Skin care and skin cancer prevention!

“Let the sun shine in…” Is not only a hit song from the musical “Hair,” it’s also what we all look forward to in May! But like all good things, too much can be bad. May is Melanoma Prevention Month and so here are some great tips (courtesy of the Skin Cancer Foundation) for you to enjoy the sun and stay healthy!

• Seek the shade, especially between 10 AM and 4 PM when the sun is strongest. An extra rule of thumb is the "shadow rule." If your shadow is shorter than you are, the sun's harmful ultraviolet (UV) radiation is stronger; if your shadow is longer, UV radiation is less intense;
• Do not burn. A person's risk for melanoma, the deadliest form of skin cancer, doubles if he or she had had five or more sunburns at any point in life. Severe burns not only significantly increase your chances of developing skin cancer, but can make you ill. For severe burns, see your doctor;
• Avoid tanning and UV tanning booths. UV radiation from tanning machines is known to cause cancer in humans. Indoor UV tanners are 74 percent more likely to develop melanoma, the deadliest form of skin cancer, than those who have never tanned indoors. Tanning bed users are also 2.5 times more likely to develop squamous cell carcinoma and 1.5 times more likely to develop basal cell carcinoma. The more time a person has spent tanning indoors, the higher the risk;
• Cover up with clothing, including a broad-brimmed hat and UV-blocking sunglasses. Clothing can be your most effective form of sun protection, so make the most of it with densely woven and bright- or dark-colored fabrics, which offer the best defense.
• Apply 1 ounce (2 tablespoons) of sunscreen to your entire body 30 minutes before going outside. Reapply every two hours or immediately after swimming or excessive sweating. One six-ounce bottle of sunscreen should provide two full days of sun protection for prolonged outdoor activity; and
• Examine your skin head-to-toe every month. While self-exams shouldn't replace the important annual skin exam performed by a physician, they offer the best chance of detecting the early warning signs of skin cancer. If you notice any change in an existing mole or discover a new one that looks suspicious, see a physician immediately. To find out more about how to perform self-examination and spot a skin cancer, visit www.SkinCancer.org/selfexamination.

Being outdoors and active is always great for the body and by utilizing these tips you will be on your way to a fun and healthy summer! Be sure to visit avecinia for a great selection of UV blocking SPF products such as Obagi NuDerm SPF 50 and our selection of Colorescience Pro Mineral Makeup and save 15% this month in honor of Melanoma Prevention Month. 

Sign up for our pre-Mother’s Day event on May 10th to learn even more about skin care and anti-aging and save on all of our great skin care and anti-aging products and services!

This blog was written by Dania Abdul-Resoul, an intern at avecinia wellness center.  Dania is a pre-physical therapy student at Cal State Fresno.
For daily updates on news, information and more on health care and wellness, join avecinia wellness center's facebook page and follow avecinia on twitter . avecinia wellness center is Fresno's premier integrative medicine and wellness center. We combine internal medicine and primary care with health management, weight management, acupuncture, aesthetics (Botox, Juvederm, Radiesse, Obagi and more) and massage therapy for a holistic approach to health. We use a robust electronic health record program and patient web portal to enhance our delivery of services and to help our patients reach their optimal well-being. To learn more, visit www.avecinia.com. If you are looking for a primary care doctor in Fresno or the Central Valley and would like to become a part of the avecinia family, visit our website and click on new patient registration. Let Dr. Unaiza Hayat and/or Ali Kunkel, MPA, PA-C, become your trusted guides. Our Aesthetic, Weight Management, Acupuncture, Health Management and Massage Therapy services do not require us to be your primary care physician. Learn more at www.avecinia.com.We look forward to meeting you!

Pink Slime....ewwwww

When we turn our televisions on after a long day of work, and begin the daily process of de-stressing our bodies and minds as we unwind, usually many of us turn on the news, and ironically it can cause us more stress. Health is a common issue that arises throughout many news articles, where it seems as if every month there is an epidemic sweeping the nation or an outbreak of a super bug that is threatening our population. Lately, there has been talk about a substance in our meat called “pink slime” which is said to be a beef filler in order to achieve the “finely textured beef” these companies promise. In this avecinia health update blog, we will be discuss what “pink slime” is and whether it can cause us real harm!

To set the record straight, "pink slime" is not unsafe. That doesn’t mean it’s exactly safe or good for you either. This filler byproduct is made by running scraps from meat cuttings through a processor that removes the fat from the trimmings. The beef is usually treated with ammonia to kill bacteria such as E. Coli and salmonella, a process that has been a subject of suspicion and debate despite claims that it is harmless. According to Marion Nestle, a professor of nutrition and public health at New York University, the substance is safe but still raises issues, “It is not dangerous at all. The question is whether it’s socially acceptable,” says Ms. Nestle. “Humans don’t usually eat byproducts. Just because it’s safe doesn’t mean it’s acceptable.” The issue raised is not the question whether this product is safe or not, but whether labels should disclose that the product contains “pink slime” and then consumers would be able to decide for themselves if they’d wish to purchase it or not. "Pink slime" is found in retail ground beef, low-fat hotdogs, lunch meat, beef sticks, pepperoni, frozen entrees, meatballs, and canned foods. Until early this year, fast food chains such as McDonald’s, Taco Bell, and Burger King used the filler in their beef products.

"Pink slim" isn’t an immediate risk, and there are no proven side effects from eating products that contain it (but eating a lot of processed foods can have its own detrimental health effects). This is definitely a reminder of how very important it is to know exactly what we are putting in our mouths. Reading labels on food products is a must and always try to choose organic products over processed. Hopefully this recent controversy has been a wake-up call to the reality of what these food industries are capable of. Take control of what you eat and be sure to ask your primary care provider, such as the doctors and health experts at avecinia wellness center, for any tips and useful suggestion on how to improve your diet for the best.

This blog was written by Dania Abdul-Resoul, an intern at avecinia wellness center.  Dania is a pre-physical therapy student at Cal State Fresno.


For daily updates on news, information and more on health care and wellness, join avecinia wellness center's facebook page and follow avecinia on twitter . avecinia wellness center is Fresno's premier integrative medicine and wellness center. We combine internal medicine and primary care with health management, weight management, acupuncture, aesthetics (Botox, Juvederm, Radiesse, Obagi and more) and massage therapy for a holistic approach to health. We use a robust electronic health record program and patient web portal to enhance our delivery of services and to help our patients reach their optimal well-being. To learn more, visit www.avecinia.com. If you are looking for a primary care doctor in Fresno or the Central Valley and would like to become a part of the avecinia family, visit our website and click on new patient registration. Let Dr. Unaiza Hayat and/or Ali Kunkel, MPA, PA-C, become your trusted guides. Our Aesthetic, Weight Management, Acupuncture, Health Management and Massage Therapy services do not require us to be your primary care physician. Learn more at www.avecinia.com.We look forward to meeting you!

Sneezing, sniffling, blurry eyes- oh what to do! How not to suffer from Spring allergies!

As this year’s not-so-chilly winter draws to a close and Fresno is transformed into a beautiful oasis where the Fruitless Pear Trees line the streets, and the Sierra Mountains encompass your view in every direction; you take a minute to marvel at this gorgeous sight. As the cool breeze runs through your hair, your vision starts to become blurry from the tears swelling up, you can’t smell the lavender in the air and ACHOOO! You have a sneezing attack! It’s allergy season; and with all of this natural beauty comes this pesky menace that affects 1 in 10 Americans today. In our April health blog, we will be discussing a number of ways that will help protect you from your allergies so you won’t be spending your spring behind closed windows and doors.

So what exactly causes so many people to have these seasonal allergies? Allergies are an abnormal response of the immune system. In the spring, airborne pollens from trees, grasses, flowers, and weeds cause an allergic reaction in the form of short term inflammation of the mucous membranes that line the nasal passages when the body attacks pollen and histamines are released into your blood. The histamines trigger the runny nose, itchy eyes and other symptoms of allergies. Allergy season typically kicks off in the spring when certain trees or grasses pollinate, affects 40 million Americans and cost more than $1 billion to treat. Although it's usually not a dangerous condition, it can be very uncomfortable and, for some people, can severely disrupt daily activities.

There are several things you can do before allergy season starts to help you enjoy the spring even more and save yourself a trip to the doctor’s office:

• Clean smarter- curtains, carpets and upholstery all harbor pollen, so frequent vacuuming is recommended, especially if your vacuum includes a HEPA filter. Also try to dust more often as well, use a damp cloth or static-charged material that will be able to trap allergens instead of a standard feather duster or dry cloth. Wash your pillow cases more often, and put them in the dryer for at least 20 minutes every other night;

• Breathe cleaner- invest in an air filter which will help allergy and asthma sufferers breathe easier since they're are designed to trap smoke, pollen and other larger particles in the air; and

• Eat healthier- nutritionists suggest adding cayenne pepper and ginger to your diet during allergy season, where a spicy curry or hot salsa can help clear up congestion. Add a tablespoon of local organic honey to your morning routine- since bees pollinate from local trees and plants, it helps build up your immune system to the pollen. Also, Quercetin, a flavonoid found in in onions, apples and black tea has anti-inflammatory properties and can block histamines. Try to avoid melon, banana, cucumber, sunflower seeds, chamomile and herbal supplements containing Echinacea because these foods can aggravate allergies.

As always, discuss with your primary care provider what options may be the best fit for you. So now plan that weekend hike, picnic or day outside and enjoy it without the runny nose, sneezing, blurry eyes of past springs!

This blog was written by Dania Abdul-Resoul, an intern at avecinia wellness center.  Dania is a pre-physical therapy student at Cal State Fresno.


For daily updates on news, information and more on health care and wellness, join avecinia wellness center's facebook page and follow avecinia on twitter . avecinia wellness center is Fresno's premier integrative medicine and wellness center. We combine internal medicine and primary care with health management, weight management, acupuncture, aesthetics (Botox, Juvederm, Radiesse, Obagi and more) and massage therapy for a holistic approach to health. We use a robust electronic health record program and patient web portal to enhance our delivery of services and to help our patients reach their optimal well-being. To learn more, visit www.avecinia.com. If you are looking for a primary care doctor in Fresno or the Central Valley and would like to become a part of the avecinia family, visit our website and click on new patient registration. Let Dr. Unaiza Hayat and/or Ali Kunkel, MPA, PA-C, become your trusted guides. Our Aesthetic, Weight Management, Acupuncture, Health Management and Massage Therapy services do not require us to be your primary care physician. Learn more at www.avecinia.com.We look forward to meeting you!

6 Powerful, natural supplements for healthier living!

What did people use before the creation of modern medicine? Ancient Egyptian priest-doctors used moldy bread as antibiotic thousands of years before Fleming discovered penicillin. They also made sure that their laborers were fed a diet rich in radish, garlic and onion, which modern researchers have found to be extremely rich in Raphanin, Allicin and Allistatin-- also forms of natural antibiotics that would help prevent outbreaks of disease in crowded places such as work camps. Advancements such as these, not only in the Ancient Egyptian civilization, but also in the Greek, and Roman empires have been the building blocks for the amazing progressions in medicine we see today.

Lately it seems as if we are reverting back to our ancestral roots by beginning to look into natural means of healing. Western medicine is starting to shift towards the use of herbal remedies as alternatives to synthetic drugs. Most pharmaceuticals have a historical base in natural medicine where many are initially derived from herbal extracts. Therefore when deciding what to take when it comes to a person’s overall health; most people choose supplements over prescription drugs.

The definition of the word “supplement” is something added to complete a thing, make up for a deficiency, and to extend or strengthen the whole. Here is a list of many popular supplements (including those available at avecinia wellness center in Fresno, CA including a brief description that may give you a better understanding of the many benefits these tiny capsules provide.

• Evening Primrose Oil is used for conditions affecting women’s health, such as breast pain associated with the menstrual cycle, menopausal symptoms, and premenstrual syndrome (PMS) as well as maintaining and promoting healthy skin. Learn more about the benefits of Evening Primrose Oil. During March, Evening Primrose Oil is on sale at avecinia for just $16.85 for 1300 MG 90.

• Probiotic 225 has 225 billion CFU’s (concentrations of healthy bacteria), one of the highest concentration of is a potent bio-therapeutic agent ideally suited for the most challenging gastrointestinal tract cases. Effective in treating diarrhea, bloating, improve symptoms of irritable bowel syndrome and more. Learn more about the benefits of Probiotic and Lactobacillus. During March, Probiotic 225 is on sale at avecinia for just $40.47 per 15.

• Orthomega is fish oil that supports a healthy heart, skin, joints, eyes and immune system. These capsules also help to elevate mood and concentration in children. Orthomega is a powerful supplement that can significantly reduce your cholesterol, triglycerides and lowers blood pressure. This powerful concentration of EHA (420 mg) and DHA (300 mg) means you only have to take 1 tablet a day instead of 2-4. Less fishy burps, easier to maintain and cheaper in the long run. Learn more about the benefits of fish oil and Omega 3.  During March, Orthomega is on sale at avecinia for $18.12/60 ct or $31.09/120 ct.

• CoQ-10 contributes to energy production and good health by supplementing the energy requirements of the body. These capsules have the ability to increase cellular energy production and greatly benefits cardiovascular health. CoQ10 has been shown to help prevent heart failure, particularly after a recent heart attack. Learn more about the benefits of CoQ10. During March, CoQ10 is on sale at avecinia for $31.99/60 ct.

• Diaxinol contains Biotin and Chromium and Gymnema. Biotin aids with the break down of fats and carbohydrates and with glycolysis in the liver and pancreas. Chromium helps facilitate the uptake of glucose into cells and Gymnema decreases the absorption of sugar from the intestine. This potent combination can significantly reduce blood sugar levels, especially when taken with other diabetes medication. During March, Diaxinol is on sale at avecinia for $30.33/60 ct or $58.20 for 120 ct.

• Chondro-Flx contains the protective agent Glucosamine Sulfate which is a building block of both cartilage and joint fluids and Chondroitin Sulfate. Oral doses are shown to bolster the function of cartilage acting as a natural shock absorber for the joint. This is an effective formulation for Osteoarthritis. Glucosamine has not shown to affect the blood sugar levels of type 2 diabetics but blood sugar should be monitored closely. During March, Chondro-Flx is on sale at avecinia for $31.00/90 ct or $54.03 / 180 ct.

As always, it is recommended that you discuss with your primary care provider if the use of supplements would be a positive step in the right direction towards healthier well-being.


Our March blog (part 1 and part 2) were written by Dania Abdul-Resoul, an intern at avecinia wellness center.  Dania is a pre-physical therapy student at Cal State Fresno.


For daily updates on news, information and more on health care and wellness, join avecinia wellness center's facebook page and follow avecinia on twitter . avecinia wellness center is Fresno's premier integrative medicine and wellness center. We combine internal medicine and primary care with health management, weight management, acupuncture, aesthetics (Botox, Juvederm, Radiesse, Obagi and more) and massage therapy for a holistic approach to health. We use a robust electronic health record program and patient web portal to enhance our delivery of services and to help our patients reach their optimal well-being. To learn more, visit www.avecinia.com. If you are looking for a primary care doctor in Fresno or the Central Valley and would like to become a part of the avecinia family, visit our website and click on new patient registration. Let Dr. Unaiza Hayat and/or Ali Kunkel, MPA, PA-C, become your trusted guides. Our Aesthetic, Weight Management, Acupuncture, Health Management and Massage Therapy services do not require us to be your primary care physician. Learn more at www.avecinia.com.We look forward to meeting you!

Health Supplements & You- How your body uses vitamins, nutrients and other minerals to stay healthy (part 1)

Open a medicine cabinet these days and along with a variety of pharmaceuticals, you’re bound to find a variety of supplements. The war against the “evil co-conspirators” of age and diseases has grown to be a multi-billion dollar industry. From Botox® and fillers to various types of diets and pills, you can always find something for every wrinkle, age spot, hurting bone and painful morning. However, the key is determining which products will actually aid you in your quest, rather than hold you back. This is an extremely broad topic to cover, so for this month we will be focusing on the use of supplements.

The way our bodies maintain a strong defense against disease primarily relies on the vitamins and minerals that we consume. A balanced diet rich in fruits, vegetables, whole grain, dairy and protein should give the body all the necessary nutrients that it requires. However, many of us don’t have a balanced diet. So if the consumption is less than the normal requirements, then we suffer from what is known as vitamin deficiency which can lead to the development of certain diseases. For example if you are experiencing depression, nausea, soreness of the mouth and/or dizziness, then you might have a vitamin B6 deficiency. This may be if you are pregnant or lactating, suffering from an extended lack of appetite, have a digestive illness, major illness or a serious injury or are getting less than 1600 calories per day.

However, like the old adage “too much of a good thing can be a bad thing” implies, one of the disadvantages of taking these supplements is the risk of overdosing. You cannot overdose by eating foods that contain these vitamins; but you can if you’re eating the foods and also taking the supplements simultaneously. For example, excessive amounts of vitamin B6 can result in symptoms such as numbness in hands and feet, walking problems, sense of position and vibration and even problems with memory and depression may occur. So before you start to “supplement” your diet with supplements, consult with your primary care doctor to determine what may be your best treatment plan.

Understanding and educating yourself on your body and its needs is extremely important when assessing your overall health. Supplements can be an extremely useful with many beneficial qualities when used correctly and under the supervision of your doctor. In our next blog (on March 15th), we will go more in-depth about the different types of supplements available for the most common health concerns for both men and women.

Heart Health and You- Part 2- Exercise!

How strong is your heart? The healthy heart can produce enough energy in an hour to lift a one-ton car off the ground, and accumulate enough pressure to squirt blood at a distance of 30ft! Although most of us would like to think that our own heart has this ability; it’s not usually the case. In fact heart disease is the number one cause of death in the United States today with a whopping 599,413 deaths per year. This number is especially concerning because although some people are more genetically inclined to develop a cardiac illness, for most of us it’s 100% preventable. Earlier this month, we discussed the many different foods and beverages that will aid you in your journey to becoming heart healthy and in this second installment, we will be providing some simple and effective exercises that you can utilize in combination with your new and improved diet.

For most of us, getting regular exercise seems like a chore with no gratification. The idea of pain, sweat and tears without the instant gratification of seeing results isn’t very appealing when deciding whether or not to leave the comfort of your couch. However, any moderate-intensity exercise like swimming, jogging, Pilates or yoga is excellent for your fitness without feeling like you’re going to cough up a lung. Exercising your heart muscle means exercising your body: no need for a gym, just a bit of motivation and a good pair of walking shoes. If you “don’t have time” then fit shorter but more frequent periods of time, like 5-10 minute intervals several times a day throughout your day. Take the stairs, park your car further away from the door, and definitely count in those house chores such as mowing the lawn, vacuuming, or a short brisk walk around the block at lunch or for a break. The gaming console Wii also has several fun games such as Wii Sports or Wii Fit Step Aerobics – which is great exercise you can do with your kids-make it a family affair.

For adults that are 65 and older or anyone with chronic conditions or limited mobility, you still need the same amount of exercise as younger people but the activity can be less intense. Practice balance exercises to help prevent falls and injuries. Balance techniques are used frequently as exercises in yoga or more simple forms of balancing exercises such as walking heal-to-toe, standing on one foot, or standing up and sitting down without using your hands. Use good judgment and follow your doctor’s advice.

When these components are combined with a healthy diet, the outcome will hopefully be a much healthier heart and surely a much longer life. These tips make choosing to live a heart healthy life an accessible and reasonable goal to work towards so get started today! You are responsible for the health of your heart and the health of your life! Get the support of your family and primary care provider and get that blood pumping!

Part 2 of our February blog was written by Dania Abdul-Resoul, an intern at avecinia wellness center.  Dania is a pre-physical therapy student at Cal State Fresno.


For daily updates on news, information and more on health care and wellness, join avecinia wellness center's facebook page and follow avecinia on twitter . avecinia wellness center is Fresno's premier integrative medicine and wellness center. We combine internal medicine and primary care with health management, weight management, acupuncture, aesthetics (Botox, Juvederm, Radiesse, Obagi and more) and massage therapy for a holistic approach to health. We use a robust electronic health record program and patient web portal to enhance our delivery of services and to help our patients reach their optimal well-being. To learn more, visit www.avecinia.com. If you are looking for a primary care doctor in Fresno or the Central Valley and would like to become a part of the avecinia family, visit our website and click on new patient registration. Let Dr. Unaiza Hayat and/or Ali Kunkel, MPA, PA-C, become your trusted guides. Our Aesthetic, Weight Management, Acupuncture, Health Management and Massage Therapy services do not require us to be your primary care physician. Learn more at www.avecinia.com We look forward to meeting you!

Your Heart and You- Celebrating the Heart in American Heart Month

Ahh February a time for couples to bask in their love for each other and a time for singles to bask in their love for chocolate. However, no matter your current relationship status, February is also American Heart Month. No need for roses or a box of sweets for this holiday, just the simple act of staying heart healthy and acknowledging the importance and well-being of this organ is more than enough. So before we start talking about treatments and prevention, let's take a little time to get to know what the heart actually does.

Every day your heart beats approximately 100,000 times, sending 2,000 gallons of blood surging through your body. Although it's no bigger than your fist, your heart has the mighty job of keeping blood flowing through the 60,000 miles of blood vessels that feed your organs and tissues. However, even when put into this perspective, the allure of fried foods and choosing to stay at home on a rainy day instead of going to the gym is far too strong for most of us to handle. So instead of completely uprooting your life style, read the whole blog for some simple and easy tips to ensure that your heart continues to do what it does best.

When it comes to your diet there are a number of specific foods that will benefit your heart over others. When looking at meat, Salmon and Tuna are always healthy alternatives packed with plenty of Omega 3 fatty acids. Omega 3 aids in reducing the risk of heart disease and stroke while helping to reduce symptoms of hypertension, depression and attention deficit hyperactivity disorder (ADHD). Brown rice is loaded with B- Complex vitamins which improves mood, gives you healthier skin and helps with immune and nervous system function. Brown rice is also an excellent substitute for white rice and bread. Of course all vegetables are healthy for you, but there are some in particular that will give your heart that extra boost. Vegetables such as: carrots, spinach, broccoli, sweet potato, acorn squash, red bell peppers and asparagus all provide many antioxidants and vitamins that help reduce blood pressure and strengthen the heart as a muscle. Similar to vegetabels, fruits also have the same nutritional value when it comes to staying heart healthy. Blueberries, pomegranate, kiwi and red grapefruit all provide a wide range of natural blood thinners, isoflavones, and help reduce the LDL (bad cholestrol) levels and raise the HDL (good cholestrol). Red wine containing polyphenols which help protect against cell damage, tea and soy milk are great when choosing beverages. Dark chocolate that is 70% or higher in cocoa provides you with something to sweeten your taste buds and keep you healthy!  Dark chocolate contains a large number of antioxidants (nearly 8 times the number found in strawberries). Flavonoids  help relax blood pressure through the production of nitric oxide, and balance certain hormones in the body.

Making small changes in your eating habits is the first step to becoming heart healthy. Utilize the tips we have provided and pace yourself so the body has time to adjust. Stay tuned for part 2 of this blog after February 14th where we will discuss the different types of excercises that will strenghten your heart without putting a strain on your body.

Our February blog was written by Dania Abdul-Resoul, an intern at avecinia wellness center.  Dania is a pre-physical therapy student at Cal State Fresno.


For daily updates on news, information and more on health care and wellness, join avecinia wellness center's facebook page and follow avecinia on twitter . avecinia wellness center is Fresno's premier integrative medicine and wellness center. We combine internal medicine and primary care with health management, weight management, acupuncture, aesthetics (Botox, Juvederm, Radiesse, Obagi and more) and massage therapy for a holistic approach to health. We use a robust electronic health record program and patient web portal to enhance our delivery of services and to help our patients reach their optimal well-being. To learn more, visit www.avecinia.com. If you are looking for a primary care doctor in Fresno or the Central Valley and would like to become a part of the avecinia family, visit our website and click on new patient registration. Let Dr. Unaiza Hayat and/or Ali Kunkel, MPA, PA-C, become your trusted guides. Our Aesthetic, Weight Management, Acupuncture, Health Management and Massage Therapy services do not require us to be your primary care physician. Learn more at www.avecinia.com We look forward to meeting you!

Achieving your goals in 2012- Resolutions to Success!

Setting goals- making a commitment to yourself this New Year!
Happy New Year!
When the ball drops on January 1, 2012, the resolutions begin! They usually begin with good intentions but end with promises for the following year. If you find it difficult to keep your new year’s resolutions, try these steps to help you reach your goal!
• Score goals! 

o What do you think of when you think about a goal? Can you picture a soccer player kicking a ball into a net, or the placekicker of your favorite football team scoring the winning field goal of the big game? Now think of our resolutions as goals and instead of dreading the thought of accomplishing your resolution, you can think of working your way to the goal and scoring! The mind is a powerful tool and how we think about things influences how we react to them. Think about how you feel when your favorite teams scores and wins? Wouldn’t it feel even better if you felt that way about yourself?

• Win-Win!
o An important aspect of “scoring a goal” is the immediate and recognizable satisfaction of achievement. Let’s face it, we are a nation of immediate gratification. Instead of fighting or bemoaning that reality, accept it and make it work for you. So when the placekicker scores, the points can make a real difference. So what are going to be your points? How about trying something like this: If your goal is to lose weight (i.e., win the game), your real goals are the things you do to “win!” Set up to jars. In one jar, place a dollar or two for every week you don’t drink soda. In the other jar, put a dollar or two (the “points” of each have to be the same) each week you have a soda. At the end of the year, see which jar has more. If the jar for weeks without soda has more, you get to keep all the money and spend it any way you want. If the jar for weeks with soda has more, you have to give all your money to an organization you don’t support or a person you don’t like. If your jar with soda is empty, guess what, you most likely lost weight too (you could lose 1 pound per week by cutting three soda’s out of your daily diet, that’s 52 pounds in a year, maybe more, especially if you got some exercise and controlled how much you ate).

• Can’t score goals without teamwork!

o Just like in football, soccer and any other sport, winning takes teamwork. Let your friends and family know about your goals. Find a motivating partner. Find someone that you can motivate as well so you both of have skin in the game. Or join a support group such as DiabetesFresno, Fresno's only free Type 2 diabetes support group open to everyone (meets the 2nd Saturday of every month at 11am at avecinia wellness center, call 559-450-7299 for more information).   Celebrate with your friends/support group/team when you “win!”

• Write your goals down, make a game plan!
o Your favorite sports team doesn’t win its games without a strategy, a game plan. Writing down your goals, and the steps you will take to achieve them, helps you visualize your achievement, gives you something to remind you of your goals, and helps you clear your mind because you don’t have to perpetually think about your goals. You can also use your written goals as a road map/checklist. It’s important that your goals be clear, and the steps that you will take to achieve your goal be doable/actionable. Use your written goals as a scorecard.
Use the worksheet below to help you track your achievements and reach your goals!

Although setting your achieving your goals sounds like playing a game, it is the most important game of your life because winning means achieving a better life for yourself. So January 1st the clock will start ticking, are you ready to win?

Goal tracking worksheet:

For daily updates on news, information and more on health care and wellness, join avecinia wellness center's facebook page (facebook.com/avecinia) and follow avecinia on twitter (twitter.com/avecinia4health). avecinia wellness center is Fresno's premier integrative medicine and wellness center. We combine internal medicine and primary care with health management, weight management, acupuncture, aesthetics (Botox, Juvederm, Radiesse, Obagi and more) and massage therapy for a holistic approach to health. We use a robust electronic health record program and patient web portal to enhance our delivery of services and to help our patients reach their optimal well-being. To learn more, visit www.avecinia.com. If you are looking for a primary care doctor in Fresno or the Central Valley and would like to become a part of the avecinia family, visit our website and click on new patient registration. Let Dr. Unaiza Hayat and/or Ali Kunkel, MPA, PA-C, become your trusted guides. Our Aesthetic, Weight Management, Acupuncture, Health Management and Massage Therapy services do not require us to be your primary care physician. Learn more at www.avecinia.com We look forward to meeting you!