GLP-1, SGLT2 combination therapy provides largest weight loss for women with PCOS


Combination therapy with a GLP-1 receptor agonist and an SGLT2 inhibitor may provide better weight-loss benefits than a single agent for women with polycystic ovary syndrome and obesity, according to study data.

In a randomized, single-blind, 24-week study, participants assigned to dual therapy of 2 mg weekly of the GLP-1 receptor agonist exenatide (Bydureon, AstraZeneca) and 10 mg daily of the SGLT2 inhibitor dapagliflozin (Farxiga, AstraZeneca) lost more weight than those taking either agent alone or those receiving dapagliflozin and metformin extended-release (Xigduo XL, AstraZeneca) or phentermine/topiramate extended-release (Qsymia, Vivus).

Weight loss for women with PCOS and obesity
Dual therapy with exenatide and dapagliflozin was associated with greater weight loss in women with PCOS compared with dapagliflozin alone or dapagliflozin with metformin. Data were derived from Elkind-Hirsch KE, et al. J Clin Endocrinol Metab. 2021;doi:10.1210/clinem/dgab408.

“Greater improvements in participants with exenatide plus dapagliflozin may be explained in part by their different, and potentially complementary, mechanisms of action and confirm other studies showing that combining these two agents may exert stronger beneficial effects than each drug alone,” Karen Elkind-Hirsch, MSc, PhD, HCLD, scientific director of research at Woman’s Hospital Research Center in Baton Rouge, Louisiana, told Healio. “These findings, together with the convenience of once‐daily oral dosing and once‐weekly injection, support the use of these medications in this prediabetic population.”Karen Elkind-Hirsch

Elkind-Hirsch and colleagues recruited 119 premenopausal women aged 18 to 45 years with obesity and PCOS and without diabetes to participate in the study. Participants were randomly assigned to one of five therapies: exenatide alone, dapagliflozin alone, dual therapy of exenatide and dapagliflozin, combined dapagliflozin and metformin therapy, or the weight-loss medication phentermine/topiramate extended-release. Clinical, anthropometric and biochemical assessments were conducted at baseline, 12 weeks and 24 weeks.

The findings were published in The Journal of Clinical Endocrinology & Metabolism.

Combination therapy produces greater weight loss

All treatment groups had improvements in fasting glucose, mean glucose, insulin sensitivity and insulin secretion at 24 weeks. Participants receiving combination exenatide and dapagliflozin had a greater reduction in mean blood glucose compared with the dapagliflozin, dapagliflozin and metformin, and phentermine/topiramate extended-release groups (P < .03). Those receiving exenatide or exenatide and dapagliflozin had larger increases in insulin secretion compared with the other three treatment groups (P < .04).

All five treatment groups had reductions in absolute body weight and BMI at 24 weeks, but the exenatide and dapagliflozin group had greater weight loss than those receiving only dapagliflozin or dapagliflozin and metformin (P = .005). Mean weight loss was 6.9% for those receiving exenatide and dapagliflozin therapy and 8% for those receiving phentermine/topiramate extended-release compared with 1.5% for participants receiving only dapagliflozin and 1.7% for those on dapagliflozin and metformin (P < .001).

“Modest weight loss is well known to reduce the risk of future diabetes in individuals with prediabetes,” Elkind-Hirsch said. “Therefore, it cannot be excluded that the modest reduction in body weight contributed in part to the improvement in insulin sensitivity in all groups. While phentermine/topiramate extended-release resulted in consistent significant changes in BMI and waist circumference, only exenatide and dapagliflozin and exenatide alone resulted in significant improvements in insulin secretion as well as mean blood glucose over an oral glucose tolerance test. This finding confirms the beneficial effect of GLP-1 agonists on beta-cell function in this obese prediabetic population.”

Long-term studies needed

Cholesterol, HDL cholesterol, LDL cholesterol and triglycerides-to-HDL ratio did not differ between the two groups. Triglycerides were lower at 24 weeks for the exenatide and dapagliflozin groups compared with phentermine/topiramate extended-release (P < .05). Both systolic and diastolic blood pressure decreased in all treatments at 24 weeks. There were no serious adverse events reported during the trial.

Elkind-Hirsch said the findings are encouraging, but more studies are needed to better establish long-term safety and efficacy of GLP-1 receptor agonists for women with PCOS.

“Future studies should include in their design consideration of the significant number of women with this disorder and the relatively young age of this population,” Elkind-Hirsch said.

The 17 Healthiest Chinese Food Takeout Options, According to Registered Dietitians


Yes, you would like to place an order for pick-up, please and thank you.
15+ Chinese Takeout Orders That Are R.D.-Approved

Ordering Chinese takeout is easy. Ordering healthy Chinese takeout takes a little more thought. But finding the healthiest food from your favorite Chinese restaurant shouldn’t be hard—hi, that defeats the whole purpose of ordering in—so we’ve put together something of a healthy Chinese food options cheat sheet for you. We asked registered dietitians how they navigate the menu when there’s just no way they’re cooking tonight. The themes we heard over and over again? Watch out for sauces that go overboard on the sodium, steamed is healthier than fried (duh), and load up on veggies.

What if your favorite dish doesn’t make this list? Well, there are a couple ways to think about it. If you’re ordering out of sheer convenience and determined to make the healthiest choices possible, use this advice as a guide to meet this goal. If you’re ordering because you’re seriously craving something in particular…order it, enjoy the hell out of it, and don’t waste your time feeling guilty about it.

These 17 healthy Chinese food options are what registered dietitians order for themselves, and we have to admit, we’re getting hungry just looking at them. Let this list inspire your next takeout order. Who knows, you might even discover a new favorite.

1. Shrimp and Vegetables With Black Bean Sauce

“You get lean protein from the shrimp, and lots of antioxidants, fiber, and even a bit of water from the veggies,” says Keri Glassman, M.S., R.D., C.D.N., and founder of Nutritious Life in NYC. She always orders her sauce on the side, so you can control how much is on there.

TheCrimsonMonkey / Getty

2. Beef and Broccoli

This classic dish gets a thumbs-up for its filling power. “I like beef and broccoli with brown rice,” says Rebecca Scritchfield, R.D. “You don’t need too much beef to feel full.” Chicken and broccoli is a good option, too.

3. Mixed Vegetables

You’re probably not surprised that vegetables made the list. Patricia Bannan, M.S., R.D., recommends ordering steamed or even lightly stir-fried veggies on the side—the more, the better.

4. Extra Vegetables

Rather than ordering a separate dish, see if the restaurant will bulk up your current order with extra veg. “Ask for extra broccoli, carrots, or snow peas in any dish,” suggests Sarah-Jane Bedwell, R.D., L.D.N. “These are three veggies that Asian restaurants typically have on hand.” This tactic is one of her favorites for filling up her plate.

Daniel Frauchiger, Switzerland / Getty

5. Moo Shu Vegetables

Maxine C. Yeung, a registered dietitian, personal trainer, and wellness coach, and owner of The Wellness Whisk, likes to order this dish, which is typically served with hoisin sauce and thin pancakes for wrapping. “This dish is majority vegetables—a mix of diced egg and vegetables, such as cabbage, mushrooms, carrots, water chestnuts, bamboo shoots, and sometimes cashews, flavored with scallions, ginger and garlic,” she says, adding, “It’s low in carbohydrates if you limit the number of pancakes or substitute with lettuces for wraps.”

6. Moo Shu Chicken

Glassman goes for the chicken version for the lean protein it provides. “But make sure to ask for light sauce,” she says. “It’s most likely high in sodium and (unhealthy!) fat.” Yeung also points out that the hoisin adds unnecessary sugar.

7. Steamed Anything

“I usually ask for my dish steamed with the sauce on the side,” says Scritchfield. “Steamed helps to reduce the oil in the dish, making it lighter in calories and possibly a bit easier to digest. You can get most any dish steamed.” This works for veggies, lean protein, rice, you name it.

Karen Beard / Getty

8. A Small Soup

Eating a broth-based soup first can help you eat less later on, explains Alissa Rumsey, R.D. She prefers hot and sour soup, while Bedwell goes for wonton. Keri Gans, R.D., always orders egg drop soup. “A one cup serving is only 66 calories, so even though your serving from a restaurant is larger, the calories are still in check. It also provides around 3 grams of protein and 1 gram of fiber per one cup serving.” It’s high in sodium, thought, which is something to keep in mind if you’re trying to watch your intake.

9. Moo Goo Gai Pan

Entrees that come with plenty of veg are always good options, says Rumsey. “Moo Goo Gai Pan typically consists of stir-fried chicken with mushrooms and other vegetables, providing a balanced meal with just a light sauce. It comes with a lot of vegetables, so they are the main part of the meal, not just an afterthought.” This is a favorite of Bedwell’s, too: “It’s flavorful and lean with chicken, mushrooms, and other mixed veggies and is not as high in sugars and fats as many other dishes.”

10. Chinese Eggplant With Garlic Sauce

“I like Chinese eggplant in spicy garlic sauce because it’s all vegetable! In addition to the eggplant, it usually comes with broccoli too,” says Scritchfield.

Victoria Pearson / Getty

11. Steamed Dumplings

“If you want an appetizer, [go for] a vegetable dumpling that is steamed and not fried,” says Gans. You might also recognize these as potstickers—either way, they get top marks when they haven’t been fried in oil and they’re filled with veggies.

12. Brown Rice With a Scrambled Egg

Scritchfield has a simple, healthier swap for fried rice: Order brown rice and ask for a scrambled egg on the side. “Most takeouts have eggs for the fried rice, and they are willing to do this for you,” she explains. “Brown rice has a lower glycemic index as compared to white rice, which helps reduce insulin spikes.”

Richard Jung / Getty

13. Shrimp or Tofu Entrées

While Gans herself typically prefers broccoli and garlic sauce, “If it is a higher-end restaurant I might opt for some shrimp,” she says. Bedwell adds that steamed shrimp is a great way too add lean protein to your meal—if you’re a vegetarian, she recommends grilled tofu instead.

14. Kung Pao Chicken

Bring on the spice. Order Kung Pao chicken instead of sweet-and-sour chicken, sesame chicken, and General Tso’s chicken, says Bedwell. “It comes with abundant vegetables, sans the fried chicken!”

15. Buddha’s Delight

“If I want to do a vegetarian meal, I’ll go for Buddah’s Delight since it is a flavorful dish that is primarily steamed veggies with a little tofu for protein,” says Bedwell. This is a personal favorite of Rumsey’s, too.

16. Chicken Lettuce Wraps

Glassman calls this “an obvious choice to get veggies and protein all in one.” Plus, they’re fun to make and eat.

17. Sauce on the Side

This tip came up again and again. “By getting it on the side you can better control the amount you eat,” says Rumsey. “Often I take two or three tablespoons of the original sauce and mix it with low-sodium soy sauce.” Bannan adds, “For comparison, one tablespoon of low-sodium soy sauce has 22 percent of your days’ worth of sodium and one tablespoon of regular soy sauce has about 38 percent of your days’ worth of sodium.”

How to Lose Fat and Gain Muscle at the Same Time


Yes, it’s possible.
build-muscle-lose-fat

There are a lot of reasons to work out, including improving health, burning fat, gaining muscle, and just simply feeling better. Many of us have multiple goals at once, and luckily, a lot of these logically go hand-in-hand. Losing fat and gaining muscle, however, seem to be a little conflicting.

When you’re trying to lose fat, you’re trying to get rid of some of your body’s mass; when you’re gaining muscle, you’re looking to do the opposite and build up your body. So it makes sense to wonder, can you really add muscle mass at the same time? Surprisingly, the answer is yes.

In fact, working on both goals at the same time will maximize your results—many of the same exercises that are good for burning fat are also great for building up muscles. And it’s kind of a domino effect: When you have more muscle mass, your body requires more energy at rest (that is, burns more calories when you’re not even moving).

But nailing fat loss and muscle gains in one fell swoop requires a strategic approach. Here’s why: If you want to lose weight, you need to burn more calories than you consume. But when you restrict your calories, your body has to pull from existing energy stores in your body—fat, carbohydrate, and even protein—in order to function. As a result, you wind up losing fat, but unfortunately, you also lose muscle mass.

In fact, up to a whopping 25 percent of the weight that you lose from a low-calorie diet is in the form of hard-earned muscle, Michaela Devries-Aboud, Ph.D., assistant kinesiology professor at the University of Waterloo, tells SELF.

Yet, multiple studies and experts say that losing fat and gaining muscle simultaneously is totally doable. “It’s difficult, but possible,” Stephen Ball, Ph.D., associate professor of nutritional science and exercise physiology at the University of Missouri, tells SELF.

To achieve both goals at once, you need to focus on two main things: protein and weightlifting.

First, let’s talk about cutting calories. If you’re trying to cut calories to lose weight, there are a few things you need to know to do it safely.

You need to create a calorie deficit to lose weight—that is, you need to consume fewer calories than the energy you burn at rest and during your workout. But that’s only when you want to lose weight. If you’re looking to lose fat and gain muscle, your number on the scale might not budge—or might even go up!—even though your physique is changing dramatically. In fact, you might even notice that you look slimmer or more toned even though you haven’t lost weight. That’s simply because you’re gaining muscle and losing fat.

We’re not suggesting that you should cut calories, but if that’s something you want to do, you’ll need to keep a few things in mind. For one, if you cut too much at once you’ll only sabotage your efforts. Restricting calories too severely leaves you with limited energy to complete a workout, and ultimately slows your metabolism. “Drastic changes in calories make your body compensate metabolically to defend your initial body weight. “Therefore, your body will decrease the amount of energy burned to conserve calories and prevent weight loss,” says Kristen F. Gradney, R.D.N., director of nutrition and metabolic services at Our Lady of the Lake Regional Medical Center and spokesperson for the Academy of Nutrition and Dietetics.

In addition, skimping on calories—protein in particular—can leave next to nothing for your muscles to feed on after your workout. “Resistance exercise is typically considered anabolic, meaning it breaks down muscle,” Gradney tells SELF. “If you’re not consuming adequate calories and protein, muscle may not recover and rebuild appropriately.”

You don’t have to count calories in order to achieve your body composition goals. Many women find that eating mindfully and choosing filling, nutritious foods can keep calories in check without having to track every bite. And if you have a history of eating disorders, always talk with a professional before changing your dietary habits.

If you do want to track your calories, however, here’s some general advice. Keep in mind that these are just general guidelines, and it’s very likely that your particular calorie needs may be lower or higher than what these formulas say. To figure out how many calories you need per day to lose weight safely, you first have to find out how many calories you require just to maintain your current weight. You can do that by finding out your basal metabolic rate (BMR), which is how many calories your body burns at rest. There are some useful formulas to get an approximate estimate, but it’s tough to get a specific, accurate number unless you go get a test done by your doctor (here are a few formulas you can try if you want). The easiest way to get a rough estimate of how many calories you need to maintain your current weight is by using this handy interactive calculator from the United States Department of Agriculture, which takes both your estimated BMR and activity level into consideration.

Once you find your rough daily calorie need, subtract no more than 300 calories, Liz Applegate, Ph.D., senior lecturer in the department of nutrition and director of sports nutrition at the University of California, Davis, tells SELF. “Let’s say you need 2,000 calories,” Applegate says. “If I prescribed 1,700, you can lose fat and build lean mass.”

As this calculation is only an estimate, you may want to log your food for several days (try a free app like MyFitnessPal) to see how much you normally eat and adjust your intake if needed. “It’s important to listen to your body and eat when you feel physical signs of hunger,” Gradney says.

Because you’ll have fewer calories to fuel your body, you’ll want to get the most bang for your buck by opting for whole foods whenever possible. “Whole foods provide calories along with lots of important nutrients, including protein, healthy fats, vitamins, and minerals,” Alissa Rumsey, M.D., R.D., C.S.C.S., owner of Alissa Rumsey Nutrition and Wellness, tells SELF.

And remember: losing fat and gaining muscle does not require cutting calories.

Now let’s talk protein, the macronutrient that’s responsible for building muscle.

According to Devries-Aboud, our bodies are constantly building and breaking down muscle protein, the component of the muscle that’s responsible for changing its size and shape. When you eat a protein-packed meal, the production of muscle protein speeds up. But as time elapses after your meal, the muscle-building process slows down and breakdown speeds up. “Over the course of days, weeks, and months the relative ratio of these two processes will determine whether you gain or lose muscle mass, or if the muscle mass stays the same,” Devries-Aboud says.

To keep your body in muscle protein-building mode while cutting calories, you have to adjust your protein intake. “When you cut calories below your requirement, your need for protein goes up,” Applegate says. This is because a portion of the dietary protein is being used to meet your daily energy needs; consuming a slightly greater amount than what is required to meet your energy needs will ensure you have enough left over to sustain or even build muscle, she adds.

A recent study of 20 young men aimed to find out if increasing the amount of protein consumed in a reduced-calorie diet would have any effect on body composition when paired with intense exercise. Researchers divided subjects into two groups, and assigned one group to follow a higher-protein diet than the other (2.4 grams per kilogram body weight per day versus 1.2). Meanwhile, both groups performed a combination of resistance and high-intensity interval training six days per week. By the end of four weeks, not only did the subjects in the higher-protein group lose more body fat than those in the lower-protein group, but they also managed to gain muscle, despite eating fewer calories than their bodies needed. The results were published in the American Journal of Clinical Nutrition.

But before you go out and chug protein shakes, keep in mind: Multiple studies (like this one and this one) have shown that a very high protein intake (in one instance, up to 5.5 times the recommended daily allowance) doesn’t lead to better results.

Instead, aim for roughly 20 grams of protein per meal, four times per day, says Applegate. It’s important to distribute it throughout the day instead of cramming it all in at one meal so that your body can use it throughout the day. Research also suggests that this can enhance the muscle-building effects.

On strength training days, Applegate suggests having 20 to 25 grams of protein about 30 minutes after your workout. But if you can’t swing that, don’t worry—what’s most important is getting enough protein throughout the day to fuel muscle building. (How much timing really matters is hotly debated in the nutrition world, but most dietitians suggest aiming for anywhere from 30 minutes to two hours post-workout to be sure you’re refueling properly.)

For the rest of your meals, Darryn Willoughby, Ph.D., director of the exercise and biochemical nutrition laboratory and professor at Baylor University, recommends filling up with lean protein sources like chicken, turkey, and tilapia; fatty fish like salmon and tuna; dairy; and eggs.

As an added bonus, protein provides satiety, leading to feelings of fullness and reduced cravings, says Willoughby. This is especially helpful when your ultimate goal is to lose weight and you have a limited number of calories to work with.

Now, let’s talk about the second piece of the lose-weight/gain-muscle puzzle: strength training. If you want to build muscle on top of burning fat, you need to incorporate resistance exercises into your routine.

When you lift weights, you cause damage to your muscle fibers, which prompts the muscle to call for surrounding satellite cells (the cells involved in growing and repairing skeletal muscle) to help repair or replace those damaged fibers, making your muscles grow. In addition, strength training increases the production of muscle protein for up to 48 hours, according to Devries-Aboud. “As long as the rate of muscle synthesis is greater than the breakdown, you will build muscle,” says Ball.

If you want to see the best fat-burning, muscle-building results from your strength routine, exercise physiologist Michelle Lovitt, M.A., recommends taking advantage of heart rate–based training. You want to bounce between 60 and 85 percent of your maximum heart rate throughout your strength-training session, which will ensure that you burn more fat instead of glycogen, the carbohydrates our bodies store to use as quick energy. (You’ll still burn some glycogen, but the proportion changes so that you’re using more fat than you would with higher intensity exercise.)

Many high-intensity workouts bring you above your anaerobic threshold, which is approximately 85 percent of your maximum heart rate. And when you push past 85 percent, your body starts fueling using mostly carbohydrates. “So you’re burning calories, but those calories aren’t necessarily coming from body fat,” Lovitt says. This spares the fat and often leaves you craving carbs later in the day.

Hit the gym three or four days per week, moving right from a set of a lower-body or multi-joint strength exercises like the squat, which requires greater energy expenditure and jacks up the heart rate (because you’re employing multiple muscle groups at once), into an upper-body or single-joint exercise like a seated row to bring the heart rate back down. Continue alternating between multi-joint and single-joint exercises throughout your workout.

“If you do it properly, you’ll get a cardio workout at the same time,” Lovitt says. The key is to keep your heart rate between 60 and 85 percent of your maximum. (To find your maximum heart rate, subtract your age from 220, then multiply that number by 0.17.)

Keep in mind, these results don’t happen overnight. It takes time—several months, if not more—to significantly change your body, and you need to be consistent with your strength training and diet to get the results you want. Even then, some people will naturally see results faster than others simply because of genetics, lifestyle, or a whole host of other factors. If you’re having trouble reaching your goals, it might be a good idea to work with a nutritionist and a personal trainer to troubleshoot and create a plan that’s customized for you. And always remember: Your happiness and health are more important than what your body looks like. Make sure your goals are realistic for you, and enjoy the process.

Best Abs Exercises: 21 Core Moves You Can Do at Home


No crunches, no weights, all core

portishead1 / Getty Images; Graphic by Jocelyn Runice

You should know by now that when you’re talking about the best abs exercises around, crunches don’t make the cut. You should also know that you don’t need fancy equipment to get a great abs workout. These 21 core moves—you’ll see lots of variations of planks, pilates exercises, and more in the moves below—will work your abs from every angle, wherever, whenever. All you need is your body and the urge to burn. Learn ’em, love ’em, do ’em. Over and over.

Quick word about abs workouts and best abs exercises, though, before you get started. These moves will help you strengthen the various muscles that make up your core, which in itself is a great goal. A strong core helps with balance and makes you more efficient at other moves. But if your goal is to lose weight or change your body fat composition—and in particular, if your goal is six-pack abs or spot-targeting your belly fat—you should know that it doesn’t matter how many pilates scissors you do or how long you can hold a plank. Even the best abs exercises aren’t going to help you accomplish those specific goals all on their own.

That’s because (say it with me) there’s no such thing as spot reduction. Also (and more importantly), weight loss and body fat loss require a concerted combination of exercise, a healthy and specific nutrition plan, and other contributing lifestyle factors, like getting good sleep and limiting your stress. There’s also the very real fact that what works for one person might not work for another, and no matter how much you work for it, a six-pack may not be possible for you—whether because of physical constraints, or because what it takes to get a six-pack isn’t at all worth it from a mental health perspective. Read Why It’s So Hard—and Sometimes Impossible—to Get Six-Pack Abs for more on this topic, if you’re interested.

So incorporate these best abs exercises into your workouts and enjoy the benefits. But make sure that your expectations are realistic and healthy. Staying sane and happy is more important than any of these best abs exercises. Remember that.

Whitney Thielman

1

Plank Tap

  • Start in a high plank with your feet hip-distance apart.
  • Then tap each hand to the opposite shoulder while engaging your core and glutes to keep the hips as still as possible.

Whitney Thielman

2

Down Dog Tap

  • Start in Downward Dog.
  • Lift your right hand off the floor and reach toward your left ankle, gently tapping the front of your foot or ankle if possible.
  • Return right hand to the floor and repeat with the opposite arm. Stay in Downward Dog throughout the exercise.

Whitney Thielman

3

Plank Up

  • Start in a high plank. Bend one arm to bring the elbow and forearm to the floor.
  • Bring the other arm down so you are in a forearm plank.
  • Push back up to start, placing each hand where your elbows were.
  • Continue, alternating the lead arm with each rep.

Whitney Thielman

4

Warrior Balance

  • Stand on your left foot and lift your right knee to hip height in front of your body.
  • Reach your torso forward as you extend your right leg behind you. Keep your standing leg slightly bent as your torso becomes parallel to the floor. Extend your arms to help with balance.
  • Pause for a second, then reverse the movement. Don’t forget to do both sides!

Whitney Thielman

5

Plank With T Rotation

  • Start in a high plank with your feet hip-distance apart.
  • Now rotate your entire body to the right into a side plank with your shoulder above your wrist.
  • Extend your right arm to the ceiling and continue to drive your hips up.
  • Return to center, then repeat on the opposite side.

Whitney Thielman

6

Reverse Lunge With Front Twist

  • Stand with feet hip-width apart.
  • Take a big step back with your left foot and bend knees to lower into a lunge while twisting torso to the right.
  • Stand, switch sides, and repeat.
  • The dumbbell is optional!

Whitney Thielman

7

Plank to Dolphin

  • Start in a forearm plank with arms parallel and palms flat on the floor.
  • Lift hips up and back, creating an inverted V with your body.
  • Pause, then slowly lower back to a forearm plank.

Whitney Thielman

8

Down Dog Abs

  • Start in a Downward Dog with your right leg in the air.
  • Bring your right knee under your torso. Pause, then return to start.
  • Bring your right knee to your right elbow. Pause, then return to start again.
  • Bring your right knee to your left elbow. Pause, then return to start. Make sure you do both sides.

Whitney Thielman

9

V Up

  • Lie faceup with arms and legs extended, resting on the floor.
  • Keep abs tight as you lift hands and feet to meet over torso.
  • Lower your arms and legs back to the floor.

Whitney Thielman

10

Plank Jack

  • Start in a high plank.
  • Keeping your core engaged, jump your feet out and in (like jumping jacks).
  • If your wrists bother you, try this move on your forearms, like this.

Whitney Thielman

11

Mountain Climber

  • Start in a high plank. Draw your right knee under your torso, keeping toes off the ground.
  • Return to start.
  • Switch sides and repeat. Continue as if you’re running in place.

Whitney Thielman

12

Mountain Climber Twist

  • Start in a high plank with your wrists directly under shoulders.
  • Bring your right knee under your torso to your left elbow.
  • Return to start, switch sides, and repeat. Continue, alternating sides.

Whitney Thielman

13

Plank Hops

  • Start in a high plank, feet together.
  • Tighten your abs and jump your feet up and to the right, bringing your knees toward your right elbow.
  • Jump back to start and repeat on opposite side.

Whitney Thielman

14

Bird Dog Crunch

  • Start in a tabletop position, wrists above shoulders and knees under hips.
  • Inhale and extend your right arm forward and left leg back, maintaining a flat back and square hips.
  • Squeeze your abs and exhale as you draw your right elbow to your left knee.
  • Extend back out. Don’t forget to do both sides.

Whitney Thielman

15

Lateral Plank Walk

  • Start in a high plank with shoulders above your wrists, abs tight.
  • Step right foot and hand to the right, immediately following with left foot and hand. Take a few “steps” in one direction, then reverse direction.

Whitney Thielman

16

Forearm Side Plank Twist

  • Start in a forearm plank on your left side, left elbow under shoulder, right arm behind your head.
  • Rotate your torso toward the floor, bringing your right elbow to meet your left hand.
  • Don’t let your hips drop. And remember to do both sides!

Whitney Thielman

17

Core Roll-Up

  • Lie faceup on a mat with arms on floor above head.
  • Float arms up so wrists are directly over shoulders and begin to curl your spine off the floor.
  • Fold your torso over your legs, forming a U shape. Reverse to return to start.

Valerie Fischel

18

Boat Pose

  • Sit with your knees bent and feet flat. Grasp your legs under your thighs slightly above your knees.
  • Lean back slightly. Lift your feet so that your shins are parallel to the floor.
  • Extend your arms in front of you at shoulder height, palms up.
  • Straighten and raise your legs toward the ceiling until your body forms a V shape (as shown). Hold this position for 10 to 20 seconds.

Whitney Thielman

19

Pilates 100

  • Lie faceup with your legs raised, knees bent 90 degrees.
  • Inhale, then exhale, lifting head and shoulders off the mat. Extend your legs and lift your arms at shoulder height, palms down.
  • Inhale as you pump arms up and down five times, then exhale and pump five more times. Do 10 times, for 100 pumps.

Whitney Thielman

20

Scissor Switch

  • Lie on your back with your legs straight and arms reaching overhead.
  • Extend right leg as you curl up and reach for the calf or thigh. Stay up as you switch legs.

Valerie Fischel

21

Forearm Side Plank

  • Start on your left side with your elbow below your shoulder, feet stacked.
  • Lift your hips into the air. Keep your right knee on the floor for balance if needed.
  • Continue to press hips up while keeping your core tight. Don’t forget to do both sides.