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		<title>Lesson Five – Putting food in its place.</title>
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		<comments>http://www.fatnutritionist.com/index.php/lesson-five-putting-food-in-its-place/#comments</comments>
		<pubDate>Wed, 21 Dec 2011 22:00:58 +0000</pubDate>
		<dc:creator>Michelle</dc:creator>
				<category><![CDATA[eating]]></category>
		<category><![CDATA[Humane Nutrition]]></category>

		<guid isPermaLink="false">http://www.fatnutritionist.com/?p=4053</guid>
		<description><![CDATA[I want to preface this post by saying that we observe the Division of Responsibility in Blogging around these parts &#8211; which means, I offer information, and you decide what and how much of it you want. Not everything applies to all people &#8211; because People Vary, and because Reality is Complex. As Ellyn Satter [...]]]></description>
			<content:encoded><![CDATA[<p><center><em>I want to preface this post by saying that we observe the <a href=http://www.ellynsatter.com/divisions-of-responsibility-i-79.html>Division of Responsibility</a> in Blogging around these parts &#8211; which means, I offer information, and you decide what and how much of it you want. Not everything applies to all people &#8211; because People Vary, and because Reality is Complex.</em></center></p>
<p><img src="http://www.fatnutritionist.com/wp-content/uploads/2009/08/break50.jpg" alt="" title="break50" width="300" height="18" class="aligncenter size-full wp-image-620" /></p>
<p>As Ellyn Satter says, food is one of the great pleasures of life &#8211; but only one of them.</p>
<p>It is important, but it has its place &#8211; which is to say you should not have to be <em>thinking constantly</em> about it. And you want the thought and attention you <em>do</em> give to be of the useful and pleasurable sort, not of the fretting and obsessive variety.</p>
<p>In this lesson, I&#8217;m going to talk both literally and figuratively about putting food in its rightful place. </p>
<p>Let&#8217;s get the literal out of the way first, because it is astoundingly simple.</p>
<p><strong>Put it away.</strong></p>
<p>Yes, that&#8217;s right &#8211; put your food away. Be neat and tidy with it. Organize it a bit.</p>
<p>Don&#8217;t leave random stuff laying around on counters, coffee tables, desks, bookshelves. Don&#8217;t put food somewhere it will hover right in front of your face, especially if you are slightly food-preoccupied due to chaotic eating and lack of permission, a history of dieting, or just because you are a primate who is immediately attracted to tasty, tasty food, regardless of whether you actually <em>want</em> it at just that moment. </p>
<p>Because if any of these are true, having it constantly before you gives the food more power than it deserves. It interferes with genuine decision-making. It calls to you in that really annoying food-voice.</p>
<p>In a sense, the food begins <em>to boss you around.</em></p>
<p>We don&#8217;t want that. <em>You&#8217;re</em> the one in charge here. You get to decide what you eat, what you like, and how much feels good. </p>
<p>You don&#8217;t want those important decision-making criteria pushed into the ditch by <em>RANDOM COUNTER COOKIES!!!</em></p>
<p>Now, it&#8217;s one thing to think, &#8220;Yeah, some cookies would be awesome right now,&#8221; and then you go and get some cookies, and indeed they are awesome. </p>
<p>It&#8217;s another thing <em>entirely</em> if you pick cookies by default because they were there and you didn&#8217;t have any better ideas. </p>
<p>If they&#8217;re right in front of your face, you will probably never come up with tastier or more nourishing ideas, because you&#8217;ve got an easy out &#8211; something sweet, perennially tasty (even when you&#8217;re not particularly <em>feeling</em> cookies), and that requires no thought, effort, or preparation. </p>
<p>You&#8217;re human, which means you are an animal. Animals like to conserve effort wherever possible &#8211; including when it comes to acquiring food. So <em>of course</em> you&#8217;re going to take the easy way out.</p>
<p>However, a strong aside: </p>
<p><strong>This is not a trick to get you to eat less.</strong></p>
<p>This <em>is</em>, however, a trick to help <em>you</em> be the one making the decisions about it. I really don&#8217;t care how much you eat, because that is none of my (or anyone else&#8217;s) fucking business. That&#8217;s entirely between you and your stomach. I only care about your eating being enjoyable, nourishing, and satisfying.</p>
<p>At the same time, especially if you&#8217;re of the &#8220;Oops, I forgot to eat lunch!&#8221; variety, it&#8217;s important that food be <em>reasonably convenient</em> to you, so that you can continue having regular meals at regular times. </p>
<p>That still doesn&#8217;t mean it should be staring you straight in the face. It means that, if you&#8217;re busy and don&#8217;t have much time or energy to cook, you should find some quick and easy meals, even frozen or instant stuff&#8230;and then put them away until it&#8217;s time to eat. </p>
<p>It means that, if you sit at a desk all day long and often forget to take a lunch break, or bring a lunch to work, you should get some tasty, filling snacks&#8230;and put them in your desk drawer until it&#8217;s time to eat. </p>
<p><strong>Or create a snack box.</strong></p>
<p>I have a snack box. It&#8217;s where I store the food that <a href=http://www.fatnutritionist.com/index.php/online-nutritionist/>I eat with my clients during sessions</a>. Because we&#8217;re dealing with food issues like guilt, or shame, or vague fears about &#8220;unhealthiness,&#8221; a lot of this food is of the delicious, immediate-gratification variety. Otherwise known as &#8220;junk food.&#8221; </p>
<p>I discovered long ago that leaving this food just sitting on my desk &#8211; a Snickers here, a bag of chips there &#8211; instigated both Jeffrey and me to primal feeding sessions of the type not seen since Wild Kingdom. Which was rather inconvenient, since then I would have to go back out and buy the food all over again, and also since we&#8217;d not be very hungry for dinner. Which is a crappy feeling.</p>
<p>The solution cost like two bucks at Ikea &#8211; one of those cardboard cassette boxes with a lid. </p>
<p><img src="http://www.fatnutritionist.com/wp-content/uploads/2011/12/07KassettBoxes-fb.jpg" alt="" title="07KassettBoxes-fb" width="325" height="325" class="aligncenter size-full wp-image-4058" /></p>
<p>I set that puppy on my desk, all the tasty snacks went in there, and it was just&#8230;no longer an issue. Not because we were <em>disallowed</em> from eating the tasty food (we can still raid it, in a pinch, and we still sometimes do), but because it suddenly just didn&#8217;t occur to us anymore. </p>
<p>This works because, first of all, neither one of us is a restrained eater, meaning we&#8217;re not abnormally preoccupied with food &#8211; and second, because it is no longer bossing us around by <em>gazing into our hungry ape souls.</em> </p>
<p>When we do decide to open the snack box, it&#8217;s because we <em>really</em> want that food, and it&#8217;s going to be awesome enough to be worth the hassle. Win-win.</p>
<p>That said, now for the figurative aspects of putting food in its place.</p>
<p><strong> Food is only one important aspect of your life.</strong></p>
<p>It is necessary for survival, yes, just like sleeping and going to the bathroom and drinking water. But, ordinarily, none of those activities consume our thoughts when we are not doing those things, or preparing to very soon do those things. </p>
<p>When we <em>do</em> start to become preoccupied with them, it&#8217;s usually because something is out of whack &#8211; we&#8217;re stuck in traffic with no bathroom in sight; we&#8217;re burning the candle at both ends to get a project done, or to nurse a baby; we&#8217;re hiking in hot weather and the water bottle is empty. </p>
<p>So, what does that mean for food? When you are preoccupied with it, outside of planning for meals to happen, or actually sitting and eating, then it could be a sign that something is out of whack. </p>
<p>Normally those things are either 1) you&#8217;re not getting enough to eat, or 2) you&#8217;re not getting enough <em>permission</em> to eat.</p>
<p>If you&#8217;re not getting enough to eat, it may just be a practical issue &#8211; you need more time. You need more money. Or you need to be a bit more organized about getting groceries into the house and food on the table. </p>
<p>You need to <a href=http://www.fatnutritionist.com/index.php/lesson-two-meals-as-love/>make getting fed more of a priority</a>, just like most people normally do with sleep and going to the bathroom. </p>
<p>When you gotta go, you gotta go &#8211; and when you gotta eat, you gotta eat.</p>
<p>It may also stem from a lack of permission, which is the second issue, and which is something I see very often in my clients.</p>
<p>You need to <a href=http://www.fatnutritionist.com/index.php/how-to-eat-in-a-nutshell-lesson-one/>give yourself permission</a> &#8211; by saying explicitly to yourself that you <em>have</em> it, and then following through as though you <em>believe</em> it &#8211; to eat as much as you want. To eat the food you really, really like. And to eat frequently enough that you&#8217;re not starving in between times. </p>
<p>Sometimes a lack of permission is present even when you are getting enough (or sometimes too much!) to eat &#8211; though that sounds totally counter-intuitive. Even so, merely the <em>hint of a thought</em> of possible future food restriction, maybe, at some point, on the Fourth of Vague &#8211; that can be enough to set off the alarm bells in your crazy monkey brain. </p>
<p>And here&#8217;s how it responds:</p>
<p>&#8220;OMG SHE DISAPPROVES. MAYBE SHE WON&#8217;T FEED ME AGAIN. WHEN WILL WE EAT? WHAT WILL WE EAT? WILL IT BE GOOD, OR WILL IT BE THAT BLAND CRAP SHE EATS WHEN SHE FEELS BAD ABOUT HERSELF? WILL IT BE ENOUGH? CAN WE GET DESSERT JUST THIS ONCE? MAYBE WE SHOULD EAT THE LEFTOVERS RIGHT NOW JUST IN CASE.&#8221;</p>
<p>This is not only the sound of crazy-monkey-alarm-bells, it is the sound of food taking over your life in a completely inappropriate, <em>and totally useless</em>, way.</p>
<p>How do you get over it? Present yourself with enough tasty food at regular times, and then give yourself the permission to eat it. Even give yourself the permission to <em>overeat</em> it, since that is probably going to happen anyway for a while, until your crazy monkey brain starts to trust you again. </p>
<p>You may as well short-circuit the shame spiral, right now, and interrupt the feast-famine cycle. And since it&#8217;s hard to interrupt the <em>panic eating</em> part of the cycle, target the thing you <em>can</em> control, and stop beating yourself up about it. And for God&#8217;s sake, stop threatening yourself with thoughts of future restriction.</p>
<p>Once you&#8217;ve calmed down and stopped obsessing, you can work on directing your attention toward other things &#8211; like pre-planning some of your meals for the week. Like asking yourself what you&#8217;re hungry for, and then putting in some effort to make that happen. Like making a list of what you need to stock your cabinets and fridge, <em>and then actually going and buying those things. </em></p>
<p>Like eating with a reasonable amount of attentiveness, and pausing to give yourself explicit permission.</p>
<p>You know &#8211; useful stuff. In manageable quantities. Right where it belongs.</p>
<p><img src="http://www.fatnutritionist.com/wp-content/uploads/2009/08/break50.jpg" alt="" title="break50" width="300" height="18" class="aligncenter size-full wp-image-620" /><center><em><br />
If you feel like you need to work on this more, you can <a href=http://www.eatwithoutdrama.com/>sign up for one of my groups</a>, or work <a href=http://www.fatnutritionist.com/index.php/online-nutritionist/>one-on-one</a> with me.</p>
<p>And we&#8217;re also going to talk about it <a href=http://www.fatnutritionist.com/index.php/lesson-five-putting-food-in-its-place/#respond>right here</a>, cause that&#8217;s what we do.<br />
</em></center></p>
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		<title>Lesson four – Emotional eating.</title>
		<link>http://feedproxy.google.com/~r/TheFatNutritionist/~3/ooyQeAWqrfA/</link>
		<comments>http://www.fatnutritionist.com/index.php/lesson-four-emotional-eating/#comments</comments>
		<pubDate>Tue, 13 Dec 2011 15:00:34 +0000</pubDate>
		<dc:creator>Michelle</dc:creator>
				<category><![CDATA[eating]]></category>
		<category><![CDATA[Humane Nutrition]]></category>

		<guid isPermaLink="false">http://www.fatnutritionist.com/?p=3953</guid>
		<description><![CDATA[A lot of the time, emotional eating is discussed as a somewhat dirty little secret. Even in the intuitive eating world (see #7), it&#8217;s presented as something undesirable, something that indicates you&#8217;re emotionally unstable and Not Very Good at Eating, but most of all, something that causes you to get fat. I&#8217;ve even heard emotional [...]]]></description>
			<content:encoded><![CDATA[<p>A lot of the time, emotional eating is discussed as a somewhat dirty little secret. </p>
<p>Even in the <a href=http://www.intuitiveeating.org/content/what-intuitive-eating>intuitive eating</a> world (see #7), it&#8217;s presented as something undesirable, something that indicates you&#8217;re emotionally unstable and Not Very Good at Eating, but most of all, something that <a href=http://www.ellynsatter.com/june-2010-family-meals-focus-46-emotional-eating-from-the-eating-competence-perspective-i-149.html>causes you to get fat</a>. I&#8217;ve even heard emotional eating blamed for the Obesity Epidemic &#8482; (I&#8217;m not going to address that here, except to say: <em>I Really Doubt It&#8217;s That Simple</em>.)</p>
<p>But, to be honest, eating is inherently emotional. First, in the sense that it provides us pleasure, otherwise we probably wouldn&#8217;t take all the time and effort to find food, prepare it, and eat it. Because it is so essential to our survival as a species, it has, of course, <a href=http://www.intuitiveeating.org/content/can-you-really-be-addicted-food>become embedded in our brain&#8217;s pleasure-pathways</a> as something intensely enjoyable (much like, ahem, other species-propagating activities.) </p>
<p>So whether you think you&#8217;re eating for emotional reasons or not, whether you&#8217;re doing it intentionally or not, <strong>all eating is fundamentally emotional. </strong></p>
<p>On top of that basic biological foundation, we can place the obelisk of culture &#8211; all cultures use food as a way of bonding, expressing aesthetic values, celebrating regional flora and fauna, and marking both sad and happy occasions. To attempt to divorce food from this context and view it purely as biological fuel is not only overly simplistic, it is practically impossible. </p>
<p>This is a large reason why strict diets often do not play well with real life &#8211; because as primates, we live social lives, and as <em>Homo sapiens</em>, our social lives are organized into culture. We run into it at every turn: going out for coffee or lunch with a friend who needs some quality time; eating as a family on a Wednesday night; popcorn at the movies; holiday dinners; Shrove Tuesday; casserole to a grieving neighbour; cake at a birthday party. </p>
<p>When dieting turns you away from these traditions, or significantly complicates them for you, that is isolating. Sometimes it&#8217;s necessary, when it comes to a food allergy or therapeutic diet, or ethical and religious food restrictions, but its impact can be minimized, or it only centres around a limited set of foods to begin with, and the outcome is vital to survival or one&#8217;s moral values. </p>
<p>But I cannot help feeling that, when a voluntary weight-loss diet (by cutting out or significantly reducing broad swaths of the diet) imposes such demands on you, it&#8217;s destructive. It&#8217;s isolation from the larger culture and a way of bonding with others, done through emotional blackmail of the evillest sort: <em>No one will love you unless you&#8217;re thin, or at least repenting of your fatness by making a visible, distinctly pleasure-renouncing effort to become thin.</em> </p>
<p><strong>Which makes dieting, itself, a form of &#8220;emotional eating&#8221;</strong> &#8211; eating a certain way in an effort to gain love and acceptance.</p>
<p>But, the way that emotional eating is most commonly understood and portrayed is eating directly in response to an acute emotional upset &#8211; stress, trauma, anger, sadness, rejection, worry. This type of eating is institutionalized in media through the trope of <em>Sad Girl Eats Ice Cream from Container</em>; or <em>Harried Woman Eats Chocolate with Eyes Closed</em>; and even <a href=http://thehairpin.com/2011/01/women-laughing-alone-with-salad><em>Woman Laughs Alone with Salad</em></a>.</p>
<p>(Which brings me to an important pet peeve, that &#8220;healthy eating&#8221; is never portrayed in images by anything other than FRUITS AND VEGGIES!!! and, most often, a white lady eating/cooking them. However, one cannot live by salad and laughter alone. Not for very long, anyway.)</p>
<p>I find this annoying because it presents emotional eating in a good-food, bad-food light (and images of orgasmic chocolate experiences have become part of that good-food narrative now that chocolate, or specifically, dark chocolate, has been officially approved by the Foodguilt-Industrial Complex), but also <strong>in a very gender-stereotyped way.</strong> </p>
<p><em>Women</em> eat when sad. <em>Women</em> orgasm for chocolate. <em>Women</em> eat virtuous salads. </p>
<p>Men eat things like Manly Steaks and Beef Jerky and Dos Equis and Delicious Bacon and <a href=http://www.feministe.us/blog/archives/2011/12/03/the-manliest-manly-man-soda-known-to-man/>Dr. Pepper Ten</a> (and they wash their faces with soap that comes in <a href=http://www.drugstore.com/neutrogena-men-skin-clearing-face-wash/qxp72469>gunmetal grey packaging</a>, and their shower gels don&#8217;t contain moisturizers, they use <em><a href=http://www.gillette.com/en/us/Products/body-wash/body-wash/hydrator-body-wash-dry-skin.aspx>HYDRATORS</a>,</em> and they don&#8217;t even wash, anyway, they <a href=http://www.amazon.com/Axe-Detailer-Shower-Tool-Colors/dp/B0017TZD7S><em>DETAIL</em></a> because their bodies are machines, <em>MANLY EMOTIONLESS MACHINES</em>.) And they do it all between kickin&#8217; ass and takin&#8217; names. Women, meanwhile, eat and moisturize between bouts of <a href=http://current.com/shows/infomania/90087979_sarah-haskins-in-target-women-laundry.htm>laundry</a> and <a href=http://current.com/shows/infomania/89317322_sarah-haskins-in-target-women-cleaning.htm>bathroom-scrubbing</a>. </p>
<p><span style="font-size:x-small;">Why yes, I have been drinking many cups of coffee. Emotionally.</span></p>
<p>Anyhow. The thing with emotional eating is that we, as a society, are in denial about it. Because it&#8217;s bad to have and express emotions, somehow, and that leads us all to do this thing that every single person in the world and all of human history has done at some point, in a secretive, guilty, furtive way.</p>
<p>Herein lies the problem.</p>
<p><strong>When you are secretive, guilty, and furtive about your eating, it is not satisfying.</strong> </p>
<p>I absolutely agree that eating cannot solve life circumstances or emotional problems, but it <em>can</em> provide pleasure, comfort, a shared experience, and enough distraction to distance you temporarily from the problem at hand &#8211; <em>and this is not a bad thing.</em> We all need things like this in our lives &#8211; it is a legitimate coping mechanism for when things get a bit overwhelming. And, if anything, food is one of the more benign substances we can use for this purpose.</p>
<p>Used <em>exclusively</em> for escape, no, it is not healthy. But, ironically, forbidding emotional eating may actually cause people to use it this way &#8211; forbidden fruit syndrome being what it is. Forbidding it is also going to distract us from doing the thing that <em>can</em> help &#8211; using emotional eating as a trigger to investigate our emotions, and to acknowledge what is actually going on that food can&#8217;t fix. </p>
<p>Because we will be too busy feeling guilty and trying to hide the evidence to matter-of-factly assess the situation &#8211; <em>or even to enjoy the goddamned food in the first place.</em><br />
<strong><br />
So &#8211; emotional eating: learn to do it well. Here&#8217;s how.</strong></p>
<p>1) Acknowledge that something is going on for you emotionally. Take a moment to name it, if you can. It can help to write this down on a piece of paper &#8211; even just one word or phrase, like &#8220;sad&#8221; or &#8220;bored&#8221; or &#8220;freaking out.&#8221;</p>
<p>2) Pick a food that is really, really enjoyable &#8211; not just the random thing sitting on the counter, or even the thing that you always go to, out of habit, without asking yourself &#8220;What do I really want right now?&#8221; Get enough of it, too &#8211; you can always save extras for later, by storing them in a convenient but not distracting place (we&#8217;ll talk about this next time.)</p>
<p>3) Find a comfy place, without external distractions, to sit. (Put on pajamas or comfy pants too, if practical.) A recliner or couch is awesome. Turn off the TV and the computer, or turn your chair away. Close the book or the magazine or the newspaper. <em>This will only take a few minutes, and then you can go back to what you were doing.</em></p>
<p>4) Remind yourself that eating is morally neutral &#8211; you are not doing something &#8220;bad&#8221; by eating delicious food. You are simply being human. (And if you have worries about the ethics of food production, you can address those things with more upstream, systemic approaches &#8211; beating yourself up at the point of food-on-plate, or depriving yourself of foods that matter a lot to you, won&#8217;t fix a problematic food system.)</p>
<p>5) Give yourself full <a href=http://www.fatnutritionist.com/index.php/how-to-eat-in-a-nutshell-lesson-one/>permission</a> to have as much as you want. Say it out loud if you can, or say it internally, sort of like saying grace before a meal.</p>
<p>5) Eat the food. Pay attention to how it looks, smells, and tastes, how it feels in your mouth and throat, and how it settles in your stomach. Give yourself the mental space to just have the physical experience of eating. </p>
<p>6) Pay attention to whether the food reminds you of anything, has family or other associations, brings up familiar feelings and memories.</p>
<p>7) Your mind will wander to random things &#8211; let it. Just check in, periodically, with the food and your body.</p>
<p>8) Eat until you are truly, honestly satisfied. Even if that means going back for more.</p>
<p>9) Afterward, assess how you feel again &#8211; have you felt comforted? Do you have a little distance? Is everything feeling a little less&#8230;intense? What else do you need to take care of yourself? Go and do that, or make a promise to yourself to do it later, when it&#8217;s practical. Write it down.</p>
<p>In short, emotional eating can be healthy and useful &#8211; if you do it with your eyes open, and short-circuit the shame spiral with permission. </p>
<p><strong>This will take practice</strong> &#8211; guilt is not something you can unlearn with one try. If you do it consistently, daily or a few times a week, even when you are not in emotional distress, you will be ready for the times when you are.</p>
<p><img src="http://www.fatnutritionist.com/wp-content/uploads/2009/08/break50.jpg" alt="" title="break50" width="300" height="18" class="aligncenter size-full wp-image-620" /></p>
<p><center><em>If you feel like it&#8217;s time to commit to eating well, I&#8217;ve just opened sign-ups for <a href=http://www.eatwithoutdrama.com/>January groups</a>, or you can do the program <a href=http://www.fatnutritionist.com/index.php/online-nutritionist/>one-on-one</a> with me. </p>
<p>But we can also talk about it (for free!), <a href=http://www.fatnutritionist.com/index.php/lesson-four-emotional-eating/#respond>right here on the blog</a>.</em></center></p>
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		<title>On not being a dietitian.</title>
		<link>http://feedproxy.google.com/~r/TheFatNutritionist/~3/7SynjqOi88o/</link>
		<comments>http://www.fatnutritionist.com/index.php/on-not-being-a-dietitian/#comments</comments>
		<pubDate>Mon, 12 Dec 2011 12:51:32 +0000</pubDate>
		<dc:creator>Michelle</dc:creator>
				<category><![CDATA[Critical Dietetics]]></category>

		<guid isPermaLink="false">http://www.fatnutritionist.com/?p=3742</guid>
		<description><![CDATA[Just a note &#8211; this is a post directed at systemic issues, and specifically the way my field is structured, and is not at all a complaint about the work I do currently, which I love &#8211; or about my readers and clients, whom I also love. It&#8217;s also an explanation of sorts for the [...]]]></description>
			<content:encoded><![CDATA[<p><em>Just a note &#8211; this is a post directed at systemic issues, and specifically the way my field is structured, and is not at all a complaint about the work I do currently, which I love &#8211; or about my readers and clients, whom I also love. It&#8217;s also an explanation of sorts for the media, who often mistake me for a dietitian. Many of my fellow dietetics students have expressed similar frustrations.</em></p>
<p>So, here&#8217;s the thing: I&#8217;m not <a href=http://www.dietitians.ca/Find-A-Dietitian/Difference-Between-Dietitian-and-Nutritionist.aspx>a registered dietitian</a>. </p>
<p>I know it&#8217;s confusing, since I have an accredited degree in dietetics, I&#8217;m a member of Dietitians of Canada (and formerly of the American Dietetic Association too, but they sent me too much shit in the mail from food and diet companies), I&#8217;ve received extra training through DC- and ADA-approved workshops, I&#8217;ve attended honest-to-goodness dietetic conferences, and I&#8217;ve worked in legit hospitals doing legit clinical nutrition stuff. </p>
<p>But, still, I&#8217;m not a dietitian &#8211; and I use the generic, <a href=http://www.badscience.net/2007/02/the-truth-about-nutritionists-2/>mostly meaningless</a> term &#8220;nutritionist&#8221; to describe myself.</p>
<p>What I <em>am</em> is someone who teaches people about normal, healthy eating. </p>
<p>I teach people to give themselves <a href=http://www.fatnutritionist.com/index.php/how-to-eat-in-a-nutshell-lesson-one/>permission to enjoy food</a> and eat enough to feel satisfied, to have <a href=http://www.fatnutritionist.com/index.php/lesson-two-meals-as-love/>regular, reliable meals</a>, to find out which foods help them to feel good, to pay attention when they eat so that they can enjoy it <em>and</em> learn from it, and to learn to value healthy eating in its own right, because it feels good and makes one&#8217;s life better, without it being contingent on weight loss.</p>
<p>Here&#8217;s what I <em>don&#8217;t</em> do: clinical nutrition. I don&#8217;t assess, diagnose, or treat disease with nutritional therapies.</p>
<p>Sometimes my clients, people who want to learn the basics of normal eating, also have diseases with a nutritional component &#8211; diabetes, celiac disease, high cholesterol, etc. And I  don&#8217;t refuse to work with people who have diseases, provided they receive diagnosis, support, and treatment for that disease from a qualified professional &#8211; who isn&#8217;t me.</p>
<p>Because I don&#8217;t practice clinical nutrition. So I guess it&#8217;s a good thing I never actually wanted to.</p>
<p>In October I graduated with a science degree that, without the attached RD behind my name, is essentially worthless in my field. I have spent the last nine years not only learning about nutrition at an accredited school, but working in nutrition at various hospitals, and, according to the way the profession is set up in Ontario, I have achieved nothing. I am qualified to do&#8230;nothing. Because I have not endured the professional hazing of <a href=http://www.dietitians.ca/Career/Internships-Practicum-Programs.aspx>dietetic internship</a>.</p>
<p>I&#8217;m sure you can detect my bitterness.</p>
<p>I am, and always have been, a fan of the scientific method. I believe science is limited in what it can prove, but remains the best way we have to investigate the natural world. Is it perfectly objective? No, but only because it is practiced by hopelessly flawed human beings. But, battered as its practice has been by our nasty little biases, I still love it, and still believe it is the closest we can come to being objective, to learning whatever <em>does</em> exist of universal truth.</p>
<p>I&#8217;m a science girl, and a nutritionist in the lay sense of the word. I have a good education, good training, and good experience. The one thing I&#8217;m <em>not</em> is a registered dietitian.</p>
<p>When I refer to a dietetic internship as a &#8220;hazing,&#8221; it&#8217;s not because I believe dietitians are mean or evil. In my five years working in various nutrition departments at various hospitals, my bosses have always been dietitians, and I have loved, really loved, them &#8211; as people, as practitioners, and as scientists. Because that&#8217;s exactly what they are, despite hardly ever being credited as such.</p>
<p>But I&#8217;ve also experienced the necessary underbelly of that world. The conveniently gender-, race-, and class-stratified social and professional hierarchies of the clinic. The interpersonal tensions, the brutal systemic limitations, and even on occasion, the subtle violence of professional jealousy.</p>
<p>I had enough &#8211; I got my experience, learned what I could learn from the truly remarkable women whose decades of experience made me feel like a tiny speck in a huge, wondrous world; I took my lumps; I jumped through hoops; I got out so I could finish what I started.</p>
<p>Eleven years ago, I decided to study nutrition because I read a passage about <a href=http://www.fatnutritionist.com/index.php/what-is-normal-eating/>normal eating</a> from Ellyn Satter in the book <em>Losing It</em> by Laura Fraser. It was a revelatory answer to the question I&#8217;d asked myself &#8211; &#8220;How then shall I eat?&#8221; &#8211; and spent my time and energy searching out, only to find a cesspool of lies, disorder, unscientific thinking, and shameless contortions of logic. I decided then that this &#8211; teaching ordinary people to eat normally, based on <a href=http://www.nutritionj.com/content/10/1/9>sound science</a> &#8211; was what I wanted to do.</p>
<p><a href=http://www.ellynsatter.com/curriculum-vitae-i-85.html>Ellyn Satter</a> was (and is still) a registered dietitian, and I wanted to do what she did &#8211; so I set out to become a dietitian and to learn about the science in the answer I&#8217;d stumbled upon. </p>
<p>Along the way, I figured out that I didn&#8217;t actually want to be a dietitian, <em>nor did I need to be </em>to do what I&#8217;ve wanted to do all along.</p>
<p>So in October, I walked across a stage and took possession of a hard-won piece of paper that made me&#8230;nothing. After spending a third of my life and tens of thousands of dollars on this project, I&#8217;m no one of consequence to anyone who matters professionally, and may eventually be called a quack and a charlatan because I do a job that hardly anyone in the world does &#8211; defending normal eating against the encroachment of a disordered, deeply classist culture, helping ordinary people pick their steps through the muck of anti-intellectual horseshit that is pop nutrition &#8211; and I do it audaciously without those two letters, <em>R</em> and <em>D</em>, behind my name. </p>
<p>Because I don&#8217;t have the resources, emotionally or financially, to spend a year doing hard, unpaid labour as an intern at the same hospitals that used to pay me by the hour for doing similar work. And maybe because I am troubled by the financial connections between the letter-granting organization and various <a href=http://nutritionnibbles.blogspot.com/2010/05/dietitians-of-canada-its-industry.html>food- and diet-industry concerns.</a></p>
<p>I have an education that makes me more qualified than most of the authors who write mass-market diet books &#8211; but because I&#8217;m not a dietitian, it doesn&#8217;t matter. I exist in the gray margins, professionally and scientifically &#8211; and our society does not do margins (or shades of gray) very well.</p>
<p>Do I think it&#8217;s unfair? Yes. Does it make me angry? Yes. But I accept it for now, because, thankfully, what I do and what I&#8217;ve learned still matters a whole lot to me. If you&#8217;re reading this, I suspect it matters to you, too.</p>
<p>So, until I figure out all of this big professional mess, I remain </p>
<p>
Yours truly,<br />
Not a dietitian.</p>
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		<title>Lesson three – How does hunger feel?</title>
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		<comments>http://www.fatnutritionist.com/index.php/lesson-three-how-does-hunger-feel/#comments</comments>
		<pubDate>Tue, 06 Dec 2011 14:00:55 +0000</pubDate>
		<dc:creator>Michelle</dc:creator>
				<category><![CDATA[eating]]></category>
		<category><![CDATA[Humane Nutrition]]></category>

		<guid isPermaLink="false">http://www.fatnutritionist.com/?p=3838</guid>
		<description><![CDATA[Getting in touch with hunger, and getting good at respecting its needs, is a crucial part in learning to feed yourself well. If you&#8217;ve been dieting for a long time, or just eating chaotically and inconsistently due to practical or emotional constraints, you are very likely out of touch with hunger signals. It can help [...]]]></description>
			<content:encoded><![CDATA[<p>Getting in touch with hunger, and getting good at respecting its needs, is a crucial part in learning to feed yourself well.</p>
<p>If you&#8217;ve been dieting for a long time, or just eating chaotically and inconsistently due to practical or emotional constraints, you are very likely out of touch with hunger signals. It can help to have a primer to guide you in first identifying them for what they are &#8211; and what counts as hunger might surprise you a little.</p>
<p>Ellyn Satter describes the drive to eat as both <em>hunger</em> (physical) and <em>appetite</em> (aesthetic and emotional.) Hunger is what drives you to seek out food in the first place, to just get the job done with feeding, but appetite is what mostly guides the <em>type </em>of food you choose &#8211; something salty, something crunchy, something meaty&#8230;or something creamy, soft, and sweet. </p>
<p>Other intuitive eating approaches describe these drives as &#8220;mouth hunger&#8221; and &#8220;stomach hunger,&#8221; which makes a lot of sense and is easy to remember, but which, I think, leaves something to be desired.</p>
<p>For one thing, splitting the two into stomach and mouth leads to the tendency to de-legitimize and de-prioritize &#8220;mouth hunger.&#8221; It seems frivolous to our ears, because, in this culture we tend to give short shrift (at least theoretically, if not in practice) to mere food wants and desires, and give precedence to real, honest-to-goodness Nutritional Needs and Physical Requirements &#8211; of which your stomach alone is the judge.</p>
<p>Through personal experience, I&#8217;ve come up with a different version of the hunger/appetite, &#8220;mouth hunger&#8221;/&#8221;stomach hunger&#8221; dichotomy &#8211; both of which closely parallel <a href=http://www.fatnutritionist.com/?p=1720>mind/body dualism</a>, which I still use to describe things to my students, since it is the language we largely speak as a culture, but which I try to get away from in theoretical work.</p>
<p>It&#8217;s a bit more complicated, but to me it legitimizes three different forms of hunger, all of which deserve equal attention. They are:</p>
<ol>
<li>Mechanical Hunger</li>
<li>Aesthetic Hunger</li>
<li>Chemical Hunger</li>
</ol>
<p><strong>Mechanical Hunger</strong> is the easiest to understand, and sometimes to recognize &#8211; it&#8217;s the feeling of an empty stomach, often accompanied by growling or churning, or a sense of hollowness or tightness in the stomach. (Keeping in mind the physical reality of the stomach &#8211; that <a href="http://catalog.nucleusinc.com/generateexhibit.php?ID=3502">it hovers higher up</a> than most of us visualize, just below where your ribcage parts, close under the bust.) This is the hunger that, if you ignore it long enough, can go away altogether, or get really uncomfortable and lead into the desperation of Chemical Hunger (we&#8217;ll talk about that in a minute.) It&#8217;s something that many people I work with haven&#8217;t felt in a long time, but which is probably the most obvious of all the types of hunger.</p>
<p><strong>Aesthetic Hunger</strong> is the longing for food &#8211; similar to what Ellyn Satter refers to as appetite, and what intuitive eating approaches refer to as &#8220;mouth hunger.&#8221; I use the word &#8220;aesthetic&#8221; because I believe the need for pleasure in food mirrors the human need for beauty &#8211; in this sense, the beauty of how food tastes and feels. But it&#8217;s more than just needing the <em>taste</em> and physical feel of food, it&#8217;s also eating for emotional reasons &#8211; celebration, grief, comfort, nostalgia. It is the need of <em>enjoyment,</em> since enjoyment is actually a critical part of good nutrition. </p>
<p>In national food surveys over many years, people consistently answer that the number one reason they choose food is because of how it tastes &#8211; enjoyment. The enjoyment of food is <a href=https://en.wikipedia.org/wiki/Intrinsic_motivation#Intrinsic_and_extrinsic_motivation>intrinsic motivation</a> to eat, pure and simple &#8211; which means it&#8217;s more productive to work with it than against it. The need for enjoyment drives people to seek out flavours and textures, which in turn leads to experimentation and <a href=http://www.sciencedaily.com/releases/2002/06/020627003908.htm>nutritional variety</a> &#8211; a <a href=http://www.ncbi.nlm.nih.gov/pubmed/14979682>critical</a> <a href=http://www.adajournal.org/article/S0002-8223%2802%2990246-4/abstract>component</a> of <a href=http://www.jacn.org/content/25/4/354.full>nutritional</a> <a href=http://jn.nutrition.org/content/134/10/2579.short>excellence</a>.</p>
<p>Aesthetic hunger also drives people to practice their regional and cultural <a href=http://en.wikipedia.org/wiki/Foodways>foodways</a>, which in turn comprise a crucial part of one&#8217;s cultural identity and sense of social belonging (one of the fundamental steps on Maslow&#8217;s Hierarchy of Needs.) And it drives emotional eating &#8211; again, a cultural practice institutionalized in the form of birthday parties, holidays, wakes, but also a legitimate psychological coping mechanism. And this is where eating competence parts ways with many other eating approaches.</p>
<p>Eating competence recognizes and legitimizes comfort eating as a thing that can actually do some <em>good.</em> It is not the dirty, shameful little secret that you think you&#8217;re hiding &#8211; it is something that all of us do. The problem, as Ellyn Satter explains, only comes when people do it <em>poorly.</em> They do it furtively, guiltily, without proper attention and enjoyment, and end up with more shame than comfort when all is said and done. </p>
<p>When done well, comfort eating can&#8217;t solve the underlying problems you&#8217;re experiencing, but it can distract you, soothe you, and provide a bright spot of much-needed &#8211; <em>and harmless</em> &#8211; pleasure on a dark day. Compared to many of the other distractions people may seek when they need an emotional lift, comfort eating is truly benign and can even be helpful. More than that &#8211; it is damn near universal. Lesson Four will go into more detail about comfort eating, and how to do it well. </p>
<p>Bottom line &#8211; aesthetic hunger is a legitimate need, since emotional health is a hugely important part of overall health, and because <a href=http://www.ellynsatter.com/eating-competence-i-58.html>&#8220;when the joy goes out of eating, nutrition suffers.&#8221;</a></p>
<p><strong>Chemical Hunger</strong> refers to the feeling that lies beyond the garden-variety grumbly stomach. It is generally subtle, but if not attended to, can become a deafening roar. It is the sense that &#8220;something is missing&#8221; or something didn&#8217;t quite hit the spot. I often get this feeling when I haven&#8217;t eaten the amount of fruits and vegetables I need for several meals or several days. I also get this feeling after a stretch of illness where my appetite is shot and I can&#8217;t eat very much &#8211; when I start to recover and refeed myself, even when I eat enough that my stomach is physically full, there is still a gnawing sense in the background that my needs are not fully met, and it&#8217;s going to take several more meals before I get there. </p>
<p>Lastly, chemical hunger can come in the form I referred to earlier, in Mechanical Hunger gone too far &#8211; low blood sugar. That shaky, weak, lightheaded feeling you get when you&#8217;ve forgotten to eat entirely, or gotten stuck in traffic between work and dinner. These are not feelings that come directly from the stomach, but from your blood, your glycogen stores, and even sometimes depleted vitamin and mineral stores. </p>
<p>When chemical hunger is fulfilled, you won&#8217;t only get full, and the food won&#8217;t only taste and feel good, but you&#8217;ll feel satisfied for a while after eating, and maybe even get an overarching sense of vague well-being that follows you around over the days or months that your eating continues to be consistent, varied, tasty, and nourishing.</p>
<p>When you put regular meals, and the permission to eat them, into place, you will start to feel these signals more clearly. You will also start to learn what you need to do in order to satisfy them, by non-judgmentally observing what various foods do for you. You&#8217;ll notice which foods give you an emotional lift or satisfy a flavour craving, which foods and amounts give you the sense of fulness you like to have in your stomach, and what foods and combinations provide that sense of having &#8220;hit the spot.&#8221; You&#8217;ll also be far less likely to get into desperation hunger &#8211; the chemical hunger that indicates an acute deficiency of glucose, or longer-term deficiency of micronutrients. </p>
<p>When you make your hunger happy &#8211; in all forms &#8211; you&#8217;ll be healthier physically and emotionally. And you&#8217;ll be a lot closer to eating competence.</p>
<p><img src="http://www.fatnutritionist.com/wp-content/uploads/2009/08/break50.jpg" alt="" title="break50" width="300" height="18" class="aligncenter size-full wp-image-620" /></p>
<p><center><em>How do you feel your hunger, and what does it take to meet it? Dirty eating secrets revealed in <a href=http://www.fatnutritionist.com/index.php/lesson-three-how-does-hunger-feel/#respond>comments</a>.</em></center></p>
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		<title>Lesson two – Meals as love.</title>
		<link>http://feedproxy.google.com/~r/TheFatNutritionist/~3/2tm9Kv1In7Y/</link>
		<comments>http://www.fatnutritionist.com/index.php/lesson-two-meals-as-love/#comments</comments>
		<pubDate>Tue, 11 Oct 2011 13:00:41 +0000</pubDate>
		<dc:creator>Michelle</dc:creator>
				<category><![CDATA[eating]]></category>
		<category><![CDATA[Humane Nutrition]]></category>

		<guid isPermaLink="false">http://www.fatnutritionist.com/?p=3797</guid>
		<description><![CDATA[If you have any sort of history of food restriction, whether from dieting, or medical stuff, or an eating disorder, or food scarcity of any kind; from financial reasons, or barriers to getting food, or the inability to prepare the food you&#8217;ve got &#8211; your body is, frankly, not going to trust you. Even after [...]]]></description>
			<content:encoded><![CDATA[<p>If you have any sort of history of food restriction, whether from dieting, or medical stuff, or an eating disorder, or food scarcity of any kind; from financial reasons, or barriers to getting food, or the inability to prepare the food you&#8217;ve got &#8211; your body is, frankly, not going to trust you.</p>
<p>Even after you start <a href=http://www.fatnutritionist.com/index.php/how-to-eat-in-a-nutshell-lesson-one/>giving yourself permission.</a></p>
<p>I imagine that, inside all of us, is a small, vulnerable animal (one of my wonderful students calls it the &#8220;fuzzy self&#8221;) who just needs to know it will be taken care of, and that it will be <em>fed.</em></p>
<p>And who&#8217;s responsible for the care and feeding of fuzzy self? Yep, it&#8217;s you.</p>
<p>If you no longer feel clear hunger or fullness signals (aside from desperation hunger or uncomfortable overfullness), there&#8217;s probably been <a href=http://www.fatnutritionist.com/?p=1720>a breach of trust</a>, and it&#8217;s probably been going on for a while. </p>
<p>If you want to get back to a state of normalcy with hunger and satiety, and to regain comfort with the idea of eating, then it&#8217;s time to repair that relationship. </p>
<p>But rebuilding trust requires more than just saying the words of permission; it requires action. </p>
<p>One of my favourite quotes from Epictetus is -</p>
<blockquote><p>
&#8220;True happiness is a verb. It is the ongoing, dynamic performance of worthy deeds.&#8221; </p></blockquote>
<p>Part of growing up emotionally is accepting that actions speak louder than words. It is accepting that happiness is not a passively euphoric state of mind randomly visited upon you by the fates &#8211; that true happiness is, indeed, something you build from the raw material of your behaviours, and the nitty-gritty of your daily choices. None of which may be all that fun in the immediate-term, but produce tranquility, contentment, and satisfaction over time. </p>
<p>Happiness is an investment of effort.</p>
<p>Love, including self-love, works the same way. As an adolescent, love is the crushing force of intense, uncontrollable sentiment. As a grown-up, you take up love as a practice, something you repair and build over time with kind words, kind actions, responsibility and consideration. </p>
<blockquote>
<p>&#8220;Love is the active concern for the life and the growth of that which we love.&#8221;</p>
<p>-Erich Fromm</p></blockquote>
<p>And that&#8217;s where we come to the damaged relationship between your mind and body. In order to heal this relationship, you need to express self-love in the form of <em>action.</em> </p>
<p>Even on days when there are no attendant warm fuzzies, you need to stand by a commitment to care for yourself &#8211; even if, at first, you must start from the humble position of promising <a href=http://familyfeedingdynamics.com/2011/03/it-gets-easier-feeding-yourself/>just not to harm yourself</a> any longer. Guess what? </p>
<p><em>Not eating, whether you do it intentionally or through neglect, is an act of self-harm.</em></p>
<p>When it comes to food, here is how you fix your relationship to your body: <strong>commit to feeding yourself on a regular basis.</strong></p>
<p>It sounds ridiculously obvious, perhaps even simple, but you wouldn&#8217;t believe what a struggle it can be, both for practical reasons and for emotional ones.</p>
<p>In a practical sense, the way you implement <a href=http://www.fatnutritionist.com/index.php/meals-or-the-appropriate-use-of-discipline/>regular meals and snacks</a> is going to depend a lot on your schedule and where you spend most of your time. Working from home is a lot different than being in an office, or on the road, or at school.</p>
<p>It&#8217;s probably the hardest step to take, and it is also probably the most critical. It is the way you live out your intention to stop dieting, to stop restriction, to break the scarcity mindset around food, and to actually communicate to that small, vulnerable animal inside: &#8220;I want you to live. You are worth taking care of.&#8221;</p>
<p>If you are not eating at regular times already &#8211; if you are either grazing constantly throughout the day, or forgetting to eat for long periods of time; simply not eating enough altogether, or alternating eating too little with eating <em>way too much</em> for comfort &#8211; the way to begin doing this is to take one step at a time.</p>
<p><strong>Pick one time of the day when you will eat.</strong> Pick a time that you know will be the easiest to implement &#8211; when you already have a scheduled break during day, or before the day gets busy, or after all your other commitments are finished. </p>
<p>Treat it the way you would treat a standing appointment. It should be something that you know you can make happen, at roughly the same time (give yourself an hour of leeway, because life does happen) every single day.</p>
<p>I literally need to mark my eating times in my daily appointment book because my schedule varies so wildly, and because I eat meals and snacks with students as part of my work. </p>
<p>Write in your day planner, set an alarm on your phone, an appointment reminder on your computer. A piece of paper taped to the fridge, a reminder on your desk. A string tied around your finger. Whatever works.</p>
<p>When I worked a typical nine-to-five job, I made a commitment to take my legally-entitled morning, lunch, and afternoon breaks. When I had an even less structured schedule than I have now, I used a rough interval system of eating every 3 to 4 hours, based on what time I woke up and had breakfast. I checked the clock, and at the end of each meal, I made a mental note that I would need to eat again at <em>X</em> o&#8217;clock. Then I simply moved on until next time.</p>
<p>And when I say &#8220;meal,&#8221; all I mean is <em>the food you would normally eat, gathered together at one time, in one place.</em> You do not have to cook anything, or use real silverware, or sit down at the table. Eat whatever you want to, wherever you want to. If you were going to graze on chips and cookies throughout the day anyway, put the chips and cookies together in front of you and eat them at the appointed time. Then put them away and move on.</p>
<p><em>The food itself is not important at this stage of the game</em> &#8211; we are still working on the bottom level of the <a href=http://www.fatnutritionist.com/index.php/if-only-poor-people-understood-nutrition/>hierarchy of food needs.</a></p>
<p>Through the rest of the day, let yourself eat however you would normally eat &#8211; graze, forget to eat, whatever &#8211; but when it comes to that one time you have marked aside for an established meal, put food in front of yourself, give yourself permission, and take a least <em>one bite.</em> That&#8217;s enough to establish and maintain the habit. Take that bite while you&#8217;re working, while you&#8217;re standing up, while you&#8217;re sitting in your car in the parking lot &#8211; I do not care. </p>
<p>Mindfulness is not what we&#8217;re working on right now &#8211; just make eating happen at one, specified time of the day.</p>
<p>Do this for a full week. Then add one more time during the day that you can make eating happen, and do the exact same thing for another full week. Eat whatever you are already eating, or whatever sounds good to you. </p>
<p>Don&#8217;t worry about nutritional balance for now &#8211; that will come later. Taking some time for now to set up the framework, even if your diet looks wildly unbalanced for a while, is not going to hurt you. Your body has the ability to balance out nutrition over the long-term &#8211; months or years &#8211; so that having a perfectly balanced diet at every meal, on every plate, is unnecessary. In fact, right now, trying to do that could trip you up.</p>
<p>Add in meal after meal, snack after snack, week by week. Give yourself permission to eat whatever and as much as you want, and then put food in your mouth at predictable times every single day. That&#8217;s it.</p>
<p>Take your legally-mandated 15-minute breaks at work and <em>have a fucking snack</em> so you&#8217;re not completely useless at work. I know it looks better to somehow be inefficiently shuffling paper and making rash decisions in the office, but trust me, you&#8217;ll be more effective at your job if you just have some damn cookies or half a tuna sandwich and move on, already. </p>
<p>Eat while you&#8217;re working, if you have to. Sneak food, if you have to &#8211; <em>but just eat.</em></p>
<p>As you build on meals and snacks by the week, pay attention to times during the day when you get consistently tired, cranky, spacy, or preoccupied with food (for me, this is the afternoon.) This is a sign that you need to work a meal or a snack into that time &#8211; so do it. </p>
<p>Most people end up eating <a href=http://www.fatnutritionist.com/index.php/nutrition-is-a-game-we-play/>between four and six times a day</a> &#8211; this is completely normal. </p>
<p>If you need an afternoon snack before you head home, so that you can be sane enough to get dinner, do it. Turn off your computer for the day, or turn your chair away from it, and eat a little something before you leave work. Eat on the bus or the subway, or while you&#8217;re walking. Sit in your car for five minutes in the parking lot and have a granola bar. You&#8217;ll be safer on the road, and making dinner won&#8217;t seem like such a gargantuan chore. </p>
<p>This is <em>eating like a grown-up</em> &#8211; being matter-of-fact about your needs, and taking the time to meet them. It is loving yourself in the most important sense of the word.</p>
<p>You do this for your pets, your children, sometimes even the other adults around you &#8211; you can certainly do it for yourself, and for the <em>small, scared animal inside</em> who needs to know you are trustworthy.</p>
<p><img src="http://www.fatnutritionist.com/wp-content/uploads/2009/08/break50.jpg" alt="" title="break50" width="300" height="18" class="aligncenter size-full wp-image-620" /></p>
<p><center><em>How do you make regular eating happen? Let me know in <a href=http://www.fatnutritionist.com/index.php/lesson-two-meals-as-love/#respond>comments</a>.</em></center></p>
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		<title>How to eat, in a nutshell – lesson one: Permission.</title>
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		<comments>http://www.fatnutritionist.com/index.php/how-to-eat-in-a-nutshell-lesson-one/#comments</comments>
		<pubDate>Mon, 03 Oct 2011 13:00:15 +0000</pubDate>
		<dc:creator>Michelle</dc:creator>
				<category><![CDATA[eating]]></category>
		<category><![CDATA[Humane Nutrition]]></category>

		<guid isPermaLink="false">http://www.fatnutritionist.com/?p=3751</guid>
		<description><![CDATA[I spend a lot of time and energy trying to teach people to eat normally. It&#8217;s amazing what a difficult process it can be, and I blame a lot of that on the severely disordered culture we&#8217;re all swimming in. It can be a long, drawn-out process, full of tears and frustration and mistakes. There&#8217;s [...]]]></description>
			<content:encoded><![CDATA[<p>I spend a lot of time and energy trying to teach people to <a href=http://www.fatnutritionist.com/index.php/getting-good-at-eating/>eat normally.</a> It&#8217;s amazing what a difficult process it can be, and I blame a lot of that on the severely disordered culture we&#8217;re all swimming in. </p>
<p>It can be a long, drawn-out process, full of tears and frustration and mistakes. There&#8217;s also good stuff in there, but make no mistake, it is not an easy task.</p>
<p>And that&#8217;s why writing is so nice. It&#8217;s more abstract, it&#8217;s less emotional, and it helps me to reinforce the nuts and bolts of what I do. So, both for myself, and for all of you out there who just want to know <em>how to do it, already</em> without all the hand-holding and emotions, here you go. Here&#8217;s how it works.</p>
<p><strong>Lesson One: Permission</strong></p>
<p>There is one golden rule to normal eating, and it is this: <em>no one decides what or how much goes in your mouth but you.</em> </p>
<p>You are an adult. You are an autonomous human being. You make your own choices with food. I do not care how much you weigh, or whether you have a disease or an allergy &#8211; you have unconditional permission to eat anything in any amount. </p>
<p>There are no laws, legal or moral, to stop you. </p>
<p>That&#8217;s what being an autonomous human being is all about.</p>
<p>Even if you have a disease or an allergy, it is <em>your choice</em> to either follow the therapeutic dietary recommendations for your condition, or not. (It is also your choice to figure out what works for you, personally, since not all therapeutic diet recommendations are written in stone. Some may not even be <a href=http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD004097.pub4/abstract>based on good evidence</a>.) </p>
<p>Would I recommend that you eat something that will cause you immediate death or illness? No, of course not &#8211; but that is <em>not my choice to make.</em> It is yours, and only yours.</p>
<p>Even in the most extreme scenario, you make that choice. Is it a fun choice? If it&#8217;s between peanuts or death, no. It&#8217;s not fun at all. But from a philosophical perspective, <em>it is still a choice,</em> and you are still the only one who can make it.</p>
<p>You also have the unconditional <em>right</em> to eat. Eating is a human right, no matter how fat you are, no matter how screwed up around food you think you are, no matter how much you know or don&#8217;t know about nutrition, no matter what your concerned family or friends say, no matter who harasses you on the street. </p>
<p>You have the right to eat, because you are a human being.</p>
<p>You also <em>need</em> to eat, because you are a human being. There is no person out there, fat or thin, who can live a healthy, functional life without eating a reasonable amount of food. </p>
<p>There is a misconception that somehow being fat beyond a certain arbitrary line drawn in imaginary BMI sand means you have the superhuman ability, and the moral obligation, to live without food. Which is total bullshit.</p>
<p>Quick nutrition interlude: your body, every cell in your body but particularly your brain, runs on sugar. <a href=http://www.khanacademy.org/video/glucose-insulin-and-diabetes?playlist=Healthcare+and+Medicine>Glucose is the preferred day-to-day gasoline that makes you go</a>. And, believe it or not, our body only has a short-term store (usually measured in hours) of glucose to draw on.</p>
<p>Which means? <em>You need to eat. Regularly.</em> You&#8217;re not going to be able to think clearly for very long without it, and you&#8217;re going to feel like ass, physically.</p>
<p>To sum up:</p>
<ul>
<li>You need to eat.</li>
<li>You have the right to eat.</li>
<li>
Only you can choose what you eat.</li>
</ul>
<p>All of which can be distilled into a single concept: permission. Unconditional permission to eat whatever, and however much, you want. Healthy food? Junk food? A lot? A little? It&#8217;s your choice. You have permission.</p>
<p>Because we don&#8217;t live in a world that naturally encourages your autonomy around food, you will need to put this into practice. To put permission into practice, you need to say it to yourself every time you sit down to eat:</p>
<blockquote><p>&#8220;I&#8217;m allowed to eat this, and I can have as much as I want.&#8221; </p></blockquote>
<p>Permission works both ways, too &#8211; <em>you do not have to eat anything you don&#8217;t want.</em> </p>
<p>Ever see a toddler spit out strained peas against his mother&#8217;s best efforts? That&#8217;s you.</p>
<p>You do not have to eat anything you don&#8217;t like, don&#8217;t want, or aren&#8217;t in the mood for. No matter who is pushing it, who thinks it&#8217;s for your own good, or what magazine says it&#8217;s the new superfood. <em>You do not have to.</em> </p>
<p>You don&#8217;t have to count calories, or Points, or measure portions out and leave the table feeling hungry. You also don&#8217;t have to get so full that you feel uncomfortable, just to assuage someone&#8217;s insecurity about their cooking, or their guilt for being an absent parent, or whatever. </p>
<p>You do not have to clean every plate in sight because someone, somewhere in the world, doesn&#8217;t have enough to eat. You are not the Human Garbage Disposal, and you can&#8217;t solve world hunger by eating leftovers.</p>
<p>You are responsible only to yourself, and your stomach. You are allowed to eat only <a href=http://www.fatnutritionist.com/index.php/food-you-like-is-food-that-feels-good/>what feels right, in amounts that feel right</a>.</p>
<p>Say it to yourself &#8211; &#8220;I&#8217;m allowed to eat this, and I can have as much (or as little) as I want.&#8221; </p>
<p>Say it like you&#8217;d say grace over your food. Even if you don&#8217;t believe yourself at first. Even if it feels stupid and pointless. You do it, and you do it again and again and again. </p>
<p>Why? Because it is absolutely true.</p>
<p>So, here&#8217;s the takeaway &#8211; write a permission note to yourself, right now. Put it on a Post-It, or make a big sign, or embroider something. It doesn&#8217;t matter. </p>
<p>Put it in your own words. Put it somewhere you&#8217;ll see it and remember it. And then <em>say it,</em> either out loud or in your head, every time you eat, as often as you can remember.</p>
<p><img src="http://www.fatnutritionist.com/wp-content/uploads/2009/08/break50.jpg" alt="" title="break50" width="300" height="18" class="aligncenter size-full wp-image-620" /></p>
<p><center><em>How do you give yourself permission, in your own words? Tell us why you&#8217;re allowed eat in <a href=http://www.fatnutritionist.com/index.php/how-to-eat-in-a-nutshell-lesson-one/#respond>comments</a>.</em></center></p>
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		<item>
		<title>There’s still time…</title>
		<link>http://feedproxy.google.com/~r/TheFatNutritionist/~3/3dcs_T_KrKw/</link>
		<comments>http://www.fatnutritionist.com/index.php/theres-still-time/#comments</comments>
		<pubDate>Mon, 12 Sep 2011 13:30:00 +0000</pubDate>
		<dc:creator>Michelle</dc:creator>
				<category><![CDATA[Random Shit]]></category>

		<guid isPermaLink="false">http://www.fatnutritionist.com/?p=3735</guid>
		<description><![CDATA[I just sent this out to people on THE LIST (you know about THE LIST, right?), but then I figured you might want to see it too! Some of you have emailed me with questions. So here are the answers! Hey! I&#8217;m keeping this super-short so I don&#8217;t waste your time. Just a reminder that [...]]]></description>
			<content:encoded><![CDATA[<p><em>I just sent this out to people on THE LIST (you know about <a href=http://www.fatnutritionist.com/freestuff.html>THE LIST</a>, right?), but then I figured you might want to see it too!</p>
<p>Some of you have emailed me with questions. So here are the answers!</em></p>
<p><img src="http://www.fatnutritionist.com/wp-content/uploads/2009/08/break50.jpg" alt="" title="break50" width="300" height="18" class="aligncenter size-full wp-image-620" /></p>
<p>Hey!</p>
<p>I&#8217;m keeping this super-short so I don&#8217;t waste your time.</p>
<p>Just a reminder that it&#8217;s still not too late to sign up for an <a href=http://www.eatwithoutdrama.com>Eat Without Drama</a> group if you&#8217;ve been secretly wanting to and just got sidetracked by the weekend.</p>
<p>The Monday afternoon group (that&#8217;s today at 3pm Eastern) has plenty of room left, and the awesome group starting tonight at 7:30pm Eastern has one seat left.</p>
<p>If the Friday night group (Saturday morning for my Kiwis and Aussies) is more your style, you can still sign up and start this week &#8211; a couple of people had to miss the first session anyway, so you won&#8217;t be alone!</p>
<p>As always, sign-ups are at <a href=http://www.eatwithoutdrama.com>www.eatwithoutdrama.com</a>.</p>
<p>Cheers for a lovely week!<br />
Michelle </p>
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		<item>
		<title>Online fat camp.</title>
		<link>http://feedproxy.google.com/~r/TheFatNutritionist/~3/LPRZzNEI7X4/</link>
		<comments>http://www.fatnutritionist.com/index.php/online-fat-camp/#comments</comments>
		<pubDate>Thu, 08 Sep 2011 16:38:12 +0000</pubDate>
		<dc:creator>Michelle</dc:creator>
				<category><![CDATA[eating]]></category>
		<category><![CDATA[Random Shit]]></category>

		<guid isPermaLink="false">http://www.fatnutritionist.com/?p=3710</guid>
		<description><![CDATA[*awkward mic screech, tapping* Ahem. This is kind of last-minute, but the long weekend really threw me off. For a long time, I&#8217;ve been doing individual sessions teaching people how to eat normally after giving up dieting (in addition to writing this blog, of course.) Doing individual sessions means that they are pretty expensive, and [...]]]></description>
			<content:encoded><![CDATA[<p>*awkward mic screech, tapping*</p>
<p>Ahem.</p>
<p>This is kind of last-minute, but the long weekend really threw me off.</p>
<p>For a long time, I&#8217;ve been doing individual sessions teaching people how to eat normally after giving up dieting (in addition to writing this blog, of course.) Doing individual sessions means that they are pretty expensive, and it limits the number of people I can help. </p>
<p>Luckily, back in 2008, someone had the brilliant idea of doing the same program I do, but for small groups. They <a href=http://www.ncbi.nlm.nih.gov/pubmed/18174104>published this paper</a> on it (it works.)</p>
<p>So, at the end of July, I started seeing small groups. I see more people this way, and it&#8217;s cheaper for them. </p>
<p>It also works, and has the bonus of being EXTREMELY FUN.</p>
<p>It&#8217;s sort of like going to fat camp, except online, and the point is not losing weight. </p>
<p><img src="http://www.fatnutritionist.com/wp-content/fatcamp.jpg"/></p>
<p>Mostly, the point is figuring out how to eat well, while at the same time laughing your head off with other fat people. </p>
<p>So this is what I&#8217;m doing now, and some new groups are starting for the fall. We&#8217;re calling it <a href=http://www.eatwithoutdrama.com/>Eat Without Drama</a> because, well, that&#8217;s what it&#8217;s about: eating without all the drama.</p>
<p>One group starts TOMORROW NIGHT (Saturday morning, if you&#8217;re in Australia or NZ), and the others start on Monday the 12th.</p>
<p>For the sales pitch, the times, the price, and the big buttons to push, <a href=http://www.eatwithoutdrama.com/>go here</a>.<br />
<em><br />
If it&#8217;s not for you, no worries. You don&#8217;t need to buy my shit! We&#8217;re cool.</em></p>
<p>That&#8217;s all. Thank you for your attention. </p>
<p>*mic screech*</p>
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		<item>
		<title>Nutrition is a game we play.</title>
		<link>http://feedproxy.google.com/~r/TheFatNutritionist/~3/6Ty7_7tauhc/</link>
		<comments>http://www.fatnutritionist.com/index.php/nutrition-is-a-game-we-play/#comments</comments>
		<pubDate>Tue, 02 Aug 2011 16:02:24 +0000</pubDate>
		<dc:creator>Michelle</dc:creator>
				<category><![CDATA[Diets]]></category>
		<category><![CDATA[eating]]></category>
		<category><![CDATA[Humane Nutrition]]></category>

		<guid isPermaLink="false">http://www.fatnutritionist.com/?p=3689</guid>
		<description><![CDATA[Before I completely freak you out with talk of food groups, let me say a couple of things about The Bottom Line when it comes to eating: The bottom line is that you provide yourself the opportunity to eat at regular times. The bottom line is that, at those times, you give yourself free reign [...]]]></description>
			<content:encoded><![CDATA[<p>Before I completely freak you out with talk of food groups, let me say a couple of things about <a href=http://www.fatnutritionist.com/index.php/eat-food-stuff-you-like-as-much-as-you-want/>The Bottom Line</a> when it comes to eating:</p>
<blockquote>
<ul>
<li>The bottom line is that you provide yourself the opportunity to eat at regular times.</li>
<li>The bottom line is that, at those times, you give yourself free reign to eat WHAT and HOW MUCH you want.</li>
</ul>
</blockquote>
<p>Until you&#8217;ve got those things down, don&#8217;t even bother with &#8220;nutrition.&#8221; It will only fuck you up.</p>
<p>Eating at regular times doesn&#8217;t mean &#8220;three measured meals with no snacks in between.&#8221; That is some depriving, dictatorial bullshit right there, pushed by groups like Overeaters Anonymous. Do NOT mistake any of what I&#8217;m saying here with any of the many, many tricks diet programs have pulled on you to try to get you to eat less.</p>
<p>I don&#8217;t <em>want</em> you to eat less. I want you to eat <em>well.</em></p>
<p>Eating well means eating in a way that feels good, <a href="http://www.fatnutritionist.com/index.php/food-you-like-is-food-that-feels-good/">both emotionally and physically.</a> It, emphatically, means <em>getting enough to eat,</em> and getting enough <em>of the foods you really like.</em></p>
<p>Eating at regular times means, for most people, three meals with one or two or three snacks thrown in for good measure. Unfortunately, most adults have somehow internalized the idea that <em>snacks are bad.</em></p>
<p><strong>Stop right there. Snacks are not bad &#8212; snacks are <em>essential.</em></strong></p>
<p>Snacks are just as, and sometimes more, important than meals. Snacks get you through the period of desperation between lunch and dinner. Snacks give you a chance to eat some of the fun, bizarre, ridiculous, delicious, non-staple foods (like Cheetos) that it might otherwise be hard to incorporate into a fully-orchestrated meal. (They can also help to regulate your blood sugar, if you want to get all technical.)</p>
<p>They legitimize the hunger that you naturally feel at the mid-morning lull, the mid-afternoon lull, and the late-evening munchy time in front of the TV. We all feel hunger at one or all of these times. There&#8217;s no sense in denying it, so we may as well admit it, make it official, and get on with our lives.</p>
<p>Snacks are legitimate, snacks are official, and when you decide that you are going to eat them and make them a non-negotiable part of taking care of yourself with food, you can stop feeling guilty about them <em>immediately.</em></p>
<p><strong>So let&#8217;s do that right now: you are going to eat snacks.</strong> (Or snax! Because it&#8217;s so much more fun to say. Snax!) Why? Because snacks &#8212; official, pre-planned snax! &#8212; are part of life. They just are.</p>
<p>Providing yourself with regular opportunities to eat means that you will either pick rough times (like 6am, 9, 12pm, 3, 6, and 9pm again), or pick rough intervals (two or three or four hours) <em>at which you will sit down with food in front of you.</em></p>
<p>You do not have to eat. But you have to sit down and look at that food and give yourself real, unconditional permission to eat if you want. And to go back for seconds, or thirds, if you need them. Or to eat half of it and change your mind and throw it away. Or to take a couple of bites and hand it to your husband. (Ahem. What?) Or wrap it back up and stick it in the fridge or freezer for another time.</p>
<p>Sound ridiculous and pointless? It&#8217;s not. It&#8217;s a crucial part of <a href="http://www.fatnutritionist.com/?p=1720">rebuilding trust</a> with your body. It&#8217;s caring for your body <a href="http://www.ellynsatter.com/ellyn-satters-division-of-responsibility-in-feeding-i-80.html?osCsid=57pokp6pg06f2itd6l276s2h72">as you would care for a child.</a></p>
<p><strong>It&#8217;s making a promise to yourself: I will feed you. I will love you. I will let you grow.</strong></p>
<p>Until the promise is made, and kept, and a relationship has been re-established, you cannot go forward toward the top of the pyramid without feeling scared, rebellious, resentful, and suspicious of yourself.</p>
<p><img class="aligncenter" title="Satter's Hierarchy of Food Needs" src="http://www.fatnutritionist.com/wp-content/uploads/2010/01/hierarchy.jpg" alt="" width="311" height="460" /></p>
<p>For now, build the bottom of that pyramid. Next time, we&#8217;ll dance at the top.</p>
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		<title>A love affair with gravity.</title>
		<link>http://feedproxy.google.com/~r/TheFatNutritionist/~3/1sLwJha1K4E/</link>
		<comments>http://www.fatnutritionist.com/index.php/a-love-affair-with-gravity/#comments</comments>
		<pubDate>Fri, 22 Jul 2011 18:34:52 +0000</pubDate>
		<dc:creator>Michelle</dc:creator>
				<category><![CDATA[Fatness]]></category>
		<category><![CDATA[Liking Yourself]]></category>

		<guid isPermaLink="false">http://www.fatnutritionist.com/?p=3650</guid>
		<description><![CDATA[for Katricia Since I started doing this crazy accept-my-body thing eleven years ago, there has been a series of ups and downs with my own body image. I go through good times, I go through bad times. Sometimes really, really bad times. Over the years, the good times get longer and the bad times get [...]]]></description>
			<content:encoded><![CDATA[<p><em>for Katricia</em></p>
<p>Since I started doing this crazy accept-my-body thing eleven years ago, there has been a series of ups and downs with my own body image. I go through good times, I go through bad times. Sometimes <em>really, really</em> bad times. Over the years, the good times get longer and the bad times get shorter. </p>
<p>What doesn&#8217;t change, though, is the amount of pressure on me &#8212; on all of us &#8212; to look a certain way. To be feminine, to be light-skinned, to have smooth hair, to fit into straight-sized clothes.</p>
<p>As you get fatter, gravity doesn&#8217;t get weaker or kinder. It stays the same. Your body is more subject to it, in fact, because apparently the earth is a fat admirer, and wants to keep you as close as possible. As this happens, as the scale creeps up to numbers a previous version of you would have fainted at, you have two choices: to attempt to loosen the bonds of gravity, and Earth&#8217;s apparent amorousness, by making yourself smaller &#8212; or to use gravity to your advantage, to get stronger, strong enough to carry your weight happily through the world.</p>
<p>History has taught me that I&#8217;m not very good at getting smaller, but that my strength? It is awesome. And it can grow.</p>
<p>As one gets bigger, or even just as one becomes <em>more aware</em> of the sickness of the body-obsessed culture, the pressure increases. It drags on you, eventually to the ground, the point of crisis, the valley of decision.</p>
<p>Do I lay here and starve until I am light enough that gravity rescinds its uncomfortable obsession? Then get up and walk fearfully away, knowing I am weakened against the <em>next</em> time it drags me down? Or do I allow myself to rest briefly, then begin to move any muscle I can feel: an arm, a leg, an eyelid &#8212; working continually against the pressure, until I&#8217;m strong enough to <em>stand the fuck up</em>, under my own power, and walk toward the things I want? </p>
<p>The things the world says it won&#8217;t give to me unless I am white, thin, and wearing makeup? The things that I am now strong enough to <em>take for myself,</em> any way I want them?</p>
<p>Each time I&#8217;m dragged down, I&#8217;m stronger and quicker at pulling myself to my feet.</p>
<p>Gravity doesn&#8217;t go away. I get better at remaining upright.</p>
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		<item>
		<title>Pictures of you.</title>
		<link>http://feedproxy.google.com/~r/TheFatNutritionist/~3/DFsMdlpiCBY/</link>
		<comments>http://www.fatnutritionist.com/index.php/pictures-of-you/#comments</comments>
		<pubDate>Sun, 29 May 2011 22:08:05 +0000</pubDate>
		<dc:creator>Michelle</dc:creator>
				<category><![CDATA[D-d-dancing with myself]]></category>
		<category><![CDATA[Fatness]]></category>
		<category><![CDATA[Liking Yourself]]></category>
		<category><![CDATA[Unified Theory]]></category>

		<guid isPermaLink="false">http://www.fatnutritionist.com/?p=3605</guid>
		<description><![CDATA[If all you ever saw were daisies, being confronted with a rose might freak you out. I&#8217;m thinking today about body image. My body image, to be specific, and the way I feel when suddenly confronted with photographs of myself taken by other people, showing my whole body. The experience is one of immediate shock, [...]]]></description>
			<content:encoded><![CDATA[<p>If all you ever saw were daisies, being confronted with a rose might freak you out.</p>
<p>I&#8217;m thinking today about body image. My body image, to be specific, and the way I feel when suddenly confronted with photographs of myself taken by other people, showing my whole body.</p>
<p>The experience is one of immediate shock, often followed by a weird cognitive dissonance. My body doesn&#8217;t Look Right. Because apparently there is a Right Way for bodies to look, and whatever I&#8217;ve constructed in my head as that Right Way sure as hell has nothing in common with the photographic evidence of my squat, round, rather sticky-outy body. </p>
<p>Bodies, in my head, are supposed to be straight up-and-down, to have clean, spare lines and angles. The head should be a particular size in proportion to the rest of the body &#8212; not too large, or, in my case, too small. The feet should not be too long in comparison to the length of the legs; the shape from the front of the thigh to the back of the calf not such a dramatic S-shape. </p>
<p>And, <em>for the love of all that&#8217;s holy,</em> the whole thing should not be so damn big.</p>
<p>After the emotional reaction, I have to start thinking rationally again. That&#8217;s when I realize: hardly anyone spends much of their time daily considering images of themselves, especially not full-body images. Hardly any of us are constantly taking full-body self-portraits, or are surrounded by full-length mirrors. We don&#8217;t spend a few hours here and there watching video of ourselves. </p>
<p>We are too busy being <em>in</em> our bodies daily to spend more than a few minutes confronting how we actually <em>look</em> in them.</p>
<p>Then it occurs to me that all those articles decrying the apparent fat-person curse of Being In Denial of One&#8217;s Fatness are actually just restating the obvious: when you&#8217;re not spending all day staring at yourself, but <em>do</em> spend a considerable portion of your day observing media depictions of bodies that are not much like yourself, isn&#8217;t it natural that the part of your brain dedicated to constructing the Platonic composite of How Bodies Look will be mostly filled with images of sparse, clean lines, slenderness, and a particular head-to-body ratio? </p>
<p>Won&#8217;t you go through your day, in your body, almost implicitly assuming that it looks more-or-less like the definition of Body you have mentally constructed, based on the images and people you&#8217;re constantly surrounded by?</p>
<p>And won&#8217;t you then experience a cognitive dissonance when confronted with an image of a body that breaks all those Platonic rules &#8212; especially when you realize that it belongs to you, that it is, in fact, <em>you?</em></p>
<p>Of course. Of course you will. Not because you are a stupid fat person in denial about your fatness, but because the culture we live in has erased fatness (and other forms of physical variation) from most of its artwork and entertainment. </p>
<p>If you&#8217;re like me, and fatter than about 97% of the population, you&#8217;re also not going to see a whole lot of other people like yourself in daily life. Most people you see, even the relatively fat ones, are going to be a bit less sticky-outy, have proportionally-larger heads, etc. You will also incorporate those impressions into your little Platonic file cabinet, along with the much thinner media impressions. </p>
<p>And your first reaction on seeing a photograph of your body will be one of shock, possibly horror, and an indefinable sense that Your Body is Wrong. </p>
<p>The secret, of course, is that there is no Right Body, no matter how hard our culture tries to define one. There <em>is</em> no Platonic Body floating in indisputable ether &#8212; only real bodies that exist in the real world, available in an extravagant assortment of shapes, colours, sizes, and conformations. None of them wrong or right. All of them <em>just are.</em></p>
<p>And now I can understand that the experience of cognitive dissonance and disgust with how my body looks is an artifact of my cultural training, not a Real and Inescapable Truth About Me, requiring a dramatic gesture of repentant food restriction and mortification of the flesh through exercise.</p>
<p>If anything, the dissonance is a reminder that, because my body is different and even somewhat rare in this world, I must take special care to fill my Platonic File Cabinet with images that make sense to me, that I can identify with. That my own indisputable body shall now be the starting point for my definition of Body, and that I can spend a few minutes daily filling the file cabinet with pictures of me.</p>
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		<item>
		<title>Eating incompetence.</title>
		<link>http://feedproxy.google.com/~r/TheFatNutritionist/~3/VwcxLjw54oU/</link>
		<comments>http://www.fatnutritionist.com/index.php/eating-incompetence/#comments</comments>
		<pubDate>Mon, 04 Apr 2011 12:00:15 +0000</pubDate>
		<dc:creator>Michelle</dc:creator>
				<category><![CDATA[eating]]></category>
		<category><![CDATA[eating competence]]></category>

		<guid isPermaLink="false">http://www.fatnutritionist.com/?p=3551</guid>
		<description><![CDATA[I am not, by any means, a perfect eater. Or even a competent one, every day. I do tend to score high on the validated eating competence inventory, but I am far, far, faaaaar from perfect. In fact, I&#8217;m not sure perfection in eating even exists. Or that I&#8217;d want it to. I&#8217;d like to [...]]]></description>
			<content:encoded><![CDATA[<p>I am not, by any means, a perfect eater. Or even a competent one, every day.</p>
<p>I do tend to score high on the validated <a href=http://www.ncbi.nlm.nih.gov/pubmed/17826696>eating competence inventory</a>, but I am far, far, faaaaar from perfect. In fact, I&#8217;m not sure perfection in eating even <em>exists</em>. Or that I&#8217;d want it to.</p>
<p>I&#8217;d like to consider this blog more than just a lot of blah-blah where I tell people what to do. As you know, <a href=http://www.fatnutritionist.com/?p=2566>I&#8217;m not super-big on <em>anyone</em> telling anyone else what to do</a>. But when you put yourself out there with the big old n-word (&#8220;nutritionist&#8221;), there come a lot of expectations, and also the assumption that You Know What You Are Doing.</p>
<p>All I <em>really</em> know is that I have an idea of what makes eating work for me, and what research and clinical observation has shown to make eating work for lots of other people. But what that <em>actually looks like</em> in each person&#8217;s day-to-day life is different.</p>
<p><img src="http://www.fatnutritionist.com/wp-content/uploads/2011/04/bizarrehabits1.jpg" alt="" title="bizarrehabits" width="374" height="373" class="aligncenter size-full wp-image-3590" /></p>
<p>Frankly, eating well doesn&#8217;t happen for me every day. Hell, there are periods of weeks or even months where my eating looks <em>pretty damn incompetent.</em> When I went through a big old nasty depression and alternated forgetting to eat entirely with eating to the point of numbness; when I lived in a place where the kitchen was tiny and inhabited by roaches; when I didn&#8217;t have money to eat much other than oatmeal, bananas, tuna sandwiches, beans and rice. </p>
<p>What I&#8217;m trying to say is, though I teach this stuff for a living, I&#8217;m still working my way through it. And likely will be for the rest of my life.</p>
<p>I consider this blog a series of reminders to myself of the lessons I have learned about eating: </p>
<ul>
<li>That we all have the right and the need to eat, no matter how much we weigh. </li>
<p>
<li>That we must give ourselves <em>truly unconditional permission</em> to eat whatever we want, in whatever amounts we want, in order to find out what food works for us in what amounts. (Even though that is <em>scary as hell,</em> I know.) </li>
<p>
<li>And that <a href=http://www.fatnutritionist.com/?p=1609>&#8220;discipline&#8221;</a> should only ever enter eating when it comes to the nuts and bolts of self-care: buying groceries. Making food. Taking the time to eat it, <a href=http://www.fatnutritionist.com/?p=3207>and to settle in and notice</a> that <em>we are, indeed, eating it.</em> And sitting with the uncomfortable feelings, maybe even the shame and guilt, that come along with doing those things in a world that tells you to avoid eating at every opportunity.</li>
</ul>
<p>For the record, I think of <a href=http://www.fatnutritionist.com/?p=2509>eating competence</a> not as an objective measure of what or how you eat, <strong>but as eating in a way that supports you both physically and emotionally.</strong> </p>
<p>For a lot of people, the formal description of eating competence (feeling good about food, eating food you enjoy in satisfying amounts, and doing the work to ensure you get fed regularly) is that way. And when I describe my own incompetence with eating, it has less to do with the objective behaviours than how it make me feel &#8212; tired or rundown, physically uncomfortable, taking little joy or comfort in eating. </p>
<p>It does not mean that I am <em>a bad person eating in a bad way,</em> or that it causes long-term harm (you might be shocked at some of the diets people manage to survive on, well into old age.) </p>
<p>What it does mean is that I&#8217;m eating in an unhappy way. And not that I&#8217;m obligated to do better, but that I do <em>deserve</em> better. We all do.</p>
<p>We also <a href=http://www.fatnutritionist.com/?p=1220>deserve to be trusted</a> that we <em>will</em> do better, when we&#8217;re willing and able to. </p>
<p><img src="http://www.fatnutritionist.com/wp-content/uploads/2009/08/break50.jpg" alt="" title="break50" width="300" height="18" class="aligncenter size-full wp-image-620" /></p>
<p><em><center><a href=http://www.fatnutritionist.com/?p=3551#comments>Comments make the blog happy.</a> Especially when they&#8217;re curious, full of fun and insight, and respectful of everyone else&#8217;s experience. </p>
<p><p>
I&#8217;m not super-jazzed about unsolicited advice, unwarranted suspicion, or telling anyone how they should eat. <a href=http://www.fatnutritionist.com/?p=3551#comments>Now go play!</a>
<p></em></center></p>
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		<item>
		<title>My husband is a housewife.</title>
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		<comments>http://www.fatnutritionist.com/index.php/my-husband-is-a-housewife/#comments</comments>
		<pubDate>Mon, 28 Mar 2011 17:34:31 +0000</pubDate>
		<dc:creator>Michelle</dc:creator>
				<category><![CDATA[Random Shit]]></category>
		<category><![CDATA[gender roles]]></category>
		<category><![CDATA[homemaking]]></category>

		<guid isPermaLink="false">http://www.fatnutritionist.com/?p=3423</guid>
		<description><![CDATA[A lot of people don&#8217;t know this but, nutrition and home economics are intimately related. Lots of people in my degree program don&#8217;t become dietitians or nutritionists, but Professional Home Economists &#8212; because you don&#8217;t have to know how to feed someone through a tube to teach people about food and nutrition. I have a [...]]]></description>
			<content:encoded><![CDATA[<p>A lot of people don&#8217;t know this but, nutrition and home economics are intimately related. Lots of people in my degree program don&#8217;t become dietitians or nutritionists, but <a href=http://www.ohea.on.ca/Professional_Home_Economist>Professional Home Economists</a> &#8212; because you don&#8217;t have to know how to feed someone through a tube to teach people about food and nutrition.</p>
<p>I have a personal background in home economics myself, since before I entered school to study dietetics, I was a housewife &#8212; back in my late teens and early twenties, when I first married and immigrated to Canada. </p>
<p>To be honest, I love homemaking. I admire homemakers, and I admire the skill-set necessary to be a good one. I admire people who have the disposition to do under-appreciated and unpaid Woman&#8217;s Work. You have to be incredibly self-motivated, and have an understanding of time management, finances, practical chemistry, appliance repair, cooking, textiles, and even decorating. Child-rearing, too, if you&#8217;re so inclined. </p>
<p>Most of us modern folks get by on working outside of the home and hiring people (or buying products) to do a lot of those things for us. Full-time homemaking is a radically DIY endeavour.</p>
<p>And I&#8217;m TERRIBLE at it.</p>
<p>I&#8217;ve come to grips with the fact that I am <em>rotten</em> homemaker, though I&#8217;ve studied it intensely and love doing it. The problem is, I can only handle it for short periods of time, and I burn out easily. My brain just can&#8217;t fire on those particular cylinders 24/7, so I only use my hard-won, mostly-self-taught homemaking skills in short bursts here and there, when I&#8217;m in the mood.</p>
<p>When I got married, I did not know how to cook, how to sew, or how to organize my own time without a job or a school schedule to keep me on track. I knew how to bake cookies, do laundry, clean bathrooms, and (awkwardly) care for young children. My mom wasn&#8217;t a homemaker &#8212; she was a full-time nurse manager with a degree in business. She did payroll on the weekends and served as an expert court witness in her spare time. Needless to say, despite her somehow knowing many of The Womanly Arts herself, she didn&#8217;t have a lot of time to transmit them to her eye-rolling daughter. </p>
<p>All of my photo-developing, poetry-writing, makeup-wearing, singing-and-acting skills didn&#8217;t turn out to be very helpful when I got married. I had to fill in the gaps myself through a lot of painful trial-and-error.</p>
<p>My husband, on the other hand, was given a lot of household responsibility in his teens. He homeschooled himself, did housework, yardwork, and started dinner. He got into the habit of work first, play later. He learned how to motivate himself and how to spend his time wisely &#8212; broad skills that are even more important to homemaking than knowing the intricacies of doing various types of laundry.</p>
<p>My career as a housewife was a pretty miserable time for both of us, especially at first. Neither of us enjoyed our traditional roles as breadwinner and homemaker. When I was finally allowed to work in Canada, we ditched that set-up for the more conventional two-income deal. But three years ago, when he developed a painful-but-not-disabling physical condition, we switched roles again, and decided to live like church mice on my income for a year, while he ran the gamut of doctors and specialists and treatments. </p>
<p>And, except for all the doctor&#8217;s appointments, it turned out to be pretty awesome.</p>
<p>I only made just enough money to tread water, and I was physically tired and my feet hurt, but I came home to a hot dinner, a clean apartment, and a cheerful husband every night. Even the cats loved it, because they always had a doorman, fresh food, and a clean litter box.</p>
<p>The biggest problem was this: whenever my colleagues asked what my husband did for a living, I stuttered and tried to explain, and got a lot of meaningfully-raised eyebrows. A few of them even told me straight-out that he was taking advantage of me &#8212; the guy who imported me to the country and therefore signed up to be my financial sponsor for the next ten years. The guy who fed and clothed me on factory wages when I wasn&#8217;t yet allowed to work. The guy who co-signed my enormous school loans, taking on debt that wasn&#8217;t even his, and then moved to the big, mean city so I could pursue a rather unconventional career. </p>
<p>Their suspicions really bothered me, mostly because I knew they were wrong, but partly because it freaked me out enough that I also sometimes wondered if they were right.</p>
<p>After a year, his illness got better, my work situation changed, and he went back to full-time work. He paid for me to continue school, to take extra training, and threw his total support behind my crazy-ass idea of starting a bizarre internet business in the middle of a recession. The business worked enough to equal my previous church-mouse income, and we both started to realize that we missed it &#8212; we both really missed having him here full-time. </p>
<p>I hated his job even more than he did, so I begged him to come back home.</p>
<p>Having lived on both sides of the fence, I can no longer buy the idea that there&#8217;s anything inherently suspicious about a man staying home to do the work of running a household. Frankly, I think it&#8217;s sexist to automatically assume so. All those years I was home, no one even hinted in a whisper that <em>I</em> might be taking advantage of <em>him</em>. A female homemaker is just easier to swallow, thanks to years of gendered sugar-coating.</p>
<p>It&#8217;s no coincidence that the largest field to grow out of home economics &#8212; clinical dietetics &#8212; is still about 98% female. Gender roles die hard, even when they&#8217;re moved out of the home and into the hospital. But despite them, and despite all sorts of convenient evolutionary psychology, no one can deny the bare fact that <em>my husband is a better homemaker than I am.</em> </p>
<p>Even though I grew up female with the attendant babydolls and beloved miniature kitchen accessories, while he played with rubber wrestling figurines and Transformers. Even though my professional training includes how to make a flaky pastry and properly sanitize a sink, while his includes how to grind a smooth weld and properly assemble a computer.</p>
<p>It&#8217;s only been two weeks, but already things are better. I have my meals more regularly, there are groceries in the house, and the place is clean. He&#8217;s done repair jobs that have gone neglected since we moved in. The cats are, again, spoiled by having their preferred human always around, and I&#8217;m slowly regaining the energy and time to write, while also seeing the extraordinary clients who put food on our table.</p>
<p>He&#8217;s contented that, instead of helping union-busting assholes make <em>even more</em> profit, his efforts now go toward keeping me sane and helping people, especially women, recover from chronic dieting and fear of food. </p>
<p>Not because he&#8217;s <em>secretly exploiting me,</em> but because he believes in this and loves you guys almost as much as I do.</p>
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		<item>
		<title>Gym class.</title>
		<link>http://feedproxy.google.com/~r/TheFatNutritionist/~3/xldHIAKSJlQ/</link>
		<comments>http://www.fatnutritionist.com/index.php/gym-class/#comments</comments>
		<pubDate>Thu, 24 Feb 2011 03:56:59 +0000</pubDate>
		<dc:creator>Michelle</dc:creator>
				<category><![CDATA[children]]></category>
		<category><![CDATA[Moving]]></category>

		<guid isPermaLink="false">http://www.fatnutritionist.com/?p=3122</guid>
		<description><![CDATA[Let&#8217;s talk about goddamn gym class here for a minute. I wasn&#8217;t a particularly fat kid, but I was always slightly larger than average. I was heavier, and a little taller, than most of the kids my age (until they caught up with me, height-wise, later on &#8212; then I was just heavier.) And though [...]]]></description>
			<content:encoded><![CDATA[<p>Let&#8217;s talk about goddamn gym class here for a minute.</p>
<p>I wasn&#8217;t a particularly fat kid, but I was always slightly larger than average. I was heavier, and a little taller, than most of the kids my age (until they caught up with me, height-wise, later on &#8212; then I was just heavier.) </p>
<p>And though I&#8217;m a naturally pretty strong person (HULK SMASH), and have always had a freakish ability to do sit-ups, I have never been athletically gifted. There are lots of reasons for that, biomechanically and personally, but I&#8217;ll just leave it at that to avoid the million-word rant on growing up a flat-footed, bookish girl in contemporary America.</p>
<p>Nevertheless, the memories of my childhood are filled with movement, with gleeful sweat and breathlessness. I was terrified to learn to ride my first bike, but I did it, goddammit, because there is pretty much nothing better than the feeling of being on two wheels, of that flexible, dynamic balance that depends entirely on <em>speed. </em></p>
<p>Before we were old enough to know better, my girlfriends and I spent large chunks of our adolescence doing insane shit on bicycles. Unfinished construction sites, vacant lots, empty meadows, random kid-created trails through the forest tracing the precipices of ravines that would&#8217;ve made our parents shit their pants if they&#8217;d known what we were up to &#8212; that&#8217;s where we spent our time as girls, just average girls, none of us particularly athletic &#8212; on mountain bikes in Oregon. </p>
<p>Then there were the summers spent in pools, developing underwater sunburns, learning to hold our breath for a solid two minutes, sinking to the bottom of the pool and screaming to each other in a cataclysm of bubbles. My dad would hide quarters on the bottom of the pool, and this chubby, short-sighted kid would surface dive eight or ten feet to retrieve them, sans glasses or goggles, with absolutely no problem at all.</p>
<p>And then there was the issue of gym class. </p>
<p>It started off well enough, in elementary school, when it was just glorified indoor recess, with floor hockey sticks, pillow-soft dodgeballs, and the occasional &#8220;slightly irregular but for-reals&#8221; parachute donated for the purpose of making little kids pee themselves with joy &#8212; and, once a year, the climbing rope that only one strangely monkeyish kid would ever be able to climb. (Thank you, Mr. Jukkala, for the memories.) </p>
<p>At the end of the school year, we&#8217;d have a field day, where everyone ran in goofy obstacle courses and sack races, just for the excellent ridiculous fun of it, and &#8212; God&#8217;s honest truth &#8212; I even once did a charity run when I was ten, because I had two secret weapons: Fleetwood Mac on my dad&#8217;s cassette Walkman, and I skipped the entire way. Because I sucked at running <em>even then.</em> </p>
<p>In short, I had a pretty happily active childhood, despite being the unathletic and slightly fat child of two decidedly unathletic and slightly fat parents. Until gym class became a &#8220;thing,&#8221; that is. A graded, micromanaged academic requirement, starting in junior high &#8212; unhappily coinciding with the absolute social, emotional, and physical nadir of human existence. Or at least of mine.</p>
<p>If you want to destroy all the inherent joy in something, slap a grade on it. Go ahead; I&#8217;ll wait. Put a grade on your bleary, early-morning coffee-making skills, or set a number of minutes of daily television-watching required to achieve aptitude, or hell, challenge yourself to finish peeing in record time, and watch as the fun (or even the absolute <em>neutrality</em>) of these things is eroded, little by little, until it becomes a chore to drink coffee, watch TV, or take a leak. </p>
<p>Then compare how well you do on those chores compared to your peers, and watch your self-respect begin to circle down that little, demoralizing drain shaped like a &#8220;C&#8221; &#8212; a statistically average mark &#8212; written in red ink.</p>
<p>Now, this isn&#8217;t something I&#8217;ve made up for the benefit of a bunch of lazy icky fatties who want an excuse to feel like they&#8217;re not total losers. It&#8217;s a phenomenon confirmed by <a href=http://www.alfiekohn.org/teaching/fdtd-g.htm>behavioural research</a> &#8212; and one of many reasons why I hate school in general, though I&#8217;m naturally a good student. </p>
<p>But it&#8217;s one thing to destroy the intrinsic joy of doing, say, a set of math problems or memorizing the names of the presidents of the United States &#8212; and if a kid has a good enough teacher, or naturally enjoys a subject enough, they might even make it through school without having their spirit crushed in a particular topic.</p>
<p>It is another thing entirely to interfere with a person&#8217;s joy in one of the basic requirements of biological life.</p>
<p>When you put a hamster in a cage, you&#8217;re preparing to give it a pretty bare-bones existence. And what do you provide it? Food, of course, and definitely water. A place to poop and a place to sleep. <em>And a hamster wheel.</em> </p>
<p>It&#8217;s considered cruel to keep a dog tethered to one spot without a place to run, or cooped up in a tiny apartment unless the owner is really dedicated to going on walks. Even my cats, the most indolent creatures ever to occupy the earth, need strings and foam balls and random, crumpled up pieces of paper to bat inconveniently beneath furniture. They sleep, eat, and poop for twenty-three-and-a-half hours of the day&#8230;but for the remaining thirty minutes? They are tearing shit up like it is their mission in life.</p>
<p>Animals need movement, and even have an appetite for it, just as they do food and sleep. Also, humans are animals. We need to move. All of us &#8212; <em>even those of us who are not physically gifted.</em> But, just as with eating, external pressures and expectations get in the way of our ability to negotiate this very primal urge.</p>
<p>People say we need gym class because OMGCHILDHOODOBESITY!!! People say that this generation of children is hopelessly addicted to screens of every variety, that they will be the first generation to have a shorter life expectancy than their parents. </p>
<p>People, in short, say a lot of stupid shit. </p>
<p>You want to help fat kids move? Help them <em>enjoy</em> moving. Help <em>all</em> kids to enjoy moving. And how do you do that? Well, I can tell you how you <em>don&#8217;t</em> &#8212; by throwing a bunch of them together like army recruits to do bootcamp calisthenics, and then give them mostly-arbitrary grades for it.</p>
<p>Just like with eating, helping kids to move well requires a <a href=http://www.ellynsatter.com/ellyn-satters-division-of-responsibility-in-activity-i-81.html>division of responsibility</a> &#8212; which, strangely enough, is pretty much what happens when you turn kids loose on a playground: the adults choose when and where and what to make available, and the kids take it from there. They get to decide how much, and whether, and which. And, unless you&#8217;re a disgusting misanthrope, you&#8217;ll trust the kids to work to their own level, to their own strengths and capacities. </p>
<p>You won&#8217;t interfere, you won&#8217;t get heavy-handed, you won&#8217;t suck all the natural joy out of it. And you&#8217;ll leave the red pen in the classroom.</p>
<p><img src="http://www.fatnutritionist.com/wp-content/uploads/2009/08/break50.jpg" alt="" title="break50" width="300" height="18" class="aligncenter size-full wp-image-620" /></p>
<p><center><em>You probably have some choice words for gym class. And that&#8217;s why the good Lord gave us <a href="http://www.fatnutritionist.com/?p=3122#comments">comments</a>.</em> </center></p>
<p>
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		<title>Surprising results from my totally unscientific survey.</title>
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		<comments>http://www.fatnutritionist.com/index.php/surprising-results-from-my-totally-unscientific-survey/#comments</comments>
		<pubDate>Fri, 04 Feb 2011 09:15:58 +0000</pubDate>
		<dc:creator>Michelle</dc:creator>
				<category><![CDATA[eating]]></category>
		<category><![CDATA[Random Shit]]></category>

		<guid isPermaLink="false">http://www.fatnutritionist.com/?p=3321</guid>
		<description><![CDATA[I recently asked a bunch of people what, if anything, they would most like to change about their relationship to food. As expected, since people vary, there was a wide range of responses, all of which were cogent and wonderful. I guess I had my suspicions about what issues would be most popular. I expected [...]]]></description>
			<content:encoded><![CDATA[<p>I recently asked a bunch of people what, if anything, they would most like to change about their relationship to food. As expected, since people vary, there was a wide range of responses, all of which were cogent and wonderful.</p>
<p>I guess I had my suspicions about what issues would be most popular. I expected maybe people would want to learn how to stop eating when full? And, yes, that was a pretty popular wish. Or maybe, how to eat nutritiously (or, to use the phrase from <a href=http://www.fatnutritionist.com/?p=1817>Satter’s Hierarchy of Food Needs</a>, “instrumentally”) without driving oneself bonkers? And, yes, that came up too.</p>
<p>But the most popular wish of all, the one that came up most often, was one that wasn’t even really on my radar when I asked the question – despite the fact that it was something I have struggled with myself, and something that was a key lesson I learned when I went through the <a href=http://www.fatnutritionist.com/?page_id=677>Learn to Eat</a> process myself several years ago. </p>
<p>You know what it was?</p>
<p><strong>How to eat in front of other people.</strong></p>
<p>By this, people do not, of course, mean <em>how to put food in their mouth</em> with other people present, or <em>what foods they should choose</em> when eating with others, but <em>how to stop feeling so damn self-conscious</em> about eating in public. Or with friends and family. Or with strangers at a party.</p>
<p>This not only makes perfect sense to me, having tussled with the same thing in the past, but it’s something that comes up again and again, now, with my clients.</p>
<p>So, I thought, yes – of course! Let’s write a little primer on how to eat in front of other people. And I have.</p>
<p>It&#8217;s a pdf, made with love&#8230;and with absolutely no clue how to make a pdf. I&#8217;ll email it to you if you fill in the form (the one that says &#8220;Join THE LIST&#8221;) over there on the right.</p>
<p>Alrighty then! If you take a look, let me know what you think. Or if you have things to say about eating in public, please do so in <a href="http://www.fatnutritionist.com/?p=3321#comments">comments</a>.</p>
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		<item>
		<title>Fat / counterfat.</title>
		<link>http://feedproxy.google.com/~r/TheFatNutritionist/~3/ronXXD-gQeo/</link>
		<comments>http://www.fatnutritionist.com/index.php/fat-counterfat/#comments</comments>
		<pubDate>Fri, 28 Jan 2011 16:59:42 +0000</pubDate>
		<dc:creator>Michelle</dc:creator>
				<category><![CDATA[Diets]]></category>
		<category><![CDATA[News]]></category>
		<category><![CDATA[jeff spicoli]]></category>

		<guid isPermaLink="false">http://www.fatnutritionist.com/?p=3306</guid>
		<description><![CDATA[I wrote a little counterpoint piece for Consider. (Up against the Senior Dietitian for the University of Michigan Health System’s Bariatric Surgery Program &#8212; hardly a fair fight!) But you want to read something that truly blows this out of the water? Linda Bacon and Lucy Aphramor (two women who each have a large chunk [...]]]></description>
			<content:encoded><![CDATA[<p>I wrote a little <a href=http://consideronline.org/2011/01/26/fat-and-fit/>counterpoint piece</a> for <em>Consider</em>. (Up against the Senior Dietitian for the University of Michigan Health System’s Bariatric Surgery Program &#8212; hardly a fair fight!)</p>
<p>But you want to read something that truly blows this out of the water? Linda Bacon and Lucy Aphramor (two women who each have a large chunk of my heart &#8212; and please note that Lucy is a DIETITIAN. Yes, fat-accepting dietitians <em>do</em> exist; <a href=http://thejoyofeating.wordpress.com/>here&#8217;s another one</a>) have just published a piece in BioMed Central&#8217;s <em>Nutrition Journal</em> &#8212; which means the full text is available to <em>everyone.</em></p>
<p><a href=http://www.nutritionj.com/content/pdf/1475-2891-10-9.pdf>Weight Science: Evaluating the Evidence for a Paradigm Shift</a>.</p>
<blockquote><p><strong>Assumption: Anyone who is determined can lose weight and keep it off through appropriate diet and exercise.</strong></p>
<p>Evidence: Long-term follow-up studies document that the majority of individuals regain virtually all of the weight that was lost during treatment, regardless of whether they maintain their diet or exercise program [5, 27]. Consider the Women’s Health Initiative, the largest and longest randomized, controlled dietary intervention clinical trial, designed to test the current recommendations. More than 20,000 women maintained a low-fat diet, reportedly reducing their calorie intake by an average of 360 calories per day [102] and significantly increasing their activity [103]. After almost eight years on this diet, there was almost no change in weight from starting point (a loss of 0.1 kg), and average waist circumference, which is a measure of abdominal fat, had <strong>increased</strong> (0.3 cm) [102].</p></blockquote>
<p>Learn it. Know it. Live it.</p>
<p><iframe title="YouTube video player" class="youtube-player" type="text/html" width="480" height="390" src="http://www.youtube.com/embed/5RUe02kPWvg" frameborder="0" allowFullScreen></iframe></p>
<p>And have an awesome weekend.</p>
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		<item>
		<title>Food you like is food that feels good.</title>
		<link>http://feedproxy.google.com/~r/TheFatNutritionist/~3/ywRSTCTifgs/</link>
		<comments>http://www.fatnutritionist.com/index.php/food-you-like-is-food-that-feels-good/#comments</comments>
		<pubDate>Tue, 25 Jan 2011 02:26:58 +0000</pubDate>
		<dc:creator>Michelle</dc:creator>
				<category><![CDATA[eating]]></category>
		<category><![CDATA[Humane Nutrition]]></category>
		<category><![CDATA[Unified Theory]]></category>

		<guid isPermaLink="false">http://www.fatnutritionist.com/?p=3207</guid>
		<description><![CDATA[One of my most scandalous messages is that you should eat whatever you want, in whatever amount you want. What scandalizes me is how people often interpret this message. Over and over again, this is how people respond: &#8220;I can&#8217;t do that because I would eat cake 24/7.&#8221; &#8220;But you&#8217;d overeat all the time!&#8221; &#8220;I&#8217;d [...]]]></description>
			<content:encoded><![CDATA[<p>One of my most scandalous messages is that you should <a href=http://www.fatnutritionist.com/?p=2566>eat whatever you want</a>, in whatever amount you want.</p>
<p>What scandalizes <em>me</em> is how people often interpret this message. Over and over again, this is how people respond:</p>
<blockquote><p>
&#8220;I can&#8217;t do that because I would eat cake 24/7.&#8221;</li>
<p>&#8220;But you&#8217;d overeat all the time!&#8221;</li>
<p>&#8220;I&#8217;d eat such an unbalanced diet I&#8217;d make myself sick.&#8221;</li>
</blockquote>
<p>And I can only figure that when I say, &#8220;Eat food. Stuff you like. As much as you want,&#8221; what people actually hear is:</p>
<p><center><strong>&#8220;Eat food that makes you feel like crap, in crappy amounts.&#8221;</strong></center></p>
<p><p>
This interpretation says some pretty breathtaking things about our culture&#8217;s assumptions about food.</p>
<p>For one thing, it says that we believe tasty food and healthy food are not the same thing. And that, if you were to eat <em>exclusively tasty food</em> from here on out, you&#8217;d be eating a nutritionally reprehensible diet for the rest of your life. </p>
<p>To which my internal peanut gallery goes, &#8220;Buuuuh?&#8221;</p>
<p>Not only does every food, including junk food, <a href=http://www.fatnutritionist.com/?p=2909>contain useful nutrition</a>, but more importantly &#8212; nutritious food is often <em>fucking delicious.</em> If this is not your experience of food, then one of a couple of things might be going on:</p>
<p>Maybe you need to reassess what &#8220;nutritious&#8221; means to you by learning a bit of Nutrition 101 &#8212; What&#8217;s a carb? What&#8217;s fat? What is protein? Where do you find them? <em>(A: anywhere there is something edible.)</em> And what do they do for you? <em>(A: pretty much everything.)</em></p>
<p>Or perhaps you haven&#8217;t ever encountered &#8220;healthy&#8221; food in anything other than a guilt-ridden context &#8212; and thus have always felt resentful toward it and, as a result, your primary nutrition concern is to either be <em>on the wagon,</em> or off it and eating as rebelliously as possible.</p>
<p>Maybe you&#8217;ve truly never learned to enjoy more than a very few foods, and your palate needs expanding. Maybe you&#8217;re under some kind of therapeutic restriction that you haven&#8217;t yet been reconciled with. </p>
<p>Or maybe you only allow yourself to eat when you are <em>desperately hungry</em> &#8212; in which situation you are more likely to reach for calorically-dense &#8220;bad&#8221; foods because you&#8217;re at <a href=http://www.fatnutritionist.com/?p=1817>the bottom of the pyramid</a>. And, at that stage, getting enough food = getting enough calories.</p>
<p>Any way you spin it, <em>something</em> is interfering with you and your food.</p>
<p>For a second thing, those assumptions indicate that we believe <em>everyone wants to overeat, all the time.</em> I don&#8217;t know if this is an assumption borne of <a href=http://fiercefatties.com/2011/01/21/euphemism-for-hungry-forever/>a lifetime of restrained eating and constant hunger</a>, or a misunderstanding of how much food it is actually appropriate to eat <em>(A: <a href=http://www.fatnutritionist.com/?p=139>however much</a> supports your health and leaves you feeling satisfied, regardless of weight)</em>, or a belief that <a href=http://www.fatnutritionist.com/?p=214>food is addictive</a>, or whether it has <a href=http://en.wikipedia.org/wiki/Original_sin>a moral underpinning</a>, but either way &#8212; it&#8217;s an inaccurate and pretty shitty thing to believe about humanity (and food) in general.</p>
<p>If you are like most human beings, you probably seek pleasure and avoid pain, within certain moral constraints &#8212; you like to feel good and you dislike feeling bad.</p>
<p>When it comes to food, at least in the immediate term, it&#8217;s pretty obvious that people like food that tastes good, and dislike food that tastes bad. But there is more to food than just our immediate experience of it.</p>
<p>Those of you with lactose intolerance, especially, will understand when I say: </p>
<p><center><strong>How food makes you feel is often as important as how it tastes.</strong></center></p>
<p><p>
If you&#8217;ve never, ever stopped to think about how food makes you feel after eating it, maybe you&#8217;ve been so caught up in the shame-spiral of restraint and disinhibition that you haven&#8217;t had much mental real estate to devote to the idea. Or maybe you&#8217;ve been eating according to externally-imposed nutrition rules and guidelines without really pausing to notice <em>how you actually feel</em> when you eat that way. Or you&#8217;re in the midst of <a href=http://www.fatnutritionist.com/?p=1720>the great divorce.</a> And you&#8217;re not alone.</p>
<p>But learning how food makes you feel, both immediately and a little way down the road, is a fundamental part of learning how to care for yourself. </p>
<p>In my mind, food that makes you feel weird or off &#8212; no matter how good it tastes right now &#8212; isn&#8217;t food you can unconditionally love. Amounts of food that make you feel bad aren&#8217;t amounts of food you actually <em>want</em> to eat. And if you find yourself continually sacrificing your well-being for the lovely, immediate feel and taste of food, it&#8217;s a sign that something has gone wrong. </p>
<p>I eat, without reservation, basically whatever I want. Having a really relaxed attitude toward food, and unconditional permission to eat it, has allowed me to stop thinking so much about what I <em>should or shouldn&#8217;t</em> eat, and instead to notice how food tastes, as well as how it makes me feel. Here&#8217;s a brief sample of the observations I have accumulated, as a result:</p>
<blockquote><p>I like the taste of Coca-Cola <em>a lot.</em> But it also makes me feel thirsty and a little weird sometimes, so I drink it occasionally, along with food, and often along with plain water and lots of ice. I feel better if I eat a high-fibre breakfast that contains a good dollop of fat (in the form of butter or cream) &#8212; it&#8217;s more satisfying, tastes better, and stays with me longer. I feel better, more energetic, less run-down, and more satisfied if I eat vegetables with dinner. I need a good serving of protein with lunch and dinner. If I don&#8217;t eat an afternoon snack, I feel sleepy. I feel and function better when I drink at least two big glasses of water each day. I really like strawberries, and I prefer eating them whole, fresh or frozen. Aside from strawberries, I don&#8217;t much like eating fruit all by itself because simple sugars alone make me feel funny. Adding cheese or nuts makes it work better. Sugar-sweetened cereals taste really good, but don&#8217;t satisfy me and often scratch up my mouth. So I think of them mostly as snacks or desserts, instead of as breakfast. I love chocolate and it leaves me feeling fine, so I eat it when I want it, but I rarely eat enough to make me feel ill or uncomfortable. Light popcorn pops up better and is crunchier than extra-butter flavour popcorn. If I want more butter, I&#8217;ll melt some real butter and add it after popping. And I really, really dislike the feeling of being either desperately hungry or uncomfortably full.</p></blockquote>
<p>These observations allow me to eat what I want, in amounts that I want &#8212; which means that I get to eat food that both tastes good and feels good. I get to satisfy my hunger without disrespecting my satiety, and I take care of myself with food instead of hurting myself with it. </p>
<p>To me, &#8220;wanting&#8221; something means <em>more</em> than just liking how it tastes &#8212; it also means considering how it makes me feel. The two variables comes together in a sort of split-second cost-benefit analysis, each time I eat, to answer the eternal question, <em>what do I want?</em></p>
<p>No matter what I end up choosing in any given situation, the answer is always the same: <em>I want to feel good.</em></p>
<p><img src="http://www.fatnutritionist.com/wp-content/uploads/2009/08/break50.jpg" alt="" title="break50" width="300" height="18" class="aligncenter size-full wp-image-620" /></p>
<p><center><em>As always, remember that <a href=http://fatfu.wordpress.com/2008/03/18/mental-health-at-every-size-yes-your-brain-counts-too/>mental health is a part of health</a>. And, if you&#8217;re not an asshole, why not leave <a href=http://www.fatnutritionist.com/?p=3207#comments>a comment?</a></em></center></p>
<p>
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		<item>
		<title>Notes on “Heavy.”</title>
		<link>http://feedproxy.google.com/~r/TheFatNutritionist/~3/ZjGpQnKD1dc/</link>
		<comments>http://www.fatnutritionist.com/index.php/notes-on-heavy/#comments</comments>
		<pubDate>Fri, 21 Jan 2011 15:18:10 +0000</pubDate>
		<dc:creator>Michelle</dc:creator>
				<category><![CDATA[eating]]></category>
		<category><![CDATA[Eating Disorders]]></category>
		<category><![CDATA[Fatness]]></category>
		<category><![CDATA[heavy]]></category>

		<guid isPermaLink="false">http://www.fatnutritionist.com/?p=3150</guid>
		<description><![CDATA[I don&#8217;t normally write about TV shows. In fact, I purposely avoid watching TV shows about nutrition, fitness, and weight loss because they annoy me, and my yelling at the television then annoys my husband. But when I saw the advertisements for A&#038;E&#8217;s new show Heavy (in between advertisements for Hoarders and Intervention, in case [...]]]></description>
			<content:encoded><![CDATA[<p>I don&#8217;t normally write about TV shows. In fact, I purposely avoid watching TV shows about nutrition, fitness, and weight loss because they annoy me, and my yelling at the television then annoys my husband. </p>
<p>But when I saw the advertisements for A&#038;E&#8217;s new show <em><a href=http://www.youtube.com/watch?v=GbNccR8V2Zc>Heavy</a></em> (in between advertisements for <em><a href=http://www.aetv.com/hoarders/index.jsp>Hoarders</a></em> and <em><a href=http://www.aetv.com/intervention/video/index.jsp>Intervention</a></em>, in case you were wondering about the tenor of the show), I really wanted to watch it. And, this time, to avoid yelling at the television, I decided to yell at the internet instead.</p>
<p><a href=http://bcove.me/zcpdp7ry>Episode one, &#8220;Tom and Jodi,&#8221;</a> opens with this quote: </p>
<p><strong><center>&#8220;Nearly 100 million Americans suffer from debilitating obesity.&#8221;</center></strong></p>
<p>And here&#8217;s our first fact-check, before the show even properly begins. While 1/3rd of Americans are &#8220;obese&#8221; by the BMI (BMI of 30 or greater), <a href=http://www.win.niddk.nih.gov/statistics/index.htm#overweight>only 5.7% are considered &#8220;extremely obese&#8221;</a> (BMI of 40 or greater. I&#8217;m one of them. Hi!) The people featured on <em>Heavy</em> are in this weight category &#8212; it&#8217;s the highest one. Tom weighs 638 pounds and has a BMI of around 94. Jodi weighs 367 pounds. </p>
<p>If your <a href=http://www.flickr.com/photos/77367764@N00/1459239412/in/set-72157602199008819/>BMI is 30</a>, do you consider yourself debilitated by your obesity?</p>
<p>At a BMI of well over 40, I may sometimes move and bend a bit differently than thinner people, but I don&#8217;t really feel debilitated.<br />
<img src="http://www.fatnutritionist.com/wp-content/uploads/2011/01/butt1.jpg" alt="" title="butt" width="230" height="307" class="aligncenter size-full wp-image-3160" /></p>
<p>The most limiting thing about being &#8220;extremely obese,&#8221; for me, is being afraid to exercise in public because I am likely to be harassed (and have been. Thanks, random lady joggers and dudes in cars! You have successfully encouraged me to exercise and get healthy!) </p>
<p>That, and certain seatbelts. But at least the seatbelts don&#8217;t call me names.</p>
<p>The people on the show are not only fatter than 94% of the population, they exhibit very obvious signs of compulsive or binge eating. (Which the show repeatedly refers to in terms of &#8220;addiction,&#8221; <a href=http://www.fatnutritionist.com/index.php/is-eating-an-addiction/>something I have a problem with</a>.) Whether or not they meet the clinical criteria for an eating disorder, these are disordered eating patterns. Most fat people do not binge eat, and many binge eaters are not obese. Conflating compulsive overeating with fatness is not just inaccurate, it can be dangerous. </p>
<p>Fat people going to doctors for non-eating-related complaints may be told to stop binge eating, even if they don&#8217;t binge eat. (<a href=http://fathealth.wordpress.com/2007/12/07/of-course-youre-a-binge-eater-youre-fat/>I have been</a>.) And thinner people who do experience binge eating &#8212; which is a type of eating that is not exactly optional, voluntary, pleasant, and definitely not the result of gluttony, greed, or general immorality &#8212; may go undiagnosed and untreated.</p>
<p>None of this is to minimize OR marginalize what Jodi and Tom experience. My intent is only to put into perspective a serious condition that the show&#8217;s creators obviously have tried to render commonplace &#8212; perhaps epidemic? &#8212; by suggesting that <em>fully one-third of the US population</em> lives and suffers like this.</p>
<p>If anything, this attempt to make the exceptional seem typical diminishes the seriousness of what these people experience. An audience of (potentially) 100 million &#8220;obese&#8221; individuals is likely to try and relate their experience as relatively unimpaired fat people to those on the show. And since many of those fat people will not have experienced compulsive or binge eating, or the immobility and physical challenges of being extremely large, they may be unable to empathize with these issues, and the fact that recovery is more than a matter of &#8220;willpower.&#8221; And, let&#8217;s be frank &#8212; like <em>Hoarders</em> and <em>Intervention</em>, this is likely to become a point-and-pity affair, not something that the majority of the audience can truly relate to.</p>
<p>Jodi and Tom are clearly in pain, and their weight definitely appears to contribute to that pain, both emotionally and physically. Their eating habits likely to contribute to their weight &#8212; but &#8220;contribute&#8221; is not the same thing as &#8220;cause.&#8221; Furthermore, the drive to eat compulsively is not under one&#8217;s control, and may even be the result of an underlying physiological imbalance, not just a psychological one.</p>
<p>Much of the emotional suffering described on the show is not even directly caused by the physical reality of extreme obesity. Rather, the pain described is often the pain of discrimination, social ostracization, and prejudice. Jodi describes giving up her career as a singer in a rock band because of the discomfort of standing on stage, knowing that people in the audience were judging her. Tom hasn&#8217;t been to the doctor in fifteen years &#8212; anyone want to take a wild guess as to why?</p>
<p>The physical pain is another matter. Some of it, maybe a lot of it, is caused directly by weight, but there are other issues at play as well. Tom exhibits signs that look (to me) like exercise-induced asthma, a condition that weight can exacerbate but does not <em>cause,</em> and that discourages people from moving because, untreated, it can be life-threatening. He also has high blood pressure &#8212; again, a condition that can be exacerbated by weight, but is not caused by weight alone. Jodi has had a mini-stroke, and the same can be said for weight&#8217;s role in that condition. </p>
<p>So what other issues might be at play? Lack of fitness, as a result of finding movement uncomfortable or inaccessible (for either physical or social reasons), independently contributes to physical suffering and immobility. Emotional stress, <a href=http://www.biomedcentral.com/1471-2458/8/128>such as that caused by living in a world that does not physically accommodate you or socially accept you</a>, can also independently contribute to physical health problems like those described. </p>
<p>These are complex issues for which weight is only one factor.</p>
<p>Next time, maybe I&#8217;ll yell at the blog about the month-long weight loss program presented on <em>Heavy.</em></p>
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		<title>Watch me eat pickled herring.</title>
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		<pubDate>Tue, 18 Jan 2011 06:29:21 +0000</pubDate>
		<dc:creator>Michelle</dc:creator>
				<category><![CDATA[eating]]></category>
		<category><![CDATA[challenging food]]></category>

		<guid isPermaLink="false">http://www.fatnutritionist.com/?p=3135</guid>
		<description><![CDATA[Previously: Watch me eat a Cadbury Creme Egg. P.S. If there&#8217;s a food you want to watch me eat, leave a suggestion in comments.]]></description>
			<content:encoded><![CDATA[<p><object width="425" height="344"><param name="movie" value="http://www.youtube.com/v/RFm6QDxBzfg?hl=en&#038;fs=1"></param><param name="allowFullScreen" value="true"></param><param name="allowscriptaccess" value="always"></param><embed src="http://www.youtube.com/v/RFm6QDxBzfg?hl=en&#038;fs=1" type="application/x-shockwave-flash" allowscriptaccess="always" allowfullscreen="true" width="425" height="344"></embed></object></p>
<p>Previously: <a href=http://www.fatnutritionist.com/index.php/watch-me-eat-cadbury-creme-egg/>Watch me eat a Cadbury Creme Egg</a>.</p>
<p><em>P.S. If there&#8217;s a food you want to watch me eat, leave a suggestion in <a href=http://www.fatnutritionist.com/index.php/watch-me-eat-pickled-herring/#comments>comments</a>.</em></p>
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		<item>
		<title>Little tasty things.</title>
		<link>http://feedproxy.google.com/~r/TheFatNutritionist/~3/JwU1dJQsHwk/</link>
		<comments>http://www.fatnutritionist.com/index.php/little-tasty-things/#comments</comments>
		<pubDate>Mon, 03 Jan 2011 13:23:45 +0000</pubDate>
		<dc:creator>Michelle</dc:creator>
				<category><![CDATA[News]]></category>
		<category><![CDATA[media]]></category>
		<category><![CDATA[pregnancy]]></category>

		<guid isPermaLink="false">http://www.fatnutritionist.com/?p=3114</guid>
		<description><![CDATA[Happy 2011, everyone! I have a couple of tidbits for you: Shannon interviewed me for his podcast, On Hold with Atchka! If you want to hear me sound like a valley girl, repeat myself endlessly, and completely lose my train of thought due to a sudden caffeine deficiency&#8230;then, by all means, listen! It&#8217;s my first [...]]]></description>
			<content:encoded><![CDATA[<p>Happy 2011, everyone! I have a couple of tidbits for you:</p>
<p>Shannon interviewed me for his podcast, <a href="http://fiercefatties.com/2010/12/16/on-hold-with-atchka-and-michelle-allison">On Hold with Atchka!</a> If you want to hear me sound like a valley girl, repeat myself endlessly, and completely lose my train of thought due to a sudden caffeine deficiency&#8230;then, by all means, listen!</p>
<p>It&#8217;s my first time doing that sort of thing, though, so be gentle.</p>
<p>Second, despite never having actually been pregnant myself, apparently <a href="http://www.parentcentral.ca/parent/babiespregnancy/pregnancy/article/913062--douglas-feed-your-pregnant-body-wisely">I had some things to say about eating during pregnancy</a> when the lovely Ann Douglas asked.</p>
<p>(Extra-special-fun bonus: look for the quote in that article that most made me want to hit myself in the face! I bet you can figure out <a href="http://kateharding.net/2007/10/17/and-theres-not-even-a-written-test">what it is</a>!)</p>
<p>Third&#8230;I love you guys and I&#8217;ve missed you. I guess I needed a break from writing. It happens &#8212; but I always come back eventually.</p>
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