weight loss Archives | Down Home Dietitian

Wellness Tips

10 Tips to Steer Clear of Bad Wellness Advice

It’s New Year’s and the fad diets and crazy exercise trends abound. Use these tips to avoid the over-restrictive trendy madness and still make some healthy changes that might actually make it to next New year!

Wellness Tips

9 Wellness Myths I Love to Hate

One of the great joys of being a dietitian is dispelling wellness-related myths. These bits of misinformation make people feel as though being healthy is unattainable, unrealistic, or downright impossible. Not to mention miserable! What is the point of being healthy if you’re living a miserable, restricted life? In the end, constantly hearing these myths leaves people feeling trapped! If they can’t meet these strict (and let’s face it, no fun) standards, then why even try to be healthier?

This list includes the wellness-related myths I hear most frequently from clients. I love to talk these through with my clients, explain what is actually true, and help them find realistic, healthy lifestyles they truly enjoy. Hopefully some of these explanations will give you a giggle and who knows? Maybe they’ll empower you to rock a healthy life you enjoy.

1. Carbs are bad for you and cause weight gain

This is probably the big kahuna and the myth I most frequently hear. Most of this is just couched in misunderstanding of what carbohydrates are and what they do in your body. Carbs are any food that breaks down into blood sugar. For some reason, society has collectively decided that blood sugar is evil. In fact, blood sugar is the fuel that our bodies use for energy. The truth is, if we undereat carbs, we are underfueling our brains and bodies. Often that underfueling leads to brain fog, slowed metabolism, low energy, depression, and/or anxiety. Also sadness, because carbohydrates are delicious. The metabolic effects of low carb diets lead people to gain more weight afterward than they ever lost in the first place, and that restriction is tough on our relationships with food. The solution is not to eat low carb.

Carbs themselves are not the problem. Overeating carbs, just like overeating in general, can lead to weight gain. The reason carbs get such a bad rap is because they are so easy to overeat. They are shelf stable, tasty, and not very filling. It is completely possible to regulate weight and blood sugar while including several portions of carb-containing foods per day. The key is to balance those carb foods with more filling foods like protein, healthy fats, and fiber to keep you full and fueled without weight gain.

2. Salad is pointless if you put toppings on it

Or any other incarnation of this statement – what’s the point of a healthy dinner if you eat dessert? Why bother ordering a water to drink with your burger and fries? Umm…because they are healthy options. Why not choose them? Having something that’s higher calorie or less “perfect” to eat does not eliminate the nutrition of something you eat with it. Adding croutons and dressing does not vacuum the vitamin K out of your greens or the fiber out of your snap peas. Eating dessert does not neutralize the healthy nutrients from your balanced dinner. The burger and fries do not somehow make healthful hydration irrelevant. Honestly, I would rather someone eat veggies with some butter or salad dressing than not eat veggies at all!

I frequently encourage my clients to prioritize the foods they love and make healthful changes in areas that they don’t hold as dear. Don’t discourage others (or yourself) from making the healthful choices that you prefer and choosing the delicious foods you enjoy. These are perfect examples of balance.

3. Fruit has too much sugar (carrots too)

This one is an offshoot of #1. Fear of carbs = fear of sugar. Most fruits and vegetables have some naturally-occurring sugars. Some believe they are to be avoided, primarily out of fear they will cause weight gain or blood sugar spikes. The good news is that the amounts of carbs and sugar in a serving of these foods is completely appropriate and does not cause these problems for most people. For example, most people need 30-60 grams of carbohydrate per meal, and 1/2 cup of most fruits contains 7-15 grams. One cup of carrots contains about 10 grams. You’d have to eat a LOT of carrots to exceed your carb needs – most people don’t have that problem!

On top of that, fruits and vegetables tend to have a built-in blood sugar buffer – fiber! Fiber has a complex structure that slows digestion and helps carbohydrates go into the blood stream at a much slower rate. That helps prevent blood sugar spikes and fat storage. Fear of sugar is no reason to pass up the vitamin and mineral benefits fruit has to offer. The take-home message: don’t fear fruit!

4. Fitness “doesn’t count” if you aren’t sweating

This one really torques me off. I recently had a sedentary client with chronic pain whose doctor told her that her newly established walking habit didn’t “count” because she wasn’t sweating for 30 minutes, 5 days per week. She came to me feeling so defeated (despite the fact that in two weeks she had worked up from 5 to 15 minutes of walking and had lost 7 lbs)! This isn’t the first case I’ve seen where people feel that because of their pain or fitness limitations that there’s “no point” to exercising. Even small bouts of movement carry myriads of benefits! Plus, when you haven’t been exercising regularly, your body is not efficient with movement and burns more calories doing less activity. As you gradually work up to more time or intensity, you adjust to your body’s needs. It’s a well-designed system. 🙂

5. Eggs are bad for you

Ahh the great misunderstanding of the 1990s. It’s pretty cut-and-dried at this point: egg yolks have a lot of cholesterol. We used to think eating cholesterol would raise our blood cholesterol. Turns out it doesn’t! Plus, eggs are a great complete protein source. Scramble away!

6. Eating “clean” and the all-or-nothing mentality

What does “eating clean” even mean? And how subjective a term is that anyway? Terms like that have formed this idea that being healthy is a wagon that you are either on or you’re off. This is SUCH a damaging mindset because it sets us up completely to fail. If we expect that we’re going to eat perfectly and completely eliminate anything with sugar or with flour or whatever the “clean eating trend” of the minute is, we’re liable to “fail.” I say fail with quotes because it is not a failure to eat tasty food. Plan to include all kinds of foods. Plan not to exercise every single day. That way, you can just continue on without guilt for eating a completely reasonable treat or taking a day off to lay around.

And in the words of Abbey Sharp, one of my fave RD Youtubers: wash your produce – now you’re eating clean!

7. 2 grams protein per pound

Somewhere along the line came the idea that if protein is good for you, more protein must be better. More protein, more protein, more protein. Whether your goals are weight management or muscle gain, there’s someone out there who will push protein on you like it will be the magic wand to solve all your problems. Some bodybuilding blogs and forums recommend that those who weight lift regularly should eat 2 grams of protein per pound of body weight! Meaning, a 150-lb woman should eat 300 grams of protein per day. A deck of cards size of meat contains approximately 20-25 grams protein. Can you imagine eating that 12 times over…every day??? A 180-lb man would be aiming for 360 grams protein per day! Nuts!

For satisfaction, weight management, and muscle maintenance, you need much, much less than that. Studies show that you can maximize muscle gain/maintenance with 30 grams protein in a sitting.^1-2 Any more than that and the extra protein gets filtered out by your kidneys. Basically, you’ve got really expensive pee and a lot of extra kidney stress.

8. Healthy food is more expensive

This one may not be as directly obvious, but it comes down to satisfaction and nourishment. 10 cents per ramen brick is pretty dang cheap, but how long does that sustain us? With very little protein, fiber, or healthy fat, most will find themselves hungry again in a short while, as is the case with a lot of the more processed foods. Nourishing whole foods like produce, lean proteins, and healthy fats may be more expensive, but will meet our nutritional needs and satisfy hunger for much longer than cheaper foods. If planned well, you can spend very reasonable amounts on healthful meals. Here is the first in a series I wrote about eating well on a budget, and how I feed our family of four on $100 per week. You can eat well on a budget!

9. Dietitians eat perfectly

It seems that everyone believes dietitians eat only organic sprouted raw cardboard – forget it! We are normal people who love ice cream and chips and cookies, as well as a delicious serving of roasted veggies or a great smoothie. Health is about balance, not restriction! Check out my series on what dietitians eat in a day here, here, and here!

The Must-Try Meal Planning Hack to Stop Wasting Food and Money

What to do When Your Healthy Plan Falls Through

How to do a Pantry/Freezer Challenge (step-by-step walkthrough)

https://pdfs.semanticscholar.org/892f/f156fe616e9c3312b148116259998c869978.pdf
https://www.sciencedirect.com/science/article/abs/pii/S000282230900769X

Keto

A Dietitian Reviews the Keto Diet

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.

What the Research Says about Intermittent Fasting

The #1 Thing You MUST do to Save Time Living a Healthy Life

Anti-Inflammatory Add-Ins and Supplements

References

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.
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
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
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.
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.
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.
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
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
Cooper, E. The Metabolic Storm: The science of your metabolism and how its making you fat. Seattle Performance Medicine. 2015. 2nd edition.
Enos, R., et al. Influence of dietary saturated fat content on adiposity, macrophage behavior, inflammation, and metabolism: composition matters.
Enos, R., et al. Influence of The Journal of Lipid Research. doi: 10.1194/jlr.M030700 (2013), 54, 152-163.
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.
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.

Keto

Keto Diet 101

It’s feature time again, folks, and it’s finally time to talk about the diet everyone is going on about – keto! The keto (aka ketogenic) diet has gained a lot of popularity in the last few years as a weight loss diet, and proponents tout that you can lose weight quickly without cravings.¹ Interestingly enough, the ketogenic diet started as a therapeutic diet for children who suffer from epilepsy. The high fat content of the diet is linked with decreased occurrence of seizures in these kiddos.²

Keto curiosity is rampant! Questions about the keto diet top the list of FAQs from my weight loss clients. Even those who don’t directly ask about keto are often asking about how to limit their carbs to encourage weight loss. Over the next few weeks, I’ll be posting info about the keto diet – what it is, how it works, and the pros/cons of the diet. I won’t actually be following this one (we’ll talk about why throughout the feature), but we’ll be diving into the research and practicality as always!

What is the keto diet?

The keto diet is a high fat, moderate protein, low carbohydrate diet.² The diet is designed to cease your body’s reliance on carbohydrates (broken down into glucose) for energy and instead shift to your body’s alternative fuel source – ketones. In the absence of glucose (aka blood sugar), your body begins to convert fat that you’ve eaten and stored body fat to ketones, which your brain can use for fuel! If you were privy to the Atkins kick, you may be noticing some similarities between the two. You’d be right! The keto diet is something of a reincarnated version of Atkins.

The keto diet includes plenty of vegetables and many high fat and protein foods such as:

beef and pork
poultry
fish
processed meats like bacon, sausage, etc.
cheese
avocado
nuts and seeds
butter and oils

To limit carbohydrates (usually to around 20-60 g per day), the diet restricts consumption of the following foods:

fruit
beans
certain vegetables such as corn, peas, carrots, and potatoes
bread and grains (pasta, rice, cereal)
milk and yogurt
sugar, honey, and syrups

Keeping the carbohydrate intake low keeps the body from coming out of ketosis, therefore promoting fat loss.

Stay tuned – we will talk more about the research behind keto and pros/cons of following the diet in future posts!

What the Research says about Intermittent Fasting

Tired of Your New Year’s Diet? Here’s what to do instead

Carbohydrates, Sugar, and Inflammation

1. https://www.ketocustomplan.com/articles/effective-way-to-lose-weight-for-good?gclid=Cj0KCQiAs67yBRC7ARIsAF49CdVbbQxjjPg12rojwtotjqps5FjOVRHPjVaDQGWeSIsQ_EA2HF2Y23IaAn7TEALw_wcB

2. https://www.eatright.org/health/weight-loss/fad-diets/what-is-the-ketogenic-diet

Goal Setting

How to Build Sustainable Healthy Habits

We are past the halfway point of January – did you make health goals this year? Resolutions? How are they doing? Here are a few of my best tips on making changes that stick!

Key #1: Before you change anything

Decide carefully how you will achieve your goals. For many years, scientists have been studying methods for weight loss to find the “best” way to get pounds off. The surprising result of a lot of this research is that so many methods work. A lot of nutritionists have taken to saying, “diets don’t work.” It might be semantics but in general, if the goal is to lose weight – most fad diets do work. Whether it’s low carb, low fat, low calorie, or portion control – weight typically comes off.^1-5 If they didn’t work at all for losing weight, word would get around pretty quickly and they would never become popular.

Here’s the kicker (besides that many fad diets aren’t safe): the statistics for maintaining weight loss after a diet are horrendous. Long-term studies show that five years after short-term diets the result is an average regain to anywhere from a net loss of only 6 lbs to a gain of 10-21% of pre-diet weight.^2,6 Yikes!

Many fad diets can be extreme, overly restrictive, or just plain miserable (or option d, all of the above). Most people beginning a diet program are willing to commit to short-term pain for long-term gain. Unfortunately, the reality is that long-term dieting is generally not sustainable, and weight loss from short-term dieting is temporary.

But fear not – all hope is not lost! The National Weight Control Registry is comprised of people who have successfully lost at least 30 lbs and kept it off for at least a year, though most participants have lost an average of 72.6 lbs and kept it off for more than 5 years.⁷ Their participants report that ongoing, long-term participation in sustainable habit changes has been key to their success, as opposed to radical, short-term dieting. You can read more about their habit changes at the National Weight Control Registry website.

All these studies show that a pivotal ingredient for long-term success with wellness, weight loss, muscle gain, or any habit change is sustainability. One of my favorite quotes sums up the wisdom behind this:

“Begin as you mean to go on, and go on as you began, and let the Lord be all in all to you.”

-Charles H. Spurgeon

Some may wonder what the last phrase has to do with wellness, and personally I believe it is vitally important (and apparently so did Spurgeon since he tacked it on there), so I included it. Regardless of how you feel about God, however, the sentiment is to not even begin a habit change that you can’t commit to long-term. Find changes that work with your lifestyle, not against it.

Recognize that temporary habit changes create temporary results. You can tweak them, change them, or adjust to the fluidity of life as needed, but if your habit changes disappear completely, so will the fruits of your labors.

Key #2: After you’ve met your goals

You’ve done it, congratulations! You’ve met your goal! You’ve placed a new brick in the healthy foundation upon which you can continue building the life you want. Guess what? You’re not done! If you want to continue to enjoy the benefits of your progress, you must grab hold of the second key to long-term success:

Always have a goal and a sustainable plan to achieve it.

Achieving a goal merits celebration, and also the exciting task of deciding what your next goal will be. It doesn’t have to be intense – your goal could be maintenance and your plan might be walking – but you need to have both or you’ll watch all your hard work and health benefits slip away. Living a healthy life is swimming upstream in our culture – you can not coast into good health.

_______________________________________

Have a goal of your own but need help finding a sustainable plan that fits your lifestyle? Contact me or schedule an appointment to start building a healthy foundation for the life you want!

https://academic.oup.com/jcem/article-lookup/doi/10.1210/jc.2002-021480
http://onlinelibrary.wiley.com/doi/10.1038/oby.2001.134/full
http://jamanetwork.com/journals/jamainternalmedicine/fullarticle/412650
http://onlinelibrary.wiley.com/doi/10.1038/oby.2004.61/full
http://ajcn.nutrition.org/content/53/5/1124.short
http://europepmc.org/abstract/med/2613427, http://ajcn.nutrition.org/content/74/5/579.short
http://ajcn.nutrition.org/content/82/1/222S.short

Mediterranean Diet

Mediterranean Diet Week 3 Review

Monday was my last day following the Mediterranean Diet recommendations. My goals throughout this week were to work on increasing the variety of my plant-based proteins to deal with the boredom I was experiencing after the first two weeks. I also wanted to really try to make sure that I met my vegetable recommendations.

What Went Well

I met my goals! Instead of just beans and nuts this week, I incorporated tofu stir fry for lunch as well as hummus, tuna, and salmon throughout the week. It definitely helped with the boredom factor. I also managed to meet my veggie goals and actually met the recommendations each day individually, though I did end up eating one more serving of white meat in the whole week than I should have (gasp!).

Overall, following the eating pattern got easier as time went on. I was pleased to see that over the course of the 3 week experiment my grocery budget averaged the same as normal ($100 per week). The Mediterranean Diet, using a meal plan, was easily doable on a budget of $100 per week for four people. Eating a lot of plant-based proteins was actually a great way to save on groceries (and helped to balance out the cost of seafood).

Without specifically trying, I lost 2 lbs over the course of the 3 weeks on my normal level of activity (possibly a tiny bit less even in the third week). That is a normal, healthy rate of weight loss, so the evidence that the Mediterranean Diet can promote healthy weight loss was backed up in my case.

What Could Have Gone Better

While the variety of plant-based proteins helped, I still just came to the conclusion that I don’t enjoy most plant-based proteins as much as I enjoy chicken. I really didn’t miss beef and pork that much – I don’t think I really eat more than 1-2 servings of those per week normally, they aren’t really my thing. Chicken though, is a staple in my diet. While I do enjoy plant-based eating and I aim for it often, my biggest struggle over the three weeks was limiting my white meat intake to two servings per week.

That leads into one of my least favorite things about the Mediterranean Diet pyramid: the restrictions. For example, no more than 2 servings of sweets or 1 serving of processed meat per week.I’m a little torn because I am a type-A person who appreciates tracking and having concrete details and recommendations, but the psychology of restrictions still causes me to feel deprived and want more. That’s no way to live your food life! Skim the recommendations and use them as a guideline, but don’t stress if you eat a little outside them here and there. Eating more plant-based meals and fewer sweets than you do now is a great step, even if you don’t hit the exact limits on the Mediterranean Diet pyramid.

How I Did

	Mediterranean Diet Goal*	Week #1	Week #2	Week #3
# of days nutrition recommendations met	7	5	4	7
Grains (daily average)	3-6 servings	4 servings	4.5 servings	4.5 servings
Potatoes (weekly)	≤3 servings	3 servings	2 servings	2 servings
Legumes (weekly)	>2 servings	3 servings	9 servings	10 servings
Dairy (daily average)	2 servings	2 servings	2 servings	2 servings
Fruits (daily average)	2-6 servings	2.5 servings	5 servings	3.5 servings
Vegetables (daily average)	4-6 servings	3 servings	3 servings	4 servings
Olives/nuts/seeds (daily average)	1 serving	1 serving	1 serving	1 serving
Eggs (weekly)	2-4 servings	3 servings	3 servings	4 servings
Seafood (weekly)	>2 servings	7 servings	4 servings	3 servings
Red meat (weekly)	<2 servings	1 serving	1 serving	2 servings
White meat (weekly)	2 servings	2 servings	1 serving	3 servings
Processed meat (weekly)	≤1 serving	1 serving	1 serving	1 serving
Sweets (weekly)	≤2 servings	2 servings	2 servings	2 servings
Weight change		-1 lb	0 lb	-1 lb
Grocery Budget Change		$0	-$33	+$35

Stay tuned for more posts about the Mediterranean Diet – we’ll talk about eating out, tips for making the Mediterranean Diet easier, and more!

Using a food and symptom journal to track down food intolerances

Why eating enough is just as important as not eating too much

Recipe: Spinach lasagna roll-ups

Fitness

Factors to Consider When Starting a New Exercise Plan

Sometimes starting a new exercise plan is overwhelming. One nice thing about being more active is that you have a lot of options, but that can also be a struggle. Many people are confused about what types of exercises they “should” do and how they should do them. This post will give you some tips on selecting exercises and making a sustainable (and dare I say, enjoyable?) exercise plan.

Keep in mind that any new exercise plan should be approved by your doctor, particularly if you have any chronic diseases or injuries. Use this form to guide you as you plan to safely increase your physical activity.

What are your goals?

Ultimately the exercises that you choose should be guided by your health goals. While being physically active is beneficial for overall health, choosing the most appropriate and specific exercises will help you achieve your goals most efficiently.

Weight Loss – Start out any new weight loss plan by focusing on simply moving more than you move now. Once that becomes a habit, then increase the cardiovascular challenge by spending more time with your heart rate up. Finally, add in strength training to build muscle mass. This extra muscle will use up energy, increasing your metabolism.
Endurance – To increase your endurance, start by gradually increasing the amount of time you spend with your heart rate up. In this case, you’re not looking for very intense exercise, but a moderate challenge that you can sustain for longer and longer bouts of time as you train. Then add in strength training, focusing on more repetitions (10+) and lower weights.
Strength – Begin by focusing on your form – ask a trainer or friend (or watch in the mirror) to ensure you are performing the exercises safely and effectively. Gradually increase the difficulty, focusing on fewer repetitions (6-8) and higher weights. Focus on muscle balance – if you train one side of your body (for example, your chest), you must also train the other (your upper back, in this case). If you train biceps, be sure to also train triceps. This helps to protect your joints from imbalances that can lead to injury. Make sure to incorporate the recommendations for flexibility into any strength training plan as well.
Improved digestion – Yes, physical activity can improve digestion! Moderate cardiovascular exercise can improve circulation to your intestines, helping your body break down and absorb food more efficiently. Another significant factor is stress – stress can wreak havoc on digestion! Consistently performing stress-reducing activities like prayer, yoga, Tai Chi, or meditation can play a huge role in improving digestion.
Improved health markers (blood sugar, blood pressure, cholesterol, etc.) – While it varies based on which lab values you’re targeting, most are improved with combinations of cardio and strength training, even without weight loss; however, reducing excess body weight is linked with improvements in blood sugar, cholesterol, and blood pressure.
Flexibility – This is a great goal if you’re wanting to improve or maintain movement in your joints and prevent injuries. Anyone can benefit from maintaining flexibility. The key here is consistency. Stretch your muscles and joints regularly. Whether you use yoga, standing stretches, or wall stretches doesn’t matter as long as you are gentle and consistent.

Enjoyability

This is so, so important to an exercise program. If you detest doing a certain type of exercise, do not plan on or expect that you will do it consistently. That is a great way to set yourself up to either quit or be miserable. Bear in mind that the first few weeks of any exercise program will be difficult since you are not yet trained for the exercise, but I’m not referring to difficulty here. I’m talking about enjoyability – if you hate to dance, don’t join a Zumba class. If you can’t stand being on a cardio machine, don’t commit to a treadmill. Find methods of exercise that you actually enjoy.

Sometimes that looks like building a little more intensity into the movements you do in everyday life. For example, if you love to garden and be outside, use a push mower, shovel by hand, or cut your own firewood. If you like to watch television, ride a stationary bike while you do or – one of my personal faves – take a drinking game designed for the show you’re binge-watching and exchange the shots for exercises. These tasks will incorporate fitness into aspects of your life that you do enjoy.

Accessibility

Ask yourself a few questions: Do you have the equipment or space to do this activity? Will you need a gym membership? Is there a realistic time in your day to set aside to do this?

If the basic logistics aren’t there, find something more accessible. If all else fails, there are hundreds of workout videos on Youtube for any type of workout you can think of. No fees, no membership, no travel, and no need for fancy exercise clothes (unless you want them).

Taking all three of these factors into account can help make sure that your exercise program gets you where you’re trying to go in the most enjoyable way that is realistic for your life. Fitness isn’t always fun and there aren’t too many people who are super jazzed to do their workout every day always, but a little thought and planning on the front end can make a huge difference in the long run. If you find yourself stuck or confused, find yourself a certified fitness professional to help you out. Finding a way to make it work is worth it!

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