My Favorite Topic: Real Food

Almost all diets have one particular strategy in common, which is to increase the amount of real food that people are eating while simultaneously decreasing the amount of manufactured calories, including both stripped carbohydrates and the ultraprocessed oils invented in the 20th century.

Stripped carbohydrates are processed to remove the most nourishing parts, including the bran and germ. Other stripped carbohydrates include white rice, corn starch, corn syrup, and sugar. It is not a coincidence that white flour, corn starch and powdered sugar look exactly the same. We’ve removed the original identities of these products, so all that is left is a pile of white powder. Continue reading


Self Care is Being Kind to Yourself, plus Lentil-Vegetable Soup

I spent my days as a practicing physician teaching people to be kinder to themselves, and that kindness manifested itself in three spheres: 1) eating patterns, 2) activity patterns, and 3) rest & relaxation patterns. The goal is to make small, incremental changes that result in nourishing your heart and soul with better food, more movement, and quality rest and relaxation.  Continue reading


Your Health is in Your Heart

Good morning, and happy Sunday. Today I am sharing a conversation I had with a patient once some years ago. She was someone I had never met before, and was, like many before her, completely flummoxed about what to try next. With a personal goal of weight loss, she had already done everything she could think of, and then some. I know you know this story. I myself have told it many times before. There is a good chance you may even have experienced it yourself. Maybe you have experimented with practically every diet, including the dreaded cabbage soup diet, denied yourself your favorite foods, carved out time you didn’t really have to get more exercise than was comfortable at the time. Of course none of this is sustainable. You can’t eat cabbage soup for breakfast forever. So what comes next?  Continue reading


Old-Fashioned Gratitude

Many years ago, when I was eleven years old, my parents bought a Corning Cooktop stove, a fancy new appliance whose coils remained white even when they were hot. You simply had to take it on faith — or not. No matter how long I stared at that new stovetop, I could not convince myself that the white coils were hot. And that is why I still remember so clearly, this many years later, the perfectly oval burn on the tip of my right index finger. I touched it only once, but that was enough. It was all it took. I couldn’t take anyone else’s word for it.  Continue reading


YOUR HEALTHY PLATE: Bob’s Red Mill Quinoa Salad

You may or may not have heard, but last month, on February 10th, Bob Moore, a founder of Bob’s Red Mill Natural Foods, passed away at the age of 94. And I felt the need to write a post about this man who made such a remarkable difference in our food supply. Continue reading


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


With Years Come Wisdom, Guest Post by Joe Gardewin

Our recent guest post on aging inspired yet another guest post, this one by long-term reader Joe Gardewin. I hope his words inspire you as much as they inspired me!

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Dear Doc Roxanne, 

I may not be an expert on aging but, at 78, I do consider myself aged or, as my friend, Tom Isern, says, “seasoned.” In other words, most of my life is in my rearview mirror. Ha! That is not a bad thing, because I’ve had a pretty full life. But I do hope to live for a while yet and, in all honesty, I think I will. I think that, in part, because I have a good family doc who has now followed me for 20 years. In her words I am “… not the patient I worry about most.” 

These are my thoughts on [hopefully] living a long, healthy life:  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


Standing Together As A Family

Years ago, while caring for adults in a suburban internal medicine practice, I began to observe an interesting phenomenon. At the time, it was not unusual for my patients to bring along their children or grandchildren, fresh from a prior pediatric appointment just across the hall. Beautiful, bright-faced, chubby, usually well-behaved children. Their pediatricians’ well-intended recommendations on reducing rates of weight gain consisted of the standard, usually unsuccessful, content. My patients’ expressions told me that the advice was tiresome and frustrating. If they knew how to fix this problem, they told me, they already would have.  Continue reading