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    • Venkat Srinivasan, MD
    • Nathan Bernal, MD
    • Sharvari Parghi, MD
    • Carlos Nieto, MD
    • Priya Padmanabhan RDN/CHC
    • Amy Smith, AGACNP-BC
    • Ilyssa Condra, NP
    • Alberto Vargas, MD
    • Ajeya Joshi, MD
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    • Home
    • Providers
      • Venkat Srinivasan, MD
      • Nathan Bernal, MD
      • Sharvari Parghi, MD
      • Carlos Nieto, MD
      • Priya Padmanabhan RDN/CHC
      • Amy Smith, AGACNP-BC
      • Ilyssa Condra, NP
      • Alberto Vargas, MD
      • Ajeya Joshi, MD
    • SERVICES
      • Primary Care
      • 100 Days to Health
      • Mind Body Wellness
      • SMART
      • Events
    • Lifestyle Medicine
      • Lifestyle Medicine
      • Lifestyle Medicine Tools
    • Contact Us
  • Home
  • Providers
    • Venkat Srinivasan, MD
    • Nathan Bernal, MD
    • Sharvari Parghi, MD
    • Carlos Nieto, MD
    • Priya Padmanabhan RDN/CHC
    • Amy Smith, AGACNP-BC
    • Ilyssa Condra, NP
    • Alberto Vargas, MD
    • Ajeya Joshi, MD
  • SERVICES
    • Primary Care
    • 100 Days to Health
    • Mind Body Wellness
    • SMART
    • Events
  • Lifestyle Medicine
    • Lifestyle Medicine
    • Lifestyle Medicine Tools
  • Contact Us

About Lifestyle Medicine

What you eat, how you exercise, sleep, and work, how much stress is in your life – in short, your lifestyle – has a tremendous impact on your physical health. Many diseases can be prevented, treated, or reversed with lifestyle changes. Lifestyle choices give patients power over their own health outcomes. 

In the year 1900, the most common fatal diseases in the world were infectious – tuberculosis, influenza and diarrheal illnesses. By 2000, heart disease, stroke and cancer were the biggest killers, all with strong connections to behavioral choices. These lifestyle-related diseases are processes that happen gradually over a period of years. A heart attack happens in an instant, but the conditions that create it evolve and build up over time. 

After nearly 20 years of practice, Dr. Srinivasan (Internal Medicine) & Dr. Joshi (Spine surgery) were looking for a better way to help patients achieve their full health potential. They underwent additional training to become certified by the American Board of Lifestyle Medicine. Lifestyle medicine involves the use of evidence-based therapeutic approaches to treat, reverse and prevent chronic disease. This training provides the knowledge to address the root causes of illness instead of simply treating symptoms; while conventional medicine focuses on treating symptoms, lifestyle medicine treats the underlying causes of the disease to create true wellness. Pharmaceuticals play a role when needed, but other scientifically proven modalities also have a place in treatment. 

As diplomates of the ABLM, Dr. Srinivasan & Dr. Joshi have created a practice that  produces the best long-term, sustainable outcomes: a lifestyle medicine-based practice, with treatments from multiple modalities, all validated through rigorous scientific studies.  

Learn More

  

Lifestyle Medicine is based on six pillars: 

· Eat smarter.

· Move more.

· Sleep more soundly.

· Manage stress better.

· Cultivate relationships.

· Avoid risky substances. 

Find out more

Six Pillars of Lifestyle Medicine

EAT SMARTER

SLEEP MORE SOUNDLY

EAT SMARTER

Let food be thy medicine and medicine be thy food.

Hippocrates

Nutrition

MOVE MORE

SLEEP MORE SOUNDLY

EAT SMARTER

Exercise to stimulate, not to annihilate. The world wasn't formed in a day, and neither were we. Set small goals and build upon them.     

Lee Haney

Exercise

SLEEP MORE SOUNDLY

SLEEP MORE SOUNDLY

MANAGE STRESS BETTER

Each night, when I go to sleep, I die. And the next morning, when I wake up, I am reborn.
Mahatma Gandhi

SLEEP

MANAGE STRESS BETTER

CULTIVATE RELATIONSHIPS

MANAGE STRESS BETTER

You must learn to let go. Release the stress. You were never in control anyway.
Steve Maraboli, Life, the Truth, and Being Free

STRESS

CULTIVATE RELATIONSHIPS

CULTIVATE RELATIONSHIPS

CULTIVATE RELATIONSHIPS

Inscrutably involved, we live in the currents of universal reciprocity.
Martin Buber, I and Thou

SOCIAL CONNECTIONS

AVOID RISKY SUBSTANCES

CULTIVATE RELATIONSHIPS

CULTIVATE RELATIONSHIPS

Every form of addiction is bad, no matter whether the narcotic be alcohol or morphine or idealism.

Carl Jung

RISKY SUBSTANCES
Let food be thy medicine and medicine be thy food.

Hippocrates

Lifestyle Nutrition

The American College of Lifestyle Medicine recommends an eating plan based largely on a variety of minimally processed vegetables, fruits, whole grains, legumes, nuts and seeds. Eating whole plant foods is a great way to get in more nutrition with less harm and is one of the best ways to prevent, treat and even reverse many chronic diseases.  

Eat Plenty

  • Vegetables
  • Mushrooms 
  • Fruits 
  • Legumes 
  • Whole Grains 
  • Nuts 
  • Seeds 

Limit/Avoid

  • Sugary drinks like soda, juice cocktails, coffee and energy drinks
  • Processed meats like sausage, bacon, salami, bologna, deli meat 
  • Processed snacks like crackers, chips, pretzels 
  • Cakes, pastries, sweets 
  • Dairy (especially high-fat types with added salt and sugar) 
  • Red meats 
  • Poultry 
  • Eggs 

ACLM Brochure

Lifestyle Activity

The recommendation for adults 18-64 years old is to do at least 150-300 minutes of moderate intensity or 75-150 minutes of vigorous intensity activity weekly along with two or more days weekly of strength training. The more physical activity, the more benefit, but any amount of exercise is better than none.

Moderate Activity

  • Brisk walking
  • Heavy cleaning (washing windows, vacuuming, mopping)
  • Mowing lawn (power mower)
  • Light bicycling
  • Recreational badminton
  • Tennis doubles 

Vigorous Activity

  • Hiking
  • Jogging
  • Shoveling
  • Carrying heavy loads 
  • Bicycling fast 
  • Basketball game 
  • Soccer game
  • Tennis singles 

ACLM brochure

Lifestyle Sleep Health

Sleep is an extremely important part of human health. Negative effects of sleep delays or interruptions include sluggishness, low attention span, decreased sociability, depressed mood, decreased deep sleep, decreased caloric burn during the day, increased hunger and decreased feeling of fullness, insulin resistance and decreased performance.


SLEEP DISRUPTERS

  • Too much food or drink close to sleep time
  • Blue light from phone/computer/television screen
  • Caffeine and alcohol use
  • Stress/anxiety/worry
  • Certain noises/sounds
  • Temperature (too hot or too cold)
  • Lack of daytime sunlight exposure 
  • Medications and medical conditions 
  • Bed partner and/or pets

TIPS FOR BETTER SLEEP

  • Use bed for sleep only
  • Establish regular sleep schedule (same sleep and wake times)
  • Minimize/eliminate bedroom noise and lights
  • Increase daytime exposure to sunlight
  • Move at least every hour during the day
  • Eliminate nighttime caffeine and limit daytime caffeine
  • Avoid alcohol within 3 hours of bedtime 
  • Avoid high-sodium foods close to bedtime
  • Eliminate/limit after-dinner and late-night snacking 
  • Maintain a healthy BMI
  • Stay hydrated during the day
  • Cognitive Behavioral Therapy for Insomnia
  • Exercise 
  • Food choices 
  • Meditation


aclm brochure

Lifestyle Stress Reduction

Stress is unavoidable. How we think about it and how we react to it makes the difference in how it impacts our self-care and our health. While some medicine may help to manage stress, there are many things that you can do to help you manage stress and improve overall health. Partnering with your health care team can help you determine a plan of action for stress reduction.


SELF-MANAGEMENT TIPS

  • Connect with others
  • Get involved in activities 
  • Try different healthy ways to relax (music, exercise, dance, meditation or yoga)
  • Take time for fun creative activities or hobbies
  • Keep a gratitude journal or write about stressful events 
  • Take care of spiritual needs 
  • Make time to laugh (comedy, joke books etc)
  • Avoid caffeine and alcohol 
  • Try deep breathing techniques
  • Get a massage


GOOD STRESS /BAD STRESS

 Not all stress is bad for us; in fact some stress can be helpful for completing important projects, studying for an exam, speaking in public, or accomplishing challenging goals. On the other hand, distress or negative stress is the type of stress that can cause short- or long-term anxiety, decreased performance and lead to poor mental and physical health. Distress can be caused by many factors that differ for everyone. It is important to recognize the things in your life that cause distress, so you can come up with a plan to manage or cope with or view situations differently.


aclm brochure

Lifestyle Social Connections

Social connections and relationships affect our physical, mental and emotional health. Research shows that the single most important predictor of human happiness and long life is having strong social connections. Health-related measures like blood pressure and heart rate improve even with short positive social interactions. Below are some tips that may help you create and keep important connections in your life.


FORMING NEW SOCIAL CONNECTIONS

  • Volunteer; helping others improves health, increases happiness and allows you to meet new people 
  • Connect with a community resource center to find local options 
  • Find online or community groups of those who share the same interests– meetup.com or Facebook groups are a great place to look
  • Join a religious or spiritual group
  • Help at a local animal shelter or adopt a pet to connect with other animal lovers
  • Go to a local sports event, music performance, lecture or art display
  • Help organize community events by joining a steering committee or board
  • Attend community celebrations like parades or walks
  • Take a course at your local library or community college
  • Ask your employer for ways to increase social connections at work


STRENGTHEN SOCIAL CONNECTIONS

  • Take more care to quickly connect with people you see a lot during the week 
  • When possible, stay positive while connecting with others
  • Share new experiences 
  • Make and spend time with others
  • Be there for those who need you
  • Be flexible, supportive and excited about what others are doing in their lives


aclm brochure

Avoidance of Risky Substances

It is well known that tobacco use and drinking too much alcohol increases the risk of many chronic diseases and death. People who are ready can and do quit smoking; there are more former smokers in the world now than there are current smokers. Some treatments work for alcohol abuse. Treatments often take time, different approaches and many attempts. Giving yourself patience as well as getting support from others is an important part of reaching your goals.


EFFECTIVE TREATMENT MODELS

  • Counseling

  1. Individual, group, telephone 
  2. Many quick visits
  3. Longer more intense visits 

  • Medications (anti-relapse) 
  • Counseling plus medication is more effective

Slips and relapses are normal and considered part of the change process. Goal setting, support and persistence is key!


aclm brochure

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