Is there a size limit for HAES?

Cover2People often send us questions for our Dietitians Unplugged podcast. We love getting questions and once in a while we’ll pick one to answer in our show. This one in particular was one we felt was probably on the minds of many people for whom HAES was a completely new concept.

Our listener wrote:

I just listened to Dietitians Unplugged episode about Tess Holiday. Can you explain to me your feelings around obesity in a little more context. I am confused with what you actually promote around being very overweight. I do understand intuitive eating.  And let me note, I’m not commenting on Tess Holiday specifically or her being on a cover of a magazine. I’m talking about obesity in general. In your opinion obesity is not bad? How can you support that opinion if obesity is linked to an endless number of medical conditions? I see how one can be overweight but still healthy. Just as someone can be skinny and unhealthy. But at a certain point in time, if you are so over weight that you are declared obese then you have fat crushing your major organisms, you are shortening your life, and setting yourself up for a difficult aging processes. How can someone with that amount of excess weight still “healthy.”  Thank you for reading, your inquisitive listener.

To be very honest, I wasn’t sure if at first we were being trolled. But I sometimes forget what a wonderful little HAES bubble I live in much of the time, both in my mind, and online (and even IRL with most of my local friends and acquaintances), and I realize that in fact, most people haven’t even heard of HAES and might have questions (and I’m pretty sure that early on, this was one of the skeptical questions I had very early on when being introduced to HAES). 

For those of you who aren’t podcast listeners, I’ll give you the very quick and short answer to the question of, “Is there a size limit to HAES?”: No. Slightly longer answer: I feel that anyone of any size can benefit from Health at Every Size principles, and furthermore, dieting to lose weight is probably doing actual harm. My clients in large bodies have tried dieting more times than you can count, and aside from usually gaining even more weight than they lost in the first place, they come to be with extremely disordered eating and total confusion and frustration around the best way to take care of themselves with food and movement. And finally: I never promote a particular body size. To me, all bodies are good bodies. I am more interested in promoting the best, most sustainable and life-affirming ways to take care of the body a person has right now. 

If you want the longer, much more nuanced answer to our listener’s question, give this episode a listen!

Episode 52 – Is there a size limit to HAES?

 

HAES Focused Diabetes Care

Rebecca Scritchfield, RDN, of the Body Kindness book, and I have cooked up something wonderful for those with diabetes who don’t want to diet. Our HAES Care for Diabetes Concerns has been getting rave reviews from participants, and we are working hard to expand access to this program this year. Get on our priority email list to find out when this group is happening next!

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Your Stomach is not a Bottomless Pit…It Just Feels Like It

sweets
Feel like you could eat this all the time?

As a dietitian who helps others get over disordered eating after years of dieting, I’ve heard this many times: “I don’t have a limit when I’m eating. If I let myself eat what I want, I won’t ever be able to stop eating.”

To this I say: bunk. It just feels like that.

Everyone has a stopping point*. You might not think so because maybe you, like I did at one point, have stood beside the cheese tray at a cocktail party scarfing ungodly amounts of mediocre cheese cubes fearing you’ll never stop. Maybe you did eventually stop at that “I’m gonna burst!” point and regretted the whole ordeal. And maybe you simply don’t know your stopping point, as I did not, because you are hungry much of the time…so very, very hungry.

Here’s a little secret: dieting and calorie and food restriction create a false impression in your body that you are a bottomless pit. That you are a vessel that will never be filled, especially when you are confronted by a favorite or particularly delicious (or sometimes even mediocre) food. Maintaining a body weight lower than what is natural for you will also cause your body to constantly crave food, large amounts of it. This is a pretty reliable biological response regulated by a cascade of hunger hormones, and anyone who diets will in all likelihood experience this kind of mega-hunger regularly.

On the flip side, honoring your appetite (aka, eating intuitively) has the opposite effect. Once you begin to eat satisfying amounts of food when you feel hungry and your body weight adjusts toward its natural set point, your bottomless pit starts to find its bottom. As you practice honoring internal cues more often, you may start to find that your stopping point is not, in fact, stuffed but satisfied. You may even find yourself easily leaving food on the plate, or turning down the offer of a homemade brownie if you are simply not hungry for it.

My bottomless-pit acquaintances are incredulous when I suggest that they do have stopping points. They don’t trust their bodies. Some are invested in maintaining a certain external appearance and don’t feel their natural appetite will support their desired size (and this might be true).

I sympathize. I was once a bottomless pit too. But I became sick of being ruled by food and by fear of the cheese tray. And I became tired of living my life solely to support a certain body size when there were so many other interesting things to do.

When I started truly honoring my internal signals of hunger and satisfaction (thank you again, intuitive eating), eating what I really wanted, and letting my body be, I no longer had fearsome insatiable cravings. Yes, I gained some weight, but in time (and with a lot of intentional effort) I began to lose the fear that had driven my need for a smaller body size; honoring my appetite came from a place of love and, for me, was the truest act of self-care (aka Health at Every Size®).

Eating what you want and as much as you want may feel scary at first. As your body adjusts, that fear may turn to comfort as you realize you are taking care of yourself and your needs and you no longer have to fear your own bottomless pit.

*Sufferers of Prader-Willi Syndrome excepted.

Take my FREE mini-course!

Tired of being ruled by food and fear? I created this free, 3-day mini-course, Kick Diet-Mind to the Curb, to help you understand the rational behind WHY dieting is so damn dangerous to your body, mind and soul, and what you can do about it. Click here to give diet culture a kick in the crotch. This also gets you on my newsletter list.

The Weight You’re Supposed to Be

Bulldog

One of the most common reactions to what I write about learning to accept our bodies at the weight they are and taking a Health at Every Size® approach is, “But I’m not at the weight I’m supposed to be…I should be XXX pounds because that’s what I was [when I was my healthiest weight; when I was an athlete in college; before I had three kids; before I developed this knee condition; when I ran marathons all the time].” I totally get it. Lots of us have that utopian time in our lives when our weight was perfect (or so we think in hindsight), our health was optimal, and we were going to live forever…and we so desperately want to get back to it.

Even when, intellectually, we know that dieting doesn’t work, that weight loss is typically short-term (<3 years) at best, that even when our own personal experiences tell us that previous weights were not sustainable, we resist in accepting this. I recently read a great term for this: data resistance, meaning no matter how clear the science is on this topic, people still want to believe that long-term weight loss is possible for more than a tiny fraction of people. The propensity for magical thinking is strong in us humans, and weight is no exception.

Let’s roll with it, then. Maybe you aren’t at your optimal weight. Do you want to diet to try to get there? Is that something that has been sustainable for you in the past? If not, why do you think things would be different this time? What happens if, despite all your efforts, you never get anywhere close to your desired weight? How do you live your life then? What happens if the weight you are now is your weight for the rest of your life? I think it’s worth it to have this conversation with yourself, so you at least have some options.

There are also important things to know before you decide what to do next. First of all, despite what we have been told ad nauseam by the diet industry, your weight is not really within your control, at least in the long term. If you’ve been reading this blog for a while, you are well aware by now that intentional weight loss has a 90-95% failure rate over the long haul (>5 years). If you’re new to this blog, head on over to my Scientific Lit page and have a look for yourself.

Your weight is really determined by a combination of your genetics, your metabolism, and your environment (past and present) – and not so much by the weight you actually want to be. Do you have fat parents or family members (genetics)? Have you spent any part of your life restricting calories or foods (environment)? And if so, did you know that your metabolism is probably running slower than if you hadn’t (metabolism, obviously)? Possibly most significantly, if you have made multiple weight loss attempts throughout your life or were put on diets as a child, your natural set point will be higher than what it might have been had this never happened. Unfortunately, we’ve all been fed the calories in/calories out bullshit, and have been taught that calories out are totally within our control, when in reality our sneaky metabolism comes along and adjusts everything to make sure we aren’t spending too much energy, because Lord knows the body loves homeostasis.

So now you’re well-armed with information about the spectacular failure of long-term weight manipulation. That’s all well and dandy, you think, but maybe I’ll be one of the 5% who keep the weight off. Maybe you will be! I was for a long while – before The Diet Monster took over my life and made me more miserable than I had ever been as a fat person. It’s a dicey gamble to make – you might be one of the 5% who manages to maintain long-term weight loss by making it your life’s work, OR you might be one of the 95% who gains some, all, or even more of your weight back, leaving you even fatter than you started. In the words of Dirty Harry, “You gotta ask yourself, ‘Do I feel lucky?” Well, do ya??

“But I’m simply not healthy at this weight.” Hey, you might not be. I don’t know your particular health habits or your lab values. Just remember, though, that weight is not a health behavior; it’s a size. Health at Every Size® does not purport to say that everyone is healthy at whatever weight they’re at; it simply means that whatever weight you are right now, you can start to work toward better health. So maybe your health isn’t great right now – is losing weight truly the only way you can improve your health? What about improving your eating habits or activity level? If you consider yourself too large to exercise, check out The Fat Chick’s webpage for activity for people of all sizes. Plenty of studies show that fitness is a better determinant of health than fatness and recently even more are showing that weight loss in some populations is associated with greater mortality rates.

“Well, I’m just not comfortable at this size.” I understand; moving in a thin body is different than moving in a fat body. While I personally don’t notice all that much difference (I’m lazy at both ends of the weight spectrum!), I also recognize that my weight difference might not be as great as someone else’s and that my experience is not universal (I also developed osteoarthritis in my feet at my thinnest, so even that wasn’t a guard against joint problems). Whether your discomfort is physical or psychological, how much do you think our culture’s prevailing attitudes about weight are influencing your discomfort with your weight?

I used to feel like I had to suck in my stomach, no matter what weight I was. As I regained weight, my stomach was beyond sucking in – I could tighten those ab muscles all I wanted, but that layer of fat wasn’t going anywhere. Sucking in made me feel physically uncomfortable. Not sucking in made me feel psychologically uncomfortable. I felt out of proportion, and I felt like I was being outed by my tummy as a fat person. When I finally acknowledged that how I felt about my stomach had more to do with how the world views fat people and less to do with how I actually felt, I eased up on my expectations of my body. If your feelings of discomfort are 100% physical, consider a HAES® approach in which you could find activities that you are comfortable doing right now, and work your way up from there. Bodies are amazingly adaptable, especially when we are being kind to them.

I wish I could tell you that our desires controlled our weight. That it’s just a matter of trying really hard and you’ll have some satisfying weight loss that lasts forever without totally ruining the quality of your life. My own personal experience, the experiences of all the other people I’ve met in the fatosphere, and the bulk of available science on the subject does not permit me to do so. I can only recommend a kinder approach in which you let your body decide what it will weigh – it will do that eventually anyway – while you find your own way of living as healthfully as you want and can. That will give you a stable weight that is right for you. Because, with this one life you have, how long do you really want to struggle against your body?

Take my FREE mini-course!

I created this free, 3-day mini-course, Kick Diet-Mind to the Curb, to help you understand the rational behind WHY dieting is so damn dangerous to your body, mind and soul. Click here to give diet culture a kick in the crotch.

Toss Your Scale. Seriously.

scale - no signImagine this scenario:

You’ve been doing pretty well making headway with internally regulated eating (aka intuitive/attuned/mindful eating/eating competence), enjoying formerly forbidden foods with ease and seeing a decrease in the number of times you overeat. You’re feeling pretty relaxed around food and making choices based on what you actually like instead stupid diet rules. Food restriction is becoming a distant memory.

You’re doing a great job of embracing body acceptance, learning compassion towards yourself, and generally feeling much more comfortable in your skin. You’ve even bought a few new outfits and think you look pretty damn awesome.

You’re feeling so confident, in fact, that you decide to get on the scale. “If I’m feeling this good, I must have lost weight!”…even though that was never the point of all this good work.

Then you see the number. Surprise! It’s your highest weight ever.

Your mood comes crashing down. You feel the need to dive into a gallon of ice cream and get lost forever while simultaneously tossing out every last delicious food in your cupboard. You feel that all the clothes that looked cute on you before you got on the scale now make you look horrible. Worst of all, you feel completely unacceptable, unlovable, and unworthy. You so desperately want to diet to “correct” this weight situation even though it wasn’t even a problem a few minutes before.

If this has happened to you, it’s time to get rid of your scale.

At the height of my diet addiction, I sometimes weighed myself three times a day. The act of weighing was not an emotionally neutral act. I was constantly attempting to reassure myself that my societal acceptability – and depending on the number, superiority – was intact. If the number didn’t jive with what I expected, I was obviously a failure. I used these feelings to ensure that I never ate enough to satisfy my appetite.

Wow, just writing that kind of makes me feel sick.

After I started eating to satisfy my appetite, my weight started to go up rapidly. This, of course, is a normal bodily response to weight suppression below one’s natural set point, and I knew that, but before I was fully there body acceptance, the number glaring back at me, judging me, was just hard to see.

But because I had finally committed to letting my body do its own thing, to trust in its wisdom as I learned to enjoy eating again in a relaxed, healthy-for-me fashion, I knew I had to get rid of the scale that had the power to take me from a perfectly fine mood to a much darker, critical one. I knew, at last, that I didn’t need its judgement anymore.

The act of stepping onto the scale is one of self-sabotage. We are telling ourselves that we don’t trust in the process our body needs to go through to reclaim joy and normalcy in eating. We bargain with ourselves: “I’ll eat normally only if I haven’t gained weight…” And then all our good work in eating and body acceptance is undermined. We start restricting – maybe even unintentionally – and the next thing we know, we are overeating again.

If this has happened to you and you’re in a tailspin of bad body feelings, ask yourself – how did you feel about yourself before you got on the scale? If you felt good, why can a number that only represents the Earth’s gravitational pull on your body take that away? What was it you were hoping to find from the number you saw there? Approval? Acceptance?

The scale is simply not a way to gauge your non-diet journey progress, especially if you came from Diet Hell. Metabolic alterations from dieting and other processes that are out of your control have much more to do with what happens to your weight than eating-without-a-diet-plan.

Society puts so much emphasis on the weights of women and their ability to achieve and maintain smallness. This is not about our health; it’s about keeping us obedient. As long as you keep buying into this obedience by judging yourself by a number on the scale, you will continue to prop up the anti-female diet culture that denies us everything. And I know you don’t want to do that!

So the fix is easy: Get. Rid. Of. The. Damn. Scale. You don’t need to know the number to have a great life. It doesn’t tell you anything about your eating progress. It doesn’t measure your worthiness. And it makes you feel bad.

Sayonara, scale. We’ll do better without you.

Let’s Talk

Food got you down? Feel like your eating is out of control? Are you tired of fighting with your weight?  Do you want to get to a place of normal eating but just don’t know how? I can help with all those things. Let’s talk for 20 minutes and come up with some strategies for you. Click here to schedule.

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Dietitians Unplugged Ep 22: There Will Be Rants

Cover2Aaron and I are kicking it solo (duo?) in this episode of ranty rantings about bad science around weight and health, celebrity weight loss pressure, and why we need our fat positive role models so damn badly. Some of my favorite Dietitians Unplugged podcast episodes are when Aaron and I get to catch each other up with what’s on our minds, and this is one of those times.

Listen on:

Libsyn
iTunes
Stitcher

Let’s Talk

Food got you down? Feel like your eating is out of control? Do you want to get to a place of normal eating but just don’t know how? I can help with all those things. Let’s talk – for free! – for 20 minutes and come up with some strategies for you. Click here to schedule.

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Dieting as a Distraction

img_20161203_145718083_hdr_31363430996_oIs anyone else physically and mentally exhausted by the end of the Julian calendar year? This year was no exception for me, and with the addition of an emotionally draining U.S. election season that did not end in a way I had hoped it would, well, I went into a bit of a tailspin.

Actually, it was a huge, tornado-style tailspin.

Long story short, I ended up in a mildly depressed funk. I’d been here before, in the past, and I knew it would only last a few weeks during which I would remain a reasonably high-functioning human. But it doesn’t feel great. I do not sit will with the yuckiness of malaise.

As time marched on, I began to find myself preoccupied with my body. Specifically, how it looked. I found old, distant feelings arising – namely, dissatisfaction. As a result, I suddenly felt the tug of an old relfex: the desire to diet to control my shape and weight.

Now, luckily for me, I have a few things going in my favor: 1. I committed way back to never diet again. I never wanted to experience the bitter combo of futility, sadness and hunger that dieting left me with. 2. I have wholly committed to honor the wisdom of my body and have promised to fully support it in whatever shape and size it takes, even if it’s a size and shape that takes me out of the realm of societal acceptability. So dieting again IS NEVER an option for me, and for that, I’m so glad. I know that feeling bad about my body in these instances is the symptom, not the problem.

I started to remember other times I experienced depression, and my reactions in those times.

At the age of 22, when my mother was dying, I turned to dieting to distract myself and exert some form of control on my clearly out-of-control life.

At the age of 31, when I found myself in a committed, long-term relationship that didn’t satisfy me, I turned to dieting to get my “perfect” body to solve my unhappiness.

It’s obvious that dieting or a smaller body could not possibly have solved either of those problems, yet that’s exactly what I did to try to ease my suffering because diet culture tells us that we only need to lose weight to make our lives better. So it wasn’t surprising to me at all that this reflex arose at this time of sadness and insecurity and fear. The urge to deny myself my most basic need – food – in order to gain control at a time when I feel I have no control over what happens is so strong, but makes so little sense and is not kind.

Instead of diving back into restriction, though, I decided to just sit with those feelings. I made space for them. I pondered them. I thought about how that solution worked out for me in the past (spoiler alert: not so well. I still had to deal with all those messy feelings and situations in the end, and I was hungry on top of it). I knew I would not diet, and I knew I would have to sit with feelings of body and life and world dissatisfaction and just do my best to deal with it.

In enough time, I felt myself emerge, ever so slowly, from the darkness of these thoughts. I have a great support system at home and that helps. I did some gentle yoga to get myself back in touch with the physicality of my body — to sense what it felt like rather than what it looked like. I’m living with uncertainty without using starvation as a proxy for control. I’m caring for myself in constructive, not destructive ways. My body is not actually the problem, and I don’t need to try to change it.

If you’re finding yourself going down this particular road, stop and give yourself a hug. Think about what you really need. You’d be better off in a Snuggie with a hot cup of tea on the couch doing some comfort-TV binge-watching than trying to diet again. If you need to reach out for help, do that. Just know that dieting and weight manipulation is not real control, it’s not real power, and it just weakens us further. That’s not something that any of us needs in hard times.

Tired of struggling on your own?

Exciting news! I’m launching a 30 day online course/group coaching program in February to help you get free of diet mentality and further along toward normal eating. I’ve created this very affordable option because so many of you have wanted to work with me one-on-one but it’s just not within your budget right now. Make sure to get on my newsletter list as this will be the first place I send out more information about the course, and enrollment will be limited and offered to those on my list first. Get on my list here.

Dietitians Unplugged News

Missing us? No fear! We’re just on a little end-of-year hiatus until January. In the meantime, catch up on all our episodes on Libysn, iTunes, or Stitcher.

A World Without Diets

elevator
An elevator full of HAES awesomeness. Thanks Fiona Sutherland for letting me use this photo!

If you’re a regular reader of this blog, you might be someone who finds it a total bummer that while you’re trying to live diet-free, everyone else isn’t. Everyone else seems to be on some sort of diet, and they’re telling you about it all the time. Everyone else is worried about their weight or how they look, or how their health is affected by their weight. It’s sometimes hard to imagine a world without diets.

Well, this weekend, I got to experience it. I had the great fortune to attend the Binge Eating Disorder Association (BEDA) 2016 conference in San Francisco. My friend and podcast co-host Aaron Flores convinced me back in May that I had to go – lots of people in the HAES® world would be there and it would be a great opportunity to meet them. And also to learn a lot! So I signed up to go and waited with great anticipation for the time to arrive.

As the date approached, many of us HAES® dietitians and therapists who hang out together in social media started planning some casual get-togethers. I managed to book a restaurant whose main feature was that it would take a large group of 15. I thought only seven people at most would end up coming out (I always figure on a 50% no-show rate for any social event taking place in California).

The first night came and we all met up at the conference’s reception. It was soon apparent that at least 15 of us were headed for dinner together, and maybe even more! At dinner, I was seated across from Evelyn Tribole, one of the authors of the book Intuitive Eating. Yes, someone who I considered one of my personal heroes was seated right across the table from me. Gulp! I hoped I didn’t accidentally drop food on my shirt. Also seated near me were Dana Sturtevant and Hilary Kinavy of Be Nourished, Fiona Sutherland of Body Positive Australia, Marsha Hudnall of Green Mountain at Fox Run, Kathleen Bishop of Body Peace and Liberation – all people who have become my online friends and mentors and who are part of a strong online HAES® community. Aaron was beside me. Dr. Linda Bacon, author of the book, Health at Every Size (and of course, the nutrition instructor who introduced me to HAES® and basically changed my life) was also there. All of these people (and more whom I will name below so you can check out their work) are people I consider personal role models and heroes. They are people who fight against the weight-centered paradigm that is so thoroughly prevalent in our society (despite the total lack of evidence to support it) simply because they know it is better for us not to diet. I was thrilled and almost a little emotionally overwhelmed to be in these folks’ presence.

As we were tucking into our dinner (and I was able to relax a little), I suddenly had a thought, which I then verbalized: “Isn’t it so great that we’re all just sitting here and eating good food and no one is talking about how ‘bad’ or ‘guilty’ they feel for eating, or how they need to eat less so they don’t gain weight? How novel!” It was something I haven’t experienced since the 1990s, when I thought I was just about the only one dieting (which I did secretly most of the time). This time, even I wasn’t dieting. How refreshing! We all ate as much as we wanted of the foods that we wanted. There was a wonderful variety of food on the table – not just salads without dressing as I’m sure some people imagine dietitians to eat!

That night, and in fact during the whole of the conference, there was an array of body weights, shapes, sizes, colors and abilities/disabilities present. I could feel the confidence and empowerment in the rooms – because nobody was expected to change their bodies. It was intoxicating! People doing great things – not just trying to fit into a narrow societal ideal. Everyone looked beautiful to me. Their brains, knowledge, experience and compassion dazzled me. I felt humbled to be in the presence of such greatness, and relieved to find others who, like me, strive to live a life of substance beyond diets.

Aaron gave a great talk as part of the closing keynote. In it, he quoted Yoda, who, in The Empire Strikes Back, says to a frustrated Luke, “Judge me by my size do you?…And well you should not…Luminous beings are we, not this crude matter.”

Luminous beings are we. Yoda tells us that we are so much more than our earth suits. It is the perfect case to let go of diets to change our body size (if you’re still not buying all the scientific data). I could see the luminosity in everyone, and it was an amazing thing. This is what a world without diets and weight oppression might look and feel like.

This weekend I was surrounded by people who advocate for good health, and who know we don’t need to suffer for it. It was a heady experience. I was among my tribe and felt truly free and accepted. There was a palpable feeling in the air that we might eventually change the world for the better on a large scale. How I felt reminded me of the mantra the football players shouted before each game in one of my favorite TV shows, Friday Night Lights: “Clear eyes, full hearts, can’t lose!” My eyes were clear, my heart was full, and I felt like we would eventually create a world without diets for everyone.

Check out the HAES/non-diet/body positive work of these fantastic people I had the honor to hang out with this weekend:

United States:
Green Mountain at Fox Run
Nutrition Instincts
Intuitive Eating
Be Nourished
Body Peace and Liberation
Christy Harrison, RDN/Food Psych Podcast

Body Positive
HAES Coach
Judith Matz

Linda Bacon
Carmen Cool
Daxle Collier
Aaron Flores, RDN

Australia:
Body Positive Australia
Treat Yourself Well
Fresh Approach to Wellness

Dietitians Unplugged Podcast: Are you caught up?

New episode coming soon! Listen now on Libsyn, iTunes, or Stitcher

Diets Make You Lose Weight. And then…

woolly_mammoth
Preventing diets for thousands of years since the dawn of time.
One of the reasons diet culture is so persistent and refuses to die is that diets do cause weight loss – for at least some people, for a little while.

Low fat or low carb or high fat or high protein or no sugar or all butter (whoops, did I make that one up? Patent pending!) have all worked pretty much equally well at some point for some people. Studies from a few years back even compared all the current diet methods and said no one diet method was better than any other for shedding pounds (and these studies mentioned nothing about keeping the pounds off long term). I remember back in the early 2000s when Atkins was making a comeback and people, having dropped all manner of carbohydrate out of their diets, did lose weight like crazy (or at least I heard some people did; one guy I worked with didn’t but smelled like deli meat all the time and friend of mine ended up with the worst constipation ever for a month but lost no weight) and the scientists were all, “It’s just because they’re eating fewer calories!” and the Atkins people were like, “No, we’re eating a shit ton of fat, we’re getting lots of calories.” In truth, no one knows why these diets work at first, whether it’s calorie restriction or macronutrient deprivation or what.

So I have a theory on this – and it’s JUST a theory, so take it for what it’s worth. Our bodies seem wonderfully adapted to eat all manner of food and that’s been great from a survival aspect. Some groups of people probably did well just on, like, animal blood and milk, and others did great on mostly some sort of starch and whatever else they picked up off the nearby ground. No diet was necessarily better than another because that’s what was available and we’re great at adapting to what’s available.

Flash forward to the future (now)…and we are like diet nomads, wandering from one restriction to another but on purpose. Like, we have that food but we decide not to eat it for reasons of conforming better to society’s standards of beauty and thinness (something I’m sure our cave people ancestors could have totally gotten behind had they not been busy running from woolly mammoths all the time in between picking up mongongo nuts from the ground half the day). So our body goes without that food and because a WHOLE part of the diet has been eliminated, the body loses weight at first which triggers a biological feedback system that, when it hits a certain point, signals the metabolism that it’s maybe never getting that food again, and it makes some live-saving adaptations, like slowing down your metabolism, making you crave high-energy foods to replace the missing food, getting more efficient at using the available energy (meaning it can use fewer calories for the same functions it used to use more calories for before your diet), and also getting hella good at storing fat, because who knows how long this famine is gonna last. The problem with any diet is that it does make you lose weight and we see that as a good thing while it’s probably just some part of an elaborate feedback system to keep you alive and thriving. The weight loss is quite possibly a symptom of something going wrong in your environment.

Of course, it’s just a theory. And it doesn’t even matter really, because whatever the reason, weight loss is pretty much almost always temporary, unless you manage to develop some seriously disordered eating habits and make maintaining this weight loss your full-time job (which I don’t recommend. You’ve got better things to do).

I like my theory, though, because it also explains why each dieting attempt seems to get harder and harder each time, and no one diet works as well the second time you go on it, am I right? So you’ve got to hop around from diet to diet, and each time you drop some food group out of your diet, your body goes, “OH SHIT this again?” and it goes through the whole feedback system and in the end makes you gain even more weight because that is safety.

But even if I’m wrong about the mechanism, I’m not wrong about what happens. You lose weight on pretty much any diet, your body overwhelms you with a desire to eat, your body makes adaptations (this much we know), and next thing you know, you’ve regained all the weight you lost in those first few halcyon moments of a diet.

And those halcyon weight loss days are soooo fucking seductive. They keep us coming back for more, again and again, just like a cheatin’ lover you just can’t shake.

Meanwhile, we look at the French paradox (that thing where they seem to eat all the foods and they aren’t as fat as us, so we’re told) and go “Zuh, it must be the wine” when in reality it’s probably that they didn’t starve themselves systematically and consistently as we have here in North America for all of the 20th and 21st centuries. They’re bodies probably didn’t get all adapty – until Mireille Guiliano came along and told everyone how French women didn’t get fat and I bet all those French fat women that do exist are on diets now trying to prove her right. (also, it was totally disingenuous of her to tell everyone to just enjoy their food and they’ll get slim, because there is absolutely no evidence that enjoying your food makes you go from fat to thinner. She couldn’t just tell us to enjoy our food and leave the body shame at home?).

All this to say: don’t be fooled. Weight loss from diets IS temporary. We don’t really understand WHY it happens but we do know it IS temporary unless you manage to develop the most disordered of eating habits and devote your life to maintaining your body shape. Trust me when I say, there are so many more worthy causes out there to spend your time on.

If you are so very sick of this diet-and-weight rollercoaster but don’t know what to do next, schedule a free 30 minute no-diet strategy session with me and we’ll figure it out.

Fat/Food Memes: Just Say No

fat food memesIt is one of the greatest ironies of my life that once I finally stopped dieting, I looked up and saw that everyone else around me had started, or at least were living like they should be on a diet, which is, frankly, almost as bad.

One of the places I see it the most is on social media. Although I have tailored my feed pretty well via my professional Facebook page to only see body positive/HAES/non-diet goodness, my personal page occasionally feeds me an intermittent drip of body hate/food fear messages by way of unfunny memes, sadly by people I actually know (and who are clearly not reading my blog!).

The most recent cringeworthy fat/food memes I encountered were these:

“Attention: Due to recent setbacks, my summer beach body will be postponed another year. As usual your patience is appreciated…”

“I don’t need a personal trainer as much as I need someone to follow me around and slap unhealthy foods out of my hands.”

Hilarious right?? On further critical thought…not so much.

The first one assumes that there is a particular type of beach body that one needs for the beach in the summer, and that if someone doesn’t have this body – well, sorry, no beach for them. I’m going to assume that the body that this meme would deem acceptable is the body type owned by probably less than 5% of the people in the world. So I guess the unlucky rest of us just need to stay home, miss all the summer fun, and wait it out till the Cultural Ideal Body Fairy comes along and bestows its blessings on us. Aaron and I talked about the “summer beach body” BS in this podcast.

The second one is wrong on so many levels it makes my head want to implode. First of all, the idea of “unhealthy” foods is just sooooo 2015. Have we not figured out yet that there aren’t really any unhealthy foods – that it’s really our relationship to food that makes the true difference to our health? Is a donut really going to decimate the health of someone who has a varied and balanced diet and a good relationship to food? No, right?! Then how can any one food truly be labeled “unhealthy?” On a personal note, I find talking about “healthy” and “unhealthy” foods really poor conversational fodder. When did we all collectively decide to stop enjoying what we eat??

I also hate the assumption that somehow avoiding “unhealthy” foods is the health equivalent to exercising. That’s simply not true on the scientific face of it. Studies have shown that exercise is far better than diet for helping to reduce visceral fat (the fat that collects around organs and tends to be more harmful than subcutaneous fat, the stuff that is much more visible) even when no weight is lost. As a dietitian, I’d love to just tell you to have a healthy eating pattern and be done with it,  but I’ve never been able to deny the health benefits of exercise. To say that eschewing movement and simply avoiding those foods you’ve designated as “bad” is somehow going to fix your health…dude, it’s misleading and it’s not even funny. Kill this meme now.

Perhaps in my dieting days I would have enjoyed this sort of bonding. “Haha, let’s all laugh about how bad we feel about our bodies and the way we eat!” Which is weird, because the reason I dieted and lost weight was to feel better about my body (something I achieved only fleeting with this strategy).

In reality, when we share these types of memes, we send a message: I am not in the right body. Other people are not in the right bodies. I do not deserve the food I enjoy. No one in the wrong body should get to enjoy food. We should feel ashamed.

These messages, while seemingly innocent, simply reinforce the culture of body hate and dieting that is weightist and healthist on the face of it and extends its long, gnarly fingers into sexism, racism, ableism, healthism, all the fucking -isms. Creating a hierarchy of good and bad bodies means that you can do that in any other facet of life: sex, ability, skin color, health levels. So let’s just stop, because a culture of compassion and radical acceptance is just so much better.

There are ways to motivate people to eat better and move more and like their bodies that aren’t shame-based. Shaming never made anyone healthier, certainly not in the long run. Meanwhile, if you feel bad about your body, consider why. Could it be the ever-present specter of a culture that practices hate and calls it humor? Reject it and define health on your own terms. And don’t make the world a worse place with shitty memes.

Free Video Series: Making Friends with Food!

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I’m super excited to announce that I got to be a part of this great video series, Making Friends with Food.

Topics include:
– Nourish Yourself with Love
– Let go of Yo-yo diets
– Let go of Perfection
– How to stop eating your Emotions

Once you sign up, from July 26 to August 8, you’ll get a free video delivered directly to your inbox daily. Many of the professionals interviewed for the series are giving away some cool freebies too…you’ll have to watch to see what mine is! Enjoy!

Dietitians Unplugged – Our This American Life Breakdown

Episode 12 is available now! Aaron and I had fun talking about the Tell me I’m Fat episode of This American Life.

Listen now:
Libsyn
iTunes
Stitcher

Am I Healthy at Any Weight?

HAES graphic Someone accused me on Facebook recently of telling people that they were healthy at any size (she also told me that I was clearly unhealthy and unfit because of my obesity, despite never once having looked at my medical records. Perhaps she’s a psychic doctor?! No, just a run-of-the-mill internet troll). Aside from attributing to me words I have never uttered, it’s also a big misconstruing of the HAES® philosophy. But it’s something I hear enough that I think it warrants some clarification from time to time. If someone has not taken the time to look into the finer details of Health at Every Size® (which are encompassed in 5, easy-to-digest points, but hey, that could read like the ACA to some people), they might easily misunderstand what this philosophy is about. They might well think that what this movement says is that a person can be healthy at literally any weight, from 2 pounds to 1000 pounds.

So let me explain. That’s not at all what HAES® is about. But first let’s review the 5 tenets of HAES® as listed on the Association for Size Diversity and Health’s (ASDAH) website:

  1. Weight Inclusivity: Accept and respect the inherent diversity of body shapes and sizes and reject the idealizing or pathologizing of specific weights.
  2. Health Enhancement: Support health policies that improve and equalize access to information and services, and personal practices that improve human well-being, including attention to individual physical, economic, social, spiritual, emotional, and other needs.
  3. Respectful Care: Acknowledge our biases, and work to end weight discrimination, weight stigma, and weight bias. Provide information and services from an understanding that socio-economic status, race, gender, sexual orientation, age, and other identities impact weight stigma, and support environments that address these inequities.
  4. Eating for Well-being: Promote flexible, individualized eating based on hunger, satiety, nutritional needs, and pleasure, rather than any externally regulated eating plan focused on weight control.
  5. Life-Enhancing Movement: Support physical activities that allow people of all sizes, abilities, and interests to engage in enjoyable movement, to the degree that they choose.

You’ll probably notice right off that it doesn’t say, “And BTW, you’re totally healthy at ANY size.” Nope. Nowhere is that said. The essential philosophy of Health at EVERY Size® is that no matter what your weight is right now, you can begin (or continue) your journey to health. Maybe you aren’t healthy right now – you don’t need to let your weight stop you from trying to become healthier (and just a reminder that health is not entirely within our control, nor is it an obligation). Maybe as a result of changes, your weight will change, but that’s not the important part of this whole shebang.

So the question remains – do I think anyone is healthy at any weight? Given that I don’t have access to most people’s medical records, I can’t ever tell that. It’s entirely possible that a person may not be healthy at literally any weight. What we know so far about metabolism and internal weight regulation is that the body seems to know what weight it wants to be within a certain range (set point theory), and despite our best dieting efforts, doesn’t want to be too far away from that range for very long (thus the very predictable results of the recent research on The Biggest Loser contestants). There may be a range of weights that your body could be healthy at, but I truly wouldn’t know. Only your body knows that.

But this is putting far too much emphasis on the “weight” part – because weight is not what makes someone healthy or unhealthy. We cannot simply look at a person and determine if they are healthy based on their weight. Genetics, environment, and behaviors all play a part in health. You can definitely work on the behavior part. Depending on your situation, maybe you can change your environment (this assumes a certain amount of economic privilege, certainly). Genetics – good luck, that’s always a roll of the dice. so yes, we can definitely influence our health to some degree. What more and more is shown in the science, though, is that while you may be able to influence your weight short-term, in the long-term, your body almost always wins out on that decision. What’s that serenity prayer? “God, grant me the serenity to accept the things I cannot change, courage to change the things I can, and wisdom to know the difference.” Yeah, that works pretty well here. Serenity now.

No, I can’t tell you if you will be healthy at any size. I defer to your body’s wisdom on determining those things for you. I only know that weight does not equal health. My suggestion is to stop worrying about weight and just work on the things you can and want to change. Maybe you want to eat more intuitively, or find exercise you actually like, or learn to cope with stress better, or get some much needed social or psychological support. The wonderful thing about HAES® is that it is all-inclusive – people of every size can work on those things to the best of their ability and according to their own desire.

 

Dietitians Unplugged Podcast!

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Shameless Plugs for Other People

This is something new I’m doing. From time to time I’m going to promote someone who’s work I love and think is important to the HAES® movement, because we just need more of that. This week I want to give a shout-out to Green Mountain at Fox Run for their wonderful new website! They have a great blog – check it out and share as you see fit!