WEBVTT
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Well think, well live well podcast.
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I'm Lisa Salsbury, and this is episode 129, how the neutral four approach helps with weight loss with Dr.
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Sarah Ballantine.
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Welcome to eat well.
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Well, the podcast for busy women who want to lose weight without constantly counting, tracking, or stressing over every bite.
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I'm Lisa Salsbury, a certified health weight loss and life coach, and most importantly, a recovered chronic dieter here.
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You'll learn to listen to your body and uncover the reasons you're reaching for food.
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When you're not truly hungry, freeing you to focus on a healthier, more fulfilling approach to eating.
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Before we dive into our episode with Dr.
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Sarah, I wanted to remind you that for the month of January, I have a special promotion on my jumpstart, your weight loss program.
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If you're a woman who wants to feel confident inside and out, who's tired of feeling like you're on a dieting hamster wheel.
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And you battle that yo-yo of binging and restricting food.
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I want you to get started right this year with the jumpstart, your weight loss, check the link in the show notes for all the details.
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In a nutshell, this is a single 90 minute one-on-one coaching session that is going to be tailored to your exact needs.
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you'll leave with a plan that will get you going on your weight, loss and health goals and set you up for success.
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You'll hear a lot in today's episode about why we want to get you off that up and down dieting rollercoaster.
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So this mini program from me is a perfect companion to what Dr.
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Sarah and I will be talking about today.
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Check out that link in the show notes for all the particulars.
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Okay.
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Let's get into my conversation with Dr.
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Sarah Ballantine.
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Welcome back to the eat well, think well, live well podcast.
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I am so excited to have Dr.
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Sarah here for another episode.
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Last week we focused on the nutrients in our diet, how to get more nutrients.
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The food families and diversity.
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If you miss that, be sure, sure to go and listen, but we are going to be talking this week a little bit more about how these nutrients really are affecting our diet and how we can kind of.
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Use this approach to, as many of my listeners and clients want to do is to lose a little bit of weight, but without the restriction.
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I told you earlier that I, say constantly, and I think it's in my Instagram bio that I encourage people to check in with their bodies, not a diet app.
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We don't need to be checking in with a diet app to see how many calories we have left or to be told what to do.
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I really want people to, To start having some confidence with what their body is telling them.
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And, um, and I know you feel really similar to that.
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So welcome back.
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Thank you so much.
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So you talk a little bit about dieters in the book and you do have this.
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statistic, 35 percent of normal dieters will progress to pathological dieting and 20 to 25 percent of those will develop an eating disorder.
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And I want to say, and I've talked about this in past episodes, there is a difference between having a full blown eating disorder and eating disorder.
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and disordered eating.
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I would definitely say I was in disordered eating when I was counting calories and especially when I started in with counting macros just because it gave me a lot of anxiety if I wasn't hitting those macros plus or minus five every single day like I was It wasn't a fun game for me.
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Some people were like, Oh, it's like playing Tetris.
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And I'm like, no, not a fun game, just anxiety through the roof.
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So I don't know that that was a full eating disorder.
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I don't know if that was full orthorexia.
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um, but I was definitely eating in a disordered way when I'm eating lunch meat from the refrigerator, like standing in front of it, just to try to meet my protein macro and like batting my kid's hands away.
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Like, no, I've already weighed those grapes.
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Don't eat that.
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Like that's disordered.
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Yes.
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Yeah.
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diets, they're sold to us as healthy eating.
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How does this happen?
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How does it happen that we have this progression?
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So, um, diets are sold to us as healthy eating, but they actually set us up to fail.
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And our inevitable failure is required for the continued success of the 200 billion ish per year diet and weight loss industry.
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So when we are sold a diet, we are sold, uh, a path to weight loss, right?
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I mean, this is most diets.
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I mean, there, there's certainly some that are more focused on, on health.
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Um, but in general, the, this industry is, is focused on us wanting to achieve, a societal ideal of beauty that, uh, we are confronted with everywhere all the time.
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there's a million ways every day that we are told that we have more value in a smaller body.
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And we're told that the way that we get there is, uh, through restriction, right?
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So we are reducing our calories or reducing our carb grams, reducing our fat grams, uh, cutting out whole food groups, right?
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There's lots of different structures.
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There's a couple of things that happen when we engage with a restrictive diet.
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So there's physiological adaptations and there's psychological adaptations.
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Um, and these are the two things that happen that cause our inevitable failure.
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So the psychological adaptation, when you restrict food.
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Uh, that increases food obsession and food fixation.
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You're thinking about that food more.
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Um, that can drive food seeking behavior.
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It makes us more susceptible to emotional eating.
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So more likely to, eat more food when we have heightened, especially negative emotions, right?
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We're stressed.
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We're upset.
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it also increases the likelihood of disordered eating patterns and eventually developing an eating disorder magnifies, right?
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It magnifies cravings.
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Um, and what it does is it, increases something called disinhibition.
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So disinhibition, is our level of control, right?
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Sort of thinking about a thought.
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So what happens is we were restricting, restricting cravings are increased.
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We're fixating on that food and then something will happen, right?
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So maybe it was that bad day and the emotional, uh, eating is, is starting to play out.
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Maybe it was, um, I've been doing this for so long and now I'm at this birthday party and oh my gosh, that cake is my favorite type of cake.
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And I really, I've been really missing that cake.
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And I noticed the thought to like, I deserve this.
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I've been so good.
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I deserve this is so, so, common, but yeah, keep
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Or, or, uh, the, the opposite, right?
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There's a lot of rationalization that happens, right?
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So sometimes the opposite is, well, I already wrecked my diet with that other thing, right?
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Like there's, there's, I mean, there's a lot of, uh, really destructive self talk that, that goes behind.
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What is not really a decision, right?
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It's really a compulsion.
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It's really disinhibition, right?
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It's, I am no longer inhibited.
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I, right, I was inhibited while I was in control and now I'm disinhibited.
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Um, there's also personality traits that go into our level of disinhibition.
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If we're not getting enough sleep, that increases our disinhibition.
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If we're stressed, that increases our disinhibition.
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So we have that moment where we give in, right?
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we eat the thing that was against our rules, right?
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It's not according to our diet plan.
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And what happens is when we have been restricting, when we hit that moment of disinhibition, it causes all of our health behaviors to unravel.
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So that is the yo yo, right?
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That is the, I didn't eat enough earlier in the day.
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And now that I'm allowing myself to eat food, I can't control what I'm eating.
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Right.
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Uh, that adds a diet pattern that's sometimes called sumo dieting.
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Um, that is my diet mode default.
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Uh, when I'm in my past, when I, did every restrictive diet that exists.
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Um, that is, you know, well, I ate the cake at the birthday party last night.
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So I might as well have the, you know, delicious breakfast that I've been missing right this
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That's so funny that you use that phrase.
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That's exactly what I call it.
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Your might as well eats.
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Like, let's eliminate the might as well eats.
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Like, just have the cake and then have your regular breakfast the next morning.
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So, so that, that is the value of a non restrictive mindset.
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So let's, let's get there, but let's also talk about the physiological adaptations because that's, it's where those two meet that is so harmful.
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Um, so we have the psychological adaptation to the restrictive mindset.
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So when we think about diet in terms of, um, What I'm missing out on, right?
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What am I depriving myself of?
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That eventually sets us up to no longer have control over our food choices.
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We've got this whole other set of adaptations that are happening, and these are adaptations to the caloric deficit.
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So the higher the caloric deficit, right, the more aggressive a diet that we're following, the, the bigger these adaptations are.
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So one is a drop.
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in our metabolism.
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So there's a small drop in basal metabolic rate.
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There's an even bigger drop in what's called non exercise activity thermogenesis.
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So this is the calories that we burn every day doing things that are not exercise.
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So it's things like fidgeting, but it's also things like I passed a mess on the floor and I went and got You know, a cloth and some cleaner to wipe it up, right?
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Um, it's the, oh, um, I think that I'm not sure if the mails come today.
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Let me walk down to the bottom of the driveway and check, right?
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It's like the small things like that and the manifestation of a lowering of non exercise activity.
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Thermogenesis feels like lower motivation.
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to move.
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Feels like walking past the, the food drips down the, the, the cabinet, the kitchen cabinets that your kids left and going, Oh, I'll clean that later.
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Right.
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Or there's laundry to fold.
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Uh, I'll do it tomorrow.
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Right.
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It kind of manifests as this, like just lack of motivation to do small tasks that involve movement.
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We also have an increase in hunger.
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over time.
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So this is an increase in a hunger hormone called ghrelin, which is the hormone that makes us feel hungry.
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So we have this rise in ghrelin over time and less of a suppression after we eat.
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So basically we are hungrier between meals and less satisfied after a meal.
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So I'm burning fewer calories.
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Because my basal metabolic rate is lower, that's, um, mediated through thyroid hormone.
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And I'm not moving my body as much outside of my workout at the gym.
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Uh, and I'm hungrier.
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Oh, and by the way, I'm craving food and I'm more susceptible to emotional eating.
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Um, and when I do give in and have that moment of disinhibition, I'm not gonna have control over what I'm eating.
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So now I'm hungrier.
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I don't have control over what I'm eating, and it takes fewer calories for me to have a calorie excess where I am storing stored energy because of that drop in metabolism.
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That is what drives the yo yo, right?
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That is what, what drives the, I was on the diet, then I was white knuckling the diet, then I'm off the diet.
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And the problem is is that every time we go through one of those cycles, right?
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Uh, yo yo diet cycles, weight regain cycles, is that actually increases our health risks, right?
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Our health risks are increased with every single time we lose weight and then gain it back again for cardiovascular disease, type 2 diabetes, metabolic syndrome, compared to we have, if we had never dieted.
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In the first place, and the fact that we think it's our fault that we think that I wasn't strong enough.
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I didn't have enough willpower.
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I wasn't disciplined enough, right that I'm weak, like we internalize that as I failed the diet.
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Meanwhile, no, the diet failed us.
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We were set up to fail from the very beginning.
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That was how that diet was meant to work.
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So because we think we failed.
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We do the next one.
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We buy the next diet plan, right?
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We just, we, we keep going.
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And we've been doing this now for decades.
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Right for generations,
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Mhmm.
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of us have been, uh, so every time we go through one of those diet cycles, our body composition will become less metabolically healthy because when you lose weight, especially when you lose weight quickly, um, especially when you lose weight outside of a high protein diet and strength training activity, you lose lean mass, right?
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So you lose muscle mass every time you're losing weight when you're on the upward swing of the yo yo and you're gaining that weight back again.
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You've, you gain back the fat storage, right?
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So every time we go through a cycle, our body composition is, uh, becoming one that's more metabolically unhealthy.
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Um, we're increasing our health risks.
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And that is also why it's so easy to like lose 20 pounds, gain 30, right?
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It's that adaptation.
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The body is fighting these two high energy deficits.
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Um, this restrictive mindset.
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And so we're actually.
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making ourselves more unhealthy in the pursuit of what we are sold as health, right?
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We're sold this picture of health of what, you know, models look like on the cover of a magazine.
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And that, if I can do anything with my work with Nutribor, That's, that's what I want to put an end to, like, dieting does not work, right?
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Um, restriction is, not something that helps us stay consistent, right?
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It's actually the opposite.
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And so that's why, like, if, again, if, if you, someone has a diet that they love and it works for them and they can stay consistent with it, Nutrivor is a knowledge base that can help them tweak their food choices to fill nutritional gaps.
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But I would say the default mode on Nutrivor is an anti diet.
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Type structure right to do so without restriction so that we are achieving what I call sustainable nutrition right so that we are adopting those lifelong healthier eating patterns as healthy habits right so that we're developing just like this is just the way I eat.
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It's not something I do for a short period of time and then I go off again.
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I am.
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Intentionally incorporating what I call quality of life foods, what I might have in the olden days called a junk food, or a cheat food, or I might as well have food, right?
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Now I call those quality of life foods and I find ways to intentionally incorporate those so that I make sure I'm getting enough joy from my diet that I can stick to my overall healthy eating patterns.
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And I think it's, it's a big difference in, like for me, like I've lost over 100 pounds three times, That is, that is the thing that I have learned through, uh, hopefully the third and final time, because knock on some, some wood there.
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But that is the, that is the thing that's different this time, is it's not through restriction, it's through permission.
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I find that, my clients get really weirded out when I instruct them to plan a, what you call a quality of life food every day.
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Yes,
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Because, They come to me and they're like, well, I, you know, I gave into this craving or there were these, these cookies.
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And they feel really bad about it.
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And I'm like, how many times this week did you plan something like that?
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Like if you're, I, I have way more clients that are sweets is their kind of quality of life thing.
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I'm a, I'm a sweets person.
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I did have one.
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I will always remember her that it was nachos for her.
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She was all, all about the salty, right?
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So whatever it is for you.
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I was like, how, how many times a week are you planning a sweet treat?
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And inevitably it's like, well, zero, zero times.
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And I'm like, that's, that's incorrect.
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We've missed something here.
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And so every time I realized that I like, I have missed that with a client, I'm like, Oh, okay.
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That is the problem.
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We need to plan that.
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If you need that quality of life, food every day.
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I was like, just having this conversation with my sister yesterday.
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Um, she was like, Oh, I made fudge.
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Our dad always made fudge every year.
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And so we all now make it he's passed, but, We were talking about like, oh gosh, now I have this 13 by 9 pan of fudge, you know, and she's like, but I just had like, you know, one small square and I'm like, yeah, that's how you do it.
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You have the entire thing and you give yourself permission, to have one because it's not going anywhere.
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Like there's no shortage.
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And I think that's when we give ourselves permission.
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it's total permission to have these foods.
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Your brain gets on board and you're like, Oh, you're not going to restrict this.
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Then we don't have to eat all of it.
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When you do.
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Let us have it.
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You
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Also noting that it's very normal to have a transition period where you do overdo it.
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right?
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That the permission, like you, you, if you go from restriction to permission, you don't go straight into moderation.
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No,
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You go into, I haven't been eating this food and therefore I'm going to eat all of it for a little while.
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Um, and that's, you know, that's a normal part of this transition is, It is having, you know, having some time where I ate all of the fudge, whoops, but I'll make some more tomorrow.
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Like it, it is also kind of normal to have that transition period and I would definitely recommend during that transition period focusing on other things that are going to, um, regulate appetite and cravings.
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So like getting more sleep, getting some low strain activity like going out for a walk, making sure to eat three meals per day, um, and making sure that those meals are balanced, right?
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So they've got Protein and fiber, carbs and fat, right?
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Um, ideally nutrient dense foods.
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But make, like, making sure to have breakfast.
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Making sure to eat enough for lunch, right?
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I think, um, one of the things that can really drive, uh, feeling like we don't have control when we are eating in the evening is being, like, over hungry by the time dinner comes around because we didn't fuel ourselves well enough earlier in the day.
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So focusing on those other things along with permission can help to, like, rain it in a little bit while we're adjusting to that different mindset.
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I definitely, when first, I first adopted permission, I consumed more calories than my body required.
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Um, but that was part of the journey and that's okay, right?
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That's part of, it's part of especially, um, so you and I are about the same age.
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So, um, I had engaged in restrictive diets from the time I was like 12, I think, was when I first became obese.
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so, you know, when I started really trying to shift my mindset around this at 45, right, three years ago.
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Um, yeah, I had, I had been engaged in restrictive mindsets for like three and a half decades, right?
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So, like, it's a lot of programming.
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To undo and it's, it's also, um, highly recommend therapy, right?
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Uh, therapy is a, it's a great, it's a great thing to do in this transition, just because I think we don't necessarily realize how much emotional processing we avoid.