Episode Transcript
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0:00
I can't keep this in anymore. I can't even
0:02
believe I'm saying this, to be honest. You
0:04
know you can tell me anything. I'm capital
0:07
VFD42 capital Z lowercase m
0:09
underscore lowercase p capital L reverse slash apostrophe
0:11
lowercase rs. I know how you feel.
0:14
Just between us, I'm underscore
0:16
comma dash underscore dollar sign capital G lowercase
0:19
w comma forward slash dash dash reverse slash.
0:21
No way! I am so glad we
0:23
had this conversation. I know, me too.
0:26
Turn on total privacy with end-to-end encryption.
0:28
What's up? Message privately.
0:36
Hello, I'm Monica Reinagel. Welcome
0:38
to the Nutrition Diva podcast where
0:40
we take a closer look at nutrition trends and
0:42
headlines, explain what the latest
0:44
research means for you, and answer
0:46
your nutrition questions.
0:49
I recently got a call on the Nutrition Diva
0:51
listener line from someone who had apparently stumbled
0:53
across the podcast while Googling the answer.
0:56
To a burning nutrition
0:57
question, could eating
0:59
a high-sodium soup cause weight
1:02
gain? They went on to explain
1:04
that they'd gained a pound and a half even though
1:06
they'd eaten very little the day before. Just
1:08
some oatmeal, some cabbage, and
1:11
a small amount of soup, which they suspected
1:13
had been very high in sodium.
1:16
Now, if you're in the habit of getting on the scale every
1:18
morning, you've probably noticed that your
1:20
weight can vary wildly from day
1:22
to day in ways that sometimes
1:24
seem unfair.
1:26
How could I have gained two pounds
1:28
overnight? I had a salad for lunch. I skipped dessert
1:30
at dinner. I should weigh two pounds less.
1:33
It's tempting to think that whatever we
1:35
did or didn't eat yesterday
1:38
should show up the next day on the
1:40
scale, but it doesn't work that way.
1:43
It takes a lot longer for dietary
1:45
changes to result in fat loss or
1:47
fat gain. So if you gain
1:49
or lose even three or four pounds
1:52
overnight, most of that is probably
1:54
due to water weight.
1:56
Here's the thing. Water is heavy.
1:59
water weighs about one pound.
2:02
So if you were to weigh yourself and then
2:04
drink 16 ounces of fluids and immediately
2:07
weigh yourself again, you'd have gained one
2:09
pound in about 15 seconds.
2:11
A couple of hours later, a lot of that water
2:14
will be collected in your bladder. So
2:16
if you weigh yourself before and after visiting
2:18
the bathroom, you might be able to
2:20
enjoy the thrill of losing up to a pound
2:23
in 15 seconds. As you can
2:25
see, the amount of fluid in
2:27
your stomach and in your bladder will
2:30
have a fairly profound yet meaningless
2:33
effect on your body weight at any
2:35
given moment. Eventually, all
2:38
the water in your body passes through the kidneys,
2:40
which regulate how much
2:41
water is either retained or
2:44
eliminated in order to maintain
2:46
the right amount of fluids and the right concentration
2:49
of electrolytes.
2:51
Eating a lot of salt, for example, can cause
2:53
the kidneys to keep more water in
2:55
circulation in order to dilute
2:58
that extra sodium. So
3:00
yes, eating a salty meal can
3:03
lead to a temporary increase in body
3:05
weight, but that doesn't represent
3:08
changes
3:08
in your fat stores. That
3:10
is going to have a lot more to do with how many calories
3:13
you've taken in and burned over
3:15
the long term.
3:16
And as I said, those changes
3:19
are going to show up over a much longer
3:21
timeframe.
3:23
That's the answer to
3:25
the question that the listener asked me.
3:27
But after listening to the message again,
3:29
I
3:30
heard something that I think needs to be addressed.
3:32
There were some red flags in there, which
3:35
signaled that this was actually
3:37
not a question about sodium or
3:39
water retention, but potentially
3:42
something more serious.
3:44
Red flag number one was the fact that
3:46
the listener reported eating only oatmeal,
3:49
cabbage, and a small amount of soup
3:51
over the course of an entire day. That's
3:54
not enough calories to sustain an adult
3:56
human body.
3:58
Red flag number two. was
4:00
the description of a relatively small amount
4:02
of weight gain, just a pound and a half, as
4:05
serious weight gain.
4:07
And red flag number three was
4:10
the listener's self-described desperation
4:13
to find out what caused this minor
4:15
fluctuation in weight. Taken
4:18
together, these red flags
4:20
might suggest that someone is dealing with disordered
4:23
eating and distorted body image. Disordered
4:26
eating is unfortunately quite common and it can
4:28
be very serious, which is why
4:31
I wanna take this opportunity to
4:33
just bring this out into the open. Disordered
4:35
eating is not primarily a nutrition
4:38
issue, it's a mental health issue. And
4:41
May is Mental Health Awareness Month, so
4:43
the timing really is perfect. For
4:46
anyone listening today who
4:48
may hear themselves in this discussion,
4:51
please know that however isolated
4:54
you may feel with these sorts of thoughts or
4:56
worries, or how desperate
4:58
the situation feels,
5:00
you are not alone and help
5:02
is available. If you're not sure
5:04
whether or not this is really a problem
5:07
for you, the National Eating Disorders Association
5:10
has an anonymous screening tool that you can
5:12
access at nationaleatingdisorders.org,
5:15
and there are more resources, including
5:18
an eating disorders helpline, available
5:20
at anad.org. Just
5:23
click on Get Help.
5:25
I can't keep this in anymore. I
5:27
can't even believe I'm saying this, to be honest. You know
5:29
you can tell me anything. I'm capital
5:32
VFD42 capital Z lowercase m underscore
5:34
lowercase p capital L reverse slash apostrophe lowercase
5:37
rs. I know how you feel. Just
5:39
between us, I'm underscore
5:41
comma dash underscore dollar sign capital G lowercase
5:44
w comma forward slash dash dash reverse slash.
5:46
No way, I am so glad we
5:48
had this conversation. I know, me too.
5:51
Turn on total privacy with end-to-end encryption.
5:53
WhatsApp, message privately.
5:57
In New Orleans, 2012, Bruce Kachera
5:59
drove to. address someone had given him
6:01
that didn't exist. As he stood in the parking
6:04
lot where the address should have been, he was
6:06
shot and killed. I'm Delia D'Ambra.
6:08
Join me for the newest season of Counter Clock
6:11
as I dive into the motive behind Bruce's
6:13
murder and a series of events
6:15
that have never been fully investigated until
6:17
now. Binge all 14 episodes
6:20
of Counter Clock Season 5 wherever
6:22
you listen to podcasts.
6:28
Just this morning, I got an email from a listener
6:30
that struck me as another case where the
6:32
question being asked was not really
6:35
the issue at hand. This listener
6:38
wanted to know how to send a food item to a lab
6:40
to have it tested for possible contaminants.
6:43
It involves a particular candy that I
6:45
eat far too many of every day,
6:48
the listener wrote. It's like an anti-stress
6:50
medication for me. But
6:52
if I found out that it was very
6:55
high in heavy metals, for example, maybe
6:57
that would help me cut down. I
6:59
think the cost of sending food
7:02
samples for toxicological testing
7:04
is probably going to be more than you'd
7:06
willing to spend. But do we really
7:08
need something like a heavy metal
7:11
scare in order to decide that
7:13
we'd benefit from limiting our consumption?
7:16
The fact that you're willing to go to
7:18
such lengths and expense to limit
7:20
your consumption of this candy suggests that this
7:22
is already creating some sort of problem
7:24
for you. Maybe it's uncomfortable
7:27
to feel like you can't control your actions.
7:30
Maybe all the sugar makes you feel crappy.
7:32
Or maybe you're concerned about the impact on other
7:34
risk factors such as your blood sugar or
7:37
weight or triglycerides.
7:39
Would a hypothetical consequence that
7:42
might play out years or decades
7:44
in the future be more compelling
7:47
than whatever actual consequences
7:49
are playing out right now?
7:51
From a purely practical
7:54
perspective, when there's a food that I find it difficult
7:56
to resist or I'm prone to overeat, I
7:59
generally don't
7:59
keep it in the house.
8:01
I find it a lot easier to exercise
8:03
my self-control once at the grocery
8:06
store than to battle
8:08
my willpower every night at 8 p.m.
8:12
But there was something else that struck me about this
8:14
question and maybe you heard it too. It's
8:16
the part about candy being like anti-stress
8:19
medication.
8:20
Candy or wine
8:22
or chips or whatever it is for you may
8:25
provide a temporary distraction from
8:27
whatever stress you may be feeling.
8:30
But it obviously doesn't address the source
8:32
of the stress, whatever that may be. And
8:35
it doesn't really reduce the
8:37
stress that you're feeling in response. In fact,
8:40
to the extent that you find yourself googling
8:42
food testing labs, it sounds like it might
8:44
be adding more stress. In
8:47
the most recent episode of the Change Academy podcast,
8:50
I was talking about solutions that don't
8:52
fit the problem and I think this is a perfect
8:54
example of this. There's a mismatch here
8:57
between the problem, in this case the
8:59
stress, and the solution that's
9:01
being applied, in this case the
9:03
candy. And I suspect
9:05
that strategies for managing and
9:08
mitigating stress
9:10
would be more useful than sending
9:12
the candy away for analysis.
9:15
By the way, if you could use some support on this issue,
9:17
I have a program on overcoming
9:19
stress and emotional eating and you can learn more
9:21
about it at wayless.life.stress.
9:26
But now we have time for just one more listener
9:28
question.
9:29
Could you talk about the strategy of drinking
9:32
alcohol with a meal to control blood
9:34
sugar spikes for use on an occasional
9:37
basis? For example, when you're out for
9:39
a meal and you can't immediately get
9:41
up to walk around. Now
9:44
if you heard my last episode with diabetes
9:46
educator Jill Weisenberger, you might recall that
9:48
Jill mentioned that taking a 20 minute
9:50
walk after meals is an effective way
9:52
to improve blood sugar metabolism. Specifically,
9:55
it helps increase your cells' sensitivity
9:58
to insulin and that helps to to clear
10:00
sugar out of the blood and into the muscles and other
10:02
tissues. Although we didn't talk about
10:04
it in that conversation, low
10:07
levels of alcohol consumption, so
10:09
less than five drinks a week,
10:11
are also linked to improved insulin sensitivity
10:14
in longitudinal studies. And
10:16
that means that people who report low
10:18
to moderate alcohol consumption over time
10:21
also have a reduced risk of type 2
10:24
diabetes. However, it's
10:26
not clear to me anyway that having
10:28
a drink with a single
10:29
meal would have an immediate impact
10:32
on your blood sugar after that meal. More
10:34
importantly, alcohol also comes
10:36
with very clear and significant health
10:38
risks.
10:39
I don't think it's ever worth drinking alcohol
10:41
simply for the alleged health benefits. If
10:44
your goal is blood sugar management, I
10:46
suggest focusing your attention on the content
10:49
of the meal, things like portion size
10:51
and the amount of refined carbohydrates
10:53
that you choose,
10:55
and then take a post-meal walk when you
10:57
can, but don't worry about the occasional
10:59
situation when that's not possible.
11:02
This is a long game we're playing here.
11:04
This is Monica Reinagle, the Nutrition
11:07
Diva. If you have a question you'd like me to answer,
11:09
you can email it to me at nutrition at
11:12
quickanddirtytips.com or you can leave
11:14
me a message at 443-961-6206. Nutrition
11:19
Diva is a Quick and Dirty Tips podcast supported
11:22
by a fantastic team, which includes
11:24
our director of podcasts, Adam Sessel, audio
11:27
engineer, Nathan Semes, Davina Tomlin,
11:29
who runs our marketing and publicity, Holly
11:31
Hutchings, who is our digital operations
11:33
specialist, and Morgan Christensen, who
11:36
is our podcast operations and advertising
11:38
specialist. Thanks so much for
11:40
listening.
11:48
I have a great idea for dinner tonight. How
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about a chicken cheddar broccoli
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rice bowl, which you could whip up in
11:55
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11:58
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