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January/February 2014 / $4.95

HEALTHY BEAUTY

A.M. & P.M. Skin Routines FITNESS pg. 17 EXERCISE

Resistance Band FOOD Workouts RECIPES pg. 53

Three Ways to Cook Eggs LIVING pg. 49 HEALTHY

Resolutions That Stick pg. 12

GREAT

BRITTON BY THE Lights are shining bright NUMBERS for actor Connie Britton PG. 42 Heart MEN’S Health HEALTH pg. 56

4 Healthy Habits to Start Now JANUARY FEBRUARY 2014 FAMILY pg. 13 PARENTING

Bedwetting Woes Put to Rest pg. 24

RTISEM AD VE ENT *

WEBMD.COM Take the Lead in Your Health Turn to page 27. jan/feb 2014 Contents Feature

Pg. 42

I do think that living in a healthy way“ and “ feeling healthy perpetuates itself.

Great Britton Actor Connie Britton attracts a lot of attention in every issue for her roles. And she pays a lot more attention Pg. to her health these days, 4 too. The Nashville star and Editor’s Note New Year’s resolutions, a cold four-time Emmy nominee and flu map, and more says that losing both of her parents to different Pg. types of cancer in a short 58 time served as a major Take 10 Comedian and actor Kevin Hart wake-up call. She opens proves that laughter is the best Download WebMD up about her healthy medicine on and off camera. The Magazine for Free! living philosophy and how funnyman tells us how he fell in Get your iPad subscription in the motherhood has changed love with comedy and how his 58 App Store. her perspective. kids influence his work.

Cover Photograph by Robert Erdmann/August Images jan/feb 2014 2 W ebMD.com Contents JAN/FEB 2014

HEALTHY START HOT TOPICS: Does the shape of your wine glass affect how much you drink? What makes us want to “gobble up” cute babies? Find out and get more Pg. news you can use. • PERSONAL BEST: Actor Sasha Alexander shares her top 6 food, beauty, and fitness secrets. LIVING HEALTHY WOMEN’S HEALTH: Want to ensure your resolutions stick this year? We turn

Pg. to science for clues about how we form habits—and how we can change them. • MEN’S HEALTH: Start the new year off right with four habits that will keep you healthy 365 days a year. • mind matters: Learn how to talk so 11 that your partner will actually listen. • work it out: Do you know how to delegate? Learning how is key to being a good manager.

Pg. HEALTHY BEAUTY YOU ASKED: Want to start the year with a new beauty routine? Our experts offer tips and product picks for morning and evening rituals so you’ll 16 look your best around the clock. • YOUR SMILE: You brush, you floss, but do you swish too? Find out why you should add mouthwash to your oral care routine. Pg. FAMILY & PARENTING 21 PREGNANCY: Punky Brewster is all grown up—and is growing her family, too. We catch up with Soleil Moon Frye, who’s about to have her third child, to see how she balances family and career. Plus: The four things you’ll need to bid adieu to if you’re pregnant or trying to conceive. • KIDS’ HEALTH: Are Pg. your child’s nights all wet? Our experts have some dry ideas to help put your bedwetting woes to rest. • PET HEALTH: Barking, jumping, scratching—are 48 your four-legged friends up to no good? Learn how to break them of these bad habits.

Pg. FOOD & RECIPES In Season: Oysters. We shuck the myths about the shellfish and shed light on its delicious history and nutrients. • 3 Ways to Cook: Eggs. The humble 51 egg isn’t just for breakfast. Serve up these easy and tasty meals that will have your family scrambling for more.

FITNESS & EXERCISE workout wit: Want to amp up your usual workout? Find out why yoga is the perfect way to add cross-training to the mix. • Fitness Challenge: Don’t like using weights? Then strike up the band—the resistance band—to build strength and tone muscles without the bulk.

webmd CHECKUP Health Highlights: Has rosacea got you seeing red? Get relief with expert tips. Pg. • By the Numbers: February is American Heart Month. We take a closer look at heart health. • Health Check: Millions of people live with chronic pain. How pain 54 aware are you?

W ebMD.com 3 jan/feb 2014 Editor’s note Organ Works How much do you know about your liver and how it functions? It’s pretty important: It removes toxins from your blood and turns everything you eat or drink into energy and nutrients your body needs. But you need to take care of it so it can do its job properly. Learn how with the popular Sniffle City WebMD liver quiz. Do you live in the flu Go to webmd.com/ zone? It’s now easier hepatitis/rmq-know- than ever to find out your-liver. how widespread cold and flu symptoms are where you live—we’ve upgraded the WebMD This time of year feels like a clean Cold and Flu Map with new features. Just enter slate for living a healthier life. I love your city, state, or zip making long lists of all the things I need code to see how many to do to improve. But while January makes Symptom Checker me feel like anything is possible, by the users report cold and time February rolls around I can barely flu symptoms in your area. You can also click remember what I pledged to do. So what’s a button that matches the secret for staying on track over the how you’re feeling to long run? And what should I have on my get tips for taking list that I’m not thinking of? Here’s what care of yourself. Go to stuck with me after reading this issue: webmd.com on your Live and Learn desktop or mobile 1. Think simple and doable. Want to “It’s OK to make mistakes.” device to use the cold We recently posted that run a 5K? Start by running just one mile a and flu map. on Facebook, and many of What’s your few times a week. our followers agreed. But New Year’s 2. Be specific. If you want to “eat some responded, “As long resolution? healthier,” create small goals to help get as you learn from them.” Tell us and let us know you there. For instance, commit to replace Both sentiments are worth keeping in mind as you how you’re one fattening treat with fruit each day. attempt this year’s New doing at 3. Nourish your mind and your body. Year’s resolutions. In this twitter. Relaxation is just as important as diet issue, we’ve got tips to make com/ and exercise. your resolutions stick (page webmd. Whether it’s the promise of a new year 12) and how to learn to do better if you do slip up. that gets you motivated or the story of someone like our cover star, actor Connie Britton, who heeded a wake-up call about We Want to Hear From You! her health, this issue is full of strategies to

g es help you succeed. Like WebMD!

y Im a y Here’s to a happy new year, and to facebook.com/webmd making it to Valentine’s Day with those Tweet us! tt o c k/Ge resolutions still in place. t twitter.com/webmd Download WebMD Magazine Pin with us! for Free! pinterest.com/webmd/ Get your webmd-magazine

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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 Senior director, marketing Kathleen Cusack sales operations analyST chief Medical editor Kisha Jackson Michael W. Smith, MD Advertising sales Claudia Fern, [email protected], 212-624-3728 Medical editors Patria Rodriguez, [email protected], 212-417-9542 Brunilda Nazario, MD; Hansa Bhargava, MD; John Schaetzle, [email protected], 212-624-3787 Arefa Cassoobhoy, MD, MPH chicago brand review Tracy Kennedy, [email protected], 312-416-9275 Lauren Gracco Sumrall, Bill Sims Anna Novinger, [email protected], 312-416-9278 west coast contributing writers Christina Boufis, Sonya Collins, Nicole Ransom, [email protected], 310-318-1728 Heather Hatfield, Jodi Helmer, SOUTHEAST Ayren Jackson-Cannady, Katherine Kam, Courtney Cofield, WNP Media Lauren Paige Kennedy, Shelley Levitt, [email protected], 770-569-8188 Matt McMillen, Erin O’Donnell, Gina Shaw, Smyth Media group Stephanie Watson Stephanie Musella, Account Executive, [email protected], 914-409-4216 Diane Cremin, Account Executive, [email protected], 914-409-4211

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W ebMD.com 5 JAN/FEB 2014 healthy start G etty I mages oat C reative/ oat aper B aper HotTopics! facts and news you can use mages; P G etty I mages; ave K ing/ ave mages; D G etty I mages; 127 You’re prettier if you sleep. At least to

mages; DNY 59/ G etty I mages; million Estimated pounds yourself. People who treat their sleep apnea view themselves as better- of Valentine’s Day candy looking after treatment—and also get

P hotography/ Americans bought in 2012 a better night’s rest. Source: Nielsen Source: Journal of Clinical Sleep Medicine mages; TS G etty I mages; 15% of American adults are unplugged—without Internet or email. Of these, 19% cite high all P roductions/ all costs of computers and ubber B Internet service. Source: Pew Research Center mages; R G etty I mages; j e/

Customers are more mages; F loort G etty I mages; likely to engage with Married people with cancer are 20% 36% of merchandise Americans say less likely to die from the disease and staff beer is their than separated, divorced, widowed, when a store alcoholic or never-wed people.

mages; deliormanli/ G etty I mages; beverage of smells like choice, while Source: Journal of Clinical Oncology chocolate. 35% prefer a glass of wine. Source: Journal of Environmental Psychology Source: Gallup 160 million More U.S. mothers

mages; Jurgen Ziewe/ Jurgen G etty I mages; breastfed their The number of spa visits in $11 billion babies during 2000 2012, with guests spending

ara M oor/ ara to 2010—a trend The amount that, if continued, about $87 per visit Americans spent on could save more Source: International the 10 million+ than $2 billion in Spa Association cosmetic procedures yearly health done in 2012 care costs.

clockwise from top right: T right: top from clockwise Source: surgery.org Source: CDC

JAN/FEB 2014 6 W ebMD.com healthy Start

hello, Neighbor We really do get by with a little help from our friends. In a recent study of 6,740 people, those who lived in a neighborhood they considered tight-knit had a 15% lower risk of stroke than those who didn’t feel the same sense of community. Dirty And the more neighborly, the better. Members of Work the coziest communities Almost 12% of all people who come down with the enjoyed a 48% decrease

flu catch it at work. Most of those cases come from G etty I mages in stroke risk. co-workers who knowingly go to work sick. But when Source: Social Science & Medicine employees can use dedicated paid “flu days,” they tend to stay home when they’re sick, a study shows. tocknshares/ In workplaces that offered one paid flu day, flu

transmission dropped by more than 25%. Workplaces S G etty I mages; A / that offered two days off cut that rate by almost 40%. Source: American Journal of Public Health atti B uy zz atti u

Percentage of adults Percentage of adults concerned about their who have discussed duardo L E duardo G etty I mages; aging parents’ driving the issue with them A / Source: National Safety Council

55% 23% B uy zz atti u Hot Air Your grandmother did it. Your mother probably did, too. But the idea that inhaling steam can help you kick nasal congestion from a cold may be nothing L E duardo G etty I mages; more than a myth. A recent study looked at six clinical

trials over the last 50 years and found no consistent W isbauer/ teve benefits of this folk remedy for the common cold. In some trials, people reported more nasal discomfort or irritation when they inhaled steam. Source: Cochrane Database of Systematic Reviews clockwise from top: S top: from clockwise

W ebMD.com 7 JAN/FEB 2014 healthy Start

perfect scents “You’re so cute, I could gobble you up!” We’ve all said it 45% to babies, but why? of Americans A study shows that make New Year’s an infant’s scent activates dopamine, resolutions. Top three the neurotransmitter vows? Lose weight, that fires when you get organized, and satisfy a craving, such spend less money. as eating when you’re very hungry. Fifteen new moms and 15 women who’d never Glass Act given birth smelled The color of wine and the shape of the scent taken from 2-day-old infants’ your glass may impact how much

pajamas. Brain scans you drink. In an experiment, people G etty I mages Source: The University of Scranton, Journal showed dopamine poured themselves almost 10% more of Clinical Psychology activation in both white wine than red. Researchers think sets of women. This .com triggering of the people don’t realize how much they “reward-learning pour when the wine and the glass are a Hot Hits /Jamie G rill/ J GI /Jamie G etty I mages; system” in the brain similar color. Wine lovers also poured What’s trending on may teach new more into wide glasses than standard WebMD.com right now*

mothers that caring G rill/ aniel for the baby brings ones and if the glass was in hand How to get rid of a cough them pleasure. rather than on a counter. Foods to help you lose Source: Frontiers in Psychology Source: Substance Use & Misuse weight mages; D G etty I mages; Are you sleep deprived? Low Down Heart rate myths What’s that rash? A low-sodium diet may work as well as medicine to lower blood pressure and improve heart function in people Does the 3-Day Diet work? with heart failure. People with high blood pressure and N ichols/ Julia G etty I mages; heart failure who went on a 21-day diet containing no Eat healthy with diabetes more than 1,150 milligrams of sodium per day saw the Home remedies for same level of improvements that medication provides. heartburn Participants followed the DASH (Dietary Approaches Foods for healthy hair to Stop Hypertension) diet, which is high in potassium, What does ginger do? magnesium, calcium and antioxidants. Americans typically take in 3,000 to 4,000 milligrams of sodium each day. *as of October 1, 2013

Source: Heart Failure Society of America A nsonsaw/ center: top from clockwise

W ebMD.com 8 JAN/FEB 2014 healthy Personal Best Start Sasha Alexander The Rizzoli & Isles actor shares her healthy living habits

Rizzoli & Isles returns to TNT on Tuesday, Feb. 25. Real Eats “I stick to a ‘Zone’-type G etty I mages Fitness Fix diet, so I eat something “I love dance workouts. every two to three hours. But I am careful not to I try to make sure it’s got be too hard on my body. a good dose of healthy I like hiking, walking, and protein and plenty of the occasional SoulCycle veggies. Snacks are usually spin class, which is fast things like apples, cheese, but effective—and I love or a handful of nuts.” the group aspect of it.” eer; melhi/ V eer; torsap/ rakratchada G etty I mages;

Sweet Success “I make a huge effort to drink enough

nnabelle B reakey/ A nnabelle G etty I mages; Secret Weapon water every “I use emu oil all over my day and also face, neck, and chest, and have pretty

tephen K row/ tephen I love this amazing cream much nixed called Egyptian Magic.” added sugar from my life—so no candy, and just

mages; S I mages; G low one raw sugar in my “I’m a total foodie—so all coffee each day.” the faddish cleanses that involve not eating are not for me.� mages; E xactostock/ G etty I mages; As forensic pathologist Dr. Maura Isles on TNT’s hit show Rizzoli & Isles, actor Sasha Alexander spends her time examining dead bodies. But in real life this Los Angeles-based mother of two knows a lot Stress Rx about living a healthy life. In fact, it’s not her first “We live in such a go-go-go society that time in a nail-biting crime-solving role—for two Face Time we really need to “I am fortunate that my years she played former special agent Caitlin “Kate” take the time to stop, aunt is a facialist, so Todd on NCIS. She’s also been in films ranging from rest, and relax. I try to from a very young age I Mission: Impossible III to He’s Just Not That Into You, meditate for five minutes

reative C rop/ C reative right: top from clockwise ugust; learned how to take care in the morning. It might A and she stars next in The Girl From Nagasaki, which just be breathing—taking of my skin. She gave me premiered at the 2013 Cannes Film Festival. A one great piece of advice: careful deep breaths ‘Don’t touch your face.’ former dancer and ice-skater, Alexander, 40, shares and slowly assessing That tip helped me avoid her best tips for keeping herself strong— how I feel and entering

on F lood/ D on center: so many breakouts.” inside and out.—Liz Krieger my day.”

JAN/FEB 2014 9 W ebMD.com The New WebMD App for iPhone Personalized healthy living tips and info that you want plus the health tools that you need.

• Daily mini-magazine based on your healthy interests • First-aid essentials on the go • Local doctor, hospital and pharmacy finder living Cold healthy Play Forget the flurry of the holidays and embrace the new year 12 Women’s Health How to make resolutions that stick

13 Men’s Health Four health habits you need to develop now

14 Mind Matters Does your partner really listen?

15 Work It Out Learn why and how to delegate

00

EXPERT TIP “Tk.”“Find—Tk a motivation that matters to help you stick with your resolution. I didn’t have motivation to lose weight until my daughter got involved and we did it together.”—Sang-ick Chang, MD, MPH

Photograph by Gary John Norman/Getty Images JAN/FEB 2014 11 W ebMD.com living healthy

WOMEN’S HEALTH Shift Change Want to stick to your New Year’s resolutions this year? Science tells you how

By Colleen Oakley

On Jan. 1 every year, when many Americans are busy washing out Champagne flutes and sweeping up confetti, they’re also vowing to be a dif- ferent, changed person in the new year. A skinnier, healthier, richer person, who maybe drinks less Champagne and sweeps more. It’s easy to envision this person—but much more difficult to become her. According to a recent University of Scranton study, while 45% of Ameri- cans make New Year’s resolutions, only 8% of that group keep them. Why do so many not succeed? Because they’re doing it wrong. That’s what Charles Duhigg, MBA, author of The Power of Habit: Why We Do Stick to It! with a co-worker instead. Is it the nico- What We Do in Life and Business, found Once you’ve begun your New tine fix? Try a double shot of espresso to Year’s resolutions, keep them when he dug deeply into the science of going with these science- emulate the same rush. how we form habits—and what we can backed tips. You don’t plan for failure. “A lot of do to change the ones we don’t like. people go into resolutions with an all-or- Surround yourself with like- There are three main reasons resolu- nothing mindset, which can turn small minded people. If your resolution tions fail to stick, says Duhigg. is to run a marathon, join a failures into huge failures,” Duhigg says. You aren’t specific. If you want running group. Or if you want to If you’re trying to lose weight, one devia- to lose weight or save money, it’s not lose weight, spend less time with tion from the plan (say, a piece of cake enough to just say, “I want to lose 20 friends who scarf burgers and beer on a stressful day) may trigger a massive pounds” or “I want to save $5,000” this on a regular basis. A University of binge because, hey, you already fell off Georgia study found that people year. “Break down your big goals into tend to mimic the behavior of the wagon, so why not? small, specific goals,” Duhigg says. For those around them—whether it’s Instead of this all-or-nothing mind- example, decide that you’re going to eat good or bad. set—such as cutting out all sugar from granola and a banana instead of a Dan- your diet immediately—try to implement ish for breakfast. Or that you’re going Reward yourself—often. Did gradual changes, like skipping your late- to save $20 a week by not buying your you go to the gym every day this night snack or your after-dinner cookie. week? Have a mini-celebration by daily latte. treating yourself to a pedicure. “If you can plan a response for your You don’t address the roots of “That sense of self-satisfaction failures,” Duhigg says, “then the weeks your bad habits. “One of the best ways or patting yourself on the back is that you don’t make progress or that you to establish a new behavior is to identify really powerful,” author Charles deviate from your plan won’t derail you g es Duhigg says. But don’t wait what’s triggering your bad behavior,” from your long-term goal.” Im a ow

until you’ve accomplished your l /G Duhigg says. “And then come up with ultimate goal before rewarding a similar reward.” Why do you take a yourself. “If the reward is too Reviewed by cigarette break every morning? Is it to Patricia A. Farrell, PhD far off, it may not have the same WebMD Mental Health Expert stretch your legs? Take a short walk motivating effect.” d Barrau Martin

W ebMD.com 12 JAN/FEB 2014 Check out Muscle Building Moves for Men, the No. 1 slideshow on WebMD’s Men’s Health channel. .com

MEN’S HEALTH from webmd.com Q &A Year Won “I always feel pulled in many Make these Four healthy habits directions at once, Your New Year’s Resolutions yet I know that I need to reduce By Matt McMillen stress. What can I do to keep focused in the face of so many demands?”

David A. J. Ripley, 44, computer and networking systems engineer, Bloomington, Ind.

EXPERT’S ANSWER “Reducing stress and staying focused are intertwined goals. Start by making realistic, attainable goals. For example, resolve to practice deep relaxation daily. Publicly declare your It’s a new year and protect you against chronic Cut down on red meat. resolution. You’ll there’s no better time health problems, includ- “Men tend to eat too much be more likely to stick to it. Track to focus on your health. Start ing high blood pressure, red meat,” Chang says. “And your progress, with these four important heart disease, and diabetes. it’s the one dietary change and reward your habits, says Sang-ick Chang, “Stress reduction is abso- that would make a real dif- successes. Build in a healthy behavior MD, MPH, a clinical pro- lutely as important as diet ference in their health.” such as meditation ­fes­sor of general medicine­ at and exercise for your overall Limit burgers, steaks, that’s incompatible with stress. And Stanford School of Medicine. health,” he says. and other red meats to once if you slip, don’t Reduce stress. Chang Pick the right workout or twice a week. Load your quit—recommit. sees too many men run for you. “I see a lot of knee plate with more veggies and Finally, think marathon, not 100- ragged by their careers and and back injuries from men fruit, too. yard dash. Prepare other demands. His pre- who think that exercise Protect your sexual for the long haul of a changed lifestyle, scription: Spend more time means doing what they did health. Chang says erec- not a quick fix with friends and family, when they were 18 years tile dysfunction is rampant that will burn out cultivate hobbies, and prac- old,” says Chang. among middle-aged and within a month.” tice some sort of reflective, Select exercises that you older men, but it doesn’t peaceful, and solitary activ- like to do and that fit into have to be. Among the big- ity, such as meditation. your lifestyle and sched- gest causes are high blood g es Relaxation can help ule. Something as simple pressure and diabetes, both John C. Norcross, as brisk walking for 30 to of which are preventable PhD, ABPP, author Reviewed by 40 minutes on most days and treatable. Get screened, of Changeology: 5 yan/Getty Im a yan/Getty Michael W. Smith, MD Steps to Realizing

y R y may be all you need to do, and if necessary, get treated WebMD Chief Medical Editor Your Goals and Resolutions A n d says Chang. as early as possible, he says.

JAN/FEB 2014 13 W ebMD.com living healthy

mind matters Hear, Hear Having trouble communicating? Here’s how to talk so your partner will really listen

By Leslie Becker-Phelps, PhD

You talk to your partner all the time, but do you truly communi- cate? A recent study suggests that you probably don’t. Researchers at the University of Chicago found that most married couples don’t communicate with their partners any better than they do with strangers. What gives? Scientists call it a closeness-commu- nication bias, meaning that because you feel so close to your partner, you overesti- mate how well you’re really connecting, and leave out the important details you just assume he or she knows about you. Couples who have been Next time you want more solid foundation. This helpful to say something together for a long time are to talk about something will help you keep your issue like, “I know you’re hav- also quicker to point out important with your part- in perspective and be more ing a hard time, but I’m flaws in each other, which ner—and you want him or caring in your delivery; and so tired that I can’t think can cause one or the other her to listen—try the follow- it will help your partner to straight now. Can we talk partner to feel attacked and ing strategies. listen less defensively. about this later, after I’ve go on the defensive. He or Begin with what you State what you want, rested, so that I can really she might do this by block- appreciate about your not just what you don’t be there for you?” ing the attack (saying some- partner. This isn’t about want. For example, tell- Be specific. Saying what thing like, “You don’t know lifting them up before you ing your partner to stop you want works best when what you’re talking about”) knock them down. Truly complaining does not tell you are specific. So, stat- or by leaving, physically or think about what you love him what you want him to ing, “I want you to show emotionally. The bottom about your spouse and your do. Are you telling him to me that you love me” is line is, one tunes the other relationship. By doing this always keep his struggles to less likely to get you what out. So instead of getting to and then communicating it himself or are you saying you want than saying, “It the root of important issues, to your partner, the two of this is not a good time for would really help me feel more may crop up. you will feel that you have a you to talk? It’s much more more loved if you’d give me a hug and kiss every night

EXPERT TIP when you come home.” g es “A lot of people think fighting is a sign of an unhealthy marriage, but it can actually be a good thing. Couples who express their anger to each other live longer than those who swallow negative feelings in order to Reviewed by Laura Martin, MD —Leslie Becker-Phelps, PhD keep the peace.” WebMD Medical Editor in Loo/Getty Im a Loo/Getty m in Benja

W ebMD.com 14 JAN/FEB 2014 work it out

Task Master from webmd.com Handing off work isn’t always easy. But good management requires delegation Q &A “Recently, I served By Stephanie Watson as project director for an industry event. After I delegated an A big project has landed on your desk, important task, it and now you’re contemplating the wasn’t completed as I’d asked. How hand-off. You need to delegate, but for many can I address managers, relinquishing responsibility is delegation gone bad and ensure easier said than done. that the next People who struggle the most with del- project gets done egation are those Donna Genett, PhD, calls correctly?” “star performers.” “We’re still used to being

“Your ability to move up to bigger John Paolin, 45, vice president of and better things is going to depend marketing and corporate communications, Hill on your ability to hand off tasks.” International, Marlton, N.J.

the performer and the doer. That makes it very difficult to shift from us getting the EXPERT’S results and recognition to giving it off to ANSWER someone else,” says Genett, an organization “At the end of the development consultant who wrote the book process, you have a debriefing. You on delegation, If You Want It Done Right, You circle back with Don’t Have to Do It Yourself! the person you No matter how much you may dread del- delegated to and talk about what egation, it’s an essential management skill— went well and one you must master in order to climb the what didn’t go well. During that corporate ladder, Genett says. “Your abil- conversation, revisit ity to move up to bigger and better things the steps of the process to see where is going to depend on your ability to hand the disconnect off the ‘lower-level’ tasks and projects con- everyone stays on track. You can taper off occurred. Unless suming your time.” She says all managers the meetings once you’re sure the work is you understand that, you won’t have can learn to delegate, once they’re willing to being handled to your satisfaction. the confidence or step out of the limelight and give their direct Convey your trust by staying engaged the trust to delegate to that person in the reports the chance to shine. throughout the process. Ask questions like, future.” So how do you master the fine art of del- “Do you understand what we’re trying to egation? “The biggest suggestion I can make accomplish?” and “How is the project going is for people to understand that delegation for you?” is a process, not an event,” Genett says. In “When you do that, you’ve shown that Donna Genett, PhD, other words, don’t hand off the project, walk you’re invested in what they think and what president, GenCorp g es away, and forget about it. Start the pro- they feel, and you’re connecting with them Consulting and author of If You Want It Done cess by telling the person exactly what you on a ­person-to-person level, which tells them Right, You Don’t Have

/Getty Im a /Getty expect, and then asking him or her to para- you care,” Genett says. “The more important to Do It Yourself! phrase what you’ve requested to avoid any they feel, the more engaged and interested confusion. they’ll be in working with you.” And you’ll be less likely to need to pick up the pieces of Reviewed by Patricia A. Farrell, PhD Once the project is under way, schedule WebMD Mental Health Expert er Gou ld h er Ch ristop regular “checkpoint” meetings to ensure a project gone wrong.

JAN/FEB 2014 15 W ebMD.com 17 You Asked Expert tips for a.m. and p.m. routines

19 Your Smile Why you need mouthwash

Wonder Ye a r It’s a new year, new you—time for a new routine

EXPERT TIP “When it comes to mouthwash, don’t skimp on swishing: Gargle for at least 30 to 45 seconds.”—David Hershkowitz, DDS

Photograph by Image Source/Glow Images JAN/FEB 2014 16 W ebMD.com healthy beauty You Asked Clock Work Get beautiful skin day and night with these expert tips and product picks

By Ayren Jackson-Cannady

from webmd.com Q &A “How and how often should I clean my makeup brushes?”

Elissa Taylor 24, administrative assistant, Silver Spring, Md. Protection Plan Eye Prize A.M. ritual: CeraVe AM Facial Moisturizing P.M. ritual: Aquaphor Healing Ointment Lotion with SPF 30 ($13.99) “Nothing is ($5.49) “The thin skin under the eyes EXPERT more important than sunscreen to prevent is prone to developing irritant reactions, ANSWER aging. However, to maximize its youthful which may exacerbate fine lines and appearance, hydrating the skin is essential. discoloration. Try to use products very “Cleaning your This product is full of ceramides, essential fats sparingly. I like using ointments such as this personal makeup that are produced naturally by the skin.” one in the eye area to moisturize the skin.” brushes every two to four weeks is a good idea. In a shallow bowl, dissolve two squirts of shampoo in a few tablespoons of warm water. After rinsing the brush— bristles down—under running water, swirl the brush in the shampoo mixture to loosen the makeup. Run the brush under running water again until the water runs clear. Squeeze out the excess water and reshape the brush with your fingers. Place brushes on a towel to dry overnight, elevating the handles with a Bar None Smooth Move couple of magazines A.M. ritual: Dove White Beauty Bar P.M. ritual: RoC Retinol Correxion Deep to make sure any ($3.59) “Morning showers should involve Wrinkle Serum ($22.99) “Retinoids help remaining water a moisturizing body wash or bar, and you increase collagen production while reducing doesn’t seep back should lather up only on areas that need fine lines and discoloration. Retinol, into the handle.” cleaning. Use lukewarm water; very hot available in many over-the-counter products water removes the natural protective such as this one, is a weaker—but still lipids from the skin.” effective—version.”

the opinions expressed in this section are of Maysoon Faraj Inderjit S. Chabra, MD the experts and are not the opinions of WebMD. makeup artist, dermatologist, Dakota Dunes, S.D. WebMD does not endorse any specific product, service, or treatment. New York City

W ebMD.com 17 JAN/FEB 2014 Aisle Do PRODUCT PICK Laura Mercier Tinted Moisturizer Broad Spectrum SPF 20 ($43)

EXPERT Wash Cycle Dramatic Act Lisa M. Donofrio, A.M./P.M. ritual: Neutrogena Ultra Gentle P.M. ritual: Clinique Dramatically Different MD Hydrating Cleanser ($8.99) “This cleanser is Moisturizing Lotion ($26) “I love that this associate clinical professor of mild, soap-free, and suitable for all skin types— moisturizer comes in different formulas for dermatology, Yale sensitive, irritable, normal, and oily. It works your skin type—gel for oilier skin, lotion for School of Medicine great to hydrate and cleanse the skin in the normal skin, and cream for dry skin. It’s a great morning or at night after makeup removal. Use all-around moisturizer that maintains optimal one small pump on damp skin, massage 30 moisture balance to improve fine lines and “Give tired winter seconds, and rinse with lukewarm water.” optimize the skin’s protective lipid barrier.” facial skin a sum- mer glow with this tinted moisturizer. The ultra-light skin enhancer contains sodium hyaluronate to hold moisture in the skin and a broad-spectrum SPF 20 sunscreen to protect skin from the sun’s winter rays (be sure to re-apply if you’re in direct sunlight for more than two hours). It comes in many sheer shades, from creams to bronzes. For a Glow Getter Neck Point dewy, fresh look, A.M. ritual: Jergens Natural Glow Firming Daily P.M. ritual: Vichy Neovadiol Gf Night apply with finger- Moisturizer ($8.99) “Glowing skin is associated Densifying Re-Sculpting Care ($50) “I’ve been tips and go. This with youthfulness, but tanning puts you at using this for a month, and I’m already noticing versatile product greater risk of premature aging and melanoma. changes. It targets areas affected by aging can also do double This two-in-one product moisturizes while and moisture loss, helping firm the jawline and duty as a primer giving you a light tan without the smell.” neck area. Apply a dollop in an upward circular under a heavier motion, massaging until it’s absorbed.” foundation or a higher-SPF Lisa DaSilva product.” paramedical esthetician, The Miami Institute Reviewed by Karyn Grossman, MD for Age Management and Intervention WebMD Skin Care Expert

CeraVe AM Facial Moisturizing RoC Retinol Correxion Clinique Dramatically Shopping List Lotion with SPF 30 Deep Wrinkle Serum Different Moisturizing Lotion Take a photo Dove White Neutrogena Ultra Gentle with your Beauty Bar Hydrating Cleanser Vichy Neovadiol phone! Gf Night Densifying Aquaphor Healing Jergens Natural Glow Firming Re-Sculpting Care Ointment Daily Moisturizer

JAN/FEB 2014 18 W ebMD.com healthy beauty

YOUR SMILE from webmd.com Q &A Rinse Cycle “Are sugar-free candies a bet- You brush and floss. Here’s why you should ter option than add mouthwash to your daily dental routine sugary ones, at least for avoiding By Liz Krieger cavities?”

Dentists will never stop touting the importance of brushing and flossing at least twice a day, Marjorie Korn, 29, editor, but now there’s a third key New York City player in the game: mouth- wash. In some cases, that colorful stuff sitting on your EXPERT’S ANSWER sink could help keep you out “Yes. Suckers, of the dentist’s chair. gummies, and lollipops leave behind pieces of Rinse after brushing so the sticky stuff that stay lodged in your teeth and ingredients can sink into your teeth allow bacteria to breed. You can instead of being brushed away. avoid this with sugar-free candy, but remember Many dentists suggest three things. using an antibacterial You still run the risk of sticky mouthwash (also known as candies yanking antimicrobial or antisep- out fillings or tic) after brushing, which other dental work. They can research shows can help also cause cracks reduce plaque and gingi- in your teeth, especially if you vitis. “Adding an antimi- tend to chomp. crobial mouthwash to the and keeping those spots But remember, mouth- And finally, a recent study routine can be especially from ever getting bigger or wash should never be the found that sugar- helpful for those who are going any deeper.” star of the show. “It can free candies a bit more prone to plaque Mouthwashes intended be all too easy to give a often have more acidic additives buildup and tooth decay,” to simply freshen up sour quick gargle and feel oh than regular ones says David Hershkowitz, breath most often contain so minty fresh. But that’s that can erode your teeth. If you DDS, clinical assistant pro- minty flavorings such as not the same as actually crave something fessor at New York Univer- menthol as well as chlorine clean,” Hershkowitz says. sweet but want sity College of Dentistry. and zinc, which neutralize Rinse after brushing so to go sugar-free, your best bets People with less severe the sulfur compounds that the ingredients can sink are nonacidic decay issues may benefit lead to the unsavory smell, into your teeth instead of flavors such as peppermint, most from a fluoride-based says Hershkowitz. being brushed away. Also, spearmint, or rinse, says Hershkowitz. For people with dry limit use of antibacterial butterscotch.” “The fluoride goes in and mouth—a side effect of some mouthwashes, especially actually helps the tooth medications—special formu- alcohol-based ones, to just I mages

rebuild itself, repairing the lations loosen the biofilm (a a few times a day. Because w early stages of tooth decay fine, sticky layer of bacteria) they kill both good and bad Timothy Chase, that can develop when you bacteria, they can leave you o c k/Glo

DMD, cosmetic dentist, st Reviewed by Eric Yabu, DDS o don’t have enough saliva to susceptible to fungal infec- New York City

WebMD Oral Health Expert act

stave it off. tions if used too often. Ex

W ebMD.com 19 JAN/FEB 2014 FREE APP Keep Track Every Day, Until That Special Day The NEW WebMD Pregnancy app for iPhone gives expectant moms all the info they seek when they need it, easy-to-use tools to help her get organized, plus a pregnancy journal to capture those precious memories.

Download it FREE today. family & parenting

23 Pregnancy What to avoid to prep for baby

24 Kids’ Health Tips for solving bedwetting woes

25 Pet Health Breaking bad habits for good

pregnancy Kid Stuff Soleil Moon Frye, the girl we knew as “Punky Brewster” in the ’80s TV sitcom, is a soon-to-be mom of three, EXPERT TIP “If your child suddenly starts wetting the bed author, and business owner after being dry, it could be a sign that something By Lauren Paige Kennedy is troubling him, like bullying at school or upheaval at home.”—Amalia Guardiola, MD

Photographs by Meeno JAN/FEB 2014 21 W ebMD.com family& pregnancy parenting Three to Be

You’re finishing your third trimester—and due any day now! How are you feeling? I’m good! I’m definitely juggling it all, what with two kids, which is a lot while being pregnant. But I’m very excited. We’re having a boy [husband is pro- ducer Jason Goldberg]. I confess I’m in total shock.

Will your parenting approach with a son be different than with your daughters, Poet, 8, and Jagger, 5? I have no idea. I’m so used to having girls. I’m asking my friends who have boys what to do with all that energy.

With the recent release and promo of your second book, Let’s Get This Party Started: DIY Celebrations for You and Your Kids to Create Together, how do you take care of yourself? I’ve tried to be as healthy as possible. But my cravings were carbs, donuts. I’ve been going at an insane pace while on this book tour. I’m running myself ragged. But I figure soon enough I’ll be home!

How did you come up with the idea for the book? My girls and I love to throw parties and do crafting projects. We wanted to create fun crafts at home that are both doable and accessible. The book was a family affair. My brother is the photog- rapher, and my kids are on the pages as are my friends. It was a labor of love.

What’s your biggest challenge? I’ve had to learn how to be a juggler. My focus is my little ones. I’m so fortunate because I design my projects with them, Soleil and we have a blast. But the challenge Moon Frye hosts Home Made is to balance it all and take risks at the Simple, which same time. Sometimes it’s scary, but I airs Saturdays on OWN. Read the full tell myself to go ahead and go for it and Q&A with to follow my dreams. Soleil Moon Frye in our free Reviewed by Hansa Bhargava, MD iPad app! WebMD Medical Editor

W ebMD.com 22 JAN/FEB 2014 500+ convos in WebMD’s Pregnancy Community

PREGNANCY Prep School Getting ready for baby? Say bye-bye to these four things before and during pregnancy

By Stephanie Watson

The moment you see a including low birth weight, plus sign or pink line abnormal facial features, a on the pregnancy test, you small head, and developmen- know you’ve got to make tal delays. “I think we should some life changes. Think of err on the side of protecting these not as sacrifices but as the baby’s development as self-improvements. much as we can,” she says. “Anticipating pregnancy or Avoid a java jolt. You may becoming pregnant is a great need your morning cup of time to turn over a new leaf,” joe to get you going, but try says Siobhan Dolan, MD, to stop there. Not only can MPH, professor of clinical too much caffeine increase obstetrics and gynecology your blood pressure, make and women’s health at Albert you feel jittery, and interrupt Einstein College of Medicine your sleep, but it also reduces at Yeshiva University and blood flow to your baby. an attending physician at Experts say 200 milli- Montefiore Medical Center grams of caffeine a day (the in New York City. equivalent of a 12-ounce mug Be a quitter. It would take of coffee) is fine. Just watch a whole book to chronicle all for other dietary sources of the harms of smoking. Ciga- caffeine—soda and choco- rette smoke contains thou- late—so you don’t inadver- sands of toxic chemicals, tently consume too much. which deprive your baby of Be med-smart. Some oxygen and increase your drugs should stay in the risk of miscarrying or having isn’t always easy. “Smoking harm in having a drink or medicine cabinet until after a baby born prematurely, at is an addiction,” says Dolan, two a week during pregnancy. you deliver. Others—such as a low weight, or with birth author of Healthy Mom, But Dolan says that because some over-the-counter pain defects. Babies of moms who Healthy Baby: The Ultimate alcohol is toxic to a develop- relievers and cold medi- smoked during pregnancy Pregnancy Guide. She advises ing baby’s brain, there’s no cines—might be fine as long are more likely to die of sud- getting support from your truly safe threshold. as you get your doctor’s OK. den infant death syndrome doctor to help you quit. Studies show even a small Don’t avoid medicines that or to develop asthma. Bid adieu to booze. You amount of alcohol can cause you need to treat a health The reasons for quitting might have read about a fetal alcohol syndrome—a condition such as high blood are obvious, but the path recent study that found no cluster of health effects pressure or epilepsy. Work with your doctor—ideally, before you get pregnant—to s I mage y EXPERT TIP determine which drug will be “It’s really hard to be pregnant. Go easy on yourself. During my safest, Dolan says. pregnancy I was an OB/GYN resident working long hours. The message I tried to give myself was that I was doing the best I could for my baby. Reviewed by Nivin C.S. Todd, MD ett r n/G Alco J y There’s a certain peace that comes with that.”—Siobhan Dolan, MD, MPH WebMD Pregnancy Expert T err

JAN/FEB 2014 23 W ebMD.com Make it to dry land with Coping With Bedwetting: Your Step-by-Step Guide, a top slideshow at the Health & Parenting Center. family& parenting .com

KIDS’ HEALTH Dry Ideas Have a bed wetter on your hands? Make for better nights with these tips

By Gina Shaw

Is your elementary school child still wetting the bed some nights? One in five kindergarteners, and one in 10 7-year-olds, wakes up with wet sheets at least twice a week. Most kids eventually overcome bedwetting on their own, but in the meantime, it’s no fun for anyone—not the exhausted parents changing yet another set of linens, and certainly not the child who feels like a baby and wor- ries about going to sleepovers.

“Don’t take away privileges or discipline as you would do for disobedience.”

What can you do? First, don’t pun- ish or shame your child. “Talk with him about working on this, but don’t take away privileges or discipline as you would do for disobedience,” says Amalia Guardiola, MD, assistant professor of pediatrics at the University of Texas– Good Night “Many kids are walking around con- Houston Medical School. Amalia Guardiola, MD, stipated because of poor diet, because suggests parents try this 1-2-3 Why do some kids wet the bed? Here’s formula to put a stop they’re uncomfortable defecating in one possibility to consider: constipation. to bedwetting. school restrooms or other places, or for Steve J. Hodges, MD, associate professor many other reasons,” Hodges says. “It’s of urology at Wake Forest Baptist Medi- Limit evening drinks. “Between an easy fix.” 6:30 and 7, stop all liquids for the cal Center and author of It’s No Accident: day—no water, no milk, no juice. If After seeing X-rays of dozens of bed- Breakthrough Solutions to Your Child’s you’re still having trouble, push it wetting kids with backed-up colons, Wetting, Constipation, UTIs, and Other back to 6 p.m.” (Have your child Hodges knew he didn’t want to go Potty Problems, believes many cases of drink more during the day through that with his own children. “My bedwetting are caused by constipation— to compensate.) second daughter had toilet trained at even in kids who don’t appear to have Take your child to the bathroom 3, but she was still wetting the bed,” he trouble going No. 2. immediately before going to bed. says. Hodges treated her constipation In a study of 30 kids treated for with a mild laxative, which helped. Be

bedwetting, he found that all had large Set an alarm for around the time sure, however, to talk to your pediatri- s I mage y amounts of stool in their rectums, even your child tends to wet the bed. If cian before giving your child a laxative. he sleeps right through the wetness, though most had normal bowel habits. try around 1 a.m. Wake your child at Reviewed by Roy Benaroch, MD Treatment with laxatives cured bedwet- that time and take him to ett Mo rri son/G WebMD Kids’ Health Expert

ting in 83% of the kids in three months. the bathroom. m To

W ebMD.com 24 JAN/FEB 2014 PET HEALTH Breaking Bad A behavioral expert explains the secrets to stopping your dog’s obnoxious habits

By Sonya Collins

Sure, he’s your best friend. But even your best friend has some habits you could live without. You try to get him to stop, but your efforts may encourage your dog’s bad behavior, not curb it. Try these tips instead.

Barking as barking, Beaver says. You can fill food Scratch pad You’re relaxing on the sofa after a long day, puzzles with treats that a dog may work for Want your cat to until your dog breaks the silence with a stop scratching hours to retrieve. The dog is entertained— piercing bark. Then another. He won’t let up. the carpet? Bonnie and he can’t bark. Beaver, DVM, has the So you call him over and pet him to distract solution. him from barking. Jumping If you think that will keep your dog from Consider the source. Every time you walk through the front door, repeating this scenario again and again, Give your cat a your dog jumps up to lick your face, planting you’re barking up the wrong tree. “When scratching surface paw prints all over your clothes. So you stop similar in texture to the we respond by giving the dog attention, we surface she prefers. If and pet her, while pushing her off. reward him,” says Bonnie Beaver, DVM, a she likes the carpet, While you think you tell your dog “no,” veterinary behaviorist and professor at Texas she may prefer a paying her any attention at all says “yes.” A&M University College of Veterinary Medi- horizontal surface “We’re pushing, we’re interacting with them, cine and Biomedical Sciences. rather than a post. which is what they want,” Beaver says. “If If you want to minimize barking, don’t Provide alternatives. you stood straight as a rod, looked forward, respond. Instead, try to identify the trigger Put toys, treats, or and said ‘no’ or turned your back to them, and downplay its impact. You may neutralize catnip on top of the that is no attention. That’s the way to do it.” outside sounds with white noise machines, scratching post or Or continue to walk into the house and TV, or static on the radio. Or you can keep surface, which will straight into the dog. “It throws them off bal- help your cat learn the dog in a part of your home where he to prefer those ance, and you’re not giving them attention,” won’t hear those sounds, such as a back bed- scratching tools. Beaver says. “Even eye contact is a reward. room. This may be a good plan if neighbors Just keep walking, look straight ahead, and complain about barking while you’re gone. Create a scratching don’t touch them.” Dog owners often feel guilty about keep- space. Confine your If your dog will sit on command, ignore the cat with her scratching ing their pet in a crate or confined to one carpet or post to a jumping and say only “no” and “sit,” Beaver room of the house, but Beaver says dogs small carpeted area recommends. When the dog sits, you can don’t mind at all. that you cover with a pet her. “They’ll learn that the way to get s I mage y Another strategy is to give your dog some- plastic office mat. attention is by sitting and eventually sit by thing to do that he can’t do at the same time themselves. It really doesn’t take very long if Give them a trim. Clip your cat’s nails to you’re consistent,” she says. “Even when visi- ett D iederi c h /G Reviewed by Will Draper, DVM reduce some of the tors come, someone has to be there to tell the WebMD Pet Health Expert

D ia n e damage of scratching. dog to sit.”

JAN/FEB 2014 25 W ebMD.com take the lead in your health Goodbye cold & allergy symptoms. Hello savings. YourHealth 546 equate® 47 NiteTime Cough, DayTime Cold & Flu, 3 equate® or NiteTime Cold & Flu Flu & Severe Cold • 12 fl. oz. & Cough Packets • 6 Packets 400 equate® Allergy Relief Diphenhydramine HCl 25 mg 94 • 100 Tablets 3 equate® Children’s Ibuprofen Oral Suspension 82 (all flavors) 2 • 4 fl. oz. equate® 98 Fast Acting 11 Nasal Spray equate® Phenylephrine HCl 1% Allergy Relief • 1 fl. oz. Cetirizine Hydrochloride Tablets, 10 mg • 45 Tablets

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Jan/Feb 2014 YourHealthINSIDE expert tips & smarts from

Heart Health Boosters Family Fitness Resolutions Healthy Wellness Exams You Need Moves How star dancer Mark Ballas gave up smoking for good

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ear Walmart Shopper, I hope your 2014 is off to a wonderful Take charge Dstart! Thank you for picking up this copy of “Take the Lead in Your Health” from your Walmart Pharmacy. We are honored to have of your diabetes AND you in our store today and look forward to helping you kick off your new year. This issue is full of information to your budget with help you start new Smoke Signals P. w9 healthy habits—or to Struggling to quit smoking? Dancing With the help strengthen the healthy habits you Stars competitor Mark Ballas knows how ReliOn® Prime difficult it is. He’s using what he learned to already have. One article, in particular, help others kick the habit. focuses on tips to help you stop smoking. One of the P. w5 FAMILY FIRST Making changes is easier when you’ve best tips I can share got a support group. Get your entire about quitting is to encourage you to stop by family involved in New Year’s health today and talk to one of our pharmacists, who and fitness resolutions. can help you pick out a quitting option that’s right for you and one that is available at our everyday low prices. You will find a number of other great P. w7 pump it up Your heart needs to be strong to do its articles in this issue. I encourage you to job right. Keep your ticker in top shape * take a look, and if you have a question with these heart-healthy strategies. • Proven accuracy about anything, connect with our Walmart pharmacists. They are always available to help. • No coding required Have a great 2014! Sincerely, P. w13 screen test • Downloadable Annual checkups are key to your health and well-being. Here’s a checklist of • Fast test time (7 seconds) the exams you and your family need. * Data on le Paul E. Beahm Senior Vice President, Health & Wellness P. w15 vitamin see Thinking about taking supplements? Learn what you need to know about Talk to a Walmart pharmacist or call 1.855.776.0662 effectiveness, safety, and how to choose the right one for you.

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JAN/FEB 2014 W4 YourHealth health information from Family First Get your entire family involved in New Year’s health and fitness resolutions

By Stephanie Watson Reviewed by Brunilda Nazario, MD, WebMD Lead Medical Editor

ach January 1, plenty of people sit down and Ecome up with a list of resolutions they vow to check off by year’s end. But who said New Year’s resolutions have to be a solitary endeavor? “Lifestyle changes are always easier to do with a support group than by yourself,” says E.J. Mayeaux Jr., MD, professor and chair of the Department of Family and Preventive Medicine at the University of South Carolina School of Medicine. “What bet- ter support group than your family?” Everyone in your household could probably benefit from some lifestyle improvements. To avoid resistance when recruiting your spouse and kids, adopt resolutions gradually. Take small steps instead of huge leaps to ensure your whole family is still on track next January.

Graduated Diet Stripping every burger, slice of pizza, and dish of ice cream from your family’s diet is unrealistic. “It’s hard to go with an absolute,” Mayeaux says. Instead, he suggests making smaller adjustments. Replace beef burgers with lean ground chicken or soy patties, and swap whole milk for 2%, then 1%. Clean Team Washing your hands is one of the best ways to pre- Work-Free Workouts vent your family from getting sick, Mayeaux says. Get more How to get everyone off the couch? “The trick Set up hand-washing stations around the house, and healthy living is not doing exercise, but doing stuff that’s fun,” reward kids with points and stickers for scrubbing tips and info at Mayeaux suggests. Find activities the whole family up. While you’re focused on germ prevention, make webmd.com/ loves, such as roller-skating, hiking, or playing sure every family member has received all recom- askthepharmacist softball. The chosen activity doesn’t matter, as mended vaccinations, including the flu shot. long as you do it several times a week to increase everyone’s fitness level. Down Time Sleep is a commodity most of us are short on. To Safety Monitor help everyone in the family sleep better, establish Children love to boss people around, so put the a wind-down routine. About a half-hour before kids in charge of family safety. Let your micro- bedtime, turn off all electronics and gather managers make sure that everyone wears sun- everyone on the couch for some quiet reading screen, buckles up in the car, uses bicycle helmets, time. “The evening should be a time to relax,” and puts on safety gear before playing sports. Mayeaux says. Gr a h m Oliv e r/Gl o w I age s This content is selected and controlled by WebMD’s editorial staff and is funded by Walmart.

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NUTRS003_WALMART_YourHealth_AD_FNL.indd 1 11/4/13 10:30 AM YourHealth health information from Pump It Up Your heart is your most important muscle. Learn how to keep it in shape

By Stephanie Watson Reviewed by Arefa Cassoobhoy, MD, MPH, WebMD Women’s Health Expert

t the gym, you hit the weights to trim and tone Amuscles everyone can see—biceps and triceps, abs and hamstrings. But what about muscles you can’t see, like the all-important one hidden just behind your breastbone? Without a strong heart to pump oxygen-rich blood to your cells and organs, bulging biceps are irrelevant. To keep your heart in fighting form, you don’t need expensive gym equipment or a beefy trainer. Just add these strategies to your daily routine.

Revamp Your Eating Regimen Eating right can trim you down and reduce strain on your heart. Instead of dwelling on individual foods such as eliminating sugar, adopt a healthy eating pattern, says Lori Mosca, MD, MPH, PhD, director of preventive cardiology at New York- Presbyterian Hospital and professor of medicine at Columbia University Medical Center. Start with a healthy breakfast of protein and “good” carbohydrates (oatmeal, whole wheat toast). For the rest of the day, break your plate into quarters: one-quarter fruit, one-quarter vegetables, one-quarter lean protein (skinless chicken breast, Relax Away Stress fish), and one-quarter healthy carbs (brown rice, Though studies haven’t proven it causes heart whole wheat bread). Instead of adding salt, which disease, stress has been linked to increased blood can raise blood pressure, pump up the flavor with pressure and to artery damage—neither of which healthier alternatives like basil, garlic, and oregano. is good for your ticker. Plus, when you’re stressed, Get more you’re more likely to give in to unhealthy indul- healthy living tips and info at Get Realistic About Exercise gences—such as comfort food, cigarettes, and too webmd.com/ The heart, like other muscles in the body, needs much alcohol. You can’t erase stress, but you can askthepharmacist exercise. Working out lowers blood pressure and manage it with relaxation techniques such as bio- cholesterol, and helps get your heart risks under feedback, yoga, and meditation. control. Official guidelines suggest 30 minutes of moderate-intensity aerobic activity five days a week. Stamp Out Cigarettes Most, though, need to bump it up to 60 minutes just “Smoking has numerous toxic effects on the heart about every day to maintain or lose weight. and the rest of the body,” Mosca says. It increases But don’t think you have to spend that hour blood pressure and raises “bad” LDL cholesterol— chugging away on a treadmill. “It doesn’t have to be and that’s just the start. “The good news about the traditional kind of gym activity,” Mosca says. Do smoking is that the toxic effects and the increased what you love. Turn on music and dance, or walk heart disease risk are cut by 50% within six months the dog at a brisk pace. Just get moving. of stopping.” Dimitri Otis/G e tty I m age s This content is selected and controlled by WebMD’s editorial staff and is funded by Walmart.

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As we head into a new year, many of us will be making a resolution to start a healthy routine. Weight loss is often top of mind when it comes to New Year’s resolutions, and I would recommend Spring Valley Green Coffee Bean, Nutrisystem, and Atkins products to help. NicoDerm CQ, If you are looking to quit smoking, I would consider Nicorette mini Lozenge, using a nicotine patch such Nicorette Gum as NicoDerm CQ. Heart The right craving relief eases your body off health is also an important Atkins Frozen Meals, nicotine. And with three forms to choose part of a healthy lifestyle, Bars & Shakes from, you’ll make sure to get the kind of and I would suggest adding Make it easier to live a low-carb lifestyle. relief you need. Spring Valley Fish Oil to your diet for heart benefits and lower triglycerides. Stop by and talk to your local Walmart pharmacist for advice on keeping you and your family healthy.

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Longtime Dancing With the Stars com- and heart disease, but staying away whites and avocado or some savory petitor Mark Ballas recently kicked a from tobacco makes you much more turkey sausages with fresh fruit on the Signals habit that had hampered his moves for pleasant to be around. Just ask Ballas. side. “If I am performing that day, I years. The 27-year-old ballroom dancing “My clothes smelled awful, my breath definitely eat right,” he says. pro stopped smoking. “I just recently and my hands,” he recalls. “I hated the That doesn’t mean he never indulges. quit for good,” the two-time DWTS way it made me smell.” Ballas confesses one weakness in par- champion and Emmy-nominated chore- More important, now that he’s no ticular. “As much as I work hard to eat ographer says. longer polluting his lungs, he’s not laid healthy, every once in a while I do give Nicotine patches coupled with the low by the very moves that have made in to pizza.” social support offered by an online him famous. “If I smoked a lot, I felt Busy as he is with his dance career smoking cessation network helped, horrible after dance,” he says. “The as well as the music he writes and per- says Ballas, who’s a spokesperson for wheezing was too much.” forms, Ballas recognizes the importance Walmart’s Blueprint to Quit program. Off the dance floor, Ballas stays in of taking time just for himself. “When “It really inspired me to just go for it.” shape by doing loads of cardio exer- I’m not performing in any way, I’m done Online cessation programs, along cise and hitting the gym. He also likes for the day,” he says. He loves to travel, with nicotine replacements like gum to slow it down sometimes. “I love to but he’s equally drawn to the couch for and patches, can be an effective combo walk,” he says. “When I lived in Eng- an episode of AMC’s Breaking Bad or for would-be quitters, according to the land, we would walk everywhere, and it HBO’s fantasy drama, Game of Thrones. CDC. Prescription medications that was great. I try to keep that a big part of And on the ABC show, he values his don’t contain nicotine can also work. my life.” role as a teacher to his dance partners, But even with help, quitting smoking Because he relies so much on his who are not professional dancers and takes real effort. The rewards are worth body, he complements his exercise often need plenty of schooling. “The it, however. Not only does it dramati- habits with a healthy diet. For example, first thing I teach is not to be embar- cally lower your risk of cancer and lung he starts off his day with a plate of egg rassed and to be willing to go full out and make a fool of yourself,” he says. The best advice he gives them, By matt mcmillen though, also applies to anyone who wants to quit smoking: “Never give up.” Reviewed by BRUNILDA NAZARIO, MD, WebMD Lead Medical editor photogr a ph b y vi n c e trupsi This content is selected and controlled by WebMD’s editorial staff and is funded by Walmart.

W9 JAN/FEB 2014 QUIT SMOKING WITH A COMPLETE PLAN Get Back on Track that can add up to success Questions “If it worked for me, with a Walmart Pharmacist it can work for you. “ -Mark Ballas Erin Lori, Walmart Pharmacy Manager, Store 2611, Mount Pleasant, PA Emmy-nominated Choreographer, Dancer & Recording Artist Nicorette® mini Lozenge 81ct, $ 98 NicoDerm CQ 14ct, Q. My New Year’s Q. I just had a baby and ® ® 38 or Nicorette Gum 100ct resolution is to quit want to get back to my smoking, but I need fitness regimen. What help. What can I do? vitamins will give me energy? A. The decision to quit smoking is a big step in improving your overall health and A. It’s just as important to take care of well-being, so first I would like to congratulate yourself now as it was while you were carrying you! There are many choices to help assist you, the baby. Continue to maintain the balanced Find the vitamin that’s right Choose a Stop Smoking Aid including smoking cessation products like diet you were eating while you were pregnant. for you. Take our quick Select a product tried and tested nicotine replacement patches, gum, lozenges, You may want to continue the prenatal to help ease your body off nicotine. and sprays, as well as prescription medications. vitamin you were taking or start a woman’s survey for personalized With so many choices, it can be overwhelming daily vitamin to make sure you are receiving recommendations at to decide what’s best for you, so I recommend the required levels of calcium, vitamin D, and visiting your local pharmacist for monthly vitamin B. And remember, you should ease Walmart.com/VitaSelect. counseling sessions to review your therapy into a fitness regimen, especially if you’re and progress. starting again after having a baby. Q. My family wants to Q. How can my local Q. What are the exercise together and pharmacist help my essential vitamins my lose weight. How do family and me practice kids should take every we get started? a healthier lifestyle? day? A. I think it’s great that collectively as a A. A pharmacist can play a very important A. It’s important to remember that if your family you have decided to live healthier. This role in the self-care of you and your family, children already eat a balanced diet that Join the Quit Smoking Network can be a great bonding opportunity, so it’s from simply giving advice on your daily includes the daily recommended servings Get guidance and advice from experts and important to be creative and keep it fun. If vitamins and health needs to giving advice of fruits, vegetables, and dairy, they may not access an entire community of quitters. your family is new to exercise, you should start when your family is sick. By including your need a multivitamin. However, this is not out slow by exercising two or three times a pharmacist in your decisions, you will be always the case; so, when a vitamin is needed, week for 30 minutes; as you get into a routine, making healthier and more-informed choices it’s important to pick the right supplements the more you exercise, the better. As a family, about specific medications or over-the- for your child’s diet. I would recommend See Mark’s Quit Smoking Story at you can walk, swim, bicycle, play catch, or counter products. I would recommend visiting a complete vitamin that contains calcium, Walmart.com/Blueprint even do yard work together. I recommend your pharmacist monthly, whether it is during vitamin D, and iron. There are many choices for doing weekly weigh-ins and motivational a counseling session or even on a shopping different types of children’s vitamins available charts that can help keep you on track to trip, to get advice on the purchases you’re over the counter, so be sure to review them reach your goals. making for your family. with your pharmacist before deciding.

Your local Walmart Pharmacy employs pharmacists who are available every day to help you manage your health and wellness. The pharmacy not only carries branded prescription medications, but also offers a generic prescription program and low-cost diabetes supplies. Visit your local Walmart Pharmacy today. Walmart.com/Pharmacy You’ve never quit like this before.TM It’s important to take your medications as prescribed. Don’t miss a dose. Walmart can help you better follow the schedule. Ask your doctor about Walmart’s compliance packs today. Available for over 50 generic medications, and only at Walmart.

Mark Ballas is a paid spokesperson for GSK, but his story is his own. Doubles your chances of quitting vs. placebo. Use as directed. Behavioral support program increases chances of success. Many people require several quit attempts to stop smoking. These products are part of an Not a substitute for the diagnosis, treatment, and advice of a physician. Consult your doctor for guidance before changing or undertaking a new diet or exercise program. 8-12 week program. Blueprint to Quit® is a registered trademark of the GlaxoSmithKline group of companies. ©2013 GlaxoSmithKline Consumer Healthcare YourHealth health information from Screen Test Stay on top of your health year-round with this checklist of wellness exams you and your family need By Matt McMillen Reviewed by Brunilda Nazario, MD, WebMD lead medical editor

ave the date! Annual medical checkups are an Simportant part of your health and well-being plan for you and your entire family. They help iden- tify where you stand and involve some screening tests that can help catch problems early, so be sure to schedule regular checkups. Start with an annual physical for each member of your family. “You want to establish a baseline that covers your current health from stem to stern,” says Len Horovitz, MD, an internal medicine specialist and pulmonologist at Lenox Hill Hospital in New York City. A first-time visit to a new doctor will include a thorough discussion of your health his- tory plus some important tests, including: • Blood and urine tests to gauge the state of the liver, kidneys, thyroid, and cholesterol levels, as well as a host of other important health markers. • An electrocardiogram (EKG), which will give your doctor a quick look at the health of your heart. • A chest X-ray to gauge heart size, look for fluid in the lungs, search for masses, and more. • A discussion about your life, sleep habits, stress level, and general state of mind to identify potential disorders such as depression. health issues. As part of a thorough physical, • For men of all ages, most doctors agree that annual screening tests should include: checking a man’s testicles should be part of a gen- • High blood pressure (ages 3 and up) eral physical exam. • Obesity Beyond the general physical, regular medical • Depression (ages 12 to 18) tests are not one-size-fits-all. Your age, your gender, Eye exams are also a part of your family’s annual Get more your medical history, and any health problems that checkup. Both kids and adults should make regular healthy living run in your family will help your doctor determine visits to an optometrist or ophthalmologist, who tips and info at which are right for you and when you need them, will give a comprehensive eye exam and screen for webmd.com/ says Horovitz. For example: eye diseases such as glaucoma. askthepharmacist • Starting at age 40, women should get a mam- As a general guideline, your doctor will do a basic mogram every one or two years. eye exam and screening for vision problems during • A colonoscopy should be done every 10 years, each of your first-year well-baby visits. For the rest starting at age 50 (earlier if colon cancer runs in of your family, ask your doctor how often is best. It the family). Annual stool tests for colon cancer also will be at least every other year for those ages 18 to start at 50. 60, or every year if you’re older, wear contact lenses, Kids also need regular tests. They’re used to or have risk factors such as diabetes, high blood track a child’s development and to catch possible pressure, or a family history of eye disease. St e v D eben port/G e tty Im ages This content is selected and controlled by WebMD’s editorial staff and is funded by Walmart.

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Important information for AIR OPTIX® AQUA (lotrafi lcon B) contact lenses: For daily wear or extended wear up to 6 nights for near/far-sightedness. Risk of serious eye problems (i.e., corneal ulcer) is greater for extended wear. In rare cases, loss of vision may result. Side effects like discomfort, mild burning or stinging may occur. Important information for AIR OPTIX® AQUA Multifocal (lotrafi lcon B) contact lenses: For daily wear or extended wear up to 6 nights for near/far-sightedness and/or presbyopia. Risk of serious eye problems (i.e., corneal ulcer) is greater for extended wear. In rare cases, loss of vision may result. Side effects like discomfort, mild burning or stinging may occur. Important information for AIR OPTIX® for Astigmatism (lotrafi lcon B) contact lenses: For daily wear or extended wear up to 6 nights for near/far-sightedness and astigmatism. Risk of serious eye problems (i.e., corneal ulcer) is greater for extended wear. In rare cases, loss of vision may result. Side effects like discomfort, mild burning or stinging may occur. Important information for AIR OPTIX® NIGHT & DAY® AQUA (lotrafi lcon A) contact lenses: Indicated for vision correction for daily wear (worn only while awake) or extended wear (worn while awake and asleep) for up to 30 nights. Relevant Warnings: A corneal ulcer may develop rapidly and cause eye pain, redness or blurry vision as it progresses. If left untreated, a scar, and in rare cases loss of vision, may result. The risk of serious problems is greater for extended wear vs. daily wear and smoking increases this risk. A one-year post-market study found 0.18% (18 out of 10,000) of wearers developed a severe corneal infection, with 0.04% (4 out of 10,000) of wearers experiencing a permanent reduction in vision by two or more rows of letters on an eye chart. Relevant Precautions: Not everyone can wear for 30 nights. Approximately 80% of wearers can wear the lenses for extended wear. About two-thirds of wearers achieve the full 30 nights continuous wear. Side Effects: In clinical trials, approximately 3–5% of wearers experience at least one episode of infi ltrative keratitis, a localized infl ammation of the cornea which may be accompanied by mild to severe pain and may require the use of antibiotic eye drops for up to one week. Other less serious side effects were conjunctivitis, lid irritation or lens discomfort including dryness, mild burning or stinging. Contraindications: Contact lenses should not be worn if you have: eye infection or infl ammation (redness and/or swelling); eye disease, injury or dryness that interferes with contact lens wear; systemic disease that may be affected by or impact lens wear; certain allergic conditions or using certain medications (ex. some eye medications). Additional Information: Lenses should be replaced every month. If removed before then, lenses should be cleaned and disinfected before wearing again. Always follow the eye care professional’s recommended lens wear, care and replacement schedule. If you have questions, ask your eye care professional or contact at (800) 875-3001 or go to airoptix.com. Not everyone can sleep in lenses or wear lenses for a full 30 nights. Ask your eye care professional for complete wear, care and safety information. ©2013 Novartis 11/13 VCM13168TAD

VCM13168TAD_AOF_WebMD Ad.indd 1 10/29/13 1:51 PM YourHealth health information from Vitamin See Thinking about taking supplements? Get the scoop on what you need to know

By Sonya Collins Reviewed by Michael W. Smith, MD, Webmd chief medical editor

troll down the supplements aisle in your neigh- Sborhood drug store and you might think they could cure just about anything. Health care experts will tell you that food, not pills, is the best source of vitamins, minerals, and nutrients. But if you’d like to try a supplement for a particular issue, do your homework first. Here’s what you should know. Manage your expectations. No supplement is a magic bullet. “If you want a supplement to stop you from ever getting a migraine again, you’re going to be disappointed,” says Cydney McQueen, PharmD, clinical associate professor at University of Missouri-Kansas City School of Pharmacy. Some supplements, however, may improve symptoms or reduce certain medical risks. Ask a pharmacist if the supplement you’re considering has proven benefits for humans. Some have been tested only on mice. Others haven’t been tested at all. The FDA does not verify claims on labels of dietary supplements. Next, find out how long the supplement should take to work. While butterbur extract may bring medications, quality, contents, and dosages vary allergy relief within a few days, for example, glu- across brands. Look for brands that participate in cosamine sulfate could take two months to relieve quality verification programs, McQueen suggests. osteoarthritis pain. Don’t give up on a supplement Their labels will have “USP” or “CL” seals on them. too quickly, but don’t continue taking it for life if “Your next line of defense would be buying from it’s not helping you. a major manufacturer that also makes [over-the- Get more Form, dose, and brand matter. Once you’ve counter] drugs because they’re already in the busi- healthy living decided to give the supplement a shot, you’ll have ness of quality control,” McQueen says. “They’ve tips and info at webmd.com/ a staggering number of options. For starters, herbal got a lot to lose if they put out a bad product.” askthepharmacist supplements come in the form of both pure extracts Not all supplements are safe for everyone. and dried leaves ground and placed into capsules. “People have this idea that because supplements “If we have evidence that an extract works, that are natural, they’re always safe,” McQueen says. But doesn’t mean a capsule full of dried leaves works, supplements can pose the same risks as over-the- too,” McQueen says. counter and prescription drugs, including drug Ask a pharmacist which form and dosage interactions and side effects. researchers used when testing it on real people. Too Before starting a supplement, ask your doctor or small a dose may not bring any benefits; too large a pharmacist if it could interact with other medica- dose could cause side effects or even be toxic. tions or supplements you take. Also ask about pos- Choosing a brand can be tricky. Because the FDA sible side effects and dangers associated with your doesn’t regulate dietary supplements as it does particular medical conditions. vi d Mich ae l Zi mme r man /Glow Image s D a This content is selected and controlled by WebMD’s editorial staff and is funded by Walmart.

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13-WM-1020-AD-LAY.indd 1 11/21/13 11:55 AM greatBRITTON

Actor Connie Britton has been spending a lot of time in the spotlight lately. But the Nashville star is tuned in to one role in particular—living a healthy life

By gina shaw

PHOTOgraph BY Robert Ascroft/Cpi “I really think a lot about what I put into my body. I want to know where the things I eat came from.”

Mother Load Bringing home her son, Eyob, now nearly 3, from Ethiopia in 2011 forced Britton to focus even more intently on the importance of a Connie Britton healthy life. “I’m his whole world,” pays a lot more attention when she goes grocery she says. “It really does weigh heav- ily on me. I’ve really committed shopping these days. The Nashville star and four- myself to this person, and I’d better do a good job taking care of myself time Emmy nominee says that losing both of her so that I can be healthy for him and live a good long life with my son.” parents, in a painfully short period of time, to Welcoming Eyob, nicknamed “Yoby,” was bittersweet for Britton. different types of cancer served as a major wake- Her mom had died shortly after Britton returned from her first trip up call about her own health. to Ethiopia, traveling with a friend who was involved with orphanages in and around Addis Ababa. Single Britton’s mom, Linda Womack, a former music teacher, died of breast cancer in 2005, the year since her marriage to John Britton after Britton first appeared as football wife Sharon Gaines in the film version of Friday Night dissolved in the mid-1990s, Brit- Lights. Three years later, as Britton was turning Tami Taylor into an American feminist icon via ton had always thought she’d have the Lights TV series, her dad, Allen, an energy-company executive, passed away from anemia children “someday.” But the loss of related to myelodysplastic syndrome (MDS), a bone marrow disorder. In honor of her parents, her parents made her realize that Britton has donated her time to several breast cancer charities and served as Honorary National someday had come, and her affin- Walk Chair for the Aplastic Anemia & MDS International Foundation. ity for Ethiopia after that initial “It all got me really thinking about why we have cancer at what seems like almost epidemic pro- trip led her to choose African adop- portions in our country, particularly breast cancer in women,” says the 46-year-old Britton, who’s tion. Today, she’s the spokesperson also known for starring roles in Spin City and American Horror Story. “It makes me really think for the seven-nation African Chil- about living a life that is more actively healthful. I personally believe that there are a lot of things dren’s Choir, which honored her at that we’re dealing with environmentally—in our food, in the things that we use every day—that its ChangeMakers Gala this past have chemical components that are not in our best interests, and I’ve started paying a lot more November. attention to that. I really think a lot about what I put into my body.” “It’s a real bummer,” she says of More research is needed to pinpoint how and why various chemicals and other factors in the the fact that neither of her parents environment and our diets may affect a disease as complicated as cancer. An April 2010 report met their grandson. “I really wish from the President’s Cancer Panel suggests that pollutants play a bigger role in cancer than sci- that they could have known each entistsc previously understood and recommends people take precautionary measures such as other. It would have been so nice for ­filtering water, avoiding plastic containers (and never microwaving them), and choosing organic, him to have grandparents! And as a antibiotic-free food—all strategies Britton adopts. mom, now there are so many things “I want to know where the things I eat came from,” she says. (Despite reports that she’s a vegan, I wish I could have asked them.” Britton says she does eat meat sometimes; her favorite meal is salmon and vegetables.) “Do I shop Many new moms who, like Brit- organic? I absolutely do. I really pay attention to the way things are manufactured. I’m not saying ton, lost their own mothers years that any of these things, specific products or chemicals, cause these cancers, but I do think that living in a healthy way and feeling healthy perpetuates itself.” She’s also religious about regular Reviewed by Michael W. Smith, MD WebMD Chief Medial Editor mammograms and sonograms because her mother had breast cancer.

Photo by Robert Ascroft/Cpi W ebMD.com 44 JAN/FEB 2014 What you Connie should know before having a child themselves may feel a fresh wave of grief when their child is Son Shine Confidential focus on getting him together. Peo- born or they adopt. “Suddenly the new mother sees the world through the eyes of a Britton has worked to build a huge ple want to take pictures of me and Myelodysplastic At 46, Connie Britton has hair, mother and can identify with her mother in a way she couldn’t before,” says Hope extended family for herself and I feel like, ‘Blah, I have to remember skin, and a body that women Edelman, author of the bestseller Motherless Daughters and a follow-up book, Moth- Yoby. She’s close to Cynthia, her fra- to put on makeup!’” Syndrome 10 years younger envy. erless Mothers, about the experience of becoming a mother when you don’t have your ternal twin sister, and a collection of In that way, Britton says, she’s a What’s her secret? The disease that claimed the own mom. “With that comes the sadness of knowing that the mother’s not there to aunts, uncles, and cousins. “Family lot more like FNL’s Tami than cur- life of Connie Britton’s father, enjoy the child as their grandmother.” has become very important to me. rent character Rayna. “Even with myelodysplastic syndrome If you’re in that position, be kind to yourself, Edelman advises. “Understand that I really want him to feel a strong Know your body‘s needs. my career, my life is a lot simpler (MDS), is part of a group of this grieving is normal. And try to build your own network of experienced mothers sense of that. And even the people “I’ve developed bulging discs in my than Rayna’s life.” precancerous conditions you know who can give you that support you wish your mother could: your mother’s I work with on Nashville, they’ve back, and so I have really had to find Britton made headlines earlier that happen when the cells sister, an older sister of your own, friends with older children. These connections can become part of our family too, for exercises for those kinds of injuries,” this year when she partnered with of the body’s bone marrow be very important.” sure,” she says. Britton says. For her, that’s Pilates Planned Parenthood to support a are damaged. The American Yoby’s a fixture on the set of the and hot yoga. campaign against abortion restric- Cancer Society estimates show, where Britton plays ambitious tions in Texas, where Friday Night that about 12,000 cases of country legend Rayna James (the Get back to nature. “I love walking Lights was set, with a special-edition myelodysplastic syndrome role that recently earned her a fourth and hiking and anything outside,” T-shirt that read “WWTTD? What are diagnosed every year, Emmy nomination). “He loves to go says Britton. She’s fallen in love with Would Tami Taylor Do?” She says but experts say this estimate to the hair and makeup trailer with Nashville’s parks, especially Radnor her pro-choice stance hasn’t gar- may be low. Typical MDS me,” she says. “Everybody dotes Lake, an oasis of trails and wildlife in nered much criticism from her fans. symptoms include fatigue on him and does his hair, and then the heart of the city. “I have been very lucky about and shortness of breath he goes on set and he’ll sit with the that. We did an abortion story on during physical activity. director or one of the producers and Tweak your bad habits. “I tried to cut Friday Night Lights that was so well Leonard Tallman, MD, chief he’ll call ‘Rolling!’ or ‘Action!’” sugar out because if I have a little, I done that people on both sides of the of the Leukemia Service at And he’s a big fan of his mom’s can’t stop. I love chocolate so much!” issue actually embraced and loved Memorial Sloan-Kettering music. Britton had never played the She’s found a brand of chocolate the episode,” she says. “For me, I Cancer Center in New York show’s CD for him, but Yoby fre- sweetened with beet sugar. “I really try speak out about women having a and professor of medicine at quently goes for play dates with the to make that my treat. Technically that choice and having options for excel- Weill Cornell Medical College, daughter of one of Britton’s friends, means I’m taking care of myself!” lent health care, and it’s really about points out more facts: and he heard the music there. (Brit- caring for all women, for all people. ◆ The risk increases with age. ton and her son make their home Get your beauty sleep. “Sleep is I want to have productive conversa- MDS is rare in people under in Nashville, where the show films.) probably the No. 1 thing we need to tions about showing empathy for age 40, and most cases are Yoby and his pal became captivated stay healthy,” she says. “But listen, women. I can always hear anybody’s diagnosed in people over 60. by “Wrong Song,” a duet Britton these days if I have a night where I get point of view.” ◆ Smoking and workplace sings with co-star Hayden Panettiere. seven hours’ sleep, I feel like I’m doing Becoming a single mom at 44 chemical exposure can “It’s one of his favorite songs now,” a good job. If I had a day for myself, I’d brought her own views on childbear- increase your risk of Britton laughs. “He’ll just break into take a nap!” ing into sharper focus. “Listen, I am developing MDS. the ‘Wrong Song’ at the top of his a single mom who has a great life. lungs, anytime, anywhere!” Know what you’re putting in I am so fortunate,” Britton says. ◆ If you’ve undergone your body. “When I have the time, I “I have the resources to have help chemotherapy and/or make fresh fruit and vegetable juices,” when I need it, but even so, it is still radiation treatment for Standing Up Britton says. “But when I can’t do that, overwhelming and exhausting. And another type of cancer, like When she’s not dolled up as Rayna I try to find a juice place near work like it or not, if women don’t have breast or prostate cancer, for Nashville, you won’t find Britton where I know the quality of the a right to choose about their body, your risk of developing MDS primping much, even though her products they’re they will have to take that on and the goes up. famously crowd-stopping auburn mane using.” men can leave. No child should grow up ◆ The FDA recently approved boasts both its own (very unofficial) Tum- with a mother who can’t take care of him. three drugs to treat MDS. blr site and Twitter feed. She has a simple There’s really no woman who can spiritually Two, azacytidine (Vidaza) and beauty regimen, mostly pampering her skin survive being an ineffectual mother. We need to decitabine (Dacogen), turn with a line of organic face oils. be able to mother our children.” on tumor suppressor genes But other than that, “I do very little fussing over that are shut off in MDS. The myself,” she says. “Because when I’m not filming, that Read 15 Cancer Symptoms Women third, lenalidomide (Revlimid) means I’m home with my son. I used to be on time for every- Ignore, the No. 1 article on WebMD's works only for MDS patients thing. Now I’m on time for nothing, because it takes so long to Cancer channel. with a specific chromosomal get him out of the house. If I don’t have anything I need to do, .com abnormality.—GS I may not even look in the mirror! I may throw clothes on and

W ebMD.com 46 JAN/FEB 2014 Photo by Kevin Scanlon/Artmix Creative JAN/FEB 2014 47 W ebMD.com Food & Recipes

49 Three Ways Easy and egg- cellent meal ideas

In Season Shell Game The oyster is legendary for its wide-ranging flavors as well as popular myths, most famously as an aphrodisiac. There’s also lore that you should eat this bivalve mollusk only in months that end with an “r,” in part due to higher risk of spoilage in warmer months. (Not true—accord- ing to the FDA, 40% of potentially fatal Vibrio vulnificuspoisoning cases take place in the colder months between September and April.) More than 200 varieties of oysters populate the oceans and waterways of the world, and three primary species are commercially harvested in U.S. waters: the Olympia, the Pacific (Japanese), and the Eastern oyster. Farmed oysters make up 95% of global consumption. American produc- tion of oysters reached 155,000 tons in 2010, predominantly on the East Coast. One serv- ing—about three medium-sized oysters—has 122 calories and is rich in vitamin B12 and protein. Some sources suggest the mollusk is a natural immune-booster as well, due to its high zinc content. Oysters have more zinc per serving than any other food, providing up to 493% of the mineral’s recommended daily value.

Photograph by David King/Stockfood JAN/FEB 2014 48 W ebMD.com Food & Recipes three ways to cook 1 ’Wich Craft This lunchtime favorite gets Good Egg a healthy makeover with the help of light mayo and Scrambling for quick and easy meal ideas? nonfat Greek yogurt. For a The humble egg delivers around the clock sandwich alternative, serve By Erin O’Donnell the egg salad on a big bed of simply dressed greens. Recipes by Kathleen Zelman, MPH, RD, LD Eggcellent Salad Sandwich Makes 4 servings Is the egg a superfood Ingredients or dietary devil? New Dressing research may help unscram- 2 tbsp light mayonnaise ble the answer. A recent 2 tbsp nonfat plain Greek analysis of egg studies found yogurt that healthy people who ½ tsp Dijon mustard 1 tsp fresh lemon juice included eggs in their diets ¼ tsp grated lemon rind showed no increased risk of freshly ground pepper heart disease or stroke. Eggs do contain a substan- Salad and Fixings tial amount of cholesterol 6 large hard-cooked eggs, (186 milligrams apiece), but peeled and chopped 1 large celery stalk, that’s not a problem for most minced of us. “For heart health, 1 small red pepper, there are bigger fish to fry in minced terms of food,” says Meridan 1 tbsp chopped fresh Zerner, MS, RD, CSSD, LD, One egg contains parsley 6 grams of protein, 8 slices whole grain bread, dietitian at the Cooper Clinic roughly 13% of the recommended toasted in Dallas. Saturated fat and daily value. 1 cup fresh arugula or trans fat appear to have a baby spinach bigger effect on blood choles- 1 small red onion, sliced terol levels and heart disease Pantry Picks Directions risk, she says, and one egg Keeping these healthy ingredients on hand makes our three egg 1. Place dressing ingredients offers just 1.5 grams of satu- recipes eggs-tra simple to prepare. Kathleen Zelman, MPH, in a medium bowl and rated fat and zero trans fat. RD, LD, gives her take on what to look for at the supermarket. mix until thoroughly Eggs already stand out as a combined. Sauce Boss: To avoid the extra sodium in most low-calorie source of protein 2. To the dressing, add eggs, tomato sauces, Zelman buys only no-salt-added celery, red pepper, and (6 grams per egg). They may brands: Muir Glen Organic No Salt Added parsley, and toss gently. prevent you from overeating Tomato Sauce (30 mg sodium) and Hunt’s No 3. Cover and refrigerate egg and keep blood sugar levels Salt Added Tomato Sauce (20 mg sodium). salad for 30 minutes to steady, Zerner says. blend flavors. Bean Count: You can’t beat beans for pro- Still, many experts recom- 4. Make the sandwiches: tein and fiber, but canned beans are another Place equal amounts of mend limiting yourself to an sneaky source of sodium. Zelman likes Goya egg salad on four slices egg a day. If you have heart Low Sodium Black Beans (125 mg sodium) and of toast. Garnish with disease or diabetes, you may Bush’s Best Low Sodium Black Beans (140 mg greens and red onion, need to limit your intake fur- sodium). and top with remaining ther. It’s best to think of eggs toast. Slice each sandwich Say Cheese: Zelman says these two cheeses are in half and serve. as just one option in your so flavorful you’d never know they’re reduced- rotation of healthy foods, fat. She likes Cracker Barrel Extra Sharp Per serving

Zerner says. “We find health ­Cheddar Made With 2% Milk and Cabot 314 calories, 19 g protein, Wahl D e b tylist: S in the middle ground.” Sharp Light Cheddar. 33 g carbohydrate, 12 g fat (3 g saturated fat), 294 mg the opinions expressed in this section are of the experts and cholesterol, 6 g fiber, 7 g sugar, Reviewed by Hansa Bhargava, MD are not the opinions of WebMD. WebMD does not endorse any 386 mg sodium. Calories from WebMD Medical Editor specific product, service, or treatment.

fat: 34% d Foo Whipps; Dan

W ebMD.com 49 JAN/FEB 2014 Most egg-laying hens in the Directions United States are single-comb white 1. In a small bowl, combine leghorns. 2 tomato sauce with garlic Roll Play powder, chili powder, and Eggs get the Southwestern cumin. Set aside. treatment in these warming 2. Beat eggs with milk until combined. Heat a large, enchiladas. Serve them as a nonstick skillet, coated healthy brunch entrée or a with cooking spray, over tasty light supper. medium heat. Add eggs, onions, and chilies. Huevos Enchiladas Scramble eggs until Makes 8 servings they’re just cooked and still moist. Ingredients 3. Coat a 9-by-13-inch 1 15.5 oz can low-sodium baking dish with cooking tomato sauce spray, and spread 2–3 ½ tsp garlic powder tbsp sauce on the bottom 1 tsp chili powder of the dish. Set aside. 1 tsp cumin 4. Assemble enchiladas: On 8 large eggs each tortilla, spoon 1/8 of ¼ cup low-fat milk the beans and scrambled ⅓ cup chopped green eggs in a line down the onions center. Top with 1½ tbsp 3 tbsp diced green chili shredded cheese. Roll peppers each tortilla and place 8 6-inch fat-free flour or seam-side down in the 3 Directions corn tortillas prepared baking dish. Skinny Mini 1. Coat a 12-cup muffin pan 1 15.5 oz can low-sodium Pour remaining tomato It’s hard to beat these with cooking spray and black beans, rinsed and sauce over enchiladas. muffin-pan strata: The set aside. drained 5. Cover dish and bake 20 2. Heat olive oil in a large 6 oz (1½ cup) reduced- minutes at 350ºF. Remove miniature size provides nonstick skillet to medium fat shredded cheddar cover, top enchiladas with easy portion control and is high. Add onion and cook cheese, divided remaining cheese, and especially appealing to kids. 7–8 minutes until brown 1 avocado, sliced into bake 5–7 minutes more Serve them with fruit for and caramelized. Add 8 wedges until cheese melts. breakfast or brunch. broccoli, mushrooms, and ¼ cup light sour cream 6. Serve enchiladas sun-dried tomatoes and ¼ cup chopped fresh garnished with avocado, Goat Cheese and Veggie cook 4–5 more minutes cilantro sour cream, and cilantro. Mini Strata until vegetables are soft. Per serving Makes 6 servings 3. In a large bowl, beat eggs with milk, salt, and Eggs are one of the top 266 calories, 17 g protein, Ingredients sources of choline, 27 g carbohydrate, 10 g fat pepper. Add vegetables, a B vitamin that protects (3 g saturated fat), 191 mg 1 tbsp extra virgin olive oil cheese, and bread cubes the heart and aids fetal 1 medium onion, minced and mix to combine. brain development cholesterol, 7 g fiber, 4 g sugar, (making eggs a 284 mg sodium. Calories from 1 cup small broccoli 4. Pour egg-and-bread good choice for fat: 35% florets mixture into the muffin pregnant women). 1 cup diced portabella pan, dividing evenly mushrooms to ensure that liquid ¼ cup thinly sliced sun- saturates the bread cubes. dried tomatoes (not Cover the pan tightly with packed in oil) plastic wrap and chill at 6 large eggs least 1 hour or overnight. ¾ cup low-fat milk (more 5. Heat oven to 350ºF. Bake if needed) strata 20–25 minutes until pinch salt puffy and golden brown. ½ tsp white pepper Loosen with a knife and 4 oz goat cheese, serve two per person. crumbled 5 cups cubed whole Per serving grain bread 268 calories, 17 g protein, 22 g carbohydrate, 13 g fat (5 g saturated fat), 195 mg cholesterol, 4 g fiber, 6 g sugar, Egg yolks contain lutein and 382 mg sodium. Calories from zeaxanthin, two antioxidant pigments that may help fat: 43% prevent macular degeneration and cataracts.

JAN/FEB 2014 50 W ebMD.com fitness & exercise

52 Workout Wit Improve your workout with yoga

53 Fitness Challenge Build muscle with resistance bands

Pole Position Get into the groove this year with new moves

EXPERT TIP “Yoga deepens our connection to ourselves so we can listen to our body’s cues. We eat better, sleep better, breathe more fully, and have more energy.”—Kristin McGee, BFA

Photograph by Image Source/Glow Images JAN/FEB 2014 51 W ebMD.com fitness & exercise

workout wit Om Improvement Have a favorite workout? Boost your performance by cross-training with yoga

By Kara Mayer Robinson

Looking to add more If you bike: Try Bikram oomph to your regular yoga, aka hot yoga. “The workouts? Power up your sweat factor is high, so hard- fitness program by cross- core spinners and cyclists training with yoga. feel like they’re getting a “Yoga is a wonderful good, sweaty workout,” active-recovery workout McGee says. Plus, many for non-training days,” poses open up your chest, says Kristin McGee, BFA, hips, and upper back, which a certified yoga and Pilates can offset those hours you instructor in New York City. spend hunched over a bike. It can improve balance and If you do cardio: Cardio stability, build strength and classes can tighten your stamina, promote recovery, muscles, so lengthening and reduce injury risk, and help strengthening are a good you relax, focus, and control thing. Try Iyengar yoga, your breathing—all of which a slower style that pairs elevate your other workouts. strengthening with deep stretching. Your Workout If you run: Yoga is Your Plan great for runners because “I tell my clients to do yoga it stretches your quads, hip Power Poses two to three days a week flexors, and lower back and To strengthen specific muscle groups, perform to keep muscles flexible,” these yoga poses. improves your posture and McGee says. Do it at home breathing. Try power yoga, Downward dog: By holding this position, you’re with a DVD or an app. which works your upper body strengthening your arms and legs. It’s great for calves, “You don’t have to do yoga and can offset imbalances shins, and thighs and targets your buttocks and hips. classes all of the time to reap from relying on your legs. the benefits,” she says. Do a Locust: The locust strengthens muscles by engaging your If you swim: “Vinyasa lower and rear deltoids, back, hamstrings, and buttocks. few downward dogs, planks, and Ashtanga are perfect chaturangas, warriors, and for swimmers,” McGee says. Warrior: This deep lunge uses your front leg to work your lunges before you work out. “Each pose is linked to the quads, hips, and buttocks while engaging your back legs Post-workout, try static breath and flows together to work your inner and outer thighs, hips, and buttocks. stretches like forward bends, just like swimming,” and Chaturanga: The chaturanga is similar to a narrow push- hip openers, and deep twists. they work your muscles, up. It uses your own body weight to improve muscle Remember: Cross-training which helps you swim better. tone in your pectorals, rear deltoids, and triceps. should enhance your fitness program, not harm it. Don’t push yourself into poses that EXPERT TIP don’t feel right.

“After I work out, I love to do passive yoga stretches and even meditation Images G low to reap the benefits and thank my mind, body, and breath for all it does Reviewed by for me.”—Kristin McGee, BFA Michael W. Smith, MD WebMD Chief Medical Editor gn P i cs/ Des i gn

W ebMD.com 52 JAN/FEB 2014 Watch 5-Minute Exercises at Your Desk, the No. 1 video on WebMD’s Health & Fitness center. .com

fitness challenge Band Practice Want to build lean muscle? Swap barbells for resistance bands By Jodi Helmer Q “I’d like to run my first 5K You don’t have to use bulky weights to build strength and tone muscles. Simone De La in 2014. How should I train Rue, personal trainer and founder of Body By Simone Fitness Centers in Los Angeles to make sure I cross the and New York City, recommends trading free weights for resistance bands. finish line?” The bands don’t put pressure on the joints like free weights do. “They are brilliant for begin- Shannon McKinnon, 35, ners because you are in control so you can make it as easy or difficult as you like,” says De La caseworker, Bowmanville, Ontario Rue. To build lean muscle, do these three moves at least three times per week.

A “A 5K is a great fitness goal! If you’re new to running, Band Curlers Hip Toner Glute Kick you need to prepare. New runners need six to eight De La Rue loves this take on This move works your glutes, De La Rue uses this move to weeks of training. For the a traditional curl. The band outer thighs, and abs, help celebrity clients work creates resistance on both and helps tone “that most their glutes, hamstrings, and first two weeks, run at least the up and down portions of troublesome saddlebag abs to prep for a photo shoot one mile three times per the move, providing double area,” says De La Rue. or red carpet event. week. Then, increase to two the toning for your biceps. miles. Use one run to focus 1. lie on your right side with 1. get down on your hands on speed and another to focus 1. stand with feet shoulder- your hips stacked. and knees and loop the width apart, holding one 2. loop the band across the band across the bottom on distance. During the third handle of the band in instep of your left shoe of your right shoe. run, do walk/jog intervals each hand. and flex your left foot. 2. hold one handle in to build endurance. A good 2. with your hands at 3. hold both ends of the each hand. pair of shoes is essential. your sides, step onto band in front of you on 3. Keeping your back Without the right shoes for the resistance band so the floor. straight, flex your right it’s anchored beneath 4. extend your left leg away foot. Lift your right leg your gait, you’ll end up with your feet. from your body, parallel 1 inch off the floor, and shin splints and hip and 3. with elbows close to to the floor, pressing draw your knee toward ankle pain. Go to a shop that your body and palms against the band until it’s your chest. specializes in running and facing forward, bend straight. 4. extend your right leg get a fit consultation.” your elbows, curling your 5. Bring your left knee back out behind you until hands toward your shoul- toward your chest. it’s parallel to the floor. ders. Keep your elbows at 6. Return your leg to the 5. Return to the starting your sides—you want to starting position. position. use your biceps, not the 7. Repeat 30 times. 6. Repeat 30 times on shoulder muscles. 8. switch sides and do 30 each leg. 4. lower slowly back to the reps with the right leg. Michael George, personal trainer start, resisting the pull of Reviewed by in Beverly Hills, Calif., and author of Body Express Makeover: Trim the band on the return. Michael W. Smith, MD WebMD Chief Medical Editor and Sculpt Your Body in Less

Jason L ee Jason 5. Repeat 30 times. Than Six Weeks

JAN/FEB 2014 53 W ebMD.com CheckupTaking care, living well

Cold and flu season is in full swing. In fact, January and February is such as diabetes, asthma, and your hands often, covering your the time of year that respiratory heart disease are at the greatest nose and mouth when you cough illnesses peak. risk of these complications. and sneeze, and staying home from Cold and flu symptoms are Colds tend to go away in a few work or school if you are sick. similar. A cold, which is typically days with rest. Flu symptoms can Celebrities help spread the word not as bad as the flu, tends to bring last up to two weeks, but some about the importance of the flu a runny or stuffy nose, while flu medications can shorten the flu’s vaccine. This flu season, actor Lee symptoms more often include fever, duration and reduce the fever and Majors, who starred in the 1970s body aches, fatigue, and dry cough. body aches. TV series The Six Million Dollar The flu can lead to pneumonia, The most effective way to pre- Man, appears in a National Council bacterial infections, hospitaliza- vent the flu is with an annual flu on Aging public ser-

ges tion, and sometimes even death. vaccination. You can also protect vice announcement

y I ma y Children under 5, adults over 65, yourself and others from germs about the importance

G e tt pregnant women, and people with that cause colds and flu by avoid- of flu shots for adults certain chronic medical ­conditions ing people who are sick, washing over 65.—Sonya Collins / ch ule ta ul Ar ul a

ges; P ges; 55 Health Highlights 56 By the Numbers 57 Health Check Do rosacea flare-ups have you It’s American Heart Month. Take How much do you know seeing red? These expert tips a closer look at heart disease about chronic pain? Take low I ma G low can help you keep cool. with facts, figures, and more. the quiz to find out. ges/ I ma ta a ll i s C

JAN/FEB 2014 5455 W ebMD.com Wondering what that rash is? View Common Adult Skin Problems, a top Checkup slideshow in the Skin Problems channel. .com Reviewed by Mohiba Tareen, MD, WebMD Skin Care Expert

Health Highlights Seeing Red Get rosacea relief with these tips

By Heather Hatfield

Be proactive Exercise right 1 See a dermatologist if you 6 Short periods of exercise notice redness and flushing and low-intensity workouts around your nose, cheeks, or keep your face cool. neck; red bumps or pimples; or visible blood vessels. Keep it clean 7 Wash your face twice a Take notes day with a mild cleanser 2 Use a journal to track flare- and lukewarm water. ups so you can figure out what factors may be to blame. Use mild makeup 8 Try mineral-based prod- Stay warm ucts, which have natural 3 On chilly days, cover your ingredients that may skin to minimize exposure. be gentler.

Calm down Go green 4 Stress can cause inflamma- 9 Use a green-tinted mineral tion. Try deep breathing to makeup or moisturizer to relax and control your rosacea. tone down the red.

Avoid hot water Shave carefully 5 A steaming bath can be tempt- 10 Men get rosacea, too. To ing, but hot water can cause reduce flare-ups, shave with your face to flush, which can an electric razor. It might lead to a flare. be less irritating.

EXPERT TIPS

Karyn Grossman, MD Rachel Reynolds, MD David Pariser, MD dermatologist and chief of the Division of dermatologist and faculty member, Department dermatologist and professor, Department of Dermatology, St. John’s Health Center, Santa of Dermatology, Beth Israel Deaconess Medical Dermatology, Eastern Virginia Medical School, Monica, Calif. Center, Boston Norfolk, Va.

I have rosacea, and cold weather really Hot, steamy conditions are a common Here’s how to help identify your rosacea aggravates my skin. So when I’m outside trigger for people with rosacea, triggers: Avoid those you suspect for a during colder months, even briefly, I causing the face to overheat and flush. couple of weeks. Then reintroduce them cover my face completely. If my face gets Although you can’t always avoid the one at a time. If you have a flare, you ges overheated at the gym or after a run, I use weather on a hot, humid summer day, you know what to avoid. Caffeine, alcohol, and cool compresses. I often apply a washcloth can avoid situations that combine heat hot spices like chili powder can aggravate

soaked with cool water to my face. It and moisture intentionally, like hot rosacea, so stay away from them if you I ma G low soothes the sting and cools down my face. tubs and saunas. think they’re a trigger. t en d 61/ W es

W ebMD.com 5655 JAN/FEB 2014 Checkup

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

by the numbers Heart Health Facts and Stats on Top Health Conditions

By Heather Hatfield

Number of people in the U.S. who will die this year because of 17 23 cardiovascular disease: 800,000 million million Number of people Number of people around the world around the world 2,200 who will die this who will die in year because of 2030 because of Number of people cardiovascular disease cardiovascular disease in the U.S. who will die per day this year because of 49 cardiovascular disease Percentage of $108.9 Americans who have at least 1 of the 3 leading risk factors #1Ranking of billion for heart disease— cardiovascular Annual cost of coronary heart disease smoking, high blood disease as a cause of in the U.S., including health care services, 98.9 pressure, high LDL death in the U.S. medications, and lost productivity million Number of Increased risk of Reduction in risk of Americans with high heart disease among heart disease cholesterol levels smokers vs. that of one year after (above 200 mg/dL) nonsmokers quitting smoking 2-4x 50% Percentage heart disease risk is Percentage 31.9 reduced by moderate-intensity 20 of global exercise for about 20 minutes million 2-4x cardiovascular Number of every day Increased disease attributed Americans risk of to diets high in with very high cardiovascular saturated fats and cholesterol levels disease if you low in fruits and (above 240 mg/dL) have diabetes vegetables Sources: American Heart Association;15% CDC; Circulation; Journal of the American Medical Association; National Heart, Lung, and Blood Institute; o c k

t U.S. Department of Health and Human Services; World Health Organization; World Heart Federation Is

JAN/FEB 2014 5657 W ebMD.com Checkup

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

QUIZ

1. Men get back pain more often than women. True False

2. Migraines and severe head- aches are most common among postmenopausal women. True False

3. The most common site of joint pain due to osteoarthri- tis is the shoulder. True False

4. Uncontrolled diabetes can lead to chronic pain. True False

Answers: 1. False. Men and women get back pain equally. Back pain is most common between the ages of 30 to 60. 2. False. Migraines and severe headaches affect twice as many women as men, but they are more common health check during women’s childbearing years. 3. False. The most common sites of joint pain due to osteoarthritis are the knees, hips, and hands, though the disease can affect the shoulders. Are You Pain Aware? 4. True. Uncontrolled diabetes can lead to nerve damage that leads to Millions of people live with chronic pain, which can make their daily lives chronic pain in the hands, arms, feet, seem unbearable. “Simple tasks like vacuuming or lifting a case of water are legs, and other areas. really painful,” mf1229 writes in WebMD’s pain management community. For many, the social and emotional symptoms can sometimes feel as bad as the physical ones. “I have severe depression and I’m worried about my future,” mf1229 says. How SourceS: CDC, NIH, WebMD Pain Management much do you know about chronic pain? Take this quiz to find out. Health Center

Q Did You Know? Ask your Doctor People with 1 3 chronic What causes my chronic pain? Are there alternative therapies Should I see a specialist? that can help me? pain are at risk for 2 4 sleep disorders, ges Will medication, steroid injections, or Can counseling help me address pain- depression,

surgery help my type of pain? related emotional issues? and drug abuse. I ma G low s/ a r d w Ed Sam

W ebMD.com 5857 JAN/FEB 2014 Take 10 10 QUESTIONS Kevin Hart Comedian/Actor

You’re the Read the laughter—that’s what star of two full Q&A with you live for. When you 1 upcoming Kevin Hart hear that reaction, it is movie in our motivation not just to comedies, About Last free app! go on, but to keep Night and Ride Along. hearing that laughter How does it feel to be grow. I don’t think the leading man? I’m there’s a better feeling just in a great place in the world. right now. My work- load is definitely going Is there up, and right now I’m anything you at a place where my 7 won’t joke opportunities are about? I’m not growing. It’s really time big on joking about for me to step up to politics or jokes the plate rather than pointed at the gay not being ready for the community. That’s not situation. I’m going to my agenda. Things continue to do that. have really changed between where What do you comedy is now and look for when where it used to be. 2 considering a role? Right You have now, it’s all about two young progression. It’s all 8 children. Did about challenging either of them yourself. You don’t get the funny gene? want to do the same My daughter—her thing over and over. personality just makes Take About Last Night. me laugh. But I’d say I’d never been in a both my kids have got movie where I was the my funny gene. guy in the relationship, and that’s one thing Is there any that attracted me to joke you’ve the role. It’s a great 9 told about movie, based on a your kids that great movie that kept suggesting that I yet something I had kind of excitement for you hope they will people love, and to try pursue comedy. You really adapted to. But it me now. To get to do never hear? No, and modernize it and hear that kind of thing was something I something I love and everything that I have do it right was a good enough and eventually respected, something make people laugh, to said comes from a thing for me. you’re going to try it. I wanted to be good have fun getting to talk funny place, and I When I did, I fell in love at, and I had never had about what I want to think my kids will When did you with it and knew it anything like that in my talk about, there just understand it as they first discover would be my career. life, that I put my all isn’t that same grow older and 3 you were into. When I found pressure on me. respect it. funny? I’ve You’ve talked comedy, I fell in love. always been a funny about your What’s the Has being a guy, but when I was at 4 early experi- How do you biggest father tu res community college ences on prepare to 6 difference 10 changed and working at the stage, getting booed 5 perform? between how you same time, I was and dodging half- When I first performing live and view your work? No, known as the guy who eaten chicken wings. started there were for the camera? it’s just given me a would hold court. It What drove you to rituals and meditation, Having a live audience, different level of being Pic Millan/Universal ac kind of hit me when keep going? At that but now I kind of have having that immediate focused, that's

some of my friends point comedy was not it down. It’s a different feedback, hearing that all.—Matt McMillen M Todd

W ebMD.com 58 JAN/FEB 2014