1 00:00:00,680 --> 00:00:03,320 Speaker 1: Have you been losing weight successfully only to have things 2 00:00:03,360 --> 00:00:06,880 Speaker 1: suddenly stall? Weight loss plateaus are a real thing or 3 00:00:06,960 --> 00:00:09,920 Speaker 1: are they? Today we take a closer look at the 4 00:00:09,960 --> 00:00:12,479 Speaker 1: science of weight loss plateaus so you can keep moving 5 00:00:12,560 --> 00:00:16,239 Speaker 1: successfully towards your weight loss goals. Hi, I'm Leanne Wood 6 00:00:16,360 --> 00:00:18,920 Speaker 1: and I'm Sydney Burrow, and as two of Australia's leading 7 00:00:18,960 --> 00:00:22,240 Speaker 1: dietitians who specialize in evidence space nutrition, we bring new 8 00:00:22,320 --> 00:00:25,720 Speaker 1: Sydneutrition Couch, a bi weekly chat on everything that is 9 00:00:25,800 --> 00:00:29,760 Speaker 1: new in the world of food giants and nutrition now 10 00:00:29,800 --> 00:00:32,960 Speaker 1: after the recent ham sandwich debate. Today we also take 11 00:00:32,960 --> 00:00:35,360 Speaker 1: a look at how much bread meat we really should 12 00:00:35,400 --> 00:00:38,360 Speaker 1: be eating And our listener question is all about dairy 13 00:00:38,560 --> 00:00:41,159 Speaker 1: and the signs that you may be intolerant rather than 14 00:00:41,280 --> 00:00:44,400 Speaker 1: allergic to dairy. But to get us started, Susie, what 15 00:00:44,560 --> 00:00:46,560 Speaker 1: is new in clinic in Sydney at the moment? 16 00:00:46,760 --> 00:00:48,720 Speaker 2: We'll have to be honestly, and I haven't been very happy. 17 00:00:48,880 --> 00:00:52,479 Speaker 2: I had I think seven cancelations in my last clinic 18 00:00:53,000 --> 00:00:55,640 Speaker 2: and I don't think this is by chance that clients 19 00:00:55,720 --> 00:00:58,120 Speaker 2: go in the wave of life, you know, if you 20 00:00:58,120 --> 00:01:00,160 Speaker 2: think about it. The school terms near the air and 21 00:01:00,240 --> 00:01:02,160 Speaker 2: a lot of people are getting ready for holidays, the 22 00:01:02,200 --> 00:01:04,880 Speaker 2: weather's turned, it's a lot cooler, and it just becomes 23 00:01:04,880 --> 00:01:07,000 Speaker 2: a little bit too hard. Life tends to take over 24 00:01:07,240 --> 00:01:09,880 Speaker 2: with some of our goals because there's no doubt when 25 00:01:09,920 --> 00:01:11,920 Speaker 2: we're working on weight loss, or it may even just 26 00:01:11,959 --> 00:01:16,160 Speaker 2: be an improvement and eating behavior, it requires attention and mindfulness. 27 00:01:16,640 --> 00:01:18,720 Speaker 2: And so as soon as my clients start to cancel 28 00:01:18,800 --> 00:01:21,319 Speaker 2: on MASS, I know that they basically haven't been doing 29 00:01:21,400 --> 00:01:25,240 Speaker 2: their homework because they don't ask to reschedule. They'd literally 30 00:01:25,280 --> 00:01:26,760 Speaker 2: say I can't make it today and put it off 31 00:01:26,760 --> 00:01:28,919 Speaker 2: a week or two. So I just know that perhaps 32 00:01:28,920 --> 00:01:31,000 Speaker 2: they haven't been giving it the attention. And I wanted 33 00:01:31,000 --> 00:01:33,160 Speaker 2: to take this opportunity not to have a goal at 34 00:01:33,160 --> 00:01:36,280 Speaker 2: anyone personally, of course, but more as a reminder that 35 00:01:36,400 --> 00:01:39,240 Speaker 2: what we know from the research around weight management in 36 00:01:39,280 --> 00:01:42,280 Speaker 2: particular is one of the biggest predictors of success is 37 00:01:42,360 --> 00:01:46,280 Speaker 2: just turning up. And it's that ability to bring your 38 00:01:46,319 --> 00:01:49,040 Speaker 2: attention to it, your mindfulness around it, to keep your 39 00:01:49,040 --> 00:01:51,960 Speaker 2: food diaries, to turn up to an appointment, and keep 40 00:01:52,000 --> 00:01:55,080 Speaker 2: on track with that goal, because otherwise what happens is 41 00:01:55,160 --> 00:01:57,360 Speaker 2: that you miss a week and then two, and then 42 00:01:57,360 --> 00:01:59,400 Speaker 2: before you know it. In busy life, you've missed a 43 00:01:59,440 --> 00:02:01,559 Speaker 2: month that could be a couple of kilos of weight loss, 44 00:02:01,560 --> 00:02:03,440 Speaker 2: and we just never get to where we're going. So 45 00:02:03,440 --> 00:02:05,640 Speaker 2: I think it's a really good reminder that for people 46 00:02:05,640 --> 00:02:08,200 Speaker 2: who are working on various goals or health related goals, 47 00:02:08,200 --> 00:02:10,800 Speaker 2: whether it's training or fitness or losing body fat or 48 00:02:10,800 --> 00:02:14,000 Speaker 2: losing weight, that a lot of it is about just 49 00:02:14,040 --> 00:02:16,280 Speaker 2: turning up and prioritizing that as part of your day. 50 00:02:16,639 --> 00:02:18,959 Speaker 2: So when people cancel and they don't say to me, 51 00:02:19,000 --> 00:02:22,720 Speaker 2: can I come later or what about tomorrow, I absolutely 52 00:02:22,800 --> 00:02:26,480 Speaker 2: know it's avoidance. So just be aware of that that 53 00:02:26,760 --> 00:02:29,799 Speaker 2: just turning up is always going to be much better 54 00:02:29,840 --> 00:02:32,120 Speaker 2: than just putting it off if your goal remains to 55 00:02:32,200 --> 00:02:35,720 Speaker 2: lose weight. So I did because I was quite irritated 56 00:02:35,760 --> 00:02:39,560 Speaker 2: actually having just so many and short with short notice, 57 00:02:39,639 --> 00:02:41,280 Speaker 2: because it kind of mucked up my day a bit. 58 00:02:41,280 --> 00:02:44,200 Speaker 2: Whereas I would have scheduled other things in, I sort 59 00:02:44,240 --> 00:02:46,120 Speaker 2: of set that to a few of them. And I 60 00:02:46,200 --> 00:02:48,720 Speaker 2: wonder if that will work in against me or in 61 00:02:49,080 --> 00:02:51,519 Speaker 2: benefit To say that, you know, a big predictor of 62 00:02:51,600 --> 00:02:54,040 Speaker 2: what loss success is turning up. So I did have 63 00:02:54,040 --> 00:02:55,880 Speaker 2: a few food diaries coming in over the weekend, so 64 00:02:55,919 --> 00:02:59,400 Speaker 2: fingers cross, we're back on track. So everybody just turn 65 00:02:59,520 --> 00:03:01,880 Speaker 2: up if you want the results. 66 00:03:02,000 --> 00:03:03,640 Speaker 1: Yeah, and I agree, And I think people think that, 67 00:03:03,680 --> 00:03:05,359 Speaker 1: you know, they can only go back and see their 68 00:03:05,360 --> 00:03:07,400 Speaker 1: dietitian when they've been one hundred percent perfect and one 69 00:03:07,480 --> 00:03:09,560 Speaker 1: hundred percent on track. But I really do feel like 70 00:03:09,639 --> 00:03:13,079 Speaker 1: as dietitians, we make the biggest impact when things are 71 00:03:13,120 --> 00:03:15,160 Speaker 1: going wrong because we can help to steer them back 72 00:03:15,200 --> 00:03:17,680 Speaker 1: on track. We can have to motivate them, keep them accountable, 73 00:03:17,720 --> 00:03:20,400 Speaker 1: and give them suggestions on hey, perhaps this is why 74 00:03:20,480 --> 00:03:22,320 Speaker 1: you went off track in the first place. Like, we 75 00:03:22,360 --> 00:03:24,040 Speaker 1: can't really help clients when they turn up in our 76 00:03:24,080 --> 00:03:26,800 Speaker 1: clinic and they're like one hundred percent on track, suity boom, 77 00:03:26,840 --> 00:03:28,639 Speaker 1: smash the week, and you're just like, all right, well, 78 00:03:28,680 --> 00:03:31,360 Speaker 1: keep going great, Like we do our best work when 79 00:03:31,360 --> 00:03:33,800 Speaker 1: they're actually struggling and they need some tips and advice 80 00:03:33,840 --> 00:03:35,320 Speaker 1: and strategies, don't we. 81 00:03:35,040 --> 00:03:36,640 Speaker 2: We do because at the end of the day, life 82 00:03:36,680 --> 00:03:39,800 Speaker 2: is always busy. As I've said before on the potty, 83 00:03:39,800 --> 00:03:41,520 Speaker 2: people don't come up and say I've got a spare hour. 84 00:03:41,600 --> 00:03:43,640 Speaker 2: How can I feel it? Like everyone is busy. It's 85 00:03:43,640 --> 00:03:47,120 Speaker 2: about priorities and we make time to do things we 86 00:03:47,160 --> 00:03:49,600 Speaker 2: want to do, and that's what I always you know, 87 00:03:49,680 --> 00:03:52,520 Speaker 2: it's a bit of a perception around time. You absolutely 88 00:03:52,520 --> 00:03:54,200 Speaker 2: have the opportunity to block out the time in the 89 00:03:54,240 --> 00:03:56,320 Speaker 2: calendar to ask for a different time. 90 00:03:56,400 --> 00:03:57,760 Speaker 3: Can we do it on the phone. 91 00:03:58,000 --> 00:04:00,000 Speaker 2: So I would agree that I would really be taking 92 00:04:00,120 --> 00:04:03,440 Speaker 2: you look at if it is a priority right now 93 00:04:03,480 --> 00:04:05,480 Speaker 2: and you have the attention to it, or where you 94 00:04:05,520 --> 00:04:08,880 Speaker 2: could actually challenge that belief that it is off track, 95 00:04:08,920 --> 00:04:11,200 Speaker 2: and actually could we use this as a learning opportunity 96 00:04:11,240 --> 00:04:13,640 Speaker 2: to say, it's not ever going to be perfect. This 97 00:04:13,680 --> 00:04:15,920 Speaker 2: is life, so we always have to work on strategies 98 00:04:15,960 --> 00:04:18,720 Speaker 2: around that. And this is a perfect example of why. 99 00:04:18,800 --> 00:04:20,960 Speaker 2: So when you are this busyer, it hasn't been perfect, 100 00:04:20,960 --> 00:04:23,480 Speaker 2: what can we learn from that to make positive changes 101 00:04:23,520 --> 00:04:25,960 Speaker 2: moving forward? Because I think people, as we've spoken about before, 102 00:04:26,279 --> 00:04:28,920 Speaker 2: are waiting for this perfect diet on a perfect day, 103 00:04:29,000 --> 00:04:31,440 Speaker 2: and that is not life. So it's about developing the 104 00:04:31,480 --> 00:04:34,560 Speaker 2: skills and strategies to deal with more challenging circumstances and 105 00:04:34,600 --> 00:04:37,160 Speaker 2: busy lives, which is what most people are living on 106 00:04:37,200 --> 00:04:38,200 Speaker 2: a day to day basis. 107 00:04:38,279 --> 00:04:41,160 Speaker 1: I absolutely agree, all right, so see, let's change gears 108 00:04:41,200 --> 00:04:44,240 Speaker 1: and chat about our media trending article of the week. 109 00:04:44,279 --> 00:04:46,240 Speaker 1: And this has been talked about for I would say, 110 00:04:46,279 --> 00:04:48,200 Speaker 1: quite some time now, but I still find it quite 111 00:04:48,240 --> 00:04:51,360 Speaker 1: surprising where I judge my clients and they really have 112 00:04:51,640 --> 00:04:53,120 Speaker 1: so though they haven't heard of it, but they're not 113 00:04:53,160 --> 00:04:55,839 Speaker 1: really aware of how strong the research really is when 114 00:04:55,839 --> 00:04:58,440 Speaker 1: it comes to things like processed meat and red meat consumption, 115 00:04:58,680 --> 00:05:02,080 Speaker 1: so on the nutrition. We have supported plant based diets 116 00:05:02,120 --> 00:05:04,000 Speaker 1: forever in a day. We know that there are so 117 00:05:04,080 --> 00:05:06,760 Speaker 1: many positive health benefits for plant based diets, but we 118 00:05:06,800 --> 00:05:09,120 Speaker 1: must declare and I'm sure our listeners know that neither 119 00:05:09,120 --> 00:05:11,600 Speaker 1: of us are one hundred percent vegan or vegetarian. But 120 00:05:11,800 --> 00:05:13,880 Speaker 1: also on the flip side of that, we also don't 121 00:05:13,880 --> 00:05:16,000 Speaker 1: eat much red meat. We do, you know, enjoy a 122 00:05:16,000 --> 00:05:18,719 Speaker 1: little bit, but we definitely don't go overboard or eat 123 00:05:18,760 --> 00:05:21,599 Speaker 1: it regularly. So I think it's an important discussion today 124 00:05:21,640 --> 00:05:24,240 Speaker 1: on really how much red meat is too much, what 125 00:05:24,400 --> 00:05:27,440 Speaker 1: is classified as red meat, what is classified as process meat, 126 00:05:27,560 --> 00:05:29,400 Speaker 1: and let's actually look at some of the science and 127 00:05:29,440 --> 00:05:31,839 Speaker 1: the research behind that, because this is an area where 128 00:05:32,000 --> 00:05:35,039 Speaker 1: there is some really really strong research in terms to 129 00:05:35,080 --> 00:05:37,839 Speaker 1: links to bow cancer, which I'm not sure if people 130 00:05:37,880 --> 00:05:40,600 Speaker 1: are actually really aware of So let me just freeball 131 00:05:40,640 --> 00:05:42,760 Speaker 1: a couple of statistics for the moment. Susie and I've 132 00:05:42,760 --> 00:05:45,240 Speaker 1: just jumped onto something like the Cancel Council sort of 133 00:05:45,279 --> 00:05:47,840 Speaker 1: government based websites. So these are, you know, proper evidence 134 00:05:47,839 --> 00:05:51,440 Speaker 1: based scientific statistics. But the first one is sort of, 135 00:05:51,640 --> 00:05:53,320 Speaker 1: I guess, the sort of an eye opening question. It 136 00:05:53,360 --> 00:05:55,479 Speaker 1: just says, did you know that eating more than seven 137 00:05:55,600 --> 00:05:57,920 Speaker 1: hundred gram so that's a raw weight of red meat 138 00:05:57,920 --> 00:06:00,560 Speaker 1: a week increases your risk of bower cancer. So seven 139 00:06:00,680 --> 00:06:03,320 Speaker 1: hundred grams sounds a lot, but if you think about it, 140 00:06:03,360 --> 00:06:04,960 Speaker 1: if you go out to a big pub where you're 141 00:06:04,960 --> 00:06:07,240 Speaker 1: getting a big rib villat or something like that, especially 142 00:06:07,240 --> 00:06:09,560 Speaker 1: if you're a male, they can easily be three hundred 143 00:06:09,600 --> 00:06:11,640 Speaker 1: plus grams. If you're eating out at a sort of 144 00:06:11,640 --> 00:06:14,640 Speaker 1: pub style type restaurant and you're getting a steak or 145 00:06:14,640 --> 00:06:16,400 Speaker 1: a rib villat or something like that a few times 146 00:06:16,440 --> 00:06:19,560 Speaker 1: a week, you're easily exceeding that seven hundred grams already. 147 00:06:19,720 --> 00:06:21,960 Speaker 1: And if you're the type of family that has, you know, 148 00:06:22,040 --> 00:06:24,840 Speaker 1: sausages one night with the kids and mincemeat another night 149 00:06:24,880 --> 00:06:26,880 Speaker 1: with the kids, you do bacon and eggs on the weekend. 150 00:06:27,000 --> 00:06:29,120 Speaker 1: The kids get ham on their sandwiches a few times 151 00:06:29,160 --> 00:06:32,000 Speaker 1: a week. Again, you're consuming quite a lot of red 152 00:06:32,040 --> 00:06:34,279 Speaker 1: meat and the other sort of food. For thought, on 153 00:06:34,320 --> 00:06:36,440 Speaker 1: this website, Susie says that did you know that the 154 00:06:36,520 --> 00:06:39,400 Speaker 1: risk of developing bow cancer goes up one point one 155 00:06:39,520 --> 00:06:43,120 Speaker 1: eight times for every fifty grams of processed meat eaten 156 00:06:43,200 --> 00:06:46,240 Speaker 1: per day. That is not a lot. So the World 157 00:06:46,240 --> 00:06:50,360 Speaker 1: Health Organization has actually classified process meats, and by definition, 158 00:06:50,480 --> 00:06:55,960 Speaker 1: they've classified a process meat, including ham, bacon, salami, and frankfurts, 159 00:06:56,000 --> 00:06:57,880 Speaker 1: all those I think what ossies would call sort of 160 00:06:57,880 --> 00:06:59,919 Speaker 1: like kabana, right, the things that we put on a cheesel. 161 00:07:00,680 --> 00:07:04,120 Speaker 1: These are classified as Group one carcinogenetic, so they are 162 00:07:04,200 --> 00:07:07,799 Speaker 1: known to cause cancer. There is very very strong evidence 163 00:07:07,839 --> 00:07:10,520 Speaker 1: that process meats such as the ones I've just mentioned 164 00:07:10,880 --> 00:07:14,040 Speaker 1: can link to cancer, So eating processed meats not only 165 00:07:14,120 --> 00:07:16,760 Speaker 1: links to things like boo cancer, but also stomach cancer 166 00:07:16,800 --> 00:07:20,120 Speaker 1: as well. And then red meat, which are more you know, 167 00:07:20,160 --> 00:07:22,600 Speaker 1: not as processed, but we still consider them a red meat. 168 00:07:22,600 --> 00:07:25,880 Speaker 1: We're talking things like beef, lamb and pork. These meats 169 00:07:25,880 --> 00:07:29,120 Speaker 1: have been classified as a group to a carcinogen so 170 00:07:29,200 --> 00:07:32,040 Speaker 1: that means that they're more than they're probably likely to 171 00:07:32,160 --> 00:07:36,280 Speaker 1: cause cancer. So still I guess some strong research there, Susi, 172 00:07:36,560 --> 00:07:38,960 Speaker 1: and I know a lot of families, particularly those on 173 00:07:39,000 --> 00:07:40,760 Speaker 1: a budget, who do eat a lot of you know, 174 00:07:41,040 --> 00:07:43,920 Speaker 1: mints and sausages and bacon in ham because they are 175 00:07:43,960 --> 00:07:46,680 Speaker 1: more of those budget friendly protein options. But I think 176 00:07:46,720 --> 00:07:49,320 Speaker 1: it's important that we had this discussion here today and 177 00:07:49,440 --> 00:07:52,600 Speaker 1: really talk about what strong evidence we do have for 178 00:07:52,680 --> 00:07:55,080 Speaker 1: these meats and these links to cancer. But on the 179 00:07:55,120 --> 00:07:59,000 Speaker 1: same side, we're not trying to create fear or scare 180 00:07:59,040 --> 00:08:00,760 Speaker 1: anyone in that in that In fact, if you put 181 00:08:00,760 --> 00:08:03,120 Speaker 1: ham on cheese on your kid's sandwich for lunch once 182 00:08:03,240 --> 00:08:05,520 Speaker 1: or twice a week, there's absolutely no problem with that. 183 00:08:05,560 --> 00:08:08,680 Speaker 1: It really comes down to how much overall you and 184 00:08:08,720 --> 00:08:10,760 Speaker 1: your family are eating and the load of that in 185 00:08:10,840 --> 00:08:13,160 Speaker 1: your diet overall. So if you're someone that might go 186 00:08:13,200 --> 00:08:15,040 Speaker 1: out for breakfast, such as myself, I got out to 187 00:08:15,040 --> 00:08:17,720 Speaker 1: breakfast quite regularly, Susie, but I rarely have bacon with 188 00:08:17,720 --> 00:08:20,480 Speaker 1: my breakfast, but very occasionally I do like a little 189 00:08:20,480 --> 00:08:23,000 Speaker 1: side of bacon with my eggs very occasionally, and that 190 00:08:23,320 --> 00:08:26,000 Speaker 1: is completely fine. But if you're someone who every Saturday 191 00:08:26,000 --> 00:08:28,760 Speaker 1: and every Sunday has bacon with their eggs. You might 192 00:08:28,840 --> 00:08:30,880 Speaker 1: run into some problems in the future. So it really 193 00:08:30,880 --> 00:08:33,640 Speaker 1: does come down to the amount and the frequency that 194 00:08:33,679 --> 00:08:36,720 Speaker 1: you're having these a red meats and more importantly, these 195 00:08:36,800 --> 00:08:39,200 Speaker 1: processed types of red meats. What are your sort of 196 00:08:39,200 --> 00:08:42,160 Speaker 1: thoughts on this. We definitely don't want to, you know, 197 00:08:42,360 --> 00:08:44,720 Speaker 1: fear our listeners or really get them, you know, turned 198 00:08:44,720 --> 00:08:47,120 Speaker 1: off red meat all together. Something that you enjoy, you 199 00:08:47,160 --> 00:08:50,040 Speaker 1: can happily include. It's wonderful sorts of iron, particularly our 200 00:08:50,040 --> 00:08:52,160 Speaker 1: more whole food bases such as the beef, the lamb 201 00:08:52,160 --> 00:08:54,319 Speaker 1: and the pork. But you know, the process red meat 202 00:08:54,360 --> 00:08:56,960 Speaker 1: should be very very few and environ between. And I 203 00:08:57,000 --> 00:08:59,000 Speaker 1: think between both of us, Susie, for our clients, we're 204 00:08:59,000 --> 00:09:01,400 Speaker 1: seeing it too often, are we. Well. 205 00:09:01,440 --> 00:09:04,000 Speaker 2: I think the thing I see is huge portions. So 206 00:09:04,360 --> 00:09:08,320 Speaker 2: when people enjoy steak or sausages, you know they're consuming 207 00:09:08,360 --> 00:09:12,240 Speaker 2: at least two hundred if not more grams in a sitting. 208 00:09:12,800 --> 00:09:15,520 Speaker 2: Men it mayles in particular, you know, three hundred grams 209 00:09:15,880 --> 00:09:18,320 Speaker 2: is really not that large. In Australia, it can be 210 00:09:18,360 --> 00:09:20,440 Speaker 2: four or five hundred grams. As a serve. It's almost 211 00:09:20,440 --> 00:09:22,000 Speaker 2: worn as a badge of honor the size of the 212 00:09:22,040 --> 00:09:25,559 Speaker 2: steak or the special cutlet that you can buy at 213 00:09:25,640 --> 00:09:28,920 Speaker 2: Premiere butchers. Now, first of all, it's really expensive as 214 00:09:28,920 --> 00:09:32,079 Speaker 2: well for families, and in general the fattier cuts of 215 00:09:32,120 --> 00:09:35,920 Speaker 2: meat are also cheaper, which doesn't help. And in talking 216 00:09:35,920 --> 00:09:38,439 Speaker 2: about that recommendation for less than seven hundred grams a 217 00:09:38,480 --> 00:09:40,800 Speaker 2: week raw, let's be honest, that's only five hundred, just 218 00:09:40,840 --> 00:09:43,520 Speaker 2: over five hundred grams a week cooked. It's not a lot, 219 00:09:43,760 --> 00:09:45,440 Speaker 2: and I would be hastened to say that my clients 220 00:09:45,440 --> 00:09:47,640 Speaker 2: are on average having two or three hundred grams cooked 221 00:09:47,840 --> 00:09:51,640 Speaker 2: per serve and it just creeps in. And what happens 222 00:09:51,640 --> 00:09:53,800 Speaker 2: on the plate, of course, is if we have the 223 00:09:53,840 --> 00:09:56,480 Speaker 2: recommendata maynt of say one hundred, one hundred and fifty 224 00:09:56,480 --> 00:09:58,800 Speaker 2: grams cooked a couple of times a week. That's too 225 00:09:58,880 --> 00:10:02,640 Speaker 2: small cutlet's too late sausages. What happens is it doesn't 226 00:10:02,640 --> 00:10:05,040 Speaker 2: look very much and we don't substitute the amounts of 227 00:10:05,080 --> 00:10:07,080 Speaker 2: vegetables on the plate to buffer it out, So we 228 00:10:07,160 --> 00:10:09,200 Speaker 2: fill it with meat and always have in Australia. So 229 00:10:09,520 --> 00:10:11,760 Speaker 2: that's the quality of the meat we tend to reach for. 230 00:10:12,080 --> 00:10:14,360 Speaker 2: I think there's only one really lean sausage on the 231 00:10:14,400 --> 00:10:17,440 Speaker 2: market in supermarkets, most of them are full fat sausages, 232 00:10:17,520 --> 00:10:21,000 Speaker 2: so that's the default. The cheaper mints is the fattier 233 00:10:21,000 --> 00:10:23,720 Speaker 2: one with the higher fat content. And again the poorer 234 00:10:23,760 --> 00:10:25,720 Speaker 2: the quality of the meat, the higher the risk in 235 00:10:25,800 --> 00:10:28,720 Speaker 2: terms of the additives used to bulk it out, and 236 00:10:28,800 --> 00:10:31,360 Speaker 2: the higher fat content is again associated with a higher 237 00:10:31,400 --> 00:10:33,640 Speaker 2: risk of cancer. So it is the quality of the meat. 238 00:10:33,960 --> 00:10:36,280 Speaker 2: So it really comes down in my mind to not 239 00:10:36,320 --> 00:10:39,520 Speaker 2: only limiting the number of days you're having it, so saying, look, 240 00:10:39,559 --> 00:10:43,200 Speaker 2: really red meat should fit in three days a week, really, 241 00:10:43,600 --> 00:10:46,559 Speaker 2: and then the other added thing is that it has 242 00:10:46,600 --> 00:10:50,120 Speaker 2: to be the really lean, good quality and simply substituting 243 00:10:50,440 --> 00:10:53,760 Speaker 2: that portion on the plate for extra vegies is one 244 00:10:53,760 --> 00:10:56,520 Speaker 2: of the most powerful health things you can do for it, 245 00:10:56,559 --> 00:10:57,959 Speaker 2: because I think the other thing that we don't talk 246 00:10:57,960 --> 00:10:59,960 Speaker 2: about when it comes to cancer risk and red meat 247 00:11:00,280 --> 00:11:02,559 Speaker 2: is there is a significant buffering effect of having more 248 00:11:02,559 --> 00:11:04,840 Speaker 2: antioxidants in the diet and more fruit and veggies. You know, 249 00:11:04,920 --> 00:11:07,440 Speaker 2: the worst dietary patterns are one that is full of 250 00:11:07,480 --> 00:11:11,160 Speaker 2: refined carbohydrates and then high saturated fat, high portions of meat. 251 00:11:11,200 --> 00:11:14,520 Speaker 2: So it's also the buffer effect of that overall. But 252 00:11:14,600 --> 00:11:16,720 Speaker 2: you're right, it absolutely slips in, you know. I know 253 00:11:16,800 --> 00:11:20,199 Speaker 2: myself with my boys, my boys love bacon. Now I'm 254 00:11:20,240 --> 00:11:22,920 Speaker 2: actually not a big pork fan in general myself. I 255 00:11:22,960 --> 00:11:26,520 Speaker 2: don't eat a lot of it. Occasionally, very occasionally I 256 00:11:26,600 --> 00:11:29,079 Speaker 2: might have bacon, but it's not my palette. But my 257 00:11:29,200 --> 00:11:31,400 Speaker 2: boys love it and they love meat, and I was 258 00:11:31,400 --> 00:11:33,520 Speaker 2: getting into a habit of them having it quite regularly, 259 00:11:33,520 --> 00:11:34,880 Speaker 2: So it just slips in and before you know what, 260 00:11:34,920 --> 00:11:36,920 Speaker 2: they're having ham on a salwach, and then they're having sausages, 261 00:11:36,960 --> 00:11:38,760 Speaker 2: and then they're having mints, and you think, wow, they're 262 00:11:38,760 --> 00:11:41,360 Speaker 2: having weigh too much red meat overall. So it's a 263 00:11:41,400 --> 00:11:45,040 Speaker 2: good reminder. So when I'm modeling diets, and certainly with 264 00:11:45,080 --> 00:11:47,160 Speaker 2: our females who are at very high risk of low iron, 265 00:11:47,200 --> 00:11:49,600 Speaker 2: I think it's about at least a quarter of women 266 00:11:49,640 --> 00:11:51,960 Speaker 2: will have low iron levels, and of course lean red 267 00:11:52,000 --> 00:11:54,400 Speaker 2: meat for meat eaters is the richest source of dietary 268 00:11:54,440 --> 00:11:57,040 Speaker 2: iron or well absorbed iron. I like to give a 269 00:11:57,040 --> 00:11:59,280 Speaker 2: bit of a guideline to say, right, we want the 270 00:11:59,400 --> 00:12:02,120 Speaker 2: very lean portion control one hundred one hundred and fifty 271 00:12:02,120 --> 00:12:05,320 Speaker 2: grams cooked max for women and up to two hundred 272 00:12:05,400 --> 00:12:09,160 Speaker 2: cooked for males of a lean meat two or three times. 273 00:12:08,840 --> 00:12:09,600 Speaker 3: A week max. 274 00:12:10,000 --> 00:12:11,760 Speaker 2: And then ideally you want your fish at least a 275 00:12:11,800 --> 00:12:14,760 Speaker 2: couple of times, maybe alternate that with chicken, and then 276 00:12:14,800 --> 00:12:17,120 Speaker 2: you want a plant based meal at least once a week, 277 00:12:17,320 --> 00:12:20,240 Speaker 2: if not twice, to buffer that effect. And just be 278 00:12:20,280 --> 00:12:22,920 Speaker 2: mindful that when you do go to pubs in Australia 279 00:12:23,000 --> 00:12:25,840 Speaker 2: and you have the massive steak, that's probably close to 280 00:12:25,880 --> 00:12:29,080 Speaker 2: your entire recommended date weekly intake of red meat. 281 00:12:29,480 --> 00:12:30,040 Speaker 3: Just over time. 282 00:12:30,080 --> 00:12:32,240 Speaker 2: Reducing the portions and the number of days is a 283 00:12:32,240 --> 00:12:34,880 Speaker 2: really positive step also for the budgetly and whenever we 284 00:12:34,920 --> 00:12:37,840 Speaker 2: do budget stories, it's the meat and the proteins that 285 00:12:37,880 --> 00:12:39,960 Speaker 2: cost the most, so doing that swap at the moment 286 00:12:40,040 --> 00:12:42,800 Speaker 2: with budgets very tight in supermarket is a very good 287 00:12:42,880 --> 00:12:45,600 Speaker 2: way to cut back on red meat in general. And 288 00:12:45,600 --> 00:12:47,960 Speaker 2: perhaps sub in a plant meal or two and do 289 00:12:48,040 --> 00:12:50,160 Speaker 2: a bean nut chose instead of a mincemeat nut chose 290 00:12:50,240 --> 00:12:53,240 Speaker 2: once a week, or do a vegetarian lasagna rather than 291 00:12:53,240 --> 00:12:55,240 Speaker 2: a meat one, and just cut down that way, so 292 00:12:55,280 --> 00:12:57,440 Speaker 2: you're still enjoying your red meat couple of times a week, 293 00:12:57,720 --> 00:12:59,640 Speaker 2: but you're still getting plenty more plants, which is one 294 00:12:59,640 --> 00:13:01,680 Speaker 2: of the best things we can do to reduce cancer 295 00:13:01,760 --> 00:13:02,480 Speaker 2: risk in general. 296 00:13:02,960 --> 00:13:04,760 Speaker 1: I love that you mentioned the plants, because it's really 297 00:13:04,760 --> 00:13:07,160 Speaker 1: the antioxidants what we need to sort of help fight 298 00:13:07,240 --> 00:13:09,400 Speaker 1: those free radicals. And I think a lot of people, 299 00:13:09,600 --> 00:13:11,079 Speaker 1: well I'm not sure if a lot of people understand 300 00:13:11,160 --> 00:13:13,480 Speaker 1: or not that the more diversity in your diet, the 301 00:13:13,520 --> 00:13:17,000 Speaker 1: more colors, the more you know different types and varieties 302 00:13:17,000 --> 00:13:18,959 Speaker 1: of fruits and veggies, and the colors you're getting different 303 00:13:19,000 --> 00:13:22,320 Speaker 1: types of polyphenials and antioxidants, and that's all the goodness 304 00:13:22,320 --> 00:13:25,160 Speaker 1: that you get from whole foods. You can't really find 305 00:13:25,160 --> 00:13:28,520 Speaker 1: that good quality stuff in a supplementation. So taking something 306 00:13:28,600 --> 00:13:30,720 Speaker 1: like a greens powder or a fruit and veggie powder 307 00:13:31,080 --> 00:13:32,600 Speaker 1: just isn't going to cut it when we look at, 308 00:13:32,600 --> 00:13:35,480 Speaker 1: as you said, Susie, buffering that risk of leading to 309 00:13:35,800 --> 00:13:38,120 Speaker 1: you know, potentially cancers and that sort of thing long term. 310 00:13:38,120 --> 00:13:40,000 Speaker 1: It just you've got to eat your fruits and veggies. 311 00:13:40,040 --> 00:13:42,240 Speaker 1: There's no where around it. You're an adult, Suck it up. 312 00:13:42,280 --> 00:13:44,240 Speaker 1: It doesn't matter if you don't like it. You guys 313 00:13:44,280 --> 00:13:47,080 Speaker 1: know how hard grow I am on this thing. You 314 00:13:47,160 --> 00:13:50,240 Speaker 1: can't supplement the good quality. It's not just the fiber 315 00:13:50,280 --> 00:13:52,360 Speaker 1: from fruit and veggies. You know, it's the antioxidants, it's 316 00:13:52,360 --> 00:13:55,800 Speaker 1: a polyphenals, it's so many other important nutrients for our 317 00:13:55,840 --> 00:13:58,400 Speaker 1: health that you cannot get in a pill or a powder. 318 00:13:58,600 --> 00:14:00,520 Speaker 1: So it really is a non negotiation guys for the 319 00:14:00,600 --> 00:14:04,120 Speaker 1: nutrition couch and absolutely non negotiable eachy veggies it is. 320 00:14:04,360 --> 00:14:06,319 Speaker 2: And I think the other guideline I give for people, 321 00:14:06,400 --> 00:14:09,800 Speaker 2: particularly red meal planning for a family is that the 322 00:14:09,880 --> 00:14:12,600 Speaker 2: more you buy, the more you'll consume. So if you 323 00:14:12,679 --> 00:14:16,439 Speaker 2: consume large portions of red meat, you buy a kilo, 324 00:14:16,480 --> 00:14:18,680 Speaker 2: you'll eat a kilo. So if you start just to 325 00:14:18,679 --> 00:14:21,720 Speaker 2: buy five hundred grams to feed four people, that's a 326 00:14:21,840 --> 00:14:24,400 Speaker 2: rough guide of how much we should be consuming as 327 00:14:24,400 --> 00:14:27,160 Speaker 2: opposed to buying the kilo, or at least if you 328 00:14:27,160 --> 00:14:29,480 Speaker 2: are buying in box to save money, just be aware 329 00:14:29,600 --> 00:14:32,120 Speaker 2: that a kilo is actually two serves for a family, 330 00:14:32,480 --> 00:14:34,200 Speaker 2: and we look in horror because we're so used to 331 00:14:34,280 --> 00:14:37,080 Speaker 2: eating a lot more than that. But bulking any kind 332 00:14:37,120 --> 00:14:39,680 Speaker 2: of meal out with extra vegetables is the key to 333 00:14:39,800 --> 00:14:42,480 Speaker 2: gradually reduce the portions of meat and still enjoy it 334 00:14:42,520 --> 00:14:45,840 Speaker 2: and control amounts, but reduce that cancer risk overall. And 335 00:14:45,880 --> 00:14:48,080 Speaker 2: certainly when it comes to process meats, the less we 336 00:14:48,200 --> 00:14:50,560 Speaker 2: consume the better I think the thing. And we'll come 337 00:14:50,600 --> 00:14:52,960 Speaker 2: back to this because we will talk specifically about ham. 338 00:14:53,680 --> 00:14:55,880 Speaker 2: But at least if you are buying some sort of 339 00:14:55,880 --> 00:14:58,720 Speaker 2: process meats as a sandwich filler, is cost effective option 340 00:14:58,880 --> 00:15:01,520 Speaker 2: for kids looking for ones that are the lean, low 341 00:15:01,560 --> 00:15:04,200 Speaker 2: fat ones, if you can get ones that are nitrate free, 342 00:15:04,400 --> 00:15:06,080 Speaker 2: and again just mixing it up a little bit so 343 00:15:06,120 --> 00:15:09,240 Speaker 2: it's not every single day. That's the best advice. And yeah, 344 00:15:09,320 --> 00:15:11,920 Speaker 2: keep things like your salamis and very processed meats that 345 00:15:11,920 --> 00:15:14,480 Speaker 2: are high in nitrates to a minimum. You know, they're 346 00:15:14,480 --> 00:15:17,360 Speaker 2: really are very occasional foods, and just load up on 347 00:15:17,400 --> 00:15:20,160 Speaker 2: the veggies. Because it's a fair call that European countries, 348 00:15:20,200 --> 00:15:22,240 Speaker 2: the Italians, they've had process meats in the diet for 349 00:15:22,360 --> 00:15:25,680 Speaker 2: years now. Admittedly they do have relatively high rates about cancer, 350 00:15:25,680 --> 00:15:28,200 Speaker 2: but they also have a very high antioccident diet from 351 00:15:28,200 --> 00:15:30,720 Speaker 2: Mediterranean diet in many cases too, so they're getting that 352 00:15:30,760 --> 00:15:33,880 Speaker 2: buffering effect, whereas unfortunately here in Australia we don't have that. 353 00:15:33,920 --> 00:15:35,560 Speaker 2: We just get all the bad stuff and we don't 354 00:15:35,600 --> 00:15:37,480 Speaker 2: put in enough of the good. So you know, it 355 00:15:37,520 --> 00:15:39,760 Speaker 2: is something in moderation. Just because you have it doesn't 356 00:15:39,800 --> 00:15:42,560 Speaker 2: mean you'll get cancer. But as part of an overall balance, 357 00:15:42,640 --> 00:15:44,760 Speaker 2: the less of that we have the better, and certainly 358 00:15:44,800 --> 00:15:47,280 Speaker 2: loading up a lot more on the antioxidant rich foods 359 00:15:47,320 --> 00:15:49,280 Speaker 2: is a positive step for health in general. 360 00:15:49,760 --> 00:15:51,840 Speaker 1: It's definitely a risk, like you can't say for certain 361 00:15:51,880 --> 00:15:54,440 Speaker 1: that's something eating something will cause this or eating something 362 00:15:54,480 --> 00:15:56,680 Speaker 1: won't cause this. You know, we've known clients as you 363 00:15:56,720 --> 00:15:59,960 Speaker 1: who are absolutely healthy doing everything right. I've known diet 364 00:16:00,080 --> 00:16:02,920 Speaker 1: tians you know, have sadly developed cancer when they do 365 00:16:03,040 --> 00:16:04,960 Speaker 1: you know, quote unquote everything right. And you look at 366 00:16:04,960 --> 00:16:07,720 Speaker 1: some people and you just think, how do you not 367 00:16:07,800 --> 00:16:10,080 Speaker 1: have problems with your cholester How do you not have diabetes? 368 00:16:10,080 --> 00:16:12,040 Speaker 1: How do you not have some sort of cancer because 369 00:16:12,080 --> 00:16:14,000 Speaker 1: your diet is appalling and has been for you know, 370 00:16:14,040 --> 00:16:17,120 Speaker 1: twenty thirty years. So there's no A equals B here. 371 00:16:17,320 --> 00:16:19,520 Speaker 1: We're just trying to, I guess, reduce your risk and 372 00:16:20,320 --> 00:16:22,600 Speaker 1: the risk of your family overall. But I will make 373 00:16:22,640 --> 00:16:25,760 Speaker 1: one final point on this, SUSI legumes. Legumes should be 374 00:16:25,880 --> 00:16:28,960 Speaker 1: in every single family is trolley when you're doing your shopping, 375 00:16:29,000 --> 00:16:32,040 Speaker 1: because they are so cheap, they're so affordable. I don't 376 00:16:32,040 --> 00:16:33,720 Speaker 1: have time to soak my legumes. I don't know if 377 00:16:33,760 --> 00:16:35,520 Speaker 1: you do, Susie, so I just buy them in a can. 378 00:16:35,560 --> 00:16:37,440 Speaker 1: I give them a good wash. I'd be thinking, you know, 379 00:16:37,520 --> 00:16:41,960 Speaker 1: cannellini beans, chickpeas, brown lentils, black beans as well. If 380 00:16:41,960 --> 00:16:45,560 Speaker 1: you're doing Mexican basically any sort of meat mince meat 381 00:16:45,600 --> 00:16:47,960 Speaker 1: based dish, half the amount of mince meat that you're 382 00:16:47,960 --> 00:16:50,960 Speaker 1: putting in and loaded up with beans basically, so half 383 00:16:50,960 --> 00:16:53,280 Speaker 1: meat half beans. That way, you know the kids, and 384 00:16:53,960 --> 00:16:56,520 Speaker 1: you know your partner or whatever who doesn't like too 385 00:16:56,600 --> 00:16:58,880 Speaker 1: many vegetarian meals. You can sort of start to weave 386 00:16:58,920 --> 00:17:00,960 Speaker 1: it in that way, and at least you're harving the 387 00:17:01,040 --> 00:17:03,080 Speaker 1: amount of red meat that you're having on that one 388 00:17:03,080 --> 00:17:05,680 Speaker 1: sort of sitting, and you're getting all the additional health 389 00:17:05,680 --> 00:17:07,320 Speaker 1: benefits from legumes as well. 390 00:17:07,440 --> 00:17:08,320 Speaker 3: I use legumes. 391 00:17:08,320 --> 00:17:10,399 Speaker 2: I've got two key recipes because I have to be honestly, 392 00:17:10,440 --> 00:17:12,639 Speaker 2: and my stomach is quite sensitive. It doesn't respond so 393 00:17:12,720 --> 00:17:15,000 Speaker 2: well to them. I have to really watch it. I 394 00:17:15,040 --> 00:17:17,000 Speaker 2: will either have it if I'm having Asian cuisine, I'll 395 00:17:17,000 --> 00:17:18,840 Speaker 2: always order it at Amrmaid because I enjoy that and 396 00:17:18,880 --> 00:17:21,080 Speaker 2: I actually do them quite often in salad. But the 397 00:17:21,119 --> 00:17:24,480 Speaker 2: other is just at the moment soups, throwing some cannellini 398 00:17:24,520 --> 00:17:26,400 Speaker 2: beans which I find a bit gentler on the tummy, 399 00:17:26,920 --> 00:17:29,120 Speaker 2: or kidney beans as part of mince, or a chili 400 00:17:29,160 --> 00:17:31,879 Speaker 2: kon khane, a sort of my go tos. And absolutely 401 00:17:31,920 --> 00:17:34,280 Speaker 2: that's one area that most Australians would benefit from. Not 402 00:17:34,320 --> 00:17:36,800 Speaker 2: only financially is reaching for a ten or two of 403 00:17:36,840 --> 00:17:38,880 Speaker 2: beans each week for a couple of dollars, but from 404 00:17:38,880 --> 00:17:42,000 Speaker 2: a health perspective, it increases soluble fiber intake, it reduces 405 00:17:42,040 --> 00:17:45,960 Speaker 2: me intake overall, so nutritious, so you know, it makes 406 00:17:45,960 --> 00:17:47,960 Speaker 2: sense to us to incorporate a lot more of those 407 00:17:48,000 --> 00:17:50,880 Speaker 2: in our diet. All right, Lenn, So a client case 408 00:17:50,880 --> 00:17:54,080 Speaker 2: study is a topic that comes up all the time, 409 00:17:54,119 --> 00:17:56,680 Speaker 2: and I'm actually surprised we haven't covered it before. But 410 00:17:56,720 --> 00:17:58,720 Speaker 2: what triggered my interest in it was that I had 411 00:17:58,760 --> 00:17:59,879 Speaker 2: to write an article. 412 00:18:00,080 --> 00:18:01,800 Speaker 3: Will come out is to bring. 413 00:18:02,600 --> 00:18:05,880 Speaker 2: The Healthy Food Guy, which is a fantastic magazine dedicated 414 00:18:05,920 --> 00:18:07,800 Speaker 2: to all things healthy eating. So if you haven't seen 415 00:18:07,800 --> 00:18:09,600 Speaker 2: that and you love healthy recipes, look out for it 416 00:18:09,640 --> 00:18:12,480 Speaker 2: in supermarkets. It's a little white magazine. It's really great 417 00:18:13,080 --> 00:18:17,640 Speaker 2: and as part of the brief from the editor Brook Longfield, 418 00:18:17,640 --> 00:18:19,960 Speaker 2: who's a great dietitian. She said to me she wanted 419 00:18:19,960 --> 00:18:22,520 Speaker 2: me to interview some other dietitians, and of course I 420 00:18:22,680 --> 00:18:25,160 Speaker 2: reached out to people like you on a Sunday night 421 00:18:25,200 --> 00:18:27,280 Speaker 2: to say quick, I've had forgotten to do this article 422 00:18:27,320 --> 00:18:29,880 Speaker 2: and I need some comments. And I had been writing 423 00:18:29,920 --> 00:18:33,880 Speaker 2: the article to basically reflect that weight loss plateaus were 424 00:18:33,960 --> 00:18:38,520 Speaker 2: part of the journey of weight loss to be expected, 425 00:18:38,800 --> 00:18:41,520 Speaker 2: and there were several tricks we would use to shift 426 00:18:41,520 --> 00:18:43,480 Speaker 2: the body from a plateau when it basically had got 427 00:18:43,560 --> 00:18:45,639 Speaker 2: used to the new regime that had seen weight loss 428 00:18:46,040 --> 00:18:49,159 Speaker 2: and get things moving. Now, what surprised me land was 429 00:18:49,200 --> 00:18:51,480 Speaker 2: that when I got my responses from four or five 430 00:18:51,520 --> 00:18:54,879 Speaker 2: of my dietitian colleagues, most of them said that in 431 00:18:54,920 --> 00:18:58,320 Speaker 2: their experience, it wasn't as a result of the body 432 00:18:58,359 --> 00:19:00,600 Speaker 2: plateauing when it came to weight loss. 433 00:19:01,440 --> 00:19:02,680 Speaker 3: It was actually as a. 434 00:19:02,600 --> 00:19:05,800 Speaker 2: Result of non compliance over time as part of the 435 00:19:05,800 --> 00:19:09,240 Speaker 2: weight loss journey that had seen the weight loss results slow. 436 00:19:10,119 --> 00:19:12,360 Speaker 2: And then when I took a look at the latest research, 437 00:19:12,600 --> 00:19:14,800 Speaker 2: I had a new paper that had come out looking 438 00:19:14,840 --> 00:19:18,800 Speaker 2: at the modeling of weight loss plateaus physiologically. So the 439 00:19:18,840 --> 00:19:22,600 Speaker 2: body's response to losing weight and weight loss platos versus 440 00:19:23,200 --> 00:19:26,160 Speaker 2: a change in habits that basically led to an increasing 441 00:19:26,200 --> 00:19:29,679 Speaker 2: calorie intake, and the research paper suggested that there was 442 00:19:29,800 --> 00:19:33,040 Speaker 2: far less likely a chance the body would plateau as 443 00:19:33,040 --> 00:19:36,440 Speaker 2: opposed to the behaviors of the person would change. So 444 00:19:36,520 --> 00:19:39,200 Speaker 2: it really was of interest to me because even after 445 00:19:39,240 --> 00:19:41,920 Speaker 2: all the years that I've worked, I had to take 446 00:19:41,960 --> 00:19:45,600 Speaker 2: another look at my belief that weight loss plateaus were 447 00:19:45,640 --> 00:19:49,000 Speaker 2: part of the weight loss journey and really question, actually, 448 00:19:49,000 --> 00:19:53,080 Speaker 2: do we just get sick of the dieting or but 449 00:19:53,200 --> 00:19:55,520 Speaker 2: how I don't say dieting because that's sort of restrictive, 450 00:19:55,600 --> 00:19:59,440 Speaker 2: but the programs that support weight loss, which is calorie 451 00:19:59,440 --> 00:20:03,439 Speaker 2: deficaid and regular exercise and limiting high calorie foods, and 452 00:20:03,520 --> 00:20:05,239 Speaker 2: quite a few, as I said, all my colleagues came 453 00:20:05,280 --> 00:20:07,960 Speaker 2: back and said, in my experience, even though some people 454 00:20:08,000 --> 00:20:11,840 Speaker 2: may need some more calories or to increase the intensity 455 00:20:11,880 --> 00:20:14,320 Speaker 2: of the exercise to get off a weight loss plateau, 456 00:20:14,880 --> 00:20:17,720 Speaker 2: in more cases than not, it's that life takes over 457 00:20:17,760 --> 00:20:19,760 Speaker 2: and there's a lot more celebrations, or we're not as 458 00:20:19,800 --> 00:20:20,800 Speaker 2: strict as we once. 459 00:20:20,640 --> 00:20:22,760 Speaker 3: Were, and bad habits creep in. 460 00:20:23,119 --> 00:20:25,040 Speaker 2: So I thought That was really good for us to 461 00:20:25,080 --> 00:20:28,320 Speaker 2: have a little chat about it, because certainly you clients 462 00:20:28,320 --> 00:20:31,280 Speaker 2: will have lost five kilos or been on a certain 463 00:20:31,280 --> 00:20:32,840 Speaker 2: program for a couple of months, and I'll say my 464 00:20:32,840 --> 00:20:36,320 Speaker 2: weight loss is plateauing, and will brainstorm all ways around that, 465 00:20:36,400 --> 00:20:38,800 Speaker 2: and I now have to question that to say, well, actually, 466 00:20:38,840 --> 00:20:41,600 Speaker 2: the science would suggest that it's probably not a fact 467 00:20:41,640 --> 00:20:43,199 Speaker 2: that your body's used to it. It's probably that we 468 00:20:43,240 --> 00:20:45,080 Speaker 2: need to take a closer look. Actually what's going on 469 00:20:45,119 --> 00:20:47,600 Speaker 2: as some little extras suddenly slipped in, or do we 470 00:20:47,680 --> 00:20:49,720 Speaker 2: have to up the ante on the exercise that your 471 00:20:49,760 --> 00:20:52,520 Speaker 2: body's got used to. So you were one of those 472 00:20:52,560 --> 00:20:55,000 Speaker 2: dieticians who came back to me late on a Sunday night, 473 00:20:55,440 --> 00:20:56,520 Speaker 2: rescuing me from my. 474 00:20:58,160 --> 00:21:02,160 Speaker 3: Deadline. Tell me what is your experience. 475 00:21:01,560 --> 00:21:04,200 Speaker 2: With weight loss plateaus and do you agree that it's 476 00:21:04,400 --> 00:21:07,639 Speaker 2: probably not the body. It's probably more likely what we're eating. 477 00:21:07,880 --> 00:21:11,760 Speaker 1: Look, genuine plateaus exist, But in my experience and I've 478 00:21:11,760 --> 00:21:15,040 Speaker 1: worked with I want to say thousands of clients or 479 00:21:15,080 --> 00:21:16,560 Speaker 1: not thousands, that's probably a lie. 480 00:21:16,880 --> 00:21:19,199 Speaker 2: Hundreds Probably would be thousands though, because I think of 481 00:21:19,240 --> 00:21:20,360 Speaker 2: all the ones you would have seen in the. 482 00:21:20,400 --> 00:21:21,959 Speaker 1: Yeah, but I think because I spent a long time 483 00:21:22,040 --> 00:21:23,800 Speaker 1: doing the Gaessho cool and control, like I spent a 484 00:21:23,840 --> 00:21:26,639 Speaker 1: long time doing Go one hundred and you know hundreds. Anyway, 485 00:21:26,800 --> 00:21:29,800 Speaker 1: I've spent a long time working with clients, mostly female, 486 00:21:29,960 --> 00:21:34,280 Speaker 1: on fatloss, and plateaus absolutely do exist. But as she said, Susie, 487 00:21:34,480 --> 00:21:37,879 Speaker 1: the main thing that causes a plateau is non compliance. 488 00:21:38,160 --> 00:21:39,840 Speaker 1: So I always say to a client, like they'll freak 489 00:21:39,880 --> 00:21:41,480 Speaker 1: out because they wait, hasn't buds for a week, And 490 00:21:41,520 --> 00:21:43,560 Speaker 1: I said, tell me, look me dead in the eye 491 00:21:43,600 --> 00:21:46,960 Speaker 1: and tell me, honestly, if you have been completely consistent 492 00:21:47,000 --> 00:21:49,280 Speaker 1: with everything that we've talked about this week. And nine 493 00:21:49,320 --> 00:21:51,600 Speaker 1: times out of ten, I'd say nine point nine times 494 00:21:51,640 --> 00:21:54,960 Speaker 1: out of ten, it's Oh no. I work as crazy busy, 495 00:21:55,000 --> 00:21:56,720 Speaker 1: so I didn't hit my expos sessions. And I told 496 00:21:56,760 --> 00:21:58,880 Speaker 1: you i'd get ten thousand steps, but really I only 497 00:21:58,880 --> 00:22:00,920 Speaker 1: got three thousand this week. Or you know, I was 498 00:22:00,960 --> 00:22:02,879 Speaker 1: supposed to meal prep on a Sunday, but I had 499 00:22:02,880 --> 00:22:04,680 Speaker 1: two munch to drinks on Saturday, so I didn't get 500 00:22:04,680 --> 00:22:06,439 Speaker 1: it done. And then I was scrambling on a Monday, 501 00:22:06,480 --> 00:22:09,520 Speaker 1: and I was you know, didn't follow the whatever on Tuesday. 502 00:22:09,600 --> 00:22:11,800 Speaker 1: So all of the excuses start to come out of 503 00:22:11,800 --> 00:22:14,920 Speaker 1: the woodwork. So often, more often than not, the plateau 504 00:22:15,200 --> 00:22:18,439 Speaker 1: isn't a true plateau. The plateau is just, you know, 505 00:22:18,480 --> 00:22:21,800 Speaker 1: the weight loss is stalled because the consistency hasn't been there. 506 00:22:22,080 --> 00:22:24,080 Speaker 1: But what I generally say to client, and we say 507 00:22:24,119 --> 00:22:25,879 Speaker 1: to them we can't say in a calorie deficit for 508 00:22:25,920 --> 00:22:27,639 Speaker 1: too long, and we can't stay in a calorie deficit 509 00:22:27,680 --> 00:22:29,399 Speaker 1: forever because a lot of clients come to me and 510 00:22:29,400 --> 00:22:31,040 Speaker 1: they say, Leanne, I want to work with you. I've 511 00:22:31,040 --> 00:22:32,800 Speaker 1: been trying to lose weight for five years, And I say, 512 00:22:32,960 --> 00:22:34,200 Speaker 1: what the hell have you been doing if it's been 513 00:22:34,240 --> 00:22:37,399 Speaker 1: five years? But they seriously thought that they've been on 514 00:22:37,440 --> 00:22:39,200 Speaker 1: some sort of diet for the last five years and 515 00:22:39,480 --> 00:22:42,320 Speaker 1: nothing sort of working. But the thing is, as we know, Susie, 516 00:22:42,320 --> 00:22:44,159 Speaker 1: the diet is too strict they can't actually stick to it, 517 00:22:44,160 --> 00:22:46,359 Speaker 1: so they haven't been in that technically a deficit for 518 00:22:46,400 --> 00:22:48,399 Speaker 1: that long. But the thing with plateaus is and I 519 00:22:48,440 --> 00:22:50,560 Speaker 1: say to them and they say, how long should I 520 00:22:50,600 --> 00:22:52,680 Speaker 1: follow this plan? And we say, we followed this plan 521 00:22:52,880 --> 00:22:56,600 Speaker 1: until one of three things happens. Basically, the weight hits 522 00:22:56,640 --> 00:22:59,680 Speaker 1: a genuine plateau and we need to reintroduce calories and 523 00:22:59,720 --> 00:23:03,840 Speaker 1: revert start you and give you a break metabolically. Second reason, 524 00:23:04,240 --> 00:23:07,000 Speaker 1: your body tells us that it's time that it needs 525 00:23:07,000 --> 00:23:10,639 Speaker 1: a break. You're starting to experience hunger fatigue, the exercise 526 00:23:10,680 --> 00:23:13,520 Speaker 1: sessions are getting harder. The body is just basically crying 527 00:23:13,520 --> 00:23:16,119 Speaker 1: out for more food. You're thinking about food. You're waking 528 00:23:16,160 --> 00:23:18,760 Speaker 1: up and you're dreaming about food. The body is shouting 529 00:23:18,760 --> 00:23:20,240 Speaker 1: out to you, Hey, I need to come out of 530 00:23:20,240 --> 00:23:22,919 Speaker 1: this deficit. That's the second reason. And the third reason 531 00:23:23,040 --> 00:23:25,840 Speaker 1: is that mentally, you just need a break from darting. 532 00:23:25,920 --> 00:23:28,720 Speaker 1: You just need a break from you know, sort of tracking. 533 00:23:29,200 --> 00:23:32,120 Speaker 1: Maybe you counting calories, maybe you're following a plan. Maybe 534 00:23:32,119 --> 00:23:34,120 Speaker 1: you just like, I don't even have time to do 535 00:23:34,160 --> 00:23:36,080 Speaker 1: this meal prep for a week and count my snacks 536 00:23:36,080 --> 00:23:38,160 Speaker 1: and whatever. It might be. The brain and the body 537 00:23:38,200 --> 00:23:40,359 Speaker 1: just needs a little bit of a break mentally. There's 538 00:23:40,359 --> 00:23:43,600 Speaker 1: sort of the three reasons that I would reverse a 539 00:23:43,600 --> 00:23:46,119 Speaker 1: client out of a deficit and re add back food 540 00:23:46,160 --> 00:23:48,440 Speaker 1: back into them and aim to maintain the weight loss 541 00:23:48,480 --> 00:23:51,760 Speaker 1: today versus pushing for continued weight loss now. Only one 542 00:23:51,760 --> 00:23:55,199 Speaker 1: of those three is a genuine plateau, and it's the 543 00:23:55,359 --> 00:23:57,560 Speaker 1: least reason that I see for the majority of my 544 00:23:57,560 --> 00:24:00,119 Speaker 1: clients USY mostly I would say that it's the bod 545 00:24:00,240 --> 00:24:01,960 Speaker 1: is crying out for more food, Like they're starting to 546 00:24:02,000 --> 00:24:04,639 Speaker 1: get hungrier, they're starting to get more fatigue, they're starting 547 00:24:04,640 --> 00:24:08,600 Speaker 1: to find their exercise sessions harder, or just mentally they're like, look, 548 00:24:08,640 --> 00:24:10,560 Speaker 1: I've got a big few weekends coming up. I actually 549 00:24:10,560 --> 00:24:12,600 Speaker 1: don't want to hit the weight loss the you know, 550 00:24:12,600 --> 00:24:14,320 Speaker 1: the weight loss goals the weekends. I want to let 551 00:24:14,400 --> 00:24:17,560 Speaker 1: aim to maintain because it's my anniversary, I'm going on holidays, 552 00:24:17,640 --> 00:24:19,960 Speaker 1: or it's my best friend's wedding or whatever it might be. So, 553 00:24:20,040 --> 00:24:21,720 Speaker 1: you know, we make that decision to bring them out 554 00:24:21,720 --> 00:24:23,840 Speaker 1: of the deficit, give them more food, but maintain where 555 00:24:23,840 --> 00:24:26,840 Speaker 1: they're at. So in terms of plateaus, it is rare 556 00:24:27,080 --> 00:24:30,000 Speaker 1: for me to actually see that. I will say that 557 00:24:30,160 --> 00:24:32,800 Speaker 1: if I do see plateaus, when it a genuine plateau 558 00:24:32,840 --> 00:24:35,680 Speaker 1: where they've been super consistent, it does take a few weeks. 559 00:24:35,680 --> 00:24:37,159 Speaker 1: Like if they do a weight check for me one 560 00:24:37,240 --> 00:24:39,679 Speaker 1: week and say, for example, it's eighty killers and then 561 00:24:39,680 --> 00:24:41,639 Speaker 1: they didn't weight check the next week and it's eighty 562 00:24:41,640 --> 00:24:44,080 Speaker 1: point one, and then a third week and it's say 563 00:24:44,200 --> 00:24:47,560 Speaker 1: eighty point one again, I would call that a genuine plateau. 564 00:24:47,640 --> 00:24:49,639 Speaker 1: But if it's eighty one week, eighty point one the 565 00:24:49,720 --> 00:24:51,720 Speaker 1: next week, and then it's seventy nine point seven the 566 00:24:51,720 --> 00:24:53,880 Speaker 1: next week, I would say that they're still going down. 567 00:24:53,920 --> 00:24:55,840 Speaker 1: And that's that's to me true at loss. So I 568 00:24:55,840 --> 00:24:58,440 Speaker 1: think it really does come down to what you would 569 00:24:58,480 --> 00:25:01,720 Speaker 1: consider a plateau, And for me, it's a consistent three 570 00:25:01,800 --> 00:25:04,879 Speaker 1: to four weeks being consistently on plan, doing all the 571 00:25:04,920 --> 00:25:07,679 Speaker 1: right things, and that weight is consistent around you know, 572 00:25:07,920 --> 00:25:10,200 Speaker 1: give will take a couple of hundred grams, but it's 573 00:25:10,240 --> 00:25:12,439 Speaker 1: like a genuine plateau after three to four weeks. But 574 00:25:12,480 --> 00:25:14,680 Speaker 1: I feel like most of our client Suzi or maybe 575 00:25:14,720 --> 00:25:17,400 Speaker 1: before they start working with this, they're not even consistent 576 00:25:17,480 --> 00:25:19,720 Speaker 1: enough for that three to four weeks to even get 577 00:25:19,720 --> 00:25:22,000 Speaker 1: to the point where their body may even hit a plateau. 578 00:25:22,280 --> 00:25:24,760 Speaker 1: They've sort of fallen off the wagon well before they've 579 00:25:24,800 --> 00:25:27,359 Speaker 1: been consistent for three to four weeks. So I feel 580 00:25:27,359 --> 00:25:29,760 Speaker 1: like even just the definition of a plateau itself, I 581 00:25:29,760 --> 00:25:32,040 Speaker 1: think a lot of people struggle with. But it's something 582 00:25:32,080 --> 00:25:35,600 Speaker 1: that I don't see as commonly in my clinic as 583 00:25:35,640 --> 00:25:37,679 Speaker 1: they would see. You know, they tend to fall off 584 00:25:37,720 --> 00:25:40,080 Speaker 1: the wagon first, so they're not that consistent or really 585 00:25:40,160 --> 00:25:41,959 Speaker 1: their body just needs a bit of a break. More so, 586 00:25:42,000 --> 00:25:43,680 Speaker 1: they haven't even had a plateau their weight, it's still 587 00:25:43,720 --> 00:25:45,919 Speaker 1: going down, but their minds saying to them, hey, I 588 00:25:46,000 --> 00:25:47,760 Speaker 1: just feel like I need a bit more calories. What 589 00:25:47,800 --> 00:25:48,679 Speaker 1: do you see in your clinic? 590 00:25:49,040 --> 00:25:55,760 Speaker 2: I agree, because definitely I find life takes over after 591 00:25:55,800 --> 00:25:58,679 Speaker 2: a little while, and it's just so much easier to 592 00:25:58,760 --> 00:25:59,800 Speaker 2: overeat than underreat. 593 00:26:00,160 --> 00:26:00,520 Speaker 3: Period. 594 00:26:00,760 --> 00:26:03,040 Speaker 2: I think my go to is usually look at the 595 00:26:03,080 --> 00:26:08,480 Speaker 2: exercise because just as a general trend, the client I'm 596 00:26:08,520 --> 00:26:11,280 Speaker 2: seeing is someone who isn't doing a lot of high 597 00:26:11,280 --> 00:26:14,080 Speaker 2: intensity training to start with, so they may introduce more 598 00:26:14,119 --> 00:26:17,520 Speaker 2: walking as part of the intervention and keep in mind 599 00:26:17,520 --> 00:26:19,679 Speaker 2: all so I see a lot of insulin resistant women, 600 00:26:20,280 --> 00:26:22,840 Speaker 2: so they start walking. Now, what we know about insular 601 00:26:22,920 --> 00:26:27,760 Speaker 2: resistance is that you need to increase metabolic efficiency, which 602 00:26:27,760 --> 00:26:32,280 Speaker 2: comes from a training intensity and quite possibly weight type work. 603 00:26:32,440 --> 00:26:36,120 Speaker 2: So I often am working on the style and type 604 00:26:36,160 --> 00:26:38,679 Speaker 2: of training and making sure we're reaching those targets with 605 00:26:38,800 --> 00:26:41,840 Speaker 2: heart rate and things. Because the body is so efficient, 606 00:26:41,840 --> 00:26:43,640 Speaker 2: it just gets used to what people are doing very 607 00:26:43,720 --> 00:26:47,080 Speaker 2: very quickly. So often it's more because the calories are 608 00:26:47,200 --> 00:26:51,440 Speaker 2: you know, maybe ranging between twelve, fourteen sixteen, like, there's 609 00:26:51,480 --> 00:26:54,119 Speaker 2: just not that many to play with over time, you 610 00:26:54,119 --> 00:26:57,520 Speaker 2: don't necessarily you don't want to starve someone, so especially 611 00:26:57,560 --> 00:27:00,359 Speaker 2: if they're going from calorie controlling the week and perhaps 612 00:27:00,359 --> 00:27:02,800 Speaker 2: slightly higher on the weekend. So I would much rather 613 00:27:02,840 --> 00:27:08,080 Speaker 2: adjust the exercise to improve metabolic efficiency. But as I said, 614 00:27:08,600 --> 00:27:11,119 Speaker 2: after interviewing several of my colleagues, and these are all 615 00:27:11,160 --> 00:27:13,400 Speaker 2: weight loss specialists, so this is what they do all day, 616 00:27:13,480 --> 00:27:15,359 Speaker 2: every day in private practice, and I think they have 617 00:27:15,800 --> 00:27:18,080 Speaker 2: the best insights of everyone because they're dealing with the 618 00:27:18,280 --> 00:27:22,000 Speaker 2: real people in real life situations, and they're often relatively 619 00:27:22,040 --> 00:27:24,800 Speaker 2: compliant because they're paying good money to see it and 620 00:27:24,840 --> 00:27:28,040 Speaker 2: experienced dietician. So when I got their feedback that it's 621 00:27:28,040 --> 00:27:30,639 Speaker 2: often extra slip in, it's really changed the way I 622 00:27:30,680 --> 00:27:33,439 Speaker 2: look at it, so I agree it for a real plato, 623 00:27:33,520 --> 00:27:37,520 Speaker 2: it has to be over several weeks, two three, four weeks, 624 00:27:38,040 --> 00:27:41,000 Speaker 2: and it has to be demonstrated compliance and then really 625 00:27:41,000 --> 00:27:44,800 Speaker 2: look at the calorie loads and efficiency of training. So 626 00:27:44,920 --> 00:27:47,480 Speaker 2: I agree their plateaus. I think most people it's often 627 00:27:47,640 --> 00:27:50,480 Speaker 2: not enough tightness because life takes over. As I've described 628 00:27:50,520 --> 00:27:53,200 Speaker 2: with my clients earlier and I would much rather work 629 00:27:53,240 --> 00:27:57,119 Speaker 2: through a plato using exercise intervention than to be starting 630 00:27:57,160 --> 00:28:00,000 Speaker 2: to do fasting or cutting calories, because I really don't 631 00:28:00,200 --> 00:28:03,119 Speaker 2: like that much focus always on calories. I want people 632 00:28:03,160 --> 00:28:06,359 Speaker 2: to be able to have enjoy their food in reasonable 633 00:28:06,359 --> 00:28:09,840 Speaker 2: amounts and then move more potentially and become more metabolically 634 00:28:09,880 --> 00:28:14,600 Speaker 2: efficient to become better at burning calories. So yeah, I 635 00:28:14,640 --> 00:28:16,320 Speaker 2: think we could talk about it for ages. I think 636 00:28:16,320 --> 00:28:18,680 Speaker 2: it's a really interesting concept. And yeah, I'm sure we'll 637 00:28:18,680 --> 00:28:21,280 Speaker 2: get lots of feedback about it, but hopefully that's sort 638 00:28:21,320 --> 00:28:23,760 Speaker 2: of given two different perspectives. The first step would definitely 639 00:28:23,800 --> 00:28:25,520 Speaker 2: be to make sure you actually are on a plateau 640 00:28:26,119 --> 00:28:27,959 Speaker 2: and not using it as a bit of an excuse 641 00:28:28,040 --> 00:28:31,400 Speaker 2: around behavior. To really look at the calories and say, 642 00:28:31,400 --> 00:28:35,120 Speaker 2: am I actually being mindful and extra slipping in? And third, 643 00:28:35,320 --> 00:28:38,720 Speaker 2: if you know the calories are pretty good, is try 644 00:28:38,840 --> 00:28:42,160 Speaker 2: you training the right intensity or as the case of 645 00:28:42,160 --> 00:28:44,240 Speaker 2: a client I just saw this week, she trains every 646 00:28:44,280 --> 00:28:46,680 Speaker 2: day high intensity, but then doesn't do any movement all day, 647 00:28:47,160 --> 00:28:49,440 Speaker 2: so that the training isn't working anymore because the body 648 00:28:49,680 --> 00:28:51,520 Speaker 2: needs to also move. So really take a look at 649 00:28:51,520 --> 00:28:54,239 Speaker 2: how much movement and training you're doing and could you 650 00:28:54,280 --> 00:28:56,040 Speaker 2: do a bit more to make your body or help 651 00:28:56,080 --> 00:28:58,160 Speaker 2: your body become better at burning calories. 652 00:28:58,720 --> 00:29:01,160 Speaker 1: So I'll just quickly summers at home. I think you've 653 00:29:01,160 --> 00:29:04,120 Speaker 1: got If you've hit a genuine plateau, you've got three options. 654 00:29:04,400 --> 00:29:07,040 Speaker 1: You change up the exercise in terms off you do more. 655 00:29:07,080 --> 00:29:09,200 Speaker 1: You've got to output more. You've got to burn more 656 00:29:09,240 --> 00:29:12,600 Speaker 1: calories through exercise in order to continue with that fat loss. 657 00:29:12,880 --> 00:29:15,760 Speaker 1: You pull back on the calories you need to. Essentially 658 00:29:16,080 --> 00:29:18,440 Speaker 1: maybe not eat less. You can stilelye high volume, but 659 00:29:18,480 --> 00:29:20,960 Speaker 1: the calorie load has to be reduced. You can change 660 00:29:21,000 --> 00:29:23,520 Speaker 1: up the exercise, you can change up the nutrition. Actually 661 00:29:23,520 --> 00:29:25,680 Speaker 1: you've got four options. Loose you could do both if 662 00:29:25,720 --> 00:29:28,760 Speaker 1: you really wanted, or the fourth option is to come 663 00:29:28,800 --> 00:29:32,440 Speaker 1: out of that plateau, reintroduce calories and basically reverse diet 664 00:29:32,480 --> 00:29:35,000 Speaker 1: and bring yourself back to maintenance. So they're the four options. 665 00:29:35,000 --> 00:29:37,040 Speaker 1: When you hit a plateau, what you don't want to 666 00:29:37,080 --> 00:29:39,640 Speaker 1: do is just stay there forever, continue to do the 667 00:29:39,640 --> 00:29:42,160 Speaker 1: same thing, even in the calorie deficit, push yourself with 668 00:29:42,200 --> 00:29:45,600 Speaker 1: all the exercise you know, mentally continue on in that 669 00:29:45,680 --> 00:29:48,160 Speaker 1: deficit to get zero results, because you're just going to 670 00:29:48,240 --> 00:29:49,600 Speaker 1: burn out at the end of the day, and what's 671 00:29:49,600 --> 00:29:52,040 Speaker 1: going to happen is you're going to instead of slowly 672 00:29:52,080 --> 00:29:55,240 Speaker 1: reintroducing calories in order to try and maintain the fat loss, 673 00:29:55,320 --> 00:29:57,320 Speaker 1: you've got to completely blow out. You're going to introduce 674 00:29:57,400 --> 00:30:00,080 Speaker 1: calories way too quickly, and you're going to pile all 675 00:30:00,160 --> 00:30:02,000 Speaker 1: the weight back on again. So I think when you 676 00:30:02,040 --> 00:30:04,960 Speaker 1: do hit a genuine plateau, don't just stay there. Make 677 00:30:05,000 --> 00:30:08,000 Speaker 1: a decision either push for more. But if you're already hungry, 678 00:30:08,160 --> 00:30:10,200 Speaker 1: you're already tired, you have no more time in your 679 00:30:10,240 --> 00:30:13,520 Speaker 1: day to exercise, guess what that's your body's way of saying, Hey, 680 00:30:13,880 --> 00:30:15,520 Speaker 1: I need to learn how to eat a little bit 681 00:30:15,560 --> 00:30:18,920 Speaker 1: more reverse diet and actually bring myself back to maintenance 682 00:30:18,960 --> 00:30:21,720 Speaker 1: and learn to maintain. Sometimes pushing for more fat loss 683 00:30:21,720 --> 00:30:24,120 Speaker 1: isn't actually the best thing. And then moving on to 684 00:30:24,120 --> 00:30:26,200 Speaker 1: our final segment of the show, Susie, I think this 685 00:30:26,240 --> 00:30:28,040 Speaker 1: one's a really interesting topic that we get a lot 686 00:30:28,080 --> 00:30:31,040 Speaker 1: of comments about online and it's really about dairy. So 687 00:30:31,040 --> 00:30:33,120 Speaker 1: a listener has come in they put in a question 688 00:30:33,320 --> 00:30:37,440 Speaker 1: ya our Instagram page the Nutrition Couch podcast, and they've 689 00:30:37,440 --> 00:30:39,760 Speaker 1: asked us what is the difference in terms of intolerance 690 00:30:39,800 --> 00:30:42,000 Speaker 1: with dairy and an allergy to dairy. And I think 691 00:30:42,000 --> 00:30:44,280 Speaker 1: we hear this quite a lot. Susie or our clients go, oh, 692 00:30:44,320 --> 00:30:47,400 Speaker 1: I can't tolerate dairy, And I'm like, do you not 693 00:30:47,480 --> 00:30:50,160 Speaker 1: tolerate lactos or do not tolerate dairy? Because I think 694 00:30:50,200 --> 00:30:53,040 Speaker 1: that the two sort of get thrown in together, don't they. 695 00:30:52,920 --> 00:30:53,560 Speaker 3: All the time? 696 00:30:53,680 --> 00:30:56,760 Speaker 2: It would probably be the most common report I have 697 00:30:56,840 --> 00:31:01,760 Speaker 2: from clients around intolerances or incitivities, and that's exactly what 698 00:31:01,800 --> 00:31:02,320 Speaker 2: they say. 699 00:31:02,720 --> 00:31:03,880 Speaker 3: Dairy doesn't agree with me. 700 00:31:05,040 --> 00:31:07,520 Speaker 2: And then I'll say, okay, well, like do you get 701 00:31:08,120 --> 00:31:09,000 Speaker 2: what's the symptoms? 702 00:31:09,040 --> 00:31:09,960 Speaker 3: Like are you blow shit? 703 00:31:10,120 --> 00:31:10,280 Speaker 1: Oh? 704 00:31:10,360 --> 00:31:12,600 Speaker 3: I feel very blow shit. They'll say, okay, I. 705 00:31:12,560 --> 00:31:16,240 Speaker 2: Say you're gassy, because if we're honest with it, if 706 00:31:16,240 --> 00:31:19,760 Speaker 2: we're honest, if you're truly intolerant to lactose, you will 707 00:31:19,760 --> 00:31:23,320 Speaker 2: be gassy because it's malabsorption of sugars, and without being 708 00:31:23,440 --> 00:31:26,000 Speaker 2: crashed on the nutrition couch, it's a foul odor. If 709 00:31:26,040 --> 00:31:29,320 Speaker 2: you're not absorbing lactose, you will have be gassy and 710 00:31:29,360 --> 00:31:31,760 Speaker 2: it will be quite a pungent odor. And so I'll 711 00:31:31,800 --> 00:31:34,160 Speaker 2: ask that question and they'll be like, oh no, and 712 00:31:34,200 --> 00:31:36,880 Speaker 2: I'm like, hmm, okay, So maybe it's more of a 713 00:31:36,880 --> 00:31:40,840 Speaker 2: preference because my understanding Valgie, and I'm no by no 714 00:31:41,000 --> 00:31:43,400 Speaker 2: means a specialist, but in terms of what I understand 715 00:31:43,400 --> 00:31:45,080 Speaker 2: to be true with the gut and myself, I'm sort 716 00:31:45,080 --> 00:31:49,640 Speaker 2: of slightly lactose intolerant. If it's probably you prefer not 717 00:31:49,680 --> 00:31:51,000 Speaker 2: to have it, or you find that it's a bit 718 00:31:51,000 --> 00:31:53,720 Speaker 2: heavy for your tummy, or I always like this one 719 00:31:54,000 --> 00:31:56,800 Speaker 2: when people say they can't tolerate milk, but cheese is fine, 720 00:31:57,240 --> 00:32:00,760 Speaker 2: so they're very happy to go full strength chair and 721 00:32:00,760 --> 00:32:04,200 Speaker 2: the Mersey Valley and the breed that's fine, but not milk. 722 00:32:04,320 --> 00:32:06,080 Speaker 2: So I think there's a little bit of that that 723 00:32:06,120 --> 00:32:07,680 Speaker 2: goes on, and that's okay, you know, because at the 724 00:32:07,760 --> 00:32:10,040 Speaker 2: end of the day, we all have a personal choice 725 00:32:10,040 --> 00:32:11,640 Speaker 2: about how we like to eat, and if someone doesn't 726 00:32:11,640 --> 00:32:13,760 Speaker 2: want to have dairy or doesn't like to drink milk, 727 00:32:13,760 --> 00:32:15,640 Speaker 2: I have no issue with it. But if we're being 728 00:32:15,640 --> 00:32:19,160 Speaker 2: technical about it and scientific, it's very different to be 729 00:32:19,440 --> 00:32:23,000 Speaker 2: allergic to dairy to intolerant to it, and latchose intolerant 730 00:32:23,440 --> 00:32:25,200 Speaker 2: intolerance is again very specific. 731 00:32:25,240 --> 00:32:27,280 Speaker 1: True, yeah, and this is my area, So let me 732 00:32:27,360 --> 00:32:29,200 Speaker 1: kick us off, Susie and really break down what the 733 00:32:29,240 --> 00:32:32,080 Speaker 1: difference between an allergy and an intolerance is because it 734 00:32:32,120 --> 00:32:34,640 Speaker 1: really does Greek more bones when, particularly if I'm at 735 00:32:34,680 --> 00:32:36,800 Speaker 1: like a wedding or I'm at like a friend's baby 736 00:32:36,800 --> 00:32:39,320 Speaker 1: shower or something, and somebody's gone out of their way 737 00:32:39,360 --> 00:32:42,440 Speaker 1: to prepare a meal because somebody said I'm allergic to dairy, 738 00:32:42,760 --> 00:32:44,680 Speaker 1: and then you know, the milk get put in front 739 00:32:44,680 --> 00:32:46,160 Speaker 1: of the they go, oh, I don't really like this, so 740 00:32:46,200 --> 00:32:49,400 Speaker 1: they start picking at somebody else's meal and I'm like, well, sorry, 741 00:32:49,480 --> 00:32:51,320 Speaker 1: that has cheese in it. They're like, oh, yeah, it's fine, 742 00:32:51,320 --> 00:32:54,280 Speaker 1: I eat cheese. And I'm like, they literally just prepared 743 00:32:54,360 --> 00:32:56,680 Speaker 1: a dairy free meal for you because you said you 744 00:32:56,720 --> 00:32:59,920 Speaker 1: had a dairy allergy. So it really does. It irks me, Susie, 745 00:33:00,080 --> 00:33:02,000 Speaker 1: I really want our listeners to understand that there is 746 00:33:02,000 --> 00:33:03,720 Speaker 1: a difference. If you don't want to drink milk, that's 747 00:33:03,760 --> 00:33:06,480 Speaker 1: absolutely okay, but I really want you to understand that 748 00:33:06,520 --> 00:33:10,479 Speaker 1: a cow's milk protein allergy is very, very very different too. 749 00:33:10,920 --> 00:33:13,440 Speaker 1: I don't like dairy, or I don't tolerate dairy, or 750 00:33:13,400 --> 00:33:16,479 Speaker 1: I have a lactose intolerance. So a cow's milk protein 751 00:33:16,520 --> 00:33:19,760 Speaker 1: allergy is something that will generally be picked up when 752 00:33:19,800 --> 00:33:21,320 Speaker 1: you're a baby. So I think a lot of our 753 00:33:21,360 --> 00:33:23,920 Speaker 1: parents listening who have babies with a cow's mit allergy, 754 00:33:24,160 --> 00:33:26,360 Speaker 1: they know what we're talking about. They've gone through hell, 755 00:33:26,520 --> 00:33:28,920 Speaker 1: they've got their bubbs on special formulas, or they've had 756 00:33:28,920 --> 00:33:32,560 Speaker 1: to completely cut out cow's milk protein from their dants themselves. 757 00:33:32,680 --> 00:33:34,880 Speaker 1: It's not something that you can just have a little 758 00:33:34,880 --> 00:33:37,080 Speaker 1: bit of every now and then, because a cow's milk 759 00:33:37,080 --> 00:33:40,240 Speaker 1: protein allergy is an immune response from the body, so 760 00:33:40,280 --> 00:33:43,719 Speaker 1: it's an abnormal response to the protein found in dairy. 761 00:33:43,880 --> 00:33:47,440 Speaker 1: Whereas lactose is about the carbohydrate load, an allergy comes 762 00:33:47,440 --> 00:33:50,600 Speaker 1: from the protein response. So this protein response in the 763 00:33:50,600 --> 00:33:54,720 Speaker 1: body results in the production of what we call IgE antibodies. 764 00:33:54,960 --> 00:33:58,560 Speaker 1: These are reacting to the dairy protein component. So when 765 00:33:58,560 --> 00:34:01,880 Speaker 1: they're exposed to the dairy pro this basically signals to 766 00:34:02,000 --> 00:34:05,040 Speaker 1: the immune system to release high amounts of histamines and 767 00:34:05,120 --> 00:34:08,000 Speaker 1: other types of chemicals which cause these allergic sort of 768 00:34:08,000 --> 00:34:11,600 Speaker 1: response systems. So some signs that you have a cow's 769 00:34:11,600 --> 00:34:14,600 Speaker 1: milk allergy will be you'll get hives, you'll get swelling 770 00:34:14,640 --> 00:34:18,240 Speaker 1: of the face, lips or eyes, you'll have projectile type vomiting, 771 00:34:18,280 --> 00:34:20,520 Speaker 1: and all our mums and dads listening at home with 772 00:34:20,800 --> 00:34:24,560 Speaker 1: children with cow's milkalergies, they'll understand it's that projectile type vomit. 773 00:34:24,680 --> 00:34:26,279 Speaker 1: It's not just a little bit of spit up every 774 00:34:26,320 --> 00:34:28,759 Speaker 1: now and then. You could also have you have your 775 00:34:28,840 --> 00:34:31,719 Speaker 1: airways compromise. You could be wheezing or coughing. You can 776 00:34:31,760 --> 00:34:35,120 Speaker 1: have very noisy, radily breathing, a very hoarse voice. Your 777 00:34:35,160 --> 00:34:37,239 Speaker 1: tongue in your lips can get swollen. You can feel 778 00:34:37,239 --> 00:34:40,279 Speaker 1: a tightness or like tingling in your throat. If you've 779 00:34:40,280 --> 00:34:43,000 Speaker 1: got children or babies, they can go very pale or floppy. 780 00:34:43,040 --> 00:34:45,480 Speaker 1: And as I mentioned that projectile vomiting, you could be 781 00:34:45,520 --> 00:34:48,400 Speaker 1: super dizzy. You may even collapse. They're the signs of 782 00:34:48,400 --> 00:34:52,080 Speaker 1: a cow's milk protein allergy. Now they can happen immediately, 783 00:34:52,280 --> 00:34:54,319 Speaker 1: they can happen a few minutes later, or they can 784 00:34:54,400 --> 00:34:58,280 Speaker 1: happen a few hours later after somebody drinks or eats 785 00:34:58,280 --> 00:35:01,920 Speaker 1: something that contains cow's milk. So that's milk, it's yogurt, 786 00:35:02,000 --> 00:35:05,520 Speaker 1: it's any form of dairy cheese, cream, ice cream, all 787 00:35:05,520 --> 00:35:07,960 Speaker 1: of those forms, and it's just a small amount of them. 788 00:35:08,000 --> 00:35:10,400 Speaker 1: It's not something like people go, oh, you can have 789 00:35:10,400 --> 00:35:12,319 Speaker 1: a little bit of milk, but too much. Too much 790 00:35:12,400 --> 00:35:14,440 Speaker 1: doesn't agree with me, so I'm allergic to dairy. I 791 00:35:14,440 --> 00:35:16,520 Speaker 1: think people just don't really have that understanding of an 792 00:35:16,560 --> 00:35:20,160 Speaker 1: allergy versus an intolerance, whereas an intolerance, as I mentioned, 793 00:35:20,239 --> 00:35:23,759 Speaker 1: is really about the carbohydrate portion. Now, an intolerance is 794 00:35:23,760 --> 00:35:27,360 Speaker 1: something does not involve the immune system, and intolerance is, 795 00:35:27,400 --> 00:35:30,080 Speaker 1: as you mentioned, Susie, like a malabsorption of something. So 796 00:35:30,360 --> 00:35:33,279 Speaker 1: the biggest symptoms of it of lactose intolerance. So this 797 00:35:33,360 --> 00:35:36,640 Speaker 1: is talking about the carbohydrate, the lactose component in dairy. 798 00:35:37,000 --> 00:35:40,640 Speaker 1: That's more gastro symptoms. So you've got bloating, you've got diarrhea, 799 00:35:40,680 --> 00:35:43,240 Speaker 1: you've got maybe a little bit of sort of vomiting, 800 00:35:43,280 --> 00:35:45,960 Speaker 1: your spit up, you've got tummy pain and cramping. As 801 00:35:45,960 --> 00:35:48,360 Speaker 1: you mentioned, Susie, you've got excessive amounts of gas. So 802 00:35:48,400 --> 00:35:50,920 Speaker 1: everybody gets a little bit gassy, but this is excessive. 803 00:35:50,920 --> 00:35:53,680 Speaker 1: It's very sort of foul smelling. These are more of 804 00:35:53,719 --> 00:35:57,160 Speaker 1: that gut side of things. This is more where lactose 805 00:35:57,200 --> 00:36:02,080 Speaker 1: comes into place, So the body needs lactase to digest lactose. 806 00:36:02,400 --> 00:36:05,040 Speaker 1: So people with a lactose in tolerance can handle a 807 00:36:05,080 --> 00:36:08,360 Speaker 1: little but not too much. And the tolerance level is 808 00:36:08,400 --> 00:36:11,640 Speaker 1: different for every person. Now, we have an enzyme called 809 00:36:11,719 --> 00:36:15,799 Speaker 1: lactase in our body. The lactase enzyme breaks down the lactose. 810 00:36:16,040 --> 00:36:18,719 Speaker 1: People with a lactose intolerance, such as myself and you 811 00:36:18,800 --> 00:36:21,520 Speaker 1: mentioned you have a mild lactose intolerant Susy. I think 812 00:36:21,560 --> 00:36:23,560 Speaker 1: it's something like thirty percent of the population do, so 813 00:36:23,600 --> 00:36:26,480 Speaker 1: it's something that's very common. We lack enough of the 814 00:36:26,560 --> 00:36:29,840 Speaker 1: lactase enzymes to break down the product that we're eating. 815 00:36:30,000 --> 00:36:32,040 Speaker 1: So a small amount of cheese we could probably handle 816 00:36:32,160 --> 00:36:34,560 Speaker 1: just fine. If we had two scoops of ice cream 817 00:36:34,800 --> 00:36:37,440 Speaker 1: or a big glass of milk, we probably wouldn't handle 818 00:36:37,480 --> 00:36:39,680 Speaker 1: that as well because we don't have enough of those 819 00:36:39,880 --> 00:36:43,360 Speaker 1: enzymes called lactase. So the only difference between normal milk 820 00:36:43,400 --> 00:36:45,920 Speaker 1: and a lactose free milk, or normal ice cream and 821 00:36:45,960 --> 00:36:49,200 Speaker 1: a lactose free ice cream is it's basically it's normal 822 00:36:49,239 --> 00:36:53,239 Speaker 1: ice cream or normal milk with extra lactase enzymes added in. 823 00:36:53,440 --> 00:36:56,440 Speaker 1: So that's why something like lactose free milk tastes sweeter 824 00:36:56,719 --> 00:36:59,400 Speaker 1: because lactase is like double bonded carbon, it tastes a 825 00:36:59,400 --> 00:37:02,239 Speaker 1: lot sweeter. You don't add extra sugar into something like 826 00:37:02,320 --> 00:37:04,960 Speaker 1: lactose free milk, it's just the extra carbons in there 827 00:37:05,120 --> 00:37:07,560 Speaker 1: or the extra enzymes that they're adding into it. You 828 00:37:07,600 --> 00:37:10,520 Speaker 1: can also get things like lactase tablets where if you're 829 00:37:10,560 --> 00:37:13,080 Speaker 1: going to have a meal that's quite high in lactose 830 00:37:13,280 --> 00:37:15,480 Speaker 1: or quite high you know, dairy products, you can take 831 00:37:15,520 --> 00:37:18,000 Speaker 1: those lactase tablets and your body can have enough of 832 00:37:18,080 --> 00:37:20,279 Speaker 1: those enzymes to help you break that down and not 833 00:37:20,360 --> 00:37:23,600 Speaker 1: have those gi all those gut sort of issues afterwards. 834 00:37:23,600 --> 00:37:26,680 Speaker 1: So that's the biggest difference between a lactose and tolerant 835 00:37:26,680 --> 00:37:29,440 Speaker 1: and a cow's milk protein allergy. So it's not that 836 00:37:29,480 --> 00:37:32,520 Speaker 1: you're allergic to dairy. You can tolerate lactose. Sure, you'll 837 00:37:32,560 --> 00:37:35,080 Speaker 1: get symptoms, you'll get you know, gut upsets and that 838 00:37:35,120 --> 00:37:37,480 Speaker 1: sort of thing, but it's dose dependent, and there are 839 00:37:37,560 --> 00:37:42,000 Speaker 1: higher amounts of lactose in thin products compared to thicker, 840 00:37:42,080 --> 00:37:45,000 Speaker 1: harder products. So things like cheddar cheese is hard, it 841 00:37:45,040 --> 00:37:47,160 Speaker 1: has a very low amount of lactose, which is why 842 00:37:47,160 --> 00:37:49,680 Speaker 1: a lot of people can tolerate hard cheese just fine. 843 00:37:49,760 --> 00:37:52,400 Speaker 1: But if you had a very soft cheese like cottage cheese, 844 00:37:52,480 --> 00:37:55,040 Speaker 1: some people with a higher lactose and tolerances would really 845 00:37:55,040 --> 00:37:57,280 Speaker 1: struggle with that. That's why a lot of people struggle 846 00:37:57,320 --> 00:37:59,799 Speaker 1: with milk, but they can handle thick yogurt and hard 847 00:38:00,360 --> 00:38:02,960 Speaker 1: just fine because the amount of lactose in those thicker, 848 00:38:03,000 --> 00:38:06,120 Speaker 1: harder products are a lot less. So basically, if you're 849 00:38:06,120 --> 00:38:08,400 Speaker 1: listening and you have a lactose intolerance, don't ever buy 850 00:38:08,440 --> 00:38:11,000 Speaker 1: a lactose free hard cheese. It's out there, it exists. 851 00:38:11,200 --> 00:38:13,280 Speaker 1: It's basically just a marketing employe, you're kind of wasting 852 00:38:13,280 --> 00:38:16,680 Speaker 1: your money. Unless you're very, very very sensitive, you should 853 00:38:16,719 --> 00:38:19,320 Speaker 1: be able to tolerate hard cheese just fine. It's really 854 00:38:19,360 --> 00:38:21,200 Speaker 1: just the milk, the yogurt, the cream that a lot 855 00:38:21,239 --> 00:38:23,839 Speaker 1: of people have problems with because it is very thin. 856 00:38:24,239 --> 00:38:26,680 Speaker 1: So that's sort of my take on the difference between 857 00:38:26,680 --> 00:38:30,040 Speaker 1: the lactose intolerance and a cow's milk protein allergy. It's 858 00:38:30,160 --> 00:38:32,440 Speaker 1: very rare that you'll get to your adulthood and realize 859 00:38:32,440 --> 00:38:34,880 Speaker 1: that you have a cow's milk protein allergy. Is often 860 00:38:35,080 --> 00:38:36,760 Speaker 1: very much diagnosed when you're a baby. 861 00:38:36,840 --> 00:38:38,879 Speaker 2: It is, and I think the take our message from 862 00:38:38,880 --> 00:38:41,239 Speaker 2: me not really dealing with allergies a whole lot other 863 00:38:41,280 --> 00:38:43,920 Speaker 2: than people describing the symptoms they may have from certain 864 00:38:43,960 --> 00:38:48,399 Speaker 2: foods is that if you do for whatever reason, if 865 00:38:48,400 --> 00:38:51,120 Speaker 2: you're having intolerance or it doesn't agree with you, whatever 866 00:38:51,160 --> 00:38:54,080 Speaker 2: the reason, if you do cut out milk and all dairy, 867 00:38:54,160 --> 00:38:57,160 Speaker 2: you've got to replace the calcium because you can't just 868 00:38:57,200 --> 00:38:59,279 Speaker 2: sometimes swap in an almond milk or something and think 869 00:38:59,280 --> 00:39:01,080 Speaker 2: it's better for you and not check that it does 870 00:39:01,120 --> 00:39:04,480 Speaker 2: contain calcium. So dairy is our richest natural source of 871 00:39:04,840 --> 00:39:07,520 Speaker 2: dietary calcium, and so if you choose for whatever reason 872 00:39:07,560 --> 00:39:09,520 Speaker 2: to not use it or you can't tolerate it, just 873 00:39:09,640 --> 00:39:12,520 Speaker 2: make sure that whatever alternative you are using, or if 874 00:39:12,520 --> 00:39:14,959 Speaker 2: you're not using any milk alternatives, that you are getting 875 00:39:15,000 --> 00:39:17,799 Speaker 2: some calcium, because that is a nutrient, particularly in the 876 00:39:17,840 --> 00:39:20,640 Speaker 2: diets of post metapausal women that does lack. And with 877 00:39:20,719 --> 00:39:22,920 Speaker 2: the shift towards plant based eeding and plant based milks, 878 00:39:22,920 --> 00:39:25,080 Speaker 2: there's a lot more austrange women not getting enough of it. 879 00:39:25,440 --> 00:39:27,799 Speaker 1: Definitely, and there's actually been some newer research where maybe 880 00:39:27,840 --> 00:39:29,600 Speaker 1: we could talk about this on another episode. So easy 881 00:39:29,680 --> 00:39:33,080 Speaker 1: for pregnancy and breastfeeding, calcium is super important, and calcium 882 00:39:33,120 --> 00:39:35,400 Speaker 1: and vitamin D there's actually links that that can cause 883 00:39:35,440 --> 00:39:37,640 Speaker 1: things like xmera and that sort of thing in children. 884 00:39:37,719 --> 00:39:39,960 Speaker 1: Later on if mums aren't getting enough while they are 885 00:39:39,960 --> 00:39:42,800 Speaker 1: pregnant and breastfeeding. So it's a very very important nutrient 886 00:39:42,960 --> 00:39:46,480 Speaker 1: that I agree with you. It probably isn't highlighted enough 887 00:39:46,520 --> 00:39:48,440 Speaker 1: in our diets, and with the big shift in more 888 00:39:48,440 --> 00:39:51,600 Speaker 1: people going towards plant based mills, it's something that absolutely 889 00:39:51,640 --> 00:39:54,279 Speaker 1: needs to be screened for on nutrition labels when we're 890 00:39:54,320 --> 00:39:56,920 Speaker 1: choosing a brand. Alrighty Well, that brings us to the 891 00:39:57,000 --> 00:39:59,960 Speaker 1: end of another episode of The Nutrition Cauch for another Sunday. 892 00:40:00,440 --> 00:40:02,560 Speaker 1: If you guys haven't done so already, we would really 893 00:40:02,600 --> 00:40:05,000 Speaker 1: appreciate if you subscribe to the podcast and that way 894 00:40:05,080 --> 00:40:08,360 Speaker 1: we will be automatically downloaded and in your inbox every Sunday, 895 00:40:08,440 --> 00:40:10,719 Speaker 1: and it really just does help the Nutrition Couch in 896 00:40:10,800 --> 00:40:13,080 Speaker 1: terms of the ratings and how well we do if 897 00:40:13,120 --> 00:40:15,319 Speaker 1: you'll subscribed to us as well, So you can also 898 00:40:15,360 --> 00:40:18,120 Speaker 1: follow us on Instagram and Facebook. We're at the Nutrition 899 00:40:18,200 --> 00:40:20,640 Speaker 1: Couch podcast. You're welcome to send us any questions or 900 00:40:20,680 --> 00:40:22,839 Speaker 1: products that you'd like us to review and we will 901 00:40:22,840 --> 00:40:25,440 Speaker 1: catch you guys on Wednesday for our product review. 902 00:40:25,480 --> 00:40:26,960 Speaker 3: And we should also say a big thank you. 903 00:40:27,000 --> 00:40:30,040 Speaker 2: We've just hit eight hundred thousand downloads, so That is 904 00:40:30,080 --> 00:40:31,880 Speaker 2: a really big thank you to everyone and we're on 905 00:40:31,920 --> 00:40:33,320 Speaker 2: our way to our first. 906 00:40:33,080 --> 00:40:34,799 Speaker 3: Million land yep, very close. 907 00:40:34,920 --> 00:40:36,759 Speaker 2: We're very happy, so thank you for the support, have 908 00:40:36,800 --> 00:40:50,879 Speaker 2: a great week, catch you on Wednesday.