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Summertime Scaries

The summer season produces many unique challenges for those recovering from an eating disorder, disordered eating, or body image concerns.  From family cookouts to bathing suits, the summer months can feel like one huge exposure assignment!  We’ve compiled some great reads that address many of the “summertime scaries” in recovery.  Check them out below!

 

‘Clean’ Eating: Magic or Mayhem?

This month, we feature an article published by Outside Magazine that discusses the clean eating trend in depth.

Bonus: the article includes perspective from one of our own here at Nutritious Thoughts – Margaret Ruch, MS, RD, LDN!

Is ‘Clean Eating’ Good for You? Not Really.

Trying to eat perfectly all the time is a losing battle

The clean-eating trend isn’t new, but it is ever present. It’s a hashtag on Instagram, a hot topic on Twitter and Reddit, and a whole category of food blogs, cookbooks, and magazines. While this approach to eating looks a little different for everyone, it always promotes whole foods and warns against processed options and added sugars. Some clean-eating plans even eschew whole-food staples like dairy, grains, and naturally occurring sugars. Despite the trend’s prevalence—and the fact that “eating clean” as a term sounds benign enough—health experts are wary of the approach for a handful of reasons. Here’s an overview of why athletes should steer clear of the trend.

“Clean Eating” Is an Ambiguous Term

There’s no agreed-upon definition of clean eating. “Generally, it’s about eating foods that are less or not at all processed. It’s always a form of restrictive eating, and for some people, it leads to avoiding whole food groups,” says Margaret Ruch, a registered dietitian who specializes in sports nutrition and disordered eating. The paleo version of clean eating, for example, emphasizes protein, vegetables, nuts, seeds, and some fruit, but it cuts out dairy, grains, legumes, added sugars, and processed foods.

The flexibility of what constitutes clean eating can lead adherents down a path of increasing restriction. The diet promises to be the cure for all kinds of ailments: fatigue, bloating, acne, weight gain, and even some chronic illnesses. If someone adopts of a couple of rules (like cutting out sugar and processed carbs) and doesn’t see benefits, it’s likely they’ll keep adding rules and cutting out foods until they do. “It’s a slippery slope—you want to eat healthier, but there’s really no end goal for clean eating, no way to know you’re doing a good job with it,” says Heather Caplan, a registered dietitian, distance runner, and former running coach.

Plus, while diet certainly impacts health, it’s unrealistic to give it so much power. Factors that are totally out of our control (genetics, for one) play a huge part in our health outcomes, as do things like our relationships, location, and socioeconomic status. “I say that to comfort people, but it’s often jarring. Just because you eat ‘perfectly’ doesn’t mean you’re definitely going to be healthy,” says Caplan.

You Need More Calories Than Veggies Can Provide

“Proper nutrition can play a big role in sports performance, but proper fueling has more to do with getting enough—enough energy, enough carbs, enough protein, enough fat, and enough fluid,” Ruch says. In other words: prioritizing nutrient-dense food is good, but the most important thing is to make sure you’re giving your body the calories it needs to perform and recover properly.

“No matter how you define clean eating, it’s about cutting out certain foods, which makes it much harder to get enough food overall,” Ruch says. “If you’re not consuming as much energy as you need, that really can damage your body in the short and the long term.”

It’s Tough to Get Enough Carbs from Whole Foods 

Exactly how many carbs a person needs depends on several factors—age, gender, weight, activity level, genetics—but “for endurance athletes, carbs should generally be about 50 to 60 percent of your total food intake,” Caplan says.

“If you define clean eating as no processed carbs, it’s going to be really tough to reach your carb needs because of all the fiber that comes with unprocessed carbs,” she says. Fiber increases a food’s volume without increasing its energy, so it makes you feel full more quickly. If you’re also cutting out whole grains and legumes, it’ll be even tougher to fulfill your carbohydrate needs.

Processed Carbs and Sugar Are Great Workout Fuel

Complex carbohydrates from whole foods are great choices most of the time. They’re more nutrient dense than processed carbs, and they digest slowly for steady energy. They’re not a good source of quick energy, though. “I wouldn’t recommend that someone eat a sweet potato or a slice of Ezekiel bread right before working out—they will be slow to enter your bloodstream,” Ruch says.

“So many athletes aren’t getting adequate carbs, usually because they’re afraid of sugar,” she says. “Processed carbs and sugars are great when you need blood sugar quickly, like when you’re about to go on a run or do any kind of intense or long workout.”

Plus, whole carbs preworkout can cause an upset stomach. Fiber is resistant to digestion, which means you’ll likely deal with some bloating and a sensitive stomach while your body breaks down fiber-rich foods—inconvenient during, say, a long training run. “Some people need a low-fiber preworkout snack, like white bread or cereal,” Caplan says. “Other people, like me, can tolerate more fiber and be fine.” If your gut isn’t having it, don’t hesitate to switch to a processed-carb snack or sugar (like a honey stick) that’s easier for your body to break down.

Restrictive Eating Creates Nutrient Deficiencies

Nobody wants to get sidelined by a stress fracture, and diet plays a big role in bone health. Eliminating dairy affects your calcium and vitamin D intake. “If you’re not replacing that dairy with something else, you’re likely going to be deficient,” says Ruch. And relying on supplements won’t cut it; studies have consistently shown that these supplements don’t reduce the risk of osteopenia, osteoporosis, or fractures, and that your best bet for good bone health is getting adequate calcium through your diet. (If you have a dairy allergy, you can get calcium and vitamin D from fortified products, like nondairy milks.)

Whole grains also provide important micronutrients, including vitamin E and various B vitamins such as riboflavin, thiamine, niacin, and folate, that offer critical support to digestion, the nervous system, and more, Caplan says. “Most whole grains are fortified with folate or folic acid, and sometimes iron.” All of these nutrients are essential for good health, and while it’s possible to get them elsewhere, grains are an easy and inexpensive source.

Diet Can Cause Mental and Emotional Stress, Too

“When we talk about health, we have to take into account not only the nutritional value of what we’re eating but also emotionally how we feel when we’re eating a certain way,” says Breese Annable, a psychologist who specializes in disordered eating, chronic dieting, and body image. Although a less rigid style of clean eating might be fine for some people, too many food rules can have a big negative impact on overall health, Annable says. For example, if you avoid social gatherings for fear of not being able to eat “clean,” you’re isolating yourself, which can have its own negative consequences. Plus, chronic stress has been shown to impair sports recovery.

Stressors of rigid clean eating might include spending more money on food (whole foods are generally more expensive) and constantly denying yourself the foods you’re craving. “There’s a trade-off between any potential benefits of following a certain diet and the stress you put on yourself when you’re so rigid and inflexible,” Ruch says. “This is true even if you do manage to get enough energy and nutrition from a diet.”

The Bottom Line

Clean eating essentially paints foods as being good or bad. “It creates this sense of morality around food,” Annable says. But health isn’t black and white, and thinking of food that way won’t do you any favors. If anything, it sets you up for feelings of guilt and failure when you inevitably break whatever diet rules you’ve set for yourself.

“It’s harmful to put labels on your diet and yourself, instead of just saying you eat a flexible diet and you’re mindful about your food intake,” Ruch says. There’s nothing wrong with wanting to eat healthfully, but the best approach is to focus on eating mostly nutritious foods while thinking of the occasional less nutritious treats as just part of an overall healthy balance. In other words: ditch the idea of clean eating, and embrace the fact that no one meal or food choice will make or break your health.

Direct article link here: https://www.outsideonline.com/2391283/is-clean-eating-good

Is ‘National Nutrition Month’ a Recovery-Positive Campaign?

As registered dietitians dedicated to the prevention and evidence-based treatment of eating disorders and disordered eating, we found ourselves asking the following questions leading into National Nutrition Month®:

  • Does National Nutrition Month® (NNM) align with Eating Disorder/Disordered Eating (ED/DE) recovery?
  • As Health At Every Size® (HAES) informed professionals, to what extent might we ethically support participation in this month-long campaign focusing on nutrition and physical activity to our clients, our peers, friends, loved ones…ourselves?

The quick answers?

  • A little bit, kind of, sorta…
  • Proceed with caution

Here’s a more in-depth look at our perspective:

Let’s begin by explaining a little bit more about NNM!  NNM was created by the Academy of Nutrition and Dietetics (AND), the largest organization of food and nutrition professionals in the United States. AND defines NNM as follows:

What is National Nutrition Month®?

National Nutrition Month® is an annual nutrition education and information campaign created by the Academy of Nutrition and Dietetics. The campaign, celebrated each year during the month of March, focuses on the importance of making informed food choices and developing sound eating and physical activity habits.

– Academy of Nutrition and Dietetics (AND)

We’ve done a thorough review of the National Nutrition Month website for 2019 and wanted to share some thoughts with you.

What we appreciated about this year’s theme:

  1. The 2019 NNM theme is self-titled (“National Nutrition Month®”) which makes it more inclusive of many different topics of discussion – including eating disorders and disordered eating! Win!
  2. Many of the educational materials encouraged making sustainable changes towards achieving balanced food and movement routines that are individualized. We love this approach!
  3. Mental health and motivation for change (which are totally intertwined with eating and moving our bodies) were not excluded from the conversation!

What we could have done without:

  1. The language! Reviewing the NNM website brought up a much larger conundrum – the way we speak about nourishment in our society. The language we use to address nutrition and movement is morally charged. The “good/bad” or “right/wrong” polarization is not recovery-positive and continues to drive us farther away from seeing food as just food and moving our bodies as joyful and drives the shame wagon. Shame does not motivate people to adopt health-promoting behaviors.
  2. Weight management. Encouraging weight management through portion control and calorie tracking is not an approach that is respectful and accepting of all body shapes and sizes and promotes the message that larger bodies are inherently in need of “fixing” or must be controlled in some manner. Nah, nah, nah. Not buying it. Weight management is not weight neutral. It’s not HAES-informed. It’s not recovery-positive. It’s oppressive and unethical to prescribe disordered eating behaviors to people living in larger bodies. Also, there is a body of evidence against it.

*Caveat: National Nutrition Month was not created specifically for those in recovery from ED/DE, but for the general United States public.  However, even so, language equating terms such as “weight management” and “portion control” as being “right” can be harmful for at-risk populations and creates unnecessary vulnerability to developing ED/DE behaviors.

Suggestions for observing NNM in ED/DE recovery:

  1. Celebrate how far you’ve come! Take this opportunity to reflect on how eating and movement patterns have become more sustainable and balanced.
  2. Set goals. How might you propel your recovery forward this month? What would it look like to take steps to strengthen our relationships with ourselves and with food, movement, and recovery?
  3. Increase your food variety – try some new foods this month!
  4. Take up space and use your voice. Be in a larger body. Be fat. Exist as you are.

We love our field, our colleagues, and the wealth of valuable knowledge provided by AND, and we hope to continue to shift the way nutrition and wellness are presented to the general public to be more inclusive and less stigmatizing!

Check out what other ED/DE clinicians have said about NNM over the years:

https://marcird.com/my-take-on-national-nutrition-month/

https://veritascollaborative.com/blog/blog-national-nutrition-month/

https://www.sovcal.com/recovery/having-an-eating-disorder-during-national-nutrition-month/

 

 

 

Holiday Survival Guide: ED Recovery

Here we are again. It’s holiday time.

Regardless of what, when, where, or how you celebrate, the hustle and bustle of the season has the potential to be overwhelming and sometimes, downright scary. So how do we navigate nourishment of our bodies and our minds in the midst of the chaos?

Check out these ideas below:

  • Make a plan. Seriously. Do it. Even if you don’t think you need to. 
    • Events involving food will likely be unavoidable over the next few months. Food is a normal part of human connection and gathering and for those in recovery from an eating disorder or disordered eating, this fact may feel quite anxiety-provoking. To say it simply, this is not the time to “wing it” or “see what will happen” or “talk about it later”. Taking the time to discuss these events, the food, and the fears around it all may be the ticket to maintaining recovery efforts.
  • Give support, get support.
    • Stay in touch with your support systems, people! It is very easy to skip your usual weekly support group or neglect to call back an accountability partner when we are feeling inundated with the many pressures of the holidays (family, travel, food, celebration, obligations, and the list goes on…). The heart of the matter is that because of these very pressures, you may need more support now than you’re able to realize…and we are thinking that may also ring true for the accountability partner from which you missed a call!
  • Make space for emotion. 
    • Everyone’s relationship to this season is different, yet we are all more stressed than usual in one way or another. Recognizing the nuances of your needs and waving ‘hello’ to whatever emotions or feelings you may be experiencing is a great first step to being able to cultivate a holiday-specific self-care regimen. See our August Blog Post on more ideas for gentle self-care during high-stress times!
  • Cope effectively. 

Do you have any tried and true methods for surviving the holiday season? Share your tips and tricks in the comments below!

 

 

 

 

Five Reasons Diet Culture is So Enticing

Diet culture is pervasive. The messages we internalize are often received inadvertently and yet, they sometimes gain immense power that can shift our mindset and behavior related to how we treat our bodies. How does this happen? Jamie Marchetti, Registered Dietitian and Author of the Wonderfully Well blog sheds some light on the ways diet culture can easily capture our attention and arrest us in our journey toward intuitive nourishment and insightful self care.

How To Look After Your Mental Health Whilst Travelling

Ahhhh, summer-time: the season of beach weekends, family vacations, trips, and travel.  This time of the year can be a whirlwind of fun and adventure, but let’s get real – it can also be extremely stressful and challenging for recovery.

How can we take recovery on vacation with us?  How do we maintain the efforts necessary to stay stable and safe without compromising enjoyment and spontaneity?

Check out this post from Moods, Meds, and Meals, a mental health and lifestyle blog, on how to care for yourself and still enjoy the summer (or any season, really) of fun around you.

Sharing the Love

This month’s post pays homage to some of our most favorite blogs.  We at Nutritious Thoughts are showing appreciation, sending shout-outs, and sharing the LOVE with some stellar platforms that are recovery-positive and rooted in joyful living.

Favorite #1: Dances With Fat

Writer Ragen Chastain (she also identifies as many other incredible things – seriously check her out!) is REAL. We love this blog for the relatable content, post consistency (new reads monthly – yay!), and conversational spark in her writing.

Some common themes in this blog include: Health At Every Size (HAES), weight neutrality, size diversity, ditching diet culture, and lots of other awesomeness!

Click here to visit Dances With Fat

Favorite #2: Julie Duffy Dillon 

We love her blog, yes, but really just everything about this wonderful human is worth getting to know.  Julie is a nutrition therapist and eating disorder specialist that is passionate about helping others find peace with food, movement, and their bodies.  

Some common themes in this blog include: Eating Disorder & disordered eating recovery, PCOS, body image, mindful and intuitive eating, and lots of other awesomeness!

Click here to visit Julie’s blog

Favorite #3: Iris Cullinan

Perspective. That’s what we love about this blog. Iris is a Intuitive Career and Business Coach in Asheville, NC (Hey, neighbor!) and is a recovery advocate. Her vision is extraordinary, and her writing embodies elements of the recovery experience like no other.  

Some common themes in this blog include: self-care, motivation, mindfulness, life changes and transformation, and lots of other awesomeness! 

Click here to visit Iris’s blog

Happy reading, everyone!

 

 

 

 

The Jeans Don’t Fit

Body image is defined by The National Eating Disorders Association (NEDA) in the following terms:

Body image is how you see yourself when you look in the mirror or when you picture yourself in your mind. It encompasses:

  • What you believe about your own appearance (including your memories, assumptions, and generalizations).
  • How you feel about your body, including your height, shape, and weight.
  • How you sense and control your body as you move.  How you physically experience or feel in your body.

The intention of this post is to explore the emotional intensity surrounding negative body image moments in all stages of recovery and to better understand and practice the concept of body image flexibility.  


“Oh no, I can’t button these jeans.”

Discomfort.

“Last season these fit me…”

Disappointment.

“Has my body really changed that much?”

Disbelief.

As I flung myself down onto my bed, feeling exasperated and eyes welling up with tears, I began to feel the intense sting of fear.  Fear of “not fitting”.  Fear of how my appearance is perceived by others.  Fear that I still very much care about any of this.  Fear that I will always care about this. 

As I cocooned myself in blankets, I began to ruminate about the time when those jeans did fit and in doing so, I experienced a monumental shift in thinking that made me realize those endless hours of therapy weren’t for naught.  Since the jeans last fit, I recognized positive changes that expanded across every realm of my life.

I’ve experienced less fatigue, pain, and illness since the jeans fit.

I’ve regained mental clarity, focus, and short-term memory since the jeans fit.

I’ve enjoyed being with friends and I’ve laughed a whole lot since the jeans fit.

It was in this moment of reflecting on positive change that I realized that yes, my entire being – my soul, my life – is in fact

Bigger

More

Larger

than any pair of pants ever could be.


As human beings with human bodies, we generally experience periods of physical, mental, and emotional discomfort throughout our lives that may impact our body image.   The concept of body image flexibility honors this discomfort and refers to the ability to fully and openly experience negative thoughts and feelings about body image while still being able to recognize self worth, hold space for self compassion, and maintain value-consistent behaviors (Sandoz, Wilson, & Merwin, 2012).

What does this mean?

Having body image flexibility means that while you may be displeased with your appearance at a given time, you are still able to care for yourself appropriately (eat consistently and enough, be gentle with your body, maintain hygiene, interact socially, etc.).

How do I practice having more body image flexibility?

  • “Yes, and…” mentality – As negative body image thoughts enter consciousness, meet them with acceptance.  This is how you feel right now in this moment.  That is okay.  Then, follow this up by stating one positive attribute about yourself.  This is all about resilience.
    • Example:
      • Negative body image thought: “My thighs are huge.”
      • Internal acceptance dialogue: “Yes, I feel that my thighs are huge in this moment.  I am uncomfortable.”
      • Positive attribute: “My thighs allow me to stand/walk for each of my 8-hour shifts at work.”
  • Get rid of items that promote negative body image or self-judgement – scales, clothing that no longer fits, etc.
  • Consider exploring body image work on a deeper level with a licensed therapist.
  • Self care, self care, self care, self care.
    • Eat. Move gently and intuitively. Sleep. Play.

 

For more information and resources related to body image:

  • https://www.nationaleatingdisorders.org/body-image-0
  • https://centerforchange.com/battling-bodies-understanding-overcoming-negative-body-images/
  • https://www.goodtherapy.org/learn-about-therapy/issues/body-image

 

Empower. Nourish. Heal.

 

 

 

 

 

 

 

 

 

Spring Forward – The Movement towards more Recovery Positive Media

Spring time –

A season hallmarked by growth, renewal, and according to popular point of view…getting “bikini ready”.  This time of year, many media outlets flood the public with messages promoting appearance-focused methods of “self-improvement”.  You know the type!  Daily interaction with the world around us may not completely eliminate exposure to suggestions such as “eat this” or “shave that” or “exercise like they do”; however, we do have some autonomy related to the media we choose to pay our attention to.


How do we make the shift to engaging in more recovery-positive media when intrusive messages seem to be everywhere?

Step One:

Notice what you are reading, scrolling through, purchasing, and watching.  What messages are you receiving from these sources?  Could they be negatively impacting your self image?  Do you find yourself playing the game of comparison?

Unfollow the account.  Unsubscribe to the magazine.  Change the channel.  Donate the book.  Block them on Facebook.

Step Two: 

Try curating uplifting sources of media that don’t pressure an “ideal”.  We’ve gathered some of our favorites for you to check out (see below!).

Books/Authors:

  • Meera Lee Patel – “My Friend Fear: Finding Magic in the Unknown”
  • Gretchen Rubin – “The Happiness Project”
  • Jen Sincero – “You Are a Badass: How to Stop Doubting Your Greatness and Start Living an Awesome Life”
  • Brené Brown – “The Gifts of Imperfection”

Instagram Accounts:

  • bymariandrew (Mari Andrew)
  • thebodyisnotanapology (The Body is Not an Apology)
  • thinkgrowprosper (A Wealth of Wisdom)
  • hellosunshine (Hello Sunshine)

Magazines:

  • Darling
  • Lucia

Podcasts:

  • Love, Food – by Julie Duffy Dillon
  • Body Kindness – by Rebecca Scritchfield

Step Three:

Enjoy connecting with the world around you without feeling inadequate in any way, shape, or form.

Boom!

*cue the fireworks*

 

 

 

 

 

 

Dear Me

I wrote this letter to myself at a painfully pivotal point in my life.  I still read it regularly and hope it provides a sense of safety, hope, and unity to others that may need it.

-Lindsey M. Yemc, MS, RD, LDN

This is a letter to yourself when things seem impossible.  Read this when success is blooming everywhere around you, and you feel as though you’re the seed that never germinated. Read this when you’re waiting for someone to say “it’s your turn”.

Dear me,

Let your tears fall, and with them, every misconceived notion that you’re not enough.  Breathe.  Open up your heart to every uncertainty in your life, every unknown, every question.  Feel uncomfortable.  The answer right now is that you just don’t know.  Accept yourself in this state.  As inglorious as it is, it is real, and being real in a terribly fake world is an achievement unfamiliar to most.

Sit here for a moment.  Do not write yourself off.  Settle in.  Disrobe your pride.  You are allowed to feel that life is sometimes unfair and unnecessarily cruel, because it absolutely is.  Understand that you are human; perhaps the most difficult thing to be in this universe.

Credit yourself.  You alone have accomplished many feats.  You have fought giants and monsters.  You feel empty with dreamy optimism, but warrior, you are full of everything you need to fight.  Freshen up your war paint, another battle is just around the corner.  You are essential personnel – rain or shine, you must trust yourself to show up.

Embrace your complexity.  You are a goddess, a serpent of solidity.  Flexible, yet unshakable. You are elemental.  The wind in your hair ignites a flame that can burn every one of your insecurities to the ground.  Know your power.

Once you’ve rediscovered the dynamic potential of your life, your incredible aptitude to design and actualize exquisite beauty, propel yourself in the dance of determination.

Love always,

Me