Step 1: Determine your goals
It is important that you identify what your goals are. Eliminating pain, restoring function, improving ca-pacity, losing excess fat or delaying death are examples of achievable goals. Most of us can rattle off a few goals without having to stop and think much. They can be vague or precise but, whatever they are, start by writing them down. Then arrange your goals in the order of importance to you.Step 2: Objectify your problems
Establish an objective baseline so you will be able to determine progress or deterioration. For example, if your goal is to lose weight it is helpful to know what your weight is and what a realistic goal weight is. In addition, determining your percentage of body fat and specific measurements such as waist circumference may prove useful in determining if your strategies are being effective. If your goal is to reduce your risk of premature death from cardiovascular disease, knowing your blood pressure, functional blood vessel health, blood measurements such as cholesterol, triglycerides, hemoglobin A1c, C-reactive protein, etc., will give you an objective basis to evaluate the progress of your health-promoting strategy. Working with a doctor who focuses on health promotion may prove extreme-ly helpful. The doctor may be able to provide you information on the underlying cause(s) of your problems.Step 3: Establish realistic goals and timelines
It is important to set realistic goals so that you do not violate your expectations and become discouraged. For example, the average overweight individual can lose two pounds per week by adopting a health- promoting diet and lifestyle. That translates into a negative calorie balance of 1,000 calories per day and in my experience is the maximum sustainable weight loss for the average person. If your goal is to resolve hypertension with fasting, you need to understand how long a fast will be needed to achieve the desired results. The higher your self-efficacy of resolution, the higher the probability for definitive, sustained action. In order to regain and maintain health in the face of adversity and challenges, you must have confidence that the actions you are taking are likely to succeed.Step 4: Identify the roadblocks to achieving your goals
It is important to have an understanding of the nature of the obstacles you face in achieving your goals. Roadblocks can include genetic and epigenetic factors, diet (defi-ciencies and excesses), environmental conditions (air, water, sun, chemicals, etc.), activity (rest and sleep, strength and flexibility, and proper body usage) and psychology (how well you deal with the stressors of family, friends, and social contacts.)An accurate diagnosis can be critical in planning a strategy. Mistaken beliefs, no matter how commonly held can sabotage a well-intentioned plan. For example, if one of your goals is to resolve joint pain and you believe the official position of the national arthritis foundation that ?no specific diet will make your arthritis better,? you are likely to fail.
If your goal is to lose weight, it is important to evaluate your dietary strategy as well as sleep, exercise and possible metabolic dysfunction including hypothyroidism, sleep apnea, musculoskeletal problems that might limit activity and psychological issues including addiction. The reason weight loss is such a persistent problem is that deficiencies in a number of different arenas can contribute to the problem. It is often useful to consult with health professionals experienced in diagnosing the factors that might be preventing you from achieving your goals.
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