by Counseling and Wellness Center of PittsburghJuly 16, 2019 dietitian nutritionist near me, what is an anti diet dietitian0 comments
First let’s talk about what being a dietitian is before what address what being an anti diet dietitian is…. A Registered Dietitian is a food and nutrition expert that has undergone rigorous education. This includes a bachelors or masters degree in an accredited program, about one year of supervised practice, and completion of the national examination. A nutritionist is not a protected title so training varies and is not regulated. Dietitians work to help create a healthy relationship between food, body, and mind. This type of work includes promoting long lasting lifestyle behaviors over the latest fad diet.
Being anti-diet means avoiding diet recommendations purely for weight loss and instead focusing on creating healthy habits such as eating more vegetables, increasing fiber, and balancing meals. Diet culture dictates that you cannot be healthy if you are in a larger body and that size can determine health. The anti-diet approach is inclusive of all body sizes and uses intuitive eating to help create a healthy relationship with food. It means no fad diets, calorie counting, or cleanses. Instead the focus is on wellness over weight loss by utilizing health promoting behaviors. Research shows that diets do not work long term to keep the weight off and can cause more harm than good, as dieting can often be a predictor for disordered eating. Feeling like you “failed” when you “cheat” on your diet is poor for your mental health. Physically, yo-yo dieting can be more harmful that being categorized as overweight or obese.
It’s important to create health habits that are sustainable and are geared towards health not weight loss. Bodies come in all shapes and sizes and the goal should be for wellness. Weight should not be a focus for medical treatment or viewed as a modifiable behavior. When one modifies behaviors towards a more wellness focused approach, weight loss may occur but should not be the primary concern.
Working with an anti-diet dietitian means you won’t be judged by your weight or expected to diet. Client and dietitian will work together to cultivate a personalized plan with realistic goals. The focus will be engaging in specific behavioral changes with measurable goals. These goals will be in pursuit of improving wellness and preventing disease.
In good health and wellness,
To book an appointment with Jessica in our Wexford or Pittsburgh Counseling Centers please call us at 412-322-2129Learn More
What is the Ketogenic Diet?
The Ketogenic or Keto diet for short is a buzzword now, but it’s not new! Decades ago, it was used primarily to treat epilepsy in children whose seizures were uncontrolled. Research found that those with epilepsy had fewer seizures when in a state of ketosis vs. being glucose dependent. Today, there are many more applications for this diet that show promise to continue researching for more potential benefits. But, let’s take a deeper dive into what being in ketosis really means!
Being in ketosis means that the primary fuel source in the diet is fat, instead of carbohydrates. When you become fat adapted and burn fat over glucose, the body makes byproducts called ketones which the brain used for fuel. This spares glucose, the primary fuel source for the red blood cells, endocrine system and muscles. Traditionally, carbs make up 45-65% of our daily intake, protein makes up 10-35% and fat makes up 20-35%. On the keto diet, one might be consuming as much as 70% fat, 20% protein with a mere 10% coming from carbohydrates. One a standard 2,000 calorie diet that is only 50 grams coming from carbohydrates. A very strict approach to this diet might allow only 20 grams of carbohydrates, while a more moderate approach may allow between 40-60 grams depending on goals and taking into account each individuals therapeutic need.
So, what are some reasons to pursue a very low carbohydrate diet like this? Evidence is suggesting that the ketogenic diet is a great way to spark weight loss. Since it’s very low carbohydrate, this keeps insulin (our fat storage hormone) low. This means that fat stores can be unlocked and used for fuel. Additionally, prevention and improvement of neurodegenerative diseases like Alzheimer’s and Parkinson’s Disease have been seen with high fat diets. The brain seems to do very well when using ketones for fuel instead of glucose. These applications are very relevant for Americans today, as neurodegenerative diseases and obesity are on the rise. Maybe even more important, are the applications for cancer. Cancer cells love sugar (glucose). Starving the cancer cells on a ketogenic diet shows promise in slowing cancer progression.
One drawback to the keto diet is that it is usually low in fiber since fiber is found in carbohydrate rich foods. GI issues like constipation, cramping or acid reflux may occur. One way around this is to count only net carbohydrates. That is, total carbohydrates minus the total fiber. This is usually a more moderate approach, but still confers the benefits of a traditional diet and keeps carbohydrate intake low.
The long term effects of the ketogenic diet are still being studied, but it shows much promise for short term use. Pregnant or nursing women, those with gallbladder disease or insulin dependent diabetics should use caution and discuss with their health care or dietary professional before implementing and keto changes into their diet.
If you want to learn more about this diet, book an appointment with Liz or check out “The Keto Diet”, a great comprehensive read on those curious about whether a high fat diet might be right for them. Remember that every body is different and diets should be tailored to what works best for your health and wellness goals.
Here is an example of the satiating kinds of meal plan a person can enjoy on the Keto Diet!
For breakfast you might have scrambled eggs and add in heavy cream, chives, and up to 4 slices of your favorite nitrate free bacon. With so much dense nourishment, you will hardly notice that you skipped the bread!
For lunch, put your favorite protein on a bed of baby salad greens, add a vinegar or cream based dressing.
For dinner: Go all out with a generously cut Ribeye that can be enjoyed with mushroom cream sauce and several ounces of broccoli.
Health and Wellness,
Liz Mckinney, CNS, LDNLearn More