Monthly Archives: August 2018

Goals Derailed? How to Get Back on Track After Summer

It’s that time of year. Time to let go of summer happenings, and move on to an entire new routine and schedule. For some of us, we may have fallen off of track with social festivities, and therefore, less time prioritizing ourselves and more time indulging in choices that may not be as beneficial for us.

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We’ve all been there. We’ve all skipped our workouts, chosen higher calorie choices, had that extra piece of cake or just one more smore. However, is it time for you to change your routine? Get back on track? Press the reset button to accomplish your goals?

You hear advertisements on the radio about the easy weight loss solution if you call now. You read about the way to burn fat fast on this month’s edition of the world wide magazine, emphasizing the need to lose weight to enjoy the upcoming seasons.  Every advertisement is screaming to you to be at the gym after summer festivities have concluded.


NEWSFLASH: perfect doesn’t exist.  Fad diets are exactly what they claim to be; they stick around for a while, and then die out because depriving yourself is not maintainable.  Why spend hundreds, even thousands of dollars, on weight loss programs that ultimately will push you right back to where you started in your journey?

Unfortunately, the world of nutrition varies.  In fact, most weight loss crazes that claim to provide fast results are often the least regulated, unsafe methods that have you starving, eliminating food groups, and ultimately, not feeling as wonderful as they promised you’d feel.  Instead, you’re left with headaches, nausea, and cravings that seem unquenchable.

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Put your health in the hands of our Dietitians at Caruso Physical Therapy and Nutrition, for a maintainable, safe, and customized way to get you feeling in control of your weight or healthy lifestyle. We will serve as your springs to hop back into health! I am a Registered Dietitian Nutritionist credentialed by the Commission of Dietetic Registration and am a member of the Academy of Nutrition and Dietetics.

I make it my goal to develop small, measurable goals to fit your lifestyle! Let Caruso Physical Therapy and Nutrition help you achieve your personal health and fitness goals and improve your lifestyle with healthy eating habits through an individualized approach to nutrition.

We address a variety of issues including weight loss, weight gain, sports nutrition, disease processes, and medical nutrition therapy. Due to our customized approach we can only work with 25 people per month at this time and at the time of this email four spots were already taken.


Saving for upcoming holidays? Nutritional Counseling is covered by insurance, which takes the financial burden right off your shoulders!  With flexible hours, you are able to schedule a time that is convenient for you!

We only have 21 spots remaining. Let us help you help yourself; spring back into the ultimate healthy you NOW! Choose to be one of the 25 people who takes action towards achieving what they have always wanted in life, TODAY!

Call right now to ensure you are one of those 25 people: 609-738-3143.

When you read this, did a family member, friend, or co-worker come to mind? Do you know of anyone else in need of physical therapy or nutrition counseling? Forward this email to share the gift of health and to let them know you are thinking about them!

See you soon,

Michele Wroblewski, RDN, AFAA Group Exercise Instructor, Certified Health Coach

Caruso Physical Therapy and Nutrition, LLC

1278 Yardville Allentown Road Suite 3

Allentown, NJ 08501

Phone: 609 738 3143

Fax: 609 738 3144


Do You Feel You or Someone You Know Has an Unhealthy Relationship with Food? Read and Find out!

In today’s social media ridden culture, now more than ever we are being bombarded with images of what society considers the “perfect” body. Society has a definition of “pretty” and “attractive” and it has caused eating disorders to be on the rise, particularly amongst children and teens.

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However, what most people fail to realize is that eating disorders stem not just from unhappiness with appearance. Usually, restriction begins when a person feels out of control. Eating is one of the easiest behaviors to control, which is why I have seen a lot of patients, particularly teens, who struggle with eating disorders and already have pre-existing conditions such as OCD, Anxiety with school, mood disorders, or even unhealthy relationships at home. Typically, when kids feel out of control with their own lives, even with their health, eating disorders can emerge to gain that feeling of control.

So, no, it is not always about the scale. If a family member struggles with another addiction or addictive behaviors, eating disorders tend to occur. Some say that even say that eating disorders are the hardest addiction to break, for we always need to eat.

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The two most common forms of eating disorders are anorexia nervosa and bulimia nervosa. Anorexia nervosa is defined by a number of different signs. Someone would be considered to have anorexia nervosa if they are at least 15% below their ideal body weight, if they have an intense fear of being fat even if they are underweight, having a distorted image of their body and denial of their underweight status.

Anorexia is most prevalent among teenage girls, but absolutely can occur among groups of all ages and genders. Long term health effects of anorexia involve most of the organ systems, due to the process of starvation’s toll on the body. It can also cause bone loss, decreased kidney function and even changes in brain function.

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Bulimia nervosa has a different subset of signs. To be diagnosed with bulimia, the person would have to be binge eating large amounts of food in a short amount of time, feel a lack of control when eating, purge the excess food by making themselves vomit, using laxatives, using diuretics or exercising for an excessive period of time.

A person with bulimia most likely has a self image that is based upon their weight status and not upon their personality or other qualities. Bulimia is most common among college aged women, but again can occur within any age group or gender. Long term health effects of bulimia include vitamin and mineral deficiencies, wearing down of tooth enamel, and long lasting problems with digestion and the heart.

If you do not fit into these two categories, but feel you have an unhealthy relationship with food, there are other subsets on what would classify as an eating disorder. We would refer to these as EDNOS, Eating Disorder Not Otherwise Specified. I have come across patients to exhibit a combination of the different types of eating disorders.

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Another eating disorder that has been on the rise, orthorexia. This involves an unhealthy obsession with “whole foods”, and refusal to eat anything but that. Reliance will start to stem on supplementation. It can also involve combinations of excessive exercise as purging. One can even start to develop punishments by withholding food, additional exercise, etc.

If you are worried about someone that you care about having developed an eating disorder, there are many symptoms that you can look out for. Some warning signs include, eating small portions, an intense fear of becoming fat, excessive exercise lasting over an hour, hoarding or hiding food, disappearing after meals, social withdrawal, depression, irritability, hiding weight loss under bulky clothing, and menstrual irregularities or missing periods all together.


If your child or someone close to you is exhibiting these symptoms it is important to take them to see a Registered Dietitian Nutritionist (ME), who can help them work through their disorder, normalize a person’s relationship with food and help to put them on path to a healthier life.

Don’t wait until the addiction is full blown, at the first signs of restrictive or unhealthy behavior, contact the professionals!


Michele Wroblewski, RDN

Natalie Meltzer, Student

Caruso Physical Therapy and Nutrition, LLC

1278 Yardville Allentown Rd. Suite 3

Allentown, NJ 08501




Boyse, Kyla. “University of Michigan Health System.” Your Child: University of Michigan Health System,

Wolfram, Taylor. “Understanding Eating Disorders.” Eat Right. Academy of Nutrition and Dietetics., 10 Oct. 2017,

This Teacher Got Her Life Back, Thanks to Caruso PTRD!

“Every day I was at the gym sweating up a storm, and months later, I still saw no results on the scale. My saving grace was when I found Michele. I finally feel that the effort that I am putting in is paying off! And to think, all it took was a couple of small tweaks to my eating habits…ones I don’t even miss!”

I have been a 3rd grade teacher during the school year and summer school educator for adults for over 15 years. In addition to holding the future of thirty-five 8 and 9 year olds in my hands, I come home at 4:00 pm to my third job that is forever a full time position: being a mom to three amazing children, ages 6, 9, and 11.

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My kids and my busy work schedule leave me with almost no time to even think about making any lifestyle changes; I was overwhelmed with my day to day life as it was. How could I fit in anything else into my jam packed schedule?

I had been told time and time again by my physician that exercise and learning to eat right was the best way to lose weight and get my health back on track. So, I made the decision to join a gym.

It took a lot of effort to find an hour a day for myself, and I was SO proud that I was able to show up and just do it even when I was exhausted. So when I worked so hard to find the time to exercise and saw no results, not even a single OUNCE lost on the scale,  I decided it was time to end the frustration. I saw an article for Caruso’s Physical Therapy and Nutrition, one about a patient who exhibited my same frustration, I decided to explore their website.


I noticed that not only was Michele a Registered Dietitian but she is also an exercise guru! Eureka! Maybe she could solve my dilemma with the scale!

I immediately called to make an appointment. Michele was able to use her experience and knowledge to give me all kinds of exercise tips and techniques, as well as the proper nutrition to go along with my exercise routine! I have so much going on in my life, I was so happy she was able to do the work for me; I don’t have time for a 4th job!

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She was so understanding and knowledgeable that I not only learned so much from our first meeting but really enjoyed sitting down with her and figuring out my next step. My first appointment with Michele was about 6 months ago and still to this day I wonder why I didn’t reach out sooner. I have seen such a change in how I feel when I exercise and have learned so much about how to eat right in order to optimize my health. Michele has truly helped me take control of my body and health, and I am so grateful! In addition, I have my kids seeing her for their sports nutrition needs! I am so happy that we can have our whole family on the same page. I LOVE that they listen to her! Sometimes, when mom says it we all know it’s not as cool to our kids, I was so relieved she was able to help!

The best part was her services were covered by insurance.  That took the financial burden off my shoulders. With flexible hours, I was able to make an appointment at a time convenient for me!

An opportunity to regain your life.  An opportunity to lose the weight and feel great again with minimal expense. The opportunity to get the whole family healthy.  Due to our customized approach spots are limited, act now to ensure we have a spot for you!

Schedule your nutrition evaluation to see how fast we can have you living life the way you want to.  Schedule Right NOW to be 1 of 25 people we help this month.  Spots will fill up fast.  Call right now to be one of the 25 we help this month: 609-738-3143

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Michele Wroblewski, RDN

Caruso Physical Therapy and Nutrition, LLC

1278 Yardville Allentown Rd. Suite 3

Allentown, NJ 08501