If you've ever wondered how your favourite celebrities maintain their svelte figure, you're not alone. We admire their perfect bikini bodies from afar, assuming it's all because of their personal trainers and live-in chefs--and while that may be true, it's also because of their strict diets. Just in time for beach season, we're sharing the ten diets celebrities swear get them in tip-top shape.
Also known as the caveman diet, the paleo diet is based on the premise that we should be eating like our prehistoric ancestors if we want to avoid developing heart disease, diabetes, cancer and other diseases. This means you will be eating lots of lean protein, fish, fruits, vegetables and healthy fats. As for what you eliminate from your diet, this includes dairy, potatoes, refined sugar, salt, and refined vegetable oils (such as canola). This diet calls for much cooking from scratch, so be prepared to get busy in the kitchen. The payoff? Potentially developing a killer bod.
HMB—short for beta-hydroxy-beta-methylbutyrate—is a protein-related compound that encourages your muscles to use the macronutrient more efficiently, Bede explains. “Taking a HMB supplement can assist with muscle growth post 40,” she adds. Also consider a D-rich multivitamin. “Generally, men over 40 are deficient in vitamin C, Vitamin D, magnesium, B vitamins, and zinc,” says Kominiarek. Vitamin D is particularly important since it’s so crucial to both muscle and bone health, yet people tend to spend less time outside, exposed to sunlight after 40, Bede adds. It’s always better to score nutrients from real whole foods, but Kominiarek says supplementation is a must as we age. 
Weight loss doesn’t get easier than this: Simply drinking more water may increase the rate at which healthy people burn calories, according to a study in The Journal of Clinical Endocrinology and Metabolism. After drinking approximately 17 ounces of water (about 2 tall glasses), participants’ metabolic rates increased by 30 percent. The researchers estimate that increasing water intake by 1.5 liters a day (about 6 cups) would burn an extra 17,400 calories over the course of the year—a weight loss of approximately five pounds!
If you're eating the same amount of food you did 10 years ago, you are consuming too many calories. Beginning in your thirties, you will lose about 1 percent of your lean muscle mass every year in a natural process called sarcopenia. This process accelerates when you reach your forties. The amount of lean muscle mass you have directly influences the speed of your metabolism, as muscle burns more calories than fat. This includes the calories that you burn not only when you are active, but also while you are at rest. Knowing this, it is important to make healthy food choices that will fill you up on fewer calories, and to engage in activities to preserve and build up muscle mass.

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The key phrase here is “too much.” While we rave over coffee for all of its antioxidant benefits, chugging six cups a day is a recipe for the jitters and compromised sleep quality. “As we age, our circadian rhythms change, as do our hormones, which can make us more sensitive to caffeine and affect our ability to sleep soundly,” Isabel Smith, RD tells us.
It’s like butter that grows on trees. But instead of the cholesterol, trans fats, and saturated fats in real butter, avocado contains metabolism-enhancing monounsaturated fat. And that’s not all. Each creamy fruit is also packed with fiber and free-radical-killing antioxidants. Free radicals are destructive rogue oxygen molecules—natural byproducts of metabolism—that trigger various chain reactions in the body that destroy cells and DNA, causing all kinds of health problems. Antioxidants in fresh fruits and vegetables can help neutralize some free radicals, but they can’t reach the mitochondria—the base camp for the free radical army—and that’s a problem. When your mitochondria aren’t working properly, your metabolism runs less efficiently. Enter: Avocado. New research conducted in Mexico found that monounsaturated-rich oil pressed from the fruit can help mitochondria become more resilient. Researchers say the results jive with low-disease rates in Mediterranean countries where olive oil—nutritionally similar to the avocado—is a diet staple.
Kate Beckinsale, with her sunkissed skin and seductive eyes, has long been considered one of the most attractive women in Hollywood. The English actress first captured our hearts in the movie Much Ado About Nothing in 1993. Since then, the 44-year-old has only gotten better with age. She has racked up a stellar resume including leading roles in the Underworld series Total Recall and Pearl Harbour. With the sixth instalment of Underworld currently in the works, two new films on the horizon and signing on as the lead role in the highly anticipated Amazon drama The Widow, she shows no signs of slowing down. She should also be credited for her continued involvement in #MeToo movement.
Experts agree that including a weekly cheat meal into your healthy-eating plan can actually help you reach your weight loss goals. Having a strategy is key: “By planning your cheat meal, you know what you’ll be eating and can cut a few extra calories earlier in the day,” says Jim White, RD, ACSM Health Fitness Specialist and owner of Jim White Fitness & Nutrition Studios. “This also allows you to really pick a favorite food instead of wasting calories on something you didn’t enjoy.” Amy Shapiro, MS, RD, CDN, Real Nutrition NYC, gives similar advice. “Pick your poison. If you’re going out, pick your splurge. Are you going to dig into carbs like a bread basket or pasta or dessert? Or are you planning on tossing back a few cocktails?” She urges cheaters to avoid consuming all three of those common categories in one sitting. “Focus only on one,” she says, adding that by saving the others for another time you can “enjoy without going overboard.” How I lost 35 pounds in 3 months| My Weight Loss Journey
If your tummy has been rounder than a pufferfish, it’s time to cut foods that cause bloat from your diet. “As we age, our bodies can’t break down lactose as efficiently. When we can’t efficiently digest something, it tends to cause gas and bloat, which is the opposite of a flat stomach. Avoid dairy foods, and you’ll likely see some improvement!” advises Amy Shapiro MS, RD, CDN of Real Nutrition NYC. Can’t give up your late-night cereal sessions? You don’t have to! Just opt for these better-for-you milk alternatives. 

Not only clad with the powers of transforming even the blandest burger into a scrumptious bite, onions are also stellar at combating cancer. According to University of Guelph researchers, Ontario-grown red onions pack a solid dose of quercetin and anthocyanin, which can fight off colon and breast cancers. “Onions activate pathways that encourage cancer cells to undergo cell death,” Abdulmonem Murayyan, the study’s lead author, explained. “They promote an unfavorable environment for cancer cells and they disrupt communication between cancer cells, which inhibits growth.”

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The freezer aisle is stocked with appetizing frozen dinners that make busy weeknight suppers a breeze, but these convenient and inexpensive foods may cost you your health in the long run. Many of these meals are jam-packed with sodium and preservatives and are void of sufficient fiber, which will help keep you full and less prone to midnight munchies.
I’ve had a notion drilled in my head that breakfast is the most important meal of the day, and that one of the most important things to do to lose weight is eat a big breakfast, smaller lunch, and even smaller dinner. When you talk about ketogenic fasting, you say to eat dinner at 8:00pm and not eat the next meal until 12:00pm then next day. Is it really okay to skip breakfast?

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Why? Because muscle doesn’t actually burn that many more calories than fat. “Previous data suggests about six calories per pound of muscle, versus two calories per pound of fat mass,” says Sharp. “When you do the calculations, it's not a significant amount of calories.” [AGAIN, WOULD LOVE IF WE COULD STRIKE A MORE OPTIMISTIC TONE HERE SINCE THIS REALLY CAN ADD UP OVER TIME AS WE SAY BELOW...DON'T WANT TO MAKE IT SEEM LIKE ALL THESE BENEFITS ARE TOTALLY INSIGNIFICANT]

Adding a leg day to your workouts can help you tone up your lower half and make it easier to shave off unwanted weight. Not only will increasing your muscle tone help you burn more calories, research conducted at Chungnam National University suggests that individuals with more muscle tone in their lower bodies have a lower risk of falls and fractures that may keep them from getting adequate exercise for months, if not years. A study published in Gerontology also suggests that strong legs are a good indicator of the strength of another important muscle: your brain.
For new moms, it’s a win just to slip in a shower and brush your teeth. And though it seems impossible, you can make working out work. Ansels says that finding a gym with child care or subscribing to online workouts that you can do during naps can be a big help. For an active recovery, take long walks with your baby in his or her stroller—and you might be surprised how quickly you can bounce back into shape, says Ansel.
Another original supermodel, Christy Turlington Burns, was one of three models the media nicknamed the Trinity. Along with Naomi Campbell, and Linda Evangelista, the three were arguably the most influential models of their time. The 49-year-old has featured in advertising campaigns for Calvin Klein, Chanel, Yves Saint Laurent, Marc Jacobs, Donna Karan and Prada. She has now founded a charity and is an activist, campaigner, and filmmaker.
Pull-ups require a lot of control, and they’re highly effective for building muscle and strength in the upper body — something that diminishes as we age. Pull-ups simultaneously engage the back, shoulders and arms, and by building those three large muscle areas, you’ll help keep your metabolism stoked for years to come. “Another great thing about pull-ups is that they can be done in many different variations, which work different muscles,” says Jim White. Speaking of muscles, don’t miss these 30 Best Proteins for Your Penis!

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The Jane the Virgin star says eating the same thing everyday forces her to eat healthier and saves her time on food shopping. “Since I don’t have much time to cook, I tend to cook in bulk and eat leftovers,” she shares. For meals throughout the week, Navedo will “blanch a bunch of broccoli and refrigerate to have on hand to sauté as needed.” Read her full daily food log here. 
You need to eat less. It doesn't matter if all you eat is grilled chicken, brown rice, and broccoli. If you don't cut back on your portions, you won't lose weight. Everyone's calorie needs are different, but in general, a woman eating 2,000 calories per day should aim to cut back by 400 to 500 calories, recommends Frances Largeman-Roth, RDN, nutrition expert and author of Eating in Color. (These 5 simple ways to cut 500 calories can help.)

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Okay, now that you're cooking lighter fare, don't blow it by adding unnecessary calories. The recipe may call for a generous brushing, pouring or slathering of oil or butter, but you know better. Butter has a whopping 90 calories per tablespoon; every type of oil has 120. The over-40 edit of all your recipes should read: "drizzle," "lightly spray," or "dab" the butter. Think of it this way: Kids' dinners are high in fat because oil is used to add flavor to an otherwise bland meal. But if you start with a quality cut of steak or fillet of fresh fish, why destroy the flavor by suffocating it in grease? Instead, season generously with the recipe's spices and invest in an oil sprayer so you can make a little bit of fat go an extra-long way.
If you’ve never added this delicate green to your salads, now is definitely the time to start. A study in the American Journal of Clinical Nutrition suggests that consuming 85 grams of raw watercress (about two cups) could reduce DNA damage linked to cancer by 17 percent. What’s more, the leafy green is teeming with beta-carotene and vitamin A, two compounds essential for youthful skin. No wonder why watercress is our #1 best superfood healthier than kale!
It’s like butter that grows on trees. But instead of the cholesterol, trans fats, and saturated fats in real butter, avocado contains metabolism-enhancing monounsaturated fat. And that’s not all. Each creamy fruit is also packed with fiber and free-radical-killing antioxidants. Free radicals are destructive rogue oxygen molecules—natural byproducts of metabolism—that trigger various chain reactions in the body that destroy cells and DNA, causing all kinds of health problems. Antioxidants in fresh fruits and vegetables can help neutralize some free radicals, but they can’t reach the mitochondria—the base camp for the free radical army—and that’s a problem. When your mitochondria aren’t working properly, your metabolism runs less efficiently. Enter: Avocado. New research conducted in Mexico found that monounsaturated-rich oil pressed from the fruit can help mitochondria become more resilient. Researchers say the results jive with low-disease rates in Mediterranean countries where olive oil—nutritionally similar to the avocado—is a diet staple. How To Boost Your Metabolism And Burn More Fat | 3 Simple Tips
If you're like many women over 40, you've probably noticed that it's become a lot easier to gain a few pounds than to lose them. The foods that you ate without care in your 20s and 30s now stick to your body like glue, adding bulk to your midsection. The good news: The solution to a slim, firm body at 40-plus is no farther than your fridge. Research shows that, when combined with a little regular exercise, what you eat and when you eat it are your metabolic secret weapons for building muscle mass, the body's prime calorie-burning tissue and a key driver of your metabolism.
7. You’re not getting enough sleep – lack of sleep has been shown to increase your risk of obesity. It’s a vicious cycle – you wake up exhausted after a rubbish night’s sleep, you reach for the wrong foods (to give you a quick energy boost), you end up even more tired and unable to sleep. AND insufficient sleep has been shown to increase your hunger hormone ghrelin!
Christine Taylor is probably better known as Marcia Brady. That’s right; your 90s teen crush is now 46. But with her bouncy blonde hair and blue eyes, she is still as stunning as she ever was. The mother of two and ex-wife of Ben Stiller starred in Zoolander, The Wedding Singer and Dodgeball. She also appeared on Saved By The Bell and Arrested Development.

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Whether due to the night-waking of young children or hot flashes from the onset of perimenopause, middle-age is when sleep quality goes downhill for many women. Lack of sleep has long been linked to an increased risk of obesity and diabetes, because it’s harder for the body to regulate glucose leading to something called insulin resistance, which can cause weight gain.

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Everyone knows that Tom and Gisele don’t eat strawberries, but they also don’t eat white sugar, white flour, tomatoes, peppers, mushrooms, or eggplants. So what do they eat? According to their chef, Alan Campbell, “80 percent … vegetables … and whole grains: brown rice, quinoa, millet, beans. The other 20 percent is lean meats: grass-fed organic steak, duck every now and then, and chicken.” Weight Lost: How This 50-Year-Old Woman Dropped 46 Pounds | Good health 24h

Difficulty on a Scale of 1 (I Feel Great!) to 10 (It Ruined My Life!): 1. This is worth a try! If you’re someone who doesn’t like to impose major restrictions on yourselves, adopting a low-key plan to eat fewer carbs (when possible) is relaxed and completely doable. Especially if you don’t beat yourself for the occasional slip-up, like eating pasta in bed, which happens to each and every one of us!
Seafood sources of omega-3s such as salmon, mackerel, tuna, and fish oil supplements provide forms of omega-3s known as EPA and DHA, the types that your body can use most easily (and the types with plenty of research backing). Plant sources like walnuts, flaxseeds, chia seeds, and hemp seeds provide ALA omega-3s. ALA must be converted to EPA and DHA in your body through a process that isn’t super efficient, so plant-based sources should be supplemented with fish! Eating at least two servings of omega-3-rich fish every week covers you for your daily recommendation of 500-1,000 mg. If you don’t like fish, here are some omega-3-rich foods you can eat instead.
How intense does the strength training need to be? Are push ups and squats and using hand weights during your HIIT training enough or should it be a more classic free weight workout where you do 3 reps of 12? I eat well and work out 6 days per week (get healthy u TV, running, etc) for 30-60 minutes each day. Nothing is helping my weight loss and I'm so frustrated!

Skimping on sleep can derail your metabolism. In a study at the University of Chicago, people who got four hours of sleep or less a night had more difficulty processing carbohydrates. "When you're exhausted, your body lacks the energy to do its normal day-to-day functions, which include burning calories, so your metabolism is automatically lowered," explains Peeke. Effective Weight Loss For Women Over 40 – Drop 21 Pounds In 3 Weeks
Instead of ditching carbs or going low-fat, try a diet that's rich in veggies, beans, and legumes to increase your metabolism — and keep your blood sugar from spiking. "Many people think weight is all about calories in, calories out, but quality also matters," says Aunna Pourang, M.D. "[In a 2012 study], low-carb diets showed the most increase in metabolism, but also showed an increase in the stress hormone cortisol. This is why scientists concluded that the low-glycemic diet worked the best."

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After a week or two, your body will adjust to a more active lifestyle. That's when it's time to add workouts that increase metabolism. If you are healthy enough for vigorous exercise add one HIIT or Tabata session per week. Then gradually add one or two more. You can also add up to 3 strength training workouts per week to increase your metabolism with lean muscle mass. 

People naturally lose muscle after 40, especially women after menopause. Because muscle burns more calories than fat, this can slow down your metabolism and make it harder to shake those stubborn pounds. Strength-training exercises -- lifting weights or doing body-weight exercises, like push-ups and squats -- at least twice a week can help you keep those muscles. The Best Supplements to Help Build Muscle Without Side Effects


They may be packed with protein and keto-friendly, but processed meats can wreak havoc on your health. Deli meats, bacon, and hotdogs usually contain cancer-causing nitrates and nitrites as well as pack in elevated amounts of blood-pressure-spiking sodium. A 2013 study published in the journal European Cytokine Network found that sodium nitrate increases oxidative stress, which can damage youthful-skin-promoting collagen and elastin.
Good news: Age and weight don’t have to be correlated. Even though many people gain weight as they creep past 40, that doesn’t mean everyone has to. In fact, you don't even have to resurrect all those hardcore diets you tried in your 20s and 30s to keep the pounds from packing on, because even in an age full of hormonal and metabolic changes, all it takes is a few key diet modifications to stay looking and feeling your best.
If you're anything like most post-40 women I know, you're in the business of coordinating life amidst everyday chaos -- work, husband, dirty laundry, hyper kids. And that's exactly what those frozen-cappuccino peddlers are counting on. You drive up, run in, pop a straw through the top, and peel off to pick up Junior at swim camp. Big mistake. Studies show that your body doesn't register a feeling of fullness from the calories you drink. Whether it's juice, soda, or alcohol, your body won't say to itself, "Wow, that eight-ounce glass really filled me up." If you ate an orange instead of drinking the juice, you would feel satisfied. But instead, liquid calories help you gain weight by causing you to overeat later. Do me a favor: Keep a piece of fruit in your bag at all times. Whenever you want a snack, drink a 12-ounce glass of water, then eat the fruit. Not only will you feel full, but most importantly you'll stay that way until dinner. And your hips will thank you.

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More than anything, it seems like women over 40 recommend you travel in your twenties. Things will get even more complicated, and seeing the world is a great way to broaden your horizons and build depth in your character. It’s also very fun, which you should be having. Take photos! That doesn’t seem like something a woman in her twenties needs prompting on, but it’s a nice reminder that all these selfies you’re taking now will be cherished memories in future.
2. Exercise More. Contrary to what your body may want to do, you must exercise more regularly as you age, not less!  If you’re finding yourself slowing down, gradually start ramping it back up.  It’s not a good idea to go from taking an occasional walk to running a 10K.  That’s a fast track to getting an injury.  But start finding ways to fit more physical activity to your life.  The more you exercise, the more insulin sensitive you become (that’s the opposite of insulin resistant!)

Been following you for a little while now. Love, love, love all your content. I’m 61, will turn 62 next May. I’ve lost 80 lbs. so far and needed to ratchet it up a notch to keep going towards my goal of 130 lbs. after plateauing. I decided my walks were no longer effective enough exercise, running or sprinting is difficult/painful because of a high school football knee injury many years ago that I re-aggravated playing tennis a few years later. I decided to try to create a HIIT routine based on basic calisthenics, kettle swings, jumping jacks, push-ups, crunches, deep knee squats holding 10lb dumbbells. I’ve found that jumping jacks and push-ups in same routine makes an arthritic shoulder ache so I need to eliminate one of them and I believe the squats are what are causing my bad knee to ache badly later on in the day. Any advice for gentlemen of a certain age with joint issues who wish to challenge themselves athletically? Thanks for you’ve done for me so far and continue to do.

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Crash diets -- those involving eating fewer than 1,200 (if you're a woman) or 1,800 (if you're a man) calories a day -- are bad for anyone hoping to quicken their metabolism. Although these diets may help you drop pounds, that comes at the expense of good nutrition. Plus, it backfires, since you can lose muscle, which in turn slows your metabolism. The final result is your body burns fewer calories and gains weight faster than before the diet. Most Effective Cardio Exercises for Women Over 40
Some days, just making it to midnight without a major catastrophe is an accomplishment in itself. Stress is one of the biggest reasons women overeat, so taking a few minutes each day to unwind is key to your weight-loss success. Soak in a hot bath, light some candles or get out and enjoy the summer sunshine. You started life as a sleek new jet, one that was built to last. Feed your body high-quality fuel, monitor its intake and routinely push your engine's limits to keep it running smoothly. Remember, you are the captain of your plane. Just reach out and take the controls.
Eat clean. Our metabolism gets damaged by the chemicals and preservatives in our foods. Things like pesticides, growth hormones, trans fats, HFCS, etc. have all been linked to obesity and have even been labeled "obesogens" within the health and wellness community. Consume your foods in their most natural form as often as possible and this will have a huge impact on your metabolism overall.
Now, more than ever, you should put down the sugary sweets, calorie-laden drinks and refined flour. These have empty calories that you can't afford regularly, especially when you're trying to lose weight. Pair your protein with 1/2 cup of whole grains, leafy greens and small amounts of heart-healthy fat, such as that found in nuts, avocados, fatty fish and seeds.

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Don’t look know, but kamut is going to be your go-to grain in no time. In addition to being full of Omega-3s and fiber, kamut is also a trusty source of protein; just one cup yields 10 grams. What’s more, per research in the European Journal of Clinical Nutrition, high-cholesterol-ridden folks who swapped kamut in place of refined grains (say, rice) saw their total cholesterol levels plummet to normal within two months.


The paleo diet has been picking up steam over the years thanks to its promise for a fitter physique and optimal health. Everyday Health explains the paleo diet only allows you to eat foods that were available for human consumption millions of years ago. That means all processed foods are out — but that’s not all. True paleo followers also don’t consume dairy, grains, or legumes.

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This can be as simple as doing swings with the kettlebell a few days a week.  Start by warming up with a minute of jumping jacks or jogging. Then, do a minute of push-ups or squats. Move on to your kettlebell swings, squats with weight, or lunges with weights. You could take it a step further with some gym equipment at this point, like bench presses and deadlifts. Just make sure you focus on starting small with correct form–avoiding injury and consistency are keys to success.
IN ALL MY YEARS counseling clients – including many celebrities and dignitaries who must remain unnamed – I've never recommended celebrity-endorsed quick fixes like cleanses over common sense. But whether I like it or not, celebrity fad diets are often mimicked by their fans of all ages, who may be vulnerable to eating disorders and unrealistic expectations about how these eating plans will actually change their lives (or not). Fortunately, there are a few celebrities whose eating, exercise and lifestyle habits my colleagues and I applaud. Here are a few famous folks you can follow with a clear conscious (for now, at least): Lose 10 Pounds This Month: Food to Eat, Exercise to Do, Thoughts to Think
Don’t have a dinner companion? Try eating in front of a mirror instead. According to a study published in the Journal of the Association for Consumer Research, people who ate in front of a mirror were more acutely aware of their poor food choices, finding them less pleasurable. And for more clever hacks, check out these 50 Genius Weight-Loss Motivation Tricks. 

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4. You’ve got some unwelcome guests living in your gut – our gut flora (our micro-organism friends) outnumber our own cells by 10 to 1! You could say we are just providing a home for the billions of them. I’m talking bacteria, yeast, fungus, viruses and parasites. We all have good and bad types and generally they all live happily together, but if you have too many of the bad guys through either too many antibiotics, poor diet, infection or other reasons, then they can hugely impact your weight loss efforts.
So I formulate a plan to really buckle down and get serious: I will eat my burgers on lettuce leaves instead of buns, spiralize zucchini in place of pasta, and abstain when we take the boys to the ice cream shop. I will give up cheese. I will stop making homemade bread. And pie. I will strip my diet of all starches and sugar. Maybe I will go Paleo. Or vegan. I'll do that Gwyneth Paltrow cleanse. And start recording every morsel that passes my lips with one of those calorie-tracking apps.
Instead of ditching carbs or going low-fat, try a diet that's rich in veggies, beans, and legumes to increase your metabolism — and keep your blood sugar from spiking. "Many people think weight is all about calories in, calories out, but quality also matters," says Aunna Pourang, M.D. "[In a 2012 study], low-carb diets showed the most increase in metabolism, but also showed an increase in the stress hormone cortisol. This is why scientists concluded that the low-glycemic diet worked the best." 

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Having a salad for lunch or dinner fills you up with belly-flattening fiber and nutrients, and adding one more ingredient will really stoke your metabolism: salmon. You already learned the metabolism-boosting effects of protein, but with salmon in particular you'll also get a dose of omega-3 fatty acids. In a study published in the Journal of the International Society of Sports Nutrition, supplementing diets with fish oil for six weeks increased lean muscle and decreased fat. Other studies have shown similar effects. Scientists speculate this reaction may be due to fish oil's ability to reduce levels of fat-storage enzymes in the body. 

Organic, local, gluten-free and vegan, the Sakara food plan delivers meals straight to your home or office. It's up to you to decide if you want a one-day cleanse, a five- or 20-day plan, or a three-month subscription. Whitney Tingle and Danielle DuBoise founded the company in 2011 to "promote balance in all areas of life...true health means you're making the right choices for your body because you want to, not because you have to." Customer Iman says of the program, "Danielle and Whitney make quite a pair and all they want is for women to feel good in their bodies. They are sharing their passion for great food, and great style, with the rest of the world."

SOURCES: Madelyn Fernstrom, PhD, director of the University of Pittsburgh Medical Center Weight Management Center and associate director of the UPMC Nutrition Center in Pittsburgh. Pamela Peeke, MD, assistant clinical professor of medicine at the University of Maryland School of Medicine in Baltimore. Michi Yukawa, MD, MPH, acting instructor, department of medicine, division of gerontology and geriatric medicine at the University of Washington in Seattle.

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