Today I want to introduce you to Michelle Laframboise, a Pilates instructor and the creator of the online fitness and lifestyle resource Buff, Bold and Beautiful. Michelle is a STOTT certified Pilates instructor, the owner of Southern Pines Pilates who is committed to helping people improve their health and lives. She is a lifestyle and wellness coach who uses her nursing background, Pilates and Nutrition education to transform her students’ lives and help them reach their health goals.
Ketone bodies synthesized in the body can be easily utilized for energy production by heart, muscle tissue, and the kidneys. Ketone bodies also can cross the blood-brain barrier to provide an alternative source of energy to the brain. RBCs and the liver do not utilize ketones due to lack of mitochondria and enzyme diaphorase respectively. Ketone body production depends on several factors such as resting basal metabolic rate (BMR), body mass index (BMI), and body fat percentage. Ketone bodies produce more adenosine triphosphate in comparison to glucose, sometimes aptly called a "super fuel." One hundred grams of acetoacetate generates 9400 grams of ATP, and 100 g of beta-hydroxybutyrate yields 10,500 grams of ATP; whereas, 100 grams of glucose produces only 8,700 grams of ATP. This allows the body to maintain efficient fuel production even during a caloric deficit. Ketone bodies also decrease free radical damage and enhance antioxidant capacity.
Implementing the diet can present difficulties for caregivers and the patient due to the time commitment involved in measuring and planning meals. Since any unplanned eating can potentially break the nutritional balance required, some people find the discipline needed to maintain the diet challenging and unpleasant. Some people terminate the diet or switch to a less demanding diet, like the modified Atkins diet or the low-glycaemic index treatment diet, because they find the difficulties too great.[42]
Researchers show that habitual swimmers are biologically 20 years younger than their actual age. According to the data presented by American College of Sports Medicine Conference, habitual swimmer’s blood pressure, cardiovascular system, central nervous system, cholesterol levels and cognitive functioning are all easily comparable to someone much younger than them.
Keto diets "can help us lose weight, but compared to other diet strategies, they're not more helpful," said Melissa Majumdar, a dietitian at the Brigham and Women's Center for Metabolic and Bariatric Surgery, and a spokesperson for the Academy of Nutrition and Dietetics. Much of the weight lost in the initial stages of a keto diet is water weight, because carbohydrate stores in the body carry water molecules with them, Majumdar told Live Science. That can move the scale an exciting amount initially, but weight loss inevitably slows with time.
Pilates helps you burn calories, but not as many as a vigorous run or indoor cycling class. In 50 minutes of Pilates, a 150-pound woman can expect to burn between 210 and 360 calories. Exactly how many depends on the intensity of the class — advanced practitioners are usually performing moves that require more energy and muscular work, so they burn more calories.
I was a Corpsman (not a corpse-man as some recent somewhat fanatical president would say), and I can tell you many stories of Marines and Sailors who maintained restrictive diets (aka picky eaters). Most obvious was lack of sustaining energy (hypoglycemia) at mile 15 (with 80lbs of gear including a 6.5lb rifle and 200 rnds of ammo, etc.) and depletion of essential vitamins, electrolyte imbalance. They were always the first to collapse and have to hear me scold “see I told you so.” An IV of D5W usually does the trick (D is for dextrose, OMG!)
In its 2016 report “Healthy Eating Guidelines & Weight Loss Advice,” the Public Health Collaboration, a U.K. nonprofit, evaluated evidence on low-carbohydrate, high-fat diets. (The Keto diet falls under the LCHF umbrella.) Among 53 randomized clinical trials comparing LCHF diets to calorie-counting, low-fat diets, a majority of studies showed greater weight loss for the Keto-type diets, along with more beneficial health outcomes. The collaboration recommends weight-loss guidelines that include a low-carbohydrate, high-fat diet of real (rather than processed) foods as an acceptable, effective and safe approach.
The best way to increase weight loss is to bump up your ride time, and the easiest way to do that is to commute to and from work, even if it’s one or two days a week. If you are already commuting, plan some alternate routes that add a few additional miles. The extra time in the saddle will pay off greatly when it comes to losing weight and getting fit.

Pilates exercises mostly involve strength and flexibility, with a little balance thrown in. A complete workout regimen must include strength, flexibility, balance, and cardiovascular exercise. That means that you should also be doing something like walking, biking, running, jogging, swimming, or some other activity that gets your heart rate up. That's the big time calorie burner, and you're not going to lose a lot of weight if you leave that out. You're also not going to lose much weight if you neglect to eat well and in moderation.

If you’re new or just still learning the ropes for the keto diet food list, your biggest questions probably revolve around figuring out just what high-fat low-carb foods you can eat on such a low-carb, ketogenic diet. Overall, remember that the bulk of calories on the keto diet are from foods that are high in natural fats along with a moderate amount of foods with protein. Those that are severely restricted are all foods that provide lots of carbs, even kinds that are normally thought of as “healthy,” like whole grains, for example.


Every effort is made to ensure that all our information is correct and up to date. However, Epilepsy Society is unable to provide a medical opinion on specific cases. Responses to enquiries contain information relating to the general principles of investigation and management of epilepsy. Answers are not, and should not be assumed to be, direct medical advice and is not intended to be a substitute for medical guidance from your own doctors. Epilepsy Society and any third party cannot be held responsible for any actions taken as a result of using this service. Any references made to other organisations does not imply any endorsement by Epilepsy Society.
Wilder's colleague, paediatrician Mynie Gustav Peterman, later formulated the classic diet, with a ratio of one gram of protein per kilogram of body weight in children, 10–15 g of carbohydrate per day, and the remainder of calories from fat. Peterman's work in the 1920s established the techniques for induction and maintenance of the diet. Peterman documented positive effects (improved alertness, behaviour, and sleep) and adverse effects (nausea and vomiting due to excess ketosis). The diet proved to be very successful in children: Peterman reported in 1925 that 95% of 37 young patients had improved seizure control on the diet and 60% became seizure-free. By 1930, the diet had also been studied in 100 teenagers and adults. Clifford Joseph Barborka, Sr., also from the Mayo Clinic, reported that 56% of those older patients improved on the diet and 12% became seizure-free. Although the adult results are similar to modern studies of children, they did not compare as well to contemporary studies. Barborka concluded that adults were least likely to benefit from the diet, and the use of the ketogenic diet in adults was not studied again until 1999.[10][14]
Net carbs is simply total carbs minus fiber and non-digestible sugar alcohols, like erythritol. (This doesn’t apply to high glycemic sugar alcohols, like maltitol.) We don’t have to count fiber and certain sugar alcohols in net carbs, because they either don’t get broken down by our bodies, are not absorbed, or are absorbed but not metabolized. (Read more about sugar alcohols here.)
Of course, human beings are a lot more complex than pocket calculators, as everyone who has ever tried to lose weight knows only too well. Sometimes the math just does not work out that tidily. However, rest assured that if you add 15 hours of cycling to your month, and also make a few sensible adjustments to your diet, you are certain to experience positive changes to your health, which will most likely include achieving the weight loss goals we mentioned. Always remember that losing even 5% of your body weight has significant positive impacts on your health, including improvements in blood pressure. And a combination of regular exercise, plus eating more lean protein and vegetables and less sugar, and eating frequent small meals, is certain to make you healthier.
No single session of cycling will help you meet your weight-loss goals. Instead, it's cycling over time that matters. A pound of fat is equal to 3,500 calories, so if you're not dieting, you'll have to burn 3,500 calories a week to lose one pound. Combining cycling with other types of exercise and increasing your general activity level can help you achieve your goals.
Five one hour rides help you get leaner faster that one five hour ride. That means you’d be far better off riding several short rides per week as opposed to waiting all week and heading out for a single endurance activity on the weekend. Make sure if you go for this approach you attempt to keep the intensity high on your short rides and continuously push yourself. Five one hour rides filled with coasting are just that…coasting.
Swimming is an activity that can aid weight loss. The U.S. Masters Swimming website notes that swimming has the added benefit of providing a total cardiovascular workout. How long you'll need to swim to get thin depends on your weight, how fast you swim and the swimming stroke you use, according to personal trainer Alice Burron, M.S., an exercise physiologist and spokesperson for the American Council on Exercise.
Heavier people require more energy to move their bodies, which means they generally burn more calories. According to Harvard Health Publications, a 125-pound person cycling at 12 to 13.9 miles per hour will burn about 240 calories every 30 minutes, while a 185-pound person will burn 355 calories. If you increase your speed to 14 to 15.9 miles per hour, you can burn 300 calories at 125 pounds and 444 calories if you weigh 185 pounds.
Very good instructor...the directions that she gives are very clear and specific directions..and I have definitely notice a physical change with body within a month. I honestly did some cardio exercises before actually really doing the beginner's Pilate's to get my weight down some in order for me to really do it...once my weight was down I had went back to Pilate's for awhile...however I was doing both Pilate's and cardio( which was "This is Taebo" by Billy Blanks)in between those times when I felt like I can go longer...other than that it's a good beginner's Pilate DVD.
Recently, many of my patients have been asking about a ketogenic diet. Is a ketogenic diet safe? Would you recommend it? Despite the recent hype, a ketogenic diet is not something new. In medicine, we have been using it for almost 100 years to treat drug-resistant epilepsy, especially in children. In the 1970s, Dr. Atkins popularized his very-low-carbohydrate diet for weight loss that began with a very strict two-week ketogenic phase. Over the years, other fad diets incorporated a similar approach for weight loss.
HIIT workouts are, by far, one of the most effective ways to burn calories and hike up your metabolism. And, the best part is these workouts don't have to go for very long. Some HIIT workouts can last for only 10 minutes, but it's only effective if you push your body to its limits with all-out energy. Research has shown that HIIT can help burn belly fat, aka the worst kind of fat that puts you at risk for heart disease and other health conditions. Try our 10-minute, total-body workout to rev up your metabolism.
This workout is definitely for those who are familiar with an intermediate to advanced Pilates routine. The cardio portions fit well into the mat/Pilates routine, although working on one's hands to do the vigorous cardio portion on segment two of the workout can cause quite a bit of wrist and shoulder tendinitis strain. Also, it seems that many of the movements are quite rushed, as Pilates was meant to be done in a more focused, concentrated, and refined manner. Sometimes it feels as if Kristin is rather rushing through some of the Pilates exercises without really breaking down the important elements of the movement (this is where an instructional book might be better, as it describes the finer points about a specific exercise for best execution and allows one to achieve the perfect form at one's own pace). Of course, this is meant to be a cardio workout, so it the pace must be maintained to keep the heart rate up, and so technique suffers slightly in the end. However, once I become much more adept at some of the intermediate to advanced Pilates moves on my own, I'm sure this workout will become more pleasant to run through without feeling like I'm being left behind. Kristin is energetic and strong, but just a tad bit too much on the anorexic side, which appears a somewhat concerning if one is trying to convey an image of good health and a reasonable body image of someone who works out regularly. However, this may just be her body type/disposition.
Neville, C., Henwood, T., Beattie, E., & Fielding, E. (2013, July 3). Exploring the effect of aquatic exercise on behaviour and psychological well‐being in people with moderate to severe dementia: A pilot study of the Watermemories Swimming Club [Abstract]. Australasian Journal On Ageing, 33(2), 124–127. Retrieved from https://onlinelibrary.wiley.com/doi/full/10.1111/ajag.12076
Start your workout slowly to give your muscles an opportunity to warm up. Focus on your technique: long, powerful strokes move you through the water at a steady pace. Depending on your swimming experience, you can either do a longer swim (400–500 yards) or break it up into shorter distances, with rest every few lengths. But make sure to start slow and build your pace throughout, which raises your heart rate and prepares you to swim fast.
Use fat as a lever.  We’ve been taught to fear fat, but don’t! Both keto and low carb are high fat diets. Fat is our source of energy as well as satiety. The key to understand, though, is that fat is a lever on a low carb or keto diet. Carbs and protein stay constant, and fat is the one you increase or decrease (push the lever up or down) to gain or lose weight, respectively. So if your goal is weight loss, eat enough fat to be satisfied, but there’s no need to “get your fats in” once you’re satisfied.
This weight loss workout plan consists of both cardiovascular exercise and resistance training. The name of the game is to blitz fat, which means to burn as many calories as you can. Cardiovascular exercise burns a lot of calories, as such this weight loss workout plan is centred around cardio. And to really blitz the fat, you’ll be doing two types of cardio, steady-steate cardio and interval training.
The 20-minute fat-burner: Try this "alternating interval" fat burning exercise workout from Lance Watson, a coach of Canada's Olympic triathlon team. By alternating between levels of high resistance and those of high speed, you'll be able to work at a higher relative intensity for a longer time. Warm up, then increase the machine's resistance level until you're striding at 80 percent of your full effort. After 2 minutes, lower the resistance to the level you used during your warmup, but increase your stride rate so that you're still exercising at 80 percent of your full effort. Continue alternating between a high resistance and a fast stride every 2 minutes for a total of 20 minutes.
The Johns Hopkins Hospital protocol for initiating the ketogenic diet has been widely adopted.[43] It involves a consultation with the patient and their caregivers and, later, a short hospital admission.[19] Because of the risk of complications during ketogenic diet initiation, most centres begin the diet under close medical supervision in the hospital.[9]
Pilates helps you create this lean muscle, especially in your core, or the "powerhouse," as the father of Pilates, Joseph Pilates, called it. Roll-ups, the ab series, leg circles, teasers and just about every other move works the muscles from your hips to your shoulders. It wouldn't hurt to add a couple of additional full-body weight-training workouts weekly in addition to your Pilates routine to encourage the growth of even more lean muscle, but if you're short on time these workouts might just focus on the muscles of the lower legs, arms and shoulders.
Everyone has to find their nutritional sweet spot for producing enough ketones and staying in ketosis, but “the core principle of the diet is to keep carbohydrate intake low enough, so your body continues producing ketones at elevated levels,” says Volek. “Your body adapts to this alternative fuel and becomes very efficient at breaking down and burning fat.”
Essentially, the keto diet for beginners works by “tricking” the body into acting as if its fasting (while reaping intermittent fasting benefits), through a strict elimination of glucose that is found in carbohydrate foods. Today the standard keto diet goes by several different names, including the “low-carbohydrate” or “very-low-carbohydrate ketogenic diet”(LCKD or VLCKD for short).
Researchers show that habitual swimmers are biologically 20 years younger than their actual age. According to the data presented by American College of Sports Medicine Conference, habitual swimmer’s blood pressure, cardiovascular system, central nervous system, cholesterol levels and cognitive functioning are all easily comparable to someone much younger than them.

In essence, it is a diet that causes the body to release ketones into the bloodstream. Most cells prefer to use blood sugar, which comes from carbohydrates, as the body’s main source of energy. In the absence of circulating blood sugar from food, we start breaking down stored fat into molecules called ketone bodies (the process is called ketosis). Once you reach ketosis, most cells will use ketone bodies to generate energy until we start eating carbohydrates again. The shift, from using circulating glucose to breaking down stored fat as a source of energy, usually happens over two to four days of eating fewer than 20 to 50 grams of carbohydrates per day. Keep in mind that this is a highly individualized process, and some people need a more restricted diet to start producing enough ketones.

There's a reason CrossFit has become such a booming part of the workout industry—it works, so long as you don't overdo it. Workouts are varied—you may be doing anything from kettlebell swings to rope climbs and box jumps to front squats—and the routines are designed to be short and intense. The most important thing to find when looking for the box (CrossFit slang for "gym") that fits you best: a well-informed coach who can explain and modify the moves, and make sure that you don't push yourself to the point of injury. Here are a few things to keep in mind before every WOD, and here are 11 of the best CrossFit gyms in America.


Surya Namaskar, one of the most widely practiced and basic yoga asanas, actually focuses on various parts of the body and work wonders with weight loss. The term literally translates to sun salutation, and comprises a series of 12 different poses encompassed in one including the prayer pose, forward bend and the bhujangasana. It helps strengthen your skeletal system and ligaments. Being a great way to keep the body active, it also aids in reducing stress and anxiety. If you keep breathing in and out during the poses, it helps you lose more weight.
First reported in 2003, the idea of using a form of the Atkins diet to treat epilepsy came about after parents and patients discovered that the induction phase of the Atkins diet controlled seizures. The ketogenic diet team at Johns Hopkins Hospital modified the Atkins diet by removing the aim of achieving weight loss, extending the induction phase indefinitely, and specifically encouraging fat consumption. Compared with the ketogenic diet, the modified Atkins diet (MAD) places no limit on calories or protein, and the lower overall ketogenic ratio (about 1:1) does not need to be consistently maintained by all meals of the day. The MAD does not begin with a fast or with a stay in hospital and requires less dietitian support than the ketogenic diet. Carbohydrates are initially limited to 10 g per day in children or 20 g per day in adults, and are increased to 20–30 g per day after a month or so, depending on the effect on seizure control or tolerance of the restrictions. Like the ketogenic diet, the MAD requires vitamin and mineral supplements and children are carefully and periodically monitored at outpatient clinics.[48]

When you’re completely drained after a workout, you’re more prone to overeat. This is a counter-intuitive approach to losing weight. Pilates doesn’t exhaust you like higher-intensity workouts do. Instead, you’ll end your workouts feeling invigorated and energized so that you can stick to your workout routine and maintain a healthy diet instead of overeating after a more strenuous workout.
Now, there’s even evidence that a low-carb, high-fat regimen (as the keto diet is) helps you live longer, compared to a low-fat diet. In a study by the medical journal The Lancet that studied more than 135,000 adults from 18 countries, high carbohydrate intake was associated with higher risk of total mortality, whereas total fat and individual types of fat were related to lower total mortality. Total fat and types of fat were not associated with cardiovascular disease, myocardial infarction or cardiovascular disease mortality.
The best way to do it: If you can do a particular movement for 40-50 reps, chances are your kettlebell isn’t heavy enough. “Don’t go too light, and don’t go too heavy either,” he says. “Some of the best ways to do a kettlebell workout to maximize calorie burning is to do a movement for 30-40 seconds, rest for 20-30 seconds, then repeat the movement or cycle through several movements.” Set your timer for 30 minutes and see how many rounds you can get.
15. Rethink your pre-workout snack. Experts disagree on whether non-athletes should eat before exercise. When you work out on an empty stomach, explains Cohen, there's no food for your body to use as fuel, so you default to burning fat right away. While that might sound ideal, the downside is that low energy often accompanies an empty stomach: If you're starving and lethargic, you won't work out at your full capacity. So you could end up burning fewer calories than you might have had you hit the gym with something in your system.
Energy drinks are designed to provide high glycemic carbohydrates to your muscles when you are in an extreme state. This means they are densely packed with a whole lot of simple and complex carbs, which are very caloric. If you’re trying to loose weight, try replacing your energy drink on training rides with an electrolyte drink (such as a Nuun supplement). Electrolyte drinks include all the necessary stuff to help you recover, but without all the carb-based calories.

The ketone bodies are possibly anticonvulsant; in animal models, acetoacetate and acetone protect against seizures. The ketogenic diet results in adaptive changes to brain energy metabolism that increase the energy reserves; ketone bodies are a more efficient fuel than glucose, and the number of mitochondria is increased. This may help the neurons to remain stable in the face of increased energy demand during a seizure, and may confer a neuroprotective effect.[56]


Because 3,500 calories equals one pound, you'll need to burn 3,500 more calories than you take in to lose one pound, according to the Centers for Disease Control and Prevention (CDC). Cutting 500 calories from your daily diet would do the trick. But exercise, along with cutting calories, will accelerate weight loss. The CDC recommends at least two hours and 30 minutes of moderate exercise, such as swimming, per week. After you reach your weight loss goal, regular swimming will help maintain your weight. The National Weight Control Registry, a database of people who've lost an average of 66 pounds and kept it off for at least five years, reports that 90 percent of people who successful lose weight exercise an average of an hour a day. Finding a physical activity you enjoy, such as swimming, is important because you're more likely to do it consistently, resulting in weight loss.

Conklin's fasting therapy was adopted by neurologists in mainstream practice. In 1916, a Dr McMurray wrote to the New York Medical Journal claiming to have successfully treated epilepsy patients with a fast, followed by a starch- and sugar-free diet, since 1912. In 1921, prominent endocrinologist Henry Rawle Geyelin reported his experiences to the American Medical Association convention. He had seen Conklin's success first-hand and had attempted to reproduce the results in 36 of his own patients. He achieved similar results despite only having studied the patients for a short time. Further studies in the 1920s indicated that seizures generally returned after the fast. Charles P. Howland, the parent of one of Conklin's successful patients and a wealthy New York corporate lawyer, gave his brother John Elias Howland a gift of $5,000 to study "the ketosis of starvation". As professor of paediatrics at Johns Hopkins Hospital, John E. Howland used the money to fund research undertaken by neurologist Stanley Cobb and his assistant William G. Lennox.[10]
The classic ketogenic diet is not a balanced diet and only contains tiny portions of fresh fruit and vegetables, fortified cereals, and calcium-rich foods. In particular, the B vitamins, calcium, and vitamin D must be artificially supplemented. This is achieved by taking two sugar-free supplements designed for the patient's age: a multivitamin with minerals and calcium with vitamin D.[18] A typical day of food for a child on a 4:1 ratio, 1,500 kcal (6,300 kJ) ketogenic diet comprises three small meals and three small snacks:[28]

In another study that involved mice with brain tumors, administration of 65 to 75 percent of the recommended daily calories helped reduce tumor growth by 35 and 65 percent among two different test groups. Total carb consumption was restricted to 30 grams only.14 A different mice study strictly limited carb consumption to 0.2 percent only, which helped reduce the growth of glucose-fermenting tumors.15
In order to lose weight, you must provide your body with proper rest and nutrition. You must master the basics before you can lose weight and keep it off for good. Get at least seven hours of sleep per night. Try to go to sleep and wake up at set times every day. Eat plenty of fruits and vegetables, whole grains, lean proteins and fat-free or low-fat diary. Avoid as much processed food as possible. Do not skips meals. Eating at regular intervals sends a signal to the body that it does not have to store calories, thereby allowing it to increase its metabolic rate.
I have great respect for Harvard Medical School. I notice that they support their readers posting comments and I am most appreciative of the article and all the many thoughtful comments by the readers. The readers seem to have the most expertise here and I hope that the doctor who wrote the article will think long and hard about the comments by readers. After 35 years of clinical practice in mental health, I notice that all issues of emotion involve medical issues, nutrition, and the gut bacteria. I would say that these issues and all of the executive brain functions seem to improve with ketogenic principles. For those that apply it in a flexible and smart manner, it appears to improve every area of their lives. I strongly encourage the author of the article to take one class via The Institute for Functional Medicine. If he is open to more learning he can take more classes and get certified. I’m sure a fine doctor, he will be an even better doctor and personally healthier, if he gets more training. Are we all open to new learning(especially us healthcare providers)?

There is much debate about which of these ways of exercising is better for fat-burning. The consensus seems to be that interval training is more effective for fat burning, gets you fit faster, and is the most effective for fighting aging. The Journal of Applied Physiology reported that two weeks of alternate-day interval training boosted cyclists’ fat-burning ability by a whopping 36%. And the Journal of Cell Metabolism reported that high intensity interval training on bikes was the most effective way for people to fight aging – with the positive results being most pronounced in older people.
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