Ask Dr. Spar: What Are My Heart Health Test Options?

Ask Dr. Spar: What Are My Heart Health Test Options?

Written by Myles Spar

Posted on: March 20, 2018

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What Are My Heart Health Test Options

When it comes to your health, you have more power than you realize. Lifestyle choices like eating well, exercising, and managing stress can make an incredible difference when it comes to preventing chronic problems like coronary disease, diabetes, and more. I’ve seen it in my patients, and research supports my experience (you can read about how basic diet changes can affect heart health here, and I’ve written about the ways exercise can positively impact your brain here). That said, I have a deep respect and appreciation for the power of testing to potentially save your life—especially when it comes to preventing heart attack and stroke. Here are some of the most effective heart health test options.

 
Advanced Lipid Panel
The Centers for Disease Control reports that around 33% of American adults have high LDL cholesterol, and only 1 in 3 of these people have the problem under control—possibly in part because high cholesterol has no symptoms. While lifestyle choices like eating well and exercising can help keep your cholesterol in check, it’s important to know your levels. A lipid panel, or cholesterol test, measures the fats in your blood. This test usually consists of several different measurements, including:
 
– total cholesterol, or the sum of cholesterol in your body
– low-density lipoprotein (LDL) cholesterol, the “bad” kind that can lead to clogged arteries
– high-density lipoprotein (HDL) cholesterol, the “good” cholesterol that helps carry away LDL cholesterol
– triglycerides, high levels of which can increase your risk of heart disease
 
As I explain here, an advanced lipid panel is the better test for cholesterol because it includes particle number and Lp(a) in addition to the regular numbers listed above.

 
Stress Test
For this procedure, you exercise to the point where your heart is beating hard and fast so your cardiac health can be tested. Stress testing is often used to detect coronary heart disease, or the buildup of plaque in the arteries that supply blood to your heart. Among other things, this buildup can cause blood clots that block blood flow through an artery, leading to angina (chest pain) or a heart attack. Sometimes people with coronary heart disease don’t have symptoms when they’re at rest, so forcing the heart to work hard is a good way to check for problems.

 
CT Calcium Scan
Although it’s a useful diagnostic tool, a stress test may not be able to detect a combination of calcium, cholesterol, and scar tissue known as atherosclerotic plaque. As cardiologist and The South Beach Diet author Arthur Agatston, MD, told Everyday Health, these soft plaques can act like “ticking time bombs” that may explode without warning, causing heart attacks and sudden death. Even when these plaque explosions don’t lead to heart attacks, they form a scar that eventually becomes calcified. A CT calcium scan can detect this calcified plaque (a warning sign of coronary artery disease), which is why I include this in my Tack180 optimal health program. If you’ve had this test and your result is not 0, then it’s not optimal, and you should have a plan to prevent it from getting worse.

 
C-Reactive Protein Test
Since a correlation between lowering your LDL (“bad”) cholesterol and reducing your risk of a heart attack has been well established, many people rely on cholesterol checks to tell them if they have a problem. Unfortunately, as the experts at Harvard Health point out, research shows only around half of people who experience heart attacks have high LDL cholesterol. Considering this less-than-reassuring statistic, they and others recommend a C-reactive protein (CRP) test. CRP is a protein that plays a role in your body’s inflammatory response, and research suggests a link between high CRP levels and heart attack chances. In one 2002 study published in The New England Journal of Medicine, C-reactive protein tests proved more effective than LDL cholesterol testing at predicting cardiovascular risk.

 
Genetic Testing
Testing is now available to tell us everything from our disease risk to optimal diet or exercise regimen, but tests like this are not being done routinely by most physicians. Even when people do their own tests, such as through 23&Me, they don’t know what to do with the results. All this new information is powerful and actionable, if you consult with an expert. Remember, genetics loads the gun, but you pull the trigger through your lifestyle decisions, such as diet, exercise, sleep and stress management habits. What I mean is, your genes are not your destiny – you control what genes actually get turned on and off and how much they impact your life. But knowing your risks can help an expert give you a real plan to prevent problems. That’s what Tack180 is all about. I think the time to do genetic testing is NOW, that’s why many genetic tests and specific individualized recommendations for what to do about those results are included in every Tack180 plan.

 
To learn more about heart health tests that could save your life, click here or contact Tack180 by scheduling a consult below.
 

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Top 5 Supplements to Increase Sex Drive

Top 5 Supplements to Increase Sex Drive

Written by Myles Spar

Posted on: March 13, 2018

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Supplements to Increase Sex Drive

Supplements can be a powerful tool for helping you achieve your goals, especially when you follow a regimen that’s tailored to meet your specific needs. I’ve written about supplements a lot—you can read about some of my general favorites here, and I’ve also listed some of the best supplements for your heart and brain. Today I’d like to tackle the topic of sexual health with my top 5 supplements to increase sex drive. Don’t forget to check with your healthcare practitioner to make sure any supplement you are considering is safe for you given your medical conditions and medications.

 
Ginseng
Practitioners of Traditional Chinese Medicine have long relied on this root to enhance vitality, and Western science supports this use. According to LIVESTRONG, some experts believe Panax ginseng’s libido-lifting power comes from its ability to help the body adapt to stress. Research suggests ginseng may also improve sexual performance as well as sperm count and quality, meaning it can help with infertility. Ginseng also shows promise for treating erectile dysfunction. In a study where men who had been clinically diagnosed with erectile dysfunction were given either 900 mg of Korean red ginseng a day or a placebo, those who took ginseng experienced significantly better penetration, rigidity, and erection maintenance compared to the placebo group. Just remember that the type of ginseng with these effects is Panax ginseng (often called Chinese or Korean Ginseng). Panax ginseng is a different species with unique effects while Siberian Ginseng is a different plant altogether so be very careful when doing your shopping.

 
Maca
Maca is an herb with a history of use dating back to the Incas. Traditionally favored for its ability to enhance endurance and boost libido, this hearty plant that thrives in the extreme growing conditions of the Andes is also thought to improve fertility. Animal studies have found maca improves sperm quantity and quality, and may also act as an aphrodisiac for both men and women. As reported by Psychology Today, the effects of maca on sex drive have been thoroughly researched—with intriguing results. In one study, men who took three grams of maca per day for eight weeks showed improved sexual desire compared to those who took a placebo. Another study looking at the effect of maca on reduced libido caused by antidepressant medication found it enhanced desire and, in those who took a high dose, sexual function. Maca has also been found to help with erectile dysfunction. To that point, it’s even known colloquially as Peruvian ginseng.

 
DHEA
Dehydroepiandrosterone (DHEA) is a hormone produced in your body’s adrenal gland that aids in the production of testosterone and other hormones. Since testosterone is critical to healthy male sexuality, supplementing with DHEA may help with issues like sluggish libido and impotence. One double-blind, placebo-controlled study found men given 50 milligrams of DHEA every day for six months experienced improvement in symptoms of erectile dysfunction.

 
Zinc
This essential trace mineral affects testosterone levels, and zinc deficiency has been linked to hypogonadism (low testosterone). Research suggests supplementing with zinc can help modulate testosterone levels, and it has also been shown to help with sexual competency and erectile dysfunction. The Mayo Clinic suggests men take 15 milligrams daily. Zinc can deplete your body of other nutrients and interact with medications, so check with a practitioner before you take it. And don’t overdo it—the National Institutes of Health (NIH) warns that taking high doses of zinc can cause diarrhea, vomiting, and other digestive discomfort.

 
Fenugreek
Men’s Fitness says this herb is a popular ingredient in men’s health supplements thanks to its purported power to intensify arousal. They cite a study where participants who took fenugreek for six weeks experienced an impressive 82 percent increase in libido. In this same study, 63 percent reported stronger orgasms after taking fenugreek, with no negative side effects.

 
Are you interested in learning more about how supplements can improve your performance in and out of the bedroom? Are you tired of buying bottle after bottle of expensive product without knowing what you actually need or what really works for you? Tack180 can help. Our program provides a blueprint that’s carefully customized around your health history, specific nutritional needs, and goals. We’ll even help you stick to that plan with the support of a professional implementation team that will assist you in overcoming common hurdles to behavior change and hold you accountable in the long run. What are you waiting for? Sign up for your free consultation today.

 

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Why Do Men Need Doctors? (Podcast Featuring Dr. Myles Spar)

Why Do Men Need Doctors? (Podcast Featuring Dr. Myles Spar)

Written by Myles Spar

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The other day, I sat down with the prestigious Los Angeles-based chiropractor, Dr. Michael Pound, to be a guest on his podcast called “Heal Better Fast”. I met him while presenting at Duke University for a fellowship program he’s doing in Integrative Medicine. It was great to chat with him about my work, especially about the importance of having a focus on men’s health. He was very easy to talk to – about how I got into this line of work and why I do what I do. Give a listen below!
 

 
Interested in going beyond the basic medical testing you receive in your routine annual physical? Click the button below to schedule your FREE consult today and experience how Tack180 charts the course for a healthier you.
 

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5 Supplements Everyone Should Take (Revised 2018)

5 Supplements Everyone Should Take (Revised 2018)

Written by Myles Spar

Posted on: March 7, 2018

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5 supplements everyone should take

In the post below, I explain that certain supplements are good for everybody, though you’ll ideally get individualized recommendations based on your specific health issues and goals. Here are five more supplements that everyone should take. But before I get started, a reminder that nutritional supplements are not regulated closely in the United States, so you have to be careful which brands you buy. I recommend using an objective third party like Consumer Lab, which lists specific brands they have independently tested for quality, to help you choose a safe and effective product. Also, remember to always check with your healthcare practitioner to make sure any supplement you are considering is safe for you given your medical conditions and medications.
 

B Complex
B vitamins—thiamin, riboflavin, niacin, pantothenic acid, B-6, biotin, folic acid, and B-12—play an important role in the body’s process of converting protein and sugar to energy as well as the repair and production of cells. For this reason, it’s especially important that fitness enthusiasts get enough B vitamins. A <study published in the International Journal of Sport Nutrition and Exercise Metabolism found athletes and other active people who lack B vitamins may not perform as well during high intensity exercise and have a decreased ability to repair and build muscle compared to those with nutrient-rich diets. To make sure you’re getting the most bang for your buck, look for methylated forms of B vitamins that your body can absorb and use more readily.
 

Vitamin D
This one also makes my list of top supplements for heart health, and with good reason. Studies have shown a strong association between vitamin D deficiency—a common condition in the United States and worldwide—and risk of cardiovascular disease. And a recent analysis by Johns Hopkins of survey responses and health records of more than 10,000 American adults for nearly 20 years found a link between adequate vitamin D levels and exercise in reducing heart attack and stroke risk.
 

Ashwagandha
This herb is what’s called an adaptogen, and it possesses a unique ability to help the body adapt to stress. They work to provide balance, acting according to what you need. Feeling anxious? Adaptogens help calm you. Tired? They help energize you. They can even do both at the same time! Regardless of which way you’re swinging, adaptogens can bring you back to the center, all without disrupting normal biological function. They increase our ability to cope with and respond to whatever comes our way, which is something we can probably all use more of in these stressful times. In a study looking at the effect of ashwagandha on individuals with a history of chronic stress, those who took ashwagandha capsules twice a day for 60 days had their stress and cortisol levels significantly lowered compared to a placebo group.
 

Turmeric
This bright yellow spice is a popular supplement thanks to a powerfully anti-inflammatory and antioxidant active constituent called curcumin. Research suggests turmeric has the potential to treat a wide array of health conditions. In a study of patients with osteoarthritis in one or both knees, those who took a turmeric formulation for 90 days showed a 58 percent reduction in overall pain and stiffness compared to controls. Curcumin found in turmeric has also been shown to relieve the symptoms of inflammatory bowel disease (IBD). In one study, participants with ulcerative colitis who took curcumin along with medication experienced significant relief compared to those who took a placebo and medication. And a data analysis looking at studies of curcumin for IBD found it has potential as an adjunct therapy as well as on its own.
 

L-Theanine
I include this one on my list of top brain supplements as well. A compound found in black and green tea, L-theanine on its own can bring about a state of relaxed alertness. When paired with caffeine, it works synergistically to increase memory and improve reaction time. The beauty of L-theanine lies in its ability to relax you and help you focus at the same time. One systematic review found L-theanine simultaneously reduced anxiety and increased attention.
 

Want to know more about how supplements can help you achieve your goals? Our Tack180 program can provide you with a unique plan that’s personalized to fit your specific needs. Contact Tack180 today: info@tack180.com or schedule a consult by clicking the button below.

 

 

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5 Supplements Everyone Should Take (6/29/17)

Of course, recommendations for supplements should be individualized according to your own specific health issues and goals, but there are some that are so good for nearly everyone, that I need to include them in a top 5 list. The first thing to keep in mind is that nutritional supplements are not regulated closely in the United States, so you have to be careful which brands you buy. Not all supplements have the ingredients they list on the label. Some even have adulterations with pharmaceuticals and heavy metals. In 2015, the New York State attorney general investigated supplements and fund that store-brand supplements from four national retailers – GNC, Target, Walgreens, and Wal-Mart – had some that contained none of the herbs listed on the label and many had potential allergens not identified on the ingredients list. Men are the primary consumers of two of the three categories of products: bodybuilding and sexual enhancing agents, that are most commonly adulterated in the marketplace. The third category that is most commonly adulterated is weight loss supplements, used widely by both women and men. I recommend using an objective third party as a resource for which brands are trustworthy. For example, Consumer Lab lists specific brands they have independently tested for quality.

Now, let’s get into the details of the top 5 supplements everyone should take. Always check with your healthcare practitioner to make sure any supplement you are considering is safe for you given your medical conditions and medications.

 

1. Fish Oil
Omega 3 fatty acids, like fish oil, contain EPA and DHA which help with neurologic repair and function, decrease bad cholesterol and decrease inflammation. Plus, these fatty acids help with depression.  The usual dose is 2000 mg total of EPA and DHA combined. This can thin blood somewhat, so be cautious if on blood thinners or preparing for any surgical procedures.

 

2. Anti-Oxidants
There are many antioxidants that help repair the wear and tear our cells undergo on a daily basis from general life among toxins in the air and cancer-causing foods in our diet. I like NAC  (N- acetyl cysteine) because it gets converted to glutathione, a powerful antioxidant.

 

3. Acetyl-l-carnitine
Who remembers the Krebs cycle? This cycle powers everything in our body, by converting food (glucose molecules) into energy (ATP). L-carnitine is an important and often depleted enzyme in this process that takes place in our mitochondria. Taking 1000 mg of acetyl-l-carnitine every day can improve your ability to make energy in your cells, translating to energy for living your life.

 

4. Green Tea
Many supplements that claim to have the active ingredient in green tea (EGCG) actually have very little, so it’s best to drink your green tea hot. If you do, you can benefit from the many health benefits that have been shown to come from the catechins in green tea such as cancer prevention, weight control, blood sugar control, reduced risk of heart disease and decreasing size of uterine fibroids.

 

5. Shisandra
Shisandra berries are adaptogens, meaning they help us adapt to the stress we are constantly encountering in our lives. This extract has been shown to help liver detoxification, fatigue, improve mental function and aid in digestion.

 

Take a close look at these top 5 to see which might benefit you for your particular health issues There are many more herbal and natural supplements that will be discussed in future webinars and blog posts, but with these 5, you have a great start at better health.

For truly personalized recommendations, there’s nothing like the Tack180 program for optimal health and prevention.

 

5 Supplements Everyone Should Take

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One Week Stress Management Plan

One Week Stress Management Plan

Written by Myles Spar

Posted on: February 21, 2018

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Stress Management Plan

Stress. Between struggling to meet work and family demands and worrying about the state of the world, most of us deal with it occasionally. But what if it’s relentless? As I explain here, the persistent exposure to stress over a long period of time is known as chronic stress, and it can lead to health problems like anxiety, insomnia, and high blood pressure. Chronic stress can also contribute to the development of serious illnesses like heart disease and depression—particularly if you’re already genetically predisposed to these issues. Research suggests the overeating of “comfort foods” in an attempt to manage chronic stress may even be partially responsible for the current obesity epidemic. Lately, I’ve been taking a bit of a “news diet;” trying to find a balance between staying informed while minimizing the barrage of negative and frustrating news. But, short of going off the grid completely, what can you do to be less stressed? Try this one week stress management plan.

 

Monday: Exercise
Start your week strong by making time to work out. You’ve probably heard me talk before about the stress-busting power of exercise, but that’s because it works! I’ve experienced this benefit countless times, and there’s tons of science out there to back me up. In one study, the brains of mice who were allowed access to an exercise wheel for six weeks actually adapted to better handle stress. Think you don’t have time to work out? Instead of wasting time online over lunch, try taking a quick walk around the block, which some research has shown to have the same effect as a mild tranquilizer (since exercise also improves your focus as well as concentration, you’ll be more relaxed AND super sharp for that afternoon meeting).

 

Tuesday: Breathe
Ever take a deep breath during a stressful moment and immediately feel better? According to a New York Times article on the power of controlled breathing, experts believe taking slow and steady breaths activates your parasympathetic nervous system, which is responsible for slowing heart rate and promoting calm feelings. Aside from how well they work, the beauty of breathing techniques is that they require no special equipment and can be done anytime, anywhere.

 

Wednesday: Meditate
This is another one I talk about a lot because it works so well. Mindfulness meditation is a scientifically proven stress reliever. In one study, people with generalized anxiety who followed a stress-reduction program based on mindfulness were considerably less anxious than those in a control group who were taught other stress management techniques. Like breathing exercises, meditation doesn’t require any gear—simply carve out a few minutes and close your office door or find a nice, quiet place in a park. There are even meditation apps to help you get started, and you can read about some of my favorites here.

 

Thursday: Go Outside
Can’t seem to make it to the gym? Take a walk instead. According to Tieraona Low Dog, MD, spending time outdoors can lower your heart rate and blood pressure, relax your muscles, and bolster your immune system. She points to a 1984 study where hospital patients with a view of nature through their windows had shorter stays, needed less pain medications, and generally felt better than those facing a brick wall. In Japan, a form of preventative medicine called Shinrin-yoku, or “forest-bathing,” involves simply walking in the woods and has been proven to relieve stress, improve mood, increase focus, and more. Even if you don’t live anywhere near a forest, you can harness the healing power of nature just by going outside.

 

Friday: Visualize
This relaxation exercise couldn’t be easier since it involves nothing more than visualizing a peaceful environment. Whether it’s the beach, the woods, or the comfy chair in your living room, mentally visiting your happy place can help calm you when you’re feeling stressed out. Need inspiration? You can find tons of guided imagery videos on YouTube.

 

Saturday & Sunday: Rock Out
If you’ve ever cranked some tunes REALLY LOUD after a hard day at the office, you know the stress-relieving power of music. Not only can music amp you up (powering you through that last quarter mile of a run, for example), it can also calm you down. In a study where college students gave a presentation with either classical music or no music playing in the background, those in the music group had less anxiety, slower heart rates, and lower blood pressure than those who presented in silence. To lower your stress levels, spend some time over the weekend listening to music you love.
 
Interested in learning more about how lifestyle changes can help with chronic stress and other concerns? Contact Tack180 today: info@tack180.com or schedule a consult by clicking the button below.
 

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Healthy(ish) Drinks for Your Winter Party

Healthy(ish) Drinks for Your Winter Party

Written by Myles Spar

Posted on: February 14, 2018

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Healthy(Ish) Drinks for Your Winter Party

My healthy alcohol options for the holidays blog post was so popular, I decided to share some other healthy-ish options for those of you continuing to celebrate into the new year. Whether you’re doing apres-ski or hosting an Oscar party, entertaining doesn’t mean you have to derail your fitness plan. As I explain here, it’s quite possible to imbibe without overindulging if you choose your cocktails carefully. Here are some healthier drinks for your big party.

 

Winter Sangria
A bit like a grown-up version of fruit punch, sangria features my favorite heart-healthy alcohol: red wine. According to the Mayo Clinic, red wine contains antioxidants like resveratrol that may help lower LDL (“bad”) cholesterol, protect your blood vessels, and inhibit clotting. And a review examining the effects of wine’s abundant antioxidants found it may be beneficial for reducing cardiovascular risk factors. Try this sangria recipe adapted from the ultimate hostess, Martha Stewart.

– 1 cup brandy
– 1 orange, ends cut off and thinly sliced
– 1 apple, halved and thinly sliced
– 2 bottles dry red wine, chilled
– 3/4 cup freshly squeezed orange juice
– 1 cup club soda
– In a large pitcher, stir together brandy and fruit slices. Let stand for 15 minutes, then add orange juice, wine, and club soda. Serve over ice.

 
Hot Toddy
If the excitement of the party isn’t enough to warm you up, try a hot toddy. Not only does it taste great, the traditional combination of whiskey, lemon, honey, and boiling water may also ease cold symptoms. As Professor Ron Eccles, director of the Common Cold Centre at the University of Cardiff in Wales, told The Telegraph, hot drinks—particularly sweet and sour ones like the toddy—promote mucus secretion, which defends against bacteria and viruses. Try this recipe adapted from Imbibe.

– 1 1/2 oz whiskey
– 1 tsp honey
– 1/2 oz freshly squeezed lemon juice
– 4 oz boiling water
– Combine all ingredients in a teacup or mug and stir well. Garnish with a lemon wedge or cinnamon stick, if desired.

 
Dirty Martini
Who says you can’t enjoy a classy cocktail while hanging out with the guys? The martini is a healthy option thanks to its low calorie count, which LIVESTRONG estimates to be around 240. When you make it “dirty” by adding olive juice and olives, you also gain a bit of “good” fat. The fat found in olives is especially beneficial for heart health—in one meta-analysis of 32 cohort studies, consumption of monounsaturated fats from olive oil was associated with a reduced risk of cardiovascular mortality, cardiovascular events, and stroke. Impress your friends with this dirty martini recipe adapted from the Spruce.

– 2 1/2 oz vodka (or gin, if you prefer)
– 1/2 oz dry vermouth
– 1/4 oz (or more) olive juice
– Olives, to taste
– Pour ingredients into a cocktail shaker filled with ice. Shake well and strain into a chilled glass. Garnish with olives. (Legend has it, an even number of olives is bad luck, so act accordingly.)

 
Bloody Mary
Just because your party is happening at night doesn’t mean you can’t enjoy this surprisingly nutritious brunch favorite. Tomato juice is packed with vitamins, minerals, and antioxidants like lycopene, which has been shown to protect against heart disease and some types of cancer. (Look for the low-sodium variety, since some tomato juices contain a ton of salt.) Celery and other vegetable garnishes add nutrients like vitamin K, folate, and fiber. You could even set up a bloody mary bar so guests can build their own. Start with this basic recipe adapted from CookingLight.

– 1/2 cup low sodium tomato juice
– 2 tsp fresh lemon juice
– 1 tsp hot sauce (more if you like it spicy, less if you don’t)
– 1/4 tsp Worcestershire sauce
– 1 1/2 oz vodka
– Pickles, olives, celery stalks, lemon wedges, etc. for garnish
– Combine ingredients in a tall glass and stir well. Add ice and garnishes of your choice.

 
If you’re not interested in whipping up any of these recipes, you can always go with the classic party beverage, beer. Just make sure to stick to one or two, especially if you’re drinking a craft brew. Men’s Fitness has a helpful list of lighter craft beers here.
 
You can also contact Tack180 for dietary recommendations tailored specifically for you. Our diagnostic protocol takes your health concerns beyond the standard. We test for micronutrient deficiencies, evaluate hormone levels, and look at your genes to get a full picture of your health.
 

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Get in touch today to start becoming the best version of yourself.
 

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Ask Dr. Spar: What Is A Definite Sign Of Overtraining?

Ask Dr. Spar: What Is A Definite Sign Of Overtraining?

Written by Myles Spar

Posted on: February 6, 2018

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What Is A Definite Sign Of Overtraining, Dumbbell

It’s no secret that I’m a huge proponent of exercise to improve physical and mental health. Whether you’re working toward a fitter physique or struggling with stress, exercise can help. When training for a goal, though, it’s important to remember not to overdo it. Pushing yourself is part of the process—I’m an Ironman triathlete, so I certainly understand testing one’s limits—but you risk injury if you push too hard. How do you know when it’s time to pull back a bit? Here are some definite signs of overtraining.
 
Extended Soreness
Since a certain amount of soreness is not only normal but desirable, this one can be tricky to diagnose. But Men’s Fitness says if you’re still feeling sore 72 hours after working out, your muscles might not be recovering the way they should. What can you do? Take a break from training! You can also try soaking in an Epsom salt bath. As LIVESTRONG explains, Epsom salt’s high magnesium content may help clear out the buildup of lactic acid in your muscles, allowing them to relax. They recommend adding a couple cups of Epsom salt to a tub full of warm water. Using a foam roller on sore muscles can also be a good way to relieve pain. In a study examining the effects of foam rolling on delayed-onset muscle soreness, subjects who used a foam roller after intense exercise experienced substantially improved quadriceps muscle tenderness.
 
Insomnia
You’d think someone who goes hard would have no trouble falling asleep the minute his head hits the pillow, right? After all, exercise is often recommended as a remedy for sleeplessness. Well if that person is overtraining, he might actually have the opposite experience, struggling with restlessness and insomnia at night. As explained by Muscle for Life, working out too much can overstimulate your sympathetic nervous system, making it difficult for you to settle into sleep. This is the same reason some people should avoid evening workouts – the release of stress hormones like cortisol and adrenaline that happens when you work out can leave you too hyped up to sleep. Since adequate rest is important not only for muscle recovery but also for general physical and mental function, it’s crucial you pull back on training if it begins to affect your sleep habits.
 
Frequent Illness
Are you a gym rat who seems to be getting sick constantly? While there’s no doubt about the benefits of exercise for body and mind, too much of it can take a serious toll on your immune system. As personal trainer and nutrition expert Jay Cardiello, C.S.C.S., told Men’s Fitness, overtraining can put your body into a catabolic state where it begins consuming your own muscles for protein. Perpetual existence in this state weakens your immune system, causing you to feel run down and making you susceptible to sickness. To rebuild immunity, Cardiello advises reducing training, getting plenty of rest, and taking a look at your diet to make sure you’re getting adequate nutrition. Supplements can be useful, too—I write about which ones you can take for CrossFit and other intense exercise here.
 
Low Mood and/or Self Esteem
This is another tricky one. Isn’t exercise supposed to make us feel good? What about the “runner’s high” that happens when our body releases feel-good endorphins after a workout? It’s undeniable that exercise can have a profoundly positive effect on our mental health, especially as we start to see the results (increased muscle mass, weight loss) of our hard work. At some point, though, fitness can become an obsession. You may think to yourself, if I’m looking and feeling this good from hitting the gym three times a week, why not go every day? If lifting weights for 30 minutes builds me up this much, why not do it for an hour or more? Suddenly an activity that was fun and rewarding becomes a chore (or even an obsession). And the results you were so proud of suddenly don’t seem like nearly enough as you become increasingly critical of your appearance. If you find yourself feeling low in the midst of an intense bout of training, you’re not alone. One study found nearly a quarter of all Division I college athletes show signs of depression. What can you do to prevent sinking spirits? Go easy on yourself. As I write about here, I’m all for setting goals – even very difficult ones that might not be met – in order to drive meaningful growth and stimulate true authentic expression of what matters to you, but not at the expense of your mental health. Keep your eyes on the prize, but also keep your training plan in perspective.
 
Interested in learning more about the ways lifestyle changes can help you achieve your goals? Click the button below to schedule your FREE consult today and experience how Tack180 charts the course for a healthier you.
 

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Ask Dr. Spar: What Is The Best Pre Workout Supplement For Men?

Ask Dr. Spar: What Is The Best Pre Workout Supplement For Men?

Written by Myles Spar

Posted on: January 30, 2018

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Best Pre Workout Supplement, Man Working Out

I’m not just a physician who works with a lot of athletes—I also regularly compete as an athlete in endurance triathlons and Ironman races myself. This means I have clinical and personal experience with products designed to enhance your performance. What’s the best pre-workout supplement for men? Here are some of my favorites.

 

Creatine
As I explain here, creatine is considered by many to be the gold standard in workout supplements. Why is it so popular? According to bodybuilding.com, athletes and fitness enthusiasts love creatine because it appears to be safe and it works. There’s plenty of research out there showing creatine improves strength, increases lean body mass, and enhances performance. Although creatine may not be beneficial for those engaging in aerobic activities, the Mayo Clinic says it’s an effective performance enhancer for short bursts of intense exercise like weightlifting and CrossFit. A pair of meta-analyses found creatine supplementation improved upper and lower limb strength performance for exercises with a duration of less than three minutes.

 

Caffeine
Coffee drinkers are no doubt aware of the way it boosts your ability to accomplish both mental and physical tasks, so it’s not surprising caffeine is frequently used as a pre-workout supplement. As reported by Healthline, caffeine has been shown to increase power output during activities like sprinting, cycling, and weight training. Research suggests it may also enhance endurance during long-distance runs and bike rides. In one study where seven elite runners performed two trials each of running and cycling to exhaustion, those who took a caffeine supplement beforehand had significantly improved times in both sports compared to a placebo group.

 

Nitrate
Beets probably aren’t the first thing to cross your mind when it comes to exercise supplements, but maybe they should be. Science suggests beetroot may enhance exercise performance because it’s high in nitrate, a compound associated with increased blood flow. One 2017 study found nitrate-rich beet juice can increase oxygen efficiency in cycling when a person is exercising at less than maximum intensity. In the study, athletes who received beetroot juice performed better in a 1,500 meter time trial but not a 10,000 meter one, suggesting beetroot may enhance performance for shorter distances at a high work rate but maybe not for long distances at a lower work rate. Another study of soccer players who drank beet juice before doing high intensity intermittent running exercises performed better than those who drank placebo juice.

 

Acetyl-L-Carnitine
If this one sounds familiar, it’s because I’ve also included it on my list of best supplements for CrossFit, and it even makes the cut for my top five supplements everyone should take. Carnitine is a frequently-depleted enzyme that plays a critical role in the Krebs cycle, which powers everything in your body by converting food into energy. Research suggests supplementing with acetyl-L-carnitine can have a beneficial effect on athletic training, competition, and recovery. In one study looking at the effects of acute L-carnitine loading on professional footballers, those who were given the supplement before performing a running test showed increased speed and decreased heart rates compared to a placebo group. Taking 1,000 mg every day can improve your ability to make energy in your cells, translating to energy for your workouts.

 

B Vitamins
Thiamin, riboflavin, niacin, pantothenic acid, B-6, biotin, folic acid, and B-1—collectively known as B vitamins—play a role in your body’s process of converting sugar and protein into energy. They’re also important for cell production and repair. One study conducted at Oregon State University found athletes and other active people who lack B vitamins may not perform as well during high intensity exercise and have a decreased ability to repair and build muscle compared to those with nutrient-rich diets. As researcher Melinda Manore explained in a press release, “Many athletes, especially young athletes involved in highly competitive sports, do not realize the impact their diets have on their performance.” In addition to getting B vitamins from a variety of whole foods, you can meet your pre-workout needs by supplementing with a B-complex vitamin. Just make sure to look for methylated forms of B vitamins that your body can absorb and use more readily. You can take too much, so ideally, get levels checked before starting on a B-vitamin complex.

 

Want more personalized recommendations? Are you interested in learning more about how you can achieve your physical and mental peak? Get in touch with Tack180 by scheduling a free consult today.

 

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We go beyond the standard tests to find your risk for disease, make sense of the results, and design a plan based on what matters most in your life. Our experts in nutrition, stress management, behavioral psychology, and fitness surpass the usual counsel to provide accountability and set you up for success.

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Dr. Spar’s TED Talk: Change Your Annual Check Up to a “Check in” and Live Longer

Dr. Spar’s TED Talk: Change Your Annual Check Up to a “Check in” and Live Longer

Written by Myles Spar

Posted on: January 25, 2018

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As I’m sure many of you have, I’ve been watching Ted Talks (on Technology, Entertainment, and Design) for years and have been fascinated by many of the moving speakers. Needless to say, giving my own first Ted Talk was a little intimidating and definitely brought out my fight-or-flight response. It’s a good thing I meditate (to see why you should too, read this: https://tack180.com/stressful-time-year)! I have spoken in front of over 1,000 people before – but never without slides or notes – at least some prompt or outline. For this, I had nothing – just me and my adrenaline-flooded brain. Making it even more exciting and scary was the fact that it was in front of my very own community of Manhattan Beach – with an audience full of friends and family.
 
I hope I was able to communicate effectively how passionately I feel about every single person’s ability to make powerful, impactful change if they focus on what is important to them. While preparing for this talk, I came across stunning statistics (like these) about the power of purpose in fostering healthy behavior change and how much that can make a difference in how long you live. It’s evidence like this that inspired me to develop my Tack180 program and provide people with the practical, research-driven tools to go beyond their annual physical and finally turn their lifelong health goals into a reality. So, if you want to add 7 more years to your life, listen to this talk.
 

 
And if you want help designing a health plan to help you implement this research into your own life, simply schedule a free chat with me by clicking the button below.
 

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Human Growth Hormone Cost: More Than Just Money—Part 2

Human Growth Hormone Cost: More Than Just Money—Part 2

Written by Myles Spar

Posted on: January 23, 2018

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Human Growth Hormone Cost, Guy lifting

Because our bodies make less growth hormone as we get older, people sometimes wonder if synthetic human growth hormone—often marketed as a miracle drug that can increase muscle mass, boost libido, improve energy levels, and more—may be the anti-aging solution they’re seeking. But does HGH really work the way the people selling it claim it does? As I explain in part one of this series, my years of research on this controversial topic have revealed the high physiological and financial costs of human growth hormone.
 
Personally, I only prescribe pharmaceutical-grade subcutaneous HGH injections to people with positive tests for innately low levels of growth hormone or HIV lipodystrophy. Not only do I think it’s dangerous to give HGH unnecessarily, I could lose my medical license over it. Despite this, plenty of clinicians and companies are willing to sell it to patients—and many of them are being shut down. There are also a lot of fake sublingual and oral HGH products out there that have not been shown to be effective and may contain dangerous ingredients, some of which aren’t even disclosed on the packaging. Furthermore, many companies and websites have been called out by the Food and Drug Administration for making unsubstantiated claims. I touched on some of these scam sales in my first post, but let’s take a closer look at some of the enforcement actions reported by Quackwatch.

 

In 2003, the Massachusetts company Nature’s Youth, LLC completed the voluntary destruction of almost 6,000 boxes—around $515,000 worth—of their product “Nature’s Youth HGH” after the FDA found the company was making unsubstantiated claims about the product that were false and misleading (and therefore illegal). According to the FDA, the company claimed their product was a “proprietary blend of amino acids and precursor nutrients which enhance the body’s natural production of Human Growth Factors and Insulin-like Growth Factor-1” and “your body’s best defense against aging.” They also falsely claimed Nature’s Youth HGH would “improve physical performance, speed recovery from training, increase cardiac output, and increase immune functions.” In addition to destroying its product, the company said it would change its labeling and marketing to comply with the law. Fun fact: Quackwatch reports Nature’s Youth was promoted by Watergate conspirator G. Gordon Liddy, who said on the company’s 2002 website that he used the product to stay “virile, vigorous, potent and fecund.”

 

A company called The Compounding Center, Inc. and its founder were indicted in 2009 for illegally distributing HGH. In addition to advertising the use of HGH as an anti-ager, nine doctors employed by the company allegedly bought more than $1.1 million worth of HGH between 2001 and 2006. The company’s founder, who also acted as wholesale manager, was charged with selling HGH to undercover operatives even after they told him the HGH was for (illegal) use by bodybuilders and athletes.

 

Remember when I mentioned I could lose my license for inappropriately prescribing HGH to my patients? Several physicians have been disciplined for this, and Quackwatch cites a handful of examples. One of these is Edmund D. Corpuz, ND, who had his license suspended indefinitely when he didn’t respond to charges he prescribed HGH for weight loss to patients he only “saw” via Skype. Signing a consent order six months later, Corpuz got his license back after being fined and put on probation for two years.

 

Okay, so there are a lot of shady people promoting fake HGH products. What about the real thing? Even if you find a doctor willing to give you HGH injections, is it really worth it? Part one of this post includes information on the vast amount of research showing that, while it may in fact do things like increase lean muscle mass and boost energy, HGH can cause serious side effects. In one review, researchers hoping to determine safety and efficacy of HGH use for older adults examined 31 studies totaling 220 participants who got human growth hormone and 227 control subjects who did not. While study duration and dosage varied, those receiving injections did experience a gain in lean body mass and a decrease in body fat compared to the control group. However, they also reported a high rate of side effects like fluid retention, breast enlargement, and joint pain. Considering the relatively minor gains versus the many adverse effects, the review’s authors concluded that HGH is not a safe anti-aging therapy, and I agree with this conclusion.
 
If HGH isn’t the answer to stopping the clock, what is? Lifestyle changes can make a huge difference when it comes to aging—see my list of 10 tips to live younger longer for more information. If you need help putting together your own anti-aging protocol, schedule a free conversation with me and I’ll help you design the most effective plan for maintaining your youthful vigor, reducing hair loss, and increasing libido.
 

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