bite my words

Dispelling nutrition myths, ranting, and occasionally, raving


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5 things low-carb gurus don’t want you to know

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I hate these lists: 5 foods you should never eat, 8 foods for a flat belly, and one I saw last week “10 Things Dietitians Say About Low-Carb Diets That Don’t Make Sense“. I should confess that as a dietitian, the headline alone immediately got my back up. Still, I took the bait and clicked the link.

Some of the stuff on there was quite reasonable, and some of it inaccurately portrayed dietitians and nutrition. It drives me nuts that we study nutrition for 4+ years in university, do internships, and must demonstrate continuous learning to maintain our professional status as registered dietitians, and yet those from other professions (and non-professions) are constantly proclaiming to the world that we’re nutritionally biased ignoramuses. Okay, so I didn’t exactly read this list with an open mind. No apologies.

Here are my top 5 retorts to this post and others in the same vein:

1. Low-Carb Diets Are Hard To Stick To

Have you ever tried a low-carb diet? There’s a reason why nearly everyone you meet who’s on a low-carb diet is singing its praises at a month or two in. How many people do you know who’ve consistently followed low-carb diets for years? Probably not many. There’s a reason for that. They are hard to stick to. Sure, you can feel physically satisfied on a low-carb diet but there are other aspects of it that can make it difficult to stick with. There’s the social aspect of food. It can be hard to follow a low-carb diet when others around you aren’t, forgoing birthday cakes and pizza. There’s also the restrictiveness that comes with a strict diet. You lose a lot of options when you cut-out or dramatically reduce carbohydrate intake. Finally, if you’re at all athletic, it can be extremely hard to train and perform at your best without carbohydrates.

2. The Opposite of Low-Carb Is NOT Low-Fat

Why is it that every time I hear someone poo-pooing on dietitians for our reluctance to support low-carb diets claiming that we push low-fat diets? The macronutrients are: carbohydrate, fat, and protein. While we all vary in our needs and desires for each of these, they all play a role in a healthy diet. I don’t know any dietitians who promote low-fat diets. Yes, in the past, because nutrition research is often flawed, we believed saturated fat was unhealthy. Most of us are over that. As I’ve said before, real dietitians eat butter.

3. Low-Carb Diets Are Not Proven To Be Safe In The Long-Term

As dietitians, it’s our job to provide people with the information that they need to make informed choices. When the average life span is over 80 years in Canada a two year study is but a drop in the bucket. Yes, you can probably be healthy on a low-carb diet. You can also be unhealthy on one as well. A diet of steak and bacon is low-carb, as is a diet of vegetables and fish. It’s a lot easier to get all of the nutrients that you need when you consume a greater variety of foods.

Yes, the Inuit ate high-fat low-carb diets. Will your low-carb diet consist predominantly of raw meat and seal blubber? I thought not.

4. Just Because You Can Be Healthy Following A Low-Carb Diet Doesn’t Mean That You Should

You can be healthy following all sorts of diets. You can also be unhealthy following them. A low-carb diet can be healthy, as can a vegan diet. You need to figure out what works best for you. Don’t let nutritional gurus convince you that their diet is the only way to go.

The main draw of a low-carb diet generally isn’t health anyway, it’s weight loss. These are not one and the same; no matter what the gurus may say. A healthy weight very much depends on the individual and health is not just physical. There is no shame in deriving pleasure from food.

5. We Don’t Like Diets

It’s nothing personal. We’re not eschewing your beloved low-carb diet because we have shares in the wheat industry. We tend to be wary of any diet because they are restrictive and have end dates and “cheat days”. The way you eat should be a way of life that you can maintain until the end of your life (which will hopefully be in the distant future because you’re following a healthy, enjoyable, varied, and balanced diet).


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First ever giveaway!

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As you know, I’ve never had a contest on my blog before. Normally if someone approaches me to promote something on here I turn them down. That’s not what this site is all about. However, when a rep from KIND Snacks contacted me and asked if I’d like some free samples and the opportunity to give some to you too, I said “yes and yes!”. KIND is not paying me for this blog post and I wouldn’t be writing it if I didn’t think they made a great product. I mean, how could I pass up some free KIND bars? Even if my boyfriend does love them too so I have to share them with him.

Some of the KIND bars are a little high in sugar; more of the older flavours that incorporated dried fruit. Most of the newer ones have 4-5 grams of sugar, which, without the use of non-nutritive sweeteners and sugar alcohols, I challenge you to find in any other snack bar. I love that they’re simple whole ingredients, primarily nuts, and are a good source of protein and fibre. They’re a great snack to stash in your bag, car, or desk for a quick pick-me-up in the morning or afternoon. I can’t wait until their “strong” bars (with flavours like Honey Mustard, and Thai Sweet Chili are available in Canada. I must confess, one of my missions when I went to Boston to run the marathon last spring was to find (and eat) these Strong bars. Sadly, the only flavour I came across was the Hickory Smoked.

Okay, okay. I know you just want the free stuff. So… For your chance to win a free box of KIND Bars just comment on this post telling me your favourite flavour of KIND bar or your favourite product they make. My personal fave is the Dark Chocolate Nuts and Sea Salt. It’s the perfect marriage of healthy snack and decadent treat.

The contest will close on Monday, February 1st at 9:00am AST. The winner will be randomly selected. Once contacted, they will have 12 hours to get in touch with me with their mailing details. If they don’t respond by that time, a new winner will be randomly selected. Good luck and happy snacking!


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Will an avocado a day keep the doctor away?

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Avocado photo by Paree on Flickr. Used under a Creative Commons Licence.

Last week everyone was all excited about new research touting the health benefits of avocados. The gist of it being that everyone should eat an avocado a day to lower improve their cholesterol profile. Now, I love avocados, but I still had to take a look at the study myself.

The first thing I noticed was that the research was “supported by a grant from the Hass Avocado Board” and that the lead author, Dr Kris‐Etherton, is a member of the Avocado Nutrition Science Advisory. According to one of the news items I heard, she insisted that she still would have published the research if it had not shown avocados to impart special benefits on cholesterol levels. Despite this, it’s still a significant red flag to me that the research was supported by the Avocado Board.

This was also a rather small study, looking at 45 individuals over five weeks. While the results were interesting, a larger study would be needed to draw any definitive conclusions. What were these interesting results? Bearing in mind that dietary adherence was self-reported, 90% allegedly stuck to their prescribed diets, and all participants maintained their starting weights. Participants were assigned to one of three treatment diets: low-fat, moderate-fat, or avocado. All three diets were found to lower LDL-C and total cholesterol. However, the avocado diet decreased both (LDL-C and TC) significantly more than the low- and moderate-fat diets. The avocado diet was also the only diet found to decrease the number of small, dense LDL particles (the really bad guys).

Okay, so avocados may impart health benefits. Does this mean we should all exponentially increase our grocery bills and start eating an avocado a day? Probably not. The participants in the study were predominantly white, overweight and obese, healthy Americans. If you’re not part of that group, the results may not apply to you. The study also only ran for five weeks and did not incorporate other life style changes such as exercise and weight loss. We can’t say if eating an avocado a day would impart the same health benefits to someone of a lower weight, different ethnicity, or disease state. We also don’t know if the benefits would continue beyond five weeks or if eating an avocado every day would be more beneficial than increasing exercise and/or losing weight. What about the effects of all three of these together?

Avocados are delicious and full of good nutrients. I don’t want to discourage anyone from eating them if they enjoy them. However, they are expensive, and their use in the treatment of conditions such as elevated cholesterol needs further investigation before we start prescribing an avocado a day.


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I guess some RDs are sexy

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Eat big meals… Fat goes quick! Photo by L’imaGiraphe (en travaux) on Flickr. Used under a Creative Commons LIcence.

Right on the heels of my post about we dietitians not being sexy, this article comes out in the Daily Mail, and I’m forced to eat my words (good thing there are no forbidden foods!). Dietitian Trudi Deakin is proclaiming a high-fat, low-carb diet to be the be all and end all, and she’s written the book to “prove” it. Sigh.

Now, as you (my regular readers) know, I’m certainly not one to shy away from fat. New readers, My original by line was “real dietitians eat butter”. However, I also subscribe to the school of thought that says too much of anything is bad for you. Be it fat, salt, sugar, or carrots. You can have too much of a good thing. According to Trudi, saturated fat is the key. While it’s become widely accepted that saturated fat is not the demon it was once believed to be, that doesn’t mean that it’s suddenly a dietary super hero.

Trudi claims that her diet is 82% fat, and she’s never felt healthier. She alleges that high-carb diets are fuelling the obesity epidemic. The gist is that low-fat was wrong so low-carb must be right. Why do we have to go from one extreme to another? I’ll say the same thing about this that I said about demonizing sugar: blaming one nutrient for obesity or chronic disease isn’t getting us anywhere. These are complex problems that aren’t going to be remedied with simple solutions.

This 82% fat has me curious though. What would a diet that’s 82% fat look like? According to Trudi:

BREAKFAST: Three eggs cooked in the microwave with butter and cheese, like a souffle, served with oily fish – smoked salmon or mackerel – or avocado.

LUNCH:A bowl of berries with double cream or a homemade walnut scone, made with ground almonds rather than flour, served with double cream

DINNER: Meat or fish with a serving of vegetables cooked in butter 

Just for fun, I entered this meal plan into my fitness pal to find out the breakdown. Obviously without quantities, it’s near impossible to say exactly what caloric and macronutrient totals would look like. Based on one serving of each of the items listed above, I would only be consuming 995 kcal, and fat would account for roughly 40% of these. If Trudi’s diet is being accurately reported, she’s obviously consuming greater quantities than I recorded, particularly of the high-fat foods. Regardless, it doesn’t sounds overly appealing to me. I’d rather be a few pounds heavier and die a couple of years earlier than never have cereal for breakfast, never snack, and put butter on everything (as much as I love butter).

While Trudi may be content with this restrictive diet for now, it will be interesting to see what will happen with time. Most people following low-carb diets find them to be extremely difficult to follow over the long-term and usually relinquish them. Aside from the difficulty adhering to these low-carb, high-fat diets, there are other risk factors to consider.

Children with epililepsy following ketogenic diets provide us with some insight into the long term effects of a ketogenic diet. A study of children following a ketogenic diet found that poor growth was common. Other side effects were kidney stones and bone fractures.

There’s some other misinformation in the article. Trudi states that she consumes 30 grams of protein at breakfast because “your body doesn’t store it.” Um… I don’t know where this is coming from. While 30 calories at breakfast is certainly reasonable, excess calories, regardless of macronutrient, will be stored as fat.

The unfortunate thing about most weight management research is that “long term” equals several months to a year. While someone might experience weight loss, and find a high-fat diet relatively easy to adhere to for a few months, years, or a lifetime, are a far different story. Trudi’s been following this diet for less than year. Let’s see the tune she’s singing in a decade. Until then, you might want to take her high-fat diet with a grain of salt, or better yet, a baked potato.