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.
Your phone, tablet, and television may be affecting your waist size in more ways that one. Obviously if you're sitting on electronics then you're not moving around and burning calories. But the effects go beyond just energy. Blue light from electronic screens can disrupt your circadian rhythms; so our addiction to electronics is reducing our sleep as people favor Netflix-bingeing to bed. Both of these effects have been linked to higher levels of belly fat.
Your core is the center of your body. You need to identify it, engage it and have all movements extend from it. It's also key to go beyond basic crunches. They're one-dimensional, hitting only the rectus abdominis (or six-pack). My quickie series targets the midsection from multiple angles, part of the reason why my clients over 40, like J.Lo, still have sculpted abs. Pair with 30 to 60 minutes of cardio and aim to do it six times a week.
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.

A note on vegan/vegetarian diets: This is another topic that entire books and articles are written about, so we won’t dive into them here. Of course, it is absolutely possible to build muscle or lose fat on a vegan/vegetarian diet. Certainly you can get to a flat stomach, you just need to be diligent with your calorie tracking and macros, like we recommend you do above.
Regular yogurts tend to be loaded with belly-bloating sugar, but that’s not the case with protein-packed plain Greek yogurt. Per a study in the journal Appetite, researchers from the University of Missouri compared the satiety effects of high-, moderate-, and low-protein yogurts on women aged 24-28, and found Greek yogurt, with the highest protein content, to have the greatest effect. For a boost of flavor (and fiber!) toss some fresh berries on your yogurt and eat up!

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.


Regular yogurts tend to be loaded with belly-bloating sugar, but that’s not the case with protein-packed plain Greek yogurt. Per a study in the journal Appetite, researchers from the University of Missouri compared the satiety effects of high-, moderate-, and low-protein yogurts on women aged 24-28, and found Greek yogurt, with the highest protein content, to have the greatest effect. For a boost of flavor (and fiber!) toss some fresh berries on your yogurt and eat up!
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.
It's not just about weight loss. Having great gut health is linked to good health throughout your body. Scientists in this rapidly growing field are finding connections between gut microbes and the  immune system, weight loss, gastrointestinal health, , allergies, asthma, and even cancer. With every study that's published, scientists become more convinced that having a healthy gut leads to having a healthy body.
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Plank: Start on your hands and knees and come up into a push-up plank position, balancing on hands (or elbows) and toes (or knees). Align wrists under shoulders; keep your back straight and the abs and glutes tight (to keep the back from sagging). Hold the position and breathe out for 10 seconds, exhaling to tighten the abs and draw the navel to the spine.
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Dr. Travis Stork is an Emmy®-nominated host of the award-winning talk show The Doctors, and a board-certified emergency medicine physician. He graduated Magna Cum Laude from Duke University as a member of Phi Beta Kappa and earned his M.D. with honors from the University of Virginia, being elected into the prestigious honor society of Alpha Omega Alpha for outstanding academic achievement. Based on his experiences as an ER physician, Dr. Stork is passionate about teaching people simple methods to prevent illness before it happens with the goal of maximizing time spent enjoying life while minimizing time spent as a "patient." Dr. Stork is a New York Times #1 bestselling author of “The Doctor’s Diet,” “The Doctor’s Diet Cookbook,” “The Lean Belly Prescription,” and “The Doctor Is In: A 7-Step Prescription for Optimal Wellness.” An avid outdoorsman, Dr. Stork is a devotee of mountain and road biking, whitewater kayaking and hiking with his 15 year old dog, Nala.
Carbohydrates hold water in your body, which may make your belly bloat. Plus, high-carb, high-sugar breakfast foods like bagels or cereal might fill you up initially, but you’ll probably end up searching for more food within an hour, says Alissa Rumsey, MS, RD, founder of Alissa Rumsey Nutrition and Wellness. “Those digest pretty rapidly, and then your blood sugar spikes up and drops back down pretty quickly because they digest so fast,” she says. That extra morning munching will likely add up to more calories and bloat than you would have had if you’d started with a more filling breakfast. Be sure to follow these other daily habits that reduce bloating and flatten your belly, too.
If you're after a sleeker middle, add dairy to your diet. Research shows that its proteins increase satiety and cause you to eat less. My choice: homemade Parmesan crisps. Preheat oven to 350; line a baking sheet with parchment. Divide 2 cups grated Parmesan into 2-Tbsp. portions. Form each into a small pile and press with the back of a fork. Bake until melted and flat, 5 to 10 minutes. Transfer to a paper towel-lined plate. Serve with chopped cooked vegetables (I love spinach, squash or eggplant).

It is important to understand that being estrogen dominant doesn't mean that your body is producing too much estrogen; rather, it means that your body's estrogen production is not balanced by progesterone production. Estrogen dominance occurs when the natural ratio of estrogen to progesterone is upset—in other words, when the body's internal estrogen-to-progesterone seesaw becomes tilted.
Contrary to the popular belief that estrogen is solely a female hormone, men can also be estrogen dominant. In men, progesterone is produced in the adrenal and testicular tissue. When men reach their forties, falling progesterone levels lead to a fall in testosterone levels. As both the progesterone and testosterone levels decline, the male body becomes estrogen dominant. To find out if estrogen dominance is responsible for your increased belly fat—and possibly a host of other physical, mental, and emotional concerns and health risks—continue reading. Chapter 2 will help you to understand how age, body fat, and environmental toxins can join forces to sabotage your inner hormonal equilibrium.
If you can do more than five reps of an exercise, pick up a heavier weight. As you build muscles and your body gets stronger, you can increase your load to challenge your body. It’s particularly important to work larger muscle groups, like your glutes, with a heavier weight. “This will burn fat, in the belly and other areas, quicker than any ab exercise.”
HOW TO MAKE IT: Preheat oven to 400 degrees F. Lay two 5-oz servings of salmon (skin side down) on a lightly oiled tray alongside a small bunch of asparagus. Season salmon with salt, pepper, and paprika, and the asparagus with salt and pepper. Drizzle over 2 tablespoons of garlic-infused olive oil and the juice from half a lemon. Place in oven and cook until fish flakes easily with a fork, about 16-18 minutes. In the meantime, cook up 3 servings of brown rice — one you’ll use tonight, and two you’ll use later on in the week. Save two-thirds of the asparagus and the second salmon fillet for leftovers.
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.
Since the best way to lose weight and stay in shape involves a combination eating right and exercising, we’ve included both types of tips on our list, and also interspersed some valuable habits to keep in mind if you’re looking for a flat belly. While tossing some berries and nuts into your oatmeal is a great way to boost your intake of satiating protein and fiber that will transform your tummy for the better, so too is doing some core-engaging flat planks. Couple those adjustments with ensuring you get a solid eight hours of sleep each night, and watch the belly fat disappear faster than the sunscreen you can never seem to buy enough of.
"I recommend the DCBA approach: Diet first, Cardio second, Building muscle third, and Abs exercises last. Follow it and you can safely lose one to two pounds a week. Spend 60 minutes a day preparing healthier meals. Spend 20 minutes a day three to five times weekly doing cardio. Spend 15 minutes a day three times a week strength training. Finally, spend 5 minutes a day three times a week doing abs exercises."
Plank: Start on your hands and knees and come up into a push-up plank position, balancing on hands (or elbows) and toes (or knees). Align wrists under shoulders; keep your back straight and the abs and glutes tight (to keep the back from sagging). Hold the position and breathe out for 10 seconds, exhaling to tighten the abs and draw the navel to the spine.
Try using an exercise ball to work your tummy muscles. One great exercise is called the ball exchange. Lie flat on your back, with your arms extended over your head, holding the exercise ball. Lift the ball above your chest, simultaneously raising your legs (keeping them completely straight) off the ground. Place the ball between your ankles, then lower your arms and legs to the floor. Repeat the exchange, this time passing the ball from your ankles to your hands. Do 10-12 repetitions.[9]
Hold a resistance band taut between your hands and lie on the floor face up, with legs extended and arms overhead. Pull abs in, tuck your chin, lift arms toward the ceiling, and roll head, shoulders, and torso up and over your legs as far as you can. Keep heels firmly on the floor and reach your hands towards your feet. Pause, then slowly roll back down. Do 5 to 8 reps with 30 minutes of cardio 5 to 6 times a week.
Leafy Greens – Help you feel satisfied longer, boost your metabolism and turn off your hunger receptors. You will eat less and lose more belly fat just by increasing your leafy greens! They’re low in calories and high in fiber, making them the perfect weight loss food. Not a fan? Try one of our yummy green smoothies. Examples include spinach, romaine lettuce, kale, bok choy, arugula, chard, and mustard greens.
Very happy with the results, I incorporated my own food tastes and mixed them with lots of veggies, fruit, kale, spinach and romaine lettuce, a huge salad everyday, no sugar, no white flower, no bread other than 100% wheat a couple times a week, cut out soda entirely. Greek yogurt every day, berries, only sweeten with honey. Old fashioned rolled oats, etc etc. I didn't use any of the recipes, too complicated, and costly too! I have lost 30 lbs from January 5th to now. I didn't exercise the first 2 months wanted to make sure I was losing from the food. I then started walking 2-5 miles 3 times a week - 15 pounds to go to my goal.
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