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Getting more out of your doctor visits

Learn some tips for remembering your doctor’s advice and getting the most out of your appointments.

Have you ever left a doctor’s appointment only to realize that you couldn’t remember half of what he or she told you? Or that you forgot to ask some important questions that had been on your mind? 

It happens to all of us. Even routine visits can be unnerving. One of the ways you can help avoid these two scenarios is to write things down. It sounds simple, but it can be a helpful habit. Before you or someone you loves goes to a medical appointment, take a moment to jot down any issues or questions that you want to discuss. Have that piece of paper handy to refer to when you see your healthcare provider. Better yet, get a small journal that can fit into your pocket/purse/bag and track all your health statistics and questions in one place over the year.

Remember to jot down your provider’s answers to your questions. And while you’re there, take a moment to repeat back the main points to make sure you understood them correctly. If you are unsure about something, continue asking questions until you understand the issue.

For appointments that are more complex, consider bringing along someone you trust to take notes for you.

“Evidence-based” practice blends science, art, and you

HPRC Fitness Arena: Mind Tactics, Total Force Fitness
There are so many different mental health treatments out there. Evidence-based practice has to have a research basis, but there is more to it. Learn what this type of practice really is.

Think of mental health treatment as a blend of science and art: scientifically proven treatment from a skilled psychotherapist who engages each patient as an individual. In standardized treatment, practitioners follow a specific protocol dictated by research studies. But even standardized approaches need wiggle room for the differences between human beings, both patients and practitioners. A lot of successful psychotherapy comes down to the relationship between the practitioner and the patient rather than the techniques, so there has to be some flexibility to it.

Evidence-based practice blends the best research evidence available (studies that have met certain criteria) with practitioners’ own clinical expertise, while also considering the patient’s values and preferences. Thus, good healthcare practitioners ask questions of their patients and pay attention to their perspectives. While it can feel vulnerable to lay it all out there, it is important to give honest responses. On the flip side, it is reasonable (and empowering!) for patients to ask providers why they are doing what they are doing. When the process is evidence-based, the provider will be able to describe his or her rationale while tuning into what makes sense for you as an individual. 

CLA for weight loss?

What is conjugated linoleic acid and why is it being used in weight-loss dietary supplement products?

Dietary supplements with conjugated linoleic acid (CLA) are being marketed to help with weight loss. What is CLA and can it really help you lose weight? Read HPRC’s new Operation Supplement Safety (OPSS) FAQ about CLA to find out.

While you’re there, check out our other OPSS FAQs. Still can’t find the answer you’re looking for? You can visit the Natural Medicines Comprehensive Database or use our “Ask the Expert” button located on the OPSS home page.

Hemp products: Are they allowed?

Hemp is found in many food products, but what are the service policies on the use of these products?

There’s hemp turning up in yogurt, cereal, milk, and other food products these days. What is hemp, and what are the service policies on the use of these food products? Read the Operation Supplement Safety (OPSS) FAQ to find out. Be sure to check back often as we add answers to other questions and topics in the OPSS section of HPRC’s website.

If you have a question about a particular dietary supplement ingredient or product, and you can’t find the answer on our website, please use our “Ask the Expert” button located on the OPSS home page.

The foundations of Total Force Fitness

Get back to basics with the foundations of Total Force Fitness: health, resilience, and performance optimization. What are they and how do they go together?

Have you heard the terms “resilience” and “Total Force Fitness,” but you’re not quite sure what they mean or where they fit into the health and performance picture? Read on.

Your health is the foundation. The 2010 article "Why Total Force Fitness?" states, “nothing works without health.” Health is not just physical and not just something to worry about when you’re sick. Health is a combination of physical, mental, spiritual, and social well-being and includes practices that promote wellness in addition to those that help you recover from sickness or injury.

Resilience is next. Resilience is the ability to bounce back—or even better, forward—and thrive after experiencing hardship. It is not the ability to completely withstand hardship but rather the ability to come back from it and grow stronger through the experience.

Next is human performance optimization (HPO). Unlike resilience, which typically requires the experience of hardship, HPO involves performing at your best for whatever goal or mission you have (whether that is your PT test, a combat mission, or raising children). It goes beyond simply resisting challenges; it means functioning at a new optimal level to face new challenges.

Health, resilience, and optimal performance are the foundations of Total Force Fitness, which is defined in the “Physical Fitness” chapter of “Total Force Fitness for the 21st Century” (see link above) as a “state in which the individual, family, and organization can sustain optimal well-being and performance under all conditions.” Being totally fit requires a holistic approach—that is, an approach that doesn’t focus on just one aspect alone such as nutrition or physical fitness, but on multiple domains of fitness. It means attending to your mind (including psychological, behavioral, spiritual, and social components) and your body (including physical, nutritional, medical and environmental components). In order to achieve Total Force Fitness, these factors come together to enhance your resilience and/or performance.

This is where HPRC can help you on your quest for total fitness. By visiting each of our domains—Physical Fitness, Environments, Nutrition, Dietary Supplements, Family & Relationships, and Mind Tactics—you can get evidence-based information on a variety of holistic topics to help you achieve and sustain total fitness. But remember that total fitness is a life-long process that will ebb and flow. And it isn’t just about you; your loved ones are an important piece of the picture, too.

To learn more, check out HPRC’s "What is 'Total Force Fitness'?" and for in-depth information, visit the Total Force Fitness Articles section of HPRC’s website.

Spice up your diet!

HPRC Fitness Arena: Nutrition, Total Force Fitness
Learn how adding a little spice to your diet can enhance performance and improve health.

Spices add flavor and color to many foods. But did you know they also might improve your performance while offering you protection from many diseases, including heart disease and cancer?

Your body’s cells continuously produce large quantities of what scientists call “free radicals”—highly reactive molecules that can damage cells. Ordinarily, your cells also produce antioxidants to neutralize these free radicals. But exercise, stress, and environmental pollutants can cause an imbalance between your body’s antioxidants and its free radicals. That’s where spices can come into play.

Not only do spices such as cinnamon, allspice, oregano, and turmeric (and others) demonstrate high antioxidant activity, scientists think they might actually help your body produce its own antioxidants. Some research suggests that eating spices as part of a diet rich in whole grains, fruits, and vegetables can prevent inflammation (a key player in the development of many diseases) and protect your body’s cells from damage caused by free radicals.

Get creative! Sprinkle a little cinnamon over your morning oatmeal, add a bit of allspice to a post-workout recovery shake, or stir some oregano or turmeric into your vegetable soup. A little bit goes a long way. Not only will you get a boost of flavor, you just might take a step toward better health and performance.

A veggie-hater’s guide to good eating

Hate veggies? Here are some tips for easy ways to work vegetables into your diet.

For optimal health and performance, Warfighters should try to eat at least six servings of vegetables (about three cups) every day. It’s tough, though, when you really don’t like vegetables. Here are some tips to help even die-hard veggie-haters work a few vegetables into their diets:

  • Add vegetables to foods you already love! Macaroni and cheese, pizza, spaghetti sauce, soup, and omelets are great vehicles for spinach, broccoli, mushrooms, and other dreaded veggies. (Many of the vegetables in the MREs are hidden this way!)
  • Grill your vegetables! Grilling adds those familiar flavors that we love so much. You can even baste them with your favorite low-fat marinade for extra flavor. Too cold to grill outside? Roasting vegetables in the oven makes many bitter-tasting vegetables taste sweeter.
  • Drink up! You can find lots of tasty vegetable juices in grocery stores nowadays. Look for lower-sodium versions or the vegetable-fruit juice blends. You can even custom-blend your own by mixing bottled carrot juice with your favorite fruit juice.
  • Get adventurous! Just because you hated something as a kid doesn’t mean you’ll feel the same way about it as an adult. Give vegetables another try—you might be surprised how tasty they really are.

Of course, these tips work for picky family members, too. How many vegetables should they eat? That depends—on their age, sex, and activity level. This chart from the USDA will guide you.

Want a “combat edge”? Get more sleep.

HPRC Fitness Arena: Mind Tactics, Total Force Fitness
This year’s Warrior Resilience Conference highlighted how sleep is an essential for performance!

Sleep is essential for optimal performance! The recent Warrior Resilience Conference V hosted by the Defense Centers of Excellence for Psychological Health and Traumatic Brain Injury included a session called “Scheduling Sleep – A Clear Mind, A Combat Edge,” which highlighted how sleep is critically important to:

  • Memory
  • Creativity
  • Decision-making
  • Moral judgment
  • Health

All of these have a serious impact on performance—not only for Warfighters, but for everyone. Lack of sleep is also linked to increased risk of motor vehicle accidents, depression, substance abuse, weight gain, heart and kidney disease, reduced immune response, and loss of focus. Make it a goal to get seven to eight hours of sleep a night, and reap the performance and health benefits.

Check out "How much sleep does a Warfighter need?" and HPRC’s Sleep Optimization section for more information.

Is “sparking up” better than lighting up?

HPRC Fitness Arena: Mind Tactics, Total Force Fitness
"Quit Tobacco, Make Everyone Proud" urges you to get the facts about electronic cigarettes.

If you’re a smoker, you’re probably aware of the products that advertise helping you cut back. One alternative that manufacturers claim is a safe alternative is electronic cigarettes, commonly known as “e-cigarettes.” Their purported safety is largely based on the fact that you’re inhaling tobacco vapor rather than smoke. But are those claims of safety accurate? FDA states that e-cigarettes have not been fully studied, and it is unknown whether they are safe and what their effects are. There is no way for users to know how much nicotine and other harmful chemicals they might be inhaling. According to an article from Quit Tobacco, Make Everyone Proud there are more reasons to think twice

  • The long-term impact of using e-cigarettes is still unknown.
  • E-cigarettes are not standardized or regulated. Not only are levels of nicotine and other ingredients unknown, but other hazards such as liquid nicotine leaks or battery malfunctions have occurred.
  • There also is concern over e-cigarettes appealing to children because many have sweet flavors.

Visit Quit Tobacco-Make Everyone Proud’s Research About E-cigarettes page for more information on the science behind e-cigarette safety.

Guard your health

HPRC Fitness Arena: Total Force Fitness
Add a tool to your total fitness kit with the Army National Guard’s new Health Promotion Program website.

A new website from the Army National Guard’s Health Promotion Program, Guard Your Health, supports readiness and overall health of soldiers and their families through articles, tools, health tips, expert commentary, and community forums on a variety of health areas. You can expect to find information on health topics such as nutrition, exercise, stress, sleep, dental health, sexual health, and family resilience.

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