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What is Coaching, Anyway?

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GOQii’s mission is to provide global access to health professionals who can help you to reach your best health potential. To do that, GOQii has cultivated a community of health coaches to help you on your journey towards better health habits and (by extension) a better quality of life.

Just one thing, though….

What is a health coach?

Is it, like…a guy who is going to blow a whistle at me and tell me what to do throughout the day?

Nope.

Oh…so it’s someone who is just going to tell me what to eat and when?

Not….exactly…no.

Well – what the heck is a health coach, then?

Coaching is a relatively new vocation so far as vocations go. A purist working in an organization like the International Coaching Federation would say that coaching is:“A professional who will partner with clients in a thought-provoking and creative process that inspires them to maximize their personal and professional potential.”

Huh?

Basically…using this definition – a coach is intended to facilitate a relationship whereby YOU make the decisions about what goals YOU want to commit to. The coach is there to help ask the right questions to help you land on the appropriate goal. The coach is there to provide insights about the patterns he/she notices about what you are doing now. Finally, the coach is there to provide accountability for you by checking in on you regularly and asking about the goals you set in motion.

They use skills like Motivational Interviewing (an evidence based approach that helps people navigate confusion and ambivalence about changes they want to make in life) as well as visualization exercises and Socratic questioning.

So..then…what is a health coach?

A Health Coach is someone who integrates the skills and techniques of coaching (motivational interviewing, socratic questioning, etc.) alongside health education (giving you information that you may not know in order to help you make habit changes that are appropriate for the kinds of results you want to have).

Your GOQii coach is a health coach. They are trained health professionals who are qualified to give you information if you need it. BUT -the philosophy we follow, here, at GOQii is as follows:

  • Most people actually already know what to do – the challenge is in implementing it. They really just need accountability
  • Health isn’t about revamping your entire nutrition plan or following complex exercise routines all at once. It’s about making sustainable changes over time that turn into life-long habits and evolve into robust health in the long-term.
  • YOU know what you need better than anyone. Our job as your coach isn’t so much to tell you what to do as it is to help you unlock your own potential.
  • Yes – occasionally, you really do need some information. You might have read an article about health that confused you. You might not be sure about the next best step. If that is the case – we can and will help you by providing options for first steps – but at the end of the day, YOU are in charge. YOU decide.

So What Will Your First Coaching Call Look Like? 

  1. First, your coach will ask you what your long-term BIG PICTURE goal looks like.
    • What do you want to see change in the next year?
    • What kinds of people do you envision spending your time with?
    • What kinds of actions do you want to be doing?
    • EXAMPLE: “I want to be able to run a marathon by the end of the year.” or “I want to lose 40 pounds by the end of the year.”
  2. Second, your coach will ask you your
    • What will that change get you that you don’t have now?
    • What is motivating you to make that change?
    • EXAMPLE: “I used to love  I felt empowered by it. And lately, I haven’t felt very empowered. I want to feel that way again.” Or “I want to lose some weight so that my knees don’t hurt as much. I am struggling to keep up with my little 3-year old. I want to be able to play and run and hide and seek right along with her. I feel like my current weight is making that challenging for me because exercise is causing me physical pain.”
  3. Third, your coach will get you to identify a check-point to try and commit to in the next month.
    • In the next month, what would indicate to you that you were moving in the right direction?
    • How far do you want to try and be toward that long term goal by the end of the month?
    • EXAMPLE: “I want to be able to run at least 2 miles without stopping.” Or – “I would really like to have lost at least a couple of pounds by the end of the month.”
  4. Fourth, your coach will help you to take that goal and frame it into actions. It’s one thing to say you want to run a marathon. But that takes practice. Sure you might want to lose weight. But both of those things are Now you need to figure out which actions you want to take to get you there!
    • What is a specific action that you can take between now and next week that will move you toward your monthly check-point?
    • How will you monitor your progress on that?
    • How might you arrange your environment to optimize your success?
    • Who will you recruit as your support for that goal?
    • How will you reward yourself every time you engage in this behavior?
    • EXAMPLE: “I will make a commitment to run 20 minutes per day at least twice this week. I’m not sure, yet, how long I can go without stopping. But I will run/walk both times and push myself as far as I am comfortable. To monitor my progress, I’ll check in with the GOQii app and check it off on the list when I have completed my task. In order to assure that I run….I will put my running clothes out the night before so that I do it first thing in the morning. I’ll keep my GOQii coach for support, and I will reward myself after my run by allowing myself a download of a song on my music device or will download a new audiobook every time I complete the weekly goal.
  5. Fifth – your coach will wind up the conversation by summarizing what you have committed to. He or she will ask if you have any questions or are in need of any resources. Perhaps you are looking for some workout videos that are free. Or maybe you are looking for a quick and easy breakfast recipe that you might look at after your run. Whatever the case, your coach can help point you in the right direction and hold you accountable. And after wrapping up, your coach will set a follow-up appointment with you for the following month.
  6. Finally – your coach will follow up with you every day during the week via text to make sure you have all that you need. If you have questions along the way, you can reach out. If you feel like you’re struggling to find the motivation, your coach can help you identify what will get you back in the game.

Make no mistake – You are always the one in the driver’s seat. But your coach is there to be your copilot along the way. Your coach will help guide you along your journey and hold you accountable to the habits you want to put in place in order to get to the destination you ultimately want to get to.

Good luck – and Be The Force!

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Pregnancy- Not by Chance!

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Whether it is shopping for groceries, clothes, perfumes, appliances etc., we are extremely choosy and want to go for the best. There is no doubt in the fact we would not want to compromise for anything that is not up to the mark. But, sadly, I find that same is not the attitude when it comes to our own body. Whether it is taking care of our body to be fit and healthy or whether it is to take care of it prior to planning a family.

It is very important to realize that one of the pre requisites to conceive a healthy baby is that both the father and the mother must be in the best of health and there are no two ways about it.

Holistic preconception is about nurturing the mind/ emotions, body and spirit to create the most ideal environment for creating and cultivating life. While, much attention is placed on the mother’s health, we know that the health of the sperm is equally important as that of the egg and womb. Precisely why both egg and sperm should be addressed with the intention of increasing fertility and minimizing exposure to toxins.

Prior to starting, both the parents should undergo a complete health check-up (e.g. Medical history, Genetic history, Blood tests- to check for thyroid levels, hemoglobin, Vitamin B12 & Vitamin D, folic acid, Blood sugars). If any medical condition is detected prior, it will only help to correct the situation before conception and reduce the risk of complications in pregnancy like gestational diabetes, gestational hypertension, thyroid disorders and anemia.

Start the regime mentioned below, three months prior to your planned conception and continue it till you conceive.

How to prepare for a healthy conception-

  • Diet– Diet should include folic acid rich food. Folic acid plays an important role in the production of red blood cells and helps baby’s neural tube develop into a brain and spinal cord.

e.g. Vegetables-Cluster Beans (Gavarfali), Spinach (Palak), Lady Finger, Tomatoes, Broccoli, Beetroot, French beans.

  • Curds
  • Cereals/pulses
  • Dry fruits- Walnuts (2), Almonds(4)

Eat unrefined, fresh and homemade food as much as possible.

  • Exercises

Exercise is one of the most important aspects of keeping your body healthy. All exercises improve the blood flow to the pelvic organs, including the male and female reproductive organs which is beneficial to conceiving. (http://goqii.com/blog/excercises-pre-pregnancy-a-good-start-is-half-done/).

Remember  “A mother’s health has direct correlation with her baby’s health” , so the earlier you start, the better.

  • Lifestyle

Stop smoking.  Avoid alcohol completely.  Avoid drugs – both pharmaceutical drugs for chronic conditions and recreational drugs.  Avoid caffeine. Avoid exposure to X-rays and Radiations.

  • Stress

Relaxation techniques – Meditation, massage, or Yoga have been known to help people with stress.

Express your thoughts and worries to your spouse, this will eventually strengthen the bond between the couple & always think positive.

  • Hydration

Water is the simplest method of detoxifying and 2-3 liters are recommended daily.

  • Stopping contraception

Stop hormonal pills and remove intrauterine device (IUD) if any, about 3 months before conception is planned. Use a barrier method (like condom) at this time. Allow a minimum of one normal menstrual cycle between stopping contraception and conception.

  • Dental care

If there are any dental problems (e.g. cavity) get it treated before you conceive. Oral infections are associated with premature labor.

A happy healthy mother is equal to happy healthy baby. Martin Luther once said, “Maternity is a glorious thing, since all mankind has been conceived, born, and nourished of women. All human laws should encourage the multiplication of families”.

May this amazing journey of parenthood begin in a holistic healthy way.

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High Fructose diet and Vitamin D

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We are all aware that lack of sun exposure and spending more time indoors makes us prone to Vitamin D deficiency. But, did you know that Vitamin D deficiency could also occur due to an unhealthy diet –especially one that is loaded with high fructose.

In fact, what led me to write this blog is a recent conversation with a close friend of mine. Anita, as I knew her was always conscious about her diet and what she ate. Her seemingly healthy breakfast included packaged cereals and fruit yogurt. Trying to keep her meals small and frequent, her snacking included salads from fast food joints and her quick fix dinner at home mostly comprised of fruit juices with a veg sandwich.

But, something seem to bother hear off late. When I casually asked her how she was doing and that she looks a bit perturbed, she mentioned about her recently diagnosed Vitamin D deficiency at the age of 35 years.

What triggered the check up? Well she had a fall and fractured her right hand. It intrigued me to find out more. Anita was also keen to find out if there was anything in her diet that had led to the Vitamin D deficiency. She was obviously under the impression that she was eating healthy.

As a nutritionist, let me tell you that the sunshine vitamin-Vitamin D, can have reasons other than insufficient exposure for its deficiency. Fast paced lifestyle and dependence on packaged foods pointed to high fructose in the diet, which could be a major cause. Precisely, what triggered the deficiency in Anita as well?  Surviving on packaged foods is not a good idea at all.

Fructose, as we know is a fruit-sugar; unfortunately, it’s not fruits from where we get most of the fructose in our diet. A large part of fructose in our food enters via HFCS – High fructose corn syrup which is an alternative to sugar in most packaged foods.

This low cost sweetener is favorite of food processing industries.Being stable in acidic foods and beverages, HFCS is attractive alternative to sucrose and is found in many unsuspecting packaged foods such as – Packaged fruit juices, carbonated drinks, breakfast cereals, flavored yogurt, salad dressing, ketchups, soups, sauces, nutrition bars etc. Baked products such as biscuits and breads, which is a classic case of ‘HFCS camouflaged with the whole grain marketing’.

When we consume high levels of fructose, an enzyme called  24-hydroxylase (which is responsible for degrading vitamin D3) becomes more active, while another enzyme, 1α-hydroxylase (which helps synthesize vitamin D) becomes less active.  As a result of this high level of fructose consumption, the body tends to start breaking down whatever levels of Vitamin D you have. In other words Fructose reduces blood levels of active Vitamin D.

Vitamin D in the form of calcitriol plays a critical role in maintaining calcium levels in blood. It regulates active calcium transport in the intestine, helping increase its absorption from food. In fact, in Vitamin D deficiency, we absorb only about 10 to 15% of the dietary calcium we eat!

We need calcium for proper functioning of nerves and muscles, including the cardiac muscle –Heart. When calcium levels go too low,in its survival mode body starts pulling calcium from bones. Boom: suddenly we enter a state of bone-tissue breakdown, because of a chain of events initiated by excess fructose. Over time, skeletal health becomes compromised, and the risk of osteopenia, osteoporosis, and fracture may go up.

A study published by PLOS One in April 2014 demonstrated that a chronic intake of high levels of dietary fructose can lead to a decrease in circulating levels of Vitamin D and also creates physiological increases in calcium requirement. They quoted this finding as highly relevant since fructose, a sugar contained in many types of foods that are being consumed at high levels, may contribute to the increasing prevalence of vitamin D insufficiency, especially in sensitive populations with high, processed sugar intakes. (http://journals.plos.org/plosone/article?id=10.1371%2Fjournal.pone.0093611).

Before it’s too late, cut down on your fructose intake. Less than 40 g of fructose from whole foods sources per day is a great target. For reference, that’s what we’d get from 1.3 whole mangoes or 3.5 apples. Yes, 2-5 servings of fruit per day (depending on fruit choice, stick to max 2 if high fructose fruit) is perfectly fine!

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What is contraception?? Birth control or fertility control

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Why or how does it play such a major role in the betterment of a society? I have a little story to share. Like all women, my friend was also super excited about her wedding. It was the perfect match, the man was perfect with a well-paying job, loving family and most importantly he was a man with a heart of gold. Are you wondering how our discussion on contraception fits into the scheme of this here?

Let me explain. Here’s what happened! Couple of days before their big day, my friend’s to be husband made it very clear to her that he does not want to use any contraceptive. But, he did not want a child for a year at least. And, that he also did not want her to use a barrier method of contraception (female condoms) either! The other conditions laid down by her to be partner was also that she had to lose weight and remain slim for the rest of her life. This is kind of a heard story right? It does not come as a surprise.

Now, my friend was in atotal fix. There were so many terms and conditions and unfortunately she had no say in the matter. It was told to her and she had to follow it. She was not very keen on OCPs (Oral Contraceptive Pills) given their side effects like weight gain, nausea, sore or swollen breasts, lighter or heavy periods, mood changes, abdominal pain and headaches. So what other option was she left with?

IUCD (Intrauterine Contraceptive Device)-It is a small contraceptive device, often ‘T’-shaped, containing either copper or levonorgestrel, which is inserted into the uterus. They are one form of long-acting reversible contraception which are the most effective types of reversible birth control.

Was my friend aware that it is not advisable to use IUCDs unless you have conceived at least once? Nope! She wasn’t aware nor did she take any medical advice. So just to keep her husband happy, she opted for IUCD.

What happened next?!!

She started having adverse effects like excessive bleeding during menses, abdominal pain, and loss of weight and before we knew it, she looked under nourished.

What led to all this? Who was to be blamed? Was it the girl’s fault?  Or was it her husband, who had the notion that using a barrier method reduces the pleasure or the basic psyche that the girl must to do all that pleases her husband irrespective of what the consequences could be. I would say all three and most importantly it’s the lack of knowledge about contraception.

I am saddened by the thought that some people still think contraception is unnecessary as it decreases libido and that it’s a taboo. Well, trust me folks it is not so. When one uses contraception, they can avoid unwanted pregnancies and space planned pregnancies to promote optimal birth outcomes.

When a pregnancy is planned, one can start prenatal care, including increasing their intake of folic acid; work with the gynecologists to address relevant medical conditions, as well as substance abuse; and take other steps that lead to healthier outcomes for both the mother and the infant.

Pregnancies that are unplanned are more likely to be affected by delayed prenatal care, maternal depression, low birth weight, poorer childhood physical and mental health, and other complications. Breastfeeding rates are also lower after unintended pregnancies. We should also remember that most of the unintended pregnancies end in abortion, which affects both the parents psychologically and affects the mother physically.

When you look at the facts, contraception is a smart public health policy.

Of course, for some women, birth control is essential for other health reasons, including acne, fibroids, and endometriosis and to reduce problems associated with irregular or very heavy periods.

There are several methods of contraception:

Natural Family Planning (NFP): Couples can use NFP techniques like the rhythm method, basal body temperature, or the cervical mucus method to try to pinpoint when a woman is ovulating (fertile). To prevent pregnancy, sexual intercourse is to be avoided around the time of ovulation.

Other methods include barrier method (condoms), OCPs, IUCDs.

Remember, contraception plays an important role in the well-being of the family and the society as a whole.

Finally, don’t forget to consult your gynecologist for advice on the right Contraceptive method for you.

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