"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.
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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.

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.

I agree with the notion that a witch is a woman (or man, but I'm mainly talking to women within my platforms) in her power. And a woman can only be in her power by regularly listening to, honing, and trusting her intuition.

Intuition is rooted in the body. Think of the words we use to describe intuitive hunches: I had a gut feeling. The hairs on the back of my neck stood up. I felt it in my bones. I knew it in my heart.

Think of the times your intuitive, instinctual nature has kicked into gear. When somebody has stepped into your space and something feels "not quite right". When you know your child is in danger and you check they're still in their sandpit only to realise they're about to cross the road by themselves.

When you sense the presence of a loved one who has passed on, something around 75% of us report having experienced. When you recognise a soul mate or lifelong friend by how your heart feels and the tingles running down your spine. These are usually gut feelings, a body sense. Not calculations you've made in your head.

Dieting and the religion of thinness have cut down many a modern day witch, leaving a gaping hole in our collective wisdom and capacity to heal ourselves and others.

For women whose slavery to the thin ideal has cut them off from their full witchy capacity, intuitive eating is a way to open a doorway to intuitive living. As I once heard another non-diet advocate say, "Intuitive eating, intuitive EVERYTHING."

Intuitive eating asks that we begin listening to the hunger and fullness cues of our bodies. But that's not all. It also offers ways to reject the diet mentality and let go of the religion of thinness so pervasive in our cultural and inherited conditioning. 

One caveat: If you've been chronically dieting, or you're in a semi-starved state, listening to and honouring your hunger and fullness can be difficult and complicated. This is where getting help from a non-diet practitioner can be of great value to re-nourish your body first so you can begin to receive and interpret those messages correctly.

Witches don't diet. It's impossible to be deeply connected to your intuition while you're still tracking macros like there's no tomorrow, you're not eating enough, or you're deadly afraid of carbs. 

Getting a balanced, satisfying and adequate intake of food can ease mood swings, panic attacks, anxiety, and mild depression. Mental health takes a dive when we're in a state of semi-starvation as the body struggles to construct all the neurotransmitters it needs to remain healthy. Intellectual clarity and intuition is improved when the mind receives proper nourishment. 

It's time to stop wasting your energy on the illusion of weight loss or maintaining a low weight as if that's the most important thing in life. It's not. 

Sister, we need you. Now is the time to hone your craft, shine your light and offer your healing gifts, and dieting is only stopping you from reaching your magical potential. The world needs your witchy-poo self, and it needs it now.
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What you eat during the month after you give birth has the power to radically improve your strength and recovery.

And, it is said in Chinese medicine, what you eat and how well you take care of yourself during this crucial time has the power to impact your health 20, 30 or more YEARS down the track.

There are other important things to think about in your Golden Month, which I mention here - but of course, being a nutritionist, I believe the food you eat after having a baby is crucial.

Nutritional requirements during recovery and breastfeeding unsurprisingly increase, and in the case of some specific nutrients, quite significantly so.

If you're breastfeeding your requirements for protein, zinc, iodine and vitamin A literally double.

And to produce milk, you need to be getting more overall calories than even during your third trimester of pregnancy; around 500-600 calories more for the first six months postpartum if breastfeeding exclusively (as recommended by the World Health Organisation), which is an extra meal or 2-3 extra snacks a day.

Of course I don't recommend calorie counting and nothing is set in stone - listen to your hunger and fullness cues and you will be fine. Note: If you have a history of or current disordered eating you may find it difficult to follow your body's hunger and fullness cues, in which case seeing a HAES or non-diet health professional would be super helpful for you.

Even if you cannot or choose not to breastfeed, extra nutrition is required to heal from childbirth and replenish your body after nine months of pregnancy.

And if your kids are more school age than newborn, you need some serious fuel to keep up with all the crazy demands asked of you, mama. You have important shit to do and you need energy and nutrients to do it.

So without going into a huge amount of detail on exact postpartum nutrition requirements, here are the three big nutritional principles from TCM you can aim to follow in your Golden Month. 

And by the way, nourishing yourself well is as crucial in healing immediately after childbirth, as it is 10 years postpartum. These three tips apply just as much years after your last child is born, as they do as soon as the baby is born.

Once upon a time, a beautiful princess decided she wanted to have a baby. So she instantly fell pregnant and ​had a perfect pregnancy where she grew a "cute little" bump and didn't gain weight in any other part of her body. Her face didn't explode with pimples in the first trimester whilst her body adjusted to the crazy hormone fluctuations, and she was never EVER a mega bitch to her husband, the prince.

She kept exercising five times a week and eating one salad a day throughout her whole pregnancy like a respectable lady ought to. Then she had a wonderful birth and the next week returned to her pre-baby body so she could continue her life as a professional fitness model as if nothing happened.

Her belly never resembled a cake sagging in the middle from overdoing the baking powder. She never once accidentally shat her pants or peed whilst reaching for a box of cereal in the supermarket, no way. And her baby was perfect and sleeping through the night by zero weeks of age, just in case you were wondering.  And she lived happily ever after. The end.

...

So many normal and necessary changes happen to a woman’s body - and life - during pregnancy and after birth. And yet society and the media gloss over all the (literally) shitty stuff and instead feed us the unicorn fairytale version of what motherhood and parenting is "supposed" to look like.

No where is this more evident than in the whole idea of getting your "pre-baby body" back.

Diet culture is relentless in sending new mothers messages about needing to fix their so-called imperfections - that they need to "bounce back", lose the baby weight, and flatten their newly soft and stretched tummies within weeks.

Sadly, the way many new mums attempt to live up to this impossible standard is through restrictive dieting and over-zealous exercise, often taken on before the pelvic floor and abdomen have had a chance to repair. Neither of which are in the best interests of mum or baby, especially if mum is breastfeeding.

I've taken the last year and a half off teaching yoga. Some people assume I've just continued to teach and are mildly surprised when I tell them I'm not actually teaching. Others have noticed my absence and have been asking me when I'll start teaching again.

I know I've been especially missed by the (wonderful) AcroYoga community on the Gold Coast. ​The last yoga event I lead was a couples restorative AcroYoga workshop over 18 months ago. It was a gorgeous workshop and fully booked out. The people who attended were super sweet and provided such encouraging feedback. The staff at the host studio were incredibly helpful, down to earth and lovely. And I had a fantastic time teaching it.

​I receive near-weekly emails from curious newbies asking when I'll be teaching my next Acro workshop or class. I politely turn them away and direct them instead to other teachers.

The best reason I can come up with for my absence from the yoga world?

I just haven't felt like teaching yoga.

And more to the point, up until recently I have pretty much taken the last year and a half off from practising yoga.

Yep. No personal practice, besides the odd yoga class every few months, and some meditation in between looking after a newborn who is now a toddler (i.e. extremely sporadic meditation). My preferred form of movement switched from pre-baby trail running, daily vinyasa riddled with handstands and AcroYoga... to walking, reformer pilates and strength training to prepare for and recover from childbirth, and to build the strength I need to haul a toddler around without putting my back out.

I QUIT YOGA. Turned my back on it almost completely. After over a decade of reasonably dedicated practice and nearly as long teaching.

Why?

Basically, two reasons:

1. Once I gave birth to my first child (and probably a bit before that), the personal yoga practice I knew and loved - the dynamic, dance-like, acrobatic, yang-centred practice that is so celebrated in modern yoga culture - suddenly felt like total shit.

2. I had a gutful of how wanky it had all become.
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I recently heard from a client who is making leaps and bounds with the non-diet approach... but is now finding it REALLY tough as she puts on more weight and her clothes get tighter.

As her body re-calibrates after years of restrictive dieting - which can manifest as weight gain (temporary or permanent),  her brain is shouting at her to restrict food, lose weight, start vigorous exercise - all the old coping mechanisms that got her into trouble in the first place.
 
Feeling a lot of self-loathing and disconnection from her body and its changing shape, she reached out to me. 
 
It's really common for a woman I'm working with to tell me it’s easier to love her body when she’s “eating well,” exercising, or otherwise doing the things that society tells us are necessary to win the “thin is best” game.

This is totally understandable.

We live in a world that constantly reminds us that our worth is directly proportional to our body fat percentage. Where social privilege and resources are granted or withheld based on how well we adhere to society's narrow range of "ideal bodies". In such a world, it may feel easier to accept yourself when you’re conforming to the rules set by the over culture.

And it's all too automatic to hate ourselves when we do not happen to conform to these unjust standards.

This is where body image work becomes really important. 

I have a question for you.

Which one factor is absolutely fundamental to women having a healthy sex drive?

Is it having "the ideal body", which we're convinced will make us the desire of every man?
Is it owning and wearing the most exquisite lingerie you can buy?
Is it being a yogi - gymnast so you can act out the entire Kamasutra without breaking a sweat?
Is it re-training your brain to think, breathe and live sex by mulling over your sexual fantasies and doing libido-boosting visualisations daily?
Is it having a sexually adventurous, Samantha Jones-esque personality and not being afraid to search sex shops far and wide for the latest and greatest toys?
Is it being comfortable with and well-practised at masturbation so you're familiar with what your body likes?
Is it being assertive and vocal in bed, and being able to confidently ask for what you want?

It's NONE of these. Whilst some of these are important ingredients to a healthy sex life, there's a HUGELY fundamental sex drive-promoting necessity that's glaringly absent from this list.

The most important thing you can do as far as your desire for sex goes?

It's having enough fat on your body.

Yep, having enough or ample fat, not as little fat as possible.

​If, like most women, you're weight loss dieting... if you're partly starving and/or overexercising your body to get down to or maintain the levels of body fat approaching that of fitness and fashion models (the official body type desired by the average woman in our culture because we think it will buy sexuality)... 

... then your fertility, your sexual desire, your fitness, your energy levels, and of course your overall health, will actually suffer.

​And without these things, even the most dedicated Kamasutra practitioner, sex toy aficionada, "perfect" figured gym-bunny, or modern woman with sex communication skills of steel will not be able to get it on... let alone get off.

I recently came across a celebrity trainer's 12 week weight loss program that really got my goat. Nothing new there, same old shit about restricting calories in via dieting and doing mega workouts to "burn calories off." Same old cheesy marketing and aesthetically pleasing presentation of just enough accurate information intermingled with bullcrap to confuse the majority of consumers who are not savvy about diet culture's sneaky AF ways.

But what really upset me - even more than the same old rubbish - was that as an extension of this dreadful program there were weight loss plans for pregnant and postpartum women. Complete with daily caloric "allowances" for these groups of women.

There is so much wrong with this I don't even know where to start. The quest for "body after baby" is massively prevalent in our society and it's harmful to both women and their babies.

​Pregnancy is not the time to try to lose weight. And postpartum is one of the riskiest times in a woman's life for developing or worsening an eating disorder.

The caloric allowances allotted to these vulnerable groups of women on this particular diet plan are scarily misinformed, and dangerous. This is the kind of stuff that sets women up for deteriorating body image and developing eating disorders during and after the vulnerable time that is pregnancy.

But before we get to that, let's start with why calorie counting in the first place is a waste of time.

As a non-diet dietitian who loves food, you won't be surprised to hear that I rarely talk calories or kilojoules with my clients – unless its to point out they need more. There are so many flaws with the general idea of counting calories, including:

• calorie counting grossly over-simplifies the ways body weight is determined and encourages subscription to the "just ensure calories in is less than calories out" mentality towards weight control. With this polarised lens, we forget the many other factors that influence body weight just as much if not far more than food and activity, including genetics, stigma, socioeconomic factors, stress, sleep deprivation, hormonal imbalances, environmental toxicity, gut bacteria, etc
• calorie content (calculated in food laboratories by bomb calorimetry or indirect calorie estimation) reported on packaged food labels can be off by as much as 20% due to variations in manufacturing, season, and suppliers.
• similarly, the calorie content of whole foods is wildly unpredictable. Two similar-sized Fuji apples can have vastly different calorie contents due to the soil and climate they're grown in, the time of season they're harvested, how they've been handled after picking, and how they're prepared.
• calorie counting doesn't take into account the type or quality of food you're eating (and it matters.)

• calorie counting is far more difficult and inaccurate than people think, whether in regards to calculating food intake or calories used in exercise. Under or over reporting is common and human.
• calorie counting does not factor in the immense individual variation in metabolic rate. BMR calculators can be off by 20% or more, in which case, is it really worth calculating?
• calorie counting is also complicated by variations in individuals' muscle mass, amount and type of physical and mental activity, and many other totally random and unpredictable genetic factors that we may not even be aware of, let alone have the capacity to plug into a caloric requirements calculator.

Then of course there's the elephant in the room: that weight loss dieting - whether by calorie counting and food restriction or some other method - does not work.

But myths abound over how much women should be eating. In conversations with women with weight concern, I notice a lot of magic calorie numbers being thrown around when it comes to how many daily calories they think they should be eating: 800? 1200? 1500? 1800?

And just how much more do you need to eat when pregnant or breastfeeding - "because this celebrity trainer says it's x" (P.S. she's terribly, dangerously wrong.)

So just this once, let's talk frankly about calories.
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