nutrition

Food Psych #176: Confessions of a Former Weight-Loss-Surgery Dietitian with Vincci Tsui

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Anti-diet dietitian and certified intuitive eating counselor Vincci Tsui joins us to discuss weight loss surgery and its consequences on physical and mental health, her journey from working in bariatrics to specializing in intuitive eating and Health At Every Size®, how dietitians get caught up in The Wellness Diet, what thin privilege really means, disordered eating and how it interplays with bariatric surgery, and so much more! Plus, Christy answers a listener question about how to deal with the fear of weight gain in recovery from an eating disorder.

Vincci Tsui is a former bariatric dietitian turned Certified Intuitive Eating Counselor and Health At Every Size advocate. She is passionate about helping people find freedom in their relationship with food and with their body, so that they can worry less and get the most out of life. Ultimately, she is on a mission to prove that it is possible to improve health without focusing on weight.

Vincci takes a collaborative and compassionate approach to nutrition counselling and coaching that is rooted in HAES® and Intuitive Eating philosophy. She believes in helping clients learn to listen to their body and their inner wisdom when it comes to making decisions around food, eating and health. Aside from her private practice, Vincci serves as the Community & Content Manager for Food Psych® Programs Inc, and is the author of The Mindful Eating Workbook: Simple Practices for Nurturing a Positive Relationship with Food. Find her online at VincciTsui.com.

Early bird registration for my Master Your Anti-Diet Message course is open for a few more days! If you’re a fellow Health At Every Size practitioner who would like to learn how to refine your marketing messages so that they are aligned with HAES philosophy, sign up at christyharrison.com/message.

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This episode is brought to you by TomboyX. Go to tomboyx.com/foodpsych and check out their special bundles and pack pricing. Food Psych listeners will also get an extra 15% off with the code FOODPSYCH.

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We Discuss:

  • How her different privileges helped to protect her relationship with food and body

  • Some of the food rules that she had growing up

  • Why so many people value “cleaning their plate”

  • Thin privilege, and how it can show up in our society

  • Why losing weight isn’t the answer to avoiding weight stigma

  • Why she pursued a career in dietetics

  • How becoming a dietitian changed her relationship with food

  • Diet culture, and how it can affect dietitians and nutrition advice

  • Her work with bariatric surgery patients

  • How current narratives around “obesity” actually helped her become a HAES practitioner

  • The Wellness Diet’s rhetoric, and how it shows up in “obesity” and bariatric care

  • What sparked her interest in HAES and intuitive eating

  • How she tried to introduce HAES concepts to people pursuing weight loss surgery

  • The Association for Size Diversity and Health (ASDAH), and its position on bariatric surgery

  • Finding the middle ground between respecting body autonomy and holding the position that weight loss surgery is harmful

  • Complications that are associated with bariatric surgery, including strictures, nutrient deficiencies, and dumping syndrome

  • Disordered eating, and how it can interact with weight loss surgery

  • Why diagnostic criteria for eating disorders can sometimes be problematic

  • Eating disorders, and how they can get missed in diet culture

  • Nutrition recommendations post-bariatric surgery, and how they can affect a person’s relationship with food

  • How bariatric surgery is presented to patients, and how that can affect their mindset and expectations of the surgery

  • The consequences of bariatric surgery on physical and mental health

  • When bariatric surgery outcomes don’t meet expectations

  • HAES as an alternative to weight loss surgery

  • Finding her niche in HAES and intuitive eating

  • Attracting clients as a private practice dietitian

  • Vincci’s current and upcoming projects

  • The overlap between yoga, intuitive eating and mindful eating

 

Resources Mentioned

Some of the links below are affiliate links. Affiliates or not, we only recommend products and services that align with our values.

Listener Question of the Week

What if my set point weight is much higher than my current weight? How can I keep my fear of weight gain from getting in the way of my eating disorder recovery? Why is getting rid of the diet mentality and embracing Health At Every Size so important in eating disorder recovery? What are the risks of bulimia and other eating disorders to health? If higher weights don’t cause poor health, then what does? What are some strategies to help overcome internalized weight stigma? Why is it not recommended to jump into intuitive eating directly from an eating disorder? Where can I find support for eating disorder recovery? What if my finances are limited?

(Resources Mentioned: Intuitive Eating Fundamentals course, Food Psych® Podcast episode #172, Slides from Christy’s FNCE debate, Meredith Noble’s work and Food Psych® Podcast episode, Body Positive Instagram Accounts, Certified Intuitive Eating Counselor directory, Heidi Schauster’s work and Food Psych® Podcast episode, Jessi Haggerty’s work and Food Psych® Podcast episode, Haley Goodrich’s work and Food Psych® Podcast episode, Marci Evans’ work and latest Food Psych® Podcast episode, Project HEAL, Nalgona Positivity Pride)

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Food Psych #175: The Truth About Digestion and Gut Health with Marci Evans

Fellow anti-diet dietitian Marci Evans is back! We discuss the intersection of digestive disorders and eating disorders, the risks associated with elimination diets, the role of the gut microbiome in digestion and health, the importance of consistency in self-care and well-being, and so much more! Plus, Christy answers a listener question about why she as a dietitian doesn’t advise people to shift their food choices to less-processed foods.

Marci is a Food and Body Image Healer™. She has dedicated her career to counseling, supervising, and teaching in the field of eating disorders. She is a Certified Eating Disorder Registered Dietitian and Supervisor, Certified Intuitive Eating Counselor and Certified ACSM personal trainer. In addition to her group private practice, Marci launched an online eating disorders training platform for dietitians in 2015 and co-directs a specialized eating disorders dietetic internship at Simmons College. She volunteers for a number of national eating disorder organizations and has spoken locally and internationally at numerous conferences and media outlets. She loves social media and you can find her on all outlets @MarciRD. Find her online at MarciRD.com.

This episode is brought to you by Poshmark, the fun and simple way to buy and sell fashion (including many plus-sized options!) Get $5 off your first purchase when you sign up with the invite code FOODPSYCH.

If you’re a smoker who is trying to quit, get the support you need through a unique, three-pronged approach with a Zero Quit Kit. Save $50 on your first month by visiting QuitWithZero.com/FoodPsych.

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Finally, give the gift of Audible or treat yourself this holiday season. Go to Audible.com/FoodPsych or text FOODPSYCH to 500-500, and for a limited time, get three months of Audible for just $6.95/month, or more than half off the regular price

We Discuss:

  • What Marci has been up to since she was last on the podcast

  • Christy’s upcoming book

  • How Marci became interested in digestive concerns in her work as an eating disorder dietitian

  • The risks associated with the low-FODMAP diet and other elimination diets

  • Alternative therapies to elimination diets

  • What defines a functional gut disorder

  • The overlap between eating disorders and functional gut disorders

  • The role of mental health in digestion

  • Why we shouldn’t dismiss psychosomatic symptoms

  • Whether eating disorders lead to functional gut disorders, or vice versa

  • The common risk factors between disordered eating and digestive issues

  • The mechanisms that lead to digestive concerns in eating disorders

  • Why symptoms can sometimes persist after recovery

  • How any disordered eating behaviors can contribute to gut symptoms

  • How dieting can lead to digestive concerns

  • The gut microbiome, and its role in digestion, weight, and health

  • Why it’s too early to draw many conclusions from gut microbiome research

  • The consequences of a restrictive diet

  • The limitations of nutrition and weight research

  • Anti-diet dietitians and medical nutrition therapy

  • Pelvic floor disorders, and how their symptoms can be similar to functional gut disorders

  • Why in many cases dietary interventions should be the last resort, not first-line care

  • The importance of consistency in self-care and well-being

  • Christy’s own experiences with digestive symptoms

  • Stress-management techniques, and how they can help calm gut symptoms

  • Body image and its intersection with digestive disorders

 

Resources Mentioned

Some of the links below are affiliate links. Affiliates or not, we only recommend products and services that align with our values.

Listener Question of the Week

Is it possible to eat intuitively when you are choosing mostly highly-processed foods? Shouldn’t dietitians and health advisors be advising people to move away from fast food? How can you attune to your internal cues when there is so much external messaging associated with fast food and highly-processed foods? What does the science say about how our food environment and how it affects our eating habits? Why do we need to be skeptical of Brian Wansink’s research? What made his research so popular and widely cited? How can listening to our internal cues versus external cues change our eating habits? What is “gentle nutrition” in the context of intuitive eating? Why is gentle nutrition the last principle of intuitive eating? Why doesn’t Christy advise people to shift away from choosing fast food and highly-processed foods? What is the connection between food insecurity and disordered eating?

(Resources Mentioned: Food Psych® Podcast episode #127, Restrained Eating and Food Cues: Recent Findings and Conclusions, Food Insecurity and Eating Disorder Pathology - TW/CW for the last two resources for specific numbers and fatphobic language )

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