Archive for September, 2015

Why Follow-Ups are Necessary in Nutrition Therapy

It is utterly impossible for anyone to teach anyone everything they need to know about nutrition and have it stick on the first session.  It is also impossible to have counseling and behavior changes occur, question beliefs, motivations, feelings, and lack of motivations with regards to food and nutrition, lifestyle, and exercise in one session.

One of the biggest failures of clients is those who go from practitioner to practitioner getting opinion after opinion from only your objective information that you fill out on our initial intake forms.  You are more than a set of health statistics.  No one is going to get to know you and figure out what is going on without building a relationship.

Nutrition counseling should be compared to therapy or personal training.  Things often don’t change in one session.  This is especially important to realize for those who use food for reasons other than physical nourishment.  Yea, you know what to do.  Then why aren’t you doing it?  That’s what this is about.  I help you figure out why you do what you do.  I help resolve ambivalence to change.

I’m not saying that sometimes I may do an excellent job and you may learn everything (ha!), but if you came for weight loss, for example, sometimes things I say may not be interpreted or implemented correctly.  Sometimes you have behaviors that are getting in the way of your weight loss.

This leads to cop outs like: “Well I tried.”  Does one time of trying count?  Sure.  However, one session sometimes doesn’t lead to the types of changes you want.  If something isn’t working, it is a sign you need to talk about it.  Why didn’t it work?  Don’t blame yourself for not holding to the results.  Most of what I think I do is figure out how to tailor messages to the individual.  Sometimes it is shooting a moving target with a blindfold on based on questions you asked and hear the answers to direct me where to shoot.

It’s like playing Marco-Polo with one “Marco” and hearing one “Polo” and wondering why we didn’t run into each other in the swimming pool (that’s the only place I ever played that game).  You may change your position in life in the mean time and have everything change.  This happens often when college students join the work force.  Previously, they were walking around between classes all day on a large campus.  Now, they sit all day.

How likely is anyone going to shoot that moving target while blindfolded on the first try?  Maybe if we use the Force? 🙂

How will you or I know that you’ve interpreted something correctly without a follow-up?

Yes, it is an investment to come more than one time, but some of the alternatives aren’t so pretty.  It’s so much easier to change behaviors now before they lead to disease than later when they cost significant medical bills and your ability to live a happy, healthy life significantly decreases.  No one likes to change, but if you think about the future, sometimes changing now isn’t so bad in comparison.

Since “fear of disease” tends to not motivate the general population as much as it does people who study health, another way to put it is this: think how happy you might be once you reach your health goals.  When you’re in that place of health, you’ll feel happier about yourself, feel confident in your body, feel able to move about the world with ease.

When I’m working with personal training clients, they figure out my system.  Each time, we try to add an exercise, add weight, or add repetitions at an existing weight.  It is a steady progression, whatever we do, and it is easy to see how doing that gives them results.  With nutrition, the same thing is needed.  You need to make small yet important changes that you are comfortable or only slightly uncomfortable making.  Once you do them, you get motivated to keep making more changes.

It is difficult to help you make those changes when a client is seen only once and goes forth with some initial tools.  Changing your lifestyle takes work.  It isn’t fun to make changes, but why not revisit and figure out what is working and what isn’t?

Please comment and share!



Share on FacebooktwitterredditpinterestlinkedintumblrmailFacebooktwitterredditpinterestlinkedintumblrmail

Tags: , , , ,

Batch Cooking: Low Motivation Required, Very High ROI for Nutritional Goals

One thing I have noticed many successful clients, busy professionals, and students do is batch cook.  Batch cooking means you make most of your meals on one day of the week and then just have to heat them up when you need them.

It makes portion controlling your food throughout the week easy, allowing you to stick to a certain predetermined calorie level as well as know what you have to do to increase or decrease your energy needs as your activity changes.

For example, Rob is a busy professional.  He makes all his chicken and potatoes on Sunday and just has to heat them up when he needs them throughout the week.  He doesn’t have to deal with cooking and the associated pot and pan scrubbing you have to deal with each night.  He just puts his dishes in the dishwasher.

Another example, Bertha wants to gain weight but is a busy graduate student and doesn’t have time to cook every night.  She can’t afford to eat out (or if this is you and you can, you can think of this as a way to save money).

She batch cooks all her beans, lentils, and rice on Sunday and just has to add vegetables and sauces and heat it up when ready to eat.  She can make it a different flavor every night if she cares to or use different vegetables.

When I was growing up, we made all our peanut butter sandwiches on Sunday and stuck them in the freezer.  They would thaw on the way to school and be ready to eat by 11:30a when we had lunch.

These techniques just require forethought and planning on the weekend, when you have the time, in order to make nutrition a priority in your life during the week.  Now you aren’t scrambling at lunch time figuring out what you’re going to eat.  You have a portion-controlled meal ready to eat when you need it that was cheap for you to make and has what you want in it.  What is to lose?

From a motivation standpoint, you just need to have motivation once during the week to meet your nutrition needs.  You don’t have to make decisions requiring motivation 21 times for 3 meals a day times 7 days a week.  People who struggle with motivation need to look at it from this perspective.

This isn’t just something people do who are dieting or have nutrition goals.  It is just a smart way of being time and motivation efficient in your life so you can be in control of what is important to you.

If you like or dislike this post, please comment and share!



Share on FacebooktwitterredditpinterestlinkedintumblrmailFacebooktwitterredditpinterestlinkedintumblrmail

Tags: , , , , , , ,

Food Allergy, Intolerance, Sensitivity Testing Impacts Disordered Eating

I am frustrated by the lack of clear information on food allergy, intolerances, and sensitivity testing on the Internet, so I am writing this post to show what I have seen as someone who works with those who may have had these tests in their past.

First off, we all know someone who believes they are allergic to certain foods.  Technically, allergies are serious, so we don’t take any chances with them. In practice, I try to work around people’s real or perceived food allergies, intolerances, or sensitivities.

When I think of a food allergy, I think of anaphylactic shock and hives.  When I think of food intolerance, I think of getting diarrhea due to something like lactose intolerance, where the food, when taken in large enough quantities, draws water into the gut from blood circulation and washes you out because you can’t create enough lactase.

I don’t know what to think about food sensitivities because they weren’t on the RD exam and were mentioned as not one of the two types of reactions you could have and even included as a wrong answer in that multiple choice question on the exam.

Common food allergy testing includes tests and protocols like ALCAT and LEAP, among many others.  A pharmacist, Scott Gavura, did an EXCELLENT blog post about food sensitivity testing for the website sciencebasedmedicine.org and did a lot of work on finding real evidence in the literature to support it.  The short conclusion?  There isn’t.  Check out his post for more detailed info.

Because I won’t attempt to do a better blog post than he did on this subject, I will say, in short, that I support that work he did.  The rest of this post will be what I actually see in clients who have had these sorts of tests as well as my own experience having had allergy testing early in life myself.  It impacts their lives both positively and very negatively.

I had the full 42 pricks in the back and 21 shots in the arm allergy testing done twice in my life, once when I was 11 or 12 and once when I was 22.  The first time, I supposedly was allergic to eastern and western weeds, molds, dust mites, and tomatoes.  Yet, I wasn’t going to get away from dust, molds, and tomatoes in my life.  Hell was I going to miss dad’s pizza on Sundays or not eat spaghetti.  I kept eating it and it had no real effect on me.

Growing up I always had a lot of inflammation in my nose such that I felt like I was congested but actually wasn’t.  Looking back, a lot of that actually just was undiagnosed generalized anxiety disorder, something I’ve struggled with my whole life for reasons that aren’t related to allergies or nutrition at all.

Having worked with an excellent pscyhotherapist on that, I don’t experience those symptoms anymore and can check in with myself when I get anxious.  With this life experience, I’m keen on seeing if it happens in others!

In others, I have heard sensationalized testimonials about how after having their food sensitivity test that they experienced dramatic weight loss and found God.  I won’t even dive into that subject because it is a case by case basis as to how eliminating certain foods can help people.

You would really have to see what that person was actually doing through detailed dietary recalls to see if their testimonial has merit from a nutrition standpoint.  Perhaps they also found love in the the meantime, which released anti-inflammatory cytokines throughout their body.  It could be a number of things.

Some clients have had these tests negatively impact their lives, and some of them aren’t even aware of it.  One client I worked with was told she was allergic to chicken among many other foods by the alternative medicine practitioner.  Her parents tried to keep her in line with her food restrictions throughout life (out of love, which is understandable) enough that she felt left out of social activities involving food.

Imagine going to a birthday party and not being allowed to have what everyone else is having.  Fast forward 10 years when she is allowed to have these foods now and can’t get enough of them such that it leads to overeating of them.

It’s the psychology of deprivation.  The more you restrict it, the more you want it.  Look what happened to Miley Cyrus.  Things will rebalance after they swing the other way for a while.  Right now, she’s just being Miley.

I have worked with others who have such an extensive list of foods they are not allowed to eat from these tests that they literally have trouble constructing a healthy diet out of it, let alone allow for variety.  This is a problem that these tests have that much power over people.

If the person got results and thinks it was from restricting certain foods that lack a legitimate scientific basis, they will live in fear of eating with others for the rest of their lives.  Granted, if you reintroduce some of these banned foods and notice symptoms reappear, then yea, maybe you should avoid them.

However, most of the time when you reintroduce these foods, you DON’T get the same symptoms.  Many find out that you are actually allowed to have all these foods you previously thought were bad for you based off a sham test that costs $450 that the desperate must pay out of pocket for.

Maybe you can start with just a little bit of the banned food and experiment to see if it actually gives you unpleasant symptoms.

Bottom line, these sorts of tests that give you extensive lists of foods to avoid beyond common allergens like soy, tree nuts, peanuts, dairy, wheat, fish, shellfish, and egg (for more info see foodallergy.org) should be given extra scrutiny and skepticism until proven by adding back in offending foods to see if they actually produce symptoms.  This is just called an elimination and reintroduction diet, and you don’t need a $450 test to try one.



Share on FacebooktwitterredditpinterestlinkedintumblrmailFacebooktwitterredditpinterestlinkedintumblrmail

Tags: , ,