Walking With Wellness

Some time ago, I received my first pedometer with which to track my daily steps, and I could not have been more thrilled. Attached unobtrusively to an elastic wrist band, it ventured forth with me every day as I plotted my path, set my course, stepped up, or took a hike. Continue reading


The Effects of Lifestyle on Function

Recently I wrote about a patient I met many years ago. Like most people, he spent a fair amount of time thinking about medical expenses. That was understandable, as his elevated blood pressure required treatment with four medications.

I explained to him that if he could make a couple of lifestyle changes, there was a good chance that he would be able to reduce the number of blood pressure medications he took. Could he take a short walk when possible? Could he cut back on ultraprocessed food items, like Ritz crackers and cheese whiz, and substitute homemade popcorn and a slice of Jarlsberg or cheddar on wasa crackers? What about more fresh fruit and vegetables? Maybe, but he was worried about the cost. Continue reading


Can You Slow Your Rate of Aging? by Guest Writer Gary Miceli

Dear readers:

Recently I received an email from Gary Miceli, a health writer with a story of his own to tell. I hope that he will return in the future to share that story, as I believe you will find it inspiring. I am happy to share with you today his thoughts on aging. Have a good weekend, and I’ll see you Sunday!  –Dr. Roxanne Sukol

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If you have read a science magazine, been to a health website or even checked out articles in the popular press, you know that human aging is a hot topic. So what is aging? Aging is the consequence of inevitable molecular and cellular changes to the structure and composition of the body. These are consequences of normal metabolism and operation.  Continue reading


Gratitude and Wisdom

When I was eleven years old, my parents, always “early adopters” of the latest technology long before this kind of thing had a name, bought a brand new stove with a smooth white ceramic top. It was called a Corning Cooktop, and its most memorable feature, at least to me, was that its elements remained white even when they were hot enough to boil water. Was it really that hot? You had to take it on faith — or not. No matter how long I stared at it, I could not convince myself that the white ceramic stovetop was hot. And that is why I still remember, all these many years later, the perfectly oval burn on the tip of my right index finger. I only touched that hot stove once, but that was all it took. I did not cry, even though it hurt a lot. I just stared and stared. I could not take anyone else’s word for it; I needed to see for myself. As a matter of fact, I didn’t even tell anyone in my family. I just needed to know. Continue reading


Musings on Obesity & Malnutrition

In sharp contrast to the common perception of obesity as an overindulged state, I have come, over many years, to understand obesity as a manifestation of a malnourished state. It was partly through the act of fasting on Yom Kippur that my thoughts on obesity began to evolve in this direction. I wrote an earlier version of today’s post many years ago, as I was beginning to formulate my thoughts on this issue.

Once a year, on Yom Kippur, the Day of Atonement, Jews around the entire world fast from sundown to sundown. This year, Yom Kippur begins tonight, on Sunday the 24th of September, and continues through tomorrow night. Putting aside for now the reasons why we do this, I’d like to talk about the results of such an endeavor, the what happens when you fast. Continue reading


Self-Care Resolutions

Late last year I had an interview with a major news network on the topic of New Years’ Resolutions. I decided not to talk about the popular though self-defeating goals that are nearly impossible to sustain and end up making people feel badly about themselves and their efforts. I didn’t discuss limiting calories, denying yourself things that bring you joy, joining a gym, or signing up for a yoga class. Instead I decided to talk about being kind to yourself.  Continue reading


Three Pillars of Wellness

I’ve been writing a monthly column for the Cleveland Jewish News since last year, and today I’d like to share one of the posts I wrote early on.

Wellness is like a pyramid with three pillars: eating patterns, activity patterns, and rest & relaxation patterns.

There’s tremendous synergy among these three pillars. You go for a great walk; you sleep better that night. You get a lousy night’s sleep; you circle the vending machines (or the fridge) all day. You eat too much; you don’t feel like moving. Everything is connected, so we can make small changes feel like a million bucks.

You don’t need to train for the Olympics. You just need to move. How much? A little bit more than before. If that means a 5-minute walk after breakfast instead of hanging out on the couch, then 5 minutes it is. If it means adding 10 minutes of stretching before your daily 2-mile run, then give it a try. Small changes, beginning wherever you are today. Continue reading


Small Steps

Some time ago, Gene the computer guy showed up at my office for the first time in a while. Right away, I knew something had changed. I said, “Gene, how are you? You’re looking very well!” He responded with an uncharacteristic grin, and answered by telling me one thing all of us know, but few believe (despite numerous confirmatory personal experiences!). I sat up fast when he said, “Diets don’t work.” Continue reading


Basics of Kindness & Self Care

It’s been a long time since I went back to the basics, but a letter this week from a reader in Missouri prompted me to think again about the basics. He asked specifically about fat, carbohydrate, and protein. I will get to what he said in a minute, but before I talk about food I would first like to talk about wellness. Continue reading


Every Little Bit Counts

I have some amazing news to share. A recent study published in the journal Diabetes Care observed a reduced risk of diabetes (type 2) in older women who walked just 1000 steps more every day. You can access those findings here. This week’s post might, at first glance, seem a little dry to you, but if you’ll stay with me for a couple of minutes, I think you’ll find an important observation here that may resonate deeply. It’s not about diabetes, or even walking for that matter. It’s about success. Continue reading