Friday, July 19, 2013
Drs. Bruce and Marilyn Vinokur* and Dr. Jessica Vinokur *Fellows American College of Foot Surgeons Welcome New Patients
The FootCare Group, L.L.C.
W om en m u st w ork h ard er th an m en to lose w eigh t
• Diabetic Foot Care • Heel Pain • Warts • Bunions • Nail Problems • Foot Injuries Surgi-Center and In-Office Foot Surgery Same Gentle, Professional Care - Same Locations 17 Westerman Avenue • Seymour, CT • 203-888-6668 1211 West Main Street • Waterbury, CT • 203-755-2050
Do any of these areas hurt and prevent you from sleeping well? Rotator Cuff
Carpal Tunnel Syndrome
The Hand to Shoulder Center Dr. Andrew Nelson • Dr. Richard Manzo 1320 West Main Street • Waterbury, CT 06708 • 203-755-7115
BOARD CERTIFIED ORTHOPAEDIC SURGEON
• Fellow of the American Academy of Orthopaedic Surgery • Fellow of the American Foot & Ankle Society • Fellow of American Back Society
BOARD CERTIFIED AMERICAN BOARD OF SPORTS MEDICINE Regina Hillsman, MD, PC Neck Carpel Tunnel Shoulder Pain Foot and Ankle Arthritis Fibromyalgia
t’s widely assumed that men and women lose weight differently. Diet product advertisements tend to suggest that all men have to do is give up sugary drinks or bread and the pounds will fall off. Women, however, do not see such immediate results. But is there any truth to the assumption that women have a harder time losing weight? That depends on who you ask. In his book, “The Complete Guide to Walking,” Mark Fenton quotes a study that found women who tried to lose weight by cutting their caloric intake by 500 calories per day didn’t lose as much weight as women who dieted away 250 calories and walked away 250 calories. That’s because the walking toned and built muscles. Muscles, it seems, are the key to more efficient weight loss. Men tend to have more muscle mass than women, who have a greater percentage of body fat and about half the amount of muscle mass than a man of the same size. The higher fat percentage plays a role in pregnancy and nursing, and tends to be concentrated for women in the hips and thighs. Experts say it is more difficult to lose fat from these areas than the stomach, an area where men tend to gain weight. Information found in the study, “Sex Differences in Exercise Metabolism and the Role of 17-Beta Estradiol,” by Mark A. Tarnopolsky, as published in Medicine & Science in Sports & Exercise, says that the estrogen in a woman’s body predisposes her to store and retain fat more readily than a man. Women also oxidize more lipids rather than carbohydrates and protein during exercise. As a result, women will have to work harder to lose weight at the same rate as men. Even when exercise is factored in, a woman’s body may still store fat and attempt to slow metabolism in an effort to preserve body fat for reproduction.
The way the female body is programmed to hold on to fat and the fact that women have less testosterone and do not produce the same level of muscle mass as men (muscles help to increase metabolic rate) are the main reasons why women may have a harder time losing weight than men. There is another factor that may play a role in weight loss as well. Men have a 25 to 30 percent greater lung capacity than women because males are taller and more broadchested than females. This means that when women and men are exercising side-by-side, men may have an endurance advantage because they are breathing in more oxygen. Women may feel more winded and tire more easily when exercising, particularly if they are not conditioned for it. This may shorten workouts for women. Just because there are physical differences between men and women that can affect the rate by which both sexes shed pounds, that doesn’t mean women are incapable of losing weight. Increasing exercise in addition to cutting calories will help speed up metabolism. By building lean muscle, women can help their bodies more actively shed pounds.
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Friday, July 19, 2013
M an agin g you r ch em oth erapy record s Battling breast cancer can be exhausting As the American Cancer Society notes, the most common side effect of cancer treatment is fatigue, and many breast cancer patients find themselves lacking energy after treatment. But as draining as such fatigue can be, breast cancer patients must make an effort to keep track of their treatments so they can stay organized. Many cancer patients will receive more than one round of chemotherapy, and keeping track of each round can help patients stay more informed. Breastcancer.org, a nonprofit organization dedicated to providing reliable, complete and up-to-date information about breast cancer, recommends breast cancer patients keep separate records for each round of chemotherapy. Make each record as detailed as possible, including the following information so you have an accurate and accessible account of your chemotherapy treatments. • name, address and phone number of institution where chemotherapy was given • dates of chemo • medical record number • name and phone number of doctor who supervised your chemotherapy nurse or nurse practitioner’s name and phone number • type of central line, if applicable • name of treatment protocol or clinical trial • name of medication • dose received each session • number of doses • cumulative dose • how medicine was given (as a pill, IV through a peripheral vein, IV through a central line, lumbar injection, etc.) • antinausea medicines used • allergic reactions, if any • adverse reactions, if any • change in dose or medicine because of adverse reactions
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