Do doctors fat shame?

Weight commentary sticks. In practically every initial nutrition session with clients, I hear of a family member, coach, doctor or boyfriend/girlfriend who once said something about their appearance or size. And 10 or 20 or 50 years later, these remarks can be repeated verbatim.

And so, when I received this, in an email, yesterday, I took it seriously.

Loved your last two blogs - saved me from watching "what the health?" (Which everyone is recommending). Here's a blog idea on how confusing/hard it is to raise girls with a healthy body image. Took my 2.5-year-old in for her check-up and was told her BMI is "high" (over 85%). I thought the pediatrician was kidding but then he said no, part of his job is now fat shaming two year olds.

We are all sensitive when it comes to our kids or we should be. I was shocked when my pediatrician suggested I take one son to the eye doctor (I thought he was overreacting). And yet, I almost fell out of my chair when I witnessed his eye exam. At every check-up when the pediatrician plots their height and weight on growth charts, I'm anxious about the results. I could get into how growth charts are developed and my issues with BMI, as a measure, but I don’t think that’s necessary. Doctors would be remiss if they didn’t test and plot and share results with parents.

However, I don’t think young children need to hear from doctors or nurses about their height and weight. As a parent, you can request to be the one who filters this information, decide if it’s important to share and what action to take. We don’t see young children at Foodtrainers because we feel that parents (or adults) food shop and make the majority of food decisions a certain age.

I think it’s difficult to raise children, regardless of gender, with a healthy body image. One approach is to focus on non-physical characteristics. Even if it’s positive, if we are always commenting on children’s appearance, we’re sending the message this is most important. Try to note when your child is kind or diligent or patient. I also avoided, and this may be surprising, conversations about nutrition until my boys were old enough to ask We have wholesome food in the house (and good versions of snacks and treats) and home cooked meals. We are active and so are the kids. As simple as this sounds, I think basics and a foundation of sound habits are key.

With young children, you can shield them from callous or potentially hurtful comments, to a certain degree. But the goal isn’t to raise kids with healthy body images. Our goal should be to raise kids with healthy self-images so when comments about their weight, intelligence, athleticism or character come their way, they don't internalize them for decades.

This summer's "it" food

Get these from our Foodtrainers' shop while they last (or before we eat them all).

Whether you’re paleo or gluten free (or neither), many of us are conscious of decreasing our grain intake. We’ve noticed a wave of products and restaurants filling the grain gap with cassava and tapioca. Cassava, a root vegetable, is native to Latin America, Asia and Africa, it is also known as yucca. Today, our Chip List newsletter (be sure you’re signed up to receive our Monthly Morsels) mentioned Siete Chips. These are made from cassava and there's pretty damn delicious.

Then, there’s tapioca. Tapioca is the starch extracted from the cassava root.  I know this is a little confusing, bear with me. For now, just know that cassava and tapioca come from the same place but are different nutritionally.

Cassava is nutritionally like a sweet potato. Cassava has more protein, a ton more vitamin C (cassava a great source), slightly more potassium and about the same amount of fiber. Cassava is higher in calories, if that matters to you (not to me). Cassava is used to make flour and breads (Otto’s cassava flour is a great brand). The concern with cassava processed improperly is that it contains compounds that convert to cyanide, sounds scarier than it is. The truth is many foods contain these compounds, flax is one of them. These compounds are in the leaves and peel of cassava and not the flesh/root. The bulk of the issues with cassava have been with people processing the tuber versus consuming it. Companies, such as Otto's, test their products for these compounds.

And tapioca, I have to admit as a gluten free-er, I love the taste of the tapioca “sandwiches”. The tapioca makes a crepe-like wrap for any type of filling. A couple of places in NYC such as Tapnyc and Oca serve these. We tasted Wrapioca's creations at the fancy food show and, also in NYC, is yubakery, their yubuns are not to be missed. In the sandwiches, tapioca has a slightly crunchy texture, yum. However, the more I researched tapioca, I realized it isn’t a nutritional superstar. The saving grace for tapioca is that it’s a source of resistant starch. These starches feed probiotic bacteria. So, tapioca versus white flour? Tapioca wins. Tapioca versus cassava, that one goes to cassava. 

If you are in NYC, I would check out Tap. The whole place is gluten free, the “sandwiches” are delicious. We liked the vegan and also the one with prosciutto. They are very ingredient conscious, in terms of quality. Plus, they have matcha (odd for a Brazilian place but I'm happy about it). 

Have you tried cassava, yucca or tapioca? Let me know your thoughts.

Should wellness companies "promote" alcohol?

I realize she's not a "company" but some find this humor offensive

For some reason, I’ve encountered multiple accounts of sobriety lately. My friend Aidan Donnelley hosted Elizabeth Vargas for one of her “Happier Hour” book events. Elizabeth’s book tells her story about anxiety and alcoholism. Aidan has written about and been fairly public with her sobriety as well. I also read Love Warrior, Glendon Doyle Melton’s memoir. And most recently, a friend turned me on to the Home podcast, specifically an episode about eating and addiction. The nutritionist interviewed tells her story about her issues with alcohol. I think the topic of women and alcohol is an important one. I know, from years of counseling, that for many people alcohol may not be a major problem but it’s not a non-issue either. A lot of clients worry about their drinking, being open and having conversations privately or publicly is vital.

I come to the table from a slightly different vantage point. I like a cocktail. I like making cocktails, I like sharing cocktails with friends and here and there I like a drink after a busy, stressful day. While I often joke about being a Tulanian, my relationship with alcohol is a healthy one. Except for special occasions, I tend to have one drink and could easily go a stretch without a drink depending on my social schedule. I am only describing my habits to present an example of drinking that’s not damaging.

A popular wellness website recently posted a lighthearted quote about wine. I was taken aback by some negative commentary. Some called it irresponsible, others felt it promoted drinking. It’s tricky. I’ve expressed disappointment with celebrities who endorse soda. And if you struggle with food addiction- the barrage of unhealthy food ads can be triggering. While I empathize with anyone struggling with addiction, I don’t think we can expect the world to see things through our lens. Depending on the person, a post or quote about coffee, alcohol or cake will be interpreted differently.

Alcohol isn’t healthy.  I’d love the resveratrol research to turn wine into a health food, it isn’t going to. If you don’t drink, there is no reason to start; however, many of our Foodtrainers’ clients do drink. For some, I suggest cutting back (for starters single digits for drinks for men, less than 7 for women per week). Others want to know the “best” drinks to choose or how to mitigate some of the side effects of alcohol. More often than not, clients are relieved to see that we drink and eat pizza. I’d sort out if drinking is an issue for you. If you’re spending time thinking about that, you probably have your answer. If you’re looking for help cleaning up your food or alcohol act, our Whipping Week sign up started today We’re 2/3 full so grab your spot if you want one.

Curious what you think, should wellness brands “support” drinking?

If the Halloween candy "called" you, here's why

 Via Vo/shutter stock

There’s a definite pattern when it comes to adults and Halloween candy. Many adults resist candy on Halloween. Then, the next day if it’s in the house or at the office they start to pick. “Just a couple” pieces here, a couple there. The same thing goes for Thanksgiving. Day of, many clients are on plan. The next day? The leftovers take them down.

Why is this? Many people make a decision, ahead of time, not to eat candy on Halloween or not to eat the 5,000 calorie meal on Thanksgiving. It’s clear what the plan is for the holiday itself. The day after? There’s no plan for that and so deliberation begins. “Should I have it?”  and this line of questioning rarely ends well.

I read a thought-provoking Vox article, “the myth of self-control”. The first portion of the article is a little depressing as the case is made that it’s super tricky to pass things up. “Human beings are terrible at resisting temptation.” Then came the  interesting part. “The people who are really good at self-control never have these battles in first place.” It’s not that some people have more willpower, it’s that some people avoid having to exert it.

If you want to avoid the exhaustion that comes with fending food (or other temptations for that matter) off some ideas:

Planning

I talk about this throughout The Little Book of Thin. The fewer food decisions you make on the spot, the better. When you’re staring face to face with the muffin tray and negotiating, your odds are slim. A Foodstalking client has a coworker with a candy bowl or “bowl of bullshit” as she calls it. The bowl was her downfall every afternoon. “One or two things only” wasn’t cutting it. Instead she called out of B.O. B. and put it on her “no” list. No piece here or piece there, no contemplating no bullshit…period.

Reminders and reinforcement

 In research mentioned in the article, people were texted reminders of their goals to help them make good choices. A couple of years ago, we started our Foodstalking program. We were astounded by the success and demand for spots. In this email-based program, we are in touch with clients daily. This encouragement and accountability helps establish new behaviors. Having a buddy is another way of doing this. Enlist a friend or coworker (spouses aren’t best idea for this) and work together to skip the candy, make it to your workouts etc.

Substitution

 “No candy” for some sounds daunting. In order to avoid the bowl of bullshit, my client has an RX Bar at 3pm every day. You can replace a food with a food or it can be a behavior. Taking a walk after dinner or meeting a friend for a workout instead of a drink are other examples of substitution.

So don’t beat yourself up for a slip. Instead, backtrack and see where you could’ve avoided that temptation all together. I’ll remind you about this  again before Thanksgiving and leftovers come into play.

Is food an issue in your relationship?

Sure you want to eat that?

What are you uncomfortable discussing? Sex? Money matters? I would normally add politics to this list but most of us have extinguished that fear this election season. Today I’m shooting a news segment on couples and food. The producer joked to me “it’s easier to get heroin users to talk to us.” I sent a few emails to clients and friends. We have two women and one man on board to open up about food differences in their relationships. However, the majority of the responses I received went something like “this is a huge issue for us but I’m not sure we want to air our dirty laundry.” Really? We weren’t asking people to strip naked. Rather “he’s a health nut and I’m not” that sort of thing.

When a client enters into a new relationship I always ask, “what kind of an eater are they?” While this may seem unimportant initially, while everyone is on good behavior, you eat three times a day, it will matter. If you love to stay home and cook and he wants to go out every night OR he is gluten free and you are “gluten full” you need a game plan.

No need to completely convert

“We need to work on his eating” a client told me last week referring to her boyfriend.

“No we don’t” I said. Let’s work on your eating. As long as your partner isn’t AGAINST your eating regime, you’re ok. We don’t expect our significant other so think the same way we do and so they don’t need to eat the same exact way either.

My husband loves golf, I promise you he spends more hours golfing than eating. I tried it and I don’t love golf (understatement alert). He doesn’t expect me to golf, we’re good.

Metabolism Matters

When it comes to eating, metabolism, gender and age affect how much you should or can eat.

A tiny woman shouldn’t match a big guy or you’ll have relationship weight gain.

Homemade Helps

Cooking at home allows you to share the experience of meal prep and menu selection. If one person likes fries or steak, you can make baked fries or sweet potato fries and grass-fed steak. Or, you can add a veg for the healthier eater. There’s usually that Venn diagram overlap or some common ground.

No Food Advice While Eating

This is the same advice I give to parents of teens.

“Are you sure you want to eat that?” is never going to be met with “oh you’re right, I don’t’ want to eat that.” If you’re going to say you’re worried about their health, I am sure but don’t worry about it at the table. There is nothing sexy about policing your mate.

Finally, as I said in my blog last week, let’s not be so shy about this. Whether you’re in a new relationship or a longstanding one you can discuss food and eating. Just don’t contact Foodtrainers for “couples Foodtraining” we don’t offer that service for a reason.

We're not on camera, tell me about your relationship food issues. Do you and your partner eat similarly? Was that always the case? If you do not, what do you do to compromise?
And finally, happy halloween...if you missed it here is a link to our "healthy sweets you can eat newsletter".

Election Eating? We've got you covered.

Something happened during last week’s debate and I’m not talking about Trump losing his s#!t or the Hillary shimmy. No, the something I’m referring to happened to those of us watching.

The hullabaloo disguised as a debate left viewers unsettled and fearful. I felt as if I had witnessed an accident and posted “I need lavender and chamomile and kava and natural calm...and Xanax”  I wasn’t kidding. I couldn’t sleep with the thought that there are people who support “that”. At this point, it’s not being partisan, it’s being human.

The WSJ called it “political anxiety disorder". Sure enough, when there’s anxiety there’s eating, as my clients the next day attested to. Even Carolyn mentioned a half pint of Halo top disappearing as she tried to calm her “Donalds". We coined these election-induced munchies “debate weight” at the office.  With the VP debate tonight, we have a solution:

Election Survival Kit

It contains: healthy, almond cookies, delicious (grain free!) rosemary crackers, crack-like coffee-almond butter (better than that crackpot candidate), a "soufflé" protein muffin and tasty nuts…because this is all nuts. It all comes wrapped in blue tissue paper. Send one to a friend or family member or our vote..send one to yourself.

Have you had any “election eating” or anxiety? I’d love to hear.