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Confessions of a Dietitian

by Nicole Geurin, MPH, RD

It’s easy to make assumptions about me because I am a dietitian.  You might think that I carefully manage my calorie intake and that I tell my clients to do the same.  Let me set the record straight.

Part 1: Why I am actually thin.

Unlike many people mistakenly assume, I am not thin because my nutrition knowledge has enabled me to master the ‘perfect’ diet.  (There is no ‘perfect’ diet, nor do I strive to achieve one.)  I am also not thin because I enjoy playing tennis and being active.  While I enjoy these lifestyle habits because they help me to feel well, they are not the reason that I am thin.  (Nor are they are moral imperatives for others to adopt, regardless of size.)

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A Fat Runner’s Path to Intuitive Exercise

by Lindsey Schuhmacher, MA

I like to run. I like the sharp, morning air in my lungs. I like when my breath finds its rhythm and all of a sudden it doesn’t feel like work anymore. I like how alive I feel afterwards, with fresh ideas swarming in my head and optimism lightening my step. It hasn’t always been this way. Like many people with disordered eating and exercise backgrounds, my relationship with running wasn’t always so simple.

I am fat. I have always been or identified as some form of fat. Even during the times when my weight dipped low enough to be at the high end of the “normal” range of the BMI, I felt fat. That is because I have grown up in a culture with an “ideal” image of health and beauty that I can never attain. The strange part is that I was at my least healthy, physically and psychologically, when I approached the ideal most closely and would regularly receive compliments about my looks and health. I was also repeatedly asked for advice about how other people could get to where I was. Looking back, I feel sad for myself and for those who wanted to emulate my negative behaviors.

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Fitbit? No Thanks.

by Nicole Christina, LCSW

Ok. I admit they look cool. Especially the Jawbones. They look like something I might buy in the Museum of Modern Art catalog. Or a fashion statement worn by a character in the film Bladerunner. But I have a real beef with this supposed “health trend”.

For the benefit of discussion, imagine using this computerized tracking system for your dog; counting their steps, weighing and entering their kibble into an app. Doesn’t it make more sense to use your pet’s behavior to judge how much exercise and food they need? Don’t they have an internal system which tells them when to eat and how much to exert themselves?

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HAES and Naturopathic Medicine: Using HAES Principles to Facilitate Healing

by Caitlin O’Connor, ND

Practicing medicine, especially naturopathic medicine, in a weight-obsessed culture can be tricky. Food and movement are two of the most powerful tools I have to help my patients feel better, but how do I apply those tools in a culture so obsessed with diet and exercise as a means to an end (get skinnier) rather than a foundation for health? Oftentimes, my patients come to me having been traumatized by not only the weight loss industry, but also by medical professionals who have blown off their medical needs and/or focused solely on weight loss as a singular approach to anything that ails them. Figuring out how to work with women of all sizes – in a society that desperately sells the idea of small and slender as the only markers for health – has been a huge challenge in my practice.

First things first, when I work with patients, I ask them to define their goals. I would guess that at least 50%, if not more, of the women in my practice list weight loss as one of their primary concerns. This opens the door for conversation. Why is weight loss important? What has their relationship with weight been over the life span? Is there any history of disordered eating?

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