Common Weight Loss Issues

Being a dietitian, I get a ton of clients who are trying to lose weight. I would say 90% of them have tried some sort of diet before (most being a short-term crash diet type) and about 80% ended up gaining back the weight they lost (plus some). Losing weight and changing your eating habits is not easy. Anyone who says that it is is either lying to you or trying to sell you a supplement (and also lying to you)! It takes a lot of hard work and dedication to change your diet and really stick with it.

Most people that approach me about weight loss are facing the same questions: what should I do, how should I do it, and how long will it take! For starters, DO eat more fiber (fruits, veggies, whole grains). One of the first things I ask any client or potential client is, "What do you eat during a typical day?" Almost none of them are eating enough fruits and vegetables. I would say the average is 1-2 fruits and 0-1 veggies per day. Fruits and veggies are packed with fiber and nutrients. Add fresh fruit to your cereal, add a side salad to dinner or pack some hummus and veggies. There are tons of ways to add in the fruits and veggies, it just takes a little planning and effort.

Limited water intake is another huge issue I see with clients trying to lose weight. Most Americans are just not drinking enough water. It's usually high calorie beverages or little to no fluid at all! For those of you who hate the taste of water, try seltzer water or adding fresh fruit to plain water. I love the combos lime, mint, and cucumber or strawberry basil.

Healthy food tastes bland. Ever heard that statement before? I get it all the time! "I can't eat healthy because healthy food just doesn't taste good." Another favorite of mine is, "I hate fruits" or "I hate vegetables." First off, make the healthy food taste better! Most people think you need to steam vegetables and not add anything else. Think again! Add some lemon, herbs, spices, etc. Roast your veggies! Make a fruit smoothie! Try a new recipe! Healthy food only tastes bland if you make it that way. Get creative in the kitchen and don't be afraid of trying new things. Side note here, don't think that you need to cook everything from scratch or use only fresh options for a meal to be healthy. I love using frozen veggies instead of fresh because they are way more convenient to use and I don't have to worry about them going bad quickly.

Try not to fool yourself when you are trying to lose weight. I don't know how many clients say to me they are so frustrated with their lack of weight loss and they just want to give up. Had it not been for me (or someone else pushing them along) they may have just walked away from it all. Again, honest moment to yourself, are you really trying that hard? Did you go overboard with the weekend festivities? Are you sleeping enough? Drinking the right kinds of stuff? Eating the right foods? You get where I am going here. I would say 99% of the time, there is ALWAYS something more you can do if you feel like your weight-loss just isn't going the way you planned. Take the time to assess what you are eating and drinking and what your activity looks like. Also, when you start to change your eating habits, don't expect to see the pounds melting off of your body in 1 day or even 1 week! I always say to my clients, "You didn't get to this point overnight." A good weight-loss goal is 1-2 pounds per week. Any more than that and I question whether or not your eating enough and if it is another one of those "fad diets."

So to sum this all up, be honest with yourself and take the time to really change those habits for the long-haul and finally get off the weight-loss, weigh gain wagon!

Conventional Vs. Organic Produce

One of the debates going on now is whether or not organic produce is more nutritious than conventional produce.

As per the USDA, "Produce can be called organic if it's certified to have grown on soil that had no prohibited substances applied for 3 years prior to harvest. Prohibited substances include more synthetic fertilizers and pesticides.""Synthetic fertilizers, sewage sludge, irradiation, and genetic engineering may not be used." Organic farms and processors support animal health and welfare, do not use genetically modified ingredients, separate organic food from non-organic, and preserve natural resources.

There are some minimal differences in the nutritional profile between organic and conventional produce with organic being higher. This difference, however, is not substantial enough to fully say that all organic is better than conventional. There is some alarm being raised with the pesticide use on conventional produce. Pesticides are regulated by the EPA and are mainly used to protect the produce from bugs and extend their shelf life. There has been some links in research from exposure to pesticides to cancers and brain/central nervous system defects.

Before you start throwing away everything in your fridge, know that there is a threshold for the amount of pesticides you can consume safely. Also, different fruits and vegetables have varying levels of pesticide residues. I love the Safe Fruits and Veggies pesticide calculator because you can see how much of the item you would need to eat in order to see any negative effects from the pesticides. For example, a woman would need to consume more than 2332 servings of kale in one day to have any sort of effect of the pesticides even if the kale had the highest levels of residues. For women and potato consumption, the amount is more than 7379 servings in one day to see any harmful effects.

Check out the link below for a complete list of the dirty dozen (produce with the highest level of pesticide residue that are best to buy organic) and clean fifteen (produce with the lowest level of pesticide residue).
-->Dirty Dozen (best to buy organic) --> LINK
--> Clean 15 and Dirty Dozen Cards --> LINK

One of the biggest complaints about buying organic is that it is more expensive than the conventional. While this may be true, think about how much of the produce you consume that is on the dirty dozen list and if you could spend a little bit more money in this area than in other areas (like on snacks or treats). I don't want those of you reading this to think that if you can't afford organic, that means you should avoid fruits and vegetables. That is certainly not the case! Fruits and vegetables can reduce the risk of so many diseases. Also, it is way better to eat a conventionally grown apple than it is to eat potato chips or donuts.

One way to keep your produce safe is to make sure it is washed thoroughly. For conventional or organic produce, the FDA recommends washing fruits and vegetables under running water just before eating or cooking, using a brush to scrub produce with hard surfaces, and cutting away any damaged or bruised areas. If you buy lettuce or greens in a bundle, the recommendation is to toss the outer layer. By following these steps, you can decrease, if not eliminate, the pesticide residue on your produce.

Below are some other great links I discovered for pesticides and safety levels along with organic practices and standards!

Risk Level Calculator --> LINK
Research on Pesticide Residues --> LINK
Organic Standards USDA --> LINK
Introduction to Organic Practices --> LINK

Eating fruits and vegetables (conventional or organic) is way better than eating the processed junk foods. Finally, organic chips and pretzels are still just chips and pretzels. So, don't be blinded by the use of the word organic for covering up junk!

Health Benefits of Chocolate

I am sure many of you reading this post have heard about the health benefits of chocolate. Does this  mean you have free reign to eat as much as you want? Let's slow the wagon down for just a second.

I'll start off by saying that while chocolate can be good because of the antioxidant content, I wouldn't go as far as saying it is "healthy." Depending on the type of chocolate you get, you are still looking at something with a higher content of calories, fat, and sugar. Also, I would much rather someone aim for getting their antioxidants from berries (that have fiber and other nutrients) than a piece of chocolate.

Indulging in the occasional piece of dark chocolate can definitely be something that fits into your diet; however, there are some tips for choosing the right kind of chocolate to reap the benefits. Let's break down the research to see what benefits (besides good taste) chocolate has to offer.

Dark chocolate can decrease your risk of stroke, lower the "bad" LDL cholesterol, and decrease your risk of heart disease. Some studies have been showing that continued consumption of chocolate decreased the risk for coronary heart disease and stroke. There are also some suggestions that cocoa flavanols may reduce some measure of age-related cognitive decline. Most of these health benefits can be attributed to the flavonoids, which help repair damage from environmental toxins and antioxidants, which help to decrease inflammation and fight free radicals in the body. The antioxidants may also help to lower blood pressure. These antioxidants and flavonoids can also be found in fruits and vegetables, with high concentrations in apples, cranberries, and onions. Tea and red wine also contain flavonoids.

In terms of which chocolate is better, you want to aim for a minimum of 60-70% dark chocolate. One ounce of dark chocolate with 60-69% pure cocoa contains a good source of manganese, copper, and magnesium. There are also trace amounts of phosphorus, potassium, zinc, selenium, calcium, and B vitamins. There is no recommendation for the amount of chocolate per day; however, keep the maximum to 1-ounce per day to avoid spiking the calories and saturated fat. If you are wondering about white chocolate, it contains zero cocoa solids and cocoa powder (ground cocoa solids), so it really isn't considered chocolate at all. Basically, it is just a combination of sugar, cocoa, butter, milk and soy lecithin. This pales in comparison to dark chocolate which is at least 35% chocolate liquor (cocoa solids + cocoa butter).

While chocolate has been showing some promising health benefits in the research, it is important to remember that the type and quantity does matter. So, stick with at least 60-70% dark chocolate and limit yourself to 1-ounce per day. If you don't think that you can stick with a small amount, aim instead for getting your antioxidants and flavonoids from fruits and veggies!

References: 
www.todaysdietitian.com 
http://my.clevelandclinic.org/services/heart/prevention/nutrition/food-choices/benefits-of-chocolate
https://www.nlm.nih.gov/medlineplus/antioxidants.html

Probiotics 101

You may have been hearing a lot on probiotics and their influence on gut health. With so much information out there, it can be confusing choosing foods or even supplements with the best probiotic source that will benefit you! My goal is that you will have a better understanding of what probiotics are, the benefits, and how to choose a supplement (if you go that route) after reading this post. So, let's get started!

What are Probiotics?
Probiotics are live microorganisms that, when administered in adequate amounts, confer a health benefit on the host. Probiotics allow healthy bacteria in your GI tract to thrive while inhibiting or destroying toxins released by other bacteria. The healthy bacteria in your gut help to digest food and also synthesize some vitamins.

Benefits of Probiotics
There are a lot of benefits associated with probiotics. They include: decreasing IBS symptoms (bloating, gas diarrhea, constipation), regulating intestinal transit, boosting your immune system, aiding in dairy digestion for those with lactose intolerance, restoring bacterial balance (especially after taking antibiotics), decreasing the amount of harmful bacteria in your gut that can cause inflammation, and reducing diarrhea associated with antibiotic use for acute illnesses.

Foods That Contain Probiotics
Probiotics are mainly found in fermented foods like miso, kimchi, tempeh, fresh sauerkraut, and kombucha. You can also find probiotics in yogurt, buttermilk, kefir, and some soft cheeses. Look for the phrases, "live and active cultures" or "contains probiotics" if you are choosing a dairy food. Not all yogurts will contain probiotics and frozen yogurts contain little to none. Some common probiotic strains include: Lactobacillus, Bifiodobacterium, and Saccharomyces boulardii.

What to Look for in Supplements
If you are going with a probiotic supplement, there are a few things you should look out for. First, is to avoid any probiotics that are not "live." Second, look for supplements that say the number of live organisms is guaranteed through the expiration date; if not, you may not know how much of the probiotic has already degraded. While there is no recommendation for probiotic intake, the general rule of thumb is to take at least 1 billion colony forming units (CFU) daily.

Daily consumption of probiotics is the best way to reap the benefits!

References
http://www.webmd.com/digestive-disorders/features/what-are-probiotics
http://www.medicinenet.com/probiotics/article.htm
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3539293/
https://my.clevelandclinic.org/health/healthy_living/hic_Keeping_Your_Digestive_Tract_Healthy/hic-Probiotics

Why Calories Don't Really Matter

One of the first things I hear when someone is trying to lose weight is that they need to start counting or watching their calories. It goes back to the the old saying of "calories in, calories out." If you eat less, and exercise more you'll lose weight guaranteed. Makes sense right? Well, not so much.

A calorie is a measure of energy and everything you eat has calories in it. We need those calories to survive. Most Americans are consuming way too many calories and they are mainly the heavily processed, refined types. I see so many food diaries that have a ton of sugar, salt, and unhealthy fats in them. Let's face it, you can be eating a restricted diet of only 1,100 calories and still end up with Diabetes and Hypertension. Why is this? Because all calories are not created equal! It really boils down to the food quality. Let's say you have 100 calorie pack of baked chips and 100 calorie pack of roasted almonds. You would probably say that the almonds are better for you (and your right); however, would your answer change if I gave you a 150 calorie serving of almonds? Maybe. The reality is, your body processes these foods differently. Fat and protein are slower digesting, which means you stay fuller for longer (and more satisfied). Refined carbohydrates (like in the chips) have little to no fiber, minimal nutrients and basically just spike and drop your blood sugar levels leaving you hungry an hour (or less).

I often think of calorie counting as restriction, free-range to eat the overly processed food-like-products, and a band aid on the true issues. Let's explore those points. I have a lot of people tracking their intake for appointments**. One big thing I see with clients is that they get to the end of the day, have "no calories left" and end up going to bed hungry without eating dinner. Skipping meals and eating super low calorie won't help with continued weight loss. You are just slowing down your metabolism to compensate for the minimal calories, burning calories less efficiently, and probably making yourself miserable.

On to the overly processed food-like-products. Again, we are talking about food quality. Ever think or hear something like this before, "I have 100 calories left for the day. A piece of chocolate is only 40 calories. I can eat that instead of a medium apple, which has 120 calories and save myself 80 calories, while sticking with my recommended intake." Better yet, "I can eat a to go breakfast sandwich, a bagel with cream cheese and a frozen dinner meal AND stay within my calories." No. NO. NO!

Lastly, most clients I see are overeating from stress, boredom, or heightened emotions. Just counting calories and sticking to a magic number isn't going to fix these issues. Eventually, you may end up stopping the calorie counting and returning to your old habits. You have to focus on changing these behaviors first before any healthy eating plan can stick.

While you do want to watch how much food you are eating, think of calories as more of a reference than the end-all-be-all. So, ditch the calorie counters and go for the whole foods approach. Focus more on adding quality foods like fruits, vegetables, lean proteins, and whole grains. Skip the processed junk and your body will be sure to thank you later!

Click to Watch

**Food journaling and tracking your intake can be a great tool for identifying areas of missing nutrients, meal skipping, and overall food quality. I don't want this to be mistaken for the ridge calorie counts. 

Tips for Mindful Eating

One big thing I have been talking about with my clients is the concept of "Mindful Eating". Mindful eating is about being present in the moment and stopping to think about your food choices. Mindful eating includes ideas like: tasting and savoring the food you eat, slowing down your meal time, and asking yourself if you are eating because you are truly hungry or just bored/stressed. Mindless eating can lead to weight gain because of the excessive calorie intake of mainly unhealthy foods. I mean lets face it, most people are not mindlessly snacking on carrots or celery, right?

There has been a lot of research about how your food environment influences your eating habits and affects how mindfully you eat. By food environment, I mean how your kitchen is set up or what you have on your table or the snacks you choose to keep at your desk at work. If you store unhealthy foods like chips or pretzels on the counter and bury the fruit in the drawer of the fridge, you are way more likely to choose the chips when you come in your house hungry. Same as if you have chocolate and candy in your desk drawer but left your roasted almonds in your car, you are way more likely to choose the candy when hunger strikes at work. How you set up your food environment can either help or hinder your chances at achieving and maintaining a healthy lifestyle.

Below are some tips I have used with clients that can help improve mindfulness with eating!

Don't Leave Food Out
Avoid leaving high calorie snack foods on the counter. If you are putting anything out, make it fruits or vegetables.

Put Healthy Foods at Eye Level in the Fridge
Wash and cut produce and store in clear containers. When you open the fridge, make your fruits and veggies the first thing you see and you are more likely to eat them.

Hide or Eliminate Unhealthy Foods From Your Cabinets
You know yourself better than anyone else. If you can't keep chips hidden in the back of the cabinet without eating the whole bag at once, then don't buy them at all.

Don't Eat and Cook
I get so many people who tell me they snack while cooking! Chances are they end up forgetting how much they ate and being stuffed up on unhealthy foods before they even get to dinner. If your not snacking on veggies, then put away the munchies! Try chewing gum, using mouthwash, or sipping an unsweetened beverage instead.

Use Smaller Plate and Bowls
This is one of those things that everyone says; however, it does work!

Leave Leftovers on the Stove
This goes along with using smaller plates and bowls. I mean you may have a smaller plate, but still refill it more than if you just ate the regular size. By keeping leftovers away from the table, it forces you to get up for seconds. During that time, assess your hunger level and think about if you are truly hungry or just want more. You can also pack up the leftover before you eat, so you are less tempted to overindulge!

Turn off the TV
Watching TV and eating is one of the biggest drivers towards mindless eating. People end up eating more and again it is not normally the steamed broccoli when they do. So, turn off the TV and pay attention to what you are eating and maybe even the conversation at the table.

Force Yourself to Sit
Do you find yourself wandering around the kitchen munching? Or grabbing a bag of chips or crackers and eating right from there while standing? Instead of standing and eating from the container, which makes it easy to lose track of how much you consume, portion out your food and take the time to sit and enjoy it.

Hopefully, you find one strategy that can help you to eat more mindfully and improve your diet in a healthy way!

Watch "An Overview of Mindful Eating"

Cut the Salt Habit

You may have heard from your doctor or dietitian that you need to reduce your sodium intake to help decrease your risk for heart disease and high blood pressure. High levels of sodium in the diet causes fluid retention, which makes the heart work harder to pump blood throughout the body. Excessive intake can also lead to bloating and weight gain.

So many clients tell me that they are not consuming that much sodium because they don’t add salt to their foods. In reality, the average American adult eats more than 3,400mg of sodium per day, which is more double the American Heart Association’s recommended limit! According the CDC, 65% of sodium consumed comes from the food bought in retail stores, 25% comes from restaurants, and 10% comes from home cooking. Your body needs less than 500mg to function properly. The current dietary guidelines recommend less than 2,300mg of sodium per day for adults and children with a further restriction to 1,500mg for those with pre-hypertension and hypertension.

Help to keep your heart healthy by knowing what and where to look for sodium in your favorite foods. Check out the tips below for ways to cut back on your sodium intake!

Look at the Nutrition Facts Panel

Always be sure to check the nutrition label of packaged foods. Compare different brands to see if one is lower than the other. Remember to check the serving size and servings per container because if you consume more than what is recommended, you will need to double or triple the sodium content!

Set Meal and Snack Sodium Limits

Aim for less than 500mg of sodium per meal and less than 250mg of sodium per snack (or side dish) as a rule of thumb. 

Aim for Low-Sodium or No-Salt-Added

More and more companies are putting the words “no-salt-added” on the front of their package. While this won't guarantee the product is "low-sodium" (less than 140mg per serving) it is a great step. Try buying canned sauces, vegetables, and beans with this statement and again always check the food label.

Rinse Your Canned Foods

Drain and rinse canned vegetables and beans to cut the sodium by approximately 60%. 

Limit Highly Processed Foods

Luncheon meats, cheeses, cakes, cookies, and restaurant foods are almost always loaded with sodium, along with more calories and fat. Try to limit your portions of these foods and compliment them with more fresh fruits and veggies. 

Watch Your Sauces/Condiments

Sauces, gravies, salad dressings, ketchups, can all be ladened with salt. Look for low-sodium options. If you are going out to eat, ask for these items on the side and use sparingly. 

Opt for Fresh Fruits and Veggies

Fruits and vegetables are naturally low in sodium. Try to make at least half of your plate veggies and add fresh fruits to your snacks!

Cook More at Home

When you are cooking at home, you are able to control how much sodium goes into your meals. Experiment with fresh herbs and spices for flavor. Also, try adding citrus (like lemons or limes) to boost the natural flavor in foods. 

Just a reminder, a food label can claim a meal/main dish is "healthy" if it contains less than 600mg of sodium, which is still a lot. Be the salt sleuth and take control of what you eat!

Check out the American Heart Associations article on table salt versus sea salt: http://sodiumbreakup.heart.org/sodium-411/sea-salt-vs-table-salt/

References

www.heart.org

www.health.gov