To the contrary of other diet books, C.W. Randolph, M.D., a champion for women's health, explains that the real reason behind this problem has less to do with calories, carbs, or crunches and everything to do with a little-known but very real medical problem called 'estrogen dominance.' By treating thousands of women safely and effectively for over two decades, Dr. Randolph has discovered why we are in the midst of an estrogen epidemic and how you can save your waistline . . . and your health . . . using his 3-step plan comprised of an anti-estrogenic diet, natural progesterone supplementation, and exercise. You'll learn:

HOW TO MAKE IT: Preheat oven to 400 degrees F. Put two skin-on chicken breasts (about 1 pound) on a baking sheet, coating with olive oil, salt, pepper, and dried rosemary, to taste. Next, chop up a sweet onion, half a pound of red pepper(s), a pound of carrots, and half a pound of brussels sprouts. Toss to coat in 2 tablespoons of olive oil with 2 cloves of garlic. Season with salt and pepper. Throw everything on one tray and cook for 25-30 minutes, or until chicken reaches an internal temperature of 165 degrees F. Meanwhile, you can cook your quinoa according to package instructions.

A slim, sexy stomach is something most of us covet. Unfortunately, you can't just exercise your way to it. A lot has to do with what you put into your mouth. I find that one contributor to a bloated belly is gluten. That's why I choose to eliminate it from my diet. But not everyone can (or wants to!), especially since it pops up in everything from salad dressing to soy sauce. I advise women to try giving up gluten for a week and see how they feel. Rather not? Simply stick to whole grains, which are a much healthier choice than the overly processed alternatives. A cleaner diet, along with the following moves, will improve your core by the end of the month.

Rather than start your week off by Googling 'how do you get a flat stomach?' and falling into a pit of contradicting answers, listen here. It may be Monday but if you want that flat tummy, it's time to work. Try out some of these simple moves to work that core. PT Kristoph Thompson says, 'exercises from standing, lunging or sitting translate to much better functional strength than those done lying down.' Essentially sack off doing endless crunches.
Step two is to get some calorie-burning cardio exercise. Of course you've already heard that pointer often, but Weltman takes this idea one step further, noting that high-intensity aerobic exercise is even more effective at burning off visceral fat than the same amount of low-intensity exercise. In one study, he had overweight women walk or jog five times a week; one group worked out for a longer amount of time at a low intensity, while the other did shorter stints of high-intensity work. Even though each group burned the exact same number of calories in each workout, the high-intensity group melted off more visceral fat. "We speculate that there's a relation between the intensity of the workout and the amount of growth hormone released, which is a powerful mobilizer of visceral fat," Weltman says.

Adequate sleep plays an integral role in our weight. This is because our metabolism dictates everything from the rate we burn calories to when and where we store fat. And your metabolism is simply your biochemistry / hormone balance. For this reason, when we don’t sleep the body doesn’t release as much fat burning HGH, and conversely it releases more of the belly fat stress hormone cortisol as well as an appetite enhancing hormone called Ghrelin. Be sure to get your shut eye. 8 hours a night is preferable, but 7 will suffice.


But because you don't have X-ray vision to see whether too much of the potentially dangerous visceral fat is parking itself in your own belly, scientists have figured out a couple of DIY guidelines. To avoid increased risk of obesity-related diseases, women should have a waist measurement no bigger than 35 inches (measure it at the smallest point of your midsection), and some experts recommend a waist-to-hip ratio of around 0.8, meaning that your waistline should be no greater than 80 percent of your hip circumference. According to a Mayo Clinic study released last May, the ratio of waist to hip is believed to be a measurement of visceral fat. Other fascinating research, published in the American Journal of Human Biology, found that women who give birth before age 40 have an average of two centimeters more fat around their bellies than women of the same ages who haven't given birth. (I'll have to thank my two daughters for those extra centimeters.)


No matter what, do not miss that snack. It's important because it boosts metabolism and balances blood sugar. The lower you keep your blood sugar, the lower you keep your insulin, and insulin makes you store fat around your middle. Eating every three to four hours will keep your blood sugar even, but many people tend to go five or six hours between lunch and dinner without eating."
Moves like the tolasana and the eight subsequent ones we did that day are representative of a shift that ab exercises have taken in the past decade or so. Previously there was a tendency to isolate the abdominal muscles to give each one an individual workout — crunches for your rectus abdominis, bicycles for the obliques — but as Olson points out, that's not the way it works in real life. "When you're reaching up to get something, picking up a baby or bending down, you need all the muscles to work together," she says. "Instead of targeting each one, you should aim for functional fitness, where the muscles work as a unit."
Unfortunately, because the pharmaceutical industry has created so much marketing hype about a woman's need for estrogen replacement as a fountain-of-youth treatment for menopause, most medical practitioners and healthcare consumers are misinformed and/or confused. The consequence for millions of people is that the very real condition of estrogen dominance is often overlooked or, worse, misdiagnosed and mistreated. For instance, consider the case of a woman I'll call Sylvia.
There are no wrong ways to eat a Reese’s. Feasting rituals, research suggests, are a form of “mindful eating,” which has the power to make food more pleasurable, and may help prevent overeating. Pleasure, according to research in Trends in Endocrinology and Metabolism, catalyzes the relaxation response, promoting parasympathetic and digestive activities. In other words, you’ll metabolize dessert faster if you really, really enjoy eating it. In one study, participants who were assigned to eat a chocolate bar in accordance with a particular breaking and unwrapping ritual found the candy much more enjoyable—and even more flavorful—than a group who ate the bar informally.
Lunch: Easy Burritos. Making a simple burrito is a great way to have a simple healthy lunch filled with protein and fiber. All you need to do is fill a whole grain tortilla with beans, spinach leafs, and a small amount of cheese and heat in the microwave. Garnish with as much salsa as you like, but be sure to check that your salsa choice has no added sugars.
Pass up baked goods. This is my own personal rule to get (and keep) flat abs. I love baked goods but there’s really nothing good about them as far as your abs are concerned. Cupcakes are awesome but they are bad for your belly. Baked treats often contain way too much sugar, tons of fat and almost no nutritional value. Many packaged baked goods also contain trans fat. If you really need dessert, have a small square of chocolate or a small scoop of ice cream. At least ice cream contains metabolism-boosting protein, which is essential for weight loss
It could take months before you start to notice a difference, so don’t expect the process to be easy. And if you do manage to develop a nice, toned six pack, it probably won’t change your life. You don’t need a perfectly flat tummy or washboard abs to be healthy and look good. Keep in mind, people can’t see your abs under your clothing, it’s hard work maintaining them (nonstop dieting), and the low levels of body fat required to have a flat stomach may actually leave you looking less athletic and attractive. So, if you really want a flat stomach, get ready to fight for it. Otherwise, just shoot for being healthy.
Seated medicine ball twists are a great way to get a toned midsection because they target your obliques while also engaging your abdominals and lower back muscles. When doing this exercise, Mark advises people to keep their feet on the ground. “This one is all about form, so keep your feet on the ground, lean back just enough to feel an engagement in your abdominals, and make a nice full turn with your shoulders,” he explains, noting you should feel that satisfying core burn in no time.

WHAT'S GOING ON: If the only abs exercise you ever do is crunches, you'll never have a firm tummy, says Stephanie Hahn, a physical therapist at STAR Physical Therapy in Austin, TX. Crunches train your rectus abdominis (your "six-pack") to fold forward. That makes the muscles shorter, and if your transverse abdominals (the muscles that sit behind your rectus) aren't toned, you end up with what experts call a muscle imbalance—and a bulge in your lower belly. "Doing more crunches won't help," Hahn says.
Hara hachi bu is a Japanese practice to “Eat until 80% full.” If you follow Hara hachi bu, you could save nearly 300 calories per day. It can take up to 30 minutes for the body to register satiety signals, according to research, so consider using chopsticks to slow your pace and feel your fullness. According to a study in the American Journal of Preventive Medicine, healthy-weight customers were nearly three times more likely to use chopsticks than obese customers.
DR. RANDOLPH: Synthetic hormone drugs, such as the popularly-prescribed Premarin and Prempro family of products, have been shown to be very dangerous, increasing a woman's risk of breast cancer, blood clotting, stroke and even Alzheimer's disease. That is because these synthetic hormones have a very different molecular structure than the ones produced by the ovaries.
Fruits like berries, cherries, apples, and oranges are high in quercetin, a natural compound that reduces inflammation in the belly. And if you put a bowl of the good stuff right where you can see it in your kitchen, you’re more likely to reach for it when you want a snack. These are the 10 reasons why apple cider vinegar is brilliant for slimming down.
That means Pink Lady over Granny Smith, watermelon over honeydew, red grapes over green ones. The higher levels of nutrients called flavonoids—particularly anthocyanins, compounds that give red fruits their color—calm the action of fat-storage genes. In fact, red-bellied stone fruits like plums boast phenolic compounds that have been shown to modulate the expression of fat genes. To learn more about turning on and off your fat genes, check out the essential list: 21 Nutrition Myths—Busted!
First, the good. Once I had their creams I stopped synthetic hormones one day and went on the creams the next. I never felt a twinge, plus I began sleeping better for the first time in years. So, I highly recommend Dr. Randolph's creams. (Previously when I tried to stop synthetics I developed the equivalent of "PMS-run-wild", so I always went back on.)
When it comes to ab flab, there are two ways to tackle the problem: Either burn blubber or suck it in with stronger muscles. "Even if you don't lose fat, you can improve your waistline by toning your muscles," says Michele Olson, PhD, a FITNESS advisory board member and professor of physical education and exercise science at Auburn University at Montgomery in Alabama.
I work in a specialty running store in Maryland. I took the job because I love running and I love my boss. I tell you this because this month, Caitlin and I have been using your 30 day ab challenge and we have had so much fun. We are looking to continue it through the year though and would love your suggestions for do that. I am not sure just doing this one over and over is the best plan.
The two figures standing in front of me one recent winter morning could not look more different. On the right is Carrie McCulloch, MD, a musculoskeletal anatomy expert and the medical director for Kinected Pilates studio in New York City, who is sizing up the shape of my waistline. Dr. McCulloch's own midsection happens to be perfectly rounded because she is only weeks away from giving birth to her first child. On the left is her assistant, Mr. Bones, one of those hanging skeletons that teach medical students how the thigh bone's connected to the hip bone. Mr. Bones doesn't actually have a waist, just a hollow space between his ribs and pelvis.

Core compressions: Sit tall in a chair with your feet hip-width apart and your belly flattened toward your spine. Place one hand on your upper abs and the other on your lower. Take a deep breath in, then exhale forcefully to draw your abdominal muscles in even tighter, keeping your back straight and still. Continue for five minutes, focusing on slow, complete tightening of the muscles. Do two sets.

You’re here because you want a flat stomach. That’s awesome! I know feeling more confident physically in your skin can lead to a dramatic improvement in your outward confidence and self-esteem too. I know my life improved as a result of taking care of myself physically, and that physical strength created an inner strength and confidence that carried over to the rest of my life.


UPDATE (1/16/17)...I initially gave this a 4/5 thinking it was sound, smart advice, but 13 months later, after reading a number of nutrition books, I've come to understand a lot of the bad advice given in this book. While there are some good points on antibiotics, the advice and justification of Whole Grains are terrible (frankly, I dismiss anyone's nutritional advice when they say you need to eat whole grains; whole grains suck; see Wheat Belly or Undoctored by William Davis and/or Eat the Yolk ...more
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