Chelsea Handler?

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March/April 2014 / $4.95

Living Healthy

The Benefits of MEN’S Friendship Food Health pg. 14 & Recipes

Cosmetic Surgery Three Ways to on the Rise Family & Cook Chicken pg. 15 Parenting pg. 49

Nutrition for Healthy Aging Pets Beauty pg. 23

Damaged Hair Do’s Fitness pg. 17 & Exercise

Gym-Free By the Workouts Numbers pg. 53

Migraines & Headaches pg. 56 comedy

V E R T I S E M E queen A D N T Take the Lead in Chelsea Handler Your Health on the power TURN TO PAGE 27 of humor pg. 42 MARCH/APRIL 2014 Contents Feature

Pg. 42

I don’t take myself too “ seriously. I think that’s“ emotionally healthy.

Good Humor Life is a funny business for Chelsea Handler. The comedian, late- night talk-show host and best-selling author is living proof that laughter in every issue might just be the best medicine—and the key Pg. 5 to surviving the best and Editor’s Note worst of times. What some A calendar for the whole family, a new way to manage your may see as embarrassing medicine, and more or humiliating, she sees as fodder for her comedy Pg. and, most important, part 58 of who she is. She gets Take 10 From city slicker to safari savior, candid about embracing Download WebMD actor Kristin Davis steps into a Magazine for Free! her shortcomings, dealing new role. She talks to us about Get your iPad with grief, and cleaning subscription in the saving elephants in Kenya, 0058 App Store. up her health act. combating poverty, and more.

Cover photograph by Peter Yang/August Image MARCH/APRIL 2014 2 W ebMD.com Contents MARCH/APRIL 2014

HEALTHY START Hot Topics: Does a heart-healthy diet also help your bones? Can exercising moms-to-be boost their baby’s brains? Find out and get Pg. more news you can use. • up close: We take an in-depth look at dental floss. • Personal Best: Actor Shailene Woodley shares her food, 6 beauty, and health secrets.

LIVING HEALTHY Pg. WebMD on the Street: A California health coach gets some expert coaching of her own. • Women’s Health: Want to live longer? You can, with a little help from your friends. • Men’s Health: Cosmetic 11 procedures aren’t just for women. Some guys now opt in as part of their anti-aging arsenal.

Pg. HEALTHY BEAUTY You Asked: Need to do a little damage control on your hair? Our experts 16 offer tips and styling product picks for calming frizz and fixing split ends. • Your Smile: Do hot or cold beverages make you wince? Get to the root of what’s causing your sensitive teeth. Plus: Dirty Secret

Pg. FAMILY & PARENTING Pet Health: Allison Janney to the rescue! The actor and Mom star is 21 mom to a few lucky dogs. Plus: What should you feed your aging pet? • Pregnancy: Size matters—especially when you’re trying to conceive. Learn why you need to get in shape before you’ve got a baby on the way. • Baby Talk: Splish-splash, it’s time for baby to take a bath. Our Pg. expert has tips for new parents.

48 FOOD & RECIPES In Season: Carrots. Get rooted in the history and nutrition facts of this popular spring veggie. • 3 Ways to Cook: Chicken. Make dinner a Pg. winner tonight with easy and versatile recipes.

FITNESS & EXERCISE 51 Work It Out: Go long! Learn how stretching can improve your workout and why you should warm up and cool down every time. • Fitness Challenge: No equipment? No problem. We’ve got workout moves you can do wherever you are.

webmd CHECKUP Living With: Allergies. ’Tis the season! Stop sneezing and get relief now. • By the Pg. Numbers: We take a closer look at headaches and migraines. • Health Check: Got GERD? What do you know about heartburn and gastroesophageal reflux disease? 54 Take the quiz to find out.

W ebMD.com 3 MARCH/APRIL 2014

Editor in chief vice president, publisher Kristy Hammam Heidi Anderson associate publisher Editorial director Colleen Paretty Vanessa Cognard Director, Business Operations Senior Editors Mathew Reynders Susan Davis, Sylvia Davis Group Vice president of sales operations webmd.com senior director, editorial Jonathan Katz Stephanie Snipes VIce President, Circulation webmd.com art director Paul Bar Noel Triplett Vice President, Client Solutions Albert Reyes chief Medical editor Michael W. Smith, MD Senior director, marketing Kathleen Cusack sales operations analyST Kisha Jackson Medical editors Advertising sales Brunilda Nazario, MD; Hansa Bhargava, MD; Claudia Fern, [email protected], 212-624-3728 Arefa Cassoobhoy, MD, MPH Patria Rodriguez, [email protected], 212-417-9542 brand review John Schaetzle, [email protected], 212-624-3787 Lauren Gracco Sumrall, Bill Sims chicago contributing writers Tracy Kennedy, [email protected], 312-416-9275 Christina Boufis, Sonya Collins, Anna Novinger, [email protected], 312-416-9278 Heather Hatfield, Jodi Helmer, west coast Ayren Jackson-Cannady, Katherine Kam, Nicole Ransom, [email protected], 310-318-1728 Lauren Paige Kennedy, Shelley Levitt, SOUTHEAST Matt McMillen, Erin O’Donnell, Gina Shaw, Courtney Cofield, WNP Media Stephanie Watson [email protected], 770-569-8188 Smyth Media group Stephanie Musella, Account Executive, [email protected], 914-409-4216

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Deputy editor Andrea Gabrick associate editor Rebecca Scherr 111 eighth ave., suite 700, new york, n.y. 10011 Bookings director Wendy Zipes Hunter [email protected] Chief executive officer David J. Schlanger president Steven L. Zatz, MD art director Melissa H. Miller chief financial officer Peter Anevski photo editor Katie Ellsworth chief Operating officer & Chief technology officer William E. Pence production director Connie Otto co-general counsel & secretary Doug Wamsley Production manager Judi Sheffer co-general counsel Michael Glick advertising traffic manager Jennifer Morgan Senior Vice President, Marketing Yiatin Chu senior vice president, Consumer Market Sales production artist Brenda M. Waugh Tracy Roy Hankin vice president, Finance James McCann Copy editor Sharon K. Congdon director, policy & governance Theresa Saladino marketing director Rebecca Loveridge vice president, mobile & emerging media Todd Zander Senior marketing manager Megan Manning Chief Communications Officer Adam Grossberg vice president, pR Katherine Hahn

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WebMD Magazine is distributed to doctors’ offices throughout the U.S., online at WebMD.com, and by download from the App Store. WebMD Magazine is not responsible for advertising claims. WebMD Magazine (ISSN 1553-9946), Vol. 10, No. 2, is published by WebMD, LLC and may not be reproduced in whole or in part without written permission of WebMD, LLC. All editorial content is reviewed by our board-certified physicians, is for informational purposes only, and is not intended to be a substitute for professional medical advice, diagnosis, or treatment. WebMD does not endorse any specific product, service, or treatment. Always seek the advice of your health care provider with any questions regarding a medical condition and never disregard professional medical advice or delay seeking it because of something you have read in WebMD Magazine. If you think you have a medical emergency, call your doctor or 911 immediately. © 2014 WebMD, LLC. All rights reserved.

W ebMD.com 4 MARCH/APRIL 2014 Editor’s note

Pill Drill Do you take one pill a day or a multitude? Either way, you can stay on top of your routine and get med Week Link smart with WebMD’s Looking for new ways to get your family new My Medicine tool. to practice healthy habits? WebMD’s new Enter your drugs or Raising FIT Kids Healthy Calendar Tool supplements at webmd. can help. Each week, turn to the calendar com/my-medicine to for ideas related to the Raising FIT Kids’ get information about categories—Food, Mood, Move, and interactions, FDA alerts, Recharge—and three recipes designed with We focus on lots of health numbers: reviews, and articles kids and busy parents in mind. Access the BMI, HDL, blood pressure, the about your medicines tool from your desktop and you can print out hours of sleep we need each night. But and conditions. Use the ingredient lists to take with you to the store. here’s one you might not think about— tool to plan for your Or visit the site on your mobile device for an how many times a day do you laugh? doctor’s visit, too, and interactive ingredient list and check off items print medicine lists, as you go. Get started today: webmd.com/ This issue’s cover star, comedian schedules, and notes. parenting/raising-fit-kids/fit-calendar. Chelsea Handler, gives us something to aspire to: not taking ourselves too seriously. Handler embraces her shortcomings, laughing at herself and everything Meal Musts around her. She talks with us about self- Our Facebook fans are going gaga over egg acceptance, the importance of friendship, recipes that we recently and her willingness to share her most posted. It was the most- personal experiences publicly (page 42). clicked magazine post Tell us Failure is part of being human—we of the month: “Trying what you’re all do embarrassing things. And while to eat healthier? Get passing egg recipes in WebMD research isn’t conclusive about whether around the Magazine that will fill table this laughter really can improve overall health, you up and won’t let season at dwelling on feelings of shame isn’t good you down.” And, we facebook. for emotional health, either. As psychia- won’t let you down this com/ trist Mary Lamia, PhD, tells us, “When month either! We spring for webmd. chicken (page 49) and catch we embrace the things that happen to us, up with carrots (page 48). we connect with other people. Acceptance from others is a form of healing.” You don’t need to hit the stand-up We Want to Hear From You! circuit and turn your missteps into comic gold. Just make time to get together with Like WebMD! friends and have a good laugh. And just facebook.com/webmd for fun, keep track. That’s a health num- Tweet us! ber you won’t mind focusing on! twitter.com/webmd Download WebMD Magazine Pin with us! for Free! pinterest.com/webmd/ Get your webmd-magazine free iPad ory Miller g ory Kristy Hammam subscription in the App Store. Email the editors! Gre : Editor in Chief webmdmagazine lef t

[email protected] [email protected] p To

W ebMD.com 5 MARCH/APRIL 2014 healthy start HotTopics! facts and news you can use ES IM AG LOW MI XA/G ;

ES IM AG Y Pucker up! 90

ETT AZ ELE Y/G Research shows million D Number of chocolate that romantic kissing ; PETER ; bunnies produced for not only elevates Want to stop Easter each year. (And ES IM AG arousal but also helps snacking? 76% of people eat the LOW /G Try seeing red. chocolate rabbit’s

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; R AN D ; Source: National Confectioners Association Source: Archives of Sexual Behavior people drank

ES IM AG Y less soft drink People who are from a red cup When a full discriminated ETT /G ROTHE than a blue moon is in the against for cup and ate sky, slipping into being overweight slumber takes less food off a five more minutes es; FR AN K es; I m ag y are 2.5 times red plate than and total shut- more likely to eye is reduced by develop obesity, a blue plate. 20 minutes. a study reports, Source: Appetite Source: Current Biology and people who

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es; S es; I m ag Source: PLOS One home and at school. y Source: Pediatrics lor/Gett Tay J ; P ; Percent of Two-thirds patients who ES IM AG Y of Americans say their doctors think restaurants 30% discuss the of low-income should list calories

ETT E /G GAGN A benefits of regular 71% mothers can’t exercise. Two- on menus. But afford diapers thirds report their only 31% support doctors broach limiting the size for their the healthy-eating of sugary drinks babies. conversation. when eating out.

clockwise from top left: LIS left: top from clockwise Source: Pediatrics Source: Gallup Source: Pew Research

MARCH/APRIL 2014 6 W ebMD.com healthy Start

Power Lunch That PB&J in your daughter’s lunchbox may have long-lasting benefits. A 15-year study followed 9,039 girls ages 9 to 15 in 1996. Girls who had a daily serving of vegetable fat Stand Up Feeling low? Stand and protein, such as nuts, corn, or beans, had a 68% lower risk of up! Women who benign breast disease later on. And the girls’ biggest source sit seven hours of veggie fat and protein was peanut butter. Some types of or more each day are more likely to benign breast disease can increase the risk of breast cancer. have depression Source: Breast Cancer Research and Treatment symptoms than those who sit four hours or less, a study says. es I m ag In c/Glow g ee

Researchers suggest the that the lack of interaction with the environment that 7,500 es- P e a I m ag Ble n d ; comes with sitting Number of U.S. children / VEER for long stretches hospitalized for gunshot may contribute wounds each year. The N OV KORIO to depression. number has steadily risen walk this way Excessive sitting

in the past 10 years. Forty I G OR es; I m ag can also limit y percent of children’s Do you exercise to stay fit during pregnancy? Your the activity of gunshot wounds occur in workouts may keep your baby’s brain fit, too—just 17 endorphins (feel- the home. minutes a day of moderate aerobic exercise, such as tudios/Gett brisk walking, can help. In a recent study, babies born good chemicals red S a red

to mothers who exercised 117 minutes a week during in the brain) and qu S pregnancy were more responsive to sounds in their may reduce blood sleep during their first two weeks of life than babies flow to parts of whose mothers exercised just 12 minutes a week. These the brain that heightened responses indicated improved activity in the control emotions. area of the brain where language learning happens. Source: American Journal

Source: American Academy of Pediatrics Source: Neuroscience of Preventive Medicine C left: top from clockwise

W ebMD.com 7 MARCH/APRIL 2014 healthy What’s for good your may heart for good be also your bones. P lower after ofosteoporosis risk two Thelow-fat,years. high- 5 who gotthefluvaccine fiber diet emphasizes fruits, fruits, dietemphasizes fiber lean whole grains, vegetables, association’s density bone hadand a dietclosely increased The American Heart Association’sThe AmericanHeart dietrecommendations Start ercentage ofkidsages Among 933 people ages 47Among ages 933 people to 79, thosewho followed the meats, fat-freemeats, dairy, and twoper offish servings week. to prevent may health, bone disease too. boost heart last year, up5% from 6 monthsto17years 6% the year before T Source: TheAmericanJournal ofClinicalNutrition ake H Source: CDC

eart How devices fitness work Is male menopause real? Is malemenopause How toshampoo? often WebMD.com right now* What are nightsweats? Risks ofheavydrinking What theliver does do? Stomach flusymptoms Causes ofanklepain Causes What’s trending on What is black seed What isblackseed What is laser hair What hair islaser H removal? for?used ot Hits * as of Jan.1, 2014 . c o m

top: Nupix/Veer; VSTOCK LLC/GETTY IMAGES Learn Mo UP CLOSE healthy Start First String An in-depth look at Dental floss

Starting Point Two Time Wax Base Anthropologists have Starting at about age 2, people Floss types vary, including uncovered pointed sticks, should floss once a day, before those with flavors and wax. tools ancient peoples used to or after brushing, as long as it clean their teeth. is done thoroughly. Long Line An elementary school in Silk Road Let’s C North Carolina earned a A New Orleans dentist in Use 18 inches of floss, wrap it Guinness World Records title the early 1800s gets credit Material Matters around your middle fingers, after 1,470 students, parents, for stressing the importance In the 1940s, nylon became and when you get to the and teachers flossed for 55 of flossing and first telling the floss material of choice. It gum line, follow a “C” shape seconds using a 6,000-foot his patients to use a thin didn’t shred like silk, and it was around the tooth and scrape piece of floss. silk thread. more consistent in texture. up and down. —Rebecca Scherr

Photograph by Ted Morrison MARCH/APRIL 2014 9 W ebMD.com healthy Personal Best Start Shailene Woodley The actor shares her healthy living habits

Down to Earth Pantry Picks “I go outside whether “Sauerkraut or kimchi, I’m in the city or chili garlic spice, and raw backwoods of any chocolate—the cacao state. I connect with the bean in its purest form, ground, the trees, just not heated or melted.” breathing fresh air while I go for a walk, and I find myself living in my heart instead of in my mind.” T hi n kstock Beauty Bag tock/ “I only ever use a tinted Trailer Stash lip gloss called Sedona

pple S C h a pple “I don’t eat any food on Seduction Truffle Stix, o n set and I bring my own an edible chocolate lip breakfast, lunch, and balm, body balm, and dinner. I always have sunscreen all in one. My

kstock; R T hi n kstock; olive oil, for making a mascara is by Tarte High- salad, plus seaweed and Performance Naturals.” spirulina gamasio. I don’t buy packaged foods, and usually bring what I’ve Woodley stars in

A IL / SOMM T hi n kstock; cooked the night before.” Divergent, which “I do what feels good to / ga

ul opens in theaters March 21. my body that day, and I dr S an dr practice lots of yoga.”

Actor Shailene Woodley’s feature film debut in 2011 es; Aleks es; I m ag y opposite George Clooney in The Descendants earned her

so/Gett multiple awards and nominations—not bad for her first

or Iz or Survival Guide time out. Born in Simi Valley, Calif., and acting since age ab

; G ; “I always keep a 5, Woodley, now 22, appeared in the hit ABC Family series notebook in my purse; The Secret Life of the American Teenager for five years and I love to write when I had recurring roles on other TV series. In 2014, watch for THI N KSTOCK

/ feel inspired. I keep a flashlight because you her in the action adventure Divergent, based on Veronica never know when you Roth’s best-selling book trilogy, as well as the independent Me Time might need that. And I filmWhite Bird in a Blizzard for director Gregg Araki “I turn off the phone. have a lighter, because and The Fault in Our Stars, the big-screen adaptation of Then I cook, read, heat is so important take a bath, or just go John Green’s popular novel. Offscreen, she and her mom, just in case you’re ever outside. If I’m near a stranded and you can Lori, started the nonprofit All It Takes, with a focus on hot spring, I’ll find that build a fire. I did study “compassionate exchanges and realized acceptance among to nourish my entire

Y ST AN DRE Y ri g ht: top from clockwise survival skills.” young individuals in middle school.”—Stephanie Stephens body and soul.”

Photograph by Jake Chessum/Trunk Archive MARCH/APRIL 2014 10 W ebMD.com living healthy

12 On the Street Experts dish out tips for a chef

14 Women’s Health Friends can help you live longer

15 Men’s Health Cosmetic surgery is for guys, too

This Way Up Spring has sprung! Get out and enjoy all its splendors

EXPERT TIP “Napping really can help you catch up on your sleep, as long as you don’t have insomnia at night. The secret is to nap for 25 minutes, no longer.”—Michael J. Breus, PhD

Photograph by Tetra Images/Glow Images MARCH/APRIL 2014 11 W ebMD.com FLAKE OUT living healthy “Generally, a dry, flaky scalp is a sign of dandruff, even if no itch is present. It can also result from product buildup. Try rubbing tea tree oil—an essential oil with antibacterial and antifungal Kitchen properties—into your scalp, then rinsing. You can also try organic apple cider vinegar—pour a mix of one-third vinegar and two-thirds water over your scalp, then rinse Confidant thoroughly—to break down buildup and balance your scalp’s pH.” We pound the pavement to get expert answers to your pressing health questions

Photograph by Robert Houser Jeffrey Benabio, MD Dermatologist, Kaiser Permanente and fellow, American Academy of Dermatology

Read more expert advice in our free iPad app! BACK BUILDER bone up “Your core, back, and shoulders “Make sure you’re getting enough are critical to almost every activity, calcium from foods like leafy including daily movements like greens, soybeans, and tofu, and carrying groceries. You can vitamin D from fortified foods. Zinc strengthen all these muscles with is an often-overlooked mineral one simple but very effective that is also important for healthy exercise—the slow mountain bones. Good dairy-free sources climber. Start in a push-up position, include oysters, crab, beans, nuts, making a straight line from your and seeds. Some studies also show shoulders to your heels. Keep that vitamin B12 is good for bone your abs and butt tight—don’t let health. Finally, make sure you’re hips sag. Slowly bring one leg up, eating adequate protein in the reaching your knee toward the form of lean meats and especially elbow on the same side. Return to soy, which also helps the body the starting position and repeat on absorb calcium.” the other side. Work up to a goal of 25 on each side.”

David Grotto, RD president, Nutrition Housecall consulting Michael W. Smith, MD firm, and author, The Best Things You WebMD chief medical editor and certified Can Eat personal trainer

HANDS ON “A simple fix is to wear plastic gloves while washing dishes so webmd on the street your hands don’t come into contact with water and harsh soaps. A more Marisa Voorhees natural alternative is to apply sweet almond oil to hands before washing Gluten-free chef & dishes. This oil contains unsaturated holistic health coach, 37 triglycerides that moisturize, absorb San Francisco easily, and form a barrier on the skin to limit the drying effects of hot water. And it’s very affordable—a There’s no place Marisa Voorhees 4-ounce bottle is typically $2.99 to would rather be than the kitchen— $4.99 at health food stores.” preferably one filled with lots of good (and hungry) friends. And when she left her job as an alumni relations executive a few years back, she decided to make her new “office” in the kitchen. “For me, Mohiba K. Tareen, MD food is the great communicator,” founder, Tareen Dermatology, and clinical assistant professor of dermatology, University Voorhees says. “I think com- of Minnesota and Columbia University munity is built around the table.” Voorhees’ own table is gluten- and dairy-free due to her food allergies and intolerances, and although WARM UP she doesn’t feel she’s missing out on a delicious life, she does worry “Cold hands and feet can be a sign about the impact of her dairy-free of poor circulation. Blocked or constricted vessels reduce the flow diet on her bone health. In addi- of blood to your extremities, making tion to wondering what she can do you feel cold even in warm weather. to ensure strong bones, she’s also Numbness, pain, or discoloration looking to strengthen her back, of fingertips and toes can happen shoulders, and core. “I haul 40 to 60 in severe cases. Try exercise—a pounds of groceries around every brisk walk, yoga—three to four day,” she says. And “my hands are times a week to increase blood flow constantly in water, soap, or food. throughout your body.” What can I do to keep them looking healthy and young?” Voorhees also Want to be the next says her hands and feet are always WebMD on the Street cold even though she runs a very star? Tweet us your warm body temperature. Another health issues at Brunilda Nazario, MD @WebMD. We might head-scratching issue for her is a WebMD lead medical editor come to your city! dry and flaky scalp. “Are there any natural solutions for maintaining scalp health?”—Andi Gabrick

the opinions expressed in this section are of the experts and are not the opinions of WebMD. WebMD does not endorse any specific product, service, or treatment. Need a pick-me-up? Check out 10 Ways to Improve Your Day in Just 5 Minutes, a top living article on the Health & Balance channel. healthy .com

WOMEN’S HEALTH from webmd.com Buddy System Q &A new research shows the value of a little help “I have a friend who’s become from your friends increasingly difficult to hang By Colleen Oakley out with. She seems so negative and doesn’t really seem to care about my life. Should I stick it out?”

Brooke Hight 33, elementary school teacher, Atlanta

EXPERT’S ANSWER “The short answer? It depends. Like romantic relationships, friendships ebb and flow, so before giving your friend the heave-ho, try talking with her You probably know most of the “secrets” The key to expanding your social circle? about how you feel. If she’s not of longevity: Don’t smoke, eat your greens, Break out of it. “Making new friends can be receptive or if you exercise every day, get enough sleep, relax. But similar to dating,” says Nicole Zangara, LCSW, find you always feel worse after this one may be new to you: Cultivate more author of Surviving Female Friendships: The you spend time friends. A recent Australian study found that Good, The Bad, and The Ugly. “To meet new with her, it might be time to call people with a large network of pals were 22% less people, you have to try new activities that inter- it quits. Letting likely to die prematurely. And other studies show est you. If you like hiking, join a hiking group. go—especially of a that friends have a positive impact on stress lev- If you’re religious, try a new church. Get your- longtime friend— can be difficult. els and brain health—even your immune system self out there.” But it will leave (people with more friends have fewer colds). But that’s only half the battle. For an more room in your life for people who As you age, though, making friends isn’t as acquaintance to become a friend, you have to are supportive and easy as when you were a kid—maybe because open up, which can be daunting. “As we get caring, which can there’s no adult sandbox to go play in. “Research older, we’re less likely to self-disclose to people be a boon to your long- shows that people make friends through we don’t know well,” says Adams, “but for a term health.” repeated unplanned interactions,” says Rebecca relationship to get to the next level, you have to G. Adams, PhD, professor of sociology at the reveal something of yourself.” University of North Carolina at Greensboro. At the same time you’re making new friends, “It’s not that we lose our ability to make friends don’t forget the ones who have been there all as we get older. It’s that we’re less likely to be in along. “It can be equally difficult to maintain Nicole Zangara, LCSW situations conducive to friendship formation.” friendships over the natural transitions of life,” author of Surviving Zangara says. “If you find that you’re not con- Female Friendships: I mages G low The Good, The Bad, Reviewed by Patricia A. Farrell, PhD necting, bring it up, because they’re probably WebMD Mental Health Expert and The Ugly

feeling the same way.” Designpics/

W ebMD.com 14 MARCH/APRIL 2014 Guys, explore your options with Nonsurgical Cosmetic Facial Procedures, a top Healthy Beauty channel slideshow. living .com healthy

MEN’S HEALTH Filler Up think cosmetic treatments are just for women? get in on the action, too

By Matt McMillen

Crow’s feet, dilated blood vessels, brown spots—men don’t like the signs of aging any more than women do. In the past few years, more men have opted for cosmetic procedures than ever before. “The mindset among men today is that a guy does this to put his best foot forward. It’s more of a due diligence thing than a vanity thing,” says Birmingham, Ala.-based dermatologist Christopher Harmon, MD. In 2012, more than a million men opted for cosmetic treatments such as injections that relax facial wrinkles as well as other nonsurgical Nip/Tuck procedures, according to the treat an aging face. Pulsed Cosmetic surgery is also popular with men. American Society of Plastic The most common procedures are: dye lasers, for example, zap Surgeons. Here’s what they’re dilated blood vessels (spi- Rhinoplasty The typical He sees a lot of men with doing to turn back the clock: der veins) that redden the man who undergoes sagging upper eyelid skin, Anti-wrinkle treat this procedure wants a which makes them look nose, cheeks, and chin. ments Injections of smaller, less bumpy nose, tired. Cangello also tends Soft tissue fillers Injec- botulinum toxin type A, says David Cangello, to bags under the eyes. tions of collagen, hyaluronic such as Botox, Dysport, MD, a plastic surgeon at acid, and other substances Lenox Hill Hospital in New Liposuction This and Xeomin, can banish that the body produces York City. His rhinoplasty procedure removes crow’s feet, frown lines patients are usually in excess fat from specific naturally temporarily between the eyebrows, and their 20s or 30s. parts of the body, most smooth out wrinkles, plump horizontal forehead lines for commonly around a guy’s lips, and give the face a several months by targeting Eyelid surgery “It’s a middle. “A lot of men more youthful look. These rejuvenating procedure want a leaner physique, a and weakening wrinkle- treatments last from several for men who want to look tighter abdomen,” producing facial muscles. younger,” Cangello says. Cangello says. months up to two years. Lasers and intense pulsed light procedures Many types of lasers can EXPERT TIP

G etty I mages “Have realistic expectations—men must understand that good cosmetic Reviewed by treatments will make them look well rested and refreshed but not 20

Dazeley/ Karyn Grossman, MD years younger or like Brad Pitt.”—David Cangello, MD WebMD Beauty Expert P ete r

MARCH/APRIL 2014 15 W ebMD.com 17 You Asked Our experts help fight frizz and split ends

19 Your Smile Get to the root of sensitive teeth

New Bloom Put your best face forward this season

EXPERT TIP “Trust your foundation to be the last step in your skin care regimen instead of the first step in your makeup application.”—Laini Bianculli, makeup artist

Photograph by A Chederros/Glow Images MARCH/APRIL 2014 16 W ebMD.com healthy beauty You Asked Style Guide Frizz? Frayed ends? Nurse damaged hair back to health with these expert tips and product picks from webmd.com By Ayren Jackson-Cannady Q &A “There are so many different foundation formulas. How do I pick the one that’s best for me?”

Selma McNair 62, retired, Raleigh, N.C.

EXPERT ANSWER Strong Hold Seal the Deal “Is your skin L’Oréal Studio Line Clean Gel ($4.99) “This Kérastase Double Force Controle Ultime normal, oily, dry, hair gel gives solid hold without buildup (too ($39) “Brushing hair that has been treated combination, or much buildup can lead to flakes and split with hairspray can cause breakage. Instead, sensitive? I adore liquid foundation ends). Products with ‘water’ labeled as one of use a spray designed for damaged hair (like for mature skin; the first ingredients often rinse out more this one that seals and strengthens the formulations easily during shampoos and won’t gunk up the cuticle) to polish off your final look are designed to on the hair and scalp.” and hold hair in place.” glide over all the skin’s nooks and crannies to give skin a smoother look. Powders are great for oily skin because they instantly mattify the skin for a shine-free finish. Cream foundations moisturize and promote hydration, so those with dry skin tend to like these. Air-whipped mousse foundations are excellent for full, natural-looking coverage. Mineral- based foundation is ideal for sensitive skin since formulas are often non- The Protector Volume One comedogenic and free of oil, talc, Suave Professionals Keratin Infusion Dry 2 Living Proof Amp Instant Texture Volumizer and parabens.” Shampoo ($4.49) “Keratin is a protein and the ($24) “A lifesaver for short ’dos, this texturizer main structural component of hair, so using creates gentle friction to give strands a keratin products—like this refreshing dry lift and touchable texture. You can use it shampoo—seals strands by creating a protec- on dry hair for simple touch-ups throughout tive layer that smooths, straightens, the day and the amped-up look lasts for and eliminates frizz.” up to 48 hours.” Laini Bianculli makeup artist and custom the opinions expressed in this section are of blend cosmetic expert, Lucinda Ellery the experts and are not the opinions of WebMD. Philadelphia fine hair stylist and specialist, WebMD does not endorse any specific product, service, or treatment. Beverly Hills, Calif.

W ebMD.com 17 MARCH/APRIL 2014 healthy beauty

Dirty Secret

“I never throw makeup out. How bad is that?”

Makeup products don’t carry a “best by” date. But they do have built- in expiration dates. Here’s a general guide. Mascara & liquid Smooth Operator Gold Standard eyeliner: Every time you put the wand back Organix Argan Oil & Shea Butter Moisture Redken Glass 01 Smoothing Serum ($22) into the tube, you’re Repair ($7.49) “Argan oil is amazing for styl- “Hair straightening/smoothing products reintroducing bacte- ing hair. It is a natural product that protects, like this are great for taming frizzies sans ria. These products restores, and nourishes hair (and skin and hot tools. But it’s important to remem- have the shortest shelf nails, too). Rich in nutrients like vitamins E, ber that the more product you apply, the life. Replace every 3 to C, A, and omegas, it can be used to smooth more likely it is to stick in the hair, causing 4 months. down frizzies from root to tip.” buildup over time.” Liquid foundation: Stored away from heat, foundation can remain stable for up to a year. If you have sensitive or acne- prone skin, don’t dip your finger into the bottle. Apply with a brush or sponge, and don’t double dip. Lip gloss & lipstick: These are less likely than liquid- based makeup to grow bacteria. It’s safe to hold on to them for at least six months and the lipstick for a year. Powders: Unless No-Rinse Rescue Wax On you notice a funny smell or the color Aveeno Active Naturals Nourish + Condition L’Oréal Professionnel Texture Expert has turned, you can Leave-In Treatment ($6.99) “Steer clear of Lumi Contrôle ($24) “If you’re wary about safely use powder- products that list ‘alcohol’ as the first ingredi- using gel on your hair, try a wax or pomade based products for 18 ent. Alcohol is severely drying to all hair types. like this one that contains vitamin E and a UV months to two years. Look for products like this that contain hydrat- filter instead. Waxes and pomades tend to ing ingredients like wheat germ or jojoba oil.” have less alcohol than gels, if any, so the hold Rebecca Tung, MD is less stiff and moisture-zapping.” division director of Dermatology, Loyola Loredana Farahani University Health Reviewed by stylist at Pini Swissa Salon, Karyn Grossman, MD System, Maywood, Ill. Boston WebMD Beauty Expert

L’Oréal Studio Suave Professionals Redken Glass 01 Organix Argan Oil Shopping List Line Clean Gel Keratin Infusion Smoothing Serum & Shea Butter Dry Shampoo Moisture Repair Take a photo Kérastase Double Aveeno Active with your 2 phone! Force Controle Living Proof Amp Naturals Nourish + L’Oréal Professionnel Ultime Instant Texture Condition Leave-In Texture Expert Volumizer Treatment Lumi Contrôle

MARCH/APRIL 2014 18 W ebMD.com healthy beauty

YOUR SMILE from webmd.com Q &A Pain Points “My gums bleed sometimes get to the root of—and get relief for—sensitive teeth when I floss my teeth, which I By Colleen Oakley admittedly don’t do as often as You’ve probably been I should. Is this normal? Should I there, sipping that be concerned?” refreshing glass of ice water, when—ouch!—the cold liquid hits that delicate spot on your tooth that’s been bothering Riley Wyman you for weeks. It’s a condition associate consultant, known as sensitive teeth, and 25, Chicago it’s a common problem. A

Clenching or grinding and EXPERT’S ANSWER overzealous brushing can lead “Normal? No. Common? Yes. to sensitive teeth. Bleeding gums are often a sign recent study published in the of inflammation, Journal of the American Dental caused by a buildup of food, Association found that one in plaque (the soft eight adults suffers from debris that sticks to your teeth), or sensitive tooth pain, often calculus (debris triggered by eating or that’s hardened drinking cold, hot, acidic, or onto your teeth). Regular flossing sweet foods or liquids. can help prevent What’s at the root of the this buildup. Once a day, you should problem? Clenching or grind- floss gently up ing and overzealous brushing and down between teeth, hugging can lead to sensitive teeth, each tooth like and some people notice a ‘C.’ But it’s sensitivity after whitening sensitivity to heat is often a “Keep in mind, it may take also important to have regular procedures. But the No. 1 sign that a tooth’s nerve is a few weeks to build up effi- professional cause is gum recession, says dying, since a healthy tooth cacy,” says Sabrina Magid- cleanings—at least every six David Fields, DMD, a fam- generally does not perceive Katz, DMD, founder of months—since ily dentist in Marietta, Ga. heat as painful. Advanced Dentistry of West- there are hard- “This is when gum tissue So what should you do if chester in Harrison, N.Y. to-reach areas that even regular is lost, exposing the root you notice sensitivity? First, Other helpful tips: Take flossing and surface of the tooth,” he says. be more gentle when you a break from at-home teeth brushing can miss.” “That exposed root has pores brush your pearly whites. whiteners, which can alter or tubules that travel to the Then head to your local the physical structure of your nerve of the tooth,” leaving drugstore, where you can teeth. Drink water immedi- that nerve susceptible to find plenty of over-the- ately after having an acidic painful triggers such as hot counter toothpastes created food or drink, such as fruit, Sabrina Magid- I mages Katz, DMD or cold beverages. In fact, for sensitive teeth that can orange juice, wine, or coffee. founder of Advanced etty /G help plug up those tubules. And don’t brush right after Dentistry of Westchester, aruso Reviewed by Eric Yabu, DDS The key ingredient to look eating or drinking. Wait at Harrison, N.Y. WebMD Oral Health Expert

for is potassium nitrate. least 10 to 15 minutes. C M are n

W ebMD.com 19 MARCH/APRIL 2014 Now get complete issues plus bonus features on your iPad, FREE.

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23 Pet Health What to feed your aging pets

24 Pregnancy Lose weight before you conceive

25 Baby Talk How to make bath time stress-free

Pet Health Rescue Mission Actor Allison Janney has a soft spot for dogs. She’s opened her home and heart to a lucky few By Melanie D.G. Kaplan

EXPERT TIP “Fresh fruits, vegetables, and proteins can help delay the symptoms of aging and keep your pet’s weight under control.”—Ernie Ward, DVM

Photography by Kate Romero MARCH/APRIL 2014 21 W ebMD.com family& pet health parenting Dog Daze

What’s the story of your dogs, Dutch and Sippie? I was filming The Help in Greenwood, Miss., and had too many days off in a row. So I started looking at the Pet- finder app, for cattle dogs, and I saw Dutch—this teeny puppy with the largest ears. He was at a kill shelter. They put him in my arms, and I fell in love. They said, “Well, he has a sister.” I said, “Let’s do it.” I had to move out of The Alluvian Hotel, so the pups and I stayed with [director] Tate Taylor, and they proceeded to poop all over everything.

What does your first dog, Addie, think about the new kids? Addie couldn’t have been more upset with me. It took about six months.

Who’s in charge? I’m not a great alpha. The dogs rule the roost. I sometimes sit on the couch to watch the news while they are running all over. It’s like Jurassic Park. Dutch is a jumper, and I haven’t discouraged him because I think it’s great—I’m so tall and he can leap up to give me a kiss.

When you’re stressed out, is one of them your go-to dog? Addie is this gracious, loving dog with a “I’d love to peaceful energy, like a Buddha dog. She calms me. Dutch won’t get in bed with get a bigger me at night, but at some point I wake up piece of property to him flapping his ears by my head—my signal to lift up the covers and let him in. and get a few It’s sweet—like he doesn’t want the girls more dogs.” to know he’s a mama’s boy.

Do they travel with you? When I got Sippie and Dutch, I thought finally I’ll have my emotional-needs Janney stars dog that I can travel with. At the pound in the CBS they assured me these were Chihuahua series Mom and is in the film Bad mixes, and then they each grew to 40 Words, opening pounds. So I just need to find a little in March. Read the full Q&A with guy for travel, but I’m kind of on dog Allison Janney lockdown now. in our free iPad app! Reviewed by Will Draper, DVM WebMD Pet Health Expert

W ebMD.com 22 MARCH/APRIL 2014 How healthy is your pet? Find out with the Pet Health Evaluator, a top family& tool on the Pet Health channel. parenting .com

PET HEALTH Super Bowl Older dog or cat? in addition to pet food, here’s how to boost their meals

By Sonya Collins

Just like people, aging reap the same benefits, says pets struggle with Ward, who deduces this from cognitive decline, loss of studies that show the benefits eyesight, joint pain, and weight of fruits and vegetables in gain. So what should you feed humans and mice. your aging dog or cat to help You can alternate commer- keep him in optimal health? cial dog treats with bite-sized “If you want your pet to be as fruits and veggies. Dogs love healthy as possible for as long raw blueberries, carrots, broc- as possible, the most impor- coli, and watermelon. Many tant decision you make every cats like veggies, too, includ- day is what you choose to feed ing cooked carrots, broccoli, it,” says Ernie Ward, DVM, squash, and green beans. founder of the Association for Pet Obesity Prevention. Eyesight For Ward, that’s pet food Yes, carrots are good for the a few days a week and fresh eyes, and while dogs and cats “people” food on other days. can snack on carrots, they Commercial pet food, Ward aren’t the best source of nutri- says, ensures pets get all the ents that maintain eye health. vitamins, minerals, and micro- “Spinach, kale, collard greens, nutrients they need, while green peas, and squash are far fresh, whole foods give them Poison Control better sources of the carot- the benefits of an unprocessed, Many real foods can be great for pets, enoids that improve eye health but cats and dogs should keep their paws nutrient-dense diet. off these potentially toxic people foods, than carrots,” Ward says. Just “So you don’t have to worry, according to the ASPCA. make sure you mince or chop ‘Did my dog get enough argi- leafy greens well before you nine?’ Because you got that Chocolate, alcohol, Hops can poison dogs feed them to pets. from the kibble, you can feel onions, garlic, and any and cause high fever moldy foods can be that damages organs. good about giving them some toxic for both dogs Joint Function fresh salmon and some spin- and cats. Macadamia nuts can Studies show that omega-3 ach or chopped-up kale.” poison dogs and cause fatty acids and glucosamine/ Raw bread dough can pain, tremors, fever, chondroitin sulfate can help Brain Health seriously harm pets and leg weakness. alleviate arthritic pain and because the live Studies show that vegetables yeast can expand in Grapes and raisins can other joint aches in aging cats and some fruits, particularly their stomachs, cause kidney failure and dogs. Vets have recom- ge s blueberries, help maintain decreasing blood flow in dogs. mended these nutrients to pet brain function as we age. and cutting owners for a couple decades, off breathing. Xylitol, a sugar-free Animals can potentially since many pet foods don’t e tty I m a st/G sweetener, can cause Avocados can cause dogs to develop contain them. Talk to your vet- Reviewed by Will Draper, DVM erinarian about which supple- WebMD Pet Health Expert upset stomach in dogs disorientation

and cats. and seizures. ments might be best. de n h o r Ba H e nk

W ebMD.com 23 MARCH/APRIL 2014 Got a bun in the oven? Watch Prepare Your Body for Pregnancy, a top video family& on the Pregnancy channel. parenting .com

PREGNANCY Shape Up Trying to conceive? lose that extra weight first if you can

By Stephanie Watson

high blood pressure (preeclampsia) and gestational diabetes. Even more concerning are the poten- tial lifelong effects of an overweight mom on her baby. “Research suggests that overweight mothers are program- ming babies in utero to be overweight

“You should get down to the healthiest weight possible before you conceive.”

themselves and to have long-term problems with obesity and childhood Planning for a baby? You’ve got a Game Plan diabetes,” says Alan M. Peaceman, lot to consider. Does your home Even if you begin your MD, chief of maternal-fetal Medicine pregnancy overweight, you have room for a new baby? Are your can deliver a healthy baby. at Northwestern Memorial Hospital finances in order? You also need to ask, Follow these tips from in Chicago. Alison G. Cahill, MD. how healthy is my body? How much weight should you aim Ideally, it should be in the best pos- Contain the gain. Don’t try to lose to lose? “You should get down to the sible shape to house and nourish a weight while you’re pregnant, but healthiest weight possible before you growing baby. If you’re overweight, do limit your weight gain. If you’re conceive,” Peaceman says. “But any doctors advise losing the extra pounds overweight—meaning you have weight loss before pregnancy is good.” a body mass index (BMI) of 25 to before you conceive, if possible. Going 29.9—at the start of your pregnancy, “If the goal is 40 pounds and you can into your pregnancy overweight means don’t gain more than 25 pounds. get halfway there and lose 20 pounds, you could put your own health and Women who are obese to start (with we know that has a positive effect,” says your baby’s health at risk, and poten- BMIs of 30 or above) shouldn’t put Alison G. Cahill, MD, assistant pro- tially set your child up for a lifetime of on more than 20 pounds. fessor of obstetrics and gynecology at health issues. Pick it up. The pace, that is. “We Washington University in St. Louis. Studies link being overweight to a list really encourage patients to be The best way to get down to a healthy of pregnancy complications, includ- active,” she says. A 30-minute walk prepregnancy weight is the tried-and- ing miscarriage, stillbirth, and birth every day is a great start if you’ve true method—diet and exercise. Ask

defects such as spina bifida (too many been sedentary. your primary care doctor or OB/GYN ge s pounds also makes it more difficult Stick to basics. You’ll get balanced for tips on losing the weight safely. for you to conceive in the first place). nutrition with meals that include You’re also more likely to develop prob- moderate portions from all the major Reviewed by Nivin C.S. Todd, MD WebMD Pregnancy Expert

lems during your pregnancy, including food groups. e tty I m a e n ger /G E li n

W ebMD.com 24 MARCH/APRIL 2014 Ruth Jenkinson/Getty Images baby to sliporslide, orworse, fall.” says “That’s Costello. allittakes for a and never walk away for even asecond,” “Neverfirst. take your hand offher, But for both situations,safety comes graduate to a tub that fits in the sink. says. Costello to start,” clean towel on theis floor best the way three weeks, awarm sponge bath ona cord off, comes which cantake up to keep baby well washed and safe. moms and dads understand how to Women’s new helps HospitalinBoston, MD, atBrigham apediatrician and a slippery, wiggly baby. Costello, Eileen Bath timeshouldn’t comeevery day. theOnce cordoff, comes baby can “For newborns, until the umbilical B ath time d daunting, with allthat water and For new parents, bath timecanbe the stimulation ofabath.” Hungry orover-tired infants typically don’t well respond to “Make sure that the timing ofbaby’s bath strategic. is EXPERT TIP o esn’t haveesn’t to water tips with these Tub Talk By Heather Hatfield baby talk be a Bigo t alseep faster.alseep easy—andbe couldeven helpbaby fall getcan easily cold. tain their bodytemperature well and her up sincenewborns fast can’t main- you’re donewashing and rinsing, wrap Once andarea. hands, diaper neck, washcloth, focus oncleaning herface, suited for sensitive skin. With agentle you so lotions, canskipthose, too. and outbaby’s dry cansome skin.So you’re adding moisture, itcanirritate time inthe tub may though as seem veryto last long. While giving herextra to three aweek.” times ithave Nor does toonly give need your baby abath two don’t get dirty,” says. Costello you “So don’t“Babies sweat, and they really —Sara MD DuMond, After a few bath tries, timeshould anunscentedbar For choose soaps, -d o . S tay ab o ve • • • •

app for people living with NEW! A Better Day Starts Here. DayA Better Starts discussions withdiscussions your doctor. for better Custom reports condition. related tovideos your slideshows, and Articles, your goals. meet WebMD doctors to you help tips approvedDaily by more. levels, and pain log triggers, to easily journal Personal The essential iPhone chronic pain. ***Printer:*** Orange oval contains overprints. Please make sure overprint option is turned on when prooﬁng and printing.

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ear Walmart Shopper, The first of the year is behind us, and Dit’s already time for another issue of "Your Health" magazine! With the spring season quickly on its way, this issue focuses on preparing for the season in order to get out Save every day. and enjoy the outdoors. Many of us No need to wait for a sale. started off the year P. W9 Find low prices on all the Spring Valley® vitamins with a New Year’s Net Gains resolution, with a Get an inside look at how NBA star and other supplements for healthly living. goal to work toward Russell Westbrook stays strong on and developing healthier off the court. habits. For me, there’s no better season than spring to work P. W5 Air Forces on improving your Allergy season is here. health. There are Manage your symptoms so many opportunities to get active and be and get relief now. healthy. Of course, getting outside in the spring can also mean it’s time to stock up on allergy medications. Your Walmart pharmacist can answer all of your questions about these and other medicines to help find what is right for you. P. W7 Clean Break Spring into action with I hope you enjoy the tips in this issue and our how-to cleaning that they help you to enjoy the season even guide. more. Thank you for being a great Walmart customer!

P. W12 Heart Smart Sincerely, Get the facts about how to keep your ticker in tiptop shape.

Paul E. Beahm Senior Vice President, P. W16 Snooze Views Health & Wellness Learn how to make sleep a priority for the $ Spring Valley® Spring Valley® Spring Valley® Spring Valley® Spring Valley® whole family. Calcium with Co Q-10 Vitamin Vitamin C B12 Vitamin Vitamin D-3 Vitamin D 600 mg 100 mg Plus 500 mg 1,000 mcg 1,000 IU Twin Pack L-Carnitine Twin Pack Twin Pack • -ct. • Two -ct. • -ct. softgels • Two -ct. • Two -ct. softgels tablets tablets tablets Contact us today at cover photo by Iovate Health Sciences International Inc. each [email protected] This content is selected and controlled by WebMD’s editorial staff and is funded by Walmart. WALMART’S ADVERTISED MERCHANDISE POLICY – We intend to have every advertised item in stock. However, we may not offer some items in all locations, and quantity or availability may vary due to unexpected demand or other circumstances beyond our control. Prices offered on Walmart.com may vary from prices offered in our stores. “BONUS” items are items that include a bonus amount of the same item or an additional bonus item at no extra cost. In all cases, we reserve the right to limit quantities to normal retail purchases or one-per-customer or household, and to exclude dealers. Our advertising circular may vary by geographic region, and any particular regional circular will apply only to stores in that region. Offers and limitations void where prohibited by law. We apologize for, but will not be bound by, any errors in our advertisements. Prices and/or items available only in the USA (may vary in Alaska, Hawaii, Oklahoma, Wisconsin, Puerto Rico, or online at Walmart.comSM). ©2014 Wal-Mart Stores, Inc., Bentonville, AR. Printed in the USA. MAR/APR 2014 W4 YourHealth health information from Air Forces Allergy season seems to get longer each year. Here’s how to manage your symptoms and get relief By Gina Shaw Reviewed by Arefa Cassoobhoy, MD, MPH, WebMD Medical Editor

ave you noticed worsening spring allergy Hsymptoms in the last few years? Environmen- tal changes, such as increased carbon dioxide and warmer temperatures, mean a longer allergy season in some areas, especially in the northern half of the country. That means pollen shows up earlier and lasts longer, making your eyes water and your nose run even more. And that’s not all. “In many areas, there seem to be increasing amounts of pollen in addition to a longer season,” says Warren V. Filley, MD, an allergist with the Oklahoma Allergy & Asthma Clinic and a professor at the University of Oklahoma College of Medicine. In recent years, trees have gone through what allergists call a “super bloom.” Normally, trees bud in a pretty standard succession. But once in a while, including twice in the last 10 years, weather changes have brewed up a “perfect pollen storm” of spring trees all budding and pollinat- ing around the same time. If you happen to be allergic to many types of tree pollen, Filley says, “a to start,” says James L. Sublett, MD, co-founder super bloom means a much heavier onslaught of of Family Allergy & Asthma in Louisville, Ky., and symptoms.” section chief of pediatric allergy at the University You can’t do much about the weather, but you of Louisville School of Medicine. “Keep track Get more can prepare for allergy season: of the pollen report in your area, and start your healthy living Know your allergies. If your symptoms inter- medication as soon as you see it going up.” tips and info at fere with your life even if you’re taking medica- Care for your indoor air. Tempted to open webmd.com/ tions, see an allergist. Testing can help you find the windows and enjoy the spring air? Don’t! askthepharmacist out which pollens you’re allergic to and how You’ll invite all that pollen inside. Keep win- severe your allergies are. dows closed and use a fan to circulate air. Make Start early. Spring tree pollen usually peaks in sure your air conditioner and heating system mid-March and again in mid-April, but in recent are fitted with HEPA (high-efficiency particu- years pollen has wafted through the air in some late air) filters to keep pollen from circulating regions by early February. The first sign isn’t flow- through the house. Be sure to change the filters ers on the trees, but the buds hinting that leaves as directed on the packaging. are about to come out. Don’t bring it in. If you’ve been outside on a

So if you have moderate allergies and take over- high-pollen day, take your shoes off and leave them g es the-counter medication for those symptoms, start at the door. Then shower and change clothes right your regular dose as soon as you see the maple away. “This way you don’t transfer all that pollen trees budding out. “Don’t wait for your symptoms to your furniture and bedding,” Sublett says. Jamie Grill/Glow I ma Grill/Glow Jamie This content is selected and controlled by WebMD’s editorial staff and is funded by Walmart.

W5 MAR/APR 2014 From the Counter Product Picks From Your Walmart Pharmacist

Bayer Aspirin Protein Powder Evan Schnur, Walmart Pharmacist A daily low-dose aspirin can provide Build muscle while enjoying your excellent protection for your heart. favorite outdoor spring exercise. Bentonville, AR Consult your doctor before beginning an aspirin regimen

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Clean Break Get the most out of spring cleaning with this step-by-step guide to tackling your home’s top problem spots By Sonya Collins Reviewed by Arefa Cassoobhoy, MD, MPH, WebMD Medical Editor

other rooms, too—tend to the bed itself. Let the mattress and box springs air by an open window or outside. Use a pet stain cleaner to remove any stains, Kerr says. Remove dust mites with a vacuum cleaner and brush attachment.

Curtains & Upholstery If your curtains and furniture covers can go in the washing machine or to the drycleaner, now’s the time. If not, use a vacuum cleaner and brush attachment or a steamer. Take cushions outdoors to beat them and spot clean with an upholstery cleaner or pet stain remover that’s appropriate for the upholstery and type of stain. Give the legs and bases of furniture a good dusting or wipe with a warm, damp cloth. “Most people dust surfaces, but they forget to do things like the legs of the chair and the base of the table,” Kerr says. t’s time to clear away the dust and cobwebs and let the sunshine in. Want to get your home spring Medicine Cabinet Iclean, but don’t know where to start? Hit just a Spring is a great time to do a sweep of your medi- few areas that will go a long way toward making cine cabinet. Check your fridge for old medications, your home feel springtime fresh. too. “You should discard all medications after their expiration date,” says Lindsey Elmore, PharmD, Get more Bedding an assistant professor at Samford University’s healthy living You wash your sheets regularly, but what about McWhorter School of Pharmacy. “It’s not that the tips and info at the mattress pad, dust ruffle, duvet cover, pillows, medicines become toxic; it’s that they degrade.” webmd.com/ shams, throw blankets, and under the bed? Liquids, creams, and ointments dry up and askthepharmacist “Spring cleaning is a great time to do a lot of become more potent when the water evaporates, laundry, so get that going while you’re doing Elmore says. Eye medicines can grow bacteria. another task,” says Jolie Kerr, author of the online Tablets can simply fall apart.

column Ask a Clean Person and the book My Boy- The best way to dispose of prescription and g es friend Barfed in My Handbag and Other Things You over-the-counter drugs is at community drug take- Can’t Ask Martha. back events, Elmore says. If you can’t find one near Even feather pillows can usually go in the you, follow disposal instructions on the package or allis/Getty I ma allis/Getty washer and dryer. Once you get all the bedding into bottle. Flush drugs only if the label says so, as this the washing machine—and throw in blankets from can hurt the water supply. ndrew Bret W Bret A ndrew This content is selected and controlled by WebMD’s editorial staff and is funded by Walmart.

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By matt mcmillen Reviewed by Michael W. Smith, MD, WebMD chief Medical editor photography by Iovate Health Sciences International Inc.

w9 MAR/APR 2014 health information from

or three-time NBA All-Star and Despite his best efforts to follow a Just as they promoted good eating 2012 Olympic gold medalist Rus- healthy diet, Westbrook does admit that habits, Westbrook’s parents always Fsell Westbrook, health is all about he has a few weaknesses. “I love a good encouraged him and his younger eating the right food, staying fit, taking cheeseburger and fries. There’s nothing brother to move and play. “My brother time to relax, and making sure he gets better!” he says. “I also like candy, but and I always played multiple sports enough quality shut-eye. I have to make sure that I don’t eat too growing up,” Westbrook recalls. “We Take eating right, for starters. West- much of it.” were so active that we never had to go brook, the 25-year-old guard for the The team keeps him too busy to allow out of our way to get physical activity or Oklahoma City Thunder, says it’s been him much time in his own kitchen, so be healthy. It was our lifestyle.” part of the game since he was a kid. “My he gets most of his meals in restaurants, Westbrook has also learned the mother and father always encouraged where he often favors surf over turf. “I importance of taking it easy. To relax, us to make healthy choices,” he says. really like fish, and I eat all types,” he he plays video games, goes shopping, “My family ate very well.” says, with one exception: “No sushi.” and hangs out with friends and family. But it wasn’t until he started playing Westbrook’s healthy diet helps “I don’t get much time at home, so I with the pros in 2008 that he learned power his 20-points-per-game average. have to make the most it when I do.” just how important good nutrition But exercise is another crucial compo- He says the same about sleep, which is. The rigors of basketball required nent in his year-round efforts to stay can be in short supply on the road. “Get- him to pay special attention to how he court ready. ting enough sleep is really important, fueled his body. “Since I’ve been in the “In the off-season, I work out three and I always take a nap on game days,” NBA,” Westbrook says, “I have had to times a day,” says Westbrook. “I usually says Westbrook. “I make sure to get work harder to eat more nutritious and do a basketball workout in the morning, enough rest before games.” healthy meals.” lift weights in the afternoon, and then He’s also got his own ritual that he One meal he never misses is break- go back to the gym to get more shots up practices before he plays. “Before a fast, both during the season and the off- later in the day.” game I get to the arena a few hours season. It gets him going before practice early to get shots up, then I listen to or before his daily workout. When he music and make myself a peanut butter cools down, Westbrook drinks a protein and jelly sandwich,” he says. “I have to shake or eats a protein bar. “Since we have that sandwich before each game.” travel so much, I usually carry some Six Over the past year, Westbrook has Star protein bars with me,” says West- faced serious injury for the first time. brook, a spokesperson for the brand. He’s had three knee surgeries since April, when he tore his lateral meniscus, the rubbery cartilage on the outer side of the knee that acts as a shock absorber and stabilizes the knee. “I had never missed any games before this knee injury, so it was totally new to me,” he says. “Getting injured is never fun and rehab isn’t easy. But I didn’t like being on the sidelines watching my team play, so I will continue to work hard to make “Since I’ve been in the NBA, I have sure I stay healthy.” had to work harder to eat more nutritious and healthy meals.”

This content is selected and controlled by WebMD’s editorial staff and is funded by Walmart.

MAR/APR 2014 w10 Heart Health is a Journey If you’ve had a heart attack, talk to your doctor. If you’ve had a heart attack, your doctor will make recommendations according to your needs. She may recommend a Bayer aspirin regimen. Bayer is the number one doctor-recommended aspirin brand. So talk to your doctor about the brand doctors use most for their own heart protection.

Aspirin is not appropriate for everyone, so be sure to talk to Use as directed. your doctor before you begin an aspirin regimen ©2014 Bayer HealthCare LLC Bayer and the Bayer Cross are registered trademarks of Bayer

take thelead in your health

LAYOUT BUILD ROUND FILE NAME: 2437-1byr_wmt_HH_WebMD_Ad_vC DATE:12/23/13 4:22 PM DESIGN NOTES: DESIGNER PROOF SCALE % TRIM SIZE VERSION NOTES C Hescott 100% 8.375" x 10.875" SIGN-OFFS ART DIRECTOR SR. ART DIRECTOR CREATIVE DIRECTOR PROGRAM MANAGER SEE CHANGES Tel: 479.845.4000 APPROVED YourHealth health information from Heart Smart What really helps keep your ticker in tiptop shape? An expert separates the myths from the facts By Stephanie Watson Reviewed by Michael W. Smith, MD, WebMD Chief Medical Editor

ou want to be heart-healthy, prevent heart Ydisease, and live an active life—but not every piece of advice you hear is worth heeding. Roger S. Blumenthal, MD, director of the Johns Hopkins Ciccarone Center for the Prevention of Heart Disease, weighs in on some popular heart- health tips to help you sort myth from fact.

Is chocolate really good for my heart? Eating chocolate to keep your heart healthy sounds like wishful thinking and, in a sense, it is. Cocoa does contain healthy plant compounds called flavonoids, which researchers think may help lower unhealthy LDL cholesterol, improve blood flow, and reduce blood pressure—all essential ingredients for preventing a heart attack or stroke. Yet transforming cocoa into your favorite candy bar involves a large infusion of fat, sugar, and calories, which can lead to weight gain—a heart disease risk. “Chocolate in small to moderate portions can be helpful, but it’s far from a cure-all,” says Blumenthal. If you indulge, eat small pieces and stick to dark chocolate (70% or higher cocoa).

Will a glass of red wine a day keep heart one to two for men is plenty. (One drink equals 4 disease away? ounces of wine, one beer, or 1.5 ounces of liquor.) This advice may be worth heeding. Studies show Get more healthy living that a glass or two of red wine daily can lower Can medicine alone lower my heart risks? tips and info at the risk of heart disease and stroke by about 20%, Drugs that lower cholesterol and blood pressure webmd.com/ and might even improve longevity. But the same can help, but they can’t take the place of old- askthepharmacist advice holds true for any type of liquor—includ- fashioned diet and exercise for preventing heart ing beer and spirits. Researchers believe alcohol disease. “They may slow progression of harden- may improve heart health by lowering LDL ing of the arteries, but people are still going to (“bad”) cholesterol and raising HDL (“good”) get it unless they improve their lifestyle habits,” cholesterol. Blumenthal says. Consider this: Studies find that g es Just be careful not to over-imbibe. “Wine also cholesterol-lowering drugs can reduce the risk has a lot of calories,” Blumenthal cautions. And of a heart attack by 25% to 50%. A healthy diet, alcohol can increase certain health risks if you regular exercise, and weight loss can slash your drink too much. One drink a day for women and risk by 80%—without any side effects. tafford/Glow I ma tafford/Glow iri S S iri This content is selected and controlled by WebMD’s editorial staff and is funded by Walmart.

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f you’re like many families, your bed- According to research published in the Itime routine looks something like this: journal Pediatrics, children with irregu- The kids hide under the covers with lar bedtimes suffer from jetlag-like symp- their cell phones, texting their friends. toms and are more apt to be hyperactive You and your spouse catch up on emails, and have emotional difficulties. They run multiple loads of laundry, and watch also turn in lower test scores and show a a little late-night TV before turning off diminished ability to solve problems. OR LOG ON TO the lights. Breus believes fatigue can even www.webmd.com/ What’s wrong with this picture? “Most increase marital discord: “Any stressor, magazine/2014survey people don’t consider sleep a priority,” no matter how small, is perceived to be

says Michael Breus, PhD, sleep psycholo- worse when you’re sleep deprived.” FREE TAKE THE LEAD IN gist and author of Good Night: The Sleep The National Sleep Foundation recom- Completing YourHealthMAR/APR 2014 I N S I D E expert tips & smarts from

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Laughter is indeed the best medicine for Chelsea Handler. During the worst and best of times, the comedian, best-selling author, and late-night talk-show host laughs at herself—and the world

By Lauren Paige Kennedy Photograph by Jeff Lipsky/Cpi

W ebMD.com 42 MARCH/APRIL 2014 MARCH/APRIL 2014 43 W ebMD.com The World Have you no shame, According to Chelsea Real friends are there for you. “I think it’s important to show up. Period. Physically, emotionally, any way, over and again. Not once, and not just when people Chelsea are in crisis. You know, actually be there on a consistent basis. That’s what a friend is.”

Sarcasm can be good. Handler grew up in a family where the kids ran wild and Handler? sarcasm was the spoken The brutally honest comedian answers language. “We all have a dry sense of humor. We get along pretty well. We bonded this question with an emphatic, “No!” together because of our [inattentive] parents. We were basically six orphans in an orphanage.”

Travel as much Handler famously dishes it out with a at age 21 after being charged with driving under the influence. When she was as possible. “I love going on great vaca- take-no-prisoners style on her late-night asked to tell a court-mandated class about her DUI experience—which entailed tions with my friends,” says E! talk show, Chelsea Lately. She gladly spending the night in prison with female murderers—she left her fellow offend- the star, who’s been known takes it, too. Whether she’s mining her ers overflowing with laughter. The rest is comedy history. So is getting behind to make jaunts to Mexico own love life, mocking her reputation as the wheel loaded, for that matter. “I got a DUI once,” she told a panel of report- with her pal, actor Jennifer a boozy party girl, or serving up coming- ers. “I haven’t gotten one since.” Aniston. “My book Uganda Be Kidding Me is about the safari of-age anecdotes, the new Queen of All What sets Handler apart, then, is her total self-acceptance, warts and all. “I in Africa I took two summers Media doesn’t shy away from her foibles, embrace my shortcomings,” she says. “I don’t have too many regrets. You have ago with five of my friends, missteps, and altogether humanness. to embrace the things you don’t like about yourself or the things you find embar- my sister, and my cousins. Apropos to her other life as an author— rassing. You can’t be like: I don’t want people to know I did this! Who cares?” We went to South Africa and she’s had four best-sellers, and her fifth Botswana. Every story is embarrassing. It’s why everyone book, Uganda Be Kidding Me, a collection Truth Be Told thinks Americans are idiots, of travel-inspired essays, hits shelves this She feels the same way about her love life, which she’s not at all uncomfortable basically.” March—Handler’s life is an open book. discussing. The comedian never married but has been in several long-term, “I don’t take myself too seriously,” publicly charted partnerships—she dated Comcast CEO Ted Harbert for four Go with your gut. says the star. “I think that’s emotionally years, followed by an on-and-off flame, hotelier André Balazs, with whom she “I don’t have a lot of people advising me,” says Handler, healthy. If you make a fool out of your- split for good in October—and is the first to tell you she’s enjoyed her fair share who calls all the shots on her self, I don’t think there’s any point in feel- of romances. show. “I find it empowering ing stupid about it. It’s better to share it So the double standard women often face when it comes to their sexuality to say: This is how we’re going and laugh. Everything makes for a good doesn’t sit well with her. “I feel like it’s our duty as women to go out and get to do it. I don’t like to negoti- story, in my opinion, after about 20 min- what we want,” Handler says. “There’s nothing wrong with thinking, That’s ate over things I have a gut feeling about. If you want to utes. Even if it’s horrendously embarrass- a really hot guy! And going up to a man in a bar—which I actually did this be in business and work with ing or humiliating, it’s always funny.” weekend in New York City—and giving him your phone number. It doesn’t me, this is the way it’s going As she chronicles in her second book, matter whether he calls or not. It matters that you put yourself out there and to be. Now, if you want to take Are You There, Vodka? It’s Me, Chelsea, you don’t really care about the outcome. I don’t have any shame in that at all.” advice from people you have she first knew she could be a comedian She’s equally unguarded about her unplanned pregnancy at age 16, which respect for, that’s one thing. But when you know what she chose to terminate after pained reflection. While she doesn’t joke about you’re doing and you have Reviewed by Michael W. Smith, MD that memory, she doesn’t hide from it either. Brokering in honesty, it seems, is a lot of confidence in it, you WebMD Chief Medical Editor Handler’s business. should trust your gut.”

W ebMD.com 44 MARCH/APRIL 2014 Peter Yang/August Image good “I never wanted to be a stand-up GRIEF Sharing her experiences publicly and popular way of going about things. But Comedian Chelsea Handler you. You let them die for them.’ That was the only comedian. I just wanted people through a comedic lens is therapeutic, it’s certainly entertaining.” grappled with grief when two time in my life I really had to be the adult.” says Mary Lamia, PhD, professor at the family members died—one Sorrow resonates in her voice as she relives the Wright Institute in Berkeley, Calif., and Tears of a Clown suddenly, the other after a moment. A beat passes, then the comic in her prolonged illness. to know who I was.” a clinical psychologist with a practice in The theory that many brilliant comics can’t resist: “Yeah, that lasted three weeks.” nearby Kentfield. draw their humor from a well of sad- Is there a healthy way to “We all make mistakes and feel ness might be true in Handler’s case. At deal with so much loss? “Grief Healthy Act is a personal process, and shame,” Lamia says. “But experiencing age 10, she lost her oldest brother, Chet, everyone goes through it in Handler first moved to Los Angeles from New unrelenting shame is a dangerous emo- when he fell off a cliff while hiking. His an individual way without set Jersey at age 19 with the intent of pursuing an tion. It separates us from others and is sudden death devastated her family responses,” says grief expert acting career. While she has appeared in the the No. 1 cause of suicide. The antidote and continues to reverberate among its Kenneth J. Doka, PhD. occasional feature film over the years, stand-up to shame is human connection. When members, decades later. “I’m 40 now, However, he adds, “there comedy was a better fit. we embrace the things that happen to and when people leave, I think, ‘Are they are five tasks involved with “I would go on these auditions, and I’d be sur- us, we connect with other people. Accep- going to die?’” she says. grief: accepting reality, rounded by these actresses who were half the tance from others is a form of healing.” When the star’s mother went through dealing with emotions about size of me. Fact is, everyone is still half the size of the death, relocating the That Handler deconstructs her his- the final stages of breast cancer in 2006, person in relation to your me!” she jokes. “Everybody [in Hollywood] has tory for laughs before a live audience Handler felt that loss acutely, too. But, life, readjusting without that a little bit of body dysmorphia. I’m guilty of that. is not lost on Lamia. “There are four unlike when her brother passed away, person, and grappling with You’re surrounded by people who look perfect.” clinical responses to shame,” she says. she had time to process her grief. any lingering philosophical or But after years of living a comic’s lifestyle— “You can hide or withdraw. You can “When my mom died, we had six religious issues that late nights, alcohol-fueled tours, cigarettes, and may arise.” avoid, which is what drives substance months to a year to emotionally prepare maybe a few other substances—Handler is com- abuse. You can attack others. Or you for it,” she explains. “It was so sad, but Many people struggle with mitted to cleaning up her act. “I’ve gotten rid of can attack yourself. When a comedian not as hard. I think the things you don’t mourning, Doka says. But a lot of bad habits this year,” says the trailblazer, unhealthy patterns reveal makes us laugh using shame, what she recover from are the things you have no themselves when a mourner who is only the second woman after Joan Rivers does is take those four responses and warning for.” “becomes self-destructive to host her own late-night talk show. turn them around. Telling stories and “Sudden loss is unfinished business,” or can’t function, or can’t “I don’t smoke anymore,” she adds. “I work using comedy to create pleasure in agrees Kenneth J. Doka, PhD, professor ever envision life without the out regularly now, play tennis, do Pilates. When others is restorative. It’s exactly what of gerontology at the graduate school of person who has passed.” I was in my 20s I would party whenever I wanted people do in self-help meetings or with The College of New Rochelle and senior If this occurs, Doka says, to, however I wanted to. That gets boring. I actu- their friends.” consultant to the Hospice Foundation consider your available ally feel healthier now than I’ve been in a long Anyone who follows Handler’s writing of America. “But one isn’t easier than resources. “First, look inside time. Anything in my life that was causing me at your strengths and what knows she’s dabbled with the avoidance the other. The loss of a younger person has helped you with loss stress I’ve removed.” response. And she certainly serves up leaves unanswered questions. Was it pre- before. How did you cope? So what inspired the overhaul? “I finished my with self-deprecating humor. What ventable? There may be guilt, anger, and Next, look for external [latest] book,” she says. “That was a good turn- about the third response? plenty of ‘if only’s.’” strengths. Who are the people ing point. I broke up with a boyfriend, and that “People can say that I’m a Handler left little room for “if only’s” you can count on? Are there was a good turning point. I just wanted to make organizations you belong bully. That’s hardly how I look with her mother. When the cancer took to? Does your faith offer that statement, to be healthy inside and out. My at it,” she answers. “I think a turn for the worse, the comedian support? Finally, there are brain was there, but my body wasn’t.” it’s better to call people out on remained at her mom’s bedside. She many support groups with She’s also prepping for a different kind of ridiculous behavior than to not recalls how her father, who is still living, counselors trained in grief to book and comedy tour. “I’m taking downtime say anything. I like people who refused to accept the inevitable. help you recognize now to physically prepare,” she says. “I want it you’re not alone.” have opinions. When I agreed to “My mom said, ‘You have to explain to be a healthy tour. When you go on the road, do my show, I said I’m not going to your dad that I’m actually dying, usually everyone’s partying. I don’t want to do to be a talk-show host who doesn’t because he doesn’t believe it.’ And my that. I want to have sets that I remember and be make fun of people who are making dad is sitting right there, reading the there for the people who’ve paid for tickets to see fools of themselves. It’s not the most used-car section, or whatever. I yelled, me. I’m preparing myself, mentally and physically.” ‘Do you hear what Mom is saying? She With five books under her belt, all based on her own life, does she ever worry she says she’s going to die! You need to say might deplete the fodder? “I’ll never run out of material,” she says. “Who would ever Can giggles really boost your health? Find out in the popular video Is goodbye to her.’ And he said, ‘I won’t have thought I’d have more than one book? Not me. I never wanted to be a stand-up Laughter Good Medicine? say goodbye. We’ll just keep her alive no comedian, or a talk-show host either. I just wanted people to know who I was.” matter what we have to do.’ And I said, And then, the punch line: “I’ll probably wind up being a senator. Because that’s not .com ‘No. You don’t keep someone alive for something I’m planning on either.”

Peggy Sirota/Trunk Archive MARCH/APRIL 2014 47 W ebMD.com Food & Recipes

49 Three Ways Take chicken to the next level

IN SEASON Crunch Time The carrot’s roots trace back to Afghan origins 2,000 years ago. Purple and yellow carrots were cultivated in Western Europe and China in the 1300s, and the orange variety that became an American staple was discovered in the Netherlands in the 18th century. Today, Bakersfield, Calif.-based Grimmway Farms is the world’s largest carrot grower (and the first to produce and market frozen baby carrots in 1985), processing about 10 million pounds per day. Overall, U.S. carrot production is worth $300 million annually. Americans’ consumption accounts for 30% of their vitamin A intake, which comes from the carotene in the carrot’s edible roots. Vitamin A and beta carotene help protect the eyes and are linked to reduced heart disease and cancer risk. One medium-sized carrot has 25 calories and 195 milligrams of potassium.

Photograph by Paul Williams/Glow Images MARCH/APRIL 2014 48 W ebMD.com Food & Recipes Rotisserie chicken has less fat than other roasted chicken because much of the fat drips off as the chicken 1 rotates and cooks. Taco ’Bout It

These flavorful tacos contain jicama, a fresh, crisp root veggie with apple-like texture, and are topped with avocado crema, a delectable Mexican-inspired alternative to plain sour cream.

Southwestern Chicken Tacos With Mango and Avocado Crema Makes 6 servings Ingredients 2 tsp canola oil ½ tsp chili powder ½ tsp ground cumin dash of salt freshly ground pepper to taste 1½ lbs boneless, skinless, chicken thighs 1½ cups shredded broccoli slaw APP 1 cup peeled, julienne-cut jicama BONUS!APP 2 tbsp finely chopped sweet onion BONUS! Pantry Picks: 1 mango, peeled and sliced WhatPantry you Picks: need three ways to cook toWhat have you on needhand ¼ cup fresh cilantro tofor have these on ½ ripe peeled avocado handrecipes. for these ¼ cup low-fat sour cream recipes. 1 tbsp fresh lime juice Fowl Play 2 tbsp fat-free milk Come home to chicken that’s easy to prepare, 12 6-inch white corn tortillas versatile, and nutritious Directions By Erin O’Donnell 1. Heat oil in a large, nonstick skillet over medium-high heat. Recipes by Kathleen Zelman, MPH, RD, LD Combine chili powder, cumin, salt, and pepper in a small bowl, and sprinkle mixture on chicken For fast, satisfying weeknight chicken thighs contains about 8 grams pieces. Sauté chicken 3 minutes meals, chicken rules the roost. of fat, and that little extra adds flavor per side or until an instant-read And for good reason: Kids love it, there and moisture. Zelman sometimes thermometer reads 165°F. Cut are a thousand ways to prepare it, and cooks chicken with the skin on to keep cooked chicken into bite-sized pieces; cover and keep warm. it’s nutritionally impressive. Three it juicy, but removes most of it before 2. In a medium bowl, combine ounces of boneless, skinless chicken eating to trim fat and calories. broccoli slaw, jicama, onion, breast contain 31 grams of protein, a However you prepare your chicken, and mango. flock of heart-protective B vitamins, don’t rinse it before cooking, says 3. Make the crema: Place cilantro, and about 4 grams of fat, says nutri- Jennifer Quinlan, PhD, associate avocado, sour cream, lime juice, and milk in a blender. Process tionist Kathleen Zelman, MPH, RD, professor in the nutrition sciences until smooth. LD, who says chicken appears on her department at Drexel University in 4. Heat tortillas according to pack- own table three nights a week. Philadelphia. Raw chicken can contain age directions. Zelman recommends thinking pathogens such as salmonella and 5. Assemble tacos by evenly dividing beyond chicken breasts—she’s also a campylobacter, but “washing won’t chicken and mango salad among the tortillas. Top each taco with a fan of chicken thighs. “Because thighs decrease them, and in fact mobilizes drizzle of avocado crema Deb Wahl Deb have a bit more fat, they hold up bet- them,” spraying the germs into your and serve. t ter, especially on the grill,” Zelman sink and onto counters and clothing, ylis Per serving St says. A 3-ounce portion of skinless she says. When possible, move chicken straight from its original packaging 330 calories, 26 g protein, 35 g carbohydrate, 10 g fat (2 g saturated fat), 95 mg Reviewed by Hansa Bhargava, MD to the pan or dish for cooking (which cholesterol, 6 g fiber, 6 g sugar, 189 mg WebMD Medical Editor

destroys those germs). sodium. Calories from fat: 26% d Foo Whipps; Dan

W ebMD.com 49 MARCH/APRIL 2014 Food & Recipes 3 Thai-namite This spring salad delivers plenty of crunch and an impressive amount of protein to keep hungry eaters satisfied. Kids will love the tasty dressing.

2 Thai Peanut Chicken Salad Directions Hot Stuff Makes 6 servings 1. Make the dressing first: In a small In this recipe, chicken breasts are packed saucepan over medium-high heat, Ingredients with flavorful Mediterranean ingredients. combine vinegar, coconut milk, soy Pounding the chicken breasts before Salad sauce, peanut butter, garlic, lime juice, and red pepper. Bring to a boil. stuffing helps them cook faster. 2 lbs boneless, skinless, chicken tenders Reduce heat and simmer until mix- 1 small napa cabbage, chopped ture is slightly thickened. Set aside Fiesta-Stuffed Chicken Breast (about 6 cups) to cool. Makes 6 servings 1 cup shredded red cabbage 2. Spray a grill pan with cooking spray 1 large cucumber, peeled and heat to medium-high. Grill Ingredients and chopped chicken 4 minutes on each side or ½ cup crumbled feta cheese 1 cup fresh bean sprouts until an instant-read thermometer ⅓ cup chopped sun-dried tomatoes, 1 cup shredded carrots registers 165°F. not packed in oil 1 cup shelled, defrosted 3. Toss cabbage, cucumber, sprouts, ½ cup fresh baby spinach, chopped edamame carrots, and edamame in a large 3 green onions, minced bowl. Pour dressing over salad Dressing 1 tsp minced garlic mixture. 2 tbsp rice vinegar 1 tsp grated lemon zest 4. Divide salad among 6 plates, and top ½ cup light coconut milk 2 tbsp pine nuts each with grilled chicken. Garnish 1 tbsp low-sodium soy sauce 6 5-oz boneless, skinless chicken with peanuts and lime wedges. 2 tbsp peanut butter (smooth breast halves Serve immediately. or crunchy) ¼ tsp salt Per serving freshly ground pepper to taste 1 clove garlic, finely minced 2 tbsp olive oil juice from one fresh lime 320 calories, 42 g protein, 13 g carbohy- ½ cup fat-free, low-sodium ⅛ tsp ground red pepper drate, 11 g total fat (3 g saturated fat), 87 chicken stock ⅓ cup chopped peanuts mg cholesterol, 4 g fiber, 5 g sugar, 250 mg lime wedges (optional garnish) sodium. Calories from fat: 31% Directions 1. Preheat oven to 350°F. Eight billion 2. In a medium bowl, combine feta, chickens are tomatoes, spinach, green onions, consumed in the garlic, lemon zest, and pine nuts, United States each year. and set aside. 3. Place each chicken breast half between 2 sheets of plastic wrap or wax paper. Pound to ¼-inch thickness. 4. Evenly divide stuffing and place a portion in the center of each chicken breast half. Fold sides over stuffing, and secure with wooden toothpicks. 5. Season chicken with salt and pepper. 6. Heat oil in large, nonstick, ovenproof skillet over medium-high heat. Add chicken and cook 3 minutes on each side or until brown. Add stock to pan, cover, and place in oven 15 minutes or until an instant-read thermometer reads 165°F. 7. Transfer chicken breasts from the pan to a serving dish. Scrape up any browned bits from the bottom of the skillet, and stir them into the remaining stock. Drizzle over chicken and serve.

Per serving 273 calories, 36 g protein, 3 g carbohydrate, 13 g fat (3 g saturated fat), 92 mg cholesterol, 1 g fiber, 2 g sugar, 392 mg sodium. Calories from fat: 40%

W ebMD.com 50 MARCH/APRIL 2014 fitness & exercise

52 Work It Out Why warm-ups and cool-downs really do count

53 Fitness Challenge Moves to take with you on the road

Sole Power Put your workout goals within reach and hit the ground running

EXPERT TIP “Kids of all ages should be encouraged to do some type of movement for at least one hour a day. When parents are active, kids get excited about moving as well.”—Hansa Bhargava, MD

Photograph by Yuri Arcurs/Getty Images MARCH/APRIL 2014 51 W ebMD.com fitness & exercise

work it out Stretch Truths Think warm-ups and cool-downs are overrated? They might give you a better workout

By Kara Mayer Robinson

Warm-ups and cool-downs take just a few minutes but make all the difference for a great workout. Here’s how to do both right.

HOW TO WARM UP A short warm-up stokes your blood flow and preps your body for exercise. Your muscles respond better to challenges if they’re loose and warm. Warm-ups should take five to 10 minutes. You’ll know you’re done when you feel ready for more vigorous activity.

Before Cardio Warm up with a slow-paced aerobic activity. Go for a Do’s & Don’ts Joel Harper, whose clients cardio. Just dial down the walk, use a treadmill or ellip- Do take longer warming include Olympic medal- intensity of what you’re up if you plan a high- tical trainer on a low setting, intensity workout. ists. “They do 100 reps doing, whether it’s running, or bike at an easy pace, sug- Extend it to 10 minutes of the body part they’re spinning, or Zumba. gests Carol Ewing Garber, instead of five. working that day. If they’re PhD, associate professor doing shoulders, they’ll do Stretching of movement sciences at Don’t go from zero 25 punching bags in each Try ending every session to 60. Start at a slow Teachers College, Columbia direction with no weight, 25 with stretching, which boosts pace, and give yourself University. Start slow and enough time to shoulder presses to the side, flexibility and may reduce gradually increase your pace gradually bump and 25 to the front,” he says. risk of injury. Do it slowly and intensity. things up. and gently. Breathe into each HOW TO COOL DOWN stretch and don’t bounce. Before Strength Training Do stretch when your Coming to an abrupt stop Gentle stretches such muscles are warm. To prep for strength train- Stretching cold muscles after vigorous exercise can as shoulder rolls and hip ing, choose an easy cardio can cause injury. make you feel light-headed rolls are also perfect post- activity that warms up mul- and dizzy. Cooling down workout. Try chin drops, tiple muscles at once, such Don’t push a stretch too keeps your heart rate and too: Lower your chin to your as treadmill walking, slow far. If it hurts, go into blood pressure from drop- chest and hold for a count jogging, or easy pedaling on the stretch more easily, ping rapidly. of five. breathe deeply, and a stationary bicycle. relax into it. Or home in on specific Slow Cardio Reviewed by muscle groups, says New Do hold each stretch Cap off your workout with Michael W. Smith, MD WebMD Chief Medical Editor

York City celebrity trainer from 15 to 30 seconds. five to 10 minutes of easy IMAGES PIFER/GETTY BROOK

W ebMD.com 52 MARCH/APRIL 2014 Stay on your game with Managing Muscle Pain, Soreness, and Aches, a top article on the Fitness channel. .com

fitness challenge Road Rules take your workout anywhere with this equipment-free routine Q By Jodi Helmer “I’d like to find a workout partner to help keep me No time to get to the gym? Signing up for a membership isn’t in the budget? Don’t sweat motivated. How do I make it. You can get a good workout without setting foot in a fitness center. sure we have a routine that “Working out shouldn’t be a hassle,” says David Kirsch, personal trainer and founder of works for both of us?” the Madison Square Club in New York City, whose celebrity clients include Heidi Klum, Kate Liz Saintsing, 34, artist, Upton, and Kerry Washington. “Being able to take your workout with you makes it more fun.” Lexington, N.C. Kirsch suggests three basic moves that can be done anytime and anywhere with zero equipment. Aim to complete the circuit at least four times per week.

A “A workout partner can make all the difference when it comes to motivation. Oblique Crunches Plié Toe Squats Push-Ups You’ll tone your waistline In this twist on a “Traditional push-ups Choose a workout partner with this move, which works traditional squat, you’ll work will never get old, [and] with a similar health profile the internal and external your calves, thighs, and the option to do partial and a similar schedule. You obliques, the muscles glutes. “It’s a great move if push-ups [on your knees] can go to any exercise class on the sides of your abs. you love to wear skirts and makes it a great move for together or take turns spot- want sexy, toned legs,” anyone,” Kirsch says. The ting during a weightlifting 1. Lie on your right side with Kirsch says. tried-and-true move works your knees bent. triceps, shoulders, and workout. Look for exercise 2. Place your right arm on 1. Stand with your feet a chest muscles. groups or clubs that offer the floor in front of you little more than hip- opportunities for people to and your left hand behind width apart, toes turned 1. Get into the starting pair up. Ask the staff at your your head. slightly out and hands on push-up position: hands gym whether they have a 3. Keeping your knees your hips. shoulder-width apart, together, raise your knees 2. Keeping your spine arms straight, balanc- buddy program, or talk to a toward the ceiling as straight, lower your body ing on the balls of your personal trainer about high as you can, bringing as if you were going to sit feet with your body in a starting a small group. One your left shoulder toward in a chair. straight line from shoul- caveat: Try not to become your knees. 3. While you’re lowering into ders to heels. If this is too 4. Hold for 3 seconds. the squat, lift your heels difficult, place your knees too reliant on your partner 5. Return to the starting off the floor. on the floor. because, as life happens, she position. 4. Hold five seconds. 2. Bend your elbows and may not be able to sustain 6. Do 15 reps. 5. Return to a standing posi- slowly lower your chest to the commitment.” 7. Repeat the move on the tion, keeping your heels the floor. opposite side. lifted off the floor. 3. Push through your palms 6. Do 15 reps. to raise your body back to the starting position. Reviewed by 4. Repeat 15 times. Michael W. Smith, MD Joy Keller, certified personal WebMD Chief Medical Editor trainer and executive editor of

JASON LEE JASON IDEA Fitness Journal

MARCH/APRIL 2014 53 W ebMD.com CheckupTaking care, living well

April is National Autism Awareness Month. The brain condition has increased dramatically in recent years

Autism, or autism spectrum disorder, refers to a group of are at the time a baby is conceived or a maternal illness brain development disorders. Symptoms and their sever- during pregnancy. New research suggests that pregnant ity vary greatly but typically include repetitive behaviors women who take folic acid greatly reduce their baby’s risk. such as hand gestures and difficulties with social interac- Singer Susan Boyle, Britain’s Got Talent’s breakout star, tion and communication. Autism can also involve learning learned recently that she has Asperger’s syndrome, which disabilities, challenges with tasks like handwriting and is an autism spectrum disorder. Actor Kate Winslet co- picking up small objects, and digestive problems such as founded the Golden Hat Foundation to chronic constipation or diarrhea. raise awareness of autism and funding for One in 88 children in the United States has autism, autism programs. Her book, The Golden a 78% increase since 2007. Improved diagnostic tests Hat: Talking Back to Autism, is a compila- explain part of this gain, but researchers have not yet tion of selfies from celebrities who have determined other reasons. The condition affects almost supported Winslet’s cause. Photos of Tom Hanks, Justin five times as many boys as girls. Timberlake, and Oprah Winfrey, among others, accom- Scientists believe autism spectrum disorder most often pany poetry by Keli Thorsteinsson, a nonverbal teenage results from a combination of a child’s genes and factors boy with autism whose poem about a magical hat that that happen during conception, the mother’s pregnancy, speaks for a child with autism helped inspire Winslet’s

ge s or the child’s birth—these may include how old parents foundation.—Sonya Collins

55 Living With 56 By the Numbers 57 Health Check Spring is in the air—and so This month, we take a closer Take the quiz to find out how are your allergies. Learn how look at migraines and head- much you know about heart- to survive the season with aches. Here are the facts, burn and gastroesophageal our expert answers to your figures, and more about this reflux disease (GERD). Plus: top questions. top health condition. questions to ask your doctor. e tty Im a C uthb e rt/G Mark I stock; Eraxion/

MARCH/APRIL 2014 54 W ebMD.com Checkup

Reviewed by Arefa Cassoobhoy, MD, MPH, WebMD Medical Editor

living with Spring allergies Survive the Season with expert Answers to your top questions

By Erin O’Donnell

Sniffling and sneezing your way through spring allergy season? Jan P. Engle, PharmD, FAPhA, head of the department of pharmacy practice at the University of Illinois at Chi- cago, offers some insights for relief.

Is it a cold, the flu, an allergy, or something else? Colds and flu are common during allergy season, and asthma can mimic allergies, too. For example, if people complain of shortness of breath rather than just congestion, notice tightening in their chest, or have a chronic cough that won’t go away, those are warning signs that it may be asthma. In these cases, you may need to see your doctor.

tend to be highest between 5 a.m. and Start taking your allergy medicine 10 a.m. Stay indoors if you can during those hours, with the windows closed before you have symptoms. and air conditioning on.

What is the biggest mistake peo- If you know you’re allergic to trees, My child has allergies but some ple make when taking allergy for example, you’d start taking it one medications make him groggy, and medications? to two weeks before trees are predicted I don’t want to send him to school A lot of people wait too long to start to bloom. If you’re congested, you like that. What should I do? taking their medication—until they’re might take a decongestant, too. You Yes, but it’s also really important so miserable that it’s almost impossi- can also irrigate your nasal passages to treat his allergies: Studies show ble for the drug to work. It’s best if you with saline nose spray or a neti pot to that people with untreated allergies can start taking these products before remove pollen. have decreased concentration levels the air is full of pollen; these medi- Try to avoid allergens in the first compared with people without aller- cines need time to build up in your place. It helps if you know what you’re gies or those with treated allergies. body. It’s also important to take your allergic to. Is it tree pollen? Grass? Talk to your child’s doctor about pre- medicine regularly. Don’t skip doses. Ragweed? Track pollen counts, which scription options. Also, I recommend that parents ge s EXPERT TIP keep really close track of their child’s “Many people take their allergy medicines out of the weight because they can grow out of packaging to put them in a pill box, but I don’t advise that. the recommended dose so quickly. You You don’t have access to the label or the expiration date.” may end up underdosing your child, e tty Im a g ran de /G asa —Jan P. Engle, PharmD, FAPhA which makes the medicine ineffective. C i e Regg

W ebMD.com 55 MARCH/APRIL 2014 Checkup

Reviewed by Arefa Cassoobhoy, MD, MPH, WebMD Medical Editor

by the numbers Migraines and Headaches Facts and Stats on Top Health Conditions

By Heather Hatfield 10% 47% Share of the world’s Estimated share of one in four population reporting the world’s population a migraine in the that had a headache Number of U.S. households where someone past year in the past year has migraines

Ranking of migraines Men in Women among the the U.S. in the U.S. No. world’s most who have who have 28 disabling migraines migraines million medical Americans living with migraines conditions

Percentage of Americans who8 6% 18% have chronic migraines—at least 15 days of headache 3% each month for at least 6 months 3 million 113 Emergency room visits per million Workdays lost in the U.S. each year 40% 90% year attributed If one parent If both parents due to migraines has migraines, have migraines, to migraines or risk his or her child risk their child headaches will have will have them them $20 billion Total cost of migraines in the $13 U.S., including medical care, lost billion workdays, and lost 4 to 72 Cost of productivity 25–55 years hours migraines to U.S. Age range during which migraines are How long a migraine employers from most common usually lasts lost workdays

Sources: American Academy of Neurology, American Migraine Foundation, Migraine Research Foundation, National Headache Foundation, World Health Organization istock

W ebMD.com 56 MARCH/APRIL 2014 Checkup

Reviewed by Arefa Cassoobhoy, MD, MPH, WebMD Medical Editor QUIZ 1. I caused my heartburn by eating the wrong foods. True False

2. I can cure heartburn by eating only bland foods. True False

3. I can take as many antacids as I need to treat it. True False

4. Heartburn never turns into a serious health problem. True False

Answers: All are false. Heartburn develops when a muscular valve called the lower esophageal sphincter func- tions improperly, allowing stomach acid to flow back into the esophagus. This causes a burning-pain sensation. Fatty foods, onions, garlic, chocolate, peppermint, citrus fruits, and tomatoes can worsen heartburn, but food isn’t the root cause—nor will a bland diet ease all symptoms. Talk to your doctor about health check treatments, including lifestyle changes, weight loss, avoiding eating before sleep, over-the-counter and prescription medicines, and, rarely, surgery. Antacids, Got Heartburn? a common treatment for heartburn, shouldn’t be taken indiscriminately and While lots of people get heartburn, many don’t understand what causes it or can interact with certain prescription how to treat it. Take the case of buelr0627, who writes to the WebMD GERD drugs. Chronic heartburn may signal GERD, a condition that can damage the (gastroesophageal reflux disease) and heartburn community: “I get heartburn a esophagus and lead to serious problems. lot, but mostly at night when I lie down. I have my pillow elevated but it doesn’t help. It does help if I lie on my side though. I haven’t really been able to pinpoint anything else.” How much do you know about this troubling disorder? Take our quiz to find out. SourceS: American College of Gastroenterology, Esophageal Cancer Action Network, NIH, Q WebMD Heartburn Health Center Ask your Doctor Did You Know? 1 3 High-fat foods tend What lifestyle changes can I make Should I have any tests to check for to stay in the to reduce heartburn? complications from heartburn or GERD? stomach longer, ge s 2 4 and the longer they’re Do I need over-the-counter or prescription If other treatments fail, can there, the more medication? surgery help? likely they may cause e tty Im a d or/G va

discomfort. a l io S g io Se r

W ebMD.com 57 MARCH/APRIL 2014 Take 10 10 QUESTIONS Kristin Davis Actor

How did you Have your get involved workouts 1 with the David 7 changed over Sheldrick the years? I’ve Wildlife Trust? I was changed how I am visiting Kenya with moving my body. I friends in 2009, and used to do double spin one day, while we were sessions, and I had on a safari, we came thighs like a body- across an orphaned, builder! And then injured baby elephant. when I started doing Rescuers from the more dance-based trust were notified, stuff, I really didn’t and so I saw firsthand recognize my body— the devoted work in a good way. these people do—to save and rehabilitate What’s your these beautiful best health creatures—and it 8 habit? Going deeply affected me. to acupuncture regularly. I’ve What’s the been seeing the same one thing guy once every two 2 you’d like weeks for almost 20 people to years. I consider him know about the my most central care elephants? Because provider. If nothing poachers are killing else, acupuncture them for their ivory forces you to simply tusks, these beloved Read the take a few moments creatures are at risk of full Q&A with to lie down and relax, becoming extinct. I’m Kristin Davis and there’s a lot of not sure people realize in our good in that, too. that they are truly at Davis returns free app! to TV as Ginny risk, and how bad the in the CBS Do you have situation has become sitcom Bad a health in many parts of Africa. Teacher. 9 philosophy? Elephants have no It’s not natural predator, particularly sexy, but except humans. The of Oxfam, and if year—I was in Kenya tremendously power- I do think that every- black market ivory ring poverty didn’t exist, last May. I haven’t ful for reducing stress. thing in moderation has gotten so bad. An much of the poaching brought her with me It gives you a core is the way to go. I’ve elephant is butchered could dwindle. Many just yet. But soon she’ll strength—and I mean never been into every 15 minutes, of the poachers are be right alongside me. that in a physical and intense diets or fads. which leaves many poor people with mental sense. My body is just too baby elephants left limited choices but Is it true that sensitive for that. alone to die. to engage in this you co-owned What’s your practice. We need to 5 a Los Angeles fitness What is You’re a protect everyone who yoga studio in 6 routine? Right your worst Global is at risk. the early ’90s? Yup, I now because I 10 health 3 Ambassador did. Although honestly am back to work on a habit? I love for Oxfam Has your work I’m pretty rusty with TV show, I am making chocolate. I love pizza. International. Do you abroad my yoga these days. a real effort to be in Cookies. Ice cream. ever feel torn between 4 slowed since Since Gemma, my good shape. I do a few I kind of hate salad. causes? The work is all adopting your time for exercise has kinds of cardio— Left to my own very related, I think. daughter, Gemma? become more limited. mostly I hike in the hills devices, I would eat Combating extreme Only somewhat. I still But I have always in Los Angeles, and I like a 10-year-old poverty is at the root go back at least once a found yoga to be do the elliptical. kid. —Liz Krieger

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