New Year’s Resolution 2026
As we move into the new year, it is worth remembering that prioritizing your own health is not selfish. It is foundational. When we take care of ourselves, we show up more present, more focused, and more resilient for our friends and families.
Small, consistent choices such as better sleep, movement, nutrition, reflection, and balance compound over time. Here’s to a year of strong hearts, clear minds, and purposeful care. – Posted 1/9/2026
Timeless and Ageless
One of the best things about walking is its accessibility. Young or old, beginner or seasoned fitness enthusiast—walking meets you where you are. It adapts to your pace, your schedule, and your lifestyle. Every step counts, and every walk contributes to long-term health and happiness.
So this Sunday morning, lace up your shoes and step outside. Let the rhythm of your footsteps remind you that wellness isn’t about complexity—it’s about consistency. A walk today is an investment in the vitality of tomorrow
𝗥𝗮𝘆𝗺𝗼𝗻𝗱 𝗟. 𝗦𝗶𝗻𝗴𝗲𝗿, 𝗠𝗗, 𝗠𝗠𝗠, 𝗖𝗣𝗘
Author of the Amazon bestseller: 𝙄 𝙐𝙨𝙚𝙙 𝙩𝙤 𝙗𝙚 𝙖𝙣 𝘼𝙩𝙝𝙡𝙚𝙩𝙚: 𝙏𝙝𝙚 𝙏𝙝𝙧𝙚𝙚 𝙀’𝙨 𝙛𝙤𝙧 𝙩𝙝𝙚 𝙋𝙧𝙚𝙨𝙚𝙧𝙫𝙖𝙩𝙞𝙤𝙣 𝙤𝙛 𝙔𝙤𝙪𝙩𝙝
Important Update on Obesity Trends in the United States:
GLP‑1 receptor agonists — including Ozempic, Wegovy, Mounjaro, and Zepbound — have had a transformative impact on obesity management in the United States. Following a threefold increase in adult obesity rates from 1960 to 2021, recent U.S. health data now shows a modest but significant 2% decline from 2022 to 2025, a shift widely attributed to the rising use of GLP‑1 medications.
The adoption of GLP‑1 drugs has accelerated rapidly. Between 2019 and 2024, prescriptions increased by nearly 587%, rising from 0.3% to 2.05% of overweight or obese adults. Usage has climbed particularly among women approaching menopause, with 18.6% of women on GLP‑1s using them for weight loss compared to 9.3% of men.
Adherence rates are also improving. Nearly 63% of patients who began treatment with Wegovy or Zepbound in early 2024 remained on therapy after one year — a significant increase from 40% in 2023. Clinical trials report average weight reductions of 15–21% with semaglutide or tirzepatide over 12 months, outcomes comparable to some bariatric procedures.
As a result, the volume of bariatric surgeries has declined, reflecting a shift toward medical rather than surgical obesity interventions. However, this may prove to be a temporary trend, depending on long-term efficacy, cost, and clinical practice guidelines for GLP‑1 use.
Beyond weight loss, GLP‑1 therapies offer broader health benefits. These agents improve metabolic function, reduce systemic inflammation, and lower cardiovascular risk. Notably, the SELECT trial found a 19% reduction in all-cause mortality and a 20% reduction in cardiovascular deaths among patients treated with semaglutide.
Despite these advances, significant barriers remain. Fewer than 3–4% of eligible obese adults currently receive GLP‑1 prescriptions, due to disparities in insurance coverage, cost, and geographic access. Out-of-pocket costs often exceed $1,000 per month, prompting some individuals to seek unregulated sources, which pose safety risks.
Side effects are also a consideration. Common adverse effects include nausea, vomiting, and gastrointestinal discomfort. Long-term safety is still under review, particularly regarding risks of medullary thyroid cancer, gallbladder disease, and diabetic retinopathy. For this reason, baseline screening and ongoing monitoring are essential, especially in patients with diabetes or pre-existing thyroid conditions.
GLP‑1 receptor agonists represent the first pharmacologic intervention with the potential to reverse national obesity trends. While challenges in access, cost, and long-term safety remain, these medications are already reshaping the landscape of obesity treatment in the United States — with implications for individual health and public policy for years to come.
When is the Best Time to Exercise?
This video talks about the advantages of exercising in the morning.
- Morning workouts release endorphins and improve blood flow, helping you to feel more energized and mentally sharp throughout your day.
- There are fewer distractions in the morning and it makes it easier to stick to a routine and avoid skipping workouts.
- Morning exercise can kickstart your metabolism and promote calorie burning throughout the day.
- Studies suggest that morning exercisers often experience better sleep quality compared to those who work out later in the day.
- Physical activity increases mental clarity, which can enhance performance at work or school.
- People who start the day with exercise often make better food choices, and feel more motivated to maintain healthy habits.
Health Benefits of Physical Activity
Physical activity offers numerous immediate and long-term benefits. In my new book, “I Used to be an Athlete,” I explain how exercise enhances overall well-being. Regular physical activity improves immediate feelings of well-being, functional capacity, and sleep quality, with health benefits spanning all ages, from children to adults and seniors aged 65 and above.
Exercise not only boosts heart health but also contributes significantly to brain health. Consistent physical activity improves cognitive function, judgment, and skills, while reducing the risk of depression and anxiety. Furthermore, regular exercise facilitates weight management, not only through physical activity but also by promoting better sleep habits and healthier eating choices.
As discussed in my book, adopting a lifestyle change approach, rather than adhering to fad diets, can prevent cardiovascular disease, type 2 diabetes, and even enhance resilience against infectious diseases and certain cancers. Research has shown that regular physical activity may decrease the risk of developing bladder, breast, colon, endometrial, and esophageal cancers, among others.
The key is to incorporate physical activity into one’s daily routine, much like showering or brushing teeth. By prioritizing exercise, individuals can experience benefits at any age.
https://a.co/d/anzn8Yc
I’ve been fortunate to work at aesthetically beautiful hospitals for my entire career. It’s important to understand that beautifully-designed hospital spaces do have a positive impact on healing, from allowing in natural light, to the construction of healing gardens for patients and visitors, as well as in the creation of innovative designs to ensure patient privacy and dignity.
Equally impressive is how these beautifully-designed hospital spaces also support the emotional wellness and unity among employees, often fostering a culture of collective community engagement. Indeed, “neuroaesthetics” is a field of study that examines the psychological effects of how the brain responds to art, music, or in this instance, the incorporation of beauty into the design of buildings and workspaces.
Healthcare facilities are among the most expensive buildings to construct, maintain, and operate. Once built, hospital buildings remain in service for decades and are often difficult to modify. Thankfully, the modern design approach is “patient-centered,” often seeking physician, nursing staff, and patient input, thus aligning evidence-based hospital design with evidence-based clinical medicine.
How Safe are GLP Medications?
Drugs known as GLP-1 medications are being widely prescribed in the United States. The most well-known are Mounjaro, Ozempic, Wegovy, Cagrisema, and Rybelsus.
In this video, I explained the basics, including how they work, their impact on the heart, and some of their side effects. The important thing, as always, is to consult with your Primary Care Physician (PCP), as well as to do your own research to better understand the benefits and risks.
These drugs are not cure-alls. If you don’t change your lifestyle by improving your diet and exercise, these medications will only have a short term impact, or none at all. As always, focus on your total well-being. There are no magic fixes.
Smoking Effects the Heart:
Patient’s Heart Stopped Moments Before His Scheduled Heart Surgery
With permission from the patient to post, this man’s heart stopped just moments before he was scheduled to undergo coronary artery bypass surgery. He received emergency resuscitation, including CPR for 20-30 minutes, as we proceeded to emergently place him safely on the heart-lung machine.
Now 6 days later, he is going home. This life-changing event has finally convinced him to stop smoking, which was a significant risk factor for his heart and lung issues. He knows he’s one fortunate fellow, who was at the right place, at the right time, and to be blessed with a second chance at life!
Why Are We No Longer “Young at Heart” in America?
With permission from the patient to post, this 38-year old man’s story is emblematic of a growing number of young adults suffering heart attacks from premature coronary artery disease.
Why are we no longer “young at heart” in America? The Framingham Heart Study reminds us of the importance of six risk factors for cardiovascular disease: High total cholesterol, low HDL, high blood pressure, diabetes, obesity, and smoking.
While family history and genetic predisposition are important, we are seeing a massive increase in obese young adults who lack exercise, with signs of advanced metabolic syndrome—then, add in today’s stress and seemingly endless world crises, we now have the perfect brew for premature inflammatory vascular disease, heart attacks, and sudden death.
Education remains the key. A recent Harvard survey of more than 4,000 individuals, with an average age of 30, found that over 65% of these young adults were unable to identify ANY of the six major cardiac risk factors. That’s a striking finding and one that we can change with better education and mentoring.
Families need to instill healthier habits in their children at a younger age and encourage their children to adopt an attitude and focus on lifelong wellbeing. Schools and colleges would do well to provide mandatory health courses and promote healthier activities and better food options on campuses. Corporations and businesses would also see better productivity from their teams if a focus on healthier lifestyles becomes an integral part of their business model.
Unfortunately, it’s going to take time, effort, and funding to turn around the health of our youth in America. Until then, we might expect to see more cases like the one illustrated in this video.
Is Walking Good Enough Exercise?
- Improves cardiovascular fitness.
- Helps lose body fat and maintain healthy weight.
- Strengthens muscles and bones.
- Increases energy levels.
- Strengthens the immune system.
- Improves memory.
- Improves cognition.
- Improves sleep.
- Improves balance and coordination.
- Reduces stress and tension.
“Beauty surrounds us, but usually we need to be walking in a garden to know it.” –Rumi
Step Into Wellness: The Power of Walking for Body and Mind
Sunday mornings are made for slow starts, warm cups of coffee, and fresh air on a gentle walk. Walking is one of the simplest forms of exercise, but don’t let its simplicity fool you—it’s a powerful way to care for both your body and mind at any age.
A Body in Motion
Walking strengthens the heart, supports healthy joints, and improves circulation. It doesn’t demand fancy equipment or gym memberships—just comfortable shoes and a little bit of time. Even a brisk 20-minute stroll can help reduce blood pressure, maintain a healthy weight, and boost your energy levels.
A Mind at Ease
Just as walking keeps the body fit, it also brings calm to the mind. Rhythmic steps and steady breathing act like a moving meditation, easing stress and clearing mental clutter. Whether along tree-lined streets, coastal paths, or simply around the block, walking creates space for reflection and a reset for the week ahead.
Timeless and Ageless
One of the best things about walking is its accessibility. Young or old, beginner or seasoned fitness enthusiast—walking meets you where you are. It adapts to your pace, your schedule, and your lifestyle. Every step counts, and every walk contributes to long-term health and happiness.
So this Sunday morning, lace up your shoes and step outside. Let the rhythm of your footsteps remind you that wellness isn’t about complexity—it’s about consistency. A walk today is an investment in the vitality of tomorrow
𝗥𝗮𝘆𝗺𝗼𝗻𝗱 𝗟. 𝗦𝗶𝗻𝗴𝗲𝗿, 𝗠𝗗, 𝗠𝗠𝗠, 𝗖𝗣𝗘
Author of the Amazon bestseller: 𝙄 𝙐𝙨𝙚𝙙 𝙩𝙤 𝙗𝙚 𝙖𝙣 𝘼𝙩𝙝𝙡𝙚𝙩𝙚: 𝙏𝙝𝙚 𝙏𝙝𝙧𝙚𝙚 𝙀’𝙨 𝙛𝙤𝙧 𝙩𝙝𝙚 𝙋𝙧𝙚𝙨𝙚𝙧𝙫𝙖𝙩𝙞𝙤𝙣 𝙤𝙛 𝙔𝙤𝙪𝙩𝙝
Important Update on Obesity Trends in the United States:
GLP‑1 receptor agonists — including Ozempic, Wegovy, Mounjaro, and Zepbound — have had a transformative impact on obesity management in the United States. Following a threefold increase in adult obesity rates from 1960 to 2021, recent U.S. health data now shows a modest but significant 2% decline from 2022 to 2025, a shift widely attributed to the rising use of GLP‑1 medications.
The adoption of GLP‑1 drugs has accelerated rapidly. Between 2019 and 2024, prescriptions increased by nearly 587%, rising from 0.3% to 2.05% of overweight or obese adults. Usage has climbed particularly among women approaching menopause, with 18.6% of women on GLP‑1s using them for weight loss compared to 9.3% of men.
Adherence rates are also improving. Nearly 63% of patients who began treatment with Wegovy or Zepbound in early 2024 remained on therapy after one year — a significant increase from 40% in 2023. Clinical trials report average weight reductions of 15–21% with semaglutide or tirzepatide over 12 months, outcomes comparable to some bariatric procedures.
As a result, the volume of bariatric surgeries has declined, reflecting a shift toward medical rather than surgical obesity interventions. However, this may prove to be a temporary trend, depending on long-term efficacy, cost, and clinical practice guidelines for GLP‑1 use.
Beyond weight loss, GLP‑1 therapies offer broader health benefits. These agents improve metabolic function, reduce systemic inflammation, and lower cardiovascular risk. Notably, the SELECT trial found a 19% reduction in all-cause mortality and a 20% reduction in cardiovascular deaths among patients treated with semaglutide.
Despite these advances, significant barriers remain. Fewer than 3–4% of eligible obese adults currently receive GLP‑1 prescriptions, due to disparities in insurance coverage, cost, and geographic access. Out-of-pocket costs often exceed $1,000 per month, prompting some individuals to seek unregulated sources, which pose safety risks.
Side effects are also a consideration. Common adverse effects include nausea, vomiting, and gastrointestinal discomfort. Long-term safety is still under review, particularly regarding risks of medullary thyroid cancer, gallbladder disease, and diabetic retinopathy. For this reason, baseline screening and ongoing monitoring are essential, especially in patients with diabetes or pre-existing thyroid conditions.
GLP‑1 receptor agonists represent the first pharmacologic intervention with the potential to reverse national obesity trends. While challenges in access, cost, and long-term safety remain, these medications are already reshaping the landscape of obesity treatment in the United States — with implications for individual health and public policy for years to come.
When is the Best Time to Exercise?
This video talks about the advantages of exercising in the morning.
- Morning workouts release endorphins and improve blood flow, helping you to feel more energized and mentally sharp throughout your day.
- There are fewer distractions in the morning and it makes it easier to stick to a routine and avoid skipping workouts.
- Morning exercise can kickstart your metabolism and promote calorie burning throughout the day.
- Studies suggest that morning exercisers often experience better sleep quality compared to those who work out later in the day.
- Physical activity increases mental clarity, which can enhance performance at work or school.
- People who start the day with exercise often make better food choices, and feel more motivated to maintain healthy habits.
Health Benefits of Physical Activity
Physical activity offers numerous immediate and long-term benefits. In my new book, “I Used to be an Athlete,” I explain how exercise enhances overall well-being. Regular physical activity improves immediate feelings of well-being, functional capacity, and sleep quality, with health benefits spanning all ages, from children to adults and seniors aged 65 and above.
Exercise not only boosts heart health but also contributes significantly to brain health. Consistent physical activity improves cognitive function, judgment, and skills, while reducing the risk of depression and anxiety. Furthermore, regular exercise facilitates weight management, not only through physical activity but also by promoting better sleep habits and healthier eating choices.
As discussed in my book, adopting a lifestyle change approach, rather than adhering to fad diets, can prevent cardiovascular disease, type 2 diabetes, and even enhance resilience against infectious diseases and certain cancers. Research has shown that regular physical activity may decrease the risk of developing bladder, breast, colon, endometrial, and esophageal cancers, among others.
The key is to incorporate physical activity into one’s daily routine, much like showering or brushing teeth. By prioritizing exercise, individuals can experience benefits at any age.
https://a.co/d/anzn8Yc
I’ve been fortunate to work at aesthetically beautiful hospitals for my entire career. It’s important to understand that beautifully-designed hospital spaces do have a positive impact on healing, from allowing in natural light, to the construction of healing gardens for patients and visitors, as well as in the creation of innovative designs to ensure patient privacy and dignity.
Equally impressive is how these beautifully-designed hospital spaces also support the emotional wellness and unity among employees, often fostering a culture of collective community engagement. Indeed, “neuroaesthetics” is a field of study that examines the psychological effects of how the brain responds to art, music, or in this instance, the incorporation of beauty into the design of buildings and workspaces.
Healthcare facilities are among the most expensive buildings to construct, maintain, and operate. Once built, hospital buildings remain in service for decades and are often difficult to modify. Thankfully, the modern design approach is “patient-centered,” often seeking physician, nursing staff, and patient input, thus aligning evidence-based hospital design with evidence-based clinical medicine.
How Safe are GLP Medications?
Drugs known as GLP-1 medications are being widely prescribed in the United States. The most well-known are Mounjaro, Ozempic, Wegovy, Cagrisema, and Rybelsus.
In this video, I explained the basics, including how they work, their impact on the heart, and some of their side effects. The important thing, as always, is to consult with your Primary Care Physician (PCP), as well as to do your own research to better understand the benefits and risks.
These drugs are not cure-alls. If you don’t change your lifestyle by improving your diet and exercise, these medications will only have a short term impact, or none at all. As always, focus on your total well-being. There are no magic fixes.
Smoking Effects the Heart:
Patient’s Heart Stopped Moments Before His Scheduled Heart Surgery
With permission from the patient to post, this man’s heart stopped just moments before he was scheduled to undergo coronary artery bypass surgery. He received emergency resuscitation, including CPR for 20-30 minutes, as we proceeded to emergently place him safely on the heart-lung machine.
Now 6 days later, he is going home. This life-changing event has finally convinced him to stop smoking, which was a significant risk factor for his heart and lung issues. He knows he’s one fortunate fellow, who was at the right place, at the right time, and to be blessed with a second chance at life!
Why Are We No Longer “Young at Heart” in America?
With permission from the patient to post, this 38-year old man’s story is emblematic of a growing number of young adults suffering heart attacks from premature coronary artery disease.
Why are we no longer “young at heart” in America? The Framingham Heart Study reminds us of the importance of six risk factors for cardiovascular disease: High total cholesterol, low HDL, high blood pressure, diabetes, obesity, and smoking.
While family history and genetic predisposition are important, we are seeing a massive increase in obese young adults who lack exercise, with signs of advanced metabolic syndrome—then, add in today’s stress and seemingly endless world crises, we now have the perfect brew for premature inflammatory vascular disease, heart attacks, and sudden death.
Education remains the key. A recent Harvard survey of more than 4,000 individuals, with an average age of 30, found that over 65% of these young adults were unable to identify ANY of the six major cardiac risk factors. That’s a striking finding and one that we can change with better education and mentoring.
Families need to instill healthier habits in their children at a younger age and encourage their children to adopt an attitude and focus on lifelong wellbeing. Schools and colleges would do well to provide mandatory health courses and promote healthier activities and better food options on campuses. Corporations and businesses would also see better productivity from their teams if a focus on healthier lifestyles becomes an integral part of their business model.
Unfortunately, it’s going to take time, effort, and funding to turn around the health of our youth in America. Until then, we might expect to see more cases like the one illustrated in this video.
Is Walking Good Enough Exercise?
- Improves cardiovascular fitness.
- Helps lose body fat and maintain healthy weight.
- Strengthens muscles and bones.
- Increases energy levels.
- Strengthens the immune system.
- Improves memory.
- Improves cognition.
- Improves sleep.
- Improves balance and coordination.
- Reduces stress and tension.
“Beauty surrounds us, but usually we need to be walking in a garden to know it.” –Rumi
