How to improve insulin resistance when you have PCOS

If you have polycystic ovarian syndrome (PCOS), then you know just how frustrating it can be if you’ve been trying to gain control of your weight. I have quite a few friends, clients, and patients that deal with this condition that digs deeper than infertility, as devastating as that can be on its own.

First let’s define what it is and why it matters for your weight. PCOS is characterized by overproduction of the androgen testosterone, menstrual abnormalities when ovulation does not occur and enlarged ovaries containing multiple small follicles (hence, polycystic ovaries). Women with severe PCOS have greater menstrual irregularity, androgen excess, total and abdominal fat and resistance to insulin; higher degrees of obesity are associated with worsening symptoms. This means their risk is increased for metabolic comorbidities such as diabetes. Since insulin is a known fat storage hormone, the greater the insulin resistance, the harder it usually is to control weight gain. It’s a double whammy.

Did I just described you or someone you know personally? Whether your insulin resistance is caused by PCOS or something else, some of these principles will apply. Insulin resistance otherwise known as “pre-diabetes” or “glucose intolerance” often leads to diabetes later in life and can really wreak havoc on your weight loss efforts. If you have received a diagnosis of insulin resistance, it means your insulin receptors are not very sensitive to the “lock and key” fit that insulin creates to move glucose (sugar) into their cells for energy. As a result, your pancreas produces more insulin to try and keep up. But like anything, our bodies become tolerant when it gets too much of something. Same thing happens when you take antibiotics over and over- your body recognizes it and you become antibiotic resistant over time. Consider someone who has become addicted to a drug and requires more over time to attain the same effect they did when they first tried it. Same concept.

When you have an abundance of insulin circulating in your blood stream, it’s constantly promoting fat storage in your body making it extremely difficult for you to succeed at any weight loss attempts. A common treatment in PCOS specifically is to prescribe metformin. However this isn’t really correcting the problem – it’s just telling your liver to produce less glucose but not directly addressing the fact that your body is producing too much insulin.

My expertise is in natural health and what to eat. So I’m not recommending you stop any current medical treatments without speaking to your physician. But I do want to help you with what you can safely control, starting today.

Begin with these simple (but maybe not so easy) steps:

  1. You gotta cut out fake food – meaning processed, refined, simple carbohydrates and sugars. These foods do nothing for you. Well, nutritionally they do nothing. I know emotionally they are “feel good” foods and literally turn on the pleasure centers in our brain by increasing dopamine levels and offer a great distraction to our negative emotions. But they spike insulin levels quickly and when consumed persistently (as part of frequent snacking let’s say), they worsen insulin resistance eventually leading to type 2 diabetes. Don’t misread this, those with a normal functioning pancreas cannot give themselves diabetes by eating these foods alone. Many other factors are running behind the scene including weight and genetics.
  2. Reduce your total carbohydrate intake. Key word here is REDUCE not eliminate. I’m really not a proponent of consuming under 10% of your calories from carbohydrates because I haven’t seen anyone sustain it for long term and there are very healthy foods that truly don’t deserve that kind of neglect. Why would you eliminate an apple from your diet that contains fiber and vital nutrients? It doesn’t make any sense. But it IS a good idea to cut back to 100 to 130 grams of total carbohydrate per day. If that sounds like a lot to you, consider that most people consume anywhere from 300 to 600 grams of carbohydrate per day in the standard american diet. Restricting down to 100 or so is enough to put you into a very mild ketosis so that you are depleting your glycogen stores (in simple terms, energy from sugar stores) while dipping into some of your fat stores. The effect of ketosis is to reduce hunger and successfully lose weight while not feeling terrible. *Note if you are a diabetic taking insulin you will need to discuss this with your doctor before lowering your carbohydrates this much as your regimen is likely designed for you to eat more than this.
  3. Consider a 30 day cleanse to reset your system and begin to bring your hormones into balance. This will not be an overnight fix. But, essential oils are natural, aromatic compounds that when coming from pure sources, have therapeutic properties that can have amazing benefits for bringing body systems that are out of balance, into balance. A good cleanse eliminates processed food and sugars, includes a high quality multivitamin, whole food enzymes, essential oils, probiotics and others that I outline specifically on a recent post here that you can read about if interested. If you experience symptoms like fatigue, irritability, headaches, stomach distress, bloating, recurrent sinus infections, lack of focus, or other vague symptoms not otherwise diagnosed as anything definitive, a cleanse could be exactly what you need. These could be signs of a weakened immune system caused by increased levels of stress, poor diet, increased candida overgrowth in your gut, and/or sleep deprivation.
  4. Incorporate essential oils into your daily maintenance plan to bring and keep your hormones in balance. Oils like clary sage and geranium when used daily regulate the hormones responsible for the female reproductive system. Clove, cinnamon, and rosemary support the pancreas to balance healthy blood sugars. Grapefruit, cinnamon and ginger regulate appetite and reduce cravings, particularly for sweets. Making teas using these can help along with increasing your fluids. And lastly but just as important, oils like cilantro, lemon and tangerine regularly cleanse and assist the liver to keep it functioning at it’s best. I recommend adding lemon to all of your water for this purpose. Just one drop of essential oil per eight ounces.
  5. Manage sleep and stress. This isn’t easy, I realize. However, you can do all of the above and if you don’t take care of these two, it won’t do you any good. Stress and sleep deprivation increase the hormone, cortisol, which inhibits the production of progesterone, a main marker of PCOS. Grapefruit essential oil can also prevent cortisol from doing this, so adding it to some of your water is a good idea. But more importantly, taking measures to get at least seven hours of sleep each night is key. Refer to this post I did a while back on taking simple measures to achieve this.

I’ve only scratched the surface on this. As you know, PCOS affects many areas of your life from causing unwanted facial hair, to thinning hair, and infertility. This post was meant to focus primarily on the weight and insulin resistant aspects as that is what I do best. However, I do believe that by addressing diet and hormonal issues that naturally, each of the symptoms can be improved greatly over time. If you’d like to know more about my cleanse and diet program, please feel free to contact me.

P.S. If you’re looking for online support with like minded women striving to live a healthier lifestyle, you may be interested in joining my free support group here.

 

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Jillian McMullen, RDN, CSOWM, LDN

New year, new you – time for a detox?

I’ve been quiet on here this month, enjoying the holidays with my family and frankly, getting slammed with my home business. But 2018 is just around the corner and I know many of you are thinking about your health goals. One of the most popular goals, besides weight loss, is whole body detox. We’re coming off the season where there’s no shortage of sugar, fat, and booze and that leaves many of us feeling a bit bloated and gross.

There are a lot of options out there, though. And if you aren’t careful, you could be wasting your time and money, if not participating in something downright dangerous. So let’s start with some basics if you’re going to do this thing right.

It’s important to remember that is essence, it is our organs that are “detoxing” our bodies and they do it every minute of every day. There is no magical outside substance that will do that for you because your body was already designed to do everything it was meant to sustain your life on the daily. However, our daily habits bring us out of balance often and makes our organs work overtime, leading to disease – such as diabetes, high blood pressure, renal failure, and certain types of cancers, to name a few. We are constantly introducing toxins into our systems forcing our organs to work harder than they should.

A detox should last about thirty days. Anything less is a waste of your precious time and just dumb. You’ll lose some water weight and go right back to old habits the following days or weeks when the detox period is over. It’s also just not long enough to really feel any difference that will create any meaningful habit changes. Why do a detox if you aren’t going to carry some new, beneficial habits with you for months after? It really doesn’t need to go longer than thirty days, either, however. Some habits you bring in over the thirty days would help to keep but not all are totally necessary.

Some foods need to be eliminated in this time period, for obvious reasons, including:

Sugar: I’ve written in past articles why sugar is so very addicting and has been clinically proven so. When you eat sugar, it almost immediately spikes your blood stream levels, causing your pancreas to start working overtime to produce insulin to get that sugar into your body’s cells for energy. But guess what? Sugar is very concentrated in calories and it’s likely you’ve consumed way too much energy than is needed for those cells. The rest is then stored in the liver for later use, which collects as fat and can create a fatty liver if not used. Problem is we habitually over-eat calories and it also collects in our abdomen in the form of fat tissue. This is becoming a pretty big problem in America today, actually. The pancreas eventually putters out trying to keep up, leading to type 2 diabetes. Not a happy subject, but I see this every single day as a dietitian.

Processed carbohydrates: these are converted into sugar when consumed, so same thing as above. It’s not just about avoiding table sugar. Earlier this year, I worked with a group of individuals who took a challenge and avoided these types of foods for thirty days, the results were amazing. They felt more energized, lost weight, and their cravings for sugar diminished. These cravings we experience are caused by dramatic blood sugar fluctuations from eating high sugar foods with low nutritional value. As I mentioned above, they get converted quickly to sugar in your blood stream, but just as quickly your pancreas is working to produce insulin to get it out, which causes a sharp drop in your blood sugar levels. This makes you feel pretty crappy and tired, which means you want more to feel better. It’s a viscous cycle.

Alcohol: most of us understand that this is processed by the liver. Too much of it starts to damage the liver (duh), but during a detox it kinda defeats the purpose if you aren’t abstaining. When we drinking alcohol, our body prioritizes the elimination of it and can’t focus on much of anything else. It’s a good recipe for weight gain, liver cirrhosis (hardening of your liver), and pancreatitis (inflammation.)

Caffeine: this one hurts me. I get it. But caffeine is an extremely addictive stimulant. When consumed in excess, it causes an irritable bowel, disruptive sleep patterns, irregular heart beat, and increased anxiety – all counterproductive to the detoxification process. Believe it or not, it also causes pretty wide fluctuations in your energy levels. If you’ve tried detoxing before and didn’t experience increased energy, it could be because you didn’t give up caffeine. Drinking more water is the most beneficial way to improve energy levels.

Let’s talk about what you do include and why, this is the fun part, right?

  1. Water with lemon. Lots of it. Aim for half of your body weight (pounds) in ounces each day. Water is a natural diuretic and so is lemon. This helps your kidneys out. They need flushing so they don’t get backed up. Your kidneys are probably one of the most important filtering systems in your body and I can’t tell you how many people I see regularly that land themselves in the hospital with temporary failure because they got dehydrated. It’s well over 50% of the people I see every single day. Other problems that happen regularly are fatigue, joint and back pain, headaches, and sweet cravings. I recommend pure lemon essential oil since it comes from the rind rather than the juice and it’s way more concentrated than a squeeze from the fruit. One drop of lemon essential oil is equivalent to the juice of thirty lemons (but not nearly as sour!) It is also known for supporting healthy lungs and digestive system.
  2. Fresh fruits and vegetables. When IS the last time you consumed five (or more) in one day? Be honest. Aim for the rainbow, or at least vary your colors. Plant based foods get their pigments from the nutrients they provide which means if you are eating a variety of colors, you are also getting a variety of nutrients in addition to fiber.
  3. A good multivitamin. This can be tough to find. A couple of years ago, some of the country’s most popular retailers of supplements were busted for selling fake products over the counter. In fact, when tested, only 22% of their supplements actually had any of their claimed product in them at all. Walmart being the worst at only 4% of their products containing what they claimed. Ultimately, they settled in court to keep the attorney general quiet – I’m not too confident that means they grew a conscience about what they are selling, though.
  4. Whole food enzymes. Again, lets help the body out, we’ve been eating low nutritional value foods and now we’re including fresh plant based foods. Unfortunately, today’s food supply is still a bit sub-par in the vitamin/mineral world and even fresh fruits and vegetables are sprouting up from nutrient-depleted soil. Whole food enzymes break down the food and help our bodies utilize the nutrient they provide easier. If you struggle from vague health symptoms like fatigue, joint discomforts, or headaches, it could be because you are lacking certain nutrients that your body has been missing out on.
  5. Probiotics: so many benefits here, I did a blog post a few months ago on how everybody should be taking some. For the purposes of a detox, they aid the digestive and immune systems. We are exposed to environmental toxins regularly, our immune system works overtime, especially during the winter. Let’s help it out, shall we?
  6. Pure essential oils. Essential oils are a fantastic way to support the body’s natural capability of cleansing itself. The organs we are focusing on here are our liver, colon, kidneys, lungs, and skin. Like supplements, the essential oil industry can be tricky so it’s important you know the source you are buying from. But when unadulterated and without synthetic additives, they can prove to be an important part of your detox program. Rosemary, cilantro, and juniper berry essential oils are well known for supporting the liver in it’s normal processes. Geranium and tangerine essential oils are helpful in supporting the body’s systems as a whole as it removes unwanted substances. Think of it as bringing things into balance after weeks (maybe months) of use and abuse with unhealthy foods and habits such as lack of exercise, smoking, environmental threats, and even medication use. My favorite product is a detoxification blend that contains all five of these essential oils that can be taken in a soft-gel form.
  7. Omega 3 fats: great for reducing inflammation, often exacerbated by eating highly processed foods, alcohol, and red meats. Let’s help the body out by adding this in while removing the inflammatory foods, why don’t we? Be sure you are consuming a source rich in eicosapentaenoic acid and docosahexaenoic acid (EPA and DHA) to get the maximum benefit. You could always consume fish three times a week, but remember this is a detox and we are going for the concentrated versions. Ok? I personally choose to take the supplements daily because I never eat fish that often and I’ve experience the benefits well enough I don’t want to stop.

In essence, our bodies have everything we need to survive and cleanse itself out from our lungs to our stomach to our intestines, kidneys, and liver. They all have a job to do filtering out the air we breath, food we eat, liquids we drink, and bacteria we come into contact with. Even so, we can feel out of balance in today’s world as we are consistently pummeled with toxic threats. If you feel like it’s time for a reboot, feel free to contact me for more information about how to schedule supplements, the brands I trust, and meal schedule to follow so you get the most out of your detox.

P.S. If you’re looking for online support with like minded moms striving to live a healthier lifestyle, you may be interested in joining my free support group here.

 

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Jillian McMullen, RDN, CSOWM, LDN

6 tips for surviving Thanksgiving

I love Thanksgiving. It’s a time to spend with people we care about, pause to be grateful, and we don’t have to purchase any gifts (yet.) I also happen to enjoy cooking on these types of days where I get to pull out recipes that I only cook once or twice a year.

I realize for many of you, this may be stressful because you’ve worked hard all year to lose weight and get your health on a better path. Maybe past years have thrown you off track, led to unwanted weight gain, or worse, started the reversal process of hard work earlier in the year. So how about we not go through another yo yo this year?

Here are some tips that I think will help you out:

  1. Eat breakfast. Possibly it’s been tradition for you to skip all eating occasions prior to the big dinner on the big T day. But this is really a set up for overeating until discomfort. If youve been in the habit of eating a healthy breakfast every morning, wake up like you always do that morning and have your normal breakfast. If you have room for improvement int his area, focus on protein. I’ve talked about this a lot in the past, but it’s really important to start your day off with 25-30 grams of protein to keep from overeating later in the day. If you are needing ideas for what this looks like in a breakfast, click here to get my free list of 25 breakfast ideas with 25 grams of protein.
  2. Get moving. It’s a popular day to sit on the couch, watch football or whatever is on television and relax and eat if you aren’t the one doing the cooking. What if you made a resolve to go for a thirty minute walk or three -ten minute walks? Exercise also helps with energy levels and will help combat that tryptophan crash coming later on. If you want to incorporate it into the day, plan some fun outdoor activities with the family such as tossing the football, tag, hide and seek (with the kids), corn hole, sack races, etc. If you’re in the snow, do snowball fights, bobsledding, make snow angels – whatever it is you do this time of year! (I live in Florida, so it’s realistic to say we could get our bathing suites on a run around in sprinklers!)
  3. Avoid taste-testing a meals worth of calories. This one’s for the cooks. Ever cooked a meal that takes a while and by the time it’s done, you really aren’t hungry? Maybe you eat anyway, especially on a holiday because you’re with a bunch of family and you’d feel bad if you didn’t? If you haven’t sat down for an actual meal at a dinner table in well over three hours, you should feel hungry. If you aren’t, check yourself on the tasting spoons. If we’re being honest, we have prepared most of our traditional Thanksgiving dishes no less than ten times and having one taste test max (if any) is necessary. If you continue to pick at the turkey, grab a spoonful of stuffing, grab a roll, grab a slice of yams, you could end up with 500 calories under your belt (literally) before you’ve even made a plate for yourself.
    • Chew mint gum or metabolic gum (made with essential oils) to help curb cravings and appetite while you are cooking.
    • Keep some fresh raw veggies next to your cooking area like baby carrots, cut up bell peppers, and sugar snap peas to satisfy the need to “munch” while you’re preparing the meal for a fraction of the calories.
    • Limit yourself to one plastic tasting spoon per dish and throw it out after you’ve tried it.
    • Elicit help in the kitchen to keep you accountable or better yet, consider a pot luck style dinner this year.
  4. Slow down before you run for seconds. They aren’t going anywhere. When you’ve finished that first plate, there is a 99% change you’ve had more than enough food, especially on Thanskgiving Day. This year, I challenge you to wait it out 15-20 minutes before you decide if you truly need seconds to feel satisfied with the meal. You may just surprise yourself since it takes the brain that long to get triggered by your body that you’ve had enough to eat.
  5. Review your menu and decide now if anything can be modified. Usually, certain ingredients can be substituted without making any difference in the finished product. Some of my favorites include reducing the sugar by 25-30%, using low fat or fat free milk for whole or 2% milk, fat free half and half for the full fat version, greek yogurt for sour cream, fat free evaporated milk for the full fat version or heavy cream, powdered defatted peanut butter for traditional peanut butter, reducing the nuts by 25%, nuefchâtel cheese for regular cream cheese, and low sugar jelly for the regular stuff.
    • Note some ingredient items can not be changed but a good rule of thumb to remember is that “baking is a science and cooking is an art.” In scientific projects, there are going to be less items that can be modified if you want the final product to come out the same. When cooking, however, you have a lot more flexibility to experiment with and still end up with an excellent result.
  6. Don’t freak out. Just be cool about this. It’s one day. Too often people are off to a great start, wanting to get ahead of the new year’s resolution game only to disappoint themselves on turkey day and fall totally and completely off the wagon until January 1 when everyone else is waking up from their eating and shopping and televisioning slumber. If you do none of the tips I outline in this post but just put your efforts on maintaining your weight and staying on track on every day that ISN’T an actual holiday (so saying no to leftovers, over-eating at holiday parties, binging on christmas cookies at the office) then you will be just fine.

What do you struggle with most during the holidays around your diet? I’d like to know for future blog post topics so I can help you! Comment below!

P.S. If you’re looking for online support with like minded moms striving to live a healthier lifestyle, you may be interested in joining my free support group here.

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Jillian McMullen, RDN, CSOWM, LDN

How do I fit alcohol in during the holidays?

Can you believe it? It’s November and the holidays are just around the corner again. I am confident that many of you will have a plan this year and will stick to that plan well. But have you given any thought to alcohol?

Alcohol does a few things – of course it adds a gazillion calories, often unaccounted for. But more importantly, it lowers your inhibitions. So you know those Christmas cookies you swore you would limit to just one? Yeah, you need some self control to stick to that plan and alcohol is going to lower your ability to do that. Double whammy.

I get it. The holidays are a stressful time for a lot of us. Let’s face it, alcohol may be present at just the right time – that work party you didn’t really want to go to in the first place. Or that family gathering that usually ends up in some sort of nonsense argument that you’d rather not be a part of. Or yet again, you go home after a shopping trip you spent way too much money on and now you’re not sure how the electric bill is gonna get paid. Stress. Alcohol, like food, is a quick fix. But only temporary and ineffective long term.

Here are some tips to keep it real and sane this season:

  1. Incorporate alcohol into your plan if you usually indulge. One or two drinks max and then switch to a calorie free seltzer water. Social drinking can also get the best of us. If you continue to drink in a wine glass, but keep it alcohol free, you may surprise yourself how you really don’t notice. And if you don’t usually drink, well don’t start now!
  2. Be aware of calories. Light beer, non-dessert white wines, and liquor in calorie free or low calorie mixers are the lowest options. Dark beers, dessert wines, and fancy drinks can contain up to 800 calories a pop (mudslides, egg nog and rum, margaritas, etc). Know your serving sizes too. Once drink = 12 ounces beer, 4-6 ounces wine, 1 ounce liquor = 100 calories roughly
  3. Destress in other ways. Start with the source of your stress.
    • Lack of time? Find time weekly to do something fun or enjoyable. This may be off your normal routine since the holidays generally keep us busy. Whatever that is for you, just ten minutes of meditation, a few minutes set aside for daily devotions, reading a book, or getting your nails done can make a huge difference mentally.
    • Lack money? Trying a secret santa gift exchange among your extended family, cutting down on the amount of presents you normally buy your friends/family, and simply following a gift budget can all help. Try shopping ahead of time to space it out. It’s only early November and if we’d all start our gift shopping now, it would cut down on a lot of financial stress and keep us from battling the crowds later on. As Dave Ramsey says, Christmas is the same day every year, yet we all act like it’s a surprise emergency!
    • Exercise. We all know this helps with stress yet this will be the first to go when time is slim. Make it a priority this year to walk even if only 20-30 minutes a day. It will help you sleep better and handle any unknowns that come your way better. If you normally do your exercise in the evening, you may have to switch it up and do it in the morning during the holidays with a busier schedule. If you normally take the weekends off, you may need to go ahead and walk on the weekends to make up for missed time on the weekdays. Bottom line, be flexible when your schedule calls for it.
    • In the moment, try aromatherapy. When we are stuck in traffic or at the family dinner and a fight breaks out, it’s tempting to handle stress poorly. But don’t underestimate the power of aromatherapy from essential oils. Personal favorites include wild orange, lavender, and grounding blend. A drop or two can be worn on a diffuser necklace or rubbed between the palms of your hands and inhaled for a quick shot to the limbic brain – the center that controls our emotions.

Let me know what your strategy is going to be this holiday season. Do you have something to add or do you plan do use one of these tips?

P.S. If you’re looking for online support with like minded moms striving to live a healthier lifestyle, you may be interested in joining my free support group here.

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Jillian McMullen, RDN, CSOWM, LDN

Is juicing really healthy?

I’ve been asked this question quite a few times, but admittedly I haven’t had much of an opinion or any thoughts because to me, there’s no harm in juicing your fruits and vegetables, especially if you don’t like them and this will help you consume more. But is it healthier? Or does it remove nutrients that would come best from eating the whole piece of produce? I looked into it because I don’t personally “juice.”

Here’s what I found:

  1. If you aren’t exactly sure what “juicing” refers to, simply put, it just means you are squeezing the juice from fresh fruits or vegetables by using a high powered machine or your hands. The leftover liquid contains most of the vitamins, minerals and phytonutrients (a.k.a. healthy stuff only found in plants.) Some people opt for juicing because they believe your body can absorb the nutrients better and it gives your digestive system a rest from working on fiber.
  2. There is an alternative form, referred to as “blending.” This will retain more of the antioxidants/phytochemicals (aka nutrition) because it preserves the whole fruit, including the peel, as demonstrated in this study when comparing juicing flesh only versus blending the entire edible portions of pears, apples, persimmons, and mandarin oranges. Same here for blending grapefruit versus juicing. I’m not surprised by that, but nonetheless there were still nutrients when these fruits were “juiced” without the fiber portions.
  3. Just my professional opinion, if for some reason you have problems digesting fiber (irritable bowel syndrome flare ups, bouts of diverticulitis, gastroparesis, etc), juicing fresh fruits and vegetables can be a great way to get in vital nutrients without the fiber. As far as those of us with healthy, normal digestive systems, I do not believe we need a “rest” from fiber. Quite opposite actually. The average American consumes about 10 grams of fiber daily when the daily recommended intake is 25-30 grams per day. We need it for lots of health reasons, particularly in our digestive tract. I’m not gong to be the one to give you a reason to eat LESS fiber. K?
  4. If blending or juicing, I actually do think it can be an excellent option for most of us who don’t eat very many fruits and vegetables and likely wouldn’t eat vegetables like kale, spinach, carrots, beet greens, pineapple, apples, citrus, pears, berries etc on a  regular basis. There are lots and lots of options and combinations to make interesting smoothie recipes and it really can be a fantastic addition to a healthy diet.

If you plan to incorporate this into your diet, I recommend replacing one meal and adding a couple of eggs or a yogurt on the side with it because a smoothie made for these purposes does not have any protein in it. If you have followed me for any length of time, you know how important it is to include protein at your meals. As much as I love the healthy goodness of fruits and veggies, you will be STARVING an hour or two later on a carb-filled smoothie like this. As an alternative, it can be perfectly acceptable to have as a mid-morning snack instead. Lastly, some of you who are considering intermittent fasting, may opt to incorporate something like this into your routine. Enjoy the recipes I’ve provided for you if you’d like to it out. Just click the picture thumbnail below to view them.

 

P.S. Last week, we started our “Fall Back into Healthy Habits” journey. It’s not too late too  join in. Just head over here for the details and how to join my support group where we will be having weekly live chats and goal setting sessions.Follow me for daily livestreams on Facebook

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Jillian McMullen, RDN, CSOWM, LDN

How to safely use your plastic water bottles

In the aftermath of the hurricane, this topic has come up again. In my household, we have twelve gallons of water stocked up in the laundry room as I type this. Normally, I don’t drink out of plastic, partly for environmental reasons and partly for health concerns. In my house, you will see only stainless steel and glass cups or bottles. To my knowledge, there is no convenient way to stock up on water in the event of an impending power outage other than the plastic options we currently have. So, if you’re like me and have lots leftover, what’s the deal?

First, a lesson on chemicals found in plastic. There are three main ones of concern. First is polycarbonate, a monomer made of bisphenol A, or BPA, which has a recycling code of “7” on the bottom of the bottle.  You’ve probably heard of it, especially if you’ve had children recently. Most all baby bottles and cups are sold with a label “BPA-free,” although the research is a big mixed on it’s safety. BPA has been linked to certain types of cancers and reproductive issues as well as increased risk of diabetes and heart disease. However, it is generally recognized as safe by most manufacturers if consumed in normal amounts (very small). Interestingly, this scientific review does give some compelling evidence of the research that there is in fact some cause for concern, stating:

“there are now over 125 published studies funded by government agencies such as the National Institutes of Health documenting that BPA has a wide range of significant effects including structural and neurochemical changes throughout the brain associated with behavioral changes, such as hyperactivity, learning deficits, increased aggression, and increased likelihood of drug dependency; abnormalities in sperm production in males and oocytes in females; disruption of hormone production and fertility in both males and females; immune disorders, increased growth rate; and early sexual maturation. Most of the small number of studies funded by government agencies that report no significant effects of BPA used one model animal (the CD-SD rat) that after being subjected to selective breeding for over 1000 generations has become extremely insensitive to any estrogenic chemical or drug.”

Luckily, you won’t see it much because of the negative view it has in the public eye (rightfully so.)

The second one is polyvinyl chloride or PVC which has a recycling code of “3.” You probably won’t see it much on the bottom of your water bottles because it’s known carcinogenic properties. A basic building block of polyvinyl chloride is chlorine (duh.) Unfortunately, chlorine production releases dioxins into the environment. This is not good. It’s used mostly to make vinyl-like plastic as a flame retardant (aka binders, shower curtains, children’s lunch-boxes, vinyl flooring, crib mattresses, yoga mats, it’s everywhere.)

Now for the third one, the one that you want to pay attention to, polyethylene terephthalate, or PET, which has a recycling code of “1.” The one has been approved globally for safe usage, including the Food and Drug Administration. There is some concern that it may leach a substance called antimony into the food or drink it is holding, which is a known carcinogen and may cause menstrual irregularities and even miscarriages in women when exposed in high levels due to occupational hazards. So far is there is no known scientific evidence supporting that exposure levels in food or drink would be high enough to cause the same issues. However, this study did find that under extreme conditions of worst case scenarios (including high temperatures), antimony does leach into water at levels higher than the Environmental Protection Agency’s daily intake recommendations. I did a quick look through my pantry and found several food items with the number 1 on the bottom including honey, salad dressing, and peanut butter.

Now on to my suggestions for keeping it safe:

  1. Avoid the temptation of reusing those plastic bottles and jugs. I know they look so clean and reusable (there was only water in them after all!). But the more you use it, the more likely the chemicals in the plastic will start to leach into your drinking water. This is especially true once you start washing them in hot water (no putting them in the dishwasher!). If the bottle is marked with a “1”  or “7” on the bottom, it likely contains BPA or PET and why risk it?
  2. Don’t store them in the garage. I know, if you stocked up on a ton, it can be difficult to find a reasonable place to store it all. But in the south, it’s still pretty hot here and temperatures are rising into the 90s. Heat breaks the plastic down and that increases the risk of the chemicals leaching into the water. This holds true if you left a water bottle in your car for a bit.
  3. Aside from chemicals, don’t create a science experiment. I took a look at our water jugs and fortunately, ours have the number “2” on the bottom, which are actually pretty safe. However, I still do not plan to refill them because of the risk of bacterial growth. Now that the jug is opened and air has been allowed in, that moist environment is ideal for bacteria to start growing.  Even if you washed them, over time the water just sitting there with air exposure is going to create an environment for invisible bacteria to start growing. Don’t risk it.
  4. Consider essential oils. One main reason I drink only out of stainless steel or glass is because I add a drop or two of citrus essential oil to every glass of water I consume and because of the purity, it will degrade any plastic I add it to. For the reasons stated above, I’d prefer not to consume those chemicals! Aside from that, there are several health benefits to adding citrus to drinking water. Lemon, for example, contains three main constituents, called limonene, β-pinene, γ-terpinene, which have a positive effect on mood, the immune system, and digestion. It’s also great for cleansing the body and surfaces (ya know, in case a bacteria or germ happens to sneak into my water bottle – makes me feel better!)
  5. In summary, stock up enough water to have one gallon per person per number of expected days of no running water and recycle when you’re done to save the environment. For my family of four, we got twelve gallons for three expected days and then filled up both of our bath tubs to flush the toilets and get clean. Luckily, we didn’t need it all and will now be prepared for next time!

P.S. If you’re looking for online support with like minded moms striving to live a healthier lifestyle, you may be interested in joining my free online support group here.

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Jillian McMullen, RDN, CSOWM, LDN

Foods that naturally boost your metabolism

First off, let’s start with a little background because most people who struggle with their weight are tempted to blame their metabolism for the difficulty they are experiencing. If you have a longstanding history of weight cycling, aka yo yo dieting, a slow metabolism may very well be your problem – for the purposes of this post, that is what the main focus will be. So what happens to your metabolism when you weight cycle, aka “yo yo” diet?

1. First, you lose a lot of fat mass (good thing) but a lot of muscle mass too (unavoidable with rapid weight loss, not a good thing)
2. If it was not a sustainable diet (often it’s not), then the weight piles back on at lightning speed, but this time it is all mostly replaced with fat mass.
3. Fat burns less calories than muscle = your metabolism tanks. Next time you try to diet, it doesn’t come off as easily or fast.
4. Over time, chronic dieters find themselves with a slower and slower metabolism because they keep losing muscle and replacing it with fat. It’s a viscous cycle that eventually makes it almost impossible for weight loss success to occur.

Fear not, if this all sounds too familiar and you think you are in this situation, I’ve done a little research for you and found some promising ways to boost your metabolism, naturally.

  • Tomato juice: in a 2015 study published by the NIH, menopausal women aged 40-60 who consumed 200 ml unsalted tomato juice twice daily experienced an increased in resting energy expenditure (REE) by an average of 400 calories
    Bottom line: drink 200 milliliters twice a day (about 6 ounces twice a day). Hey, it’s not gonna hurt anything.
  • Cinnamon: in a 2012 study published by the International Journal of Preventative Medicine, one group of individuals took cinnamon supplements every day, while the other group took a placebo. After 8 weeks, the cinnamon group lost more weight and body fat than the group taking the placebo.
    Bottom line: add cinnamon to your food or try the pure essential oil for a more concentrated version. Contact me if you are interested in learning more about brands I trust and recommend. remember, supplements are not regulated and therefore, may not be free of contaminants.
  • Coffee: most studies with caffeine in doses of about 100mg per day (6 ounces of coffee) showed an increased calorie burn between 75 and 110 calories for the entire day. There are other sources of caffeine, but coffee is a calorie free source that actually contains some antioxidants.
    Bottom line: have some caffeine before exercise to maximize the calorie burring effects if you are going to try this one. Hey, I love coffee, why  not?
  • Grapefruit: A study published in the Journal of Medicinal Food in 2006 showed that obese patients who consumed 8 oz of grapefruit juice or 1/2 of a grapefruit before each meal lost about 3.5 lbs after 12 weeks, without making any other changes to their diets. Participants in the study who consumed a grapefruit capsule before meals also lost weight — but just 2.2 pounds over the 12 weeks. The placebo group did not lose weight.
    Bottom line: drink 8 ounces grapefruit juice, eat 1/2 grapefruit daily, or take a grapefruit capsule with meals (I recommend with 2-3 drops pure essential oil in each one, contact me for recommended brands)
  • Lean Protein: Eggs, chicken, fish, low-fat yogurt, low-fat cheese, turkey
    The “thermic effect of food” (TEF) is the energy we use to digest food into small, absorbable components. Protein burns more calories to digest than carbs & fats. It also takes longer to digest, keeping you fuller longer.
    Bottom line: include 30 grams protein at meals, 8-10 grams of protein at snacks, and eat every 3-5 hours
  • Ginger: promotes digestion and stimulates metabolism, which leads to increased calorie burning. In animal studies, it increased metabolisms by 20%. In human studies, most herbal supplements taken internally increase metabolic rates by 2 to 5% tops. Every little bit helps! In a small, but very interesting pilot study, it was shown to enhance the thermic effect of food and increase the feeling of fullness after a meal. Bottom line: add it to your foods (we aren’t animals); you could also try the pure essential oil for a more concentrated source. If youve never cooked with essential oils, visit my previous post here.

What about appetite suppressants?

There are a few medical options that can help. I’ve talked them in the past along with habits that can help. In the spirit of natural options, here are some effective options I found in  my research:

  • Peppermint Oil: in its food grade, it is used often in the candy and dental industries (seems like an oxymoron, huh?). There is a reason for those after dinner mints! Because of the strong smell, it has an appetite suppressing effect in its purity. Try brushing your teeth after dinner, chewing mint gum while cooking, or diffusing peppermint essential oil to take advantage of this benefit.
  • Water: dehydration often leads to excessive hunger and even sugar cravings, especially chronic dehydration. Aim to consume half of your body weight in ounces of water daily. Add citrus for flavor and extra cleansing benefits. My personal favorite is pure lemon essential oil. Better yet, add fresh squeezed grapefruit juice or grapefruit essential oil.
  • Capsaicin: as in chili peppers. Ever notice you eat less when you have an extra spicy dish? This is why. Unless you are a glutton for punishment, of course.

Let me know what you try and feel free to reach out to me if you are interested in learning more about incorporating essential oils into your weight management routine.

P.S. If you’re looking for online support with like minded moms striving to live a healthier lifestyle, you may be interested in joining my free online support group here.

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Jillian McMullen, RDN, CSOWM, LDN

Foods that stop bloating

You know that feeling. There’s no real reason for your weight to have tipped the scale, but you can’t button your favorite pair of shorts. It’s a fat pants kinda day with a blousy blouse to cover up what you’re feeling looks bit like a pot belly. What if you could eat your way to a thinner stomach and get rid of that bloated feeling? You actually can.

First, it helps to understand why this happens. And it happens to everyone. Often women more so because of hormones. (You probably knew that though!) Pre-menopausal women often feel bloated at varying times of the month with bloating and fluid retention being two common symptoms of premenstrual syndrome.

Another reason may be because of dietary habits, either eating too much or too little fiber. Too much fiber, especially if the body is not used to it, can cause excess gas. Too little fiber can cause constipation. It can also happen if you eat foods that are particularly gas forming such as beans, broccoli, cabbage, dried fruit, asparagus, brussel sprouts, artichokes, onions, radishes, cauliflower and fatty or fried foods. The goal is to aim for 25-30 grams of fiber daily, I’ll talk about what that looks like since the typical American diet contains around 10 grams.

A big reason, however, is due to emotional stress. We often give too little credit to the impact that this can have on our physical health. In fact, it is estimated that 25 to 45 million people in the U.S. are affected with Irritable Bowel Syndrome and 2 in 3 of those are women. Irritable Bowel Syndrome is characterized by diarrhea alternating with constipation worsened by stress.

The last one I am going to include here is small bowel bacterial overgrowth. I talk about the importance of probiotics in my recent post here because it can definitely help combat this condition. I’ve seen this mostly in people who have had a recent gastrointestinal surgery and those taking antibiotics for prolonged periods of time.

So now for the good stuff, what foods can you eat to prevent this from happening? Because nobody has time to be feeling bloating and gross.

  • Cayenne pepper: it’s a natural laxative because it stimulates the digestive enzymes to get moving.
  • Ginger: old remedy for soothing stomach discomfort, haven’t we all had ginger ale at some point in our lives for a stomach upset? Sadly, most ginger ales don’t contain any real ginger at all. You are better off boiling and straining some fresh ginger or adding a drop of pure ginger essential oil into some tea or hot water.
  • Fennel: inhibits muscle spasms which calms down symptoms of IBS. Cook your next meal with some of the fresh herb or take 1-2 drops of the pure essential oil in a capsule.
  • Peppermint: similar to fennel, the menthol in peppermint relaxes your muscles and allows you to release any pent up gas or flatulence. Because if you are struggling with reflux, this may aggravate it because it also relaxes the sphincter at the end of the esophagus causing stomach acid to revert back up in those with gastroesophageal reflux disease (GERD.) Make peppermint tea by adding fresh mint leaves or a drop of peppermint essential oil to a cup of hot black tea. The hot water can also help get things moving along, especially helpful for constipation. Avoid chewing peppermint gum as this can make gas worse since gum may cause you to swallow air.
  • Lemon: acts as a natural diuretic and helps if you are retaining excess fluid. Squeeze some fresh lemons or add a drop of pure lemon essential oil into your water. Avoid drinking your water out of a straw since that can cause you to swallow excess air and make bloating worse.
  • Berries: they are 85 to 95% water, making them great for reducing bloat. They are also an excellent source of soluble fiber, a type of fiber that dissolves in water and one that many of us don’t get enough of in our diets. In order to promote bowel regularity and prevent bloating, we need plenty of this along with insoluble fiber, the kind that does not dissolve in water (so think apple skin and celery.)
  • Watermelon: it’s high in water, making it a natural diuretic to remove excess fluid retention. Also great source of soluble fiber like the berries.
  • Probiotic containing foods: such as yogurt, kefir, and kombucha or add a good supplement to your daily regimen (more on that here).

I’ve given you many ideas that offer additional health properties beyond reducing bloat. That’s one of the many great things about choosing natural options for improving your health. If you are interested in learning more about the essential oil options I mentioned, feel free to reach out to me at one of the links below.

P.S. If you’re looking for online support with like minded moms striving to live a healthier lifestyle, you may be interested in joining my free online support group here.

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Jillian McMullen, RDN, CSOWM, LDN

Don’t believe everything you read

I don’t know about you, but it makes me a bit aggravated that we have to comb through piles of research articles to understand what’s in our food supply these days. I’m supposed to be a nutrition expert and even I get confused. I can tell you dietitians are confused too, because they buy in to a lot of the junk out there – and here’s the thing: most of it is opinion based. For instance, if you keep up with the latest nutrition trends, you likely heard about coconut oil recently and how the American Heart Association has deemed it “unhealthy.” They’ve gone as far to say that we should eliminate it from our diets in order to keep our LDL (aka “bad” cholesterol) at bay. In fact, many of the dietitians (not all) in the circles I run in support this stance. Why? Because “holistic” health is unpopular in a science-based community. I’ve experienced the ridicule directly. Sometimes it’s easier to just believe what the big governing bodies say than to go against the grain. The research is there for functional and homeopathic medicine, but it’s not popular in western medicine.

I’ve been there. I was employed by one of the most well known research-based teaching hospitals in the world for nearly ten years. Going against traditional medicine and what a doctor says isn’t very popular. But we need to think for ourselves sometimes, especially if we are going to call ourselves nutrition experts. Because they don’t have time to talk to people about their patients’ diets. It’s not their thing. Their thing is sick people. We are the ones who have a chance to talk to the well and we are blowing it.

Now let me be very clear. I am NOT one of those people that live in fear of the government’s conspiracy against the people. I am NOT one of those people that believe all big Pharma is out “to get us” nor do I believe doctors or researchers have the cure for cancer and they’re just all hiding it from us to stay rich. I’ve looked into the eyes of a doctor right before and right after he’s had to tell a patient they have cancer and their hope for a long future is shattered. Believe me when I say – being rich was not on that doctor’s mind. But I do believe when it comes to making money, the business of pharmaceuticals as well as food manufacturing is alive and well. But that’s for an entirely different conversation.

So let’s get to the subject of the American Heart Association’s so called “review” of the research. They picked four publications to focus on. By now you’ve probably read some rebuttals on the subject as have I. But as a dietitian, I feel it’s my responsibility to write my own evaluation on the subject and properly educate the public. So let’s start with the facts. The press and the AHA have spotlighted coconut oil as being the evil one yet has failed to mention that coconut oil was not the source of saturated fat in their core studies completed over 50 years ago (side note: I was taught to sick within this decade when reviewing research.) I’ve read it twice just to be sure. The saturated fat sources put to the chopping block come from dairy and animal fats in said studies. Those just aren’t the same thing. At the end, coconut oil gets it’s own section, and based off of seven studies they cherry picked, they concluded that coconut oil raises LDL cholesterol in the same way as animal and dairy fats and thus, conclude that it should be eliminated from our diets. They do admit these studies did not examine coconut oil’s direct effects on CVD. It was also noted to raise HDL cholesterol and lowered the LDL:HDL ratio, however (both good things.) I’ll just leave a recent study right here published at the end of 2015.

If the AHA is going to advise against using coconut oil, why didn’t they recommend we eliminate dairy or meat from our diet? I mean, there was more evidence in their review on those two if you ask me. Now I’m not a vegan and I’ve discussed this diet in another post. But there are a lot of good things to be said about going vegan. But then again, the AHA are proponents of the DASH diet, so there’s that. And as you will see later, although they deny conflicts of interest, that remains questionable. They give honorable mention to the mediterranean diet as well, which I also highly recommend. This one is high in monounsaturated fat and those folks tend to have lower rates of heart disease.

Lastly, the underlying theme of this article was that polyunsaturated fats, more specifically omega-6 fats, will save the day. I’m not sure I buy that. It has been known from previous, more current research that eating a higher proportion of omega-6 (found in soybean oil) to omega-3 (found mostly in flax seed, walnuts, and fish) fat has a negative effect on heart health. I do, however, believe that lowering animal fat will decrease LDL cholesterol, which their studies in this review did show.

Scroll down to the very end of this review, not the post everyone’s reading about how unhealthy coconut oil is, but the actual published paper they are referring to. It was funded by eleven pharmaceutical companies including: Amarin, Amgen, AstraZeneca, Eli Lilly, Glaxo-Smith Kline, Merck, Pfizer, Regeneron/Sano, Takeda, Akcea/ Ionis, and Dr. Reddy. And it was also funded by several others including Esai (energy research and consulting firm), California Walnut Commission (Certified by the AHA, proponents of the DASH and Mediterranean diets), Ag Canada and Canola Oil Council, National Cattlemen’s Beef Association, Seafood Nutrition Partnership, TerraVia (algae oil high in monounsaturated fat, low in saturated fat), and Avocado Nutrition Science Advisors. Need I say more? I think I’m done here.

So what is coconut oil good for anyway?

  1. Oil pulling: the practice of swishing it around like mouthwash for about 10-20 minutes for oral hygiene purposes. In one study in particular, after just fourteen days there was a reduction in plaque forming bacteria, even as good as using chlorhexidine with distilled water. In a second study, oil pulling reduced plaque and gingivitis markers after just seven days and continued after thirty days.
  2. Weight loss aid: because it contains medium chain triglycerides, it has been found to decrease waist circumference after four weeks in subjects, particularly men. It has also shown a slight increase in metabolism, however this has only been a temporary effect which is why I don’t generally recommend it for that purpose.
  3. Antimicrobial and anti-fungal properties: this makes it great for fighting common skin infections and issues like acne, athlete’s foot, candida, even cellulitis.
  4. Moisturizer: again, great for healing dry, irritated skin and related conditions like eczema or diaper rash. It can even be used as a sunscreen, blocking 20% of UV rays.
  5. Anti-inflammatory: studies have shown it may help reduce this symptom of oxidative stress.
  6. Easily digestible energy source that won’t raise blood sugar levels: medium chain triglycerides are the easiest for our bodies to metabolize and thus, are used by the body quickly.
  7. Carrier oil: as an essential oil lover myself, some of them are considered “hot” and are better if mixed with a carrier and will actually be absorbed better because it holds them to the skin longer rather than the essential oil evaporating quickly. The possibilities are endless if using coconut oil since it already acts as a natural moisturizer and anti-fungal. Add essential oils and all of their various health benefits, you can have anything from bug repellents to sleep creams to extra strength anti-fungal creams and more.

These are just to name a few. Coconut oil has a high smoke point, which makes it easier to cook with than other oils like olive oil. It adds a variety of flavor to foods that need a twist. As with anything, no need to go overboard, if you are wanting the health benefits of consuming it, two tablespoons a day is plenty but anything less is probably not enough. And go for organic, extra virgin. The other stuff is highly processed and health benefits are stripped.

As you may have noticed, I’ve included a ton of links to evidenced-based research in this post. I believe in providing sound advice, I really do. Some of the stuff I’ve talk about has been referred to as “quackery,” but that’s just silly. I understand research and have participated in a few studies myself. It IS possible to have a respect for both sides. So now that we’ve cleared all that up, let me know in the comments what your favorite way to use coconut oil is!

P.S. Interested in some weight loss hacks? The event is over, but the replay is still up on Facebook!

P.P.S. If you’re looking for online support with like minded moms striving to live a healthier lifestyle, you may be interested in joining my free support group here.

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Jillian McMullen, RDN, CSOWM, LDN

What’s the deal with appetite suppressants?

Let’s talk about hunger and specifically, appetite suppressants. There are quite a few on the market today – that require prescriptions and are approved by the FDA (Food and Drug Administration).  And let’s face it, with weight loss, increased hunger often becomes a fact of life. I talk about why this is in a previous post here. You may have seen over the counter options at your local drug store. In my opinion, there are too many available that have actually gone through the necessary testing and research and have been around for a while to just blindly pick up something off a shelf that could be sawdust for all you know. Don’t do it.

As a weight loss expert, I want to assure you that I’m not against using weight loss aids for help. Not at all.  That might surprise you, but I know the physiology you’re up against when the body’s natural defense mechanisms kick in. Having said that, I’m not a doctor and this is a decision only you and your doctor can make because they aren’t appropriate for everyone. But I am writing this post because I want to give you some facts on what’s available and remove some of the stigma that’s associated with getting medical help for weight loss.

Like I said, there are several FDA-approved options on the market that all primarily do one thing – they suppress your appetite. The most widely used options are phentermine (brand name Adipex) and diethlypropion (brand name Tenuate)- both central nervous system stimulants. There is a newer one (brand name Qysmia) that combines phentermine with the anticonvulsant, topiramate, thought to lessen the occurrence of creating a tolerance as with using phentermine alone. And then there is locarserin HCL (brand name Belviq), that reduces appetite by specifically activating brain receptors for serotonin, a neurotransmitter that triggers feelings of satiety and satisfaction.

In my opinion, they are most helpful for maintaining weight already lost and/or giving you an extra “push” once you’ve already started to succeed with weight loss and hit a plateau. That’s right, helpful for MAINTAINING lost weight, not actively LOSING weight. If you have ever successfully lost weight, you may have noticed the hardest part was actually keeping it off. One of the main reasons for this is increased hunger is caused by a natural increase in the hormone, ghrelin, which is naturally stimulated by weight loss. It’s designed to “protect” you from starvation.

Not everyone can take these medications and not everyone can tolerate their side effects – they can cause increased heart rate, restlessness, insomnia, anxiety, etc. And you can’t take them forever because eventually you will build up a tolerance and they will become less effective over time. Unfortunately for many, this can  mean weight regain long term. The biggest obstacle I have seen with patients and clients, however, is lack of insurance coverage and/or the ability to get a willing doctor to prescribe them in the first place. Although I have seen coverage improve since “Obesity” was recognized as an actual chronic disease in 2013 by the American Medical Association.

So what do you do? And what do you do if you simply aren’t comfortable with the idea? Here are some tried and true tips that I find myself repeating often:

  • Avoid allowing more than five hours between meals and/or snacks.
  • Include 30 grams of protein at each meal and 10-15 grams protein at each snack (you will most likely need to increase your breakfast protein and decrease your dinner protein). I give you ideas of what this looks like in this previous post.
  • Consume minimum 80-100 ounces water daily (closer to half your body weight (pounds) of water in ounces is preferable, but go for this minimum).
  • Include plenty of fiber at each meal – half of your plate should consist of fruits and vegetables. More fiber and water packed foods means more volume and less calories. Most people consume <10 grams of fiber daily when the recommended amount is at least 25 grams. Chances are you have a long way to go, too.

A final thought, consider natural appetite suppressants. Grapefruit, peppermint, and lemon all come to mind and are great for adding to your water for flavoring. The best part? They can be used at the start of your weight loss journey and during the weight maintenance phase long term – without worries of developing a tolerance. Effectiveness doesn’t wear off in nature.

Hopefully I’ve helped you relax a little bit on this topic if it’s something you’ve considered but were afraid to ask about or I’ve give you something to think about if you haven’t. Whatever you decide, you’ve got options!

P.S. If you’ve been looking for support, you’ve come to the right place, request to join my online support group for all things nutrition and weight loss support.

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Jillian McMullen, CSOWM, RDN, LDN