Every 5 years, representatives from the U.S. Department of Agriculture and Department of Health & Human Services work with academicians to identify “foods and beverages that help achieve and maintain a healthy weight, promote health, and prevent disease.” Things have not been going very well. Continue reading
Category Archives: Strategies
Does This Nourish Me?
Here are some questions to ask yourself as you choose your foods:
“What should I be buying, preparing, and eating?”
“What should I be making for my family, or co-workers?”
“Does this provide me with nutrients and building blocks?”
“Does it help my body to grow, to heal, to be strong and healthy?”
“Does it nourish me?”
To thrive or not to thrive, that is the question. Continue reading
Diet is a Punishment, Eating a Celebration
Dieting means to restrict, to deny oneself. It is a logical consequence of the assumption that weight problems are due to overindulgence. But there is a big, fat fault line within this assumption, for if it were true, then denial would be an effective and viable option for losing weight. It is not, of course, which is why you have probably noticed that diets almost never work. Continue reading
A Big Fan of Small Change
Maybe you know, or maybe you don’t, but I like to imagine that there’s a big sign on my office wall that says “Perfection is the enemy of progress.” It isn’t actually there, but I like to pretend it is, and I quote it all the time. It’s not important to hit the track like you’re training for the Olympics. It’s not reasonable to think you should be able to lose 20 lbs. by next month. And it’s definitely not in the cards for you to become the next meditation guru. But it’s not necessary either. Continue reading
We Are Family
Hope springs eternal. No matter how unsuccessful their efforts to “lose weight,” people continue to try. Laudable. Applaudable. And respectable. But, for the most part, unsuccessful. Continue reading
Thoughts on mind and body…
Many of us, particularly those of us from Western cultures, are in the habit of considering the mind and body as entities separate one from the other. Sir Ken Robinson, for example, in one of the most widely watched TED talks, describes an academic as an individual who employs the body to move their head from one meeting to another. In a less amusing example, this from medicine, mental illness is considered different, somehow, from physical illness, and the many aspects of care, coverage and chronicity reflect this. Has Descartes’s mind-body dichotomy outlived its usefulness? Continue reading
Your Summer Plan, Your Winter Plan
Wellness is based on three major pillars: eating patterns, rest & relaxation patterns, and activity patterns. Today’s post focuses on activity patterns. There’s no need to train for the Olympics. Your goal is simply to increase opportunities to move. And for that, you need a plan. Continue reading
Discipline Is Remembering What You Want
In the weeks prior to starting medical school, my brother-in-law gave me a small card with a calligraphed message: Discipline is remembering what you want. I soon affixed it to the wall of my new study carrel where it remained until, years later, I passed it along to a friend who needed it more than I.
Discipline is remembering what you want. What do you want? What do I want? Continue reading
Hungry After Thanksgiving?
Several conversations converged this weekend. First came a question from my friend Nazalee to a community of my colleagues: “Oh wise ones…why sooo hungry after Thxgiving? Does stomach stretch or what? Is it a hormone?” One reply: “Perhaps expl is longer than 140 words. Salad Wine turkey ham pumpkn pie not horrible food.”
Then, just two days later, a friend was telling me about his experience studying Talmud in Jerusalem last summer. While studying a different subject entirely, the rabbi made an aside that indulging drives makes them stronger. My friend’s ears perked up at that, and he saved that little pearl to think about at a later time
His comment returned my thoughts to Dr Mike Roizen’s and Dr Oz’s oft-stated opinions (in contrast to my own) that dietary changes must be made on an all-or-nothing basis. Hook, line, and sinker. Like AA. Might this truly be the best strategy for someone with a food addiction? It is certainly in line with the rabbi’s comment. The rabbi’s observation may also have a hormonal basis, as Nazalee conjectures above. Dr Richard Bernstein, from the Nutrition & Metabolism Society, taught me once that stomach stretching initiates a cascade of hormone release that raises blood sugars, which is why eating a whole cabbage will raise your blood sugar even if it is the only thing you eat.
In contrast to the all-or-nothing strategy, on the other hand, I have always been of the opinion that the most sustainable changes are the small ones. When a patient came to see me, I would identify the worst, most egregious, problem and try to work on that issue first. When a patient asks my opinion on a reasonable rate of weight loss, I joke that one-quarter pound a month for the rest of their life would be just about right! I feel that there must be accommodation for our humanness, our fallibility. We aren’t computers to be set at a particular setting. This seems right to me, both for myself and for my patients. The last thing I want to do is to increase stress-related eating. But maybe it’s exactly the wrong advice for someone whose overeating pattern is more in line with an addiction.
I, too, ate a lot more food than usual this weekend. Maybe it’s the change in routine, the distractions, the food itself: its availability, quality, flavor, or the love with which it is made. Whatever the reasons, tomorrow is another day, and I am sure my appetite will be back to normal within a day or two.
Michael and Mary Eades, of Protein Power, talk about coming upon “the honey tree.” This is their descriptor for the experience of taking a major detour from one’s usual way of eating, particularly eating more sweets than usual. Nazalee, it appears that you (and most Americans, probably) came upon the honey tree this week. Other than that, I don’t have an answer for you. It’s not the 140-space limit. I just don’t know. But I have faith and I believe, therefore, that with time you will figure it out.
The Maxwell House Haggadah Project
In honor of Passover, which begins this coming Friday evening, I decided to write today about the Maxwell House Haggadah Project, a project of Nora Feinstein, a graduate of Barnard and the Jewish Theological Seminary. The haggadah is a short book that retells the story of the exodus from Egypt of the Hebrew people, and from which almost every Jewish family reads aloud at the annual Seder meals during which we celebrate the first (and sometimes second) night of Passover.
The Maxwell House Haggadah remains the longest running commercial promotion in American history. Its story begins in 1923, when Rabbi Betzalel Rosen declared that coffee was made not from a bean, but rather a berry, which made it acceptable (kosher) for drinking during Passover. Since beans are considered a forbidden food to Eastern European Jews during Passover, this changed everything!
The Maxwell House Coffee company, owned by a small Tennessee company that was hoping to make Maxwell House a national brand, had an idea. To break into the northeast U.S. market, they hired Joseph Jacobs, who was working at the time as an advertising coordinator for a number of Yiddish newspapers in the NY area.
The new field of niche ethnic marketing was still in its infancy: In 1933, Jacobs crafted ads that ran in the Jewish Daily Forward, a periodical so popular that it is still in circulation today. In fact, an article of mine about trans fats in kosher food processing ran in the Forward a few years ago.
Joseph Jacobs had the idea of providing a free haggadah with the purchase of a can of Maxwell House coffee, and the idea caught on like wildfire! In a short time, the new haggadahs could be found in almost every American Jewish home. In fact, according to Feinstein, to this day, eighty years later, Maxwell House continues to be the most popular brand of coffee among American Jews. That’s a rather successful marketing strategy, especially considering that Folger’s, and not Maxwell House, is the most popular brand in America overall.
Why do I tell this story here? Because whereas coffee appears to have beneficial effects on our mood, our concentration, and even our blood sugars, most products of the American food industry cannot make that claim. Yet niche ethnic marketing became such an extraordinarily successful strategy that it was used to entice and teach entire communities of consumers (e.g., Latinos, African-Americans, non-Jewish Eastern Europeans, Greeks, Italians, and just about any other group you can think of) to purchase and use items that they had never heard of before. These strategies included the underlying, subliminal message that the more new stuff you bought, ate, and fed to your family, the more American you became. And that was an absolutely irresistible message for a nation of immigrants.
That’s why it’s time to take matters into your own hands. Read ingredient lists; avoid stripped carbs like white flour and sugar as best you can; discard all trans fat-containing items (vegetable shortening, anything partially hydrogenated); load your plate with produce; and (re)learn to cook for yourself if you’ve forgotten or never knew how. Your health is on your plate.
You can learn more about the Maxwell House Haggadah Project here.
Happy holidays, gut yuntif, to all!