Lack Of Exercise Is Second Only To Smoking

Poor physical fitness ranks right behind smoking as leading risk factors for an early death, new long-term research suggests.

By Maureen Salamon
HealthDay Reporter

This post verifies my views on increasing your activity. At some point, people need to take their health seriously. After you lose the ability to exercise and make a change in your life, coming back will become very difficult.

Latest Prevention & Wellness News

Analyzing nearly 800 men starting at midlife, Swedish scientists also found that each measurable increase in fitness levels translated into a 21 percent lower risk of death over 45 years of follow-up.

"Fitness in middle age is of importance for mortality risk for several decades," said study author Per Ladenvall, at the University of Gothenburg. "Persons with low fitness are associated with an increased mortality risk throughout life.""Smoking was the risk factor that was [most strongly] associated with mortality," Ladenvall added. "We were somewhat surprised that the effect of aerobic capacity was even more pronounced than that of high cholesterol and high blood pressure.

"Heart problems caused by narrowed heart arteries, also known as ischemic heart disease, is the most common cause of death worldwide, according to the World Health Organization.

Using exercise testing, which is traditionally used to diagnose ischemic heart disease, the study authors set out to determine the impact of physical fitness on early death from all causes. They also looked at established risk factors of heart disease such as smoking, high cholesterol, and high blood pressure.

The new research analyzed 792 men born in 1913 who performed an exercise test in 1967, at 54 years of age. More than 650 of the healthiest men also did an exercise test measuring maximal oxygen uptake, called VO2 max. The higher a person's VO2 max measurement, the more physically fit they are.

Tracking the men and using information from several physical exams in intervening years, the researchers obtained data on deaths from all causes. To determine the association between predicted VO2 max (physical fitness) and death, study participants were divided into three groups ranging from low to high VO2 max.

Each increase in predicted VO2 max (physical fitness) levels was linked with a 21 percent lower risk of death over 45 years of follow-up, even after adjusting for other risk factors such as smoking, blood pressure, and cholesterol levels.

U.S. cardiologists agreed with Ladenvall that the study's long follow-up period strengthens the value of the findings.

But how much exercise is enough to lower a person's risk factors for dying earlier?

This question wasn't addressed in the study, Ladenvall said, "but on a general note, the amount of exercise needed to increase fitness is dependent on the baseline fitness in that individual."

"In people with low fitness, even small increases in activity levels can have beneficial effects," he said.

"It doesn't have to be fast, and people don't have to go out and run marathons," Weintraub said. "We need to think of something on the order of 30 minutes to an hour a day of activity. Get home from work and go for a walk. There's evidence that more activity is better up to a point, but any activity is good."

If you really want to lose your body fat than look for my e-books at the websites listed below. You'll get information on Healthy eating, exercise, and diet. Instead of spending hours on the internet reading dozens of posts, you can save time by picking up one of my e-books. 

There are two e-books. “How Bad Do You Want To Lose Weight?” is available at all the online bookstores selling for $1.99. Go to any of the websites below and search the title to find my e-book. This book gives you all you need to lose weight without spending money on gym memberships, diet plans or meal plans. Look for my book. at Amazon.com, B&N.com, iBooks, Kobo.com, Scribd.com, or Gardner Books in the U.K.

My new e-book is available on Smashwords.com, just type “getting to a Healthy Weight” in the search box at the top of the home page. 

Can We Stop Aging

Science tells us that what we call “aging” occurs with age, but not simply because of age. 
The stiffening of the blood vessels and the decline of brain function associated with getting older are affected by what we eat and how much we exercise. If we follow the lifestyle habits associated with slower cardiovascular and brain aging, can we extend lifespan and healthspan? Advances in nutritional science have taught us that eating the right foods enables weight loss and helps to prevent heart disease, cancer, and diabetes.

Consider  what happened to a friend of mine  when he made radical changes to the way he eats.
When he was 60 years old, he could not walk a city block without feeling pressure in his chest. Yet, as a gift to himself for his 68thbirthday, he celebrated with a brisk run-up and down the rolling hills of Central Park in New York City.

  What enabled him to achieve such a feat?  As I like to say, the road to good health is as close as the end of your fork.

He began eating primarily nutrient-rich, whole foods:  greens and other colorful vegetables, beans, fresh fruits, nuts, seeds and whole grains. He minimized meat, eggs and dairy and eliminated added sugars, oils, white flour, white rice and processed foods.  In doing so, he reduced the number of calories he consumed while simultaneously increasing the amount of micronutrients (vitamins, minerals, and phytochemicals) and fiber he ingests. I coined the word Nutritarian to describe this longevity-promoting style of eating, that is nutrient-dense and plant rich.

Paul usually ate a huge salad with raw onions and shredded cruciferous vegetables for lunch with a great tasting  nut-based dressing. He also ate beans or lentils in a vegetable-based soup or stew each day. He included three fruits each day, making especially sure to eat berries, pomegranate, cherries, plums, and oranges.

He ate raw nuts and seeds between meals, with a special emphasis on walnuts, hemp, flax and chia seeds, all of which are high in omega-3 fatty acids. And he also made sure to eat a double-size serving of steamed greens at dinner, often adding  mushrooms and onions.

Though eating  nutrient-rich food is critically important, it is not the only factor that determines good health. For example, Vitamin D, vitamin B12, and proper omega-3 intake are important for optimal health, as well as  limiting sodium and high glycemic carbohydrates.

You may be surprised by how your body can heal itself  by simply eating right and getting exercise. 
You may also be amazed that your taste improves as you start to eat healthier, that you actually get more pleasure from eating and you can eat generous portions of great tasting healthy dishes.  Some people would say that they could never give up the processed food they crave. But you need to know that rejecting these foods is a mere temporary loss. What you gain is the highest level of energy and good health you ever had. If you were searching for the Fountain of Youth, you certainly found it. As he told people who asked him how he felt on his 68th birthday, “I honestly feel – no joking, no exaggeration – that I am only at the halfway point of my life.”  The facts are the same dietary portfolio that protects your heart also protects your brain from aging and prevents cancer.

We now know a lot about the factors associated with longevity. 

Studies of calorie restriction in animals have given us information about the cellular signaling pathways associated with longevity, and we can turn on those same genes and signaling pathways with our dietary and lifestyle habits.  

If you really want to lose your body fat than look for my e-books at the websites listed below. You'll get information on Healthy eating, exercise, and diet. Instead of spending hours on the internet reading dozens of posts, you can save time by picking up one of my e-books. 

There are two e-books. “How Bad Do You Want To Lose Weight?” is available at all the online bookstores selling for $1.99. Go to any of the websites below and search the title to find my e-book. This book gives you all you need to lose weight without spending money on gym memberships, diet plans or meal plans. Look for my book. at Amazon.com, B&N.com, iBooks, Kobo.com, Scribd.com, or Gardner Books in the U.K.

My new e-book is available on Smashwords.com, just type “getting to a Healthy Weight” in the search box at the top of the home page. 

Are You Destine To Gain Weight?

Your genes are why your eyes are brown and your hair is red. They are what make you,  "you". But can genetics determine the size of your jeans?

Research shows that differences in your genes can lead to weight issues. So if your parents are obese, you’re more likely to be, too. But that doesn’t mean you will without question. Many people with obesity in their families aren't heavy. And you can fight the odds with diet and exercise.

Is There a “Fat Gene?”

There’s one gene that’s getting a lot of attention, called FTO. Scientists found that people with certain differences in this gene have a 20% to 30% higher chance of obesity. And those differences are pretty common. That said, I don't think your genes will make you fat, but your parent's genes change as they change. So if they were overweight when you were conceived then maybe those genes may have created a fat baby, but that doesn't mean you're going to stay fat. I remember a case in my family were one boy was born over 11 

pounds but throughout childhood and now as a young adult his weight is perfectly normal.

Dozens of other genes are linked to weight as well. Some, for example, cause people to just naturally store more fat. That could be heredity. But it’s still unclear exactly how much weight genes really do carry. Are you really destined to be overweight?

“Obesity is a very complex disease, and many factors can contribute to it and cause it, including genetics, behavior, and environment,” says Naima Moustaid-Moussa, PhD, director of the Obesity Research Cluster at Texas Tech University. Obesity can run in families -- not because of genetics, but because of habits and environment, she says.

More than a third of adults in the United States are obese, Moustaid-Moussa says. “The number of Americans with obesity has steadily increased over the past five decades, but this can’t be explained by some dramatic changes in our genes.”

Jung Han Kim, PhD, an obesity researcher and professor at Marshall University’s Joan C. Edwards School of Medicine, agrees. Obesity has increased around the world with industrialization, a sedentary lifestyle, and a fat-filled diet, she says.

The Bottom Line

Family history alone doesn’t seem to be enough to make you obese. “Genetics does play a role, but the truth is who you are is still determined by how you live your life,” Li says.

So the same advice holds true:

Get active. Aim for 2 1/2 hours of moderate-intensity exercise like brisk walking every week. Even doing 10 minutes at a time helps. Weight training, done at least twice a week, will help make your muscles strong.

Eat less. Cut calories. Lopping off 500 to 1,000 a day can help you lose 1 to 2 pounds a week.

Choose good-for-you foods. Go for fruit, veggies, whole grains, and fat-free or low-fat dairy foods. Fish, lean meats, beans, eggs, and nuts are also good options.

There's a bunch of different opinions about cutting calories for weight loss. Personally, I had to change the food I was eating. If you eat fresh, healthy foods you will be cutting calories. It's all the manufactured foods and drinks that are loaded with calories.
We are a product of our environment and in your early years, you eat whatever your parents feed you. And the exercise you get depends on your parents. So before you reach middle school you are pretty much programmed to do whatever your parents allow you to do, which depends a lot on the region of the country and whether you live in the city or country.

Those formative years are very important in the way you will develop as an adult. So in some respects, if you're looking for someone to blame, maybe your parents did have something to do with your weight problem. But most of the chubby kids in school have lost that fat, I know I did, so you can't use that excuse forever. 

If you really want to lose the extra flab you can get help, I write 4 blogs and I’ve written two E-books. E-books are the easiest and cheapest way to learn about any subject without groping through hundreds of websites looking for the material you want. 

My first e-book is “HowBadDoYouWantToLoseWeight” and it sells for $2.99 on most online bookstores like Amazon, BN.com, iBook, Kobo, and Gardner books in the U.K.

My second e-book is available in the same stores. And on smash words.com. Just type in the search line “getting to a healthy weight”.

About Obesity

The meaning of the word has changed some since The Affordable Care Act passed. Now we adopted the British scale or the way they calculate Obesity. They use the BMI Method. By calculating your Body Mass Index, it tells doctors your percentage of body fat. So if your BMI is 30 or more you are now Obese. If your number is between 25 and 30 you're considered to be overweight and if you're less than that your normal. You should know your number. You can find out by using the BMI Calculators that are free on fitness websites like WebMD.com. 

Most overweight people are obese and don't know it. They think they should lose a little weight but it's nothing serious when actually it is, These are the one who probably haven't seen a doctor. Then there are the people who thing their weight is fine but they are overweight. Because they haven't seen a doctor they have no clue. 

So Is it our fault we're overweight, or not. I think it’s a little of both. Some of this we can’t help, but some of the fault is ours because we haven’t been keeping pace with the times. The world has been changing right before our eyes. The food industry has made the biggest change next to medicine. Most of our food today is processed. What does that mean? Manufacturers are in the food industry today and they’re making big money. Back in the 1950’s and 60’s we bought food from a grocery store in the neighborhood, you bought meat from a butcher and we could buy fruit and vegetables from a produce stand.  We could do all of this even in the big cities.

Today, your food comes from all around the world. Many of the foods are genetically altered to make the product more resistant to drought, more resistant to insects and altered to grow faster so It can get to market quicker. All of these changes will allow the grower to grow more product each year and make more money. So, why is that bad?

Humans have found out the hard way that processed foods aren’t very good for us. We have more cases of cancer, more obesity and we don’t get the same nutrition that we would get from locally farmed products. That’s one reason you see the organic produce in the stores today. Yes, they make more money from the organic foods, but people are demanding organic produce. We want produce that was grown without chemicals sprayed on them. Small organic farmers don’t make enough money to afford pesticides and fertilizers.  

So when you look at the changes in the last 40 to 50 years, for humans, they’ve been rather dramatic. In the sense that obesity and being overweight was not nearly the problem it is now. I mean, our rate has literally doubled. That’s a huge change. So, what happens? Number one would be, our genetics were set up for a life where one, we had to move a lot more, and two, there weren’t near as many calories, salt and sugar in our foods.

 We didn’t have this constant intake of calories. And so fast-forward now, 2016, what’s different? Ok, one is, calories are everywhere. Two, you take a bite of something, there’s many more calories per bite. And three is, our portion sizing is much, much larger. And we have data to show that.

The average man and the average woman, eat clearly twice the calories per day than, say, 50 years ago. So this is a tough one and the problem is, our genetics really were set up for people who were much more active. Today, we work more with our minds than with our bodies. In other words, we have millions and billions of bacteria in our intestines that actually have genetics, to try and hang onto calories and put them into the human body as well. 

Today’s human eats much more and has much more food available then people did 50 years ago. I was growing up in the 50’s and early 60’s and if I wanted a snack after school, my mother told me to get a piece of fruit. We always had apples in the house. Today, I still keep a bowl of fruit. Apples, pears or oranges and bananas.

As consumers, if we want to stay healthy, be a normal weight and avoid a lot of health problems that being overweight causes, then we have to pay more attention to the food we eat and the amount of food we eat.

People today just go along to get along and spend most of the time on remote. They go through their daily routine without giving much thought to what going on around them. They go through life eating and drinking whatever they want regardless of the harm they might be doing to their body. 

If we want to be healthy and fit we have to pay attention to your bodies' needs.

If you really want to lose your body fat than look for my e-books at the websites listed below. You'll get information on Healthy eating, exercise, and diet. Instead of spending hours on the internet reading dozens of posts, you can save time by picking up one of my e-books. 

There are two e-books. “How Bad Do You Want To Lose Weight?” is available at all the online bookstores selling for $1.99. Go to any of the websites below and search the title to find my e-book. This book gives you all you need to lose weight without spending money on gym memberships, diet plans or meal plans. Look for my book. at Amazon.com, B&N.com, iBooks, Kobo.com, Scribd.com, or Gardner Books in the U.K.

My new e-book is available on Smashwords.com, just type “getting to a Healthy Weight” in the search box at the top of the home page. 

Is More Exercise Better?

This post published on WebMD confirms my belief that your diet is the most important part of the weight loss journey.

If a little exercise is good, then more is better in terms of calorie burn and weight loss, right? That's what most of us tend to believe.

But it's not necessarily true, a research team says. They found that people who exercise a lot don’t burn extra calories for their efforts beyond a certain point. Their new study is published in Current Biology.

Don’t drop that gym membership just yet, though. WebMD asked two experts to discuss these findings and the role of exercise.

On one point both agree: The new research is not discouraging exercise, which is crucial to keeping your body and mind healthy. But it does provide more evidence that diet, not exercise, is the key to losing weight.

What did the study find?

Pontzer and his team measured the daily activity levels of more than 300 men and women -- along with how many calories they burned -- over the course of a week. They came from five different countries across Africa and North America: the U.S., Ghana, Jamaica, Seychelles, and South Africa. People in some of those nations tend to be more physically active than many Americans.

The researchers had everyone's body mass index (BMI). They measured activity and calorie burning for a week but didn't track whether people gained or lost weight.

Exercise did have an effect on how many calories people used, called energy expenditure. But the number of calories burned didn’t increase dramatically as people got more exercise. Those who had a moderate activity level burned a few more calories daily, on average around 200, compared with the most inactive people. But those who exercised beyond the moderate activity level saw no effect of their extra effort as far as how many calories they burned

Although the study didn't define ''moderate'' in hours of activity, Pontzer describes moderate exercisers as those who are active ''but not serious athletes” -- someone who walks a couple miles a day or bikes to work and back, for example. Pontzer's team did find that those with higher body fat percentages actually burned more calories with exercise -- presumably, he says, because there is more fat to burn.

What do the findings say about the role of exercise in weight loss?The study didn’t focus on this specifically, but Pontzer says exercise ''can be part of a successful weight loss strategy. We need to think about exercise and diet as two different tools."“Exercise is good at lots of things, such as maintaining heart health,” he says. “Diet is going to be the better tool for managing your weight."The findings may show that the inactive lifestyle of many Americans hasn't contributed as much to the nation’s obesity epidemic as public health officials believe, Melanson says. He stresses that the study does not prove that, but simply adds information to the ongoing debate about why Americans are so overweight. The study found, in Melanson's view, seems to tip the scale a bit more toward overeating, not under-exercising, to explain the current U.S. obesity epidemic.

Why is it that more exercise is not better? Do we hit a kind of plateau?Yes, Pontzer says. "If you are more active, your body might be adapting,'' he says. "We hit an energy expenditure plateau. It's part of the reason your body adapts to your new exercise routine." That may be why many find it so hard to lose weight, he says. But, he believes, there is such a thing as an exercise “sweet spot” -- the point at which workout benefits, including calories, burned, peak. That spot is probably different for everyone, Pontzer says, although the new study didn’t look into that.

How do you find your ''sweet spot"?Pay attention to your body, Pontzer says. You know you're out of the sweet spot and overdoing it when you feel worn out constantly and you need more time to recover from exercise, he says. At that point, it's time to work out less.

What's the best take-home advice from this research?Even if researchers eventually decide that diet plays a bigger role than an exercise in weight control, Melanson says, ''the public health message is not going to change one bit. Exercise does matter [for overall health], whether you lose weight or not.''Working out has lots of health perks, including diabetes prevention, blood pressure control, stress reduction, and boosting your mood to help with depression. It can also contribute to brain and immune system health, experts say."This [study] says the first thing to do is diet and it won't hurt to throw in exercise," Pontzer says.

f you really want to lose your body fat then look for my e-books at the websites listed below. You'll get information on Healthy eating, exercise, and diet. Instead of spending hours on the internet reading dozens of posts, you can save time by picking up one of my e-books. 

There are two e-books. “How Bad Do You Want To Lose Weight?” is available at all the online bookstores selling for $3.99. Go to any of the websites below and search the title to find my e-book. This book gives you all you need to lose weight without spending money on gym memberships, diet plans or meal plans. Look for my book. at Amazon.com, bn.com, iBooks, Kobo.com, Scribd.com, or Gardner Books in the U.K.

My new e-book is available on Smashwords.com, just type “getting to a Healthy Weight” in the search box at the top of the home page. 

Until February 23rd Smashwords has a sale on my ebook for $.99, don’t miss out. This book is a one-stop-shop for all your weight loss questions. Use the coupon code CL77K.

How Long Will You Live

Or is the question, "How Long can I stay Healthy?" This is a post I found on the HealthDay site.

Children of long-lived parents are less likely than others to die from heart disease in their 70s, new British research suggests. "We found that for each parent that lived beyond 70 years of age, the participants had a 20 percent lower chance of dying from heart disease." Specifically, the children of longer-lived parents had lower rates of vascular disease, heart failure, stroke, high blood pressure and high cholesterol, the study found. The findings aren't an excuse to turn into a binge-eating couch potato if your mother and father reached their 80s or 90s. Nor are they a sign that those whose parents died early should just give up. On the contrary, your decisions about your health can reverse trends toward the illnesses highlighted in the study, Pilling said.

"Though people with longer-lived parents are more likely to live longer themselves, there are lots of ways for those with shorter-lived parents to improve their health. People can really take their health into their own hands," he noted.

Indeed, the correlation between the lifespans of parents and children is actually fairly weak, said Kaare Christensen, a professor of epidemiology with the University of Southern Denmark. As a result, he said, "there is a lot of room for improvement." 

It's known that parents who live a long time are more likely to have kids who live a long time, but Pilling and his colleagues wanted to learn more about this connection -- such as why some people develop heart conditions in their 60s and others don't.

The link between long-lived parents and heart-healthier offspring held even after the researchers adjusted their statistics for factors such as education, age, weight and physical activity. According to the study, some researchers have made similar connections in the past, but they looked at smaller groups of people. 

How might genetics explain the lower risk of heart disease in kids of longer-lived parents? Your genetic inheritance from your parents seems to affect blood pressure, cholesterol levels, tobacco addiction, drug and alcohol dependence, and levels of obesity in the participants, Pilling said.

"These are all factors that affect the risk of heart disease," he said.  "If you have a parent who died young, it is always good if it can be determined why he or she died very early and whether there is an inheritable disease for which there are treatments," Christensen said. But in general, he said, people whose parents died very early are "not generally doomed." That's because of the "low correlation"   between the lifespans of parents and their kids.

I believe that your children inherit your genes in whatever condition their in at the time of conception. I believe your genes will change during your life, depending on your condition. So if your overweight at the time of conception your child may also have that same gene. Of course, if both parents are overweight at the time of conception the child will have a much greater chance that he will suffer from the same obesity gene.

If you really want to lose your body fat than look for my e-books at the websites listed below. You'll get information on Healthy eating, exercise, and diet. Instead of spending hours on the internet reading dozens of posts, you can save time by picking up one of my e-books. 

There are two e-books. “How Bad Do You Want To Lose Weight?” is available at all the online bookstores selling for $1.99. Go to any of the websites below and search the title to find my e-book. This book gives you all you need to lose weight without spending money on gym memberships, diet plans or meal plans. Look for my book. at Amazon.com, B&N.com, iBooks, Kobo.com, Scribd.com, or Gardner Books in the U.K.

My new e-book is available on Smashwords.com, just type “getting to a Healthy Weight” in the search box at the top of the home page. 

Benefits Of Losing Weight

I write posts about weight loss because so many people want to lose weight. Mostly because they want to look better and feel better. Do you know that only about 10% of dieters lose weight and keep it off. As a senior, I want to tell you that until you’re over 50 your don’t realize how that extra weight affects you. 

I lost most of my body fat after 50, but for a lot of people, that’s almost too late. Today I have knee pain because I waited too long to lose weight. The damage was done. I had one operation on my left knee, but the truth about any joint surgery is that you never totally get rid of the pain. Oh, sure after the surgery you’ll feel great but as time goes by you start to feel the pain again. And after any joint damage, you always end up with Arthritis. 

If I would have exercised  and watched my diet more and lost the weight before I damaged my joints, maybe this wouldn't have happened. For most of us, gaining weight is no biggy. "Everyone gains weight when they get older, don’t they?”  No, the truth is that as you get older, life gets more complicated. We have less time and we spend less time taking care of ourselves. Hence, the older you get the more you go to the doctor. We are causing our own health problems. 

The key approach? Eat better. "Poor-quality foods, like trans fats, cause inflammation -- and aging is basically a chronic inflammatory state," says Timothy Harlan, MD. 

And because of our busy lifestyle, we have less time to stay active. If you already have the body fat you need to change what you eat. That’s for sure, but you also need to add more activity to your daily schedule. Okay, I know we all don’t have time for the gym, but that’s not really necessary. Walking can provide the extra activity you need. I grew up with my parents and grandparents. During the 1940’s and 1950’s life was different. People didn’t have a lot of money and most city people lived in apartments. If you wanted to own your own home or your parents didn’t have enough money to live alone, then families would go together and buy a home. 

The sandwich generation is nothing new. Families have had to do this for several generations. Anyway getting to the point, my grandparents never really watched TV. Oh sure, at night they would sit in front of the TV with the rest of us, but they usually would fall asleep. What I do remember is that after dinner my grandparents would take a walk, they walked for about an hour and then usually when to bed. 

So what I’m getting at is that they were healthier people then my parents and my parents were probably healthier than people in my generation. Why might you ask? When we were all living under the same roof our diets were all about the same. We all ate the same food, some ate more than others, but the food was all nutritious and we were all healthy. My dad was the heaviest, he had more body fat and he was less active. He had an office job, stayed at his desk and stayed on the phone most of the day. I would say it was probably his diet and his love of Golf that helped keep him healthy, in those days you walked the Golf Course.

Today life is much different. The average family eats out three or four times a day. Restaurant food will put weight on you. Most low price restaurant food has little nutrition and is basically comfort food that adds weight almost immediately. Plus the fact we are not as active as past generations, so it’s a combination of the food we eat today and the lack of exercise which is producing a generation of people with serious health problems. 

You can do something to break the cycle you're in, by doing things today to take better care of yourself. To eat better, more quality food and to get more exercise even if that means walking the dog. 

If you really want to lose your body fat than look for my e-books at the websites listed below. You'll get information on Healthy eating, exercise, and diet. Instead of spending hours on the internet reading dozens of posts, you can save time by picking up one of my e-books. 

There are two e-books. “How Bad Do You Want To Lose Weight?” is available at all the online bookstores selling for $1.99. Go to any of the websites below and search the title to find my e-book. This book gives you all you need to lose weight without spending money on gym memberships, diet plans or meal plans. Look for my book. at Amazon.com, B&N.com, iBooks, Kobo.com, Scribd.com, or Gardner Books in the U.K.

My new e-book is available on Smashwords.com, just type “getting to a Healthy Weight” in the search box at the top of the home page.