It's tougher than ever for celebrities to live and age under the scrutiny of public pressure, if their continual body-shaming is any evidence. And while some claim to eat cheeseburgers and work out whenever they feel like it, others are taking...unconventional means to trim their waists. Japanese potatoes? Baby food? Whiskey? Ahead, some of the strangest fad diets and anti-aging hacks stars have ever tried.

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Hormonal changes in middle age can wreak havoc on our weight and our waistlines, but boosting the amount of fiber in your diet can help. A study published in the Annals of Internal Medicine reveals that increasing fiber intake helped participants shave off 4.6 pounds over an 8-week period and maintain that weight loss over the course of a year. Even better, dialing up the fiber in your meals can help combat the bloated belly and sluggish digestion that often accompany hormonal changes, like menopause. Don’t know where to find the fiber you seek? Start with the 30 Best Foods For Fiber!
Eva Longoria is best known for her role as Gabrielle Solis on the ABC television series Desperate Housewives. However before she was a sexy Desperate Housewife, she starred in The Young and the Restless. She has been named one of Hollywood’s most beautiful women by several publications, which isn’t surprising. At 43 years, she currently holds modelling contracts with L’Oréal, Hanes, New York & Co, and many others and has recently given birth to her first child.

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Whether it was as the musical jailbird in Chicago or sleek secret agent Oceans 12, Catherine Zeta-Jones is indeed a jack of all trades. The triple threat can dance, sing and act. So it’s no wonder she has such an impressive resume of big-name Hollywood flicks under her belt. She is also highly regarded as one of the most beautiful actresses of all time. With her porcelain skin, perfect bone structure and timeless elegance, it is easy to see why. Catherine is 48 and has two children with husband, Michael Douglas. She is set to star in the Facebook Watch comedy-drama series Queen America.

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The best exercise for weight loss is strength training, or working out with weights. This will not only prevent the muscle loss discussed above, but will also accelerate your metabolism and replace your current body fat with muscle. Strength training provides many other wonderful health benefits as well, including stronger bones, lower blood pressure, a sharper memory, and reduced risks for heart disease, cancer, and type 2 diabetes.

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A new report from the Credit Suisse Research Institute found that more and more of us are choosing whole-fat foods over skim, lite, fat-free or other modern monikers of leanness. And while many health organizations like the American Heart Association still want us to cut down on fat—particularly saturated fat—this full-fat trend may be a healthy rebellion against those decades-old credos, according to recent studies. In fact, people who eat a lot of high-fat dairy products actually have the lowest incidence of diabetes, according to a 2015 study of 26,930 people in the American Journal of Clinical Nutrition. Those who ate a lot of low-fat dairy products, on the other hand, had the highest incidence. The researchers speculated that while calcium, protein, vitamin D, and other nutrients in yogurt are indeed good for us, we need the fat that goes along with them in order to reap their protective effects. These are some of the 20 Best Full-Fat Foods for Weight Loss!
The 36-year-old model's body is so incredible, she's logged camera time for Victoria's Secret and Sport's Illustrated Swim. And her tip for keeping her diet in check is kind of genius: She keeps her bod on display at all times. "Eating smart is all about having an awareness of your body," she explained to Women's Health in 2012. "The most obvious way to do that is by seeing it. So when you're trying to lose weight, spend more time wearing less. I don't think I could eat a plate of nachos naked—could you?"

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According to research published in the European Journal of Clinical Nutrition, the metabolic rate of study participants decreased by up to 78 calories a day with every passing decade, while calorie burn dropped by up to 68 calories a day. While this may mean that it takes more work to shed the pounds in your 40s, it’s far from impossible to do so; in fact, just a few small changes to your usual routine can have you hitting your goal weight before you know it. And when you want to jumpstart that slimdown, discover Why Sunshine Is Your Weight Loss Secret Weapon!

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The Australian trainer – who is also the man behind the bodies of Elle Macpherson and Rosie Huntington-Whiteley – recommends fresh, unprocessed foods and is essentially a low-carbohydrate diet. The diet kicks off with a 14 day kick-start comprising of a protein-heavy meat, eggs and vegetables. After two weeks, fruits and minimal amounts of dairy are incorporated back into the diet.
Believe it or not, it may be the most important meal of the day as far as metabolism (and weight loss) is concerned. Breakfast eaters lose more weight than breakfast skippers do, according to studies. "Your metabolism slows while you sleep, and it doesn't rev back up until you eat again," explains Barbara Rolls, Ph.D., professor of nutrition at Penn State University and an author of The Volumetrics Weight-Control Plan. So if you bypass breakfast, your body won't burn as many calories until lunchtime as it could. That's why it's smart to start the day with a solid 300- to 400-calorie meal; it jump-starts your metabolism.
23. You’re a serial yo-yo dieter – (this was me!) – you’re on the vicious diet treadmill. You’ve done every diet going. You lose weight initially, feel great, finish the diet, and pile it back on again (and some more). We know these diets don’t really work, but each new one has so much promise! And you’ll be more disciplined next time? It’s not about will power though – when you deprive your body of calories, healthy fat, protein or nutrients, it will go into survival mode, trying to protect you. That means your cortisol will rise, your cravings kick in and your metabolism will crash (see no 1, 2, and 20!).
"Protein burns more calories than carbs and fat,” says Bustillo. About 30 percent of the calories in protein will go towards digestion and absorption, whereas that number is only about 10 percent for carbs, and even less for fats. Fiber's another nutrient that costs a little more energy, says Bustillo—so, getting adequate protein and fiber can definitely help maximize your BMR. [WE MIGHT WANT TO LEAD WITH THIS, AND THEN EXPLAIN IT, SO THAT THE READER IS GETTING THE POINT WE'RE TRYING TO MAKE MORE CLEARLY: PROTEIN AND FIBER ARE GOOD.]
Until this point, you've treated annual physicals as optional, but now you need to get serious. Blood pressure, cholesterol, and sugar levels all need routine checks, especially if you know there is a family history of troubles. The ache you feel today could be nothing -- then again, it may have been caused by too much or too little exercise, a diet deficiency, or something more serious. The sooner you catch it, the less damage done. If your knees ache, your back hurts, or you suffer from persistent headaches, see your doctor. Wouldn't you be hesitant to pilot a plane that didn't receive regular maintenance and service?

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Hi, Thanks for this wonderful information. Exercise is one of the most powerful ways to take control of your health. Not only can it prevent heart disease, strokes, metabolic syndrome, Type 2 diabetes, Alzheimer’s and cancer, it has been shown to help with depression, insomnia and stress. I hope this information will really help everyone to get motivated toward the importance of exercises not only for lose weight but to live a healthy life.
Contrary to popular belief, researchers now say breakfast doesn’t kickstart the metabolism and may not be the most important meal of the day. A new study in the American Journal of Clinical Nutrition had more than 300 overweight participants consume diets that included either eating or skipping breakfast. At the end of 16 weeks, dieters who ate breakfast lost no more weight than the breakfast skippers. And a second study in the same journal found eating breakfast had zero impact on resting metabolism. Breakfast is an ideal place to squeeze protein, fiber, and other nutrients into your day, but if the choice is a doughnut or nothing, opt for the nothing. Start your day with lean protein, which burns twice as many calories during digestion as fat or carbs. But don’t stress about squeezing it in before 9 a.m.
Even if you're sitting or lying down while reading this article, your body is still burning calories; the rate at which it does so is called your resting metabolic rate. As you age, your metabolism tends to decelerate by about 5% for every decade of life past age 40, so that if your resting metabolic rate is, say, 1,200 calories per day at age 40, it will be around 1,140 at age 50. My 3 Ways For Men Over 40 To Help Lose Weight
Frustrating? Of course. Impossible? Hopefully not. “You just need to be a little more savvy and prepared,” says Larson. “Be in the best physical and mental health possible right now, so you can move gracefully into the next decade of your life.” Most important, maintaining a healthy weight helps you avoid scary diseases, so you can enjoy a long and happy life—and play with your grandkids.  
Aim for a breakfast that has plenty of high-fiber carbs: When researchers at the University of Sydney in Australia compared the effects of high-fat and high-fiber-carbohydrate breakfasts, they discovered that people who ate the fatty meal got hungry sooner afterward. "High-fiber carbohydrates take longer for your body to digest and absorb than fats; thus they don't cause rapid changes in your blood sugar, so your hunger is kept at bay longer," says study coauthor Susanna Holt, Ph.D. Some good choices: a bran-rich breakfast cereal with low-fat milk; whole-grain toast topped with low-fat ricotta and sliced banana or berries; an egg-white veggie omelette with whole-grain toast. How to Shrink Your Waist & Lose Belly Fat | The Truth

Bodybuilders have long sworn by eating every few hours to keep their muscles fueled, but don’t discount the weight loss potential of three squares a day. A study in the journal Hepatology put two groups of men on weight-gain diets. One group divided the calories among three small meals with snacks in between while the second group ate the same number of calories in three square meals. While both groups gained weight, researchers found that belly fat—the dangerous kind that increases heart-disease risk—only increased in the high-meal frequency group. Overweight Beginner Low Impact Home Workout (Burn 300Cals under 20mins) | Joanna Soh
Not that we should really argue with anyone whose nickname is "The Body," but the supermodel's method to looking so phenomenal at 51 is kind of a headscratcher for those not familiar. Relying on the ideology that an acidic body is more susceptible to disease that can throw metabolism and other things out of whack, Macpherson eats alkaline foods (including whole grains, leafy greens) and avoids things like coffee and alcohol in order to keep her inner pH balance in check. She even cops to taking pee tests in order to make sure things are in order. And she's not the only A-lister who does so: Victoria Beckham, Gwyneth Paltrow, and Jennifer Aniston are also fans—and considering that's pretty much the Good Body Brigade, we'd say they're onto something. How I lost 35 pounds in 3 months| My Weight Loss Journey
When my patients stay in ketosis too long, their bodies become acidic. (When I say acidic, I mean urinary pH, NOT blood pH, which maintains itself.) Acidity creates chronic inflammation that forces their bodies to hold on to fat. That’s why I created the Keto-Alkaline diet and ask patients to shift into an alkaline diet and lifestyle with foods like leafy and cruciferous greens as well as citrus fruits before they go keto, stacking fat loss and other health benefits in their favor. To learn more about how to shift into an alkaline state, please see my guide here.

“Most 40-year-olds can remember the fat-free craze of the ’90s, when Snackwells was king,” says Shapiro. “Well, those days are over.” She advises that you leave the fat-free fake foods behind and enjoy healthy fats that add flavor to your meals and help you fill up with less. “Coconut oil, avocado, nuts, seeds, salmon are rich in vitamins and minerals that will keep you young and fill you up on smaller portions, and therefore fewer calories.” She says.
At 80 years old, Jane Fonda still has a body that would rival any cover girl today. The actress, author, former fitness guru and fashion model has spent nearly 60 years on stage. You may also know her form her work out videos that are out on DVDs. Today, she can be seen playing hilarious, yet glamours lush, Grace on the Netflix original series, Grace and Frankie. She also stars in the soon to be released film, Book Club alongside Diane Keaton, Candice Bergan and Mary Steenburgen.
To clarify, we’re not betting that all the marinaras in the pasta aisle should be avoided like the plague—just some. Processed pasta sauces may contain tomatoes or tomato paste as the first ingredient, but oftentimes, these sneaky saboteurs also contain loads of inflammatory oils, added sugar, and salt. And alfredo sauce is no exception: the creamy white stuff can contain around 20 grams of fat per half-cup serving—an excessive amount to ingest in one sitting. 4 Easy Steps To Have A Flat Stomach After 40 Years.
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You already know to keep calories and fat in check, but you'll fan the flames of your metabolism by putting another nutrient on your radar: protein, the building block of lean muscle mass. Each time you eat a protein-rich food—say, a piece of fish or cheese—your body goes to work, breaking it down into smaller particles called amino acids. "The amino acids enter your bloodstream and are then absorbed by your muscle tissues and other cells," says Douglas Paddon-Jones, PhD, director of exercise studies at the University of Texas Medical Branch. "Once the amino acids end up in your muscles, your body starts putting them back together—sort of like Legos—into your muscle tissue." This is called muscle-protein synthesis, and it's the process your body uses to build and maintain muscle mass.


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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If you’re shuttling little people around all afternoon and evening, it's tough to get a healthy meal on the table before bedtime. “The key is to set aside 15 minutes every weekend to plan a quick healthy dinner for each weeknight,” says Ansel. And they don’t have to elaborate. A turkey sandwich or peanut butter and jelly is better than ordering Chinese food or baking a frozen pizza, she says.  
When it comes to the best workouts for weight loss, neither weights nor cardio can completely move the needle on their own. Interval training is the best way to shed pounds, increase your metabolism, improve your cholesterol profile, and improve insulin sensitivity. At the gym, sign up for a HIIT class, or turn your favorite aerobic exercise, (running, biking, even walking) into an interval workout by adding periods of intense speed (start with 30 to 60 seconds) followed by periods of rest (normal speed) for the same amount of time. Do this six to 10 times to complete a fat-slashing workout. As you get better, slowly increase the amount of time of increased intensity.
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.”

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Thinking about having a cocktail — or two — before dinner? Think again. Having a drink before a meal causes people to eat around 200 calories more, several studies show. Drinking with dinner isn't such a good idea either: Other research has found that the body burns off alcohol first, meaning that the calories in the rest of the meal are more likely to be stored as fat. If you do have a cocktail craving, stick to wine, which packs only 80 calories a glass — or minimize the calories by drinking a white-wine spritzer (two ounces of wine mixed with two ounces of seltzer).

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The powdered stuff that dissolves into your cup of Joe and transforms it from dreary to creamy contains some unexpected ingredients. Sodium aluminosilicate, which is added to the creamer as an anti-caking agent, is also found in detergent and has been found to cause skin, eye, and respiratory irritations. Not only that, Coffee Mate’s Original also contains hydrogenated vegetable oil, which adds to the heart-harming saturated fat content. If you’re not dairy-averse, you’re better off getting healthy fats from a splash of heavy cream or even opt for nut milk.

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.


Bodybuilders have known for years that strategically placed ‘cheat meals’ can help prevent the metabolic slowdown mentioned above. One meal every five to seven days that contains as many carbs and calories as desired can work. Just make sure not to make a habit out of cheat meals. In fact, you could also just as easily eat clean each day and meet your calorie needs, rather than consistently depriving yourself, then occasionally indulging.   Women Hormones and Weight Gain After 40
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?

Iron deficiency affects more than 1 in 5 women in the U.S. Being deficient in essential minerals can show up in all kinds of ways, such as fatigue and anemia, but an iron deficiency can also be a blow for getting into your skinny jeans with relative ease. See, your body can’t work as efficiently to burn calories when it doesn’t have what it needs to work properly. A cup of lentils, it turns out, provides over a third of your daily iron needs. Legumes like lentils also have been shown to drive down bad cholesterol and blood pressure. That’s why they’re one of the 7 Best Foods to Eat for Rapid Weight Loss! How I lost 50 lbs at 47 years old | My Weight Loss Journey
You've heard this one before, but it's worth repeating! Eating smaller meals more often throughout the day can help fire up your fat-burning furnace. Susie Akers, director at the Aamoth Family Pediatric Wellness Center at MetroHealth and gastroenterology dietitian, recommends you consume at least three to four times a day instead of only one to two times to keep your metabolism up and avoid excessive portions with large meals.

Adding interval training — bursts of high-intensity moves — to your workout is a great metabolism booster. "Studies have shown that people who do interval training twice a week [in addition to cardio] lose twice as much weight as those who do just a regular cardio workout," says obesity specialist Aronne. You can easily incorporate interval training into your workout by inserting a 30-second sprint into your jog every five minutes or by adding a one-minute incline walk to your treadmill workout. "Since your body is working harder, it's a more intense workout -- and you therefore burn more calories," says Westcott. On other days, shake up your routine with 40 minutes of cross-training. Ideally, aim for two 20-to-40-minute interval-training sessions and two 20-to-40-minute cross-training sessions a week.
Swap out your traditional add-ons for a dash of cinnamon. According to a study in Diabetes Care, a mere half a teaspoon of cinnamon per day can set your blood sugar, LDL cholesterol, and triglycerides levels straight—and will reduce your calorie intake by 70 calories per cup. Small wonder that this simple swap is one of the 15 Best 60-Second Health Hacks.
Our bodies need dietary fat—particularly healthy oils—in order to lose weight and function properly. The right kinds of fats and oils help quash hunger, maximize your metabolism, and speed nutrients through your body. Healthy monounsaturated fats like olive oil can actually help the body to burn calories. Extra virgin olive oil may also increase blood levels of serotonin, a hormone associated with satiety. Plus, olive oil is also loaded with polyphenols, antioxidants that help battle many diseases such as cancer, osteoporosis and brain deterioration.

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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.” Cheap Bodybuilding Foods (Bodybuilding On A Budget)
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!

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One thing that I have experienced and is also generally accepted is the benefit of good sleep. Or more the negative effect of not sleeping enough. Growth hormone is primarily released during sleep (deep if I remember correctly). Not sleeping enough or too light (due to stress) means less or no hormone is released. So even if you do everything right, but not sleep enough, you will still have problems with losing weight (or gaining muscle)

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Now’s the time to wear what you like. “Women in their 40s are going to express themselves by wearing what feels authentic, no matter the societal trends, opinions or ‘likes’ of others,” says Dr. Karin Luise is an integrative therapist, author of The Fatherless Daughter Project. And women over 40 definitely know not to wear the 30 Ugliest Dresses Ever. 

At 41, these are the things that I notice the most. My body does not bounce back as easily as it once did and I have to work a lot harder to manage my weight. Genetics play a role in the aging process, but our lifestyle choices can help dictate how well our genes treat us as we get older. After turning 40, these are six of the top lifestyle habits to focus on.
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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In order to gain more muscle weight for the job, he toldEntertainment Weekly that he packed on the protein (unsalted chicken and spinach), though his eating schedule was more...unorthodox. Called the "16-8 Diet," Jackman would fast for 16 hours of the day and then eat 5,000 calories in eight hours (about twice the recommended daily amount for men).

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Many women have trouble sleeping during menopause due to hot flashes, night sweats, stress and the other fun stuff that goes along with low estrogen levels.  Migraines anyone??  The bummer is poor sleep is linked to hunger and weight gain because of two more hormones:  ghrelin (the “feed me” hormone) and leptin (the “I’m full” hormone).  Here’s a short blog I wrote on that topic.  If you’re sleep deprived, these hormones get out of whack. Workout For Older Men: The A-40 Core Set
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.
The 36-year-old model's body is so incredible, she's logged camera time for Victoria's Secret and Sport's Illustrated Swim. And her tip for keeping her diet in check is kind of genius: She keeps her bod on display at all times. "Eating smart is all about having an awareness of your body," she explained to Women's Health in 2012. "The most obvious way to do that is by seeing it. So when you're trying to lose weight, spend more time wearing less. I don't think I could eat a plate of nachos naked—could you?"
“Many women find themselves sacrificing so much for their significant others, their children, their careers, and their volunteer service that by the time 40 hits, they haven’t done anything for themselves in years,” Honaman points out. “Retirement and empty-nesting will be here sooner than you think. Figure out who you are, and what you enjoy, so that you don’t wake up one day, look around, and wonder who that person is in the mirror.”

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There’s a lot of advice out there, but having a go-to mantra that gives you strength can be a powerful weapon in your weight loss arsenal. “There will always be another meal” is just one of the 25 Weight Loss Mantras Nutritionists Swear By and The Nutrition Twins explain that they came up with it because people all too often eat as if they’ll never have their favorite foods again. Find your mantra and make it work for you! How To Build Muscle After 50 - With Lee Labrada
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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