Julianna Margulies Learns to Let Go Pg
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October 2013 / $4.95
Food & Recipes
Three Ways to Family & Cook Crab Parenting pg. 34
The 411 on Day Care Fitness pg. 24 & Exercise
The Upside of MEN’S Trampolines Health pg. 38
A Guide for Single Dads pg. 14
Living The Healthy Head-to-Toe Healthy Tips for Mom By the Good Beauty pg. 12 Numbers Secrets From a Health Care Top Dentist Reform life pg. 19 pg. 41 As her career soars, actor Julianna Margulies learns to let go pg. 28 october 2013october * w eb md .co m october 2013 Contents Feature
Pg. 28
you have to choose
the lif“e you want, take responsibility, and realize “ you create your own life by making choices.
The Good Life Julianna Margulies can relate to the long hours that high-profile attorneys put in. After all, the actor plays a lawyer in The Good in every issue Wife, which recently started another season. Margulies’ Pg. 5 career continues to soar and Editor’s Note she’s now got a 5-year-old The importance of mental in tow, but she’s learning health awareness, plus the to lean on others and relax new WebMD iPhone app. a little more. Not that she Pg. lets everything go by the 43 wayside: She opens up Take 10 about how she maintains We crack the code on mystery buffO ctavia Spencer. The her energy as well as a Download WebMD actor and author talks about Magazine for Free! cause near and dear to her the inspiration for her new Get your iPad 43 subscription in the heart, finding a cure for kids’ book, her health habits, App Store. Lou Gehrig’s disease. and how she handles fame.
Cover Photograph by Alexei Hay/Jedroot october 2013 2 W ebMD.com Contents October 2013
HEALTHY START Hot Topics: Are big cities safer than rural areas? Are long- distance relationships always short-lived? Find out and get more Pg. news you can use. • Personal Best: Actor Judy Greer shares her 6 top beauty, food, and relaxation secrets. LIVING HEALTHY WebMD on the Street: Our experts help a working mom who’s Pg. got her heart set on raising her sons to be active and outdoorsy. • Men’s Health: Single dads, are you trying to do it all? Learn how 11 to reach out and get the help you need. HEALTHY BEAUTY You Asked: Is unwanted hair too much for you to bare? Smooth Pg. things over with our expert product picks and tips. • Your Smile: Get smart about wisdom teeth. Here’s the scoop on what they 15 are and when they need to come out. Plus: A dentist to the stars reveals her top tips. • Beauty Smarts: Wrinkles, dark circles, and puffiness, oh, my! See what eye creams can do for you.
Pg. FAMILY & PARENTING Parenting: Actors and twins Tia Mowry-Hardrict and Tamera 21 Mowry-Housley may be working moms, but they still have double the fun. • Baby Talk: Finding day care can be daunting. Take a deep breath with these tips. • Pet Health: Every dog has its day, but it should never include these seven dangerous foods. • Fit Pg. Kids: Help your child develop a healthy body image with our 33 expert’s advice. FOOD & RECIPES 3 Ways to Cook…Crab. Take a crack at this healthy and flavorful Pg. lean protein. From soup to cakes, our easy recipes will satisfy you 36 any night of the week. FITNESS & EXERCISE Work It Out: Hit the trail for your next workout. Hiking does the mind and body good. • Fitness Challenge: You’ll be jumping for joy with the results of this trampoline workout. Learn how a little bounce can improve muscle tone and blast calories.
webmd CHECKUP Pg. Spotlight: Guys, low libido got you down? You may have erectile dysfunction or low testosterone. Find out more. • By the Numbers: An up-close look at the Affordable Care Act. • Health Check: Do you have sleep trouble? Test your 39 smarts with this quiz.
W ebMD.com 3 october 2013
Editor in chief vice president, publisher Kristy Hammam Heidi Anderson associate publisher Editorial director Colleen Paretty Dawn Carey Group Vice president of sales operations Senior Editors Jonathan Katz Susan Davis, Sylvia Davis VIce President, Circulation webmd.com senior director, editorial Paul Bar Stephanie Snipes Senior director, marketing Kathleen Cusack webmd.com art director sales operations analyST Kisha Jackson Noel Triplett Advertising sales chief Medical editor Claudia Fern, [email protected], 212-624-3728 Michael W. Smith, MD Patria Rodriguez, [email protected], 212-417-9542 John Schaetzle, [email protected], 212-624-3787 Medical editors Brunilda Nazario, MD chicago Hansa Bhargava, MD Anna Novinger, [email protected], 312-416-9278 Meghan Rice, [email protected], 312-416-9276 brand review west coast Lauren Gracco Sumrall, Bill Sims Nicole Ransom, [email protected], 310-318-1728 contributing writers Pacific northwest Christina Boufis, Sonya Collins, Lisa Mackie, WNP Media Heather Hatfield, Jodi Helmer, [email protected], 415-601-5871 Ayren Jackson-Cannady, Katherine Kam, SOUTHEAST Lauren Paige Kennedy, Shelley Levitt, Courtney Cofield, WNP Media Matt McMillen, Erin O’Donnell, Gina Shaw, [email protected], 770-569-8188 Stephanie Watson Southwest Kailey Latteri, WNP Media [email protected], 214-824-9008 New England Editorial, design, production management Rob DeSalvo, WNP Media Editor at large Kim Caviness [email protected], 617-413-3628
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WebMD Magazine is distributed to doctors’ offices throughout the U.S., online at WebMD.com, and by download from the App Store. WebMD Magazine is not responsible for advertising claims. WebMD Magazine (ISSN 1553-9946), Vol. 9, 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. © 2013 WebMD, LLC. All rights reserved.
W ebMD.com 4 October 2013 Editor’s note
Are You Covered? In January most Americans will be required to have health insurance. And starting this month, you’ll be able to shop for coverage through your state’s health insurance marketplace. Are you still unclear about how this all works? WebMD can help. Tune in to our “Affordable Care Act in 2 Minutes” video to learn about the changes that have already taken effect and what’s to come in January. By one estimation, one in four Go to webmd.com/health-insurance today. New and Improved Americans has a mental illness such We’re making a good as depression or post-traumatic stress dis- thing even better—the order. That’s more people than those liv- WebMD iPhone app just ing with high cholesterol or who break an got an upgrade. Get all the health info you arm each year But as common as mental need and even more illness is, there’s still a stigma surround- personalized healthy living ing it. People don’t like to talk about it for Download WebMD tips, and a customized fear of being judged. Magazine for Free! daily mini-magazine of fun Get your free iPad facts, articles, quizzes, The first full week of October is Mental subscription in the App Store. and slideshows. Download Health Awareness Week, aimed at put- the app for free in the ting an end to stigma and advocating for iTunes Store today! treatment and recovery. While millions of Americans struggle with mental health problems, those who need help are too Tell-Tail Tips often afraid to seek it or see it as a weak- We’ve gone to the dogs! Our recent Twitter post asking “Is it time to train your dog?” ness—not the sign of strength that it is. was the most-clicked magazine post last I recently joined a conference at the month. Turns out, lots of followers are look- White House aimed at starting a national ing for expert pet tips. And we’ve got even conversation about mental health. Speak- more. In this issue, we help owners keep their begging pets safe with the scoop on
e s Imag ers included actor Glenn Close, who
w the seven most dangerous foods for dogs co-founded a non-profit organization to (page 25). /Glo confront the stigma and discrimination associated with mental health disorders. e s Imag jo
; O ; You can read more about public efforts to We Want to Hear From You! bring mental illness out of the shadows in e s Imag y this issue (see page 39). Like WebMD! Cold and flu What can WebMD do to better help? facebook.com/webmd season is around tt vo/Ge I’d love to hear your ideas to keep the the corner. Tell c hi a Tweet us! us your tips for oS conversation going. L twitter.com/webmd keeping healthy vi d a this season at Pin with us! twitter.com/ pinterest.com/webmd/ webmd. webmd-magazine ory Miller;D g ory Kristy Hammam : Gre : Email the editors! Editor in Chief lef t webmdmagazine
p To [email protected] [email protected]
October 2013 5 W ebMD.com healthy start HotTopics! facts and news you can use
Girls who Dimming the lights play sports could spur creativity. Two g es are eight recent studies on lighting y I ma y and creativity in the times more tt je/Ge t likely than 5% workplace found that of Americans darkness (or dim boys to have es; F loor g es; illumination) helps people consider themselves y I ma y an ACL feel more free of constraints vegetarian; women and triggers a “risky, injury, a tear and unmarried adults tt F roese/Ge explorative processing style.” of the knee are the most likely to Source: Journal of Environmental Psychology es; F re d g es; ligament. be vegetarians. y I ma y Source: Safe Kids Worldwide Source: Gallup tt are z /Ge v uis A l uis aby/Veer; L aby/Veer; 43 Percentage
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October 2013 6 W ebMD.com healthy Start
Head Game Soccer players might want to limit the number of Big Fish times they head You’ve probably heard that fish oil is good for your heart. a ball in practice New research suggests this could be because it helps you remain and save it for the calm under fire. Researchers measured the heart rates and nervous- game. Amateur system responses of 64 people after they solved several math players who problems. Half the group then took 9,000 milligrams of fish oil a headed the ball day for eight weeks, while the others consumed the same amount of g es more than 1,000 olive oil. When they took the math test again, those who’d taken fish times in the past
oil had significantly lower heart rates and nervous system responses I ma o c k/Glow t year had poorer after the test, compared with the others. upers S Source: American Journal of Physiology o c k/
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W ebMD.com 7 October 2013 City Slicker Dog Show They may be noisy and Think of your dog as your baby? The feeling is probably crowded, but big cities mutual. Researchers have found that dogs develop the are safer to live in than same kind of attachment to their owners that children have rural areas, a study for their caregivers. Like children in the presence of their shows. While murder parents, dogs feel more comfortable exploring and are more and suicide rates are interested in working for a reward when their owners are around. While kids grow out of this attachment, dogs don’t: higher in cities, in rural They’ll always be your babies. areas the risk of death Source: PLOS One by accidental injury is 15 times greater than the risk of death by murder. Those accidental deaths, mostly from 17,313 car crashes, guns, and Number of children treated g es poisonings, are 20% in emergency rooms annually y I ma y more common in the for TV-related injuries, country than in the city. most due to falling TVs. Source: Annals of Emergency Medicine Source: Pediatrics tt Currie/Ge c hlan es; L a g es; y I ma y .com tt o c k/Ge t Hot Hits What’s trending on v i d eos o WebMD.com right now* t
How much water es; pho g es; should I drink? y I ma y Tough Love? Spider bite symptoms Think long-distance relationships rarely work How to lose belly fat Birth order and tt c ks/Ge H orro t in out? Think again. In a study, 63 couples kept a diary personality for one week of all their interactions, including
es; J us g es; Milk thistle’s benefits calls, video chats, texts, instant messaging, emails, y I ma y What do panic attacks and face-to-face encounters. Those in long-distance feel like?
tt ases/Ge relationships reported sharing personal thoughts Chia for weight loss B v i d and feelings with their partners more often than Food poisoning facts : Da : those in geographically close relationships. The What is sleep apnea? op lef t op long-distance daters felt their partners were more Quality sleep, quality open, too, which increased their feelings of intimacy. relationship
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October 2013 8 W ebMD.com • • • •
app for people living with NEW! A Better Day Starts Here. DayA Better Starts discussions withdiscussions your doctor. for better Custom reports condition. related tovideos your slideshows, and Articles, your goals. meet WebMD doctors to you help tips approvedDaily by more. levels, and pain log triggers, to easily journal Personal The essential iPhone chronic pain. slightly from Source: Pediatrics another’s perspective. compromise, and understanding relationship skillslike negotiation, can take the opportunity are unable to resolve aconflict, they their Ifparentssisters. see children got along with their brothers and mental health than thosewho in theyear poorer past reported victimsofsibling aggressionbeen study of3,599 children, thosewho’d bullyingdamaging as Ina by peers. sibling bullying as just canbe New harmless. is shows research that doesn’t meansibling aggression allinaday’s is squabbles work, but For many parents, refereeing sibling Sister Act of Americ cigarette Percent ge age over who previous smoke down ye Source: CDC 18 and ars healthy Start a
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19 to teach start Jump [email protected] Editorial Director Editorial Colleen P as muchIdo. let meknow ifyou love it for aweek ortwo, then yourself oranyone else. or text, tweet, oremailto rightintheapp,access save everything for easy a phone. Andyou can information you want on just therightamountof and easy toremember, digestible, motivational, Most everything isshort, and newsletter signups. and links toslideshows news items,articles, through tips,funfacts, batch every day. category, withanew info andtoolsineach all kindsofmultimedia voilà, theappserves up save your selections,and your W better—and signinto stay healthy, sleep money, reduce stress, life, loseweight, save your goals—balance want). Thenchoose style (pick‘em allifyou relationships, ormen’s & family, beauty, sex & healthy parenting eating, &exercise,most—fitness that interest you the the lifestyle topics it works: F “magazine.” Here’s how own personal health It’s like having your this, andI’m hooked. appquitelikehealth iTunes store. (or updating)from the now ready for download reimagined WebMD app, our redesigned and on your iPhonewith you cangetrightnow Daily dose.That’s what Check itoutevery day Just swipe your way I’ve never seena ebMD accountto
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Top: Jamie Grill/Getty Images; Bottom: Plain Picture/Glow Images healthy Start Personal Best Judy Greer The actor shares her healthy living habits
Greer stars in the remake of Carrie, which opens this month.
Pantry Picks “I always have wine Advice Column or Champagne, Dijon “Drink a ton of water, use mustard, and honey on moisturizer and sunscreen, hand. The last two make and make yourself sweat great salad dressing with once a day—the last one is lemon juice and olive oil.” my husband’s advice. Also, wash your face every night before bed.” “I make weights out of bottles of red wine or water.” es; ho c h2wo/Veer g es; y I ma y Dinner Time “At home I make ‘garbage salad’ with a lot of leftovers mixed with kale, spinach, romaine, and rice. De-stress Strategies Leftovers depend on “I do Bikram yoga, and what I made for the kids it’s been saving my previously, but usually tt Ev elei g h/Ge N i c holas o g raphy/Veer;
life lately. I try to do a little meat. And I eat t it three days a week. feta cheese every With Bikram, I know day of my life.” what I’m going to get
in the way of a class, P ho Oc ean g es;
no matter what town I ma y I’m in or what country. It helps me sleep With more than 80 film and television roles to her credit,
at night.” Judy Greer, 38, isn’t fazed playing Miss Desjardin in the tt oiselle/Ge remake of the horror movie classic Carrie, opening this month, then taking on the role of female chimp Cornelia in the action film Dawn of the Planet of the Apes, set for release Work It Out L Daniel g es; next July. Her other recent big-screen titles include Playing “I used to run and am I ma y for Keeps; Jeff, Who Lives at Home; and The Descendants. still trying to do a little bit. I have an easier time Look for Greer’s first book, I Don’t Know What You Know exercising on location Top 3 Makeup Musts Me From: Confessions of a Co-Star, a collection of humorous when I don’t have to “It’s got to be mascara, essays, in 2014. She voices Cheryl in FX’s animated sitcom work all day. I always eyebrow pencil, series Archer and continues as assistant and mistress Kitty bring spinning shoes and and Fresh Sugar Lip Sanchez in Arrested Development on Netflix. Greer also try to spin at new places. I’m a huge fan of workout Treatment SPF 15 in hosts her own Yahoo! webisode series, Reluctantly Healthy. Sugar Rosé and Sugar DVDs. I make weights out Berry. Uh-oh—this is Born in Detroit, this former classical Russian ballet stu- of bottles of red wine
four—my blush.” dent is now stepmom to two teenagers.—Stephanie Stephens or water.” tt P o d ushko/Ge J enny c en t er: from c kwise Clo
W ebMD.com 10 October 2013 living healthy Chill Out 12 On the Street Leave yourself open Expert tips for an to new possibilities outdoorsy mom 14 Men’s Health Calling all single dads
EXPERT TIP “To meet new people, you have to try new activities. If you like hiking, join a hiking group. If you’re religious, try a new church.”—Nicole Zangara, LCSW
Photograph by Brigitte Sporrer/Getty Images October 2013 11 W ebMD.com LIVING HEALTHY
EARTH GAME CHANGER “Remember that ‘mental aerobics’ are just as important as physical aerobics for your parents. Encourage social activities that MOTHER stimulate both their minds and their We pound the bodies, such as inviting them to a weekly family game night.” Read more pavement to get expert advice expert answers in our free to your pressing iPad app! health questions Lisa Hollis-Sawyer, PhD Gerontology Program coordinator, Photograph by Forrest MacCormack Northeastern Illinois University
FLY AWAY
“Look for EPA-registered CLEAR THE AIR repellents such as DEET and Picaridin. The EPA “During the winter, the hot air registration number [in blowing out of the furnace is very the ingredients section dry—and that can cause dryness of the product label] and cracking of the lining of the tells you the agency nose. You can combat this with a has determined the humidi ier or vaporizer in your kids’ repellent poses minimal bedrooms. But you’re right—you risk and is e ective for have to keep the devices clean. at least two hours if Once a week, take each humidi ier applied according to apart and wipe down every surface the directions. You can with diluted bleach. If you don’t, use DEET and Picaridin mold will build up, which can on children as young as cause allergies and other 2 months.” health problems.”
Joseph Conlon Roy Benaroch, MD technical adviser, American Mosquito pediatrician and assistant clinical Control Association professor of pediatrics, Emory University
LIFE’S LESSONS
“You can teach children empathy— WEBMD ON THE STREET the ability to see the world through another’s eyes—through literature. For example, while reading The Courtney Pollack Velveteen Rabbit, you could ask what the little boy felt when he Director of Product Management, 34 lost his rabbit and how the rabbit Silver Spring, Md. felt when the boy left him behind. To develop grit, put emphasis on perseverance. Encourage your Courtney Pollack and her husband, son as he sounds out a new word, Saul, have always had an a nity expressing pride in his e orts.” Want to be the next for the great outdoors. And, living WebMD on the Street in the backyard of the nation’s star? Tweet us your health issues at capital, they want their sons, Sam, @WebMD. We might 3, and Benji, 7 months, to hike, sh, come to your city! and grow to lead active lifestyles too. “How can we do this with all Leslie Becker-Phelps, PhD the technological distractions kids psychologist and author, WebMD’s face?” she asks. On the ip side, The Art of Relationships blog her tech-savvy parents are entering their golden years, and she wants to help them keep moving as well. But being outside has its drawbacks. “The area has way too many mosquitoes! How can we safely and e ectively protect our family from these pests?” Her health concerns don’t y out the window as warmer weather wanes. Pollack wants to know, “Do humidi ers in toddlers’ and infants’ rooms during the winter months help prevent illness? They are a maintenance headache!” She also worries about the boys’ emotional health: “Empathy and grit are two important qualities that we’d like to instill in our children,” she says. “How can we successfully do that?” And while this working mom is trying to move mountains, she’s also trying to nd much- needed “me time.” She asks, “What are the best workouts to positively impact my health and energy levels? —Rebecca Scherr 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.
12-13 Living Healthy-OnTheStreet.indd 1 9/20/13 3:25 PM Are you a single dad? Connect with others at facebook.com/ living webmd. healthy
MEN’S HEALTH Single File Dads, are you juggling work and the kids by yourself?
By Matt McMillen
Nearly 2 million from webmd.com fathers in the United States are raising their kids alone. Most have been Q &A married, but close to a third “How will I know the time’s right to never tied the knot. A few introduce my new are widowers. No matter girlfriend to my how men find themselves in kids?” single-parent mode, experts say it’s not a good idea to let pride get in the way of being
the best parent possible. Daniel Ostrov, 44 “Men often have an ‘I can advertising executive, do it all myself’ attitude,” Portland, Ore. says psychologist Barry Ginsberg, PhD, author of EXPERT 50 Wonderful Ways to Be a ANSWER Single-Parent Family. That “Two things should thinking can make things guide you: The difficult, especially when welfare of your you have to balance kids and children and the stability of your career. Ginsberg’s advice: new relationship. Learn to ask for help. Children may take a while to adjust “It’s very important to to a situation. develop a resource system,” “It’s a shame issue. Another is your job. Talk Introducing another he says. “If your child gets They’re embarrassed if to your boss about a more woman too soon could upset them. In sick while you’re at work, it is they have to say, ‘I could flexible schedule. For exam- the case of divorce, nice to know there’s someone use some help.’ They feel ple, ask if you can work from for example, the kids might blame who can pick him or her up.” they’re not good enough as home on certain days and the new girlfriend Ginsberg tells single dads men, or they’ll lose respect discuss ways to limit work- for the breakup he counsels to connect with if they can’t handle it on related travel. At the very of your marriage, even if she had no neighbors, friends, and their own.” least, your employer should involvement. You other parents—people they One place to start is your be aware of your situation. should also ask yourself, ‘Does can rely on when they need child’s school. “It’s all about That way, if a problem arises, this relationship a hand. But he acknowl- networking with other par- you don’t have to answer a have legs?’ If you introduce her to the edges this is not always easy ents,” says Ginsberg. “Get to lot of questions before you kids and then break for guys. know people.” leave to attend to your child. up, it may echo the trauma.” ge s Ronald Levant, EdD EXPERT TIP professor of psychology, The University of Akron “If you’ve just divorced, keep things as simple and stable as possible. Joint custody should follow a regular routine, and try to keep your kids’ rooms set up the way they like them.”—Ronald Levant, EdD Reviewed by Michael W. Smith, MD WebMD Chief Medical Editor e tty Ima Brad b ury/G Paul
October 2013 14 W ebMD.com 16 You Asked Expert hair- removal tips and product picks
18 Your Smile Get smart about wisdom teeth, plus a dentist’s secrets
20 Beauty Smarts See which eye creams are for you
Gleam Team There are plenty of reasons to smile this season
EXPERT TIP “Have fluoride at home to remineralize the teeth, which will make them stronger and more resistant to breakdown.”—Grace Sun, DDS
Photograph by Stewart Shining/Trunk Archive October 2013 15 W ebMD.com Ready to retire the razor? Read Laser Hair Removal, one of the top articles at the Healthy Beauty Center. healthy beauty .com You Asked Bare in Mind Prepare for takeoff with expert hair-removal tips and product picks
By Ayren Jackson-Cannady
from webmd.com Q &A “Age spots on the backs of hands run in my family. Is there any way I can avoid getting them too?”
Jacinta Adams Blade Runner Smooth Move 36, teacher, Mebane, N.C. Schick Intuition Pure Nourishment Razor Remington Smooth & Silky Epilator ($59.99) ($9.99) “I like razors with multiple blades and “For the best epilation [an epilator is a hand- conditioning strips, like this one infused with held electrical device that grasps and pulls coconut milk and almond oil. For the closest out unwanted hairs], it is essential to exfoliate. EXPERT ANSWER shave, shave against the growth. If you have Then epilate against the grain, and if you’re sensitive skin, shave in the direction of the sensitive to pain, take an over-the-counter “You must use a hair growth.” pain reliever a half hour before.” broad-spectrum sunscreen that protects you against UVA and UVB rays. My favorite sunscreens are those containing zinc oxide or titanium dioxide (at least 4% zinc oxide or titanium dioxide along with UVB sunscreen ingredients), such as Blue Lizard Australian Sunscreen Daily Moisturizer SPF 30 ($11.99), which has 8% zinc oxide. You can also try Neutrogena Rapid Tone Repair Foam Run Stubble Trouble ($19.99), made with Satin Care Dry Skin Shave Gel ($3.49) “Don’t Veet Fast Acting Gel Cream Hair Remover a combo of retinol, vitamin C, and shave on dry skin as you will get cuts, nicks, ($9) “Depilatories [chemical-based creams hyaluronic acid.” and micro-abrasions that can lead to bumps. that break down keratin for easy hair removal] To prevent bumps, use a hydrating shaving have come a long way. They have much gel like this—not soap. Wait a few minutes nicer scents, and they leave your skin feeling in the shower after applying the gel and let smooth and soft. Do a patch test to make it penetrate.” certain you are not allergic.” Lawrence Samuels, MD chief of dermatology, the opinions expressed in this section are of St. Luke’s Hospital, Debra Jaliman, MD the experts and are not the opinions of WebMD. St. Louis dermatologist and author of Skin Rules: Trade WebMD does not endorse any specific product, service, or treatment. Secrets From a Top New York Dermatologist
W ebMD.com 16 October 2013 Learn More
Wax Relief Fuzz Fighter Eucerin Redness Relief Daily Olay Smooth Finish Facial Hair Perfecting Lotion ($14.99) “Waxing Removal Duo Kit ($23.99) “Even with pulls at the skin and removes the outer great facial depilatories like this one, layer of skin, which can be especially which comes with a barrier balm, I irritating to sensitive skin. If you notice recommend trying two test areas. First, irritation or redness after waxing, apply test on the arm and then on the face a calming cream like this to avoid in an area, like the jawline, that is less bumps or infections.” noticeable than the upper lip.”
Finer Point Main Tweeze Bliss ‘Fuzz’ Off ($24) “I love the Revlon Designer Collection Slanted convenient applicator on this facial Tweezers ($6) “Slanted tweezers are hair removal cream because it allows ideal for grabbing and removing individ- for easy application and removal. Plus, ual hairs, but don’t overdo it. One of the it’s infused with vitamin E and soothing biggest no-nos is using tweezers to pick willowherb, so post-treatment itchiness at ingrown hairs. This can leave brown is almost nonexistent.” spots and even permanent scarring.”
Jennifer MacGregor, MD Reviewed by assistant clinical professor of Karyn Grossman, MD dermatology, Columbia University WebMD Skin Care Expert Medical Center Don’t cry foul! Watch The Truth About Bad Breath, the No. 1 video on the healthy Oral Health channel. beauty .com
YOUR SMILE Words of Wisdom What to do about wisdom teeth? Get smart with this expert advice
By Jodi Helmer
Teething isn’t just for once removed babies. Wisdom teeth, every year, More than 5 million people also called third molars, are have wisdom teeth the last teeth to come in and removed according to the American appear between ages 14 and Journal of Public 21 (although some people Health. oral surgeon Thomas never get wisdom teeth). Dodson, DMD, MPH, “The process can be quite offers some tips to painful,” says Thomas B. help with recovery. Dodson, DMD, MPH, oral Chill out. For the first 24 surgeon at Massachusetts hours, apply ice to your jaw to reduce swelling. You can further lessen There is no one-size-fits-all swelling (and pain) by sleeping with your head recommendation with elevated. “Decreasing the wisdom teeth. blood flow to your head decreases swelling,” General Hospital in Boston Dodson explains. and professor of oral and max- Keep clean. In the days illofacial surgery at Harvard following surgery, pain School of Dental Medicine. and swelling might While some people have make it difficult to brush enough space in their mouths periodontal disease in In addition to regular your teeth. Dodson and wisdom teeth erupt with wisdom teeth. That’s why dental exams, good oral suggests rinsing with a warm saline solution (a no problems, keeping the most oral surgeons advocate hygiene is essential. To help tablespoon of salt in an oversized molars clean can be removing them. prevent cavities and gum 8-ounce cup of warm challenging. “Often the teeth However, wisdom teeth disease, brush your teeth water) three times a day are so far at the back of your may never show. They and floss at least twice a to keep your mouth clean mouth that they are hard to might be impacted, which day—taking special care to and reduce the likelihood of infection. reach or they come in at odd means they’re trapped reach your wisdom teeth— angles, which makes it dif- under the gums. You may and finish with an anti Ease pain. Depending ficult to brush and floss them not realize the wisdom bacterial rinse. on the amount of pain correctly, increasing the risk teeth are even there until a Dodson also suggests and swelling following of gum disease and cavities,” dentist points them out on scheduling a consultation surgery, Dodson says that over-the- Dodson says. an X-ray. In these cases, it’s with a dentist or oral sur- counter medications Research bears this out. less clear whether extrac- geon. “There is no one-size- such as ibuprofen or A recent study found more tion makes sense. fits-all recommendation.” acetaminophen may be strong enough to keep you comfortable. For ges
additional relief, ask your I m a y EXPERT TIP surgeon for prescription ett /G “It’s important to floss behind the last molar. Whether it’s a third pain medication. molar or a second molar, floss is one of the only instruments that can rid the pocket behind the last molar of plaque and debris.”—Eric Yabu, DDS Reviewed by Eric Yabu, DDS WebMD Oral Health Expert ic se kul an k risti
W ebMD.com 18 October 2013 When it’s time to brush, be sure to angle bristles 45 degrees at the gum line, then healthy brush gently, moving beauty the brush back and forth.
YOUR SMILE Star Power A dentist to the stars reveals the secrets she shares with her clients
By Stephanie Watson
Watch any red carpet awards show, and Inside scoop there’s a good chance some of the bril- Grace Sun, DDS, liantly white smiles beaming at the camera shares some of her best oral were custom crafted by Los Angeles dentist health habits. Grace Sun, DDS. For 30 years, the renowned cosmetic dentist has created camera-ready What’s your dental grins for celebs such as Ellen Page, Jean- care regimen? Claude Van Damme, Sheryl Crow, Jennifer I treat this as a fun routine. I have a very Love Hewitt, and Samuel L. Jackson. soft microfilament Sun’s practice is about more than aesthet- toothbrush that I use ics, though. She also emphasizes the benefits for the gums, and I of good oral hygiene. Even if you’re not plan- have a regular brush ning to attend a movie premiere anytime that’s for my teeth, and I have a rotary soon, you can benefit from the secrets she electric toothbrush. I go shares with her A-list clientele. through my brushing and then use my hydro Don’t rely solely on your dentist. floss oral irrigator. At Some people give the responsibility [for the same time I do squats and relevés. their teeth] to their health professional— I have music on. To me, they think all they need to do is go to the it’s time to take care dentist for a cleaning twice a year. You of myself. should be responsible for your own oral health with daily home care. How do you care for your teeth while on the go? Watch your diet. I’m always able to Diet is important. Certain foods are damag- different fluoride gels or rinses. There are brush. I have my ing to the teeth. The more acidic they are, the also alternatives, such as calcium phosphate. hygiene bag with me. more chance there is of erosion, and that can On the airplane, I go to the bathroom to do it. If be a problem. Refined foods adhere more eas- Don’t use your teeth as a tool. I travel in the car, I have ily to the surface of the teeth, which is why We see dental accidents. People use their water so I can rinse. whole wheat bread is better for your teeth front teeth as a tool—for example, to open than white bread. plastic bags. Your teeth should be working as How do you come up a group. When they work as a group, the force with the advice you Think before you drink. distribution is better, and each one takes less give your patients? Whatever I tell them to Alcohol turns into sugar. People drink with- stress. When you use one particular tooth to do I try out myself. I try out thinking much of it, but alcohol will focus all the force, the chance of breaking it is different toothpastes, create erosion and damage the structure of higher. Teeth are not diamonds. You’ve got to different bleaching the teeth. be careful with them. products. I go to the market and look at what’s out there, like Keep a fluoride stash. Ask your dentist about the basics. over-the-counter night Have fluoride at home to remineralize the Some people I see brush only once a day. No guards and other types teeth, which will make them stronger and one ever told them how many times they need of dental products. more resistant to breakdown. Ask what type to brush their teeth. We still need to review the y
Reviewed by Michael Smith, MD o of fluoride your health professional recom- proper home care program with our patients T WebMD Chief Medical Editor
mends. You can choose from a number of and not assume that they already know. Jul ie
W ebMD.com 19 October 2013 “Eye Cream” is a top search healthy term at beauty WebMD.com.
beauty smarts Eye Do Do you really need an eye cream? See for yourself
By Sonya Collins
You’ve heard the Dark circles under the promises: Eye creams eyes come from genes, sun reduce or even erase the damage, age, and blood signs of aging: fine lines, build-up. Sodium ascorbate, wrinkles, and dark circles. or vitamin C, can thicken But aren’t eye creams just the skin and help conceal more-expensive moisturizers dark circles after about six in a smaller package? months. Niacinamide, or Not necessarily, says Patri- vitamin B3, and kojic acid cia Farris, MD, a dermatolo- can lighten dark circles by gist and clinical associate suppressing production of professor at Tulane Univer- melanin, a natural substance sity School of Medicine. “Eye in the body that absorbs light and darkens skin. Skin around the eyes is more Farris likes Olay Regener- ist Eye Regenerating Cream fragile, more prone to dryness, and Plus Touch of Concealer quicker to show age and fatigue. ($21.99), which contains vitamin B3 to lighten dark creams are formulated spe- circles and peptides to cifically for the delicate skin boost collagen. around the eye, so they tend the skin’s collagen pro- moisturizers that help Puffiness is a buildup of to be thicker. They contain duction as you age. Col- prevent water loss in the skin fluid and blood under the more oil than a regular facial lagen helps maintain skin’s and improve elasticity. eyes. Some studies show lotion, and they have a lot of elasticity. Studies of skin “Retinol is one of my that caffeine can increase active ingredients aimed at creams show vitamin C, personal favorites,” Farris circulation, which could the problems we see around peptides, such as palmitoyl says. But it can be harsh on reduce puffiness. Other the eyes,” Farris explains. pentapeptide, and retinol, a some skin. RoC Retinol Cor- studies show that cold tem- The skin around the eyes derivative of vitamin A, have rexion Sensitive Eye Cream peratures are just as effec- is more fragile, more prone boosted collagen production. ($22.99) contains a gentle tive to treat puffiness. That’s to dryness, and quicker Ceramide and hyaluronic dose of retinol along with why some people refrigerate to show age and fatigue. acid also help—these are hyaluronic acid. their eye creams. Squinting and constant movement of the eyes also hasten the appearance of .com lines and wrinkles, and fluids collect under the eyes and cause puffiness and dark cir- I Tried It! cles. Eye creams can address My hair is naturally coarse, and after I have it highlighted, it usually feels even some of these issues. more coarse. After my last color treat- Fine lines and wrinkles ment, I tried the Paul Mitchell Color Protect come from both sun damage Locking Spray, recommended by your expert in and a natural reduction in the March/April 2013 issue. It seems to have kept Have you tried a product any fading at bay, and my hair is a little softer than you read about in our pages? Let us know. We usual. The spray also smells great.—Lindsay Earls, Reviewed by just might feature you in Tahlequah, Okla. Mohiba K. Tareen, MD an upcoming issue! WebMD Skin Care Expert or b is n/C Hooto Ian
W ebMD.com 20 October 2013 family & Parenting parenting Wonder Twins Sisters and reality stars Tia Mowry-Hardrict and Tamera Mowry-Housley talk motherhood, work/life balance, and sibling rivalry 24 Baby Talk Finding day care By Lauren Paige Kennedy without the drama
25 Pet Health Seven foods your pooch should never eat
26 Fit Kids Helping kids develop a healthy body image
EXPERT TIP “If your child suddenly starts wetting the bed, it could be a sign that something’s troubling him, like bullying at school or upheaval at home.” —Amalia Guardiola, MD
Photograph by Matthias Clamer/Style October 2013 21 W ebMD.com family& parenting TK TK parenting tk Double Duty Tia, your son, Cree, turned 2 in June. Tamera, your baby boy, Aden, is now 11 months old. Any big milestones to share? Tia: Cree is in “the terrible twos.” He’s throwing tantrums. I say, “You can have this toy once you calm down.” If you constantly console, you’re reward- ing bad behavior. I find it extremely helpful to get down on his eye level. When I do, it’s amazing how he calms “Twins are down and just listens. He’s also hav- supposed ing full-on conversations in complete sentences—just not in English! I have to Tia and to be alike, act as if I understand. Tamera’s reality show but we’ve Tamera: Aden is sitting up, and airs on the Style he’s crawling—but only in his crib. The Network on always had Sundays. moment you put him on the floor, he’s different like, “What is this?” And he’s very vocal points of now. I’m definitely hearing “Mama!” Read the full Q&A with view.” Is laughing through sleep Tia and Tamera in our free deprivation the key to success? iPad app! Tia: Yes! Instead of getting upset, I just count out loud: “1-2-3-4…” I try to find the humor in everything. Why not? Tamera: Laughing definitely helps. It’s weird, but I find that if I distract myself with my son or an activity I enjoy, it helps with the sleep depriva- tion. There’s a hump you get over. Once you’re over it, you’re golden. One Hot Mama to Another, you and grains and miso soup—basically a write about endometriosis and how macrobiotic diet. When I eat this way, Is Aden a good sleeper, or has this tough it was for you to conceive. my symptoms aren’t as strong. I want been a challenge? Are you optimistic about having a to have another child. I changed my Tamera: I feel very blessed. Aden second child? diet [before conceiving Cree], which I sleeps from 8 p.m. to 6 a.m., straight. I Tia: I knew nothing about endo- think helped me get pregnant with the know a lot of moms who are into sleep metriosis when I was diagnosed. It’s help of two surgeries. training. Aden learned really quickly— important to educate other women, he’s like a clock. Since I gave birth, especially African-American women. Are Cree and Aden best friends? I haven’t had to use my alarm clock, I’m constantly monitoring my symp- Tia: Cree loves his cousin. To see r k N etwo g/Style ever. He knows how to soothe himself. toms. Diet is important—I’ve become them connect almost brings tears to vegan. I cut dairy, I eat all organic my eyes.
Tia, in your book, Oh, Baby! foods, nothing packaged, and no h tenbe r Tr ac t
Pregnancy Tales and Advice From meat. I load my diet with vegetables r Robe
W ebMD.com 22 October 2013 parenting
Tamera: Oh, yes. They are so beau- tiful together.
Growing up with a twin sister and now working with her means constant together time—and occasional clashes. Any sibling rivalry? Tia: When we were younger, there was tons of it. Twins are supposed to be alike, but we’ve always had dif- ferent points of view: marriage, life, religion, politics, everything. Now that we’re in our thirties, we’ve learned to appreciate our differences. We’re human—of course, sometimes you get offended. But through counseling and understanding dynamics, as you see on our show, [you learn] it’s natural to be competitive. Tamera: I’d be lying if I said we never had any. But I can count on one hand how many times we had a real fight. What helps is respect. Respect that we’re different people. If others just used that in their everyday life, we’d all be better off. The world is beautiful because of our diversity.
How do you each strike a balance between work and home life? Any tips for new moms? Tamera: I was a stay-at-home mom for four months. It’s such a precious and hard job. Being out of [paid] work, it takes it to a whole other level. Now you’re working 24/7! Tia: The first step is to realize things Healthy Appetites Encouraged are never going to be perfect. I priori- tize and take one hour at a time. If I Easily search hundreds of nutritious recipes to look too far ahead, I get overwhelmed. create tasty meals for every member of the family: The key is to focus. Also, it’s OK to be low-carb, gluten-free, kid-friendly and many more! selfish and to make yourself happy. If that means putting flowers in your room, do that. If it’s a mani-pedi or taking a bath with lit candles, do that. Tamera: Mother’s guilt is real. So, No. 1: Breathe through it all. No. 2: Be OK with not getting everything done. And take care of yourself. When I take Learn More good care of myself, I’m a better mom.
Reviewed by Hansa Bhargava, MD WebMD Medical Editor Are you up all night? Get some rest with Baby Sleep Basics, a top video on the Newborn & Baby channel. family& .com parenting
baby talk Care Package The day care search can be daunting. find the right one for your family
By Stephanie Watson
The first few months of accreditation standards and parenthood fly by. can vary from state to state, Soon, you’re headed back to being licensed is a sign the work. But before you go, you center at least follows basic need to find a day care quality standards, according center you trust with your to Willer. precious progeny. Next step: Visit your top As you weigh your options, picks. “The best advice is to start with the basics, “what spend as much time as pos- I call the ‘reality factors’ sible observing the setting,” of location and cost,” says Willer says. Walk around Barbara Willer, PhD, deputy the center. Sit in the back of a classroom for a half hour to an hour and see “The best advice is how staff members interact to spend as much with the children. Also consider the overall time as possible setup. Does the facility look observing the setting.” clean? Are there any obvious safety hazards? executive director of the Get a copy of the parent National Association for the handbook with the center’s Education of Young Chil- policies. What do they do dren (NAEYC). Red Flags when a child is sick? How do One big clue to a pro- When you visit a day care center, any of these they handle emergencies, warning signs should make you think twice, gram’s quality is its accredi- says early childhood education expert Barbara such as a fire? tation status, Willer says. Willer, PhD. Remember to ask about Both the NAEYC and the staff turnover. Young chil- National Association for Too many kids or too person who’ll be in contact dren need continuity. You few teachers One adult with your child—including Family Child Care accredit supervising five or more the director, janitor, and want to see that caregivers day care centers. These babies is a bad sign. You nurse. Ideally, staff should are sticking around for at programs are reviewed by want the center to have at also be trained in child least one year. child care experts to ensure least one adult in charge development and early “Bottom line, I think they offer top-level care and for every four babies, and childhood education. you’ve got to feel that you’re one for every five toddlers. education. You can search Health hazards If you see going to be comfortable the organizations’ websites Questionable staff “Any providers change diapers here, and your child is going for programs in your area. program should have or wipe runny noses to feel comfortable here,” Another way to screen background checks in without washing their Willer says. prospective facilities is to place,” Willer stresses. hands, cross that facility Ask the centers whether off your list. A center find out whether they are they conduct thorough without a strict cleanliness Reviewed by licensed. Although licensing Hansa Bhargava, MD V ee r Platonov/ g h ei criminal background policy is an infection WebMD Medical Editor
Se r regulations aren’t as strict as checks on every single waiting to happen.
October 2013 24 W ebMD.com family& 1,670+ convos in WebMD’s parenting Pet Health community
PET HEALTH Off Limits Is your pooch a beggar? Say “no” to these seven dangerous foods
By Matt McMillen
Dogs eat first and ask Kitty Corner questions later, and “Cats are selective that’s not always a good eaters, so they don’t get themselves into thing. Some foods, including as much trouble pantry staples, can be as dogs,” says the ASPCA’s Tina Wismer, dangerous, so pet owners DVM. But that doesn’t need to be educated and mean you should let your guard down. vigilant. Tina Wismer, DVM, medical director at the The biggest concerns are ASPCA Animal Poison onions, garlic, and other Control Center, walks members of the Allium through the top seven foods family. Cats, like most other animals, are drawn dogs must avoid. to such foods, and that Xylitol A sugar substitute can be dangerous. Pay in many sugar-free candies particular attention to and gum, xylitol can cause senior cats’ diets, Wismer seizures and liver failure. It says. “To get an older cat with health problems to dramatically lowers a dog’s eat, some owners may blood sugar levels. give them baby food with Grapes and raisins onion or garlic powder. “Both can cause kidney That can cause anemia.” failure in dogs,” says Wismer. Most foods that are bad If your children like to snack Wismer. “It will continue Chocolate It contains for dogs will also harm on them, make sure they to rise in your dog’s stom- theobromine, an alkaloid, your cat. Also avoid: don’t share. “Toddlers might ach, and because alcohol’s which causes seizures, innocently offer them to the a byproduct of the process, accelerated heart rate, A regular diet of canned family dog.” you’ll have a drunk and pain- tremors, and even death. tuna, which contains mercury that will harm a Macadamia nuts These fully bloated dog.” In some Darker varieties are cat’s health over time. It nuts, popular in baked cases, the expanding dough particularly dangerous. also does not provide all goods, will weaken or para- could rupture your dog’s Moldy food “Molds may the nutrition cats require. lyze a dog’s hind legs, though stomach or intestines. contain compounds that researchers don’t know why. Onions, garlic, and cause muscle tremors or Dog food, which does not offer the proper balance “While it usually resolves in other members of the seizures,” says Wismer. of nutrients. about 24 hours,” says Wis- Allium family “These foods “We see a lot of citrus mer, “it is very frightening.” affect red blood cells and can molding on lawns in Cali- Milk and other dairy Yeast dough If you bake cause anemia,” Wismer says. fornia and Florida, and a foods, especially for bread, be sure your pooch In fact, a single small onion moldy snack can mean a adult cats, who cannot break down lactose. can’t get at the dough, says can be fatal. trip to the vet.” This causes diarrhea, vomiting, and, in extreme cases, inflammation of EXPERT TIP the pancreas. “Keep your pantry door closed, if possible, and store your food on the upper shelves. Also, educate yourself, family, and friends about what t Reviewed by Will Draper, DVM —Tina Wismer, DVM your dog should not eat.” WebMD Pet Health Expert hm i d Sc Ron
W ebMD.com 25 October 2013 Fit Kids Role Call it’s never too soon to talk about body image
By Hansa Bhargava, MD
I’ve always tried to teach my Emphasize qualities beyond 7-year-old daughter that beauty looks. I often point out times when comes from the inside. But in the age she has worked hard at homework or of child spa treatments and mani-pedi has been responsible. parties for 5-year-olds, my daughter’s Talk about the use of airbrushing in probably receiving other messages. ads that create unnatural images. How do we help our kids develop a Be a role model. Try not to fret healthy body image that doesn’t about your appearance, and she will depend on external factors such as learn to love hers. clothes, hair, and makeup? I talked with my daughter about how Here’s what I’ve found works, as a being strong, good, and kind makes you
s G etty Im age pediatrician and mom: more beautiful than anything you can Notice your child’s achievements. see on the outside. I know this conversa-
s e p t2004/ I show excitement when my daughter tion will be ongoing as she grows up.
K ate_ plays soccer or paints a picture. That’s OK. The point is to keep talking.
What Will Help You Lose Weight? WebMD Food & Fitness Planner
In just a few clicks, customize a plan to help you reach your weight and fitness goals. Studies have shown that people who keep a food journal lose twice the weight than those who rely on diet and exercise alone.*
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*American Journal of Preventive Medicine, August 2008 The New WebMD App for iPhone Personalized healthy living tips and info that you want plus the health tools that you need.
• Daily mini-magazine based on your healthy interests • First-aid essentials on the go • Local doctor, hospital and pharmacy finder he Good Life Actor Julianna Margulies keeps a schedule as busy as that of the attorney she plays on her hit show, but makes time for herself and the effort to find a cure for ALS
By Rebecca Ascher-Walsh
Photograph by Alexei Hay/Jedroot
October 2013 29 W ebMD.com Julianna Margulies has been blessed with an extraordinary career and a United States. “Some people looked at my life and said, ‘Oh, you had the perfect childhood, with exotic, intellectual parents who traveled all over.’ But I didn’t feel loving family. But like any other working mother, at the time it was so great having divorced parents who lived in separate countries.” With an eye on stability, Margulies graduated from Sarah Lawrence College and gave herself until the age of 25 to make it as an actor before seeking another career. there is one gift she’s not sure what to do with: “The beauty of my childhood was that I knew I could pound the pavement and always be fine, because I know how to make something work,” she says. “But I also knew I unexpected time to herself. wasn’t a person who could stand a life of rejection, or happily live a life on a futon with no air conditioning. And then I got lucky. After a year and a half, I was paying She skips soda in favor of water, “My son left the house this morning at my rent and health insurance.” although she does indulge in a morning 8:15, and then my husband went to work, Over the next decade, Margulies garnered awards and attention as well as a healthy cup of coffee and the occasional glass and all of sudden I was alone,” she says bank account, thanks to her Emmy-winning role as Carol Hathaway on NBC’s medi- of wine on a weeknight. “Saturday with a laugh. “I was so confused. Should cal drama series ER. But after six years, she turned down the producers’ offer of a nights, my husband and I will go out I answer emails? Clean up? Working reported $27 million contract to return, deciding instead to move back to New York parents get so used to doing everything City and try her hand at theater and independent movies. There, she at once that if I’m not multitasking, I’m met her husband, with whom she had a whirlwind courtship, not effective. I get almost paralyzed marrying him when she was seven months pregnant. with freedom.” “The gift of having Kieran when I was older is This is not a problem the Emmy- that I see things differently, and I love that,” School winning star of CBS’s The Good Wife— she says. “I know I’m in an industry where Julianna Margulies says she’s committed to a healthy now in its fifth season—faces often. In age suddenly seems to be a bad thing, lifestyle by keeping it simple, fun, and consistent. her role as Alicia Florrick, an attorney but the older I get the more I embrace putting her life back together after her what it gives me and my family.” Even if I just have 10 minutes, husband is caught in a political scan- When Margulies agreed to star I’ll take the stairs instead of the elevator to raise my heart rate and dal, Margulies, 47, logs 14-hour days at in The Good Wife, her son was 13 oxygenate my blood. work before returning to the New York months old. “I was a wreck,” she City apartment she shares with her hus- admits, “but Kyra Sedgwick sent I don’t leave the house without I worked out with a trainer for a band, lawyer Keith Lieberthal, and their me an email that said, ‘My first day sunblock. I put on L’Oréal’sJ RevitaLift movie once and he said, ‘Whatever it and then dermatologist Patricia Wexler’s 5-year-old son, Kieran. “Making it all of work [on The Closer], my kids takes to get yourself to the gym, Intensive 3-in-1 Day Cream with SPF 30 and whether it is new sneakers or a playlist, work is definitely a learning curve, but were still in school and my guilt was facialist Tracie Martyn’s Firming Serum. On do it.’ For me, it’s Pandora on my I’m getting better at it,” says Margulies. devastating. But the gift I gave my my lips I use an Australian product called iPhone and its endless music lists, “I’m learning to let go of the minutiae.” husband and kids was their own rela- Lucas’ Papaw Ointment. especially the ’80s workout. For instance? “I like an orderly home tionship.’ It was one of the best things I “ It’s a rare exception for me to have dessert because my life is so chaotic, but I used have ever read,” Margulies says. “When I’m or carbs since they don’t give me energy, but I don’t look to inwardly yell at myself for making my home, I’m doing everything. When I’m not, my at it as being on a diet—I look at it as the way I live. And bed when I could be doing something husband may not be doing it my way, but he’s getting once a week, it’s fine! You have to enjoy yourself. else,” she explains. “Now I say, ‘I like it done. You have to be willing to let children have their making my bed, and I like getting into own relationships with their father when you’re not around. Sure, a made bed at the end of the day.’ It’s the bath might not happen,” she says with a laugh, “but the kids aren’t work- who I am, and if you can’t find a bal- ing in a coal mine.” and have steak and martinis and des- ance between laughing at yourself and sert. Nothing crazy, but I make sure I accepting yourself, what’s the point?” Body Knowledge have a good time!” Sharing responsibility for parenting has been another important lesson in learning to To stay on track, Margulies makes Lucky star let go. “As a younger person, I thought I had to do everything myself. But then why extra of whatever she cooks for din- Margulies was raised by parents well do we have friendships and family? You can’t do it all by yourself, and it’s silly to try.” ner, stocking the fridge with leftover “ versed in the art of going with the To maintain her energy, Margulies is vigilant about taking care of her body. The salmon and undressed salad. “And the flow. Her father, an advertising copy- need for a healthy diet was ingrained by her parents, who taught their children the second I buy fruit or vegetables I wash writer, and her dance-teacher mother importance of daily protein and leafy greens. “I’m not a believer in denying myself them, cut them up, and put them in moved Margulies and her two older sis- anything—I think people who do that end up binging and not being happy,” she says. the fridge so they are ready to eat,” ters between France, England, and the “But I eat for energy.” she says. “When you are hungry, you’ll That means Greek yogurt with berries or an egg-white omelet with tomato and take what is in there, whether it’s a
edroot /J spinach for breakfast, followed by a ginger/carrot/apple/beet drink when she arrives premade salad or junk.’’
Reviewed by Michael W. Smith, MD H ay WebMD Chief Medical Editor on set. Lunch and dinner consist of salad and a lean protein like salmon. Between Margulies is equally thoughtful about
A le x ei meals, she snacks on almonds, vegetables, and fruit, avoiding bread and sugar. fitting exercise into her schedule. “When
W ebMD.com 30 October 2013 October 2013 31 W ebMD.com Learn more about Lou Gehrig’s disease. Read Understanding ALS—the Basics. .com SCIENCE FAIR Actor Julianna Margulies I’m not working, I’ll go to the gym five, six days a week for 90 minutes,” she says, lends her time and voice adding that she counts on ’80s playlists to power through 45 minutes of cardio using to Project ALS, which the treadmill and stair machines, followed by cable weights. “I prefer to be long and has raised close to $70 lean,” she says. “So I work my arms with 4-pound weights, and I do a lot of holding million to help find a cure for amyotrophic lateral push-ups, getting down on my elbows and counting to 30. It’s incredible ab work!” sclerosis (ALS, also known When The Good Wife is in production, Margulies works in whatever physical activ- as Lou Gehrig’s disease), ity she can. “My dressing room is on the third floor, so I’ll take the stairs two at a a condition that affects time,” she says. “Or I’ll bend backward over a medicine ball to get the blood rushing an estimated 30,000 to my head. And if I have 10 minutes, I will close the door and do yoga. Whatever Americans. Here are some of the ways scientists are your form of quieting your mind, 10 minutes can save your life.” working toward a better understanding of ALS. Cause Celeb Creating stem cells: Stem One thing Margulies always makes time for is Project ALS. The nonprofit was cells, found in the umbilical launched in 1998 by theater and film producer Jenifer Estess and her sisters, cord, placenta, and bone Valerie and Meredith, after Jenifer was diagnosed with amyotrophic lateral scle- marrow, can be “taught” to rosis at age 35. Also known as Lou Gehrig’s disease, ALS is a neurodegenerative become any cell in the body, disease that affects nerve cells in the spinal cord and brain. People with the con- including the motor neurons damaged by ALS. Stem cell dition eventually lose the ability to move their muscles, which are controlled by research holds some prom- these nerve cells or motor neurons, and over time become unable to move, eat, ise for better treatments and speak, and breathe. even a cure. “Jenifer used to say to me, ‘My mind Studying ALS’s effect on is sharp as a tack but my body is shut- nerve pathways: Scientists ting down, and it’s torture,’ ” Margulies use stem cells to model remembers. “I watched her struggle ALS in a petri dish so they to walk, and then six months later she can study how the disease affects nerve pathways in couldn’t brush her hair because she the body. The hope is to couldn’t lift her arms. In the end, she had understand the disease well a breathing tube.” enough to reverse its course. Her friend passed away in 2003, Introducing replacement but Project ALS is now a leading force cells: “We can now get stem behind finding a cure. With a mission cells to live in the spinal to fund top researchers and encourage cord, but getting them to them to collaborate, Project ALS opened grow out and reconnect with the target muscles is the world’s only privately funded stem the challenge,” says Valerie cell research lab, named after Estess and Estess, director of research housed at Columbia University. at Project ALS. The long- Julianna Margulies and Greg Kinnear There, scientists have discovered how term goal is to be able to speaking at a Project ALS event to make motor neurons from stem cells, replace dying motor neurons with healthy ones. an advance that may lead to a cure not only for ALS but for other neurodegenerative diseases such as Parkinson’s, Hun- Identifying markers: tington’s, and Alzheimer’s. Scientists are also working on identifying biomarkers, For Margulies, standing up for a cause is a necessary part of feeling fulfilled, such as a protein in along with giving her all to her family and career. “At a certain point, you have to the motor neurons that changes due to the disease.
choose the life you want to have, take responsibility, and realize you create your I mages own life by making choices,” she says. Currently, ALS is often “Don’t like what your body is saying to you? Get to the gym. Want to be an diagnosed only after a etty /G person develops symptoms. actor? Give it a shot. For me, it was a long road to understanding what I wanted. Biomarkers specific to ALS But I really do believe that hard work gets you to a place that, if you want some- would help doctors identify C o un tess
thing, you can have it.” the condition earlier. J emal
W ebMD.com 32 October 2013 Food & Recipes
34 Three Ways Crack open the possibilities with these crab recipes
In season Core Values Every year, the average American eats 49.8 pounds of fresh apples and processed apple products. An apple a day for two decades would almost get you through the fruit’s 7,500 varieties. About 2,500 varieties are grown in the United States, with Washington state contributing nearly two-thirds of the country’s supply. Forty percent of U.S. production goes toward processed foods, including juice and applesauce. A medium-sized, three-inch apple has 95 calories, 195 grams of potassium, and 8 grams of vitamin C. The peel contains the majority of the apple’s fiber, which helps with weight loss, and antioxidants, which help boost brain health. The wholesome fruit also may reduce cancer risk, thanks to plenty of nutrients called phytochemicals.
Photograph by Bernard Radvaner/Corbis October 2013 33 W ebMD.com Food & Recipes 1 three ways to cook Piece of Cake This recipe improves on standard crab cakes, which Shell Gain can be loaded with fat and Get cracking with these light and calories. These cakes use flavorful crabmeat recipes fresh lump crabmeat, which By Erin O’Donnell contains less sodium. Recipes by Kathleen Zelman, MPH, RD, LD Light Louisiana Crab Cakes Makes 4 servings Ingredients Crab lovers, rejoice! This delectable 1 cup panko bread crumbs, divided crustacean is a genuinely ½ cup finely diced red healthy choice. “It’s a really pepper good source of lean protein, ½ cup finely diced yellow and it’s not that high in pepper calories,” with just 75 3 tbsp light mayonnaise 1 large egg, lightly beaten calories in 3 ounces, says 2–3 dashes of hot sauce Meme Inge, MS, RD, LDN, 1 tbsp fresh chopped a New Orleans dietitian. parsley One 3-ounce serving 2 tbsp finely sliced green of crab offers more than onions 2 tsp Worcestershire sauce 100% of the recommended 2 tsp lemon juice daily value of vitamin B-12, ½ tsp lemon zest beneficial for heart health 1 tsp Dijon mustard and brain function, and The blue crab’s Latin 1 lb lump crabmeat, almost 50% of the daily name, Callinectes drained, with shells sapidus, means removed value of selenium, a power- “beautiful, savory swimmer.” 1 tbsp olive oil ful antioxidant that helps lemon wedges for garnish prevent cell damage by Directions harmful molecules called free radicals. Crab also 1. In a large mixing bowl, Pantry Picks combine ¼ cup panko, red contains a small amount of For tasty results with our three crab recipes, Kathleen Zelman, and yellow peppers, may- omega-3 fats, which appear MPH, RD, LD, recommends these healthy ingredients, which onnaise, egg, hot sauce, to reduce heart disease risk, are staples in her own kitchen. parsley, green onions, in part by quashing inflam- Marvelous Mayo: Zelman prefers light mayon- Worcestershire sauce, naise, and her favorite brands offer a surpris- mation, and has very little lemon juice, zest, and ingly rich, creamy taste with a fraction of the mustard, mixing well. Add mercury, making it a safe calories and fat in regular mayo. Her picks crab gently, making an choice for pregnant women include Hellmann’s Light Mayonnaise and effort to preserve the crab up to two times a week. Whole Foods 365 Light Mayonnaise. lumps. Shape the mixture While crab delivers a into 4 balls. Roll them in Cream of the Crop: Solid cream cheese (sold hefty dose of cholesterol the remaining panko, and by the brick) works best in recipes. Zelman likes flatten into patties. (about 80 milligrams in ⅓ Less Fat Philadelphia Cream Cheese, which 2. Heat oil in a large nonstick 3 ounces), Inge says it’s she says tastes a lot like the full-fat version. skillet over medium-high unlikely to affect blood Another fave: Green Mountain Farms Greek heat. cholesterol levels for Cream Cheese, made with Greek yogurt. 3. Add patties and cook until most people. Saturated golden brown on each Choke Hold: For convenience, Zelman uses side. Serve crab cakes fat appears to be a bigger frozen artichoke hearts instead of jarred ones, with lemon wedges. culprit in elevating blood which are loaded with extra sodium and fat. In
cholesterol, and crab is her freezer: Trader Joe’s Artichoke Hearts and Per serving tyling Wahl Deb S mostly sat fat-free. Birds Eye Pure & Simple Artichoke Hearts. 273 calories, 18 g protein, 17 g carbohydrate, 9 g fat (2 g satu- the opinions expressed in this section are of the experts and rated fat), 124 mg cholesterol, Reviewed by Hansa Bhargava, MD are not the opinions of WebMD. WebMD does not endorse any 2 g fiber, 3 g sugar, 303 mg WebMD Medical Editor specific product, service, or treatment.
sodium. Calories from fat: 30% d Foo Whipps; Dan
W ebMD.com 34 October 2013 Blue crabs are named for the blue hue Hot Crab and Artichoke Dip onion, sautéing 5–7 min- of their front utes until onion caramel- claws. Makes 18 (3-tbsp) servings izes. Add garlic and cook Ingredients 2 minutes more. Remove 1 tsp butter from heat and set aside. 1 sweet onion, finely 3. In a blender, purée chopped cottage cheese with milk 2–4 cloves garlic, minced until smooth and creamy. 1 cup nonfat cottage Add cream cheese and cheese blend until smooth. 1 tbsp low-fat milk 4. In a large bowl, combine 8 oz nonfat cream cheese, onion and cottage cheese softened mixtures, artichoke hearts, 1 (10-oz) package frozen lemon juice, Worces- tershire sauce, sherry, artichoke hearts, pepper, and nutmeg, and defrosted, rinsed, and mix thoroughly. Add crab chopped and gently combine. Place 1 tbsp lemon juice crab mixture in a medium 1 tsp Worcestershire sauce casserole dish coated with 1 tbsp sherry cooking spray. Top with ½ tsp pepper shredded cheese. dash of nutmeg 5. Bake 20–30 minutes, or 1 lb lump crabmeat, until lightly golden. drained, with shells 6. Serve with Melba toast, removed crudités, or your favorite ½ cup shredded part-skim whole grain crackers. mozzarella 2 Per serving Directions Skinny Dip 50 calories, 6 g protein, 3 g car- 1. Preheat oven to 350°F. Traditional versions of this party fave are loaded with bohydrate, 1 g fat (1 g saturated 2. Heat a medium nonstick fat), 20 mg cholesterol, 1 g fiber, cheese and cream, but this healthy version offers satisfying skillet over medium-high 1 g sugar, 133 mg sodium. Calo- creaminess without all the calories. heat. Melt butter and add ries from fat: 24%
Imitation crab is made of whitefish that has been shaped, colored, and cooked to look like crab. About 3 half of all imitation crab worldwide Bisque It 4 cups corn kernels (if is made of Alaskan pollock. This hearty bisque is using frozen, thaw first) perfect with a salad and 2 cups low-fat milk 1 lb lump crabmeat, crusty whole wheat roll for drained, with shell dinner. Or serve smaller pieces removed portions as a first course. dash of salt pinch of red or black Crab and Corn Bisque pepper Makes 6 servings Garnish Ingredients 3 tbsp chopped fresh basil Bisque 1 medium tomato, seeded 1 tbsp olive oil and finely diced 1 small onion, finely 1 avocado, chopped blended with vegetables, garnish: Combine basil, chopped 2 tsp fresh lime juice 2–3 minutes. tomato, avocado, lime 1 small red pepper, finely 1 tsp extra virgin olive oil 2. Add tomato juice, stock, juice, olive oil, and salt. chopped dash of salt lemon juice, and corn to Toss and set aside. 2 celery stalks, finely the pot, stirring to com- 5. Ladle the soup into bowls, Directions chopped bine. Heat 10–15 minutes top with tomato-avocado 2 cloves garlic, minced 1. Heat a large, heavy- until corn is tender. mixture, and serve. 2 tbsp all-purpose flour bottomed stockpot over 3. Reduce heat to medium-
tyling Wahl Deb 1 cup low-sodium medium heat. Add oil, low. Add milk and crab, Per serving S tomato juice onion, pepper, celery, and stir carefully to 288 calories, 10 g protein, 37 g 2 cups fat-free seafood, and garlic, and cook 5–7 combine. Heat gently 4–5 carbohydrate, 9 g fat (2 g satu- chicken, or vegetable minutes until vegetables minutes. Season with salt rated fat), 49 mg cholesterol, 6 g stock are soft and translucent. and red or black pepper. fiber, 12 g sugar, 320 mg sodium.
d Foo Whipps; Dan 1 tbsp lemon juice Add flour and cook until 4. In a small bowl, make the Calories from fat: 27%
October 2013 35 W ebMD.com fitness & exercise
37 Work It Out Why you should go take a hike
38 Fitness Challenge Jump into a new workout routine
Net Gains Shoot to make this your best month yet
READER TIP “I practice stretching and strength moves in my two daily walks. Not only do I get a good aerobic workout, I strengthen and increase flexibility, and it improves my posture.”—brunosbud, WebMD community member
Photograph by Tom Fowlks/Getty Images October 2013 36 W ebMD.com fitness & exercise
work it out Trail Mix want a great workout for your body and your mind? Go take a hike
By Kara Mayer Robinson
Hiking outdoors president of the American comes with a bounty Hiking Society. “Being in of perks: expansive vistas, nature is ingrained in our fresh air, and the sounds DNA, and we sometimes and smells of nature. It can forget that.” also pack a significant A few pointers will keep fitness punch. Hiking is a you healthy and safe. powerful cardio workout Start slow. A short, local that boasts all the health hike is best for beginners. benefits of walking, Gradually work up to trails including reduced risk of with hills or uneven terrain. heart disease, diabetes, Bring a buddy. It’s best breast cancer, and colon not to hike alone at first, cancer as well as better especially on unfamiliar blood pressure and blood or remote trails. A part- sugar levels. Because hiking ner or group can help you is a weight-bearing exer- navigate and assist if you cise—you’re moving against get hurt. As your skill level gravity while staying increases, you’ll feel more upright—it increases bone comfortable going solo. density and helps combat Know before you go. osteoporosis (thinning Familiarize yourself with the bones). trail map. Check the weather Hiking is also good for and dress and pack accord- muscle strength. The activ- Level Up ingly. If storms are a possibil- ity targets your glutes, ity, rethink your plan. Get the most out of your hiking workout quadriceps, hamstrings, with these fitness-boosting strategies. Use common sense. hip flexors, and lower leg Follow designated paths muscles. It works your Use poles. Digging into the ground and propelling and trails and avoid contact shoulders, strengthens your yourself forward pushes your upper body muscles to with questionable plants work harder and gives you a stronger cardio workout. core, and improves balance. and animals. And hiking can help you Head for the hills. Even a small hill will intensify your Get into a groove. On control your weight. heart rate and burn extra calories. The American the days you can’t make it Because hiking gets Hiking Society’s Gregory Miller says a 5% to 10% to the trails, power-walking you outdoors, releases incline equals a 30% to 40% increase in calorie burn. on a hilly terrain while adrenaline, and increases Bump it up. Uneven terrain can work muscles, such as carrying various degrees of endorphins, the sport is your hip adductors and abductors that don’t often get weight in a backpack will
a powerful mood booster. used, while improving balance and stability. keep your hiking skills and g es “Research shows that hik- fitness level on track. ing has a positive impact on Weigh yourself down. Stock your daypack with extra weight. (Water’s a good option.) According combating the symptoms to Miller, a 10- to 15-pound daypack will boost your Reviewed by of stress and anxiety,” says calorie burn by 10% to 15% while strengthening your Michael W. Smith, MD WebMD Chief Medical Editor
Gregory A. Miller, PhD, lower back muscles. I ma Bennett/Getty Chris
W ebMD.com 37 October 2013 Test your smarts and get the Truth About Metabolism with the top quiz on the Health & Fitness channel. .com
fitness challenge Hop to It
Jump on the trampoline to blast calories and Q have a little fun “The days are shorter By Jodi Helmer and the weather is cooler. How do I make sure I am A fitness craze from the ’80s is making a comeback (no leg warmers required). Fitness equipped for a safe experts say jumping on a mini trampoline, also called rebounding, is a low-impact cardio and comfortable workout that improves muscle tone and balance while torching 160 calories per 30 minutes of outdoor workout?” bouncing. Basheerah Ahmad, a certified personal trainer and founder of the fitness consulting firm 360 Transformation, encourages celebrity clients like Carrie Underwood, Jordin Sparks, and Vivica A. Fox to incorporate a mini trampoline into their exercise routines. “You get an
amazing workout and it’s so much fun,” she says. Caroline Tiger, 37, Purchase a mini trampoline from a fitness equipment retailer, and fit these moves into content strategist, Philadelphia your fitness regimen at least three times per week. For best results, repeat the sequence of three moves at least three times.
A “Swapping summertime shorts and tanks for clothing that offers protection against the elements is a good place to start. Dressing in layers protects you against a chill at the beginning of Basic Bounce Trampoline Prances Trampoline Squats your workout and prevents overheating during a long Ahmad notes that the basic “This move will get your heart “You have to engage your run or ride. Your base layer bounce “seems simple but it rate up and give you a great core muscles to perform this burns a lot of calories.” It also workout,” Ahmad says. move on an unstable surface,” should be a fitted synthetic tones the quads, glutes, and Ahmad explains. fabric like acrylic or calf muscles. 1. stand on the mini polypropylene, which wicks trampoline with your 1. stand on the mini tram- moisture away from your 1. stand on the mini trampo- feet 6 inches apart. poline with your feet body. Wear a long-sleeved line with your feet about 2. With your hands on your together and arms at 6 inches apart. hips and knees slightly your sides. shirt as an insulating 2. Bend your arms, keeping bent, bounce on the balls 2. Jump up, spread your feet layer to keep your body your elbows at your sides. of your feet and alternate just wider than shoulder warm, and add a wind- and 3. With a slight bend in your raising your right and width, and land in a squat waterproof outer layer you knees, lightly bounce left knees to hip level position with your knees up and down. Your feet (mimicking the “knees bent and thighs parallel can remove.” should come about 6 up” running-in-place to the ground—as if you inches off the trampoline. exercise from gym class). were going to sit down in 4. repeat 30 times. 3. repeat 60 times (30 lifts a chair. Your arms should per leg). be straight out in front of you. Reviewed by Anthony Wall, MS, 3. Lightly bounce back to personal trainer and director of Michael W. Smith, MD your starting position and WebMD Chief Medical Editor professional education for the
Jason Lee Jason repeat 20 times. American Council on Exercise
October 2013 38 W ebMD.com CheckupTaking care, living well
Mental health problems are serious conditions. Learn more about what they are and whom they affect Mental Illness Awareness Week is Oct. 6 to 12. The past year. Some individuals wait decades after their first event recognizes a number of medical conditions that symptoms to seek help. affect thinking, mood, and behavior. Some of the most Following the school shooting in Newtown, Conn., serious conditions are major depression, schizophre President Obama called for an end to the stigma sur nia, bipolar disorder, and posttraumatic stress dis rounding mental illness. Jennifer Hudson and other cast order. All can take a toll on a person’s daily functioning members of the Lifetime movie Call Me Crazy: A Five and quality of life. Film appeared in a public service announcement for the In the United States, about one in four adults—60 National Alliance on Mental Illness. Call million people—has a mental illness in any given year. Me Crazy, which is about mental illness, About half of U.S. adults will have a mental illness at also stars Brittany Snow, who has talked some point in their lives. openly about her struggles with eating Though these conditions are common and treatments disorders and depression. Bradley Cooper, are available, many people avoid getting help, often due whose character in the film Silver Linings Playbook has to stigma. About 60% of adults and half of children ages bipolar disorder, spoke at a White House conference on 8 to 15 with mental illness didn’t get treatment in the mental health earlier this year.—Sonya Collins g es
40 Spotlight 41 By the Numbers 42 Health Check Guys, if you’re struggling Take a closer look at health Do you have trouble falling with erectile dysfunction care reform with facts and and staying asleep? Answer a or low libido, your doctor figures about the Affordable few simple questions to test can help. Care Act. your sleep IQ. Masterfile; Jon Kopaloff/Getty Im a Kopaloff/Getty Jon Masterfile;
October 2013 39 W ebMD.com Keep your health on track with new programs in the Men’s Sexual and Urinary Health Center. spotlight This content is created by WebMD’s editorial .com staff and is funded by a contribution from Lilly USA, LLC. Reviewed by Michael W. Smith, MD, WebMD Chief Medical Editor
men’s health guy Trouble Problems with your erections? Low libido? It may be time to see your doctor
By Matt McMillen
Erectile dysfunction wreak havoc on a man’s sex (ED) and low testos life. His libido drops dramat terone (low T) both affect a ically, and erection problems man’s sex life. While ED similar to ED often occur. robs a man of his ability to But that’s not all. “Age achieve or maintain an is a risk factor, but so is erection, one of the key your overall health,” says symptoms of low T is a loss Sabanegh. Compared with of interest in sex. Both other men, those with low T conditions often have often have less energy and consequences beyond the more trouble concentrating. bedroom, too. They may also develop weak After 40, ED becomes ened bones, reduced muscle more common, but don’t mass, and increased body blame your age for your fat. Plus, low T puts them at failure to launch. Diabetes, greater risk of depression. heart disease, high choles As with ED, how well terol, and high blood pres you take care of yourself sure all increase your risk for affects your testosterone ED, and health experts con levels. Obesity significantly sider ED a symptom of these increases a man’s risk and other serious health of low T. Losing weight concerns, says Edmund through diet and exercise Sabanegh, MD, who chairs can help boost levels back toward normal. changes, medications, or a Other risk factors include If you smoke, drink too much, combination of the two. For type 2 diabetes, sleep apnea, and avoid exercise, you increase many men, Sabanegh says, alcoholism, high blood an ED diagnosis inspires pressure, liver and kidney the risk of ED. them. “It’s a big incentive disease, hormone disorders, to wake up and make dra injuries to the testicles, and the urology department at risk of ED. Obesity, certain matic changes.” certain genetic conditions. the Cleveland Clinic. medications, stress, depres Testosterone, a man’s most A number of medications “When a man has ED, we sion, and hormone disorders important sex hormone, can affect your testosterone look at his overall health may also be at the root of fuels his sex drive. After levels. In some cases, the rather than simply treating the problem. age 30, it starts to gradu cause is unknown. g es his ED,” says Sabanegh. ED can be treated no ally decline. That’s normal. Low T can be treated. See Your lifestyle plays a matter how old you are, so However, nearly 40% of men a doctor to get tested and role as well. If you smoke, talk to your doctor about over age 45 have testosterone to talk about your overall drink too much, and avoid the right approach for you. levels that fall below the health. That’s the first step uetzer/Getty Im a P uetzer/Getty teven exercise, you increase the That may mean lifestyle healthy range, and that can to getting your groove back. S
W ebMD.com 40 October 2013 Learn how the health care reform law will affect you. Stop by the newHealth Care Checkup Reform Center. .com Reviewed by Katherine Swartz, PhD, WebMD Health Reform Expert
by the numbers Health Care Reform Facts and Stats on the Affordable Care Act
By Lisa Zamosky 46-48.6 $30,000 million Average cost of a three-day hospital stay without health insurance People in the U.S. who are uninsured
Percentage of adults age 30 or younger who say having health insurance is very Preventive15 health important to them services covered for adults at no cost 71 Percentage of women who are People who uninsured: 20% will qualify for financial Uninsured assistance Americans who in 2014 Preventive26 health don’t know to help pay for about new services covered for health coverage 24 children at no cost health insurance million marketplaces People 26 million expected to gain health insurance Young adults Preventive22 health through state who gained 78% services covered for exchanges by insurance women at no cost 2023 under ACA by remaining on their parents’ People whose $6.1 health plan until incomes make age 26 them newly eligible for billion Medicaid thanks Amount people to health covered by Medicare care reform have saved on prescription drugs since the health care 3.4 22.3 million law was enacted million Sources: CDC; U.S. Census Bureau; Kaiser Family Foundation; Congressional Budget Office; U.S. Department of Health and Human Services; Families USA; Enroll America; The Commonwealth Fund; Urban Institute ck I sto
W ebMD.com 41 October 2013 Checkup
QUIZ
1. Which age group needs the most sleep? a. Newborns b. Infants (up to age 2) c. Teens d. Adults e. Older adults
2. How often each day do healthy people feel sleepy? a. Once b. Twice c. Four times d. Six times
3. What can too little sleep lead to? a. Decreased immune response b. Depression c. Impaired memory and thinking d. Weight gain or difficulty losing weight e. All of the above
4. What are the symptoms of sleep apnea? a. Loud snoring health check b. Choking during sleep c. Daytime sleepiness d. Irritability What’s Your e. All of the above
Sleep IQ? 5. How many sleep disorders have experts identified? Adults are supposed to spend about one-third of each day a. 20 asleep. But our minds and bodies can get in the way. “I do not b. 50 sleep well at all,” chiefronh writes in WebMD’s sleep disorders c. 70 community. “Even though I may be tired, I do not get sleepy until d. 125 1:30 to 3:30 a.m. I wake up three to five times a night, and I snore. During the day I have uncontrollable urges to fall asleep at any given point.” Do you have trouble falling and staying asleep? Take this Answers: 1. a. According to the American Sleep Association, quiz to test your sleep IQ. newborns need about 16 hours of sleep daily. Infants need 14 to 16 hours, teens need about nine, and most adults require seven to eight hours. 2. b. Healthy people tend to feel sleepy twice each day, usually between midnight and 7 a.m. and between 1 and 4 p.m. 3. e. A good night’s sleep helps you recover from Q illness, stave off depression, think clearly, solve problems, and, Ask your Doctor recent research suggests, maintain a healthy weight. 4. e. Snor ing, choking, or gasping for breath during your sleep, day time sleepiness, and irritability can all be symptoms of sleep 1 2 3 4 apnea. This is a dangerous condition in which the airway col How much How do my What lifestyle Should I lapses during sleep, causing short or long pauses in breathing. sleep do I sleep patterns changes can see a sleep 5. c. Researchers have identified more than 70 sleep disorders really need? affect my I make to specialist? that can cause you to have trouble falling or staying asleep. g es
Im a physical and improve my w emotional sleep? health? Sources: American Sleep Association; NIH; the National Heart, Lung, and Blood Institute; WebMD Sleep Disorders Health Center Klaus T ie dg e/Glo Klaus
October 2013 4243 W ebMD.com Take 10 10 QUESTIONS Octavia Spencer Actor, Author
Your first book, bottom bun. I don’t Randi Rhodes, Spencer’s ever add cheese. I first book, 1 Ninja Detective: Ninja Detective, don’t have mayon- The Case of the will be released naise on it. And I try Time-Capsule Bandit, Read the full this month. now to stay away from features a 12-year-old Q&A with mayo-type dressings crime solver with a Spencer in because that’s just Tae Kwon Do black our free app! like eating three slices belt. Where did you of cheese. Just those get the inspiration for little minimal things. the character? I have always been a What is your mystery buff. Randi’s worst health character and all 8 habit? the other kids are an Popcorn is my amalgam of different Achilles’ heel. I can- people, but each has not go to a movie and some element of my not have popcorn. But own personality. She’s I don’t ever have them kind of like the neigh- put the extra butter borhood vigilante, on it. I try to do it as capturing criminals dry as possible. And and solving crimes. now I do the smallest bag possible and I Your book always tell them not features what to fill it up. 2 you’ve called a “multicul- What do you tural cast of charac- do to stay ters.” Why was it 9 relaxed and important for you to grounded? include children of I meditate as much as different ethnic I can in the morning. backgrounds? You always have to I wanted to promote be centered in this the fact that kids don’t industry. I realize have to look alike to that I start focusing befriend each other on things that I don’t and to have a mutual have any control over. admiration and love turn down anything way too thin don’t been learning Pilates. You lose sight of the for each other. that was fried. And get the same type of I want to try yoga. And things you need to be now I rarely have treatment compared if that doesn’t work, grateful for. You’re an anything fried at all. to women who are I’m going to try spin- Alabama overweight. I know ning. But I want to at Celebrities 3 native. What’s You’ve voiced that I’m heavy and I least try many things get both your favorite frustrations know that I’m work- and see which one fits 10 positive and Southern food? 5 about the way ing toward changing better. Walking is the negative Collard greens or but- the media it, not because of an thing that has been attention from the ter beans, black-eyed obsess over women’s ideal that people think my saving grace. media. How do you peas, cornbread. I can weight. What mes- I should be meeting, handle the criticism? live on that stuff. sage would you rather but because I want to What is your You can’t believe see? be healthier. best health everything that How has your I do believe that 7 habit? people say. Because if diet changed we should be pay- What do you If I am having you believe the good 4 since you ing more attention do for a hamburger or some- things that people moved to Los to health instead of 6 exercise? thing like that I never say, then you have to Angeles? Before body types. I know For the past eat the whole bun. I believe the bad.
moving here I couldn’t that women who are three months I’ve eat the thin layer—the —Stephanie Watson O utline b is Busta/Cor Dan
W ebMD.com 43 October 2013