Dr. Shiel received a Bachelor of Science degree with honors from the University of Notre Dame. There he was involved in research in radiation biology and received the Huisking Scholarship. After graduating from St. Louis University School of Medicine, he completed his Internal Medicine residency and Rheumatology fellowship at the University of California, Irvine. He is board-certified in Internal Medicine and Rheumatology.


Tennessee Fitness Spa recently had the honor of hosting VickyFlipFlop, a travel blogger who writes "for people who want to make the most of their annual leave, weekends, money and friends, by exploring the world, and a festival or two." Creating a video about her stay, we're excited to share that Vicky had a fun – and productive! – stay at our fitness camp for adults.  If you'd like to hear Vicky's thoughts about her time at Tennessee Fitness Spa, click on the video above!
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Napping may be an easy way to catch up on some missed shut-eye, but dozing off in the middle of the day does nothing to aid weight loss. In fact, research has found that people burn fewer calories when they sleep during the day and log their waking hours after the sun’s gone down. To come to this finding, researchers at the University of Colorado at Boulder studied 14 healthy adults for six days. For two days, study participants slept at night and stayed awake during the day, then they reversed their routines to mimic the schedules of night owls. When participants slept during the day, researchers found that they burned 52 to 59 fewer calories than they did while catching their Zzzs in the evening—likely because the schedule messed with their circadian rhythm, the body’s internal clock that plays a major role in metabolism function. If your circadian rhythm is out of whack, a separate study by University of Colorado Boulder researchers suggested spending a weekend in the wilderness to get it back on track.
Studies show that eating breakfast plays a part in successful weight loss — almost 80 percent of people who successfully keep weight off chow down on this meal, according to a study published in Obesity Research. "Your metabolism slows as you sleep, and the process of digesting food revs it up again," explains Heller. Aim for a 300- to 400-calorie breakfast, such as a high-fiber cereal (another metabolism booster) with skim milk and fruit.
Don't get me wrong — exercising at any time is good for you. But evening activity may be particularly beneficial because many people's metabolism slows down toward the end of the day. Thirty minutes of aerobic activity before dinner increases your metabolic rate and may keep it elevated for another two or three hours, even after you've stopped moving. What that means for you: You're less likely to go back for seconds or thirds. Plus, it'll help you relax post meal so you won't be tempted by stress-induced grazing that can rack up calories, quickly.
(CONFRONT YOUR FEARS) A friend reminded me of this recently and as he did I remembered a fear. It was fresh and still made my skin prickle with anticipation even though it started many years ago. It feels like yesterday and I’m sure you have those moments too, the ones that never left you even though you shoved them away for a long time. It starts with the 6th grade physical fitness tests. They were the worst things ever except for the talented few that got the bright blue patches. These tests traumatized me. Mostly, the timed mile. Even though we were children it was expected that we run it and everyone did- except me. There wasn't much kindness or compassion in the process and once I realized that, it was something that I dreaded, avoided and ultimately feared. It’s so easy to take ourselves out of even trying when there’s no encouragement to try. When your gym clothes don’t fit right and you’re afraid of the attention that coming in last place will bring you. Year after year this test happened and year after year I walked it & then cried, faked being sick and then ultimately stopped showing up. I’ve never run a mile without stopping and it’s always been on my list of things I want to do but didn’t know if I would. But I want to now. No matter how long it takes me and for no one else other than myself. And now, after being here I would rather try and fail than not try at all. Now’s the time to tackle the fears, all of them no matter how small or how big. So one day I started by asking my trainer if we could work on learning how to run in between strength training. My voice raised and I stumbled over my words and I felt self-conscious again like that chubby little 6th grader in too tight of gym shorts. I was nervous putting this out into the world. He said absolutely and then the next day we did. Just like that. He took me through some movements to work on my stride and made me feel like this was something that I could do. And step by step it was. Only 45 seconds this time, but 45 seconds closer to my goal and each step we take towards our goals away from our fears count. Not always the end result matters most, but the time it takes to jog there.
This 800-acre gated seaside resort offers three-day retreats, weekly programs and an “Extended and Extensive” 9-month program ($43,700, includes 14 weeks at the resort followed by 24 weeks of home coaching). At the beginning of each stay, guests meet with a health specialist to address health issues and set goals. From there, individuals may choose from a variety of fitness classes such as boxing, kayaking, Zumba and tennis. Extra services, such as behavioral counseling, cooking demonstrations, portion control classes and spa treatments are available as well. The resort provides a 1200-1400 calorie-a-day meal plan as well as accommodation. Visitors can choose a two or three-bedroom condo or private room.
“Calorie counting is not the only game in town when it comes to weight loss. Chemical counting should also be part of our decision-making process. Processed foods, plastic bottles, lotions, non-organic dairy, and many other items in our daily lives contain endocrine disruptors that can lead to hormonal imbalance and stubborn weight gain,” Jennifer Cassetta, clinical nutritionist, personal trainer, and expert from ABC’s “My Diet Is Better Than Yours” tells us in 22 Top Weight Loss Tips, According to Nutritionists.
Like protein, fiber slows the rate at which your body plows through carb calories so you feel full for longer and maintain steadier blood sugar levels, one reason why research consistently links fiber intake to weight loss. That means fibrous whole grain bread tends to be a better choice than white bread and also explains why fruits, which contain fiber and valuable vitamins in addition to sugar, beat straight-up candy every time.
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But don't worry: Most of the research does not suggest a need to slash meat, dairy, or fish from your diet. In fact, the best results typically appear to come from diets that combine high amounts of vegetables with healthy sources of protein, which can include seafood, eggs, and meat. Eating plans like these include the popular Mediterranean diet and MIND diet.
Yes I know it sucks! I hate exercising.. but it really does help. Hubby and I joined the gym and most days had to force ourselves to go. But when you see the results it really does spur you on 🙂 Everyone can find something they can enjoy (tolerate) even if it’s just walk to the shop. My Hubby has had great fun with the jump training program he is trying out, says it is tons of fun and easy to get yourself to go to it.
Plasma concentrations of PFOS, PFOA, perfluorononanoic acid (PFNA), perfluorohexanesulfonic acid (PFHxS), and perfluorodecanoic acid (PFDA) were measured at baseline only, using a sensitive and reliable method based on online solid phase extraction and liquid chromatography coupled to a triple quadropole mass spectrometer [41], with minor modifications. Due to the long elimination half-lives of the PFASs and incomplete samplings, we did not measure plasma PFAS levels during the trial. For all major PFASs, the concentrations were above the limit of detection (0.05 ng/ml), and the inter- and intra-assay coefficients of variation were <6.3% and <6.1%, respectively.

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Guests can have a sulfur mud bath under the stained-glass windows to target specific problem areas. The slimming program focuses not only on diet and fitness, but also on preventing damage to joints and to the body. Natural springs have been proven to aid in diseases such as rheumatism, and also give incredible energy and strength to anyone coming to kickoff a fitness lifestyle.

“They may be small, but these sweet-tasting fruits contain a hefty amount of actinidin, a natural enzyme unique to kiwifruit that aids in digestion by breaking down protein in the body. Kiwifruit also contains prebiotic fiber, which primes the gut for healthy digestion,” Scritchfield says. “Research indicates that a daily serving of green kiwifruit helps increase bowel movements. So, cut in half, scoop with a spoon, and pop into your mouth like nature’s Tums (SunGold kiwis, with a yellow flesh and tropical taste, offer three times the vitamin C of oranges and as much potassium as a medium banana).”
If beef is your prefered source of protein, make sure you’re eating the grass-fed stuff. Ground beef, a T-bone steak, or prime rib are amongst the healthiest cuts because they’re lower in unhealthy fats than other forms of beef and actually contain more heart-healthy omega-3 fatty acids than some fish. Just be sure to limit your red meat consumption to around two three-ounce servings per week in order to keep your cholesterol in check, and stick to low-calorie rubs and spices as opposed to sugary sauces to flavor the meal.

A review of more than 600 studies found that being married, and transitioning into marriage, are both associated with weight gain. Transitioning out of a marriage, however, is associated with weight loss. The researchers found that weight gain occurs because of increased opportunities for eating due to shared, regular meals and larger portion sizes, as well as “decreased physical activity and a decline in weight maintenance for the purpose of attracting an intimate partner,” Zero Belly Smoothies states. we’re hardly advocating staying single or getting a divorce (unless you choose to) this research clearly indicates that dieters need to be especially careful around the wedding day. To keep things in check after you take the plunge, meal prep with your partner or develop a workout routine together.
Diet Chef’s Nutritionist and Weight Management Specialist, Izzy Cameron says: “I cannot stress this enough, but where almost all clients fall down with dieting is their portion control. I see many people who perceive they eat a healthy diet, but pile their plate too high with food. Cutting down your portion size will not only help you lose weight, but but will be one of the most effective weight management tools for the long term. More importantly means you can still eat some of your favourite foods, just a lower amount."
Despite the common perception that you need to drop pounds slowly in order to maintain your weight loss, the exact opposite is true. In fact, you’re more than five times as likely to succeed in your long-term weight-loss goals if you start out of the gate by dropping pounds rapidly, according to a 2010 study in the International Journal of Behavioral Medicine. To set yourself up for weight loss success, make sure you focus on diet and exercise.
Why a top-pick? Many weight loss retreats develop their programs around a specific exercise schedule and predetermined nutritional goals. At Kripalu, participants spend more time delving into why they eat and what they can do to make healthier choices. Dieters don't go home with a specific meal plan to follow, but they have the opportunity to connect with others so that they can continue to build on the foundation that they establish at Kripalu.
One reason for this is that many products labeled "low fat," "light," and "reduced fat" (things like yogurt, ice cream, and peanut butter) are highly processed and engineered to taste like their original full-fat predecessors. To accomplish this, food manufacturers typically add extra sugar — and sugar, unlike fat, has been strongly implicated as a leading factor contributing to obesity and weight gain.
I see so many people posting photos of awful boring meals.. Eating dry chicken and dry potatoes every night is soon going to get boring.. and let’s face it! That is when we end up going off of plan and giving up.. boring diets=failure. I save all of my Slimming World magazines and I follow loads of blogs. So each week I look for new recipe ideas. I actually quite enjoy suggesting things to my husband and him kind of screwing his nose up at it.. but when it is served up to him he loves it (usually).

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In other words? “Drinking makes you more likely to eat sh*t,” Dr. Seltzer says, referring to drunk foods. At the same time, he stops short of asking patients to quit alcohol cold-turkey to lose weight. Plus, research suggests you don’t have to, as long as your intake is moderate—i.e., less than about a drink a day. “If you drink a glass of wine every night and notice you eat more afterward, eat less early to account for this,” he says. “Or, if you’re drinking four glasses of wine a week, drink three instead so you’ll won’t feel such a big difference.”

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