Dispelling nutrition myths, ranting, and occasionally, raving


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Doctors don’t know about nutrition but who could possibly teach them?

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I came across this journal article in an email digest last week and I discovered that I do have enough fire left in my belly to keep blogging because holy shit y’all was it ever enraging!

The article title and abstract indicate that nutrition education is missing from the education of doctors and that doctors need this education due to the important impact of diet and nutrition on health and in many disease states. No argument here. However, they then go on to say, “Without properly trained trainers, we have no one to train the doctors of tomorrow. This is a “catch 22.” Okay, they must be planning to talk about how dietitians, you know that entire profession devoted to the study of nutrition, can play a role in the full text. I mean, it seems like a pretty obvious solution. But… I find the full text and there is nary a mention of dietitians in the entire article. It was then that my blood began to boil.

Is there some sort of rule that I’m unaware of that only medical doctors are qualified to teach medical students? Have the authors never heard of dietitians? The entire article is quite frankly baffling. I’m honestly appalled that the authors, one of whom appears to be a medical doctor, are incapable of such basic research as to be able to discover that there is in fact an entire regulated allied health profession devoted entirely to the study of nutrition. They’re worried that doctors don’t know about nutrition? Well, I’m worried that doctors can completed medical school without basic research skills. I’m also a little amazed that it was accepted for publication in a peer-reviewed journal devoted to “advances in nutrition” and no one thought “hey, hang on a sec… this is not actually a problem. Dietitians and nutrition scientists can teach these students. Maybe we can just tell them this and save them the embarrassment of publishing this drivel.” But no, apparently everyone was like, “yes. Very serious problem. Doctors need to know about nutrition but doctors don’t know enough about nutrition to teach medical students so future doctors will all continue to graduate without the foggiest understanding of human nutrition and women will continue to suffer from anemia.”

Good news: there are plenty of dietitians and nutrition scientists (not all nutrition researchers have the RD credential) who teach dietetic students who could also teach medical students about nutrition. While they’re at it they can also let them know that doctors don’t have to be experts in every area and they can in fact refer patients to dietitians when they require nutrition support.


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Top 10 of 2018

Easing back into (or maybe out of) blogging in the New Year with my top 10 most popular posts in 2018 (based on number of hits). Thanks for reading!

  1. Being thin is not a qualification for providing nutrition advice
  2. Are Clif Bars a healthy snack?
  3. Are pharmacists the new dietitians?
  4. Call in the food police, we’ve got another unruly body
  5. Breathing vs raw food. Should we be getting our oxygen from our diet?
  6. Whole Life Challenge review
  7. I don’t know why you say Hello (Fresh), I say goodbye
  8. Naturopaths are jumping onboard Nutrition Month and this boat ain’t big enough for all of us
  9. A smile doesn’t hide your weight bias
  10. To keto or not to keto


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Top 10 Holiday Survival Tips

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It’s that time of year when food is abundant, there is a seemingly never ending succession of holiday parties and events, all of which feature food. It’s also that time of year when you start to see a proliferation of articles about the average weight gain over the holidays and how you can save yourself from looking like the poor unfortunate headless woman in the photo by preloading your purse with celery sticks and doing 20 burpees every time you take a drink of rum and eggnog. This is not one of those lists.

The holidays should be fun. A time to connect with family and friends, have a reprieve from work, and yes, even eat delicious baked goods. If the holidays for you are a time to feel full of chocolate and regret, a time filled with anxiety about all of the “bad” food you’re going to be faced with, then these 10 tips should help get you through the holiday season without guilt.

  1. Stop imbuing food with moral value. There are no good or bad foods and you are not good or bad for eating certain foods.
  2. Don’t feel guilty for enjoying delicious foods or for eating food for reasons other than hunger.
  3. Don’t confuse the number on the scale with your personal worth or a measure of your health. Consider not weighing yourself.
  4. Ignore or call-out people who make judgemental comments about what you are (or aren’t) eating. Try to focus on your internal cues when deciding whether or not to eat or what to eat. It’s nobody else’s business what you put on your plate.
  5. Don’t let food-pushers pressure you into eating things you don’t want to eat. Conversely, if you’re someone who tends to show their love by pushing food on people please consider that someone declining your offer of food is not a reflection of their feelings toward you. Try just putting food out and not pressuring anyone to eat it.
  6. Don’t make a New Year’s resolution to lose weight/eat healthy/go on a diet.
  7. Wear clothes that make you comfortable and happy.
  8. Remember to nourish your body. Yes, it’s okay to eat cookies and chocolate but you won’t feel at your best if you’re eating these foods exclusively.
  9. Don’t read (other) articles about “surviving” the holidays.
  10. If you’re struggling with body acceptance, don’t feel like you have to go through it alone. Find a Registered Dietitian who specializes in a HAES or weight-neutral approach.


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Are calories an enemy?

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I would like to propose that we stop demonizing calories. All too often I see products promoted as “low-calorie” or “calorie-free”. I hear jokes about things like it’s okay to eat a broken cookie because the calories all leak out. Consuming as few calories as possible is considered virtuous. This despite the fact that we need calories to live.

Just in case you need a quick refresher on calories, despite what many people will have you believe, a calorie is a calorie. The definition of a calorie is, “the heat energy required to raise the temperature of one kilogram (rather than a gram) of water by one degree Celsius”. Calories provide us with energy. Energy to get through each day but also energy for your body’s systems and cells to function. Without a source of calories you will die.

So, why do we think that calories are bad and something to avoid? Because we’ve learned that excess calories, those we don’t use up, are often stored by our bodies for later use in the form of fat. And fat is bad because our society has rather arbitrarily decided that being thin is more attractive. Regardless of your body shape or size though your body still needs calories to function.

Wouldn’t it be wonderful if we lived in a world and mental space where instead of choosing 100 calorie snacks or avoiding foods because they contain “too many calories” we could look at food as a pleasurable way to nourish our bodies? Not just to think of food as fuel but as an essential component of self-care. Calories are not the enemy, they are vital to life.


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Do dietitians follow the Food Guide?

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The above inane tweet last week prompted me to post a couple of tweets in which I screamed into the void about a) people not following dietary guidelines anyway and b) weight not being indicative of health. Which then lead to me posting the following poll:

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Obviously, this is a completely unscientific poll but it does show that the majority (83%) of RDs who responded do not generally follow the dietary guidelines for their respective counties. This could be for any number of reasons. Most didn’t respond with a reason. Those who did said that they weren’t big on fruit of dairy or the carbs (that’s the grains food group) are too high. Personally, I suspect that some days I’m low in vegetable and fruit consumption or milk and alternatives. Other days I’m definitely over. And if I’m being completely honest, I have something from that “other” food group (aka sometimes foods) on the daily.

The truth is, the Food Guide is just a guide. It’s not a bible. It’s intended to provide people with all of the nutrients and energy they need to be healthy and active but everybody is different. We all have different needs and preferences. I know that people really like to rag on dietitians and say that all we do is preach the food guide but I’m here to rain on that parade. Dietitians are people too and we enjoy food for more reasons than just as fuel. We are not robots that run on kale and quinoa. I think that most of us think that the food guide could be improved (and fingers crossed it will be whenever they finally come out with the new version) but we also know that it’s just meant to be a tool.

Food Guides are meant to guide people toward nutritious food choices. They encourage a variety of foods from all of the food groups. The overall message that people should be taking from a food guide is that there are healthy choices in all the food groups and eliminating any one food group may result in deficiencies. Also, that eating only one type of food from each food group (e.g. lettuce as your only veg or bread as your only grain) is not going to provide you with all of the nutrients that you need. However, it’s also important to listen to your own body and nourish it accordingly. If you’re not hungry don’t sweat the fact that you’ve only had 5 servings of vegetables or 4 servings of grains. Conversely, if you’re extra hungry one day, don’t feel like you have to limit yourself to the servings recommended in the Food Guide.

Healthy eating really doesn’t have to be complicated or rigid. In fact, if you think that you’re eating healthily and you’re finding that it is complicated or rigid then you diet (or relationship with food) probably isn’t all that healthy after all.