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Intuitive Eating

Health At Every Size is Not Anti-Weight Loss or Anti-Weight Loss Desires

June 19, 2019 By Robyn 20 Comments

Back in February, Heather Caplan emailed me asking if I wanted to be a co-host on her podcast. I love being invited onto podcasts and while I would love to have my own podcast, the reality is, I have zero interest in learning the back end of podcasting. Heather on the other hand, has mastered the back end in addition to being a dynamic, humble, entertaining and knowledgeable host. And the podcast title, RD Real Talk, I naturally jive with 🙂 All that to say, it was an honor to be invited to co-host with her and it’s probably my favorite thing I’m a part of right now – talking and recording with her 2x a month as both a friend and colleague. We give life updates, answer listener questions and talk about topics we hope are interesting, all while keeping it real of course. We are human too.

I get a lot of emails and messages with questions about Health At Every Size. And I’m so glad! Because continually asking questions is the best way to learn – to always be curious. In our most recent episode, we answered a listener question about what HAES really means. Yesterday, I read over Heather’s intro post to this episode and its was so, so good I had to share snippets here.

I’ll start this post with a confession of my own: I didn’t understand the social justice roots of Health At Every Size® (HAES®) until about a year ago. I can’t pinpoint a moment, or anything in particular that made me realize how much I didn’t know. I just knew I was missing something, and as always, there was more work to do. On an almost daily basis, I remind myself I’m still learning—I’m not The Expert in, really, anything other than my own mind and body. (And even then sometimes I’m like OK, haven’t figured that out yet!) –> I had a very similar experience to Heather with the social justice roots of HAES. And two hands raised over here for always being a learner and not knowing everything or being an expert in anything. I resonate more with specializing in ____ versus being an expert in _____. I like to think I concentrate and engage in particular areas vs being an expert.

First, let’s clarify Health at Every Size (HAES®). There are a lot of misconceptions, misrepresentations, and misunderstandings of this movement, and few people who are new this paradigm really know where to go for quality, well-researched, and credible information about HAES®.  (Which is true of most things, yes?) So, first, take a moment and browse the ASDAH website, especially before reading opinion pieces or misinformed rants. On ASDAH’s site you’ll find everything from the facts to the diverse Advisory Board to HAES®-practicing healthcare providers.

HAES® reminds us that health is multifaceted, and not just metabolic. Also, that health is not something anyone owes to us, or has to pursue. It’s your prerogative.

We remove weight from the equation, and look more at symptoms we may be able to improve, and what kind of behaviors might help improve those symptoms. The flip side of that, in a weight-normative fat-phobic world, is saying “You have these symptoms BECAUSE of the weight.”

HAES® asks us to stop making assumptions about people based on their weight. HAES asks us to be neutral about weight. If behavior change leads to improved health for someone, or helps them better manage chronic diseases, or helps them improve their mental, emotional, and spiritual health, and in some cases these behavior changes also happen to result in a change in weight? Cool. No big deal (about the weight—but really great news about all the other stuff!).

On that note, as Robyn points out, “We don’t even know how to help people lose weight and keep it off. Recommending {weight loss} to someone is like recommending a medication that we know only works 5 percent of the time, and under extreme circumstances.” HAES® asks us to not prescribe intentional weight loss.

Make sure you click over and read the whole post where we answer this listener question. And if you want to learn more, listen to the full episode here!

Q: How do you address clients who want to lose weight because the extra weight truly IS causing issues (e.g., osteoarthritis, sleep apnea, painful periods, difficulty moving around, or not wanting to pay tons of money for an additional seat on an airplane, just to name a few)? I understand the concept of health at every weight, but it’s hard to deny that a significant amount of extra weight interferes with living an enjoyable life.

Lastly, I’ve included some blog post links below and a link to my online course where you can earn 2 CEUs if you’re interested in furthering your learning in this area. I’m always learning and I certainly don’t know everything. And that’s okay! If you’re new to this conversation, you’re in good company. We are all learning. Whether you’re familiar with HAES or not, whether you disagree or are questioning or are fully on board. Or maybe you’re someplace else entirely – thanks for reading and like Heather says, staying curious. We all benefit when we open ourselves up to listening and trying to understand the other side – no matter what side of the fence you’re on.

Health at Every Size is Not Anti-Health

Intuitive Eating and HAES Learning Resources 

Should I Lose Weight? And Can I Lose Weight Without Dieting?

Online Course –> Bridging the Gap Between Clinical Nutrition and Intuitive Eating


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Filed Under: Intuitive Eating

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Comments

  1. Jenna says

    June 19, 2019 at 3:41 pm

    I loved your poscast on this! Listened to it as soon as it came out! There was one question i had though – you mentioned people get intuitive eating wrong a lot, that its not eat whatever you want whenever you want. That was for some reason hard for me to hear because this whole time i thought that IS what IE is? Becoming the master of your body and eating what you want when you want?

    Reply
    • Anonymous says

      June 19, 2019 at 11:53 pm

      From what I’ve learned (I’m still definitely learning too), intuitive eating isn’t always eating what you want, whenever you want, because there are times when we’ll have to eat things we don’t necessarily want. If I’m stuck in traffic for an hour and I’m hungry, I might really be craving pizza, but because I have leftover yogurt in lunchbox with me, I’ll eat the yogurt. Or if someone is recovering from disordered eating, they may not have hunger signals at first, but they’ll still have to make themselves eat meals and snacks because they know that they need to nourish themselves. It’s more about having full permission to eat whatever you want, and combining that with what you know makes you feel good in both mind and body.

      I would love to hear Robyn’s response as well, because I am definitely no expert lol. Just thought I’d share what I’ve heard/learned.

      Reply
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A non-diet dietitian and nurse practitioner helping women find peace with food, accept their natural body size and heal from hormonal issues and period problems.

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I have yet to experience postpartum myself, but I've had many clients and readers that have been through that season of life. Or perhaps you are currently living through the postpartum period. Every woman's body is different, therefore every woman's experience after giving birth will be different. What works for one woman, might not work for the next. While one woman might go through postpartum and adjust to newborn life quiet seamlessly, another woman might find it much more difficult. She might need the support of medication, therapy, extra help and many other things. One way is not better than the other - they are simply two different ways of navigating the postpartum period. I hope this post helps you better care for yourself, whatever that means for you. There's no right or wrong way to care for yourself as a mom or your new baby.

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A little way I’m learning to enjoy these years o A little way I’m learning to enjoy these years of getting to spend so much time with my kids: aka another way I’m discovering some pockets of peace so my heart & mind & soul don’t crumble under the reality of dependent & emotionally dysregulated tiny humans.  About once a week we go somewhere for baked goods. We drive or walk, buy something buttery & then find a beautiful, relatively quiet outdoor spot where the boys can romp and I can sit and think my thoughts while I watch them play. This past week we were found ourselves at the Wool Factory where the boys threw rocks & whatever else off the bridge while I ate 90% of this almond 🥐 from @coucourachou that will blow your mind. Boys ate the other 10% bc they were busy playing and didn’t ask for more quickly enough 😜  I’m finding *for me* playgrounds have a time & place but they aren’t where I enjoy motherhood & my two toddlers the most. Baked goods & a pretty outdoor spot without high drops my 15 month old could launch himself off of…I’m here for it.
I brought this bag of snacks along when I took the I brought this bag of snacks along when I took the boys to hike out at one of our favorite spots last week and when I ripped it open I was regretting my choice to share them with my kids. @baresnacks randomly sent me a box of snacks and I usually eat free food we receive or give it to a friend/neighbor and move on. But I felt it my duty to tell you about these bc they are THAT GOOD. I’m not getting paid and this isn’t sponsored - I was just shocked at how tasty these were and felt you needed to know. We ate them with some buttery roasted nuts and the combo was 👌🏻 but they are good just on their own.  The boys climbed rocks and swam in the reservoir - leave it to my almost 3 year old to want to strip down naked and fully submerge himself in chilly water on a sixty degree morning. “Mama can I get super nakey?” Sure baby. Sure. This is your childhood.
It’s a hard sell to get me to accept an offer of It’s a hard sell to get me to accept an offer of extended alone time away from the babies to just be. And that isn’t something that’s best for me, it’s an area I gotta grow in. So this afternoon when Nick pushed me out the door and was like - get out of here plzzzz - I walked to my favorite cafe and ordered a thick pastrami sandwich and sat there for a good LONG while before taking a long, peaceful walk in the rain to wrap up the afternoon. Note to self: stop being such a control freak and go be by yourself sometimes.
a girlfriend brought me a 🍪 the size of my face a girlfriend brought me a 🍪 the size of my face from @mariebettecafe this morning when she came to get her toddler who played with us all morning and it is v good. even better when paired with an iced latte 😍
#AlignPartner I left off a few weeks ago sharing a #AlignPartner I left off a few weeks ago sharing about how taking @alignprobiotic regularly has improved my digestive regularity.  And I’m still taking them! I’ve permanently added Align 24/7 Digestive Support* into the roundup of supplements I take before bed (prenatal, vitamin D, choline & DHA - all which help keep me healthy while breastfeeding) so I can keep seeing the benefits.  Just because you see benefits, doesn’t mean you should stop taking your probiotic. Keep taking Align daily (under the supervision and recommendation of your health care provider of course) to keep seeing the benefits!  I’ve said it before and I’ll say it again - one of my favorite parts of Align probiotics is that they don’t need refrigeration AND they come in a convenient little blister pack that has the days labeled. It’s the little things people! #MyAlignGuutJourney #guthealth  *These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease.
I realized it was going to be a long, hot afternoo I realized it was going to be a long, hot afternoon (91 and muggy in MAY 🤯) when a toddler nap was refused and a baby nap was cut wildly short ....so my tired mom brain pulled out two plastic storage bins, filled them up with soap & hose water and striped ‘em down naked in the yard. Two hours later, it was almost time for an early dinner and I had magically been able to sit for most of that time and we already had baths checked off the list. 👍🏻 I’m archiving this idea for my future self, hope it helps another tired mama out.
#AlignPartner I left off a month ago sharing about #AlignPartner I left off a month ago sharing about getting better at doing the basics to care for myself which included taking my supplements and @alignprobiotic regularly.  Probiotics take time to work so I wanted to give it a full month to see the full effects of @alignprobiotic. So here are my honest thoughts: it took a few weeks to notice any differences, but near the end of the month I did notice some changes in my digestive balance - even while traveling! I’m not someone who experiences occasional gas, bloating or abdominal discomfort frequently enough to notice a difference, so I don’t feel like I can comment on how well Align works for those benefits.  All in all though, taking @alignprobiotic was a positive experience and I really appreciated how the capsules don’t need to be stored in the fridge, making it convenient to take them with me anywhere #MyAlignGuutJourney #guthealth  *These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease.
Where we will spend a good majority of our summer. Where we will spend a good majority of our summer. Because the swampy VA summer has already begun (it’s in the low 90s today 🥵 lord help) and creeks are our retreat - not only from the heat but also from the noisy world. I need this just (if not more) than they do! We’ll be at the splash pads and pools too, but the quietness of the creek...my mental health is so about it. And it’s hours of play for them! Win win.  A couple things to note: this scene also included a few toddler reminders on finding another direction to throw rocks instead of at his brother - so not all is serene 🤪 and also, yes I am now that mom who buys the same clothing for both kids bc it keeps things simple & i think i kinda like it too 🤷🏻‍♀️
Things I love about midwifery among many: the appo Things I love about midwifery among many: the appointments, no matter how long, feel so unhurried. 
Just walked in from an appointment with my midwife because I was due for a Pap test + an overall wellness visit. My last pap was during my first trimester with Cal which feels like a jillion years ago, but it’s only actually been three years. Life changes so fast! Pre-baby life feels like a whole other life.  I’m wayyyy overdue for a visit to my PCP bc I’ve been under OBGYN or midwifery care for the majority of the past three years while having babies, but I am pretty good with keeping up with my paps. It seems women often think they need pap and/or HPV testing way more frequently than they do (and providers sometimes perform these tests more frequently than necessary - remember more testing doesn’t always mean better outcomes!)  So if you need it, here’s a quick little reminder on this chilly spring Friday afternoon on how often you need this testing (these are the recommendations from ACOG)  Women aged 21–29 years should have a Pap test alone every 3 years. HPV testing is not recommended.  Women aged 30–65 years should have a Pap test and an HPV test (aka co-testing) every 5 years (preferred). It also is acceptable to have a Pap test alone every 3 years.  If you get abnormal results, this testing frequency could change - but for healthy women with normal results, you actually don’t need testing as frequently as you might think. Which is great news for those of you who hate the speculum.  Ok, off to finish up some things on the to-do list (including cleaning this kitchen) during nap time and then come 5 o’clock, crack an IPA with our neighbors 🍻
#AlignPartner Over the past seven months since bec #AlignPartner Over the past seven months since becoming a mom of two, caring for myself has gotten shoved to the back burner. And it's been a challenge to make it a priority. My routine-resistant personality has upsides and downsides when it comes to motherhood. So I'm starting small this year with a consistent bedtime routine that includes taking my supplements and @alignprobiotic and hoping as that becomes consistent, my mornings will naturally shift too.  In short my bedtime currently goes like this….jammies & face care when putting the babies to bed. Before I go to bed (anytime between 9pm and 12am...) I’ll pump, take my supplements and fill my water. Then I go upstairs and brush my teeth. And then get in bed. The kicker: 70% of the time I find myself finishing up tasks on my phone IN BED. I hate this habit.  Back to supplements. This is something I have been able to stick with. On top of fish oil, my prenatal, choline and vitamin D, I recently added @AlignProbiotic 24/7 Digestive Support*§ to see if it helps with abdominal discomfort and regularity because when I don’t drink coffee or am traveling that can get thrown off.  I’ll be taking it every day for the next 28 days since it takes TIME for our bodies to adjust to probiotics - and I'll be taking you guys along with me as I share my honest thoughts. Many people think if they don’t see changes within the first 7-10 days then the probiotic isn’t working, but that’s not the case. I’m giving myself more than just a week or two and instead a full month to see the full benefits. I’ll keep you posted over the next month. Check out my stories to learn more! #MyAlignGutJourney #guthealth
 
*These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease.
We had an AFTERNOON today. Toddler didn’t care f We had an AFTERNOON today. Toddler didn’t care for a nap. Putting baby down was harder than I wanted it to be. Miraculously, I had a moment of clarity as I was covered in tiny humans and decided I wasn’t doing the nap battle thing a on 60 degree, gorgeous, sunny spring day 🙅🏻‍♀️ so I piled both babies into the car half naked, opened the sun roof, put on white noise for them and an audio book for me and drank a kombucha as I drove a meal to a postpartum mama. Thirty five minutes later we had a sleeping baby and a toddler who at least had a rest. Baby transferred without waking HALLELUJAH and although my toddler didn’t nap today (lord help) at least we got soaked in breezy sunshine 😎🤘🏻💆🏻‍♀️
We veered from our usual Friday night homemade piz We veered from our usual Friday night homemade pizza (minus the dough, we leave that to @albemarlebakingco) because we are eating pizza tomorrow with some friends - instead I called my mom and asked her how she makes her chicken fingers and we fried up a big ole batch of chicken nugs 🙌🏻🤤 along with a sheet pan full of sweet potato fries and a simple arugula salad dressed with parmesean, olive oil and s&p. Oh and my moms honey mustard recipe for dipping. It’s SO DANG GOOD.  Over the past 6ish months we’ve been practicing (and practicing and practicing bc it doesn’t come naturally) unplugging from technology and slowing down and resting and just being for one day a week. Some call it Shabbat. Some call it Sabbath. Maybe you call it something different. All I know is IT IS SO GOOD FOR MY WEARY SOUL and the day I look forward to ALL WEEK. Sundown on Friday to sundown Saturday. Nothing but rest. For us that means hiking (or something outside) and napping and reading and being with friends and eating really good food. And drinking some really good wine or craft beer. Sometimes whiskey. 😛  And because I know I’ll get asked about the chicken finger recipe and also because it’s too good not to share and Momma Coale said I could, here ya go:  Cut chicken breast into thin strips or small pieces (I prefer nug size bc the breading to chicken ratio is perfection). Salt and pepper those babies really well. Then dredge them in all purpose flour, then egg, then panko - just like you would bread anything else. Then fry them up in a light oil - I use avocado oil because that’s our everyday oil. You could also use canola or peanut oil. Just fill a pan with an inch or so of oil on medium high heat. They only take 2-3 minutes per side. You can always temp them to make sure they are at least 165 degrees F to really make sure they are done. Dunk in all the sauces and enjoy!  Happy weekend!

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