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We love acting like food in the US is the sole contributor to Americanâs health status. We love saying âthese are the US foods banned in other countriesâ and then fail to acknowledge that life, laws, regulations, politics, healthcare, etc. is different in each country. Health is nuanced and the social determinants of health matter. So, is red dye 40 safe? At what dose? Is the consumption of red dye 40 linked to ADHD? Let's chat about it!
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Links:
Red Dye 40 Debunked: Separating Fact from Fiction in the ADHD Debate
Artificial Food Colors and Attention-Deficit/Hyperactivity Symptoms: Conclusions to Dye for
Potential impacts of synthetic food dyes on activity and attention in children: a review of the human and animal evidence
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Can processed foods be part of a healthy diet? Does eating a processed food cancel out the consumption of a nutrient dense food? Are processed foods dangerous? Abbey brings clarity to these questions in today's episode. It can be hard to try and navigate what a healthy way of eating looks like, while also trying to practice a non-diet approach. Luckily, that's why this podcast exists. So you don't have to navigate this alone!
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Have you ever wondered where 2,000 calories came from for nutrition label standards? The most common belief(s) are either that 2,000 calories is what you're "supposed" to eat or it's the "max you should eat". Maybe you've never paid much attention to it or assumed it's based in scientific evidence...because why wouldn't it be, right? In today's episode, Abbey breaks down the history of nutrition labels, nutrition label terms, health claims, and connections between diet and health.
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CFSAN/FDA (Center for Food Safety and Applied Nutrition/Food and Drug Administration). 2004.Letter to food manufacturers about accurate serving size declaration on food products. College Park, MD: FDA. FDA (Food and Drug Administration). 1990.Food labeling reform . Washington, DC: FDA. Pp.1â23. FDA. 2004. Calories count: Report of the working group on obesity. Washington, DC: Food and Drug Administration. Geiger, C. 1998.Health claims: History, current regulatory status, and consumer research. Journal of the American Dietetic Association 98:1312â1322. [PubMed] Grundy, S., and M. Denke. 1990.Dietary influences on serum lipids and lipoproteins. Journal of Lipid Research 31:1149â1172. [PubMed] HHS (U.S. Department of Health and Human Services). 1988.The Surgeon Generalâs Report on Nutrition and Health. DHHS Publication No. 88â50210 . Washington, DC: U.S. Government Printing Office -
Abbey is joined by Toni Rudd (she/her) in today's episode. Toni is a UK registered dietitian, specializing in supporting people to stop dieting and binge eating cycles. Her mission as âThe Binge Dietitianâ is to help people realize there is more to life than strict meal plans, obsessive calorie counting, and constant food stress. She promotes a HAES and sustainable approach to nutrition by focusing on health-promoting behaviors with an 'add-in' mindset. Abbey and Toni discuss nutrition misinformation on the internet, Apple Watches, MyFitnessPal, and relationships with food, body, and movement.
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Toni's Website: www.thebingedietitian.com
Toni's Instagram:@the.binge.dietitian
Quality and accuracy of online nutrition-related information: a systematic review of content analysis studies
Only 2% of TikTok Diet and Nutrition Trends Are Accurate: 5 Things to Know
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In today's stream of consciousness episode, Abbey shares her current opinion(s) on Intuitive Eating - a self-care eating framework, which integrates instinct, emotion, and rational thought. Abbey calls out the black and white thinking diet culture has cultivated and begins to shift the way we view health. Health is not one-size-fits-all, and neither is Intuitive Eating.
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Are you someone who uses exercise as a way to earn food or to punish yourself? Do you feel guilt when you miss a workout? This episode was created for you, to help you enjoy movement again and keep it as one important aspect in your life. Abbey shares examples and personal experiences to help you be curious and find what you're looking for with movement. How would your life be different if movement was enjoyable again?
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Advocating for yourself as a fat person at the doctor's office involves additional considerations due to potential biases and stigmas you might face. In today's episode, Abbey shares tips on preparing for the appointment, during the appointment, communication, and additional support. Everyone deserves to be heard and validated at the doctor's office. We discuss how to be prepared, assertive, and knowledgeable about your rights and health. Ensuring respectful, weight-neutral care is essential for your overall well-being.
HAES Healthcare Provider Listing - ASDAH
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Abbey is joined by Rebecca King, a Registered Dietitian Nutritionist from Charlotte, North Carolina. Becca is a fellow ADHDer and is passionate about helping other ADHDers stop the binge eating cycle, find food freedom, and improve body image.
In this episode, Abbey and Becca talk about finding their ADHD diagnosis, personal experiences within ADHD, and nutrition for ADHDers. They discuss the ways binge eating can be a way of self regulating and tips to adapt intuitive eating for neurodivergence.
Connect with Becca: instagram.com/adhd.nutritionist/
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Poppi is on a mission to "revolutionize soda for the next generation of soda drinkers" in the name of "promoting gut health". But, does it really? In today's episode, Abbey shares the details of the class action lawsuit against Poppi and their response. She discusses the facts and examples of prebiotics and how to actually improve gut health. We will break down the pros and cons of functional products in the wellness industry to help you make an informed decision on what's "healthiest" for you!
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Abbey's ADHD brain is apparent in today's episode. We talk about everything from recent social media health trends, Poppi lawsuit, nutrition misinformation, fighting with trolls, Taylor Swift's body, and more. Abbey shares the behind the scenes to her latest Instagram reels and brings in some humor to wild nutrition claims.
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Two common questions we receive are: "Does my weight affect health?" and "Is fat bad?". In today's episode, Abbey brings in the research to answer these questions. And, as always, brings in a wee bit of humor and poor singing.
JOIN the Fork Diet Culture Community! - Get access to the rest of this 40 minute video, more individualized support from Abbey, connect with like-minded people, and more!
Mention: Episode 04: BMI Is Bizarre and Icky.
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References:
Flegal KM, Kit BK, Orpana H, Graubard BI. Association of all-cause mortality with overweight and obesity using standard body mass index categories: a systematic review and meta-analysis. JAMA. 2013;309(1):71-82. doi:10.1001/jama.2012.113905Flegal, K., The obesity wars and the education of a researcher: A personal account, Progress in Cardiovascular Diseases, Volume 67, 2021,Pages 75-79, ISSN 0033-0620, https://doi.org/10.1016/j.pcad.2021.06.009. (https://www.sciencedirect.com/science/article/pii/S0033062021000670)Flegal KM, Ioannidis JPA, Doehner W. Flawed methods and inappropriate conclusions for health policy on overweight and obesity: the Global BMI Mortality Collaboration meta-analysis. J Cachexia Sarcopenia Muscle. 2019;10(1):9-13. doi:10.1002/jcsm.12378Tobias DK, Hu FB. Does being overweight really reduce mortality?. Obesity (Silver Spring). 2013;21(9):1746-1749. doi:10.1002/oby.20602Heymsfield SB, Cefalu WT. Does Body Mass Index Adequately Convey a Patient's Mortality Risk? JAMA. 2013;309(1):87â88. doi:10.1001/jama.2012.185445Gibbs W. Obesity: An Overblown Epidemic? . https://www.scientificamerican.com/article/obesity-an-overblown-epidemic-2006-12/ Web site. . Updated 2024. Accessed May 18, 2024Humphreys S. The unethical use of BMI in contemporary general practice. Br J Gen Pract. 2010;60(578):696-697. doi:10.3399/bjgp10X515548Luli M, Yeo G, Farrell E, et al. The implications of defining obesity as a disease: a report from the Association for the Study of Obesity 2021 annual conference. EClinicalMedicine. 2023;58:101962. Published 2023 Apr 6. doi:10.1016/j.eclinm.2023.101962Tylka TL, Annunziato RA, Burgard D, et al. The weight-inclusive versus weight-normative approach to health: evaluating the evidence for prioritizing well-being over weight loss. J Obes. 2014;2014:983495. doi:10.1155/2014/983495 -
It's no secret that body image during the summer months is difficult. More revealing clothing, urges to diet, pressure to lose weight for vacation, taking more pictures, and more can all feel stressful. In today's episode, Abbey expands on how to feel more comfortable with getting your photo taken and how to improve body image during summer. She shares actionable tips, reframes, challenges, and non-judgmental questions to ask yourself. Abbey also touches on the feelings of missing out/ grief when you recognize diet culture for what it is and decide to step away from diets.
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In today's episode, Abbey covers many topics while her cat Ralph meows in the background (what's new?). Abbey shares something that's been on her mind recently - the frustrations that come with chronic pain and the feeling of "my body is failing me". Summer is approaching and with that comes more photographs, social events, vacations, and different clothing. Abbey shares tips to feel better with photos of yourself and 3 body image tips for summer.
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Part of breaking free of dieting and moving towards body acceptance is grieving what youâre leaving behind. Even if you embrace size acceptance, itâs common to still have negative feelings about your own body. You may know that diets don't work, and yet still feel the desire to diet. In today's episode, Abbey talks about size acceptance as a grief process. This is the grief you may experience when you realize diet culture has been selling lies and that you are essentially giving up the fantasy of having an "ideal" body, as well as the life you imagined with it. Abbey shares what happens in and recommendations to cope with each stage of grief.
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Social media's favorite hormone to "balance", "eliminate", and "regulate" is cortisol. The internet has become saturated with "cortisol lowering protocols", special drink concoctions like the Sleepy Girl Mocktail, and recommending pilates as your main form of movement. In today's episode, Abbey addresses the topic of cortisol. What is cortisol? Can you naturally lower it? How can you measure cortisol? Do diets impact cortisol levels?
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Sources:
Real-World Intake of Dietary Sugars Is Associated with Reduced Cortisol Reactivity Following an Acute Physiological Stressor
Omega-3 Supplementation and Stress Reactivity of Cellular Aging Biomarkers
Low Calorie Dieting Increases Cortisol
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Is fatness really as bad as society makes it seem? Are a "good" diet and exercise really the *only* ways you can achieve health? In today's episode, Abbey digs into weight stigma, fatphobia, and the common health recommendations that fat people receive at the doctor's office. Abbey shares some of the research on the ways weight-based discrimination and fat stigma largely affect mental health.
TW: discussions of weight stigma, fatphobia, and use of "O" words (ob*se, overwe*ght).
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Sources:
Obesity Stigma: Important Considerations for Public Health, Puhl and Heuer (2010)
Investigating the Relationship between weight-related self-stigma and mental health for overweight/obese children in Hong Kong, Chang (2019)
Weight Bias Internalization and Health, Pearl and Puhl (2018)
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The Ozempic episode is HERE (Part 1). By this point, most of us have heard of the celebrities taking Ozempic/ Wegovy. If not, you must not watch the news or be on social media...lucky you! These drugs are being called "a miracle" and the "end of the ob*sity epidemic". Is this true? Abbey is joined by her intern, Nicole, to discuss all things weight loss drugs. Together they cover: what Ozempic is, how it works for diabetes and for weight loss, the difference between Ozempic and Wegovy, common side effects, and more. There's a lot of discourse in this episode, so buckle up!
TW: "ob*se and ov*rweight terms are used in the episode to describe the research and BMI qualifiers.
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Collins L, Costello RA. Glucagon-Like Peptide-1 Receptor Agonists. [Updated 2023 Jan 13]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK551568/
Shetty R, Basheer FT, Poojari PG, Thunga G, Chandran VP, Acharya LD. Adverse drug reactions of GLP-1 agonists: A systematic review of case reports. Diabetes Metab Syndr. 2022;16(3):102427. doi:10.1016/j.dsx.2022.102427
Kapoor I, Sarvepalli SM, D'Alessio D, Grewal DS, Hadziahmetovic M. GLP-1 receptor agonists and diabetic retinopathy: A meta-analysis of randomized clinical trials. Surv Ophthalmol. 2023;68(6):1071-1083. doi:10.1016/j.survophthal.2023.07.002
Suran M. As Ozempic's Popularity Soars, Here's What to Know About Semaglutide and Weight Loss. JAMA. 2023;329(19):1627-1629. doi:10.1001/jama.2023.2438
Wilding JPH, Batterham RL, Davies M, et al. Weight regain and cardiometabolic effects after withdrawal of semaglutide: The STEP 1 trial extension. Diabetes Obes Metab. 2022;24(8):1553-1564. doi:10.1111/dom.14725
Novo Nordisck. Ozempic. https://www.novocare.com/diabetes/products/ozempic.html Web site. Updated 2024
GĂłmez Lumbreras A, Tan MS, Villa-Zapata L, Ilham S, Earl JC, Malone DC. Cost-effectiveness analysis of five anti-obesity medications from a US payer's perspective. Nutr Metab Cardiovasc Dis. 2023;33(6):1268-1276. doi:10.1016/j.numecd.2023.03.012 Gordon A, Hobbs M. Maintenance Phase; Ozempic. 2023;Podcast
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"I was diagnosed with diabetes, can I still explore intuitive eating?". This is a common question Abbey receives - and it makes sense! There is so much fear mongering and misinformation present around nutrition, it makes it difficult to figure out how to eat (especially with a chronic condition). Abbey covers the three types of diabetes, focusing more on Type 2 Diabetes. She touches on each of the 10 principles of intuitive eating and describes the ways you can engage in health promoting behaviors while managing diabetes.
Ramos MH, Silva JM, De Oliveira TAV, et al. Intuitive eating and body appreciation in type 2 diabetes. J Health Psychol. 2022;27(2):255-267. doi:10.1177/1359105320950791
Soares FLP, Ramos MH, Gramelisch M, et al. Intuitive eating is associated with glycemic control in type 2 diabetes. Eat Weight Disord. 2021;26(2):599-608. doi:10.1007/s40519-020-00894-8
Basinger ED, Cameron SJ, Allen G. Stigma, Self-Care, and Intuitive Eating in Black Americans with Type 2 Diabetes. J Racial Ethn Health Disparities. Published online August 25, 2023. doi:10.1007/s40615-023-01772-6
Disclaimer: This podcast is for informational and educational purposes only. It isnât a substitute for individual medical or mental health advice and doesnât constitute a provider-patient relationship.
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In this week's episode, Abbey shares 20 tips on how to make cooking and prepping food easier! Whether you're on the neurodivergent spectrum or struggle to find easy ways to make food at home, this is for you. Abbey touches on kitchen gadgets, creating smaller steps, reminders, convenience, and more.
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Abbey answers a common question she receives from her audience, "what's your story?". In today's episode, Abbey takes us back to her days as a senior in high school running club track, through college, and to present day. She discusses the ways her identity as "the athlete" turned into the "healthy friend", how eating "for health" turned into competing in bodybuilding, and when she began to recover from her eating disorder. This is a very vulnerable episode in which Abbey shares things she never has on social media.
TW: eating disorder discussion, negative body image, issues with food
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