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Showing posts from December, 2011

Struggling With Your Eating? Carrot Cake May Be The Answer.

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I ate too much. I kid you not. Eight days filled with fried foods is weighing me down. And while I don’t celebrate Christmas, it happens to be my husband’s birthday. So I made the obligatory carrot cake with cream cheese frosting—his favorite—a total yum— and probably ate a bit more than was necessary. And that was after the Indian food we had out—shared lentil soup, appetizers—the works. Having my jeans fit rather tightly can be challenging even if I needed to gain some weight—which I don’t. Somehow, there’s just no positive reinforcement in our culture for having your waist band cut into your flesh—even if it’s truly a sign of progress, of necessary weight gain for recovery. Growing out of your clothes (unless you’re an adolescent, entitling you to indulge in the newest fashions) yields little benefit in our society. But in my case, that’s beside the point. My personal goal is maintenance, within my normal and healthy weight. Yes, even nutritionists can, and do, overeat at times. O...

This Holiday Of Miracles—Ancient Wisdom About Managing Your Eating

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Taking back control. Rededication. Surviving persecution and abuse.  Triumph after being restricted, forbidden from following your own path. Your prized possession, quality olive oil, gets you through, for much longer than you ever believed it could. These phrases describe the festival of Hanukkah, yet I can’t help but repackage them as a recipe for moving forward with our eating—both, during this holiday season and beyond, for Jews and non-Jews alike. First, here’s my very brief summary of the holiday (for a more complete story, check out Chabad and Wikipedia ).  Hanukkah celebrates the rededication of the Second Temple in Jerusalem a long, long, time ago, more than 21 centuries ago. Following a rebellion against Hellenization, after being persecuted, denied following their own religion, a group of rebels fought back and regained control. They cleansed their temple, and wanted to light their 7-branched menorah , the candelabra, but there was only enough of the purified olive...

The Gifts You Brought Me: Priceless Progress This Holiday Season

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Winter holidays are still several days away, but early gifts of gratitude have already shown up at my office. Yesterday’s were particularly sweet to me. Kay presented me with a lovely handcrafted pair of earrings, sold as a fundraiser for  Project Have Hope . (Love that name!)  Guess who knew there were some yummy cookies to uncover? But I was even more touched by the additional part of her packaged gift, which Mica (canine to the left) unwrapped for me last night. Kay apparently recalled my familiarity with and love of her favorite cookies— Petite Ecolier . Yes, Kay could openly discuss how many chocolate covered French biscuits she consumes, and the pleasure they bring her. Gone are the cookies eaten in the closet—and the car, and in front of the computer screen. I earned silver yesterday, but felt like I was the recipient of a gold; I loved the sterling earrings crafted by an Israeli artist that my patient knew I’d appreciate. But the even greater gift was my experience of ...

Following a Vegan Diet. And, a Gluten Free Diet. And, and, and…

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Couldn't Resist This Photo Op In Switzerland! It’s time for some praise for doctors. Surprised? I know you are used to my airing my complaints here, for inappropriate, unconstructive assumptions some doctors make. And, for their misinformation not infrequently conveyed to patients, when it comes to diet and disease management. Just last week, a patient with type 2 diabetes shared her experience about her follow up MD visit. Jane has been eating well, resulting in a significant and appropriate weight loss. She’s moving more, and watching her carbohydrate intake, improving her post meal blood sugars. But given that her morning numbers remained quite high, in spite of her fabulous lifestyle changes, I encouraged her to address this with her doctor, hoping for a shake up in her diabetes medications. Can you guess what he told her?  You guessed it. Just lose weight. Yes, he wanted her to continue to stay with sugars almost 100 points too high, potentially causing damage to her blood ves...

What Your Healthcare Team Needs to Know About Your Non Compliance.

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Compliant |k ə m ˈ plī ə nt| Adjective 1. inclined to agree with others or obey rules, esp. to an excessive degree; acquiescent : good-humored, eagerly compliant girls. See note at obedient. (From the New Oxford American Dictionary) A picture of NON-Compliance. Only a biscuit will motivate him for action. It’s rare that I have the opportunity to chat with a medical student, a soon to be doctor. But this past weekend I was fortunate. Mike, a bright, articulate, and lovely guy of 28, is nearing the end of his fourth year of his medical education, currently doing his internal medicine rotation. He attends a top medical school in New York City. And you know me. I just had to ask him, this soon to be practicing doctor, a few pressing questions, while strolling along the brownstone lined streets of NYC. Here’s how it went. LL: “So how much nutrition education do you get throughout your training?” Mike: “About 5 hours total, in my four years.” LL: “And what kinds of nutrition topics do you c...