makes all this function and work properly. Thus, if you run out all the fluids of the body or dehydrate the body, it will lose weight. It may not continue to work properly but it will show up on the scales. This is not a true long-term weight loss. The same as emptying or cleansing the GI track. There are pounds of food that is eating that ends up in waste. The removal of waste will show up on the scales. Again, not a long-term true weight loss. The short-term weight losses that involve fluids and masses will be disappointing for long term weigh loss. Focusing on those medications or techniques long term may not result in a healthy body either.
  3. Understanding what carbs or calories are.  Calories break down into fats, proteins, and carbohydrates. Many diets will focus on types of foods that will follow into these categories. Eating too much of one category will have results on the scales.
  4. Choosing a diet plan that meets your needs. What works well for one person may not work well for you. This is very important to understand if there is a health problem that needs to be addressed in the weight loss or weight gain program picked. IF we were all alike, one diet would work well for all of us.
  5. Goals. There needs to be a goal. A goal can be short term or long term. A short-term goal is about six months or less. A long-term goal is six months or years.  Thus, a short-term goal to lose weight at 1-2 pounds a week for six months will result in (1 month = 4 weeks x 6 months= 24 weeks) 24 pounds at 1-pound loss or 48 pounds in 2-pound loss.  To lose 52 pounds would take 1 pound a week for a year or 2 pounds a year would equal 104 pounds.  Understanding it is going to take time to lose weight will keep you from failing. Do know that the time is going to pass anyway. You will weigh less or you will not. Your choice.
  6. Responsibility. You are the one who puts food in your mouth. It is your choice what you eat, when you eat, and what you eat.  Just because the mountain is there does not mean you have to climb it.
 
Author: Lisa Goins PhD, APRN, FNP-BC, RMT is the Founder and CEO of Couture Health Care www.couturehealthcare.org.  

Dr. Goins’ health articles are feature a mix of holistic health, wealth, and spiritual news, reviews, and information for health professionals and the public. 

Dr. Goins is the author of the newly released book Do You Know Lisa? Collection of Questions, Answers, Tips. Volume 3. -2016. Additional books published include: 
Do You Know Lisa? Vol 2,-2015 
CEO Business Objectives: Health, Wealth, and Success-2014
Do You Know Lisa? Vol 1- 2014
Co-author of Dwarven Tavern Story Hooks: Quick Start Story Ideas -2014. 

​Dr. Goins sees clients at Couture Health Care, Hamilton, Ohio, USA and can be found on Google+, Twitter, LinkedIn, Facebook, Couture Health Care.org, and YouTube Channel.
]]>
<![CDATA[Annual Well Check Up Before Diets]]>Tue, 26 Sep 2017 07:00:00 GMThttp://couturehealthcare.org/couture-health-care-articles/annual-well-check-up-before-dietsAnnual Well Check Up Before Diets

One of the necessary things before starting a diet is to go to your provider and get a head to toe assessment and laboratory work up.  Be sure your version of healthy is really healthy or not.  This visit will include your vital signs, body mass index (BMI), and chemical blood work. This will show if there are problems with blood pressure, BMI, and any chemical problems with your thyroid, kidneys, and possible diabetes.  

Why is this so important? Mainly because it will keep you from failing at your weight loss efforts.  It will give you a realistic idea of where you are in the human “normal” and not the photoshop version of human.  You may be surprised that your BMI is in the normal range. You may not need to lose weight but you may need to tone the body. This means that the shift from losing weight to the shift of exercise is more important.  The type of exercises that will need to be done to get the idea of what body should be looking back from the mirror, may mean exercises like planks, squats, and weight lifts. This will mean a different diet. Not one to lose weight but one to help build muscle.

Other problems found may be too high blood pressure, blood sugars, and a chemical imbalance in the blood. This will set you on a different type of diet. The wrong diet can cause your health to be worse, not better. Finding out there is a health problem will help pick out the right diet to follow. Often, just adjusting the diet and calorie intake to lower blood pressure and correct blood sugars will result in weight loss. Finding out there is a thyroid problem and starting medication can result in weight loss or weight gain.

To do list:
  1. Visit your provider for a well checkup or annual visit. At this visit discuss your health and get your laboratory work done to see if you are “normal” or have health issues that is derailing your diet efforts.
  2. Finding out you are “normal” range for your height and weight is a body mass index (BMI). This means that you may start shaping your body. Time to review exercise plans, cardio to weigh lifting on how to get the image desired.
  3. Finding out there is a health problem. First, addressing the health problem. Eating to get the blood pressure or blood sugar in range. Starting any medications and keeping them monitored to achieve a “normal”. Adjusting any weight loss or weight gaining efforts with regular visits to the provider to keep you on track.
  4. You are healthy and no issues found on your exam. Time to target how much weight loss to lose and how you want to go about it.

Author: Lisa Goins PhD, APRN, FNP-BC, RMT is the Founder and CEO of Couture Health Care www.couturehealthcare.org.  

Dr. Goins’ health articles are feature a mix of holistic health, wealth, and spiritual news, reviews, and information for health professionals and the public. 

Dr. Goins is the author of the newly released book Do You Know Lisa? Collection of Questions, Answers, Tips. Volume 3. -2016. Additional books published include: 
Do You Know Lisa? Vol 2,-2015 
CEO Business Objectives: Health, Wealth, and Success-2014
Do You Know Lisa? Vol 1- 2014
Co-author of Dwarven Tavern Story Hooks: Quick Start Story Ideas -2014. 

​Dr. Goins sees clients at Couture Health Care, Hamilton, Ohio, USA and can be found on Google+, Twitter, LinkedIn, Facebook, Couture Health Care.org, and YouTube Channel.

 ]]>