Bite Back with Abbey Sharp - An Evidence-Based Guide to Gentle Weight Loss Without Fads (and Why It’s So Damn Hard) with Dr. Eric Williamson

Episode Date: January 21, 2025

In today’s episode of Bite Back with Abbey Sharp, we will be chatting with Registered dietitian and PhD Dr. Eric Williamson. Eric is a fellow registered dietitian specializing in fitness, performanc...e and longevity, with a PhD that focused on the intersection of exercise nutrition and metabolic health. He’s also the director of nutrition at Canyon Ranch wellness resorts and has been a key scientific advisor for my supplement brand, Neue Theory. Eric and I discuss the compensatory mechanisms that come into play when we try to lose weight (which makes it seemingly impossible). We talk about the importance of muscle mass for helping to “boost” metabolism. We discuss the role of women’s hormones in making weight loss more difficult. And we discuss calorie counting, and alternative gentle methods that are not restriction-based. Topics:00:37 - Weight Loss New Years Resolutions05:25 - The Futility of Calories In - Calories Out08:37 - Compensatory Mechanisms in Weight Loss10:41  - How the Brain Reacts to Weight Loss14:48  - How Metabolism Affects Weight Loss20:19 - How Hormones Affects Weight Loss24:09 - What Actually Matters for Weight Loss32:18 - Getting Out of the Restrictive Mindset36:20 - Do You Need to Track Calories?42:41 - Why Weight Loss is a STRUGGLE  References:https://pmc.ncbi.nlm.nih.gov/articles/PMC6058072/https://www.ncbi.nlm.nih.gov/books/NBK572145/https://pmc.ncbi.nlm.nih.gov/articles/PMC3718776/https://pmc.ncbi.nlm.nih.gov/articles/PMC3649463/https://pmc.ncbi.nlm.nih.gov/articles/PMC9875820/https://pmc.ncbi.nlm.nih.gov/articles/PMC8235588/https://pubmed.ncbi.nlm.nih.gov/16469977/https://pubmed.ncbi.nlm.nih.gov/31256714/https://pubmed.ncbi.nlm.nih.gov/34538033/https://link.springer.com/article/10.1007/s00394-022-03054-zhttps://pmc.ncbi.nlm.nih.gov/articles/PMC5639963/Check in with today’s amazing guest Eric Williamson:Instagram @eric.williamson.phdWebsite: www.unlockedfitnessandnutrition.com Disclaimer: The content in this episode is for educational and entertainment purposes only and is never a substitute for medical advice. If you’re struggling with with your mental or physical health, please work one on one with a health care provider.Trigger Warning: We will be discussing weight loss in today’s episode and mentioning calories, so feel free to skip this video if that is not supportive to your journey.   🥤 Check out my 2-in-1 Plant Based Probiotic Protein Powder, neue theory at www.neuetheory.com or @neuetheoryDon’t forget to Please subscribe on Apple, Spotify or wherever you get your podcasts and leave us a review! It really helps us out. ✉️ SUBSCRIBE TO MY NEWSLETTERS ⤵️Neue Theory newsletterAbbey's Kitchen newsletter 🥞 FREE HUNGER CRUSHING COMBO™ E-BOOK! 💪🏼 FREE PROTEIN 101 E-BOOK! Disclaimer: The content in this episode is for educational and entertainment purposes only and is never a substitute for medical advice. If you’re struggling with with your mental or physical health, please work one on one with a health care provider. 📱 Follow me! Instagram: @abbeyskitchenTikTok: @abbeyskitchenYouTube: @AbbeysKitchen My blog, Abbey’s Kitchen www.abbeyskitchen.com My book, The Mindful Glow Cookbook affiliate link: https://amzn.to/3NoHtvf If you liked this podcast, please like, follow, and leave a review with your thoughts and let me know who you want me to discuss next!

Transcript
Discussion (0)
Starting point is 00:00:00 And if you'd like to get into how we go about setting those targets, because it's not the ones in my fitness pal. I'll tell you that. It's not the targets that the app sets. Welcome to another episode of Bite Back with Abbey Sharp, where I dismantle diet culture rules, call it the charlatans spinning the pseudoscience and help you achieve food freedom for good. you achieve food freedom for good.
Starting point is 00:00:33 We are halfway through January, which probably means a good chunk of folks listening have already kind of taken a kick at the can on some kind of new exciting weight loss journey. And at least if we're talking statistically, most of those attempts have brought you right back to the starting line. And honestly, I get it. It's so hard not to hop on the whole New Year's resolution weight loss bandwagon. Like, we all woke up on January 1st, many of us probably a little hungover, to an unrelenting flood of diaculture messages. Each seemingly more extreme and yet also kind of more enticing than the last. It often feels impossible to know what or who to trust online, especially because weight loss advice has become as divisive as
Starting point is 00:01:24 politics and religion. You know it's like one day the key to weight loss advice has become as divisive as politics and religion. You know, it's like one day the key to weight loss is like six mini meals a day, and the next it's fasting until two. This clash of perspectives often leaves people bunny hopping between extremes while holding on to this promise that the next hot diet will be the one. It is giving Netflix speed dating show, on to this promise that the next hot diet will be the one. It is giving Netflix speed dating show and we all know that those relationships rarely work out.
Starting point is 00:01:53 So it's no secret that as a dietitian, I am decidedly anti New Year's New You and kinda like all the quick fix fads that come with it. I also am not a dietician that would ever tell a person that they need to or should lose weight. That said, I believe in body autonomy. And for a multitude of reasons, none of which are really my business to judge, there will always be people who want to lose weight. And while so much of my personal experience has framed intentional weight loss as an act of
Starting point is 00:02:30 self-destruction, for so many others it is often experienced as an act of self care. So if you yourself want to lose weight, I wholeheartedly support your choice. My job as a dietitian is to put my bias and personal experiences aside, meet people where they are in their journey, and help them make the most evidence-based decisions that weigh out the risks and benefits for physical and emotional health. My guest today, Dr. Eric Williamson, is really one of the best of the best for doing just that. I like to call Eric like the ultimate nutrition encyclopedia, but he's also someone I have been so lucky to call a colleague and friend. Eric is a fellow registered dietitian
Starting point is 00:03:19 specializing in fitness, performance, and longevity with a PhD that focuses on the intersection of exercise nutrition and metabolic health. He's also the director of nutrition at Canyon Ranch Wellness Resorts and has been a key scientific advisor for my supplement brand New Theory. He certainly has a very impressive CV and he has a keen interest in supporting people who want to lose weight in a gentle evidence based way. So settle in for this one folks, you are guaranteed to learn a lot. A quick note that we are going to be talking about weight loss and will be mentioning calories in this episode so please feel free to skip this if it's not supportive to your journey.
Starting point is 00:04:03 Also my general reminder that the information in this episode is for entertainment and educational purposes only and is never a replacement for personalized health care. Nor is this episode insinuating that you should or need to lose weight. Eric, thank you so much for joining me. Always a pleasure. I am so excited about this because I feel like I always learn something new from you. The WeighLoss world is so contradictory, so confusing. People are highly susceptible to grifty bad advice. I'm very excited that you're here to help set the
Starting point is 00:04:45 record straight. On as much as we can cover today, I'm excited for that too, because there's constantly those gophers popping up. It's like whack-a-mole. Oh, for sure. But happy to cover as much as we possibly can today. And thanks again, Abby, for having me here. I'm always excited to chat with you. Amazing. Okay, so let's jump in because like you said, there's just so much we could talk about. And I feel like if we're going to talk about weight loss, we kind of have to talk about what is physiologically necessary for it to happen, which is a calorie deficit. So in the simplest terms, this is kind of what people say calories in versus calories out equation where you need to eat fewer calories and you burn or burn more calories than you eat or a combo of both.
Starting point is 00:05:24 People say it's just math, right? Should be easy. Math should be easy. But it's clearly a little more complicated than that. Otherwise, this wouldn't be a multi-billion dollar industry. So, can you talk to me a little bit about some of the physiological adaptations that are kind of happening when you put yourself on a diet and you create a calorie deficit to lose weight?
Starting point is 00:05:44 Right. It sounds like a simple equation. Calories in minus calories out equals your caloric balance. If you're in a deficit, you lose weight. Should be plain and simple. But the reality is, is that it's about as useless to know it as it is to not know it for a lot of people, because there's so many things that go into calories in and go into calories out. Sure. With my background in research, it's hard enough to measure in a lab, let alone measuring that yourself with no training in science. Right. As some examples with calories in, first of all, there's pretty wide variation within products. So even an apple, there's a 40% variation. So that means one apple could be 100 calories,
Starting point is 00:06:35 another one could be 140, another one could be 60, the exact same type of apple. So that's one aspect of it. There's also when we have almonds versus almond butter. You have 100 calories worth of almond butter. Basically, 100% of that is absorbed. You have 100 calories versus from almonds because of the fiber and when we're chewing that, we swallow these little pieces that are calories, carbohydrates and fat trapped within that fiber that we can't absorb. So you only end up absorbing about 75%. So that's not exactly 100 calories for calories in when it impacts weight loss.
Starting point is 00:07:23 So that's difficult to measure. And then calorie expenditure, there's all of these things, which we might get into, that can impact that. As soon as we enter a deficit, our body adapts. Things can change physiologically that can prevent us from burning as much as we might anticipate. And then within measuring caloric expenditure, I mean, that's incredibly difficult. So true.
Starting point is 00:07:47 A lot of these devices these days are off by 30 plus percent. So yes, it is something that's physiologically necessary for weight loss, but extremely difficult in practice. Totally. And talk about the physiological adaptations in the sense when we do put ourselves in a calorie deficit, when we do lose weight, our NEAT, which is non-exercise activity thermogenesis,
Starting point is 00:08:15 that is also gonna reduce. Can you talk about some of those things, Grailin, Leptin, all that kind of stuff? Yeah. So there's the expenditure side of things, which is what you're referring to with NEAT, N-E-A-T, non-exercise activity thermogenesis. And we identified quite a while ago that that was primarily the, that was the main driver of that reduction in total daily caloric expenditure that people are
Starting point is 00:08:45 experiencing when they enter deficit or lose weight. However, it's not clear whether that is primarily because of people moving around less. We do see that with another research, but we also see that people actually expend a little bit less for those movements. So just walking around fidgeting, people expend a little bit less, our bodies become a little bit less for those movements. So just walking around fidgeting people expend a little bit less, our bodies become a little bit more efficient. Sure.
Starting point is 00:09:10 So NEAT encompasses both of those things. And then when we're discussing hunger hormones like ghrelin and leptin, that's the intake side of the equation. And quite honestly, that's something that I am always thinking about when I'm working with people as a dietitian because what we know, we have data to suggest that that's about 75% of the reason why it's difficult to lose weight and especially why it's difficult
Starting point is 00:09:38 to keep it off is because of those changes in ghrelin and leptin. Right. I would say leptin being the primary driver there, the one that signals to our body that we're full isn't being produced at as high of a rate as it was before we lost weight and we don't respond to it as well. So obviously, you know, all of these things combined make that calories in versus calories out equation a little more difficult than just calculating this perfect calorie, you know, calorie equation because there's all these compensatory mechanisms kind of like working against us to to kind of allow for that weight loss.
Starting point is 00:10:17 But you kind of talked a little bit about the those physiological pieces. How does the brain react to deprivation? Yeah, I'm glad you brought up the brain. I'll mention that when we look at genetic testing, this is just fascinating, want the listeners to hear this, that genes associated with different health conditions are almost always different health conditions are almost always found to be from that organ system itself. So if we look at genetics that are related to diseases of the pancreas, we often see
Starting point is 00:10:54 that those genes come from the pancreas. For looking at diseases that affect the kidneys, we often see that those genes that tend to be associated with kidney disease come from the kidneys. For weight gain or obesity, those genes aren't coming from adipose tissue. They're coming from the brain. Right. That's so interesting. So we know that the brain plays a huge role in our likelihood to gain weight. It's the largest genetic component that influences somebody's propensity to be at a higher body weight or be in a larger body.
Starting point is 00:11:34 So the brain plays a large role and it's not just that these people might be hungrier, it's also that certain people might be more likely to emotionally eat. They may be more prone to using eating as a coping mechanism. And I think it's really important that we're aware of this so that we're working with the brain and we're taking into account other lifestyle factors like stress and sleep, for example, whenever we're discussing the topic of waking or loss, because it's not just only about food and exercise.
Starting point is 00:12:13 Yeah, no, I, a hundred percent. And I kind of, you know, I often think about this like delicate dance, right? And creating enough of a calorie deficit to see weight loss, but not so great that you start to see all these compensatory mechanisms kick into high gear. And before we dive into that a little bit further, I'm sure everybody wants to know,
Starting point is 00:12:33 like, what is an appropriate calorie deficit to kind of be safe, prevent those, like, those compensatory mechanisms from kicking into high gear? Well, the deeper the deficit, the higher those compensatory mechanisms will typically be. That doesn't mean that if you go too deep into a deficit that you're not going to lose weight and then by increasing your caloric intake, you lose weight. Now some people have had that experience.
Starting point is 00:13:02 We don't actually have the science to support that. So I would suggest that it's more likely that they are increasing their intake to a deficit that is easier for them to maintain, especially given the compensatory mechanisms that affect appetite. So the deeper the deficit, the harder it is going to be to maintain. And when you're asking about an appropriate rate, I can, I can put a number on it. It's about 20% that somebody should be in a deficit to lose about 1% 0.5 to 1.5%. I usually say right around 1% of their body weight each
Starting point is 00:13:46 week is what we're targeting. And that's only one of the reasons is to help to keep these adaptations at bay, keep them manageable, but also muscle mass. It helps to preserve muscle mass. The faster the rate of weight loss beyond that, the more risk you are of losing lean mass. We don't want to trade one, solving one metabolic health issue for creating another one. Correct. Yeah. I feel like this is a good segue because I do want to talk more about metabolism. And I feel like for decades, we've been obsessed with the idea of metabolism and how to prevent it from slowing down and how to speed it up and all these hacks and supplements and meal plans and diet culture has basically turned the word metabolism to mean how many
Starting point is 00:14:48 calories can you burn or like how many calories can you eat now versus what you could eat when you were in high school. But I love how you describe metabolism because it's so much more than that. Can you just kind of give us like a quick, what is metabolism in your words? Like what does that encompass? Well, metabolism encompasses everything from the digestion, utilization, excretion of nutrients. So encompasses a lot and there's a lot more to metabolism than just calories. I know that that's what the lay public thinks of when they hear the word metabolism is I think burning calories and that's one aspect. One thing we have
Starting point is 00:15:25 to keep in mind when we're considering metabolism in that way being our our metabolic rate and in particular our resting metabolic rate is if we go even deeper what many people are referring to and they're thinking of increasing their metabolism or if they feel like their metabolism is slow they're usually referring to the resting metabolic rate which for many people that's like 60% or more of their total daily caloric expenditure. So it is the largest piece of the pie. And what I say is that we have to keep in mind that this isn't just a burning fire for no reason. Oh, for sure. It's not just they're burning things off, throwing logs on the fire because of whatever.
Starting point is 00:16:11 It's not for no reason. It's actually, it's literally our organs functioning. Right. So if somebody actually has a slow metabolism, then oftentimes we're seeing that show up in certain ways. We are seeing that organ systems are not functioning to the level that they should be. For example, women often lose their periods. Men will have low testosterone. If we have the opportunity in a lab, like the type of research that we used to do, the
Starting point is 00:16:44 lab that I came from, we'll see that muscle protein turnover is a lot slower. So we're not, we don't have the capacity to build. We don't have the capacity to repair and recover muscle as well. Same thing has been found in bone. Also digestive issues often come up. We often see that there's slower motility, which can cause things like gas, bloating, constipation. So if metabolism is lower, it's usually showing up in some other way
Starting point is 00:17:18 affecting our organ systems, because that's really what our resting metabolism is. It's our organs functioning. Yeah, no, and I love that you explained that because people just basically completely skip over the fact that it's so much more important than just like how many slices of pizza can you eat without gaining weight, which is basically what diet culture has taught us metabolism means. And is there anything realistically that actually works to quote unquote boost metabolism or at least prevent metabolic declines while losing weight? The best thing you can do is to maintain your muscle mass.
Starting point is 00:17:53 Oh, for sure. And people don't give that enough credit. Right. Because it's often said that a pound of muscle mass only only adds if you add a pound of muscle mass, you're expending six more calories per day. And people go, that's not very much, why even bother? Well, that's resting metabolism, like we were talking about before.
Starting point is 00:18:19 But we move throughout the day, and every movement we make costs more when we have larger muscles. So now we're talking 30 to perhaps as much as 50 calories per day per pound of muscle mass that we maintain or gain compared to if we don't consider exercise, especially resistance exercise when losing weight and then we're at a far greater risk of losing muscle mass with that. So that's the number one thing I would say to maintain our metabolism and our caloric
Starting point is 00:18:58 expenditure during that time. And of course it has many other benefits too. Of course. Yeah. So obviously putting the time, strength, training is very important. Getting an adequate protein, especially because protein expends more calories during digestion as well
Starting point is 00:19:13 and is super satiating and helps support that muscle mass. So yeah. Lots of reasons. Lots of reasons. Very important in all stages of life, but especially if you're in a calorie deficit because you are more at risk of cutting into your muscle mass. So, yeah.
Starting point is 00:19:27 Now, for women especially, I feel like discussions around metabolism often go hand in hand with discussions around hormones. And if you look online, there are so many people claiming you can quote, unquote, reset your hormones. And if you do that, you'll just drop the weight. First of all, for women specifically, what kind of impact are we talking when it comes to weight loss resistance from hormones? I can't even put a number on that. I don't know if a number exists, but it's not something
Starting point is 00:20:01 that for the vast majority of people is what the main barrier is to their weight loss. Totally. And even in that sense, even if hormones are influencing their likelihood of losing weight or not, it still is impacting one of the sides of that equation. It's either reducing expenditure or in most cases with any impact on hormones or impacts of drugs, when we see that drugs lead to weight gain or make it more difficult to lose weight, it's affecting appetite. So we're still working with the, the, the same drivers of this equation to produce that result that people are aiming for. In most cases, it's actually that weight loss will improve hormone levels, especially for women, because
Starting point is 00:20:57 adipose tissue can synthesize, it creates estrogen and excess adipose tissue can lead to excess estrogen levels and that increases risk of certain diseases and certain types of cancer. So by losing weight they can correct their hormone levels so it usually works in that direction rather than the other. Now there are certain things that we can still do to influence your hormone levels without weight loss. But at the end of the day, an overall nutritious diet, lo and behold, as with almost every condition is going to produce the best results. So we see that that helps to regulate hormone levels.
Starting point is 00:21:38 We see that if somebody is deficient in something, if they're deficient in a nutrient, then that can help to correct hormone levels. Not exercising will influence hormone levels, increasing exercise from when someone who is deficient, as I like to call it deficient in exercise that can influence hormone levels. We do know that certain compounds for women like phytoestrogens from soy primarily also lignans found in primarily flax seed that can actually have a pretty pronounced impact on hormone levels because these compounds
Starting point is 00:22:12 look like estrogen. They don't act entirely like estrogen. The effect is overwhelmingly positive for the receptors that they do act on, but they can lead to the body producing less estrogen if it is producing too much. So we see that some of these compounds can help regulate that. So to summarize that, it's not that there's nothing we can do about sex hormones without weight loss. It's typically not the hormones that are the primary barrier to losing weight, but losing weight can influence the hormones. Yeah, that's so interesting because of course, like, diaculture has sold it to us the other way, that there's a diet to solve the hormones.
Starting point is 00:22:55 And you know, you see always these quote unquote hormone reset programs making the rounds. And every single time I see one, I think this is such a red flag because what hormones do you even mean? There are so many different hormones at play and no one food or supplement is going to magically adjust all of them. So yeah, I think that that's something to be mindful of is that there is no one size fits all protocol that's going to kind of put all the hormones into play. If there's a specific hormone that needs adjusting for whatever reason, menopause and, you know, hypothyroidism, like, you know, there's different points of our lives or stages of life that
Starting point is 00:23:35 we come into different hormonal challenges, but there's no one food that's going to just like put them all into place. That's right. Yeah, like you mentioned, like hormones are not necessarily the reason holding women back from losing weight. What is the biggest challenge that you typically see from a lot of women? If it's not hormones, if it's not slowed metabolism. Well, I'll come back to something that's not my opinion from the data that we have today, which is a lot. There's a ton of it. It's demonstrating that it's appetite, not expenditure that we should be focused on. That's what I call a red herring. It's intake
Starting point is 00:24:13 that is the main driver of our body weight. And if we're aiming to lose weight, then we need to target that side of the equation. Of course, I'm not saying skip exercise. That's incredibly important for health and it still benefits us. By far the biggest lever that you can pull when aiming for weight loss because if we don't take that into account, then just boosting our caloric expenditure is just going to drive up appetite. And of course, well, what do you do with that? Right. So the next thing that we see that is primarily driving somebody's consumption
Starting point is 00:24:51 of calories, and it's not the only thing, I want to make that clear, but it is the largest piece of this puzzle is the caloric density of foods. So choosing foods that are very calorically dense, and then we can go deeper than that. Okay, and Eric before we do just so everyone's clear. What does calorie density mean? Like what is a high calorie density versus low calorie density? What are we talking about? It is Really? It's a math equation. It's calories per gram of food right and
Starting point is 00:25:24 To put that in a way that is a little bit more tangible for people, it's heavier, more voluminous foods that have lower caloric content. And in most cases, the reciprocal of that is the nutrient density. Right. And I actually prefer to talk about that. You know my philosophy around this,
Starting point is 00:25:45 right? Like being more nourishing and approaching certain aspects of nutrition rather than avoidance. But essentially, the caloric density is how much weight, how much volume of food do we have per calorie, because then you feel more full for less. And we have seen, especially in very recent studies, people want to check it out. There's one that was just published this year in the journal Appetite 2024 by Finlay. It shows that people eat a similar weight of food at meals. So if we fill that weight with very calorically dense items like oils and creams and sugar, then we're going to eat a much higher caloric intake. Whereas if we fill that weight with low caloric density foods like vegetables and whole grains and starchy
Starting point is 00:26:41 vegetables and lean proteins, then we're going to eat again, similar weight, similar amount, yet less calories. So we see that that is the primary driver. Again, not the only piece of the puzzle, but the largest one that we know now. And then then we need to look at this is going to be different for everyone. Why are people making those choices for higher caloric density foods? If that is the issue. Okay. And that can be stress.
Starting point is 00:27:10 That can be their balance of eating across the day. Uh, for some reason it has become common for women, especially to feel that an appropriate breakfast is something like a bagel and then an appropriate lunch is something like a chicken salad with a light dressing on it. And they've eaten like, you know, 300 calories. And I might not say that to them, but it's something that I'm thinking in my mind. Yeah, they've eaten a very small amount. And whenever I hear people when they're taking me through their dietary recall, like they're taking me through what they eat in a typical day, say that I'm like, okay, well,
Starting point is 00:27:48 their body's going to want a lot more later. Right. Because like you were talking about before, if we enter too deep into a deficit, we're going to see that appetite just skyrocket. Rebound. So we often see, we see those cravings coming in the afternoon, we see them coming in in the evening time, it's contributing to stress. So if we can balance their intake across the day, if we can have a more balanced breakfast with some protein in there, it's a bit more fiber. If we can have that balanced lunch with maybe adding some high quality carbs to that salad, like some sweet potato or squash or quinoa, then we can often mitigate those cravings
Starting point is 00:28:26 and even the stress response later in the day because we know that not eating enough does cause an increase in cortisol. Yeah, it contributes to stress. Oh yeah, it all plays in and yeah, especially because you know, there's been like this long standing myth that if you eat after 6 p.m. you're going to instantly get it stored as fat. That's not true. But if you're basically starving yourself all day, only to kind of binge or overeat at night when you are tired, so you're not necessarily in the mood to like cook a healthy snack, you're going to go for the chips and the ice cream and the comfort foods and things like that in an effort to quickly make up for lost calories. So, yeah, I feel like that is such a common trap that so many women fall into because they're trying to be quote unquote good all day,
Starting point is 00:29:15 only for their bodies to be like, I'm still hungry. So I'm going to need to eat now. Right. I'm listening to what you're saying and it's very common that someone would mention that they're tired at the end of the day, they're strapped for time. Okay, that's another reason for your food choices. Right. And if we can make things more timely and convenient for you, then we can make it more likely
Starting point is 00:29:42 that you're going to make nutritious choices. There are those options out there that can be timely and convenient and still nutritious. I know, like it could be a rotisserie chicken and bagged salad. Totally. Yeah, you gave a great example there. That's exactly what I'm talking about, is making sure that we're pausing, we're reflecting. Why are people making these choices? Okay, we can look back at the beginning of the day and we see that it's not balanced.
Starting point is 00:30:07 We can also look at what they're experiencing. They're choosing foods that are timely and convenient and they're trying to meet the preferences of the family. Let's work with that. Let's not ignore that and just say, well, I'm just going to start cooking more from home and I'm gonna start meal prepping and I'm going to make sure
Starting point is 00:30:23 that I'm always having these foods that take an hour to cook. No, that's probably not realistic. Let's look at the reason you're currently making your current choices and work with that to make it as easy as possible. Yeah, I often find like, you know, we have a tendency to go too hard too fast, and it always backfires, right?
Starting point is 00:30:44 Like, you know, it's the New Year's resolution kind of situation where we have a tendency to go too hard, too fast, and it always backfires, right? Like, you know, it's the New Year's resolution kind of situation where we come in with these really good hard intentions. We're going to eat quote unquote clean every day. We're going to go on a juice fast. We're going to go Barry's bootcamp every single day. And like that just, it's a lot. And so 99.9% just, it's a lot. And so 99.9% of the time, you just can't keep that up. So I think that, you know, your this, this idea of understanding the barriers is very important and addressing those barriers in like a gentle stepwise manner. Really important. Another thing that you kind of brought up briefly is this nourishing mindset. I know we share a similar approach on this. Can you tell me about what that is and how it can support
Starting point is 00:31:45 weight loss without kind of strict calorie counting, especially for my folks who are listening who have disordered eating histories, but who maybe are now in a place where they do want to lose weight? Have you brought that up? It's just so important to me, especially for those who have had issues with their relationship with food in the past, but I would say for everyone, it's something that we should be aiming for because it doesn't come to us naturally. It's a natural human inclination to think of what to avoid. We have a natural threat bias or a negativity bias. This is why negative news does so well. This is why evolutionarily, if we consider it,
Starting point is 00:32:25 if we're heading towards our family and friends into this area that looks like a lot of fun, there's this nice food there, but then out of the corner of your eye, you see a saber-toothed tiger. You're not thinking about that fun experience that you're headed towards. You're just thinking about the threat that you see.
Starting point is 00:32:41 Right. So this has an evolutionary basis that we tend to think of what's going to harm us. What is the thing that you see. Right. So this has an evolutionary basis that we tend to think of what's going to harm us. What is the thing that I should avoid when somebody is aiming for a goal and they're going to change the nutrition? That's what I often see is their first thinking about what do I cut out? I got to avoid sugar. I got to not go to restaurants anymore. Yeah. No more carbohydrates, no more junk food. Well, what do you replace that with? Because if one thing leaves our diet, something else is going to fall in. And the opposite is also true, which makes research difficult, but it's very helpful
Starting point is 00:33:18 in practice that if you add something in, oftentimes other things fall out. I just told you that we eat a similar amount of weight of food each day. Right. So if we fill that weight with more nourishing foods that are supportive of our goals, in most cases, vast majority, those ones that aren't so supportive fall out. So this nourishing mindset rather than the restrictive mindset is setting goals around pursuing, consuming more of these nutrient-dense filling foods rather than avoiding other foods. So if we focus on that, it often has the exact same outcome yet it's far better for a relationship with food.
Starting point is 00:34:05 It helps manage appetite much more effectively, which is incredibly important for the sustainability of that approach and of weight loss after we lose it. And it's way less stressful. So we have to fight that natural inclination. Totally. 100%. And it's really the backbone, as you know, of my trademark, tongue or crushing combo framework. It's really all about getting you out of that scarcity
Starting point is 00:34:29 mentality, which tends to just kind of perpetuate this restrict binge cycle that, you know, that makes staying in a calorie deficit long term to be able to kind of manage your weight very, very, very hard because you're constantly thinking about what food it is that you can't have. What is the forbidden food? You just, you know, you put it too high up on a pedestal. So yes, it really does help to, basically when you're adding in
Starting point is 00:34:56 these hunger crushing compounds, what I call, you know, fiber, protein, healthy fats, you're just naturally going to edge out some of those less satiating foods that are less nutritious, but without getting into that scarcity mentality where you're like pining for them. Because you know you can have them. It really just puts all foods on a neutral playing field.
Starting point is 00:35:17 And so like I always say, foods may be not nutritionally equal, but we can make them morally equal. And that is really important for helping us kind of to be able to maintain some of these diet changes. Yeah, I love that. And so, okay, I just want to hop back to weight loss for a second because, you know, we've been talking about when you're trying to lose weight, how not to have to do so with calorie counting, which you and I agree is like for most people, that's the key. That's really like really helpful for a lot of people
Starting point is 00:35:49 to maintain their relationship with food, etc. But still, a ton of folks, and I'm sure you see a lot of them in your practice, want to track calories. Calories in, calories out, it's the math equation. They want to know, do you need to track calories to lose weight? It's a complicated answer. The short answer is no. There are other ways to do it. And I say this in almost every context of weight loss, but especially with tracking,
Starting point is 00:36:21 the vast majority of people, almost all of the listeners should not do it on their own because there are too many limitations. I already went over how it's so hard to know exactly how much we're consuming and apps are inaccurate. And we have to understand these limitations. It's a powerful tool. I will admit that.
Starting point is 00:36:44 I don't love it. I don't love that tracking is a powerful tool. I will admit that. I don't love it. I don't love that tracking is a powerful tool, but it is. But only if we have a very good understanding of the limitations. If somebody is first starting their journey, they can often make significant progress with just those swaps that I mentioned, swapping some lower nutrient density, higher caloric density foods for those that are higher nutrient density, lower in caloric density. For example, white rice. I know this one off the top of my head, about 150 calories per cup.
Starting point is 00:37:21 You swap that for wild rice, a hundred calories per cup. That means you can have the exact same amount of rice on your plate, but you're consuming less calories, more fiber, and more nutrients. If we can make other swaps like that all throughout the day, those things really add up, can lead to that natural deficit. People are feeling a lot better, great for other aspects of health and muscle gain, and we can make significant progress. Oftentimes for most people as we see in the literature as well, that will plateau around five to ten percent
Starting point is 00:37:54 weight loss. And if that's what somebody is aiming for, then great, that's all you need to do. Let's take the easiest approach we can possible and not get into things like the time and energy consuming nature of tracking. However, if somebody wants to go beyond that, many people will require some type of approach like tracking to then get a handle to get control over their caloric intake. control over their caloric intake. And we do have to be careful because there is that risk to the relationship with food, something I'm extremely mindful of as a provider. And we still need to couple that with the food choices so that we're effectively managing appetite while getting control over their caloric intake.
Starting point is 00:38:39 And if you'd like to get into how we set that, how we go about setting those targets, because it's not the ones in MyFitnessPal, I'll tell you that. Not the targets that the app sets. Which are real estimations if we even want to call them that. But they do not represent your actual true needs. Because MyFitnessPal and other tracking apps don't want to just pick on them, aren't an actual accurate reflection of how many calories
Starting point is 00:39:05 you are truly eating, then we can't rely on the targets it sets either. Yeah, no, there's just there's too many, too many pain points, too many, too many errors, areas of potential errors. Like, you know, so I'm always myself, you know, hesitant to recommend like strict calorie counting, counting every calorie because 10 calories on paper or 10 calories on my fitness app, my fitness pal or whatever could actually be like three or five calories or 15 calories depending on a myriad of factors. When you just add up all of those mini errors and you're not listening to your body because you're just solely going by the numbers that you've been given, you're not listening to your body because you're just solely going by the numbers that you've been given.
Starting point is 00:39:46 You know, you're setting yourself, you're not setting yourself up for success in any kind of way. In fact, you, you might set yourself in the opposite direction. One thing I'd like to add to that too, is that's a really good point. We don't have to go from zero all the way to a hundred, but the area that I actually probably start somebody tracking, if we're just doing a few meals, which can be the next step that we need to take to get them to the next, next level of their progress are probably those meals that are going to bring
Starting point is 00:40:15 up the greatest challenges or where we need to bring the most awareness to such as restaurants. If they're eating at restaurants very frequently, if they find themselves snacking in the evening time, well, that's the time that I actually want to just have them click in. And what I mean by that is that when they're in my office, there's a certain version of them that I'm getting. I'm getting that motivated person that's highly aware
Starting point is 00:40:38 and reflective and really wants to accomplish this goal. But I know when they're tired and stressed or distracted with friends, that's a different version of that person. But if we can just have them not restrict, not necessarily say that they can't do those things or can't have as much food during those times. But if we can just have them track those meals or those snacks, then that brings in that level of awareness that still allows them to enjoy that experience. But just the mindfulness aspect alone
Starting point is 00:41:14 and us learning more from that, from having the data, can be enough to get us to that next step where we don't have to necessarily track every single cower and get out of food scale. Right, totally. And I think, you know, at least we see this a lot with women too, is the patterns around those kinds of meals. Did they starve themselves all day so that they could have this quote unquote cheat meal
Starting point is 00:41:37 or go out with the girls or whatever? You know, that is also, you know, play into how many calories and what kind of foods choices they're making when they do eat out that off their kind of eating routine. So all I think that's all really important data to have. And it doesn't even necessarily mean to mean that you're counting every calorie, but that you're just kind of keeping yourself aware of the patterns here that may be contributing or holding you back. So yeah, you said something to me the other day, and I would love if we could share what
Starting point is 00:42:08 you said because you said weight loss is so inaccessible. And I feel this so hard, and I'm sure so many of my listeners right now can identify with this. Can you explain what you meant by that? I don't want this to come across as discouraging. It's just a reality that you can actually make a case first of all, based on data that your risk of developing a poor relationship with food, or disordered eating is greater than your odds of losing weight when you attempt weight loss. And calorie balance is so complicated and all of the behaviors and emotions and those
Starting point is 00:42:50 moving pieces that we just discussed, it is more difficult than a lot of people give it credit for. And because of that risk, because of that health risk, particularly for our mental health, the vast, vast, vast majority of people are not going to be able to do it on their own. There is a community-based study where they asked people, what are your intentions for this year? And those who responded with either losing weight or maintaining weight, they followed them. And at the follow-up, only 5% were able to actually accomplish what they set out to do. That's what I mean by it's unfortunately inaccessible because you either require the help of a professional, which can be costly, or you have to have a good job that gives you insurance for a professional
Starting point is 00:43:34 that knows what they're talking about, or you have to be able to afford the new drugs. And of course, that's like a whole other conversation that comes with its own risks as well. Yeah, no, it's really refreshing to hear that from a dietitian. And I think a lot of folks will feel validated by that, you know, especially coming from someone who specializes in weight loss because, you know, so many influencers have gaslit us into believing that, oh, if you just make this one swap, you cut out this one food, which is usually sugar, or you know, then the weight will just melt off. It's easy. If you buy my program, you can do it too.
Starting point is 00:44:10 And it's so simple. But like you said, it's actually so complicated. And it's so complicated to do it safely. And in a way that's going to, you know, give those those long lasting results without the risk of harm or at least without the exorbitant risk of harm that we would see from what a lot of influencers are promoting. So I think a lot of listeners will really appreciate that you've got two dieticians here just validating that real life struggle.
Starting point is 00:44:38 But thank you so much, Eric. I always learn so much when we chat and I really appreciate it. And I know you only take a few nutrition counseling clients on at a time, but I will be leaving some links below to your social media and where people can get in touch with you if they are looking for that one-on-one support. So amazing. Thank you. I would really appreciate that. And I always enjoy our discussions, Abby. Thank you so much for having me on the show. Abby, thank you so much for having me on the show. Such a helpful conversation, especially this time of year when weight loss talk is really at an all-time high. But I think the big takeaway here is that despite what the TikTok weight loss coaches
Starting point is 00:45:20 may lead you to believe, weight loss has far less to do with the minute details of specific foods or supplements or times to eat than it does with the patterns that you weave into your life as effortlessly as possible. And this is really why adopting an additive, nourishing mindset is so, so key. Eric and my discussion about the nourishing mindset really echoed what we were talking about in my solo episode the other week about my signature framework, the Hunger Crushin' Combo. In case you missed it, I highly recommend heading back for the full scoop. But in short,
Starting point is 00:46:00 this is an additive, gentle nutrition framework designed to serve as an evidence-based alternative to all the rigid rules that have failed you in the past. Rather than focusing on a laundry list of things that you need to remove from your diet, it shifts the focus onto what we can add. Namely, our hunger-crushing compounds, fiber, protein, and healthy fats. Each of these components come built in with a unique list of benefits for blood sugar management, satiety, metabolic health, and general nutrition that gives them a massive edge over what I call naked carbs.
Starting point is 00:46:39 AKA, the candy, cakes, pastries, and refined grains that may provide a lot of pleasure and fun, but not a ton of nutrition or staying power. While the hunger-crushing combo is not a weight loss diet per se, the framework can absolutely be applied to weight loss goals with a ton of success. Because what it does is encourage you to let go of the all or nothing thinking about food. The idea is not to tell yourself you're never, ever eating sugar again. As we know, that sends us immediately into scarcity mentality which then triggers a binge, rinse and repeat.
Starting point is 00:47:19 But rather, we want to dress up our naked carbs with foods that keep us fuller longer. That is fiber, protein, and healthy fats. The key here is that we are adding foods to our meals and snacks that satisfy our physical and emotional needs, helping to quiet the food noise that robs us of our full life. And you might be thinking, well, Abby, if I'm just just adding foods won't I be adding calories and therefore gaining weight? I mean sure that might be the case if you were only adding naked carbs to naked carbs because you're not going to be experiencing that sense of fullness. But fiber, protein and fats are physiologically super satiating.
Starting point is 00:48:06 So when we add hunger crushing compounds, we naturally edge out some of the less satiating naked carbs which then can help us effortlessly create a calorie deficit. Thinking about food from a perspective of abundance rather than restriction also prevents us from spiralling into scarcity mentality that then fuels cravings and interferes with our ability to respond to our innate fullness cues. I want to give you some examples of what this looks like in real life. Say you love sugary cereal and the cardboard brand stuff just will not do.
Starting point is 00:48:44 If you were to have a huge bowl of Lucky Charms and like some almond milk, you are going to be hungry again in like an hour and looking for the communal donuts in the staff room. But rather than swearing off Lucky Charms for life, why not dress them up with hunger crushing compounds? Maybe start with a cup of Greek yogurt for protein, add a cup of berries for fiber,
Starting point is 00:49:10 a tablespoon of hemp hearts for healthy fats, and then add a handful of Lucky Charms on top for sweetness and crunch. Now you've got a meal that helps you feel full until lunch without the blood sugar crash and hanger that makes staying in a calorie deficit incredibly hard. And you've satisfied that craving for rainbow marshmallows.
Starting point is 00:49:31 Win-win. As homework for this week, I want you to think about the foods that you really love that you've tried to cut out completely during one or more of your weight loss diet stints. It probably didn't last long, you probably gained the weight back, and you were probably miserable in the process. Now I want you to think about how you could approach those naked carbs from a place of abundance by dressing them up with hunger crushing compounds instead. Maybe you're gonna add some chicken and veggies to your white pasta dinner.
Starting point is 00:50:06 Or you're gonna load up your bagel with turkey and avocado rather than just eating it with a thin smear of cream cheese. This is a framework that has helped countless fans and followers make positive changes that they can sustain long-term. And of course, I love seeing how you incorporate the hunger crush and combo in your life, so please feel free to take a picture of your favorite HCC and tag me at abbyskitchen on
Starting point is 00:50:34 social media if you choose to share. And on that note, that is all that I have for you guys today. Another big thank you to Eric Williamson for joining me today and helping me fight back against the endless stream of weight loss misinformation. And folks, please don't forget to leave the podcast a review and share it with family and friends. As a new podcast, it really does help me get the word out so that I can bring on the best guests and bring you the most engaging content. Signing off with Science and SaaS, I'm Abby Sharp. Thanks for listening.

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