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This is just shy of the 7 month mark-2/3 of the way through my Recode clinical trial.

I continue to feel strong, alert and energized.  The lead investigator was thrilled with the improvement in my recent 6 MONTH cognitive testing.

I’m at and maintaining what I feel is an optimal body weight for my frame and I’m happy to have finally lost my belly fat with this program. I’m even comfortable wearing crop tops and athletic bras, something I would not have considered a year ago.

 

Adjustments because of osteopenia
With my recent diagnosis of osteopenia, my doctor has added Vitamin K (specifically Designs for Health Tri-K, vitamin K in three synergistic forms that help the Vitamin D keep the calcium in the bones) to my already existing Vit D supreme (also Designs for Health brand) which is important for Ca++ absorption.

Because my spine is more compromised than my hips which are just over the borderline into osteopenia, I’m adding more spine extension exercises into my repertoire to address this deficit.  Think the Bird Dog exercise on all 4’s with opposite arm and leg reach and the following 2 extension exercises.

Because this clinical trial does not allow dairy, I’m hard-pressed to get sufficient Ca++ through my diet as I’m not a big fan of sardines or tofu, two non-dairy high Ca++ options. In addition to my oat milk which has a decent amount, I’m independently adding Bone Builder Forte by Metagenics, a good bioavailable Ca++ supplement.

My blood ketone levels are finally consistently at the ideal levels of over 1.0  for the study. This is thanks in part to the addition of exogenous ketones, specifically Designs for Health Keto-Nootropic.

I belong to a local Keto lifestyle support group where we learn from each other as we share our trials and triumphs. Some of the topics we recently discussed I thought might be of interest to you.

What am I eating?
I start the day with an oat milk latte (which has a good amount of Ca++)

Lunch is typically an omelet with veggies and salmon or sometimes a slice of bacon and a whole avocado drizzled with plenty of olive oil.  Other times it’s a soup with extra olive oil for the increased healthy fat with an avocado.  A Sunday brunch favorite is almond flour waffles topped with crushed berries and nuts.

Dinner can fluctuate between chicken, fish, sometimes beef, with a side of veggies and salad.  Our zucchini crop is abundant so I’m having a lot of zoodles (zucchini noodles) with various toppings like ragu sauce or pesto.

 

Sauna
There are studies linking positive cognitive function with regular sauna use.  I’ve been without a sauna for the last 3 months as a result of the COVID lockdown. My friend recently invited me to use his own far infrared sauna so I’m adding that back in which feels wonderful.  I’m grateful for this detox opportunity.

 

“What do you think is making the most difference?” is a question I get asked a lot.

Honestly, I believe it’s a combination of many factors including:

  • Improved quality and quantity of sleep
  • The addition of targeted supplementation and balancing my hormones
  • Intermittent fasting for regulating my metabolism
  • Getting the junk out of my diet!
  • Consistent and varied exercise has been key including my Pilates, HIIT workouts 2x/week, dancing, walking, and biking.
  • Online brain training because I’m seeing objective improvement and I can see my focus and processing speed improving.

So can I point to one thing?  No. That’s why the Recode Protocol is a multi-modal approach and why a single pill will not address cognitive decline.

 

I wanted to share a question that one of you had which as requested, I posed to my doctor.

“If you have osteoporosis, can the Keto diet be followed? Everything I read is that it is acidic and you need an alkaline diet”

The doctor’s response:
“If you follow the keto diet according to our protocol, then it will be fine because ours is more of a Plant-Based diet with less emphasis on meat, especially red meat.  This keeps it less acidic.”

What I’ve learned independently is that eating too much animal protein also can leach calcium from your bones, so if you have osteopenia or osteoporosis, you should limit red meat to two times a week and keep portions small – 4 to 6 ounces.

A study published in Advances in Nutrition in January 2017 found that cutting down on red and processed meats as well as soft drinks, fried foods, desserts, and refined grains all had a positive impact on bone health.

According to the research, the best diet for the prevention of osteoporosis includes plenty of fruits and vegetables, low-fat dairy, fish and poultry, nuts, and legumes.

 

After this study is over
With my DXA results, I will personally be adding pasture-raised dairy and A2 milk back into my diet after the study is over, to support my bones.  I’ll also be checking in with my doctor on which supplements I should stay on for the long-term to support my cognition.

Let me know how you’re incorporating Ca++ into your diet and if you have any questions you want me to share with my doctor about the keto diet. Remember I’ve got a direct line.

If you’re on or starting the Keto lifestyle or the Mediterranean diet, share your struggles and wins here.  I’d love to learn from and celebrate with you!

What are your top concerns as you age?  For me, it’s the loss of my mind, my memories, my sense of who I am.
This clinical study I’m in (and Dr. Bredesens’ book) looks at Alzheimer’s Disease (AD) as not being caused by amyloid plaques or neurofibrillary tangles, but instead as a protective response to three different processes…
  • Inflammation (from infection, diet, or other causes)
  • Suboptimal levels of nutrients, hormones and other brain supporting molecules
  • Toxic exposures (like heavy metals and mold)

Dr. Bredesen uses the analogy of a roof with 36 holes. When you’ve patched enough of the 36 holes, it will be sufficient to protect the house from water damage.  Similarly, there are 36 factors that affect whether the brain goes down a synapse-destroying pathway that ends in AD.

We don’t know which holes will make the most difference so you want to address as many as possible to affect a change.  This analogy makes it clear that no single pill can address or patch all the holes that contribute to AD.  That’s why the ReCode approach is multimodal addressing sleep, nutrition, intermittent fasting, diet, hormone balancing, toxicity, infection, brain training, and mindfulness training.  People may have difficulties with one or more of these approaches but they’ve found that if you plug enough holes, it will make a difference.

I feel fortunate that I was accepted into this clinical study and receive excellent all-around support. When I started this 9-month trial, I fell squarely in the category of mild cognitive impairment (MCI) which is a precursor to AD. After just 3 months on this protocol, I tested out of MCI, so much so that I wouldn’t have qualified to enter the study with the new score I got.

If you’re wanting to try this approach, I’d recommend that you start with the NY Times bestselling book,  The End of Alzheimer’s: The First Program to Prevent and Reverse Cognitive Decline as a great first step.

I’d then google Bredesen protocol trained practitioners in your area.  The protocol can be overwhelming but doable with the right guidance. Everyone’s treatment is individualized for that person’s unique biochemistry so there’s no blueprint treatment plan. With specialized tests that need to be run and interpreted by a medical professional, it’s daunting to even consider doing on your own.

 

 

Our brain, our sense of who we are is priceless.  We know now that AD is a silent disease with pathology in the brain starting decades before clinical symptoms become apparent.  I think it benefits all of us to start plugging those holes as soon as we can and as best we can!

 

 

 

I recently presented a webinar for a Wellness Wednesday Series on the subject of Brain Power: Protecting against cognitive decline through a targeted research-based exercise program. Plainly speaking, it explores how to exercise and help your brain simultaneously.  The material in this webinar comes from my own research and what I’m learning through the ReCode (Reverse Cognitive Decline) clinical trial that I’m in.

Key takeaway: Aerobic exercise is critical for brain health but there’s moreOur ability to dual task-deteriorates with age. That’s our ability to perform two tasks that have separate goals-a necessary part of our complex life. With increased age, we see slower reaction time, reduced walking speed, increased run-ins with objects, and increased fall risk.

Research-based solution?  Dual Task Training– combining cognitive activity with physical activity to promote neuroplasticity!  Check out the webinar for demonstrations.

“We assume, that physical exercise increases the potential for neurogenesis while cognitive exercise guides it to induce positive plastic change”
~ Bamidis et al, 2014

 

To keep us connected and moving, Teresa is currently offering Quarantine Remote BoneSmart Pilates classes, 55 min long, all classes bone safe/spine safe.

Registration links for the classes will be sent when BoneSmart Pilates receives payment. If you have any questions, please contact Teresa at teresa@Pilateswithteresa.com

Participating in these classes will require that you create an account with zoom, it is free at https://zoom.us.  When you pay, please include a note in Paypal or by emailing me, indicating which class/classes you wish to register for. Be specific noting the DATE and time of your desired class.

Schedule is subject to change.  Classes will run through the end of April and we’ll re-evaluate then.

Payment Information:

$20 per class and must be paid in advance in order to receive the registration link. After doing that you’ll receive another email with the actual link to the class so don’t delay the registration step.

**If you’re experiencing financial hardship and just can’t swing it right now, I still want to support you. As a licensed physical therapist and movement educator, I’ve been blessed with a gift that I want to share so please just donate what you can, no questions asked.

Options to pay:
www.paypal.me/BoneSmartPilates/   Preferred method (this requires a PayPal account)
Enter the amount appropriate for the number of classes that you are registering for. For example, if it is just one class, fill in $20.  If it is 3 classes, enter $60 and so on (or enter your donation amount)
Note: You must include a note when you purchase in PayPal (or email me separately), indicating which class dates and times you’re requesting. Be specific

Venmo.com  @Teresa-Marchok (also you must include a note with the specific class, date and time you’re signing up for.  Include your email address with your venmo note so I can send you the registration link.

 

 

 

 

 

For those of you nowhere near me or former clients that have relocated, there is a viable way to create or keep our connection through Pilates!

I’ve been using Skype to reach my clients when they’re on vacation as well as to work with new clients. I particularly enjoy working with users of my BoneSmart Pilates® DVD’s who want some encouragement or personal feedback on their form and technique.

Virtual Skype Pilates means that you can literally do Pilates whenever and wherever you like, while having a qualified instructor like myself, guiding you through your workout, demonstrating as needed, and checking to make sure you’re moving correctly and not risking injury.  You’ll quickly realize that the 2-way conversation is far superior than watching a video. We have an open dialogue and a few laughs in the process. It’s like having a coach and workout buddy in one!  

In addition, you’re not wasting your time searching for just the right workout only to find in the middle of the workout, that it’s the wrong level for you.  You might discover midway that you really don’t like the instructor and there’s no modifications offered for your sore back, shoulder, knee or wrist. You may find that many of the exercises are too easy or too difficult. Having me there to give you feedback live through Skype is a game changer and mitigates all those issues I just mentioned.  As a physical therapist and certified Pilates instructor for the last 20+yrs, I can modify or change the workout to meet your mood, desires, fitness level and health status.  

Still on the fence?  As a summer incentive – I’m offering 15% off for Skype sessions purchased through June 15, 2019. (sessions purchased in this time frame can be used after that date)  Enter code “SKY” at checkout.”

In my 2 decades of running my business I have discounted my products but have never discounted my coaching time.  This is a one time golden opportunity.


You can do this in 3 Easy Steps:

1) Purchase either one or maximum two 30 min sessions at this discount. Each online coaching session is either 30 min or combine two 30 min sessions for an hour long appt. 

2) Schedule your appt. via email with Teresa to secure a mutually convenient time.

3) Download the Skype application to your computer if it’s not there already then at the time of your session – make sure you’re logged in to Skype, grab your mat, have your questions (if any) ready and let’s do it!

So if you don’t know, know you know”!   (from my beloved Broadway show “Hamilton”)

I hope to see you in the SKY(pe)

Many people have expressed an interest in learning more about my recent travels this month to New Zealand. Since it was such a unique experience, I’m happy to share with you the deep gratitude that I have both for the beauty of that country and for the opportunity to share this adventure with my husband, daughter and my son who is in the middle of a gap year and headed to college in the fall. Here are the trip highs and one low.


Cruise on the Milford Sound with my husband and children

Moments that stood out for me…

My son skydiving for the first time, and from 20,000 feet! Mind you this is a young man who is afraid of spiders yet he did this with calm assurance.  Blew me away.

Mother and baby dolphin by our boat

Seeing a momma and baby dolphin swimming side by side near our boat on my birthday.  The plan was to swim with the dolphins but if there’s a nursing mom in the pod, they restrict people from swimming with them so we don’t interfere with their feeding schedule.  I totally understood and was just grateful to experience their beauty and lively spirits from the boat.

Snorkeling was colorful and quite active as the guide cut up sea urchin for us to feed the fish. 

On the south island we had the opportunity to kayak to some secluded beaches in Abel Tasman National Park and I marveled at the architectural beauty of the sea carved caves, the unique sounds of the birds-unlike anything I’ve heard before, the ornate shells and even the startling beauty of a single red mushroom on our hike.

Getting stronger as I age?
Titanic Moment!

There was the stunning beauty of Milford Sound as our boat was surrounded on either side by high cliffs and waterfalls.  I even had a “Titanic moment”  with my husband on the ship as well as a dancer moment with legs going north and south. 

I can’t help it. It’s in my DNA

A high was whizzing down the world’s steepest tree to tree zip line through native beech forest in Queenstown. Unfortunately this was scaffolded with a low. Unbeknownst to us, the Christchurch massacre was simultaneously unfolding.

Homes throughout NZ had flags at half mast

The pain and sorrow in this region was palpable yet I marveled at the fact that this country in an astoundingly short time, just 6 days, managed to put in place an assault weapon ban.  I realize I’m treading on unstable ground with different people and their different points of view about this. The ban may not eliminate all such future tragedies but I believe to be true that it will indeed make a difference.

Franz Joseph Glacier

Enjoyed a hike with stunning views of Franz Joseph Glacier, colored blue because of the lack of air bubbles in the compressed snowpack. A low was seeing how much the glacier receded in the last decade due to global warming.

Franz Joseph Glacier Hot Springs

A soak in the local hot springs and a visit to see live Kiwi in a protected environment completed the day’s adventures. I love soft squishy stuffed wild animals and rationalized that I couldn’t buy a kiwi until I saw one live.

Maori traditional Haka dancer-Have you seen a tongue that long before?

The Haka! You may have heard of that?  It’s the native Maori male dance that is designed to intimidate opponents. We visited a live Maori village and as a dancer, I really appreciated the power of their forceful arm gestures, low to the ground stomping, wild bug-eyed, tongue thrusting facial expressions and thunderous chants. This unique dance underscores the power of movement, the power of dance. In fact, the All Blacks, the national NZ rugby team does the dance before every game. It’s also been performed across NZ in the wake of the Christchurch shootings as a symbol of unification in their time of grief.

Follow this link to learn what the Haka means and to see a video of how the Haka is performed.

Sheep, llama, and more sheep. I’ve never seen as many sheep farms as I have here. We visited the Agrodome in Rotorua, a farm that offered interactive experiences with the llama, sheep, sheep shearing demos and an informational tour. I loved getting right in there with these animals as did my kids.


Have you dug your own hot tub in the sand?  That’s exactly what we did on our last day in NZ at Hot Water Beach on the North Island.  At low tide you grab a shovel (rent from local merchants) dig a big hole and soak in natural geothermal hot springs with the ocean as your landscape. It’s quite a fun festive atmosphere as more and more people gather to dig their holes around you.

Digging a natural hot tub with hip hinging, spine sparing technique
Enjoying our hot tub at Hot Water Beach

I appreciated the thought behind this New Zealand crossing sign, displaying concern and responsibility for those who need just a little more time to cross the street.

This booth, seen in Kaiteriteri, on the south island of NZ. It seems you can have your asparagus with or without horse poo.

I’m happy to say that I began several days with some Pilates in my PJ’s using my core ball and resistance band and even did my “Counter series” from my first DVD on a terrace overlooking the sea.  This helped counteract the negative effects of prolonged plane and car rides.  I also made sure to use my spine sparing “hip hinging” technique whenever lifting something or in the photo above, when shoveling sand for our Hot Water Beach hot tub

Core ex with BoneSmart miniball
Counter series

Hip hinging rest position on the plane-actually found this worked!


It’s with gratitude that I’ve returned home safe, healthy and excited to continue sharing my BoneSmart Pilates method with you.

I hope you all make it a priority to take care of yourselves at home and also when traveling. Consistently doing just a few well chosen core exercises and stretches can make all the difference!

Penny Eckert

I have a passion for helping people to age strong. That goal can only go so far if there isn’t follow through by the participant during the hours and days that occur outside of class. Penny (Penelope) Eckert is a distinguished linguistics professor at Stanford where she first took a class with me over a decade ago, then later with private lessons at my Mountain View studio.

What impresses me most about Penny is her commitment to her health and her drive and determination to apply the principles and exercises we work on in class, into her daily routine. She’s one of the clients who I design home programs for who actually follows through and does them. Because of her tenacity, she’s overcome various physical obstacles and I’m proud to say she is a great example of someone who is aging strong.

The following is an interview with Penny.

What’s your line of work?
I’m a professor of Linguistics at Stanford University.

What inspired you to try Pilates? 
I was having back pain and I’d been reading about Pilates. Then I sat next to a woman on a plane who did Pilates and raved about it, so …. I signed up for a Pilates class at Stanford. My back pain was gone by the end of the quarter. Then I signed up for a class with Teresa and it was a revelation. Her classes were an amazing workout and her eagle eye made sure every move was precise. I swear she can see under my clothes. I’ve been addicted to Pilates with Teresa now for fourteen years.

What was an AHA moment you had in Pilates?
I think the biggest AHA moment was when I realized I was in charge of my body, and that I knew what to do at every moment to keep it strong. 

What are the most potent movement principles that you apply to your daily life?
The key to well-being is making sure my core feels strong before I leave the house in the morning, reminding myself to sit and stand tall and relaxed (the key to keeping my shoulders down and released) throughout the day, and striding rather than walking in little steps. 

Which is your most challenging exercise and why?
At the moment my most challenging exercise is your Standing Clocking exercise.  It’s challenging because I seem to have pretty lousy balance but I love it. But then … the Iliotibial band stretch is challenging because It hurts and I HATE it!

Which is your favorite exercise and why?
Since the classic hundreds is not safe for me to do anymore, I enjoy the modified standing hundreds because it warms me up and gets my core firing.  I also love just about anything on the reformer and TRX. 

What is your greatest physical challenge and how have you addressed it?
My back pain came from a messy spine, and I’ve had two spinal fusions since I began Pilates. My surgeon told me that the success of such surgeries depends on the patient’s preceding physical condition, and there’s no question that having a strong core has made all the difference for me. My recovery was fast and once the fusion was complete, I went back to Pilates rather than doing regular physical therapy. I’m six months out from my second surgery and my back feels amazingly strong. 

What improvements and benefits have you noticed during your life outside of class?
I feel much stronger, balanced, and centered. I stand and walk taller. I’m pain free.

If your feet were on your face would you take better care of them? Our feet are a marvel of architecture, each one has 26 bones, 33 joints and over 100 muscles, tendons and ligaments.  We shove them into all manner of shoes, some narrow and unaccommodating, pound them endlessly and on occasion adorn them with nail polish. They need more than a pedicure! 
Our feet are what connects us to the earth when we stand.  I believe that when we have strong, malleable feet they become the foundation for a strong and stable body.  If our feet are weak, immobile or out of alignment, it can have adverse affects up the kinetic chain to our ankle, knee, hip and even spine.

You’re never too old to improve your foot health. Even if your feet are stiff now, studies show that your flexibility can be improved at any age. Give your feet a breather and walk barefoot in your home. Make daily outdoor walks a regular habit and include foot strengthening and flexibility exercises into your routine. All 3 of my DVD’s include standing and resistance band exercises that improve the strength of your feet and the malleability of your ankles.  

In my first DVD, BoneSmart Pilates: Exercise to Prevent or Reverse Osteoporosis, I introduce myofascial release of the feet using custom cut 1/2 tennis balls. The goal is to improve blood flow, circulation, resilience and to enhance proprioception (the body’s ability to tell the brain where your body is in space).  This is particularly helpful for improving balance and decreasing your risk of falls. The reason I use 1/2 tennis balls and not full tennis balls is two-fold.  The 1/2 tennis ball is pliable, has give, and will compress when you press your body weight on it making it tolerable for those with sensitive feet.  A full tennis ball, has less give and is more resistant to compression so it may feel more painful than using a 1/2 tennis ball.  The other important reason is that since it has a flat underside surface, it won’t roll and will not pose a trip hazard by slipping out from under your foot. That is a risk when working with a full small round ball.

BoneSmart Pilates AGING STRONG VOL I,  introduces you to the Myofascial release ball (affectionately referred to as the “purple pickle”). 

This prop kicks up the stimulation to your feet with a textured surface and an oval shape that molds to the longitudinal arch of your foot. We focus here on both a light, stimulatory massage and a deep kneading motion that heightens sensory awareness of the soles of your feet, shuttles blood back towards your heart and helps prevent conditions like plantar fasciitis. In addition, we introduce inversion and eversion of the forefoot, a gentle twisting motion, that is helpful for preventing ankle sprains and maintaining a resilient foot and ankle. 

Show your feet some love ❤️. Start your day this way and you’ll feel energized, connected and grounded!

 

 

I was excited to present my workshop, Aging Strong Pilates® to Pilates instructors from around the world at the annual Pilates Method Alliance (PMA) Conference last week in Las Vegas. This is THE big Pilates event for instructors worldwide. I’ve had the honor of presenting my work at this conference over the last 7 years AND I’ve also enjoyed the opportunity to learn from other colleagues in the field and share their insights and knowledge with my clients.

In this short video clip, I’m teaching Dennison Laterality Repatterning, also known as Cross Crawl from Brain Gym® which draws on movement patterns learned in early life. This sequence integrates right and left hemispheres of your brain as it improves neuroplasticity (building new neural connections which we now know occurs across our lifespan), coordination, posture, core strength, hip and leg strength, and balance! Give it a try both fast and slow. Performed slowly it mirrors the qualities of Tai Chi. Peter Wayne, an associate professor of medicine at the Harvard Medical School found that “across multiple studies, Tai chi appears to reduce the risk of falling by 20 to 45 percent and is considered one of the best exercises available for ambulatory older adults with balance concerns”.  For that reason,  I integrate this technique into all my Aging Strong Pilates classes.

For those reading this blog that attended my workshop, thank you for being so open, curious and engaged!  One question I received was why I use ½ tennis balls rather than a full round tennis ball, for the initial phase of myofascial release of the feet. Here’s my reasoning.  First, it’s more malleable and has more compressive give, which is helpful for those with sensitive feet or minimal fat pads on the balls of their feet, a common by-product of aging.  The second, and even more critical reason is that you could trip and fall on a round ball!  According to the National Council on Aging, people over 65 have a 25% risk of falling. For that reason, introducing a fall hazard like a round small ball would be a poor choice to have underfoot, particularly in a group class.

I welcome any questions you still might have that we didn’t get to. I’d also love to hear what components of the workshop resonated for you as a teacher and also what didn’t work. Please share below or email me.

For my dedicated clients/students at Stanford Univ, El Camino Hospital, private clients and BoneSmart Pilates® DVD users, I shared with the delegates the results of what you told me was important for you as an active ager in a Pilates class. The essential elements you shared included:

  • Safety (both physical and emotional)
  • Avoiding pain (use modifications, remain within pain-free ranges)
  • Humor
  • Music for the standing portion of class and for our closing meditation
  • Alignment corrections (it was important to you that you are seen and matter)
  • The use of vivid imagery
  • Branding: don’t ever call it a class for “seniors” or the “elderly” as that’s definitely an attendance deterrent.

Upon reading this, if there are other factors that you feel are important to be included in the survey results that are missing above, please comment below or email me. I’d love to know so I can include your input in future presentations.

Finally, I’ve had the opportunity to really explore for myself, what is at the core of my Aging Strong Pilates class, what makes it unique and why do I love teaching it so much? It hit me like a brick. Having a special needs daughter with autism has opened my eyes in wonderful ways, to the necessity of inclusion and connection and to the pure joy that comes with unselfconscious movement. I realize that my relationship with her is what informs really everything I do and who I am. It is at the core of my instructional focus on connection, acceptance, my integration of techniques that promote neuroplasticity, my use of inclusive circle formations for much of our standing work and at times, if I happen to have a small class, I even configure our mats like spokes on a wheel so we can all see and be connected with one another.

I’m blessed with my 19 y/o daughter who experiences life with unbounded childlike energy and joy. She is kind, does not understand the meaning of evil or a lie and is the essence of total innocence and love. Her existence makes the world a brighter place and the people she meets, kinder, better people. So I wanted to end with deep gratitude during this season of gratitude, for my special daughter Katelyn, my Thanksgiving gift, born on Thanksgiving Day, 1998.

Get rid of flabby upper arms with this toning exercise that also includes core strengthening, balance and a stretch for your pecs/front of shoulders! Presented by Teresa Maldonado Marchok, licensed physical therapist, PMA certified Pilates teacher and creator of the BoneSmart Pilates® method and DVD series. You can purchase the door anchor and resistance bands on our site www.BoneSmartPilates.com under the pull-down menu “Shop”, then select “PROPS”. Subscribe to our channel for more free videos and the latest updates!

 

Of all my DVD’s, I’m most proud of Aging Strong Vol 2. It speaks to the busy professional/overextended mom/grandma who is short on time and wants a comprehensive workout that can be done between all the other commitments in your life.

Two 25 minute time efficient full body workouts will challenge you, yet keep you safe. The workouts move at a challenging pace with modifications offered. They include standing weight-bearing sections with resistance bands and loops to improve your strength and balance, mat sequences for core/spine strength and flexibility and a fun bone building stomping flamenco-inspired dance. All workouts are preceded by step by step tutorials to ensure your safety and maximize benefit. With this DVD, Movement Becomes Your Medicine.