Tell Me Your Eating Habits

How Y’all Doing?

YOU NEED TO LOSE SOME WEIGHT.

My sincere condolences to those who loved Kelly Mason.

You need to lose some weight.

After a polite Texas greeting, Dr. Nowzaradan gets straight to the point.


Tell me about your eating habits.

Dr. Nowzaradan’s patients are seldom able to describe their eating habits with specificity. They are unable to accurately report what they eat, how much they eat, and when they eat. During their first meeting with Dr. Nowzaradan, they tend to talk about why they overeat. I keep waiting for someone on the program to mention food journals.

Nutrition consultants usually ask their clients to log meals. Keeping a food diary allows eating habits to be described in terms of what foods are eaten, when they are eaten, and how much of them are eaten. They can also help track the “why” of overeating.

Surprising Benefits of Keeping a Food Journal
https://www.getqardio.com/healthy-heart-blog/food-journal/


New Reasons for Keeping a Food Journal
https://www.wsj.com/articles/new-reasons-why-you-should-keep-a-food-journal-1463419285

Food journals are powerful tools in the attempt to change eating habits. Don’t reject the idea without trying.

There are so many ways of logging meals that I need to discuss the “how to” in a separate post. If someone can commit to logging meals for a specified period of time, there is a method for them.

The Diet Plans

Dr. Nowzaradan does not offer a singular diet plan. At the first office visit Dr. Nowzaradan provides his patients with customized dietary plans based on their current eating habits, weight, how much they need to lose, age, and gender.

Marty does an excellent job of explaining and illustrating how these diet plans can differ and why it is necessary to be skeptical about websites claiming to present Dr. Nowzaradan plan. https://www.celebrityhealthcritic.com/dr-nowzaradan-diet-plan/


The scale does not lie. People lie.

Some patients return for their second visit claiming that they followed Dr. Nowzaradan’s diet instructions yet did not lose weight. He adopts an empirical approach that relies on the scale. He calls these patients liars. He tells them how many calories per day they must be eating in order to achieve their current weight. Sometimes they are eating 6000-7000 calories per day.

This is the type of information that I must look up. I use the calorie calculator at calculator.net.

https://www.calculator.net/calorie-calculator.html

I empathize with Dr. Nowzaradan’s patients because they cannot weigh themselves. Weighing on a more frequent basis would help them stay on track. I think these patients, like other overweight people including me, would benefit from keeping a food journal. They would benefit from measuring their food intake. Then they would know how far their eating habits are from Dr. Nowzaradan’s prescription.

When I see one of the patients using food measuring tools, I applaud. When dealing with a surgeon you too must adopt an empirical empirical.

That which is measured improves. That which is measured and reported improves exponentially.” – Karl Pearson.


You are delusional!

Some of Dr. Nowzaradan’s patients suggest that their dietary intake has little to do with their weight. He refers to these patients as delusional. The television program has featured people who appeared to be out of touch with reality.

These patients are also the most likely to question Dr. Nowzaradan’s recommendations and conclusions. They say, “It’s just his opinion.” That always makes me laugh. Professionals get paid for their opinions.

Other patients seem to engage in common forms of distorted thinking. I am sharing a list of cognitive distortions from a website devoted to eating disorders.

I want to emphasize that you don’t have to weigh more than 600-lbs or have an eating disorder in order to engage in distorted thinking about food. Human beings use distorted thinking to get through the day. Help is available.

10 COGNITIVE (THINKING) DISTORTIONS THAT SUPPORT EATING DISORDER BEHAVIORS
https://more-love.org/2018/10/29/10-cognitive-thinking-distortions-that-support-eating-disorder-behaviors/

Those who are obese can be battling cognitive distortions without having an eating disorder. https://www.ncbi.nlm.nih.gov/pubmed/17272943

You Want Us to Do the Work For You!

Making longterm changes in lifestyle is a complex and difficult process. The person who wants to be healthier is the person who must put in the effort. The surgeon, the therapist, the nutrition educator do not have a magic weight loss wand. These professionals make recommendations and offer their opinions. Then they wait for the person hiring their services to put in some work.

Every professional has protocols and processes. Sometimes the people they serve must step out on the belief that the professional really does have the required expertise. Patients leave Dr. Nowzaradan’s office the first time swearing that the weight loss goal he gave them is impossible. Those who take his instruction are pleasantly surprised with the results. Sometimes patients refuse to take the advise that Dr. Nowzaradan offers and they must be dismissed from the program.

Some people take longer than others to decide to do the work. To see hard work in action, watch Dr. Nowzaradan’s patients followed up beyond the first year. My 600-Lb. Life: Where Are They Now? https://www.tlc.com/tv-shows/my-600-lb-life/videos/where-are-they-now

I think that calling patients liars and saying that they are delusional is confrontational. I tend to believe that Dr. Now uses these confrontational tactics because the extreme morbid obesity of his patients is an imminent threat to their lives.

It definitely makes for dramatic television. It also provides a learning opportunity for those who are watching even if they are not as overweight as the participants on My 600-lb Life. Don’t waste a professional’s time. Take their advise or stop talking to them about the problem.


You need to see a psychotherapist!

Many of Dr. Nowzaradan’s patients report adverse childhood experiences, which are known to be associated with overeating and obesity (ACE – https://acestoohigh.com/2012/10/03/the-adverse-childhood-experiences-study-the-largest-most-important-public-health-study-you-never-heard-of-began-in-an-obesity-clinic/). These patients turned to food as a way of coping with trauma and stress and experienced the onset of obesity during childhood. They have not learned other coping strategies. Since their lives are always stressful, they are always eating. They clearly need to see a therapist.

Dr. Nowzaradan has started to introduce the need for therapy earlier in his relationship with patients. I applaud that decision. People who come to him benefit when he explains, early in the game, that they need both therapy and surgery. They need to know that he does surgery and not therapy.

Many people who want to lose weight, even if they are not as heavy as Dr. Nowzaradan’s patients, might also benefit from psychological intervention. This does not mean that they are “crazy.” It simply means that there are psychological skills that can help them achieve their health and wellness goals. They can be taught, for example, to counter disordered thinking. They can learn strategies for coping with stress that don’t cause weight gain.

Trying Noom

The idea that anyone can benefit from coaching, group support, increased clarity of thought, and improved coping skills lead me to Noom. I am currently engaged in the two week trial of the app. I recommend that others give it chance. If Noom seems expensive consider the general pricing structure of one on one health coaching.

One on One Coaching Pricing Structure

Most coaches offer two sessions per month, and the session time ranges from 45 – 60 minutes.

New coaches that are just starting out charge around $50 – $75 per session.

More experienced coaches charge $100 – $200 per session.

There are also coaches that charge by the package ($1,200 – $2,400) so there is quite a range.

The more concierge services you require, the greater the cost.

What Is the Noom Diet? A Nutritionist Explains https://www.health.com/weight-loss/noom-diet

What is the Noom Diet? A Nutritionist Explains How the App Can Help You Lose Weight https://www.goodhousekeeping.com/health/diet-nutrition/a26023584/noom-diet-plan-review/

We Tried Noom: The Weight Loss App for Millinealss https://people.com/health/we-tried-it-noom/

1200 Calories: Variety Simplified

While Managing Weight and Improving Health

Over the past 6 months I have become increasingly sedentary. I was also gaining weight. Stopping this weight gain became my first priority. The simplest approach to stopping weight gain is reducing caloric intake. I knew that if I cut daily caloric intake to no more than 1200 calories I would lose weight. This is true for most women. I tried preparing three meals per day that were each under 400 calories. I soon discovered, however, that I don’t have enough stamina for that much washing up.

In order to reduce both caloric and kitchen cleaning loads, I needed to cook fewer meals. I examined the potential of frozen meals labeled as “healthy” choices to meet my needs. I found some that met the calorie count requirement and which were relatively tasty. Some even had a relatively decent micronutrient profile, EXCEPT for an excessive amount of sodium. I keep one or two of these in my freezer for unexpected situations, but they are not suitable for daily consumption.

Because I am trying to manage my weight, improve my health, and simplify my lifestyle, I switched to the two meal per day version of intermittent fasting (IF). I generally have lunch at noon and supper at six, then fast for the next 18 hours. In order to limit clean up, I find it helpful to cook both meals at the same time. Some days I find one meal sufficient.

Intermittent Fasting 101 — The Ultimate Beginner’s Guide https://www.healthline.com/nutrition/intermittent-fasting-guide

I deeply appreciate the opportunity to eat a variety of foods. When I eat just a few foods day after day, I soon find myself overeating. I think of it as “palate fatigue.” In addition to keeping the palate alert, eating a wide variety of foods is good for nutrition. I relish “eating the rainbow.”

Recently I decided to try a meal preparation kit. I went with Home Chef because of a great offer through Groupon. I received the ingredients required to prepare three meals for two people, which translates to six meals for me, at a cost of $24. I enjoyed the three recipes tremendously.

Since I used the Home Chef offer, other companies have been pursuing my business aggressively. I have substantially discounted meals lined up for the next five weeks (Hello Fresh, Blue Apron, Green Chef). I am pleased that I get to cook a variety of new dishes, at a discount, without a trip to the supermarket. When I am only eating one meal per day not relying on my standard recipes increases the pleasure of the meal.

My neurologist/pain management physician suggested that I combine Keto with IF. I have not experienced ketosis since I tried the Atkins diet after the birth of my second child some decades ago. I plan to conduct a trial using meal preparation kits that support ketosis.

Keto Diet: Does it Really Work
https://health.usnews.com/best-diet/keto-diet

Intermittent Fasting and Keto: How Are They Related? https://perfectketo.com/ketosis-vs-intermittent-fasting/

Top 5 Keto Meal Delivery Services
https://top5mealdeliveryservices.com/keto-meal-delivery

For the past two weeks, I have been battling a painful infection. While waiting for my temperature to go down, I binge watched the first six seasons of My 600 lb. Life.


https://en.m.wikipedia.org/wiki/My_600-lb_Life


The participants in this reality series inspired me as a person, a sociologist, and a health and nutrition educator. I plan to share some of things that I learned or relearned while watching this program. These things can have import for anyone struggling to maintain a health weight.