One of our greatest frustrations with healthy living is dealing with the normal obstacles of life – the things that can stand in the way of our best-laid plans. My clients are often eager and ready to come up with their “plan A.” The “if everything works as it should” plan. The “this is how I really want things to go” plan. I also encourage them to come up with contingency plans. What if everything doesn’t work as it should? What if things don’t go how you really wish they would?

Having a contingency plan helps prevent the all-or-nothing feelings that can come into play when we don’t seem to be able to make plan A work. If plan A is all we have in our healthy tool belt, then we end up defeated when it won’t work for one reason or another. Your plan failed…guess you can’t be healthy today.

Not so!

Life is often not going to work out the way you hope, so be prepared! Have a plan for when the plan doesn’t work. It’s not defeatist – it’s realistic. Have a contingency plan. This is how I usually describe them:

Plan A: This is your best-case scenario. It is the plan that is designed to help you meet your health goals and fit into your (and your family’s) lifestyle at least half the time. If you make a plan A that rarely ends up ever working, it’s probably not the right plan A for you. Remember that it’s okay to try changes out before committing to them (in fact you should!) and it’s okay if a change doesn’t work for you. Keep looking for your best fit!

Plan B: This is your “oh shoot, I didn’t have time for plan A” or “we can’t afford plan A right now” or ______insert reason plan A doesn’t work this time_____. This is not as ideal of an outcome as plan A, but still keeps you on track with a decent second-best. Ask yourself what might stand in the way of your plan A, and consider how you might adjust. Plan B options sometimes require a little bit of advance preparation, but then they have your back when needed.

Plan C: This is your hail Mary. The “well…nothing went the way I planned so we will do the best we can with what we have today.” Sometimes you actually have a third-best option, and sometimes your plan C is just to let it go and try again tomorrow. Either way, make it an intentional choice, not an automatic response to a plan A roadblock. Plan to take a day off if plans A and B fall through, and don’t feel bad if they did. This mentally helps us stay away from thought patterns like “well, I didn’t complete plan A today, so I guess I’m not being healthy anymore.” It sounds dramatic when you say it out loud, but it’s the way a lot of our brains think. I can’t tell you how many stories I’ve heard from clients about healthy changes they did great with…until that one day, then they gave up since they had “broken their streak.”

Here are some examples of contingency plans my clients have made:

Cooking at home

Plan A (best-case-scenario, works at least half the time): Make a meal plan each week and cook at least 5 dinners at home.

Plan B (second-best option, has your back with a little advance preparation): This client felt her most likely roadblock would be not having time to make the dinner on her meal plan, so her plan B was to buy pre-cooked salmon fillets and a vegetable/red potato medley to keep in the freezer so she could always have a microwave back-up option if she got stuck in traffic on the way home from work.

Plan C (do the best you can with what you’ve got, no preparation required): If she comes home late and her kids have a nighttime activity, she usually needs to bring something home or take the kids out on the way. We selected 3 different restaurants that her kids would like and where everyone could customize their own healthful option.

Strength Training

Plan A: Go to the gym before work to strength train three times per week.

Plan B: This client’s gym is very busy in the afternoon, so his biggest roadblock would be getting his workout in if he missed going in the morning. If he didn’t make it to the gym before work, we selected a Youtube body weight workout he could do at home in the evening.

Plan C: If he did not want to work out in the evening when he got home, he could either try going to the gym a different morning that week, or take a day off and try again on his next scheduled gym day.

The point is, that making the plan ahead of time helps prepare you for challenges and makes any of the options okay. It allows you to realistically navigate life’s curve balls while still keeping focus on your goal. All while avoiding a defeated attitude when life just doesn’t play nice. So hang in there! Make a plan, and another, and another. And don’t beat yourself up when plan A and plan B don’t work! It happens to everyone – now you can be prepared.

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Fasten your seatbelts and make sure your seat is in the upright position – we are on the runway for the holiday season! Cozy get-togethers, tasty dinners, and delicious sweets and treats await us! For some, the question is always: how can I stay healthy and still enjoy my holidays? Too many times we can struggle with this balance, finding ourselves dehydrated, bloated, and unhealthy come January, swearing “never again.” Or – just as unfortunately – stressing ourselves out so much about not affecting our health that we don’t actually spend any time enjoying our holidays. No more! Here are 5 practical, easy tips to enjoy a holiday season that won’t leave you ragged coming in to the new year.

1. Prioritize

Our natural tendency is to take a little bit of everything at any given holiday event. Often, though, we don’t even truly love all of these treats. Skim the spread and honestly ask yourself which items are sure to delight you. Which one would you be sad to leave without? Dish up and enjoy! If there are others that aren’t your favorites, don’t take them by default. Make sure to prioritize what you really love!

2. Set Yourself up for Success

It’s tough to enjoy a holiday when you aren’t feeling well, and we all know that certain foods (in certain amounts) affect us in uncomfortable ways. If a gathering is potluck-style, bring a food that you know leaves you feeling great. Then you know there will be at least one dish that won’t leave you feeling less than your best. If you don’t have the option to bring something, snack on some feel-good foods before you head out.

3. Take Your Time

Don’t rush the experience – eating holiday food is a seasonal delight to be savored. Make a plate, have a seat, and visit with a loved one as you eat. Take time to enjoy each bite and chew well (this helps with digestion as well as enjoyment)! After finishing your plate, give yourself 10-15 minutes before you go back for seconds. Our satiety signals sometimes take a bit to kick in. Waiting can help prevent painful over-fullness!

4. Hydrate Well

Most of the things that leave us feeling crummy after the holidays have to do with their dehydrating effects – sugar, salt, and alcohol are all culprits for leaving us dried out. That dehydration can lead to headaches, fatigue, breakouts, digestive issues, and more. You can make big strides to feeling your best by simply making sure to drink plenty of water leading up to, during, and after your holiday celebration.

5. Enjoy!

Do not let worries about your health or weight consume your holidays. Your mental health is a much larger part of your overall wellness than that Christmas cookie. Practice balance, give yourself grace, and enjoy every second with your family, friends and favorite foods.

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This creamy, delectable macaroni and cheese is the definition of comfort food. In an epic stroke of blended brilliance, this one-dish meal brings you lean protein, a mondo-dose of calcium and vitamin A, a full serving of vegetables, complex carbohydrates for sustainable energy, and all the cozy, cheesy winter vibes you could desire. The sauce contains an entire butternut squash and a cauliflower to boost the nutritional impact of this otherwise unassuming kid-friendly dinner.

An immersion blender can be a very helpful tool to make this recipe prep a snap, but it’s not necessary. You can use a regular blender, food processor, or even a potato masher (though the blend-ier options will get you a smoother sauce). To save time, you can also purchase the butternut squash and cauliflower already cubed (fresh or frozen).

Let me know in the comments if you give this recipe a try!

Disclaimer: Products purchased through affiliate links will earn me a small commission at no extra cost to you. Please know that I only recommend products that I have used and believe in.

Of course you want to be healthy – but everywhere you look, diet culture’s miserable mandates run wild. How are you to know what healthy really looks like? Look no further.

Down Home Dietitian’s got you covered – with simple healthy recipes, informative videos, totally doable workouts, and grow-it-yourself gardening advice. If you want to be healthy and you don’t want to be miserable doing it, this is the channel for you. Subscribe so you don’t miss a thing! Because healthy doesn’t have to be hard.

Clean out your fridge and blend smoothies in an endless variety of flavors! Smoothies are such a great way to fit in so much good nutrition – get your calcium, protein, healthy carbs, vitamins and minerals, fiber, and anti-inflammatory omega-3s in one delicious glass that goes with you throughout your morning (or day)! Enjoy!

You’d have to be living in a mole hole to not have heard of the ketogenic diet. Everyone knows someone who’s on it. What everyone wants to know is whether or not keto is safe and effective. Does the keto diet work for weight loss? Is it dangerous?  Is the keto diet nutritionally balanced? Is it easy to follow? There is SO much to say about keto so I’m going to make this post a quick overview. I’ll make more in-depth posts about these topics along the way (with a lot more references), so check back for more info!

What does the research say about the keto diet?

Research about the effectiveness of the keto diet (or similar low carb, high fat diets) for weight management is somewhat mixed. Most of the time, keto-like diets are successful at causing weight loss.^1-2 Unfortunately, the research also indicates that the success of keeping that weight off long term (1 year or more) is low (and no better than with other types of diets).^3-5

Research on keto’s effects on other health markers (cholesterol, blood glucose, insulin, inflammation, etc) is also mixed. Some studies show the keto diet improves cholesterol markers, others demonstrate that it makes them worse.^1,6 Research on inflammation is once again, annoyingly, unclear and conflicting.^6-7 For the most part, blood glucose and insulin levels do tend to improve^1,6, likely because carbohydrates (and therefore the need for insulin) are largely a non-factor in a ketogenic diet.

With all of the conflicting information, it’s no wonder everyone is so confused about the keto diet. In a future post, I will go much more in-depth about what the research says and what conclusions we can pull from it.

Is the keto diet dangerous?

This answer is a little convoluted (you’re shocked, I know). Short-to-moderate length studies looking to evaluate the safety of the ketogenic diet have mostly unearthed no dangerous results (other than those mentioned above).¹ However, few of those studies have looked at the long-term effects of the ketogenic diet (or similar very low carb diets) on metabolism.^2,8 By far and away, my largest caution with the keto diet is its long-term effects on metabolism. This is also the main reason I do not recommend the keto diet for my clients and I am not following the keto diet during this feature.

Eating so few carbs mimics a “famine” situation, causing your body to rely more on its body fat stores than on blood glucose. So far, that sounds great, right? But your body expects this to be temporary (think caveman days – in Spring/Summer, the carbs will come back!). After a while, if carbohydrates don’t increase, your body resorts to a more sustainable long-term plan. Your body knows it can’t keep burning through the fat stores – it would rather slow down metabolism and try to preserve its fat stores as much as possible. This nearly always leads to fatigue, brain fog, feeling cold, and a weight loss plateau. Often at this point people become frustrated with the lack of results and begin to eat more carbohydrate. Your body is jazzed – “Spring/Summer is here! We survived! Boy, that was a long one. Next time, we will be even more prepared for Winter.” Translation: we will store more fat. These shifts are backed by documented hormonal changes in mice and humans,^4,8-9   and are linked with the weight regain mentioned earlier.

The take-home message: In the long run, very low carb diets like keto teach your body how to store fat more effectively.

Is the keto diet nutritionally balanced?

The answer is a big it depends. I would venture to say that the average keto diet is not nutritionally balanced. I would follow that up by saying that it is possible to eat a nutritionally balanced keto diet, but it takes a lot of intention. Here are some of the nutritional weaknesses I see in keto diets:

• Fiber – Fiber is a type of carbohydrate that composes the structure of certain plant-based foods. Since fiber doesn’t break down into blood glucose, it is not actually limited on the ketogenic diet and will not interfere with ketosis. At the same time, it comes in primarily carbohydrate foods, so the carb limitations often make it quite tricky to get enough fiber while avoiding other carbohydrates. It can be done with certain high-fiber foods such as nuts and seeds, avocados, and berries.
• Vitamin C – While you can certainly get vitamin C from certain keto-friendly vegetables (hey, peppers!), a lot of the best vitamin C sources are fruits, which are very limited on a keto diet. You can definitely make a point to eat vitamin-C containing foods, but you have to make the point to do so.
• Saturated fat – These are the types of fats that are primarily found in animal foods. Being a high-fat diet, unless someone is being very intentional in their food choices, a keto diet is typically quite high in saturated fats. While there are some debates around the appropriate recommendations for saturated fat,¹⁰ most keto-dieters I’ve talked with are eating WAY more than even some of the higher evidence-based recommendations. High saturated fat intakes are associated with high levels of cholesterol and increased occurrence of dementia.^11-12 Keto dieters can buffer this impact by limiting intakes of high fat meats (sausage, bacon, ribs, hot dogs, etc) and dairy in favor of lean and grass-fed meats and reduced fat dairy. Focus on including a variety of plant-based fats like nuts, seeds, avocado, and olive oil.

Is the keto diet easy to follow?

This kind of depends (do you see a theme here? It seems nutrition rarely has a clear answer). Some people absolutely LOVE meat and veggies and aren’t so big on the carb-y stuff, and keto totally rocks their world. Others – most, if we’re honest – enjoy at least some carbohydrate foods (or the option to eat them without ruining ketosis) on a regular basis. With ketosis, it’s kind of an all-or-nothing thing. You either need to be in and mostly stay in ketosis or regularly meet your carbohydrate needs. Bouncing back and forth or riding the low-carb-but-not-quite-low-enough-for-ketosis train is generally not an enjoyable ride. Many clients complain about low energy, brain fog, fatigue, and weight fluctuations, particularly coming in and out of ketosis. Digestive disturbances come up frequently as well.

My average client finds keto to be a social and nutritional bummer, because it restricts a lot of foods – particularly delicious and commonly social foods. It can also be a challenge for some to consume enough fat to promote ketosis and meet caloric needs. I can’t even count how many clients and friends have followed keto for a few weeks or months, convinced it was going great, only to decide it was too restrictive and they weren’t enjoying their food quality of life or feeling their best. The same high dropout trend is commonly seen in studies about low-carbohydrate diets.³ When deciding about a diet, be sure to take the nutritional and safety factors into account as well as your personality, favorite foods, and family/friends.

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References

1. Dashti, Hussein M et al. “Long-term effects of a ketogenic diet in obese patients.” Experimental and clinical cardiology vol. 9,3 (2004): 200-5.
2. David S Ludwig, The Ketogenic Diet: Evidence for Optimism but High-Quality Research Needed, The Journal of Nutrition, nxz308, https://doi.org/10.1093/jn/nxz308
3. Phelan, S., Wyatt, H., Nassery, S., DiBello, J., Fava, J.L., Hill, J.O. and Wing, R.R. (2007), Three‐Year Weight Change in Successful Weight Losers Who Lost Weight on a Low‐Carbohydrate Diet. Obesity, 15: 2470-2477. doi:10.1038/oby.2007.293
4. Cardillo, S., Seshadri, P., Iqbal, N. The effects of a Low Carbohydrate vs. Low Fat Diet on adipocytikines in severely obese adults: a three-year-follow-up on a randomized control trial. Eur Rev Med Pharmacol Sci vol. 10 (2006): 99-106.
5. Foster, G., et al. A randomized trial of a low-carbohydrate diet for obesity. N Engl J Med (2003); 348:2082-2090
   DOI: 10.1056/NEJMoa022207.
6. Rosenbaum, M., et al. Glucose and lipid homeostasis and inflammation in humans following an isocaloric ketogenic diet. Obesity. 2019 Jun;27(6):971-981. doi: 10.1002/oby.22468. Epub 2019 May 8.
7. Shen, Y., Kapfhamer, D., Minnella, A.M. et al. Bioenergetic state regulates innate inflammatory responses through the transcriptional co-repressor CtBP. Nat Commun 8, 624 (2017). https://doi.org/10.1038/s41467-017-00707-0
8. Goldberg, E.L., Shchukina, I., Asher, J.L. et al. Ketogenesis activates metabolically protective γδ T cells in visceral adipose tissue. Nat Metab 2, 50–61 (2020). https://doi.org/10.1038/s42255-019-0160-6
9. Cooper, E. The Metabolic Storm: The science of your metabolism and how its making you fat. Seattle Performance Medicine. 2015. 2nd edition.
10. Enos, R., et al. Influence of dietary saturated fat content on adiposity, macrophage behavior, inflammation, and metabolism: composition matters.
11. Enos, R., et al. Influence of  The Journal of Lipid Research. doi: 10.1194/jlr.M030700 (2013), 54, 152-163.
12. Greenwood, C., Winocur, G., High-fat diets, insulin resistance and declining cognitive function. Neurobiology of Aging. Volume 26, Issue 1, Supplement (2005) 42-45. https://doi.org/10.1016/j.neurobiolaging.2005.08.017.
13. Barnard, N. D., Bunner, A. E., Agarwal, U. Saturated and trans fats and dementia: a systematic review. Neurobiology of Aging. Volume 35, Supplement 2 (2014) S65-S73. https://doi.org/10.1016/j.neurobiolaging.2014.02.030.

If your goal for the New Year was to eat more healthfully, you may have selected a diet to make it happen. You’re 8 days in so I’m wondering how you’re doing. Having some cravings? Feeling deprived? If so, you may be barking up the wrong tree. If you’re struggling to foresee this diet lasting for the long run, I’ve got some tips for making some more sustainable (and less miserable) changes.

Here’s what to do instead:

1. Don’t get married without dating first!

What I mean is, don’t commit to stick to a plan if you have no clue how well it is going to work for your body and your life. If it feels like fighting, clawing, and scratching, then it’s not the right change for you. Avoid committing to any plan that you haven’t tried out first. Honestly evaluate how it fits into your life and if it doesn’t, it’s not your failure – it’s the wrong plan!

2. Commit to a habit, then figure out how to make it work in your life.

Instead of a whole plan, pick a healthy habit. Want to drink more water? Great! Pick an ounce goal (80-100 oz is a good start for most folks) and try however many strategies you must in order to find the one that actually helps you get there. Try carrying a water bottle everywhere. Try setting mini-goals (20 oz. by 10 am, 40 by noon). Try an app like My Fitness Pal. Try a cheesier app like Plant Nanny. Try fruit-infused water. Try tea. Try filling a gallon jug of water daily. Try whatever you need to try until you get closer to where you want to be. The real work is in finding the strategy that doesn’t feel like work.

Once you’ve figured that one out, choose another habit and stack it on top of the first. Ready to eat 5 servings of fruits and veggies per day? Walk for 20 minutes 3 times per week? Regardless of the goals you pick, this test-driving strategy means you’ll have the opportunity to make each change fit your life. Once you stack up all your new (and easy to stick with) habits, just think how much healthier you’ll be! Not to mention how much more enjoyable it will be than that “clean eating” cleanse you were thinking about trying…

3. Put your blinders on

This is the toughest part and it’s a total mental game. Your cousin’s on keto, your PTO pal is on paleo, and your fitness-nut friend is fasting 16 hours a day. They’re all losing weight and you’re over here working on your water intake. It can truly be maddening. Keep in mind – most any diet will get weight off. Most any diet will not keep weight off. Remind yourself how many times you’ve watched someone (or you yourself have done this…it’s okay!) diet, lose weight, then gradually gain it all back and then some. All of these people you know are setting their bodies up to gain more fat in the long run. It’s sad, but it’s true!

So try not to let them influence you. It’s so, so hard, I know! I’m a dietitian – I’ve studied nutrition for 10 years – and I can still feel myself being influenced by social media progress photos from diets and supplements that I know are not safe or effective. It is a battle. But it’s a battle worth fighting.

You must find your healthy life.

That means that you eat what works for your body, your family, your budget, your lifestyle, and makes you happy. Put in the work to find out what that is, and you’ll be so pleased with how easy it can be to be healthy!

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