download this issue on your tablet for free from the app store or google play!

New Hope for Cancer October 2014 / $4.95 Treatment pg. 34 Healthy Beauty

The 411 on Family & Chemical Peels Living Parenting pg. 17 With

Baby’s First-Year How to Manage Milestones Living Lupus pg. 23 Healthy pg. 50

How to Keep Your FOod & Brain Sharp Fitness pg. 11

Fall in Love With Beets pg. 38

MEN’S Health

Fertility: What You Must Know pg. 14 Crown Jewel Queen Latifah reigns supreme in her career and her family pg. 28 OCTOBER 2014 Contents Features

Pg. 28

Pg. Download WebMD Magazine for Free on the App Store and 34 Google Play.

Wake up Family Jewel and don’t

On the big screen, the speak to TV screen, and the music anyone,“ charts, Queen Latifah just take has reigned supreme. And five minutes“ as her career continues to soar with the addition to breathe of a successful daytime and stretch talk show, the Grammy and breathe Award winner and Oscar some more. nominee adds a new role: caregiver to her mother, who has a rare autoimmune disorder called scleroderma. She speaks from the heart in every issue about how she juggles her career and her family. Pg. 5 Editor’s Note New Hope WebMD app Healthy What’s the next big thing Target updates in cancer treatment? Some say immunotherapy Pg. 51 is a pathway to a cancer Take 10 cure. We take a closer Step by step. That’s how New Kid on the look at the innovative Block Donnie Wahlberg treatment that triggers approaches life. He the immune system to gets real about touring, fight off cancer like it does 34 51 acting, and working other illnesses. with his family.

Cover photograph by Ari Michelson/August OCTOBER 2014 2 W ebMD.com

Contents OCTOBER 2014

HEALTHY START HOT TOPICS: Could more physical activity help your child earn that A+? Does the age at which you have a baby determine your longevity? Find Pg. out and get more news you can use.

7 LIVING HEALTHY WEBMD ON THE STREET: A former fashion exec gets tailored answers to his health questions from our experts. • Men’s health: Are you and Pg. your partner trying to conceive? Find out what your lifestyle has to do 11 with getting pregnant—and what habits you might need to change. HEALTHY BEAUTY YOU ASKED: Are you using the best cleanser for your skin? Face the day with our expert product picks and tips. • BEAUTY SMARTS: Chemical Pg. peels are popular, but how do they work? We uncover what you need to know. • YOUR SMILE: Do you have bad breath? Find out why your gut 15 could be to blame. Plus: Aisle Do FAMILY & PARENTING Parenting: What’s actor Mira Sorvino’s hardest role? Being a mom Pg. of four. • PREGNANCY: Why do moms-to-be go into cleaning and organizing overdrive? Nesting explained. • BABY TALK: What do you 20 need to track during baby’s first year? Our 6 to 12 month guide can help. • KIDS’ HEALTH: Not crazy about your kid’s friends? Here’s what to do about it. • PET HEALTH: Do you track your steps with a wearable fitness device? Now you can do the same for your four-legged friend. Pg.

Food & Fitness 38 in season: Don’t skip the beet. It’s easy to fall in love with this root veggie when you try our easy, nutritious, and delicious recipes. • OFF THE MENU: Oakland, Calif., chef Tanya Holland stays true to her Southern roots with a healthy twist. • Work It Out: The treadmill, stationary bike, or elliptical trainer? Find out which workout is right for you. • Fitness Challenge: Feel off-kilter? Find your balance with these moves that will bring you back to center.

webmd CHECKUP October is Breast Cancer Awareness Month. Learn more. • women’s health: Do Pg. you have a relative who’s had breast cancer? Find out if gene testing is for you. • kids’ health: What parents need to know before their child’s cancer treatment 44 starts. • HEALTH CHECK: Could you be at risk for ovarian cancer? Take the quiz. • HEALTH HIGHLIGHTS: Get help with tips to combat depression. • BY THE NUMBERS: A closer look at menopause. • living with: Lupus. How to stay well.

W ebMD.com 4 OCTOBER 2014 Editor’s note Access Now! Look for this icon on Get instant access to healthy living info, pages throughout the magazine. expert tips, and products as well as all of WebMD’s mobile apps. Here’s how.

Download the free Digimarc 1 Discover app, available at iTunes and Google Play.

Open the app. Hold your device 2 4 to 7 inches away from the activated icon (shown at left) to scan it.

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So many times when we think about health issues the focus is either on a Your browser will open to display disease or how to avoid it. This month, we 3 a webpage where you can access explore a different angle—the act of WebMD articles, videos, slideshows, and caregiving—with talk show host, actor, more content; buy featured products; or and singer Queen Latifah. download WebMD apps. Four in 10 adults in the United States NOTE: WebMD does not approve or endorse any product or service featured through Digimarc care for a loved one with significant digital activations, or those presented through ShopAdvisor, except for proprietary WebMD apps. health issues, including Latifah, who tells All featured products, services, and information (except WebMD apps) are hosted and sold by third- party providers and sellers. WebMD makes no claims, promises, warranties or guarantees about the WebMD she is the point person for her accuracy, completeness, or adequacy of any featured product or service. mother’s care. She took on this role last year when her mother was diagnosed with On Target scleroderma, an autoimmune disorder. Since June, WebMD readers have taken more than a billion steps toward better While providing care can be rewarding, health. Join them with our new Healthy Target plan, part of the WebMD app, it can also take a toll in the form of finan- available for free download on the iTunes store. cial burden, guilt, frustration, physical exhaustion, and confusion as caregivers Here’s a sampling of what each person, on average, accomplished in the plan’s first two months when linking their activity monitors and other devices to try to navigate the maze of options and Healthy Target: information. And the role isn’t getting any • Lost nearly 2.5 pounds easier. In fact, it’s increasingly expanding • Increased sleep time by almost 45 minutes to include medical tasks that were once • Took 7,200+ steps daily more commonly provided in hospitals. Lose weight. Get fit. Sleep better. Whatever your goals, we’ll help you get there. Caregivers act out of love and respon- sibility. But many become so busy taking care of others that they don’t take care of We Want to Hear From You! themselves. Latifah and Gail Hunt, presi- dent and CEO of the National Alliance Like WebMD! for Caregiving, give their tips to combat facebook.com/webmd burnout. And we’d love to know your tips Tweet us! for the ultimate balancing act, too. twitter.com/webmd Download WebMD Pin with us! Magazine for Free pinterest.com/webmd/ on the App webmd-magazine

Store and Miller g ory Kristy Hammam Google Play. Email the editors! Gre : Editor in Chief webmdmagazine

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W ebMD.com 5 OCTOBER 2014 111 eighth ave., suite 700, new york, n.y. 10011 Editor in chief vice president, publisher A Healthy Way Kristy Hammam Heidi Anderson Editorial director associate publisher to Look and Colleen Paretty Vanessa Cognard Senior Editor Director, Business Operations Sylvia Davis Mathew Reynders Feel Beautiful webmd.com senior director, editorial Group Vice president of sales operations Stephanie Snipes Jonathan Katz Get the latest information webmd.com art director VIce President, Circulation Noel Triplett Paul Bar from leading skin and chief Medical editor Vice President, Client Solutions beauty experts on Michael W. Smith, MD Albert Reyes Medical editors Senior director, marketing products, nutrition, Brunilda Nazario, MD; Hansa Bhargava, MD; Kathleen Cusack treatments and more. Arefa Cassoobhoy, MD, MPH sales operations analyST contributing writers Kisha Jackson Christina Boufis, Sonya Collins, Heather Hatfield, Jodi Helmer, Ayren Jackson- Advertising sales Cannady, Katherine Kam, Lauren Paige Claudia Fern Kennedy, Shelley Levitt, Matt McMillen, [email protected], 212-624-3728 Erin O’Donnell, Gina Shaw, Stephanie Watson Patria Rodriguez Chief executive officer [email protected], 212-417-9542 David J. Schlanger John Schaetzle president [email protected], 212-624-3787 Steven L. Zatz, MD chicago chief financial officer Tracy Kennedy Peter Anevski [email protected], 312-416-9275 co-general counsel & secretary Doug Wamsley Anna Novinger co-general counsel [email protected], 312-416-9278 Michael Glick west coast Nicole Ransom Senior Vice President, Marketing Yiatin Chu [email protected], 805-770-2293 SOUTHEAST senior vice president, Consumer Courtney Cofield, WNP Media Market Sales Tracy Roy Hankin [email protected], 770-569-8188 vice president, Finance James McCann Smyth Media group Stephanie Musella, Account Executive director, policy & governance [email protected], 914-409-4216 Healthy Beauty Logo Theresa Saladino Chief Communications Officer Diane Cremin, Account Executive Adam Grossberg [email protected], 914-409-4211 vice president, pR Katherine Hahn

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WebMD Magazine is distributed to doctors’ offices throughout the U.S., online at WebMD.com, and by download from the App Store or Google Play. WebMD Magazine is not responsible for advertising claims. WebMD Magazine (ISSN 1553-9946), Vol. 10, No. 7, is published by WebMD, LLC and may not be reproduced in whole or in part without written permission of WebMD, LLC. All editorial content is reviewed by our board-certified physicians, is for informational purposes only, and is not intended to be a substitute for professional medical advice, diagnosis, or treatment. WebMD does not endorse any specific product, service, or treatment. Always seek the advice of your health care provider with any questions regarding a medical condition and never disregard professional medical advice or delay seeking it because of something you have read in WebMD Magazine. If you think you have a medical emergency, call your doctor or 911 immediately. © 2014 WebMD, LLC. All rights reserved. healthy start

low I mages G low HotTopics! facts and news you can use odriguez/ National Teen Driver On average, omas R omas Safety Week is Oct. candy accounts 19–25. Most car models after 2008 for 2% of an mages; T G etty I mages; have side airbags, American’s which can greatly diet. reduce the risk of Source: National Confectioners death from side Association collisions. Flu season can start as early as Source: Insurance Institute for October. After you get a flu vaccine, Highway Safety the body needs two weeks to develop antibodies to fight the flu. Source: CDC

of high school students admit to using synthetic human growth hormone without a prescription. 11% Source: Partnership for Drug-Free Kids More than 1 in 3 Americans say drinking alcohol has caused a family problem. Source: Gallup ndrew J ohnson/ A ndrew images; floortje/getty images; popov/getty stepan images; obmler/getty gary G etty I mages;

45% of “Sensitive skin” accounted for

etty images; F loortje/ G etty images; Americans a quarter of skin care product claims actively try in the first half of 2014.

atterson/ Source: Mintel to eat organic foods, and 15% try to auri P L auri G etty I mages; avoid them. Source: Gallup 1 in 4 54% Young adults of U.S. dogs will have and cats are 1 in 5 homes have a a bout overweight park or fitness center of depression or obese. within a half-mile. by age 24. Source: Association Source: for Pet Obesity Prevention clockwise from top center: magnetcreative/ center: top from clockwise Source: President’s Council on Fitness, Sports & Nutrition Screening for Mental Health

OCTOBER 2014 7 W ebMD.com healthy Start

Mother Nature You worried you were too old to have another baby, but you may reap the benefits for years. Women who have their last child after age 33 are twice as likely to outlive most of their peers than women who complete their families by age 29, a study found. What’s more, for each year over age 33 that a woman has her last child, she boosts her chances of outliving her peers by another 5%. The research suggests that whatever it is that 2,000 keeps some women fertile longer Number of also helps them live longer. Americans who Source: Menopause die from floods, extreme heat or cold, or lightning Estimated number of U.S. children each year with autism spectrum disorder. Source: CDC 1 in experts attribute the growing number to an increase in cases, improvements in .com diagnosis, and a broader definition of Hot Hits the condition. What’s trending on 68 Source: CDC WebMD.com right now* Are low-carb diets IMAGES healthy? GLOW / What causes “mono”? Street Smarts Symptoms of B12 DELAUW deficiency Physical activity may give kids more than a break What do bedbug bites from their studies. It may help improve their grades. look like?

In a recent study of more than 2,000 kids ages SOFIE G etty I mages; What is kombucha? 6 to 18, those who scored the highest marks in Heart attack symptoms cardiorespiratory fitness and motor skills, including Repairing damaged hair speed, agility, and coordination, also scored the What are uterine highest marks in school. Increased cardiorespiratory fibroids?

capacity increases blood flow to the brain, which Healthy smoothie recipes OD onnell/ S kip G etty I mages; could boost academic performance. Strong motor How to treat sciatica skills can increase the production of a protein in the brain that aids the growth and survival of brain cells. *as of Aug. 1, 2014

Source: Pediatrics vgajic/ left: top from

W ebMD.com 8 OCTOBER 2014 Jump start

Do you ever think: Why don’t we have a cure for cancer? The war on cancer, first declared in 1971, is 40 years old, yet break- throughs have been hard to come by. 54% of men That may change soon. Exciting devel­ opments­ in labs and 46% across the country point to innovations in of women preventing, detect- ing, diagnosing, and will indulge treating this complex malady that doctors in candy on now speak of as many diseases, not just one Halloween called cancer. What’s Source: NPD Group more, your cancer may not be the next person’s cancer but a personal version that Breath calls for a tailored approach instead of a one-size-fits-all Behavior attack. Doctors could one This issue, we take day use a new a look at a treatment breathalyzer-type called immunother- apy, which aims to device to screen for leverage the body’s lung cancer in those immune system to with a high risk of the fight off the disease. disease, including “We are supercharg- heavy smokers and ing the immune system,” says one people with a family scientist in our story. history of lung “This brings a totally cancer. Researchers new dimension to G etty I mages in Tel Aviv, Israel, attacking a cancer

tock/ cell.” We follow two Sleep on It say their device can patients who each A good night’s sleep helps you think more clearly detect the presence tried out a variation throughout the day. And it may keep you clear of lung tumors with of immunotherapy, 90% accuracy and and today, both are throughout your life. Healthy people 55 and older who in remission—or S P hoton G etty I mages; / distinguish between continue to sleep the same number of hours each night possibly even cured. early and advanced KONDO as they age stay sharper, a study showed. When the study Is immunotherapy disease. Worldwide, finally a pathway to began, participants reported how much they slept, then lung cancer is the the end of cancer? Turn to page 34 and had a brain scan and a cognitive test. Every two years, top cause of cancer find out. they reported on their sleeping habits and had the tests deaths in men, and mages; DAISUKE G etty I mages; again. For each one-hour drop in sleep time, those who the No. 2 cause of snoozed less saw a drop in cognitive performance and an cancer deaths increase in brain atrophy compared with their peers who in women (after Colleen Paretty Editorial Director hadn’t cut back on sleep. breast cancer). [email protected]

from top left: F loortje/ left: top from Source: Sleep Source: Tel Aviv University

OCTOBER 2014 9 W ebMD.com Take Control of Your Allergies. Based on the allergies you have, the free WebMD Allergy app for iPhone will help you prepare for each day with a personalized allergy and weather forecast along with doctor- approved tips that can be customized to your and your family’s specifi c allergies.

The WebMD Allergy app helps you to control your allergy symptoms by showing you the allergy levels in your area before you start your day. Whenever. Wherever.

Timely Alerts Allergy 101 One of the keys to managing allergies is knowing when Want to learn 12 natural ways to defeat allergies? Or your triggers will be at their highest. WebMD Allergy maybe you’re not sure how to keep your home allergy- makes it easy through customizable notifi cations based free? WebMD Allergy can help you fi gure it out! Browse on your allergies. With the ability to create alerts based through WebMD’s rich library of allergy content that’s on the severity of the allergy forecast, you have complete been broken out into 7 categories: Outdoor, Indoor, Skin, control. Drug, Food, Insect Bites or Stings, and Latex. Or use search to fi nd exactly what you’re looking for.

Allergy Forecast Personalized Content The WebMD Allergy app delivers up-to-date allergy Based on the allergies you select, the WebMD Allergy app information from Accuweather based on your location. will give you tips on how to best manage those allergies. Traveling? You can look up the allergy forecast in your Have kids with allergies? You can add them to your app, destination and even save locations that you frequent. too! Manage your entire family’s allergies from one place, anytime, anywhere. living healthy

Mind Games Many of us spend more than five hours each day online—about 4½ hours more than we devote to exercise. While surfing the Web doesn’t offer the aerobic advantages of surfing a wave—or any other physical activity, for that matter—this seemingly sedentary endeavor could put our brains through a real workout. There’s no proof that searching­ Google or emailing your college roommate will keep your brain sharp and ward off memory loss. But it makes sense that staying active—in the real or virtual world—has cognitive benefits. “I think that is more in the domain of common sense than scientific proof,” says David S. Knopman, MD, professor of neurology at the Mayo Clinic in Rochester, Minn. “The more mentally active individuals remain, the better their brain health—and emotional health— will be.” To better train your brain, choose activities that both ­stimulate your mind and keep you engaged—whether it’s using a computer, participating in a book club, or playing chess with a friend. The point is to stay mentally active, which is especially important as rates of ­Alzheimer’s disease and other forms of dementia rise. “We don’t have preventive medical therapies [for dementia],” Knopman says. “These types of activities are all we have at this point.”

Photograph by Jens Schmidt/Corbis OCTOBER 2014 11 W ebMD.com living Sound Off healthy

“I recommend a referral from your doctor to an audiologist to measure your hearing loss, and maybe see an ear, nose, and throat doctor as well. Modern hearing Leisure aids have improved so much; they’re worth trying out. In the meantime, let friends and family know to face you when they are speaking so you can see their expressions. Also, background Suitor noise can be a problem, so turn off We pound the pavement to get expert the music and TV when you can.” answers to your pressing health questions Photograph by John Loomis

Air Time Arefa Cassoobhoy, MD, MPH WebMD medical editor “Cold air narrows the airways, making it harder to breathe. You could try wearing a surgical mask, similar to Read more the type worn by someone with a expert advice cold, when you’re in cold weather. in our free This will warm and humidify the air tablet apps! you breathe in before it reaches your airways. A second approach is to use ipratropium [Atrovent], a short-acting bronchodilator, before you go outside.”

Joe W. Ramsdell, MD professor of pulmonary medicine, University of California, San Diego

webmd on the street Gary Kane Knee Deep Retired fashion industry executive, 78 Boca Raton, Fla. “I also have chronic knee problems, and I find cycling helpful. Also consider riding a stationary bike. After a successful 40-year career Stretch your hamstrings well after in the fashion industry, Gary Kane you ride. You can also do straight traded in the hectic pace of a New leg raises with the leg rotated to York City executive for a more the side to strengthen the muscles leisurely life in Florida. Even so, that support the knee. Consider he keeps up a full schedule of golf acupuncture for pain relief.” rounds, gym workouts, continu- Want to be the next WebMD on the Street ing education classes, and work star? Tweet us your as a mediator for the Palm Beach health issues at County court system. “Most people @WebMD. We might who know me think I’m the healthi- come to your city! Peter Abaci, MD est guy they know for my age,” he medical director, Bay Area Pain & says. Though he’s in great shape, he Wellness Center, Los Gatos, Calif. has a few health issues, such as knee pain, a reminder of two past disloca- tions. “To relieve it, I ice my knees three or four times a day, and I do physical therapy with weights and stretch bands. I’d like to avoid knee surgery if I can.” Time has also left Toe the Line its mark on his hearing. “My wife “The big toe is the most common says I have trouble hearing because site for arthritis in the foot. Wear a she’ll ask me to do something, and wide-toed shoe and get a custom I won’t catch what she says. If I’m orthotic, prescribed by your doctor, in a room where a lot of people to help redistribute your weight, are talking, it takes some effort to taking the pressure off your toe. make out what they’re saying.” Kane On days you walk a lot, arthritis spends much of his summers travel- medicines are very helpful. If your ing internationally, but arthritis in pain flares up, your doctor can also his big toe makes touring uncom- inject steroids from time to time to reduce swelling and pain. Even fortable. “I love to travel, but my a physical therapist can help with sore toe makes it hard to sightsee the use of ultrasound and other on foot.” During his winter travels, treatments to provide relief.” cold weather becomes the issue. “I’ve had COPD [chronic obstruc- tive pulmonary disease] for many years. Living in the warm Florida climate keeps my cough under control, but every winter when I visit Michael W. Smith, MD my sons and friends up north, my WebMD chief medical editor COPD flares up.”—Stephanie Watson

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. Watch Tips for a Healthy Pregnancy, a video at WebMD.com. living Learn more on page 5 healthy

MEN’S HEALTH Trying Time from webmd.com Think the health of your future baby is all mom’s Q &A responsibility? Guys’ lifestyles matter, too “We’ve been trying to have a By Colleen Oakley baby for a few months, and my wife is adamant When a couple is that I stop riding trying to have a baby, my bike— the advice for moms-to-be is she says it can lower my sperm plentiful—take prenatal count. I think vitamins, don’t drink that’s a myth. Who’s right?” alcohol, say no to sushi, get plenty of rest. But did you know a dad’s health at conception can affect baby’s health as well? “Many men David Jones may not realize that the 31, realtor, Atlanta health of their sperm is just as important as the health and viability of a woman’s

egg,” says Joseph Garza, EXPERT’S MD, an obstetrician and ANSWER gynecologist at the “Excessive bike Advanced Fertility Center riding can affect a man’s sperm in San Antonio. count. And if you Research isn’t conclusive, ride often and but an Australian animal have been trying to conceive for study found that males who six months or were obese, had diabetes, longer, I would suggest getting a and/or ate a high-fat diet semen analysis. at the time of conception so that contributes to the ated with increased male If everything checks out, it increased the risk of obesity problem.” fertility and virility,” Potter should be fine in their future offspring. If you want a baby in the says. Thirty to 45 minutes of to continue “There are likely two near future, start making cardio three times per week your regular activities. Same factors at play,” says Daniel these lifestyle changes today: is a good place to start. goes for the old A. Potter, MD, co-author Drink less alcohol. A Lose weight. Not only wives’ tales of wearing tight of What to Do When You recent study found that could it increase the risk of underwear and Can’t Get Pregnant. “No. 1 moderate to heavy drinking obesity in future children, taking hot baths. is genetics. Insulin resis- increased abnormal sperm but obesity is also associ- For most men, these activities tance is highly prevalent in production. Exactly how ated with decreased sperm have such a small obese men, so they likely many drinks is “moderate”? counts and reduced fertility, impact on semen production that pass that genetic trait along It varies based on your Potter says. Your best bet it’s no big deal.” to their children. Second, body weight and ability to for shedding pounds? Eat a people with poor dietary process alcohol, so your low-carbohydrate, high- habits also make poor food best bet is to limit yourself protein diet and hit the gym.

g es choices for their children, to one to two drinks per Pop a daily multi­ day, Potter says. Also, if you vitamin. Many trace Daniel A. Potter, MD co-author of What to Reviewed by smoke, it’s time to quit. elements in multivitamins Do When You Can’t Nivin C.S. Todd, MD Exercise regularly. increase healthy sperm Get Pregnant WebMD Fertility Expert

Jamie Gill/Glow I ma Gill/Glow Jamie “Regular exercise is associ- production, Potter says.

OCTOBER 2014 14 W ebMD.com Pillow Talk Keeping long hair knot-free overnight is as simple as swapping your cotton pillowcase for a silk one. “With a silky pillowcase, your style is guaranteed to stay smooth and frizz-free until morning,” says Nick Penna Jr., celebrity stylist and owner of SalonCapri in Boston. How does it work? “The fabric slides over hair, reducing static and keeping hair from getting those sleep creases and kinks.” If you want to keep hair up and out of your face while you sleep, try wrapping it in a silk scarf before you hit the hay, Penna adds. Locks will stay free of tangles, and over time you’ll notice fewer split ends. You could also use a scrunchy to secure strands. But instead of pulling your hair into a ponytail or bun (which can be uncomfortable), twist tresses into a loose braid and wrap a scrunchy around the end. “You’ll wake up with loose, natural-looking heat-free waves,” Penna says. Bye-bye, bed head!

Photograph by Jamie Gill/Glow Images OCTOBER 2014 15 W ebMD.com healthy beauty 2 3

4

5

1

6 Shop now for these products! You Asked Learn more on p. 5 Face Time which cleanser is right for you? check out these expert picks

By Ayren Jackson-Cannady

Double Duty Pore House Oil Change 1 Nia24 Physical Cleansing Scrub 3 Neutrogena Oil-Free Acne 5 Shu Uemura Porefinist Anti- ($38) “Need a more streamlined skin Wash Daily Scrub ($5.99) “This scrub Shine Fresh Cleansing Oil ($50) “Not care routine? This all-in-one cleansing penetrates deep into the pores to help only does this lightweight cleansing and exfoliating scrub gently removes stop breakouts before they start. It also oil remove makeup, but it also con- dead skin cells and increases circula- helps rid the skin of dirt and impurities tains alpha hydroxy and beta hydroxyl tion, revealing a fresher, more even- without irritation or over-drying. After acids to help soften and minimize textured complexion. Use it a couple of wetting your face, apply the scrub to blackheads. And if you use it regularly, times a week for the best results.” your hands and add water. Massage sebum [oil] secretion becomes more into your face gently and make sure to regular. It’s great for normal to oily skin Out of Water rinse thoroughly.” types as well as acne-prone skin.” 2 Eau Thermale Avène Extremely Gentle Cleanser Lotion ($23) “This no- Gentle Giant No Scrubs rinse wash thoroughly cleanses without 4 Cetaphil Gentle Skin Cleanser 6 Clinique 7 Day Scrub Cream stripping the skin, and I love that it can ($10.79) “I like this mild, creamy wash Rinse-Off Formula ($19.50) “If you’ve be used for both the face and the eyes. for face and body cleansing. It can be shied away from exfoliation because you Apply it in the morning and evening used as a wipe-off cleanser without thought it would be too harsh, try this with a cotton pad or with your finger- water or with water. It rinses off easily one. It gently sloughs away roughness tips in a gentle circular motion, then and softens as it cleans. Plus, it’s mild and flakiness, smoothing the skin to help swipe it off with a clean cotton pad.” enough to use on a baby.” reduce the appearance of fine lines.”

Jeannette Graf, MD assistant clinical professor of the opinions expressed in this section are of Reviewed by Karyn Grossman, MD the experts and are not the opinions of WebMD. dermatology, Mount Sinai Medical WebMD Skin Care Expert WebMD does not endorse any specific product, Center, New York City service, or treatment.

W ebMD.com 16 OCTOBER 2014 Photograph by Ted Morrison healthy beauty

beauty smarts The Peel Deal why do chemical peels have such mass appeal? we explain how they work

By Sonya Collins

Do you ever wish you could start all over and take better care of your skin? A chemical peel could give you that chance. Peels can dramatically reduce lines, wrin- kles, acne scars, dark spots, and roughness caused by years of sun exposure. “Everyday sun exposure affects skin quality. So almost anyone can benefit from a chemical peel, as they improve skin’s color and texture. The stronger the solution, the deeper skin deep the skin de-surfacing, and the more wrinkles, creases, uneven color, and The results of your chemical improvement we attain,” says David some precancerous skin growths. You peel depend greatly on you. Green, MD, a dermatologist based in can only have one deep peel in your life. You must follow after-care instructions diligently Bethesda, Md. Medium and deep peels require sub- to prevent scarring and A chemical peel is an acid solution stantial recovery time, during which infection and to maintain results, says dermatologist applied to the face to remove the out- you take antiviral medication and stay David Green, MD. ermost layer or layers of skin. The skin indoors. After a medium peel, skin will You will need to soak your face crusts, scales, and peels over several be red and swollen for several days. The daily while you heal from a days. The new skin that grows in its skin will then turn brownish and peel off medium peel. After a deep peel, place is softer, smoother, and has fewer in seven to 14 days. After deep peels, the you’ll soak four to six times a day. imperfections. face is bandaged and takes up to three Your doctor may also recommend Doctors or other health care providers weeks to heal. During recovery, you soak a gentle cleanser. in physicians’ offices do medium peels. your face several times a day. At all other After each soak, you cover your Deep peels, which can require local times, the face is covered with ointment face with ointment or petroleum jelly. anesthesia and a sedative, are the pur- to prevent scabs and scars. Medium view of a physician. peels can range from $500 to $1,500. Don’t rub or scratch your face. Medium peels use trichloroacetic Deep peels can cost $5,000. This can cause scars or infection. acid (TCA). They can penetrate deep Not ready for a deep peel? Aestheti- After 14 days, you’ll use enough to improve skin in one peel, and cians in spas and doctors’ offices offer moisturizer and sunscreen as your doctor instructs. mild formulations are safe for use on light peels that use ingredients found in the neck, hands, and other areas. You many anti-aging and acne products. For deep and medium peels, can repeat milder TCA peels at your Light peels take as few as 20 minutes, you’ll wait five to 14 days to wear makeup. doctor’s discretion. remove only the surface layer of skin, y I mages y Deep peels use phenol, which removes and require little downtime for recovery. After a medium peel, you must ett /G stay completely out of the sun several layers of skin to address deep The skin heals in three to seven days, until your skin heals. Deep peels after some redness and flaking. You can berts Ro will keep you out of the sun for Reviewed by Karyn Grossman, MD get a series of light peels—at about $50 three to six months. Then, you will WebMD Skin Care Expert

B e l inda to $200 each—over a few months. need to use sunscreen every day.

OCTOBER 2014 17 W ebMD.com healthy beauty

YOUR SMILE Breaking Bad do you have bad breath? your stomach could be to blame

By Colleen Oakley Get Fresh More than 80 million people suffer from chronic halitosis, according to the Academy of General Dentistry. If you’re one of them, the first line of defense is a good oral care routine. “The majority of bad- breath cases are due to bacteria hidden in recessed areas of the tongue surface, gum line, or faulty restorations,” says dentistry professor Andrew I. Spielman, DMD, PhD. He gives these tips for keeping your breath in check.

Brush up. Twice a day is standard, but if you struggle with bad breath, try three times a day or after every time You brush and floss of balance, it can affect the people that produce an you eat. regularly and avoid body’s status quo—includ- overabundance of methane Get a tongue scraper. garlic like the plague—so ing your breath.” and hydrogen. Scraping your tongue— why does your breath still A recent study published Try these tricks to get especially the back, smell less than fresh? in the Journal of Medical your digestion on track and where bad bacteria While most halitosis Microbiology found that your gut bacteria back in can linger—can reduce the biofilm that builds (that’s the medical name one stomach bacteria in balance for better breath— up on the tongue and contributes to bad breath. Again, this Probiotics in yogurt can reduce the bacteria in should be done after every meal, along with your mouth that contribute to bad breath. flossing between teeth.

Rinse and repeat. “I for bad breath) stems from particular, called Helico- and better health. recommend using poor oral hygiene, recent bacter pylori, is associ- Just add yogurt. Yogurt a mouthwash that studies show that up to 5% ated with the periodontal contains probiotics that contains zinc chloride and chlorine dioxide,” of cases can be linked to disease known to cause bad help regulate gut bacteria, Spielman says. “The the stomach. breath. And a 2013 study says Patrick Takahashi, most active ones come “Our guts are home from Cedars-Sinai Medical­ MD, chief of gastroenterol- as two bottles that you to 100 trillion types of Center in Los Angeles ogy at St. Vincent Medical have to mix before use.” I mages

bacteria,” says Andrew I. found that bad breath can Center in Los Angeles. The w Spielman, DMD, PhD, pro- be linked to obesity, thanks probiotics also reduce the Reviewed by fessor at NYU College of to specific microbes found Eric Yabu, DDS WebMD Oral Health Expert

Dentistry. “If they shift out in the guts of overweight continued on page 19 A drian ko/Glo

W ebMD.com 18 OCTOBER 2014 healthy beauty Aisle Do and makeup rather than stripping away moisture with detergents and soap. I think PRODUCT PICK this is great for anyone using a retinoid, like Freeman Eclos Daily Facial ­Cleansing Oil me, to avoid the flaking you often see as a ($10.99) side effect. It’s also a good option for people maintaining the balance of with sensitive skin or eczema because this bacteria in your stomach.” EXPERT won’t disrupt the fatty acids found in the Jessica Wu, MD outer layer of skin. You use this differently Got heartburn? Get dermatologist, assistant clinical professor of checked. Another way dermatology at University of Southern California, than standard cleanser, and it took me time and author of Feed Your Face to adapt. Put a few drops on your hands your stomach can be at and massage it on dry skin. Sebum and fault for bad breath is acid “I’ve been skeptical of cleansing oils makeup are oil soluble, so this dissolves the reflux. The gastric acid grime on the surface and rinses it away. I because I have oily skin, but I was surprised buildup can produce a at how soft and clean this left my skin feel- love how fresh and radiant my skin looks ing. The botanical oils gently dissolve dirt after using this.” sour or acidic taste in your mouth—and contribute to not-so-pleasant breath. If continued from page 18 Avoid low-carb diets. emit an odor which can be you have heartburn more The popular Atkins and noxious to others,” Taka- than twice a week, a trip bacteria in your mouth that Caveman diets may help hashi says. If you don’t to your doctor may be in contribute to bad breath. you shed pounds but want to give up on your order, says Takahashi. A Japanese study found could also contribute to eating plan, drinking more Make time for tea. A that 80% of people who bad breath. When you’re water may help combat recent study published in regularly ate sugar-free on these diets, your body the smell. But Takahashi the Archives of Oral Biology plain yogurt for six weeks enters a fat-burning mode recommends considering found that the polyphenols had a decrease in halitosis- known as ketosis, and a more balanced diet. “A in green tea help destroy causing bacteria in their chemicals called ketones healthy mixture of car- the volatile sulfide com- mouths. For best results, are released in the breath. bohydrates, protein, fat, pounds in your mouth that try eating a cup a day. “These ketones sometimes and fiber are integral for contribute to bad breath. family & parenting

parenting Balance Check By Stephanie Watson

Mira Sorvino first attracted notice in the ’90s with her Oscar-winning turn as the squeaky-voiced call girl in Woody Allen’s Mighty Aphrodite, and as one-half of the ditzy duo (with Lisa Kudrow) who reinvent themselves in Romy and Michele’s High School Reunion. These days, she’s switching things up, starring in the paranormal BBC America thriller, Intruders, about a secret society of body-snatching immortality seekers. But acting isn’t her only gig. She’s also been busy behind the scenes raising four kids—daughters Mattea, 9, and Lucia, 2, and sons Johnny, 8, and Holden, 5—with her husband, actor Christopher Backus. Whatever free time she can scavenge is devoted to her work combating global human trafficking. Since 2009, Sorvino has been U.N. Goodwill Ambassador for the United Nations Office on Drugs and Crime, campaigning to reform laws and end commercial sexual exploitation.

Photograph by Danya Tynan/Corbis OCTOBER 2014 20 W ebMD.com family& parenting How do you juggle four kids under age 10 and a busy Read the full acting career and find balance? Q&A with Improvisation. There’s no real magic- Mira Sorvino in our free bullet formula for a working mother, tablet apps! especially in my industry. But I try and put family first, that’s always my rule of thumb. I try to spend as much time with them as possible, and to take jobs that limit my time away from them.

What attracted you to your new show, Intruders? At its heart it’s really about what we hold most dear, which is love, and what you would do for someone you love. Would you kill for them? Would you die for them? And will you ever see them again once you die? I think it’s a ter- rific series. It’s very gripping. It’s very moody, chilling.

How did you find time for family when you were shooting the show in British Columbia? Everybody moved up there with me. My husband commuted back and forth from L.A. and spent a month with us. We all took snowboarding lessons and conquered the bunny slopes and just had so much fun.

How did motherhood change you? It put everything into perspective. My career is important to me. It’s an expression of myself, and it puts food on the table, but it’s not my priority. My priority is my kids.

When your children fight, how do you restore peace? I haven’t figured out how to get them to stop fighting. That’s the thing that I wish I could wave a magic wand and do. We just try and talk through it, and also sometimes I just lay down the law.

How does Christopher’s parenting style compare with yours? He just has to use a big voice and then order is restored instantly, whereas with me it doesn’t happen so quickly. But “Keeping children grounded is about loving that’s how it was in my household when I was a kid. them and being there for them through Reviewed by Hansa Bhargava, MD situations that are important to them.” WebMD Medical Editor

W ebMD.com 21 OCTOBER 2014 Photograph by Danya Tynan/Corbis family& parenting

Back to Basics When you’re caught up in the nesting instinct, it’s easy to go overboard, says Siobhan Dolan, MD, MPH. There’s no need to invest in every tool and gadget. Sometimes getting too much can be counterproductive.

Crib overload. “In an effort to make the crib seem friendly and pregnancyPREGNANCY lovely, people want to fill it with stuffed animals and pillows. Those present choking Home Stretch and sleeping hazards,” Dolan says. Keep it why do moms-to-be get crazy with cleaning and organizing? simple—a crib that Nesting is natural before baby arrives meets current safety standards (check By Stephanie Watson cpsc.gov for a guide) with a firm mattress At some point during the third trimes- Einstein College of Medicine of Yeshiva Uni- and a single sheet, ter of pregnancy (and possibly sooner), versity and Montefiore Medical Center in New where baby should always be put to bed York City. There is also an emotional compo- many women have strange new urges. They on her back. clean and organize, throw out, and stock up in nent to nesting, she says. Painting nursery a frenzy. walls and buying baby supplies gives you a Designer baby duds. When Sandy McCauley was pregnant for chance to bond with your partner and start Buttons, bows, and the first time, she went on an all-out cleaning creating a sense of family. other accessories are pretty, but they Although it’s good to rid your house of spree. “I took every article of clothing I owned can turn into choking to the dry cleaners, including rugs and com- excess dirt in advance of baby’s arrival, make hazards. Your newborn forters, and then cleaned all my hairbrushes sure you do so safely. Read cleaning product doesn’t care about and combs in hot, soapy water,” says the labels to check that they’re not toxic, and a fancy wardrobe. Atlanta-based mother of four. always wear gloves when handling anything Keep baby clothes basic and functional— you’re not sure about. “Make sure you have This overwhelming need to clean and orga- easy to clean and nize during pregnancy—called nesting­—has good ventilation so you don’t get overcome by easy to access during its roots in evolution, according to a 2013 the strong smell of cleaning products,” sug- diaper changes. study from researchers at McMaster Univer- gests Dolan, who is also medical adviser to the sity in Hamilton, Ontario. Just as birds are March of Dimes. Expensive gadgets. The latest baby gadget hardwired to build nests for protecting their While cleaning and organizing are impor- might impress your young, we humans are primed to create a safe tant, don’t get so caught up in the small stuff friends, but it isn’t environment for our new offspring. that you neglect real health hazards to your necessarily best for “Sometimes the need to get your house baby—like lead paint if you live in an older your newborn. For ready is practical,” says Siobhan Dolan, MD, home. “That’s not something you wipe and example, diaper wipe warmers pose MPH, a professor of clinical obstetrics and clean away. You’d need to have lead abatement electrical shock and gynecology and women’s health at Albert to remove lead from your house,” Dolan says. fire dangers, and sleep positioners can increase the EXPERT TIP risk of sudden infant

“I was in residency after my daughter was born, so my mother and my death syndrome. ge s mother-in-law helped out. Because I had this newborn going between three separate houses, my focus during pregnancy was on setting up a Reviewed by Nivin C.S. Todd, MD safe sleep environment in each place.”—Siobhan Dolan, MD, MPH WebMD Pregnancy Expert e tty I m a Juzant/G

W ebMD.com 22 OCTOBER 2014 Watch Keeping Baby Busy, a video on the Newborn & Baby family& channel at WebMD.com. parenting Learn more on page 5

baby talk Step Right Up What’s Your Baby’s next Milestone? learn about the key Stages with this 6 to 12 Month Guide

By Gina Shaw

During most of the first six months of life, your baby “Things related to safety get a little more tricky. Babies are pretty much stayed where you put her, or close to it. also doing an enormous amount of language learning.” That’s about to change—and fast. All children develop at their own rate, Woods says. “There’s “Babies from 6 months and up are now very mobile,” says usually at least a three to four month range of normal for most Rebecca Woods, PhD, assistant professor of human develop- major skills, such as first words and first steps.” So use these ment and family science at North Dakota State University. milestones as general guidelines.

Gross Motor Fine Motor Language Social

When placed in a sit- Can move toys back Her babble starts Looks your way ting position, can stay and forth from one to sound more like and smiles 6 there without being hand to the other. real words. when you say Months propped. her name.

Enjoys standing Grabs for what she Starts to notice the Can recognize and bouncing wants and scoops up building blocks and emotions in with support everything, so watch patterns of speech. Ask speech and facial 7 from you. out for small her a question, pause, expressions. Months choking hazards. and she’ll “answer” it.

Crawling starts, Can pick up Should respond Likes “taking turns” although some babies smaller and to her own games. You drop the never crawl and find smaller objects. name. ball in the cup, then 8 other ways to get she does it. Repeat Months around until they walk. for hours.

Pulls up to stand, and Very engaged by Early talkers may say Separation anxiety may be able to stay toys with moving “mama” and/or “dada” peaks. Even if she was balanced on her own parts such as wheels with real meaning happy with Grandma 9 for just a few seconds. and hinges. by now. before, she may sud- Months denly want only you.

Starts to “cruise” by Can point to Many babies use Can follow a one-step pulling up and using something she “mama” and/or “dada” command like “Give furniture and objects to wants. a lot by this time, but it me the ball.” move around the room. isn’t always specific. 10 ge s Months

Continues “cruising”— Loves dropping and Communicates a lot Understands “no”—but using furniture to throwing things— through gestures— that doesn’t mean move around the over and over. pointing, shaking her she’ll put the 11 room while upright. Hello, gravity. head, waving bye-bye. remote down. Months e tty I m a In di a/G (2);ge s U n i qu e ly Many babies take Can roll a Most babies say May start imitative play, their first steps ball back “mama” and “dada” and such as pretending to around their first and forth to you another word or two. use your phone. 12 birthday, but a few instead of just

Months months earlier or whacking it in a e tty I m a Kaf k a/G Evan :

later is normal. random way. Reviewed by Hansa Bhargava, MD p to

WebMD Medical Editor o m f r

W ebMD.com 23 OCTOBER 2014 family& parenting beat the KIDS’ HEALTH spread By Hansa Bhargava, MD

Ebola seems to be in the Bad Company news everywhere these days. I’ve heard from parents who wonder if Not crazy about your kid’s new BFF? Should you an outbreak is possible intervene or keep mum? in the United States. By Lauren Paige Kennedy Public health officials say it is very unlikely because every year, they effectively help prevent the spread of potentially dangerous viruses like the flu.

How does this translate to our homes, schools, and public places where infectious diseases can spread? As a mom of two 8-year- olds, I worry about infections spreading, too, especially those they may potentially be exposed to when they are at school: strep throat, pink eye, rotavirus (stomach infection), and the common cold.

Try these simple tips to help prevent any virus, deadly or not: 1. Wash hands frequently—for at Maybe your child’s new BFF (best friend forever) is a bit of a bully. Or she’s a “queen least 20 seconds (sing bee” who lives to cause drama. What do you do? the “Happy Birthday” One mother of 11-year-old twins in California didn’t mince words after her son came home song a few times), crying each time he played with a certain boy, yet still begged for sleepovers with his tormen- especially before eating and after going tor. “I told my son this kid can be hurtful, that he’s not a safe guy,” she says. “If they play to the bathroom. together at school, fine. But I avoid play dates. I won’t invite him here.” Another mother from the Midwest chose a more covert approach when her 9-year-old 2. Don’t share foods or daughter’s “frenemy” regularly threatened to end the friendship when her every demand use the same straw. 3. Don’t touch your eyes “If your child gravitates toward a kid with behavioral or mouth without first washing your hands. issues, don’t criticize that child. Instead, suggest play 4. Don’t put things into dates with kids you like.” your mouth, such as pencils or pens. wasn’t met. Instead of criticizing the girl, Mom initiated a conversation with her daughter on 5. Cough or sneeze into the meaning of friendship—how it’s based on mutual affection and trust. your elbow or shoulder. Together, they discussed “how people who say those kinds of [mean] things are often afraid

of losing someone, so they try to have power over other people. As much as I wanted to say, Get more ideas to keep your family happy

‘Spend less time with her,’ I’m glad I didn’t. I think my stand-back-and-advise approach C o r b i s and healthy at helped my daughter ignore those manipulative threats.” the Raising Fit Kids Center.

continued on page 25 H on e y/ N ancy

W ebMD.com 24 OCTOBER 2014 family& parenting

continued from page 24

Frank Frankel, PhD, professor and founder of the UCLA Parenting & Children’s Friendship Program and author of Friends Forever: How Parents Can Help Their Kids Make and Keep Good Friends, thinks the latter choice is best. While he understands parents’ desires to intervene when a friendship seems toxic, he advocates staying on the sidelines—at least from your child’s point of view. You want to give guidance, but “it can be treacherous tell- ing a kid what to do,” Frankel says. Parents of tweens risk their child’s doubling down on the friendship if it’s forbid- den. Also, once a “bad” kid is considered off-limits, there may be a big friendship void to fill. That’s why Frankel suggests daily conversations with your child. “Talk with your kids at the dinner table, asking them questions like who they ate lunch with,” Frankel advises. “If your child gravitates toward a kid with behavioral issues, I wouldn’t criticize that child. Don’t forbid the friendship. Instead, suggest play dates with kids you like, set up activi- ties with children whose parents you trust, and encourage your child to join clubs where they’ll be exposed to new friendships. Once they start experiencing healthier friend- ships—which you’ll help facilitate—they’ll likely reject the less healthy ones on their own.”

Buddy System According to social skills expert Frank Frankel, PhD, the key to protecting kids from toxic friendships is to keep them so busy with positive experiences they forget to care about the trouble-making pal. So, unless the BFF in question engages in behavior that is truly dangerous, avoid criticism. Instead: Stay tuned in. “Know your children’s friends and activities,” says Frankel. “You do this by talking with your kids. Every day. Being involved allows you to better guide them.”

Don’t ban bullies. Better them! “Keep your kids busy with a wider circle of children who share similar interests. Once they start hanging out with kids who treat them well, chances are they’ll choose the ‘good’ kids, every time.”

Tell your child that friendships build over time. A new friendship “may take a while to click,” says Frankel. “I have my 7-year-old daughter offer a tour of her toys, allowing the new child to play with any toy she wants until they settle down into mutually enjoyable activities.”

Reviewed by Hansa Bhargava, MD, WebMD Medical Editor family& parenting

PET HEALTH On Track Think a wearable fitness device for Fido sounds far-fetched? The latest technology could help keep him fit

By Sonya Collins

They’re wrapped around almost as many wrists as watches are. One in 10 Americans has a fitness tracker. These wearable devices track your steps, calories burned, and a bun- dle of other stats about your daily activ- ity. Now, novel trackers that hang from a collar log our four-legged friends’ activities, too.

About a half-dozen pet activity trackers hit the market this year, at $100–$200 each.

Think a pet fitness tracker sounds a little over the top? Consider this: More than half of dogs and cats are over- weight or obese. Pets suffer from the same weight-related health problems as people. So why not try the same strat- egies to increase exercise? At around $100 to $200 each, about a half-dozen pet activity trackers hit the market this year. A number of veterinarians think the gadgets will revolutionize pet care. “Some of these devices will blow “Most people are under the misper- can check in on the pup when you’re your mind. They’re going to change ception that when they leave the dog away. Several of these gizmos connect the way I talk about physical activ- out in the backyard, he’s running, gal- to caregivers’ phones, too, so when the

ity with my clients,” says Ernie Ward, loping, and playing all day. And it’s just pet sitter shows up, you’ll know. ge s DVM, founder of the Association for not true,” Ward said. “These monitors The devices’ apps compare your pet’s Pet Obesity Prevention. are extremely valuable to me as a vet- activity to that of pets the same age

How much fitness does your furry erinarian because they verify just how and breed. They help you set fitness e tty I m a sl e y/G friend need? Pooches should walk inactive your pet really is.” goals, track progress, and log meals. K i n der or play for 30 minutes a day. Kitties The device’s accelerometer tracks One thing you’ll probably learn is how should get in three daily bouts of play activity of varied intensity from walking much more exercise your pet needs. at five minutes each, Ward says. So far to aerobic play as well as periods of rest. Keep in mind, the exercise guidelines so good—but do you think your pet is Some devices also monitor breathing are general. Your vet knows best how r l i n g Do R ig ht: t;

exercising while you’re at work? You and heart rate. They send all this data much your particular pet requires and ch mid

should think again. to your phone, often wirelessly so you can handle. S Ron

W ebMD.com 26 OCTOBER 2014 Check out Exercising With Your Dog, a top slideshow on the Pet Health center at WebMD.com. Learn more on page 5 Cat Play

Just like kids and their favorite games, every cat is different in how it likes to play. Veterinarian Ernie Ward, DVM, suggests three games to trigger those recommended five-minute daily play sessions.

Chase the red dot Lots of cats love laser pointers, found at office and pet supply stores. Shine it on the floor or move it around, and cats will These devices can also wave a red flag. Some studies show that just wearing chase it all over. What if the tracker shows that a cat a fitness tracker motivates people to Dangling carrot that once got up and walked around the move more. Likewise, you may be moti- You can make these toys on house several times a day now isn’t mov- vated to move your pet more once you’ve your own. Tie a stuffed toy mouse ing at all? Or that a dog that used to play attached this gadget to his collar. to a string and hang it from for the first 20 minutes after you left for “If all Americans would adopt this a stick. Let your cat bat it to her heart’s content. work now only runs around for five? one simple rule—walk your dog for 30 “I have that hard data in front of me minutes a day—not only would our dogs Find the food that says six months ago you were walk- be healthier, but we would be, too,” Kitties can get locked into a ing for 40 minutes a day and now you’re Ward says. pattern of walking to the food, the walking 22 minutes,” Ward says. “There litter box, then back to bed. Want to keep them moving? Move may be a legitimate cause, but these their food to different spots monitors can also help me uncover hid- Reviewed by Will Draper, DVM WebMD Pet Health Expert around the house. den disease.”  Her kingdom is vast: Family music, movies, makeup, TV. Some even call the multitalented media JEWEL mogul the next Oprah. But the role Queen Latifah cherishes most is caregiver. As her daytime talk show continues to take off, she remains grounded by taking care of her mom

By Lauren Paige Kennedy

Photograph by Matt Jones/Trunk Archive

 

W ebMD.com 28 OCTOBER 2014 OCTOBER 2014 29 W ebMD.com What Is Scleroderma? Fredrick Wigley, MD, Martha McCrory Professor of  Medicine and director of The Johns Hopkins Scleroderma Center, explains The rare connective tissue disease. Autoimmune Queen Latifah an array of musical guests. Add a website that works very disorder is many things: Grammy much like an online magazine into the mix, and what you “Scleroderma isn’t get is a new cross-channel, lifestyle brand. hereditary,” Wigley says, but “there may be a It makes sense. Hollywood has long known “La”—as her Award-winning singer and hip-hop star. genetic predisposition Oscar-nominated actor. Popular talk friends affectionately call her—to be the rare star who pos- for triggering the sesses genre-busting talent coupled with business acumen. autoimmune response, show host. And executive producer, But launching a new show is stressful. Long hours go similar to lupus. Q hand-in-hand with the creative fulfillment that comes with It usually appears in patients around age 50.” too. But if you ask this multitalented starting something from scratch. Yet, Latifah never wavered from her first priority: her ailing mom. Puzzling fact entertainer what she is first and Scleroderma affects African Americans and foremost, she’ll say, “daughter.” cALLED TO CARE Native Americans at And a most devoted one at that. Scleroderma, which affects fewer than 500,000 Americans higher rates. No one yet each year, is a connective tissue disease that causes thicken- knows why. ing of the skin. The condition can harm the lungs, heart, Tough diagnosis and kidneys, and the internal organs of the digestive system. The most common Born Dana Owens in Newark, N.J., Queen Latifah, 44, Symptoms fall on a spectrum from mild to severe, and are initial symptom is called has always been close to her family, whom she credits with grouped in two camps: localized and systemic. Rita’s were in Raynaud’s, when fingers and toes feel very cold. instilling in her the confidence to succeed. However, when the latter, more serious category. “The skin appears to her beloved mom, retired high school teacher Rita Owens, Her related development of pulmonary hypertension—a be white or blue,” says 65, was diagnosed in 2013 with scleroderma, a rare autoim- type of high blood pressure that affects the arteries in the lungs Wigley, “or, when it mune disorder that in her case is quite advanced, Latifah and leads to heart failure of the right side of the heart—caused warms, bright red. It knew it was time to take on yet another role: caregiver. the most dangerous and obvious side effects, including fatigue, starts with swelling, itching, and burning and progresses until the skin becomes wood-like, or “I’ve found if I take a moment for myself in peace and quiet fibrotic. A doctor will diagnose it when he can’t pinch the skin between to gather my thoughts, I’m ready to go...Then I can go into the his fingers.” Life-threatening day and tackle anything that comes my way.” Wigley estimates 80% of scleroderma patients have some lung “We didn’t recognize what it was,” Latifah says. “She just shortness of breath, chest pain, and fainting spells. involvement, from mild passed out cold, fainted at school one day.” With a host of As a result, Rita requires regular care and medical assis- to severe. The remaining seemingly unrelated symptoms appearing throughout the tance. “It’s the reason we moved her to L.A.,” says Latifah, 20% have severe lung previous decade, “it took us years to diagnose it. Mom didn’t who actively manages her mother’s medical care. Referring involvement. “Since many diseases affect the lungs, have all the indicators in the scleroderma box. The critical to herself as “the point person,” she enlisted close friends such as asthma, it can issue for her is pulmonary hypertension, which scleroderma and family members, including her mother’s husband, easily be misdiagnosed.” can cause, and which can be life threatening.” to help with the ongoing demands of caregiving. “We’re a Early treatment As this family crisis unfolded, the singer/actor simultane- team,” she says. “We’re in this together.” “In the first phases you ously launched The Queen Latifah Show. Recently renewed Even with a strong support system in place, Latifah found can repair the damage. for its second season, the daytime TV chatfest showcases that meeting her own professional commitments while car- The earlier the diagnosis, Latifah interviewing guest celebrities; cooking up healthy ing for her mom could be demanding. “To launch a talk the better. However, current therapies can recipes; riffing hilariously with her comedic chops; offering show and go through that at the same time was challeng- arrest the damage, even travel, beauty, and style tips; warmly addressing her viewers ing,” she admits. “But it was also cool in a way, because I’d when half of the lung has like old friends while discussing topical events; and hosting come home and there she was. That part was wonderful.” been lost to the disease.”

W ebMD.com 30 OCTOBER 2014 Photograph by Sam Jones/CPi Watch Queen Latifah chat with Carol Burnett on The Queen Latifah Show.

Learn more on p. 5

She laughs. “I did feel a little jealous of The Queen Latifah Show, because I’d want to talk with her, and she’d be like: ‘Wait! The show or synagogue, create a support network who can help, or look I’m sitting down, I’ll right is on!’ And I’d say, ‘I’m here into respite care. Be sure to get regular checkups, and don’t myself and align my spine. in person! You do know I’m ignore dental work. You’d be shocked to learn how many care- The cool thing about yoga is Queen Latifah, right, Mom?’ giving spouses die before the partners they’re caring for, sim- you don’t have to be in class. And she’d say, ‘Wait until the ply because they’ve neglected their own health for so long.” You can apply its techniques show is over!’” Latifah feels grateful because her financial and emotional to your life throughout the Latifah and her family join needs are covered. “I feel blessed to have so many people who day. Which I do.” the nearly 40% of American families that offer some kind of caregiving, from extensive “The cool thing about yoga is you don’t have personal care to tackling tasks such as bill paying or to be in class. You can apply its techniques to grocery shopping, accord- ing to a 2013 Pew study. Gail your life throughout the day.” Hunt, president and CEO of the National Alliance for love and care about my mother to be there for her,” she adds. A healthy eater who never Caregiving, says the number “That’s really important. I really feel for people who don’t have “diets”—“Diet is what you eat of families in a caregiving sit- that support, because it can be so tough sometimes.” everyday, not what you don’t!” uation is bound to grow. “As she says—Latifah does avoid baby boomers—a generation La’s Land fried foods and salt, but occa- with fewer offspring to share Queen Latifah’s schedule has been grueling. She spent the sionally indulges in favorites the burden of caregiving— summer filming her upcoming HBO biopic, Bessie, based on like mac and cheese. Long age and develop health prob- the life and music of legendary blues singer Bessie Smith, with a leading face of CoverGirl lems, we can expect this issue weekends shuttered in the studio recording Smith’s classic cosmetics, she’s aware she’s to become front and center in songs for the film’s soundtrack. She’s executive producer on helped to redefine standards coming years.” the project, too. of beauty to include women “Data show 60% to 70% of As for Bessie, the project inspired a deep appreciation for of color and, just as impor- caregivers work,” Hunt con- the artist and legend she portrays. “I’ve fallen in love with the tant, women with curvy tinues, “and most must make power of her voice. Bessie Smith inspired Janis Joplin, the Roll- physiques. The star says her some kind of work accom- ing Stones. No one sounds like this woman—including me. I’m total self-acceptance, which modation such as coming in doing the best I can to bring her story and sound to the screen, has led to such opportuni- late, leaving early, reducing so people will discover what a treasure she was.” ties, comes from her family’s to part-time, or even quitting Latifah knows keeping her busy life balanced is essential to enduring love for her. And or taking early retirement to maintaining her own good health—caring for herself so she she’s happy to return it. meet caregiving demands.” can continue to take care of her mom. “I’ve found if I take a “My parents always told In addition to the stress The Queen’s Crown Jewels moment for myself in peace and quiet to gather my thoughts, me I was beautiful. They of balancing the private and I’m ready to go,” she says. “Wake up and don’t speak to any- helped me through those professional, “there is care- Queen Latifah lives by plays iconic blues singer fluctuated over the years— away,” she says now. “Then one, just take five minutes to breathe and stretch and breathe awkward stages. They sat me giver burnout,” Hunt adds. her own set of rules. Bessie Smith in HBO Films’ and she’s OK with that. “I I remember I’m doing this some more. Then I can go into the day and tackle anything down, explained things. They Here, the star of the upcoming Bessie, says of know what to eat and what for my family. Music, acting, “Signs of burnout include los- ­musical film Chicago, true self-worth. “Everyone not to eat,” she said in ­being creative is my joy. that comes my way.” trusted me. They said: ‘Go ing your temper a lot, show- the comedy movie feels insecure sometimes. 2012. “But I just like doing That’s what picks me up.” As for exercise, “I’m nowhere on the routine I’d like to be out there and try it, do it!’ ing a lack of patience, and Beauty Shop, and more Do things that inspire you what I want, you know? I’m Climb more mountains— on right now, being so busy. Maintenance is a challenge,” she When I fell flat on my face, neglecting your own health. recently the Lifetime TV and make you feel like, rebellious like that!” literally. “There are always admits. “The treadmill is tried and true. Or I might jump on they dusted me off. And I You can even face financial movie Steel Magnolias, ‘OK, I’m not so bad.’ Be resilient. In 1992 Latifah’s more mountains to climb,” a bike for 30 minutes. Lately it’s bike riding and walking. I went on.” shares her philosophy Appreciate who you are, older brother, Lance, died says the Oscar-nominated ruin if health care costs are for a healthy and and what you have.” like to be outside, go to the park, hike. I like yoga—if I can Now that roles have draining your savings.” at age 24 in a motorcycle actor. “In fact, I keep meeting stand against the wall and connect my back against it, or if reversed and it’s her mother happy life. To thine own self be true. crash—riding a bike she people who say they’ve Hunt suggests caregivers Confidence is earned. The former Jenny Craig had given him as a present. climbed Mount Kilimanjaro. who needs support, Queen seek relief in every way pos- “It’s not something you’re spokesperson is well “I’ve battled self-doubt, like So I’ll climb Mount Reviewed by Brunilda Nazario, MD, WebMD Lead Medical Editor Latifah says, “I always keep sible. “Look to your church born with,” Latifah, who aware how her weight has when my brother passed Kilimanjaro! Why not?” that in mind.”

W ebMD.com 32 OCTOBER 2014 Photograph by Trunk Archive OCTOBER 2014 33 W ebMD.com WebMD Logo PRINT CMYK VERSION

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® Cancer Special New Hope Are we closer to a cure for cancer? Some researchers say “yes.” Reengineered T cells and man-made cancer-fighting antibodies bring new optimism to cancer treatments

By Sonya Collins

W ebMD.com 34 OCTOBER 2014 OCTOBER 2014 35 W ebMD.com Take the Cancer Risk Assessment at WebMD.com.

Learn more on page 5 Last year, 20-year-old

Milton Wright III seemed T cells—white blood cells that survey­ “This is a very, very bad disease. man-made antibodies recognize one of these T cell proteins as a threat, block it, and the body for infections and other The three-year overall survival after set the immune system free against it. to finally have his life abnormalities—to recognize and relapse is less than 10%,” Brentjens The risk, however, is that the immune system could attack normal cells, too. This attack his leukemia. After says. “Most of the patients that we’ve can result in autoimmune problems such as colitis, tears in the intestines, hepati- on track. researchers reengineered seen for a six-month visit after the T tis, severe skin rash, and inflammation of the pituitary and thyroid glands. “They Wright’s cells in the lab, he cell therapy are at or past what their are really serious side effects—manageable but serious,” Schuchter says. After seemingly endless interruptions to his education, his foot- got his cells back through expected survival was when they first Other man-made antibodies in development and early use target different steps ball career, and his plans to join the Marines, he found his way. an IV, and everyone waited came into our clinic.” in cancer growth and progress. Some patients with advanced metastatic mela- He launched a modeling career and appeared in ads for brands for him to get a fever. Fever Researchers continue testing modi- noma—the most deadly skin cancer—go into complete remission after treatment including Zumiez and Adidas. He all but forgot he’d ever had is a sign the T cells are work- fied T cells in patients with other with drugs such as ipilimumab (marketed as Yervoy), which release the brake on cancer. ing, but if doctors can’t man- types of leukemia, lymphoma, and the immune system. “I finally felt like things were going in the direction I wanted them age the fever, they might have myeloma—all blood cancers. “The By the time Thomas Sasura, a contractor from Broadview, Ohio, was diagnosed to,” Wright says. to kill off the T cells with a different question is: Can we expand this tech- with melanoma at age 55 in late 2010, the cancer had spread to his lungs, liver, and But then, five years and two months into his second remission from acute lym- drug and end the cancer treatment. nology to more common tumors— brain. He soon had palpable lumps in his back and under his arm. Before his last phoblastic leukemia (ALL), Wright slipped on a sidewalk and heard his ribs crack. Two weeks after he got the cells, colon cancer, ovarian cancer, breast He walked the few blocks to Seattle Children’s Hospital. He had lived nearby since Wright’s fever landed him in intensive cancer?” Brentjens says. “I don’t know. shortly after he was diagnosed with leukemia at age 8. He’d spent several years there care and doctors considered killing the But I think so.” “When I say I’m cured, I don’t feel in treatment for two bouts of leukemia—the second when he was 15. cells. “I wasn’t ready for them to do that. After examining his ribs and drawing blood, the emergency nurse told Wright I asked if we could give it another day Brake Test 100% sure. But according to my to follow up with hematology/oncology. “That’s when I added everything up,” he or two.” Two days later, Wright’s fever In another form of immunotherapy, recalls. “The broken ribs, the blood samples. They think I have it again.” dropped. A few days after that, when he researchers attempt to release the blood work, they can’t find a Wright knew kids who’d gotten leukemia a third time. “None of them survived. was well enough for a spinal tap to test “brakes” on the immune system. Can- That’s when they give you your six months. I realized that I was going to die soon.” for leukemia, the cancer was gone. cer is allowed to develop in the single cancer cell in my body.” Wright’s doctor, Rebecca A. Gardner, MD, a pediatric hematologist/oncologist A year later, it’s still hard for Wright first place, in part, because and acting assistant professor in pediatrics at the University of Washington, did to believe. “When I say I’m cured, I the immune system doesn’t scheduled round of chemotherapy at Cancer Treatment Centers of confirm his leukemia was back, but she didn’t give him six months. As the lead don’t feel 100% sure. But according to attack everything that America Eastern Regional Medical Center in Philadelphia, Sasura researcher in a new clinical trial, she suggested Wright be the second patient to my blood work, they can’t find a single crosses its path. It has and his doctor could still feel some of the lumps in his body. take part. The first patient had no remaining signs of leukemia just nine days after cancer cell in my body.” brakes, so to speak. With- “That’s when he introduced me to Yervoy,” says Sasura. The treatment began. Wright has since had a bone marrow out them, the body would doctor had never prescribed the brand-new drug and warned The trial tests a type of immunotherapy, a new wave of experimental and newly transplant—an additional safeguard be in a constant state of that he had no idea how Sasura might respond. But Sasura had approved treatments that spur the immune system to fight off cancer like it does against relapse. His recovery seems like g e s fever, rash, or other inflam- nothing to lose. Three weeks after his first 90-minute drip, all the other illnesses. a miracle to him, but scores of people matory immune response. lumps were gone. Some physicians and scientists call it the pathway to a cure. Among them are Lynn with this type of leukemia have now gone Researchers are now exploring “I couldn’t believe it. They said it normally takes two or three injec- M. Schuchter, MD, chief of hematology/oncology and a cancer immunotherapy into remission after similar treatments. how to temporarily release those tions to kick in,” he said. Sasura finished the treatment—four infusions over researcher at the University of Pennsylvania. “We are supercharging the immune “It’s not just a handful of patients. brakes to unleash the immune system the course of 12 weeks—and he has been in remission ever since. Scans still show outoudaki/Getty I ma outoudaki/Getty system,” she says. “This brings a totally new dimension to attacking a cancer cell.” It’s an expanding number at multiple on cancer cells without attacking the cancer in his body, but it doesn’t grow and it sometimes shrinks.

centers,” says Renier J. Brentjens, MD, T M aria ; rest of the body. “Not all patients respond, but for some, all the tumor goes away, which is highly To a T PhD, an oncologist at Memorial Sloan “Melanoma has been the poster unusual in melanoma,” Schuchter says. “We have patients who had metastatic dis- Some cancer cells share traits with healthy cells, making them unrecognizable as Kettering Cancer Center in New York child for this type of immunotherapy,” ease, who are now out four years without any evidence of melanoma. I’m beginning abnormal to the immune system. Wright’s immune system learned to spot them. City, who has spent 20 years research- says Schuchter. This type of treatment to use the words ‘possibly cured.’”

Through Gardner’s clinical trial, researchers genetically modified Wright’s own ing ways to manipulate immune cells III Wri g ht M ilton y shows promise in cancers of the lungs, Researchers hope these results can be replicated in other cancers. Current clini- to fight cancer. “That’s often an indica- bladder, and kidneys as well. cal trials with ipilimumab include patients with cancers of the breast, lungs, cervix, tion that you’re not looking at a one- Certain proteins on the surface of prostate, head and neck, pancreas, kidneys, and blood. The FDA approved a new g e s patient thing or a fluke.” s Courte left: ; immune cells control these so-called brake-cutting cancer drug, pembrolizumab (marketed as Keytruda) last month; Since 2009, researchers at Sloan brakes. The drugs that release the brakes ­others await approval possibly later this year. Kettering, University of Pennsylvania, are man-made antibodies that shut and the National Cancer Institute down one or another of those proteins. Back to the Future

have tried this treatment on about 100 III Wri g ht M ilton y The body produces antibodies naturally A year or more after immunotherapy, people like Sasura and Wright no longer con- patients with ALL. More than 70 have to attack threatening substances in the sider how they’ll spend their final days. They get on with their lives. Sasura is back gone into complete remission. Some blood, such as bacteria and viruses. The to work remodeling kitchens and bathrooms. Wright got the green light to return s Courte g e: a k/Getty I ma c k/Getty I PhotoSto c ien e/G

form of this experimental treatment p to the gym months before most transplant recipients. Back in shape, he wants to is currently in trials at dozens of insti- Reviewed by Michael W. Smith, MD return to modeling. “I feel like this treatment worked,” Wright says. “I feel I am WebMD Chief Medical Editor p reviou s tutes around the world. S Cultura truly done with this.”

W ebMD.com 36 OCTOBER 2014 OCTOBER 2014 37 W ebMD.com Food & FITNESS

in season Heart Beets By Erin O’Donnell

Recipes by Kathleen Zelman, MPH, RD, LD For flavor, color, and nutrition, a beet is hard to beat. Unfortunately, beets have a slightly dowdy reputation. “Many people think of them as something their grandmother ate,” says Liz Applegate, PhD, director of sports nutrition at the University of California, Davis. “We tend not to think of the beet as a super vegetable, but we really should.” A one-cup serving of these jewel-toned roots provides more than a third of your daily requirement of folate, a heart-protective B vitamin, and a good dose of manganese, a trace mineral the body uses to make free-radical-fighting enzymes. Beets are also a rich source of nitrates. These compounds relax and dilate blood vessels. Research suggests that nitrates from vegetables reduce blood pressure and boost exercise performance—in one study, people who ate a cup of cooked beets an hour before their run ran 5% faster. Our tasty beet recipes will give you fresh ways to enjoy these vibrant gems. eb Wahl D eb t s Styli Food

Photograph by Dan Whipps OctobER 2014 38 W ebMD.com Food& Hash It Out fitness Beet juice was Prepare beets for brunch with used in Victorian England as a this tasty, nutrient-packed natural red hash recipe. It features frisée, a hair dye. ­feathery, mildly bitter green. Pair the hash with fresh fruit and a crusty whole grain roll.

Sweet Potato-Beet Hash With Frisée and Poached Eggs Makes 4 servings Ingredients 1 lb red and golden beets (can use any variety), peeled and chopped into ½-inch dice 1 large sweet potato (about ¾ lb), scrubbed and chopped The ancient into ½-inch dice Romans 1 medium sweet onion, diced believed beets had 1 tbsp olive oil aphrodisiac dash of sea salt and freshly properties. ground black pepper to taste 1 tbsp cooked, crumbled bacon or lean ham 1 tbsp chopped fresh parsley 4 large eggs 1 tbsp white vinegar 2 cups frisée greens, washed BONUS! Get a beet Directions smoothie recipe in our free 1. Preheat oven to 400ºF. Toss tablet apps! beets, sweet potato, and onion with olive oil and season with salt and pepper. Place veggies Gold Rush on a foil-lined baking sheet. This colorful autumn salad will make a believer of most beet skeptics. It calls for Bake until vegetables are lovely golden beets, but you can use red beets or a combination. Roasting them golden, about 25–30 minutes, stirring every 10 minutes. intensifies their delectable sweetness. The recipe also includes Marcona almonds, 2. Coat a nonstick skillet with a flavorful Spanish variety found in many large supermarkets and gourmet shops. cooking spray and heat to medium high. Add mixture of Golden Beet Salad With Marcona Almonds roasted beets, sweet potato, and onion, cooked bacon, and Makes 6 servings parsley, and stir to combine. Ingredients Directions 3. Poach the eggs: Bring water in a large skillet to a boil, 1. Preheat oven to 400ºF. Remove Salad reduce heat to simmer, and greens and root tips, then scrub beets 1 lb golden beets (can substitute red add ­vinegar. Break eggs into a with a vegetable brush. Wrap each or use a combination) small dish, and gently slide one beet in aluminum foil and place all in a 3 cups arugula or mixed salad at a time into the water bath. roasting pan. Cook 45 minutes or until greens, washed Cook each egg 3 minutes, then tender. When cool enough to handle, ½ cup thinly sliced red onion remove with a slotted spoon. rub off skins and cut beets into bite- 1 large orange, peeled and seg- 4. To serve, divide sweet potato- size pieces. mented, with ­membranes removed beet mixture among four plates. 2. Make dressing: Combine all ingredi- ¼ cup crumbled low-fat goat cheese Top each plate with ­frisée ents in a jar and shake vigorously, or 4 tbsp Marcona almonds, toasted and a poached egg. Serve whisk together in a bowl. Set aside. immediately. Dressing 3. Evenly divide arugula among six salad 1 tsp orange zest plates. Top with beets, onion, orange, Per serving 1 tbsp orange juice cheese, and almonds. Drizzle with 200 calories, 10 g protein, 21 g 2 tbsp champagne vinegar dressing and serve. 1 tbsp olive oil carbohydrate, 9 g fat (2 g saturated fat), 1 tsp Dijon mustard Per serving 185 mg cholesterol, 5 g fiber, 11 g sugar, 245 mg sodium. Calories from fat: 42% 1 tsp honey 142 calories, 4 g protein, 17 g carbohydrate, Wahl D eb t 1 tbsp finely minced shallots 7 g fat (1 g saturated fat), 2 mg cholesterol, 4 g ¼ tsp salt fiber, 11 g sugar, 187 mg sodium. Calories from Reviewed by Hansa Bhargava, MD WebMD Medical Editor

freshly ground pepper fat: 43% s Styli Food

W ebMD.com 39 OctoBER 2014 Photograph by Dan Whipps FOOD & FITNESS

off the menu Tanya Holland Chef/Owner, Brown Sugar Kitchen Oakland, Calif.

By Matt McMillen

Chef Tanya Holland is Tanya’s all about tradition and Takeaways transformation. The dishes Her go-to comfort she serves at her Oakland, food: “Pasta with Calif., restaurant, Brown red sauce and Italian Sugar Kitchen, celebrate sausage. I think I was Italian in another life.” the Southern and soul food she loves, but she updates The food she could them with fresh, seasonal not live without: ingredients and crafts them “Chocolate, anything with the cooking techniques with that flavor, like chocolate she learned in kitchens almond milk.” throughout the United States and France. At home she likes to “I feel like I bring a new cook: “Braised meats perspective to the cuisine and stews, the kind of hot dishes that and make it a bit more con- make great leftovers. temporary,” says Holland, One of my favorites 49. “Also, I often try to think is a West African of how to make the food of peanut stew that my heritage without making I make with sweet potatoes, turnips, it as calorie-laden as it’s peanut butter, and traditionally prepared.” coconut milk.” She swaps out less healthy ingredients for better-for- When she wants to you substitutes. In her lose 5 pounds: “I drink green juices collard green recipe, she and smoothies made has nixed pork fat in favor with spinach, kale, of olive oil. And in the sweet cucumbers, potato custards, processed and ginger.”

What inspires her “I often try to think of how to make the food of my recipes: “The farmers markets we have heritage without making it as calorie-laden.” in Oakland and thumbing through sugars have been replaced Holland fries her chicken husband, Phil Surkis, who my cookbook collection.” with maple syrup, the heavy and oysters in rice bran helps run the restaurant. cream with coconut milk. oil instead of shortening To keep in shape, she and The one lesson every They’re a great follow-up or other saturated fats. her husband mix up their home cook should to a main course of fish, She also offers gluten-free workout routines. Two to learn: “Home cooks ­Holland says. baked goods. three days a week, they par- should update their kitchen equipment as On her restaurant menu, When Holland has down- ticipate in boot camp-style needed and invest her coleslaw’s tossed with time, she likes to go home group exercise classes. On in high-quality vinaigrette rather than to an uncluttered house, other days, they practice equipment. You’ll get a keating a li s fatty mayonnaise, and which she shares with her yoga. Holland also likes better results.”

OCTOBER 2014 40 W ebMD.com Ingredients Makes 6servings Collard Greens Brown Sugar K Hollandthe says. recipes,” 85 little and beautiful storytelling photosamong month. last published Everyone’sFrom Favorite SoulFood Restaurant, Brown Sugar Kitchen:book, andStories Recipes and itsneighborhood inhernewits recipes, cook sweetness init.” hardforsome times, sure, butwe’ve found abitof says Holland. “West Oaklandgone has through nation restaurant. revitalization. It’s the neighborhood’s- only desti the B menus draw ofhungry lines from diners around Oakland neighborhood. Thebreakfastand lunch transform2008, Holland helps also herWest biking. swimmingin some and road get occasionally to

freshly ground blackpepper kosher salt ¼ 4 4 2 1 1 1 “It’s kind ofanhomage to Oakland, with a Holland captures the flavor of the restaurant, “We say we’re inSweet located West Oakland,” Through herrestaurant, whichin opened removed andlargecleaned stems lbs collard greens, tbsp olive oil cloves garlic, minced hot peppersauce tsp crushedred pepper or stock cups water orvegetable red onion,slicedinto rings cup cidervinegar ay Area and beyond of to anarea inneed itchen itchen sugar, from 150 mgsodium.Calories fat: 33% (0 gsaturated fat), 0mgcholesterol, 10gfiber, 1g 119 7gprotein, calories, 20 gcarbohydrate, 5g fat Per serving 4. 3. 2. 1. Directions

strips. ( and rolling themlike acigarandslicingintothin Prepare collard greens by theleaves stacking with saltandpepper. greens wilt,stirinvinegar. totaste Season A stock, andbringtoasimmerover medium heat. not brown, abouttwo A minutes. stirring occasionally, but untilgarlicissoftened crushed red pepper, andcookover low heat, H oliveeat oilinalarge pot.A Wash greens andsetaside. dd collard greens andoniontopot.As This techniqueiscalledchiffonade.) - Thousands of people turn ofpeople Thousands to WebMD.com for meal Olives, Lemon, andDill Lemon Garlic Shrimp inspiration every day. Spinach andTomato Salmon Cakes With Here are the most- Summer Breezes Cooking! clicked recipes.* * as of Aug. 1, 2014 and Vegetables What’s Lemon Bars dd garlic and dd garlicand Smoothie Pasta dd water or dd water or

. c o m

Phil Surkis Watch The First Lady Workout, a video at Food& WebMD.com. fitness Learn more on page 5

work it out

Power Play lean machines Treadmill, Stationary bike, Or Elliptical: These tips from Kori Lyn Angers, BS, CSCS, What’s the right workout for you? will help you get the best workout on By Kara Mayer Robinson each machine.

On a treadmill Use at least a 2% incline. It mimics the road and activates your glutes and hamstrings, Angers says.

Don’t hold the handles or bar. That can throw off your stride and lead to injuries.

stationary bike Choose an upright bike instead of a recumbent bike. Even better is a “spinning” or studio bike. Angers says it engages more muscles to give you a dynamic, full-body workout.

You’re ready to work up a sweat at the STATIONARY BIKE Don’t slouch. “Always be gym. But which machine should you You have knee or ankle injuries. aware of your posture.” choose? If you want to torch calories, fire up “Cycling provides a great cardiovascular Keep your spine straight the treadmill or elliptical trainer. One study workout with zero impact,” says Angers. If and keep your hips, suggests both machines do it equally well. Yet you’re injured, this is the workout for you. ankles, and knees in line to prevent injuries. each has advantages and disadvantages. Kori You have a bad back. If your back hurts, Lyn Angers, BS, CSCS, education coordina- try a recumbent bike, which puts you in a elliptical trainer tor and master instructor at Equinox Fitness reclined position and gives you more back Push yourself. Dial up in Los Angeles, helps you choose the best one support than an upright stationary bike. But the intensity by choosing for you. it shouldn’t be your go-to, because it won’t higher difficulty levels. Engage your upper body help you strengthen your core, which is a and burn more calories TREADMILL must for improving back problems. by using the handles. You want stronger legs. A treadmill work- Work hard enough to out targets many lower-body muscles, includ- ELLIPTICAL TRAINER maintain your target ing glutes, quads, and hamstrings. It also You want to work your glutes and heart rate. works your pelvic muscles and abs. thighs. Research suggests using the ellipti- Don’t let the machine You want speedy results. If you want cal trainer works your quads and glutes—but do all the work. “Push to boost your fitness level and lose weight not your calves. and pull with even fast, treadmill running is best. Because it’s a You want to cross-train. If you’re a regu- pressure,” Angers says. weight-bearing workout, your body will work lar runner, the elliptical trainer can help you Choose a resistance where you’re moving harder and you’ll see results faster. prevent injuries, and build different muscles. the machine and it’s not moving you. EXPERT TIP “I absolutely hate running on a treadmill, so I run intervals with varying speed or incline. I always write my workouts down beforehand and hold Reviewed by Michael W. Smith, MD myself to the script.”—Kori Lyn Angers, BS, CSCS WebMD Chief Medical Editor r bi s Studio/Co BU C K

W ebMD.com 42 OctoBER 2014 FOOD & FITNESS

fitness challenge Center Field Q Want to improve your balance? Ground yourself “If I want to drop a dress with these stability moves size, should I focus on By Jodi Helmer weight loss, strength training, or cardio?”

Balance is essential for everything from riding a bike to walking on a slippery sidewalk Chrystal Davis, 35, contract (not to mention mastering tree pose in yoga class). Joel Harper, personal trainer and specialist, Hilliard, Ohio owner of Joel Harper Fitness in New York City, recommends a series of moves to help maintain (or boost) your equilibrium and reduce the risk of falls. Bonus: These moves engage major muscle groups, improve your balance and help tighten trouble zones. Aim to do these three moves at least four times per week. For best results, go barefoot.

A “Your workout should incorporate both cardio and strength training. Each Stork Swim T-Slide Russian Twist week, aim to get at least 150 minutes of moderate- This move “improves your Standing on your tiptoes 1. Sit on the floor, bend your intensity aerobic exercise balance because you during the entire exercise is knees, and cross your continually shift your body harder than it sounds, and it right foot over your left such as jogging, swimming, weight and strengthen forces you to use your core foot at the ankle. and aerobics classes. If your stabilizing muscles,” muscles. If the move seems 2. gently place your hands you work in high-intensity Harper says. too simple, Harper suggests on your knees, lift your intervals (think cranking up holding a 2-pound dumbbell feet off the floor, and lean the speed on the treadmill 1. balancing on your left in each hand and closing back 45 degrees. foot, bend your right knee your eyes, which “makes 3. With your hands loosely to 5 for one minute and then and raise it behind you to you laser focus, helping clasped in front of you, taking it back down to 3.5 hip level. improve the communication lower your elbow (first for one to two minutes), 2. Reach both hands (palms between your brain and the right, then the left) you’ll get the same up) straight out in front your muscles.” toward the floor. (Keep benefits in half the time. of you. your legs and spine in the 3. bend forward and extend 1. With your feet together, same position; only your Strength training boosts your right leg straight lift your heels off the floor core will twist slightly as your metabolism so you’re behind you. (As you and balance on your toes. you move your arms.) burning more calories even become more comfort- 2. Reach your hands out to 4. Repeat 25 times on after you leave the gym. able with this move, work your sides, palms facing each side. Make sure to target all of toward getting your torso forward. 5. Switch sides (crossing parallel to the floor.) 3. With your arms, pulse 1 your left foot over your the major muscle groups.” 4. hold for 10 seconds. inch forward and 1 inch right foot) and repeat 5. Return to starting back. Do 25 reps. 25 times. position. 4. turn your palms toward 6. do 25 reps. the ceiling and do 25 7. Switch legs and repeat. reps. Chris McGrath, certified personal Reviewed by Keep both arms straight 5. turn your palms toward trainer, founder of Movement First in out in front of you. Michael W. Smith, MD on lee on the back of the room and New York City, and adjunct professor s WebMD Chief Medical Editor ja do 25 reps. at Long Island University

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® Cancer Special

CheckupTaking care, living well

October is Breast Cancer Awareness Month

About one in eight women will develop invasive breast Treatment for breast cancer includes surgery, cancer in her lifetime. More than 200,000 will get a radiation, hormone therapy, and chemotherapy. Many diagnosis this year. cancer drugs currently in development are targeted Most breast cancers begin in the milk ducts. Cancer therapies. Unlike chemotherapy, which aims to simply is considered invasive when it spreads beyond the milk kill cells, targeted therapies block the biological pro- g es sacs and ducts into connective breast tissue. Treatment cesses that promote the spread or survival of breast is most effective when breast cancer is caught early. cancer cells. In a recent study, a gel form of tamoxi- Five-year survival rates are nearly 100% for women fen, applied to the breast, worked as well as tamoxi- whose cancer is found in its earliest stages. fen pills in women with noninvasive breast cancer. Mammograms, X-rays of the breast, are the best The pills help prevent breast cancer recurrence, but ike Coppola/Getty I ma Coppola/Getty M ike means of screening for breast cancer. The screen- they bring increased risk of blood clots ing can uncover signs of cancer before it spreads and and uterine cancer. Researchers expect

es; inset: g es; before it causes symptoms. The CDC recommends the gel to minimize these risks. that healthy women ages 50 to 74 get a mammogram Today Show anchor Hoda Kotb, every two years. Doctors may advise patients with a Sex and the City’s Cynthia Nixon, and family history of breast cancer to have the screenings young-adult novelist Judy Blume are all breast cancer earlier or more frequently. survivors.—Sonya Collins nlimited/Getty I ma U nlimited/Getty Visuals

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factor finders Three tests can now analyze genetic factors as well as predict the women’s health chances breast cancer will come back and whether chemotherapy History Test will be beneficial, says Do you have a relative who’s had breast cancer? cancer genetics researcher Ben Find out if gene testing is right for you Ho Park, MD, PhD. All three tests By Gina Shaw can only be used for stage 1 or 2 breast Most of the more than 232,000 cases of mutation. Jolie lost her 56-year-old mother to cancer. breast cancer that will be diagnosed in ovarian cancer, and Applegate’s mom developed the United States this year are not hereditary. both breast and ovarian cancer. Oncotype DX is As with most other cancers, they happen So should you get tested for a BRCA muta- the oldest and most widely because of genetic mutations that occur as we tion? For most women, the answer is no. If used. It analyzes age. But about 15% of women with breast can- you don’t have a family history of ovarian and 21 genes to get a cer have at least one relative who has also had breast cancer, it’s very unlikely that you carry a recurrence score. the disease, and 5% to 10% have specific inher- mutated BRCA gene. Higher numbers ited mutations in one of two genes that have But you may want to consider testing if your equal greater risk. been linked to breast cancer, known as BRCA1 family tree includes these signs: Mammostrat and BRCA2. • Any “first-degree” relative (a mother or sis- analyzes five These mutations are serious. Women with a ter) diagnosed with breast cancer, especially cancer-related BRCA1 or BRCA2 mutation face a dramatically before age 50 genes and increased lifetime risk of breast cancer—55% • Multiple breast cancers on the same side of categorizes you as low, moderate, to 85%, compared with about 13% for women the family, especially before age 50 or high risk for with no inherited genetic risk. Ovarian cancer • Any family history of male breast cancer recurrence. risk is higher, too—about 39% of women with • Any family history of ovarian cancer (since BRCA1 and 11% to 17% of women with BRCA2 both ovarian cancer and male breast cancer MammaPrint, will develop ovarian cancer. BRCA-linked breast are much more rare than breast cancer in unlike the other two, can be used cancers also tend to develop at a younger age women, these raise more alarm bells) whether your than other breast cancers. “If you’re considering the test, it’s very impor- cancer is hormone- Women diagnosed with these mutations tant you meet with a genetic counselor first,” receptor positive sometimes choose to have preventive surgery to says Ben Ho Park, MD, PhD, an associate pro- or negative. It remove their breasts and/or ovaries before they fessor of oncology and breast cancer geneticist analyzes 70 genes g es and classifies you can develop cancer. Actors Angelina Jolie and at Johns Hopkins University School of Medi- simply as either Christina Applegate both underwent double cine. “They can help you make decisions about low risk or high risk mastectomies after testing positive for a BRCA testing and understand the results.” for recurrence. rthur/Glow I ma rthur/Glow McA P ete

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kids’ Health

® Cancer Parental Guidance Special Has your child been diagnosed with cancer? what you need to know before treatment starts

By Stephanie Watson

“Your child has cancer.” Few phrases are more devastating or frightening for a parent to hear. What should you do now? How can you get the right care for your child? To help you navigate this new and unknown world of cancer treatment, Donald Small, MD, PhD, director of pediatric oncology at the Johns Hopkins Kimmel Cancer Center, answers some of parents’ top concerns about childhood cancer.

What should parents do first when their child is diagnosed with can- cer? My suggestion would be to seek out a large academic medical center, because there will be people who will be conducting state-of-the-art trials

What’s most frightening to children is the What’s the best way to talk to your fear of the unknown. child about cancer? Talking to kids about their diagnosis can be very diffi- involving that particular type of cancer. out what the therapy entails, how long it cult. We’ve found over time that what’s And there is evidence that children who lasts, how many times your child will be most frightening to children is the fear are in clinical trials have an advantage admitted, and for what length of time. of the unknown. So if they have to go in terms of survival over children who Also ask about the side effects of the through difficult treatments, things are not treated in clinical trials. therapies, because unfortunately, most that are making them sick, and they Parents should also make sure their of the therapies have both short- and don’t really understand why, it’s even particular pediatric oncology center is long-term side effects. It’s important to scarier for them. part of the Children’s Oncology Group, know that going into treatment. With younger children, we can talk consisting of more than 200 centers in about the fact that they’re sick and the United States that treat pediatric When should parents seek a second they need to get certain medicines to oncology and have all agreed to treat opinion? Nothing is ever wrong with make them better. With older children the same cancer in the same way. asking for a second opinion. As pediatric we’re able to have the same discussion oncologists, we’re always happy to refer with them that we have with their par- What kinds of questions should them. I think it can be reassuring for ents. And we try to encourage them to parents ask the oncologist? You families to know that the center where take part in all of those conversations want to ask what the current best cure they’re going to be treated is doing the and explain to them exactly what kind g es rates are. Some parents are afraid to same thing as the place where they get of cells cancer arises from, what might ask about that, but I think it’s impor- the second opinion—that the physicians have caused the cancer, what therapies tant to know a little bit about the odds agree completely on what the therapy they’re going to get, and the expected from the very beginning. And then find should be. I think it helps to build trust. side effects from those therapies. elft/Glow I ma D elft/Glow Van F rank

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health check What’s Your Ovarian The essential Cancer Risk? iPhone app for people

Ovarian cancer kills more women living with chronic pain. than any other gynecologic can- cer. That’s in part because the symp- ■ toms, including bloating, stool changes, Personal journal to easily and nausea, can be so vague that a log pain levels, triggers, diagnosis often happens when the dis- and more. ease is more difficult to treat. But some women are more at risk than others. “A ■ Daily tips approved by lot of people in my family have been WebMD doctors to help diagnosed with cancer,” An_188467 you meet your goals. writes in the WebMD cancer commu- nity. Family history is just one risk fac- ■ Articles, slideshows, and tor. Do you know the others? videos related to your condition.

Answers: 1. Women who use birth ■ Custom reports for better control pills do not ovulate and there- discussions with your doctor. QUIZ fore have a reduced risk of ovarian cancer. This effect appears to last for 1. Do you use birth control pills? many years after a woman stops taking Yes No birth control pills. 2. Ovarian cancer can occur at any age but risk goes up 2. Are you older than age 60? as you age: Half of all cases occur in Yes No women older than age 63. 3. Some studies show a link between infertility 3. Do you have a history of infer- and/or long-term use of medications tility, or have you used fertility that help you ovulate (such as clomi- phene citrate) and an increased risk of drugs to help you get pregnant­? ovarian cancer—especially if you did Yes No not get pregnant while on those drugs. 4. Bearing children reduces your risk 4. Do you have children? of ovarian cancer. 5. In some studies, Yes No breastfeeding for one or more years has been linked to a decreased risk of 5. Did you or do you breastfeed developing ovarian and breast cancer. your children? 6. Your risk of ovarian cancer may be Yes No reduced by two-thirds if you have had a tubal ligation. 7. Recent research has 6. Have you had a tubal ligation found a link between irregular periods (your tubes tied)? and an increased risk for ovarian can- cer. 8. Women with a body mass index Yes No or BMI larger than 30 are at a higher 7. Have you had irregular periods? risk of ovarian cancer. Yes No SourceS: 8. Are you overweight? American Cancer Society, CDC, American Association for Cancer Research, Yes No WebMD Ovarian Cancer Health Center

g es ? ASK your Doctor 1. What are the symptoms of ovarian cancer? What should I keep an eye on? 2. If I have risk factors for ovarian cancer, should I use oral contraception?

k/Getty I ma arwi c k/Getty 3. Are there ways that I can reduce my risk? If so, how? 4. If I have risk factors, how frequently do I need to be checked? homas B T homas

47 Checkup

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

Health Highlights Depression feeling down? help yourself with these tips

By Matt McMillen

Get screened Know the signs 1 Oct. 9 is National Depression 6 Visit WebMD’s Depression Screening Day. Learn more at center to learn the ways the helpyourselfhelpothers.org. disease can announce itself.

Get help Sleep well 2 If you’ve felt down for two 7 Sleep therapy may ease your weeks or more, talk to depression as you get more your doctor. You might shut-eye. be depressed. Take baby steps Put yourself first 8 When depressed, big plans 3 Do the best work that you may overwhelm you, so set can, but make healing your small daily goals. No. 1 priority. Be a friend Work up a sweat 9 If you know someone who’s 4 Boost your mood by boosting depressed, stand by him or your heart rate—at the gym, her. Plan fun activities, work out walking, or on a yoga mat. out together, talk.

Save yourself Commit to healing 5 Call the National Suicide Pre- 10 Medication, talk therapy, vention Lifeline at 1-800-273- lifestyle changes—they can TALK if you have thoughts all help heal depression, so about hurting yourself. stick to your treatment plan.

EXPERT TIPS

Scott Krakower, DO Patricia A. Areán, PhD Lekeisha Sumner, PhD assistant unit chief of psychiatry, psychiatry professor, assistant clinical professor, Zucker Hillside Hospital, Glen Oaks, N.Y. University of California, San Francisco Department of Psychiatry & Biobehavioral ­Sciences, University of California, Los Angeles “Continue to do what you like to do, even if “It’s common for people to start you feel upset. If you play a musical instru- treatment—medication and/or talk “Turn off the news. So many 24-hour ment, for example, keep practicing. Having therapy—and then stop it once they feel news stations report the worst in society. g es an outlet will help counter the numb better. That’s a bad idea. If you stop too Too much of that will further depress feelings of depression.” early, you will not receive the treatment’s your mood, raise fears, and lead you

full benefits and will probably become to dwell on life’s negatives, a recipe for I ma /Getty g “It’s good to laugh, so try to do that often. depressed again.” stress that can have a toxic effect on Watch a movie that cracks you up, or hang your body.” out with a friend with a sense of humor.” obin S kjoldbor obin R

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Reviewed by Brunilda Nazario, MD, WebMD Lead Medical Editor

by the numbers Menopause Facts and Stats on Top Health Issues

By Jodi Helmer

6,000 Number of U.S. women per day Average age entering menopause when51 menopause occurs 75%

Women who have hot flashes during the postmenopause period 75% U.S. women ages 50 40or younger to 55 believed to be Age at which menopause postmenopausal is considered premature YEA5RS 2-8 Average time years postmenopausal women Time that perimenopause continue to have moderate (the transition to 12% Migraine sufferers reporting more to severe hot flashes menopause) lasts frequent headaches during menopause

Bone density lost in the 5 to 7 years following 5 years menopause Number of years smoking accelerates the time menopause starts 12 20% Number of months 44% following the end of Postmenopausal women who report menstruation when using hormone replacement therapy to menopause occurs control their symptoms

Sources: North American Menopause Society, Johns Hopkins Medicine, Mayo Clinic, National Osteoporosis Foundation, U.S. Department of Health and Human Services Office of Women’s Health, University of Pennsylvania Perelman School of Medicine, CDC, sciencedaily.com c k isto

OCTOBER 2014 49 W ebMD.com Read Lupus Symptoms, a top article in the Lupus health center at WebMD.com. Checkup Learn more on page 5 Reviewed by Brunilda Nazario, MD, WebMD Lead Medical Editor

living with Lupus symptoms can vary, But there are ways that everyone with the disease can stay well

By Christina Boufis

Aimée Acknell from Glen Head, N.Y., awoke one morning with legs so swollen she practically crawled out of bed. Despite her pain, the elementary school teacher, then 30, went to work, where, she explains, “I had to be taken away by ambulance.” Acknell was eventually diagnosed with systemic lupus erythematosus (SLE or lupus), a chronic autoimmune disease that mainly affects women during their childbearing years and is marked by periods of flares and remissions. “Lupus is so different from any other disease in the world,” says Jill P. Buyon, MD, director of the Lupus Center and professor and director of the Division of Rheumatology at NYU Langone Medi- If you’re having a flare or your joints life, and lupus shouldn’t keep you from cal Center. “One person can have swol- are swollen, try walking just a little those successes.” len joints and not be able to move well. every day, advises Buyon. Exercise not Despite having had more than a One person may have a rash. Another only helps keep heart, bones, and mus- decade of severe lupus symptoms, from person might have a low blood count cles strong, but also can help relieve kidney problems to hair loss, rashes, that makes them very tired because stress—important for dealing with the and joint pain, Acknell, now 48, is they’re anemic. Lupus really is an indi- unpredictability of lupus. almost symptom-free. Five years ago, vidual disease.” Eat heart healthy. “You want to eat she began swimming—slowly walking Buyon suggests some ways to live well a healthy diet like anyone else,” Buyon the length of the pool and gradually with this condition. says. But because people with lupus building up momentum. Today, Ack- Avoid the sun. “For most people are at higher risk of heart disease and nell credits exercise, healthy eating, with lupus, sun avoidance is the No. 1 stroke, a heart-healthy diet with plenty and keeping a positive outlook with priority,” says Buyon. That’s because of fruits, vegetables, whole grains, and turning her life around. ultraviolet or UV rays can trigger skin lean protein is especially important, she rashes, joint pain, or flu-like symptoms. adds. Steer clear of salt if you have high “Sit under an umbrella. Wear protec- blood pressure or a kidney problem. tive clothing. Use sunscreens greater Stay positive. “One of the most Did You Know? than SPF 30 that cover UVA and UVB encouraging things is that, unlike other Some studies show rays,” says Buyon. “But you can still go illnesses, lupus is not necessarily a pro- that nearly on vacation and have fun.” gressively deteriorating disease,” says Get moving. One small study found Buyon. When you have lupus, “you 9 in 10 people g es with lupus have low that women with lupus who did mild shouldn’t feel like you’re a different levels of vitamin D, which exercise, such as walking 90 minutes person. You are not now lupus. You’re is associated with more

es/Glow I ma g es/Glow per week, reported significantly less still yourself,” she adds. “You’re still a severe symptoms. fatigue than those who didn’t exercise. person who could be very successful in ero I ma H ero

OCTOBER 2014 5051 W ebMD.com Take 10 10 QUESTIONS Donnie Wahlberg actor, singer

You’re on Blue Read the So, family Bloods and full Q&A with dinner was an Wahlburgers, Donnie important 1 Wahlberg 7 you executive part of grow­- produce Boston’s in our ing up? Our mom was The fifth free apps! Finest, and you were season of CBS’s really big on it. She touring with New Kids Blue Bloods didn’t always come on the Block. How do starts this fall. home to dinner as a you find time for a life kid, and it was outside of work? I’ve important to her that always been able to we did. We didn’t have multitask in my career a lot of money. We and make it work with were just getting by my kids. Fortunately, most of the time. But I’m now married to every day—every someone who likes to day—we came home spend as much time to dinner at 5 p.m. with me as I like to and Sundays at 2 p.m. spend with her, and we’re both starting to How do you see that it’s less stay in shape? important to fit our 8 I get really in relationship into our shape to go careers than to fit our on tour with the New careers into our Kids, then when it’s relationship. time to do Blue Bloods, I’ll spin out of You were a control with my diet, teenager gain some weight, and 2 when NKOTB eat a lot of donuts like exploded a cop. But I do try to onto the scene. Now pay attention to my you’re 45. How has health. the music changed? Back then we made What’s your music for our fans that favorite we enjoyed, and now 9 exercise we make music for our routine? Our fans that we enjoy. [New Kids] shows That’s the secret: Don’t because I was less of a reality series], and middle, and our are the best cardio. get caught up in what risk taker. But I seem to work on a script I'm mother is very loving I probably burn as we want, but pay have an instinct for developing. I’m doing and funny. The true many calories as a attention to what the police work. All the everything I ever essence of our boxer in a 12-round fans want and do it in a cops we work with on dreamed of doing. personalities is there. fight. way that we also enjoy. Blue Bloods say I would have made a Wahlburgers Food also What do Much of your great detective. is about your plays a role in you wish TV work is 5 brother Paul’s 6 Blue Bloods, 10 you knew 3 about cops. What’s a restaurant, right? When I at 20? I What draws typical day which you and your first read the script would have stretched you to police stories? 4 like for you? brother Mark invested and got to the dinner a lot more and been No idea! My brothers The morning in. What’s it like scene, it was so much more aware of my spent their early lives after a tour date in working with family? like my life as a kid. I joints and muscles, running from the cops, Las Vegas, I go to Reality shows, in knew exactly what it kept them flexible. and I got in a lot less work on Blue Bloods some ways, do looked like, felt like, I’ve really got to work trouble than they did. I at 6 a.m. On breaks, I capture reality. Paul’s smelled like, and I the creaks out before think it’s because I was edit Wahlburgers and very hot, Mark’s very wanted to be part of I go on tour now. smarter. They think it’s Rock This Boat [a new cold, I’m right in the that show. —Matt McMillen

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