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Get the facts

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GET THE FACTS

5 myths about men’s health

There are a lot of misconceptions about men’s health. You may have heard some yourself. And while many aren’t harmful — no, wearing a hat won’t make you go bald — others can lead to more serious health issues.

Clearing up these myths is an important first step. Here are five you should pay attention to.

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number 1

Myth #1: Men don’t get breast cancer.

Although breast cancer is most often found in women, 2,800 men in the U.S. will be diagnosed with the disease each year. Most men don’t know they can get this type of cancer, so they may ignore early warning signs, such as a lump or swelling in the breast. Their condition may go untreated until the disease has progressed and they have more severe symptoms.

Risk factors for men include having a family history of breast cancer, an inherited gene, obesity and age. Getting tested regularly can help men control their risk and seek appropriate treatment if necessary.

number 2

Myth #2: Erectile dysfunction (ED) only affects older men.

This common condition is nothing to feel insecure about. Nearly 40% of men are affected with ED by age 40. While the decrease in testosterone that happens as you get older can play a part, there are a wide range of factors that can cause ED in men of all ages.

Findings show that 71% of men who have experienced issues related to sexual health, including ED, have also been diagnosed with cardiovascular disease or diabetes. In addition, trauma and post-traumatic stress disorder (PTSD) can put men at a higher risk of developing symptoms. Other causes include tobacco use, cannabis use, alcohol or other substance misuse, and certain prescription drugs.

Fortunately, you can make these lifestyle changes to reduce your risk of ED symptoms:

  • Exercise regularly.
  • Quit tobacco and nicotine products.
  • Drink alcohol and use cannabis in moderation.
  • Eat a balanced diet with plenty of fruits and vegetables, lean proteins and whole grains.
  • Maintain a healthy weight.

There are also a variety of treatment options available. Talk to your doctor about the best option for you.

number 3

Myth #3: There’s no benefit to seeing a doctor once a year.

It’s common for men to think they don’t need to see a doctor on a regular basis. But annual physical exams are important for men of all ages, not just when they need a colon or prostate cancer screening, or when there’s a health concern.

Testicular cancer disproportionally affects men in their 20s and 30s. Other threats include early heart disease, high blood pressure and diabetes. Regular checkups are an opportunity to identify health concerns early when they’re easier — and less expensive — to treat.

Establishing a relationship with a primary care provider (PCP) as a young adult can benefit you throughout your life. Your doctor will know your health history and what diseases you may be at risk for. Finding someone you can trust early on can help you as you age and your health needs change.

number 4

Myth #4: If you don’t have any symptoms, you don’t have prostate cancer.

Prostate cancer affects 1 in every 9 men as they age and often doesn’t cause any symptoms until it reaches a more advanced state. One of the ways to reduce your risk is with prostate-specific antigen (PSA) screening test, especially if you’re 55 or older.

If men do have symptoms, the most common are blood in the urine, the need to urinate often or the inability to urinate at all, and pain in the lower back, hips and upper thighs. While these symptoms may be caused by other health concerns, be sure to tell your doctor if you experience them.

You can take steps now to reduce your risk of getting prostate cancer by maintaining a healthy weight and staying active. Choose a low-fat diet with lots of fruits and vegetables. And aim for 30 minutes of exercise most days of the week.

number 5

Myth #5: Depression and anxiety are signs of weakness.

Nearly 1 in 10 men experience depression or anxiety. These are serious health conditions that have nothing to do with being weak or lacking willpower. Much like a physical illness, depression and anxiety can happen to anyone regardless of social class, income level or intelligence.

Symptoms of these mental health conditions often look different in men. They may include feeling restless, tense, irritated or isolated, working all the time or having very little energy, not seeing value in what you do, or experiencing headaches, insomnia and digestive issues. Men may avoid treatment because they worry the stigma of mental illness will cause them to lose the respect of family or friends.

But ignoring depression and anxiety, staying busy or thinking you can just handle it isn’t a solution. These efforts won’t make the condition go away and could lead to more serious challenges. Fortunately, there are proven treatments, including therapy and medication, that can help.

Know the truth

Knowing the truth about men’s health can help you take better care of yourself. Your Costco benefits are there to provide the right care, whenever needed.

Sources:
Centers for Disease Control and Prevention. Breast cancer in men.
American Cancer Society. Key statistics for breast cancer in men.
Advanced Urology. Myths and facts about erectile dysfunction.
Cleveland Clinic. Erectile dysfunction.
U.S. News and World Report. Primary doctors for men.
Prostate Cancer Foundation. Five myths and misconceptions about prostate cancer.
UNICEF. Busted: 7 myths about mental health.
Medical News Today. Men’s mental health: “man up” is not the answer.
Anxiety and Depression Association of America. Men’s mental health.

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Take action

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TAKE ACTION

How to handle financial stress

Your palms are sweaty, you haven’t been able to sleep soundly for a week and your stomach is in knots. You may be experiencing financial stress, a condition that’s affecting 72% of Americans, according to the American Psychological Association.

But you don’t have to suffer forever. There are strategies you can follow to lower your stress about money. See if they can help you find a sense of peace — even empowerment — over your finances.

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Money worries can hurt your physical, emotional and social well-being

Financial stress can be described as worry, fear and anxiety about economic or financial events. It can sneak up on you out of nowhere and show up anytime, day or night. Chronic financial stress can cause insomnia, headaches, fatigue, weight loss or gain, muscle tension, stomach concerns, and depression. Over time, it can lead to an increased risk of heart attack or stroke.

And it doesn’t stop there. Worries about money can take a toll on your relationships with your partner, family and friends. It can hurt your focus at work. The stress you feel may make you more irritable and cause you to argue or lash out at loved ones. Research backs this up — studies show that finances are what couples fight about most.

Men and money

Cultural stereotypes can add to the stress. According to a Pew Research Center survey, 72% of American men say a man needs to provide for his family to be a good husband or partner.1 This pressure to provide can bring up feelings of guilt or shame if a man doesn’t feel like he’s living up to his potential. Society may also condition men to associate money with their success as individuals or a mark of their character. Money troubles can hurt their sense of self.

6 steps to financial peace

Fortunately, there are actions you can take to help you handle financial stress in a healthy way. Follow these steps to take control of your money.

number 1

Take inventory.

If you’ve been stashing your bills in a drawer, it’s time to take them out. Just because they aren’t in plain sight doesn’t mean they’ll just go away. It may be scary, but facing your debts head on is the most helpful thing you can do to start relieving stress. Organize your bills by closest due date and tackle them one at a time so you don’t get overwhelmed.

number 2

Make a budget and stick to it.

It may not seem like it, but creating a budget gives you more freedom. A zero-based budget is one to try. First, write down your income. Then, write down your expenses. Then, subtract your expenses from your income until it equals zero. This doesn’t mean you have nothing in the bank. It means you’ve given every single dollar a purpose and a job to do. Use the free EveryDollar app from SmartDollar to make budgeting even easier.

number 3

Have monthly budget meetings.

Budgeting can be hard. But doing hard things is easier when you connect with another person in the same situation. It can be your spouse, a family member or a trusted friend who’s encouraging enough to cheer you on but bold enough to hold you accountable.

number 4

Track your expenses.

When you see where your money is going, you’re not wondering where it went. You can start taking responsibility and make changes, which, in turn, will reduce your financial stress.

number 5

Practice gratitude.

If you’re constantly comparing yourself to others, it’s easy to be caught in a trap of wanting what you don’t have and overlooking what you do. Learn what triggers these feelings — social media is a common culprit — and limit your exposure to them. Remember, contentment doesn’t come when we have enough. It comes when we see that what we have is enough.

number 6

Set goals.

When you’re stressed about money, it can be hard to set financial goals. Goals not only keep you motivated, but each successful step toward your goal can increase your confidence and reduce your stress. Start with something small but doable, such as saving 10% of your paycheck for an emergency fund.

quotes

SmartDollar has taken away a lot of confusion and helped me create a monthly budget. I feel less worried about money.

— a Costco employee

1Pew Research Center. Americans see men as financial providers, even as women’s contributions grow.

Sources:
Ramsey Solutions. How to deal with financial stress.
American Psychological Association. Speaking of psychology: The stress of money, with Linda Gallo, PhD.
The Independent. Money problems can take a big toll on men’s mental health — signs someone needs support.

Ready to reduce your financial stress? Turn to these resources to help you change how you handle your money.

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EXPLORE MORE

Video: Men and loneliness

According to the U.S. Surgeon General, we’re facing an epidemic of loneliness in America. This lack of social connection is associated with a greater risk for heart disease, dementia, stroke, depression, anxiety and premature death. And while loneliness and social isolation can affect people at all ages, men tend to struggle more than women do, often with devastating consequences.

But there are simple things we can do as individuals and as a community to restore connection and help heal each other. Watch the video below to learn more.

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Recipes

Healthy recipe

HEALTHY RECIPE

Easy banana cookies

New to baking? This easy, five-ingredient breakfast or snack cookie comes together in minutes and cleans up quickly, too. It’s also a great way to use up overripe bananas. Bake a minute or two less for softer cookies, and up to 15 minutes total for more solid ones. Freeze any extras for grab-and-go snacks. Customize the cookies by swapping raisins for the cranberries, tossing in some mini chocolate chips or sprinkling them with some chopped nuts.

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Ingredients: 5
Prep Time: 5 min | Total Time: 15 min
Serves: 14
Banana cookies
Ingredients:

2 medium, very ripe bananas

1 cup uncooked rolled oats

1 ½ teaspoons ground cinnamon

1 pinch table salt (optional)

¼ cup dried cranberries

Directions:
Step 1

Preheat the oven to 375°F. Line a sheet pan with parchment paper.

Step 2

In a medium bowl, mash bananas. Add oats, cinnamon and salt, if using, and mix very well. Fold in cranberries.

Step 3

Scoop 1 tablespoon of dough onto prepared pan and repeat with remaining dough to make 14 cookies (leave an inch between each cookie).

Step 4

Bake until firm, about 10 to 12 minutes.

Nutrition

Serving size: 1 cookie | Calories: 46 | Total fat: .5 g | Saturated fat: 0 g | Sodium: 21 mg | Total carbohydrates: 10 g | Fiber: 1 g | Protein: 1 g

Source: WeightWatchers

With the WeightWatchers program and app, you can lose weight and eat healthier. Costco employees can join WeightWatchers for as low as $14 per month, and spouses/domestic partners and dependents can join for as low as $19.50 each per month. Participants must be age 18 or older to join. Sign up at WW.com/Costco or call 866-204-2885.

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A man too busy to take care of his health is like a mechanic too busy to take care of his tools.

Spanish proverb

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Take the pledge

TAKE THE PLEDGE

Let’s get this party started

It’s a new year, full of lots to celebrate. Will you reach your weight-loss goal? Pay off your credit card debt? Watch your children thrive at school? You can set yourself up for 12 months of success by taking the 2024 We’re in This Together pledge — and inviting your spouse or domestic partner to join you.

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Pledging gives you power

When you take the pledge, you commit to learning about the benefits available to support the well-being of you and your family. That means you’ll know where to go for help and how to use your benefits to make real changes in your life. You’ll find resources to help you reduce stress, improve relationships, reach your financial goals, stay healthy and much more.

It’s a new year, with new goals to strive for, so renewing your pledge is important. Explore your benefits and resources with fresh eyes – and check out what’s new for 2024.

Small victories add up

With help from your Costco benefits, there’s a lot you can do to make a difference in your life. Big goals are great, but small ones can also leave a lasting impact on your emotional, financial and physical well-being. For example, if you invest $100 per month in your 401(k) instead of spending it, you could end up with over $40,000 in 20 years. Or, if you swap soda for flavored or carbonated water, you’ll take in between 550 and 1,250* fewer calories per week — and reduce your risk for obesity and type 2 diabetes over your lifetime.

These small wins also improve your confidence. Any accomplishment releases dopamine, which boosts your mood, motivation and attention. And it signals you to keep at the activity again and again.

Big or small, whatever changes you decide to make in 2024, stick with them. Be sure to celebrate each success along the way.

Get the most out of your benefits and take the pledge! Make this the year to celebrate you.

*Based on drinking one 12-ounce can of soda per day.

Sources:
UCLA Health. Drinking soda linked to many adverse health conditions.
Investopedia. Investing $100 a month in stocks for 20 years.
University of Minnesota Extension. Celebrate the small stuff.

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Explore your benefits

EXPLORE YOUR BENEFITS

We’ve got your back

No one can do it all themselves. Each of us needs help and community, especially when we’re making changes in our lives. That’s why Costco offers a wide range of benefits resources to help you with all areas of your well-being — so you always feel supported and never feel like you have to do it on your own.

As you gear up to pursue your goals for the year, commit to getting to know your benefits and, if you haven’t already, take the pledge. Encourage your spouse or domestic partner to take it, too. And prepare to celebrate each accomplishment you make along the way.

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A strong foundation for emotional, financial and physical well-being

Your Costco benefits provide the care you need to flourish. They can help you:

Live a longer, healthier life

Costco medical and dental plans cover preventive care at 100% when you see an in-network provider. Preventive care includes physical exams, dental checkups and cleanings, some cancer screenings and certain age-appropriate immunizations. This routine care can help you stay well and catch health concerns early, lowering your risk for disease and disability.

Get help for a serious health challenge

Live Healthy Team* Coaches can help employees and their families enrolled in an Aetna® medical plan create an action plan, connect to the right resources and coordinate care when you’re diagnosed with a serious health condition. You can also use 2nd.MD to get a second opinion on your diagnosis or treatment plan, and connect with Resources For Living (RFL) to get emotional support services, including counseling and daily life assistance.

Manage a chronic condition

Omada for Diabetes, Hypertension & Prevention provides personalized online programs to help you make healthy choices when living with a chronic condition. You’ll work with a dedicated health coach and a clinical specialist to get the support and tools you need to make simple changes for a healthier life.

Find mental health support

RFL has a team of care partners that can help with challenges such as stress management, work-life balance, relationships, grief, depression, anxiety, substance misuse, self-esteem and personal development. They offer in-person or virtual counseling, daily life assistance, disaster relief, help with child or elder care, and more. You can also use Supportiv for online peer-to-peer support and AbleTo** for help building skills to better cope with life’s challenges.

Deal with parenting challenges

RethinkCare gives your family 24/7 access to tools, webinars and resources to help you understand, teach and better communicate with your children, including those with developmental or learning challenges. You can also try Supportiv for peer-to-peer parenting support.

Quit tobacco or get support for drug and alcohol misuse

Costco Tobacco Cessation Program pairs you with personal support to design a plan to help you quit tobacco for good. And if you or someone in your family is struggling with drugs or alcohol, RFL can help you find in-network rehabilitation facilities and provide behavioral health support services.

Go through a life change

Your Costco benefits are there for you when you’re building a family, buying a home, going through a divorce or coping with the loss of a loved one. Resources to help with these transitions include the Adoption Assistance Program, the Aetna Maternity Program* for help with infertility and postpartum challenges, and RFL for legal and financial consultations and grief counseling.

Create a stable financial future

T. Rowe Price manages the Costco Retirement Plan that helps you save for your future. Costco will make contributions to your account even if you don’t. You can also use SmartDollar® to take control of your finances and pay off your debt, and spend less on taxes with a Health Care Reimbursement Account (HCRA)** and a Dependent Care Assistance Plan (DCAP).**

Whatever you’re looking to achieve, use your Costco benefits to help you get there. Learn more about some of the resources available to you below.

*Available on the Mainland only.
**Not available in Puerto Rico.

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LEARN MORE

Stay healthy with these foods

If you’ve long believed that Grandma’s chicken soup is a cure-all, you may not be far off: Research has shown that what you eat plays a role in keeping your immune system healthy. Here are some foods to turn to if you’re hoping to fend off or better cope with a cold or the flu this season.

And remember, the best protection is prevention. Make sure to get your flu shot and other vaccines your primary care provider recommends. They’re free if you’re enrolled in a Costco medical plan.

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5 foods to help support a healthy immune system

number 1

Chicken soup

Tend to reach for a bowl of chicken soup whenever you feel run down? It’s no wonder: Chicken soup may provide a mild anti-inflammatory effect that appears to lessen the severity of cold symptoms.1 Researchers credit ingredients like veggies, which are rich in vitamins, minerals and antioxidants.

Although the jury is out on the ideal soup recipe and exactly how much soup to eat, simply sipping the warm liquid can help improve upper respiratory tract symptoms. Plus, chicken soup provides fluids and satisfying protein to help you meet your nutrient needs when you’re under the weather, says Registered Dietitian Jackie London.

number 2

Citrus fruits 

Oranges, grapefruits, lemons and limes are a great source of vitamin C, a potent antioxidant that plays a role in immune cell functioning.2 That said, peeling a single orange won’t do much to prevent you from getting sick or shorten the length of a cold. Developing a habit of eating a range of foods that contain vitamin C and a variety of antioxidants can support overall health.3

And take note: Eating an orange is better than drinking a glass of orange juice. Fruit is higher than juice in fiber, antioxidants and prebiotics, all of which support health.

number 3

Yogurt and other probiotics

The gastrointestinal tract and the trillions of bacteria that live there account for up to 60% of the entire immune system, says Gastroenterologist Brittany Seminara, MD. But medications, infections, illness and other environmental factors (such as what you eat) can disturb the balance of gut bacteria — one reason why it may be smart to consume beneficial bacteria known as probiotics. You’ll find probiotics in foods like yogurt and fermented items like kefir, kimchi, miso and sauerkraut.

Don’t feel you need to stay away from probiotic-containing dairy products. While a common myth suggests that dairy increases mucus production and can do more harm than good when you’re already feeling unwell, research suggests this isn’t true.4

number 4

Beans, onions, garlic and other foods with prebiotic fiber

Eating prebiotic fiber, a type of carbohydrate that helps to feed the healthy bacteria found in your gut, may play a role in supporting immune functioning.5 Foods containing prebiotic fiber include beans, onions, leeks, garlic, whole grains (including oats), cashews, soy and fruits such as bananas.

Garlic also contains alliin, a compound linked to stimulating white blood cells that fight the cold and flu virus. So add garlic to soups, salad dressing or roasted veggies to give your immune system an extra boost.

number 5

Shellfish and other foods high in zinc

Zinc is an essential nutrient for proper immune system functioning — and it’s found in a whole bunch of delicious foods. Oysters are the best source of dietary zinc you can find, with 32 mg in a three-ounce serving. But you can also find the nutrient in mussels, crab and shrimp, as well as in yogurt, milk, poultry, red meat, beans, nuts and whole grains.

While most people can get enough zinc through their diet, evidence shows that taking a zinc supplement (at least 75 mg per day) throughout the duration of a cold can help you get better faster.6

The bottom line

Maintaining a diet rich in essential nutrients can boost your immunity to protect you from getting sick and help you bounce back more quickly. Pair that with good hygiene — washing your hands with soap for at least 20 seconds and keeping them away from your face, avoiding others who are sick, and wearing a face mask in public — and you have a much better chance of staying well during cold and flu season.

Want another boost for your new year?

People tend to think that making changes to how they eat requires a lot of motivation. So what happens when you’re not feeling motivated? Here’s an idea: Rather than relying on motivation, focus on building momentum. To learn more, check out the WeightWatchers webinar “Momentum: The secret to maintaining your healthy habits” on Thursday, February 29 at 10:00 am EST/1:00 pm PT. Claim your free ticket here.

1National Library of Medicine. Chicken soup inhibits neutrophil chemotaxis in vitro.
2Chemistry Central Journal. Citrus fruits as a treasure trove of active natural metabolites that potentially provide benefits for human health.
3National Library of Medicine. Vitamin C and immune function.
4Journal of the American College of Nutrition. Milk consumption does not lead to mucus production or occurrence of asthma.
5National Library of Medicine. Fiber and prebiotics: mechanisms and health benefits.
6JRSM Open. Zinc lozenges and the common cold: a meta-analysis comparing zinc acetate and zinc gluconate, and the role of zinc dosage.

Sources:
WeightWatchers. 5 foods to help support a healthy immune system.
Healthline. How garlic fights colds and the flu.

To learn more about eating healthy or how to get help if you do get sick, refer to the resources below.

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Take action

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TAKE ACTION

How to make exercise a habit

Raise your hand if you know exercise is good for you but you still don’t do it. If that’s you, you’re not alone. Almost 80% of people don’t exercise as much as the Centers for Disease Control and Prevention (CDC) recommends.1

Getting started can be more than half the battle. Once your body is used to working out, exercise can feel easy and enjoyable. Use these tips to help you create a lasting exercise habit.

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Tips to get you moving

Start small and build up

Small changes can add up to big impacts. Did you know that doing four push-ups a day will lead to over 1,000 push-ups a year? Or that running four miles a week means you’ll run about 208 miles a year — the approximate distance between Boston and New York City?

Sometimes we set our expectations so high that just getting started takes a lot of effort. Choose a workout that’s simple and small so that you’re still likely to do it, even when your willpower is low.

Use the two-minute rule

It’s easy to put off exercise until tomorrow or next week. But you just need to get started — even if it’s only for two minutes. Once you’ve started, it’s a lot easier to keep going.

For just two minutes, get moving. Put on your shoes and go for a walk. Make yourself do two minutes of weightlifting or running or dancing — or whatever activity you like. Chances are that two minutes will turn into more.

Stack your habits

Creating a habit comes from consistency. Routines and rituals can help this practice feel more natural.

You likely already have some habits in place. It can be easier to start a new habit by linking it to an old one. Try this formula: “Before/During/After (current habit), I will now (new habit).” For example, “Before I wash my hair, I will go to the gym.” “During my favorite show, I will get on the treadmill.” “After dinner, I will walk around the block.” See what works for you.

Remove barriers

Take a moment to think about the things that prevent you from exercising. Do you have too little time? Do you need support? Are you lacking self-confidence? What hasn’t worked for you in the past?

When you recognize your barriers to health, you can make a plan to overcome them. For example:

  • Feel self-conscious at the gym? Work out at home. Search for a free online workout or buy some hand weights to strength train.
  • Find exercise boring? Try an activity you enjoy, such as dancing, bird watching or pickleball.
  • Need someone to watch the kids? Join a gym with child care, or go for a walk with your family.
  • Don’t know what to do? Meet with a trainer, go to a class or find a fitness buddy and brainstorm ideas.
  • Need support? Join an online activity group based on your interests or enlist family and friends to help you.

Be patient

It’s normal to want results right here, right now. And when you’re starting a new habit, the need for immediate gratification can be pretty strong. But this can lead to frustration and giving up. It helps to focus more on what you can control: your actions.

Developing an exercise habit is a huge accomplishment in and of itself. You can do it. And the other benefits will come on their own.

1CBS News. CDC: 80 percent of American adults don’t get recommended exercise.

Source:
Resources For Living. Exercising and beyond: establishing a healthy habit.

Consider talking to your primary care provider before starting any new fitness plan. Your Costco benefits can help you prepare, both physically and mentally. See the resources below for more information.

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Recipes

Healthy recipe

HEALTHY RECIPE

Sheet pan shrimp and broccoli stir-fry

Planning to eat healthier this year? This easy sheet pan recipe is your perfect kickoff. It’s loaded with vitamins and minerals, including zinc and vitamin C to help strengthen your immune system. The dish delivers perfectly cooked, crisp-tender broccoli and shrimp that’s juicy and succulent. Don’t worry if it seems like there’s not enough sauce; it will combine with liquid that the shrimp releases as it cooks, so everything will be nice and saucy at the end. Serve with your favorite side, such as rice or cauliflower rice.

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Ingredients: 9
Prep Time: 15 min | Total Time: 35 min
Serves: 4
shrimp and broccoli in a tray
Ingredients:

4 sprays cooking spray

1 pound broccoli florets

1 cup chopped red onions

1 ½ tablespoons canola oil

3 tablespoons oyster sauce

1 tablespoon rice vinegar

1 tablespoon sriracha hot sauce

2 medium cloves garlic, minced

1 pound large, peeled and deveined uncooked shrimp

Directions:
Step 1

Preheat the oven to 400°F. Coat a sheet pan with cooking spray.

Step 2

On the sheet pan, combine the broccoli, onion and oil; toss well to coat. Roast for 12 minutes.

Step 3

Meanwhile, in a small bowl, whisk together the oyster sauce, vinegar, sriracha and garlic.

Step 4

After 12 minutes, remove the sheet pan from the oven (keep the oven on). Add the shrimp and sauce to the pan and stir well to coat.

Step 5

Return the pan to the oven; roast until the shrimp are done, 5 to 7 minutes.

Nutrition

Serving size: 1 ½ cups | Calories: 195 | Total fat: 7 g | Saturated fat: 1 g | Sodium: 1133 mg | Total carbohydrates: 15 g | Fiber: 4 g | Protein: 19 g

Source: WeightWatchers

With the WeightWatchers program and app, you can lose weight and eat healthier. Costco employees can join WeightWatchers for as low as $14 per month, and spouses/domestic partners and dependents can join for as low as $19.50 per month. Participants must be age 18 or older to join. Sign up at WW.com/Costco or call 866-204-2885.