Monroe Care

12/08/2025

Continuing in the vein of lifestyle changes. Food addition. Coming from a background of being addicted to sugar (i have the genome proof of 99th percentile being addicted to sugar) i know that we cant just "not eat" so what do we do?

Lifestyle changes (vs dieting) mean there is no good foods or bad foods there is just food. Assigning a positive or negative to a food just sets us up for failure in the long run. Instead of banning a food you love just think of it as a special treat every now and again. Or if it is larger like a whole candy bar segment it up and store it in the freezer. Ice cream, buy the smallest container you can, also a good way to treat yourself to an expensive ice cream if you just get a small container. The point is if you ban something completely then you could possibly obsess over it and find yourself completely gorging on it. Better to have a bite or 2 of something than wander around the kitchen eating tons of calories of something (or many somethings in my case) you dont want just to not have the bites of something you do want.

Also we need to factor in celebrating times, which always seem to have food involved. By now you have likely heard of all the ideas to not over eat at the office party or the independence day celebration etc etc. So I won't bore you with those. (If you need them let me know and I will most definitely help you). The most important thing to remember is you are not totally screwing up anything by having that second piece of cake at Aunt Maggie's 100th birthday, or 2 cocktails at dinner instead of 1. Just do your best to figure out how many calories you took in and increase you activities for a few days. As I have said so many times if you fall off the wagon, get up the next day, dust off your backside and get back on plan. No harm no foul. Also spoken from someone who not only fell off the wagon, but had it run over me, back up, do it again then drag me into the woods for 6 months. Yes I gained some weight back, yes I was disappointed in myself but when that particular stressor was over I got back on plan and lost the weight I gained and made better plans for the next time. If you mess up use it as a learning experience and come up with a way to mitigate it for the next time, because there will likely always be a next time, and that OK. Be kind to yourself.

As always if you're in one of the states I am licensed in (Colorado, Delaware, Illinois, Kansas, Nevada, New Mexico, Oregon or South Dakota and want more information and medication help to lose weight please go to pushhealth.com and use pmonroe as the provider code and I would be happy to help.

Push Health enables doctors, medical providers and patients to connect virtually for concierge telemedicine care

12/06/2025

There is so much misinformation out there about dieting and how to lose weight so let me try to be helpful. If you are over the age of, roughly, 45 and are still dieting like you did in high school I can almost guarantee you are using bad data. Unless you are 5 foot nothing and weight 105 pounds you need more than 1200 calories per day. For example at 58 and 5 foot 7 (67 inches) I weight about 145 pounds, and just to lay in a bed in a comfortable temperature room and do nothing I need 1270 calories to maintain my bodily functions and current weight. (Yes I know it's not realistic for a healthy adult to literally lay in bed without moving for 24 hours but one has to have a starting point)To maintain as a functioning adult I need to take in about 1450 or so if I am sedentary and doing a desk job, if I am more active then I need closer to 1700 and if I was a serious workout girl I could get away with closer to 2000 again this is to MAINTAIN weight.
So why do I bring this up? Two reasons, 1 we need to stop using the word diet in its current societal definition....a plan of eating one goes and and (Hopefully) loses the weight desired then goes off the plan to eat like they used to and most likely gain it back.... and then some. We need to start looking at LIFESTYLE PLAN instead so that we can safely and comfortably lose the weight in a manner that will allow us to keep it off long term while also remembering there will be holidays, vacations, wedding and all the other food centric celebrations we deal with. This means you look at your week and think well I have an office party, a dinner out with the spouse so I need to be a bit more careful in my choices the rest of the week so I can splurge a bit. Yes folks you can splurge and still maintain or lose weight. Which is the segway into reason 2, that 1270 calories I came up with in my example above wasn't just a random number, it is my basal metabolic rate calculation (BMR) and this is the number that helps govern your metabolism. If you eat less than this number on a consistent basis yes you will lose weight for a bit but then your body will rebel. It will think you are in a famine situation and start telling your hormones to slow down your metabolism so you dont lose your fat stores...... but wait I want to lose my fat stores that is why I am eating so little..... humans are evolutionary babies in the grand scheme and our internal working have not caught up to the fact we have grocery stores yet, we are still cavemen in that way and if you dont get your wooly mammoth this week and your clan doesn't eat AND your body doesn't slow down your fat burn you might die before you can get more food.
So what do we do. And I am going to throw out some hard truths that none of us want to hear. You need to track your intake for a few days and be honest with yourself and count EVERYTHING and in the correct servings sizes and amounts. Then you need to either use a tracker for your activities (notice i didn't say exercise) and see how many calories you burn in a day. To lose 1 pound per week your intake needs to be 3500 calories less per week than you are burning. You can break that down to 500 per day but it really is cumulative so weekly is fine. But Ms Monroe you just said that I need to be in a 500 calorie deficit every day and my intake is 1400 calories and I burn 1500 calories every day and my BMR is 1300 calories so a 500 calorie deficit puts me below that. Yes, yes it does, so you need to increase your activities.....(that hard truth) .this doesn't always mean you need to hit the gym or start jogging etc. But you do need to move more so make it fun. Put on some crazy music and vacuum like Robin Williams in Mrs Doubtfire, or take up salsa dancing, or find a cool trail and go hiking (weather permitting of course) go outside with the kids and build a huge snowman, take up chair yoga. There are so many ways to move your body that aren't a drudge.
By the way this goes even if you are taking a GLP-1 medication, as there (as far as we can tell) not an inherent way of just making the body lose weight, yes it does regulate the hormones and appetite but it doesn't stimulate the metabolism like phentermine does. So while the medication helps you still need to do some work to meet it half way.
As always if you're in one of the states I am licensed in (Colorado, Delaware, Illinois, Kansas, Nevada, New Mexico, Oregon or South Dakota and want more information and medication help to lose weight please go to pushhealth.com and use pmonroe as the provider code and I would be happy to help.

12/02/2025

Mindless eating? Emotional eating? Bored eating? These are all a much bigger issue for folks this time of the year. This is not a reflection on you in any way it is just a thing that happens. If emotional eating is a big issue for you I suggest finding a counselor that can help you learn coping mechanisms. Mindless or bored eating can be reduced if you 1, dont even buy the snacks in the first place (harder to do if you have kids I know) or 2 keep them in a cabinet that you dont access for other reasons. Ie dont keep your spices in the same cabinet as the snacks (kind of out of sight out of mind thing) or what we do at our house everyone has a bin with their name on it and their snacks are in that bin, no taking snacks out of other people bins. If you live alone you can even put a child lock on the cabinet which is a more visual reminder of what you are doing so you have more time to make decisions. Lastly if you are a bored or Mindless eater and having a hard time breaking it, try snacks that are lower in calories like popcorn where you can eat a lot with minimal damage.

11/27/2025

Happy Thanksgiving everyone. Stay safe and keep cold foods cold and warm foods warm. No accidental food poison8ng please.

11/23/2025

It's cold and flu season again so here is your annual PSA of how they differ. And remember folks antibiotics will not fix the flu, a cold or covid. However if you have a virus and your immune system is a bit run down you are more prone to a secondary bacterial infection, so if you got sick and are pretty sure it's a virus (and it probably is this time of yesr) then you start to feel better but then get worse it's likely a secondary bacterial infection that may need treated.
If you are in Colorado, Delaware, Kansas, Illinois, Nevada, New Mexico, Oregon or South Dakota and need a medical provider to assist please go to pushhealth.com and use pmonroe as the provider code and I would be happy to help.

11/18/2025

All politics aside. Trump has proposed a new (himself) branded discount pharmacy service. Here's what I know so far.

The White House has made this announcement saying they are negotiating the price of semaglutide and tirzepatide to be lower but from what I read it must be purchased through TrumpRX, which 1. Isn't online yet, 2. Isn't a pharmacy by their own words and are supposed to 3. Put people in touch with less expensive medication sources. Sources, Whitehouse.gov and TrumpRx.gov

Another source i haven't been able to verify suggested this wasn't going to start till April 1st. (No not a joke, I hope)

President Donald J. Trump and Vice President JD Vance are committed to lowering costs for all Americans, securing our borders, unleashing American energy dominance, restoring peace through strength, and making all Americans safe and secure once again.

11/11/2025

Great news ladies, the black box warn8ng has been removed from hormone replacement therapy medications by the FDA. If you are in need of relief from symptoms of peri menopause or even if you are post menopausal please let me know if I can help. Licensed in 8 states

11/09/2025

I hope everyone is having a great Sunday. We should have some new supplements and products available on www.MonroeCareBV.com in the next day or so. If you have any questions, please feel free to message me.
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11/07/2025

Wow I know it's been a very long time since I have posted so let's catch up. Well I had cancer, but two and a half years later still cancer free. So yay. Several of my kids and grands have moved in together into a generational house and to get even better we just welcomed a new baby boy to the mix, little Onyx who is not so little, born over 10 pounds, and has 2 older siblings 13 and 17, so it's a huge change. If my spelling is off it's probably because I have a baby on my chest napping. Lol

We grew enough that I had to hire a book keeper and a prior authorization specialist to help with insurance covering the new GLP-1 medications. That is a never ending source of.... well we will just say fun.... with the changes that are constantly happening.

Most of my current patients know that the FDA is still trying to go after the compounding pharmacies but the one we use primarily has been vetted for longevity (they have been in business for years making sterile injections), safety and purity, is not using research grade products (that legally have to say "not for human consumption") and is offering new and different supplements and anti aging formulations to help us look and feel our best. They have their lawyers keeping on top of all those ever changing rules so we can comply and continue to receive medications.

What else? Oh yeah we have started working on a website (www.MonroeCarebv.com) so we can put out the information on the supplements and hopefully I will get over my stage fright and creeping perfectionism and make more videos on topics that you would want to hear about. If you have a question or topic please send a message on messenger or email me at Monroe_Care@yahoo.com

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