10 Tips to Stay Lean after Summer!

10 Tips to Stay Lean after Summer!

1) Workout first thing in the morning before you start your day. Then, you will have no excuse later in the day.

2) Be more active – choose to walk or ride a bicycle or swim as much as possible, swimming is one of the highest calorie burning activities you can do.

3) Focus all your meals around a good source of protein and healthy fats. This will help maintain muscle. Protein and fats have the highest thermic effect of food which allows you to burn more calories digesting it.

4) Consider getting sorbet ice cream if you do have dessert. They are usually very low in calories compared to fancy Italian gelato.

5) Eat foods high in fiber for breakfast and this will keep you feeling full all day long.

6) Never have 2 “cheat meals” in a row. For example, if you have pasta for one meal, make sure the next meal is something that is healthy, such as lean fish and vegetables.

7) Ask for the dressing or sauce on the side when you order food at a restaurant – you can add the right amount you want as you eat.

8) Drink water based on your body weight throughout the day. The more water you drink, the less likely you will consume large calorie meals.

9) Drink zero calorie drinks. For example, drinks with stevia will help with sweet cravings and do not contain calories which can cause weight gain.

I should trade mark this last piece of advice – I say it to patients all the time:

If you are going to cheat, cheat well.”  Do not cheat with junk foods with artificial or junk ingredients. Cheat with food that feeds your soul and your belly – foods that are decadent and worth the calories. Follow the 80-20 rule or the 6 days on, 1 day off rule.

People gain weight when they go on holidays or travel because there are so many different food choices and options. I hope you found these 10 tips useful and you can apply some of them for the fall. If you do need help with a specific diet to achieve the health goals you want, feel free to reach out and let me help you!


Dr. Sanjay Mohan Ram, N.D.

The Skinny on Intermittent Fasting

The Skinny on Intermittent Fasting

You’ve probably heard about intermittent fasting which, according to Google, was the most searched diet trend of 2019.  The practice of fasting has been around since ancient times. Hippocrates, widely considered the father of modern medicine, was a staunch supporter.  Fasting for spiritual purposes is widely practiced and is a component of virtually every major religion in the world, considered to be a cleansing and purifying process for both the body and the spirit. Numerous studies suggest intermittent fasting has a beneficial effect on a wide range of chronic disorders including cardiovascular disease, diabetes, cancer, autoimmunity, and neurodegenerative brain diseases such as Alzheimer’s and Parkinson’s.  But can it also help us lose weight and, more importantly, keep the weight off permanently?


What is intermittent fasting?

The basic principle of intermittent fasting is simple: abstain from eating during specific time periods and eat during others. The 3 most common variations are:


  1. Daily time-restricted eating: this involves eating all your meals for the day within a certain window of time, typically anywhere from 4-12 hours (meaning you’ll be fasting for 12-20 hours of the day). For example, if you stop eating by 8 p.m. then have your first meal at noon, you will have created a 16-hour fasting state.
  2. Alternate day fasting: this involves alternating “feed days”, where you eat normally, with “fast days”, where eating is restricted to one meal of ~500 calories, ideally consisting of protein, healthy fats, and vegetables (i.e. no refined starches or sugars)
  3. 5:2 intermittent fasting: in this plan, you eat normally five days of the week and drastically reduce calories on the other two days, typically 500 calories for women and 600 calories for men.

Which plan is best for you?  There is no single right answer and in fact, most people find it beneficial to switch things up periodically.  In general, it is recommended to start slowly and gradually increase your fasting window in order to avoid unpleasant side effects that can discourage you from continuing.  There is some evidence to suggest that timing your eating window earlier in the day, say from 8a.m. to 2 p.m., can help normalize cortisol expression and circadian rhythms. 


How does intermittent fasting work?


Calorie reduction:

At its most superficial level, intermittent fasting can reduce the total number of calories we consume.  Although there are no specific calorie limits set, restricting our eating to a limited number of hours naturally tends to limit the amount of food we eat, particularly in the evenings when many of us plunk ourselves down on the couch to watch TV while mindlessly munching on high calorie, highly processed snack foods. 


Facilitates ketosis:

In a prolonged fasting state, once the body has used up its reserves of glucose, it starts burning fat for fuel. Decreasing the body’s excess fat stores, particularly the visceral fat deposits (around the abdominal organs) is integral to healthy and long-lasting weight loss.


Metabolism boost:

One common misconception that makes many people reluctant to try fasting is the idea that it causes our basal metabolism to decrease—the so-called “starvation mode”, making it harder to lose weight in the long run. In fact, fasting causes an increase in metabolic rate, mediated by an increase in adrenaline as well as growth hormone.  Presumably, this serves as an adaptive response to give us the energy to go out and find food in times of scarcity.  Humans as a species would not have survived very long if the body’s response to missing a few meals was to shut down completely. Growth hormone also helps the body utilize fat for fuel and preserve muscle mass and bone density.  Ironically, daily calorie reduction, not fasting, does in fact lead to decreased metabolism, as the body matches lower food intake with lower energy expenditure.  When food intake goes to zero, however, the body switches its energy source from ingested food to its own stored fat reserves which provide ample energy for maintaining metabolism.  Alternating between a fed state and a fasting state is therefore more important than simply reducing overall calories. 


Decreased insulin and insulin resistance:

The root cause of obesity in many cases is persistently high levels of insulin leading to insulin resistance, increased fat storage, and a higher body weight set point.  The body weight set point is monitored by the hypothalamus but appears to be set higher by higher levels of insulin.  When we attempt to lose weight by the standard method of eating less and exercising more, the hypothalamus acts to maintain the set point by decreasing our energy expenditure (by decreasing metabolic rate, body temperature, etc) and increasing appetite. Therefore, further weight loss becomes more and more difficult, and over time we tend to regain that weight and then some.  Breaking the insulin-resistance cycle and lowering the body weight set point to allow long-term weight loss requires recurrent periods of very low insulin levels. Since all food stimulates an insulin response to some degree (with refined starches and sugars being the worst offenders), the best way to achieve this is via fasting. 


Contraindications for fasting

Although intermittent fasting can be a powerful tool for losing weight and improving overall health, it is not for everyone. Women who are pregnant or breastfeeding should not practice intermittent fasting so as not to compromise their baby’s nutritional needs.  Likewise, children under 18 should not fast for extended periods, nor should anyone underweight (e.g. body mass index (BMI) less than 18.5).  The strict eating schedule may also act as a trigger for those with a history of anorexia or other eating disorder.  

Individuals taking medications, especially diabetics, must exercise caution and require medical supervision when undertaking an intermittent fasting program, as does anyone with pre-existing medical conditions such as kidney disease, cardiovascular disease, and adrenal issues. 

Susan Goto, ND



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The Benefits of B vitamins

The Benefits of B vitamins

A vitamin is an essential nutrient. The human body cannot create its own vitamins, and if a specific vitamin is missing, predictable symptoms will occur. For example, if you don’t eat enough vitamin C symptoms of scurvy may appear. B vitamins are commonly prescribed in Naturopathic practice as they are an important part of good health and managing stress.

B vitamins are a group of water-soluble compounds which support energy production in cells. Most vitamins were discovered in the first half of the 20th century. Have you ever wondered why there is no vitamin B4? As we learn more about vitamins, science has revealed that some compounds which had been labeled as vitamins were in fact non-essential. The body could produce it’s own, or the compound was not needed for proper functioning. It’s kind of like when Pluto lost its planet status!

Why do we care about the demoted B vitamins? Orthomolecular medicine uses targeted doses of nutritional compounds to produce a therapeutic effect in the body. Although you won’t be deficient in vitamin B4, it may still help treat symptoms.

Formerly known as: Vitamin B4
Current name: Choline 

Choline’s biggest role in the body is being used to make acetylcholine which plays an important role in muscle contraction, hormone regulation and sleep. Choline is also involved in brain development, the formation of various lipids and works as a methyl donor. Genetic variations in methylation may play a role in depression.

Choline is being researched for it’s a potential role in treating fatty liver disease, high homoysteine, blepharospasm, hyperthyroidism and bipolar disorder.


Formerly known as: Vitamin B8
Current name: Inositol

Inositol exists in two forms, myo-inositol and D-chiro-inositol. Inositol is used to make phospholipids which are a key component of cell membranes. They are also used in the phosphatidylinositol cycle which is linked to the noradrenergic, serotonergic and cholinergic receptors. These receptors are important for alertness, mood regulation and muscle function. Inositol can also support uptake of glucose into the cells, leading to decreased sugar in the bloodstream.

Inositol may have the potential to prevent depression, diabetes, nonalcoholic fatty liver disease, polycystic ovarian syndrome and Alzheimer’s disease. It is also a favorite compound recommended by Cathryn Coe, ND to improve sleep, lower BP and cholesterol, and support balanced testosterone levels. *Note that inositol in any form is contraindicated in bipolar disorder as it may exacerbate symptoms.


Formerly known as: Vitamin B10
Current name: PABA

Research suggests PABA can increase the effect of estrogen and glucocorticoids in the body. As glucocorticoids have a strong anti-inflammatory effect on the body, it may have a therapeutic role in autoimmune conditions such as scleroderma, dermatomyositis, Dupuytren’s contracture, Peyronie’s disease. PABA is also used to make folic acid.

Most commonly, B vitamins are recommended in a B complex for patients experiencing stress, fatigue, low mood and difficulty losing weight. Feeling better overall helps us reach our health goals and can improve our sense of well being. Remember to take your B’s earlier in the day, with breakfast or lunch, and always with food.



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