Nutrition

Food Friday: Manage your weight the counterintuitive way !

It seems to make sense that to lose weight we should eat less. On the other hand we all know certain people who seem to eat all day long and are quite slim. Indeed, the French who are known for their small figures, have food as a centerpiece of their culture, a lot of it, and all day long, well into the night. 

How is it possible? It's all about metabolism. It's not about the calories you eat in one sitting, and it's not about the calories you burn in one exercise session. It is about the rate at which you feed calories into your system and your body's ability to utilize them as they come in. 

 

To have good energy all day, you must have a moderate steady input of calories all day long. If you have a span of time without enough fuel, you body will turn down your metabolic rate and you will feel fatigued and be sluggish. If we eat episodically, then binge, we create a slow metabolism, then overwhelm it with an excess. Such an excess is stored as fat, even though then total number of calories eaten in that day might have been low. This strategy leads to feeling sluggish, losing muscle, and gaining fat all in the course of one day. 

Anyone would rather feel energetic and improve their body composition, but few know how.  Surprisingly, you have to eat more of the right kinds of food, and eat them more often. This produces a steady release of calories. To accomplish a steady release of calories into your system, you need to choose foods which singly, or in combination, release slowly. Unprocessed natural foods tend to release slowly, whereas process foods release quickly. If you combine high quality carbohydrate containing foods like fruits and vegetables with healthy fats or proteins, then you will have energy even longer. 

The rate at which a food digests and release energy in the form of glucose is called the glycemic index. Slow release foods have a low glycemic index, and that is what we should be choosing. If we choose high glycemic foods like sweets or breads, we stimulate a spike in our insulin levels, which leads to cravings. Thus, the less we eat of high glycemic foods, the less we want them. 

Do you want to leverage the system even more? Build up some muscle through a mixture of cardio and resistance. Muscle is lean body mass and has a much higher metabolism than body fat. Either cardio or resistance will increase your metabolism all day long, far beyond your exercise session, but together, they synergize. 

If you are willing to eat three moderate meals and three small snacks composed of some protein, fruits, vegetables, healthy fats and low glycemic grains, you will have more energy and you will drift toward your ideal weight. If you are willing to do a half an hour of cardio and light resistance every day though a gym or a DVD available at any big box store, you will make progress even faster. 

To learn more, see this following section in our website. 

Nutrition 

Bon appetite! 

Food Friday: Food for the postpartum mom

Food is a traditional gift. But, for the postpartum mom, it is best given with some forethought. 

Consider whether it would be best to do a fresh, ready to eat meal or maybe a freezer dinner for later. Make sure to find out about any allergies or food preferences before you prepare. If you do choose a freezer dinner, make sure she has enough room in the freezer. If you need recipes for make ahead meals, there is a wealth of them on food.com, epicurious.com, and of course Pinterest. For a deluxe gift, get together with a few of her friends and assign each person a meal for each day of the week for the first week she is home.  Friends did this for me once and it was so much fun. 

The breastfeeding mom needs between 300 and 500 calories or extra nutrition after the delivery of the baby. She especially needs high quality proteins, healthy fats and fluids. As far as food restrictions because of baby, there really are none. I have always taken the view that baby will to learn to like garlic, chili and chocolate just like I do! There really are no medical reasons to avoid strongly flavored foods when you are breastfeeding. 

Food gifts do not have to be meals. They can be baked goods or even a basket of healthy snacks or a case of healthy drinks like Pellegrino water. 

Gifts do not even have to be food! If you are fairly familiar with the new mom and her home, consider a gift of housekeeping, gardening, pet care or personal shopping on her behalf. You can draw up a cute certificate to present to her if you like, and she can cash it in when she prefers. 

Just remember that the new postpartum mom is bound to be tired. While your gift is almost certainly welcome, your postpartum friend might not be up to a great deal of socializing. So keep your visit short and sweet. 

If you are interested in information about breastfeeding and nutrition, please see the links below at on drginanelson.com. 

Breastfeeding 
Nutrition 

In other news, I am happy to report that all of the pages on drginanelson.com finished. Of course we are still polishing them, adding new handouts, and perhaps an occasional new graphic. Nonetheless, our collection of topics provide a cohesive overview of knowledge from Obstetrics, Gynecology and healthy lifestyle that is up to the minute in accuracy.

In the next week or so, I will be reorganizing the site a bit to make navigating this content simpler and easier, especially for mobile. In all cases, your input about content and ease of use would be most welcome. There is a feedback box you can access in the left menu bar from every page on the site. 

Stay tuned for more posts on Structure Sunday, Medical Monday, Wellness Wednesday, and Food Friday. 

 

Back on Track Tuesday: Gestational Diabetes Mellitus

Thanks for all your well wishes. I am making a good recovery. 

We bring you back to your regularly scheduled programming (Old time radio announcer voice here) , "Gestational Diabetes".

My suspicion that we see more of this every year is substantiated. Gestational or pregnancy-related Diabetes (GDM) is on the rise. It seems to track right along with the obesity epidemic. However, it is a cloud with a very silver lining. In many cases, the women I see who receive a diagnosis of GDM see me as their primary doctor, and, like many others, come in regularly only when they are pregnant. As such, it is golden opportunity for effective lifestyle intervention. 

GDM patients receive a whole package of nutritional, fitness and lifestyle advice, treatment and monitoring which I think, in the final analysis, will add years to their lives. They learn about the pleasure and ease of good nutrition, about personal organization, and about optimizing health. They do this through learning to craft meal and snack plans with the diabetic educator and my office. They learn to structure their days to a very high degree as a result of having to have blood sugar checks, medication and meals and snacks at just the right time. They are also introduced to mild regular exercise or at least physical therapy, which they uniformly enjoy. They report weekly for monitoring and feedback. Most of the time they achieve great results and feel good about themselves. 

And here's the cherry on top: If patients keep up the nutrition and exercise after baby is born, their weight and body composition drift naturally toward the optimal. And that's worth its weight in gold. 

Learn more HERE on our page about Gestational Diabetes Mellitus. 

 

Food (sort of) Friday: Prenatal Vitamins

Prenatal Vitamins are a standard part of prenatal care. But did you know they should be started at least three months before pregnancy ? And did you know that 50 % of all pregnancies are unplanned ? Given these two facts you could make an argument for all women of childbearing age to take prenatal vitamins all of the time. 

What makes prenatal vitamins so special ?

Mayo Clinic recommends that a prenatal vitamin include at least the following : 

  • Folic acid — 400 to 800 micrograms
  • Calcium — 250 milligrams
  • Iron — 30 milligrams
  • Vitamin C — 50 milligrams
  • Zinc — 15 milligrams
  • Copper — 2 milligrams
  • Vitamin B-6 — 2 milligrams
  • Vitamin D — 400 international units

Consider folic acid. This is given to prevent defects of the baby's brain and spinal cord, what we call neural tube defects. These defects form in the first 28 days after conception, so often times the woman does not even know she's pregnant. This is why it is ideal for women to be on them in the three months before pregnancy. As soon as a woman decides to try to become pregnant she should start a prenatal vitamin. 

Prenatal Vitamins are not always easy to take. I recommend taking a gummy prenatal vitamins  if nausea is a problem. I also recommend taking them with food in the evening. Sometimes they cause constipation. Of course that is best dealt with by fluids, fiber, fruit and vegetables, but stool softeners can be used .

Pregnant women need more of just about every nutrient. This also includes calcium and iron, in addition to folic acid. Calcium is necessary for building bone. Iron is necessary for manufacturing red blood cells which carry oxygen to mom and baby. A deficiency of iron results in anemia, which is suboptimal for both mom and baby. Personally, I think Calcium taken separately from the Prenatal vitamin or iron causes them both to absorb better. It is also good to note that Calcium citrate is the most easily absorbed type of Calcium. Additionally, calcium should be paired with vitamin D. Most over the counter calcium supplements do just this. 

Newer data also indicate that it is beneficial for pregnant women to ensure that they are consuming at least 200 milligrams of DHA (docosahexaenoic acid) in addition to their prenatal vitamins. This seems to be beneficial for the development of unborn baby's brain. It is available by supplement or incorporated into a prescription prenatal vitamin. 

But vitamins are not the whole story. I have prepared a page devoted entirely to preparation for a planned pregnancy. You might be surprised to see some of the things that it contains. Have a look HERE.

Food Friday : Party Food

Despite my intense interest in nutrition, I believe the highest and best use of food is to forge bonds between people. Food is a natural centerpiece for social gatherings. It puts people at ease, and makes them feel good. It can, if presented correctly, cause us to slow down and connect with one another. 

I am blessed with a large extended family and group of friends. It has become our tradition to have frequent large gatherings which I think people really appreciate. Here are ten tips about parties and party food which I have learned along the way. 

 

  1. Entertain for traditional and nontraditional occasions. It's great to observe birthdays and holidays, but it is also fun to celebrate different things like graduations, the spring equinox, or the Academy Awards. Do not limit yourself to dinners. Brunch and lunch can be fun too, though a great deal of preparation has to be done the night before. 
  2. Partial pot luck is a very successful format. Partial pot luck is, as far as the guests are concerned, pot luck. They are each assigned a dish of your choice and mutual agreement, since you have made sure the menu is balanced. Behind the scenes, you make sure you have a flexible main dish, enough for almost everybody, and good beverages. You may also have your signature dish, which in my case is large fruit platter. That way you have the backbone of the meal covered, in case of no shows and dishes turning out poorly. 
  3. Be aware of any special dietary needs or preferences of your guests. I know it is extra work, but if you want to host you are obliged to have something for everyone. This includes vegans, vegetarians, diabetics, the pregnant and those nursing, the gluten intolerant, and those who do not eat pork or shellfish. 
  4. Set a beautiful table. Be creative. Check Pinterest. 
  5. Serve the meal in stages and take your time.  After you take a guest's coat and introduce them, offer them something to drink. We offer things like Perrier, Pellegrino, and club soda. With a sit down meal you can control how fast the courses come out. With a buffet you can do the same the as the dishes go onto and off the buffet table. 
  6. Its a party! Have several courses. Consider appetizers, a fancy salad (with multiple dressings on the side) , main dish, side dish, always a fruit platter with cheese, and at least one dessert. It is fair to have both cake and pie. I usually omit bread, rolls, rice and potatoes. Why ? Because dessert. 
  7. Consider a culinary theme like Mexican, Japanese, Italian, you name it. Rehearse your recipes ahead of time if need be. Do not perform culinary experiments on your guests.  
  8. Go ahead and have a rich fancy dessert. However, be sure to have something savory to go with it, such as cheese. Many people feel poorly with they have a big serving of sweets without anything to buffer it. Always offer coffee and tea afterwards. Be sure to have attractive decaf coffee and tea options. 
  9. Have enough predesignated helpers before, during and afterwards. Make sure no one person is burdened with cleanup. Even a pair of buddies in the kitchen washing dishes can be fun. 
  10. Be confident and know that it does not have to be perfect. Send invitations at least two weeks in advance, and plan the details of the event at least one week in advance and you will be fine ! 

Food Friday: Another Workout Recipe

This blog post reflects two of my biggest health priorities: exercise and good food. It also reflects one of my favorite hobbies: getting more done in the day. 

Have you ever balanced the checkbook while waiting for laundry to dry ? How about unloading the dishwasher while listening to an online class ? I call this nesting. This just means you put one chore inside another. It is not the same as multitasking, which is so last decade. 

In that spirit, I like to workout and prepare dinner when I get home from work. To accomplish both I need recipes which can go untended for the length of a workout. I call these workout recipes.

I have noticed that many of my patients do not get the recommended amount of cardio. I have advised such patients starting out to take it easy at first, and go for a manageable length of time, like about 20 minutes. What kind of recipe might work ? Meatloaf ? Nope. It takes too long. But what if you hacked the recipe and instead of making one big lump that took an hour to cook, you divided it into muffin tins ? Voila. You may have heard of this on Pinterest, but my husband is sure he made it up. OK. Here is our version. I suspect you can do it with any meatloaf recipe. 

 

Muffin Tin Meatloaf

Preheat to 350 degrees

Thoroughly Mix: 

1 pound thawed drained ground red meat 

1/2 to 1 minced onion, 1 Tablespoon minced garlic, or once bunch minced green onions

1 Tablespoon mixed Italian spices or Herbes de Provence, a few grinds of pepper, 1/2 teaspoon kosher salt 

1 Tablespoon mustard, and some say also of ketchup, some say a dash of Worcestershire sauce 

One whole wheat piece of bread, made into fine crumbs 

One egg 

If you want to sneak some veggies in, add a couple grated carrots. 

 

Mixture should be moist but able to be formed. Adjust with crumbs or olive oil. 

Scoop into papered muffin tins and bake until crusty and done to 160 degrees internal temp ( Takes between 20-30 minutes )  You may add a sauce on top but this may make it too sweet and also it will be prone to burning before the meat is even done. You can always add a sauce later. 

Do your workout. 

Toss a big fresh salad, pour some water and serve. 

 

 

 

Food Friday: Snacks !

Snacks can be your dietary downfall or your salvation. So often a snack is the easiest thing we can get our hands on, and as such, it is often processed and of poor nutritional quality. (Think granola bars and the like which are full of fat, sugars and refined flours.) But with a little planning, healthy snacks can be a great contribution to your nutrition, fitness and weight optimization plan. 

Learn more here

Food Friday: The Nutrition section is done !

Happy Friday ! 

Please let me invite you to peruse the entire Nutrition section of our blog, which is the first section of the Health pages to be finished. 

I think you will find some novelty here, such as information on how to obtain healthy food on a budget. There also the standard information about nutrients, but also information about the timing of meals and combinations of different foods. 

I hope you enjoy the content, including the graphics and photos, most of which I produced myself. 

 

Structure Sunday: The structure of food and eating

I am working hard on the section of the website under Health entitled " Nutrition". I am really enjoying this since I am a great foodie. However, my section is not finished quite yet. I am really looking forward to you seeing it a a unified whole. 

But have written a great deal already, and plenty for you to look at today. 

So start by considering that your knowledge of nutrition will depend on your knowledge of the structure of food. Food divides itself fairly neatly into three categories, proteinfat and carbohydrates. I invite you to read around in these particular sections, since they are pretty well rounded out. 

Then begin thinking about the fact that nutrition is not only about what you eat, it is about when you eat food and about what you eat it with. In the very near future I will have some content for you on just these topics. Stay tuned for some tasty posts. 

Food Friday: I'll drink to that

Drinks 

Modern drinks are the most deranged dietary items on the modern menu. Consider "Rock Star"  and the like. They are the deliberate and crass result of corporate engineering for maximal addictiveness at the least cost. Cheap artificial colors, caffeine, sugar and flavorings combined with carbonated water are all put into a flashy package, and marketed aggressively to young and old alike. 

Little did we know that rapidly digesting frequently consumed sugary drinks like these would have more to do with the obesity epidemic than consumption of actual dietary fat. But we should have known. 

Now we have in sharp focus the fact that simple carbohydrates of all kinds, sugar and flour included,  jet into our bloodstream faster than we can metabolize them. That spike in blood sugars triggers the body to store fat and very shortly thereafter, one is left devoid of energy in the so called sugar crash. 

Not only has this contributed to obesity, it has also contributed to heart disease, diabetes and the like. Moreover, these phenomena wreck havoc on mood and attention span, conceivably influencing behavior in both children and adults. Finally there is increasing evidence that foods like this contribute to irrtation in the gastrointestinal tract, possibly making us vulnerable to more inflammation and even autoimmune disease. 

Rant over. My newly minted section on Nutrition is just a beginning, but I would like to show the Drinks section to you. In it, I discuss more about carbohydrate metabolism and even go into the Glycemic index. Don't worry, we will do a lot more than talk about what not to eat. The most fun is yet to come when we get to the great things that we should be eating and drinking. This blog post will highlight drinks from a nutritional point of view. Click on the beverage below to read more. 


Food Friday: A fresh look at fat

If you grew up in the 70s, you will recall the extreme emphasis on the low fat diet. Thank goodness that singular emphasis has gone by the wayside. Back then, the best science of the day indicated that saturated fat and cholesterol was the primary concern. Therefore, we were cautioned to reduce our consumption of things like beef, butter, and heavily marbleized meats from feedlot cows, which are full of saturated fat. 

Here is a section from this websites page on Fats

The Chemistry : 

Different fats are different hydrocarbons. They have different levels of saturation, meaning a varying number of hydrogen atoms along their carbon chain structures. Fats can be classified as polyunsaturated, monounsaturated and saturated. More hydrogen atoms makes the chain more saturated, solid and more stable to temperature.  Unsaturated fats are more liquid at a given temperature, and  clog the arteries less.

Click HERE to learn more. 

omega three fatty acids

omega three fatty acids

Back in the seventies, we were encouraged to substitute margarine for butter since it was made of less saturated fat, including some trans fats. Since then we have discovered the dangers of trans fats, which, have been prevalent in margarines. There is also concern that overly unsaturated so called polyunsaturated fats are easily oxidized , and then become unhealthy to consume. 

More importantly, we have discovered the benefits of monounsaturates like olive oil, which reduce cardiac risk. Additionally we have come to understand the short chain fatty acids, like omega 3s which actually reduce risk of cardiac disease and also help with inflammatory disorders. 

Finally we have come to understand that it is our carbohydrate intake that has contributed greatly to the problem of obesity, which leads to so many other problems including heart disease. In particular, our simple refined carbohydrate ( e.g. white flour products)  and plain old sugar intake has been off the biological charts. These are almost always processed foods not found in nature and they enter our bodies very rapidly. We cannot metabolize them quickly enough and they are stored as fat. Additionally they can raise triglycerides, which in women, are more associated with heart disease than cholesterol. 

Taking all of this into consideration, what are the current recommendations ? Roughly a quarter of our calories should be each from fat and protein, and half from carbs. But the devil's in the details. The fats should all be healthy ones like olive oil, avocado, and walnuts, and the carbs should be complex, unrefined, and nutritious. You probably think I mean whole wheat seedy bread. Actually I mean carbs even more complex than that: vegetables and fruits.  Yes, they provide carbs too. 

In summary, our current thinking on consuming fats, and avoiding becoming fat has changed quite a bit in the last 40 years. And quite frankly, we are eating quite a bit better because of it. Diet conscious folks used to run around with a diet coke, and slice of wheat toast and margarine for breakfast. These days, it would be more like an omelette with kale and fresh tomatoes, salsa, fresh fruit, green tea, and a small bowl of oat bran cereal with olive oil and sea salt. Bon appetite. 


Wellness Wednesday: Lists, graphics and graphs, oh my !

My site was written first and foremost for my patients. In clinic, I have glass marker boards on the walls, and I commonly draw or write on them to summarize a topic or clarify material. The site will eventually be a repository of all the good graphs, drawings and reminders which people have found useful. And to the right, are a few of my chicken scratchings to amuse you. These will eventually get clarified,  " graphicized " and put on the site. 

I am also busy making a little digital cookbook for my son Vale. He is working on a degree in Product Design engineering at MSU and is living off campus. He has an interest in cooking and healthy eating, but lacks the family collections of recipes. so I am in the process of digitalizing all that. And, me being who I am, I took the liberty to enclose a few chapters on nutrition : ) in his cookbook. I will share a couple pages of these with you even though the whole section is not close to being done. Here are the links : 

Protein                    

Carbohydrates

MORE TO COME ! 

P.S. I also included a useful little pdf handout on the gram content of protein in common foods. You'll have to click around to find it ! 

Dr. Gina

 

Medical Monday: More questions than answers on gluten and gut health

We are all aware of the new interest in gluten free diets. Should you be concerned ? To answer, I would first say that if you are well and feeling fine, you need simply eat properly and exercise regularly to keep it that way. You need not avoid gluten. However, if you suffer from bloating and cramping, a visit to your doctor is in order. To prepare, keep a simple food and symptom diary. Be prepared to undergo certain lab studies, or even get a referral to the Gastroenterologist. There are many conditions which might cause these symptoms. Sometimes it is challenging finding out what is wrong. 

Celiac disease is an autoimmune destruction of the lining of the gut, stimulated by gluten, in those that react to it. Gluten is a protein in various grains. Gluten intolerance is very specific reaction and even a small amount can set it off. It can be diagnosed by blood work and sampling at colonoscopy.  Avoidance of gluten allows the lining of the gut to heal. 

If celiac disease proceeds unchecked, the lining of the bowel becomes overly permeable, giving rise to the so called " leaky gut. " The leaky gut is associated with various forms of autoimmunity, but it is not known whether it is the cause or the effect. Regardless, a leaky gut means poor digestion and increased inflammation. 

People without celiac disease can get a leaky gut. They may suffer from other chronic or autoimmune illnesses, or from high levels of chronic stress which influence the gut directly. They may simply have a very unhealthy diet or take in toxic substances like alcohol and tobacco which damage the lining of the gut, leading to a cascade of additional problems later. Again, it is unclear whether the leaky gut is the cause of the effect. 

According to Dr. David Rakel, Assistant Professor and Director of the Integrative Medicine Program, Department of Family Medicine, University of Wisconsin, Madison, treatment for a leaky gut includes the Four R's. 

The four R's are: 

1. Remove irritants

2. Replace enzyme agents 

3. Reinoculate with probiotics 

4. Repair the mucosal lining with exercise fiber and fluids. 

For more information, please see his excellent handout here

I hope this reduces concern about this hot topic. Just be aware, it is a relatively new area of study, and we do not yet have all the answers. Beware of any blanket prescriptions or quick fixes out on the market. And by all means, whatever you do, enjoy your meals. 

Structure Sunday: Holidays, the Happy Disruption

I have been meaning to write a post about how routine is the basis of all health maintenance.  It has to do with how small simple tasks repeated over and over in time, create health. Or wealth, for that matter. Everyone knows that small consistent contributions to a savings account make large gains over time. One could also argue that consistent routine is the basis of most work or creative productivity. 

But health is our wealth, and what I want to emphasize is the regularity of just a couple things: nutrition in three healthy meals and snacks, and regular 6 days per week of exercise. If these could be done simply, moderately, and consistently, without a lot of stress or fanfare, it would be awesome.

However, it is the holiday season. Holidays can be disruptive, to health, wealth, nutrition, exercise and work. And as you have seen, I am a bit off schedule in certain things. For example, I took some time off from the blog due to sheer merriment and kids being home from college. But I have been thinking about you all, and how you are faring, during this festive and sometimes disruptive season. 

Here are my simple suggestions for keeping the happy in the holidays. Try to keep to your exercise above all, especially since you're perhaps eating richer food this season. Even if you eat treats, such as those on this holiday table, don't fret. Sample them in moderation, by all means, but be sure to include healthy holiday food in the menu. 

And since it is the holiday season, I feel I can ask for a few more things. Have ice water or plain club soda on every table, and ladies, no more than one 8 ounce glass of beer, wine, or champagne per day. Try to sleep at least 7 hours per night. Finally, develop a holiday month plan, right down to gifts, wrapping, invitations, and meals. I am a big advocate of plotting all this on a calendar, and refining what works bests year after year.

Routines, large and small, will help you keep the holidays merry and bright. 


Food Friday: Step out !

Home cooked food is always best. But once in a while, it's great to dress up, step out,  and go out to dinner. We were so inspired this evening by our local Culinary Institute of Montana. We couldn't think of a better way to support the college and see the great things they are doing there. We are so fortunate to have this caliber of culinary school in the Flathead Valley.

I must encourage you in the strongest possible terms to save up and splurge by coming to " The Chef's Table" given every Friday night during the term. But I caution you, they sell out quickly. If you live outside of the Flathead Valley and in the type of town which might have a cooking school, it would be worth a phone call or two to see if their students serve to the public. 

And without further ado, I will share with you illuminated ice swans with palate cleansing sorbet, beautifully plated food, flaming crepes suzette, and gilded chocolate strawberries with cream puffs. Inspiration ! 

Structure Sunday: bags, boxes and containers

You all know that I am all about fitness, nutrition and productivity. In today's post I am going to reveal the Secret behind having all of these : bags. Yes bags, and to a lesser extent boxes and other containers.

I think it is entirely possible that love of bags, boxes and containers can be taken to the level of obsession. I mean, they're not even a thing. They are a thing that hold other things. And yet, they can be so appealing and so useful. I chose to write about them today because they can make a number of aspects of your life better. 

Take nutrition. When you shop, you want to be mindful of what you buy. One way to do that is to bring your bags. Most grocery stores have their version of a reusable bag. Places like Pier One have cheap but beautiful ones. Natural Grocers has a sturdy version in burlap. At any rate, you are thinking green when you bring those, and so by association you are thinking healthy, and so you are NOT going to fill one of those up with white bread and soda pop. That just isn't going to happen. 

Once home, you have to plan for tomorrow's lunch and snacks so you can avoid eating unhealthy, eating out, or going without. A nice lunch bag makes this so much easier. It gets you excited for packing your lunch. You can also include a wide mouth or a drink thermos. Think about what you would want in your dream lunch bag, and then go find it. I saw some good ones at Target the other day. Pack it all with a lunch and two snacks while you're cleaning up from dinner. 

Then there's the ski bag, the lake bag, the picnic or go-to-a-potluck rigid basket, and so on. Fix some of these up and things will start Happening.

I would like to highlight two more: the gym bag, and the office bag. 

Regarding your gym bag, yours will not stink. The gym bag is inspiring. You have an outfit in which you feel comfortable, the right shoes, a coordinated water bottle, and your ear buds. Sometimes you need changes of clothes, and shower stuff, depending. Trick yours out and you will get to the gym more than ever. 

Finally the office bag. In order to ready your office bag, which people used to call a briefcase, you have to clean it out, look at your schedule for the next week and the next day, then pack it back up with the necessary files and items to get those things done. You make sure all your electronics are charging, and that you have enclosed your favorite things like glasses, lipgloss, etc. Doing this will of course, tremendously lower your stress and cause you to feel confident about the week.

See how bags have great health benefits ?