And you don’t have to listen to it. “It doesn’t matter what other people think or say about us. Anyone can say anything about anyone, that doesn’t make it true,” says Cynthia Rowland, author and beauty expert. “What matters is what you think and know about yourself.” And you might want to avoid being the target of gossip by avoiding the 40 Things No Woman Should Ever Wear to Work.

Holiday weight – usually all but melted by Valentine’s Day – seems reluctant to budge when you throw your old tricks at it. If it seems that something important has shifted, you’re right. Your metabolism is slowing, and your muscle mass is decreasing. That’s a harsh reality, but there are some new tricks for you to learn to keep spry for years, even decades to come. We’ve listed 40 of them for you here so that you needn’t go gentle into that good night. Beat Menopause Belly Fat by Starving Your Fat Cells (Not Yourself)
“You should also increase your collagen intake because as you age, your ability to synthesize collagen decreases,” says LeVeque. “I always have my older clients use a collagen-based protein in their smoothies versus a plant- or whey-based protein because of that anti-aging piece.” Her two top choices? Vital Proteins Collagen Peptide ($25 for 10 ounces) and Primal Kitchen Collagen Fuel ($36). “Primal Kitchen makes a flavored collagen that my clients usually add to their morning smoothies, and the Vital Protein option offers travel packs that I send to my female clients,” says LeVeque. “You can rip one open and pour it into a cup of hot coffee or tea before drinking it.” women over 40 body transformation | From Fat to Fit
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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A little action between the sheets can mean a lot less weight on the scale. Not only is sex a great stress reliever, helping to lower the amount of belly fat-storage hormone cortisol in your bloodstream, the results of a study published in Breast Cancer Research suggest that even moderate weight loss can help postmenopausal woman achieve a more favorable hormonal balance, making it easier to get in the mood. Fortunately, kicking the 27 Foods That Kill Your Sex Drive off your menu will have your libido soaring in no time. 

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What does that mean for you? That the weight loss process naturally becomes harder as you get older...that's just a fact and accepting it means you can stop punishing yourself or feeling ashamed about your body. Instead of focusing on the negative, focus on the things you can control: Your workouts, activity levels, diet, stress management, sleep management and, most important, your attitude.
Suzanne Somers. Marilu Henner. Dr. Phil. Sylvester Stallone. You name the celebrity and odds are they've got a diet program complete with a book, a DVD, infomercial, and maybe even a line of supplements. And those that don't have their own diet, yet, may be outspoken advocates of the latest and greatest in fad diets from South Beach and Atkins to the new Hamptons diet.

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Have a few cups of java for a metabolism boost, but if you’re never seen without a mug at your lips, that could work against you, says nutritionist Amy Shapiro. Caffeine is a natural appetite suppressant. If you’re constantly consuming it, you may not eat much—or realize how hungry you really are—until you get home for dinner. “Not eating enough throughout the day can make your metabolism sluggish,” she says. “By the time you eat dinner, instead of immediately using that food for energy, your body is aggressively storing it as fat, just in case it will be deprived again.” 5 best abdominal exercises for beginners over 40 from home
Think about it: Say you're twice as active as an influencer you follow. Eat exactly what she eats, and you'll feel way more tired and way more hungry than she is, since your body likely requires more fuel to operate, Dr. Seltzer says. A more appropriate diet that's based on your specific energy needs may involve way more food—like two ice-cream scoops instead of one!—and give you way more energy so you can live your best life, hanger-free.

Slayton says that fortysomething clients come into her office saying things like, “I’m doing the same things I always did to lose weight and they’re not working.” “Of course they’re not,” she says. “With each decade, the weight rules change. Generally, we have to eat less and be more careful to get the same result. Once you realize this, isn’t it kind of liberating?”
17. You’re drinking too much – alcohol, lattes and energy drinks. Too much alcohol can irritate your gut lining, but also encourage you to eat more (those late night carb munchies after too much wine?!). You might think your skinny latte isn’t doing much harm…but there’s a load of sugar in there from the milk, and the caffeine stimulates more insulin production. What about an energy drink? Forget it, all that sugar and caffeine is an insulin disaster!

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When you were young, you probably didn't spend too much time thinking about preparing your body for the future. In your teens and twenties, you're in peak condition and it's the perfect time to start exercising. Cut to 20 years later and, if you didn't start exercising, you probably wish you had since there's something we all start to experience in our 40's—weight gain.

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While quality zzz’s can become ever-elusive as you age from busy schedules, back pain, or menopausal symptoms like hot flashes or insomnia, getting enough sleep is an essential component to weight loss. A good night’s sleep actually burns calories! Plus, studies have shown a strong link between lack of sleep and over-eating the following day. This is because the hormones ghrelin and leptin are thrown out of whack when you don’t get enough sleep, leaving you feeling more hungry but less satiated at every meal, which leads to overeating. 44 Year Old Dad Bod Transformation | Lost Over 50 lbs
Eva Mendez has said she includes rice and beans, a dish she grew up with and adores, in her diet. Whether you're trying to lose weight or not, it's so important to eat foods you love on a regular basis. She also reportedly makes sure to drink plenty of water, which is essential for healthy hydration and to help move foods along in the system. My one caution with prescribing Eva's eating pattern: She's said to eat the same meals for lunch and dinner every day, while I think it's important to have variety in your diet – especially in terms of fruits and vegetables – to give you enough different nutrients. Having variety also helps beat boredom and ensures a great chance of sticking to a plan. Fit and Fabulous at 50: My Amazing Body Transformation. BEFORE & AFTER Weight Loss INSPIRATION!
Want to tell your boss and office cubicle to shove it, but don’t know how and what to do next? Listen to this weekly podcast all about reinventing, redefining and rebranding yourself at a time in your life when you’re finally ready to — midlife! Experts share their insights on taking that first leap out of your comfort zone, and finding what you’re truly meant to be doing.
I was the type of person who up until my late 30s could eat whatever I wanted and never work out and rarely gained a pound. If I wanted to “loose” weight meaning the five pounds of holiday weight I had put on all I had to do was start exercising doing some cardio and it fell off. Then all the sudden that stopped and now I am 20 pounds over weight and almost 41 years old and the only way for me to loose weight is to starve. I have been tested for medical conditions, I do not take any medications. I have been to a nutritionist, several actually. I have revamped my diet, I have done weight watchers, I hired a trainer and I work out 6 days a week. I have been told work out less you will be less hungry, did that nada. Cut carbs, cut diary, tried that too. The conclusion I have come to is that due to my small frame (I am only 5’1) I have to work out daily and not eat more than 1200 calories a day if I want to lose weight. I cannot do that, it makes me utterly miserable and angry. I had my metabolism tested via one of those breathing machines and it was so slow. Doctors will never admit that anyone should eat less than 1200 but my doctor looked at me and basically said 1200 is the maximum you can eat. I have never yo yo dieted, in fact I was never on a diet until I was 38, never needed to be. My Mom had the same exact thing happen to her. At this point I have two choices, be miserable and hungry all of the time, or be 20 pounds over weight and be happy, I chose the latter. Trying to live and eat 1200 calories a day every single day, is not reasonable and is a recipe for failure. I compare this to men who don’t want to admit that as they age they need Viagra. All of them say oh no I have sex like a 20 year old, no you don’t. And they don’t talk about their struggles with each other they just boast. For women I think we may just need to accept that extra 20 pounds that comes along with age, rather than fighting a loosing battle and being miserable. 44 Year Old Dad Bod Transformation | Lost Over 50 lbs

As we age, we tend to become more insulin resistant which can put us at risk for type 2 diabetes. When you eat foods that break down into sugar, the pancreas pumps out insulin to escort the sugar out of your blood.  People with Insulin resistance don’t use insulin effectively so that cells have trouble absorbing sugar which causes a buildup of sugar and insulin in the blood.  Researchers still aren’t 100% in agreement as to why, but at the end of the day, people with insulin resistance gain weight, particularly around the middle.  And some research shows that lack of estrogen may cause insulin resistance.

According to the American Heart Association, individuals who get merely 2 percent of their total calorie intake from yogurt reduce their risk of developing hypertension by 31 percent. That amount to one six-ounce cup every three days. For our money, spring for protein-rich Greek yogurt. You’ll experience higher energy levels and stronger muscle function. 

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The older you get, the more likely it is for your hormones to get out of whack and affect your weight. One main hormone that will be affected is estrogen. Imbalances in estrogen can cause your body to retain more fat and fluid, and can even lead to depression. Another problematic hormone is cortisol, which is directly related to retention of fat in the abdomen. Cortisol is released by stress, and as you age it is also released in higher levels. Though exercise can help alleviate stress and get your hormones in check, you should consult a medical professional for your specific needs.
Gluten-free breads and other products are fooling you with their healthy-looking labels. Studies show that gluten-free replacements of foods that normally contain the protein are not healthier than the real thing — and they’re more expensive. Often, these breads have significantly less fiber than bread made with real whole wheat. As you get older, fiber is one of the nutrients you need the most. It keeps you full and ensures that your digestion keeps moving regularly.

“After age 40, men may lose up to 8 percent of their muscle mass per decade,” Bede explains. A study analysis in Nutrition in Clinical Practice reports that loading up on protein may be enough to prevent or mitigate age-related muscle loss, known as sarcopenia. You may think you don’t need to pile it on now that you’re not pumping iron like you once were, but the researchers recommend middle-aged men still aim for at least 25 to 30 grams of high-quality protein with each meal. 
If you're genetically predisposed to gain weight easily, that may be another strike against you. Even if you don't actually gain weight, you may still gain inches around the waist. This weight gain can be so frustrating, it's easy to become obsessed with losing it, starving yourself or exercising too much or maybe even looking into the latest plastic surgery procedure. Weight Loss Tips for Women Over 40
Sure, we’re in the golden age of television, but one of the easiest ways to increase your over-40 weight loss is by turning off the TV (as much as it may break your heart to miss the latest GoT). A study published in the American Journal of Clinical Nutrition reveals that people who snacked while watching TV ate 10 percent more per sitting than those who focused on their food. Even more depressing, research published in the Journal of Consumer Research indicates that seeing beauty advertisements can trigger feelings of inadequacy in women, which can often lead to emotional eating. 5 Best Exercises For Men Over 40 (AT HOME WORKOUT!)

A little action between the sheets can mean a lot less weight on the scale. Not only is sex a great stress reliever, helping to lower the amount of belly fat-storage hormone cortisol in your bloodstream, the results of a study published in Breast Cancer Research suggest that even moderate weight loss can help postmenopausal woman achieve a more favorable hormonal balance, making it easier to get in the mood. Fortunately, kicking the 27 Foods That Kill Your Sex Drive off your menu will have your libido soaring in no time.

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I eat mostly whole30 (I have 8 ounces of red wine at night). I am 42 year old mother (20 month old and 7 year old) I am having the hardest time losing my BELLY. I was exercising 3 times a week at the gym with circuit training, but my knees are bad so I had to modify all the exercises. Anyway, I just bought book and I am hoping this will help. I have a bad dairy allergy so will need to omit the butter and dairy. Any other advice or help would be greatly appreciated. I hate being a fat mom.
These days, Yolanda Foster is the Master Cleanse’s biggest fan. But before the Housewives fan jumped on the lemon juice bandwagon, Beyonce sucked it down.  She needed a plan that was fast  — like 20 pounds in two weeks fast — for her dream role in Dreamgirls. “Normally they’d just change your makeup or your clothes but I wanted to go the extra mile,” Beyonce told China Daily. “Back in the sixties, models like Twiggy were popular and I knew Deena would have been thin then, so even though I love eating, it was necessary to lose weight really fast because we shot Deena at 36 and then Deena at 16 two weeks later.”

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Getting enough fiber is key to aging well and staying slim. Fiber not only helps keep you full so you can keep your portions in check, but it also helps lower cholesterol levels and keeps digestive system healthy. Several studies have found that increasing fiber intake by eating more whole grains can reduce your total and bad, LDL cholesterol levels, lower your risk for type 2 diabetes and heart disease, and help control your weight. That’s significant considering that heart disease is the leading cause of death for women in the United States, meaning the best diets for women are packed with fiber. Fiber can be found in whole grains like barley, brown rice, quinoa, oats, bulgur, millet, buckwheat, oat and wheat bran, and more. Fruits and vegetables are also great sources of fiber, as are many plant-based protein sources like beans and lentils. And here are 30 ways to get more fiber in your diet without even trying. Women: Why Do I Gain Weight In My 40's and 50's?
In an Orlando Health survey of more than a thousand respondents, only 10 percent of people listed their psychological well-being as part of their weight loss journey. The problem? Not being in tune with your emotions and their connection to food is why nearly 66 percent of people gain weight back after losing it. “Most people focus almost entirely on the physical aspects of weight loss, like diet and exercise,” neuropsychologist and Program Director of Integrative Medicine at Orlando Health Diane Robinson, Ph.D. said in a press release. “But there is an emotional component to food that the vast majority of people simply overlook and it can quickly sabotage their efforts.” To stop emotional eating and unlock the door to weight loss success, try keeping a journal that tracks your food choices and current mood. Then look for healthy and unhealthy patterns, which can help you identify the specific life and emotional connections you have with food.
"The main culprit that slows metabolism and often leads to yo-yo dieting is what I call shrinking muscle syndrome," says Caroline Apovian, MD, director of the Nutrition and Weight Management Center at Boston Medical Center and the author of The Overnight Diet: The Proven Plan for Fast and Permanent Weight Loss. Starting at age 30, most people begin to lose about half a pound of the metabolism-revving tissue each year. Poof! Gone, just like that. And at age 50, the rate doubles. "The average sedentary woman may have lost nearly 15 pounds of muscle by the time she reaches her late 50s, a change that could cause her to gain nearly the same amount in body fat," says Wayne Westcott, PhD, a Prevention advisory board member and the director of fitness research at Quincy College in Massachusetts.

Brenda stated exactly what so many women have struggled with in the past, including me. As a doctor of gynecology, I frequently get 40-something women in my office working through self-sabotaging menopausal issues including hot flashes, low energy, near-zero libido, weight gain, and weight loss resistance. Hormonal imbalances contribute to many of these problems. When hormones like estrogen, testosterone, and dehydroepiandrosterone (DHEA) nose dive, you’ve got the perfect storm for menopausal miseries. But it doesn’t have to be this way!

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Beyoncé is reportedly a fan of the Master Cleanse diet, also sometimes referred to (appropriately in this case) as the Lemonade diet. The Master Cleanse is essentially an all-liquid diet that at its core basically consists of lemonade, salt water, and a laxative herbal tea. If it sounds too good to be true, that's likely because it is. Proponents of the diet claim that it's a panacea for all that ails you; you'll lose weight, feel energetic, and lose your cravings for unhealthy food. 

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As well as having many acting achievements under her belt, Ashley Judd is a passionate advocate of the #metoo campaign. The 50-year old actress was one of the first to open about her sexual harassment by Harvey Weinstein and has been incredibly vocal with her support for others. The stunning brunette recently appeared in Twin Peaks and is more recently known for her lead role in the Divergence series.

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In other words? If certain foods seem to open the floodgates for you without fail, it might be better to steer clear altogether and stick with treats that don't trigger a binge. It might feel tough at first. But instead of seeing it as deprivation, reframe your decision as a choice—and a positive one at that. "Acknowledge that these foods don't work for you and the health goals that are important to you," Cederquist says.
Although it’s true that egg whites are low in calories, fat-free, and contain most of the protein found in an egg, eating the entire egg is beneficial to your metabolism. The yolk contains many metabolism-stoking nutrients, including fat-soluble vitamins, essential fatty acids and—most significantly—choline, a powerful compound that attacks the gene mechanism that triggers your body to store fat around your liver. Worried about cholesterol? New studies have found that moderate consumption of two whole eggs per day has no negative effect on a person’s lipid (fat) profile and may actually improve it.
16. You’re eating on the run and bolting down your food – when you’re busy it’s easy to just scoff something at your desk or in your car. But when you eat too fast, you’re not chewing your food and it can pass through undigested. And stress can add to that by inhibiting your production of stomach acid and digestive enzymes. Not only are you missing the nutrients from the food, but undigested foods can damage your gut lining and seriously hamper your weight loss goals!
As your body gets older, muscle naturally starts to break down and your metabolism slows, which causes pounds to creep on. But by eating protein throughout the day and weight training, you can fight that process, says Ansel. Most of us eat enough protein, but we don’t eat it at the right times, she says. When you eat a majority of your protein at dinner, your body doesn't have time to use it all as energy, so it has to store it as fat. By spreading out your protein intake, you give your body a steady stream that it can use. Aim to eat 20 to 30 grams with each meal and five to 10 grams with each snack.
Small note about research cited in this article: *Always remember: weight loss results & health changes/improvements vary from individual to individual. Just because these studies cite certain data does not mean you will experience these results/outcomes. Always consult with your doctor before making decisions about your health. This is not medical advice – simply well-researched information. Thanks for reading!
Many people become more sedentary as they age because the effects of injuries and impact have made working out a painful prospect. That’s why swimming is a great workout. The fact that it’s low impact is just one reason: It also builds endurance. One study of men and women who engaged in swim training for 12 weeks showed that their maximum oxygen consumption improved by 10 percent, and stroke volume (the amount of blood pumped with each heartbeat, which indicates the organ’s strength) improved as much as 18 percent. Lose Weight For Men over 50 - lose the belly fast - get rid of tummy - stomach fat loss
A 2014 study found that the type of fat we consume might make all the difference. Participants in the study were asked to eat 750 extra calories every day for seven weeks. Those having excess calories from saturated fats had activated cells that promoted fat storage in the belly and increased insulin resistance. However, individuals who had a high consumption of polyunsaturated fats found in fatty fish, nuts and seeds, gained less abdominal fat and were more likely to increase muscle mass instead.
Want to tell your boss and office cubicle to shove it, but don’t know how and what to do next? Listen to this weekly podcast all about reinventing, redefining and rebranding yourself at a time in your life when you’re finally ready to — midlife! Experts share their insights on taking that first leap out of your comfort zone, and finding what you’re truly meant to be doing.

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Small note about research cited in this article: *Always remember: weight loss results & health changes/improvements vary from individual to individual. Just because these studies cite certain data does not mean you will experience these results/outcomes. Always consult with your doctor before making decisions about your health. This is not medical advice – simply well-researched information. Thanks for reading! Jason Statham - Training Strategy at 50 years old

Salma Hayek is indisputably one of the most stunning women in the world. From humble telenovela beginnings, this Mexican/American beauty became a household name after starring in a slew of Hollywood titles. The 51-year-old scored lead roles in Dogma, The Hitman’s Bodyguard and Frida, which earned her 11 award show nominations. She also has two films in post-production at the moment.

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From her pepperoni-pizza pantsuit to her cow print leather top, if you’ve learned anything about Beyoncé lately—aside from the fact that the woman really can wear anything—it’s that she and Jay-Z are on a vegan adventure. The power couple recently embarked on a 22-day plant-based challenge, complete with mouthwatering Instagram pics hashtagged #22daysvegan. But Queen B and her Brooklyn beau aren’t the first to experiment with dieting. Take a look back at some memorable celebrity diets through the years.
“Your 30s are an awesome time,” says Larson. “This is the decade you want to get and stay physically fit, and focus on maintaining.” In your 20s, you could binge on pizza and wine and work it off quickly, but in your 30s, it takes a little longer. As your muscle mass and metabolism dip, you lose the margin for error. You’re also leaning into your career, experiencing more stress. And women are having babies, losing sleep, and get into irregular eating patterns. “Don’t wait to lose the baby weight,” says Larson. “You don’t want to take 5 to 10 pounds with you into the next decade.” The Best Breakfast for Fat Loss

I’ll be sharing a list of 15 things that no woman who is middle-aged and older should have. But this isn’t going to be one of those judgmental lists that makes you feel bad about getting older. This list is meant to be empowering, and help you get rid of the unnecessary clutter that tends to build up over the years! As older women, we have moved into a more mature and practical stage of life, and our homes should reflect that! So get those garbage bags ready, because it’s time to clear out some clutter. :-)
Lastly, keep in mind that the weight loss strategies that work best for you could change down the road. "I find that for women over 40, myself included, it's vital to assess what you're doing each year," Largeman-Roth says. If your progress starts to stall, consider switching up parts of your diet or fitness plan. "Our bodies like a challenge," Largeman-Roth says.
Everybody seemed to want to tell their younger self that the person they’re agonizing over and waiting on will almost certainly not be The One. If someone is giving you the run around, it’s because they’re not moving towards you. Let them go, and concentrate on yourself. It’s easy to get caught up in the drama of it, but if someone is making you feel small, unimportant, or messing with your head, they’re demanding too much from you and not giving back. DUMP HIM. OR HER.
When you were young, you probably didn't spend too much time thinking about preparing your body for the future. In your teens and twenties, you're in peak condition and it's the perfect time to start exercising. Cut to 20 years later and, if you didn't start exercising, you probably wish you had since there's something we all start to experience in our 40's—weight gain. 

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I was the type of person who up until my late 30s could eat whatever I wanted and never work out and rarely gained a pound. If I wanted to “loose” weight meaning the five pounds of holiday weight I had put on all I had to do was start exercising doing some cardio and it fell off. Then all the sudden that stopped and now I am 20 pounds over weight and almost 41 years old and the only way for me to loose weight is to starve. I have been tested for medical conditions, I do not take any medications. I have been to a nutritionist, several actually. I have revamped my diet, I have done weight watchers, I hired a trainer and I work out 6 days a week. I have been told work out less you will be less hungry, did that nada. Cut carbs, cut diary, tried that too. The conclusion I have come to is that due to my small frame (I am only 5’1) I have to work out daily and not eat more than 1200 calories a day if I want to lose weight. I cannot do that, it makes me utterly miserable and angry. I had my metabolism tested via one of those breathing machines and it was so slow. Doctors will never admit that anyone should eat less than 1200 but my doctor looked at me and basically said 1200 is the maximum you can eat. I have never yo yo dieted, in fact I was never on a diet until I was 38, never needed to be. My Mom had the same exact thing happen to her. At this point I have two choices, be miserable and hungry all of the time, or be 20 pounds over weight and be happy, I chose the latter. Trying to live and eat 1200 calories a day every single day, is not reasonable and is a recipe for failure. I compare this to men who don’t want to admit that as they age they need Viagra. All of them say oh no I have sex like a 20 year old, no you don’t. And they don’t talk about their struggles with each other they just boast. For women I think we may just need to accept that extra 20 pounds that comes along with age, rather than fighting a loosing battle and being miserable.

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Hudgens doesn’t shy away from bacon. It’s all part of the High School Musical actress and singer’s keto diet plan, which she says helped her drop 20 lbs from of her 5-foot-2-inch-tall frame in 2017 (in addition to the twice-a-day SoulCycle sessions, that is). Her advice? She told People News in April 2017 that it’s best to view food as fuel. She advises eating the things that give you long-lasting energy, and don’t stress about counting calories.
According to a study in Nutrition, Metabolism & Cardiovascular Diseases, eating just two-and-a-half serving of whole grains—like pearled barley—can slash your risk of heart disease by more than 20 percent. So start your day off right with the tastiest early-morning grain: Oatmeal. For best (in other words: tastiest) results, cover it in berries and cinnamon, both of which have heart-boosting benefits.

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Make sure you eat breakfast. Eating a nutrient-rich morning meal (like oatmeal with almonds and berries, or a spinach-and-feta omelet with a slice of whole-grain toast) shortly after getting out of bed literally wakes up your metabolism. "Eating breakfast gets the engine going and keeps it going," Hyman explains. It's hard to argue with these results: According to the National Weight Control Registry (an ongoing study that tracks 5,000 people who lost an average of 66 pounds and kept it off more than five years), 78% of those who keep it off eat an a.m. meal every day.
Calcium and vitamin C team up well to boost metabolism. Broccoli contains both nutrients, not to mention the kind of fiber that’s been shown to increase TEF. What’s more: Broccoli contains a compound that works on a genetic level to effectively “switch off” cancer genes, leading to the targeted death of cancer cells and slowing of disease progression. One study found men who ate three or more half-cup servings of broccoli per week had a 41 percent decreased risk for prostate cancer compared to men who ate fewer than one serving per week!
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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