❌eat all food in moderation
✅Fuck that, eat satiating real food with no limit and then if hungry eat more 🥩🍖🍗🥚🍳🥦🫑🥑🍓🍤
❌eat 5-7 small meals
✅Fuck that, if you aren’t hungry don’t eat & when you are hungry eat real food
/thread
❌breakfast is the most important meal
✅I haven’t eating breakfast in 7 years & I’ve kept 150lbs off
❌eat whole grains
✅this is just a way to get you to eat Kellogg’s & General Mills processed shit food… if they are advertising “fiber” or “whole grains” you are being conned
❌if you want chocolate or ice cream just have a little
✅either don’t have it OR if you need it find a version without sugar, plenty of low carb alternatives out there, takes some of the addictive qualities of the food out (yes and calories)
To equalize diets to some concept of “whatever works” is a lazy approach to obesity. FULL STOP.
Diets work for very specific reasons in certain individuals, not understanding those reasons needs to be states and it wasn’t
What happened instead?
Some koombaya nonsense that the efficacy of diets is based on adherence. Besides that being circular reasoning it again shifts the blame to the disenfranchised people with obesity & not the dumbfucks who portend to be experts
I met a person in the gym who went to a bariatric surgeon, was evaluated by a psychotherapist, psychiatrist and then had bariatric surgery.
She lost some weight but gained it all back several years later. No one reached out to her, nobody followed up.
/thread
When I asked her why she thinks it happened, why she gained weight, she said “it’s my fault”
She said “she ate too much, maybe she was emotionally eating”
And this is basically where I lost my shit (keep reading)
They cut out her stomach, forced her to “eat the size of her palm”… they cleared her for surgery and provided no support, no clear vision of what she is up against… but they did collect fact check$
THEY did this to her, SHE WANTED HELP… and yet she says “it’s my fault”
I have patient who is an 18 year old male who recovered from documented COVID & is being mandated to take 2 (?3🤔) mRNA vaccines
Can we as a profession appreciate our amazing tools & therapies (like vaccines) but still acknowledge the need for an individualized approach?
As a profession we need to be able to have honest and open discussions about the balance between population health and individualized approach.
YOU CAN STILL SUPPORT & APPRECIATE VACCINES & DO ALL OF THESE:
- acknowledge rare side effects
- acknowledge ideal populations/exceptions for a vaccine
- stand up for patient-physician shared decision-making
- not support coercive measures
We have known as far back as 1982 that tracking calories, food logging is inaccurate & doesn’t predict weight loss
10.1093/ajcn/35.4.727.
2/n
Meta-analysis in 2008 by Harnack and French, then follow-up in 2014 from Eblel, Kiszko reviews and assesses the evidence on the effectiveness of calorie labeling at the point of purchase
"Concerns on the effectiveness of calorie labeling policies"