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Greenville, SC

Trimarni is place where athletes and fitness enthusiasts receive motivation, inspiration, education, counseling and coaching in the areas of nutrition, fitness, health, sport nutrition, training and life.

We emphasize a real food diet and our coaching philosophy is simple: Train hard, recover harder. No junk miles but instead, respect for your amazing body. Every time you move your body you do so with a purpose. Our services are designed with your goals in mind so that you can live an active and healthy, balanced lifestyle.

Trimarni Blog

A blog dedicated to exercise, nutrition and my life

HELP! Reconsidering a new decision on obesity

Marni Sumbal

There is an ever-growing number of nutrition experts in our society. It doesn't surprise me that our society is getting more and more unhealthy as people take advice from self-proclaimed "helpers" to all nutrition-related problems.

If you haven't heard the news, there was a recent decision by CMS (Centers for Medicare and Medicaid) that has really upset a lot of RD's. As a recently credentialed RD, who spent the last 3 years obtaining the necessary accredited coursework and hours to sit for the National Registered Dietitian exam, it saddens me that RDs are not included in Obesity Therapy, under this new decision.

Feel free to write to your members of Congress and tell them to urge CMS to reconsider its recent decision that excludes RDs from direct billing and limits services to the primary care setting.

After reading this article that commercial weight loss programs are more effective (and cheaper) than doctor-based services for weight loss, I immediately signed this petition
Please do the same and pass along the word. This decision may not affect you directly, but it will affect the health status of our nation and likely, it will impact someone that you know.

A little about the petition:
In the recent decision memorandum by CMS regarding Intensive Behavioral Therapy for Obesity (CAG-00423N) the agency determined that potentially lifesaving ...preventive services for Obesity COULD ONLY be furnished by primary care providers in the primary care setting. As a result, CMS has eliminated the most qualified providers, notably Registered Dietitians (RDs), along with clinical psychologists and other specialists who have been able to produce the best results for patients. The decision prevents this group from directly billing for services and from providing services outside of primary care, and limits access for older patients to qualified professionals that would help manage chronic disease.

BTW - if you haven't LIKED my facebook page Trimarni coaching and nutrition, please do so and pass around the page. I really enjoy keeping everyone updated with breaking research and news, especially in terms of exercise and nutrition.

to keep your tummy happy, here's the rest of my meal that was created with my fabulously delicious tempeh egg roll wrappers that I posted the other day.

I sauteed the following in a large pot for about 15-20 minutes on low heat as I assembled my wrappers.

2 large zucchini (sliced thin)
2 large squash (sliced thin)
1 large green pepper (sliced)
1 medium onion (sliced)
1 container fresh mushrooms
3-4 cloves garlic
Pepper, chili spice and parsley
Olive oil
Balsamic dressing

1. In a large pot on medium heat, I drizzled about 2 tbsp olive oil over veggies (first 6 ingredients) and gave them a toss.
2. I let the veggies cook for about 10 minutes, stirring occasionally to prevent sticking and added about 2-3 tbsp water to prevent browning.
3. I then turned down the heat to low, covered, and added seasonings (to taste) as well as a light drizzle of balsamic.
4. I stirred gently and let veggies cook for another 10 minutes (stirring occasionally).

*For lunch the next day:
a bed of spinach w/ 1 serving brown rice w/ leftover veggie mixture (it makes a lot!). I also had chickpeas w/ my greek yogurt topping (leftover from the tempeh wrappers, which was greek yogurt 0% plain w/ a little spicy mustard and a little curry powder). I then sliced up some fresh part-skim mozzarella cheese and topped the veggies with sunflower seeds.