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October 2012 / $4.95 the science of beauty: what’s in your makeup Healthy bag Beauty pg. 50 Tips for a Breast Whiter Smile Cancer pg. 28 Which Birth control is By the Numbers Food right for pg. 80 & Recipes you? pg. 56 3 Ways to Fitness Cook Eggs & Exercise pg. 63

The Better-Butt Workout Living pg. 72 Healthy

Is Women’s Intuition Real? Family & pg. 18 Parenting

Teen Talk Men’s That Works Health pg. 41

The Scoop on Hair Loss pg. 19 miranda rights The chart-topping singer dishes on how she gets country strong pg. 44 Contents october 2012 october 2012 Contents Features Healthy Start WIRE: Do fit kids do better in school, what’s America’s favorite exercise, and what city has the most dangerous roads? Find out and get more health news you can Pg. Pg. use. Plus: the hottest health reads • PERSONAL BEST: Actor Hayden Panettiere shares her best workout, food, and beauty secrets. • UP CLOSE: We supplement 7 your knowledge of vitamins. Pg. 44 Living Healthy WEBMD ON THE STREET: Our experts help a fit father of three who’s on the road a Pg. lot become more flexible and sweat less. • WOMEN’S HEALTH: Is intuition real? Our 50 Pg. Download WebMD experts explain. • MEN’S HEALTH: Think there’s no growing back? Get the scoop the Magazine for Free! Get your iPad 15 on hair loss. • MIND MATTERS: Is your jealous heart ruining your relationship? Keep 56 subscription in the your streak in check. • WORK IT OUT: What to do when you dislike your co-workers. App Store.

Pg. Healthy Beauty YOU ASKED: Turn up the volume with our expert hair-raising advice and product Country Strong picks. • BEAUTY SMARTS: Are you doing right by your face? Learn how to pick the 23 best moisturizer for your skin. • YOUR SMILE: Want brighter, whiter teeth? Here’s Singer Miranda Lambert how to get them. Also: A top dentist shares the advice he gives all his patients is an award-winning, chart- and his own healthy habits. • Plus: Beauty 411, Aisle Do, and I Tried It topping powerhouse—and I’ve never Pg. she’s more confident been a size Family & Parenting than ever. She gives us a 2 and don’t parenting: Striking a work-life balance can make anyone see double, but actor backstage pass to her life think I’ll 33 and mom of twins Garcelle Beauvais makes it happen. • PREGNANCY: Get the “ facts on toxic products to avoid. • BABY TALK: Here’s a toothy subject: how to care on tour, from rugged ever have for baby’s little chompers. • FIT KIDS: School, mood, self-esteem—exercise can workouts to furry six-pack“ abs, help improve all three. • KIDS’ HEALTH: Kids can’t sleep tight? It might be sleep friends. Her love of dogs and I don’t Pg. apnea.• TEEN HEALTH: Teens making you crazy? Learn how to communicate and inspired her MuttNation care. I just keep your cool. • PET health: Keep your cats and dogs healthy and looking show- Foundation, which helps want to feel worthy with expert grooming tips. shelter pets nationwide. good in 63 my body. Food & Recipes THREE WAYS TO COOK…Eggs. They aren’t just for breakfast. • OFF THE MENU: The Science Pg. Chef Marcela Valladolid shares an easy recipe with a nod toward Mexican of Beauty tradition. • LEARNING TO LOVE…Eggplant. It’s all in the preparation, says a recent Do you know what’s in 71 convert. • KIDS IN THE KITCHEN: Chef Lizzie gives chicken fingers a healthy twist. your makeup bag? From Plus: the top five recipes at WebMD.com foundation to mascara, we deconstruct your in every issue Fitness & Exercise everyday beauty items, PEEKE FITNESS: What’s behind a tighter tush? Our fitness guru Pamela Peeke, MD, and tell you how long explains how to get a better butt. • FITNESS CHALLENGE: Have a ho-hum workout Pg. 5 you should keep them routine? Our expert helps you breathe new life into it. Plus: a Pilates-inspired Editor’s Note ab workout and how to apply them like a pro. Pg. 83 Take 10 In Control WebMD Checkup Actor Lucy Liu usually Not all contraception HEALTH HIGHLIGHTS: It’s Depression Awareness Month. Get tips to improve your plays the “baddies” Pg. methods are equal. mood or help a friend. • MY STORY: One reader’s positive outlook helps her live on the big screen, but Which one is with lupus. • BY THE NUMBERS: A closer look at breast cancer. • LIVING WITH… she’s been doing a lot right for you? Our of good for herself 75 Cancer. Survivors, take note of the three habits that can help you live your best comprehensive guide and others. Liu opens life. • HEALTH CHECK: How much do you know about heart failure? Are you at risk? to birth control helps up about what keeps you make the best choice. her grounded.

Cover Photograph by Brian Bowen Smith/August W ebMD.com 2 october 2012 october 2012 3 W ebMD.com Editor’s note editor in chief vice president, publisher Clare Martorana Heidi Anderson

Executive Editor associate publisher Colleen Paretty Dawn Carey Goin’ Mobile Senior Editor group vice president of sales operations Susan Davis WebMD.com content has never looked Jonathan Katz better on your smartphone. We’re proud to webmd.com senior director, editorial senior director, Circulation announce that our site is now fully optimized Stephanie Snipes Jonathan Deaner for mobile access. That means easier, faster WebMD.com VPs of product management access to all of our trusted health content— senior director, Marketing Tara Wacks Kimberly Kovacs, Katherine Leopold whenever and wherever you are. Want to Associate Director, Strategic DevelopmenT read the latest health and wellness news in a webmd.com art director Neha Dakwala-Shah flash? With four simple swipe gestures, you John Kay can browse our latest 50 stories. business manager chief Medical editor John Krzeminski Michael W. Smith, MD sales operations analyST Kisha Jackson Medical editors Oh, Baby! Brunilda Nazario, MD; Louise Chang, MD; Advertising sales New parents can’t stop Hansa Bhargava, MD; Laura J. Martin, MD Alisa Feiner, [email protected], 212-624-3897 cooing about our free Pete Holfelder, [email protected], 646-674-6825 WebMD Baby App. contributing writers Patti Mrozowski, [email protected], 212-624-3750 Available for iPhone and Christina Boufis, Daniel J. DeNoon, Patria Rodriguez, [email protected], 212-417-9542 Heather Hatfield, Ayren Jackson-Cannady, Android, this invaluable Katherine Kam, Lauren Paige Kennedy, chicago Could you use a little inspiration? I tool helps moms and Susan Kuchinskas, Shelley Levitt, Anna Novinger, [email protected], 312-416-9278 know I could. That flash of insight dads keep track of their baby’s sleep Matt McMillen, Erin O’Donnell, Monica Kass Meghan Rice, [email protected], 312-416-9276 and hope can come from so many places: and feeding schedules, as well as diaper Rogers, Gina Shaw, Stephanie Watson changes and growth stats. The app’s videos west coast a great conversation, our heroes, sitting Elise Perlmutter, [email protected], 424-248-0616 and articles, developed by WebMD doctors quietly in a park on a crisp fall day, or my for babies up to 2 years old, give parents all no-fail go-to—my favorite songs’ lyrics. the right info, right when they need it most. Editorial, design, production management This issue is filled with inspiring 111 eighth ave., suite 700, new york, n.y. 10011 health, beauty, fitness, and nutrition tips Editorial Director Kim Caviness Chief executive officer Cavan M. Redmond you’ll use every day. I was inspired to do “Very convenient and easy to use. Love that Deputy editor Andrea Gabrick chief financial officer Anthony Vuolo something when I read “The Science of I can put notes/concerns in it for next doctor’s associate editor Rebecca Scherr Beauty,” on page 50. Who knew that you appointment or put notes in from the doctor. chief Operating officer & Chief technology officer were supposed to replace your mascara Assistant editor Chloe Thompson William E. Pence every four months? I am headed home I just wish I had this for my first child.” Bookings director Wendy Zipes Hunter executive vice president, consumer services Dave Marek —LalaLand61990, iTunes review [email protected] 954-344-0912 to unearth the historic debris from my co-general counsel & secretary DougWamsley makeup bag and start fresh this fall. art directors Glenn Pierce, Melissa H. Miller Our cover story on musician Miranda co-general counsel Michael Glick Creative Direction Priest + Grace Lambert is also inspiring. To stay in tune Pain Gain senior vice president, Consumer Market Sales photo editor Katie Ellsworth with herself, the country star is focusing When you’re in pain, Tracy Roy Hankin on healthy eating and exercise, despite you want fast relief and production director Connie Otto tools that really work— vice president, Finance James McCann her hectic travel schedule. She has started and our new iPhone Production manager Jerry Parks vice president, best practices John Hopkins living a healthier, happier, stronger life app delivers. The free advertising traffic manager Jennifer Morgan and stays grounded, thanks to her hus- WebMD Pain Coach vice president, editorial & programming app, designed for production artist Brenda M. Waugh Kristy Hammam band, the garden on her farm in Okla- homa, and her pack of seven rescue dogs. people with back pain, Copy editor Sharon K. Congdon executive director, pR Katherine Hahn fibromyalgia, migraine, This entire issue is full of tips and neck pain, nerve marketing director Rebecca Loveridge stories inspiring us at WebMD to change pain, osteoarthritis, marketing coordinator Kara Batt things in our own lives. If you have a rheumatoid arthritis, Customer Service & subscriptions story to share, go to our Facebook page or other diagnosed Professionals To manage your subscription, go to WebMD.com/magazine/subscribe. (facebook.com/webmdmagazine) and tell chronic pain, features Readers Download a free subscription to WebMD the Magazine on your iPad. Go to the App Store® (www.apple.com). in-depth information, Comments? Questions? Go to CustomerCare.WebMD.com or “Contact Us” at the bottom of every page on WebMD.com. us what is inspiring you these days! daily personalized tips, and a custom WebMD the Magazine is distributed to doctors’ offices throughout the U.S., online at journal you can use to WebMD.com, and by download from the App Store. WebMD the Magazine is not responsible for track triggers and pain Download WebMD advertising claims. WebMD the Magazine (ISSN 1553-9946), Vol. 8, No. 7, is published by WebMD, LLC t the Magazine and may not be reproduced in whole or in part without written permission of WebMD, LLC. All editorial content levels day to day. You for Free! Get is reviewed by our board-certified physicians, is for informational purposes only, and is not intended to be a substitute can also set up custom your free iPad for professional medical advice, diagnosis, or treatment. WebMD does not endorse any specific product, service, or Clare Martorana pain-management subscription in the treatment. Always seek the advice of your health care provider with any questions regarding a medical condition and never Editor in Chief App Store. disregard professional medical advice or delay seeking it because of something you have read in WebMD the Magazine. If you goals and track your

think you have a medical emergency, call your doctor or 911 immediately. © 2012 WebMD, LLC. All rights reserved. Colber n t rell Q ua [email protected] progress.

W ebMD.com 4 october 2012 october 2012 5 W ebMD.com healthy webmd wire start HotTopics! Facts and news you can use

living healthy Family & Parenting Babies in homes 1 in 10: with dogs may The have fewer colds and ear chance that infections and someone need fewer in your antibiotics in household their first year will have a compared with fire-related Checkup those in homes injury. Fire October without pets. is Source: Pediatrics You may want to chomp Prevention National Get the Best on an extra Week is Breast Oct. 7 to 13. Cancer Source: National Fire Protection Association Month. apple You can walk, Protection for a day. Some health experts ride, run, or row recommend two a day because of in more than 500 events across the the fruit’s disease-fighting country. Search Your Family. antioxidants. online for an Source: Florida State University researchers; the U.S. Apple Association event near you. Source: breastcancerawareness.com Fitness & Exercise Healthy Beauty Dermatologic surgeons Teens who performed more than • Easy-to-understand vaccine charts for play at least each family member. 8 million three team procedures last year. • Detailed information on the vaccine Of those, 1.6 million sports may were laser/light, and the disease it prevents. Pets be 27% less including 378,230 • Email reminders when a vaccine is procedures for likely to be due so everyone is on schedule. facial redness 14.7% overweight and/or vessels. of people Food & Recipes Source: American Society for planned to and 39% less Dermatologic Surgery Americans get healthy dress their likely to be meal ideas from the Internet When school pets in obese, (39%), cooking shows (37%), is in session, costumes last V eer V iviamo/ V eer; P hotography/ C orbis oberts; only 19% of kids Year. Most compared magazines (34%), cookbooks play outside popular: with those (33%), word of mouth (31%), and get at least the pumpkins who don’t recipes on labels (26%), recommended 60 (10.7%), devils culinary magazines (12%), and minutes of physical (8.1%), and hot play on any activity every day dogs (6%). teams. supermarket recipes (11%). of the week. Some Source: Shopping for Health 2012 study by the 40% of parents say Source: National Retail Federation Source: Pediatrics Food Marketing Institute; Prevention they could do more to encourage their kids to be more of parents admit to sneaking treats from their kids’ physically active. % trick-or-treat stash. First to go are the snack-size chocolate Source: YMCA’s Family bars. Licorice is the most likely to get left behind. eer; Joshua R Joshua V eer; vkraskouski/ left: top from clockwise Health Snapshot survey 90 Source: National Confectioners Association

october 2012 7 W ebMD.com healthy Start

Up Grade Tell Us What You Think. There may be some truth to the notion that middle school is And You Could all about survival of the fittest. According to a new study, kids who are more fit make better grades in school. Win $500

Researchers tested 10 10 10 Step to It 1,211 Texas middle- Breaking up Americans are taking strides toward better school students. exercise into three health. That’s according to a CDC report that After accounting for 10-minute periods found more people are walking for exercise family income and throughout than they did five years ago. Walking is among self-esteem, they the day may be more effective Americans’ favorite ways to exercise, and for found that those with at controlling good reason: It’s easy, and you don’t need better cardio fitness blood pressure equipment. The CDC estimates more than 145 did better on reading for people with million U.S. adults took at least one 10-minute Go to and math tests. The prehypertension or longer walk per week in 2010—a 6% increase researchers didn’t compared with a since 2005. Still, fewer than half of Americans WebMDsurveys.com/redesign try to explain the single 30-minute get the recommended two and a half hours of and tell us why you read us. link. But experts session. weekly exercise. Nearly a third don’t exercise at all. say physical Source: Arizona State University Source: CDC fitness is known to aid memory, Or scan this concentration, and Bed Head .com organization. Another reason to get your zzz’s: Getting enough Hot Hits code on your Source: American Psychological sleep can mean fewer “senior moments.” Women What’s trending on Association 2012 meeting. The study has who slept much more or less than the recommended mobile device! not appeared in a peer-reviewed journal. WebMD.com right now* seven hours a night had the memories of women two years their senior, say researchers who analyzed data 1. solutions for Acne from the Nurses’ Health Study. The study looked at 2. best Mattresses for a the sleep habits of 15,000 women in midlife and older. Good Night’s Sleep Completing the survey will enter you in Women who slept an average of five hours or less per day as well as those who slept nine hours or more had 3. Which Foods Are our sweepstakes for a chance to win a lower scores on standard memory tests than those Heart-Healthy? $500 American Express gift card or who slept seven hours. 4. The Glycemic Source: Alzheimer’s Association 2012 International Conference. Index Diet one of five $100 gift cards. The study has not appeared in a peer-reviewed journal. 5. does the P90X System Really Work? No purchase necessary. A purchase will not 6. West Nile Virus increase your chances of winning. Legal

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the Magazine W ebMD.com 8 october 2012

WebMDReaderSurvey.indd 1 9/13/12 2:14 PM healthy healthy Start Start

Car Trouble The 10 most danger- The 10 safest U.S. cities ous U.S. cities to drive for driving (in alphabetical 1 in 4 in, according to a CDC order because there were The ratio of kids ages 8 to 10 who ride report: no significant differences in the front seat of a car. The recommended 1. Orlando, Fla. among them): minimum age for front-seat passengers is 13. 2. Memphis, Tenn. • Boston Source: American Journal of Preventive Medicine 3. Glendale, Tenn. • Buffalo, N.Y. 4. Miami • Cleveland 5. Las Vegas • Hartford, Conn. 6. Birmingham, Ala. • Newark, N.J. 7. Sacramento, Calif. • Plano, Texas good reads 1 in 30 The number of 8. Tampa, Fla. • Providence, R.I. 9. San Antonio • Salt Lake City baby boomers, 10. Jacksonville, Fla. • Santa Ana, Calif. born between • St. Paul, Minn. 1945 and 1965, Source: CDC’s Morbidity and Mortality Weekly Report who might be infected Snooze alarm with Got a preschooler who snores? Noisy nights hepatitis aren’t all you have to worry about: She might be more likely to misbehave than other kids. The Big C Brain Gain C. Source: CDC A study of 249 children found that kids who What gives cancer patients If you have one too many snored loudly twice a week or more at ages strength? For melanoma “senior moments,” are notori- Scale Tale 2 and 3 were more likely to have behavioral survivor Hillary Fogelson, ous for your mood swings, or Could you be problems including hyperactivity, inattention, it was a little bit of fear, are physically out of shape, gaining weight and depression. Researchers think poor- humor, and documenting think about picking up this without knowing it? quality sleep is at least partly responsible for A study suggests the most precarious year new book. In Super Brain: the bad behavior. of her life. In Pale Girl Unleashing the Explosive Americans tend to be in denial about Source: Pediatrics Speaks: A Year Uncovered, Power of Your Mind to Maxi- their weight. In a Fogelson, diagnosed at age 25, mize Health, Happiness, and large survey, many chronicles how her seemingly Spiritual Well-Being, author adults said they lost normal life suddenly included and physician Deepak Chopra weight from 2008 daily anxieties awaiting news and Harvard Medical School to 2009, but in truth, they gained. from doctors, putting dreams professor Rudolph E. Tanzi On average, they High Anxiety of having her own family and explore how to overcome com- were off by just Here’s something to really keep you up at acting career on hold, as well mon challenges like memory a pound—but, night: Even a little anxiety or depression as coping with her father’s loss, depression, anxiety, and of course, those may shorten your life. A review of data on cancer diagnosis. With so obesity and how to create the pounds can add more than 68,000 people found that those up over time. Men many books on cancer out ideal lifestyle for a healthy were more likely suffering even slight distress—say, they there, this memoir isn’t just brain. They also debunk five to be clueless sometimes stayed awake at night worrying any survivor story. It offers a widespread myths, such as about weight gain or had trouble concentrating on tasks—were refreshing and honest point of that the brain’s hardwiring compared with about 20% more likely to die over a 10-year view, sometimes darkly funny, can’t be changed. Perhaps the women, and older period than others. That was true even people were more that really puts life and all its most important chapter: how oblivious than after researchers accounted for unhealthy issues in perspective. to reduce the risks of aging. younger adults to behaviors that can come with anxiety and extra pounds. depression, like smoking and drinking.

n / V eer Dryashki De n is V eer njn ightsky/ V eer; A lexstar/ right: Source: Preventive Medicine Source: BMJ

october 2012 11 W ebMD.com healthy healthy Start Personal Best Start Hayden Panettiere The Nashville sTar shares her heal Thy living habiT s UP CLOSE Vitamin See an in-depth look at the daily essential

Life Support Vitamins are vital for normal growth and development. The Food and Unwind Kitchen Confidential body doesn’t produce enough or “when i’m stressed and “i always have to have all of the organic compounds it need to reset, i love to have chicken & stars soup on needs—the rest come mainly from a glass of white wine and hand. Also raspberries and a balanced diet and, occasionally, watch the food network, strawberries, and eggs—hard supplements. But too much of especially the series boiled, scrambled, i love some vitamins and minerals can Chopped. for me, though, them. i find any random kind make you sick, and too little can potentially cause a deficiency. cooking is a big process of vegetable, chop it up, with all that shopping—i steam it, maybe sauté a bit, Baker’s Dozen see those chefs running and dump it into my eggs.” The body requires 13 vitamins: from one end of the store to A, C, D, E, K, and the B vitamins another with their lists. i’m a (thiamin, riboflavin, niacin, terrible shopper.” pantothenic acid, biotin, B6, B12, and folate). /Veer V On Duty Vitamins have specific jobs. Vitamin A is essential for

“If my brain says proxoro eer; healthy eyes and skin, and helps fight infections. V phy/

‘I have to go work out A r Others are needed for now,’ I’ll talk myself out G healthy bones, normal blood flow and clotting, of it in 5 seconds.” n photo and cell creation. ce A

Me Time o “A good book is the best, Two of a Kind and i can cruise through Vitamins are classified as phy/Veer; phy/Veer;

A fat-soluble (vitamins A, D, E, it super-fast. now i’m r G and K), which remain in the reading the third volume

hoto body longer, and water-soluble, Panettiere of the Fifty Shades stars in ABc’s which quickly exit the body Nashville, which of Grey trilogy—Fifty (vitamins B and C). The premieres Shades Freed.” esp iMAG exception is vitamin B12, oct. 10. stored in the liver. lee; Blend Blend lee;

G Bear Necessity n In the early 1990s, many companies introduced When Abc’s new drama and music series Nashville

/Veer; ch U /Veer; “gummy” chewable vitamins, A Workout Wisdom premieres oct. 10, viewers will meet Juliette barnes, mimicking gummy bears. ht: Aj ht:

“if my brain says, ‘i have to played by actor, model, and singer Hayden Panettiere. G C Stars go work out now,’ i’ll talk the network describes her character as “sexy, sassy,” with top ri top Vitamin C is synonymous myself out of it in 5 seconds. “trouble written all over her.” Panettiere, now 23, began with oranges, but kiwifruit we’re on set all day long, acting at age 11 months and has worked in television and and papaya have more running around on our feet, vitamin C per cup. so that’s really helpful. in film ever since. She’s probably best known as cheerleader Skin Deep off time, i like to swim, not claire bennet in Nbc’s hit science fiction drama, Heroes. “keep yourself healthy M fro clockwise ; Money Matters laps, but just treading water recently, she’s been in the film Scream 4, has appeared and your skin will look Americans spend about $29 billion a year on vitamins when i’m having a good that way, too. take off in Lifetime’s Amanda Knox: Murder on Trial in Italy, and and supplements.—Chloe Thompson conversation with friends. has lent her voice to Alpha and Omega and Hoodwinked your makeup at night— And i’ll take the stairs instead don’t wake up with the of an elevator. Anything that Too! Hood vs. Evil. Panettiere is also a spokesperson for same makeup you had on elongates the body—like the Whaleman Foundation (whaleman.org), dedicated to yesterday. it really clogs

yoga or pilates—works well.” protecting the ocean world.—Stephanie Stephens your pores.” st Michelson/AUGU Ari center:

W ebMD.coM 12 october 2012 Photograph by Ted Morrison october 2012 13 W ebMD.coM living healthy

16 On the Street Expert health advice for a New Jersey dad

18 Women’s Health Intuition and what it really means

19 Men’s Health What to do about hair loss

20 Mind Matters Are you the Get help. jealous type? Give help. 21 Work It Out How to handle GetGive help. help. co-worker drama

Heads Up Life is calling. Are you ready?

READER TIP “Think positive...one door closing Visit WebMD.com and search “community” leads to another one opening.”—TRS1960, WebMD community member Community

Photograph by Shannon Greer october 2012 15 W ebMD.com a separate peace living healthy If anxiety increases when you’re on the road and miss your girls, it might help the whole family to track your schedule, carry family photos, call or video chat often, and maybe try meditation (check out The Relaxation Response by Herbert Benson, MD, for BREAK THE SWEAT simple techniques). Use an antiperspirant at bedtime and a deodorant in the morning. Sweat production is lowest at night, giving active ingredients a better chance Jeffrey P. Kahn, MD to get into your pores. Glide, clinical associate professor of psychiatry, stick, spray, or roll on wherever Weill Cornell Medical College, sweating is a problem—hands, New York City feet, face, back, chest, and even groin. If this doesn’t help within a month, you may have a condition called hyperhidrosis, which can be treated with prescription- Want to be our next WebMD strength antiperspirants or on the Street star? Email Botox injections. us your health issues at webmdmagazineeditors@ webmd.net. We might come to your city!

David M. Pariser, MD dermatologist, dermatology professor at Eastern Virginia Medical School, Norfolk, Va., and founding board member, International Father Hyperhidrosis Society Time We pound the pavement to get expert answers to your pressing health questions Photograph by Chris Usher

BACK ATTACK webmd on the street I recommend at least 10 minutes of stretching Tay Person a day to start. To help keep the spine flexible, when sitting at your desk, Implementation Consultant, 35 imagine ice water being Somers Point, N.J. poured down your back. The thought will have you sitting tall—and reducing Working with kids and raising neck and back stress. your own isn’t exactly child’s play. Tay Person, a former teacher, knows that all too well. He and his wife, Jen, a teacher, are parents to Bella, 6, Lilli, 3, and Nola, Jay Cardiello 18 months. Person travels founder of the JCORE Accelerated frequently for his job with Body Transformation System, and Scholastic. “My daughters celebrity trainer, New York City don’t like when I’m gone, and I don’t like to be away from them. It’s definitely a source of anxiety,” he says, citing recent skin breakouts he thinks were stress-related. Person, a one- time bodybuilding champ, regularly carves out time for cardio and strength training, Feet Treat but he wants to spend more Wash your feet nightly with Nizoral time—which is hard to come or Selsun Blue shampoo to help by—increasing his flexibility. kill fungus. Then apply an over- “Over the past two years, I’ve the-counter antifungal cream all injured my lower back twice.” over your feet, between the toes, And with his frequent trips and on the toenails. You can also to the gym, athlete’s foot try AmLactin, a lactic acid lotion is top of mind, too. Person that smooths and moisturizes the feet while inhibiting fungal growth. tries not to sweat the small If this regimen doesn’t work, stuff, but he’s bothered by see your doctor for prescription excessive perspiration. “I have antifungal tablets. tried Certain Dri and just about every clinical-strength deodorant on the market,” he says. But no matter the season, his dress shirts still tell the story. David Colbert, MD founder, New York Dermatology Group and Colbert MD skin care the opinions expressed in this section are of the experts and are not the opinions of WebMD. WebMD does not endorse any specific product, service, or treatment. Open up to more wellness and lifestyle info at the Women’s living Health center. healthy .com

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D Apparent A E H my neck like that they have more something bad is intuition than men, Think there’s no growing about to happen. says Orloff. “The real- back? Not true—here’s what Is that women’s to do about balding intuition or just ity is, girls are praised paranoia?” for being sensitive By Matt McMillen while boys are urged to WOMEN’S HEALTH be more linear in their thinking rather than By age 30, one of every two men Dalila Cullins listening to their feel- starts to lose the thick mop of hair Basic Instinct 32, actor, New York ings,” she says. he had as a teen and throughout his 20s. So how do you tune The hairline begins a steady backward Go with your gut. It’s more scientific in? First, pay atten- march, and more of the scalp shows than you might think EXPERT tion to your physical through on the top of the head. ANSWER By Colleen Oakley responses. “Maybe Your genes largely determine whether “Does it matter? I teach my patients you’re trying to decide you’ll be one of these men. But Adam When my husband and make a decision—but it happens to always listen if you should take so fast that the reaction is at an to their gut— I shopped for our first that sixth sense a new job that pays Up to seven in 10 men who house, we looked at more than 20 unconscious level. that’s telling you twice the salary as properties on the market. None But that’s only part of it, says something might your current one,” take minoxidil say they regrow not be right— of them seemed to fit our detailed Judith Orloff, MD, assistant particularly if says Orloff. “Your head some hair. checklist of the perfect home. I clinical professor of psychiatry at you’re sensing says ‘Of course! That’s danger. If you grew frustrated and called my UCLA and author of Guide to Intu- listen to it and a lot of money,’ but Penstein, MD, chief dermatologist at mom. “Forget the list,” she said. itive Healing: Five Steps to Physical, you’re wrong, you notice that you North Shore-Long Island Jewish Health having to use it twice a day indefinitely. the major culprit in male pattern bald- “When you walk in the front door Emotional, and Sexual Wellness. you’ve lost feel a little sick to your System in Lake Success, N.Y., says your You don’t even need a prescription.” ness. DHT thins the hair of men who nothing. Perhaps of your house, you’ll just know “Just like the brain, there are neu- you took a longer stomach or exhausted. genes don’t necessarily get the final Minoxidil seems to enlarge follicles have inherited a baldness gene because it.” Three days later, as I stepped rotransmitters in the gut that can route home or That’s an intuitive cue word. You can save what you’ve got and and stimulate hair growth, though it shrinks genetically sensitive hair fol- you ducked into onto the slightly sloping porch of respond to environmental stimuli a store until the that you should step (at least in some cases) recover some of researchers don’t fully understand licles until those follicles can no longer a charming 1926 Spanish stucco and emotions in the now—it’s not feeling passed. If back and really exam- what you’ve lost with one of two medica- how. Still, up to seven in 10 men who grow hair. Finasteride slows hair loss in three-bedroom with our Realtor, just about past experiences,” she you don’t listen ine the offer.” tions: a foam or lotion called minoxidil to it and you’re take minoxidil say they regrow some as many as 90% of men, and most men I realized my mother was right. says. When those neurotransmit- right, things You also need to (the brand name is Rogaine) or a pre- hair. Men who try it need to be patient who take it regrow some hair. It had only one bathroom and ters fire, you may feel the sensa- could turn out make sure you aren’t scription pill, finasteride (Propecia). because sometimes results can take four You can use minoxidil and finaste- very badly. More desperately needed paint and a tion of “butterflies” or uneasiness often than not, mistaking strong “Minoxidil works well for men who months. ride together, often for better results. new air-conditioning unit, but in your stomach. Researchers your gut is right, emotions for intuition. don’t want to take a pill and who want to Even when it works, though, it can Whether you use one or both, Penstein so listen up! somehow, I knew I was home. theorize that “gut instinct,” which It’s always better “Fear, desire, and stall or prevent hair loss,” Penstein says. irritate the scalp. “That’s the only real says, you must stick to that treatment. Intuition, or a sixth sense, is sends signals to your brain, plays a to be safe panic can all get in the “There’s little downside to it, other than side effect from minoxidil,” Penstein “You’re not curing the problem. something many of us rely on large role in intuition. than sorry.” way of intuition,” says says, of the itchiness, flaking, and red- You’re just keeping it at bay, and that for snap judgments and often And contrary to common belief, Orloff. “It’s important ness a few men develop. Those with very takes commitment,” Penstein says. life-altering decisions. But what it’s not just women who harbor this to really focus on that g es Did You Know? sensitive scalps may have problems with “The moment you stop, you start los- exactly is it? A 2008 study in mysterious instinct. “Men can be inner voice.” even a foam formulation and might ing hair again, sometimes faster than the British Journal of Psychology powerfully intuitive—they have the 100,000 want to try finasteride. before.” Judith Orloff, MD Reviewed by hairs grow on the defined intuition as what happens same capabilities as women,” says assistant clinical Patricia A. Farrell, PhD Finasteride blocks the enzyme that when the brain draws on past Orloff. “But in our culture, we view professor of WebMD Mental Health average scalp. converts testosterone to dihydrotestos- Reviewed by Michael W. Smith, MD psychiatry at UCLA Expert WebMD Chief Medical Editor experiences and external cues to intuition as something that’s warm i le M asterf Bloomua/ Ima k e/Getty Blasch Kay terone (DHT), a hormone considered

W ebMD.com 18 october 2012 october 2012 19 W ebMD.com Learn how to stay zen from 9 to 5 with an overview of Managing Job Stress. living healthy How do you keep your .com relationship alive? Leave a comment on WebMD’s The Art of Relationships blog! mind matters

When in Doubt like a step-parent coming into a family. Come in slow. Don’t Do you have a jealous streak that runs deep? start parenting right away. We Get to the heart of the issue have to earn trust so people By Leslie Becker-Phelps, PhD PEER value what we have to say,” ADVISER Selig says. Also consider whether your Try these strategies You hoped your day. Take note of when when you feel ideas sound like criticism. Your husband’s new work people compliment you or the need to talk job may, in fact, be to inno- colleague was a happily mar- say things they appreciate to higher-ups or vate, but new approaches must ried 50-plus mature mom about you, and write them to the co-worker follow ample recognition of with whom you’re of grown kids who knits in down. Most important, if the work your colleagues have having problems. her free time, but when you the feelings stem from your already done. “One of my cli- meet her at the corporate insecurities and nothing he’s 1. Count to 10. ents had great ideas but didn’t picnic, she’s a 33-year-old done, remind yourself that Never react to your give any recognition that there single blonde beauty who your current partner has co-worker’s most was a lot of good stuff going on recent offense. does Yogilates every day and been open and honest with there before she came in. Her Always move is super-smart and charm- you and that there is no real forward with a cool co-workers felt criticized and ing to boot. That pit in your reason to worry. head. Go home, undervalued, and they reacted stomach? You hate to admit 3. Talk to your partner. sleep on it, and plan to it,” Selig says. it, but it’s cold, hard envy. Healthy relationships are what you’ll say and Do you and your co-workers ­ to whom. Jealousy is common in based on honest commu- see your role the same way? romantic relationships, and nication and caring. If you work it out 2. Point the finger While you’re just doing your usually it’s nothing more fear your partner will cheat at yourself. Use job, if others don’t know what than a natural protective on you when he walks out “I” statements. that job is, they may feel you’re instinct when you sense even the door, talk about your Co-workers will stepping on their toes. “A lot of Office Space be more open to a tiny threat to your happy concerns—without accusa- times these conflicts are a result Not hitting it off with your co-workers? dialogue when domestic bliss. tions. State the problem of role clashes more than inter- You might need to take a step back you’re asking A recent study found have far-reaching conse- are based on distrust issues briefly and focus on how you for help rather personal differences,” Selig says. that jealousy can literally quences. But you don’t have in your current relation- feel (hurt, sad, alone). Use By Sonya Collins than attacking or How about your interaction be blinding. University of to let it destroy your rela- ship or on insecurities “I” statements, so it’s clear blaming. Consider with co-workers—does it reflect “I think I may have Delaware researchers asked tionship. When you feel the that you harbor from past you’re not blaming him. The Whether it’s a co-worker who bulldozes us during staff the way they interact with each gotten off on the the female half of couples to green-eyed monster taking relationships. objective is to open the door meetings and shoots down every new idea, or several col- wrong foot. Is there other? How do they share ideas, pick out specific photos in a over, take a step back and 2. Nurture self-love. for your partner to reassure leagues who make up a clique outsiders just can’t break into, anything I can be resolve conflicts, work together? stream of images on a com- follow these three steps. If your feelings of jealousy you and work to help allay we’ve all had to work with people we simply don’t like. They can doing differently?” Selig says it pays to be observant puter, while their paramours 1. Acknowledge the stem from insecurities your concerns. If you’re turn a job you otherwise enjoy into your own daily personal hell. versus “Why are and practice “when in Rome” you shooting down sat at a computer nearby problem. Always pay atten- within yourself, it’s time to unable to talk through the Some perspective is in order. While your co-worker’s behavior behavior, going with the flow. all my ideas?” rating the attractiveness tion to your gut feelings make a focused effort on feelings of distrust—whether may feel like a personal affront you did nothing to deserve, he But, Selig advises, don’t go of other women. The more and instincts. They may not boosting your self-esteem. they’re real or imagined—it or she may feel affronted, too, says Andy Selig, ScD, a manage- 3. Keep it straight to the difficult co- jealous the women felt about be accurate, but that’s OK. Start by keeping a gratitude could be a sign of a fun- ment and organizational psychologist who often mediates tense professional, not worker or your boss. Ask for their men looking at hot Once you acknowledge that journal. Write down three damental problem in your workplace relations. “Most of the time, all the protagonists personal. This cuts feedback from another co- the chances of a women, the less they were you’re jealous, you can then things each night that you relationship that needs to be involved feel like victims,” he says. worker (or two) you trust who defensive response. able to pick out the target determine if your feelings felt good about during that addressed. So before moving forward, take a step back. “First look at Try “Here’s what also gets along with the pack. If images on their own screens. yourself. Then look at others,” Selig says. “We can’t usually I think my job is, this doesn’t resolve the situa- The lesson? Jealousy is a g es change other people, but we can change ourselves.” and here’s how tion, it may be time to approach g es powerful emotion that can EXPERT TIP Ask yourself some questions—they might reveal behaviors I’m pursuing it. Is the colleague in question. that what you and “It’s not just lunch—sharing a meal with an ex-flame sparks more you can change to ease the tension. First, did you move too fast? ara/Getty Ima ara/Getty

/Getty Ima /Getty others expected of Reviewed by jealousy than just meeting for coffee in both men and women, according giw This applies especially if you’re new to a job. Maybe you’re a me?” rather than Patricia A. Farrell, PhD to a recent study from Cornell University. Keep your social interactions Reviewed by Patricia A. Farrell, PhD WebMD Mental Health Expert with exes food-free.”—Leslie Becker-Phelps, PhD real go-getter, and you wanted to hit the ground running—not “No one is WebMD Mental Health Expert oren H al d oren

S H a Br i an always the best strategy. “Coming into a new organization is listening to me.”

W ebMD.com 20 october 2012 october 2012 21 W ebMD.com A Healthy Way to Look and Feel Beautiful

Get the latest information from leading 24 You Asked Gets kthine alantde sbt einaufotrym eaxtpioenrt sf ronm p lreoadduincgts s, kin Pump up the vol- and beauty experts on products, nutrition, ume with expert nutrition, treatments and more. hair-raising tips trea tments and more. 26 Beauty Smarts What’s the best moisturizer for your skin?

Visit WebMD.com and search “healthy beauty” 28 Your Smile Get up close with healthy beauty a top dentist and whiter teeth, too

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A Healthy Way to Look and Feel Beautiful Get the latest information from leading skin and beauty experts EXPERT TIP on products, nutrition, treatments and more. “Whitening toothpastes can be effective for smokers or those who use dentist bleaching. Be sure to look for a brand approved by the American Dental Association and one that has fluoride, important even for adults because it prevents tooth decay.”—Denise J. Estafan, DDS, MS Vertical Format, Black Vertical Format, CMYK

Photograph by Ericka McConnell october 2012 23 W ebMD.com Show your locks some love with the 20 Best-Kept Hair healthy Secrets slideshow. beauty .com You Asked Aisle Do Pump It Up PRODUCT PICK RoC Retinol Correxion Deep Want to add volume to your tresses? We solicited hair-raising Wrinkle Night tips and product picks from two experts Cream ($21.99) By Ayren Jackson-Cannady EXPERT Into Julie Pena, MD founder, Skin Thin Hair Solutions Three Dermatology and dermatologists Skin Cancer Surgery, ShARE THEIR Nashville secrets for maintaining a “I tell all my full mane Low Blow Big Tease patients that a retinoid product Enjoy Professional Hair Spray ($18.64) “It’s Goody Start.Style.Finish Get It Smooth When in doubt, should be part of easy to get lift with hair spray, a blow dryer, Double-Sided Smoothing Comb ($2.49) “To leave your their everyday skin and the right technique. Flip your head so your get the most effective and volume-enhancing hair loose. care regimen. Of all damp strands are pointing toward the ground backcomb or ‘tease,’ lift small sections of hair “Avoid placing the drugstore night and dry with a dryer set to medium. Flip your straight up and hold the ends with your fingers. excessive ten- treatments, RoC head back up and ‘over-direct’ strands by Insert a comb about three to four inches from sion on the hair Retinol is my favor- brushing them upward, against your scalp in the scalp and push the hair straight down. from styles such ite. It’s a reliable, the opposite direction you would like hair to fall. Pull the comb completely out of the hair and as tight ponytails safe, and inexpen- Clean Sweep Hue New With hair still over-directed, wait 15 seconds for then reinsert at original starting point. Repeat or braids,” says sive product that it to cool in that direction. Style as usual and until you get the desired amount of height. TRESemmé Fresh Start Volumizing Dry L’Oréal Excellence Creme Permanent Hair Andrew Alexis, MD, really delivers.” spray with a light mist of this strong-hold, Backcombing itself isn’t damaging. It’s the way Shampoo ($4.99) “Dry shampoo is a great Color ($8.99) “Permanent hair color packs a lot MPH. “This can fast-drying hairspray.” we comb it out at the end of the day that causes styling product because it absorbs excess of pigment into the cuticle of your hair, which lead to thinning most of the damage. Be gentle; start at the Take a photo with oils that can weigh hair down. It also adds dry decreases translucency and increases the hair on the front your phone! bottom and slowly work strands smooth.” texture to clean hair, which pumps up volume.” diameter of the hair shaft, creating a edges of the hair- much fuller, shinier effect.” line called traction alopecia.” Shopping List

TRESemmé Fresh Be picky with your Start Volumizing conditioner. Dry Shampoo “Use conditioners L’Oréal Excel- made for fine lence Creme hair, which are Permanent typically lighter Hair Color and will not weigh Shu Uemura down hair,” says Ample Angora Joshua Zeichner, Volumizing MD. “Stay away Light Foam from ‘intensive Oribe Shampoo conditioners,’ and Conditioner which may be too for Magnificent heavy if your hair Volume is fine.” Enjoy Profess- Weight Loss Booster Shot ional Hair Spray Air Head Shower Power Don’t over- Desert Essence Organics Lemon Tea Tree Big Sexy Hair Root Pump Volumizing Spray process your hair. Goody Start. Shu Uemura Ample Angora Volumizing Light Oribe Shampoo and Conditioner for Shampoo ($8.99) “Clarifying shampoo is Mousse ($17.50) “When using a root booster, “Heat-damaged g es Style.Finish Foam ($38) “I think even women with curly hair Magnificent Volume ($36–$39) “Some designed to break down and wash away all of start with a little and add more if you need it. hair is even more Get It Smooth love volume; they just don’t want frizz! Try volumizing shampoos, like this one, have a the buildup from the various hair products we If your hair flops or looks super stiff, you’ve Double-Sided susceptible to using a mousse like this. It’s great because it higher pH level, which opens the cuticle of the use daily, returning strands to their original used too much. Root booster should be Smoothing breakage when Comb smooths out unruly hair and makes it really full hair a little and keeps hair from looking too flat. state. Just getting rid of the additional applied by holding wet hair up and spraying topped with without any stickiness.” If you want maximum lift, keep conditioner weight gives hair a lift. I recommend using a the product one to two inches from dyes, perms, or Desert Essence mainly on your ends and away from your scalp clarifying shampoo every fourth wash.” the roots.” Organics Lemon because the conditioner will weigh hair down.” relaxers,” says Tea Tree Shampoo Jeanine Downie, MD. She suggests Big Sexy Hair the opinions expressed in this section are of you perm, relax, or Root Pump Paul Cucinello the experts and are not the opinions of WebMD. Hilary Young Volumizing­ WebMD does not endorse any specific dye, but never all Reviewed by Karyn Grossman, MD y/Getty I ma g ra ph y/Getty P h oto Baumann Heinz : Spray Mousse creative director, Chris Chase Salon, product, service, or treatment. owner and stylist, Cheveux Studio for Hair, WebMD Skin Care Expert

New York City three all at once. p to Corte Madera, Calif.

W ebMD.com 24 october 2012 october 2012 25 W ebMD.com Watch The Making of Moisturizers video to help you pick the right one. healthy beauty .com

beauty smarts Face Time Pick the right moisturizer for your skin with these expert tips By Wendy C. Fries Beauty 411 I’ve heard a lot about lasers, but how exactly do they work?

from webmd.com Fine lines, discoloration, acne thousands of microscopic scars, large pores, broken­ laser beams (each one-tenth blood vessels, and age the diameter of a hair follicle) Q &A spots—you name it, lasers, make pinpoint punctures in the “I just turned 30. or microscopic beams of skin, the process doesn’t affect with lanolin, mineral oil, waxes, or shea butter, Is it too early (or light, have the power to help the surrounding tissue. It has Cambio suggests. These “can clog pores and too late!) to start correct it. Lasers use heat become popular for treating cause acne on the face, and are more appro- using anti-aging (and light) to stimulate the the signs of aging with much priate for the body.” products?” growth of fibroblasts, which less discomfort and downtime are precursors to new collagen than traditional, nonfraction- Dry skin Aim for a heavier moisturizer in the skin. More collagen ated ablative lasers. Typically, and look for ingredients like hyaluronic acid means firmer, fresher, younger- redness lasts about a week. and dimethicone, which keep skin hydrated. looking skin. There are two Glycerin, propylene glycol, proteins, and urea Jenn Rice main types. Non-ablative lasers don’t also attract water to your skin, while lanolin, 30, publicist, break the surface of the skin Salt Lake City Ablative lasers take off the and are generally gentler mineral oil, and petrolatum lock in moisture. surface of the skin and can options, leaving mostly mild Smooth the moisturizer on a few minutes after result in scabbing, significant redness and irritation. Some a bath or shower. downtime (up to two weeks), work after just one session, but EXPERT Sensitive skin Use a hypoallergenic and and some discomfort. many take a few appointments ANSWER fragrance-free moisturizer. “In general, choose Your skin may be red, raw, to achieve the end results. I “No, it’s never and oozing, but once that happen to like the Genesis one that contains fewer than 10 ingredients” too soon (or too to keep potential interactions with fragile late) to begin an passes, deep acne scars and 1064 YAG laser for zapping anti-aging skin troublesome wrinkles will rosacea and shrinking pores— skin at a minimum, says dermatologist Sonia care regimen. be drastically reduced. with almost zero downtime. Badreshia-Bansal, MD, of Danville, Calif. Use sunscreen The MedLite laser is the one People with dry or sensitive skin should avoid and antioxidants One of the hottest lasers in this I use for fading brown spots during the day category is fractionated laser over a few sessions. alpha hydroxy acids, glycolic acid, retinoic and a retinoid or On your to-do list: Buy a facial mois- in Cape Coral, Fla., suggests one that is oil- skin resurfacing. (Fraxel is the acid, and salicylic acid. These may penetrate retinol at night. ­—Debra Jaliman, MD This is the proven turizer. What could be easier? But then and fragrance-free as well. brand name of the pioneering assistant professor of dermatology, the skin too deeply and trouble delicate skin. path to keeping there you are, wandering the skin care aisle Moisturizers with antioxidant ingredients device in this arena.) While Mount Sinai School of Medicine Stay away from products with alcohols as well. skin looking younger.” in the drugstore, confounded by the choices. such as green tea, chamomile, pomegranate, Itchy skin If a hypoallergenic product We asked dermatologists to share some and licorice root extract help keep any skin doesn’t relieve itching, try a 1% hydrocorti- no-nonsense tips for choosing the right prod- type looking fresh and healthy. Antioxidants sone steroid skin cream for one week (but no uct for your face. It turns out that picking a protect the skin by neutralizing free radicals, longer). Still itchy? See your doctor. You may moisturizer isn’t so confusing after all. Here’s molecules that break down skin cells. .com have a more serious skin problem. C or b is I Tried It! Mary Lupo, MD what to look for and what to avoid. Whatever your skin type, most skin Eczema Use a thick moisturizing oint- professor of Who has time for regular facials? Not me! All skin types No matter your skin type, experts suggest avoiding unnecessary and ource/ ment with petrolatum, or simply use petro- dermatology, That’s why I was elated to read about the just about every dermatologist recommends potentially irritating ingredients like added S g e leum jelly. Either will soothe skin and keep Tulane University Clarisonic Mia ($119) in the September 2012 School of Medicine, a moisturizer that has a sunscreen with an colors and perfumes. Antibacterial agents issue. It’s truly the next best thing. This little it supple. New Orleans SPF of at least 30. If you’re buying a facial can also be unnecessarily harsh, stripping waterproof tool now has a permanent spot in Stay away from moisturizers that contain product, dermatologist Andrea Cambio, MD, skin of essential oils. my shower, and its size makes it easy to pack, urea or lactic acids. Though these ingredients Have you tried a Oily or acne-prone skin If you’re prone to g es leaving me polished and refreshed no mat- are good for very dry skin, they can aggravate product you read

I ma ter where I travel. It’s foolproof—one button

acne, look for a non-comedogenic facial mois- w about in our pages? skin irritations. EXPERT TIP and one speed—and within 60 seconds, I’m turizer, which won’t clog pores. “I like alpha Let us know. We just “Use more than one moisturizer if you need to. Choose might feature you in an clean. Since I bought one, I’ve already noticed a light moisturizer for day and a heavier one for hydroxy acids, which are also anti-aging,” says upcoming issue! smoother skin and smaller pores.—Brittany Carolyn Jacob, MD, a Chicago dermatologist. Siminitz, Washington, D.C. Reviewed by Stephanie S. Gardner, MD nighttime.”—Andrea Cambio, MD g esource/Glo WebMD Skin Care Expert

To prevent acne, skip facial moisturizers I ma I ma p ress/Veer; Di g ital Dazeley/Getty; Peter

W ebMD.com 26 october 2012 october 2012 27 W ebMD.com Do You Know How to Get a Beautiful Smile? Take this quiz to find out. healthy beauty .com

bought kits, such as whitening strips and trays, contain as much as 7% per- oxide, Estafan says, while whiteners used in your dentist’s office can have YOUR SMILE 35% or, less commonly, 45% peroxide. The way the whiteners are delivered differs, too. Just one hour in the den- White tist’s chair can turn your smile from dull to dazzling. After applying a high Space concentration tooth-whitening gel, your dentist will aim a special heating lamp Mellow the yellow directly at your teeth for three 20-min- with the expert scoop ute intervals, taking five-minute breaks about teeth whiteners in between to reapply the gel. “When Sensitive it’s warm, the carbamide peroxide works By Lisa Zamosky Subject better,” Estafan explains. Tooth and gum sensitivity is a During the procedure, a rubber dam common side effect of teeth There’s a saying: “A smile can or other protective barrier is placed in whiteners, though it’s not clear brighten the darkest day.” Maybe the mouth to isolate the lips, gums, why some people are affected that’s why so many of us look for ways and tongue so the whitening gel stays and others are not, explains to change our teeth from dull and yel- concentrated where it’s needed: on Denise J. Estafan, DDS, MS. Here are a few expert tips for low to bright and shiny. your teeth. Estafan says the in-office whitening your teeth Yellow, stained teeth tend to come treatment works best when you follow in comfort. with the territory for coffee, tea, and red up at home by using whitening trays that are custom-made for your teeth by Don’t worry. your dentist. The tight fit keeps bleach- Touchy teeth and gums are no Peroxide is the active agent in cause for concern when using teeth whiteners sold by dentists and ing solutions in close contact with whiteners. “Healthy individuals the tooth’s surface and minimizes the with perfectly healthy gums drugstores alike. amount of peroxide that is swallowed or can have a high level of contacts the gums. sensitivity,” Estafan says. The wine drinkers. Smokers, of course, put Professional whitening at your den- pain usually subsides within a few days. their teeth at greatest risk for unsightly tist’s office works well, but you’ll pay stains. But everyone’s teeth suffer after for the privilege. Expect to shell out Take it slow. years of wear and tear—etchings or about $500 for the in-office light treat- “You don’t want to use grooves begin to develop on the teeth’s ment (which Estafan says also includes the strongest and fastest surface, making them more susceptible at-home trays and solution) and from [solution] because it comes with the most side effects,” to stains over time. That’s why the same $300 to $400 for the personalized trays says Mark Wolff, DDS, PhD. glass of red wine you drink today may if used alone. Slow and consistent do more to discolor your teeth than it Care at New York University College of options. Today’s professional and do-it- Whitening kits sold in drugstores wins the race. did 10 years ago, says Mark Wolff, DDS, Dentistry. yourself bleaching methods are effec- contain lower levels of peroxide than PhD, professor and chair of the Depart- If you’re in the market for a teeth- tive and have proven to be extremely those sold by your dentist but may work Kill the pain. Discomfort can be tempered ment of Cariology and Comprehensive whitening solution, you have plenty of safe, says Denise J. Estafan, DDS, MS, just as well, if more slowly. And they are by brushing with toothpaste director of esthetic dentistry at New considerably less expensive than pro- made for sensitive teeth. Also,

York University College of Dentistry. g es fessional options: Kits range from $25 if you’re using whitening trays,

EXPERT TIP I ma ask your dentist for fluoride or

Peroxide—either carbamide or hydro- w to $100. “If you’re going with a drugstore option, you should choose gen—is the active agent in teeth whit- potassium nitrate solutions, whitening strips. They work better than store-bought which can be applied to teeth eners sold by dentists and drugstores in the same tray used for

trays because they adhere much more closely to the tooth M asterfile Bu dg et/ A lto alike, and the strength of the peroxide Reviewed by Eric Yabu, DDS surface.”—Mark Wolff, DDS, PhD WebMD Oral Health Expert whitening gel and can help

is what mostly sets them apart: Store- P h oto F rank/Glo h el R ac decrease tooth sensitivity.

W ebMD.com 28 october 2012 healthy beauty of your gums have become thing that can attack the show that bacteria in gum are experiencing a lot of riddled with bacteria. Bot- other half. No matter how disease is also in plaques stress, they may grind or tom line: Make frequent fantastically high-tech your in heart arteries. Seeing clench their teeth, leading check-up appointments to to gum recession or telltale nip invisible-to-you problems wear patterns. Acid erosion YOUR SMILE Model You should see the dentist every 90 Behavior in the bud, and put your patterns can betray a dentist on speed-dial should days. The cost isn’t that far off from bulimic. Bad breath can Ever wonder how you notice any problems. what you might spend on your hair. even say a lot—be it acid What’s Up, Doc? much of their own reflux, a poor diet, or even advice dentists a top dentist shares his 7 secrets for a healthier smile follow? Steven Roth, 4. Nothing can replace diabetes. You just can’t hide and opens up about his own habits DDS, is indeed one good, ­old-fashioned brush is or how thoroughly the dentist can benefit not these things once you open health professional By Liz Krieger who practices what dental floss. you go over each tooth, you only your smile and the your mouth. he preaches. Sure, you can buy sharp still need to floss. whiteness of your teeth, but little instruments at the also your overall health. 7. Not all whites are When it comes to How often do you get a drugstore for picking at 5. Seeing the dentist may right. new toothbrush? Every lighting up some of 90 days, right after I get your teeth or follow every save your life. 6. The mouth tells There’s no one-size-fits-all Hollywood’s brightest smiles my cleaning—it’s easy to meal with a toothpick, but People are slowly realizing no lies. shade of white. If you bring as well as tending to the remember that way. I use until you get in between the that gum disease might I can tell so much about in a picture of someone pearly whites of the average a mechanical toothbrush, teeth, where the surfaces be a sign of heart a person just peering whose bright smile you so I just swap out the old Joe, New York City dentist head for a new one. abut one another, you’re disease. Some studies into their mouth. I can admire, it’s entirely possible Steven Roth, DDS, does it not attacking the location indicate a connection see if they have certain it won’t suit you. It depends all. With more than 25 years If you can’t brush, what where some of the worst but more research needs habits or issues—whether on your coloring and your of cosmetic and restorative do you do? I rinse with bacteria hide. The truth is, to be done. It’s all about they drink a lot of soda teeth. It’s a bit like hair [a mouthwash] to kill dentistry experience, he cre- bacteria. (I also like to brushing only gets about inflammation—be it of the or coffee and if they have color in that respect. ated a technique that allows dip my toothbrush in it, 50% of the nasty stuff off of gums or of the arteries of had a drug problem in the Everyone has a different patients to “test drive” but I guess this is when your teeth. Floss is the only the heart. Some studies past or present. If they potential for whiteness. cosmetic dental procedures you have no brush on hand.) If nothing else (such as temporary veneers) is available, I rinse with before taking the plunge. We warm water. chatted with Roth from his Manhattan office, SmilesNY, Do you have a special and asked him to share the brushing technique? Well, do you count seven things he always tells brushing my teeth while every patient. I’m in the shower as special? Hey—it’s very 1. You probably aren’t see- efficient and I like to ing the dentist enough. multitask! Also, I often floss three times a day—I The standard twice-a-year just love the feeling. visit (covered by most pocket, but it’s well worth it for a long period of time or What Will Help dental plans) is only half from a health perspective. anesthesia for more exten- Confess: Do you have enough. Adults should see If you think about what you sive, invasive procedures like any bad habits that the dentist every 90 days. might spend on regularly root canals. You name the you usually advise You Lose Weight? patients to break? I’m I know it sounds like a lot cutting or coloring your issue, we can address it. pretty virtuous—no ice- (and believe me, I get some hair, it’s really not far off chewing, candy-eating, resistance from reluctant from that. 3. If you wait until or soda- or coffee- WebMD Food & Fitness Planner patients), but, after just you feel pain, it’s way drinking for me. three months, the bacteria 2. If you’re scared of too late. In just a few clicks, customize a plan to help you reach your we clean out of your mouth the dentist because you Know this: Most dental What’s the last thing in your nightly weight and fitness goals. Studies have shown that people during a check-up—it’s all think it’s going to hurt, issues don’t cause pain dental routine? who keep a food journal lose twice the weight than those recolonized! I know it can you’re not seeing the at first. Cavities, before I put in my bite-guard. who rely on diet and exercise alone.* seem expensive, especially right dentist. they become deep, are Yup, I have one, and I if you have to pay for the Today we can manage every painless. Gum disease— think a huge percentage Best of all, it’s free. So start planning today. additional visits out of single aspect of discomfort also silent. But once you’re of people could benefit from one. They help with the right medications wincing in pain, that means prevent a lot of the Reviewed by Laura J. Martin, MD to handle the annoyance of there’s probably already damage from nighttime Ch an/Veer N orman F urman; M att : WebMD Medical Editor keeping your mouth open an infection or the pockets clenching or grinding. p to

*American Journal of Preventive Medicine, August 2008 W ebMD.com 30 october 2012 family & am parenting track bedtime Parenting

am read parenting tip Mom on track diaper change am 36 Pregnancy MORNING ROUTINE The App Touching a Mission Toxic products Garcelle Beauvais puts pen to paper to avoid read baby with inspiration from her sons am care article the Lives of track 38 Baby Talk nap By Gina Shaw Dental care for take photo of favorite toy New Parents tiny teeth am 39 Fit Kids Exercise for better feeding health and grades read nutrition tip am Perfect!!! A 40 Kids’ Health Does your child learn favorite words “Perfect for every new have sleep apnea? create parent that wants to track their newborn!” pm note 41 Teen Health

OUT AND ABOUT Jason • April 22, 2012 Keep-your-cool communications read pediatrician article 42 pm Pet Health track Grooming tips note Everything I Needed & More! from the experts

record video and pm pictures with family “Love the journal & baby book! Must buy for parents!” chart growth Jamie • April 24, 2012

pm read sleep article

create Amazing App! pm note “This is the only app I’ve ever utilized good enough track

DOCTOR’S APPOINTMENT to cause me to spend my time writing a favorite toys review. Incredibly useful with my new son!” pm Chase • April 25, 2012 record feeding

pm record insight Love This App!!

pm “Easy to use!!! Lots of great information!!” track bedtime MelissaSue1106 • April 30, 2012 PARENT TIME

share article pm on facebook READER TIP “The thing about being an only parent is that I cannot be two places at once. I know it will be a constant struggle. That is why Trackers Articles BabyBook I have hired help.”—Baby1at35, WebMD community member

Photograph by JSquared Photography october 2012 33 W ebMD.com family& parenting

whatever the reason for the breakup is. It’s really relaxing and great to calm But you have to remember that the kids down. We multitask all day, and are the most important thing, and you stretching quiets my mind and gets it only get one shot at a childhood. We ready to go to sleep. still do things together as a family and are doing the best we can to make great What’s your workout regimen? Parenting memories. We’re making it as beautiful I need to be better about it, honestly. as we can for them. It’s the first thing to go for me when I Am Mixed, the first in my schedule gets crazy. If I don’t do your three-book series Boy Wonder As they get older, how are you it in the morning, I’m not going to published by Stranger Single mom Garcelle Beauvais handling the “twin thing”? do it at all—unless I’m gearing up for Comics, debuts this fall. How did your sons puts her sons first Well, they just started back to school. something so specific that I have to be inspire you to start I’m about to go pick them up from really diligent about it. I like Cardio writing children’s books? Actor Garcelle Beauvais, 45, their second day in a big school. We’re Barre. It’s an hour, and I sweat like stars as Denzel Washington’s ex- going to have them in separate kinder- nobody’s business. I love that and I When we go to the wife in the upcoming movie Flight, an gartens next year so they can have their love Pilates. It’s really great for toning. bookstore, which we do a lot, there weren’t many intense mystery drama about a pilot’s own space, but we didn’t want to bring In a perfect world, if I could do each books with characters miraculous emergency landing. After them to a new school and then sepa- twice a week, then oh, honey! But life who looked like them. starting out as a model for Clairol and rate them right away. So they’re in a gets in the way. I’m Haitian and Mike is Avon and on the runway for Calvin Irish, and I wanted them Klein and Isaac Mizrahi, Beauvais’ to understand the blend of what makes them who movie career took off with Coming to “We’re so scheduled these days that we they are. So it came to America opposite Eddie Murphy. She’s me that I needed to do best known for her past TV roles in just forget to sometimes stay in our pajamas this. Jax and Jaid are my The Jamie Foxx Show and NYPD Blue, and do nothing.” reviewers. They like this and now appears in the TNT legal part, and they don’t like that part. Sometimes drama Franklin & Bash. Born in Haiti, Beauvais they’re a little too bossy Beauvais also stars in a new 30-minute co-stars with pre-K class together, at the same school What does an ideal day look like Denzel about it, and I tell them DVD drama called Eyes to See about Washington where they’ll go to kindergarten next for you, when you have no work to go play! But it’s been the 2010 earthquake’s aftermath. in Flight year. I can’t wait to hear how their day commitments? a really great process. next month. went, but it’s hard to get them to tell I know exactly what that is! Waking up The next book is about divorce from a kid’s point You’ve been very up front in me anything! late and not rushing out of bed. The of view, because they’re interviews and blogs about dealing kids don’t have to go to school, so they from a divorced family. with your divorce from your Family meal time is so important. come into my bed until it gets a little ex-husband, Mike Nilon. How are How do you manage to make too rough and then I want outta there. you handling it with your twin that work? We’ll have breakfast and then we get in boys, Jax and Jaid? It’s not always easy—they’re turning the pool. Sometimes we’re in the pool at just turn the grill on, put the food on, We share custody 50-50, and we’ve 5 this month, and sometimes it gets 8:30 a.m.! And then just having a really and you can walk away and do other managed to put them first. We thought a little crazy. But we always start our great day with no “have to’s.” We don’t stuff and come back. We’ll barbecue it was important for them to feel like meal with a prayer, and then I’ll tell a have to go to a birthday party, we don’t corn and grill vegetables—the kids things are stable, so we did their rooms story to keep them focused. Sometimes have to go to karate. We’re so sched- love that. the same in each home, with the same I have to start making things up, but uled these days that we just forget to sheets. They have rolly backpacks they’ll want to hear more and then we sometimes stay in our pajamas and do When you’re trying to drop 5 that they take back and forth with the can settle down for dinner together. nothing. We need downtime. pounds, what do you cut first? stuffed animals they sleep with. [Beau- The yummy stuff—carbs like bread vais also has a grown son, Oliver, 21, What do you do to de-stress? What’s your go-to easy dinner? and pasta. Usually pasta! And then from her first marriage.] I always stretch before I go to bed. Probably barbecuing. That’s easy—you I up my water intake. I’m not a big water drinker, so water gets kicked up What would you tell newly single a notch, and then I just go for smaller o g ra p hy moms dealing with parenting after t READER TIP portions and eating earlier.

a divorce? Pho “It’s nice when you can have little moments when you can kind Keep your head up and put the kids of pat yourself on the back for handling a parenting situation well.” —leftcoastgirl, WebMD community member Reviewed by Laura J. Martin, MD

first. I think people get caught up ed JSquar : WebMD Medical Editor

with the anger and the sadness from l e f t

W ebMD.com 34 october 2012 october 2012 35 W ebMD.com family& parenting Get the facts. Read Debunking the Top 7 Pregnancy Myths. It’s Never Been Faster or Easier .com

PREGNANCY to Keep Your Family Healthy open, wear rubber gloves, and never mix cleaning prod- ucts such as ammonia and Risky Business bleach (the smell can make Got a bun in the oven? avoid these you sick). One product you do products for the next nine months need to avoid is oven cleaner. It can be dangerous to breathe, By Stephanie Watson especially in the close quarters PLAY IT SAFE of your oven. More common items and services Pesticides to avoid during Unless you work on a farm, you pregnancy: WebMD probably won’t be exposed to Check symptoms, access drug Dry cleaning enough pesticides to harm your information, get first aid essentials WebMD the Magazine Commercial dry baby. But because pesticides and local health listings. Now enjoy WebMD the Magazine cleaners often could affect a baby’s developing Available for: Android, iPhone, iPad, Kindle Fire wherever you are with a FREE use the solvent brain and nervous system, it’s subscription right on your iPad. Also perchloroethylene better to avoid spraying them access to bonus celebrity content, (PERC), which WebMD expert extras and more. into the air. If you need to get some studies link Available for: iPad to an increased rid of critters, use insect baits miscarriage and traps. risk. Hand wash delicates instead. Food Storage

Your kitty’s litter Canned foods might be quick box Cat feces and cheap, but cans are often contain the parasite lined with bisphenol-A (BPA), Toxoplasma a chemical found in plastics, gondii, which can which can leach into food. cause a serious blood infection, Researchers still aren’t sure toxoplasmosis. what effect this might have on Have someone else developing babies. For now, Just about everyone who spots your baby bump has some do this chore. skip the cans. “If you prepare

nugget of advice, and that often includes products to steer fruits and vegetables fresh, you Pottery, crystal, clear of. But before you toss every cleaning and beauty item in and ceramic dishes can avoid the chemicals in food your house, you need to know which warnings are worth heed- Your favorite packaging that can migrate into ing and which are misguided. Tracey Woodruff, PhD, MPH, serving pieces food,” Woodruff says. associate professor and director of the Program on Reproductive might contain lead. Buy a lead test kit ges Health and the Environment at the University of California, San Beauty Products

and check them. I m a y Francisco, explains which products women legitimately should Polishing your nails or dyeing be wary of during their pregnancy. your hair a couple of times dur- WebMD Baby Dust cloths Access hundreds of articles and Cleaning with ing your pregnancy probably

ett o g ra p hy/G videos developed and approved by cloths can spread t WebMD Pain Coach Cleaning Products won’t do any harm. But because WebMD doctors. Track sleeping,

pesticides and Pho The essential app for people Despite what you might have heard, most cleaning products are you can’t always be sure what other chemicals living with chronic pain, featuring feeding, growth, and more! Create safe to use during pregnancy—provided you use them carefully. into the air. Use a chemicals are in beauty prod- Atw ; a baby book to capture all of the

ges over 1,000 doctor-approved Clean in well-ventilated areas with windows and doors propped wet mop instead. ucts or what effects they might tips and articles, symptom and precious moments. y I m a y have on your developing baby, treatment trackers, and more. Available for: Android, iPhone minimize their use if you can, ett /G Coming in Summer 2012. EXPERT TIP Ris Woodruff advises. “When I was pregnant, I let my nose be my guide when it came to Available for: iPhone environmental exposures. A woman’s sense of smell is heightened Reviewed by Sara DuMond, MD during pregnancy, so I used that to my advantage.”—Sara DuMond, MD Li an e 109508 : WebMD Baby Care Expert l e f t

W ebMD.com 36 october 2012 Read Raising Fit Kids When You’re Inactive to get your kids family& moving and improving. parenting .com

baby talk FIT KIDS Action plan Here’s how you can get your family moving. Brush Strokes Active Duty Step out. Take the It’s never too soon to start taking when your kids exercise, better stairs, park far away care of tiny teeth grades, self-esteem, and sleep follow from the entrance to the grocery store, and By Lisa Zamosky By Hansa Bhargava, MD walk short distances instead of driving. Soon your kids will remind you to do this, says Hansa Bhargava, MD.

Make it simple. Play oldie-but-goodie family games such as Frisbee, tag, and hopscotch. Who can hula-hoop the longest?

SAY ‘CHEESE’ Move on the weekend. Amr Moursi, DDS, Take one hour to do PhD, offers these an activity together: tips to start good Shoot hoops, play habits for a lifetime tennis, or go for a of healthy teeth. nature walk. Too hot or cold outside? Dance to Don’t share. A fast music, or see who major source of can clean their room cavities in children the fastest. is a type of bacteria transferred be- Limit TV and other tween parent and media. The more time child. Limit cup your family spends in and utensil sharing, front of screens—TVs, When your baby flashes cloth will “reduce the bacteria usually get bottom teeth first, and never lick your computers, phones— his gummy smile, caring load and intensity [in a child’s then top ones. Don’t get too baby’s pacifier. Do you find yourself reaching for a tall minutes a day, they reported less sadness and the less they exercise. for teeth that have yet to sprout mouth] so when teeth erupt, worked up about when baby cup of java each afternoon to power said they felt better about themselves, accord- Turn the electronics off and move. is probably the last thing on there should be less cavity- teeth come in. “The key things Brush up. Use a yourself out of that 3 p.m. energy slump? I ing to research published online in the Journal pea-sized amount your mind. “The surprising causing bacteria,” Moursi says. to look at are symmetry and of toothpaste feel your pain—being a mom takes energy. of Pediatric Psychology. Celebrate! If you and thing to a lot of parents is how It’s also a good way to get your pairings,” Moursi says. Drool- twice a day (after As a pediatrician, though, I have a better fix: The next time your kids complain they’re your child just finished early you need to start,” says baby used to having her mouth ing, irritability, and putting breakfast and again a 15-minute power walk. And what works for tired (or you feel the urge to get caffeinated), a long walk, make a Amr Moursi, DDS, PhD, asso- worked on. objects into the mouth are sure before bedtime) on your midday slump works for your kids, too. get up and move. While the official recommen- point of acknowledging your efforts. Remind ciate professor and chair of Dental visits should start signs of teething and tender your baby’s teeth. But with school and so much homework, can dation for children is 60 minutes of physical Skip the fluoride your kids how moving New York University’s Depart- early, preferably within six gums. Sometimes a low fever or until age 2, when they afford to take time to exercise? In truth, activity a day, breaking this down into shorter makes them feel good. ment of Pediatric Dentistry. months of the first tooth com- loose stools happen, too. kids can usually be they can’t afford not to. A Georgia school that segments may be easier for a busy family. At birth, your child’s baby ing in, and no later than your To relieve teething discom- trusted not to swal- started a before-school fitness program found Make sure you include aerobic activity such as teeth—20 in total—are already child’s first birthday. fort, remember two words: cold low toothpaste. that children who walked for just 25 to 30 min- brisk walking at least three days a week. And Did You Know? formed, hidden within the jaw- Brushing should start as and hard. A frozen banana or a utes participated more in class and showed don’t forget muscle- and bone-strengthening Limit exposure. bone. Wiping your baby’s gums soon as teeth appear, which can bagel can help reduce the pain. improved grades. Another bonus: Exercise exercises, such as gymnastics and push-ups. 4 out of 5 teens Frequent eating, are at high /V ee r

once or twice a day with a soft be as early as 4 months. Babies Keep good early dental hab- even of healthy O can improve self-esteem in kids. When 207 You and your family will be healthier, sleep its—and your baby’s gummy food, is more dam- IK ; formerly sedentary kids exercised for just 40 better, and feel happier. ges risk smile will soon turn into a aging to little teeth of disease because than sweets. For I m a y they fail to do READER TIP happy, toothy grin. EXPERT TIP younger children, the recommended ett o/G “Toddlers don’t want their teeth being brushed because aim for eating t “The other day, my son yawned and said, ‘Mom, I’m tired. I’m going to A l amount of o back molars are coming out and it hurts. Try something Reviewed by about five times a t jump on the trampoline.’ A few minutes later, he returned with a smile physical activity. Eric Yabu, DDS flavored.”—alwayssmile, WebMD community member bis B e n se r/Cor WebMD Oral Health Expert day (three meals Pho : and said, ‘I am ready to do my homework now.’ ”—Hansa Bhargava, MD

and two snacks). l e f t Heide

W ebMD.com 38 october 2012 october 2012 39 W ebMD.com Watch Healthy Mood & Emotions to encourage your family& teen to open up. parenting .com

KIDS’ HEALTH of children of all ages, even than two breath cycles GET REAL newborns, according to the in children, and this can Need some help dealing National Sleep Foundation. happen up to 70 times an with your volatile teen? Snore Spot It seems to run in families, hour. Oxygen levels in the Laura S. Kastner, PhD, has and kids who have enlarged blood plummet, and the some advice. “Sometimes Signs your child might have a sleep tonsils and/or adenoids body responds as if choking. parents’ expectations for problem—and how to put it to rest kids’ emotional control are (lymph nodes in the throat Sometimes young too high,” she says, “and By Christina Boufis behind the nose) have a children outgrow OSA as expectations about daily higher risk of developing their throats get larger and habits are too low.” OSA. Other factors include airways stiffen, says Rosen. being obese, having a small Those with large tonsils and Create solid routines. Instead of trying to control jaw or midface or a larger adenoids may need surgery your kid’s thoughts and than usual tongue, being (adenotonsillectomy), which feelings, create and model exposed to tobacco smoke, typically cures 80% to 90% firm family policies and and having less muscle of children, says Rosen. routines to encourage tone (such as in children Joshua was diagnosed responsibility and self- control. Start early—no with Down syndrome, with OSA and needs addi- later than middle school. cerebral palsy, and/or tional treatment since tonsil neuromuscular disorders), surgery was unsuccessful, Adopt good habits. With a explains Dennis Rosen, MD, and his parents are consult- few “house rules,” parents can create quality family time and help their kids focus TEEN health on the things that count. “A lot of people, and probably a lot of kids, That includes prioritizing time together without have sleep apnea and don’t know it.” distractions, limiting screen How Rude! time, volunteering outside the home, and doing chores. associate medical director ing another sleep specialist. Teens acting irrationally? Here’s why— and how to keep your cool Regular family dinners are of the Center for Pediatric “I’m relieved I have a also associated with less Sleep Disorders at Boston diagnosis,” says Chin-Lee. By Annie Stuart alcohol, tobacco, and drug Children’s Hospital. “A lot of people, and prob- use and less depression. Sleep apnea, derived ably a lot of kids, have sleep “Teens can seem so unreasonable professor of psychiatry and behavioral sci- Encourage school activities. from the Greek word for apnea and don’t know it.” and so rude,” says Laura Kussick,­ ences at the University of Washington, and Kastner also advocates “without breath,” is a 50, executive director of the Seattle-based co-author of Getting to Calm: Cool-headed for tweens’ and teens’ serious condition. Breathing Program for Early Parent Support and Strategies for Parenting Tweens + Teens. involvement in school sports and activities, which creates temporarily pauses during Reviewed by mother of a 12-year-old daughter and Don’t try to reason with your teen when sleep for more than 10 Michael Breus, PhD, ABSM 15-year-old son. For Kussick and her kids, either of you is highly stressed. Don’t a sense of belonging and WebMD Sleep Health Expert fosters a range of social, seconds in adults and longer conflicts sometimes arise around the hot- expect your kid to suddenly see where creative, and physical skills. button issue of how much screen time he’s gone wrong. Instead, stop the interac- they can spend on their electronic devices. tion and try what Kastner calls the CALM Before she knows it, the sparks are flying approach. Cool down and focus on your OPEN EYES in both directions. breath to help interrupt your own stress Did You Know? When her son was in preschool, Cynthia Chin-Lee Think your child might have obstructive sleep apnea? When those sparks turn into a fiery response. Assess your options for respond- Pruning and rewiring remembers teachers saying he would fall asleep during Look for these signs, says Dennis Rosen, MD, children’s inferno, what parent doesn’t take it per- ing, which enlists the help of your think- of the prefrontal cortex begins around playtime. Now, 10-year-old Joshua is impossible to rouse sleep disorders specialist. sonally? “You judge your child and judge ing brain. Listen with empathy, whether in the mornings, saying, “I need to sleep 10 more minutes. yourself,” says Laura S. Kastner, PhD, a or not you approve of your kid’s behavior. Loud snoring, often with gasping, choking, and snorts age 12 Leave me alone.” clinical psychologist, clinical associate Make a plan to move forward. and is largely to blame Joshua seems tired, he has bags under his eyes, and he’s Long pauses in breathing while sleeping (longer than for teen reactions and not doing well in school, explains Chin-Lee, 53, a manager at two breath cycles) risk-taking. ges a software company in Palo Alto, Calif. Chin-Lee’s husband EXPERT TIP had a theory: Maybe their son had sleep apnea, a condition Excessive sweating at night because of the strain of I m a y trying to breathe “The brain is fertile for pruning until around age 21, so you’ve got a with which her husband had recently been diagnosed. lot of time with this ‘garden’ you’re helping to grow. Modeling good Reviewed by Patricia A. Farrell, PhD bis B e n se r/Cor behavior is one of your best tools.”—Patricia A. Farrell, PhD Obstructive sleep apnea (OSA) is a sleep-related breathing Waking up with headaches and daytime sleepiness, ett He u e r/G WebMD Mental Health Expert

disorder affecting more than 18 million adults and 2% to 3% irritability, hyperactivity, and difficulty concentrating Heide D i r k

W ebMD.com 40 october 2012 october 2012 41 W ebMD.com Learn some new tricks with the How to Brush Your Dog’s family& Teeth slideshow. parenting .com

PET HEALTH

THE WISDOM Groomer Has It OF TEETH Keep your cats and dogs in show-worthy Brushing your pet’s condition for better health teeth might seem like an unlikely feat, but By Katherine Kam veterinarians say it’s a great idea. “The gold standard is to brush Good grooming is about your pet’s teeth on more than just having a a daily basis,” says pretty pet. You’re also tackling Bernadine Cruz, DVM. potential health conditions, Not realistic? Aim for once or twice a week. says Bernadine Cruz, DVM, a veterinarian at Laguna Hills At the pet store, pick up symptomchecker Animal Hospital in Laguna a cat or dog toothpaste Hills, Calif. Here’s how to care and a toothbrush for your pet before any prob- kit, which includes a special toothbrush or Now better than ever! lems crop up. a small brush that fits Fur Brush your cat or over your finger and • Save symptom lists for yourself and loved ones. dog several times a week, inserts easily into your Cruz says, even if it has short pet’s mouth. Avoid • Detailed information based on possible conditions. hair. This will cut down on human toothpaste, which can upset • Print reports to share with your doctor. hairballs, which cats almost pets’ stomachs. always vomit or eliminate in the litter box. Sometimes, Go slowly, Cruz says. though, a severe hairball can Start by massaging your cause stomach or intestinal pet’s muzzle for a week. Later, dab the lips with blockages. Hairballs aren’t as pet toothpaste. Next, big a problem for dogs, but just smell like a pair of tennis do, Cruz says. Long nails, introduce your pet to they do occur. shoes you should have thrown including the dewclaws on the the toothbrush. “Don’t Eyes and ears When away about a week ago, you’ve inner paw, can grow into toe put them in a headlock,” your pet gazes up at you with got a problem.” pads and skin, causing pain she says, “but let them chew, let them play with adoring eyes, they should be To help prevent infections and infection. Trim dog nails it.” Then you can start “nice and clear, and shiny and and other complications, try a sliver at a time to avoid cut- brushing the teeth, as moist-looking,” Cruz says. liquid ear cleaners designed ting into the quick, the area many as your pet will Tell your veterinarian if you for pets. Simply fill the within the nail that contains allow in one sitting. see any redness or irritation, ear canal with the cleaner, blood vessels. If you cut into With a cat or small or a cloudy eye. ­massage the base of the the quick, styptic powder will dog, you can forgo the Ears need routine checks, ear, let your pet shake out stop bleeding. If trimming toothbrush. Simply too. Once a week, “flip the the liquid, and wipe away intimidates you, visit a pet apply toothpaste to ears, take a look, take a sniff,” the excess. groomer or veterinarian. a Q-tip, slide it under Cruz says. “They should smell Nails Active dogs that Cats’ claws are the lips, and rub the teeth. “Q-tips work well like absolutely nothing. If wear down their claws may ­easier, Cruz says. because they’re very they’re red or inflamed, if you not need nail trimming, but Just clip off the nonintimidating”

see a lot of debris, or if they cats and indoor dogs usually sharp hook at the end. for most pets, T e r x/V ee ;

Cruz says. ges y I m a y

EXPERT TIP ett an/G s

“One of the first indications that all is not well inside is a change Va Reviewed by of hair coat and skin. Also check for lumps, bumps, and overall William Draper, DVM

body condition.”—Bernadine Cruz, DVM WebMD Pet Health Expert dee Gan : o p t

W ebMD.com 42 october 2012 StrCountryong

Miranda Lambert is hotter than ever. The award-winning singer, who’s been on tour for her fourth album, works hard on her health and her body. She explains how she got in shape and stays fit on the road and why she’s opened up her heart and her home to stray dogs By Melanie D.G. Kaplan

Photograph by Melanie Dunea/CPi On the day of her annual MuttNation Foundation benefit in Beaumont, Texas, this summer, country superstar Miranda Lambert spotted something troubling at the concert venue: “I just saw a really long staircase, so I’m worried.” She took a picture of the concrete stairs leading up to the pavilion and sent it to her personal trainer and bold, fresh lyrics. In the past year, before that day’s exercise session. “Please tell me we’re not using this,” she texted she was named Female Vocalist of the him, alluding to her hunch that he would task her with running up and down the Year by both the Country Music Associ- staircase on that brutally hot day. He wrote back, “Yeah, I’ve already seen it!” ation (CMA) and the Academy of Coun- Such episodes are par for the course for Lambert since Nashville, Tenn., try Music, and was recently nominated trainer Bill Crutchfield started traveling with her in January. Since then, she’s again for Female Vocalist of the Year changed her diet, slimmed down, and toned up—and also developed a suspicion by the CMA. Her most recent album, of the ordinary. Case in point: A park bench can be exploited for triceps dips or Four the Record, debuted last year atop push-ups. A serene beach might be used for lunges. And the stairs! Lambert Billboard’s Top Country Albums chart, didn’t want to even think about the workout in store for her on the stairs. making Lambert the first artist in the chart’s nearly 50-year history to have Lambert, 28, warned Crutchfield, each of her first four albums debut at who also trained her fellow coun- No. 1. She also performs in an all-­ try stars Trace Adkins and the Dixie Southern-girl trio called the Pistol Chicks, that she would complain. Let’s Annies, which toured in September. just say she’s not the kind of gal who jumps out of bed for a sunrise workout, To the Dogs raring to go. So she told Crutchfield that whenever she starts to whine, he should Lambert and Blake Shelton, also an remind her of her goals. This summer, award-winning country singer, married she was aiming to look her best for the in 2011 and live on a farm in Oklahoma “Fastest Girl in Town” video from her with seven dogs, all either adopted from latest album, so Crutchfield responded a shelter or picked up off the side of the Lambert is a proud pet parent to seven rescued to her objections by uttering one simple road. Lambert knew when they got pups. (Here she is with six of her brood.) In 2009 word: “video.” married that Shelton was a dog person. “The voice of a celebrity talking about she founded MuttNation Foundation to help increase Lambert knew from a young age she “I just don’t think,” she says, “he was these issues can have a great impact,” What’s in a Name? shelter adoptions. Except for Delilah, all of wanted to pursue a music career. Raised planning on being a seven-dog person.” says Emily Weiss, PhD, CAAB, vice Miranda Lambert’s dogs in East Texas by parents who worked Most of the pups are named for artists president of shelter research and devel- are named after artists or of foster homes. Some shelters eutha- as private investigators and listened to or songs (like Cher and Loretta), and opment for the American Society for songs—like Jessi and Waylon, nize animals because there are simply everything from Motown to Southern the small ones tour with her. “They the Prevention of Cruelty to Animals littermates found on the far more dogs and cats than there are rock, she was constantly surrounded by rarely get scared or nervous,” she says. (ASPCA). “It can make folks aware that side of the road at 6 weeks people coming to adopt them, and they and named for Jessi Colter Musical Motivation music. Her father strummed the guitar “They hang out on my bus and walk pet stores aren’t the best places to go for run out of space. According to Weiss, Some songs that help Miranda and Waylon Jennings. Then Lambert get fired up about around the house and taught her how to around venues with me like my friends. a new pet.” there’s Delta, rescued from a the vast majority of shelters strive to be working out play and write songs, an effective means We are pretty in-tune from all the time While there is no national database Sonic Drive-In and named for “no-kill,” which generally means they of communication for Lambert as a teen- we spend together.” tracking the number of animals that “Delta Dawn,” a Tanya Tucker only euthanize an animal if he is suffering. “Stronger,” Kelly Clarkson ager. She appeared in local restaurants Lambert has a soft spot for strays. enter shelters, Weiss estimates the num- song. One of MuttNation’s biggest suc- “Before He Cheats,” Carrie Underwood and in the Johnnie High’s Country Music Her first rescue, a West Highland white ber at 5 million to 7 million per year, 3 cesses was raising enough money to “Hell on Heels,” Pistol Annies Delilah—Westie mix “Run the World (Girls),” Beyoncé Revue, a weekly variety show in Arling- terrier or “Westie” mix named Delilah, million to 4 million of which are eutha- Cher—Deer head chihuahua help the Humane Society of East “Love in an Elevator,” Aerosmith ton, Texas. She first charmed country inspired her to start MuttNation­ Foun- nized. “That leads us to think that about Delta—Chihuahua-pug mix Texas—once a shelter that euthanized “Man! I Feel Like a Woman!,” Shania Twain music fans nationally at 19 as a finalist on dation (muttnationfoundation.com) in 50 to 60 percent of dogs that enter the Black Betty—Coonhound animals—become no-kill. MuttNation

“Smokin’ the Boys,” Audra Mae and The the 2003 season of Nashville Star, singing 2009, which raises money to increase G UST AU shelters in this country don’t leave alive,” Jessi—Golden retriever mix has raised a half million dollars over the Waylon—Golden retriever mix Almighty Sound “Greyhound Bound for Nowhere,” which pet adoption from shelters, support she says. “And it’s even higher for cats.” last four years for the shelter. Lambert “You and I,” Lady Gaga Loretta—Black Labrador mix she wrote with her father. spay and neuter programs, improve There are more than 5,000 shelters in says it’s frustrating that some people Today, ’Ran, as her fans call her, is shelter conditions, and reduce the euth- Sm ith/ owen the United States and countless breed- have preconceived ideas about shelter

known for electrifying performances anization of healthy animals. B B rian La m bert Miranda of Courtesy specific rescue groups with networks dogs. “They think the dogs are used, or

W ebMD.com 46 october 2012 october 2012 47 W ebMD.com Lambert and award-winning country star stamina,” she says. “I’ve got hour-and- three minutes, ran for two minutes, did Adopting a Rescue Pet: What to Consider Blake Shelton tied the knot in 2011. can help you find the best match for a-half shows, in the heat, but if I’ve 25 dips and push-ups on a bench, and you and your new family member. worked out that day, I can think about repeated that entire set four times. .com they’re not as good as purebreds, and my vocals instead of thinking about No gym? No problem. Crutchfield that’s just not true,” she says. Rescue something jiggling.” carries a duffel bag of props, like exer- pups have a unique appreciation that Crutchfield has not only seen physi- cise bands and medicine balls, and gets you don’t find in dogs you’d get from cal changes in Lambert since January, creative with his workouts to keep Lam- “I feel like if you’re on one of these diets fruits, vegetables, and animal protein. a breeder, she adds. “Any kind of res- he’s also noticed a new level of confi- bert’s attention. And he carries some- where your heart’s not in it, it’s not She might have a grilled chicken salad cue dog—they really know you’ve saved dence on stage. “When you take care of thing that she can’t help but love: a pair going to help you. Now, I know making while the rest of the band eats pizza. their life.” yourself, you hold yourself better and of pink boxing gloves. a lifestyle change will work better than The only snacks she allows on the bus have more energy. You stand up straight a diet in the long run.” are almonds and low-fat string cheese. Miranda Rights and feel tighter. That alone shows up in Food Matters Lambert is proud of her Texas roots— Crutchfield, who advocates small meals photos and videos when you walk into she boasts about her hunting and fish- every few hours, works with the band Lambert and Shelton have a vegetable a room.” He says even Lambert’s bal- Crutchfield has also helped Lambert ing successes, and she loves her cold caterer to make sure Lambert is getting Road Warrior garden on their Oklahoma farm, where ance on stage has improved, and while change her approach to food. “Oh my beer and barbecue. But these days she the right foods. He whips up drinks for when you do find yourself away they grow everything from watermelon she used to move away from the micro- God, I have tried every diet,” she says. eats fewer carbohydrates and more her in the juicer at lunchtime, occasion- from home, keeping up with fit- and strawberries to zucchini and onions— phone because she was out of breath ally slipping in beets or greens. ness and diet routines can be many of the foods Lambert now includes (the show is a cardio workout in itself), Crutchfield feels the same way about a challenge. Bill Crutchfield, in her healthier diet. Her approach to she’s stopped doing that now that her food as he does about fitness—that life is Miranda Lambert’s personal trainer, offers some tips for body image has resonated with women energy has improved. too short to miss out on things you enjoy. staying healthy on the road: So if there’s a big bag of Cheetos—Lam- bert’s biggest weakness—he’ll suggest 1. “No matter who you are and where you she put some in a cup for herself and are, think ahead. Preparation is key because we’re not very good at ‘I’ll walk away from the bag. “Having a cup play it by ear.’ The night before, look of Cheetos helps her psychologically,” at your day: Do you have time to work “Rescue pups Crutchfield explains. “Then she won’t out? Do you have a gym at the hotel? have a unique appreciation ask for it for another two weeks. If I’d Is there a park close by? Just take your told her she couldn’t have any, she prob- workout clothes out the night before.” that you don’t find in dogs you’d ably would have taken the bag on to the 2. “Do the same thing nutritionally: Plan it bus and eaten the whole thing.” Lam- out. If you anticipate a busy day, make get from a breeder—they really bert also allows herself “cheat meals” some snacks to throw in your bag, so know you’ve saved their life.” (chicken-fried steak, a cheeseburger if you’re going from one meeting or and fries, a Dairy Queen Blizzard) when activity to another and you’re hungry, you’re prepared. Homemade trail mix she’s back in Oklahoma. is great. I always have a banana or Trainer and client both joke about her apple with me.” resistance, which usually ends with a lot of every size, across the country. After After her shows, Lambert typically of laughs and a “thank you” text later in 3. “A tip for eating out: If you know you’re struggling with her weight at times, she winds down with her band and guest the day from Lambert. In Beaumont, going to a particular restaurant, go online, look at the menu, and decide is now down to a size 8, and she feels musicians, sometimes in an Airstream apprehensive about the stairs, she texted what you’re going to order before great. “I have more fans come up to that she had converted into a rolling bar. Crutchfield again, saying that she only you’re sitting at the table, starving.” me and say, ‘Thanks for being a normal The tour buses leave the concert venue wanted to do a 30-minute workout that size.’” She says that just like every other at about 1:30 a.m. and drive to the next day. His reply: “Video.” She laughed. “All 4. “If your body is able to walk or run, you woman, her weight fluctuates, but she’s destination. Crutchfield scouts out the right,” she texted. “We’ll do an hour.” can do that anywhere, and it doesn’t t. N i c ho l as t. cost you anything.” learned to just go with it, because she surroundings in the morning, while understands what’s right for her body. Lambert sleeps off her late night. 5. “Use the environment around you: park “I’ve never been a size 2 and don’t think Lambert typically works out in the benches for triceps dips, a tennis or I’ll ever have six-pack abs, and I don’t afternoon, and she never knows what 5 Fridge Faves What you’ll always find basketball court for lunges and jump- care. I just want to feel good in my body Crutchfield has up his sleeve. The day ing jacks. You can do the same thing in in Miranda Lambert’s your hotel room—dips off a chair, push- and not be jiggly.” before the ominous Beaumont stairs, for refrigerator ups between the beds. Be creative!” When Lambert is home, she cuts example (where she did 10 minutes on 1. Ketchup back on her exercise routine, some days the stairs and 20 minutes walking, fol- S R andee of Courtesy ri g ht: g es; 2. String cheese 6. “Pack an exercise band. It’s light- hiking and taking other days off com- lowed by abdominal work), it was a walk- 3. Unsweetened tea 4. Milk weight, portable, and allows you to do pletely, with Crutchfield’s blessing. But run along the bay in Corpus Christi, a workout from head to toe.” 5. S prite Zero, which she mixes with she doesn’t mess around on the three to Texas. Lambert walked at a fast pace for Bacardi, Crystal Light, and water for four days a week she works with him. her signature drink, the Randarita. And those days have made a big differ- Reviewed by Louise Chang, MD WebMD Senior Medical Editor

ence. “I have better lung capacity and Im a H arrison/Getty F razer l eft:

W ebMD.com 48 october 2012 october 2012 49 W ebMD.com The Science of

By Shelley Levitt Photography by Ted Morrison Beauty

What’s in your makeup? We deconstruct the 5 essentials you use every day don’t contain water, says prevent these flakey patches clownish. Finally, concealing cosmetic chemist Ni’Kita from “grabbing” the founda- pigments, including mica, moky-eyed vixen. Preppy and polished. Wilson, vice president of tion, Ahnert says. zinc oxide, and titanium research and innovation oxide, “block your natu- Classic and understated. Retro goddess. at Englewood Lab, while • When to Ditch It • ral skin color,” says Perry S Our makeup styles may vary, but when liquid foundations are closer If you use your liquid or Romanowski, a Chicago cousins to lotions and creams. cream foundation sparingly, cosmetic chemist, “so the we put on our faces in the morning or “Foundations are becom- that one-ounce jar might last blush you apply will be bright evening, we’re all piling on a hash of ing the latest ‘treatment’ years. But, even if it’s half and true.” product in your beauty arse- full, Wilson suggests tossing emollients, solvents, surfactants, lubricants and, if we’re nal,” Wilson says. Makeup it after 12 to 18 months. One • Pop Perfection • not careful, a preservative or two that maybe isn’t such a bases formulated for dry telltale sign that your foun- For the most flattering skin contain moisturizing dation is past its expiration placement of blush, consider good idea. And who would guess that something called fer- ingredients like glycerides, date is an “off” odor. “That’s the structure of your face, ric ferrocyanide is what gives your favorite eye shadow squalane, and oils—including telling you the natural oils says Dallas makeup artist jojoba, sesame, and avocado in the product are rancid,” Penny Sadler. “If your face is its gorgeous deep-blue hue? NEW USE FOR oils. Formulas created to Wilson says. If the color wide, you can make it appear OLD HUES We take an up-close look at what’s in the five most control oil sop up shine with looks uneven in the bottle, thinner by placing the blush Do you have a drawer filled with commonly used makeup products and offer expert tips absorbent powders such as that’s evidence the ingredi- right on the apples of your lipsticks you never silica, alumina, cornstarch, ents are separating. Powder cheeks and not extending it wear because they seem too bright? and advice from a leading dermatologist, cosmetic and talc. The newest wrinkle: foundations should be good toward your temples.” Do Tone them down Anti-aging formulas combine for about two years after you the opposite to make a nar- with lip gloss, chemists, and celebrity makeup artists. says makeup artist hyaluronic acid—a powerful open them. row face look fuller: Apply Kimara Ahnert. “Use a pale pink hydrator—with peptides and blush on the outer edges of gloss to subdue botanicals to plump up skin • The Doctor Says • the apple—align the starting reds, bright pinks, mauves, and hide fine lines. Avoid foundations with dia- point with the pupil of your or berries,” she says. “A peach or zolidinyl urea or imidazolidi- eye—then sweep your brush apricot gloss will • Sponge Job • nyl urea, both preservatives. toward your hairline. tame lipsticks that are brown, bronze, Your fingers may be conve- “They release formaldehyde, coral, orange, or nient, but for streak- and which can be irritating to • When to Ditch It • tangerine.” Once you get used to blotch-free application of sensitive skin,” says Adam Cosmetic companies test wearing color, says Ahnert, you foundation, reach for a Friedman, MD, director of blush to help it remain sta- might try skipping makeup sponge, suggests dermatologic research for ble for about 12 months once the gloss now and then for a New York makeup art- New York City’s Albert Ein- opened, says Romanowski. nighttime look. ist Kimara Ahnert, whose stein College of Medicine. But let your cheeks speak. If ­eponymous Manhattan the color is looking muddy, makeup and skin care salon the red pigment in the blush attracts celebs like Gwyneth is likely starting to break Paltrow, Brooke Shields, blush down, causing the shade Catherine Zeta-Jones, and to read as browner. Plus, Cameron Diaz. “You’ll be • What’s in It • says Romanowski, “it won’t able to blend your founda- Flirting, a bawdy joke, or the spread as easily, so you may tion much more evenly with revelation of your embarrass- end up with streaks.” Powder a sponge,” she says, “and pre- ing childhood nickname may blush will last two years or so vent it from caking or settling bring a flush of color to your and cream blush, about half into fine lines.” cheeks. Cosmetics compa- that time. Don’t dip the sponge into nies accomplish the same your foundation. Instead, by relying on FDA-approved use a cotton swab to apply a colorants. Typically, three stripe of foundation on both or four of these pigments lipstick cheeks and across the fore- are combined to create a foundation head, and tiny dots on the shade. Chemists add fillers, • What’s in It • bridge of the nose and the such as talc and stearic (a Pink or plum, Gwen Stefani- • What’s in It • all contain three basic groups of chin. Then, blend with the natural fatty acid), to dilute red or Angelina Jolie-nude, Hundreds of different foundations ingredients: moisturizers, colorants, sponge. If your skin is dry the pigments and make that all lipstick contains wax, are on drugstore shelves and behind and fillers. There are some differences: from retinol skin care prod- brushed-on blush appear pigment, and oil. Wax department store counters, but they Pressed powder foundations typically ucts, dampen the sponge to believable—or at least not gives the lipstick its shape,

W ebMD.com 52 october 2012 october 2012 53 W ebMD.com pigment its color. Oils, Do you know How to Read a Cosmetics Label? Get the skinny and become a including petrolatum, mascara smarter beauty product shopper. lanolin, cocoa butter, jojoba, .com castor, and mineral, vary • What’s in It • by formula. The more oil, Here’s what it takes to lengthen silicone ingredient, such as cyclopen- the more intense the color, and fatten your fringe: iron oxide, a tasiloxane, which repels moisture. It’s so you’ll find less in sheer metallic pigment that darkens lashes; also the ingredient that makes water- lipsticks than in matte. triethanolamine, an emulsifier that proof mascara so tough to remove. • Fringe Benefits • Long-wear lipstick con- allows the mascara to adhere to lashes; Use an oil-based eye makeup If you always end up with eye shadow tains volatile solvents that waxes and polymers that form a film remover—or, in a pinch, a cotton pad a clumpy fringe no matter deposit the pigment and to thicken lashes; and a preservative, soaked in baby oil, says Ahnert. Gently what brand of mascara you • What’s in It • then flash off, Wilson says, such as phenoxyethanol, to prevent press the pad against your lashes for a try, that’s likely because Whether you’re doing a full- which is why it’s hard to find contamination by pesky microbes. few seconds, then wipe the pad across your lashes grow close on Kim Kardashian smoky one that doesn’t dry out your Waterproof formulas swap water for a your eyelid. together, says makeup art- eye or simply sweeping a veil lips. “What’s eliminated are ist Freedman. Wipe extra of taupe along your lids, the ‘wet’ ingredients like oils and ­product off the mascara eye shadow you apply will certain emollients that could brush by swiping it across likely contain talc and mica, potentially cause the pigment a tissue. “That way you’ll both fillers, as the two main to slide around and transfer darken and lengthen lashes ingredients. Binders, such as onto wine glasses or coffee without the danger of zinc stearate or kaolin clay, cups. Unfortunately, those ending up with a glop of hold the formula together are the same ingredients that product gluing your lashes and help the shadow stick to are moisturizing to the lips!” together,” Freedman says. your skin. Ingredients such Still got clumps? Clean as bismuth oxychloride and • It’s the Balm • them up by running a dimethicone also improve “Hybrid” lipsticks are a spooly brush—you can find “slip” and adhesion, so the cross between a balm and disposable ones at beauty powder glides over your skin a gloss, conditioning lips stores—through your lashes and stays where you put it. while depositing a sheer veil while they’re still wet. Iron oxides, which show up of color. “There are times a Some new mascaras on labels as Colour Index woman doesn’t want a very promise to deliver thicker, 77510 or Blue 1 Lake, are pigmented lip, but she still longer lashes and also to what give shadows their hue. wants that pop of color,” says stimulate lash growth with Cream shadows add Hollywood makeup artist so-called lash-enhancing waxes and oils to the base. binders, pigment, and eye darkness,” Ahnert says. Brett Freedman, “and that’s botanicals and other Shadows in stick form are emollients.” The solution: Line your lower what these shiny balms ingredients. That claim is the trickiest, Wilson says. lash with powder eye shadow deliver. They have a trans- a stretch, says Wilson. “For “You don’t want shadow to • Bottoms Up • in a lighter shade than you lucent, lollipop-like finish lash enhancers to work, crumble as you apply it, but “Women wonder whether use on your upper eyelid. that’s very modern looking.” they need to be applied to you also want to eliminate they should skip lower eye­ “Women often Lots of brands are rolling don’t get all the base of your lashes, not drag,” she says, “so it’s liner because they’ve heard • When to Ditch It • their waterproof out these shiny balms, in mascara off,” the actual lashes them- extremely important to have it can make their eyes look Pressed-powder eye shadow chubby pencil form or tradi- Ahnert says, “so selves,” she says. “Unless the right balance of waxes, smaller or accentuate under- can last two years, Friedman they’re layering tional twist-up bullets. Look new mascara you’re lining your eyes says. Cream or stick variet- for words like “glossy balm,” on top of the with mascara, you should ies should be tossed after remnants of the “almost lipstick,” and “sheer old. That makes purchase a lash-enhancing six months. But if you have your lashes look Take It tint” in the lipstick’s name. dull and it also product separately.” highly sensitive skin, it’s a dries them out.” Off good idea to replace all your • When to Ditch It • • When to Ditch It • makeup products every three If you haven’t used up a Protect the health of your to four months, he says. lipstick or gloss after a eyes by replacing your When you’re ready to remove your makeup, year, you should give it the mascara every four months, cleansing cloths are a great way to start, says • The Doctor Says • heave-ho, Friedman sug- Friedman says. makeup artist Kimara Ahnert. But “these cloths If your lids get itchy or red gests. “Preservatives break just take care of surface makeup and grime,” she when you wear eye shadow, says. “It’s best to follow them with a good down in about 12 months,” cleanser to nourish and treat the skin and make switch to earth-toned hues. he says, “and that can lead to Reviewed by sure you’re not leaving behind dirt or “These contain fewer dyes Karyn Grossman, MD product that could clog pores.” bacterial contamination or WebMD Skin Care Expert and are less likely to irritate irritation.” the skin,” Friedman says.

W ebMD.com 54 october 2012 october 2012 55 W ebMD.com IN C O N T

With so many contraception choices available, how do you know which one is right for you? We examine the options By Christina Boufis R

Photography by Levi Brown/Trunk Archive O

L

october 2012 57 W ebMD.com pills) and is as effective as sterilization, says Nelson. Side effects: Some women describe changes in mood or sex drive, and more headaches, acne, and breast tenderness.

If you are not inclined to start a family, are taking a break from enlarging your brood, The Injectable Hormone or are done with diapers for good, how do you know which birth control method to What it is: A physician gives an injec- choose? tion of progestin every 12 weeks. How it works: The injection prevents “I usually present birth control options from most to least effective,” says Amy ovulation, thickens cervical mucus to Whitaker, MD, MS, assistant professor of obstetrics and gynecology at The University block sperm, and thins the uterine lin- of Chicago Medicine. “Then, is there anything about a specific woman’s medical history ing, which may prevent an egg from implanting. that would make a certain contraceptive unsafe for her to use?” Effective rate: 94% Other factors to consider? “How easy do you want the contraceptive to be? How im- Drawbacks: Some women have irreg- ular bleeding for the first six to 12 portant is pregnancy prevention at this time?” asks Anita L. Nelson, MD, professor of months of use. The method does not obstetrics and gynecology at the David Geffen School of Medicine at UCLA. “Are your protect against STDs. Benefits: About 50% of women stop periods heavy or bothersome? Can you use a birth control method to improve your qual- having periods entirely after one year of ity of life?” use—a benefit if your periods are heavy, Read on for an overview of current birth control choices, then check with your health though no one can predict if this will happen to you, says Whitaker. care provider about which method is best for you. Side effects: Irregular bleeding and weight gain are the top two side effects, Benefits: Menstrual bleeding is usu- Benefits: “You get 10 years of protec- she adds. Some women notice head- ally less heavy with a hormonal IUD. tion with one five-minute procedure,” aches, mood changes, and breast ten- In fact, about one in five women will says Nelson. “And it’s immediately derness as well as decreased sex drive. Forget stop menstruating within a year of reversible”—you just have your doctor Long-term use may lead to bone min- About It beginning use, which is medically fine remove it. The IUD may protect against eral density loss in women of all ages, If you want “forgettable” and often beneficial for those who have endometrial and cervical cancers. and may not be reversible when you birth control, you might heavy periods, Whitaker says. The IUD For both IUDs: Some women have stop using the hormone. Because ovu- choose an intrauterine may protect against endometrial and mild cramping when the device is lation can be delayed for some women device (IUD) or implant. cervical cancers. inserted. Women who have a pelvic by nine to 10 months after stopping Side effects: Some women may have infection must be treated before get- Helpful hints if you’re on the pill the hormone injections, “I probably side effects caused by the hormones, ting an IUD. There is a one in 1,000 wouldn’t recommend this method Taking your pill at the same time each day makes it more effective by keeping such as headaches, nausea, and breast chance of ­perforation (small tear) dur- the level of hormones consistent. It’s particularly important to take the progestin- for women who want to get pregnant tenderness, but this is rare, says ing insertion, which is easily treated, only pill at the same time every day—or no more than three hours past your normal within a year,” says Nelson. Hormonal IUD Whitaker. says Nelson.­ Note that neither IUD time. Pick a time you’ll remember—maybe just after brushing your teeth in the What it is: The hormonal IUD is a small, pro­tects against sexually transmitted morning or immediately after dinner—so it becomes part of your routine. Or you can set an alarm on your cell phone to make sure you take your pill on schedule. T-shaped device that a trained physi- Copper IUD ­diseases (STDs). What do you do if you forget a pill? Take the pill as soon as you remember. If cian must insert and remove. It stays in What it is: The copper IUD is inserted you’ve missed one combination hormone pill, take two the next day. If you’ve Pill Drill your uterus for up to five years. and removed by a trained physician; it The Implant missed one progestin-only pill, take it as soon as you remember, and take the If you’re good about next one at your usual time. How it works: A small amount of a pro- lasts up to 10 years. What it is: The implant is a matchstick- remembering birth If you forget to take the combination pill two days in a row, take two pills when gestin (a synthetic form of the female How it works: “The copper IUD works sized rod inserted into the skin of your control on a daily basis, you remember, and two the next day. If you miss more than two pills, you will you might try the pill. hormone progesterone) is released as a functional spermicide,” explains upper arm by your physician. Local likely get your period. Remember to always use backup contraception when You can choose every day, which thins the lining of the Nelson, stopping the sperm from anesthetic is required; it takes about you forget a pill. Check with your health care provider about the type of pill from many types. uterus and thickens cervical mucus, reaching and fertilizing the egg. It can a minute to put in and two minutes to you’re on and what procedure you should follow if you forget to take it. acting as a barrier to prevent sperm also prevent the egg from attaching to take out, and works for three years, says from entering the uterus. the lining of the uterus. Nelson. Effective rate: 99% Effective rate: 99% How it works: A small amount of pro- tion, thickening the cervical mucus, mon reason women have it removed, Drawbacks: The hormonal IUD can Drawbacks and side effects:Unlike gestin is released, suppressing ovula- and thinning the lining of the uterus to says Whitaker. The implant does not cause irregular bleeding for the first the hormonal IUD, the copper IUD help block sperm. protect against STDs. The Pill few months of use, but that typically may cause cramping and heavier, more Effective rate: 99% Benefits: An implant can be used by What it is: Either a combination of hor- decreases by the fourth month, Nelson painful periods in some women, but Reviewed by Brunilda Nazario, MD Drawbacks: The implant can cause ir­- women who cannot take the female hor- mones—estrogen and progestin—or WebMD Lead Medical Editor says. medication can help, Nelson says. reg­ular bleeding, which is the most com­- mone estrogen (such as in birth control just progestin, taken orally.

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How it works: Typically, you take How it works: Similar to birth control Vaginal Ring Increase your contraception smarts. Stay on top of the latest options and news at active birth control pills (those con- pills, the hormones suppress ovulation, What it is: This is a small plastic ring the Birth Control center. taining the hormones) for three weeks thicken cervical mucus, and thin the inserted into the vagina, which slowly .com each month, then inactive or dummy Outside In uterine lining. releases hormones into the body. pills for one week—or the last week is If you’d rather think Effective rate: 91% How it works: You insert the ring into a pill-free week. Like other hormonal about birth control only Drawbacks: You must remember to the vagina yourself. The ring releases on a weekly or monthly What if you forget to use methods, the pill suppresses ovulation, basis, you might try a change the patch every week. It does estrogen and progestin, which are birth control or your for at least six hours after intercourse, thickens cervical mucus, and thins patch or vaginal ring. not protect against STDs. absorbed through the vaginal tissues. contraceptive fails? There but never more than 30 hours. the lining of the uterus to help block Benefits: Most women wear the patch As with the birth control pill, the hor- are two types of emergency sperm. three weeks on and one week off, but it mones in the ring prevent ovulation, birth control: The Condom Effective rate:91% can be worn for four weeks continuously thicken cervical mucus to block sperm, What it is: Using a condom is a barrier “Morning-after” pills Drawbacks: You must remember to to prevent your period, says Whitaker. and thin the uterine lining, which may There are several brands of method, and currently the only form of take the pill every day at the same Patch Side effects: Some women develop prevent an egg from implanting. emergency (or “morning-after”) male birth control. time of day for it to work effectively. What it is: This is a small patch you skin irritation, such as a rash or red- Effective rate: 91% contraceptive pills on the How it works: A thin sheath is rolled “On average, more than 50% of women place on your upper shoulder, upper ness at the site of the patch, but you Drawbacks: Though women often market. Most contain the over the penis before intercourse, cap- hormone progestin and are miss more than three pills a month,” back, abdomen, or hip that delivers can move it to another location. Pos- worry about inserting the ring correctly, turing sperm and preventing semen available at a pharmacy without says Nelson. The pill does not protect estrogen and progestin through the sible hormonal side effects are similar there’s usually no cause for concern, says a prescription if you’re 17 or from entering the vagina. against STDs. skin. to the pill. Whitaker. “If you put it in, and it stays in older (you need a prescription if Effective rate:82% Benefits: Oral contraceptives may your vagina, it’s in right.” you’re younger than 17). Drawbacks: Since condoms must be reduce the risk of colorectal, ovarian, Benefits: Women who want to avoid The pill should be taken as soon used just prior to intercourse, they may as possible, but no later than and endometrial cancers. Certain birth periods can leave the ring in for four interfere with spontaneity. three days after unprotected control pills can reduce menstrual weeks and then replace it with a new intercourse or contraceptive Benefits: When used consistently and cramps, making periods lighter and one, she adds. Like the pill, it offers a failure. It works by suppressing correctly, latex condoms can signifi- offering some protection against pelvic reduced risk of colorectal, ovarian, and or delaying ovulation. cantly reduce the risk of sexually trans- inflammatory disease, says Whitaker. endometrial cancer. Using the vaginal The morning-after pill is 89% mitted diseases, according to the CDC. effective, particularly when Side effects: The pill can cause head- ring may reduce menstrual pain and No prescription is needed. taken immediately. aches, nausea, breast tenderness, and improve acne. Side effects: There are no side effects, spotting between periods. Side effects: The ring’s side effects are The Copper IUD unless you are allergic to latex. In that similar to those associated with the pill: Your doctor can insert a case, polyurethane condoms may be a The “Continuous” Pill headaches, weight gain, and nausea. copper IUD up to five days after good alternative. intercourse to prevent a What it is: Like other birth control Who should not use birth control pills, fertilized egg from implanting in pills, this is a combination of estrogen a patch, or a ring: Women who get the uterus. Copper IUDs and progestin that you take every day. migraines with auras, have high blood are more than 99% effective How it works: You take active pills pressure or cardiovascular disease, or when used as emergency (those containing the hormones) for are 35 or over and smoke should not contraception. three months continuously, then inac- use these three birth control methods, Au Naturel tive pills for one week. You will then according to the CDC. It’s best to dis- How it works: The sponge works two If you want a have your period only four times a year. cuss your medical history with your ways: by blocking or covering the cervix “natural” method, you Continuous birth control pills work by physician. entrance to prevent sperm from reach- can try abstinence or suppressing ovulation, thickening cer- ing the egg, and by continually releas- withdrawal. vical mucus, and thinning the lining of ing spermicide to disable the sperm. the uterus to help block sperm. Effective rate: 76%, which is consid- Effective rate: 91% ered a high failure rate. That means Drawbacks: You must remember to over the approximately one in four women who counter take the pill every day. It does not pro- use sponges as their method of birth Abstinence If you want birth control tect against STDs. without a prescription, control for one year will get pregnant. Refraining from sexual activity is the Benefits: You can control the number you might consider the Drawbacks: Certain women may be only method that is 100% effective for of periods you get per year, helpful if sponge or condoms. allergic to the spermicide or sponge preventing pregnancy and the trans- you have heavy or bothersome periods. materials or find them irritating. If you mission of STDs, according to the Side effects: They are the same as with leave the sponge in more than 30 hours, American Pregnancy Association. traditional birth control pills. there is an increased risk of toxic shock Certain antibiotics, anti-seizure syndrome. The sponge does not protect Withdrawal medications, and HIV medications as The Sponge against STDs. Having the male partner withdraw well as the herb St. John’s Wort may What it is: This is a small, donut- Benefits: The sponge may be inserted before ejaculating every time you have make the pill less effective. Be sure to shaped, soft plastic device containing up to 24 hours before intercourse, and vaginal intercourse has about a 78% tell your physician about all medica- spermicide, which you insert deep into protects for multiple acts of intercourse effective rate and does not protect tions and supplements you’re taking. your vagina before intercourse. during this time. You must leave it in against STDs.

october 2012 61 W ebMD.com Food What Will Help You Lose Weight? & Recipes WebMD Food & Fitness Planner

In just a few clicks, customize a plan to help you reach your weight and fitness goals. Studies have shown that people who keep a food journal lose twice the weight than those who rely on diet and exercise alone.* 66 Off the Menu A top chef’s Best of all, it’s free. So start planning today. go-to Mexican dinner recipe

68 Learning to Love How one reader embraced ­eggplant

69 Kids in the Kitchen Chef Lizzie gives chicken fingers a healthy makeover

69 What’s Cooking! The most-clicked recipes right now at WebMD.com

Three Ways to cook Good Egg Think they are only morning fare? This star of the breakfast table can dazzle at dinner and shine at lunch, too

By Erin O’Donnell

Recipes by Kathleen Zelman, MPH, RD, LD

EXPERT TIP “Eat from a 9-inch diameter plate (or smaller). In the past 60 years or so, the dinner plate has grown and along with it, our calorie intake—up to 25% more!”—David W. Grotto, RN, LDN

*American Journal of Preventive Medicine, August 2008 Photography by Dan Whipps october 2012 63 W ebMD.com Food Directions & Recipes 1. Heat oven to 375°F. 1 2 2. Toss potatoes with egg white until 3 Wrap Party Upper Crust thoroughly coated. Press potato mixture Poach Perfect Kids love quesadillas, evenly against the bottom and sides of a This quiche recipe uses breakfast 9-inch pie plate or springform pan coated This vegetarian meal looks and tucking scrambled potatoes to make a crisp, gluten-free with cooking spray. Bake 12 to 15 minutes lovely on a plate and works eggs inside gives them a crust. A great meal for vegetarians, until set. Remove from oven and reduce for brunch or a light dinner. tasty protein boost. the quiche works well with a salad or heat to 350°F. 3. Coat a medium nonstick skillet with cook- fresh fruit on the side. Spinach Artichoke ing spray and heat to medium high. Sauté Eggs Benedict Southwestern onion until brown, 7 to 9 minutes. Add red Do you Makes 4 servings Egg Quesadillas Hash Brown Veggie Quiche pepper and broccoli and cook until soft, 3 still Makes 6 servings Makes 6 servings to 4 minutes. Layer vegetables and cheese Ingredients think of eggs over the prebaked crust. 1 (9-oz) package ­frozen Ingredients as nutritional Ingredients 4. In a medium bowl, beat 6 eggs thoroughly ­artichoke hearts, no-nos? A growing cooking spray 2 cups shredded hash brown potatoes, with milk and pour over crust. Return defrosted 6 large eggs defrosted if frozen and squeezed dry quiche to oven and bake 45 to 50 minutes body of research 1½ tsp cornstarch 3 scallions, chopped 1 egg white (from 1 large egg), beaten or until eggs are firm. ½ cup skim milk scrambles the old 1 tomato, chopped cooking spray 5. Slice into wedges and serve. 1 heaping tsp thinking that eggs increase 1 jalapeño pepper, 1 medium onion, chopped Dijon mustard Per serving heart disease risk. One egg minced 1 red pepper, chopped 2 tsp lemon juice The yolk is the major freshly ground pepper 1 cup broccoli florets, chopped 191 calories, 20 g protein, 18 g carbohydrate, does contain 186 milligrams source of an egg’s dash of salt, ground pepper 6 (8-inch) low-fat ½ cup shredded low-fat Swiss cheese 7 g fat (2 g saturated fat), 193 mg cholesterol, cholesterol, but an analysis vitamins and minerals. cooking spray Egg whites are an spinach or whole-wheat 6 large eggs 2 g fiber, 173 mg sodium. Calories from 8 large eggs of two large studies found excellent source of tortillas ½ cup low-fat milk fat: 31% low-fat protein. 4 light whole grain English that healthy people who ate 1 cup shredded low-fat muffins, toasted eggs didn’t have an increased Monterey Jack cheese 2 cups fresh baby spinach risk of heart disease or 1 cup arugula chopped fresh parsley ½ cup light sour cream stroke. “The amount that an ½ cup fresh or jarred Directions egg a day would raise your salsa 1. Place artichokes in a blood cholesterol levels is fresh cilantro leaves microwave-safe bowl. actually pretty small,” says Pantry Picks Cover and microwave 2 to Keep these healthy ingredients on hand so our three egg recipes Directions One U.S. hen lays 3 minutes until warm. Walter Willett, MD, DrPH, about 250 to 300 are eggs-tra simple to prepare. Kathleen Zelman, MPH, RD, LD, 1. Coat a large nonstick eggs per year. 2. Make the sauce: Com- professor of epidemiology WebMD’s director of nutrition, offers her favorite picks for your skillet with cooking spray bine cornstarch with milk and nutrition at the Harvard next grocery shopping trip. and heat to medium high. in a jar and shake until School of Public Health. The Whisk eggs with scallions, cornstarch dissolves. Pour American Heart Association tomato, jalapeño, and pep- into a small saucepan and, Best Browns: To make her delicious, recommends healthy adults per to blend. Pour eggs over medium heat, stir gluten-free hash brown quiche, Zelman uses and vegetables into hot until thick, 3 to 4 minutes. stick to about an egg a day, one of two brands: Simply Potatoes Shred- pan and gently scramble Remove from heat and but that’s an average. Two ded Hash Browns, with just 70 calories and with a spatula until cooked add mustard, lemon juice, eggs every other day are fine, only 55 milligrams sodium in each half cup, thoroughly. Set aside. and salt and pepper. Stir or Ore-Ida Country Style Hash Browns, in too, Willett says. 2. Coat another large flat until smooth. the freezer section, with just 70 calories and It’s eggs-cellent news, skillet with cooking spray 3. Coat a large nonstick only 20 milligrams sodium per serving. and heat to medium The heaviest egg, laid skillet with cooking spray given that eggs, at only 70 high. Add one tortilla. by a New Jersey hen and heat to medium high. Tops in Tortillas: Zelman keeps tortillas in 1956, is reported to calories each, are inexpen- Layer with a third of the have been 1 pound. Crack each egg into the sive, a snap to prepare, popu- on hand as a low-calorie alternative to bread. cheese, scrambled eggs, hot skillet and cook 2 to La Tortilla Factory Smart & Delicious lar with kids, and packed and arugula, and top 3 minutes. Slide a spatula tortillas are a great source of fiber with very with 6 grams of protein. The with another tortilla. Heat under each and flip. Cook little fat. The White Whole Wheat variety is quesadilla until bottom is another 1 to 2 minutes. protein may make eggs a perfect for kids suspicious of whole grains. golden brown, about 2 to 4. Place two English muffin good choice if you’re trying Garden of Eatin’ Whole Wheat Organic 3 minutes. Flip to brown halves on each plate. to slim down. People in a Tortillas offer plenty of fiber and protein. the other side. Repeat with Top each with a layer of recent study ate breakfasts remaining ingredients. spinach leaves, one egg, Super Salsas: Zelman prefers the flavor and of either eggs or a wheat 3. To serve, cut quesadillas in a few artichoke hearts, a low sodium content of fresh salsa, but she’ll half and garnish with sour tablespoon of sauce, and cereal with nearly identical reach for jarred salsa in a pinch. She says cream, salsa, and cilantro. a sprinkle of parsley. calories and protein. When two brands come close to homemade: Whole they ate eggs, they felt more Foods 365 Salsa and Garden Fresh Gourmet Per serving Per serving salsas. Both contain chunky tomatoes and full and ate less at lunch. 271 calories, 15 g protein, 270 calories, 20 g protein, fresh herbs, few calories, and little sodium. 24 g carbohydrate, 9 g fat 35 g carbohydrate, 10 g (4 g saturated fat), 196 mg fat (3 g saturated fat), 370 Reviewed by cholesterol, 4 g fiber, 2 g mg cholesterol, 11 g fiber, Laura J. Martin, MD the opinions expressed in this section are of the experts and WebMD Medical Editor are not the opinions of WebMD. WebMD does not endorse any sugar, 393 mg sodium. 7 g sugar, 301 mg sodium. specific product, service, or treatment. Calories from fat: 32% ­Calories from fat: 34%

W ebMD.com 64 october 2012 october 2012 65 W ebMD.com Watch Mighty Mexican Meals to discover some health benefits Food of this tasty cuisine. & Recipes .com symptomchecker

off the menu Adobo Roasted Chicken Now better than ever! Makes 6 servings Ingredients • Save symptom lists for yourself and loved ones. Marcela Valladolid 2 tbsp vegetable oil • Detailed information based on possible conditions. 1 small white onion, Chef/Host chopped • Print reports to share with your doctor. Mexican Made Easy 2 garlic cloves, chopped 10 guajillo chiles, stemmed, seeded, deveined, cut “When I talk to my into 2-inch pieces friends, who are 1 cup low-sodium chicken mostly Mexican moms, they broth all say they want to keep ½ tsp salt freshly ground ­pepper their food traditions alive 1 whole chicken, but don’t have the time to backbone removed and make mole sauces, enchila- flattened slightly das, chilaquiles, and other 4 corn tortillas without foods they grew up on,” says added salt Marcela Valladolid. “My job Directions is to resolve that problem.” 1. Preheat oven to 375°F. In Doing so has become a heavy medium saucepan full-time job for Valladolid, over moderate heat, heat 34, who lives in San Diego. oil until hot. Add onion and cook about 5 min- As host of the Food Network utes. Add garlic and cook series Mexican Made Easy 3 minutes longer, then and author of a cookbook by add chiles and cook both the same name, she trans- sides, about 1 minute. lates often complex Mexican 2. Add broth and bring to boil. Continue boiling until classics into recipes every- chiles are soft, about 5 one has time to make. minutes. Transfer mixture Valladolid studied cook- to blender and purée. Sea- ing in Los Angeles and son with salt and pepper. Paris. But the foods and 3. Preheat a grill pan over medium-high heat. flavors of her native Tijuana, Meanwhile, rub adobo Mexico, inspire her the mixture all over chicken. most. One of her favorite Sear chicken, breast-side ways to bring out those down, until golden. Turn, flavors is roasting. “I’m a cover with adobo mix- ture, and transfer to oven. roaster, even in the sum- marcela made easy Cook, basting with extra mer,” she says. Her go-to comfort food Where she gets her best adobo sauce every 20 At home, Valladolid often “Quesadillas. I know they’re recipe ideas minutes, for 40 minutes or turns to one of her favorite not the healthiest, but I have “Farmers markets and, until a meat thermometer roast chicken recipes, fla- to be honest: A flour tortilla lately, the Mexican registers 180°F. 4. Pull chicken apart. Serve vored with a simple, savory filled with Oaxaca cheese, food festivals I’ve been turkey, avocado, and hot attending, where the cooks with warm corn tortillas to adobo sauce. “Adobo is a salsa—it gives my tummy a use so many traditional eat as a taco. traditional sauce made with warm and fuzzy feeling.” Mexican ingredients.” mild chiles,” says Vallado- Per serving lid. “I grew up eating pork How she stays healthy The one lesson every home 398 calories, 30 g protein, marinated in adobo, and “For me, it’s all about cook should learn 5 g carbohydrate, 28 g fat portion control and natural “Tap into your family’s (7 g saturated fat), 115 mg y I wanted to combine that ingredients. I stay away recipes. It’s the best way to cholesterol, 1 g fiber, 1 g R eill flavor with chicken.” from processed foods and nurture your family’s history, sugar, 315 mg sodium.

—Matt McMillen eat small portions.” and expand from there.” Calories from fat: 64% An drew

W ebMD.com 66 october 2012 Follow Lizzie’s Fizzy Fruits Food drink recipe for a fun & Recipes alternative to soda. .com

Purple Power Eggplants in Europe were grown largely as an ornamental garden plant kids in the kitchen Lizzie’s until the 18th century, but favorite the cousins to tomatoes, bell fall to-dos: peppers, and potatoes offer so much more. Finger Food Cook together. “I love to cook during the fall One cup of cooked eggplant Chef Lizzie gives A children’s chicken because it gives me some has 35 calories and is a fave a healthy makeover time to bond with my good source of potassium family. We like to make lots and fiber. Best of all, When Chef Lizzie was younger, chicken fingers were of soups and stews, and eggplant is rich in phenolic Chicken Fingers they usually take all day phytonutrients—disease- one of her favorite foods. But as she got older, Lizzie, Makes 4 servings to make. Cooking is also fighting antioxidants, WebMD’s resident chef on the Fit Kids websites (created a fun way to experiment which research shows with our partner Sanford Health), realized they weren’t Ingredients and express our creativity. may help lower high blood the healthiest option. “They’re fried and usually filled with 1 egg Whether it’s trying out a sugars, blood pressure, and salt, fat, and oil,” she says. “The ketchup served with them 1 cup panko or other new recipe or creating an cholesterol when eaten as breadcrumbs entirely new one, I always part of a high-fiber diet. also contains sugar and chemicals, which aren’t good for your body.” ¼ cup freshly grated have fun in the kitchen.” Parmigiano-Reggiano­ or And because the chlorogenic Lizzie decided to make her own version. After experiment- other Parmesan cheese Get outside. “Since the acid (a type of phenolic ing, she found that baking instead of frying and using panko 1 lb all-natural boneless, weather is cooler, I like phytonutrient) in eggplant is breadcrumbs was an easy and delicious way to create health- skinless chicken ­tenders being able to get outside one of the most potent free- 1 tbsp olive oil more. I love to run, and it’s radical scavengers available ier chicken fingers at home. “Panko is perfect for breading 1 to 2 cups all-natural, low- definitely easier and more in plant foods, eating foods,” she says, “full of flavor and really crunchy, but with- sodium marinara sauce enjoyable when it’s a bit eggplant helps protect out all the sodium and chemicals you get in some commercial cooler outside. Ice-skating cells and tissues from these breadcrumbs.” Directions is also a really fun sport harmful molecules. learning to love 1. Preheat oven to 400°F. you can try later this fall. 2. Crack the egg into a Don’t hesitate to go out Roast With the Most bowl, and scramble it and try some new outdoor Halve 2 medium eggplants. with a fork. sports. You might find one Brush with olive oil and grill, 3. Pour the breadcrumbs, you really enjoy.” How I Learned to flipping with tongs until seasoning, and tender and charred on the ­Parmigiano-Reggiano outside, about 10 minutes. .com Love Eggplant into a large zippered Wrap eggplants in foil food ­storage bag. and roast at 350ºF for 20 4. Dip the chicken pieces in Monica Kass Rogers, 51 minutes. Cool. Scoop out What’s the egg until coated. Writer/photographer flesh and discard skins and Cooking! 5. Drop chicken into the bag Evanston, Ill. caps. Sauté 1 chopped onion, Thousands of people turn 3 to 4 pieces at a time. 2 cloves garlic, and 1 diced to WebMD.com for meal Seal the bag and gently As a kid, I liked the looks of my future husband. His Armenian and red pepper with 1 tsp olive inspiration every day. shake to coat the chicken. ­garden-grown eggplant with Greek heritage guaranteed the vege- oil until soft. In a blender or Here are the most-clicked 6. Pour oil into a foil-lined recipes.* its deep purple jacket and little table would be a staple on his parents’ food processor, pulse onion baking pan. Place chicken mixture. Add eggplant flesh, green cap, but I just didn’t like eat- table. To my surprise, Todd’s mother in the baking pan. 1. Roasted Asparagus 1 chopped tomato, 2 tbsp ing cooked ­eggplant—the seeds, the served dishes that took eggplant into 7. Bake for 10 minutes. Turn With Garlic-Lemon lemon juice, ½ tsp sea salt, Sauce over chicken to brown spongy texture, the ugly brown-beige unexpected territory. The best of pepper to taste, and 1 tbsp the other side. Bake for 10 look of it. Coming home from school these were appetizer dips: Grilled, the chopped mint or parsley. 2. Quinoa Taco Salad g es more minutes. to discover eggplant was on mom’s eggplant flesh took on a lovely smoky Pulse again until smooth, ima Serve! Use the marinara w 8. 3. Easy Chicken and d o c kFoo adding 2 tsp olive oil at the o

dinner menu, I’d plot how to get it off ­flavor. Because my dislike for eggplant t

Gl sauce for dipping. end. Serve topped with more Balsamic Peppers

my plate without actually eating it. was largely textural, the discovery that a n i /S snipped parsley and pepper, Per serving 4. Quinoa and Summer You know—drop a few chunks into a eggplant could be pulsed into smooth cri v S

and with fresh veggies or og raph y/

t Vegetable Stir-Fry napkin on my lap, push several pieces and creamy dips made all the differ- toast for dipping. 360 calories, 35 g protein,

P h o 29 g carbohydrate, 11 g fat under the rim of my plate, feed a ence for me. Today, I have embraced 5. Easy Agave and Lime ; An drew ; (3 g saturated fat), 125 mg

couple bites to the dog. eggplant dips and make them regu- Reviewed by artier Salmon C well cholesterol, 3 g fiber, Kathleen Zelman, MPH, RD, LD g Grown and on my own, I avoided larly for my own family. Best news? My a *as of Aug. 1, 2012 WebMD Director of Nutrition stal 8 g sugar, 403 mg sodium. y

any contact with eggplant until I met sons eat them without trauma or tears. C r B I ai n ­Calories from fat: 27%

W ebMD.com 68 october 2012 october 2012 69 W ebMD.com fitness & exercise

72 Peeke Fitness Our guru’s butt- toning secrets

73 Fitness Challenge A new Pilates- inspired way to work your abs

Lighten Up No more excuses! Work your way out the door and into your best shape

Get started at fit.webmd.com today. fit is designed to teach healthy habits in a fun way with kid-friendly recipes, videos, and games. EXPERT TIP “If there’s a general tendency toward a certain butt shape in your family, then this simply means you need to be realistic and aim to make yours the best you can by toning and training.”—Pamela Peeke, MD

Photograph by Erik Isakson/Glow Images october 2012 71 W ebMD.com Kettlebells, yoga, or Zumba? Find the right exercise program for you fitness & with our Fitness A to Z guide. exercise .com

peeke fitness fitness challenge

Butt Out Center Stage do you Dream about flat abs? this Pilates-inspired Q Behinds run in the family. technique puts them in reach “I’ve lost 25 pounds But shape-changing moves doing cardio, but I’ve can set you apart set the tone Looking to sculpt a flat, strong midsection without sit-ups? Pilates exercises can activate hit a plateau. What can By Pamela Peeke, MD and tone the muscles of the trunk—the rectus and transversus abdominis, and obliques. I do at home to mix up Backward Leg Pilates professional Risa Sheppard, creator of the Sheppard Method, owner of the Los Ange- my routine and continue Touch and Lift les studio of the same name, and trainer to country music star Reba McEntire, shares three losing weight?” Holding on to the belly-flattening moves. back of a chair, stand Jill Weisensee, 48 advertising sales consultant tall with both legs Portland, Ore. straight and feet about 12 inches apart. Progression 1 Keeping your torso Lie on your back. Knees are bent and feet are flat on upright, gradually lift the floor. Hips are level and the spine is sinking into the one leg 6 to 12 inches floor as if it’s a sandbox. Shoulders are pressed back and behind you. Hold it up, squeezing your glutes down toward your buttocks. Hold arms toward the ceiling for five seconds, then straight up from your shoulders, fingers extended toward slowly lower it until the ceiling. your big toe touches Inhale, then as you exhale, press the arms for a count the ground behind of six toward the floor until they’re at your sides. Pretend you. After a quick tap, immediately raise you’re pressing through mud. Reverse the motion for a your leg again. Lift count of six to the starting position. A and touch 10 times on “Keep up the cardio but each side. Work up to add some strengthening 15 to 20 times per side. Progression 2 moves to challenge your Donkey Kick Use the same starting position as in Progression 1. Lift body in new ways,” says Crossover your feet off the floor so there are 90-degree angles at Los Angeles-based trainer Start on all fours, with your knees and hips. Your arms are extended straight Ashley Borden, who Call it what you want—butt, booty, while exercising depends on your body size your hands under out from your shoulders and your fingertips are slightly coaches celebrities like behind, or derriere—we all have one and fitness level as well as how hard you’re your shoulders, knees off the ground. Christina Aguilera and under hips. Keeping and most of us complain about it. Too small, working. Roughly, you can burn 200 to 400 your right knee bent, Keep the shoulder blades down, using the same Ryan Gosling. “Changing too big, too saggy, too flabby—in a unified calories swimming, running, or using an flex your right foot resistance as before. Inhale, then as you exhale, bring up your moves, reps, and feminine chorus, we bemoan our behinds. elliptical machine, or 150 to 300 calories and lift your right knee your arms to the sides of the body so your fingertips are cadence with your train- The shape of your butt depends on two walking at a moderate pace for 30 minutes. out to the side up to pointing in the direction of your feet. Hold for six counts. ing will stimulate your factors. Your genes determine where your Up the intensity using hills or increasing hip level, holding for Inhale, then as you exhale, reverse the motion to return muscle growth and shape a count of five and body’s fat storage enzymes tend to lay down your speed in short intervals. squeezing your glutes arms to the starting position. a more fit physique. Try fat throughout your body. (Some women col- All cardio is good for whittling fat off your as you do so. Slowly a twist on a traditional lect fat on their butts, some on their bellies body. But certain kinds of exercise—walking, lower your right knee push-up three times a or thighs.) But while genetics loads the gun, running, bicycling, or using stair machines— to the outside of the Progression 3 week. Use your arms to left knee, crossing environment pulls the trigger. will strengthen your hamstrings (the major Repeat either exercise above, but this time lift and slowly raise your body your legs, and then lift First, the basics: Toning exercises help. muscles in your back thigh) and gluteus it back to hip level. Do hold the upper body off the floor as you lower into push-up position, But you can’t develop a gorgeous behind maximus (the major muscle in your behind), three sets of 10 to 15 your arms. and hold the position by just doing butt exercises. Instead, you giving you more bang for your exercise buck. reps on each side. while pulling your right need to get cardio exercise at least five knee toward your chest.

times a week to burn off extra fat you have READER TIP EXPERT TIP Straighten the right leg, on any part of your body. If you’ve been “I love the challenge of a push-up. It’s a tough move to do correctly then repeat the move with “Squats using free weights work well for toning your butt. Make sure es I m ag o ck/Getty sedentary, gradually work up to burning your posture is correct, though, otherwise you can hurt your back.” t but don’t give up!”—Ashley Borden, co-author of Your Perfect Fit: What to your left knee. Do each 400 calories with cardio exercise every day Wear to Show Off Your Assets, What to Do to Tone Up Your Trouble Spots side once per rep, and

—farfromusuall, WebMD community member Lee o n s a J that you can. How many calories you burn S View Best repeat four times.”

W ebMD.com 72 october 2012 october 2012 73 W ebMD.com NEW! Today, I’m ready to take charge of my pain. And I’m not doing it alone. CheckupTaking care, living well

October is Down Syndrome Awareness Month. Learn the basics about this genetic • Personal journal to easily log pain levels, triggers, and condition—and some of its biggest advocates more. for continued education and research

• Daily tips approved by Down syndrome happens when a child is born with WebMD doctors to help you an extra chromosome, leading to delays in physical and mental development. It’s one of the most meet your goals. common genetic birth defects in the United States, affecting one of every 691 babies. Researchers • Articles, slideshows, and don’t know what causes the condition, but it’s videos related to your more common in babies born to women over 35. condition. People with Down syndrome are more likely to have medical problems, including heart defects • Custom reports for better and sleep apnea, as well as mental and social discussions with your doctor. development issues. Individuals with the condition vary widely in their abilities, but early intervention and good medical care make a big difference in their de­velop­ment. A growing number are able to live independently, and the average lifespan has increased to 55 in recent decades. Some celebrities are bringing attention to the need for research and awareness about

g es Down syndrome. Music producer Quincy Jones is a spokesperson for the Global Down Syndrome Foundation. Actor/model Beverly Johnson and uez/Getty Ima odr ig uez/Getty

. R . actor John C. ­McGinley have also put Guidance. Knowledge. Support. their names behind the cause.—Sylvia Davis From the most trusted brand in health information.

lberto E A lberto i nset: g es; 76 Health Highlights 77 My Story 80 By the Numbers 81 Living With 82 Health Check A Better Day Starts Here. It’s Depression How a WebMD Take a closer look Learn the three Are you at risk Awareness Month. community mem- at breast cancer: most important for heart failure? Our experts give ber with lupus the facts, figures, healthy habits for Take this quiz to

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october 2012 75 W ebMD.com Get more info about this autoimmune disease at the Checkup Lupus Health center. .com Reviewed by Brunilda Nazario, MD, WebMD Lead Medical Editor

Health Highlights my story october is Sunny-Side Up Q How a reader faces lupus one day at a time ASK depression awareness Month your By Karin Gelschus feel your best with these tips WebMD.com community member Doctor

Feeling down? Eat well 90% of people 1. Could another with lupus condition or Oct. 11 is National Depres- A quality diet—one rich in 1 6 are women. medications be sion Screening Day, so get veggies, fruits, whole grains, causing my lupus checked out. Visit www. and fish—may help fight At 23, I was on top symptoms? mentalhealthscreening.org. depression. of the world. I had my dream job as a writer 2. What lifestyle Help yourself Monitor your mood and traveled all over North changes can I If you have suicidal thoughts, Download the WhatsMyM3 America to research stories. make to manage 2 7 my lupus? call the National Suicide app for iPhone and Android. I bought my first town- Prevention Lifeline immedi- house. I was loving life. 3. Are there support ately at 1-800-273-TALK. Find a resource After a trip to Montreal, groups in my area 8 Visit WebMD’s Depression I developed the flu. I was for people with Open up Center for comprehensive info exhausted. I often got tired lupus? 3 The sooner you seek treat- and the latest news. after trips, but this time ment—talk therapy and/or was different. My hands 4. Do I need to see other specialists? medications—the better Walk away were shaking, my joints your outlook. 9 Depression can cloud your were stiff, and my heart 5. How often judgment. Take a deep breath, was racing. I could barely should I come in Sleep better and make big decisions when make it up the stairs. In for checkups? 4 Treat problems such as you start to feel better. the days following, my insomnia or sleep apnea to symptoms worsened. The help ease symptoms. Watch out pain felt even worse when 10 Depression can return, so doctor after doctor could strength Call in make sure you talk to your not figure out what was training 5 Try therapy by phone when doctor if you begin to feel wrong. They tested me for “Leave yourself you can’t meet in person. symptoms again. Lyme disease, rheumatoid notes. I put one arthritis, tuberculosis, and that reads ‘You’ll a dozen other diseases. feel better once EXPERT TIPS Finally, after months of you get moving’ on my nightstand excruciating pain, I was and one that diagnosed with lupus, a reads ‘We make chronic and very serious summer, I started turning I need them to, offer advice you feel better’ autoimmune disease that things around. when I ask, and join me on my pill box. Bryan Bruno, MD These notes make Robert Rowney, DO Jennifer Payne, MD can damage the joints, I thought to myself, “I every year in running a 5K psychiatrist, Cleveland Clinic, director, Women’s Mood Disorders Center, acting chair of psychiatry, me smile!” Cleveland Johns Hopkins Hospital, and associate professor, Lenox Hill Hospital, New York City g es organs, and skin. can’t control what’s hap- for lupus research. Having a Johns Hopkins Medicine, Baltimore Ima w It can take months for pening to my body, but I strong support network and “Keep a journal. I Exercise benefits people with depression, Reduce stress to help relieve depression. I lupus medications to start can control my thoughts. giving back floods me with keep one of inspi- make lists of the important things I need Keep a mood calendar to track how you so do it regularly to keep your mood up. g es/Glo rational quotes, feel from day to day. This is especially Cardio and light weightlifting especially working, and I got much So what can I do to stay inspiration and happiness. to do and then focus on one at a time. nice things said helpful when you start a new medication, get my patients going in the morning and sicker before I got better. positive?” I looked for ways At 27 years old, I’ve That keeps me from feeling overwhelmed. about me, and which may take weeks to become effective. improve their alertness and energy all day. Forty pounds underweight to make myself feel better overcome more than most small goals I Socialize! Get out of the house and and discouraged, I real- every day. in their entire lifetimes, achieve, like run- Exercise boosts the mood. We know that Sound sleep will help counter depressive interact with people. That will reduce ning three miles from studies, and I see it in my patients feelings. My best moods occur after I get a ized I had to do something Then, as now, I turned to and I’m proud to have the stress, expand your interests, relieve or getting an A.” boredom, and sharpen your mind, all of who work out. An early walk gets you up solid eight hours of sleep, and my patients to escape the dark, lonely my family and friends for strength to continue to fight d E ll i s vi d a which can counter depression. and outdoors first thing. report feeling better when they sleep well. Ima R ad i us Jazz/Veer; A rt top: D place I found myself. That support. They listen when such a complex disease.

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WebMD the Magazine Now enjoy WebMD the WebMD Magazine wherever you are Check symptoms, access with a FREE subscription drug information, get right on your iPad. Also first aid essentials and access to bonus celebrity local health listings. content, WebMD expert Available for: Android, iPhone, iPad, extras and more. Kindle Fire Available for: iPad

WebMD Pain Coach The essential app for people living with chronic pain, WebMD Baby featuring over 1,000 doctor- Access hundreds of articles approved tips and articles, and videos developed and symptom and treatment approved by WebMD doctors. trackers, and more. Coming Track sleeping, feeding, in Summer 2012. growth, and more! Create a Available for: iPhone baby book to capture all of the precious moments. Available for: Android, iPhone See life from a patient’s perspective at the Cancer Checkup Realities blog. .com Reviewed by Louise Chang, MD, WebMD Senior Medical Editor Reviewed by Louise Chang, MD, WebMD Senior Medical Editor

by the numbers Living With breast cancer CANCER facts and stats on top health conditions Survivors, Listen up. Here’s how to Live your best life By Heather Hatfield By Christina Boufis

Estimated number of new cases of Number of women Number of men who will be diagnosed with breast cancer in the U.S. in 2012: who will be breast cancer during their lifetime: Nearly 14 million diagnosed with people in the United breast cancer during open book States have survived cancer, their lifetime: 226,870 a number that has qua- “The fear of cancer drupled in the past several recurrence can be decades and is expected to crippling to some people,” says Carolyn reach 18 million by 2022, D. Runowicz, MD, who = 10 2,190 1 in 8 1in1,000 according to the American knows firsthand. At 41, Cancer Society (ACS). she was diagnosed with The overall What’s more, 15% of today’s breast cancer and went Average age a five-year relative Number of women alive as of Jan. 1, 2009, who have been cancer survivors were first through chemotherapy woman is diagnosed at the same time she survival rate diagnosed with breast cancer: diagnosed 20 years ago or with breast cancer: treated other women for women diagnosed more, the National Cancer for cancer. How did she with breast cancer Institute says. get on with her life after today: Fear of recurrence is per- treatment and quell her haps the most common new fears? “I wrote a book,” % says Runowicz, co- reality for cancer survivors. 89 2,747,459 61 author of To Be Alive: A “That’s always in the back Woman’s Guide to a Full of their minds,” says oncolo- Life After Cancer. In 1975, the Estimated number of deaths from gist Carolyn D. Runowicz, eating nutritious foods, and down on high-fat foods and five-year relative breast cancer in 2012: “Writing a book Overall five-year Number of standard MD, professor of obstetrics getting enough exercise. empty calories, and watch survival rate for was cathartic,” says relative survival rate types of treatment and gynecology at Florida If you’re overweight, portion sizes. women diagnosed ­Runowicz. “I had a writer for a woman diagnosed for breast cancer: International University’s shedding even a few pounds Many nutrition with breast cancer: working with me, and with breast cancer 39,510 Herbert Wertheim College has health benefits. Extra experts recommend a she would say, ‘OK. Tell that is localized and of Medicine, and an 18-year weight puts you at risk for ­Mediterranean-style diet— me about when you has not spread: breast cancer survivor. breast, esophagus, kidney, whole grains, nuts, fish, were diagnosed. How did you feel?’ So I basi- But you can cut your pancreas, and colorectal poultry, limited red meat, % cally relived the entire 410 chances of cancer recur- cancer, both for first-time healthy fats like olive oils, 98.4 experience. And when rence. ACS experts recom- diagnosis and recurrence, and lots of produce (at least [the book] was done, the Number of clinical trials in the U.S. related mend (after quitting smok- says Runowicz. Eat more two and a half cups of veg- cancer was behind me.” to breast cancer: ing) controlling your weight, fruits and vegetables, cut etables and fruits each day). Overall five-year About Runowicz tells her And, exercise goes hand patients they can do relative survival in hand with a healthy something similar. rate for a woman % weight. Studies show that “Keep a diary, pour it diagnosed with breast Did You Know? stepping up physical activity out, and then hope- cancer that has 75 Studies suggest decreases the risk of devel- fully it’s behind you,” spread to other parts she says. For those 1,600 g es 30 to 60 minutes a day of oping breast, colon, and who can’t do that, join

of the body: Ima

w endometrial cancer and may a support group or get Percentage of women diagnosed with breast cancer that is hereditary: moderate exercise, % help prevent recurrence. therapy. The American such as brisk walking, Cancer Society 23.8 may help reduce breast cancer risk, All this takes discipline, but can help. 5% to 10% says the National Cancer Institute. it’s possible to take charge,

nette R eed/Glo T r i nette Runowicz says. Source: Breastcancer.org, National Cancer Institute, National Institutes of Health 6 W ebMD.com 80 october 2012 october 2012 81 W ebMD.com Take Checkup 10 10 QUESTI o NS QuiZ 1. Doctors can’t 3. Swollen ankles are a Lucy Liu treat heart common symptom Actor and Artist failure. of heart failure. Yes Yes Your new film, happens in the united No No The Man With states. it does. it’s a 1 the Iron Fists, terrible, tragic issue. 2. there is only 4. Heart attack which opens one type of can lead to heart next month, is an ode You’re an heart failure. failure. to kung fu classics. accomplished You’ve practiced 7 painter, Yes Yes kali-eskrima-silat, or photographer, No No knife-and-stick and sculptor, with fighting. Did you train your work shown in to perform the martial New York City and arts challenges of the London. For you, is Answers: 1. False. Lifestyle changes (including losing role? artistic expression key weight, modifying your diet, and getting moderate exercise) can help control heart failure. So can medications aimed i actually didn’t—i to good health? any at helping the heart pump better, lowering cholesterol, and wish i had! martial kind of expression is ridding the body of excess fluid. this is a serious problem arts isn’t something i healthy. Whatever you that requires medical care, but people can live with the always keep up with— need to get out of condition for several years. 2. False. two major types i do it for particular your system, you exist: left-sided heart failure and right-sided heart failure. projects. so we did it should get out. you Left-sided heart failure is the most common and can be of on the fly. they just shouldn’t bottle two types: systolic failure (in which the heart muscle can’t rolled camera. it was anything up. contract forcefully enough to pump adequate amounts pretty hardcore. of blood) and diastolic failure (in which the heart’s walls become stiff and thickened so the heart muscle can’t relax Of the five and fill normally with blood). 3. True. common symptoms Is it just more senses—sight, include swelling ankles, feet, legs, and sometimes the lungs fun to play the 8 sound, touch, and abdomen; shortness of breath or trouble breathing, 2 “baddies”? scent, and especially with exertion; and fatigue. 4. True. Heart People seem taste—which do you failure stems from many conditions that damage the heart, to like me in those value most in real life? including heart attack, coronary artery disease, high blood baddie roles, which Visually, as an artist, if health check pressure, diabetes, and heart valve disease. is so strange because Liu’s The i had to choose one i never saw myself Man With the out of all, i’d have to Iron Fists and that way before. in Elementary say sight. it connects SourceS: Elementary [Liu’s new kick off me to everything. whAt’S your The National Heart, Lung, and Blood Institute; cbs show aired last this fall. Read more American Heart Association; CDC; month], i won’t be of Liu’s Q & A Do you have WebMD Heart Health center playing that [type of] in our free a health heArt fAilure iQ? iPad app! role, and i think it’ll be 9 philosophy? interesting. if you can’t ASK your Doctor touch your toes now, congestive heart failure has numerous symptoms. “I get fatigued Q OK, let’s talk it doesn’t mean you’ll Elementary, a easily, I have loss of appetite, and I wake up trying to get my breath,” never touch your toes. 3 modern take At 43, you’re You are a becoming more aware it just means it’s time reDBarOn1958 writes in the WebMD Heart Disease community. “My on the in amazing UNICEF of it. People don’t to get into it. neurologist suggested being tested for congestive heart failure.” only a 1 3 What caused my What should legendary duo of Dr. 4 shape. What’s 5 celebrity know the vulnerability Watson and Sherlock doctor can truly evaluate reDbAroN. How much do you know about heart failure? Is I do if my your secret? ambassador. of girls and children. How do you Holmes. You play i enjoy my life. i think How did you get feel about this condition? symptoms es

there a treatable, G Watson, a former that stretching is the involved? i started in a Have you seen aging in underlying illness? suddenly worsen? 10 ma surgeon. Did you do best way to keep in general way; i focused any victories Hollywood? any research to shape. i think the more on malnutrition and against this Terrifying or totally

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es portray a doctor? flexible you are, the education. then i scourge since overblown? i love G DiD you Know? 2 4 i have a lot of friends longer you’ll live. and worked on two joining UNICEF? knowing myself more How severe is What is a cardiac who are doctors—but i think it’s the key to documentaries about yes—victories in the and more. i was kind R ontou “heArt fAilure” my heart failure? rehabilitation i’m not going to go out being youthful. i do sex trafficking [Liu sense of saving one of crazy in my 20s. i f / c

DoeSn’t meAn your heArt hAS StoppeD worKing. What can I do program? Ima CK /Getty o and perform surgery Pilates, too. i also narrated both Redlight child at a time. one of feel much better C it meAnS your heArt iSn’t pumping to manage Should I enroll d any time soon! but i do love running. it keeps and Traffic]. it’s been the most important about myself now than d Reinsdo R d ne a enough blooD to the reSt of your boDy. it properly? in one? I have friends that i call your head in the around for so, so long, things is education. i ever have.—Lauren ax m with questions. game. but people are finally People don’t think it Paige Kennedy Richa R

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