Showing posts with label Diets. Show all posts
Showing posts with label Diets. Show all posts

Monday, March 12, 2018

Intuitive Eating and Other Buzz Words

In my book, "Training on Empty," I mention intuitive eating, not in those exact words, but I address how difficult always tapping into our nutritional and dietary needs would be in the chaotic world in which we live. The idea behind intuitive eating is that our bodies have the wisdom to know what and how much we need, not just want, at any given moment. I don't believe it's possible or even necessary to be that grounded and in touch with your body and inner voice in order to recover, and I believe very few people who are normal and healthy do this 100 percent of the time. In fact, believing this is the answer to recovery can get people into trouble because our bodies aren't always 100 percent reliable when it comes to hunger cues, let alone signaling complete nutritional needs.

In saying this, however, I don't want to discourage anyone from being in touch with his or her internal signals. I'm all for giving yourself permission to eat what you want. I'm sure some will argue that they do fine eating intuitively, and I'm OK with that. It's great. I've always encouraged people to do what works for them. I'm just throwing out a word of caution for those who are in recovery to be aware of how difficult tossing out all dietary guidelines except your body's prompts can be. It's my strong opinion that using both intuitive eating along with some kind of relaxed meal plan is the best approach, especially for those taking their first steps toward recovery.

Once you're more solidly recovered, you have every right to choose what style of eating best serves you. Until then, it might take some work in order to understand and gather enough information to fully read what your body is telling you. Even then, I'm not entirely convinced that people can completely separate physical hunger cues from emotional cravings entangled in years of what society throws at us. My concern is that missed cues can lead to more missed cues, and that can lead to an increase in potentially dangerous behaviors. That's a lot of pressure on anyone. Learn to trust yourself, but also rely on sheer rational thought. The two work well together.

People like to claim that all children eat intuitively. They don't, or at least many of them don't. Parents unintentionally teach their kids to ignore their signs of hunger and often use food in some sort of a reward and punishment program, withholding food for bad behavior and offering goodies in exchange for good behavior. Even from a young age, kids are manipulated by a media that attempts to shape their food cravings. Commercials for sweets and fast food target youngsters. Big companies like McDonald's know how to direct content toward kids as young as four years old, and it's estimated that these kids see well over 200 of that particular corporation's ads each year.

I never ate intuitively when I was young, ever. Like many others, I was an emotional eater from a very young age. I was like one of those abandoned stray dogs that finally comes upon food and eats and eats and eats with no "I'm full" alarm alerting me to stop. As far back as I can remember, I had an intense hunger, at least I perceived it as hunger, that I couldn't seem to satisfy, and I never felt truly full. Obviously, I'm not suggesting that kids can't be wise about what they need, but reading hunger cues doesn't necessarily mean a child or adult will always eat the right foods in order to get adequate nutrition.

When not targeting young children, the media is busy promoting some fantasy or miracle plan for your diet and weight-related goals. On the one hand, we are encouraged to look a certain way, yet we are bombarded with images of decadent food and the false idea that we can eat whatever we want whenever we want and be thin. Oprah boasts about eating BREAD and PASTA every day while supposedly losing weight, like carbohydrates are some sort of taboo fare that only the very thin are allowed, and people suddenly think Weight Watchers has the answers to all their dietary needs. False.

People should be able to eat bread and pasta whenever they want. It's healthy to eat what your body craves, absolutely, but you also have to be aware that your body needs a wide variety of different nutrients, from protein, fats, and carbohydrates to vitamins and minerals. That's why having some loose guidelines without strict rules is better than diving into a complete free-for-all. Your size shouldn't really matter, but how your body and your brain operate depend a lot on what you put into it. A good dietitian will help you create a plan that focuses on foods you love and nutrient-dense foods that you might consider adding to your diet to increase overall health. Sometimes this kind of plan really does include bread and pasta on a daily bases. Ture.

I learned the hard way that eating sweets all the time caused me to crave more and more simple sugars, but when I ate a more reasonably sized daily dessert as part of a healthier meal plan, those terribly intense, out-of-control cravings faded. But that's my story. It doesn't have to be yours.

I love the idea of really listening to your cravings and honoring your hunger. I just think that it becomes complicated quickly to always rely on internal cues. It's a good goal to have, but there is no one definitive cue for hunger. People experience being hungry in a variety of ways, and one person can have varying internal cues. Some days, my body signals are clear and obvious, and other days, I have a hard time determining what I'm feeling. If I relied only on internal hints, I'm pretty sure I would miss some of them while navigating this crazy and often stressful reality called life. Sometimes I just have to look objectively at my diet and eat because I know I need to, not because an alarm inside has alerted me.

I'm the type that sees nothing wrong with having ice cream for breakfast or nachos for dinner now and then. I think emotional eating for comfort during horribly stressful times is not the worst thing on Earth, as long as you are aware and don't beat yourself up afterward. Obviously, learning healthy coping skills is better than turning to any kind of truly unhealthy behavior, but I don't see occasional comfort eating as anything abnormal. Those of us who have struggled in the past are so quick to judge ourselves harshly; the last thing we need is more pressure to eat a certain way. My suggestion remains the same that people should use what works for them. If there's no problem, don't fix it, but also don't assume that everyone else should follow the way you eat because it works for you.

Thursday, December 21, 2017

Recap of Complaints

Back in the 80s and early 90s, there wasn't the social media craze you see today. Running groupies read articles in magazines or newspapers to get a glimpse into the lives of other runners, and only the most successful athletes were featured in these publications. I remember reading about one ultramarathoner who claimed she ran through her injuries. Since she was one of the best, I'm sure other people took her boasting about being tough enough to train and race through ailments as advice and tried to do the same. Needless to say, this lady is older now and dealing with all kinds of debilitating limitations. It turns out running through injuries eventually gets you more injured. Not all successful athletes give out good advice.

Taking online suggestions seems worse or at least sketchier than reading about the daily routine of a pro athlete because anyone can claim to be an expert, credentials or not, and the amount of advice spewed all over the web is overwhelming. Instagram is probably the best place to get the worst advice, especially when it comes to diet and exercise, but you will find countless people who claim to have come so far, learned so much, and are in great places, often in the same way that Jeremy Mayfield is perpetually announcing he's in a much better place and has his shit together... this time.

Since I landed in the sidelined department again with bursitis, I feel the need to direct my attention elsewhere. Running, at least structured running, is on the back burner for now, so I need a distraction. Complaining seems like a good option. Actually, I shouldn't word it that way. It's more that in the last year or so I have found many groups of people who seem to promote similar ideas that I don't think are beneficial. This frustrates me. Those in the eating disorder recovery community who claim to be encouraging health but actually aren't tend to fall into about six different categories. Those that stood out to me are listed below.

1. Probably the least offensive advisor, because she means well, is the one that uses scare tactics. Saying, "Don't go down this path because here's what can happen!" has rarely prevented someone else from engaging in unhealthy behaviors. If telling someone who is bulimic she might lose her teeth or reminding an anorexic she might have a heart attack worked to cure eating disorders, there would be far fewer cases of these kinds of illnesses.

Eating disorders are not a choice. It never comes down to "just stop" or "just eat" or "just do things differently." There's a genetic component that can contribute to a person developing an illness. There are also physical changes that occur when a person restricts or purges or even binges. These nutritional disruptions ultimately affect the brain and, in turn, a person's decision-making capabilities. Sure, engaging in certain behaviors is a choice, but it's not that simple. Our decisions are the result of our chemical makeup and our responses to our environment. Trying to scare someone into recovery doesn't address the underlying issues that contribute to eating disorders.

2. In sharp contrast to the type listed above is the "in your face girl" who often gets called out for promoting thinspiration and boasts about her athletic achievements while showing off her protruding hip bones. This one will claim that because she can participate in athletics, her increasing scrawniness is nothing others should mention. Her attitude is usually, "FUCK YOU I'M FINE SO FUCK OFF!" These kinds of people usually boast until their illness or a severe injury removes them from their platform, and then they disappear for very long periods of time, hopefully to get some help, but, unfortunately, they sometimes reappear only to demand that others watch them go down the same dangerous path. And somehow they put themselves in the recovery advocate category, usually with recovery hashtags all over their posts.

3. A less extreme version of the in your face girl is the one who keeps declaring how terrible it is that we compare ourselves to others and how damaging it can be while bombarding her audience with daily images, exact calories, macros, and exercises. This one is hard for me to understand because she says she gets it and wants to be encouraging but clearly doesn't give a shit about her audience by continuing to post the very content she acknowledges is unhealthy for others. Perhaps she feels it helps her in some bizarre way, and fuck her audience, or perhaps she's too lost in her illness to edit her content. Whatever the case, stop it. Stop posting images of yourself at your unhappiest, thinnest, and worst, and stop commenting on your fucking macros. Nobody needs to see that. It's your private business, nobody else's. If you want to share it, do so with a dietitian or nutritionist or even a close friend, not the general public.

4. There's also the Keto chick who, after a few weeks on her new diet, raves and raves about how great she feels and insists that her diet is the best one EVER, that everyone should try it. Oh, and by the way, anyone who hates vegetables is a loser. Who doesn't just love vegetables? What's wrong with you that you don't absolutely love to eat eggplant and beef for breakfast? As if food preference is some kind of measure of moral superiority, she throws herself atop her high horse and looks at all the poor slobs beneath her who prefer toast to green beans.  Not to be labeled unaccepting, though, this one claims she doesn't really mind those who still eat horrible, life-damaging carbs and refuse to join her on the best diet for everyone. She's just sure that her diet is better for YOU.

5. On the other extreme of the Keto chick is the life coach who promotes veganism and claims that a high-carb diet is good for everyone, including diabetics. She either has some sort of online certification in alternative nutrition or claims she studies health, but telling someone with an eating disorder that the solution is to eat a certain diet is about as effective as telling her to just eat, period. These types often fall into eliminating entire food groups because of their own fears and issues around food and double down if anyone suggests that a healthy diet can include a variety of foods. I have far more respect for those who admit that choosing a restrictive diet is their moral choice or due to their illness. Again, what works for one person doesn't always work for others.

6. The last type on the list is the opportunist who pretends she's an advocate but ultimately rips on those who struggle and goes on to imply that recovery from eating disorders is about willpower or choice. Someone who slams another who's ill while claiming to be an advocate is like one of those racist pigs who claims he's not because he has a (N-word) friend. I look on in horror when people like this boast about how strong they are for not having gone down *that* road and then go on to mock or put down those who did. I have a real issue with people who do this, mostly because they are intentionally manipulative and aware, unlike those who maybe want to help but are stuck in their own obsessions and compulsions and don't know exactly how or those who think they are offering support but really aren't. These are the types who are most likely trying to sell you something or simply like being in the spotlight. Their main concern isn't helping others.

To the people listed above: Y'all are badly missing the mark.

These types might think or pretend they are eating disorder recovery advocates, but that's not the way to help someone in the throes of an actual disorder. The one thing that's apparent is that they are begging for attention, but helping others doesn't involve boasting about yourself, putting those who are struggling down or shoving your ideas about diet down anyone's throat. Remember, many who struggle have difficulty eating enough or at all or feel out of control around food, so telling them to do it your way probably isn't going to be their solution. As some people say, if recovery isn't working, you're not failing; the program you're trying is failing you. In that case, try something else because there is no one right way to recover, and each of us has to discover what works for ourselves.

Part of the problem is that those who haven't gone through an eating disorder can't fully understand what it's like to have one, and those who are too lost in certain aspects of their illness have a hard time seeing that there are many different paths to recovery. They often focus too much on the symptoms rather than the core issues. If you haven't been at death's door and wondered why the path of continuing to starve, binge or purge was pulling you over the will to survive, most likely you will never comprehend what it's like to have this kind of illness.

One way you can become an advocate is to listen and learn from the people struggling and begin to understand what's helpful and what's not. Remember, too, that there are many different kinds of eating disorders, so the vocabulary you use when discussing recovery must address more than one kind of illness.



Wednesday, December 21, 2016

Recovery on Your Terms

I'm not going to address the obvious myths about eating disorders circulating such as the one that claims eating disorders are limited to white, upper-class, females who are vain or the one that suggests eating disorders are primarily about food addiction. These have been addressed and debunked in countless books, articles and talks. The following are myths or ideas on which I would like to focus:

1. Once you have an eating disorder, you will always have one. This, quite frankly, is bullshit. I know too many people who are fully recovered to believe that a person will always be stuck with the same illness or have the same set of symptoms for her entire life. There's no doubt that there's a genetic component and that people can have a predisposition to developing certain disorders, but this does not mean "once an anorexic, always an anorexic". You may have bouts of distress followed by periods of relief, but once you are on a solid recovery path, you always have the tools to deal with the disorder at your disposal. Sometimes learning to manage an illness leads to living life differently. You don't forget what it's like to suffer with it, but you don't have to actually suffer your entire life.

2. Ed. I already addressed Ed once in a blog post, so I won't go into too much detail here. While I understand the idea that it can be good to separate unhealthy and healthy thoughts by naming or identifying the unhealthy ones, I think this kind of strategy can become problematic when one refuses to accept that the disorder is part of the self, an unhealthy coping mechanism that once served a purpose and can be dangerous if continued. Blaming Ed for risky behaviors but refusing to take any action to change won't lead to improved health. It can help separate the person from the illness, but I stand by my words and say that this is a limiting and gimmicky strategy when it comes to dealing with eating disorders.

3. Eating disorders are a choice. No, they're not. No addiction is a choice, but we all make choices in life that either support or inhibit health. The problem with thinking a disorder is a choice is that you discount the physiology and genetic component of an addiction. The fact that they are not a choice doesn't mean those who suffer have no way of changing or overcoming them. It's more complicated that simply they are or they aren't, just like recovery isn't as simple as making a single choice to get well. You must address all aspects of a person and the disorder in order to successfully overcome addiction. Eating disorders are not a choice, and getting well is not as simple as choosing to eat.

4. Focus on who you were in order to overcome the illness. This is not good advice, because so many people never had a healthy relationship with food, even from a young age. Besides, going back in time is impossible, and why would you really want to? Instead, focus on where you are now and where you want to go. Go as far as describing what you want your life in recovery to look like, and then come up with some steps you can take to get there.

5. One diet fits all. This couldn't be further from the truth. Those who claim everyone can thrive on the same diet aren't considering the different dietary requirements for those with PKU, Hereditary hemochromatosis, Cystic Fibrosis or any number of genetic variations individuals have. Contrary to what some people believe, there is no magical diet for everyone. Anyone who claims that everyone, including all diabetics, does well on a high-carb diet hasn't looked into scholarly, peer-reviewed articles on insulin sensitivity or articles on varied diets in general. It's simply not true that everyone in all areas of the globe should eat the same diet.

Going past the physical requirements of diet, there's no doubt that there are psychological and emotional factors involved with eating. Comfort food is different for each person. Memories and scent are closely tied together, so certain feelings can arise when you smell or even see certain foods, but food can also affect brain chemistry. Again, why we eat what we do isn't as simple as feeding the machine. Food as fuel is fine, but it's better when we can learn to enjoy what we consume.

Speaking of diets, I recently bumped into another gimmicky recovery method called the MinnieMaud. It sounds like the "fuck it; I'm eating" way to better health. Honestly, I don't know a lot about it except that at a glance, it looks like someone compiled a lot of existing advice into a "method" that's easy for others to follow. These kinds of practices have pros and definite cons, so my only suggestion is that anyone who is thinking about doing something like this should check with his or her team and doctor and make sure it's safe to try given his or her situation and current state of health. Remember, refeeding for anorexics and other individuals with certain eating disorders can be dangerous and even deadly in some cases and should be monitored in most cases. Just be careful is all I'm saying. If it works for you, great, but don't push it onto others. Any program like this should be used as a guideline only, not something set in stone.

As far as recovery goes, I don't believe there's a magic formula or perfect method, or that you have to do X, Y and Z to regain health and sanity. There are some obvious changes that have to be made, and I believe there are certain issues that must be addressed in order to recover. Each person, however, will have a unique set of needs and issues to address. The path to health that one takes to achieve well-being need not be the same path someone else takes and probably shouldn't be. For example, some alcoholics believe that AA is the only way a person can get sober, but there are plenty of people who have put years of sobriety under their belts without attending meetings. More importantly, everyone who attends AA will have a different experience and will interpret what is being offered differently. The individual makes of it what he or she will. 

I often refer to this post when it comes to what I feel is essential in recovery. Use what works for you and discard the rest. By using your own approach combined with the guidance of those you respect and trusting that somewhere deep inside you are the answers, chances are you will have lasting success in your recovery.