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    Gotta Catch them all!!!

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      Interview with The Spartan Warrior

      I was asked to do an interview through an e-mail exchange a few months back for an individual that would be submitting it to their university’s website and newspaper. There’s some good information in here and since I get a lot of these same questions in e-mail I thought I’d post it up to let you read through it. Enjoy.

      Tell me a little bit about yourself, what you do, and what made you decide to start thespartanwarrior.com

      My name is Daniel Brown and I am a student, powerlifter, coach, nutrition consultant, and am still in the process of seeking further education in nutrition and exercise science.

      I started my website, TheSpartanWarrior.com, first as a blog to track my own personal experiences with fitness but soon found that I had a platform to enable me to reach a broader audience and assist others in their desire to better themselves. This has led me to transition from a personal blog to more of a research based database and website to give people factual information to check out.

      Where do you derive most of your information from on your website?

      There really is no one place where most of the information on my website comes from. It’s varied with anything from my own written articles to peer reviewed scientific research from nutrition and science journals to interviews and quotes from some of the most respected minds in nutrition and fitness. Oh, the occasional funny meme as well.

      How many followers do you have?

      Just under 90,000 currently.

      What are some interesting things people may/may not know about you and what you do?

      I have come to find that many people think that I have always been in good shape or that I was just born into the education I have now on these topics, but that is very far from the truth. I have spent 11 years (on and off) looking for answers and techniques to achieve a healthier life for myself and for others through nutrition and fitness. More than half of my life was actually spent overweight and thoroughly unhappy struggling to find the right answers. Through those years I learned a great deal from mistakes, misinformation, and practice though so I would not have it any other way.

      Something else that most people would not guess, I suppose, is that I’m also a pretty big geek. I’m a huge cinephile and I play video games quite often. I even worked in the video game industry for nearly 6 years before transitioning to a full-on focus of nutrition and exercise sciences.

      You offer a page with “Nutrition for Newbies” what are some important tips you can suggest to men and women who are looking to lose significant amounts of weight?

      The first step is easily the hardest. You have to make the decision that you want to change and that this decision is important enough to fully dedicate yourself to day in and day out.

      Secondly, it’s all about baby steps. Too many people try to dive in head first and become so overwhelmed by a massive amount of change in diet and activity that they don’t stick to a plan. My initial recommendation is to seek out something that gets you more active on a regular basis that you can find some sort of enjoyment in doing. This could literally be anything from lifting weights to playing Dance Dance Revolution. No amount of “more” activity is bad in the beginning.

      Then comes what is truly most importantly in my eyes. Get a better understanding of the basics of nutrition. Ever read a nutrition label and it was like looking at a foreign language? That’s a big problem. I have a few pages in my nutrition articles that are great primers for all your basic nutrition information needs.

      What are the common misconceptions you find people have about weight loss?

      Nutrition in general is just full of one misconception after another. The amount of misinformation and inaccuracies that people blindly follow is astounding. One of the biggest ones I see daily is that people follow diets that completely cut out entire food groups or macronutrients. Going from a diet where you eat anything and everything to an extremely restrictive diet is simply setting yourself up for disaster and failure. Psychologically that will play havoc with discipline in being able to follow the diet and having the ability to stay satisfied with your new lifestyle.

      For a person who is trying to make a drastic lifestyle change, do you feel it is more effective to take a monitored approach as opposed to a self-started regime?

      Everyone is going to be different in this regard. Some will find it extremely beneficial to have someone coach them through the beginning, but the problem here is finding a coach with adequate knowledge to guide a beginner down a path that will lead them to a lifetime of success. Sadly, there aren’t many coaches out there that live up to that type of expectation.

      Many people hire a coach or personal trainer to provide them with sparks of motivation. No person or one thing is going to provide someone with the motivation and discipline they need day in and day out to make a change like this. There really has to be an internal driving force of passion to make the changes necessary. Motivation comes from within and if you can’t push yourself to take the necessary steps in staying driven, persistent, and disciplined to what you’re doing then no one else will be able to help you. This applies to all avenues of your life.

      Do you believe that the BMI is an accurate representation of the average weight a person should fall into based on their age, gender and height? What are some flaws that need to be adjusted and how so?

      I’m in the boat here of doing away with the BMI scale overall… However, it can be useful for some of the population, but there are going to be many instances where it becomes completely flawed. For example, a person with lower body fat levels and a good amount of lean muscle mass is going to have a higher BMI reading giving the indication they are overweight. Lots of athletes and bodybuilders will fall victim to that problem. The BMI scale uses height, weight and age. You would think waist circumference would be of greater importance for a system to determine if someone is overweight.

      How would you suggest one determine their weight loss goal?

      Most people fixate on a random number they want to see on a scale or a number of pounds they would like to lose. Whereas this can be a great initial motivator I believe that relying on a number to determine how you feel, which most do, is absurd. You’re going to become obsessed with that scale and that can be quite destructive. All of my trainees focus on a day to day understanding of how they’re feeling and how they look from seeing themselves in a mirror and comparing their progress pictures over time.

      Setting a weight loss goal is quite individual. I usually attempt to steer people more towards how clothes fit and measurements as those are going to be more reliable for fat loss. This also takes a lot of the pressure away from seeing a certain number on the scale. I truly believe that doing away with the scale is healthier in the long run.

      Don’t make your worth about a number displayed under your feet. Make your worth about your ability to strive towards goals in the weight room, the track, or in something that you can make progress in linearly. 

      What are some key foods and ingredients you recommend for weight loss and why?

      Most people that are overweight are so because their diet (nutritional intake) is wrecked. Primarily this is due to an over consumption of food and not necessarily because their diet is lacking specific foods. However, I will say that anyone wanting to be healthier overall should include more whole foods into their diet. Everyone should be getting a better balance of foods coming from a variety of places such as: lean protein sources, vegetables, fruits, and fibrous carbohydrates. 

      What are some foods and ingredients to avoid?

      I am rather largely known as someone that champions the idea that everything is okay to consume as long as it’s done in moderation. I think there’s a lot of psychological relief that comes with that mentality for people striving for fat loss. This most definitely aides in winning the psychological battle, which I believe is the most important part of the game.

      Now, I don’t want to leave someone without an easy answer here so to make things simple I would generally tell someone that asked this question to try and cut out a majority of processed foods that they eat, to stay away from empty calories coming in the form of liquids like non diet sodas and most condiments, and try to manage the way their food is prepared by going for healthier options like grilled over fried. Small amounts of these “not as good for you” options are still okay as long it’s done infrequently.

      Do you feel that a lot of people lack proper nutrition education and would you say this is a problem with public health in general? What are some of the growing  concerns about health and active living you find cripples North Americans?

      Absolutely. The lack of education among the general population is what I consider to be the largest problem. Frankly, I believe this is a major attributing factor to the rising rates of obesity in children and adults. The majority of people simply just don’t know any better. Also, as a nation we just aren’t active like we should be. We’re damning ourselves to be overweight by over consumption of food coupled with the lack of activity. This sedentary lifestyle can be linked to how lazy we have become. Video games, smart phones, computers, TV, etc. People don’t have to leave their couch to order a pizza and get hours of entertainment. Hell, people will drive two blocks to go to a Starbucks instead of walking. These same people don’t seem to have a reason to move until their faced with things like heart disease, diabetes, and death.

      There are a lot of weight loss programs out there like Weight Watchers that offers people ideas on how to eat better while constraining the amounts of food you consume and incorporating exercise into your lifestyle. Would you say this is an effective way to lose weight? Are there better alternatives?

      Well, eating less overall and becoming more active are the winning factors to weight loss, so they (Weight Watchers) are definitely on the right track. I think it’s a great starting point for a lot of people. Weight Watchers is actually one of the programs I like best because of their philosophy of not really restricting the types of food, but the amount of food. Unfortunately, like all dieting programs, it lacks in educating the people that use the program more. Nothing is ever going to oust proper education as the most effective way to get healthier. Another program that I would recommend is the DASH diet, which again is just a diet that wants you to restrict calories and eat more whole foods.

      What should people be skeptical of when they join weight loss programs?

      Everything. Be skeptical of everything in this industry. More specifically, if a program seems overly complicated, gimmicky, or restricts entire types of foods or macronutrients then those should be major red flags. Getting healthy shouldn’t cost you an arm and a leg either so stay away from programs that are high in price.

      What are some of the best tips to keep people motivated and on track when they are trying to lose weight?

      Something important to remember is that it’s not going to happen overnight. Dedication and discipline are the two most important things to keep in mind. Something I’ve always reminded my trainees when they don’t feel like working out is that you really never regret going to the gym, but you’ll always regret it not going.

      Nothing worth having is handed to you. Put in hard work, stay patient, and the results will come.

      How does one determine how much physical activity they need to do?

      The general population should just focus on doing more than what they are currently doing. As a beginner I would start by aiming for three to four days a week of thirty minutes to an hour of some form of extracurricular activity or exercise to increase the heart rate.

      A lot of people look at numbers and sometimes don’t realize that what they are losing is water weight and not fat. How does one work at losing fat and what is some basic information one needs to know?

      The people that I come across most that obsess over weight loss numbers are going to be those that are addicted to cardio. They also are typically the people that seem to find themselves watching their weight on the scale bounce up and down due to water fluctuations. This is a simple fix. I would reserve doing cardio for improving cardiovascular health and not as the primary means to weight loss. Sounds crazy, right? There is a time and a place for cardio and sadly the majority of people use it in the wrong way. I’m not saying that it’s not an effective way to lose weight, because it most certainly can be. The problem is that most use it as their only means for weight loss or to make up for a poor diet and there are better ways to go about it.

      In terms of determining fat loss when water weight fluctuation can be an issue a measuring tape is going to be much more accurate than a scale.

      Do you believe in using supplements? How does a person know which supplements to take? What are some you suggest?

      Supplements can be beneficial for some, but are not necessary for all. Unfortunately, most supplements are practically worthless in the grand scheme of things. I see the supplement industry as a big joke full of scams and lies. The benefit of supplements is more found in their convenience, but they are not and should be used as a direct replacement for whole foods and a properly balanced diet only as a means to make sure you’re getting everything you need.

      Determining what supplements to take as a beginner can be quite overwhelming. The reason being is that a lot of people want results from a bottle or a magic pill. They want a shortcut. Well, news flash everyone there is no shortcut. Putting in hard work and following a good diet are what will get you the results you seek over time.

      Typically, I don’t suggest a lot for people outside of whey protein, creatine monohydrate, a good multi-vitamin, and then whatever else the person may be individually deficient in determined by their average dietary intake or locale.

      What are some emotional things you feel people struggle with that prevent them from being successful and altering their health choices?

      There is way too much of people comparing themselves to others. It is human nature for us to do this, but people put entirely too much focus into trying to look like someone else that is at their peak condition as opposed to just wanting to feel better and get healthier themselves. Those people that are often getting compared to like models, actors/actresses, bodybuilders, and athletes have worked for years and years on their physiques and aren’t always built using the same methods that the general population have access to. It’s okay to be inspired by other people, but keep your focus on yourself. Try not to compare your weaknesses with the strengths of others.

      What’s the hardest part about losing weight?

      Weight isn’t that hard to lose. You can chop off your legs and.. voila!.. weight loss. A shift in energy balance is all it takes for weight loss. However, finding the balance of fat loss and retaining lean muscle (fat free) mass can be tricky and that is what should be the goal.

      In the long run the hardest part is going to be having the dedication day in and day out to be proactive in achieving your goals. No one can give this to you. You have to wake up every single day with the passion to make a difference in your own life. 

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        The nutrition page has been completed and can be accessed in it’s entirety here. This section will continue to be updated with new articles and research as time goes on. Previous articles have been updated to reflect current research and information.

        Below you will find the articles located on the nutrition page. Please feel free to look over these if you haven’t already and even if you have seen them before it is always a great idea to get a refresher on these topics.

        The Fundamentals

        Calculating and Tracking

        Eating Philosophies

        Everything Else

        If you have any questions or feedback please use the contact page.

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          Random Fitness and Nutrition Thoughts and Basic Recommendations

          Important Things to Remember

          • Cardio does not fix a bad diet.
          • The key to fat loss is an energy deficit that can be created through a caloric deficit or increasing activity levels. However, too large of a deficit will be detrimental.
          • Aim for a loss of .5-1.5% of body weight weekly if the goal is fat loss.
          • Optimal fat loss is obtained through diet and weight training, not cardio. Weight training builds strength and muscle mass promoting a high rate of fat loss. Cardio can promote fat AND muscle loss when used improperly which is a very common problem. Cardio should be utilized more so to improve cardiovascular performance and endurance and not to achieve fat loss.
          • It does not matter when you eat or when you workout.
          • The majority of your intake should come from whole food sources for the purpose of getting micronutrients (vitamins/minerals) in your diet as well as your macronutrients (protein/fat/carbs). 
          • Follow a general rule of 80/20 for your diet. 80% whole foods and 20% of whatever else you want.
          • There are no shortcuts. The road is paved through desire, dedication, and discipline.
          • The hierarchy of importance: Diet > Weightifting > Cardio
          • Without proper rest and recovery you will have diminishing returns.

          Recommendations

          • Follow a weight training program with a focus on progressive overloading of the muscle. Whether that comes from increasing weight, reps, or both is up to you based on your goals. I, personally, would recommend focusing on a strength building based program for the majority of beginners that is 3-4 days a week ranging from 3-4 sets of 3-6 reps for each set with a primary focus on compound lifts (bench, squat, deadlift) each day. Barbell complexes are king. The heavier the weight that can be controlled for reps the better.
          • Stick to a diet plan for a minimum of 2-4 weeks. This will ensure that you get a good idea of how your body is reacting to the partitioning of nutrients and at the end of 4 weeks you can adjust the intake to reflect a change in body weight.
          • Do include cardio in your program but do not make it the primary focus. HIIT (High Intensity Interval Training) types of cardio are generally the best for fat loss goals. This has been proven through research to be the most beneficial for fat loss and lean body mass retention. A 30min session of cardio is sufficient 2-3 times a week maximum.
          • The most important thing to remember when following a dietary program for fat loss is that the caloric deficit is most important followed by your intake of protein. Next should be fats/carbs/fiber. Do not forget that too steep of a deficit will be very detrimental in the ability to maintain weight loss and your health in the long-term.
          • One perfect week will not make a great physique. One imperfect week will not make a bad physique.
          • Eat things that you love, but just do so in moderation. Follow the 80/20 rule and don’t stress over food.
          • When you eat does not matter in the broad scheme of things, but if you find yourself feeling a bit “weighed down” when eating carbohydrates then consume the majority of them in the evening before bed.
          • Weighing once a week to once every two weeks should be the absolute most often that you should step on a scale.
          • Dependant on how you feel and respond to a particular macronutrient intake (especially carbs) things can be adjusted to incorporate a lower daily intake, weekly or bi-weekly re-feeds, timing, or in rare cases and as my recommended last resort, low-carb dieting. This is a feeling out process which is why I recommend to follow a set dietary intake (macros) for 2-4 weeks before altering.
          • Fiber is likely the most important thing that you aren’t paying real attention to.
          • Drink more water.

          The Final Word

          • Live your life passionately and be passionate about the people that surround you. Eating and exercise are a part of your existence and it does not make up all of who you are. Following a solid exercise plan and dietary intake will benefit your health and that’s an added bonus. Enjoy your time with the people around you — making it about them and not what foods are available — and find happiness in all of which you do. Obsessing over all the details of diets and exercise programs will lead you to stress and inconsistency. Being healthy comes not just from what you consume or your activities, but from your mental and emotional disposition.

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            Medical Student Night Shift Survival Guide
            1. Know your responsibility. Find out exactly when and where you need to be there. You should know who you will need to see to “sign-in” (like a resident or an attending). By this time, you should already have an idea of the hospital’s layout too. Make sure you understand your tasks on what is expected of you so you don’t get in other people’s ways.
            2. Create allies. Make friends with your colleagues if you don’t already know them well. Get to know the nurses, residents, and everyone else on the floor. You’ll be spending hours together, might as well try to entertain each other. They can give you insights and secrets of…various things. Be careful not to distract each other from tasks at hand though. And no, a computer does not count as an ally.
            3. Bring food. Snacks would be nice too. Figure out the closest vending machine and be sure to bring some coins. Trust me, you’ll get hungry. Really hungry.
            4. It’s okay to nap. This goes with tip #2. Once you create allies, you can switch taking turns to sleep when you’re tired. Set up a certain time that will allow you and your partner(s) to rest. Even residents on-call fall asleep.It is important that you know your limits. They already have enough patient so you don’t need to add yourself into the equation. Take a nap before you go into your night shift if you must. The hospital will most likely have a “student on-call” room with beds you can use. Just…check what is under the cover first.
            5. Bring something to read. Sometimes, things can get really slow. You will probably have time to read so make sure you use this time to enhance your medical knowledge. Or you can simply entertain yourself with Harry Potter or Twilight too. 
            6. Ask when you’re not sure. Remember, you are dealing with real patients and their lives may be in your hand. When you’re unsure, just ask! No one is going to get mad at you for asking. They will, however, eat your head if you do something without permission like giving foods or drinks to patients (some of them may have restricted diet or preparation for a surgical procedure).
            7. Smile. Do it to the patients. Nurses. Doctors. Medical technicians. Medical students. Every one. It’s night time and people can be cranky (lack of sleep). A smile and polite greeting can go a long way.
            8. Follow and learn. This is a great opportunity to learn clinical cases first hand. Don’t be lazy and stick to a computer or a bed. Night shifts have some of the most fascinating cases, especially in the ER. You are ultimately there to learn from a doctor and assist in any little way you can. The only rules are don’t hassle them and don’t get in the way. Sometimes, the staff might try to convince you to go home. If so, then it’s really up to you on what you want to do. 
            9. Adjust for the next day. When the next day comes, you will get the day off since it is your post call. Take as much rest as you need to get back to your regular routine. It might be tough when you’re doing a day shift in the following day but it’s definitely doable. 
            10. Share. Okay, it can be considered as bragging. The point is for you to share your experiences with your colleagues. Tell them what they should be aware when going night shifts. Let them know what you saw or did, and how they can do the same. One day when you need similar information from them about the other rotations they have done, they too will fill you in. It’s all about sharing! And a little of bragging rights.

            Do you have a tip or two to share about on-calls/overnight shifts?

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              Important Drug Classifications

              Cholinomimetic Agents
                        Direct Agonists:                 

              1. Bethanechol
              2. Carbachol
              3. Pilocarpine
              4. Methacholine 

                        Indirect Agonists:

              1. Neostigmine
              2. Pyridostigmine
              3. Edrophonium
              4. Physostigmine
              5. Echothiophate

              Muscarinic Anatogonists:

              1. Atropine
              2. Homatropine
              3. Tropicamide
              4. Benztropine 
              5. Scopolamine
              6. Ipratropium
              7. Oxybutynin
              8. Glycopyrrolate 
              9. Methscopolamine
              10. Pirenzepine
              11. Propantheline

              Nicotine Anatogonists:

              1. Hexamethonium

              Sympathomimetics
                        Direct Sympathomimetics:

              1. Epinephrine
              2. Norepinephrine
              3. Isoproterenol
              4. Dopamine
              5. Dobutamine
              6. Phenylephrine
              7. Metaproterenol
              8. Albuterol
              9. Salmeterol
              10. Terbutaline
              11. Ritodrine

                        Indirect Sympathomimetics:

              1. Amphetamine
              2. Cocaine
              3. Ephedrine

              Sympathoplegics:

              1. Clonidine
              2. Alpha-methyldopa 

              Alpha Blockers
                        Nonselective:

              1. Phenoxybenzamine
              2. Phentolamine 

                        Alpha 1-selective:

              1. Prazosin
              2. Terazosin
              3. Doxazosin

                        Alpha 2- selective:               

              1. Mirtazapine 

              Beta Blockers
                        Nonselective Antagonists:

              1. Propranolol
              2. Timolol
              3. Nadolol
              4. Pindolol

                        Beta 1-selective Antogonists:

              1. Betaxolol
              2. Esmolol
              3. Atenolol
              4. Metoprolol 

                        Nonselective Alpha- and Beta- Antagonists:

              1. Carvedilol
              2. Labetalol

                        Partial Beta-Agonists:

              1. Acebutolol
              2. Pindolol 
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