WEBVTT - Head Hunger Vs. True Physical Hunger. Nutrition For Hypothyroidism (Under-active Thyroids). Achieving the Right Fat Balance for Your Meals.

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<v Speaker 1>Do you spend a lot of time thinking about your

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<v Speaker 1>food and meal timings? Do you have no issue tracking

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<v Speaker 1>calories or macros yet could not say if you were

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<v Speaker 1>ever really hungry when it came to a meal time.

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<v Speaker 1>Do you eat the same meals and snacks most days,

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<v Speaker 1>regardless of how you feel or what you're actually doing

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<v Speaker 1>being a little out of touch with your hunger? And

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<v Speaker 1>instead are you eating with your head? Today we discuss

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<v Speaker 1>head versus hunger based eating and how to get a

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<v Speaker 1>little more in touch with your true physical hunger and

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<v Speaker 1>formless cues to help aid the self regulation of food

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<v Speaker 1>intake and support weight control. Hi, I'm Leanne.

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<v Speaker 2>Ward and I'm Sissy Burrow and as a credited practicing.

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<v Speaker 1>Dieticians, we bring you the Nutrition Couch, a bio weekly

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<v Speaker 1>chat on everything going on in the world of nutrition

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<v Speaker 1>now as well as head versus hunger eating. Today we're

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<v Speaker 1>discussed getting your fat balance right and our client case

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<v Speaker 1>study looks at what to eat if you have an

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<v Speaker 1>underactive thyroid. But to kickstart today is Sussy, I hear

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<v Speaker 1>you've found a new how big congratulations is in order?

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<v Speaker 2>Thank you. It's quite funny actually, because we both have

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<v Speaker 2>been living in you're living in a nice family apartment.

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<v Speaker 2>But I've been living in a rental for about six

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<v Speaker 2>to seven months, looking for a house, really living like

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<v Speaker 2>a UNI student, and finally the universe has come good

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<v Speaker 2>and has found me at a beautiful home, but most

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<v Speaker 2>importantly a house that I can do my food pictures in,

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<v Speaker 2>because what I forgot when I came back to my

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<v Speaker 2>rental was that I have no light in this kitchen.

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<v Speaker 2>And now so much of our content is about shooting

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<v Speaker 2>food all day, so I literally have not been able

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<v Speaker 2>to shoot for months, which has been really challenging. So

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<v Speaker 2>my new house has a walk in pantry that I'm

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<v Speaker 2>going to deck out like one of those Instagram pantrees.

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<v Speaker 2>I'm getting your appliances, I'm getting a good fridge, and

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<v Speaker 2>I am just going to be in kitchen heaven as

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<v Speaker 2>a dietician who can shoot food. So how many weeks

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<v Speaker 2>have I got to go? Five weeks home? And it's

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<v Speaker 2>also a very large home, which means that when you

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<v Speaker 2>guys come up, there'll be plenty of room for you

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<v Speaker 2>and David and me to stay so we can party

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<v Speaker 2>on in Sydney. So it's very exciting time. I've been

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<v Speaker 2>waiting a very long time for this.

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<v Speaker 1>I'm so excited for you guys. And champagnees are absolutely

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<v Speaker 1>in order. Right.

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<v Speaker 2>We've got a champagne fridge, so absolutely, Chris, what's a

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<v Speaker 2>cheese fridge? So I think champagne cheese fridge fantastic?

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<v Speaker 1>Oh yeah, you gotta have both, right, you can't have

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<v Speaker 1>one without the other.

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<v Speaker 2>They go together one percent?

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<v Speaker 1>All right, Well, Susie, if you get us started today.

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<v Speaker 1>We talk a lot about hunger on the potties, So

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<v Speaker 1>how do we learn to recognize and actually manage our hunger?

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<v Speaker 1>For some people it's quite easy. But I'm sure you

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<v Speaker 1>have as many clients as I do, Susie, who say,

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<v Speaker 1>I don't think I've ever failed hunger? I couldn't remember

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<v Speaker 1>the last time I failed hunger. I haven't felt hungry

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<v Speaker 1>in ten years. Why does hunger come so easy to

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<v Speaker 1>some people and not so easy to others?

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<v Speaker 2>Susie, Well, I think that we program ourselves to eat

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<v Speaker 2>according to many cues. You know, the biggest predictors of

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<v Speaker 2>food consumption is availability and also eating with friends and family.

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<v Speaker 2>And if you think about day to day life, you

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<v Speaker 2>know you're going into an office, people go for coffee breaks,

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<v Speaker 2>people bring in food. You know, you may not get

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<v Speaker 2>lunch when you're actually hungry, so then you end up overeating.

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<v Speaker 2>So the nature of busy life lends itself to eating

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<v Speaker 2>at all random times. But also there's huge amounts of

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<v Speaker 2>food available, like I compared, I think I've compared with

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<v Speaker 2>this before, where if we think back to our grandparents

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<v Speaker 2>or even great grandparents, now they started the day with

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<v Speaker 2>a small bottle of cereal, a small sandwich at lunch,

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<v Speaker 2>and a couple of chops and veggies for dinner. Like

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<v Speaker 2>we literally eat up to double those calories just with

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<v Speaker 2>the amount of food that's available. But the reason I

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<v Speaker 2>wanted to talk about this so much was there's a

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<v Speaker 2>couple of key cues that I get from clients that

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<v Speaker 2>really reminded me this was a great topic to talk

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<v Speaker 2>through it as soon as I mentioned them, I'm sure

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<v Speaker 2>you will also have a couple of examples that spring

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<v Speaker 2>to mind. So when I first set it cliently and

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<v Speaker 2>I will get an idea of their lifestyle and the

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<v Speaker 2>way they like to eat and their goals, and then

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<v Speaker 2>I will design a meal plan specific for them with

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<v Speaker 2>a range of different meal options and snack options that

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<v Speaker 2>fit the macro and calorie profile that I am prescribing them,

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<v Speaker 2>So it's not a diet per se. It's more ideas

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<v Speaker 2>on structure and balance through the day to achieve the goal,

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<v Speaker 2>which in many cases is weight loss. But what I

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<v Speaker 2>find is I have clients who'll come to me and

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<v Speaker 2>they'll say or they'll follow the meal plan as I've

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<v Speaker 2>written it every single day. So I'll get their food

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<v Speaker 2>diaries back and it will be every single day exactly

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<v Speaker 2>as I've put it. And when I'll say to them

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<v Speaker 2>something along the lines of oh are you hungry or

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<v Speaker 2>did you feel like that, they were like, oh, well,

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<v Speaker 2>it was on the plan, So they're eating certainly according

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<v Speaker 2>to a sheet of paper or in the case of

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<v Speaker 2>giving a macro prescription. So another example is that people

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<v Speaker 2>will say how many calories do I need? How many

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<v Speaker 2>grams of carbs and protein per meal, and then they'll

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<v Speaker 2>track it in my fitness Pal and be eating according

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<v Speaker 2>to that, regardless of what they feel like eating or volumes.

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<v Speaker 2>Even if they don't feel like the full twelve hundred

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<v Speaker 2>or sixteen hundred calories, delete them and then the other

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<v Speaker 2>example I have is that my clients will send me

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<v Speaker 2>a picture of a menu they're going out for dinner

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<v Speaker 2>and they'll say what should I eat? And I'll say,

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<v Speaker 2>I don't know, what do you feel like? I feel

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<v Speaker 2>like yeah, because and it's a difficult concept when you've

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<v Speaker 2>lost trust with your natural signals, physiological signals and are

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<v Speaker 2>not confident in making those decisions. And this is this

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<v Speaker 2>kind of area that's really difficult to define. But certainly

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<v Speaker 2>there are targets in terms of rough calorie loads, rough

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<v Speaker 2>protein and carbohydrate goals, but every single day is different hormonally,

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<v Speaker 2>activity wise, age. You know, there'll be some days that

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<v Speaker 2>you may only eat six hundred calories and there'll be

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<v Speaker 2>other days you might eat sixteen hundred and still achieve

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<v Speaker 2>weight loss if you listen to your body within reason.

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<v Speaker 2>So there's an art to it, but the art is

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<v Speaker 2>to always be checking in to say what do I

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<v Speaker 2>feel like eating? Do I actually even feel like eating?

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<v Speaker 2>My meal plan might say morning tea, but actually, if

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<v Speaker 2>you don't need it, you don't have to shove it in.

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<v Speaker 2>So you've got to always go back to what your

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<v Speaker 2>body is telling you, and then when it's time for

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<v Speaker 2>a meal or snack, just make sure that's balanced. Because

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<v Speaker 2>it's not an exact science at all. Is it. You know,

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<v Speaker 2>there's huge inaccuracy with calorie outputs with the numbers we

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<v Speaker 2>put into my fitness power. So it's all just rough examples.

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<v Speaker 2>And you know, one of the issues I guess and

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<v Speaker 2>where the intuitive eating group fit into this is my

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<v Speaker 2>observation is if you eat food or meals or snacks

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<v Speaker 2>that you actually don't feel like. So, for example, you

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<v Speaker 2>may have on a meal plan or a suggested snack

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<v Speaker 2>is a nutbar or a cheese and crackers. Now if

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<v Speaker 2>it gets to three or four o'clock in the afternoon

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<v Speaker 2>and you actually don't feel like a cheese and crackers,

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<v Speaker 2>but you eat it because that's what it's said on

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<v Speaker 2>your plan, You'll keep eating until you actually satisfy what

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<v Speaker 2>you're looking for. So, sure, you can use meal plans

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<v Speaker 2>as ideas and guides, but it's also really important to

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<v Speaker 2>always check in with self and say, actually, what do

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<v Speaker 2>I feel like eating, because otherwise you won't be satisfied.

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<v Speaker 2>And when you're not satisfied, that's what drives that seeking

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<v Speaker 2>of food irrespective of hunger. And that's why when you

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<v Speaker 2>are going to a special occasion a restaurant, my first

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<v Speaker 2>feedback to my clients is actually what do you feel like,

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<v Speaker 2>and then adjust it to fit. So if you really

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<v Speaker 2>feel like a pastaf, well that's the time to have it.

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<v Speaker 2>But if you fall after three mouthfuls because you're not

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<v Speaker 2>used to having food, you can put it away and

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<v Speaker 2>take it home and make sure you have vegetable sides,

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<v Speaker 2>you know, and do it that way. But it's a

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<v Speaker 2>real trust and it takes a lot of work with

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<v Speaker 2>clients to work through that, and often anxiety almost because

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<v Speaker 2>people are almost scared of skipping a meal. But yeah,

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<v Speaker 2>I think it's a good question to sort of reflect

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<v Speaker 2>on after you've listened to this. Am I eating according

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<v Speaker 2>to my head? What my head's telling me to have

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<v Speaker 2>as opposed to what my body's feeling like and the

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<v Speaker 2>times that it's actually really feeling like eating.

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<v Speaker 1>And it's a wonderful question is what do I actually

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<v Speaker 1>feel like or what is my body actually asking me for?

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<v Speaker 1>Because a lot of the time our head is looking

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<v Speaker 1>to seek something that is feeling an emotional void, like

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<v Speaker 1>if we've had a busy, stressful, anxious day. If where

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<v Speaker 1>it's Friday night and we're single and we're by ourselves

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<v Speaker 1>watching TV while all of our friends are coupled up

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<v Speaker 1>in romantic relationships and out to dinner, we're gonna be

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<v Speaker 1>feeling a bit lonely and a bit sorrow for ourselves.

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<v Speaker 1>So if we eat with our head, we're always likely

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<v Speaker 1>to choose the more soul foody type option and overeat

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<v Speaker 1>it because we're eating for an emotional response, versus if

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<v Speaker 1>we eat with our tummy, or we say what does

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<v Speaker 1>my body actually need? I always say to my clients, Susie,

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<v Speaker 1>fill up on whole foods first, and then have the

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<v Speaker 1>soul food after. So fill up on what your body needs,

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<v Speaker 1>and then give your head or your soul what it

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<v Speaker 1>feels like afterwards. And I think it's a really good

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<v Speaker 1>question that you ask when you go to a cafe,

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<v Speaker 1>because too often clients will send us some menu and say,

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<v Speaker 1>what's the lowest calorie option here? And you're right, we

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<v Speaker 1>can have anything on the menu as long as we're

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<v Speaker 1>making other changes or swaps throughout the rest of our

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<v Speaker 1>day or maybe even throughout the rest of the week,

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<v Speaker 1>depending on how heavy that meal might be. As long

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<v Speaker 1>as we can make small changes in other areas, we

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<v Speaker 1>can kind of make anything fit. We don't always have

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<v Speaker 1>to have the healthiers option on the menu. If the

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<v Speaker 1>goal is weight loss, even if the goal is general health.

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<v Speaker 1>It's okay to have some pizza, it's okay to have

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<v Speaker 1>some pasta, but trying our best to balance those meals.

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<v Speaker 1>And as you said, the serving sizes at restaurants are

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<v Speaker 1>so enormous that often we leave feeling pretty unwell and

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<v Speaker 1>just bloated and overfull. And even I just get a

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<v Speaker 1>lot of that brain fog if I tend to over eat,

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<v Speaker 1>particularly the next day, it's not a very nice feeling.

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<v Speaker 1>So honoring that hunger and yes, my body feels like

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<v Speaker 1>some pasta, that's exactly what I want right now. Great,

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<v Speaker 1>but my body will feel better by adding some vegetables

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<v Speaker 1>or salad on the side, which we absolutely know. And

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<v Speaker 1>then you get halfway through or three quarters through that

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<v Speaker 1>pastor and you go, you know what, I'm actually starting

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<v Speaker 1>to fill up and feel a bit sluggish. I'm not

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<v Speaker 1>actually sure if this pastor is serving me. Well, let

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<v Speaker 1>me just take a pause and put down my foet

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<v Speaker 1>can reassess how I'm actually feeling. So you're right, there's

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<v Speaker 1>a whole element of trust to that, and for some

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<v Speaker 1>of us, if we haven't really been in tune with

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<v Speaker 1>our hunger, fullness cues for many years, you know, perhaps

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<v Speaker 1>even ten plus years. We can't expect this to be

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<v Speaker 1>something that happens overnight. We can't expect us to go

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<v Speaker 1>to a restaurant to be able to honor our hunger,

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<v Speaker 1>put our walk down after we've eaten seventy five percent

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<v Speaker 1>of the meal and say that's right, I'm done, I

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<v Speaker 1>feel satisfied. This is going to take some time, and

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<v Speaker 1>for many of my clients, Susie, it's months, if not,

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<v Speaker 1>you know, six to twelve months of hard work to

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<v Speaker 1>really tune into our body and naturally get in tune

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<v Speaker 1>with those hunger signals again. Particularly feel somebody that's been

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<v Speaker 1>doing you know, it's something like into and fasting for

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<v Speaker 1>a really long time, where you just may never feel

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<v Speaker 1>hungry at breakfast. You might really not feel hungry at all,

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<v Speaker 1>and then used to having a large calorie intake throughout

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<v Speaker 1>the night. If you're trying to regulate more your hunger

0:10:47.040 --> 0:10:49.440
<v Speaker 1>and space those meals out throughout the day, which you

0:10:49.440 --> 0:10:51.600
<v Speaker 1>know is good for a lot of sort of hormonal women.

0:10:51.840 --> 0:10:53.840
<v Speaker 1>That's sort of a good strategy to do. It might

0:10:53.880 --> 0:10:55.840
<v Speaker 1>be really hard to wake up and go. We'll have

0:10:55.880 --> 0:10:58.120
<v Speaker 1>to wait till I'm hungry to actually eat. For some

0:10:58.200 --> 0:10:59.839
<v Speaker 1>of us, it might be better to eat on the

0:11:00.200 --> 0:11:02.760
<v Speaker 1>clock to begin with, which then helps kind of, I

0:11:02.760 --> 0:11:05.000
<v Speaker 1>don't know, reset a metabolism and just give our body

0:11:05.040 --> 0:11:06.880
<v Speaker 1>a bit of that boost and energy in the morning,

0:11:07.160 --> 0:11:09.719
<v Speaker 1>and then over time you'll actually start to wake up

0:11:09.800 --> 0:11:12.440
<v Speaker 1>feeling hungry in the morning. So I think there's some

0:11:12.520 --> 0:11:15.560
<v Speaker 1>good strategies if you're someone that I guess isn't in

0:11:15.600 --> 0:11:18.400
<v Speaker 1>tune with their hunger, Yes, it's important to regularly to

0:11:18.480 --> 0:11:21.640
<v Speaker 1>sometimes get those hunger signals back, but we also don't

0:11:21.679 --> 0:11:24.880
<v Speaker 1>want to be eating too regularly or constantly snacking and

0:11:24.960 --> 0:11:27.839
<v Speaker 1>grazing all morning or all day long, because that can

0:11:27.880 --> 0:11:29.600
<v Speaker 1>really take us away from our goals and it just

0:11:29.640 --> 0:11:32.520
<v Speaker 1>doesn't really ever give our gut or our digestion time

0:11:32.600 --> 0:11:34.760
<v Speaker 1>to have a bit of a rest and properly digest

0:11:34.800 --> 0:11:37.439
<v Speaker 1>the food that we've had. So time between meals is

0:11:37.480 --> 0:11:41.000
<v Speaker 1>absolutely important, but too long between meals can lead us

0:11:41.040 --> 0:11:43.679
<v Speaker 1>into a whole other kind of range of issues as well,

0:11:43.720 --> 0:11:44.680
<v Speaker 1>can't it true?

0:11:44.720 --> 0:11:48.040
<v Speaker 2>And I noticed it as well, And I really agree

0:11:48.080 --> 0:11:51.680
<v Speaker 2>with you about the intimate and fasting because I have

0:11:51.840 --> 0:11:55.160
<v Speaker 2>a lot of that experience, particularly with my females. And

0:11:55.200 --> 0:11:56.760
<v Speaker 2>what I then try and do is just put a

0:11:56.800 --> 0:11:59.200
<v Speaker 2>couple of hundred calories within an hour or so of

0:11:59.240 --> 0:12:02.719
<v Speaker 2>waking to try and basically stoke the fire and get

0:12:02.760 --> 0:12:05.560
<v Speaker 2>things moving. So that's a really good point. But the

0:12:05.600 --> 0:12:08.720
<v Speaker 2>other time I noticed that leanne is morning tea. Now

0:12:09.320 --> 0:12:11.760
<v Speaker 2>I have a couple of client groups who eat morning tea,

0:12:11.840 --> 0:12:15.920
<v Speaker 2>and one are teachers. Because teachers, morning tea is usually

0:12:15.920 --> 0:12:17.840
<v Speaker 2>about eleven, and that's actually a time for them to

0:12:17.840 --> 0:12:20.440
<v Speaker 2>eat lunch because the days early and busy, and the

0:12:20.520 --> 0:12:23.680
<v Speaker 2>second lunch is too late. So I give them lunch

0:12:23.720 --> 0:12:25.360
<v Speaker 2>at morning tea, and then I give them a second,

0:12:25.440 --> 0:12:28.520
<v Speaker 2>lighter lunch later. But I'm arguing that I don't know

0:12:28.559 --> 0:12:31.680
<v Speaker 2>if many of us really need morning tea because I

0:12:31.760 --> 0:12:35.360
<v Speaker 2>find if I put something delicious there, you know, yogurt

0:12:35.400 --> 0:12:38.160
<v Speaker 2>and granola, cheese and crackers, well who doesn't want to

0:12:38.160 --> 0:12:41.520
<v Speaker 2>eat those foods. So then you've had your breakfast and

0:12:41.600 --> 0:12:44.360
<v Speaker 2>it's sort of ten thirty eleven, and you sort of think, oh, well,

0:12:44.440 --> 0:12:47.360
<v Speaker 2>morning tea time. So I think another question, as you

0:12:47.400 --> 0:12:50.400
<v Speaker 2>go away from this chat this today and really be

0:12:50.440 --> 0:12:52.720
<v Speaker 2>thinking about am I eating on autoqu or I'm actually

0:12:52.760 --> 0:12:55.320
<v Speaker 2>thinking about what I feel like and timing and prepared

0:12:55.320 --> 0:12:57.480
<v Speaker 2>to skip a meal if I'm not hungry. If you're

0:12:57.480 --> 0:12:59.520
<v Speaker 2>a morning tea eater, unless you're up at the cracker

0:12:59.520 --> 0:13:02.040
<v Speaker 2>door nexus sizing, or a surgeon so you'd come out

0:13:02.120 --> 0:13:04.959
<v Speaker 2>of a surgery regularly at ten thirty eleven and are hungry,

0:13:05.280 --> 0:13:08.400
<v Speaker 2>Or a teacher, I'm questioning if you really need that

0:13:08.440 --> 0:13:10.120
<v Speaker 2>morning tea, and you're actually better to go through to

0:13:10.200 --> 0:13:13.080
<v Speaker 2>early lunch, because my observation is that people have their

0:13:13.120 --> 0:13:15.240
<v Speaker 2>breakfast and then a couple of hours later morning tea,

0:13:15.240 --> 0:13:17.640
<v Speaker 2>which is usually sweet kind of food, so often a

0:13:17.679 --> 0:13:21.040
<v Speaker 2>milk based coffee that's sweet, some fruit, and then they

0:13:21.080 --> 0:13:24.360
<v Speaker 2>don't have lunch till later, and then it drives appetitle afternoon.

0:13:24.440 --> 0:13:26.520
<v Speaker 2>So I would prefer my clients in general to have

0:13:26.559 --> 0:13:30.160
<v Speaker 2>an early lunch, even eleven twelve, and then afternoon tea

0:13:30.200 --> 0:13:33.240
<v Speaker 2>and go to four meals per day rather than five,

0:13:33.360 --> 0:13:36.200
<v Speaker 2>because I don't know, unless you're little or a teenager,

0:13:36.400 --> 0:13:38.199
<v Speaker 2>or as I set a teacher with that very early

0:13:38.240 --> 0:13:40.720
<v Speaker 2>sort of day, I don't know. If I'm a big

0:13:40.760 --> 0:13:43.000
<v Speaker 2>fan of morning tea. I don't eat morning tea. You know,

0:13:43.040 --> 0:13:44.840
<v Speaker 2>I have my coffee and breakfast and then I'm really

0:13:44.880 --> 0:13:48.880
<v Speaker 2>good until eleven twelve, you know, so I'm questioning if

0:13:48.920 --> 0:13:51.600
<v Speaker 2>we really need that one Lanne, Is that harsh? No,

0:13:51.679 --> 0:13:53.280
<v Speaker 2>I think it's a fair point, And I think do

0:13:53.320 --> 0:13:54.040
<v Speaker 2>you eat morning tea?

0:13:54.200 --> 0:13:56.240
<v Speaker 1>Yes, but I'm tall and active and I'm breastfas she's

0:13:56.280 --> 0:13:57.560
<v Speaker 1>six foot, I eat all day long.

0:13:57.640 --> 0:13:58.600
<v Speaker 2>Yeah, she's very tall.

0:13:58.720 --> 0:14:02.320
<v Speaker 1>So yeah, But a lot of my clients, I would say,

0:14:03.000 --> 0:14:04.520
<v Speaker 1>if I had to have a fifty to fifty split,

0:14:04.520 --> 0:14:07.360
<v Speaker 1>i'd actually say probably sixty seventy percent of my clients don't.

0:14:07.520 --> 0:14:09.000
<v Speaker 1>Most of them will have a coffee. I tend to

0:14:09.040 --> 0:14:10.840
<v Speaker 1>move the coffee away from breakfast for a lot of

0:14:10.840 --> 0:14:13.360
<v Speaker 1>my clients. Some of them have low ies, some of

0:14:13.360 --> 0:14:15.440
<v Speaker 1>them are vegan vegetarians. It's important that we pulled the

0:14:15.440 --> 0:14:18.839
<v Speaker 1>coffee outside of meals and other reasons. It just kind

0:14:18.840 --> 0:14:20.400
<v Speaker 1>of keeps them going, like just that, you know, one

0:14:20.440 --> 0:14:22.920
<v Speaker 1>hundred hundred and fifty calories at morning tea is enough

0:14:23.040 --> 0:14:24.960
<v Speaker 1>just in a coffee based form to get them through

0:14:25.000 --> 0:14:26.760
<v Speaker 1>to lunch. So we're not actually eating, but we are

0:14:26.800 --> 0:14:28.840
<v Speaker 1>taking in some calories at morning tea. Yeah.

0:14:28.840 --> 0:14:30.480
<v Speaker 2>Actually, when I went to the hospital, I used to

0:14:30.480 --> 0:14:32.520
<v Speaker 2>have a coffee and a pundit of blueberries and that's

0:14:32.560 --> 0:14:34.880
<v Speaker 2>about one hundred hundred and fifty calories, Whereas I just

0:14:34.960 --> 0:14:36.840
<v Speaker 2>calculated a morning tea of my client this morning. It

0:14:36.880 --> 0:14:38.720
<v Speaker 2>was three hundred. I said to her, come on, this

0:14:38.800 --> 0:14:40.640
<v Speaker 2>is like a meal, you know, Like I know it's young,

0:14:40.800 --> 0:14:42.840
<v Speaker 2>but yeah, so it's worth having a little look and

0:14:42.920 --> 0:14:44.920
<v Speaker 2>questioning a few things. Or even if you do eat,

0:14:45.240 --> 0:14:46.640
<v Speaker 2>can you cut back a little bit? Would you be

0:14:46.680 --> 0:14:48.840
<v Speaker 2>okay with a piccolo coffee and a punea of berries

0:14:48.920 --> 0:14:51.960
<v Speaker 2>or a mandarin rather than a more substantial snack that

0:14:52.000 --> 0:14:53.600
<v Speaker 2>might be better placed in the afternoon.

0:14:53.760 --> 0:14:55.720
<v Speaker 1>Oor, could you hold off breakfast a little more? If

0:14:55.760 --> 0:14:58.120
<v Speaker 1>you're just someone that wakes up and eats breakfast first thing?

0:14:58.400 --> 0:15:00.320
<v Speaker 1>Could you actually have it at your desk a minute

0:15:00.320 --> 0:15:02.240
<v Speaker 1>you log in your computer. When I was at the hospital,

0:15:02.400 --> 0:15:04.040
<v Speaker 1>this probably sounds terrible, but I used to eat my

0:15:04.040 --> 0:15:05.720
<v Speaker 1>breakfast at my desk all the time. I'd log in,

0:15:05.760 --> 0:15:07.720
<v Speaker 1>I'd check my emails, I'd go through the ward list,

0:15:07.800 --> 0:15:09.720
<v Speaker 1>I'd look at my referrals, and I'd eat my overnight.

0:15:09.800 --> 0:15:11.760
<v Speaker 1>Oh it's while I was doing that, because if I

0:15:11.840 --> 0:15:14.000
<v Speaker 1>left for the hospital battle traffic. I used to live

0:15:14.000 --> 0:15:16.400
<v Speaker 1>forty five minutes away in traffic was about an hour drive.

0:15:16.600 --> 0:15:18.080
<v Speaker 1>When I lived on the North Side, had to come

0:15:18.080 --> 0:15:20.280
<v Speaker 1>over to the South Side. At the hospital, I would

0:15:20.320 --> 0:15:22.280
<v Speaker 1>have to eat breakfast at six am. I started work

0:15:22.280 --> 0:15:25.640
<v Speaker 1>at seven seven thirty, and then basically by like nine am,

0:15:25.760 --> 0:15:27.120
<v Speaker 1>I was like, crap, I'm hungry.

0:15:27.120 --> 0:15:27.920
<v Speaker 2>What am I going to do?

0:15:28.960 --> 0:15:31.040
<v Speaker 1>And so I would actually hold off my breakfast because

0:15:31.040 --> 0:15:33.080
<v Speaker 1>I wasn't necessarily hungry when I woke up and I

0:15:33.280 --> 0:15:35.600
<v Speaker 1>ate it. I was just doing it because it was convenient,

0:15:35.800 --> 0:15:37.800
<v Speaker 1>and I sort of felt a bit bad eating at

0:15:37.800 --> 0:15:39.440
<v Speaker 1>my desk, and I sort of said to my boss,

0:15:39.480 --> 0:15:41.240
<v Speaker 1>I'm not really hungry, would you mind if you did that?

0:15:41.280 --> 0:15:42.920
<v Speaker 1>And she didn't have a problem with it at all. She's like,

0:15:42.960 --> 0:15:44.520
<v Speaker 1>as long as you're working while you're there, I don't

0:15:44.520 --> 0:15:46.960
<v Speaker 1>really mind if you eat. So holding off your breakfast

0:15:47.000 --> 0:15:49.680
<v Speaker 1>for some people can be a good strategy. For other people,

0:15:49.720 --> 0:15:51.840
<v Speaker 1>it might fell disaster if it means that they're so

0:15:51.960 --> 0:15:55.000
<v Speaker 1>hungry that they then overeat. But I had one last example.

0:15:55.040 --> 0:15:57.040
<v Speaker 1>I really wanted people to think about Susie when it

0:15:57.040 --> 0:16:00.360
<v Speaker 1>comes to hunger, particularly for our females, and it's period

0:16:00.360 --> 0:16:02.640
<v Speaker 1>week or leading into period week, because we talk about

0:16:02.680 --> 0:16:04.960
<v Speaker 1>hunger a lot. We talk about why can we cut down?

0:16:05.000 --> 0:16:07.520
<v Speaker 1>Are we eating too much? But are we eating enough?

0:16:07.640 --> 0:16:10.320
<v Speaker 1>When it comes to that period week, So most females

0:16:10.800 --> 0:16:14.560
<v Speaker 1>who get their cycle will have one, two, three days

0:16:14.800 --> 0:16:17.680
<v Speaker 1>of bottomless pit hunger. And most of my clients say

0:16:17.680 --> 0:16:20.040
<v Speaker 1>this to me. They're like, oh my god, I could

0:16:20.080 --> 0:16:22.200
<v Speaker 1>not eat enough right now. I could eat off my arm.

0:16:22.200 --> 0:16:25.280
<v Speaker 1>I'm that hungry. It's important to honor that hunger because

0:16:25.280 --> 0:16:28.200
<v Speaker 1>when you're mens reading, your body is actually burning more calories.

0:16:28.320 --> 0:16:30.440
<v Speaker 1>For most of us, it could be one hundred, one

0:16:30.480 --> 0:16:33.280
<v Speaker 1>hundred and fifty extra calories. That's what the research actually shows,

0:16:33.720 --> 0:16:35.560
<v Speaker 1>and so it's important to honor that hunger, to have

0:16:35.600 --> 0:16:38.000
<v Speaker 1>an extra snack, maybe two, maybe three if that's what

0:16:38.040 --> 0:16:40.880
<v Speaker 1>we need, but knowing that that bottomless pit tube of

0:16:40.960 --> 0:16:44.640
<v Speaker 1>hunger doesn't last forever. Normally, once the cycle actually hits,

0:16:44.680 --> 0:16:46.720
<v Speaker 1>it's day one, day two of the period, the hunger

0:16:46.800 --> 0:16:49.280
<v Speaker 1>drops right off. But a lot of people use that

0:16:49.520 --> 0:16:52.280
<v Speaker 1>three four five days of their period almost like an

0:16:52.320 --> 0:16:55.320
<v Speaker 1>excuse to just eat more. But generally the hunger is

0:16:55.360 --> 0:16:58.000
<v Speaker 1>actually the week before or a few days before for

0:16:58.120 --> 0:17:00.840
<v Speaker 1>most people the period actually hits. So it's important to

0:17:00.920 --> 0:17:03.760
<v Speaker 1>honor the hunger than when it's really there. It's okay

0:17:03.800 --> 0:17:06.399
<v Speaker 1>if you're eating a lot more on those few days,

0:17:06.480 --> 0:17:08.680
<v Speaker 1>and then you can back off once a cycle actually

0:17:08.760 --> 0:17:10.679
<v Speaker 1>hits and you find that if you're really tuning in

0:17:10.720 --> 0:17:13.359
<v Speaker 1>and listening to that proper hunger, you're probably not as

0:17:13.440 --> 0:17:15.720
<v Speaker 1>hungry as what you thought you were or what you've

0:17:15.760 --> 0:17:17.959
<v Speaker 1>previously eaten, because a lot of us, I think, are

0:17:18.000 --> 0:17:20.560
<v Speaker 1>just eaten for the whole Poor me, I've got my period.

0:17:20.600 --> 0:17:22.840
<v Speaker 1>I deserve a bit of a treat kind of thought

0:17:22.920 --> 0:17:26.720
<v Speaker 1>process versus I'm actually physically hungry and physically need more

0:17:26.760 --> 0:17:29.159
<v Speaker 1>food during this time. So I think it's important to

0:17:29.160 --> 0:17:31.440
<v Speaker 1>honor the hunger when it's fair and to back off

0:17:31.480 --> 0:17:33.840
<v Speaker 1>a little bit and recognize is this more of the

0:17:33.840 --> 0:17:37.040
<v Speaker 1>head hunger or do I physically need more food right now?

0:17:37.200 --> 0:17:38.960
<v Speaker 1>Or am I eating to make myself feel a little

0:17:38.960 --> 0:17:40.880
<v Speaker 1>bit better. A little bit of a food for thought

0:17:40.920 --> 0:17:41.720
<v Speaker 1>for our listeners at home.

0:17:41.880 --> 0:17:44.280
<v Speaker 2>Plenty of things to think about. I agree, all right, Well,

0:17:44.320 --> 0:17:46.359
<v Speaker 2>lean for our client case study today. This is a

0:17:46.359 --> 0:17:50.000
<v Speaker 2>topic that we have had several requests for and I

0:17:50.080 --> 0:17:52.320
<v Speaker 2>know a little bit, but it's certainly not my Arab expertise,

0:17:52.359 --> 0:17:54.160
<v Speaker 2>but It was sent to us fight Instagram this time,

0:17:54.200 --> 0:17:57.040
<v Speaker 2>and it was questioning what is the right diet for

0:17:57.440 --> 0:18:02.280
<v Speaker 2>thyroid dysfunction or specifically hyper thyroidism, which is a surprisingly

0:18:02.359 --> 0:18:06.399
<v Speaker 2>common issue in Australia, and one of the theories behind

0:18:06.440 --> 0:18:09.720
<v Speaker 2>that is because our particularly low ID levels is in

0:18:09.760 --> 0:18:11.840
<v Speaker 2>our soil, which is one of the reasons that we

0:18:11.920 --> 0:18:15.480
<v Speaker 2>generally recommend iodie AsSalt for people, particularly to found the

0:18:15.560 --> 0:18:18.800
<v Speaker 2>history of thiroidysfunction and still a really pertinent issue in

0:18:18.840 --> 0:18:22.520
<v Speaker 2>pregnancy that can have profound effects on neurological development and children,

0:18:22.600 --> 0:18:24.639
<v Speaker 2>So really worth keeping an eye and particularly if you're

0:18:24.640 --> 0:18:26.760
<v Speaker 2>feeling tired and a little bit sluggish. So I think

0:18:26.800 --> 0:18:28.760
<v Speaker 2>a lot of people will be very interested in this

0:18:29.040 --> 0:18:33.560
<v Speaker 2>and how do you eat to protect and manage your thyroid,

0:18:33.600 --> 0:18:35.120
<v Speaker 2>particularly if you are on medication.

0:18:35.880 --> 0:18:37.920
<v Speaker 1>So I think it's important to note that for the

0:18:38.000 --> 0:18:41.840
<v Speaker 1>large majority of people with thyroid conditions, it's the underactive

0:18:41.880 --> 0:18:44.879
<v Speaker 1>theroid that seems to be the largest representation. So the

0:18:45.000 --> 0:18:48.000
<v Speaker 1>underactive throid tends to be the main player when it

0:18:48.040 --> 0:18:50.639
<v Speaker 1>comes to weight gain or difficulties losing weight, and the

0:18:50.800 --> 0:18:53.640
<v Speaker 1>overactive thyroid seems to be the one that makes people

0:18:53.680 --> 0:18:56.120
<v Speaker 1>drop a tremendous amount of weight sometimes in a short

0:18:56.119 --> 0:18:58.480
<v Speaker 1>period of time. I've had clients who've said, God, I

0:18:58.480 --> 0:19:00.280
<v Speaker 1>thought I had cancel and it turns out they just

0:19:00.280 --> 0:19:02.960
<v Speaker 1>had an overactive thyroid. And if you have anyone who's

0:19:02.960 --> 0:19:05.320
<v Speaker 1>sort of losing weight, you know without really meaning to,

0:19:05.880 --> 0:19:09.160
<v Speaker 1>or you've got these like heart palpitations, sweating that sort

0:19:09.160 --> 0:19:11.359
<v Speaker 1>of thing, I mean, those to me would signal, you know,

0:19:11.440 --> 0:19:14.359
<v Speaker 1>cardiac issues that absolutely either go to the hospital at least,

0:19:14.359 --> 0:19:16.720
<v Speaker 1>at the very least see your doctor. But if things

0:19:16.720 --> 0:19:19.480
<v Speaker 1>don't feel right, it's absolutely a case just a quick

0:19:19.520 --> 0:19:22.000
<v Speaker 1>reminder for oalysis at home to go and get some bloods,

0:19:22.000 --> 0:19:23.719
<v Speaker 1>to go and chat to your doctor and figure out

0:19:23.760 --> 0:19:26.200
<v Speaker 1>if there's something going on. But the thorad is one

0:19:26.200 --> 0:19:29.000
<v Speaker 1>of those glands that actually plays a huge role in

0:19:29.040 --> 0:19:33.879
<v Speaker 1>our metabolism. So alongside inchulin and cortisol, our thyroid hormones

0:19:33.920 --> 0:19:37.560
<v Speaker 1>are the driving factor behind weight loss and also behind

0:19:37.640 --> 0:19:40.560
<v Speaker 1>how our sort of metabolism works. So for a lot

0:19:40.560 --> 0:19:42.639
<v Speaker 1>of people, if you have issues with your thioid, if

0:19:42.680 --> 0:19:46.080
<v Speaker 1>it's under active, it's not working properly, it can in

0:19:46.160 --> 0:19:49.119
<v Speaker 1>fact impact on weight loss and your metabolism. But I

0:19:49.160 --> 0:19:52.440
<v Speaker 1>think it's important to note that food and diet alone

0:19:52.960 --> 0:19:57.679
<v Speaker 1>cannot cure or independently treat a diagnosis of a poorly

0:19:57.720 --> 0:20:00.479
<v Speaker 1>functioning thyroid. So if you have a diagnose from your

0:20:00.520 --> 0:20:03.239
<v Speaker 1>doctor or your doctor says to you you've got an

0:20:03.280 --> 0:20:05.320
<v Speaker 1>issue with your thiroid, you need to take some medication.

0:20:05.640 --> 0:20:08.479
<v Speaker 1>Please do not go online read some natural health blogs

0:20:08.520 --> 0:20:10.880
<v Speaker 1>and think that you can cure all with food. There

0:20:10.920 --> 0:20:14.000
<v Speaker 1>is absolutely a place for modern medicine and absolutely a

0:20:14.040 --> 0:20:17.520
<v Speaker 1>place for good nourishing nutrition. But guess what, guys, those

0:20:17.560 --> 0:20:19.840
<v Speaker 1>things can work together. They do not have to work

0:20:19.840 --> 0:20:23.280
<v Speaker 1>in isolation. So if we have an underactive thyroid or

0:20:23.280 --> 0:20:26.919
<v Speaker 1>what is called hypertherroidism, I dine, as you mentioned, Zuzie,

0:20:26.920 --> 0:20:28.840
<v Speaker 1>is something that I would be thinking about. So it's

0:20:28.840 --> 0:20:32.760
<v Speaker 1>an essential trace element. Basically we all need it, but

0:20:32.840 --> 0:20:36.320
<v Speaker 1>it's really important because our thyroid gland actually requires this

0:20:36.440 --> 0:20:39.439
<v Speaker 1>id and to produce the thyroid hormones in order to

0:20:39.480 --> 0:20:43.680
<v Speaker 1>work efficiently. So for that reason, basically, deficiency and IDNE

0:20:43.720 --> 0:20:46.840
<v Speaker 1>can actually lead to an underactive thoroid. So we're not

0:20:46.920 --> 0:20:49.639
<v Speaker 1>eating enough throughout diet. And as you said, Zuzie, there

0:20:49.680 --> 0:20:52.720
<v Speaker 1>are I dine rich foods you can get it riched

0:20:52.760 --> 0:20:56.879
<v Speaker 1>in salt, things like navy beans, potatoes, eggs, cow's milk,

0:20:57.240 --> 0:20:59.280
<v Speaker 1>so you know, if you're vegan, obviously that counts out

0:20:59.280 --> 0:21:01.480
<v Speaker 1>eggs and cows milk. So really just looking at the

0:21:01.560 --> 0:21:04.119
<v Speaker 1>quality of your diet overall and actually if you're getting

0:21:04.119 --> 0:21:06.840
<v Speaker 1>in enough iyodne. But it is important to note that

0:21:06.880 --> 0:21:11.000
<v Speaker 1>there is a specific type of thyroid condition called Hashimoto's thyroiditis.

0:21:11.320 --> 0:21:14.320
<v Speaker 1>If you have that condition, I wouldn't be automatically bumping

0:21:14.400 --> 0:21:17.239
<v Speaker 1>up your IDNE intake. I definitely would be speaking to

0:21:17.280 --> 0:21:20.480
<v Speaker 1>your doctor because in that particular type of condition, it

0:21:20.560 --> 0:21:23.879
<v Speaker 1>may basically irritate your THIROI it might not be a

0:21:23.920 --> 0:21:26.480
<v Speaker 1>great thing. So it's not a one size fits all

0:21:26.520 --> 0:21:29.160
<v Speaker 1>when it comes to thyroid conditions today on the body,

0:21:29.160 --> 0:21:32.480
<v Speaker 1>we're really talking about that hypotheridism or where the thyroid

0:21:32.680 --> 0:21:36.399
<v Speaker 1>is just underactive and it's not working as much as possible. Now,

0:21:36.440 --> 0:21:38.240
<v Speaker 1>the second nutrient I want you guys to be aware

0:21:38.320 --> 0:21:40.639
<v Speaker 1>of is selenium. So there's a lot of I guess

0:21:40.720 --> 0:21:44.680
<v Speaker 1>talk online within the thyroid community that supplementing with selenium

0:21:44.720 --> 0:21:46.360
<v Speaker 1>is just basically going to be a great thing.

0:21:46.640 --> 0:21:47.280
<v Speaker 2>So there's a.

0:21:47.240 --> 0:21:50.080
<v Speaker 1>Theory that if you have low selenium levels, this can

0:21:50.160 --> 0:21:54.320
<v Speaker 1>actually contribute or worsen your hypotheridism. But there was a

0:21:54.400 --> 0:21:57.800
<v Speaker 1>large Cockin review, which is actually a very large quality research.

0:21:57.840 --> 0:21:59.679
<v Speaker 1>You know, they're pulling together a few papers and it

0:21:59.720 --> 0:22:03.480
<v Speaker 1>can census on what, you know, the medical opinion is

0:22:03.520 --> 0:22:06.800
<v Speaker 1>at the time that actually this review concluded that there

0:22:06.840 --> 0:22:10.600
<v Speaker 1>is no quality evidence to actually support the use of

0:22:10.600 --> 0:22:13.920
<v Speaker 1>selenium supplements with hypertherroidism. So the easiest way to get

0:22:13.920 --> 0:22:16.240
<v Speaker 1>selenium into the diet is with you know, to Brazil

0:22:16.320 --> 0:22:18.600
<v Speaker 1>not a day, most of us will get pretty close

0:22:18.640 --> 0:22:22.240
<v Speaker 1>to our requirements of selenium, but that's actually not something

0:22:22.240 --> 0:22:24.199
<v Speaker 1>that has a whole lot of evidence based to it.

0:22:24.240 --> 0:22:26.360
<v Speaker 1>I'm not saying that brazil not's unhealthy. I'm not saying

0:22:26.400 --> 0:22:28.919
<v Speaker 1>that we need the lenium in the diet, but unfortunately,

0:22:28.960 --> 0:22:32.040
<v Speaker 1>just supplementing with that is not going to reverse or

0:22:32.080 --> 0:22:35.840
<v Speaker 1>automatically improve your thiroid issues. So those two nutrients I

0:22:35.840 --> 0:22:37.800
<v Speaker 1>think are really important. And then I think, of course

0:22:37.840 --> 0:22:40.520
<v Speaker 1>a lot of people have heard, well, your carsiferous vegetables,

0:22:40.520 --> 0:22:41.800
<v Speaker 1>you know, you can't eat them when you have an

0:22:41.840 --> 0:22:44.080
<v Speaker 1>undirected thirog You have to stay right away from them.

0:22:44.600 --> 0:22:47.200
<v Speaker 1>This again is more it's not a myth as such,

0:22:47.240 --> 0:22:49.719
<v Speaker 1>but I think it's been really kind of played up

0:22:49.760 --> 0:22:52.520
<v Speaker 1>over time for whatever reason. So if you have an

0:22:52.600 --> 0:22:58.240
<v Speaker 1>undirective thiroid, your carciferous vegetables may potentially inhibit your thiroid production.

0:22:58.720 --> 0:23:01.760
<v Speaker 1>But and this is a big SUSI this is only

0:23:01.800 --> 0:23:05.320
<v Speaker 1>the case if you have an IDIE deficiency or if

0:23:05.359 --> 0:23:10.639
<v Speaker 1>you consume ridiculously large quantities of these vegetables in raw amounts.

0:23:10.720 --> 0:23:15.520
<v Speaker 1>So our vegetables from those Christopher's family, I'm talking broccoli, cauliflower,

0:23:15.600 --> 0:23:19.920
<v Speaker 1>Brussels sprouts, bock choy, cabbage, kale, those types of vegetables

0:23:19.920 --> 0:23:23.760
<v Speaker 1>in those families, they're actually better tolerated by your thyroid

0:23:23.880 --> 0:23:26.800
<v Speaker 1>when you cook them, So I would largely avoid eating

0:23:26.880 --> 0:23:29.399
<v Speaker 1>too many of them raw. Cooking them really well, and

0:23:29.400 --> 0:23:32.000
<v Speaker 1>it actually breaks down those compounds in there that can,

0:23:32.040 --> 0:23:34.159
<v Speaker 1>you know, play with their thoroid. So it's not just

0:23:34.200 --> 0:23:36.760
<v Speaker 1>say you need to avoid all of these wonderful you know,

0:23:36.800 --> 0:23:39.160
<v Speaker 1>some people know them as a nutchet type vegetables. They're

0:23:39.200 --> 0:23:41.560
<v Speaker 1>really healthy for you. They do wonderful things for our health.

0:23:41.720 --> 0:23:44.200
<v Speaker 1>But I would actually just be not limiting the amount,

0:23:44.240 --> 0:23:46.760
<v Speaker 1>but being cautious not having them. You know, just those

0:23:46.880 --> 0:23:50.200
<v Speaker 1>vegetables in a meal every single day and absolutely cooking

0:23:50.240 --> 0:23:53.240
<v Speaker 1>the large majority of them, So they're probably the three

0:23:53.320 --> 0:23:55.919
<v Speaker 1>biggest nutrients or foods I would think about FRO an

0:23:56.000 --> 0:23:58.800
<v Speaker 1>underactive thiroid Susie. And that probably brings us to the

0:23:58.840 --> 0:24:01.000
<v Speaker 1>point of the question or the case that we were

0:24:01.000 --> 0:24:04.600
<v Speaker 1>looking at, was is there a particular thyroid diet for

0:24:04.720 --> 0:24:09.040
<v Speaker 1>weight loss? So basically the large answer is no. If

0:24:09.040 --> 0:24:11.640
<v Speaker 1>you have an undirected thorroid, you're right, it can make

0:24:11.720 --> 0:24:13.240
<v Speaker 1>losing weight extremely difficult.

0:24:13.240 --> 0:24:13.840
<v Speaker 2>Put it that way.

0:24:15.040 --> 0:24:19.280
<v Speaker 1>But what happens is we need medication in order to

0:24:19.359 --> 0:24:22.919
<v Speaker 1>correct that undirected thioid. Unfortunately, we can't do it just

0:24:22.960 --> 0:24:25.600
<v Speaker 1>through a diet. Sure diet can make an impact, but

0:24:25.680 --> 0:24:29.359
<v Speaker 1>we absolutely need medication to correct the undirective thyroid. So

0:24:30.080 --> 0:24:32.480
<v Speaker 1>the healthy habits that we want to develop as part

0:24:32.480 --> 0:24:35.160
<v Speaker 1>of a weight loss goal are of course really crucial

0:24:35.200 --> 0:24:38.160
<v Speaker 1>to just being healthy long term. But if your thyroid

0:24:38.240 --> 0:24:40.960
<v Speaker 1>isn't performing like it should, you're really not going to

0:24:40.960 --> 0:24:43.040
<v Speaker 1>make a dent in terms of weight loss. So we

0:24:43.080 --> 0:24:46.080
<v Speaker 1>need to use medication to correct the thyroid first. Then

0:24:46.160 --> 0:24:49.399
<v Speaker 1>once your th hormones are within the correct levels that

0:24:49.440 --> 0:24:52.440
<v Speaker 1>they should be. Guess what, guys, you can lose weight

0:24:52.800 --> 0:24:55.600
<v Speaker 1>just like anybody else. Let me say that one more time, Susie.

0:24:55.960 --> 0:24:59.400
<v Speaker 1>If your thiroid levels are within range, you can lose

0:24:59.440 --> 0:25:02.920
<v Speaker 1>weight just like anybody else. The amount of times both

0:25:02.960 --> 0:25:05.520
<v Speaker 1>you and I, Susie, have heard I have a thioid condition,

0:25:05.600 --> 0:25:08.480
<v Speaker 1>I can't lose weight, that is simply not true. Yes,

0:25:08.520 --> 0:25:11.000
<v Speaker 1>it's true if your levels are not within range, if

0:25:11.040 --> 0:25:13.159
<v Speaker 1>you've just been diagnosed and your doctor says to you

0:25:13.280 --> 0:25:15.040
<v Speaker 1>or we need to play with your medications, you need

0:25:15.080 --> 0:25:17.160
<v Speaker 1>to start you on this. We'll recheck your levels within

0:25:17.160 --> 0:25:19.560
<v Speaker 1>a couple of weeks. Yes, that may be true. But

0:25:19.800 --> 0:25:21.680
<v Speaker 1>the first thing I say to client Susan when they

0:25:21.720 --> 0:25:23.800
<v Speaker 1>say I can't lose weight I have a thyroid condition,

0:25:23.880 --> 0:25:26.040
<v Speaker 1>I say, when was the last time the doctor changed

0:25:26.119 --> 0:25:28.440
<v Speaker 1>or check your medication? They go, Oh, it doesn't need checking,

0:25:28.520 --> 0:25:31.119
<v Speaker 1>it's been normal for years. You're just using that as

0:25:31.160 --> 0:25:34.840
<v Speaker 1>an excuse. Once your thyroid hormone levels are within range,

0:25:35.000 --> 0:25:38.119
<v Speaker 1>your theiroid is functioning just like anybody else's. You do

0:25:38.200 --> 0:25:40.640
<v Speaker 1>not have anything wrong with it anymore. Sure, you might

0:25:40.680 --> 0:25:43.400
<v Speaker 1>need medication to keep it within range, but if it's

0:25:43.440 --> 0:25:46.560
<v Speaker 1>within range, it's functioning well. It's functioning healthy, just like

0:25:46.600 --> 0:25:49.840
<v Speaker 1>anybody else's. So that's the take home message today, Susie.

0:25:50.080 --> 0:25:54.000
<v Speaker 1>Work with your doctor to stabilize your thyroid levels, make

0:25:54.000 --> 0:25:56.320
<v Speaker 1>sure that you're eating all the right nutrients in terms

0:25:56.359 --> 0:25:58.159
<v Speaker 1>of a good quality dot you're doing all the right

0:25:58.200 --> 0:26:00.960
<v Speaker 1>things for weight loss, and you will actually lose weight

0:26:00.960 --> 0:26:03.199
<v Speaker 1>over time. If you're not losing weight, it is not

0:26:03.240 --> 0:26:05.640
<v Speaker 1>because of your thyroid is because of something that you're

0:26:05.680 --> 0:26:08.320
<v Speaker 1>doing nutrition, exercise, or lifestyle wise.

0:26:08.480 --> 0:26:09.920
<v Speaker 2>And I think I'll just make a little point about

0:26:09.920 --> 0:26:13.439
<v Speaker 2>gluten free eating and thyroid dysfunction, because that is, you know,

0:26:13.600 --> 0:26:16.320
<v Speaker 2>commonly assumed to go together. Now, when we do take

0:26:16.359 --> 0:26:18.439
<v Speaker 2>a closer look at the evidence, it is mixed. But

0:26:18.480 --> 0:26:22.080
<v Speaker 2>what I would say is that it is an autoimmune

0:26:22.119 --> 0:26:27.439
<v Speaker 2>disease thyroid dysfunction, and some people do feel better and

0:26:27.520 --> 0:26:30.479
<v Speaker 2>it dootally on a gluten free diet. And if we

0:26:30.520 --> 0:26:32.640
<v Speaker 2>look at it, land what a gluten free diet does.

0:26:32.680 --> 0:26:36.800
<v Speaker 2>It eliminates a lot of processed snack food and refined carbohydrates.

0:26:36.840 --> 0:26:38.879
<v Speaker 2>So whether it's the gluten or just the foods you

0:26:38.920 --> 0:26:41.480
<v Speaker 2>eliminate on a gluten free diet, you know, there's no

0:26:41.560 --> 0:26:45.119
<v Speaker 2>harm in swapping potentially to you know, some whole grain

0:26:45.320 --> 0:26:47.520
<v Speaker 2>corn crackers for a while, or a gluten free cereal

0:26:47.600 --> 0:26:50.760
<v Speaker 2>to see. The evidence is mixed. You know there's no

0:26:50.840 --> 0:26:53.160
<v Speaker 2>result from a gluten free diet and benefiting the thyroid,

0:26:53.240 --> 0:26:55.960
<v Speaker 2>but certainly if you anecdotically feel better, or if it's

0:26:56.000 --> 0:26:58.160
<v Speaker 2>an easy way to clean up your diet away from

0:26:58.200 --> 0:27:02.280
<v Speaker 2>processed food because it now actually improves the profile of

0:27:02.320 --> 0:27:05.520
<v Speaker 2>carbohydrates in your baseline diet. But it's not something we

0:27:05.640 --> 0:27:10.440
<v Speaker 2>routinely recommend unless you know someone is preferring that because

0:27:10.440 --> 0:27:13.400
<v Speaker 2>the evidence is mixed at this stage. But in general,

0:27:13.600 --> 0:27:16.480
<v Speaker 2>gluten free diets if they're followed well and can be

0:27:16.920 --> 0:27:21.040
<v Speaker 2>pretty clean sort of anti inflammatory diets, but on the

0:27:21.119 --> 0:27:25.320
<v Speaker 2>whole eliminating any type of refined carbohydrate and processed snack foods,

0:27:25.320 --> 0:27:28.440
<v Speaker 2>so things like biscuits and process white bread and things,

0:27:28.520 --> 0:27:30.479
<v Speaker 2>and so you still better to avoid the gluten free

0:27:30.560 --> 0:27:33.560
<v Speaker 2>varieties of those, but in a purest form, if it

0:27:33.560 --> 0:27:35.639
<v Speaker 2>does make you feel better and you're still ticking the

0:27:35.640 --> 0:27:38.040
<v Speaker 2>box on the central nutrients like your B group vitamins,

0:27:38.200 --> 0:27:39.919
<v Speaker 2>certainly can give it a go. Even though it's not

0:27:40.000 --> 0:27:41.680
<v Speaker 2>our first port of call, I.

0:27:41.600 --> 0:27:43.040
<v Speaker 1>Think it's a really good point and to be honest,

0:27:43.040 --> 0:27:44.880
<v Speaker 1>I did look into the research, and because I sort

0:27:44.880 --> 0:27:46.720
<v Speaker 1>of found it a bit inconclusive, I was like, oh,

0:27:46.800 --> 0:27:48.560
<v Speaker 1>I won't mention it today. But you make a good

0:27:48.560 --> 0:27:50.359
<v Speaker 1>point because if you look online, a lot of the

0:27:50.720 --> 0:27:53.120
<v Speaker 1>what do I eat for my thiro dysfunction gluten free

0:27:53.119 --> 0:27:54.879
<v Speaker 1>comes up again and again and again, so I think

0:27:54.920 --> 0:27:56.919
<v Speaker 1>it's important to note that. Yet there is no quality

0:27:56.960 --> 0:27:59.159
<v Speaker 1>research to support it. So it really is one of

0:27:59.200 --> 0:28:02.359
<v Speaker 1>those how you feel individually. So that brings us to

0:28:02.720 --> 0:28:05.359
<v Speaker 1>the listener question of the wick, which a listener would

0:28:05.400 --> 0:28:08.159
<v Speaker 1>like to know. How do we know if we're getting

0:28:08.280 --> 0:28:10.640
<v Speaker 1>enough good fat or bad fat? What is the right

0:28:10.760 --> 0:28:12.840
<v Speaker 1>mix of this? So how do I actually how can

0:28:12.840 --> 0:28:13.120
<v Speaker 1>I tell?

0:28:13.240 --> 0:28:16.400
<v Speaker 2>Basically it's complicated, you know, And one of the things

0:28:16.440 --> 0:28:20.000
<v Speaker 2>I spend many times a day, I want to say

0:28:20.119 --> 0:28:22.480
<v Speaker 2>replying to my clients is when they make a salad

0:28:23.880 --> 0:28:26.879
<v Speaker 2>and season the salad and they'll add feta, and then

0:28:26.880 --> 0:28:28.880
<v Speaker 2>they'll add nuts, and they'll have add avocado, and they'll

0:28:28.880 --> 0:28:31.600
<v Speaker 2>add olive oil. And I'll say, oh, sorry, way too

0:28:31.640 --> 0:28:33.560
<v Speaker 2>much fat. And they'll say, oh, but nats are a protein.

0:28:33.600 --> 0:28:36.600
<v Speaker 2>And I'll say and they'll say, but cheese is protein.

0:28:36.680 --> 0:28:39.440
<v Speaker 2>I say, oh, it's more fat. So it's sometimes just

0:28:39.480 --> 0:28:42.520
<v Speaker 2>a matter of counting. So as a very brief summary,

0:28:42.600 --> 0:28:45.440
<v Speaker 2>we have our process fats, so things like our palm

0:28:45.480 --> 0:28:48.480
<v Speaker 2>oil and our saturated fats in dairy and meat and

0:28:48.520 --> 0:28:52.040
<v Speaker 2>processed food. Basically they drown out and the diet the

0:28:52.080 --> 0:28:54.320
<v Speaker 2>good fats, and the good fats can be a mix

0:28:54.360 --> 0:28:57.160
<v Speaker 2>of monofats which are mono and saturated in extra version,

0:28:57.160 --> 0:29:01.360
<v Speaker 2>olive oil, almonds, peanuts, avocado, so the dominant foods in

0:29:01.360 --> 0:29:03.160
<v Speaker 2>the diet that give us those, and then we have

0:29:03.200 --> 0:29:06.320
<v Speaker 2>our poly unsaturated fats, which is processed vegetable oil, but

0:29:06.440 --> 0:29:09.160
<v Speaker 2>also those long chain beautiful amiga threes that we find

0:29:09.200 --> 0:29:12.600
<v Speaker 2>in foods like lin seeds, pumpkin seeds, and of course

0:29:12.840 --> 0:29:16.840
<v Speaker 2>walnuts and oily fish like salmon and sardines. So, as

0:29:16.840 --> 0:29:18.720
<v Speaker 2>a general rule of thumb, most people get too much

0:29:18.760 --> 0:29:20.640
<v Speaker 2>processed fat because we eat add a lot and like

0:29:20.680 --> 0:29:23.400
<v Speaker 2>our meat and dairy, and we get loads of monos

0:29:23.440 --> 0:29:26.840
<v Speaker 2>from our avo and our almonds and our peanuts, and

0:29:26.880 --> 0:29:29.400
<v Speaker 2>then they drown out these beautiful amiga threes. So what

0:29:29.520 --> 0:29:31.800
<v Speaker 2>I get my clients to count. First of all, I

0:29:31.800 --> 0:29:33.440
<v Speaker 2>try and get them to choose the leanus meat and

0:29:33.520 --> 0:29:37.720
<v Speaker 2>dairy possible, and obviously avoid palm oil wherever possible. Next,

0:29:37.800 --> 0:29:39.400
<v Speaker 2>I say they've got three or four good fats a

0:29:39.480 --> 0:29:41.720
<v Speaker 2>day to play with, so that can be avocado, about

0:29:41.720 --> 0:29:45.720
<v Speaker 2>a quarter tablespoon of extraversion olive oil. I don't usually

0:29:45.720 --> 0:29:49.160
<v Speaker 2>count that for cooking. That's more the dressings. For example,

0:29:49.760 --> 0:29:52.200
<v Speaker 2>a serve of cheese, but that's not really a good fat,

0:29:52.320 --> 0:29:55.360
<v Speaker 2>and then ideally some oily fish, and then some nuts

0:29:55.360 --> 0:29:57.600
<v Speaker 2>and seeds, a serve of which is about ten fifteen

0:29:57.680 --> 0:30:03.280
<v Speaker 2>nuts or about a tablespoon of seeds. So a couple

0:30:03.360 --> 0:30:04.840
<v Speaker 2>of easy ways to do it land, and you may

0:30:04.880 --> 0:30:07.440
<v Speaker 2>have some different ways. I'll say to clients, add an

0:30:07.480 --> 0:30:10.040
<v Speaker 2>extra fat per meal. So for example, at breakfast you

0:30:10.080 --> 0:30:12.520
<v Speaker 2>might add avocado, you then wouldn't use it again through

0:30:12.560 --> 0:30:15.080
<v Speaker 2>the day, Or you might use an extra version olive

0:30:15.120 --> 0:30:17.880
<v Speaker 2>oil dressing. Well, I wouldn't then add nuts and avocado

0:30:17.960 --> 0:30:20.880
<v Speaker 2>to a salad, so each meal you've roughly got one.

0:30:21.120 --> 0:30:24.480
<v Speaker 2>And then I don't really use the extraversion olive oil

0:30:24.480 --> 0:30:26.880
<v Speaker 2>in cooking, and I don't really count that because it's

0:30:26.960 --> 0:30:29.880
<v Speaker 2>usually sort of sealing a pan, or it's not really

0:30:30.000 --> 0:30:33.280
<v Speaker 2>oil that we consume the entire amount of and of

0:30:33.320 --> 0:30:35.640
<v Speaker 2>course trying to look for ways that are a leaner. Anyway,

0:30:35.640 --> 0:30:37.800
<v Speaker 2>you might cook your fish on baking paper, So I

0:30:37.960 --> 0:30:40.200
<v Speaker 2>like my clients to have oily fish at least three

0:30:40.320 --> 0:30:42.880
<v Speaker 2>four times a week if they can, and then sort

0:30:42.880 --> 0:30:46.160
<v Speaker 2>of three four others a day, which might be nuts

0:30:46.160 --> 0:30:50.600
<v Speaker 2>and seeds or avocado, and you can choose one per

0:30:50.640 --> 0:30:52.880
<v Speaker 2>meal and that roughly gives you three or four is

0:30:52.920 --> 0:30:55.760
<v Speaker 2>my sort of rough guide. But you're right, it is confusing,

0:30:55.920 --> 0:30:58.000
<v Speaker 2>but it is also really easy to have way too

0:30:58.040 --> 0:31:01.720
<v Speaker 2>much when it comes to of a weight loss perspective.

0:31:01.720 --> 0:31:04.160
<v Speaker 2>But if you're aiming for weight gain, having more healthy

0:31:04.200 --> 0:31:06.320
<v Speaker 2>fats is actually a really good thing. And sometimes what

0:31:06.360 --> 0:31:08.320
<v Speaker 2>I would say, like if you're confused about if you're

0:31:08.360 --> 0:31:10.360
<v Speaker 2>getting the right mix of good or bad fats, go

0:31:10.360 --> 0:31:13.400
<v Speaker 2>get your cholesterol checked. You're gonna look at your overall triglycerides,

0:31:13.400 --> 0:31:15.400
<v Speaker 2>which is really important. Plus you're going to see your

0:31:15.440 --> 0:31:17.600
<v Speaker 2>levels of HDL and LDL as well, so you can

0:31:17.640 --> 0:31:21.120
<v Speaker 2>know your ratio of the low density with low density

0:31:21.200 --> 0:31:25.000
<v Speaker 2>lipoproteins and high density liperproteins. You'll like those more good

0:31:25.040 --> 0:31:26.960
<v Speaker 2>fats and more bad fats. So I think that's a

0:31:26.960 --> 0:31:28.480
<v Speaker 2>really easy way if you're going to get some blood

0:31:28.520 --> 0:31:30.800
<v Speaker 2>tests anyway, and let's be honest, in the middle of winter,

0:31:31.360 --> 0:31:33.200
<v Speaker 2>what's the recess. He's about thirty percent of us a

0:31:33.240 --> 0:31:36.240
<v Speaker 2>deficient vitamin D, so many females are deficient in iron.

0:31:36.280 --> 0:31:38.520
<v Speaker 1>While you're there, check those things and also get your

0:31:38.600 --> 0:31:40.960
<v Speaker 1>cholesterol checked as well. I'm a big fan of heading

0:31:41.000 --> 0:31:43.560
<v Speaker 1>to the doctor at least once, not more than that,

0:31:43.640 --> 0:31:45.479
<v Speaker 1>but once a year of everything's going well and you're

0:31:45.520 --> 0:31:47.840
<v Speaker 1>feeling healthy, just to make sure that we're checking some

0:31:47.880 --> 0:31:49.959
<v Speaker 1>of those boxes on those nutrients and making sure they

0:31:50.000 --> 0:31:51.960
<v Speaker 1>are in range. Because I can't tell you, Susie, the

0:31:52.000 --> 0:31:55.120
<v Speaker 1>amount of quote unquote healthy twenty five year old thirty

0:31:55.200 --> 0:31:56.960
<v Speaker 1>year olds that I've sent to the GP just to

0:31:57.000 --> 0:31:59.800
<v Speaker 1>get some baseline blood and their cholesterols come back elevated.

0:32:00.240 --> 0:32:03.080
<v Speaker 1>Shock them, like shocked them. Then we actually look at

0:32:03.080 --> 0:32:05.640
<v Speaker 1>the quality of the diet. They think that they're not

0:32:05.680 --> 0:32:08.120
<v Speaker 1>eating too badly, but as you said, we're not getting

0:32:08.120 --> 0:32:10.920
<v Speaker 1>anywhere near the quality of good fats in. We're having

0:32:11.000 --> 0:32:14.040
<v Speaker 1>far too many bad fats, not just from soul foods,

0:32:14.080 --> 0:32:15.880
<v Speaker 1>but in those little things that slip in, like the

0:32:15.880 --> 0:32:18.320
<v Speaker 1>biscuits in the office, the chocolates in the office, the

0:32:18.400 --> 0:32:22.160
<v Speaker 1>meals out. The alcohol contributes to triglyceride levels as well,

0:32:22.360 --> 0:32:24.360
<v Speaker 1>and so it's a lot an old person thing to have,

0:32:24.560 --> 0:32:27.080
<v Speaker 1>Like cholesterol, we're seeing it more and more and more

0:32:27.120 --> 0:32:29.200
<v Speaker 1>on our clinic in a lot of our younger people,

0:32:29.240 --> 0:32:31.680
<v Speaker 1>particularly when you're eating out a lot, you've got high

0:32:31.680 --> 0:32:34.080
<v Speaker 1>stress jobs. There's a lot of wining and dining clients

0:32:34.120 --> 0:32:34.800
<v Speaker 1>and that sort of thing.

0:32:34.960 --> 0:32:37.000
<v Speaker 2>And let's be honest, the serves that you get, so

0:32:37.040 --> 0:32:39.640
<v Speaker 2>a small female probably needs just sixty to eighty grams

0:32:39.640 --> 0:32:41.960
<v Speaker 2>of fat in total per day. Now you're probably going

0:32:42.000 --> 0:32:44.120
<v Speaker 2>to get at least twenty to thirty from meat and dairy,

0:32:44.600 --> 0:32:46.720
<v Speaker 2>and then you've got a nutbar that's maybe ten or

0:32:46.760 --> 0:32:48.800
<v Speaker 2>some nuts bread, and then you've got your avo. So

0:32:48.800 --> 0:32:50.960
<v Speaker 2>it's really easy to eat more of that. Like if

0:32:50.960 --> 0:32:55.320
<v Speaker 2>you have smashed avo at a cafe, oh, how much

0:32:55.320 --> 0:32:58.080
<v Speaker 2>would you be getting? At least thirty forty grams of

0:32:58.080 --> 0:33:00.320
<v Speaker 2>fat in one go? Those serves are massive a.

0:33:00.360 --> 0:33:02.760
<v Speaker 1>Whole avocado, if not fifty sixty.

0:33:02.400 --> 0:33:04.760
<v Speaker 2>And they probably add olive oil into the smash to

0:33:04.840 --> 0:33:06.600
<v Speaker 2>make it taste better, you know what I mean? Like

0:33:07.080 --> 0:33:09.720
<v Speaker 2>the portions we get out, So yes, the smashed ivo

0:33:09.840 --> 0:33:12.200
<v Speaker 2>might seem like the healthy choice, but keep in mind

0:33:12.200 --> 0:33:14.680
<v Speaker 2>there's probably at least an entire avocado, which is four

0:33:14.760 --> 0:33:18.160
<v Speaker 2>serves of fat in one sitting, So you know, paying

0:33:18.160 --> 0:33:21.920
<v Speaker 2>attention to where the large amounts are slipping in, and

0:33:22.080 --> 0:33:24.400
<v Speaker 2>it's really easy to go over your fat amounts so

0:33:24.440 --> 0:33:27.480
<v Speaker 2>without having to be really you know, strict on yourself.

0:33:27.560 --> 0:33:30.920
<v Speaker 2>You know, one added fat per meal, and nuts and

0:33:31.360 --> 0:33:33.280
<v Speaker 2>are good fat, but they count as a fat, as

0:33:33.320 --> 0:33:37.760
<v Speaker 2>do seeds, and cheese is more fat than protein. I'm

0:33:37.760 --> 0:33:40.480
<v Speaker 2>sorry to say, very sad to end on that note.

0:33:40.560 --> 0:33:42.200
<v Speaker 1>I said that to my client as well, and they

0:33:42.280 --> 0:33:44.960
<v Speaker 1>go unless we're talk about coottig chees, cottag cheese goes

0:33:45.000 --> 0:33:47.800
<v Speaker 1>in the protein box. Every other type of cheese, guys.

0:33:47.840 --> 0:33:49.960
<v Speaker 1>Sorry to say, Susan and I both counted as a

0:33:50.000 --> 0:33:52.040
<v Speaker 1>fat serve. Yes, it does have some protein in there,

0:33:52.200 --> 0:33:54.040
<v Speaker 1>but we both counted as a fat serf. If you're

0:33:54.040 --> 0:33:56.080
<v Speaker 1>working with us and the goal is fat loss, sorry

0:33:56.120 --> 0:33:59.320
<v Speaker 1>to say. And to end on that happiness that brings

0:33:59.400 --> 0:34:01.840
<v Speaker 1>us to the end of the Nutrition Couch for another Sunday,

0:34:02.000 --> 0:34:04.320
<v Speaker 1>So if you haven't done so already, please subscribe to

0:34:04.400 --> 0:34:07.280
<v Speaker 1>the podcast. We will be automatically delivered in your inbox

0:34:07.360 --> 0:34:09.960
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0:34:10.000 --> 0:34:13.360
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0:34:13.480 --> 0:34:16.120
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0:34:16.160 --> 0:34:18.919
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0:34:18.960 --> 0:34:22.280
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0:34:22.360 --> 0:34:23.359
<v Speaker 1>on the website as well.

0:34:23.560 --> 0:34:24.239
<v Speaker 2>Have a great week.