A Guide to Good Sleep Hygiene

You’ve been thinking about it all day—the moment your head would hit the pillow and you could finally shut your eyes. But there you are, once again… and that five-letter word, SLEEP, is elusive and just out of reach.

Whether it’s falling asleep or staying asleep, you have plenty of company if the above scenario describes you on a regular basis. According to a new report from P&S Market Research, the sleeping aids market will be worth $101.9 billion by 2023—that forecast is attributed partly to the growing prevalence of insomnia and a surge in the demand for sleeping pills because of our stressful lifestyles.

But you don’t have to visit your medicine cabinet to get a better night’s sleep. Practicing better sleep hygiene can work wonders to improve your nightly snooze session. We sat down with Lisa Morrone, P.T., author of Sleep Well Again, to get some pointers.

Be Well Lynchburg Editor Shelley Basinger:

Lisa, you’ve really done your homework on sleep. What moved you to focus on this topic?

Lisa Morrone: When I started doing research for my book Get Healthy…for Heaven’s Sake, I included a chapter in it on the subject of sleep. As I researched, I found quotes from sleep researchers who said sleep is the most important predictor of longevity. It wasn’t obesity, as many people might think. It’s actually being sleep deprived. When I found that out, I said to myself, “I need to write a whole book on this.”

SB: Where do you think, as a society, we went wrong?

LM: Back before electricity we couldn’t be sleep deprived because the sun would set and our candles would burn down. Once we had electricity, our workdays started to spread. With cell phones and laptops, we started to pack more and more into our schedules. We feel like the more we can cram into a day, the more productive we are. We squeeze our hours of sleep from 7 or 8… down to 5 or 6.

And because many of us can get up after 5 or 6 hours and “function,” we think we’ve beaten the system. But we haven’t because our bodies were created to sleep one third of the time that we are alive in order to be well.

SB: If we aren’t getting that extra hour or two at night, what’s happening to our bodies?

LM: Sleep deprivation has some consequences which are obvious. Brain fog—you aren’t thinking clearly, you are more accident prone, you might fall down the stairs or even get into a car accident.

But there are some non-obvious consequences to chronic sleep deprivation. Our bodies need those 7 or 8 hours each night to repair, restore, and replenish everything from our nerves to our muscle cells to our hormones. So, if we take some of that reparative time away, we accelerate our aging, our organs can become diseased and we can even gain weight as a result.

SB: How is weight gain connected to sleep?

LM: Our brains produce two hormones, one hormone that tells our body when it’s hungry and another that tells our body when it’s satisfied. A full night of sleep will allow us to produce a balance of hormones that regulate hunger. But when you are sleep deprived, you make more of the “I’m hungry” hormone and less of the “I’m satisfied” hormone. So you are left with a chemical imbalance which expands your waistline.

SB: You mentioned longevity earlier. How much can chronic sleep deprivation shorten our lifespans?

LM: Most studies state lifespans are “statistically” decreased. Some have found lifespans can be diminished by a full four to seven years! Interestingly, studies have shown sleeping less than 7 hours a night on a regular basis decreases your longevity…. as does sleeping more than 8 hours on a regular basis. We have this sleep window, between 7 and 8 hours, which is perfect for our bodies.

SB: When we hear the word “hygiene,” we usually think about brushing our teeth and washing our face. How does that apply to sleep?
LM: Hygiene is defined as the practices and conditions that are conducive to maintain our health and prevent disease. So when we are talking about sleep hygiene, we are talking about the specific practices and conditions that can help us get a good night sleep.

SB: Where should we start?

LM: The first thing we need to do is we need to keep a consistent “to bed” time. Most people think they can have one bedtime during the workweek and another on the weekends. But because we have a biological clock which regulates our sleepiness, we need to keep our bedtime as consistent as possible. If you have to be up at 6 a.m. during the workweek, count back 7 or 8 hours and that’s your bedtime.

SB: What about our eating/drinking habits?

LM: To enhance sleepiness, you should not consume caffeine after about 4 p.m. The half-life in caffeine is about 6 hours. I also tell my patients not to drink alcohol after about 7 p.m. because the half-life of alcohol is 2 to 3 hours. People think alcohol is a sedative since it helps them wind down and fall asleep. But it has been proven to disrupt deep sleep and dream phases of sleep. That’s when you are getting the most restorative sleep.

SB: Seems like we need to really be focusing in on those final few hours of our day.

LM: Exactly, for example, you don’t want to exercise too late at night. When your body temperature is elevated and your metabolism is revved up, that’s going to disrupt your sleep cycles. Another thing we do, which works against a good night’s sleep, is work late at night. We sit in our beds with our laptops open, answering emails right up until lights out. An hour before bed, it’s best to shut your laptop down. Coming into those bedtime hours, you shouldn’t be reading work emails or engaging in stressful conversations with your family. Save all that for tomorrow.
SB: What can we do to make our homes and bedrooms more sleep-friendly?

LM: It all starts with lighting. As the sun starts to go down, our bodies are cued to naturally make melatonin. This is the hormone that makes us sleepy and sustains our sleep throughout the night. If your pre-bedtime environment is too brightly lit, you won’t produce enough melatonin. So, dim your house lights an hour or two before bedtime. Inside our bedrooms, we also need to look around and remove anything that makes the space less peaceful. If there are piles of laundry, move those to another room. We also need to remove stimulants—if your phone is a stimulant for you (this is especially important for teenagers), leave it in the kitchen and use an old-fashioned alarm clock instead. I also don’t believe there is any reason to have a TV in your bedroom—your bedroom should be for sleep and sleep only.

For a more in-depth read on the topic of sleep, pick up Lisa’s book, Sleep Well Again, and visit her at lisamorrone.com.




Fitness at Your Fingertips

Too busy to hit the gym? Want to make changes in your diet but aren’t sure where to start? Searching for new ways to relax? Look no further than your fingertips.

Below, we’ve rounded up five of our favorite smartphone apps that can help you reach your health and wellness goals. All are available on Google Play and the Apple App Store.

Headspace

Limited version is free. Monthly subscriptions start at $7.99/month.

Meditation is more popular than ever, and no app makes it easier to practice mindfulness than Headspace. This app lets you pick a guided meditation based on your needs—focus, self-esteem and anxiety are just a few of the categories to choose from. For more personalized daily meditations, Headspace offers an upgraded membership.

Lifesum

Monthly subscriptions start at $3.33/month

Celebrity sponsors and fitness junkies alike agree that Lifesum is one of the best apps to track what you eat. The app allows you to pick one of three goals: weight loss, weight maintenance, or muscle gain. From there, Lifesum creates a personalized daily calorie, carb, fat and protein goal. Lifesum also has a barcode scanning feature that makes logging your meals easier than ever.

8Fit

Free for limited workouts. $60/year for the “pro” plan.

8Fit is the one stop shop of health and fitness apps. In the app, you’ll find guided high intensity interval workouts, customized meal plans and a community of users encouraging each other and sharing their progress. Whether your goal is to drop some pounds or to gain some muscle, 8Fit has the tools you need.

Sleep Cycle

Free. Premium subscription is $30/year.

Sleep Cycle determines what stage of sleep you are in by tracking your movement as you snooze. Using this technology, the app wakes you up in your lightest stage of sleep within 30 minutes of your designated alarm time. Sleep Cycle users boast increased sleep quality and feeling rested throughout the day.

Johnson & Johnson Official 7 Minute Workout

Free

The 7 Minute Workout is perfect for those just dipping their toes into the fitness world. This app offers workouts you can do from the comfort of your own room—no equipment needed! The short, personalized workouts are great for a fitness newbie.




#BeWell Lynchburg

From mountaintop yoga to back porch gardening, here’s a look at how some of you are incorporating fitness and nutrition into your lives. Share your wellness moments with us on Instagram by using the hashtag #BeWellLynchburg!

Hannah went running after a long week and wrote: “I’m gonna be a bit biased here and say Lynchburg has the best trails to run on! They are so beautiful!” We agree with you, Hannah!

In May, Adam Hopkins enjoyed a “beautiful day for a hike up with friends to Sharp Top Mountain.” The view from the Bedford County apex made him say… #itsagoodlife.

Some serious girl power shown by Align Athletics in this photo with the caption: “What are you missing out on for fear of looking dumb or trying new things that look intimidating?”

Emily Paulsen and her husband are “testing out” their green thumbs with these back porch “cuties.” Her goal: #pleasedontdie. Best of luck to you, Emily!

Yoga teacher Shelby struck this pose on top of Cole Mountain in the George Washington National Forest. (Read more about that hike on page 15.) Follow her on Instagram at shelby.nc and see other cool moves in picturesque places.




Weighted Blankets Demystified

Right now there’s a smooshed pile of navy blue velvety fabric lying next to me. It looks like any other blanket, but try to nudge it with your foot, and you’ll be in for a surprise when it doesn’t budge! Like other weighted blankets, this unassuming covering carries some serious impact—15 pounds to be exact. And, yes, my family has one because I jumped on the weighted blanket bandwagon. If you haven’t noticed, mainstream consumers are quickly buying up these heavy coverings in droves.

A quick read of current headlines reveals the most likely reason for such growing interest in these unique blankets: “A Lot of Americans Are More Anxious Than They Were Last Year” (TIME, May 2018) and “Americans Are Stressed Out, and It Is Getting Worse” (Psychology Today, November 2018). Plus, the American Psychological Association released the results of their annual stress survey in late 2018, finding that up to 90% of high school and college-aged students report that they experience stress symptoms in their regular lives. So, with promises of better sleep and reduced anxiety largely driving the weighted blanket trend, a holistic, natural stress reducer is an attractive option!

But do they really work, and if so, how? We broke it down for you so you can decide whether a weighted blanket is in your future.

Why the weight?

According to Annetta Stolvoort, an Occupational Therapy Assistant providing care at The Summit Health and Rehab in Wyndhurst, the weight in these blankets provides “constant, deep pressure” when you place one on top of your body. Having used one, I can say that the weight can be strange at first and somewhat restricts quick movements. But the reason for this pressure is that it “triggers the part of your nervous system that is responsible for rest and relaxation—the parasympathetic nervous system” to be exact, Stolvoort explains. Similar to the calm, warm feeling you may experience after a long hug with a loved one, weighted blankets cause your brain “to release the ‘feel good’ hormones of dopamine and serotonin,” Stolvoort says, “making you feel more attentive and restful.” Psychology Today says that weighted blankets provide the sensation of a “cocoon” and “reassuring” feelings; they essentially counteract over-stimulation with their firm and consistent pressure. The result is a stronger sense of wellbeing and peacefulness.

And the benefits are?

“The use of weighted blankets has helped the general population of both kids and adults with reducing stress,” Stolvoort says. Historically, they have been effective in helping kids with ADHD, Autism Spectrum Disorder or anxiety-related issues because having this weighted pressure over the body can “help reduce instances of aggression through the calming effect it has on the brain and body.” Stolvoort currently uses the blankets with her elderly patients who have dementia because “the added pressure of a weighted blanket on their laps or around their shoulders provides sensory input through the muscles and joints to their brains that can have a calming effect.” She adds that if the blanket is also slightly heated it provides an “added sensory bonus.” Psychology Today says that weighted blankets could help those who suffer from insomnia though more studies are needed to support the currently anecdotal evidence. Psychology Today also reports that many studies support the benefits of touch or pressure in “lowering blood pressure, heart rate … and the stress hormone, cortisol.” Additionally, Psychology Today reports, “Touch strengthens our immune system [and] boosts blood circulation.”

Ready to try it?

The Strategist, an off-shoot of New York Magazine, recommends choosing a blanket that is 7 to 12 percent of your body weight. That means a 150-pound individual would look for a blanket that’s 15 pounds, which is one of the popular sizes. With all of the growing consumer interest, options abound. But like most purchases, quality does matter. Consider weighted blankets made with durable fabric or even removable covers for easy washing. The weighted filler should be evenly distributed, which is why most blankets have a grid-like appearance. Average costs, according to The Strategist, run from $65-$85, and most retailers carry a selection of sizes and colors.




Farmer’s Market Round Up

Turmeric Relish—

Don’t even get us started on the amazing ways turmeric can improve your health. While many people are familiar with the powder form of this inflammation-fighting spice, Nisani Farms—a local farm that specializes in certified naturally grown ginger and turmeric—gets creative with this tasty relish. Available at the Forest Farmer’s Market—check Facebook to see a vendor schedule each week.

Microgreens—

These sprigs fresh from the SoulShine Farms greenhouse are small but mighty. According to studies, microgreens have a high antioxidant content, which means they can promote good overall health. Available seasonally (mid-April to October) at the Lynchburg Community Market.

Heritage Corn Flour—

It doesn’t get much fresher than this, folks. Jimmy’s Cracked Corn in Goode is a newer addition to the local farming scene with corn flour, corn meal and other products made within 24 hours of their sale on Saturday mornings. The corn is from an 1860s heirloom seed, adding a pinch of history into your next batch of muffins. Available at the Forest Farmer’s Market—check Facebook to see a vendor schedule each week.

Rainbow Chard—

Add to your salad’s visual appeal with rainbow chard from the family-owned, no-spray Archlynn Farm in Charlotte Court House. These colorful leaves make a bold statement but actually have a slightly milder taste than spinach. Archlynn Farm is open year-round in the Lynchburg Community Market.

Chickweed Tincture—

An herbal tincture is a concentrated liquid form of herbs that uses alcohol as the solvent. The benefits of chickweed are broad—from improving your skin to relieving pain—making this one of the top tinctures sold by Wild Patch Herbals. Add a drop or two to your next cup of tea for a mid-afternoon boost. Available at the Forest Farmer’s Market—check Facebook to see a vendor schedule each week.

Herb Garden Starters—

From chamomile to peppermint, the sky’s the limit for your next home herb garden. These starters from Great Day Gardens make it easy to grow delicious, fresh herbs right outside your kitchen. Available seasonally (mid-April to October) at the Lynchburg Community Market.

Free Range Eggs—

Whip up your next omelet with fresh eggs produced by free range chickens. Seeds of Faith Farm raises chickens as well as ducks on their property in Brookneal—and you’ll even find them selling emu eggs from time to time. Available at the Forest Farmer’s Market—check Facebook to see a vendor schedule each week.

Bedford-Grown Peaches and Apples—

You will taste the difference in these mountain-grown peaches and apples from Gross’ Orchard. The family-owned and –operated orchard is located at the foot of the Peaks of Otter. Find them at the Bedford Farmer’s Market or visit www.grossorchards.com to learn more.

Local Organic Pastured Pork—Hog Haven Farms is getting rave reviews for its meats, especially the bacon and sage breakfast sausage. Their products are USDA certified, USDA inspected/processed and contain no MSG or nitrates. Find them at the Bedford Farmer’s Market.

Homemade Breads, Rolls & Focaccia—

The Lynchburg-based Kay’s Culinary Creations uses wholesome ingredients to create these super yummy breads that have people lining up on Saturday mornings. Find them at the Bedford Farmer’s Market.




The Cole Mountain Loop

Wait—or is it Cold Mountain? Apparently both names are acceptable for this hike in the George Washington National Forest. (But Cole is the “official” one.)

Hikers of all skill levels are welcome on this loop that’s a part of the Appalachian Trail. You can make it a workout… or take it slow and observe nature along the way.

The best part about this hike—the Cole Mountain apex is a nod to The Sound of Music (you know, the part at the very beginning where Julie Andrews is running through the field surrounded by gorgeous mountains). After making the trip up to the top, Cole Mountain hikers reach a wide-open pasture with panoramic views on all sides. It’s the perfect backdrop for selfies, professional shoots, or even a song from your favorite musical. Once you see the view, you may be moved to do pretty much anything.

Our advice? Put this hike on your bucket list, immediately, if it isn’t already.

How to Get There:
Take Route 60 west out of Amherst. Turn right on Coffeytown Road and then another right on Wiggins Spring Road. (Note: Wiggins Spring Road is a forest service road. The drive can get bumpy.)

Where to Enter:

The parking area is at the end of the trail but you enter about .2 miles north, on the blue-blazed Hotel Trail. Follow those blue blazes to stay on track.

Take It a Step Further:

Make the hike longer by combining the Cole Mountain loop with the nearby Mount Pleasant hike on the next ridge. Together, they make an 11.3-mile circuit. Be sure to pack a backpack and plan accordingly for this longer journey.

Photos by Cody Ross:

“My wife and I have hiked Cold Mountain three times this past year and love the uniqueness of its summit. Instead of the rocky peaks you find atop other Virginia trails, when you get to the top of Cold Mountain you step into a vast pasture with 360-degree panoramic views all around you. It doesn’t feel like it belongs in Virginia. We also love Cold Mountain because if you take the short way to the top you can be there in 30 minutes, making it a great place to take friends and family who can’t handle longer treks but want to experience the amazing views of the Blue Ridge Mountains.”




Great Strides

Improving Walkability in Local Communities

By Emily Mook & Shelley Basinger

How often do you walk to the store, to your child’s school, or to work? Maybe these places are too far from where you live. Or—maybe there really isn’t a safe route to get you there.

According to Anne Nygaard, a planner in Lynchburg’s office of community development, many communities used to be a lot more walkable. In fact, walking to school or to the store was common in the mid-20th century. “But in the ’50s and ’60s we sort of stopped building sidewalks and started prioritizing the car over multi-modal transit. People returned from war, got their car and their single-family house out in the suburbs. This was a nationwide trend,” she explains.

Thankfully, that trend is shifting—and we are seeing walkability become a priority once again across Central Virginia.

In Bedford, the Central Virginia Planning District Commission is in the process of preparing the town’s “Bike|Walk Plan” in an effort to help people connect to and through the community and to promote a healthy and active lifestyle. Mary Zirkle, the town’s economic development coordinator, proposed the plan to the CVPDC in spring 2018, and they agreed to help make it a reality. “This plan didn’t intend to reinvent a wheel but to bring together past ideas and current projects with next step ideas,” Zirkle says.

“It allowed us to look at what was suggested and completed in the past and pick up from other plans as well as ideas from new public input.”

A public open house held in late 2018 provided valuable insight in terms of Bedford citizens’ specific needs and wants. “One of the most important aspects of the public meeting was having people draw where they currently walk or bike around and out of town,” Zirkle notes. “It was very illustrative to have them show us how they use the public space now and where they have issues or concerns.”

Additionally, a survey made available to the public for two months gleaned detailed and helpful results. “Simple things like the condition of sidewalks, the lack of crosswalks, and the limited number of bike racks were brought up. The need for a bus was also mentioned several times,” says Zirkle.

The survey also indicated that Bedford’s famous walking “Loop” could use some updates and gave citizens the opportunity to rank five major projects in order of importance.

Because the plan is still in its draft stages, the order and exact parameters of these items are subject to change. That said, the survey results indicate that the order of importance is as follows: first, the trail connecting Liberty Lake Park to Falling Creek Park; second, the trail connecting the D-Day Memorial to downtown Bedford; third, the trail connecting the Bedford YMCA to Liberty Lake Park; fourth, a bike route from the town to Peaks of Otter along Route 43; and fifth, Little Otter River Greenway connecting Route 43 and 122.

In addition to these five projects, Zirkle says there are a few basic initiatives that should be addressed promptly such as repairing current sidewalks and installing new sidewalks and bike lanes throughout town.

While improved sidewalks and other pedestrian updates were ignored for decades in Lynchburg due to a suburban zoning ordinance that was adopted in the ’70s, there has been a renewed focus on walkability in the city over the past 20 years. In 2013, the city adopted the “Better Streets Policy” into its comprehensive plan, a move that said city officials were committed to building sidewalks and making other pedestrian and transportation related–improvements. Then in 2016, the city adopted a zoning ordinance update that requires developers to include sidewalks in their plans. “[The ordinance] does not emphasize exactly how the sidewalks will look, but this does address the pure safety aspect of making sure residents can walk in these areas,” says Nygaard.

For example, Nygaard mentioned the Wards Road area, which saw its biggest boom of growth in the ’90s. At the time, there were no requirements for any sidewalks. As a result, the city has been working over the past decade to make that area walkable—and safer—with the addition of the pedestrian bridge and connecting sidewalks/paths.

Nygaard says the quality of the walking environment is also a crucial component of their plans—especially when the goal is to change a person’s mindset.

“You have some people who have the choice to drive or walk. How do we get them to choose to walk more?” she asks, explaining that street trees, crosswalks and connectivity to other parts of town make walking more enjoyable and ideal.

Also, the Downtown 2040 master plan released in late 2018 includes a chapter on mobility and calls walking “transportation’s lowest common denominator.” It says with each downtown project, walkability will always be prioritized.

When listing off all of the proven benefits of walkability, Nygaard mentions improvements in safety, the environment, the economy, social equity, and the promotion of a healthy, active lifestyle.

“Just the idea of making sure you have some level of exercise worked into your day.

Also, having places to run and bike, too,” she says.




A 20 Second Transformation

The story behind a “game changing” smoothie company that formed its roots in the Hill City

If it wasn’t for a chance encounter at a Christmas party in Lynchburg over a decade ago, Tiffany Tatom might never have met Mary Cope. But meet they did—and over a three-hour conversation, they realized how much they had in common. They also had no idea at the close of that conversation they’d one day go into business together as health coaches and, later, as the founders of Live Pure Smoothie Cubes.

During that first meeting, Mary told Tiffany she was currently enrolled at the Institute for Integrative Nutrition (IIN) in New York City. Meanwhile, Tiffany had been suffering with digestion issues since childhood. She had seen countless doctors, who had run many tests, but no one could give her any answers—and no one ever asked what she was eating. At the age of 30, she developed a perforated ulcer in her stomach and had emergency surgery. Years after the surgery she continued to suffer and desperately wanted relief.

A week after meeting Mary and learning about IIN, Tiffany signed up as well and started working toward her career as a health coach. “I learned about every diet imaginable and was taught from the most prominent doctors from all over the world. I began learning about my body and the connection between food allergies and intolerances and how they can affect our digestion,” she explains.

On a personal level, she realized she had many food intolerances that were causing those painful stomach issues. “As I learned about what did and did not affect me, I slowly modified my diet and my life literally changed. I rarely have any symptoms, have so much energy and overall feel great,” she says.
After graduation, Tiffany began health coaching—teaching clients to read nutrition labels, “clean” up their pantries, cook healthy meals, make good choices at the grocery store, and use diet journals.

Then in 2013, Tiffany and Mary joined forces to start a corporate wellness company where they worked with more than 1,000 people. They kept hearing the same complaints—clients wanted healthy food… fast. “We found that people are simply confused by what to eat and often feel defeated. We had to reteach their brains to eat real, whole food,” Mary says. “We also taught people how to prepare food quickly. Everyone is so busy and preparing a healthy meal seems daunting. We took their favorite recipes, cleaned them up and made sure they had a feasible list of go-to items.”

The women also wanted to get greens into everyone’s breakfast but knew no one wanted to start the day with a salad. That’s how they ended up in the smoothie business.

“We wanted to offer something that hit all the marks for all walks of life. Fast and delicious—no more throwing out old produce—and fuels you to get to the next meal,” Mary says.

Their green smoothie, they now call the Game Changer, was born. It includes greens (such as spinach) for energy, peanut butter to keep you full, cinnamon to reduce inflammation, as well as a date, a banana and probiotics. It helped their clients cut down on processed sugar, gain energy, lose weight and so
much more.

But even with those incredible results, they didn’t stop there. Once Tiffany and Mary perfected the Game Changer recipe, they pictured their smoothie arriving ready-to-go in a neat cube. All someone would have to do was add a liquid, blend and sip away.

After a trial and error process—a lot of taste testing, dumping and starting over—the superfood smoothie cube was created.

“The hard part is getting all the nutritionals to meet our standards while keeping the flavor and consistency on point. It’s easy to make a smoothie taste great with lots of dates, bananas, and honey. But we wanted to keep our smoothies with no more natural sugar than if you were to eat an apple,” explains Tiffany. “I can tell you once we got it right we both knew it. Especially when we would taste test them with kids. Kids don’t lie.”

In 2017, they launched Live Pure Smoothie Cubes, which can be shipped to every state in the US except Alaska. They currently have seven flavors that can be mixed and matched to create well over 15 smoothies.

For flavor inspiration, Live Pure looks at flavors in ice cream, blended coffee drinks, and juices. They follow the trending ingredients but also utilize classic healthy foods with staying power.

Each ingredient has a purpose. For example, the Acai Maqui Smoothie is loaded with antioxidants, which help protect your cells. “The acai berry may support weight loss, healthy skin and can be anti-aging. We added strawberries and raspberries because they are high in dietary fiber, and manganese, which aids in digestion. Fiber also helps you feel full!” Tiffany explains. This particular smoothie also includes the metabolism boosting maqui berry and lucuma, a superfood to help promote hair, skin and nail growth.

In addition to fruits and vegetables, every smoothie contains healthy fats to keep you feeling full and satisfied. They grind their own almond, cashew and peanut butter. And, as promised, superfoods are included in every cube. (A superfood is a nutrient-rich food considered to be especially beneficial for health and well-being.)

Also, there are approximately five billion CFU’s of high quality probiotics in each smoothie to help boost immunity and gut health.

The results are real. Tiffany and Mary say their smoothie cube customers report successes such as lower blood pressure, bad cholesterol and blood sugar. Customers have also told them about reduced inflammation and pain. Other benefits include weight loss, increased energy, and clearer skin.

“I am a true believer that cutting refined sugar and adding high antioxidant and nutrient dense raw foods to your diet can do wonders for your skin. When I make a continuous effort to cut out processed foods or use our smoothies to replace any sugar cravings, I can tell a real difference,” says Mary.

They found most clients with acne, eczema, and digestive issues were often gluten- or dairy-intolerant. Live Pure smoothies are vegan, gluten free, dairy free, and organic.

Live Pure tries to source their ingredients flash frozen but, when possible, they prefer to buy local and support farmers. Customers often comment on how fresh the frozen smoothies taste and Tiffany says this is because they only source from reliable and certified suppliers to ensure the perfect flavor every time.

Smoothies are great healthy meal replacements as well as pre-workout snacks (giving your body energy in the form of carbohydrates). You can also blend one after you hit the gym.

“Just grab your favorite cubes and add in some grass-fed collagen to support your joint health or a clean protein powder. A scoop of nut butter is one of our favorites too. Post workout snack—done in under a minute,” she says.

Quick, convenient, healthy—the Live Pure team created a product to check off all three boxes to encourage healthy eating (or in this case, sipping) because that is the cornerstone for a healthy lifestyle.

“We are what we eat,” says Tiffany. “When we eat real food that is nutrient dense and is bioavailable we absorb the nutrition in our cells and literally start to feel good, even great, and sometimes amazing.”

Learn more about Live Pure Smoothie Cubes at livepure.love. They are available on Amazon.


Just How Easy Is It? A Live Pure Smoothie How-To!

INGREDIENTS
10 cubes
1 cup of liquid

DIRECTIONS
Blend for 20 seconds

It’s that easy. As for your liquid. Live Pure recommends unsweetened vanilla almond milk or coconut milk for the best results, since many nut milks can contain a lot of sugar. “The little touch of vanilla enhances all of our smoothie cube flavors,” Tiffany says.

The team also suggests using filtered water, coconut water (especially pre- and post-workout because of naturally occurring electrolytes) or organic grass-fed milk.

“If possible buy organic plant based milks to avoid harmful pesticides,” says Tiffany. “Kroger has a line called Simple Truth Organic that we recommend.”




Getting Serious About Oral Care

Local Experts Explain How Healthy Dental Habits Can Prevent Major Complications

It’s been drilled into our brains since we were children—brushing, flossing and going to the dentist regularly prevents cavities. The older we get, however, we learn that neglecting our pearly whites can lead to even more serious issues than just a filling.

One of those issues is periodontal disease, a chronic inflammatory disease. “This is a pretty serious condition because if left untreated the teeth can become mobile and eventually fall out, even in the absence of any cavity,” says Dr. Elena Black, a dentist with advanced specialty training in orthodontics at Appalachian Orthodontics of Lynchburg.

As Dustin S. Reynolds, DDS, MS, explains, if tooth decay goes untreated, “it can reach the pulp or ‘nerve’ of the tooth causing serious problems.” Those problems include broken teeth, pain, swelling, and infection in the head and neck. As an endodontist at Forest Hill Endodontics, Reynolds focuses on saving a person’s natural teeth.

According to Black, periodontal disease has been linked to cardiovascular conditions. “To date, research has shown that people with gum disease have two to three times the risk of having a heart attack, stroke, or other serious cardiovascular event,” says Black.

Reynolds also confirms a strong link between the heart and oral care. “The mouth is the gateway to the rest of your body,” he says. “Research has shown that approximately 40 percent of the bacteria found in patients with heart disease actually comes from your mouth.”

Dry mouth, a common side effect of taking multiple medications, can lead to serious dental problems, Reynolds explains. Another major concern, though less frequent, is oral cancer.

Treating or correcting advanced oral problems includes deep cleaning and root planning, gum and/or bone grafts, root canal therapy, extraction of teeth, and implants to replace lost teeth.

Preventing these serious issues is not difficult. Brush twice a day, both Reynolds and Black agree, for approximately two minutes each time. “An easy way to do this is the divide the mouth into 4 quadrants and spend about 30 seconds in each quadrant,” Reynolds says.

You should floss every day as well, and don’t forget to schedule those check-ups at the dentist at least every six months. Aside from deep cleaning your teeth, your dentist will screen for oral cancer and make sure you aren’t developing any other serious issues.

Black also says some people may need to consider orthodontics to maintain the best oral care possible. “For example, if there is a lot of tooth crowding, the auto-cleaning of the mouth and flossing is hard to be performed and sometimes even access for a professional cleaning is difficult,” Black says. “So having orthodontic treatment to align the teeth and correct the bite will help with overall subsequent health of the entire mouth.”




Pharm to Table

Fresh Rx program helps more people get access to nutrition education and fresh produce

If “food is medicine,” as Virginia Cooperative Extension (VCE) Family Nutrition Program Assistant Nakesha Moore says, then it certainly makes sense that food could be prescribed as such. Thanks to a blossoming program spearheaded by nonprofit Lynchburg Grows, qualifying Hill City residents are able to receive just that.

Now in its second year, Fresh Rx, inspired by similar programs nationwide, was started by Lynchburg Grows to help people struggling with diet-related illnesses. Doctors prescribe the program, which is free (the program is funded by the Centra Foundation), and participants are then invited to a seven-week class series held at the Miller Center, taught by nutrition experts. At the end of each class (there are two opportunities per week to attend a class), participants are given a box of produce to take home.

“The goal is to give people the knowledge they need to feel empowered to make healthy decisions, for themselves and their families,” explained Shelley Blades, Lynchburg Grows Executive Director and Farm Manager. “We are just giving people what they need to make healthier decisions if they choose to—we are not here to tell them what they are doing is wrong.”

Blades said patients from low-income families, typically under or uninsured, who could benefit from a diet change are prescribed Fresh Rx by their doctors. “The doctors do write an actual prescription and to fill it they come to us,” she said. About 10-15 people go through the program in each of its three cycles per year.

At the Miller Center, Moore and Jeanell Smith—Lynchburg’s VCE Senior Family Nutrition Program Assistant, Adult SNAP-Ed—teach nutrition curriculum and offer cooking demonstrations showing participants tasty ways to utilize what they are taking home.

“This particular program is exciting because we are introducing different vegetables that people don’t normally buy,” Smith said, noting she herself gained an appreciation for Hakurei turnips through teaching the class. “We cover topics varying from how to make a menu and a grocery list, to how to read food labels or how to incorporate more activity—the expectation isn’t that everyone run a marathon but that they are a little more active than they were last week and then build on that.

“The thing that we emphasize in our classes is small, gradual changes,” Smith continued. “Making these small, incremental changes to your lives instead of thinking of this as a diet—that screams temporary. Make these small changes and they become habits and then it just becomes how you live your life.”

Physicians, often ones who have patients in the class, also show up to give presentations, which Blades said means a lot to the participants.

Joyce Booker was prescribed the program last year while on a quest to lose weight in order to have a knee replacement.

“It was great,” Booker said of Fresh Rx. “I had a wonderful doctor that helped counsel me on my weight loss. [Then, the program] opened me up to a lot of different things: of preparing food and cooking things and sharing with the other people in the class. It gave you a different perspective.”

Booker had a successful surgery in January. “I lost the weight that I needed to lose. I’m cooking right and exercising.”

Fixing fresh vegetables became easy for her through Fresh Rx.

“The way Jeanell took them and cut them up and fixed them, it gave me a different perspective on how they taste,” Booker said. “She also gave us a lot of recipes which really helped make the program work for me.”

Before Moore was teaching nutrition classes, she was in one of them (through a different program, not Fresh Rx).

“Everything that I learned in class I was excited to come home and share with my children,” Moore said. “It was not only my health habits that changed—I was also directly impacting the lives of my children through their nutrition. The improvements went way beyond nutrition—and that meant added family time … together and eating, talking about our day, away from the television.”

Blades said that this aspect of “creating community,” starting in the classes, can bring more “voices for healthy food” in area neighborhoods.

The program serves a vital role in Lynchburg’s community, both in terms of education and access. The education is important because people need to know how significantly what they eat matters.

“There is sufficient data now to show that the biggest part of our health is nutrition, what we eat,” Moore said.

A big part of your diet, she says, should come in the form of fruits and vegetables.

“You always want your plate to be colorful,” Smith said. “Fruits and vegetables bring tons of fiber to your diet, lots of antioxidants, which help prevent chronic illness, and certainly lots of vitamins.”

If fresh produce is not feasible, frozen is a suitable alternative, she added.

People with certain conditions or illnesses, like the ones prescribed into the program, can drastically improve their lives by eating properly.

“Improving your health can be directly correlated to the amount of fruits and vegetables that you eat,” Smith said. “A high fiber diet is a natural way to decrease your cholesterol. … When you think about diabetes or think about any heart condition or someone who has any kind of inflammatory issue or condition, decreasing processed sugar, which can cause inflammation, you are going to see a reduction if you can cut it out.”

These diet changes can lead to life-changing success stories, just like Booker’s. Smith and Moore have seen a number of transformations.

“I have had clients who have had their medication lowered or have been taken off of it because their diet is better,” Moore said.

Free is the key with Fresh Rx, because it allows lower income individuals to not only get the nutrition education they need, it also provides them with free produce, as well as cutting boards, veggie scrubbers, measuring cups and spoons, food thermometers and, when they graduate, a cookbook of simple, affordable recipes. The take-home box features a diverse range of vegetables, harvested at Lynchburg Grows, which varies by season but could include lettuce, beets, cucumbers, radishes, tomatoes and more.

“Food in general is a basic human need—it shouldn’t be based off of your socioeconomic status,” Blades said. “Hopefully that confidence of knowing what to do, of being in control of this [health] aspect of their lives, can trickle into other aspects of their lives.”


Grow it Yourself

Starting a home garden is a great way to have easy access to affordable, fresh vegetables.

Blades recommends starting small: “Experiment and have fun.”

Start with tomatoes in a bucket and expand to herbs and lettuce. “You can grow a whole salad all on the back porch.” Radishes grow quickly and Blades said watching them progress can be encouraging for novice gardeners.

It’s a process of trial and error; don’t get discouraged and don’t expect to cultivate a massive, flourishing garden overnight.