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Speaker 1: Welcome to the Therapy for Black Girls Podcast, a weekly

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Speaker 1: conversation about mental health, personal development, and all the small

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Speaker 1: decisions we can make to become the best possible versions

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Speaker 1: of ourselves. I'm your host, doctor joy hard and Bradford,

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Speaker 1: a licensed psychologist in Atlanta, Georgia. For more information or

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Speaker 1: to find a therapist in your area, visit our website

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Speaker 1: at Therapy for Blackgirls dot com. While I hope you

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Speaker 1: love listening to and learning from the podcast, it is

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Speaker 1: not meant to be a substitute for a relationship with

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Speaker 1: a licensed mental health professional. Hey, y'all, thanks so much

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Speaker 1: for joining me for session three ninety six the Therapy

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Speaker 1: for Black Girls Podcast. We'll get right into our conversation

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Speaker 1: after a word from our sponsors.

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Speaker 2: Hi, I'm doctor Whitney Trotter and I'm Angela Going. We're

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Speaker 2: on the Therapy for Black Girls Podcast.

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Speaker 3: Today. We're in session providing clarity on popular eating and

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Speaker 3: wellness trends.

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Speaker 1: Whether it's a juice cleanse, miracle pill, detox tea, or

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Speaker 1: weight loss hack. It seems like every week a new

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Speaker 1: food and wellness trend pops up with the promise of

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Speaker 1: helping us achieve maximum results. We've reached the final episode

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Speaker 1: of our third January Jumpstart series, designed to make twenty

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Speaker 1: twenty five one of your best years yet. In this episode,

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Speaker 1: we're exploring a healthy approach and nutrition and unpacking popular

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Speaker 1: wellness trends with expert guidance. That's where today's guests come in.

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Speaker 1: Meet doctor Whitney Trotter and Angela Gowans, registered dietitians and

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Speaker 1: co leaders of the BIPOC Eating Disorders. Both women have

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Speaker 1: dedicated their careers to supporting marginalized communities through nutrition, counseling,

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Speaker 1: and trauma informed mental health care. Over the past three years,

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Speaker 1: they've collectively trained over a thousand clinicians with their conference

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Speaker 1: and consultation services. During our conversation, Angela and doctor Trotter

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Speaker 1: discuss popular food and wellness trends, including the rise of

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Speaker 1: GLP ones like ozipic. They also explore the differences between

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Speaker 1: disordered and intuitive eating, offer strategies for deciding which food

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Speaker 1: trends are worth following, and share insights on meaningful conversations

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Speaker 1: you can have with a dietitian, nutritionists, or with yourself

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Speaker 1: about nutrition. If something resonates with you while enjoying our conversation,

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Speaker 1: please share with us on social media using the hashtag

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Speaker 1: TVG in Session, or join us over in the Sister

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Speaker 1: Circle to talk more about the episode. You can join

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Speaker 1: us at community dot therapy for Blackgirls dot com. Here's

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Speaker 1: our conversation. Well, thank you so much for joining me today,

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Speaker 1: doctor Chatter and Angela.

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Speaker 2: Oh, thank you for having us, Thank you for having

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Speaker 2: us so excited.

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Speaker 1: Yeah, I'm very excited to chat with you, and I

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Speaker 1: would love for you to get us started by telling

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Speaker 1: us individually what inspired you to do the work that

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Speaker 1: you do, and then what brought your journeys together so

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Speaker 1: that you were doing a lot of work together. We'll

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Speaker 1: start with you, doctor Chatter.

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Speaker 2: I'm July licensed as a psychiatric nurse practitioner and a

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Speaker 2: Richer dietitian and actually have a unique path into the

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Speaker 2: nutrition wellness space. I went to school to be a dietitian.

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Speaker 2: I was a college athlete, and I knew I wanted

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Speaker 2: to do something in sciences, but you're limited. I played basketball,

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Speaker 2: which is a two semester sport, and so that's how

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Speaker 2: I ended up a nutrition But I actually went to

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Speaker 2: school to be an HIV dietitian. I really wanted to

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Speaker 2: work with those impacted by HIV and AIDS, and so

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Speaker 2: I did that, and I was working at a center

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Speaker 2: of excellence, and that is honestly what led me down

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Speaker 2: the path of eating disorders. Nobody was talking about disorders

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Speaker 2: and communities of color, but then I think even more

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Speaker 2: specifically in black communities and just the disordered eating pattern

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Speaker 2: and all of that I started noticing in my patient population,

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Speaker 2: and so I sought some additional training. And up until

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Speaker 2: twenty twenty, I'd never met a eating disorder professional that

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Speaker 2: looked like me. Every space I went to was white,

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Speaker 2: mostly thin, mostly affluent. And so then I transitioned from

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Speaker 2: working in HIV, I did nursing, I worked at a

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Speaker 2: pediatric trauma center, and then started specializing in eating disorders.

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Speaker 3: So then went back to school to become.

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Speaker 2: A psych and pee and that's how I ended up

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Speaker 2: doing a lot of the work now and then with Angela.

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Speaker 2: A lot of us know the racial reckoning that the

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Speaker 2: summer of twenty twenty brought, and I was just really

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Speaker 2: looking for community. And like I said, the eating disorders

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Speaker 2: community is pretty stereotypical of what you would think. Society says,

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Speaker 2: who has an eating disorder? Who gets access to care?

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Speaker 2: So Angela and I connected and we formed our own

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Speaker 2: kind of community. I had a pretty traumatic event happened

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Speaker 2: within my family, and so I called Angela and I

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Speaker 2: was like, Hey, I have this idea, It's never been

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Speaker 2: done before.

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Speaker 3: Will you help me? And she said yes, And so.

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Speaker 2: I'm sure we'll talk a little bit more about our

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Speaker 2: conference and all the things we're doing.

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Speaker 1: But thank you, Nector John. And what about you, Angeline,

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Speaker 1: what's your journey?

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Speaker 3: We haven't talked about this before, Whitney, but it's very similar.

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Speaker 3: I too was an athlete and was trying to decide

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Speaker 3: what are my next steps? Am I even going to

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Speaker 3: go to college? What am I going to do? What

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Speaker 3: do I want to be and sort of in those

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Speaker 3: final stages of high school trying to decide. And I

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Speaker 3: had never heard of what a dietician was. So I

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Speaker 3: had just started taking classes and was really interested in

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Speaker 3: the nutrition aspect and had taken some specific test gearing

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Speaker 3: you towards ideas of what jobs would be ideal, and

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Speaker 3: I often landed on nursing. But I just couldn't see

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Speaker 3: myself working in a hospital. I couldn't see myself working

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Speaker 3: around blood and doing all these specifics that were challenging

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Speaker 3: for me at that time. I had a counselor who

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Speaker 3: told me about what a dietitian was, and I thought, well,

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Speaker 3: that's great. I want to help people be stronger, faster,

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Speaker 3: better at their craft of athletics, and so I started

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Speaker 3: to pursue that in the classes that I was taking

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Speaker 3: and really dove into what does that look like to

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Speaker 3: be a dietitian because it's quite tedious, it's long, and

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Speaker 3: it's additional time and energy. Internship testing makes sense, but

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Speaker 3: it's long for somebody to not work when you step

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Speaker 3: out of school and to not be paid for additional

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Speaker 3: time is challenging. And I know a lot of degrees

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Speaker 3: have that angle, but I was coming from a place

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Speaker 3: and not having a lot of money, so it was

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Speaker 3: an interesting perspective. But I stuck through it and did

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Speaker 3: become a dietitian and was very curious from the start

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Speaker 3: on the mental health side of things. I had seen

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Speaker 3: clients in the hospital and doing my regular rotations, but

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Speaker 3: what I really discovered was that people were struggling emotionally,

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Speaker 3: and I was thinking, well, how are we supporting this piece?

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Speaker 3: So I did go back to school and get an

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Speaker 3: additional master's degree in mental health counseling. I wanted to

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Speaker 3: understand that more, and my entire career been devoted to

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Speaker 3: working and eating disorders and mental health as well, and

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Speaker 3: I really wanted to understand the person and the therapeutic

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Speaker 3: angle of things, which we are not taught in our degree.

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Speaker 3: Perhaps one class a one on one psychology. Maybe for

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Speaker 3: me that was not enough, and I was really just

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Speaker 3: curious about that human aspect and where this was coming

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Speaker 3: from and why people were not eating or why people

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Speaker 3: were becoming more restrictive or having challenges with food. So yeah,

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Speaker 3: that's my path to that piece. And then, of course,

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Speaker 3: like Whitney said, I think the virtual world really connected

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Speaker 3: me and Whitney and many other amazing providers that I

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Speaker 3: probably would never have come across, to be honest, podcasts

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Speaker 3: and online connection Zoom, I was able to find a

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Speaker 3: community of people doing work I was doing in other

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Speaker 3: states and other communities, and I was just shocked that

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Speaker 3: there were other people who look like me doing that.

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Speaker 3: So similar to Whitney, I too had never seen a

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Speaker 3: black eating disorder dietitian or even black dietitian, to be honest,

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Speaker 3: couple of years of training and internship and so I

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Speaker 3: was shocked that there were people out there doing exactly

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Speaker 3: what I was doing. And my background and career really

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Speaker 3: started at the higher levels of care, working in mental

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Speaker 3: health treatment centers, working in substance use and eating disorders,

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Speaker 3: and I saw the same type of providers as well,

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Speaker 3: like you're describing Whitney. So it was really amazing to

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Speaker 3: have this virtual connection with a handful of black artys

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Speaker 3: or at least people of color who were doing what

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Speaker 3: I was doing. And we started to connect and meet

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Speaker 3: more regularly. And then yeah, Whitney had this idea and

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Speaker 3: we formed the conference and we have this central meeting

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Speaker 3: place once a year for people to come together and

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Speaker 3: learn from our peers and to really better support clients

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Speaker 3: in the spaces that we work all over the world.

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Speaker 3: So that's kind of amazing.

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Speaker 1: So as I'm listening to both of you talk, I

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Speaker 1: am both surprised and not that soon as twenty twenty,

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Speaker 1: like you both still felt like it was a very

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Speaker 1: white space, right, So I wonder if you could talk

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Speaker 1: about why you feel like this space in particular, because

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Speaker 1: it feels like there has been a preponderance of black

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Speaker 1: therapist and other therapist of color kind of across mental health,

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Speaker 1: but it does still feel like in this eating disorder space,

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Speaker 1: it still feels like a difficult niche maybe, so why

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Speaker 1: do you think that is? Like, why do you feel

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Speaker 1: like there's so few of us still in this space?

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Speaker 2: So, like Angela said, I similar to worked in a

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Speaker 2: lot of higher level of care, and I think one

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Speaker 2: eating disorders, especially in Black families, are not talked about

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Speaker 2: a lot, and when they are talked about, it's in

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Speaker 2: the connotation of binge eating disorder and not necessarily anorexia

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Speaker 2: Pike believe mea some of the other ones. But not

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Speaker 2: only did I find myself as oftentimes only black professional,

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Speaker 2: I found myself as the only black person and a

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Speaker 2: lot of the easy spaces. And so we know that

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Speaker 2: black women are as equally at the similar rates diagnosed

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Speaker 2: with eating disorders as our white female counterparts, but we

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Speaker 2: don't often have access the same aspect of care. And

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Speaker 2: there was a study, I mean it's so outdated now,

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Speaker 2: but I think it was like twenty eleven or twenty twelve,

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Speaker 2: and what they did was they interviewed different professionals and

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Speaker 2: they looked at their eating patterns, and what was determined

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Speaker 2: was that somebody was less likely to diagnose a black

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Speaker 2: woman what they eating disorder because they thought that our

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Speaker 2: eating patterns were not quote unquote problematic. And so I

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Speaker 2: think it goes to the racial bias of again, who

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Speaker 2: has an eating disorder, who gets access to care? And

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Speaker 2: what does an eating disorder look like? Because if you

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Speaker 2: go to your PCP and you might be overweight or

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Speaker 2: struggling with weight fluctuations, they're automatically going to assume me

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Speaker 2: of binging disorder. They're never even going to screen you

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Speaker 2: for anorexia, our fit or bolimia. And I treat a

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Speaker 2: lot of young black adolescents too, and the majority of

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Speaker 2: young black adolescents, especially during COVID that I treated that

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Speaker 2: had eating disorders, actually I believed.

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Speaker 1: So I wonder if we can kind of scale bag

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Speaker 1: because I don't want to jump too far into the

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Speaker 1: conversation before we give people like a good gris work

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Speaker 1: for what a dietitian is and what do you actually do?

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Speaker 1: So can y'all give me like the five year old

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Speaker 1: definition of like what a dietitian is?

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Speaker 3: Sure I can try to do that. There's a wide

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Speaker 3: range of things that a dietitian can do. Absolutely, but

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Speaker 3: we're trained in more of a medical model, if you will.

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Speaker 3: So for me, for instance, I went to a College

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Speaker 3: of Nursing at my school to do my initial bachelor's studies,

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Speaker 3: so we do education piece, and that's a bachelor's degree

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Speaker 3: that has just morphed into a master's degree at this point,

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Speaker 3: so you might see that moving forward, but at least

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Speaker 3: when I did it back in the day, that's what

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Speaker 3: it was. After school, you go to a internship which

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Speaker 3: is divided into three sections. It's community, clinical, and then

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Speaker 3: what's the third one might need food service piece, So

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Speaker 3: you'll see dietitians in a wide range of areas. So

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Speaker 3: we have that clinical background and read labs and visit

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Speaker 3: clients in their room talking about specific diets or specific

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Speaker 3: illnesses diabetes, heart disease, things like that of our clinical training,

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Speaker 3: but you'll also see us in community health centers, wellness centers,

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Speaker 3: athletic spaces, things like that. And then you can also

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Speaker 3: find us in restaurants, nursing homes, building meal plans, writing

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Speaker 3: recipes and things like that as well. And a majority

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Speaker 3: of us is our careers advanced too. You'll see us

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Speaker 3: in the mental health spaces. We'll have our own private

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Speaker 3: practices and things like that. So a dietitian is someone

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Speaker 3: who helps individuals improve their overall health and nutrition bea

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Speaker 3: food if that makes sense.

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Speaker 1: And I can try. And I want to follow up

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Speaker 1: on something you mentioned. You talked about seeing lots of adolescents,

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Speaker 1: especially during the pandemic. How does someone actually start working

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Speaker 1: with a dietitian because you mentioned like sometimes your PCP

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Speaker 1: might not even screen you for certain things, So how

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Speaker 1: does someone actually start working with a dietasian or get

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Speaker 1: a referral?

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Speaker 2: Oh, that's a great question. So there's several dieticians that

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Speaker 2: work in private practice, similar to therapists, and you can

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Speaker 2: go through your insurance. We create created a bypock Et

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Speaker 2: Provider database, so if anybody is looking for a dietitian

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Speaker 2: or therapist person of color that specializes in eating disorders,

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Speaker 2: we have a free database. They can look at their

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Speaker 2: state and they can ask Google insurance and some of

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Speaker 2: the listings as well. We're really hoping to get more

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Speaker 2: dietitians on lift SERF so people can easily access them.

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Speaker 2: I remember when I started, I had to fight to

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Speaker 2: be listed on Psychology today because there really wasn't a

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Speaker 2: listing for dietitians combining that clinical piece and mental health piece.

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Speaker 1: Like Angela said, and this is it sounds like something

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Speaker 1: that is typically covered by insurance.

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Speaker 2: Yeah, some dietitians are covered by insurance, and then some

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Speaker 2: will do private pay, so they'll do like a self

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Speaker 2: pay rate that you pay or you could use if

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Speaker 2: you have an HSA or FSA card as well.

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Speaker 1: Got So, the conversation we're having today is a part

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Speaker 1: of our larger January Jumpstart series, and we know that

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Speaker 1: January is typically seen as a time of like, let's

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Speaker 1: get back on track, let's set up all these healthy habits.

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Speaker 1: But it does feel like the nutrition piece and the

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Speaker 1: diet piece often takes a back seat to like movement

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Speaker 1: and like other parts of wellness. Why do you think

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Speaker 1: that is that, like the eating and diet piece doesn't

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Speaker 1: seem to be kind of at the forefront of this

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Speaker 1: wellness thoughts.

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Speaker 3: Certainly in our space we see food coming up a lot,

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Speaker 3: but I think that over time it changes so much.

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Speaker 3: I think there's so much information out there. There's a

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Speaker 3: lot of misinformation out there everywhere you look, from TikTok

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Speaker 3: to Facebook, all over in social media, people are giving

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Speaker 3: their personal opinions about what worked for them or what

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Speaker 3: they think may work, And I think it can be

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Speaker 3: hard to digest what is going to be best for

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Speaker 3: you as an individual. There's a lot of information and

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Speaker 3: it seems to cycle if you really look at the

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Speaker 3: diet culture world. Right now, we're in this state of

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Speaker 3: still low carb, no carb, but certainly when I was

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Speaker 3: training and learning, it was like no fat, low fat,

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Speaker 3: no fat, oleine, olestra, things like that being added to food.

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Speaker 3: So it's cycles. We'll see that again someday soon, I'm sure,

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Speaker 3: but it can be really hard for people to disseminate

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Speaker 3: that misinformation out there and what's accurate, honest. To be

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Speaker 3: on a diet is really short term, right, So if

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Speaker 3: we're talking about January, I'm going to commit to some

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Speaker 3: new goals and make some changes. It is something that

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Speaker 3: people really can only maintain or often maintain for a

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Speaker 3: short period of time and then they're back to their favorites. Right.

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Speaker 3: Food has a real cultural connection, a real emotional connection

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Speaker 3: for people, and to cut out things that you truly love,

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Speaker 3: let's say homemade bread and you're on a no carb,

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Speaker 3: low carb fast or diet right now, that can be

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Speaker 3: challenging because you're going to think about that food often.

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Speaker 3: You can even smell it or taste it at times

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Speaker 3: when you want it, it's like so real, and that

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Speaker 3: can be a challenge to just eliminate things, or avoid things,

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Speaker 3: or reduce things in terms of food, even though there

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Speaker 3: may be some importance for you to have those things

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Speaker 3: both nutritionally but also for other reasons. And that's something

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Speaker 3: that Whitney and I highlight a lot in the work

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Speaker 3: that we do as well, because food is food as nourishment, yes,

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Speaker 3: but it also nourishes the soul, and there's a deep

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Speaker 3: connection to food for people. So I don't really know

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Speaker 3: the answer as to why, but I think there's so

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Speaker 3: many options, if that's helpful just to say. And it's

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Speaker 3: hard to decide what is right for you and when

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Speaker 3: because that can change so often, and we eat many

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Speaker 3: times each day, so to make those decisions, often people

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Speaker 3: are thinking about food over and over and over again.

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Speaker 1: Yeah, and it often feels like a part of this

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Speaker 1: conversation are terms like balance diet and like a healthy diet.

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Speaker 1: I wonder when you hear that as a dietation, like

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Speaker 1: does that trigger something for you, because like, what does

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Speaker 1: that even mean to have a balanced diet.

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Speaker 2: I'll often ask people like, what does balance mean for you?

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Speaker 2: Like define that for me, because I think you're right,

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Speaker 2: because sometimes I'm like, oh gosh, what does this mean?

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Speaker 2: Because I've had some people be like balance is one

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Speaker 2: meal a day and that's like their definition of balance,

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Speaker 2: And it's like, Okay, let me bring in some education

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Speaker 2: of like how important it is to be eating every

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Speaker 2: three three and a half hours, glucos regulation, different things

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Speaker 2: like that. Part of the work that we do too

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Speaker 2: is understanding food and security aspects too, because sometimes one

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Speaker 2: meal a day is a balanced diet for somebody because

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Speaker 2: that's all they have access to. So also trying to

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Speaker 2: incorporate that as well into our education and counseling.

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Speaker 1: Can you talk about what it looks like to actually

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Speaker 1: have a positive relationship to food?

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Speaker 2: Yes, I love that you asked this question, So I

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Speaker 2: fully acknowledge that, Like, as black people, we're not a monolith, right,

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Speaker 2: but there is a common thread amongst us. Food is

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Speaker 2: so cultural for us, right, Like I got my big

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Speaker 2: Mama's recipes that I'm bacon. I've been designated. You know,

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Speaker 2: I'm almost forty, so I have like my designated dishes.

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Speaker 2: My aunt, does you know, I'm going to my mother

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Speaker 2: in law. So we're gonna see how that all work out, right,

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Speaker 2: But for so many of us, it's this common bread.

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Speaker 2: And then when you think about life and death for

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Speaker 2: black people too, when we do the homegoing service, a

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Speaker 2: lot of it is some of our dishes too. And

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Speaker 2: so when I think about that positive relationship with food,

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Speaker 2: I'm thinking about that central key element of like Angela said,

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Speaker 2: it's nourishing for the soul. And so sometimes that might

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Speaker 2: be some warm seafood, dressing and what ever, meat or

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Speaker 2: anything like that. Sometimes it might be sweets, it might

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Speaker 2: be what do you need in that moment That might

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Speaker 2: be comforting and nurturing for you. And I think a

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Speaker 2: lot of times we demonize food, right, like we don't

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Speaker 2: want to have certain food because of the negative connotation

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Speaker 2: or that's we hear this a lot that's going to

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Speaker 2: make me fat. I'm on my snap back. I'm a

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Speaker 2: year postpartum, and that's it's very real of spend nine

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Speaker 2: months cultivating this baby inside of you, and then it's

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Speaker 2: this immediate pressure to be back within three months. That's unrealistic.

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Speaker 2: And that negative relationship with food and body can impact

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Speaker 2: that as well.

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Speaker 1: So one of the terms that I hear and I'm

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Speaker 1: sure you hear all this on like tigtog, what I

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Speaker 1: feel like I often do hear from like eating disorder therapist,

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Speaker 1: is intuitive eating right as a way to kind of

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Speaker 1: manage thoughts about food and that kind of thing. Can

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Speaker 1: you say more about what intuitive eating is and like

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Speaker 1: if somebody wanted to get started with intuitive eating, how

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Speaker 1: would they even go about getting started?

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Speaker 3: I'll share what it is kind of At the core,

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Speaker 3: intuitive eating is really encouraging clients or people to get

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Speaker 3: back to their sort of baseline standard, if you will,

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Speaker 3: and to be able to listen to their bodies wants

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Speaker 3: and requests and needs. And I'll get to the part

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Speaker 3: that makes it a little bit controversial that what we

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Speaker 3: share a little bit more too, but that's sort of

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Speaker 3: the core. At what it is is being really in

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Speaker 3: tune with and mindful to your bodies requests and cues

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Speaker 3: to then make the best decisions for yourself to eat

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Speaker 3: what foods your body requires and your body is in

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Speaker 3: need of, perhaps even lacking. Maybe you've been short on

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Speaker 3: protein lately or specific nutrients like vitamin seed if you're

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Speaker 3: really in tune with yourself and your body that you

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Speaker 3: can read into that and think ahead to be able

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Speaker 3: to make wise choices for yourself. So that's at the

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Speaker 3: core what it is. And some of those controversies can

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Speaker 3: be challenging because not everybody can be in tune. Not

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Speaker 3: everyone is feeling safe in their body and where they live,

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Speaker 3: where they are physically, the body that they're in right now,

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Speaker 3: the size that they are. There's food, insecurity aspects to this.

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Speaker 3: There's a lot that goes into that that could make

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Speaker 3: it really challenging for one to be in tune for

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Speaker 3: your body and your brain to really be in tune

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Speaker 3: with one another to make the wisest decisions. And even

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Speaker 3: if you could do that, do you have the financial

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Speaker 3: means to do that, Do you have the safety and

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Speaker 3: security to do that? Are you in a safe environment?

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Speaker 3: I mean, the list goes on and on. So those

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Speaker 3: are just some of the pieces that can be a

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Speaker 3: little bit challenging to that. But if you take it

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Speaker 3: sort of at base level, I think that can be

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Speaker 3: helpful for people or sort of a digestible tidbit for

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Speaker 3: people to sort of go into the new year with.

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Speaker 3: Is trying to be in tune more with what your

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Speaker 3: needs are versus what the media is telling you need

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Speaker 3: to be doing or saying this is what every female

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Speaker 3: or every human needs to do. How can one way

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Speaker 3: of eating healthy work for everyone? We know that can't

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Speaker 3: be true. I live in the north, I'm in Minneapolis.

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Speaker 3: That's not going to be the same for y'all in Atlanta,

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Speaker 3: or that may not be the same for people out

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Speaker 3: on the West coast. There's just no way that's not

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Speaker 3: going to be the same. I don't have easy access

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Speaker 3: to seafood up here, right, so our eating is different.

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Speaker 3: Perhaps when we think about our own Mega three fatty

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Speaker 3: acids and things like that, we think about we're more

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Speaker 3: apt to eat beef products up here, We're going to

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Speaker 3: have a lot more corn, like the things that we

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Speaker 3: harvest and the things that we grow. That's going to

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Speaker 3: be very different from different parts of the US and

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Speaker 3: different parts of the country. So again, just to think

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Speaker 3: about the base of what it is to be more

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Speaker 3: in tune with yourself and making decisions around food, I

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Speaker 3: think is a good way to approach it, rather than

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Speaker 3: feeling like there's only one way to be healthy, quote unquote.

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Speaker 1: And is there a way that you all approach your

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Speaker 1: work with clients that is different from an intuitive eating perspective,

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Speaker 1: because again, I've seen that term frequently, but I hear

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Speaker 1: you saying I had not heard this other piece of it,

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Speaker 1: which I appreciate. But is there a different way that

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Speaker 1: you work with your clients to address some concerns around eating?

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Speaker 3: Oh? I love that question.

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Speaker 2: Yeah, I'm not anti intuitiveating fighting means And one of

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Speaker 2: the co authors is a dear friend to me, like

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Speaker 2: I love her, She's incredible, and we have often talked

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Speaker 2: about this. Intuitivating at its core was founded by two

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Speaker 2: very thin, successful, able bodies, white women, and so I

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Speaker 2: think there are some really good general principles that can

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Speaker 2: be taken from that. Everybody has different aspects of what

435
00:22:08,240 --> 00:22:12,000
Speaker 2: they're needing in terms of how their body and emotions

436
00:22:12,000 --> 00:22:13,720
Speaker 2: are responding. And so when I think about that with

437
00:22:13,800 --> 00:22:16,439
Speaker 2: food piece too, I think about, like Angela said, am

438
00:22:16,480 --> 00:22:18,880
Speaker 2: I working with somebody that works twelve hour days? Maybe

439
00:22:18,880 --> 00:22:21,560
Speaker 2: they're a nurse or they have night shift. Right, I'm

440
00:22:21,560 --> 00:22:25,080
Speaker 2: going to take that into consideration. Some people need more structure,

441
00:22:25,119 --> 00:22:27,960
Speaker 2: like mechanical eating. They need somebody to really help them

442
00:22:27,960 --> 00:22:30,240
Speaker 2: through of like okay, every three hours. This is how

443
00:22:30,240 --> 00:22:33,320
Speaker 2: I'm going to nourish my body. I'm not necessarily at

444
00:22:33,320 --> 00:22:38,040
Speaker 2: the point where I can rely on internal hungerfulness satisfaction cues.

445
00:22:38,400 --> 00:22:40,560
Speaker 2: We're living in the age of GLP ones and weight

446
00:22:40,640 --> 00:22:44,280
Speaker 2: loss drugs. Those completely wipe out your desire to eat.

447
00:22:44,800 --> 00:22:47,480
Speaker 2: One of the side effects is delayed gastrict emptying, so

448
00:22:47,520 --> 00:22:50,800
Speaker 2: you feel fuller. And so we might do six smaller

449
00:22:50,840 --> 00:22:54,000
Speaker 2: meals as opposed to kind of our standard three meals,

450
00:22:54,000 --> 00:22:57,040
Speaker 2: two snacks. So I take all of that into consideration,

451
00:22:57,320 --> 00:23:00,119
Speaker 2: and I really try to make it as individualized as

452
00:23:00,160 --> 00:23:03,320
Speaker 2: that can, and just also look at those other factors too.

453
00:23:03,359 --> 00:23:04,760
Speaker 2: Like Angelo said, where do they live?

454
00:23:04,880 --> 00:23:05,080
Speaker 3: Right?

455
00:23:05,119 --> 00:23:06,960
Speaker 2: So I grew up in Texas and I grew up

456
00:23:06,960 --> 00:23:09,480
Speaker 2: in the country. So my husband is from College Park,

457
00:23:09,560 --> 00:23:12,359
Speaker 2: so we had two different aspects.

458
00:23:11,800 --> 00:23:12,679
Speaker 3: Of what food was like.

459
00:23:12,920 --> 00:23:15,840
Speaker 2: And so I definitely take that into consideration too when

460
00:23:15,880 --> 00:23:19,120
Speaker 2: I'm thinking about somebody's individual nutrition plan.

461
00:23:19,720 --> 00:23:22,520
Speaker 1: So let's talk a little bit about like food tracking

462
00:23:22,640 --> 00:23:26,199
Speaker 1: and like calorie tracking and your thoughts about that, Like

463
00:23:26,720 --> 00:23:28,600
Speaker 1: is it ever a good thing to kind of be

464
00:23:28,800 --> 00:23:31,199
Speaker 1: keeping a log of all the things you're eating? And

465
00:23:31,280 --> 00:23:33,119
Speaker 1: if it is, then how might we use that to

466
00:23:33,160 --> 00:23:35,320
Speaker 1: work with a medical professional like a dization.

467
00:23:36,040 --> 00:23:39,639
Speaker 3: So for some people that could be very useful. You

468
00:23:39,680 --> 00:23:42,080
Speaker 3: can find these apps. I mean there are hundreds of

469
00:23:42,080 --> 00:23:44,720
Speaker 3: them nowadays, right you can download apps. People got these

470
00:23:44,760 --> 00:23:48,040
Speaker 3: tracking watches, you got Apple watches, all the things, rings,

471
00:23:48,160 --> 00:23:51,000
Speaker 3: even There's lots of ways to go about that. I

472
00:23:51,040 --> 00:23:54,719
Speaker 3: think that for majority people that can be problematic and

473
00:23:54,760 --> 00:23:58,240
Speaker 3: that it can become obsessive, it can become the golden rule,

474
00:23:58,720 --> 00:24:00,800
Speaker 3: and so we just look for that. Some people can

475
00:24:00,840 --> 00:24:03,720
Speaker 3: track in different ways that is not calories. So maybe

476
00:24:03,760 --> 00:24:06,280
Speaker 3: you're not needing to read labels or enter things into

477
00:24:06,320 --> 00:24:08,800
Speaker 3: your app or to write things down. Maybe there's a

478
00:24:08,840 --> 00:24:11,480
Speaker 3: way to just say or to track how many meals

479
00:24:11,520 --> 00:24:13,240
Speaker 3: you've eaten, or maybe there's a way to track have

480
00:24:13,280 --> 00:24:17,359
Speaker 3: I had any vegetables today? Have I eaten anything green today?

481
00:24:17,680 --> 00:24:20,000
Speaker 3: There's lots of ways when you're working with an individual,

482
00:24:20,000 --> 00:24:22,280
Speaker 3: at least in my practice, that we could go about

483
00:24:22,280 --> 00:24:25,560
Speaker 3: that that feels less judgmental, yet still a way for

484
00:24:25,600 --> 00:24:27,679
Speaker 3: people to keep track of what they're doing or what

485
00:24:27,680 --> 00:24:29,679
Speaker 3: they're consuming. So I would break it down and have

486
00:24:29,720 --> 00:24:32,119
Speaker 3: a conversation with people one on one and even encourage

487
00:24:32,119 --> 00:24:33,719
Speaker 3: people if they're not working with me, but just in

488
00:24:33,760 --> 00:24:36,800
Speaker 3: general out here listening to this podcast, that if you're

489
00:24:36,840 --> 00:24:39,359
Speaker 3: finding that to be your golden rule, or it's keeping

490
00:24:39,359 --> 00:24:40,879
Speaker 3: you home at night and you can't go out to

491
00:24:40,920 --> 00:24:43,320
Speaker 3: eat with your girlfriends because you already ate too many

492
00:24:43,320 --> 00:24:45,840
Speaker 3: calories for the day, and it's affecting your social life,

493
00:24:45,880 --> 00:24:48,840
Speaker 3: it's affecting your mood, it's affecting what you wear for

494
00:24:48,880 --> 00:24:52,440
Speaker 3: the day. That's problematic. That's where we want to back

495
00:24:52,480 --> 00:24:54,720
Speaker 3: off a little bit and perhaps find a new way

496
00:24:54,760 --> 00:24:57,560
Speaker 3: to track. And I have the other extreme end of that,

497
00:24:57,640 --> 00:24:59,720
Speaker 3: where people don't do tracking at all, where we say,

498
00:24:59,800 --> 00:25:02,320
Speaker 3: let's stop tracking for a while and let's just practice

499
00:25:02,320 --> 00:25:05,679
Speaker 3: going more on our intuition. Let's practice paying more attention

500
00:25:05,720 --> 00:25:07,800
Speaker 3: to our hunger and fullnesscuse, and what does that feel

501
00:25:07,840 --> 00:25:09,840
Speaker 3: like to be more in tune with your body instead

502
00:25:09,840 --> 00:25:12,360
Speaker 3: to just take it at more of an intellectual approach,

503
00:25:12,480 --> 00:25:14,879
Speaker 3: or like this is a business homework piece, let's just

504
00:25:15,040 --> 00:25:17,679
Speaker 3: watch numbers. For some people that makes it easy, and

505
00:25:17,680 --> 00:25:20,399
Speaker 3: for other people that just takes away that intuition or

506
00:25:20,520 --> 00:25:23,239
Speaker 3: that connection with their body. So there's a little bit

507
00:25:23,280 --> 00:25:25,240
Speaker 3: of everything in between. But I will also say there's

508
00:25:25,240 --> 00:25:27,640
Speaker 3: a ton of different apps. Some give you little stickers

509
00:25:27,680 --> 00:25:31,720
Speaker 3: and rewards for tracking. Some might give you pop ups

510
00:25:31,760 --> 00:25:35,159
Speaker 3: and encouragement reminders to take a drink of water, to

511
00:25:35,320 --> 00:25:38,320
Speaker 3: eat something today, eat something green, and I think those

512
00:25:38,359 --> 00:25:40,600
Speaker 3: can be really helpful, but it's got to be person

513
00:25:40,640 --> 00:25:42,439
Speaker 3: by person, and there may be times where you need

514
00:25:42,480 --> 00:25:45,080
Speaker 3: to back off from that because the calorie itself. I

515
00:25:45,160 --> 00:25:48,960
Speaker 3: think labels are just too confusing for people. You're tracking it,

516
00:25:49,000 --> 00:25:51,119
Speaker 3: but what are you adding up your totals for? Do

517
00:25:51,160 --> 00:25:52,960
Speaker 3: you even know what your total amount for the day

518
00:25:53,000 --> 00:25:55,960
Speaker 3: is supposed to be? If you think a thousand feels

519
00:25:55,960 --> 00:25:58,520
Speaker 3: like too much, did you know you could actually have thousands?

520
00:25:58,760 --> 00:26:00,840
Speaker 3: I mean, people don't know what to do with those numbers.

521
00:26:00,840 --> 00:26:04,199
Speaker 3: People haven't been educated. There's just numbers and labels on

522
00:26:04,280 --> 00:26:06,560
Speaker 3: everything when you go to the store, and that can

523
00:26:06,600 --> 00:26:09,480
Speaker 3: be really scary for people. But some of those things, again,

524
00:26:09,520 --> 00:26:12,400
Speaker 3: you can have thousands or hundreds of these, and people

525
00:26:12,480 --> 00:26:15,040
Speaker 3: don't know the general idea of what's best for them,

526
00:26:15,200 --> 00:26:17,119
Speaker 3: and so that's something a dietician can help you with.

527
00:26:17,640 --> 00:26:20,439
Speaker 3: And there's plenty of ways and different options for you

528
00:26:20,520 --> 00:26:23,160
Speaker 3: to track what you're doing in a day for your

529
00:26:23,320 --> 00:26:24,800
Speaker 3: food consumption and water.

530
00:26:25,480 --> 00:26:27,159
Speaker 1: Thank you for them. You know like to try to

531
00:26:27,160 --> 00:26:29,800
Speaker 1: You already talked about how you know eating disorders can

532
00:26:29,840 --> 00:26:32,240
Speaker 1: often be missed in black women. Can you talk a

533
00:26:32,280 --> 00:26:34,800
Speaker 1: little bit about why that is that you've already started,

534
00:26:34,800 --> 00:26:37,080
Speaker 1: But are there other things that you've seen that really

535
00:26:37,440 --> 00:26:39,880
Speaker 1: make it so that Black women are often not diagnosed

536
00:26:39,920 --> 00:26:42,000
Speaker 1: or maybe misdiagnosed with eating disorders.

537
00:26:42,119 --> 00:26:42,280
Speaker 2: Yeah.

538
00:26:42,359 --> 00:26:42,919
Speaker 3: Absolutely.

539
00:26:43,240 --> 00:26:45,000
Speaker 2: I think it was last year I was working on

540
00:26:45,040 --> 00:26:49,240
Speaker 2: a presentation of eating disorders and underrepresented populations, and I

541
00:26:49,280 --> 00:26:51,960
Speaker 2: was looking at what kind of prevents us from when

542
00:26:51,960 --> 00:26:54,719
Speaker 2: we need higher level of care for eating disorders going.

543
00:26:55,080 --> 00:26:58,080
Speaker 2: And for a lot of households, black women are the breadwinners,

544
00:26:58,240 --> 00:27:01,439
Speaker 2: and so I think when you talk about eating disorders,

545
00:27:01,480 --> 00:27:04,359
Speaker 2: it's one of the only mental illnesses where you really

546
00:27:04,480 --> 00:27:08,119
Speaker 2: need a multidisciplinary team. And so if you are somebody

547
00:27:08,160 --> 00:27:10,800
Speaker 2: who is the breadwinner and kind of has this pressure

548
00:27:11,000 --> 00:27:14,640
Speaker 2: of working a lot to bring in that financial responsibility,

549
00:27:14,920 --> 00:27:17,360
Speaker 2: when you talk about eating disorders, you usually have a PCP,

550
00:27:17,760 --> 00:27:21,640
Speaker 2: a dietitian, a therapist, and a psychiatric provider. Not everybody

551
00:27:21,680 --> 00:27:24,080
Speaker 2: has the means or access to go to see all

552
00:27:24,119 --> 00:27:27,359
Speaker 2: these people monthly or even weekly. I'm very proud of

553
00:27:27,359 --> 00:27:29,359
Speaker 2: what we have done because we've been able to train

554
00:27:29,520 --> 00:27:33,360
Speaker 2: hundreds of clinicians of color, but not every state even

555
00:27:33,440 --> 00:27:36,520
Speaker 2: has a clinician of color that specializes in eating disorders.

556
00:27:37,080 --> 00:27:37,359
Speaker 3: Two.

557
00:27:37,440 --> 00:27:39,920
Speaker 2: I think less than two point six percent of registered

558
00:27:39,920 --> 00:27:43,240
Speaker 2: dietitians are black, and even of those, there's probably like

559
00:27:43,520 --> 00:27:46,679
Speaker 2: what less than one percent of us that specialized in

560
00:27:46,720 --> 00:27:51,280
Speaker 2: eating disorders. And so I think that contributes to the

561
00:27:51,320 --> 00:27:54,840
Speaker 2: misdiagnosis of eating disorders of black women because we just

562
00:27:54,880 --> 00:27:56,760
Speaker 2: don't have a lot of us out there that look

563
00:27:56,880 --> 00:27:59,040
Speaker 2: like us. And I think too, you know, weight stigma

564
00:27:59,119 --> 00:28:02,320
Speaker 2: is very pervasive, right, So when you talk about weight

565
00:28:02,400 --> 00:28:05,640
Speaker 2: stigma and the body shaming, if you're somebody that every

566
00:28:05,640 --> 00:28:07,080
Speaker 2: time you go to the doctor, let's say you have

567
00:28:07,160 --> 00:28:09,560
Speaker 2: an earache and you just need a prescription of rantibiotics,

568
00:28:09,600 --> 00:28:11,639
Speaker 2: but they're talking about your weight, you're going to be

569
00:28:11,720 --> 00:28:14,600
Speaker 2: less likely to continue going up to the doctor and

570
00:28:14,640 --> 00:28:17,960
Speaker 2: following through with that, right, because you're always inundated with

571
00:28:18,040 --> 00:28:20,679
Speaker 2: this talk of weight loss. So I think there's a

572
00:28:20,680 --> 00:28:24,720
Speaker 2: lot of shaming of black bodies just historically that goes on.

573
00:28:25,320 --> 00:28:28,240
Speaker 2: I will say I think TikTok has really helped talk

574
00:28:28,280 --> 00:28:31,399
Speaker 2: about a lot of different aspects of mental illness in

575
00:28:31,480 --> 00:28:36,120
Speaker 2: terms of depression, OCD, anxiety, but we still really don't

576
00:28:36,119 --> 00:28:38,400
Speaker 2: talk about eating disorders and a lot of black families.

577
00:28:39,200 --> 00:28:51,840
Speaker 1: More from our conversation after the break Angela, you talked

578
00:28:51,840 --> 00:28:55,320
Speaker 1: about some of the cyclical trends of like okay, no fed,

579
00:28:55,400 --> 00:28:58,160
Speaker 1: lo fed, no club, low callub kind of thing. Can

580
00:28:58,200 --> 00:28:59,880
Speaker 1: you talk about like some of these trends that you

581
00:29:00,120 --> 00:29:04,120
Speaker 1: seeing fluctuway throughout your career and maybe talk about some

582
00:29:04,160 --> 00:29:06,680
Speaker 1: of the most common trends that may be a little

583
00:29:06,680 --> 00:29:09,719
Speaker 1: misleading that you're seeing maybe across the social media space.

584
00:29:10,200 --> 00:29:12,640
Speaker 3: I think that's a great question, because most all of

585
00:29:12,640 --> 00:29:17,120
Speaker 3: them are misleading. There's this like false hope for people

586
00:29:17,200 --> 00:29:20,360
Speaker 3: that typically they're linked to weight loss, right changing your

587
00:29:20,400 --> 00:29:24,280
Speaker 3: body or changing your shape or look, so that perhaps

588
00:29:24,320 --> 00:29:27,160
Speaker 3: works for people temporarily. And the answer to that, no

589
00:29:27,200 --> 00:29:30,200
Speaker 3: matter what trend you're trying, is because you're making a

590
00:29:30,240 --> 00:29:34,720
Speaker 3: lifestyle adjustment. So if you're cutting out something, and for carbohydrates,

591
00:29:34,760 --> 00:29:37,360
Speaker 3: for instance, that's more than fifty percent of most people's

592
00:29:37,480 --> 00:29:40,240
Speaker 3: daily intake of food. If you're cutting out fifty percent

593
00:29:40,240 --> 00:29:43,440
Speaker 3: of what you normally eat, that initial change for people

594
00:29:43,480 --> 00:29:46,080
Speaker 3: is often weight loss. It's fluid fluctuations a lot of

595
00:29:46,120 --> 00:29:49,520
Speaker 3: other things, but people do see a change oftentimes in

596
00:29:49,560 --> 00:29:52,480
Speaker 3: the beginning stages of trying a diet or a cycle

597
00:29:53,200 --> 00:29:57,160
Speaker 3: of these bad cultural pieces that we're seeing circulate that

598
00:29:57,880 --> 00:30:00,840
Speaker 3: come January when people often make some changes and goals

599
00:30:00,840 --> 00:30:03,800
Speaker 3: and things like that for themselves. It often does give

600
00:30:03,880 --> 00:30:07,959
Speaker 3: people confused with these cycles of fad diets because they

601
00:30:08,000 --> 00:30:10,600
Speaker 3: may have seen their bodies change before in the past,

602
00:30:10,960 --> 00:30:14,760
Speaker 3: and now perhaps time three, time four, time five around,

603
00:30:15,080 --> 00:30:17,640
Speaker 3: they're not able to see those same results. And that's

604
00:30:17,680 --> 00:30:19,960
Speaker 3: because they're not nourishing their body with the amount of

605
00:30:20,040 --> 00:30:23,280
Speaker 3: food and the types of food that they actually need.

606
00:30:23,480 --> 00:30:26,280
Speaker 3: So it can be so challenging and so difficult. In

607
00:30:26,320 --> 00:30:30,120
Speaker 3: my career, I've seen low fat, no fat. Right now,

608
00:30:30,120 --> 00:30:32,120
Speaker 3: we're in this stage of taking a lot of these

609
00:30:32,240 --> 00:30:35,479
Speaker 3: GLP ones weight loss drugs. There's all sorts of brands

610
00:30:35,480 --> 00:30:37,880
Speaker 3: and different types. They're affecting people in different ways, but

611
00:30:38,000 --> 00:30:41,480
Speaker 3: mostly it's eliminating people's appetite. We're seeing a lot of

612
00:30:41,480 --> 00:30:43,480
Speaker 3: that in the eating disorder feel because it's such a

613
00:30:43,600 --> 00:30:46,360
Speaker 3: challenge where people really want to make some changes or

614
00:30:46,400 --> 00:30:48,840
Speaker 3: perhaps need to lose x amount of weight to get

615
00:30:48,880 --> 00:30:51,640
Speaker 3: even just a surgery. Say, somebody want a hip replacement,

616
00:30:51,760 --> 00:30:54,400
Speaker 3: but nobody will operate on them unless they're a certain

617
00:30:54,440 --> 00:30:57,320
Speaker 3: BMI or unless they lose x amount of weight. Some

618
00:30:57,360 --> 00:30:59,600
Speaker 3: people truly want to make some changes, and some people

619
00:30:59,600 --> 00:31:01,960
Speaker 3: are just the doctor again for some other ailment and

620
00:31:02,040 --> 00:31:06,400
Speaker 3: are gifted these prescriptions to start taking to change their weight.

621
00:31:07,080 --> 00:31:09,320
Speaker 3: I've also seen low carb, no carb. I think we're

622
00:31:09,320 --> 00:31:11,960
Speaker 3: sort of in that stage right now. I've seen no sugar,

623
00:31:12,120 --> 00:31:14,840
Speaker 3: low sugar. See a lot of that as well. We

624
00:31:14,920 --> 00:31:19,040
Speaker 3: see eating different foods based on your sign or your

625
00:31:19,240 --> 00:31:23,200
Speaker 3: blood type or fill in the blank. There's some diet

626
00:31:23,200 --> 00:31:27,080
Speaker 3: out there for just about everything. So they cycle around

627
00:31:27,120 --> 00:31:29,200
Speaker 3: again and again, and I'm sure you'll hear about some

628
00:31:29,240 --> 00:31:33,080
Speaker 3: of those. Perhaps your grandparents or your parents have tried

629
00:31:33,120 --> 00:31:35,320
Speaker 3: in the past, and it doesn't mean that they work,

630
00:31:35,360 --> 00:31:38,000
Speaker 3: but there's sort of these temporary pieces that people can

631
00:31:38,200 --> 00:31:41,280
Speaker 3: cling onto and work on making changes to their health

632
00:31:41,320 --> 00:31:43,960
Speaker 3: without any real guidance. And I think that seeing a

633
00:31:43,960 --> 00:31:46,520
Speaker 3: dietitian is a great way that you could connect with

634
00:31:46,600 --> 00:31:49,840
Speaker 3: somebody who has the facts and knowledge information that could

635
00:31:49,880 --> 00:31:52,840
Speaker 3: really tailor an individualized plan for you that could be

636
00:31:52,920 --> 00:31:56,160
Speaker 3: helpful based on your needs at the time. And of

637
00:31:56,200 --> 00:31:58,680
Speaker 3: course that can change over a lifespan for each individual,

638
00:31:58,720 --> 00:32:01,240
Speaker 3: but seeing a professional and having somebody support you in

639
00:32:01,320 --> 00:32:04,600
Speaker 3: that versus just going off of what's floating in social

640
00:32:04,640 --> 00:32:08,960
Speaker 3: media or in print can be much more helpful for individuals.

641
00:32:09,360 --> 00:32:11,480
Speaker 1: And I'd love to hear you all talk more about

642
00:32:11,720 --> 00:32:15,080
Speaker 1: how would you suggest people vent and like make sense

643
00:32:15,160 --> 00:32:18,160
Speaker 1: of all of the information that is out there about

644
00:32:18,200 --> 00:32:20,440
Speaker 1: food and wellness. How do you even know like what

645
00:32:20,600 --> 00:32:21,120
Speaker 1: to believe?

646
00:32:21,480 --> 00:32:24,400
Speaker 2: I mean, it's so hard, it's so so hard. I

647
00:32:24,440 --> 00:32:27,320
Speaker 2: would say, if you're somebody that likes to read research,

648
00:32:27,600 --> 00:32:31,440
Speaker 2: you can research like the Mediterranean diet is huge right now,

649
00:32:31,480 --> 00:32:34,040
Speaker 2: and they've actually done studies on that. I tell people,

650
00:32:34,120 --> 00:32:35,760
Speaker 2: you know, what's the long term data. I have a

651
00:32:35,760 --> 00:32:37,200
Speaker 2: lot of people that come to me that have been

652
00:32:37,280 --> 00:32:41,760
Speaker 2: intermittent fasting. Studies are showing now that that's actually harmful

653
00:32:41,800 --> 00:32:44,160
Speaker 2: for your body. And so I always encourage people, and

654
00:32:44,240 --> 00:32:46,960
Speaker 2: I'll do this in session. Okay, let's look at PubMed together.

655
00:32:47,120 --> 00:32:49,080
Speaker 2: Let's pull it up and let's see what does the

656
00:32:49,120 --> 00:32:52,120
Speaker 2: literature say about these certain diets. And then I'll bring

657
00:32:52,120 --> 00:32:55,240
Speaker 2: in my clinical experience Keto. What are we seeing long

658
00:32:55,320 --> 00:32:58,520
Speaker 2: term with Keto and the sustainability of that. So I

659
00:32:58,560 --> 00:33:01,880
Speaker 2: always encourage people to do their own research, to look

660
00:33:01,880 --> 00:33:05,560
Speaker 2: at clinical applications, look at long term data. And like

661
00:33:05,600 --> 00:33:09,600
Speaker 2: Angela said, ninety five percent of people who go on

662
00:33:09,720 --> 00:33:13,640
Speaker 2: diets end up gaining all of their weight back that

663
00:33:13,640 --> 00:33:17,360
Speaker 2: they have lost and then some. And my prediction is

664
00:33:17,400 --> 00:33:19,160
Speaker 2: we're going to see this in the era of the

665
00:33:19,200 --> 00:33:21,720
Speaker 2: weight loss of drugs too. We're going to see people

666
00:33:22,080 --> 00:33:25,320
Speaker 2: they will lose that initial weight, but when you stop

667
00:33:25,360 --> 00:33:28,320
Speaker 2: some of these medications, you end up gaining the weight

668
00:33:28,400 --> 00:33:31,000
Speaker 2: back and then some. And so I always tell people like,

669
00:33:31,120 --> 00:33:32,920
Speaker 2: let's not just look at this short term.

670
00:33:33,000 --> 00:33:33,960
Speaker 3: What are the long.

671
00:33:33,840 --> 00:33:36,560
Speaker 2: Term consequences of this same thing I do with medication.

672
00:33:36,920 --> 00:33:39,280
Speaker 2: What's the long term data that we're looking at here?

673
00:33:39,680 --> 00:33:42,480
Speaker 2: What does it show five, ten, fifteen years down the road.

674
00:33:42,960 --> 00:33:46,440
Speaker 1: So you both referenced the semi glue tides and GLP

675
00:33:46,560 --> 00:33:49,719
Speaker 1: one Zimbig, I want to hear more about how that

676
00:33:49,800 --> 00:33:53,240
Speaker 1: has changed your work. Angela. You use the term people

677
00:33:53,280 --> 00:33:57,120
Speaker 1: are gifted prescriptions to these, which would be indicates of

678
00:33:57,240 --> 00:34:00,680
Speaker 1: particular kind of connotation. Right, what's going on here? On

679
00:34:00,680 --> 00:34:03,120
Speaker 1: one hand, there's a lot talked about in terms of

680
00:34:03,160 --> 00:34:06,480
Speaker 1: like the effectiveness of semi glue ties right, especially for

681
00:34:06,720 --> 00:34:09,160
Speaker 1: like addiction kinds of things, Like it feels like it

682
00:34:09,239 --> 00:34:12,319
Speaker 1: is working in a lot of different ways, and so

683
00:34:12,480 --> 00:34:14,760
Speaker 1: I feel like I can't tell whether this is the

684
00:34:14,840 --> 00:34:18,160
Speaker 1: latest new pill for weight loss or is this something

685
00:34:18,200 --> 00:34:21,359
Speaker 1: that is going to be more long term successful? Like

686
00:34:21,600 --> 00:34:23,799
Speaker 1: how do people make sense of all of this? And

687
00:34:23,880 --> 00:34:25,359
Speaker 1: like how are you seeing this kind of show up

688
00:34:25,360 --> 00:34:26,600
Speaker 1: in your work with your clients?

689
00:34:26,800 --> 00:34:29,160
Speaker 3: When I said gifted, I mean I have clients who

690
00:34:29,160 --> 00:34:31,600
Speaker 3: are just trying to find a provider and maybe go

691
00:34:31,719 --> 00:34:35,360
Speaker 3: on these online therapy sites and or looking for a

692
00:34:35,400 --> 00:34:38,359
Speaker 3: psychiatrist because the weight lists are so long. They get

693
00:34:38,400 --> 00:34:41,320
Speaker 3: in and they haven't even yet gone through their whole intake,

694
00:34:41,440 --> 00:34:43,960
Speaker 3: and next thing you know, just by seeing their weight

695
00:34:44,080 --> 00:34:47,200
Speaker 3: or there bemi numbers, they're being asked about going on

696
00:34:47,280 --> 00:34:50,560
Speaker 3: these drugs or being given prescriptions in one appointment. So

697
00:34:50,680 --> 00:34:54,600
Speaker 3: oftentimes I see some of my clients gifted with this prescription.

698
00:34:55,120 --> 00:34:56,800
Speaker 3: And don't get me wrong, I don't want to shame

699
00:34:56,880 --> 00:34:59,920
Speaker 3: anybody if you take these or if you're considering taking them,

700
00:35:00,280 --> 00:35:02,560
Speaker 3: if this could be helpful for you, I'm not here

701
00:35:02,600 --> 00:35:04,319
Speaker 3: to say yay or nay to that. But the fact

702
00:35:04,360 --> 00:35:08,560
Speaker 3: that they can so easily be given out these prescriptions

703
00:35:08,560 --> 00:35:11,719
Speaker 3: without really assessing the whole person and knowing the long

704
00:35:11,800 --> 00:35:14,680
Speaker 3: term data, which we do not know. These drugs have

705
00:35:14,719 --> 00:35:16,680
Speaker 3: been around for a long time but not served in

706
00:35:16,719 --> 00:35:20,320
Speaker 3: this particular purpose. So is this just sort of something

707
00:35:20,320 --> 00:35:22,000
Speaker 3: in the now or is this something that we're going

708
00:35:22,040 --> 00:35:24,120
Speaker 3: to see stick around and all. Let Whitney speak to

709
00:35:24,239 --> 00:35:26,480
Speaker 3: some of the medical side effects of this right now.

710
00:35:26,520 --> 00:35:29,480
Speaker 3: But it's just a little bit worrisome if somebody goes

711
00:35:29,520 --> 00:35:31,759
Speaker 3: into an appointment and I'm working with them and they

712
00:35:31,760 --> 00:35:32,880
Speaker 3: come back to me and they say, I told the

713
00:35:32,880 --> 00:35:34,759
Speaker 3: doctor I wanted to lose weight. Now I've started this

714
00:35:34,840 --> 00:35:37,480
Speaker 3: medication and we didn't really assess all of the other

715
00:35:37,520 --> 00:35:41,400
Speaker 3: things they're dealing with, perhaps diabetes, perhaps this cycling of

716
00:35:41,440 --> 00:35:44,200
Speaker 3: weight up and down, perhaps an eating disorder on top

717
00:35:44,239 --> 00:35:46,600
Speaker 3: of that. So it can be just so much more

718
00:35:46,680 --> 00:35:49,719
Speaker 3: challenging to make decisions and working with a client when

719
00:35:49,920 --> 00:35:53,359
Speaker 3: there's this thought of magic and perhaps a pill that

720
00:35:53,400 --> 00:35:55,640
Speaker 3: they take every day, of which they're going to have

721
00:35:55,640 --> 00:35:57,080
Speaker 3: to take for the rest of their life if they

722
00:35:57,080 --> 00:35:59,719
Speaker 3: want to maintain or continue to see results.

723
00:36:00,200 --> 00:36:03,400
Speaker 2: Yeah. Actually just got back from an international psychiatry conference

724
00:36:03,440 --> 00:36:06,040
Speaker 2: where we really talked a lot about the use of

725
00:36:06,160 --> 00:36:09,279
Speaker 2: golp ones, and you're going to see this more mental health, right,

726
00:36:09,920 --> 00:36:12,799
Speaker 2: And I'm not, like Angel said four or against them.

727
00:36:13,080 --> 00:36:15,680
Speaker 2: What I really try to do is have a nuanced approach,

728
00:36:15,800 --> 00:36:19,960
Speaker 2: but provide consent from all aspects of it. So initial

729
00:36:20,040 --> 00:36:23,320
Speaker 2: their indication was for diabetes. We also know that they

730
00:36:23,520 --> 00:36:27,919
Speaker 2: are cardio protective, right, they help reduce inflammation. So let's

731
00:36:27,920 --> 00:36:31,480
Speaker 2: say I have somebody that has bipolar disorder and I

732
00:36:31,560 --> 00:36:34,600
Speaker 2: have them on an antipsychotic. They are doing great from

733
00:36:34,600 --> 00:36:37,440
Speaker 2: a mental health aspect, but the side effect from the

734
00:36:37,520 --> 00:36:40,399
Speaker 2: drug that I give them increases their cholesterol. They might

735
00:36:40,480 --> 00:36:44,200
Speaker 2: gain weight. A golp one in a low dose might

736
00:36:44,239 --> 00:36:47,600
Speaker 2: be something that is therapeutically indicated for them. There's also

737
00:36:47,640 --> 00:36:50,600
Speaker 2: clinical trials and research right now looking at golp one

738
00:36:50,719 --> 00:36:53,640
Speaker 2: and the use of Alzheimer's which is interesting. Who would

739
00:36:53,640 --> 00:36:58,480
Speaker 2: have ever thought, right, it would help from a neuroinflammation standpoint,

740
00:36:58,520 --> 00:37:02,240
Speaker 2: But we are seeing that clinically pcos we're seeing people

741
00:37:02,320 --> 00:37:05,000
Speaker 2: ovulate for the first time with some of these medications,

742
00:37:05,480 --> 00:37:07,640
Speaker 2: and so I think there are people out there that

743
00:37:07,680 --> 00:37:12,680
Speaker 2: are having very real positive benefits on these But then

744
00:37:12,719 --> 00:37:15,040
Speaker 2: there are also people out there that are truly getting

745
00:37:15,080 --> 00:37:17,360
Speaker 2: harmed by this, and I think it's because it's a

746
00:37:17,480 --> 00:37:20,520
Speaker 2: lack of due diligence from the provider. One of the

747
00:37:20,600 --> 00:37:22,960
Speaker 2: questions I ask people after I do the initial eating

748
00:37:22,960 --> 00:37:26,520
Speaker 2: disorder screening. Are you already having obsessive thoughts? Do you

749
00:37:26,560 --> 00:37:30,799
Speaker 2: already have body dysmorphia? This might not be clinically appropriate

750
00:37:30,840 --> 00:37:34,080
Speaker 2: for you. What is your access like if insurance denies this,

751
00:37:34,320 --> 00:37:36,719
Speaker 2: can you afford to be on this medication for the

752
00:37:36,760 --> 00:37:39,720
Speaker 2: next eight to twelve months? If you can only afford

753
00:37:39,760 --> 00:37:43,839
Speaker 2: it once, it might not be appropriated right. FDA is

754
00:37:43,960 --> 00:37:47,080
Speaker 2: really cracking down on a lot of these compounded pharmacies.

755
00:37:47,120 --> 00:37:49,320
Speaker 2: We're seeing people almost get them on the black market

756
00:37:49,400 --> 00:37:52,319
Speaker 2: and we don't even know what the ingredients are. So

757
00:37:52,800 --> 00:37:55,240
Speaker 2: I think it's not for me a positive or a negative.

758
00:37:55,320 --> 00:37:58,600
Speaker 2: It really is about the full consent. And again, clinically,

759
00:37:58,600 --> 00:38:01,280
Speaker 2: we see a lot of gastro prease, which means delayed

760
00:38:01,320 --> 00:38:05,320
Speaker 2: gastric emptying. We're seeing people's hair fall out, we're seeing

761
00:38:05,560 --> 00:38:08,440
Speaker 2: lean body mass. So after the age of forty, you

762
00:38:08,520 --> 00:38:12,120
Speaker 2: really start to lose your lean body mass and it's very,

763
00:38:12,239 --> 00:38:14,960
Speaker 2: very hard to get back and so if I'm giving

764
00:38:15,000 --> 00:38:17,920
Speaker 2: you something that's going to suppress your appetite, that's going

765
00:38:18,000 --> 00:38:20,880
Speaker 2: to impact your protein muscle loss, it's going to impact

766
00:38:20,960 --> 00:38:25,160
Speaker 2: your ability to retain muscle that's really clinically revelant, and

767
00:38:25,200 --> 00:38:27,920
Speaker 2: we need to have a conversation about that in terms

768
00:38:27,920 --> 00:38:30,440
Speaker 2: of food noise, Doctor Droy, You're absolutely right. We're seeing

769
00:38:30,480 --> 00:38:33,880
Speaker 2: this kind of been like addiction aspects of care for

770
00:38:34,000 --> 00:38:37,120
Speaker 2: alcohol use disorder. People are starting to take GLP ones

771
00:38:37,280 --> 00:38:40,680
Speaker 2: and they're noticing that the cravings are going down. People

772
00:38:40,680 --> 00:38:43,200
Speaker 2: that believe that they are addicted to food, we're seeing

773
00:38:43,239 --> 00:38:46,600
Speaker 2: the cravings go down. So what is hard is we

774
00:38:46,640 --> 00:38:49,000
Speaker 2: don't know long term data on that because it's very

775
00:38:49,040 --> 00:38:52,280
Speaker 2: new in psychiatry. What we do know, like I said,

776
00:38:52,400 --> 00:38:55,520
Speaker 2: is that it can be clinically indicated for some people.

777
00:38:55,719 --> 00:39:00,360
Speaker 2: We know that it has protective aspects for inflammatory disease process,

778
00:39:01,000 --> 00:39:03,880
Speaker 2: and so it really can be a great way to

779
00:39:04,040 --> 00:39:08,279
Speaker 2: add to somebody's regimen. I just think that we are

780
00:39:08,400 --> 00:39:11,400
Speaker 2: over prescribing it and not doing our due diligence and

781
00:39:11,520 --> 00:39:13,960
Speaker 2: asking some of those hard questions that we need to

782
00:39:14,000 --> 00:39:15,719
Speaker 2: be doing as providers.

783
00:39:16,280 --> 00:39:29,239
Speaker 1: More from our conversation after the break, why might it

784
00:39:29,320 --> 00:39:32,520
Speaker 1: be contraindicative for somebody with body dysmorphia, Doctor Trynter.

785
00:39:32,960 --> 00:39:35,480
Speaker 2: So, if I'm working with somebody that has body dysmorphia

786
00:39:35,640 --> 00:39:40,040
Speaker 2: and is not accurately seeing a true representation of themselves,

787
00:39:40,480 --> 00:39:45,040
Speaker 2: and they are obsessed with thinness, obsessed with decreasing calories,

788
00:39:45,239 --> 00:39:49,799
Speaker 2: obsessed with eating less, they have this unrealistic image of

789
00:39:49,800 --> 00:39:52,200
Speaker 2: what they want their body to look like that might

790
00:39:52,239 --> 00:39:55,279
Speaker 2: not even be achievable to me. We're going to do

791
00:39:55,320 --> 00:39:57,239
Speaker 2: therapy first. We're going to get you into a really

792
00:39:57,239 --> 00:40:00,759
Speaker 2: good therapist, somebody that specializes with body dys morphia. We're

793
00:40:00,800 --> 00:40:03,560
Speaker 2: going to try other things because if we just do

794
00:40:03,640 --> 00:40:06,000
Speaker 2: the golp one and put it like a blanket weight

795
00:40:06,040 --> 00:40:09,200
Speaker 2: loss drug on there, not everybody loses weight. So now

796
00:40:09,239 --> 00:40:12,480
Speaker 2: you've paid five hundred and fifty almost one thousand dollars

797
00:40:12,480 --> 00:40:14,400
Speaker 2: for this medication and it's not even working.

798
00:40:14,840 --> 00:40:17,440
Speaker 1: So somebody is actually interested in, you know, talking with

799
00:40:17,480 --> 00:40:20,719
Speaker 1: their medical team about a possible prescription. What kinds of

800
00:40:20,880 --> 00:40:23,080
Speaker 1: conversation should they be having, Like, what kinds of questions

801
00:40:23,080 --> 00:40:24,000
Speaker 1: should they be asking.

802
00:40:24,640 --> 00:40:27,200
Speaker 2: So if somebody is coming in there is an eight

803
00:40:27,239 --> 00:40:30,520
Speaker 2: week wash out that you want to have with these medications,

804
00:40:30,880 --> 00:40:33,640
Speaker 2: you do not want to be trying to actively get

805
00:40:33,680 --> 00:40:37,080
Speaker 2: pregnant on these medications. And again we are seeing some

806
00:40:37,160 --> 00:40:40,759
Speaker 2: obgui ns use this Angela mentioned surgeries. We know fertility

807
00:40:40,800 --> 00:40:43,680
Speaker 2: doctors that you have to be under a certain BMI

808
00:40:43,800 --> 00:40:47,080
Speaker 2: to even access fertility treatments, and we'll put somebody on

809
00:40:47,120 --> 00:40:49,920
Speaker 2: a GLP one. So I will ask that question, are

810
00:40:49,960 --> 00:40:53,080
Speaker 2: you wanting to become pregnant actively trying to become pregnant?

811
00:40:53,480 --> 00:40:57,600
Speaker 2: I ask about affordability again, can you afford this? And

812
00:40:57,640 --> 00:40:59,960
Speaker 2: then I also ask do you have diabetes? Do you

813
00:41:00,239 --> 00:41:02,960
Speaker 2: have heart disease, do you have kidney disease? Have you

814
00:41:03,040 --> 00:41:06,879
Speaker 2: ever had a history of gastroparesis? I also ask about constipation.

815
00:41:07,480 --> 00:41:10,440
Speaker 2: We've had people that have had bowel impactions and have

816
00:41:10,520 --> 00:41:13,799
Speaker 2: had to go to the er because of these medications.

817
00:41:14,160 --> 00:41:16,920
Speaker 2: A history of thyroid cancer, you would not want to

818
00:41:16,920 --> 00:41:21,160
Speaker 2: take these medications. So I definitely think doing the due diligence.

819
00:41:21,280 --> 00:41:24,000
Speaker 2: I think about it like stimulants right vibance was thought

820
00:41:24,000 --> 00:41:27,120
Speaker 2: to cure binge eating disorder several years ago. It's not

821
00:41:27,200 --> 00:41:30,040
Speaker 2: a bad medication, it's just not for every person that

822
00:41:30,239 --> 00:41:33,160
Speaker 2: has ADHD or binge eating disorder. I feel the same

823
00:41:33,160 --> 00:41:36,600
Speaker 2: way about GLP once. I don't think it's a bad medication.

824
00:41:37,160 --> 00:41:40,360
Speaker 2: I just think it's not clinically appropriate for every single person.

825
00:41:40,920 --> 00:41:44,160
Speaker 1: It does seem like people feel very free to prescribe

826
00:41:44,160 --> 00:41:47,360
Speaker 1: it though, like you mentioned Angela, right, And why is that?

827
00:41:47,400 --> 00:41:49,879
Speaker 1: Because sometimes it's hard to even get painkillers for other

828
00:41:49,920 --> 00:41:51,880
Speaker 1: things going on. So why do you feel like doctor's

829
00:41:51,920 --> 00:41:54,799
Speaker 1: and other prescribers do feel so free to prescribe it.

830
00:41:55,120 --> 00:41:58,440
Speaker 3: Here's my assumption. It is just the new hot trend

831
00:41:58,520 --> 00:42:00,840
Speaker 3: right now. People are going in and asking for it.

832
00:42:00,920 --> 00:42:03,479
Speaker 3: I think that's sort of unusual. Right Oftentimes you're wanting

833
00:42:03,480 --> 00:42:05,839
Speaker 3: the medical provider to tell you what sort of things

834
00:42:05,920 --> 00:42:08,640
Speaker 3: might help you with the elements and issues and concerns

835
00:42:08,640 --> 00:42:11,000
Speaker 3: that you're having. And in this case, you have people

836
00:42:11,080 --> 00:42:15,040
Speaker 3: just making appointments to specifically get the medication. Or I

837
00:42:15,120 --> 00:42:17,799
Speaker 3: know my friend is on this and I've seen significant

838
00:42:17,840 --> 00:42:19,960
Speaker 3: changes or weight loss in them. Can I get this?

839
00:42:20,600 --> 00:42:22,959
Speaker 3: So there's a lot again out there in the world

840
00:42:23,040 --> 00:42:26,320
Speaker 3: and social media where this has worked, or the cases

841
00:42:26,360 --> 00:42:28,640
Speaker 3: where it has worked for somebody without knowing all of

842
00:42:28,680 --> 00:42:30,920
Speaker 3: the side effects and what has happened, perhaps someone in

843
00:42:30,960 --> 00:42:33,239
Speaker 3: your family, Perhaps you've tried a lot of things with

844
00:42:33,280 --> 00:42:35,680
Speaker 3: your medical provider, and this is just the next new thing.

845
00:42:36,640 --> 00:42:39,040
Speaker 3: This is just a thing that when you're talking with

846
00:42:39,080 --> 00:42:41,200
Speaker 3: your girlfriends, when you're at work and you're talking about

847
00:42:41,200 --> 00:42:43,359
Speaker 3: the water cooler, that these are things that people are

848
00:42:43,400 --> 00:42:46,640
Speaker 3: hearing are new and supportive and helpful, and I've seen

849
00:42:46,760 --> 00:42:49,480
Speaker 3: be successful. And I think a lot of times when

850
00:42:49,520 --> 00:42:52,120
Speaker 3: we do see this be successful for people, it's rapid

851
00:42:52,200 --> 00:42:55,719
Speaker 3: and quick changes. And I think that appeals to the

852
00:42:55,760 --> 00:43:00,640
Speaker 3: American version of life where we want quick, fast changes,

853
00:43:01,080 --> 00:43:03,399
Speaker 3: and when we talk about health or what is healthy again,

854
00:43:03,480 --> 00:43:06,040
Speaker 3: quote unquote, we want things to happen real quick. We

855
00:43:06,080 --> 00:43:07,799
Speaker 3: don't want to think about, Oh, I've been struggling for

856
00:43:07,800 --> 00:43:10,160
Speaker 3: an evening sort for a decade, but I expect my

857
00:43:10,200 --> 00:43:12,960
Speaker 3: weight to change in a week, or I want my

858
00:43:13,000 --> 00:43:15,040
Speaker 3: cravings to come back in a week, even though I

859
00:43:15,040 --> 00:43:18,200
Speaker 3: haven't been having true hunger and fullness cravings for years.

860
00:43:18,760 --> 00:43:21,880
Speaker 3: So that quick fast fix, I think is ideal to people.

861
00:43:22,320 --> 00:43:25,120
Speaker 3: Even if it comes with some real side effects like

862
00:43:25,239 --> 00:43:28,920
Speaker 3: constipation or memory change. It these things can maybe be

863
00:43:29,040 --> 00:43:31,960
Speaker 3: overroded for people because the change in their body or

864
00:43:31,960 --> 00:43:34,000
Speaker 3: the change in the way that they're feeling is quick,

865
00:43:34,040 --> 00:43:36,759
Speaker 3: in instant and it's not that way for everybody. But again,

866
00:43:36,800 --> 00:43:39,120
Speaker 3: if you got one friend and that's the situation, you

867
00:43:39,200 --> 00:43:41,920
Speaker 3: want to check into this prescription or check into this

868
00:43:42,040 --> 00:43:44,759
Speaker 3: drug to see perhaps that could work for you. And

869
00:43:44,840 --> 00:43:46,840
Speaker 3: I think word of mouth can be really powerful.

870
00:43:47,520 --> 00:43:49,719
Speaker 2: And I think there's a lot of pressure on black

871
00:43:49,760 --> 00:43:53,040
Speaker 2: women to have a certain physique, right, Like there's a

872
00:43:53,080 --> 00:43:55,480
Speaker 2: lot of pressure on what does the black female body

873
00:43:55,480 --> 00:43:58,000
Speaker 2: look like? What should it look like? Our curves are

874
00:43:58,080 --> 00:44:02,279
Speaker 2: certain way to normalize those conversations. I want us to

875
00:44:02,280 --> 00:44:05,960
Speaker 2: talk about body dysmorphia in the black community, especially black females,

876
00:44:05,960 --> 00:44:10,520
Speaker 2: black women. I think weight stigma is so pervasive too.

877
00:44:10,880 --> 00:44:13,160
Speaker 2: When you think about being black and going to the doctor,

878
00:44:13,280 --> 00:44:15,640
Speaker 2: what do you always see. We're leading in chronic kidney disease,

879
00:44:15,719 --> 00:44:18,160
Speaker 2: we leading in diabetes, we're leading in heart disease, we're

880
00:44:18,239 --> 00:44:22,400
Speaker 2: leading in obesity, very rare. Do we look at, Okay,

881
00:44:22,400 --> 00:44:26,319
Speaker 2: what are the systems at play leading to these chronic illnesses?

882
00:44:26,640 --> 00:44:28,600
Speaker 2: Because the gop one is not going to fix a

883
00:44:28,640 --> 00:44:31,040
Speaker 2: broken system, right And at the end of the day,

884
00:44:31,040 --> 00:44:32,960
Speaker 2: that's what I tell people, Like, if you don't have

885
00:44:33,160 --> 00:44:36,759
Speaker 2: access to basic care, a weight loss drug is only

886
00:44:36,800 --> 00:44:38,400
Speaker 2: going to be a band aid on the problem.

887
00:44:38,680 --> 00:44:41,239
Speaker 1: So thinking about, you know, more of those conversations, it

888
00:44:41,280 --> 00:44:44,160
Speaker 1: does feel like the proliferation of words like you mentioned

889
00:44:44,200 --> 00:44:47,800
Speaker 1: doctor Whitney, like snapback and like big bags and bikini

890
00:44:47,840 --> 00:44:50,000
Speaker 1: body like it feels like there's just all these words

891
00:44:50,000 --> 00:44:53,120
Speaker 1: that people use to talk about weight and body. What

892
00:44:53,200 --> 00:44:55,279
Speaker 1: kinds of things would you suggest for us being more

893
00:44:55,320 --> 00:44:58,359
Speaker 1: mindful of using that language and maybe even encouraging other

894
00:44:58,400 --> 00:44:59,920
Speaker 1: people to be mindful about them.

895
00:45:00,040 --> 00:45:04,279
Speaker 2: Languid Yes, I think if you have children, you really

896
00:45:04,280 --> 00:45:06,920
Speaker 2: want to be so conscientious of how you're talking about

897
00:45:06,960 --> 00:45:09,640
Speaker 2: your body in front of your kids, because they're picking

898
00:45:09,719 --> 00:45:11,680
Speaker 2: up on this. We all know we have our own language,

899
00:45:11,680 --> 00:45:13,359
Speaker 2: Like I said, like this net this is a part

900
00:45:13,360 --> 00:45:16,160
Speaker 2: of our culture, right, So I think, too is what

901
00:45:16,280 --> 00:45:19,200
Speaker 2: is the intention behind that? And I see as black

902
00:45:19,239 --> 00:45:21,920
Speaker 2: women too, like our generation, we're kind of out of

903
00:45:21,960 --> 00:45:24,680
Speaker 2: that pressure of bariatric surgery. You really don't hear about

904
00:45:24,680 --> 00:45:27,680
Speaker 2: a lot of Black women thirty twenty thirty forties getting

905
00:45:28,320 --> 00:45:31,640
Speaker 2: the bariatric surgery. You hear more about the bbls and

906
00:45:31,680 --> 00:45:35,560
Speaker 2: the GLP ones they're targeting our age demographic. And so

907
00:45:35,600 --> 00:45:38,200
Speaker 2: I think about when we're having these conversations, I think

908
00:45:38,200 --> 00:45:41,120
Speaker 2: it's just so important to talk through like why do

909
00:45:41,160 --> 00:45:43,839
Speaker 2: we have that pressure on ourselves. I'll never forget I

910
00:45:43,880 --> 00:45:45,920
Speaker 2: was working with a woman she wanted to get pregnant

911
00:45:45,960 --> 00:45:48,080
Speaker 2: as a black woman. She was like, Whitney, I cannot

912
00:45:48,120 --> 00:45:50,960
Speaker 2: be fat, black and pregnant in the South. She was like,

913
00:45:51,000 --> 00:45:53,760
Speaker 2: I can't do it. We had an honest conversation of

914
00:45:54,239 --> 00:45:56,360
Speaker 2: what does that look like to be a black woman

915
00:45:56,520 --> 00:45:58,680
Speaker 2: and to go into a pregnancy at a higher weight,

916
00:45:58,960 --> 00:46:01,799
Speaker 2: Like what are the ramifications of that? And that was

917
00:46:01,880 --> 00:46:05,080
Speaker 2: her desire for starting GOP once. And I think as

918
00:46:05,120 --> 00:46:08,240
Speaker 2: black women, I want us to start having those conversations

919
00:46:08,239 --> 00:46:11,240
Speaker 2: with our girlfriend hair loss, Like when I was postpart

920
00:46:11,280 --> 00:46:14,080
Speaker 2: I'm still losing my edges, you know, and it's so hard.

921
00:46:14,120 --> 00:46:16,120
Speaker 2: And I always talk about black women with that, is

922
00:46:16,160 --> 00:46:18,799
Speaker 2: this a sign that you're dieting too much? Are you

923
00:46:18,920 --> 00:46:21,879
Speaker 2: not getting enough and take in this pressure to look

924
00:46:21,960 --> 00:46:25,160
Speaker 2: thin postpartum to get that snap back? Is that contributing

925
00:46:25,200 --> 00:46:29,840
Speaker 2: to excessive hair loss? So it's important to name the things,

926
00:46:29,880 --> 00:46:33,200
Speaker 2: the barriers that we go through as black women. There's

927
00:46:33,280 --> 00:46:36,120
Speaker 2: just different things we are up against that we have

928
00:46:36,239 --> 00:46:39,200
Speaker 2: to fight against. That some of our white counterparts and

929
00:46:39,239 --> 00:46:41,680
Speaker 2: even our Latina counterparts just don't have to deal with.

930
00:46:41,960 --> 00:46:44,799
Speaker 1: So can someone start working with you all more as

931
00:46:44,840 --> 00:46:48,960
Speaker 1: a preventative kind of thing, right? Is it more problem focused, like, Hey,

932
00:46:49,000 --> 00:46:51,000
Speaker 1: I've noticed this thing, I feel like I need to

933
00:46:51,040 --> 00:46:53,799
Speaker 1: go to a dietitian, or let's say somebody's thinking like

934
00:46:53,840 --> 00:46:55,920
Speaker 1: it's January, I want to start, you know, have a

935
00:46:55,960 --> 00:46:58,239
Speaker 1: different approach to my food. Can we work with a

936
00:46:58,280 --> 00:46:59,880
Speaker 1: dietitian more from prementatives?

937
00:47:00,719 --> 00:47:04,200
Speaker 3: Yeah? Absolutely. I think the complexity with the insurance piece

938
00:47:04,239 --> 00:47:06,399
Speaker 3: can be a little bit more challenging in the US

939
00:47:06,480 --> 00:47:09,400
Speaker 3: at least just thinking about having a diagnosis or coming

940
00:47:09,480 --> 00:47:13,120
Speaker 3: to a dietitian with a diagnosis, because we're unable to

941
00:47:13,239 --> 00:47:18,120
Speaker 3: diagnose eating disorders for instance, so mental health concerns we

942
00:47:18,239 --> 00:47:20,759
Speaker 3: are not able to diagnose. So typically clients are either

943
00:47:20,840 --> 00:47:23,840
Speaker 3: working on that diagnosis with a therapist or psychiatrist, medical

944
00:47:23,840 --> 00:47:26,920
Speaker 3: provider when they're coming to me, or they already have that.

945
00:47:27,160 --> 00:47:29,280
Speaker 3: But we can also work with people on the nutrition

946
00:47:29,440 --> 00:47:32,680
Speaker 3: side of things. We can diagnose nutritional deficiencies and things

947
00:47:32,719 --> 00:47:34,960
Speaker 3: like that. So I think that's a great space to

948
00:47:34,960 --> 00:47:37,200
Speaker 3: come work with the dietitians that are preventative and talk

949
00:47:37,239 --> 00:47:40,080
Speaker 3: about what hasn't been working, or what are your goals

950
00:47:40,120 --> 00:47:41,800
Speaker 3: for talking about twenty twenty five? What are some of

951
00:47:41,840 --> 00:47:43,560
Speaker 3: the things that you want to work towards, and how

952
00:47:43,600 --> 00:47:46,440
Speaker 3: can we incorporate food or make some changes with food

953
00:47:46,880 --> 00:47:49,600
Speaker 3: that could be useful and effective for you for twenty

954
00:47:49,640 --> 00:47:52,319
Speaker 3: twenty five. I like that idea, and I wish the

955
00:47:52,400 --> 00:47:55,440
Speaker 3: medical profession in general would focus on that more. I

956
00:47:55,480 --> 00:47:59,200
Speaker 3: wish we would work from a preventative space. Then now

957
00:47:59,200 --> 00:48:01,279
Speaker 3: I have this concert or help me now, I'm in

958
00:48:01,280 --> 00:48:04,120
Speaker 3: this complete rush. I have limited time, I want things

959
00:48:04,200 --> 00:48:06,880
Speaker 3: done in a quick manner, and I need this to

960
00:48:06,920 --> 00:48:09,920
Speaker 3: happen now. It's always a tough place, a tough predicament

961
00:48:09,960 --> 00:48:13,480
Speaker 3: to be in. We can certainly help support from that

962
00:48:13,560 --> 00:48:16,600
Speaker 3: preventative state, and there may be some issues with insurance,

963
00:48:16,640 --> 00:48:18,480
Speaker 3: but there are lots of different ways to get that covered,

964
00:48:18,600 --> 00:48:20,959
Speaker 3: or there are ways that we can do nutritional diagnoses

965
00:48:21,040 --> 00:48:24,400
Speaker 3: to submit that to your insurance company. I myself primarily

966
00:48:24,480 --> 00:48:28,080
Speaker 3: use insurance in my practice, so I am credential or

967
00:48:28,120 --> 00:48:30,760
Speaker 3: panneled with all the major insurance companies in this area,

968
00:48:30,800 --> 00:48:33,000
Speaker 3: and that typically works. We find a way around that,

969
00:48:33,400 --> 00:48:35,520
Speaker 3: or we do an appeal, or lots of different steps

970
00:48:35,520 --> 00:48:37,880
Speaker 3: to that, as you all know. But it's definitely possible

971
00:48:37,920 --> 00:48:39,120
Speaker 3: and a great place to start.

972
00:48:39,560 --> 00:48:40,840
Speaker 1: So I'd love to do a little bit of a

973
00:48:40,960 --> 00:48:43,200
Speaker 1: rapid fire around with you all to throw out some

974
00:48:43,280 --> 00:48:46,120
Speaker 1: of the more popular trends we are seeing online now

975
00:48:46,120 --> 00:48:48,560
Speaker 1: and hear your thoughts about it. So the first one

976
00:48:48,680 --> 00:48:50,359
Speaker 1: is ten thousand steps a day.

977
00:48:50,960 --> 00:48:54,160
Speaker 2: I think it's very able list because you might be

978
00:48:54,200 --> 00:48:56,279
Speaker 2: in a body that you can't walk or you can't

979
00:48:56,320 --> 00:48:59,800
Speaker 2: access ten thousand steps and you might live I always

980
00:48:59,800 --> 00:49:02,759
Speaker 2: say this and always get sided. I lived in one

981
00:49:02,800 --> 00:49:05,600
Speaker 2: of the most top three dangerous cities in America. I

982
00:49:05,600 --> 00:49:07,919
Speaker 2: could not walk for ten thousand steps outside of my house.

983
00:49:08,000 --> 00:49:10,520
Speaker 2: We didn't live in that type of city. So I

984
00:49:10,560 --> 00:49:13,080
Speaker 2: don't think it's a bad goal, but I do think

985
00:49:13,280 --> 00:49:16,960
Speaker 2: you might not be able to achieve it every single day,

986
00:49:17,200 --> 00:49:19,600
Speaker 2: and that's okay. Like taking that shame out of that.

987
00:49:19,719 --> 00:49:22,040
Speaker 2: Always tell people to like, are there other ways we

988
00:49:22,080 --> 00:49:24,480
Speaker 2: can achieve movement? Can we do yoga? Can we do

989
00:49:24,520 --> 00:49:27,520
Speaker 2: some chair stretches, Can we do some mindfulness. I don't

990
00:49:27,520 --> 00:49:29,280
Speaker 2: think it's bad. I don't think the ten thousand steps

991
00:49:29,320 --> 00:49:32,000
Speaker 2: is bad. I just it's not achievable for everybody, and

992
00:49:32,000 --> 00:49:32,640
Speaker 2: that's also.

993
00:49:32,440 --> 00:49:35,400
Speaker 1: Okay, okay, what about high protein diets?

994
00:49:35,920 --> 00:49:37,600
Speaker 3: I wonder if our views are going to feel a

995
00:49:37,600 --> 00:49:40,399
Speaker 3: little jaded about somebodies with me because we see people,

996
00:49:40,440 --> 00:49:42,839
Speaker 3: let me just caveat this. With working in the field

997
00:49:42,880 --> 00:49:45,160
Speaker 3: of eating disorders, we see people who have taken these

998
00:49:45,200 --> 00:49:48,200
Speaker 3: trends to the extreme end. Right, We've seen people who

999
00:49:48,200 --> 00:49:50,600
Speaker 3: are taking in massive amounts of protein and now they're

1000
00:49:50,600 --> 00:49:52,600
Speaker 3: having issues with their kidneys and they're doing too much

1001
00:49:52,640 --> 00:49:54,560
Speaker 3: when there's no need for them to have high protein.

1002
00:49:54,680 --> 00:49:57,480
Speaker 3: Or maybe they're having now issues with cholesterol because they're

1003
00:49:57,520 --> 00:50:00,319
Speaker 3: eating more animal products and et cetera, et cetera. So

1004
00:50:00,640 --> 00:50:03,400
Speaker 3: let me just caveaut with I think we see the

1005
00:50:03,480 --> 00:50:06,560
Speaker 3: extreme of that. So I guess just asking yourself, what

1006
00:50:06,600 --> 00:50:09,400
Speaker 3: would be your intention of increasing protein and you're cutting

1007
00:50:09,400 --> 00:50:12,040
Speaker 3: something else out and eating more protein or eating no

1008
00:50:12,239 --> 00:50:16,879
Speaker 3: other nutrients like carbohydrates and fats, so high protein, why

1009
00:50:17,040 --> 00:50:19,200
Speaker 3: ask yourself why that would be necessary for you? Is

1010
00:50:19,200 --> 00:50:21,560
Speaker 3: it just to cut or change calories and the type

1011
00:50:21,560 --> 00:50:24,279
Speaker 3: of food that you're intaking. Again, a dietician can help

1012
00:50:24,320 --> 00:50:26,719
Speaker 3: you kick out those pieces and help decide what's best

1013
00:50:26,719 --> 00:50:26,960
Speaker 3: for you.

1014
00:50:27,400 --> 00:50:28,919
Speaker 1: And I feel like we've talked a little bit about

1015
00:50:28,920 --> 00:50:31,680
Speaker 1: this one already, but intermittent fasting.

1016
00:50:31,280 --> 00:50:33,000
Speaker 2: I'm gonna say no. I'm gonna say no, because if

1017
00:50:33,000 --> 00:50:34,840
Speaker 2: you're sleeping eight to ten hours, which we want you

1018
00:50:34,880 --> 00:50:37,080
Speaker 2: to do, that should be a goal. You're already breaking

1019
00:50:37,120 --> 00:50:39,560
Speaker 2: your fats. That is inter minute fasting. So you're going

1020
00:50:39,600 --> 00:50:41,640
Speaker 2: to eight to ten hours, you're sleeping, wake up and

1021
00:50:41,680 --> 00:50:43,640
Speaker 2: eat within thirty minutes. Awaken up and you're good.

1022
00:50:44,080 --> 00:50:46,399
Speaker 1: Are there any other trends or things that you've seen

1023
00:50:46,440 --> 00:50:48,040
Speaker 1: clients come in with that you kind of want to

1024
00:50:48,040 --> 00:50:51,240
Speaker 1: put on people's radar to kind of just be mindful of, Hey,

1025
00:50:51,280 --> 00:50:52,239
Speaker 1: this might go too far.

1026
00:50:52,520 --> 00:50:53,920
Speaker 3: I would just say at the beginning of the year,

1027
00:50:53,960 --> 00:50:57,640
Speaker 3: I see this boom of people really wanting to eat less,

1028
00:50:58,280 --> 00:51:00,520
Speaker 3: and for some reason, there's some magic in So just

1029
00:51:00,560 --> 00:51:03,120
Speaker 3: be careful. If you're increasing your movement goals and you're

1030
00:51:03,120 --> 00:51:05,879
Speaker 3: adding an exercise and you want to eat less, those

1031
00:51:05,880 --> 00:51:08,440
Speaker 3: two things don't align. If you really want to see results,

1032
00:51:08,480 --> 00:51:10,920
Speaker 3: or you want to build muscle, or you want to

1033
00:51:11,000 --> 00:51:14,720
Speaker 3: improve your cardio, decreasing your intake is not ideal. In fact,

1034
00:51:15,120 --> 00:51:17,799
Speaker 3: it's most likely I would be encouraging people to make

1035
00:51:17,840 --> 00:51:21,360
Speaker 3: some changes and increase their intake or specific types of

1036
00:51:21,360 --> 00:51:24,080
Speaker 3: food or nutrients. So just be careful when you think

1037
00:51:24,120 --> 00:51:26,279
Speaker 3: about those two things. They don't align. And in the

1038
00:51:26,320 --> 00:51:28,760
Speaker 3: beginning of the year you hear a lot of increase movement,

1039
00:51:29,000 --> 00:51:32,080
Speaker 3: decrease intake, and those two things do not make sense

1040
00:51:32,160 --> 00:51:34,520
Speaker 3: long term, and they are certainly not going to support

1041
00:51:34,520 --> 00:51:37,520
Speaker 3: your movement goals or your mental health goals for you

1042
00:51:37,600 --> 00:51:41,200
Speaker 3: to be your sort of healthiest or most wonderful self

1043
00:51:41,280 --> 00:51:43,160
Speaker 3: if you will, those do not align.

1044
00:51:43,280 --> 00:51:45,479
Speaker 2: I saw something the other day about people eating non

1045
00:51:45,560 --> 00:51:49,000
Speaker 2: food items, which is pika, but clay. People are starting

1046
00:51:49,040 --> 00:51:52,560
Speaker 2: to eat clay and ingest clay. For me right now,

1047
00:51:52,600 --> 00:51:54,440
Speaker 2: that's a hard numb but I did see that on

1048
00:51:54,520 --> 00:51:55,520
Speaker 2: a TikTok.

1049
00:51:55,160 --> 00:51:57,359
Speaker 1: Trend as a weight loss kind of thing.

1050
00:51:57,560 --> 00:52:00,480
Speaker 2: As a weight loss okay, I thought that was pretty interesting.

1051
00:52:00,719 --> 00:52:03,000
Speaker 3: Yeah, if you are craving clay, that is a nutrient

1052
00:52:03,000 --> 00:52:05,279
Speaker 3: and efficiency, you have another reason to talk to your

1053
00:52:05,280 --> 00:52:08,480
Speaker 3: medical provider or dietician if that's something you are feeling

1054
00:52:08,560 --> 00:52:11,920
Speaker 3: hungry for, like satiated, like that is another concern that

1055
00:52:11,960 --> 00:52:14,080
Speaker 3: we could support and help with that. Certainly, don't be

1056
00:52:14,120 --> 00:52:15,520
Speaker 3: eating non food items.

1057
00:52:15,760 --> 00:52:19,000
Speaker 1: Yeah, thank you so much for that, Angela. It's been

1058
00:52:19,040 --> 00:52:21,040
Speaker 1: so great to have some time with you both today.

1059
00:52:21,080 --> 00:52:22,640
Speaker 1: I would love for you to tell us where can

1060
00:52:22,680 --> 00:52:25,040
Speaker 1: we stay connected with you all? What is your website

1061
00:52:25,160 --> 00:52:27,800
Speaker 1: as well as any social media channels you'd like to share?

1062
00:52:28,000 --> 00:52:28,440
Speaker 3: Awesome?

1063
00:52:28,560 --> 00:52:32,600
Speaker 2: Well, my website is www dot Whitney Trotter dot com.

1064
00:52:32,920 --> 00:52:36,840
Speaker 2: My Instagram is Whitneytrotter dot r D. And then Angela

1065
00:52:36,840 --> 00:52:39,000
Speaker 2: and I, like we said, we co created the first

1066
00:52:39,160 --> 00:52:42,719
Speaker 2: ever and only Bypockeating Disorder conference and it's happening in

1067
00:52:42,800 --> 00:52:46,400
Speaker 2: July during BIPOC Mental Health Awareness Month, and so that

1068
00:52:46,520 --> 00:52:49,360
Speaker 2: link can also be found on our Instagram. It's welcome

1069
00:52:49,480 --> 00:52:53,439
Speaker 2: open to anybody. We offer continuing education for professionals out there,

1070
00:52:53,920 --> 00:52:55,919
Speaker 2: and we'll be in person at the Houston Food Bank

1071
00:52:56,080 --> 00:52:58,920
Speaker 2: this year, so we hope everybody will follow along. And

1072
00:52:58,960 --> 00:53:00,960
Speaker 2: I think we have a special disc too, so we'll

1073
00:53:01,000 --> 00:53:02,880
Speaker 2: make sure you have that doctor joy for all of

1074
00:53:02,920 --> 00:53:03,840
Speaker 2: your listeners.

1075
00:53:04,160 --> 00:53:10,239
Speaker 3: Yes, our email for our conference is BIPOCED Conference at

1076
00:53:10,280 --> 00:53:13,120
Speaker 3: Gmail and our website is the same and we're offering

1077
00:53:13,160 --> 00:53:15,799
Speaker 3: a discount code for our conference for twenty twenty five.

1078
00:53:16,160 --> 00:53:19,560
Speaker 3: It's both virtual and in person this year. My website

1079
00:53:19,760 --> 00:53:23,680
Speaker 3: is ww dot Rooted Nutrition Services dot com. And you

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00:53:23,719 --> 00:53:27,520
Speaker 3: can find me on Instagram at Rooted Nutrition Services Perfect.

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00:53:27,600 --> 00:53:29,200
Speaker 1: We will be sure to include all of that in

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00:53:29,239 --> 00:53:31,600
Speaker 1: the show notes. Thank you so much, I appreciate it.

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00:53:32,160 --> 00:53:33,200
Speaker 3: Thank you for having us.

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00:53:33,400 --> 00:53:41,600
Speaker 1: Of course, I'm so glad Angelaine doctor Troner were able

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00:53:41,640 --> 00:53:44,400
Speaker 1: to join me for this conversation. To learn more about

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00:53:44,400 --> 00:53:46,359
Speaker 1: them and their work, be sure to visit the show

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00:53:46,360 --> 00:53:49,560
Speaker 1: notes at Therapy for Blackgirls dot com Flash Session three

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00:53:49,640 --> 00:53:52,480
Speaker 1: ninety six, and don't forget to text this episodes to

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00:53:52,520 --> 00:53:54,239
Speaker 1: two of your girls right now and tell them to

1090
00:53:54,320 --> 00:53:56,680
Speaker 1: check it out. If you're looking for a therapist in

1091
00:53:56,719 --> 00:54:00,160
Speaker 1: your area, visit our therapist directory at Therapy for Black

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00:54:00,200 --> 00:54:03,200
Speaker 1: Girls dot com slash directory. And if you want to

1093
00:54:03,239 --> 00:54:06,120
Speaker 1: continue digging into this topic or just be in community

1094
00:54:06,160 --> 00:54:08,480
Speaker 1: with other sisters, come on over and join us in

1095
00:54:08,520 --> 00:54:11,800
Speaker 1: the Sister Circle. It's our cozy corner the Internet designed

1096
00:54:11,840 --> 00:54:14,560
Speaker 1: just for black women. You can join us at community

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00:54:14,640 --> 00:54:18,759
Speaker 1: dot therapyfro blackgirls dot com. This episode was produced by

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00:54:18,760 --> 00:54:22,759
Speaker 1: Alise Ellis, Zaria Taylor and Tyree Rush. Editing was done

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00:54:22,840 --> 00:54:26,040
Speaker 1: by Dennison Bradford. Thank y'all so much for joining me

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00:54:26,080 --> 00:54:29,239
Speaker 1: again this week. I look forward to continuing this conversation

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00:54:29,320 --> 00:54:32,120
Speaker 1: with you, all real Salman take good care