October 11, 2009

Food Borne Illness

Ingredients: Corn, Cellulose Gum, Mono- and Diglycerides, Lime, Chicken, Water, Green Bell Peppers, Onions, Zucchini, Carrots, Tomato Paste, Green Chilies, Citric Acid, Sour Cream Flavor, Maltodextrin, Red Bell Pepper [contain Citric Acid, Calcium Chloride, Water, Salt], Corn Starch, Chicken Base, Chicken Stock Flavor, Nusalt/Sodium Substitute, Salt, Seasoning, Cooked Rice, Water, Tomatillos, Cheddar Cheese (Cultured Skim Milk and Milk, Water, Modified Food Starch, Salt, Sodium Phosphate, Flavor, Enzymes, Artificial Color, Sorbic Acid [Preservative]Lactic Acid, Vitamin A Palmitate)Corn, Black Beans, contains 2% or less of Each of the Following: Green Chilies (contain Citric Acid)Dehydrated Sour Cream (Sour Cream Solids, Nonfat Milk Solids)Green Peppers, Red Peppers, Nonfat Pasteurized Processed Cream Cheese (Pasteurized Nonfat Milk, Cheese Cultures, Pasteurized Milk, Whey Protein Concentrate, Less Than 2% of Rice Starch, Salt, Cream, Sodium Phosphate, Whey, Lactic Acid, Flavors, Maltodextrin, Cellulose, Xanthan, Guar, Tara, and Carob Bean Gums, Artificial Color, Sodium Propionate [Preservative]Vitamin A Palmitate)Modified Food Starch, Condensed Skim Milk, Chicken Broth Powder (Maltodextrin, Chicken Broth, Salt, Flavors)Soybean Oil, Nonfat Buttermilk Powder, Salt, Mexican Rice Flour (Tomato Powder, Salt, Paprika, Sodium Diacetate, Whey, Spice, Flavor [including Spice Extractives]Gelatin, Beef Flavor, Smoke Flavor, Soybean Oil and Silicon Dioxide)Flavoring, Granulated Garlic, Chicken Stock Flavor (Chicken Broth, Flavors, Salt, Yeast Extract)Spices, Chili Powder (Chili Pepper, Spices, Salt, Garlic Powder, Silicon Dioxide, Ethoxyquin)…….

Hello, Hello! Please feel free to skip down here….

This is not the vocab list for a organic chemistry final, that’s the ingredients found in a commonly consumed food item that is, in fact, in my very own freezer. Even more disturbing, this item has the word “healthy” listed right in it’s name. There are 3,000 ingredients on the FDA’s generally-recognized as safe (GRAS) list, that are approved for us in everything from our breakfast cereal, to our ice cream, to our beverages to our supplements. 3,000 safe ingredients! The research on this safety of these ingredients can be sparse, confusing and misleading (often depending on the source of funding for said research), and the conditions under which they arrived on the GRAS list are often hotly contested.

I think it’s safe to say we all know consuming food and beverages with an ingredients list that requires a PhD is probably less than ideal for our health. We know that consuming foods with labels that read something more along the lines of “Ingredients: Apple” would probably do us a world of good. Yet, the lure to buy and consume processed and packaged foods, including many restaurant and fast food, despite their scary looking ingredients list is powerful and all too common.

In his exceptional book The End of Overeating, Dr. David Kessler, former head of the FDA, offers a suggestion for a new approach to looking at food, with a parallel to the cultural wide shift that was made around cigarettes. Forty years ago, cigarettes – while perhaps beginning to be recognized as harmful – were still commonly used and certainly not taboo. Today, I would guess that if we sat down around a table and I offered many of you a cigarette, the great majority would dismiss it, noses scrunching, brains reeling with the thought of “That’s gross. I can’t put that in my body.”

What would you say if I offered you a chocolate chip cookie, sitting at the same table?

Different story right? Even if that cookie’s ingredients list included more chemicals than farm-fresh eggs and butter, most of us would barely bat an eye before we’d take a nibble. We might be thinking of the calories, we might be thinking of our guilt, but we probably wouldn’t be thinking “This food might make me sick.” Yet that is, in fact, the very real story of MUCH of our American food products. And they are just that – products. They are produced, in a factory, a combination of molecules and chemicals coming together to be sold as a commodity that we ingest. It is very likely that the food industry is not going to change before the public demand changes. Which means, if we want keep shifting ourselves towards healthier beings, the burden is going to lie on us to make the choice about what we permit to go in our bodies.

Dr. Kessler’s proposal includes looking at some of these food products and literally declaring (aloud, or in your head, perhaps depending on your company) “This will make me sick. This food will make me feel …. This food is not edible.” Sometimes I even try to take it one step farther – for instance, a friend of mine is known for keeping Starbursts on hands at all time. In a mindless moment, I can find myself sitting in a pile of pink, red and orange paper wrappers before I even realize what I’m doing. Soon after, my teeth hurt, I’m buzzing on sugar and I’m wondering if I really wanted to take in 120 calories from Starbursts, when I probably could have enjoyed some really delicious food instead. My strategy came borne from Dr. Kessler’s suggestion. Each time I knew those colored wrappers were going to be in my presence, I began mentally chanting to myself “That is not food. That is not food. That is not food.” Overtime, the message seemed to sink in. That is not food, and for the most part, those little wads of sugar have lost their alluring grip on me. (I said for the most part, I’m only human, friends!)

This is not easy. I understand this. The lure of foods and beverages is as strong for me as nearly everyone I coach, and because I’ve fought my own weight struggles, I understand that food is more than just a combination of ingredients we put in our body. Food can be comfort, can be entertainment, can be celebration. Food can be mindless, it can be soothing, and most of all it can be addictive. Simple changes in thoughts are just a toe-hold on the radical shift that has to happen to create personal, and then public, changes in our health.

I’ve had a very compelling experience over the last two weeks that have made me think about the impact that food has our health in a very different light. About six years ago, I was diagnosed with ulcerative colitis. I’ve been fortunate enough to be in remission for over three years, and for these last years, have barely given any consideration to the disease itself beyond my medical and mental well-being routines that I use to stay healthy. Ten days ago, I began to experience a flare. For me, the most immediate symptom of a colitis flare is the effect that almost all food and drink has on my digestive health. In the first couple days of my flare, I began to systemically cut out some of the more common culprits – coffee, pop, foods with a lot fiber (there goes my salads, apples, grapes…), and most animal products.

Three days into my flare, I was sitting on the couch with my husband, watching TV and I was staring longingly at his can of Fresca. “I want that,” I whined. “So have it?” he asked. “I can’t. It’ll make me sick,” I pouted.

The same thing happened a few days later. I was meeting a client at Starbucks, and the craving for a skinny vanilla latte hit me the moment I walked in. “I want one,” I whined again, internally. Again, a heartbeat later… “I can’t. It’ll make me sick.”

The week has trickled on like this. This past weekend I spent in Montauk with my girlfriends from college, at the wedding of our one of best friends. There were simple things that were triggers – all the bridesmaids gathered together at a nail salon on a rainy Long Island morning with cups of coffee huddled in hand. “I want one,” that voice chirped again. A bridesmaid luncheon with a beautiful tray laid out with baguettes, brie cheese, fig spread and strawberries. The presentation alone was incredible (and I of course, photo documented it) but the lure to dive in, just based on appearance alone, was absurd. Boston Creme Pie, passed around the reception? The champagne toast? Omelets and tall steamy mugs of coffee on our way back out of town the day after? Check, check, check. The “I want that” bug was in overdrive. Each time I’d be tempted to taste, nibble or sample, I’d be reminded “no, that will make me sick.”

This experience was, for me, an epiphany moment in understanding how even though we know there are many foods out there (perhaps even including my favorite vice, diet coke) that may make us sick, the lure to eat them is more than the knowledge of what they are. Our eating choices are intricately wrapped up in experiences (my Saturday morning at the hair salon), in habits (walking in to Starbucks), in presentation and social cues, and even in just visual cues – seeing someone else eat something. These factors are well documented and studied by those of us who study eating and weight loss behaviors, and they help explain why we continue to reach for foods that may, on some level, be making us sick.

So what can we do about it? If you feel strongly, as I do, that the ingredients in our foods are partially responsible for the diminishing health that we’re experiencing as a country, change will have to start with you, personally. Choose one food in your pantry – maybe the one with the longest ingredients list, or the one food that leaves you feeling horrible (the way my Starbursts did) and begin to systemically change your perception of it. Every time you look at that food product, practice your new thought “That will make me sick.” Sit down with the food product and start googling the ingredients in it. Men’s Health has produced a great resource called “Eat This, Not That” which includes a glossary of many different additives and preservatives and their known and suspected health links. Research a healthier swap – one with fewer ingredients, fresher ingredients, or a version you make at home.

You don’t have to go on a pantry overhaul in one day, and it is important to recognize that many of the choices we make are bundled up with those other factors – habits, experience, emotion, social cues – that will make change a journey of three steps forward, one steps backward. This step can be very challenging, but remember, being in charge of YOUR health means, ultimately, being in charge of YOUR food. Know what you’re putting in your body, and take the steps to protect the health you’ve been blessed with or that you deserve.

Ingredients: Apple

Ingredients? Just one.

1 comment

February 25, 2009

Say No Once

You’re trying hard. You’ve eaten great all day, bringing your brown bag lunch to work, having your fruit for a snack, skipping dessert at dinner. But it’s 9 pm, Ryan Seacrest is on the background, you’re snuggled up in your jammies…relaxing…. When all of a sudden it hits you: that craving for a little something something. Sweet or salty, creamy or crunchy, hot or cold… each person’s craving is different.

Like the tractor beam on the Starship Enterprise pulling you, you find yourself drawn to the pantry or freezer. Despite the “you shouldn’t do this” warning in your head, you find your hand reaching forward to grab….

Nothing.

Nothing? Wait a second, that’s not how this scene played out for the last few years. There was always something there – some chips, some ice cream, maybe that secret stash of chocolate you don’t think your spouse knows about. Why is there nothing now?

There’s nothing there now because you set yourself up for success. How did you do that? By saying no at the grocery store. By saying no at the grocery store, and not bringing your tempting foods into your house, you set up an environment that makes you successful in times that you would have otherwise struggled: when you’re tired, bored, relaxing, anxious, worried…. You reach for your comfort food only to find it’s not there.

You’re not really hungry. (If you were, you’d be reaching for a quick salad or a piece of fruit, not the jar of cashews.) There’s something else at play here, and until you deal with the root of the cravings, the quickest course to success is to Say No Once and make your environment a no-fail zone.

Like taking away a child’s security blanket, the absence of food will help you become more aware of what you’re using that food for. This may mean you have to feel those emotions – boredom, fatigue, worry – but allowing yourself to feel and endure those emotions is the first step in healing emotional eating. Say No Once, and succeed many times.

1 comment

November 19, 2008

Anatomy of a Craving: Step Two

T.F.A.

Thoughts. Feelings. Actions.

TFA is the major principal to understanding and untangling emotional eating. TFA stands for Thoughts lead to Feelings, Feelings lead to Actions.

Here’s an example:

Many people start off their weight loss program hopeful, enthusiastic, and confident. Their predominant thought might be something like “I can do this! I have the tools, I know what I need to do and I can do this!!” Weight comes off and reinforces this belief.

The thought here is: I can do this.
What kind of feelings would you experience if your predominant thinking was “I can do this?” I always think of confidence and excitement as the two main emotions that derive from that thought.

What kind of actions do you take when you feel confident and excited?
Do you make healthy choices?
Do you meal plan?
Do you track your food?
Do you go to the gym?
You betcha. You’re on top of the world and ain’t no stopping you now.

Fast forward to a few months later. There’s often a period of burn-out around this time, and thoughts start going something like this: “Gosh, this is hard. I have to track my foods for the rest of my life? I want to eat that, why can’t I eat that? Can I really do this? Why is the weight slowing down? This is hard.”

Predominant thought: This is hard.
What kind of feelings do you experience when you’re walking around thinking “This is hard.”? No longer confident and excited, most people here feel frustrated, overwhelmed, and maybe even a little resentful.

What kind of actions do you think you take when you feel frustrated and overwhelmed?
Do you make healthy choices?
Do you meal plan?
Do you track your food?
Do you go to the gym?
At this point, probably not. The action that follows overwhelm is something akin to curling up in the fetal position and whimpering for it to go away. Well, maybe not quite that dramatic, but you can see how the feelings you experience (that derive from the thoughts you have) drive the actions you take.

Before you go any further, I need to ask you this question:
Who determines what thoughts you have?

If you said “I do!” then proceed on. You’re ready for Step Two.

If you answered anything else, then Step Two isn’t going to be help you yet. If you feel as if your thoughts come from somewhere other than yourself, then you’re not in a position to change your thoughts. If you’re not ready to change your thoughts, you’re certainly not ready to change your actions.

If you are ready to change your thoughts, let’s proceed and see how this works for emotional eating. In Step One, you collected the data of the feelings that triggered your moments of disconnection. You’ve collected the F in TFA. When you reflect on these cues, can you see why your brain has effectively removed you from those feelings with a disconnection?

Using the data you collected in Step One, trace the feelings you’ve pinpointed back to the Thoughts that generated those feelings.
Example:
For me, a trigger to disconnect (have a food craving) is when I sit down to write something and I have writers’ block. You can imagine how many boxes of Wheat Thins were consumed during my thesis preparation.

The feeling I experience is something akin to anxiousness and pressure.
The thought I trace that back to: “I have to think of something to write. I have to finish this paper/article/email/blog/product by — date, I only have an hour to work on it and it has to be good.” That thought presses my panic button.

What kind of choices do I make when I feel anxious? Not good ones.

Step Two: Trace the Feelings back to the Thoughts, until you can pinpoint what thoughts are generating the feelings of discomfort that create the action of craving/eating food. T.F.A.

Now here’s the fun part. Remember who we said was in charge of your thoughts? That’s right… you. You and you alone have the power to change that thought. Remember, a thought is just your perception of a situation. Like it or not, your thoughts are not infallible. I often meet a lot of resistance with clients around this area, because they believe if they release themselves from the thoughts they are having, things won’t get done, people will think differently of them, they won’t feel as good about themselves, and the world will stop spinning.

Newsflash: Reducing your stress rarely leads to these negative outcomes.

My thought change around my writer’s block meant that I had to let go of the idea that if I didn’t finish whatever I was working on in that very moment that my world would keep on spinning. From “I have to finish this now” to “It’s okay if I don’t know what to say now. I’ll come back to it when I feel more creative” may seem like a simple switch, but it’s taken months of practicing my new thought for it to start becoming ingrained.

Now when I experience writer’s block my new thoughts allows me to feel relieved and released, instead of panicked and anxious. I put down what I’m doing and walk away with a feeling of lightness. The snack craving I used to experience every time I got stuck has diminished and will, I believe, eventually disappear. The new feelings of relief and permission to let go do not generate feelings of discomfort.

Changing your thoughts requires patience, vigilance and practice. Once you identify the thoughts you have that are generating the feelings of discomfort, choose a new perception of the situation that allows you to feel something more productive: excited, confident, hopeful, encouraged, calm….

Go crazy daydreaming about what different perceptions you might have, until you find one that creates the least resistance and doubt. Once you hear the old thought starting to surface, blow the whistle and intentionally replace the old thought with the new one.

Practice, practice, practice. With time, your new thoughts can become as automatic as your old thoughts once were. This process may feel a bit tedious, but the end result is as effective as it is dramatic. You have nothing to lose (except some weight) and a whole lot to gain (except some weight.)


Food For Thought:
Start small – choose just one feeling cue from Step One to work around and trace it back to the thought you are experiencing that is generating that feeling. Imagine how else you could perceive the situation that is generating this feeling of discomfort. What new interpretation would create the feelings you want to feel? Choose a new thought and make it a point to intentionally replace that old, automatic thought every time you hear it surface over the new few weeks. If you experience a shift in your thinking and reduction in your cravings, let me hear from you!

3 comments

November 13, 2008

Anatomy of a Craving

It’s 8:13 pm. You’ve got your feet up on the couch and your finger on the fast forward button to rewind through the commercials of your favorite TV show. Your long day – complete with a deadline at work, a new statement from your 401k you really didn’t want to see, an email from your kid’s teacher and a phone call from your parents about their latest health concern – is finally, finally behind you. It is now time to relax.

And, apparently… eat?

Forget that you’ve just eaten dinner. And it was a good dinner. A gorgeous green salad with light dressing, a lean protein, a fiber packed grain. You eat three meals and snacks. Fruits and veggies. Drank all your water. Boy, you were good today.

So, why, oh why, oh why, is it that that little bugger of a snack craving always hits as soon as you get good and relaxed?

The Answer? One part habit, one part emotions.

How many of you can recall a time when you were a wee impressionable one and food was given to you as some sort of reward for a job well done? Whether you are six or forty-six, food as a reward for a hard day’s work is an all too common habit. No need to point fingers at the rewarder, they probably learned it from their superiors too. It’s a habit many, many people have established.

Part two is the emotional eating aspect. Emotional eating is a complex process. Emotional eating is a means of disconnecting. Store up that word – it’s one of my favorites for explaining emotional eating, and this is a topic on which we’ve got a lot of grounds to cover. What does disconnection look like?

Here’s a picture of disconnection: You, sitting on the couch, your feet up. You, the whirlwind that is on the go from 5 am to 8 pm without a breather, finally stops moving. When you stop, the brain starts. Have you ever found that if you sit still for juuuust long enough all those uncomfy thoughts start rushing in? All the things on your to do list that you didn’t tackle today that beckon tomorrow, the money or health concerns that don’t go away, your kids’ problems, how tired you are, how you should have gone to the gym… on and on and on.

Haven’t experienced this? That’s because your sneaky little brain saved you from this intense overwhelm of the thoughts many of us carry around daily. Before you have time to dwell on this onslaught of unfixable worries, your brain steps in and saves the day with a disconnection.

A disconnection is a thought that removes you from a situation (in your mind) that causes discomfort and is not easily remedied.
My disconnection comes in the form of wheat thins. Or tostitos. Or rainbow sherbet. Yours?

The moment your brain serves up that snack craving, it effectively removes you from the thoughts that rush in when we slow down. Mix in years of habitually using food as a reward for a day’s hard work, and you have a recipe for a CRAVING.

If this is resonating with you, we have some work to do. Step One is not to fight it with willpower. This will only get you so far. A few days if you’re normal, a few months if you’re reallllllly lucky. This isn’t about willpower. It’s about changing the way you think about food in order to make a lifestyle change.

Step One is to identify the moment of disconnection. When that craving hits (regardless of it’s 8 pm relaxing or 3 pm at work or 10 am after putting the kids down for a nap or 5 pm when you walk in the door) and you recognize that you’re not hungry, stop and acknowledge a) that you are disconnecting from something and b) what is is your disconnecting from. Ask yourself the question “What am I disconnecting from?” Ask and answer. Ask and answer, ask and answer, ask and answer. Find the themes. As you answer your own question, start gathering the data that pinpoints the who, what, where, why and when’s of your own personal cues to disconnect.

This is Step One. Step Two is all about changing your perception of the things that are your cues to eat. But, this is turning into a novel of an entry so I’ll leave you here to practice your Step One for awhile. I’ll be back, with step two. (And it won’t take me 2 weeks this time – I promise!)

Food For Thought: If this concept of disconnection hits home, start with Step One. Keep a little journal somewhere that you can collect your data. It can be a calendar, a notebook, the back of envelope… just write it down so you can start recognizing what themes are your cues. Healing the worry means finding the worry. So let it in. Even if you go ahead and eat your craving this week, doing the Step One will pull you from a place of mindless decision making to conscious, thought driven choices. So even if you eat, it’s a conscious choice. Conscious choices are the antidote to mindless munching.

3 comments

November 12, 2008

Anatomy of a Craving

It’s 8:13 pm. You’ve got your feet up on the couch and your finger on the fast forward button to rewind through the commercials of your favorite TV show. Your long day – complete with a deadline at work, a new statement from your 401k you really didn’t want to see, an email from your kid’s teacher and a phone call from your parents about their latest health concern – is finally, finally behind you. It is now time to relax.

And, apparently… eat?

Forget that you’ve just eaten dinner. And it was a good dinner. A gorgeous green salad with light dressing, a lean protein, a fiber packed grain. You eat three meals and snacks. Fruits and veggies. Drank all your water. Boy, you were good today.

So, why, oh why, oh why, is it that that little bugger of a snack craving always hits as soon as you get good and relaxed?

The Answer? One part habit, one part emotions.

How many of you can recall a time when you were a wee impressionable one and food was given to you as some sort of reward for a job well done? Whether you are six or forty-six, food as a reward for a hard day’s work is an all too common habit. No need to point fingers at the rewarder, they probably learned it from their superiors too. It’s a habit many, many people have established.

Part two is the emotional eating aspect. Emotional eating is a complex process. Emotional eating is a means of disconnecting. Store up that word – it’s one of my favorites for explaining emotional eating, and this is a topic on which we’ve got a lot of grounds to cover. What does disconnection look like?

Here’s a picture of disconnection: You, sitting on the couch, your feet up. You, the whirlwind that is on the go from 5 am to 8 pm without a breather, finally stops moving. When you stop, the brain starts. Have you ever found that if you sit still for juuuust long enough all those uncomfy thoughts start rushing in? All the things on your to do list that you didn’t tackle today that beckon tomorrow, the money or health concerns that don’t go away, your kids’ problems, how tired you are, how you should have gone to the gym… on and on and on.

Haven’t experienced this? That’s because your sneaky little brain saved you from this intense overwhelm of the thoughts many of us carry around daily. Before you have time to dwell on this onslaught of unfixable worries, your brain steps in and saves the day with a disconnection.

A disconnection is a thought that removes you from a situation (in your mind) that causes discomfort and is not easily remedied.
My disconnection comes in the form of wheat thins. Or tostitos. Or rainbow sherbet. Yours?

The moment your brain serves up that snack craving, it effectively removes you from the thoughts that rush in when we slow down. Mix in years of habitually using food as a reward for a day’s hard work, and you have a recipe for a CRAVING.

If this is resonating with you, we have some work to do. Step One is not to fight it with willpower. This will only get you so far. A few days if you’re normal, a few months if you’re reallllllly lucky. This isn’t about willpower. It’s about changing the way you think about food in order to make a lifestyle change.

Step One is to identify the moment of disconnection. When that craving hits (regardless of it’s 8 pm relaxing or 3 pm at work or 10 am after putting the kids down for a nap or 5 pm when you walk in the door) and you recognize that you’re not hungry, stop and acknowledge a) that you are disconnecting from something and b) what is is your disconnecting from. Ask yourself the question “What am I disconnecting from?” Ask and answer. Ask and answer, ask and answer, ask and answer. Find the themes. As you answer your own question, start gathering the data that pinpoints the who, what, where, why and when’s of your own personal cues to disconnect.

This is Step One. Step Two is all about changing your perception of the things that are your cues to eat. But, this is turning into a novel of an entry so I’ll leave you here to practice your Step One for awhile. I’ll be back, with step two. (And it won’t take me 2 weeks this time – I promise!)

Food For Thought: If this concept of disconnection hits home, start with Step One. Keep a little journal somewhere that you can collect your data. It can be a calendar, a notebook, the back of envelope… just write it down so you can start recognizing what themes are your cues. Healing the worry means finding the worry. So let it in. Even if you go ahead and eat your craving this week, doing the Step One will pull you from a place of mindless decision making to conscious, thought driven choices. So even if you eat, it’s a conscious choice. Conscious choices are the antidote to mindless munching.

1 comment