Her Discussions by Dr Faye - The Health Trends Scientists are Worried About | Mini Episode

Episode Date: September 3, 2026

Another Thursday, another mini episode!Every Thursday, we’re sharing the Buy or Bye Bye segment from one of your favourite Her Discussions episodes - a breakdown of what actually works for your heal...th. This week, we're revisiting our episode with nutritionist and former model Sarah Ann Macklin, who retrained in nutritional science after experiencing serious health challenges during her modelling career, and now also hosts the Live Well Be Well podcast.In the full episode, we discuss:🧠 1 skill that matters more than any diet😫 Why emotional eating isn't a willpower problem (and what actually helps instead)📍 The 3 step NNN technique for emotional eating🌙 What to eat before bed to calm your mind📲 Why most nutrition advice online is confusing (and often wrong)Listen to the full podcast here:Spotify: https://open.spotify.com/episode/5GBAfV7qS0vKATHAG6tulu?si=xsZ1kZn_ROiPVk7_5bUfqAYouTube: https://youtu.be/HIt_LV7EwjA?si=q8FPFxoyLbXwm8QDResources & links mentioned:Sarah's Instagram: https://www.instagram.com/sarahannmacklin/Links to subscribe / follow:* Apple Podcasts: ⁠⁠⁠https://podcasts.apple.com/gb/podcast/her-discussions-by-dr-faye/id1835829612⁠⁠⁠* Spotify: ⁠⁠⁠https://open.spotify.com/show/5viLYizHD4Zy6J42iqtPRo⁠⁠⁠Can I ask you a BIG favour? 💙* Please leave a review or rating. It helps us grow the podcast and bring you more amazing guests.* Share with someone who needs this; it might help them live a happier, healthier life.* Follow us on social media or join the broadcast channel to send us your questions for our guests. I'll leave the link here: ⁠⁠⁠https://www.instagram.com/channel/AbY4liwxlLnewx4H/?igsh=MWhuaXFweGtucTB3cA==⁠⁠⁠ ⁠⁠⁠https://www.instagram.com/channel/AbY4liwxlLnewx4H/?igsh=MWhuaXFweGtucTB3cA==⁠⁠⁠🛑 Disclaimers:Opinions are my own. This content is for educational / entertainment purposes and not medical or financial advice.

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Starting point is 00:00:00 Two and five Canadians will hear the words you have cancer. That's why every step and dollar raised matters. On September 19th, join thousands in Toronto for the Princess Margaret Cancer Foundation Walk. Challenge yourself, friends, and family to walk 21 kilometers in support of life-saving research. Together, we can carry the fire and help create a world free from the fear of cancer. Register today at pmcf walk.ca.ca. We have a section on this podcast called Buy or Bye Bye. Now, in Buy or Bye, I will show you something on a piece of paper and I would like to hear whether you would buy this thing or say bye bye to it. Now, the only rule is we absolutely love nuance. There is not enough nuance on social media. So any caveats, full explanations you want to give, you are free. This is your space. Starting with celery juice. Bye-bye.
Starting point is 00:00:59 Bye-bye. Yeah. Too much sodium. Too much sodium. Yeah. A nice quick one. Yeah. Cussing carbs.
Starting point is 00:01:07 Bye-bye. Bye-bye. Okay. Yeah. Done. Goodbye. We need them. Yeah.
Starting point is 00:01:12 That is why you were saying nutrition wasn't cool, however many years ago. That is why there's a generation of mum's and I was raised on nutrition advice that's just awful. It is. It's only through doing this podcast and speaking to lots of nutritionists that, I've questioned long-held beliefs that I've held and actually not even recognised. So a big one for me was like nutbuses and nuts because nuts are just unnecessary calories. Wow. No, no, no, exactly.
Starting point is 00:01:44 Unnecessary calories. Sorry for anyone listening. She's quoting. I'm doing the quotation marks because maybe it's not even my mum. It was that era of social media. Maybe it was when I was in sick form and it was a lot of PTs and they would hold up a tablespoon of Nutella. and then a tablespoon of peanut butter, and they would say, the Nutella is less calories. I completely recognise the nutritional value.
Starting point is 00:02:06 Yeah. The added nutritional value that comes from nut butters versus Nutella. But I think this idea that nut butters or nuts are super calerific had really stuck with me. And it was only through a couple of these episodes where, you know, every single nutritionist will talk about the power of nuts, you know, the fiber power of nuts, the, you know, the nutrient value of. Body of vascular benefits. There's mini benefits. You want to good skin, have nuts. So then now, you know what?
Starting point is 00:02:34 I get to the middle of the afternoon and I have this like slump and I've been doing my handful of nuts every, almost every single day. And it's been such a testament to like overcome in this long held belief that is just complete, you know, bullshit. And I think that's from nutrition maybe being seen as boring. 100%. We need more of this, you know?
Starting point is 00:02:57 It's true. But also that was a lot of. authoritative figure telling you something. So as a child, you're obviously going to be like, well, obviously, Natela, it's great. And I think, you know, it's even how we sometimes display public health information. We still have, you know, ultra-process foods on that plate to say, I think it's like people would take what their perceived beliefs are from a plate. You know, we don't have this 10 lenders that we wear, we're like, oh, I'm going to put this lens on now to interpret this in a specific way. It's like, our perceptions, our perceptions, our
Starting point is 00:03:29 or our long-held beliefs. That's how we perceive the world. That's a projection of memory. You know, and I think that's what's so important about when it comes to nutrition. Like, that's why things that are really nostalgic, why we feel great when we have a nostalgic meal, because it takes us back to something that we feel really safe. And so if we're growing up with beliefs of like,
Starting point is 00:03:47 this is really low calorie or, you know, have these like breakfast biscuits in the morning because they're quick and on the go. But they're not nutritional benefits to them. They're quick. or like now it's, you know, drink your lunch because we are too lazy to eat it. And like I kind of look at that and I'm like, what messages are we giving to people? It's worrying.
Starting point is 00:04:11 And like the same with carbs, like complex carbs are so important for your gut microbiome. And the one thing we've learned in the last 10 to 20 years in nutritional science is your gut microbiome is essential for your immune health, for your mental health, for all parts of your health. it's so much that we don't even know yet. And the fibre is the most important part within that. And that's what complex carbs come from. And so like we're not eating enough of that anyway, yet we're telling people to cut it. Yeah.
Starting point is 00:04:39 That is like, to me, it's worrying. It's like very dangerous messaging. And I get the whole like protein hype and have more protein. But like not to not cut something out, I never believe that we should cut. I believe we should always add. That's the most important. Add not subtract. And I would say that when people are shopping, they're like, what should I not put in my shopping basket?
Starting point is 00:04:59 And I'm like, can you add one new whole food to your basket each week? That's what you're meant to do. Don't think about cutting. Add one new whole food because by the end of four weeks, you're going to have a diversity of four new whole foods within your diet that hasn't put pressure on you. You're not trying to over your diet in one go. But each week, just add one new thing that you haven't cooked before. Two in five Canadians will hear the words you have cancer. That's why every step and dollar raised matters.
Starting point is 00:05:28 On September 19th, join thousands in Toronto for the Princess Margaret Cancer Foundation Walk. Challenge yourself, friends and family to walk 21 kilometers in support of life-saving research. Together, we can carry the fire and help create a world free from the fear of cancer. Register today at pmcfwalk.ca.ca. I've got a really complex history relationship with food where you didn't like your boyish figure. I had the opposite where I didn't like that I had bigger hips and I was shorter and I had bigger thighs. I looked at my friends who were slim and I just wanted to be like them. And so I developed
Starting point is 00:06:05 quite a complex relationship with food and eating and my body when I was in maybe my second year of uni that developed into quite bad binge eating. And I'm not a food psychologist or an eating disorder specialist at all in the slightest if those issues anyone listening is going through then I will leave resources, numbers in the description for you to get help. But it's really interesting you said about the attitude of adding rather than subtracting because that was what really, really, really helped me in that situation. I was on a binge restrict, binge restrict, binge restrict. And then I did have some therapy where I came to the realization to get rid of the binging.
Starting point is 00:06:46 I need to first stop restricting. It took me a long, long, long time to stop binging. You know, I was extremely unhealthy in that time. It was binging on a lot of foods that did not make me feel good about myself. They were quite heavily processed foods. And I found it really, really, really difficult to hold to the truths at the same time. If I wanted to feel better in myself, I would have to eat more nutritious foods. But I felt that every time I tried to eat more nutritious foods, I slipped back into the restrict cycle.
Starting point is 00:07:17 There was one day that really epitomized this addition mindset, which is what really, what really, really, really helped me was I was craving corn chicken nuggets. So I had my corn chicken nuggets in a little wrap, but then I made myself like this gorgeous salad on the side because I was saying, I'm craving the corn chicken nuggets. I'm going to have the corn chicken nuggets. But I'm going to add a gorgeous nourishing salad. Or if I was craving an almond quasson, I would have my almond quasson. That was, you know, I was going to have it. But I would have some apples on the side. Nice. So, and slowly, but surely, I recognized how. the nutritious food made me feel and I was able to find that balance in my relationship with food but I
Starting point is 00:07:58 yeah I'm so glad you said the the addition mindset not the subtract mindset do you know something that's really interesting this is this really fascinating study by a leo crom from stanford and this changed so much about how I saw food right so we always see these foods and like indulgent diet like and I'm sure you saw that when you were you know in your phase of binge eating where you were like I'm going to indulge in all of these things so she did this really interesting study where she gave two groups of participants a milkshake. And she said, this is indulgent and this is diet. And the indulgent, she said, had like 600 calories and the diet had 300 calories. And then afterwards, she measured their hunger hormone. And what she found is the ones that
Starting point is 00:08:40 were in the indulgent milkshake, their hunger hormone rose and they were full. And they were like, don't want to eat anymore. The ones that were in the diet one, their hunger hormone didn't rise. So they felt empty. The calories were exactly the same. They both had 380 calories in each shake. It was the perception of what they told the participants that changed their hunger levels. Nothing to do with the shake. Wow. So our beliefs about what we're eating, how we're eating, what we're doing is sometimes even more important than the food itself. Right? So like what you're doing there, you're mixing, you're like, I'm going to have this, but I'm also going to have. have this. And you're like giving your brain like nourishment or telling your brain, but I'm also
Starting point is 00:09:25 going to nourish myself. So I'm also going to feel great. And slowly what you've done is you've changed your beliefs. I'm like, I'm not just going to go all in and feel crap about myself. The perception of like actually what we think we're consuming has way more of an effect on that kind of binge cycle than we actually realize. And I just find that mad. Like the fact that we can you know, think, am I going to have the skinny hot chocolate or the full fat hot chocolate? And just from thinking that, whether it's a full fat or skinny, our hunger hormone will rise and fall connected to what we're telling ourselves. That idea that we're maybe depriving ourselves a little bit.
Starting point is 00:10:03 That's really, really, really interesting. Isn't that so interesting? Sugar-free diets. Ditch. Bye-bye. Bye-bye. This is so easy. It's so easy.
Starting point is 00:10:13 Any other comments on why sugar-free diets, absolutely not. I mean, first of all, just think about the study that I just said. I mean, I'm not saying that sugar's great for you. Like, we all know that there are so much sugar in a lot of the, if we're not cooking healthy at home the whole time, we know that whatever we're consuming is probably going to be packed of sugar because it hits our dopamine receptors and it makes us feel great. But it also makes us crash. But this kind of like sugar-free trend that was really big about 10 years ago. There was all these books like sugar-free eating.
Starting point is 00:10:42 What are you also substituting it with? Like, this is what we also do. think about and I think we need well it depends how we're looking at sugar right we're looking at sucrose fructose glucose there's so many different types of sugar glucose is what literally gives our brain energy to function
Starting point is 00:10:58 every single day like we need glucose if we're training we need some type of glucose in our system or fructose we need that that's why having actually quick release carbs quick release sugar is amazing if we're trying to train for a marathon because you need that to get off the start line not so great if you're sitting down for eight hours So like everything's so dependent
Starting point is 00:11:17 But I think like removing anything is such a restrictive mindset And we live in a world where like we shouldn't fully remove it And when we're thinking about sugar-free diets I bet you a lot of people won't think about alcohol in that Yes So alcohol is massively sugary But like we tend to not think about that Because we're like oh this makes me feel like it's a liquid diet
Starting point is 00:11:36 But that's as instrumental to our glucose levels Because you got no fibre in there So that's also going to give you more of a hit thinking about like your fizzy drinks like all of these things contain sugar and so I think like you know so much about health and the reason why these things don't get friarity is because it's not a magic solution sugar in a certain sense can also give you a lot of joy I would feel really sad if I couldn't ever go out and have a piece of birthday cake because at the same time that cake is giving me happiness connection like all of the things that are also so important for our health span right and so like but when we're like
Starting point is 00:12:13 completely stripping things out and saying I'm completely sugar-free. Like, what does that mean that you don't eat fruit? Like, fruit is also really nourishing, but it's got sugar in. And I think what's really interesting about sugar is people go, yeah, I know, but I'm going to make, you know, date brownies. And I'm like, but that's still sugar. Like, your body doesn't go, oh, hang on a minute, ding, ding. This is different sugar. It's biochemically the same.
Starting point is 00:12:38 And so, like, when it goes into your body, whether it's maple syrup, whether it's date, or whether it's white table sugar, your body register it the same. Yes, you might have a little bit more nutrients from the date, but like it's not that much different. Your glucose will still respond. Your insulin and everything will still work at the same way. And so I think it's all about just having it in like smaller amounts. You know, it's not kind of having a dessert first without any other fiber in your stomach.
Starting point is 00:13:04 But making sure you're balancing it. I say the way that people can be aware of sugar is just being a little bit more of like the food they're buying. like what's in your shopping basket because two-thirds of a shopping basket are sadly full of ultra-processed foods. So rather than thinking you've got to cut sugar, just thinking about like, well, how much do you think you include in your diet? Because I think that's just the unawareness piece that we don't talk about. But it's not that sugar's like toxic. It's not like sugar's really bad. Unless you are very heavily diabetic, then we do not want you to consume a loads of sugar.
Starting point is 00:13:34 Yeah. But I think like this whole like sugar-free, like I don't think you can even live in this world being sugar-free. No, no. I mean, you'd be so lonely. Yeah, I've seen a lot of videos recently that's like, I quit sugar for 30 days. And I was like, I thought we moved on. I'd love to see their diet. I'm like, what is in their diet?
Starting point is 00:13:50 Yeah. Like, what is in their diet? Are they consuming any fruit? Are they, like, I mean, even oats have sugar to a degree. Like, where are we drawing the line on sugar? Are we saying no refined sugar? So I'm just cutting out sweets and fizzy drinks. Like, great.
Starting point is 00:14:04 I'm all on board for that. I'm all on board for, like, cutting out fizy drinks and lots and lots of sweets. It's like brilliant, like turn towards more things like chocolate, dark chocolate and, you know, the nuts and all of those things and dried fruits turn towards that. But I'd love to see someone's like full sugar-free diet. And I'd also love to know how long they last because we know from meta-analysis that diets do not last more than 12 months. People just regain their weight. It doesn't matter what diet they're on. And so, and also if you take the tea off diet, you get dyes.
Starting point is 00:14:33 So I hope that's quite funny. GLP Wards. I'm nuanced here. Good. No, I love, we love nuance here. We love nuance. So, GRP ones, I think there is, it's one of the most amazing pharmaceutical inventions we've had in history, I think. We are in an obesity epidemic. I think we've got to look at this. One, you can look at this from a public health lens.
Starting point is 00:14:54 I know, like, it's going rolled out now. I think it's like a £3,000 bonus. GPs might be getting for giving these GRP ones out. I saw that article about six weeks ago because I spoke to Dr. Jack Mosley, who's just written a book on food noise. It's brilliant if you want to know more about GPR. but there's a certain subcategory of people that really, really struggle with their weight. And they have tried everything. And you think about gastric bands and all of these things. And these are where they can serve people really, really well. And if they can serve them with the right interventions, like the lifestyle intervention, so not just giving out GRP1s, like making
Starting point is 00:15:26 sure they're having enough protein, doing enough of their muscle mass training and weight training and resistance training and actually changing their behavior with food whilst on it, thing with gRP ones is what we know now is that it's not just a 12 month quick fix like most of these people are on it for life it's a long term thing it's not a one year intervention and then people go off because we know that people regain 80% of people regain their weight 12 months after going off gRP ones so then you go back on it so then you kind of create this cycle right and then you kind of go into the i don't have any willpower and it's shame and it's the horrible cycle that everyone connects to with dieting so i think we have to be really aware of how how we do these. But, you know, this week I was in France at a conference and there was, yeah, very smart, cognitive scientists sat next to me saying, I've been on GLP ones and it's changed my life. Like it's genuinely changed my life. And there are these people where it has had massive benefits.
Starting point is 00:16:23 And she was like, it's even changed my mood. It's changed how I think about things, how I see things. And so you hear these stories and it's amazing. I've had other guys that have come to me around GLP ones where they've lost all their hair. They're like, it's changed my life. I've lost all of my weight. I feel great, but I've gone bald because that's another effect. And then you see people that potentially don't need to be on GLP ones that can go from
Starting point is 00:16:48 microdosing. And it can be, I mean, we don't even have evidence on what this is yet. I mean, people were talking about this anecdotally because there's like no research on healthy weight individuals using GLP ones. So we don't know what that kind of sphere is here. But what we do know is that it's not fat loss. It's mostly muscle and musks that people make that. people lose. And muscle mass is one of the biggest predictors for longevity and health span.
Starting point is 00:17:10 So when we're looking at this, well, okay, so somebody of a healthier weight who isn't in this obese category that needs to and been struggling for years is going on these gLP ones, they're getting his MPC face because they're losing all their all their muscles in their face. They're also losing all their muscle mass. Like, this isn't healthy. And then it's kind of, well, where does that end? Do they stay on that forever? Like, So in this space, like it's not about getting like a beach body ready. It's not an aesthetic drug. It's none of that.
Starting point is 00:17:42 Like this is actually really dangerous. Like these are really dangerous drugs. And used in force, like, I mean, there's not loads of deaths, but there have been deaths. Like pancreatic has been a big one. So we've got to be really careful on how we're labelling them because I interviewed David Kessler, who wrote a whole book about this two years ago. And I bought up the term microdose in GLP ones because where I started hearing about it wasn't through academic papers. It was through celebrities. and seeing them all over social media losing a ton of weight.
Starting point is 00:18:07 And I'm like, huh, they've lost a lot of weight. What's going on there? And that's where this, you know, when King Kardashian people were using these. And I was like, wow, it's interesting because it's gone from celebrity focus as opposed to like the medical side where I think a lot of doctors were hearing about it. And I think the social messaging around GRP ones hasn't been the best. And that's why I think doctors are so normally pro it because they see such amazing changes in patients that really do need to.
Starting point is 00:18:34 to go on this, right? But I think on the social side of things, people see the celebrity image and see people microdosing and losing weight. And that's where I think it gets really worrying. And when I brought this up to David Kessler, he was like, would you mean microdosing? And I was like, no, this is people are,
Starting point is 00:18:50 know, this is a thing. And he was like, don't be so stupid. And like completely shut me down. And I was like, well, I know people in my social circles that are doing this. Like, it's a thing. And even when I was at the conference yesterday, you know, one guy was like,
Starting point is 00:19:02 yeah, half of the Upper East side, a New Yorker on GRP-1s. And I'm like, this is the thing that we're not talking about. And so I think, you know, I think we just, there's a lot of nuance in this area. There's a lot we don't know. But we also know, like, this being massively also connected to, like,
Starting point is 00:19:16 longevity and, like, loads of other things. And I think with things with, you know, this is a peptide. Like peptide is booming right now, the peptide industry. Sadly, it's very unregulated and it's very scary. BCP 157, I think it is. It's probably the one's got the most research, but still not enough. And people are getting these online from China, shooting themselves with peptides and a longevity pack. And GLP1 is one of those, one of the peptides, right, that people talk about most research peptide at least,
Starting point is 00:19:46 but it's still within this peptide category. And I am terrified about this whole set of peptides that is just going completely AWOL right now on the internet. And that is what worries me because we're seeing, again, this subset of people. young people that are, we don't know what their effects are going to be. You know, I think about, you know, TRT, it makes men infertile. You've hit some really, really important points. The point about the disconnect between the scientific community and what is actually going on in the general population.
Starting point is 00:20:22 And this is why I thank my lucky stars every single day that I am like the only doctor in my friendship group, the only even woman in STEM in my friendship group, because they will come to me with things that my algorithm would never serve. me because I would, I'm, I'm not susceptible to that. Yeah. So a lot of my friendship group are on GLP ones. Yeah. You know, not all of them should be on GLP ones. Not all of them have them prescribed legally. Yeah. You know, as in, I, I am against this. Just to protect my license. I am very much against this. And even as a friend who's a doctor's telling them, look, you, please don't do that. They are still taking them. The fact that we don't have data on their use in
Starting point is 00:21:02 healthy individuals, yes, that is a reality is shocking. There was a systematic review recently that came out and it was saying, well, you know, A ZemPEC actually doesn't cause muscle wasting, but actually I think the conclusion was that it wasn't as meaningful as made out to be. The claims were exaggerated. The concerns about muscle wastage were exaggerated, but the data was done in people who were using for its correct reasons, not for people of a healthy weight. Yeah.
Starting point is 00:21:30 The whole peptides thing, I remember the first time someone asked me, they said, So what do you think about the peptides thing? This was maybe a year ago. And I was like, two and five Canadians will hear the words, you have cancer. That's why every step and dollar raised matters. On September 19th, joined thousands in Toronto for the Princess Margaret Cancer Foundation walk. Challenge yourself, friends and family to walk 21 kilometers in support of life. Saving research. Together, we can carry the fire and help create a world free from the fear of cancer.
Starting point is 00:22:07 Register today at pmcf walk.ca.ca.com. What do you mean? Like, what do you mean? And they said, oh, you know, like the peptides people are injecting. Like it's going huge at the moment on social media. And I was like, I've literally not seen this at all. And they were asking for like doctors. No, it was a UK person. Okay. But they was like, oh, well, maybe it's just like the Jimbrose side of TikTok. And I was like, yeah, I was like, I have no idea. Like absolutely no idea. I don't know what you're talking about. Peptides is a very broad scientific. What do you mean? And then now it's starting to come out. I know Miles from Maiden Chelsea came out and didn't add for peptides.
Starting point is 00:22:45 All of them were completely unregulated, unreseached. He's injecting them into his body and he has been paid to promote that. Where does moral ethics lie in all of this? Are you allowed to promote injecting yourself on the internet? it? Is that not, does that not come under some sort of ASA guideline? It's weird. When I think about injecting, I just think about diabetics that are trying to regulate their incidence levels. Do you know what I mean? And I think like... Injecting a supplement is wild. It's wild. How have we come to this? Thank you for listening. If you would like to hear the full episode with even more jam-packed knowledge, then just click the link in...
Starting point is 00:23:24 Two and five Canadians will hear the words you have cancer. That's why every step and dollar raised matters. On September 19th, join thousands in Toronto for the Princess Margaret Cancer Foundation Walk. Challenge yourself, friends, and family to walk 21 kilometers in support of life-saving research. Together, we can carry the fire and help create a world free from the fear of cancer. Register today at pmcfwalk.ca.ca.

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