Experienced. Intuitive. Women’s Wellness Re-imagined.

A minute on the lips, a lifetime on the hips.

Staying Healthy

The words “a minute on the lips, a lifetime on the hips” were probably uttered by a woman in the autumn or winter months. The cold and shorter days beckon us inside and change our cravings from salad and sushi to more hearty, filling fare. A large pumpkin spice latte has just under 500 calories and a whopping 62 grams (15 teaspoons) of sugar. A 150 pound woman would have to take a two-hour hike to burn off the calories.

So, as fall arrives, take advantage of the drop in temperatures and increase your outdoor activities, not decrease them. A walk after dinner with the sun low in the sky is a lovely way to enjoy those last minutes before sunset. Take in the fall colors in the high country on foot, not by automobile. Bike through Glenwood Canyon and take in not only the breathtaking colors but the sounds of the Colorado River accompanying you on your way. Hike around Mesa Verde in the fall when the summer crowds have all gone home. The southwest corner of the state is glorious in the fall.

Make smart food choices this time of year, too. Beginning in September, when Halloween candy first appears on the shelves, through December, there is a constant flow of sweets and treats which quickly finds its way into the workplace and to the home. People bring in their extra Halloween candy or their homemade pumpkin bread and the temptation to indulge is hard to battle. Make an agreement with your co-workers to limit the treats they bring into the office. Snack consciously. Try Weight Watchers. It works because if you eat it, you track it. Limit the amounts of sweet treats at home, as well. Your kids may not have issues with their weight but I guarantee you, sugar is not a healthy food for anyone at any age. Enjoy the marvelous taste of apples in season. There is truly nothing more delicious than an apple in the autumn. Serve celery and carrots dipped in hummus or Greek yoghurt for the big game instead of noshing on chips and salsa or nachos.

In other words, instead of “falling” back into old habits this time of year and gaining 5–7 pounds of winter body fat, use the gifts of fall and make smart choices about food and exercise. I guarantee you’ll have more energy, less mood swings and keep off the holiday weight.

Got other tips? Share them with us and you might be featured in next month’s newsletter!

Dr. Dianne StoneQ&A of the Day!

I get asked a variety of different questions from patients, and some are worth sharing! Today’s question is… 

Q: How often do I need to have my mammogram done? How do I know if I should have genetic testing for breast cancer?

A: There is some debate about when screening should begin, though all of the different guidelines agree that mammography should be offered to women starting from ages 50–79 and should be repeated every 1–2 years. Again, this is screening mammograms in normal risk women, not a high risk woman, or a woman with a breast mass. The American College of Obstetrics and Gynecology (ACOG) has recommended that screening be available to women beginning at age 40 and repeated annually. I tend to individualize this recommendation depending on my patient, their family history, when they had their first child and their concerns about both breast cancer and the radiation associated with mammograms.

At this time, I am moving towards being less aggressive about recommending screening mammography in women ages 40–49 and I suspect the guidelines will change within the next five years to recommend that mammograms begin at age 50.

As to the question about knowing if you should discuss genetic testing with your physician, genetic risk assessment and testing is recommended for women who have more than a 20–25% chance of having the inherited predisposition to breast or ovarian cancer. (This is the gene that Angelina Jolie inherited.)

These women include:

  • Women with a history of both ovarian and breast cancer
  • Women with ovarian cancer and a close relative (mother, sister, daughter, grandmother, granddaughter, aunt–with ovarian cancer, breast cancer before menopause or both
  • Women of Ashkenazi Jewish descent with breast cancer who were diagnosed at age 40 or younger or who have ovarian cancer
  • Women with breast cancer at 50 or younger and who have a close relative with ovarian cancer or male breast cancer at any age
  • Women with a close relative with a known BRCA mutation

Genetic risk assessment may also be appropriate for women with a 5–10% risk of carrying the abnormal gene, including:

  • Women with breast cancer by age 40
  • Women with ovarian cancer, peritoneal cancer or fallopian tube cancer at any age
  • Women with cancer in both breasts (especially if the first cancer was diagnosed by age 50)
  • Women with breast cancer by age 50 and a close relative with breast cancer by age 50
  • Women with breast cancer at any age and two or more close relatives with breast cancer at any age
  • Unaffected women with a close relative that meets one of the previous criteria

Do you have a question you’d like to ask Dr. Stone? Click here!

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