Tuesday, April 1, 2014

Dietitian's Guide to Fast Weight Loss



April Fool's!!! I still don't believe in diets!



I don't believe in giving up foods that taste good and that you love. I wouldn't want to give up peaches, but I wouldn't want to give up cookies either. Sweets and high fat foods don't all of a sudden cancel out the nutrition in other foods. It's more important to include fruits and vegetables, whole grains, dairy, and protein, and it's not a matter of exclusion of the "bad" foods. What I do believe in is working on establishing healthy eating and exercise habits that can last a lifetime. If you focus on getting to a certain number on the scale, it can become obsessive.

Intuitive Eating is about

  • focusing on eating what you want, 
  • including a variety of all food groups, 
  • paying attention to hunger and fullness cues, 
  • distinguishing emotional hunger from physical hunger, 
  • giving yourself permission to eat what you want and get rid of the all-or-nothing thinking, 
  • decreasing those out of control feelings with food, 
  • finding ways to cope with emotions without using food,
  • fueling your body and getting your metabolism up by eating every two to three hours, 
  • being mindful of how fast you eat, where you eat and the portions you give yourself, 
  • and not multi-tasking while eating. 

There are various reasons why people gain weight: aging, hormone changes or imbalances, thyroid problems, medication changes, decrease in physical activity level, lack of sleep, increased stress, and metabolic changes from yo-yo dieting to name a few. Although weight loss can be the desired goal, what's more important is to be patient with your body, stop being critical of it, and give it the proper nutrition that it needs. Physicians can often tell you a caloric amount to aim for that may in actuality be too low and end up slowing your metabolism down even further. If you don't know what your caloric needs are, speak with a dietitian. Weight loss can and often should be a slow process. If you want results fast, the joke's on you.






Sunday, June 9, 2013

Butterfly Lessons


I watched a documentary about Monarch butterflies when I randomly turned on the TV this week. It said that the butterflies use the sun to guide them to where they’ve never been before and they go from Canada to Mexico. Scientists said they could not identify any other way the butterflies know where to migrate other than this since they only live 30 days and the migration lasts for the life span of three to four generations. 

There was such a profound lesson in that for me.  It’s amazing and beautiful that they can be so attuned to light to guide them.  We, too, can get direction in our lives by looking to the light and going to our Father in Heaven.  We may feel prompted to take a certain direction along our path and be left in the intellectual dark as to why. But if we follow the light, it will never lead us astray. The butterflies inherit this ability to follow the sun. As children of God, we inherit the ability to recognize and follow the light.

Saturday, October 6, 2012

When Best Isn’t Better

I love watching an amazing football game or basketball game at a collegiate level because the players seem to play with more heart.  I love the competition and the excitement I feel after I see my team win!  This isn’t meant to spark a debate about that though.

Competitiveness has its place.  We need to make ourselves marketable when looking for jobs and applying to schools.  It’s all right to be competitive when playing sports or games, to a certain extent.  And yes, seeking to have an edge over the opponent in a presidential debate is essential.

Never Good Enough
Few things make me sadder than competition in one thing:  looks.  Both men and women have become obsessed with their bodies.  They compare to peers and to celebrities and to airbrushed bodies in magazines.  Sometimes they compare to themselves (e.g. wanting the same body they had in high school).  This competition is detrimental and unnecessary. 

What’s so bad about comparing?  It can never satisfy and never bring about happiness.  Comparing leads to some form of hatred toward others, ourselves or some part of your body.  Even if you can see that you're smaller than someone or prettier than someone, does that really make you feel good about yourself?  It often sets us up with unrealistic expectations of what we think we should look like.  Some even go to drastic measures to alter their looks with plastic surgery, breast augmentation, excessive exercise, and disordered eating habits.  Even after doing these things, the result is often the person still doesn’t feel good enough. The self-criticism doesn’t stop.  Increased muscle definition and loss of body fat may never seem good enough to satisfy the negative eye.

Confidence and Self-Care
I wish more people had confidence in themselves.  Are you only your external self?  If someone single thinks they have to have a perfect body to get married, they will continue to be too self-critical even after marriage.  From my work experience, I know without a doubt that getting married doesn’t always change how women feel about their bodies, no matter how attracted their husbands are to them.  They still compare to others, often to their own detriment.  Advice from good husbands who have sat in my office:  If they say they think you’re beautiful and find you attractive and tell you you don’t need to change, they mean it!

On the other hand, if you marry or date someone who thinks you should have a perfect body, they are likely going to be emotionally or verbally abusive if they haven’t been already.  You don’t want someone like that.  What happens when you get pregnant and your body changes?  Is he going to tell you that you need to lose weight or get a tummy tuck or he will divorce you?  As sad as that may sound, that’s a true example of the distorted way some people think.

What happens when someone wants their body to be seen as an object?  That person loses some respect for himself or herself.  And then, it's often difficult for them to find others who will respect them.

Poor self-image is in direct correlation with self-confidence.  People of all sizes can have good self-esteem and focus less on what they look like.  When people learn to stop criticizing themselves, they can learn to accept their bodies and eventually love who they are. People can’t have a healthy self-image when they think they need to be competitive in how they look.

There’s a difference between caring about what you look like and obsessing about what you look like.  Looking your best is important.  Taking care of your body is important.  Exercise is important.  Eating right is important.  But that doesn’t mean you have to nip or tuck, run until you pass out, starve yourself, or emotionally binge on food and then compensate.  Instead of one more hour at the gym, think about the numerous other possibilities of the use of your time.

More Than A Body
Stephanie Nielson is an inspiration.  She suffered from severe burns in an airplane crash and wrote a book about her experience.  Her message: I am not my body.


One of my neighbors is a paraplegic man who is always out and about in the neighborhood in his wheelchair. He didn’t allow paralysis to get him down. He got married anyway.  He never fails to give anyone a smile who passes him by. He could easily hate his body.  Some days, he might.  But I don’t think he allows that to be the focus of his day.

I’ve been inspired by a quadriplegic I heard on YouTube.  He says, “All my life, I wanted to be able to do one thing better than anybody else and was very unsuccessful, and then I had my accident and I thought, ‘Ya know, maybe I can be the best quadriplegic on a respirator that ever lived.’ And then, wouldn’t you know it, Christopher Reeve goes out and breaks his neck.  And I’m in competition with Superman.” I love his sense of humor.


Not Worth It
Think how lives could be different when people stop comparing and obsessing about their looks.  We are meant to be happy.  We weren’t given a body to worship it, nor was it given for others to worship.  So stop treating it that way.  When you work to develop confidence in yourself, the comparing tendencies can fade away.  

Monday, September 3, 2012

The Truth About Bacon

I know people, including myself, are quick to pass judgment without really getting to know a person.  One thing I'm very aware of that people judge me about are my beliefs about food.  Why? Because I'm a dietitian.  A number of my roommates have openly admitted that they were worried about living with me because they thought I would be commenting about their food choices.  One person I recently met even asked me if I counted calories and measured my food.  Even once people learn my philosophy on eating, I still get negatively judged because many still think there is some secret way to eat.

Secret:  I have only counted calories and measured food for homework, and eating was never more of a chore than it was then. It sucked the fun out of eating.  Although that was homework, my professors taught us that it is not realistic to expect people to be so rigid about their food intake.  There are many other ways to teach someone how to have a balanced diet.  

One of my roles at work is having dietary sessions with families so that they can learn how to support their loved one in recovery.  Occasionally, the parents are very much against our approach to teaching normal eating. Our approach is intuitive eating (ie eat when you're hungry, stop when you're full, don't limit any type of food from your diet, and don't diet).  I had a mother in session like that this week.

This mother was so against the concept of "no good or bad food."  She rolled her eyes and grabbed her hair at the roots with both hands to express her frustration with this concept.  She argued that we can't teach that a 100-calorie cookie is just as healthy as a 100-calorie apple.  But I was able to say something that clicked with her.  I explained that the focus isn't on nutrition because these girls are obsessed with nutrition and they already know enough about nutrition.  They already know what vitamins and minerals are in different foods.  The reason we tell them there are no good or bad foods is because they think they are bad for eating the "bad" food and good for eating the "good" food.  After that, she said, "Okay, thank you for explaining.  That, I get."  Hopefully, that conversation planted a seed for her to try to change her beliefs.

I’m not a dietitian that goes against all science.  Many people do think I’m crazy.  But I think it wasn’t until this point that I was able to articulate our philosophy in such a way that it made sense for someone who believes so strongly in good food and bad food.  I still support the fact that we need the vitamins and minerals found in fruits, vegetables, whole grains, dairy, and various sources of protein.  But eating some sweets and high fat foods does not cancel out all the benefits that these nutrients provide our bodies.  And eating those foods in appropriate portions doesn’t cause sudden weight gain, as some clients believe.  Some argue that we are putting “chemicals” into our bodies.  Those same people, however, are often addicted to diet soda and have no qualms about eating sugar-free Jello.

This woman argued she never craves broccoli, but she craves chocolate and other sweets, so how could I teach people to honor their cravings?  I pointed out to her that someone would not intuitively want sweets all day because we get sick from eating too much sugar.  She was actually able to realize that sometimes, a salad does actually sound good.

Some people will need more guidance than intuitive eating in order to know what normal portions should look like, especially when it comes to "forbidden" foods.  When I teach them that they can give themselves permission to eat what they want, they take the power away from food and put it into their own hands.

And the truth about bacon is...it never tasted so good with my all-you-can eat French toast today!

Sunday, April 29, 2012

Sincere Intentions

Why are we so afraid to show people who we really are?  Why do we want to hide our true emotions?  Although I understand the importance of a filter for what is appropriate and not appropriate to say, why do we want to hide what we think?  Why can’t we be comfortable with who we are?  Can’t we still make a good first impression by being ourselves?  What good is a first impression if it’s fake anyway?  What good is a relationship anyway if it’s based on superficial expectations of how we “should” act? Or focused on saying “the right things?”  How can we expect to make any real connections with people without being real?  How can people know our true intentions if our actions aren’t congruent with our emotions or values?

“People Pleasing”
People in general want to be liked by others.  They want to feel connected.  I believe most people are inherently good.  Still, they don’t want to show everyone completely who they are for fear that people won’t like them.  They seem to hide some emotions or things that they’re insecure about.

Led by fear, many downplay or disregard their own opinions or feelings.  They may go along with whatever another person thinks or wants.  They become so afraid of rejection that they close up, get quiet, and don’t act like their normal selves.  Without ability to express opinions or feelings, the result is people-pleasing, possible resentment that others can’t mind read, and inability to express one’s true self or get one’s own needs met. 

“Barbie Face”
Have you ever tried to express sympathy to someone going through a hard time and the person smiles and says, “It’s all right,” or laughs through it?  It is common for many to think they need to act happy all the time.   Those with this mentality may have been raised with this expectation.  What comes across as perfectly normal to them is often superficial to others.  They feel like they have to keep a smile on their faces even when talking about hard things. 

Much accredited to Toy Story, I describe people like this as having the “Barbie Face.”  People may react this way to try to avoid feeling negative emotions or at least to hide any negative emotion from others.  They may fear that others will assume they are “doom and gloom.”  The reason for fake smiling is that it can be uncomfortable for them to express how they really feel, partly out of fear of how others would react. 

Feeling negative emotions is an important part of life.  It is more normal to be able to express those feelings rather than to bottle them up or smile them away.

Vulnerability
What are we afraid of?  Only each person can answer for himself.  I imagine that for many, it may be fear of offending people, fear of difference of opinion, fear of rejection, or fear of not being validated.  When I have not been genuine, I realize I’m trying to protect myself or others, but all I’m really doing is lying to avoid feeling vulnerable. 

I also realize that connections with others can be lost or become more distant when I’m insincere.  On the flip side, when I have learned that someone else was dishonest with me in the form of being insincere, I have been frustrated because I feel like the relationship isn’t real and I can’t be a good friend if I don’t know what they’re really thinking or feeling.

As painful as it may be at times, any close relationship is built on honesty in every aspect of life.  Notice I didn’t say “should be built.”  I said “is built.”  This is not to say that we shouldn’t filter what we say.  If we didn’t, there would be a lot of unnecessary, self-incriminating, or offensive information offered. I don’t know how someone could feel closer in a relationship without more open communication, especially when being genuine is paired with consideration for others.  The more sincere and honest we become, the closer we can feel to each other.  And isn’t it true that the closer we feel to someone, the more genuine we become?

Getting Personal
For me, the best friendships are those based on honesty and consideration for one another.  Two of my closest Latina friends are great at being genuine.  I don’t know if it is part of their culture, but I think culture can take some of the credit.  They are the most sincere people I know in expressing their emotions—both positive and negative.  They’re not afraid to tell me how much they care about me or how much they appreciate seeing me.  They are also some of the most honest friends I have and will be frank with me when I ask them their opinion.  Even when they give advice or constructive criticism and it’s something I may not want to hear, they still have the ability to express their opinions without being offensive. And I change for the better.  I love friends like this. 

This quote from You’ve Got Mail says so much:  “Whatever else anything is, it ought to begin by being personal.”  If we’re acting like someone we are not, what is the relationship built on?  It is only when we are genuine that we can be our best selves.  That is the person that people should get to know because if we aren’t genuine, then who are we?

Saturday, April 7, 2012

Believe Always

When people see raw, natural talent, they attribute the abilities of the person to God if the talent was not learned.  When music produces tears or awe-inspired chills, it directs our thoughts heavenward.  When miracles are witnessed, people believe more in help from beyond this world.  With service rendered or forgiveness granted or lives righteously altered, it also points people to Christ.

What happens when trials come?  Doubt may arise.  Faith may be questioned.  Bitterness may fester.  But those are the times when we need to believe in Christ the most.  Some choose to believe anyway.

What happens when people begin to prosper?  Their thoughts may begin to turn away from Christ. Pride puffs us up.  Some may still choose to humble themselves in gratitude for the blessings given and seek to bless others’ lives in return for their bounteous blessings.  They also choose to believe anyway.

While on the cross, Jesus heard others cry out, “He saved others; himself he cannot save.”  What little understanding these people had.  For what He could perform in His mortal life pales in comparison to the infinite bounds of mercy extended to people once the Atonement was complete.  Christ had His agency and could have chosen to save Himself, but instead, He chose to offer redemption to us all. 


How easy it is to take for granted all that God offers us.  How easy it is to forget when self-doubt, resentment, envy, anger, hurt, and discouragement enter our hearts.  How easy it is to believe only when it is convenient.  No matter what experiences are to be had in this life, we can choose to believe anyway, and always.  

Wednesday, February 8, 2012

People Matter


I don't usually remember my dreams.  When I do, they tend to be significant ones.  I'm not saying I get spiritual promptings from dreams, though that may be the case.  If nothing else, they leave such an impression that I am left pondering until a valuable lesson is learned. Such has been the case this week.

Dream 1
Last week, I had a crazy dream.  I was walking a client upstairs to my office and, at the landing, a girl was on the ground face down, unconscious.  It looked as though she had passed out and fallen down the stairs (which is a plausible scenario where I work).  Without acknowledging the passed out girl, we stepped over her and walked up to my office.  I distinctly remember thinking it was a nuisance to have to get around this girl.  Later, I walked down the same stairwell by myself.  That is when I actually looked long enough at the girl to realize it was one of my clients.  I could tell just from the back of her head.  It was only then that panic set in, I was concerned for the patient, and I began helping her.  I felt ashamed I hadn't paid attention to her earlier.

Dream 2
I woke up this morning after yet another crazy dream, and another.  I had a dream my sister was driving my car and backing out of a driveway.  I was watching her do so.  I watched in slow motion as she backed into a wall and crashed my car.  The dream over exaggerated what would have actually happened to my car had she been driving at that speed because the car was soon a pile of smoking car parts that we were standing over.  My brother started crying and he was angry at my sister, as if he were soon to be inheriting my car.  I reassured him, "It's just a car. At least Katelyn's okay."

Dream 3
The next dream took place in my office.  I chatted with a concerned mother who said, "What if you're not the right dietitian for my daughter?"  She doubted my abilities to help her daughter recover.  This stung a little.  I wasn't offended at all though.  My response was, "Maybe there is someone better.  What's most important is that your daughter recover, and if she needs to switch dietitians, we'll make sure it happens so that she gets the best treatment possible."  After that, the mother's countenance changed, and I knew she trusted me more.

I woke up immediately after that dream.  I  lay in bed and thought of all three of the dreams and how they seemed to tie together.  My first thought was, "People are importantnot possessions, not positions, not places."  That was the lesson.  Those words repeated again and again in my head.  

People are what matter, whether you know them or not.  Desire to get only our own needs met causes us to be blind to the needs of others.  When we make people matter to us, we can understand people better, we can get offended less often, we can become more aware of those in need, we can increase in patience, and, ultimately, we can be happier.  I hope I remember this more each day.