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Tame Yeast Infections

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You worked out at the gym and kept your sweaty clothes on too long. Now your vulva is itching like crazy. Yep, it's the dreaded yeast infection.

A yeast infection is caused by a fungus and likes to grow in warm, dark moist places, says Michele Curtis, M.D., an associate professor of obstetrics, gynecology and reproductive sciences at the University of Texas-Houston Health Science Center Medical School. "It's characterized by itching and a cottage-cheese type of discharge," she says.

A yeast infection can be caused by too-tight clothing, antibiotics, stress or illness, Dr. Curtis explains. It can be treated with over-the-counter medications or a prescribed pill that will knock it out in a single dose. But see a doctor if symptoms persist--it may signal something else.  "It's important not to self-diagnose," she says, "because the itching could signal diabetes, vulvar cancer or other conditions."

Dr. Curtis suggests several tips to avoid yeast infections:
  • Wear 100 percent cotton underwear
  • Don't wear underwear to bed
  • Rest and eat a balanced diet
  • Eat yogurt several times a week.  
-- Beverly James

Diabetes Management 101

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Staying healthy with diabetes means taking small steps each day to keep body, mind and spirit strong. Here are the basics:

  1. Commit. Diabetes can be handled only with the help of a medical professional. You cannot do it alone. Your team should include an endocrinologist (diabetes specialist), podiatrist (to keep feet healthy and avoid complications), eye doctor, a nutritionist and an exercise expert to help you manage weight. Call (800) DIABETES to get a free copy of the American Diabetes Association's guide "A Doctor Visit Planning Tool."
  2. Control. To manage diabetes, you have to know your body and know your numbers:  Normal blood sugar after random testing ranges from 70 to about 120. If you're between 150 or 200 you have pre-diabetes and are at high risk. Higher than 200, you probably have diabetes. Your A1C test should be done every three months. It tells your blood sugar levels over time and helps keep watch for heart disease and other risks.  
  3. Learn. The more you know, the more control you have over diabetes. To read about the disease, find support groups, understand medication, go to: diabetes.org or cdc.gov/diabetes and look at all of the great resources available to you. 
  4. Move. Being sedentary dramatically increases your risk of diabetes and makes it tougher to manage the disease. Aerobic exercise helps your body use insulin, so make sure you get at least 30 minutes a day (60 to lose weight). 
  5. Relax. Some studies show stress may increase your risk of developing diabetes, and it may make the disease worse. So find a way ease tension and anxiety. Meditate, pray, do yoga--whatever it takes to make time for you. -- Sheree Crute
By Joy Duckett Cain

At first, the lump in Jasmine's left breast was so small she didn't even feel it. Her doctor discovered it last summer during a physical prior to her freshman year at Florida A & M University. We were told that, particularly among African-American teens and young adults, small lumps in the breast (called fibroadenomas) are fairly common. But as the months progressed and Jasmine's lump grew from half a centimeter to more than 3 centimeters, my daughter and I realized something had to be done. After consulting a few doctors, we decided to have the lump surgically removed. Jasmine was 18 years old.

Whatever our age, all of us need to take care of "our girls."  "If you look in the mirror and see the breast or the nipple is changed in some way, get examined," says Fannie Gaston-Johansson, Ph.D., professor of nursing at Johns Hopkins University. While the majority of lumps and bumps will prove to be non-cancerous, it's better to err on the side of caution. Here are some other things to keep in mind on your journey toward breast health.

Be Proactive 
  • Good health starts with your decision to take control. 
  • Give yourself monthly BSEs (breast self examinations); go to breastcancer.org, click on screening and testing, then click on breast self exam for directions.  
  • Get annual mammograms if you're older than age 40, and tell the radiologist if you are taking hormone replacement therapy (HRT) or birth control pills. These medications can make breasts denser and hinder your doctor's ability to read the mammogram.
  • If breast cancer runs in your family, avoid HRT and schedule annual mammograms after the age of 30. 
  • Lack of health insurance is no excuse to let mammograms slide; the National Breast and Cervical Cancer Early Detection Program can help. To learn more, call (800) CDC-INFO (232-4636).

Know Your "Normal" 
  • Medicinenet.com reports that fibrocystic breast condition (characterized by lumpiness and discomfort) affects more than 60 percent of women between the ages of 30 and 50, so it is important to know what your body considers normal. 
  • Some have lumps, tenderness or pain in the breast before and during menstruation, but they usually stop by period's end. 
  • Some pregnant women experience breast lumpiness as their milk glands increase and get larger. 
  • During menopause, changing hormone levels can make breasts feel denser or lumpier than before. 
  • If you have doubts about what you're seeing or feeling, contact a doctor.

Eat Right, Drink Right
Deborah Gordon, M.D., co-author of Breast Health the Natural Way, believes vitamin D is effective in reducing the risk of myriad diseases, including breast cancer. "I think there is a high rate of breast cancer in African Americans because of vitamin D deficiency," she says. Taking 2,000 IUs of vitamin D3 per day may lessen your likelihood of getting breast cancer. And check this: The American Cancer Society reports only 5 to 10 percent of breast cancers are due to heredity; the vast majority of cases are due to environmental, diet or lifestyle factors. Some cancer-fighting steps you can take include: 
  • Introducing more raw fruits and vegetables, nuts, whole grains and dried beans into your diet;
  • Eating 30 grams or less of fat a day;  
  • Avoiding fried foods, salt, sugars, animal products, tobacco and white flour;
  • Eliminating caffeine (coffee, tea, chocolate); and
  • Limiting alcohol to one drink a day.

Live Right 
Studies indicate even moderate exercise--3.2 hours of running or 13 hours of walking per week--lowers the risk of breast cancer by 23 percent, so... 
  • Exercise, exercise, exercise. 
  • Maintain a healthy weight.
  • If you have fibrocystic tendencies, avoid wearing push-up or tight bras; if you must wear a bra, wear sports bras and not for more than 8 hours a day. 
  • Don't smoke. 

The Challenge of Diabetes

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By Sheree Crute

As the waters released by Hurricane Katrina enveloped Joyce Taylor's home, she and husband Leroy were already on the road to Baton Rouge.  New Orleans natives, the Taylors knew when folks said a storm was coming, it was time to go.  "We live between a lake and a river in East New Orleans--almost like a little island," Joyce explains.  "Our area was the first to be hit."       

Like so many of her neighbors, family members and friends, the storm was just the beginning of years of displacement and loss for Joyce. Still, as she packed her bags and considered the struggle ahead, she knew there was one thing she absolutely had to do--control her diabetes no matter what else happened. "I was going through one catastrophe, I didn't want another crisis caused by diabetes," says Taylor, who left home with a month's worth of diabetes medication and her blood sugar monitor in her bag.  

While living day to day in a Baton Rouge hotel, she got creative.   "I'd take the stairs at the hotel and walk up and down the block [to maintain most of the 100- pound weight loss from a few years earlier].  I had to eat in restaurants, so IE2d order baked and broiled chicken and lots of vegetables, and I stayed away from my weakness--soda and sweets."  

Taylor also met stress with prayer. "Our faith gave us strength," says Taylor, 55, a retired teacher whose husband is a minister.   
It would be more than two years before she could move back home, and while her mom and daughter survived the storm, both of them passed away before the ordeal was over, leaving Taylor a full-time mom to her 4-year-old grandson. 

Yet through it all, she kept the diabetes under control. "You see people lose limbs," Taylor says. "Things like that motivate you to take care of yourself." Back home since last December, and with her blood sugar down to a healthy 118 and her weight in check, she's finally ready for a happier chapter of her life. 

Diabetes and Black Women 
Millions of African-American women are not as fortunate as Taylor when it comes to handling diabetes.  While diabetes is increasing in every American population, the number of cases among African-American women rose 69 percent between 1989 and 2005--the highest rate among any group in this country, according to the Centers for Disease Control and Prevention (CDC).  Millions of black women older than 20 also have the disease, yet one-third has yet to be diagnosed, the American Diabetes Association reports. Am ong older black women, one in four older than 55 have the disease.  

Left unmanaged, diabetes will ruin your health and eventually take your life. "Diabetes is the No. 1 cause of adult blindness, kidney failure and lower limb amputation," says Ann Albright, Ph.D., director of Diabetes Translation at the CDC. "And it is a huge contributor to heart disease."  It is also the fourth leading cause of death for African-American women.

This situation has become so serious, experts say, because many of us just do not realize that in many cases, diabetes can be prevented. And even if you have the disease, it does not have to threaten your life. 

Sugar and Your Health
Beating diabetes means understanding it. The disease develops when your body is unable to properly use the sugar we take in every day when we eat carbohydrates. Once you eat a carbohydrate--bread, for example--it becomes sugar (glucose) that travels through your bloodstream and enters the cells of your body to be used as energy. "To get into your cells, sugar needs the help of a hormone called insulin," Albright says. Insulin is made in a gland called the pancreas.  

Without enough insulin, the sugar builds up in your blood and damages your blood vessels by making them thick and inflexible, cutting off the blood supply to your heart, kidneys, eyes and other organs.20Nerves can be damaged as well, causing numbness and other problems. 

In type I diabetes--an autoimmune disease most often diagnosed in children--the immune system attacks the pancreas and stops insulin production. Type I is inherited. In type II diabetes--the type most common in African-American women--the pancreas makes some insulin, but not enough and cells are insulin resistant.  

Stop Diabetes Before It Starts
Every African-American woman should know type II diabetes is preventable in many cases. "The most important thing for anyone to know is that [excess] weight creates insulin resistance," says Larry Deeb, M.D., immediate past president of medicine and science for the American Diabetes Association. 
In addition to being overweight (especially abdominal fat), if you have a parent or sibling with diabetes or develop it during pregnancy (gestational diabetes), you're at risk. "That risk also increases as you age, so prevention is a progressive process that you should begin as early as possible," Albright adds.       
"If you have diabetes in your family, you don't have to get it and we can help," says Michelle Owens, head of the Women and Diabetes Initiative at the CDC.  "Through our program, The Power to Prevent, we give people the tools they need to reduce their risk."  For free materials you can use at home, log=2 0onto www.yourdiabetesinfo.org or call (800) 860-8747.

Living Well With Diabetes
The best news about diabetes is that there's tons of great advice and new research about the best way to eat, the benefits of exercise and the proper way to use medications. And free information and support groups can be found just about anywhere in the country.  Staying healthy with diabetes is a challenge, but it's definitely one you can meet.  "I've lived with type 1 diabetes for 41 years," Albright says. "There are many things you can do to live a long and healthy life."    

Sheree Crute is a Heart & Soul contributing editor.

For more living with diabetes information, visit http://diabetes.palmbeachpost.com.
Join women from across the country, including many you've read about on the pages of Heart & Soul, in Nashville, Tennessee, for four days of pampering, relaxing, socializing and networking.

This incredible weekend will feature special red carpet events including:
The Heart & Soul Awards hosted by Lynn Whitfield
Divas Against Disparities Benefit Concert starring
Angie Stone, Mary Mary, Tamia and Lalah Hathaway

Come enjoy an evening of inspiration and enlightenment with author and speaker
Iyanla Vanzant

You'll also be treated to luxurious spa treatments
and be inspired when you attend our
Healthy, Wealthy and Wise Workshops and Seminars
Free Health Screenings
Health Expo

SPA Health Conference 2008 Program

Thursday, October 16, 2008

Opening Night Reception

Friday, October 17, 2008

Early Bird Fitness Workout

Opening Plenary Session
with keynote speaker Alexis Herman
workforce expert and former U.S. Secretary of Labor

Healthy, Wealthy, Wise Workshops

Heart & Soul Awards Luncheon

An Evening with Iyanla Vanzant
Sponsored by Sam's Club


Saturday, October 18, 2008

Early Bird Fitness Workout

Pamper with a Purpose (spa pampering services)

Discovery Day (Tours of Meharry Medical Campus and Nashville)
   
Healthy, Wealthy, Wise Expo

Divas Against Disparities Benefit Concert

Sunday, October 19, 2008

Early Bird Fitness Workout

Grace & Fellowship Farewell Brunch
Guest Speaker
Rev. Dr. Vashti Murphy McKenzie



Special Registration Price until October 1, 2008 $199

Onsite Registration Only After October 1, 2008
Onsite Registration Price $350

Tickets for Divas Benefit Concert $50
Tickets On Sale Now at all Ticketmaster Outlets

OCTOBER07COVER1.jpgIn her speech at the Democratic National Convention, Michelle Obama disclosed that her father, Fraser Robinson, was diagnosed with multiple sclerosis in his early 30s. Learn more about the disease in "The Word on Multiple Sclerosis" and "MS Study Reveals Differences in Immune System of Blacks and Whites." These articles are part of Heart & Soul's award-winning series on how MS affects African Americans, including singer Tamia, who was featured in the accompanying cover story. The National Association of Black Journalists recently honored Heart & Soul for the MS series as well as the design of a cover story on Erykayh Badu at its Salute to Excellence ceremony at the Unity conference in Chicago.
 
The Word on Multiple Sclerosis
The Tricky Autoimmune Disease of the Central Nervous System Still Baffles the Medical Community
By Stacy Gilliam
Anne Mari e Johnson's symptoms crept up during a smoke break back in the fall of 2002. She lit up as usual, but could barely hold the cigarette between her fingers. The following day, she experienced a pins-and-needles feeling in her hands, arms and throughout the bottom half of her 5'2" frame.
 
"I couldn't lift my hands to button my shirt, to hold a cup or a pen," says Johnson, 36, a social services professional in Brooklyn, New York. "I was in such pain. A week later, I couldn't walk." On New Year's Eve, she received the diagnosis--multiple sclerosis (MS). "I was scared to death," says Johnson, who had just finished graduate school at the time. "How am I going to work? Who will date someone like me? Can I have kids? What exactly is multiple sclerosis?"
 
Desperate for answers, she researched and learned, like more than 400,000 Americans diagnosed today, that MS is an autoimmune disease of the central nervous system. That means it can affect your brain, spinal chord and optic nerves. It isn't contagious or deadly, and what causes it is a mystery. But MS is a disabling, quite fickle disease that can produce loss of vision, numbness, loss of balance and muscle coordination, bowel and bladder dysfunction, and fatigue, among many other varying symptoms, which come and go, lighten up and worsen. At its most debilitating, MS can take away a person's ability to walk, write and talk. In less severe cases, one might feel tired and experience slight mobility issues.
 
"In most people, it becomes a progressive disease with a downward, slow progression over the years," says John Richert, M.D., executive vice president, research & clinical programs at the National MS Society. "The symptoms may be mild or vague to the point that sometimes the person may ignore them. Or they'll go to a doctor who can't find anything. It may take years to diagnose it."
 
Or a matter of weeks, as in Johnson's case. The quick loss of physical control can be dumbfounding and traumatic. Feelings of loneliness and depression aren't uncommon, as patients try to adjust to a new way of living. "I went from wearing three-inch high Manolos to someone who couldn't button her shirt," says Johnson, who mostly wears pullovers now.
 
Cheryl Chatman understands. In 1990, she began losing vision in her left eye. "I started crying because I knew something was wrong with me," says the 42-year-old wife and mother of two who lives in Jacksonville, Florida. While one doctor assured Chatman her vision would return, Chatman insisted on a second opinion from a doctor who nailed the diagnosis as MS. Seventeen years later, she's legally blind. "My vision didn't come back. I only see shadows and silhouettes." At age 19, she lost feeling in the bottom of her feet and the palms of her hands. She didn't know it was MS then.
 
 
The Face of MS
Johnson and Chatman are textbook examples of MS patients diagnosed in their early 20s and 30s, in the prime of their lives. But their heritage lumps them in with the seemingly small, but really unknown number of African Americans with the disease. According to the National MS Society, blacks make up just 5 percent of the population. It is one of the few diseases that don't disproportionately affect the black culture, so the research suggests. But some aren't so convinced. "The mentality is that it affects Caucasians," says Kamilah Martin, founder of the Martin MS Alliance Foundation, a Washington, D.C., organization researching MS in communities of color. Martin, 30, felt her first symptom at 16, and was diagnosed a few years later in college. "It's affecting African Americans quietly," she says.
 
Radio personality Kym Sellers, diagnosed in 1992, believes African Americans are20uncomfortable sharing that they even have MS. She admits to fibbing to some about why she would limp some days. "Either I pulled a muscle or my leg was bothering me" Sellers says. "I got tired of lying."
 
Studies don't indicate a cut-and-dried reason why African Americans account for fewer cases of MS. But research shows those living closest to the equator are at less of a risk. MS is rare in sub-Saharan Africa, for example, and more prevalent among whites in northern Europe.
 
"As the gene pool gets mixed in the United States, you find more African Americans with MS," Dr. Richert says. "It also has a tendency to be severe in African Americans. It's a very important issue to understand why that occurs."
 
Answers will hopefully arise from two studies underway, one a Harvard University project, comparing the genes of African Americans to Caucasians, and a University of California study, which is looking at the genetic background of families with MS. For sure, there are more women--two to three times more--developing MS than men. The reasons for that are uncertain, too. But researchers are currently digging for conclusions, with some studies comparing genetics and common habits of men and women.
 
Battling MS
There is no cure for MS. But treatment has come a long way. With drugs and therapy, most people with MS can live full, productive lives. Current FDA-approved treatments, such as Avonex and Betaseron, manage symptoms such as pain and fatigue, treat relapses and slow down the disease's affect on the nervous system. All are injected by needle, however, oral treatments are in the pipeline. "We understand a lot more about the disease than we did 10 years ago," Dr. Richert says. "For the first time in history, we have drugs that can slow the damage."
 
Researchers are excited about recent initiatives geared toward learning how to repair the nervous system and protect the brain and spinal chord, ideas Dr. Richert says sounded like science fiction five years ago. "Available drugs slow the damage," he says, "but don't have much capability to repair the nervous system."
 
The current slate of drugs do work well, Johnson says. So well that the average person may not know Johnson has MS. The disease has also encouraged her to be proactive with her own health. In addition to a once-a-week injection, she combats her MS with yoga and Pilates, eating healthy and relaxing as often as possible. She ev en gave up smoking. "I believe healing and wellness is body, mind and spirit," she says.
 
Exercise is good, particularly strength building, which the medical community once discouraged for MS patients for fear it would hasten feelings of fatigue. "If people can be encouraged to engage in a program of strength-building, it can counteract that secondary weakness that comes with a sedentary lifestyle," says Nicholas LaRocca, Ph.D., associate vice president of Healthcare Delivery and Policy Research. Cutting-edge technologies underway include body weight-supported treadmill training, which could retrain the body to walk again for some with MS; specialized seating devices for the wheelchair-bound and a way to enhance the computer experience for those with limitations.
 
"We realize that with the young generation, at least, the computer is how people obtain information and connect with others," LaRocca says.
 
Lifestyle changes are necessary for many to manage day to day. Chatman, who also works out, walks with a cane when necessary. She also depends on her teammate of a husband, Len, and minds her limitations.
 
Johnson rarely wears button-up shirts, she uses cups with big handles and she's extr a careful with her curling iron. She still loves her heels, but goes for the aerosol pump variety now. "You make the best of it. You have to laugh about it," she says. "Your state of mind is crucial in dealing with this."
 
Spreading Hope
Equally important to finding a cure is embracing those with MS, educating those who don't have MS and letting the world know the disease isn't a death sentence. "I wanted to help people and let them know you can live with it," says Sellers, who in 2002, started the Kym Sellers Foundation, a non-profit organization that has raised $100,000 annually to support those with MS.
 
Chatman shares that sentiment through the Art of Living With MS (www.alwms.org), a four-year old organization she founded with her husband. The couple organizes life-management programs for couples and families all over the country. "We provide avenues to get together and connect," says Chatman, who recently wrote a book, Six Secrets For Managing MS as a Team. "We talk about issues that we face each day. Sometimes the only people who understand are people who walk in our shoes."
 
In similar spirit, Johnson juggles speaking engagements, mentors and has written an unpublished book about her first-year experiences with MS called Hey, Me Too. A Sister's Journey with Multiple Sclerosis. "There is somebody out there feeling alone in despair," she says. "But if they see people living with MS, that makes the difference." v
 
Stacy Gilliam, a Washington, D.C., freelancer, is grateful for the lessons she learned about multiple sclerosis while writing this story.
 

The mystery to why blacks tend to face greater disability with MS may be closer to being solved. According to a study published in the July 3, 2007, issue of medical journal Neurology, an antibody used to diagnose multiple sclerosis is present in greater levels in the spinal fluid of blacks with MS than whites with the disease.
 
Researchers compared the immune responses of 66 African-Americans and 132 whites with multiple sclerosis. The results showed that levels of antibodies respons ible for anti-myelin activity in the spinal fluid were 29 percent higher in blacks than whites. The study also confirmed that African Americans with MS often require walking aids far earlier than whites, but doesn't nail down why. On average, African Americans had MS for nine years before needing ambulatory assistance such as a cane, compared to 17 years for whites, reports the National MS Society.
 
"Certain aspects of the study reveal that MS-related immune abnormalities are more severe in African Americans," says John Richert, M.D., executive vice president, research & clinical programs, National MS Society. "But we must work harder to understand why the disease course can be more severe for African Americans."
 
John R. Rinker, M.D., of Washington University School of Medicine in St. Louis and study co-author, says it's possible that unevenly distributed genes between ethnic groups could account for different susceptibility to some diseases. "In multiple sclerosis,=0 Arecent genetic studies have begun to identify certain genes, which may explain why African Americans experience more disability," Dr. Rinker says. However, exactly what these genes do is still a mystery. --S.G.
 

Boot Camp Tips

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Ewunike Akpan, who runs 10-week C.O.R.E. Boot Camps for women and men in Washington, D.C., has these tips for finding the best boot camp for you: 
 • Look for a trainer certified by national organizations such as ACSM, AFAA, ACE, NASM and NSCA. 
 • Get clearance from your doctor, even if you're healthy. 
 • Try a free introductory session. 
 • Choose how much time and money you can commit. Boot camps vary but tend to run four to 12 weeks at $200 
to $500 per package. Sessions per week range from one to five times a week.
 • Choose camps led by trainers who motivate rather than berate and workouts that are challenging not abusive. 
 • Keep shopping if the workout isn't exhilarating and fun, or if the trainer doesn't seem focused on you and your success. 
 • Know your motivation.  Don't limit yourself to the drill sergeant types if you prefer a more supportive, one-on-one approach. 
 • Pick a camp that does a fitness assessment at the beginning and the end of the boot camp to chart your progress. 
  • Recruit a friend for added accountability and camaraderie. 

STD Alert

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We may know more about sexually transmitted diseases these days, but that doesn't mean they've gone away. In fact, they are on the rise, according to the Centers for Disease Control and Prevention (CDC). From 2002 to 2006, chlamydia rates increased by 17.2 percent among African Americans, and gonorrhea is 18 times more prevalent in blacks than in whites. Here are the most common STDs in women and how they are treated.

Chlamydia: The most frequently reported and fastest growing sexually transmitted disease, Chlamydia usually carries no symptoms. When they do occur, symptoms include abnormal vaginal discharge, burning when urinating and spotting between periods. Chlamydia is cured with antibiotics. If left untreated, it can cause pelvic inflammatory disease and infertility.

Gonorrhea: The second most commonly reported infectious disease in the United States, Gonorrhea is often mistaken for a bladder infection. Symptoms include pain or burning upon urination, yellowish or bloody vaginal discharge, abdominal pain, heavier menstrual flow and spotting between periods. Gonorrhea is treated with antibiotics, but left untreated it can cause chronic pelvic pain, ectopic pregnancy and infertility.

Genital Herpes:  The virus can lay dormant for years. When an outbreak does occur, look for painful blisters, itching, burning, fever, headaches and muscle aches. There is no cure for genital herpes, but current treatments can shorten outbreaks. Left untreated, genital herpes can be passed onto an infant. This STD is the leading cause of blindness in newborns.

Trichomoniasis: Caused by a parasite, symptoms include a pungent yellow, green or gray vaginal discharge and painful urination and intercourse. Trichomoniasis is usually treated with flagyl. Left untreated, this STD will increase your chances of getting HIV.

HIV/AIDS: Blacks account for almost half of all new HIV cases. CDC studies show that 66 percent of black women with AIDS contracted it through heterosexual contact. The virus can lay dormant for 10 years before exhibiting symptoms, including extreme tiredness; rapid weight loss; fevers and night sweats; long-lasting infections; diarrhea; swollen glands; coughing; oral and vaginal yeast infections; pelvic inflammatory disease (PID); discolored blotches. There is no cure, but treatments can slow the disease. If left untreated, it is fatal.

--Beverly James




Beverly Johnson's Model Behavior

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Beverly Johnson was the definition of fierce gracing magazine covers and stalking down catwalks at the top of the modeling game 30 years ago.  Who would have guessed that during that time, Johnson, 55, subscribed to the "don't eat work out," she says. "I love modeling. It gave me my start. It made me who I am and it's lucrative. But the money that the models get, they deserve every penny and more. The discipline it takes is unbelievable. I'm talking about literally eating a bowl of brown rice and two eggs a week."
 
Now 140 pounds at 5'9", the original and still working supermodel spent the height of her career weighing between 103 and 117 pounds, battling anorexia and bulimia. "I was starving brain cells and organs, doing years of damage. It took years to gain weight," says Johnson, the first African-American cover model of American Vogue.  "I've just, in the last year or two, recognized when I was hungry, because I suppressed that for so many years."
 
Johnson built her dream home on a golf course in the LaQuinta, California, and is an avid participant in the sport. While she was learning to play golf she recognized how important the core is for maintaining a strong=0 Aback  and a sense of balance as you mature. "Golf takes an awful lot of core strength for the swing so I began working out with a trainer four times a week doing golf-specific exercises, like working with a heavy ball and 10 pound weights," she says.
 
Johnson was really enjoying the golf training and playing daily when she accepted the offer to be a judge on "She's Got the Look," a reality show on TVLand that finds supermodels models older than 35. "Muscle is heavier than fat and I got very bulky," says Johnson, who desired a more svelte-look for the show. "I started doing a lot of cardiovascular. In the morning I would walk to where I worked up a sweat--about 45 minutes, which is about 3-1/2 miles for me. And then I'd do it again in the evening."
 
Johnson swears by portion control and eating five tiny meals a day. Breakfast might be a protein shake, granola with milk, or scrambled eggs and piece of toast. For lunch and dinner, she'll have a tuna fish sandwich and an apple, or chicken, vegetables and rice.
 
Johnson says sugar has always been her big weakness, especially butter and shortbread cookies. She controls her cravings by keeping temptations out of her home and soothing her sweet tooth with dried fruit and licorice.
 
"You have to know what your body is doing," says Johnson, who wants to engage a nutritionist and a chef. "I can eat cheese or dairy and still loose weight. I can eat a teaspoon of peanut butter and it's okay. My girlfriend can't."
 
Johnson is pleased that the world of modeling has changed.  "There are young models that have a much more healthy regime than we had, and they have a burden of responsibility that I didn't have--this whole epidemic of young women growing up dangerously obsessing about being really, really thin. The secret is out. It's no longer true, the whole 'I'm a model, I'm naturally thin, I can eat anything I want.' The jig is up, part icularly when you are growing older."
 
--Joyce E. Davis

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