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The call for wise, old women

31/7/2019

"A village without elders is like a tree without roots."
- African proverb

Winter, 2018

I'm frustrated.

I crave the presence of old, wise women. The sage, the elder, the crone. The wise old woman, or man.

Like an open wound craves soothing balm and mending and tenderness, I crave the smell, the words, the energy of the mature feminine archetype. And of actual old, wise women.

Where are they?

We have an ageing population, but - as Michael Meade, host of Living Myth podcast so eloquently states - instead of getting older and wiser, it seems people are just getting older.

The Honeymoon Period

18/7/2019

"I've been on this juice fast for 5 days now, and I feel AH-MAAAAZ-ING!"

"Keto is the best thing I've ever done. After 2 weeks of low-carb I have SO much energy!!"

"Why didn't I try intermittent fasting sooner? I've lost x kg AND need LESS sleep!"

"I've quit sugar and my skin is SO clear."

"Since going raw vegan my periods have stopped, but I've heard that's a sign my body is getting cleaner." (This one's the absolute worst).

Newbies to diets (yes, these are all wellness DIETS, not healthy, sustainable "lifestyle changes") fill online forums with tales of renewed health, regained vitality, happiness... and of course, weight loss. It's enough to make any unsatisfied online wellness trawler jump on board the next media-sensationalised dietary fad.

In fact maybe YOU are on day 7 of your juice cleanse / bulletproof coffee experiment / I Quit Sugar challenge, and you're feeling so good you've decided to become a health coach and "detox the world".

But friend, you need to understand that what you are experiencing is the dietary equivalent of The Honeymoon Period. You feel great and you truly believe that you've found the fountain of eternal youth and vitality.

The Wellness Diet Cycle

17/7/2019

The typical person I see in my clinic is female, in her 20s, 30s or 40s.

She goes to yoga and only shops at organic markets. She makes her own bone broth, vegetable juices, and paleo "treats" (because gut healing is good, and dairy and sugar are "bad").

She spends a small fortune on vitamins, probiotics and herbal supplements.

She is very health conscious, sometimes bordering on being obsessively so.

She has seen numerous health practitioners prior to seeing me.

And despite her utmost efforts to be healthy, she has long list of seemingly obscure health conditions. The list of signs and symptoms I see in these women goes something like this:

Headaches, migraines, intense cravings, cold hands and feet, sleep problems, rough dry skin, brittle hair, hair loss, IBS (irritable bowel syndrome), dizziness, brain fog, low energy levels, low body temperature, constipation, low libido, bloating, indigestion, frequent need to urinate, anxiety, panic attacks, loss of muscle mass, heart palpitations, frequent colds and flu / thrush / UTIs / herpes outbreaks, unpredictable emotional swings, severe PMS, irregular periods, missing periods, infertility.

The woman in question usually doesn't have every single one of these (although some do), but she will have a significant number (around 80% or more) of them.

By the time they've come to see me, many of these women have attributed this long and baffling list of symptoms to candida. Or a food intolerance. Or simply "being too fat".

And they've come to the conclusion (via Google or some health guru) that the obvious solution is to embark upon yet another restrictive diet. Anti-candida, low-carb, paleo, keto, GAPS, SCD, vegan, intermittent fasting, and raw are the usual go-to's right now.

And herein lies the root of the problem.

The Big Thing most health-conscious people are missing (that's ruining their health)

Most of the women I see in clinic do NOT have a food intolerance, candida, or an allergy to grains. I should add that I have been trained to recognise and treat food sensitivity and intolerance so am well aware of what that looks like. Although it is a valid and very real issue, about ninety percent of the time, food intolerance is NOT the causative factor.

The root of these women's problems is this: They are trying too hard to be healthy and as a result, they are eating too restrictively.

The biggest mistake I see women making today is trying too hard to be healthy.

Intermittent fasting - rad or fad?

26/6/2019

Intermittent fasting (or IF for short) is so hot right now. In fact it's been hot since it rose to fame with the arrival of Michael Mosley on the television and book publishing scene in 2012.

Basically, it means going an extended period without eating. Sounds technical AF, right? (Unlike plain ol' healthy eating and regular movement, which is clearly not sexy enough to attract the attention of the masses!)

IF is fancy-sounding enough to get the attention of those who want the next magic bullet that will help them lose weight and/or get healthier.

So, nearly everyone.

But especially those who already have issues with weight concern, body image, disordered eating or eating disorders - the folks I see the most often.

In actuality, almost all of us intermittently fast. Every night. When we are asleep. Not so sexy, I know. So let's talk a bit about the sexier, newer, more restrictive version.

periods, fertility & eating disorders

21/5/2019

"I have my period. So I mustn't have an eating disorder."

For years I thought that if a woman was menstruating regularly, she was displaying one of the ultimate signs of health.

I thought that if a woman had a regular period she must be well nourished. That the moment her caloric intake dipped below her requirements, her body would stop ovulating and periods would disappear.

That Mother Nature never lets our bodies grow babies - a highly energy intensive endeavour that demands massive amounts of resources - in a perceived famine.

For years, I was wrong.

In my time as an eating disorder dietitian, student naturopath, and having lived through an (undiagnosed but still very harmful) eating disorder, I have learnt a thing or two about periods and under eating. Here I'll attempt to bust some common myths around periods, fertility and disordered eating.

FIRST DO NO HARM.

12/3/2019

A call to naturopaths to embrace a weight neutral approach to practice.

Primum non nocere. First, do no harm.

This is the first tenet of the naturopathic oath we all take on graduation day from college, and the most critical.

As naturopaths we strive not to add to the burden of problems of our patients. To refrain from further damaging their physical, mental or emotional wellbeing. To not intervene in such a way that will in any way harm.

Doing nothing is better than doing something that will cause harm.

In many ways, we are very good at abiding by this foundational tenet.

And yet... there is something insidious going on within the naturopathic profession that has not been called out. And despite our best intentions, it is doing serious harm to our patients, our profession, and ourselves.

That thing is a weight focussed approach to health. Whether directly or indirectly, promoting weight loss does irrefutable harm.

Even if it's weight loss "for health". Or weight loss "for fertility". Or weight loss just for the sake of weight loss, because "who doesn't want to be a bit leaner?"

To illustrate my point I'll set the scene. The other week I received two emails: one from a very well known nutraceuticals company promoting its weight loss seminar to naturopaths and other natural health professionals. The other was the exact same email, forwarded on to me from a major natural medicine education institution to its students.

This is not okay.

As I'll illustrate shortly, a focus on weight loss does unequivocal harm. This is in direct opposition to the first and most crucial naturopathic tenet.

It's 2019, and I propose that it's time that practitioners in the field of naturopathic medicine universally adopted a non-diet, weight neutral, Health at Every Size approach. For the sake of our clients, our best practice, and for the future longevity and validity of our profession, we must steer the ship away from the weight-centric doctrine it is starting to (and arguably, has) become and back towards true preventative and holistic medicine.

The kind of medicine that naturopathy sprang from. The kind of medicine that does no harm. The kind of medicine that treats the whole person, not a number on the scales.

Body peace and permaculture: the parallels

4/3/2019

For some years I've been interested in organic gardening, particularly permaculture. Recently I've taken a deeper dive into this method of 'natural' farming within which is embedded a deep reverence for, and trust of nature. And I've realised that permaculture has some uncanny parallels to the non-diet approach and Health at Every Size movement I am so passionate about in my clinical practice. For the last 7 or so years I've been working with people with weight, food and body image concerns, from wanting to lose a couple of kilograms to life threatening eating disorders.

One of the greatest teachers of this method of farming is Masanobu Fukuoka, author of The One-Straw Revolution. In this book Fukuoka describes his discovery of "do nothing" farming, where he creates situations where nature will do the work with the minimum of interference on his part.

So instead of spending hours ploughing the soil or spending money on adding chemical fertilisers to his crops, he simply chucks the rice straw back on the ground after harvesting it and scatters chook poo over it. Occasionally he sows clover to use as a green manure.

And that's pretty much it.

And rather than seeing everything turn into a wilderness and watching helplessly as the prickles take over, Fukuoka actually equals the yield of farms that have had these modern high intervention inputs applied to them, with a fraction of the investment of labour and resources.

What 'natural' farming can teach us about maintaining a "healthy" weight, naturally

Of course by "healthy weight" I don't mean what the BMI deems healthy. I adopt Dr. Rick Kausman's description of your healthiest weight being the most comfortable, natural weight for you - the weight your body naturally arrives at and maintains when we provide the right "soil" (see number 2). So here's what I gathered together in my current understanding of permaculture principles and my more deeply rooted understanding of HAES and the non-diet approach. The biggest parallels between permaculture, and the non-diet approach and HAES as roads to body peace, are:

The laid-back parent's guide to baby's first solids

13/2/2019

Starting a baby eating solids is a time of great trepidation for many parents. This might be because this transition from exclusive breastfeeding or formula feeding to family foods (which starts around 6 months and continues until between 18 and 24 months) is a very vulnerable time.

It's a time when patterns like "fussy" or picky eating, or babies not eating enough to meet their requirements can sneak in, leading to malnutrition or failure to thrive. Delays in developmental milestones around feeding can and often do occur unless good feeding and eating practices are set up, ideally from the start.

And of course, there's always the fear of choking.

No wonder this time can be such a big cause of stress for parents.

But in spite of the clear importance of this transition period, I don't think that it needs to be stressful or scary. I actually think that starting your baby on solids can be an enjoyable, fun and even relaxing time for kids and parents.

And in fact, by taking a deep breath and chilling out you can actually help your child learn to feed themselves in a timely manner, get all the nutrition they need, and have fun doing it.

I have a 12 month old and a 3 year old and they have both been proficient, happy little eaters for as long as I can remember. Here's how I navigated starting my kids on solids when they were around 6 months old, and beyond, all whilst being responsibly lazy.

"Be laid-back about solids introduction. This early stage is mostly for fun and games."
- Ellyn Satter RD, child feeding expert

Can vegans get enough DHA from food?

4/2/2019

Q:
Can you recommend any vegan food sources of DHA? I’d like to try food before supplements.

A:
This is a great question I was recently asked by a vegan client. Getting adequate essential fatty acids (EFAs) is extremely important for everyone, but especially for vegetarians and vegans, and especially if they are trying to fall pregnant, are pregnant or breastfeeding.

We all need EFAs for healthy brain, eye and nervous system function (and development in the case of pregnant mamas), and to keep our immune systems humming along nicely.

The two essential omega-3 fatty acids, EPA (eicosapentaenoic acid) and DHA (docosahexaenoic acid) are most available in fatty fish like salmon, sardines and mackerel. You can also get these EFAs from fish oil. The fish themselves get it by eating phytoplankton, which themselves subsist on microalgae.

Since vegans don't eat fish, getting enough DHA can be tricky. This is especially true for pregnant and breastfeeding vegan mamas.

Read on for my extended answer to this question. If you're short on time, scroll to the bottom of the article for my short answer!

Rose Petal, Pistachio & Cardamon Chocolate

3/2/2019

When I recently attended this year's Wise Women's Gathering I was gifted a bunch of lusciously scented organic rose petals. It wasn't until my family and I had arrived home from our 10-day road trip (of which three of those days were spent camping solo with the kids while Andreas attended the Wise Men's Gathering - it's hard but doable!) that I decided what I would do with these beautiful petals.

In preparation for my upcoming Valentines Day AcroYoga workshop this Saturday I plan to bring a batch of this chocolate to share.

The combination of partner yoga, flying therapeutics and Zenthai massage I have planned for the workshop could only be topped off by some truly delicious chocolate.

And here it is!

And in case any of you were wondering, yes it is vegan. And raw. And a little bit Persian, given the cardamon and pistachios. And high in magnesium and no doubt lots of other healthy nutrients. But most importantly, it's delicious and feeds the soul.

Read on for the recipe...