Showing posts with label Orthorexia. Show all posts
Showing posts with label Orthorexia. Show all posts

December 28, 2016

Stop Following a Medically Therapeutic Diet "Just 'Cuz" (a.k.a. The Keto Train to CrazyTown)





This is a very long post (even for me). Take it or leave it. You have been warned. Comments have been disabled for this one. Love this post or hate it, agree with some of it, disagree with some of it. Whatever your feelings, you are free to express them elsewhere.  


This will be the last of my emotionally charged posts for a little while. I have to get it out of my system, but once it's out and the new year gets underway, I'll focus on posting things that are more educational and helpful (or intended to be, anyway).



It’s funny. Considering I advertise myself as a low carb and keto-friendly nutritionist, I often find myself recommending that clients eat more carbs. More protein. And that they abandon weighing and measuring every morsel of food and pouring olive oil and melted butter on everything in an effort to arrive at some magical, no-fail, automatic-fat-loss-inducing macronutrient ratio somewhere upward of 75% fat.

I have been threatening promising on social media for a while now that I was going to post an epic rant about some problematic things I see when healthy, fit, active people follow a medically therapeutic diet because they have come to believe they should. (Or worse, have come to believe that they have to, because it’s the only way to be healthy and prevent metabolic illness. 

Now, before I get into things, we’ve got to establish some ground rules:


November 30, 2016

A Word About Upcoming Posts





I try to be a voice of sensibility in the vast and overwhelming sea of information regarding low carbohydrate and ketogenic ways of eating. It even says so at the top of my homepage: “A source of sanity in the sea of nutritional madness.” What I know compared to what there is left to learn is like a thimble of water compared to the Pacific Ocean. There’s a lot more—a lot more—I don’t know than what I do know, but I try to share with you the small bits of knowledge I gain as I hang on for dear life while traversing these tumultuous waters. I’ve done it about digestion, cancer, insulin, fuel partitioning, and more. (My Alzheimer’s book has been completely rewritten and updated for a March 2017 release as a print book from a big name publisher, so I’ll continue do it about Alzheimer’s, too.)   

However, I am starting to worry that, due to my penchant for ranting about things that bother me about the low carb and ketogenic communities, I’m developing a reputation for being an angry, hateful, vicious, and vindictive person. I assure you, I am neither angry, nor hateful, nor vicious, nor vindictive. In fact, “in real life,” I am quiet, shy, and, I’d like to think, gentle and kind. Nevertheless, there’s no denying the fact that I do rant a lot. But what can I say? The utter madness being masqueraded as fact in certain spaces provides no shortage of material to rant about. Being a gentle and kind person, I assume the spreading of misinformation occurs as a result of plain ol’ ignorance, rather than deliberate malice and ill intent. Whatever the intent, the end result is that misinformation is being spread, and because of it, people are experiencing setbacks along their roads to better health, fat loss, better blood sugar control, and more.

Why do I care? Well, like I mentioned in my rant post about fasting, as a nutritionist working with clients, I deal with the consequences of what happens when people follow advice that is either straight-up false, or advice that is perfectly appropriate for a certain context, but which is not applicable to their context.

It’s getting old, folks. I’m tired of trying to respond politely to emails from people who are afraid to eat two ounces of carrots in a serving of mixed vegetables, but who think it’s completely normal to put five tablespoons of butter and coconut oil in a cup of coffee. (Or better yet, to drink that 500-calorie coffee in the morning and say they’re “fasting.”) I’m tired of trying to respond politely to emails from grown adults who are restricting themselves to 45 grams of protein a day because they’re afraid that if they eat more than that, they’ll be at less than 80% fat and they’ll mess up their “keto ratios,” and also because the excess protein will be turned immediately into glucose and cause a huge spike in their blood sugar. (No, it won’t. Really, it won’t. Seriously now, it won’t.) I’m tired of trying to respond politely to emails from people who are disappointed and frustrated because they’re not losing weight or are maybe even gaining weight, even though they’re listening to their trusted experts online and are eating more fat – adding lots of extra butter to things, eating fat bombs, and shunning anything that even hints at being lean or low in fat. They’re as afraid of skinless chicken breasts as they are of 64-ounce troughs of Mountain Dew. And I’m tired of trying to respond politely to emails from people who, for whatever reasons—and there are many—are convinced that they must, must be in ketosis at all times. I swear, if I read or hear “I got kicked out of ketosis” one more time…

I am frustrated, and good-hearted people out there trying to follow low carb or ketogenic diets are frustrated, too.

In this spirit, I have a few more rants planned (already written, in fact) about the problematic things I see in the carbohydrate restriction community. But I don’t want to be a one-trick pony. I don’t want to have a reputation as an angry person who only ever posts electronic versions of hissy fits. Nevertheless, now that I’m more active in a few Facebook groups, I am confronted with these problematic things every day, and I feel compelled to address them. Since I don’t want to address them over and over and over again, I am going to post these few rants and then be done with them. (For now. Heaven knows there will always be something else that gets a rise out of me, but I’ll try to keep the ranting to a minimum once these next few posts are out of my system.) And get them out of my system I must. I don’t have children. What I have instead are ideas to write about, and they nag me, metaphorically pulling on my pant leg, until I finally give them they attention they require and see to their care and feeding.

I have three such posts in the hopper. You will know them when you see them. One of them—the last one I’ll post—is a candidate for a spot in my top three longest posts ever (alongside the one about my mother and the one about vitamin J). I thought about breaking it up into three or four separate posts, but I’d rather just get it all out at once and be done with it. Plus, that way, if I ever need to respond to someone on social media, or someone who emails me directly, in regard to some of what that post includes, I can just send them a link and it will all be centrally located.

As for what I’m going to write about after that, I’ll continue with more Low Carb Cooking Class (LC3), and I have not forgotten about the series on the metabolic theory of cancer. I do plan to pick it up again, as we have finally, finally gotten to the point where we can talk about the ketogenic diet and have it make sense. And I have been saying for ages now that I’d like to write something about sodium, and how salt is not something to fear, but that’s going to take a while. Before that, I’m going to post a couple of things that I see a need for, if questions on Twitter and Facebook are any indication: a guide to dining out on a low carb or ketogenic diet, and breakfast ideas for people who either don’t like bacon and eggs, or who are “tired of them.” (Yes, apparently such a thing is possible, though I have yet to witness this rare phenomenon in person.) I’m also contemplating sharing my thoughts on “zero carb” diets, as well as my growing suspicion that a plethora of modern chronic illnesses are driven not just by hyperinsulinemia and hyperglycemia, which are both, of course, huge issues, but by chronic nutrient insufficiency. The more I learn about the nuances of certain biochemical processes and the modern food supply, the more I appreciate just how robust the human body is, because frankly, I’m actually surprised there aren’t even more very ill people in our midst. That there aren’t is a testament to the ability of the human body to adapt and overcome and keep on truckin’ even when all indicators suggest someone is about to keel over and die at any moment.  

That’s all. Just wanted to warn you let you know what’s in store for the next few posts. After that, I’ll get back to writing things that might be more helpful for people, and I’ll try to keep my anger out of things. (Although I have to say, while I don’t want a reputation for being angry, my sarcasm and snark seem to go over pretty well, and I’m totally okay with being known for that.)  ;-) 









Disclaimer: Amy Berger, MS, CNS, NTP, is not a physician and Tuit Nutrition, LLC, is not a medical practice. The information contained on this site is not intended to diagnose, treat, cure, or prevent any medical condition and is not to be used as a substitute for the care and guidance of a physician. Links in this post and all others may direct you to amazon.com, where I will receive a small amount of the purchase price of any items you buy through my affiliate links.

September 14, 2016

Not So ... Fast ... (A Rant)





Hammers are great. Except for when you need a wrench.

Wrenches are great. Except for when you need a drill.

Drills are great. Except for when you need a crowbar.

Different job, different tool.
Different need, different tool.

With me so far?

With this in mind:

Fasting is great. Except when it’s not.

I think you’ll find I’m one of the more open-minded people in the low-carb/keto community. (I don’t know if this is good, bad, or meaningless. Maybe I should align myself with one camp and subscribe to that dogma and only that dogma. Then again, there’s enough of that out there already, right? And when Robb Wolf starts talking about eating lentils [as he did on this podcast], and Chris Kresser points out some of the potential dangers of going overboard with vitamin D supplementation, I guess I’m in good company if I’m able [and willing!] to see and respect the nuance some of this stuff requires.) I firmly believe in certain basic principles of nutrition that are forged in unalterable aspects of human physiology and biochemistry, but beyond that, if someone tells me they feel better eating a little bit of rice and potatoes now and then, and that they don’t feel so great loading up a cup of coffee with 4+ tablespoons of butter and coconut oil, who am I to insist they’re lying? Who am I to insist they force themselves to do something they insist makes them feel terrible? (Except bacon. If you’re not eating bacon, you are doing it wrong. [No, just kidding. Shout-out to anyone reading my blog who keeps kosher or observes the laws of halāl!])

So in my non-dogmatic perspective, what’s the deal with fasting?

August 6, 2014

Book Review: Health Food Junkies





Note: I do not plan to have this blog become nothing but recipes, book reviews, and food label takedowns. I am still (slowly but surely) working on the project I've been mentioning for a while, and I'm also still figuring out where to go next in my "real" posts -- the ones that dive deeper into physiology and biochemistry. I don't want to parrot what a hundred other people out there are already covering, so what's a gal to do? Man, this niche-finding is harder than it sounds! Anyway, I will be getting back to more educational posts soon, but in the meantime, rather than have total blog silence, I hope nobody minds that I keep posting things like this. So here goes...

I expected to not like this book. I expected to be angry and disappointed throughout. I mean, come on, the book’s subtitle is Overcoming the Obsession with Healthful Eating. So before I even started, I wondered how the author, Steven Bratman, MD, would define “obsession” and “healthful eating.” Would he call me “obsessed with healthful eating” if he went out to breakfast with me and I ordered a western omelet (hold the toast), instead of a stack of pancakes dripping with syrup, washed down with a 20oz orange juice? Would he call me “obsessed” if I were at a restaurant and instead of taking a piece of bread from the complimentary basket, I helped myself to a pat of butter? Is that being “obsessed,” or is it simply me recognizing that my body doesn’t do so well on lots of sugar and starch? 

I expected this book to be a diatribe against anyone who asks questions of restaurant wait staff, or who asks for substitutions of double green vegetables in lieu of potatoes or pasta. Was I going to sit through 200+ pages of this doctor railing against people who eat Paleo, Primal, gluten-free, low-carb, or who are simply concerned with the sources of their food? If so, it was gonna be a bumpy ride.