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Can I Have Another Snack?

Author: Laura Thomas, PhD, RNutr

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In today’s episode, I’m speaking to writer and parent educator Eloise Rickman. Eloise’s work focuses mainly on challenging adultism, championing children’s rights, and helping parents and educators rethink how they see children. In this episode, we touch on how diet culture shows up in gentle parenting spaces and how mainstream ideas of gentle parenting don’t always challenge where power comes from and how it’s leveraged. We’ll also talk about kids’ embodied resistance and Elosie’s new book, It’s Not Fair.Don’t forget to leave a review in your podcast player if you enjoy this episode - or let me know what you think in the comments below.Find out more about Eloise’s work here.Pre-order Eloise’s new book here.Follow her on Instagram here.Follow here on Substack - Follow Laura on Instagram here.Subscribe to Laura’s newsletter here.Enrol in the Raising Embodied Eaters course here. Here’s the transcript in full:INTRO:Laura: Hey and welcome to the Can I Have Another Snack? podcast where we talk about appetite, bodies and identity, especially through the lens of parenting. I'm Laura Thomas, I'm an anti-diet registered nutritionist and I also write the Can I Have Another Snack? Newsletter.Today we’re talking to . Eloise is a writer ( ) and parent educator. Her work focuses on challenging adultism, championing children’s rights, and helping parents and educators rethink how they see children. Today we’re going to talk about how diet culture shows up in gentle parenting spaces and how mainstream ideas of gentle parenting don’t always challenge where power comes from and how it’s leveraged. We’ll also talk about kids’ embodied resistance and Elosie’s new book, It’s Not Fair.But first - just a quick reminder that Can I Have Another Snack is entirely reader and listener supported. If you get something from the newsletter or podcast, please consider a paid subscription - it’s £5/month or £50/ year which helps cover the cost of the podcast,  gives you access to our weekly subscriber only discussion threads, the monthly Dear Laura column, and the entire CIHAS archive. Head to laurathomas.substack.com to subscribe now. And thank you to everyone who is already a paid subscriber.Alright team, here’s this week’s conversation with Eloise Rickman. MAIN EPISODE:Laura: Alright Eloise, can you start by telling us a bit about you and your work?Eloise: Yeah, of course. And whenever I do these, I'm always absolutely terrified, that I'm gonna forget something really big , like “I'm a writer” or “I work with parents”. So yeah, I'm a writer and I work with parents. I write books about children and about children's rights.And I've just finished writing my second book, which is on the idea of children's liberation. which looks at all different sorts of topics from parenting to education to children's bodies. And alongside my writing work, I also work with parents running courses on home education and on rights-based parenting and on workshops as well.I'm also – at the same time as doing this – home educating my daughter, who at the time of recording is eight, which also kind of feels like a full time job and just because life is not complicated enough, I'm also doing a Masters in children's rights at the moment, which is brilliant.Laura: Okay, I have no idea how you find the time in the day to do all of those different things, but I am in awe. And you mentioned that you just finished writing your second book, but you didn't say what it's called.Eloise: Sorry, I didn't, you’re right! So it's called It's Not Fair. Which is a title we deliberated over for a really long time, but I really like it because it's something which we hear so often from our children's mouths.It's not fair, this isn't fair. So it's called It's Not Fair: Why it's Time for a Grown Up Conversation About How Adults Treat Children. And that really does sum it up. It's really looking at how we treat children in all different aspects of life. And why a lot of that treatment isn't fair and why we need to rethink it as adults who have more power than children.Laura: Yeah, and I mean, that's really what I want us..we're going to explore these ideas a little bit in a second. But yeah, I've had a little sneaky peek of the book so far. And what I read is incredible. And I'm so excited for this book to be in people's hands because – we'll talk about this a bit more as well – but unlike a lot of just, you know, gentle parenting, like, more prescriptive books, I think that just tell you how to parent, what I really appreciate about your work is that you bring in the kind of socio-political lens, which I feel often gets missed out of a lot of these conversations. So, yeah, I'm really excited about your book coming out and we'll pop a pre-order link to it in the show notes so that people can have that little happy surprise delivered to their doorstep. There's nothing better than, just like, a book showing up that you've forgotten…  Eloise: Oh, I love it. Laura: …that you ordered six months ago! Okay. A lot of your work centers on the idea of dismantling adultism. I'm not sure that people will be completely familiar with that term, so for anyone who is just coming across it, can you explain what even is that and where do we see it show up in our kids’ lives?Eloise: Absolutely, and I think you're totally right that it's not a term that most of us are familiar with at all, and I think that's a huge problem actually.You know, we are now, I think, generally, as a society, getting better at spotting things like sexism or racism or ableism, and that is really important, you know, being able to name injustice when you see it is the first step to dismantling it, to tackling it. Otherwise, how do you really know what it is that you're dealing with and why it's a problem?But yet, when we think about some of the treatment which children experience at the hands of adults, whether that's the fact that in England, at the time of recording, it's still legal to hit your child, even though we would never dream of women being allowed to be hit by their partners, or the fact that, you know, it's still really normal in so many school settings for children to be publicly humiliated, to be losing their break times and so on.All of these seem to be quite disconnected from one another because we don't have the language to join them up. And I think that's why having a word like adultism is the first step in kind of joining those dots and being able to see that children as a social group are marginalised and discriminated against vis-à-vis adults.And I think that term probably feels quite uncomfortable for a lot of us, especially if our children are relatively privileged. You know, if you have a wealthy white child who is not disabled, the idea that your child is discriminated against or is somehow marginalised might feel really shocking. Like, whoa, what do you mean?You know, our child is so lucky, but again, as we've seen with times, like with racism, we talk about white supremacy. The idea isn't that if you have white privilege, you don't have any other problems. You know, you can still be poor or disabled and still have white privilege. And I think in the same way we can see that adults have it easier in a lot of different aspects of their lives.And that doesn't mean being a child is always terrible. It just means they're discriminated against because they're children. So the idea of adultism is really just a way of referencing this age based discrimination, which children face. And I think it really encapsulates this idea that in so many of our societies, adults are seen as the kind of default position, and they are seen as more competent, more capable, more rational, more sensible than children are. And there's a wonderful academic called Manfred Liebel, who talks about these four conditions of adultism. And one of them is that children are just seen as less capable, less competent, less rational, and that they're seen as sort of unfinished. So there's this idea that you're not really a proper person until you become an adult. And that justifies a lot of adult control.Laura: Yeah. Sorry. I was just going to say, there's like this sense that, okay, well, you don't really know what you're talking about. You don't really have any kind of, like, say in what's going on until you turn 18.And, and it's almost like this idea that, yeah, your life is..it doesn't matter, anything that happens to you before 18. It's kind of like a write off somehow. Yeah. Anyway, that was just what was coming to my mind. And I'm sorry for interrupting you. I'm curious to hear more about these conditions of adultism!Eloise: Yeah, but I think that absolutely is true. And that's a really big part of it or where we don’t see children's lives as important or their experience as important. And I think we're getting better now as a society at noticing when things are traumatic or when things are adverse childhood experiences, but often those are described in terms of: this has an impact when they become adults.So they have poorer earning potential or it harms their future intimate relationships, but it's not…so much of it is not focused on children's lives in the here and now, and under adultism, it's very frequent, I think, whether it's in policy documents or whether it's in the language that schools use, or whether it's in parenting manuals, this idea that childhood is this sort of preparation or training ground for when you're a real person, for when you're an adult, and that parenting, education, all of these different things, thus, should be you know, optimising the child's future life without really thinking very much about children's experiences right now. So, and some other examples of adultism as well are, that tied to this, we often think that because parents know best, parents can protect their children from things that we see as harmful. And I think this probably links quite a lot also to diet culture and the way that we see tha
Hey everyone, and welcome back to the Can I Have Another Snack? Podcast where we talk about food, bodies, and identity, especially through the lens of parenting. I’m Laura Thomas, I’m an anti-diet registered nutritionist and I also write the Can I Have Another Snack newsletter.Today I’m sharing part 2 of my conversation with Professor Karen Throsby, author of Sugar Rush.  If you’re just joining us then make sure you go back and listen to part 1 of this episode before you jump into this one. We talk about mortified mothers, how removing sugar from the diet is gendered work that falls on women, and how the certainty around the ‘badness’ of sugar belies a lot more doubt and ambiguity coming from the scientific community. So go back and check out part 1 if you haven’t listened already. Today we’re getting into why the so-called ‘war on ob*sity’ has to constantly reinvent itself to stay relevant, and how it fails to meet its own objectives. We also talk about how ultra-processed foods are quickly becoming the new sugar and how that conversation fails to acknowledge the role that convenience foods play in offering immediate care or the privilege in being able to eat for some nebulous future health. And we couldn’t talk about sugar and not talk about Jamie Oliver and the sugar tax.INTROBefore we get to Karen, a super quick reminder that all the work we do here is entirely reader and listener supported and the podcast is my biggest operating cost. I will do everything I can to keep it free and accessible to everyone, and you can help by becoming a paid subscriber - it’s £5/month or £50 for the year (and you can pay that in your local currency wherever you are in the world). Paid subscribers get access to the extended CIHAS universe including our weekly discussion threads, my monthly column Dear Laura and the whole back archive. You also support the people who work on the podcast, and help ensure we can keep the lights on around here. You can sign up at laurathomasphd.co.uk and the link is in your show notes. As always, if you’re experiencing financial hardship, comp subscriptions are available, please email hello@laurathomasphd.co.uk and put the work ‘snacks’ in the subject line and we’ll hook you up. Thank you as always for your support and for making this work possible.Alright team, I know you’re going to love the second installment of this episode so let’s get straight to it - here’s part two of my conversations with professor Karen Throsby.  Here’s the transcript in full:MAIN EPISODELaura: Karen, I want to come back to this idea that you articulate so well in the book. You say that “the so-called war on ob*sity has been unable to warrant its core empirical claims” – I'm quoting you now, “and has been a notable failure when measured against its own goals of sustained population level weight loss.”Can you explain how in order to sustain itself, the war on ob*sity had to reinvent itself like Madonna? By casting a new villain…and kind of talk about that arc a little bit? Karen: Yeah. So if we think about, I mean, obviously the sort of attack on fat bodies has, has a very long history, but if we think about its most recent history in, in the form of the war on ob*sity, which dates to around the turn of the millennium as a new kind of intensified attack where dietary fat was seen as the core problem.Sugar has always been seen as a problem. We can even go back to the 1960s and the rise of artificial sweeteners. and their take up in the diet industry. So it's always been there as a problem, but it was really fat, fat, fat, fat, fat. And that's why, when I looked at the newspaper articles, sugar was hardly talked about because the focus was different.And I think what we get is then with that repeated failure, where there has been a base, I mean, there's…in the UK, there's been a leveling off of ob*sity rates, but it doesn't meet the aspirations of the attack on ob*sity. It has been a failure. And I think it runs out of steam because it's not achieving the change.And, and yet you get this kind of constant hectoring and sort of constant renewal. I can't…there's been…I can't remember. It's like 17 policies or something, you know, in the last 20 years. And it's, you know, none of them are successful, have been successful. And then, so we get to about 2012, and one of the things that happened in the UK, of course, was the Olympics, where there was a lot of anti-ob*sity talk.It was seen as a way of refreshing the war on ob*sity, and I think that partly opened the door. Laura: Yeah. I'm sort of smirking, because I was in the States at that point doing my PhD, so I kind of, like, missed a lot of what was going on here, around 2012 in the Olympics. So yeah, it's really interesting that you're, you're not, you noted that, that that kind of anti…Karen: Like a core, a core justification for the, for funding, you know, a mega event like the Olympics was that it would boost sport, which would boost attempts to reduce ob*sity. And so you've got that in the background, you've got the fact that it is losing steam, you know, and so it needs to find another, another enemy, something to pick it back up again. And sugar, I think…because at the same time, as I mentioned earlier, we've got austerity measures being consolidated through the Welfare Reform Act in 2012, all of those welfare cuts in place. So then the idea of sugar, and the kind of an austerity worked really well together, the idea that individuals should make small economies to get by to manage their own consumption, that you shouldn't over consume because it costs the state, it costs other people money. And so those narratives came together perfectly and sugar just became this, this model enemy for the moment.And then what we see then is the rise of interest in the sugar tax. which was announced in 2016, which is the peak in the newspaper coverage, and then was launched in 2018. So in a, in a sense, the history of the social life of sugar during this moment is an arc that sort of covers the rise to the sugar tax and then its implementation.But all of the expectation that had been laid on fat is then laid onto sugar as the problem. If only we can solve this problem. And so again, as I said before, it creates this erasure of the absolute complexity of food and eating. The idea that food is only ever swallowing and metabolising, it's, you know, it's so social, it forms so many social functions around love, care, comfort, you know, all of those things that it’s just completely inadequate.And then what we've got now is a tailing off. And actually it tailed off during the pandemic, there was a little peak at the beginning, if you can remember when Boris Johnson launched an anti-obesity policy, when he came out of hospital, he was blaming his own body size on the fact that he'd been very unwell. And so we saw a little peak then, but it's basically dropped off now.So in sort of 10 years, we've had a sort of complete focus on sugar and then this tailing off of interest in it. And I think now what's coming in instead is ultra processed food is now filling that gap, but it's folded sugar into it because obviously ultra processed food is, as almost all, I mean, has always got sugar in it. And so it's picked up the sugar as it's gone. So it's, all of that is still there, but it's now being talked about in terms of ultra processed food.[SMALL PREVIEW OF FIRST UPF ARTICLE]Laura: I imagine that what you, you might say about kind of almost this like third phase of the, the ‘war on ob*sity’ in terms of who or what is responsible, because there almost has to be this singular entity that we can point at.And at the same time, I think it's so interesting that ultra processed food has just kind of subsumed every kind of nutritional villain that we could have. Fat, sugar, sweeteners, and just the complexity within the concept of ultra processed food in terms of just from a lay perspective, right? To try and wrap your head around what is and isn't.I mean, I have a PhD in nutrition and I struggled to get through the NOVA documentation on ultra processed food. And to bring it back to the sort of gendered aspect of this for a second, something that I noted that…so Carlos Monteiro is the guy, right, that developed the NOVA classification. I'm not sure if you've read much around this.I don't know if this is a book that's in the works for the future, but one of the things he said is that ultra processed food is the undoing, basically of the family meal. I mean, there's…there's a lot that we could unpack there in terms of, like, the sort of putting a family meal on a pedestal and how that even has sort of classed and, you know, all kinds of connotations.But, I mean, as a mother of a small child, to my thinking, actually, ultra processed food saves our family meals, right? Like, it makes it feasible to get something on the table while you have, you know, a child kind of hanging around your legs begging you to play with them. All of the, kind of, the rhetoric from Carlos Monteiro and the men of science, it kind of, it misses the piece of labour, around labour, which we've talked about, but it also misses this piece of just how we're all just struggling to survive in late stage capitalism, and how none of us in our lives have the conditions available to us where, you know, we have affordable childcare or family close by because we're living in these like hyper isolated, splintered, you know, individual houses, and we have no community and I think there's this a piece that gets missed out of this conversation about the bigger, broader social structures that we're living within, which I suppose, you know, speaks to the thesis of your book.So yeah, I was just tying it back to some of my observations around ultra processed food, so it's really interesting that you've gone there and I'm curious to hear what additional thoughts you have about that?Karen: Yeah, I mean, I think for me, the, the alarm that goes off for me w
Hey everyone! Happy New Year and welcome back to the Can I Have Another Snack? podcast, where we talk about food, bodies, and identity, especially through the lens of parenting. I’m Laura Thomas, I’m an anti-diet registered nutritionist and I also write the Can I Have Another Snack newsletter.I am really excited to share this week’s conversation; it is the perfect antidote to the January diet culture hellscape that we’re all living through. My guest today is gender studies professor and author Dr. Karen Throsby, whose book Sugar Rush (affiliate link) was an absolute highlight for me in 2023. I have been recommending it to everyone. Karen’s thesis in the book is essentially how the public health and popular science discourse around sugar obscures the social and structural inequality responsible for health disparities and by doing so, actively embeds it further into the fabric of society. I’ve split this conversation into two parts - so you’ll get the second half of the conversation in two weeks. But today we talk about how the conversation around sugar being bad for you is framed with so much certainty, whereas the science holds a lot more doubt and ambiguity. We talk about how nostalgic fantasies of a past where nobody ate sugar and everyone climbed trees all day long erases the unpaid labour of women, and how even modern day efforts to eliminate sugar are dependent on unequal distribution of household labour and are framed as work that is pleasurable, or else women get scapegoated as bad mothers. So much great stuff in this episode and like I said, I’ll share part two soon, where we get into the rhetoric around ultra-processed food, how the so-called war on ‘obes*ty’ fails to live up to it’s own aims and loads more. Before we get to Karen just a quick reminder that the entire CIHAS universe is reader and listener supported, meaning I literally can’t do this work without your support. If you like what we do here and want to help keep the lights on then you can upgrade your account to become a paying subscriber - it’s £5/month or £50/year. Not only do you support the time and labour that goes into producing the newsletter and podcast, but you get access to our weekly community discussion thread Snacky Bits. You can comment on posts, and you get access to my monthly Dear Laura column and the full archive. You’ll also see a bit more bonus content on free essays that’s just for paid subscribers in the coming months, so make sure you’re signed up to get in on that action. Head to laurathomas.substack.com or check out the show notes for that link. Follow Laura on Instagram here.Subscribe to Laura’s newsletter here.Enrol in the Raising Embodied Eaters course here.Here’s the transcript in full:MAIN EPISODELaura: Karen, I'd love if you could begin by sharing a bit about you and the work that you do.Karen: Yes, thank you. So I'm a sociologist, I'm a professor of gender studies at the School of Sociology and Social Policy at the University of Leeds. And throughout my 20 plus years of career, I've been looking at issues of gender, bodies, technology and health.So I've done work on reproductive technology, on surgical weight management, I've done work on endurance sports and what you do to a body when you engage in endurance sports socially, what does that mean? And then most recently, I've been working on what I've been calling the social life of sugar. How can we think about sugar in a moment when sugar is being attacked as a kind of health demon, the constant in my career has been this idea about bodies and how we try and change bodies or how bodies change and then most recently in relation to food and particularly sugar,Laura: Tell us a little bit more about that because, you know, you kind of say this almost quite flippantly. “Oh yeah, I’ve been doing sugar”, but that's like a whole like undertaking in terms of research and then the book that came out of that. So, could you maybe tell us a little bit about the research that you did that went into, you know, studying the social life of sugar and, and maybe a little bit about the process of writing the book as well?Karen: Yes, of course. So, it started from observation, which is where a lot of research comes from – of noticing just a lot of sugar talk in the media, for example. And so, I decided to look at it more formally. So, I actually did a, I started with newspapers and I looked at newspaper coverage from 2000. So I ended up looking to 2020 when I searched for newspaper articles in nine UK newspapers. So across the political spectrum and broadsheet, tabloids as well, looking for articles of quite substantive articles like sort of 500 words or more with the word sugar in the title.And then I filtered those. So I took out all of the irrelevant things. So there's lots of mentions of Alan Sugar, uh, for example, lots of sugar metaphors, like a ‘spoonful of sugar’ that you get in business reporting. And I took all those out. And then I kind of looked at the pattern and what you see from 2000 to about 2012, it's very, a very low level of coverage, just trickling along very low.And then in 2013, it starts to shoot up. And then by 2016, it's really high and it peaks there. And then it drops off a little bit, picks up again at 2018 and then slowly falls away. And so I took 2013 through to towards the end of 2020 as the period of study, and that ended up with about 550 newspaper articles that then became my objective analysis of what's happening with sugar.And then I dug out anything else I could find. So policy documents and newspaper, medical articles, self-help books, popular science tracks – anything I could find about sugar. And that became the body of data that I then was analyzing just to see: how is sugar being talked about? Who is being excluded when we talk about sugar?Trying to see it, not literally, but thinking about what is sugar doing socially when we talk about it.Laura: Yeah. It's, it's an, I'm just thinking of this from a research perspective. It's a huge undertaking. I'm just imagining you going through your Nvivo now, it's just like, Karen: exactly. You're right there. I mean, it was an unusual project for me, because all my other projects have been broadly ethnographic. So I've actually gone and observed groups, a social, social organization, and so on, um, or done interviews and things like that. So this was a departure for me that it's very text based. It's looking at how it's reproduced and represented in text, in different kinds of text.But you ask the same questions, what is a newspaper trying to achieve in writing in this particular way? What is a popular science track trying to achieve in writing about sugar in a particular way? And then you can start thinking about, so what does sugar mean in different contexts, but also what kind of work does sugar enable us to do socially?Laura: Mm hmm. So can you tell us a little bit more about the sort of, maybe just like the headline conclusions that you drew out with this and then and we can kind of get into some of the more specifics in a second. Karen: Yeah, I mean the bottom line for me was that sugar and what I'm calling the attack on sugar, this targeting that happens quite suddenly around this time and and taking over from fat in that sense as being the enemy that this talk around sugar appears to be in relation to everyone. It's seen as a problem, a problem that we all have. So you'll see the opening line of, there's a Public Health England document in 2015. And the opening line is ‘we're eating too much sugar’, and it's bad for our health. Right? So it seems like it's everybody's problem.But actually, what happens when you do that is that you ignore social inequality. And so the core argument of the book is that actually by focusing on a single nutrient – like sugar – as the cause of multiple problems, you actually make inequalities worse rather than better. Because it actually relies on erasing inequality from the start to say, we eat too much sugar.So a sociologist would always want to ask, well, who is ‘we’ here? And in fact, what we see by looking at the newspaper coverage and so on, is those who are deemed to be eating ‘too much sugar’ are also those who are already the most marginalized in society. So it provides cover for actually an intensification of attacks on marginalized groups in society. And I argue in the book that that rise that happens in 2012, 2013, is actually related to the implementation of austerity measures in the UK, which is the retrenchment of benefits, the cutting welfare and so on, and targeting particular groups as somehow as ‘over consumers’ of public resources.And therefore they're easily translated as ‘over consumers’ in other ways. And so that this figure of the kind of poor, fat, irresponsible, individual as a caricature comes up as kind of someone who can be blamed and targeted. So the argument in the book is really that by focusing on a single nutrient, you not only ignore those groups, but you actually compound the inequalities that they're already experiencing.Laura: Yeah, you're furthering the marginalization and the stigmatization of those groups. There are a few things within what you've just said there that I wanted to kind of come back and revisit if it's okay. And the first is this idea of certainty. You know, you say at the beginning of those Public Health England documents, and I think throughout the headlines and the media reporting and some of the documentaries that you discuss, there's this thread of certainty.Certainty that sugar is bad for us. Certainty that sugar makes us fat. Certainty that fat is even a bad thing in the first place. Can you talk to us a bit more about how certainty is used in this way as a sort of political device to drive discourse in a specific direction?Karen: Yeah, that's a really good question.And what we can see with these certainty claims, I mean, that sugar is bad for you. That's the core claim is that it's bad for us. B
Hey and welcome to the Can I Have Another Snack? Podcast. This week I’m talking to specialist diabetes dietitian Erin Phillips about all things insulin resistance and type 2 diabetes. Erin shares some background on what happens in the body that leads to type 2 diabetes, why ‘prediabetes’ is a dubious diagnosis and the things the keto-bros often leave out this conversation. We talk about why sugar and higher weight aren’t the cause of type 2 diabetes, and how there is so much more we can do to care for diabetes outside of cutting carbs and losing weight, especially if you have a background of an ED or disordered eating. Lots of you have requested more content around this topic - let me know what questions you still have after listening to this episode!Find out more about Erin’s work here.Follow her on Instagram here.Follow Laura on Instagram here.Subscribe to Laura’s newsletter here.Enrol in the Raising Embodied Eaters course here.Here’s the transcript in full:INTROErin: I think sometimes a diagnosis of prediabetes or type 2 diabetes can be a traumatic event, especially when it's not in the presence of someone caring and that you trust. Or especially if you have a family history of diabetes where you've seen…maybe some scary things. Which I will – now that I said that – I will add that it's, that's not a definite outcome either, those scary things, yeah.But it can be, that can be really stressful, and that's the opposite of what is helpful for blood sugars.Laura: Hey and welcome to the Can I Have Another Snack? podcast where we talk about appetite, bodies and identity, especially through the lens of parenting. I'm Laura Thomas, I'm an anti-diet registered nutritionist and I also write the Can I Have Another Snack? newsletter.Today's guest is registered dietitian Erin Phillips. Erin's work is grounded in health at every size and fat positive nutrition. She has an advanced certification as a diabetes specialist and has spent most of her career working with people living with all types of diabetes. She has a private practice that focuses primarily on the intersection of diabetes and eating disorders. She works with people living with diabetes through individual counselling, as well as providing consultation to clinicians looking to be more grounded and confident in supporting their clients and patients with co-occurring diagnoses of diabetes and eating disorders. So I've had a lot of feedback from newsletter readers and people who listen to the podcast saying that you'd like more information about weight-inclusive approaches to so-called prediabetes – which we'll get into in a minute – insulin resistance and elevated glucose levels as well as type 2 diabetes. Most of the advice out there centers on carbs. So I was excited to talk to Erin about why these approaches are not only unhelpful for a lot of folks, but how they can be harmful. And why you don't need to get sucked into diet culture to care for yourself. In this episode, we discuss why type 2 diabetes isn't caused by too much sugar or having a bigger body, why pre-diabetes is a fake diagnosis, and why you don't need to cut out carbs to manage your blood sugar. I'm so excited for you to hear this episode. But before we get to Erin, I want to remind you that the Can I Have Another Snack? universe is entirely listener and reader supported. If you get something out of the work that we do here, please help support us by becoming a paid subscriber. It's £5 a month or £50 for the year. And as well as getting you loads of cool perks, you help guarantee the sustainability of this newsletter, have a say in the work that we do here and help ensure I can keep delivering deeply researched pieces that provide a diet culture-free take on hot nutrition topics like ultra processed foods, the Zoe app, and the deep dive on folic acid and folate that I just did recently.All of those you can read at laurathomas.substack.com if you haven't already. And if you're not totally sold yet then maybe this lovely review that I got recently will help convince you. So one reader wrote: “I feel so lucky that I found your work around the same time I started feeding my kid real food. It saved me so much angst and has allowed me to relax and really enjoy seeing him explore eating. Your essays on sugar especially was a game changer. I'm sure it won't always be plain sailing, but I feel so much more prepared to ride the waves of his changing appetite. and tastes as he grows, accepting them as a feature and not a bug.So hopefully he can have a much more relaxed relationship to food than I had for a long time. And I pay my £5 a month because I so value the work you put into your writing and think it's worth paying for. There's a lot of free advice out there, but I never know what I can trust. This is such a safe haven.”So yeah, it's £5 a month or £50 for the year. You can sign up at laurathomas.substack.com or check out the show notes for this episode. And if you can't stretch to a paid subscription right now, you can email hello@laurathomasphd.co.uk for a comp subscription. No questions asked. You don't need to justify yourself. Just put ‘Snacks’ in the subject line. This is actually going to be our last podcast of the year. I'll be back in your ears in January with brand new guests. Paid subscribers will continue to hear from me in your inboxes and in the group chat, where I'm going to be holding space for all the venting and screaming at diet culture shit that gets dredged up over the holidays and into January. If you'd like to join us, you can sign up at LauraThomas.substack.com. Otherwise I'll speak to you in January. Okay, team. Over to Erin. MAIN EPISODE:Alright, Erin. Can you please start by telling us a bit more about you and the work that you do?Erin: Yeah. I am a registered dietitian. Well, in the United States, based in, um, the Seattle, Washington…I was gonna say, the ‘state of Washington’! And I'm also a certified diabetes care and education specialist. It used to be a certified diabetes educator and they wanted to add more letters. So I'm in private practice and I focus on working with people with diabetes and eating disorders at the same time, or people who had a history of an eating disorder and then were recently diagnosed with diabetes but don't want like It wouldn't be helpful or safe for them to go to just any diabetes educator.So those are the folks that I work with.Laura: Okay, so you're kind of working at that intersection between eating disorder care and diabetes care. And I think, like, what's important to highlight, which people might not be...aware of or familiar with is the idea that people who have type 2 diabetes, I would say in particular, but all forms of diabetes are at a heightened risk of disordered eating and eating disorders. And does that relationship…? No, it doesn't go the other way, does it?Erin: I think it does.Laura: You think it does?Erin: I think it does. There isn't a lot of research on it, but clinically, I absolutely see that.Laura: Okay. That's interesting. Erin: And eating disorders and gestational diabetes. I was talking with a colleague about this, that we see people with a history of, of an eating disorder, it feels like are at much higher risk of gestational diabetes.But the research…I don't, I haven't looked into the research on that, but we definitely see it clinically.Laura: Yeah, that's an interesting observation that you've noticed. So, you use this term diabetes educator. We don't have that here so it might be helpful to just kind of explain a little bit about what that is and then maybe we can unpack what exactly we're talking about here when we talk about diabetes and sort of associated terms.Erin: Yeah, yeah, yeah. Thanks for clarifying that. I love talking to people in other countries to learn about like, what do things look like there? So, a diabetes educator, I know they have them in the States and in Canada, maybe Australia, but basically what it is, is...Laura: Just to clarify, like, okay, in case my, like...dietetics colleagues are all like yelling at me right now. We do have dieticians that specialise in diabetes, but it's like the diabetes educator title is kind of a, like a bolt on right to your, your like baseline nutrition training. Is that right?Erin: Yes. Yeah. Yeah. Yeah. So here to become a. a certified diabetes care and education specialist – that's such a mouthful! You, yeah, you need, I think it's 2000 hours of working with people with diabetes after you've become, become a dietitian or you can be a social worker, you can be a pharmacist, you can be a nurse. There's lots of nurses that are diabetes educators. So you get those practice hours, you get continuing, I don't know how many hours of continuing education a lot. And then you take an exam, right? Then it's like, well, at least here, like the dietitian renewal where every five years you renew by getting enough continuing education credits.Laura: Okay, so it's safe to say you know a lot of stuff about diabetes.Erin: Yes, I think so, yeah.Laura: It's kind of your thing. So, I really wanted to talk to you specifically about type 2 diabetes today because, 1) there seems to be a lot of confusion about it. 2) It kind of gets bundled up with a lot of anti-fat bias and carb-phobia and diet culture. And then 3), it's something that listeners of the podcast and readers of the newsletter have requested that we talk about. Would you mind starting by just telling us what exactly type 2 diabetes is, and how it relates to concepts like prediabetes and insulin resistance? So that's a big question. Where feels like the best place to start?Erin: I think actually starting with insulin resistance, because I think of that as kind of an umbrella and then prediabetes and type 2 diabetes fall underneath that umbrella. Yeah. So, insulin resistance is a term that means…so all humans have glucose floating around in their blood at all times. That is the main source of fuel. It's so funny
Hey and welcome to the Can I Have Another Snack? Podcast. I have been so excited to share this week’s episode with you. Our guest today is Kirstie Beaven from Sonshine magazine - a publication dedicated to raising boys for a more equal world. Kirstie and I talk about how seemingly innocuous things like dinosaur t-shirts and shark pants send a message to our kids about who they can and can’t be, how they should expect to be treated, and how they should treat others. Kirstie gives us a fascinating history lesson on how kids’ clothes became gendered (spoiler, colonialism and capitalism have a lot to do with it) and why these have massive repercussions for gender equality. We also talk about why Kirstie is low-key obsessed with pants (the underwear kind), and why we can’t just empower girls in a vacuum; we also need to be teaching boys emotional literacy and allowing them to have an identity outside of the ‘big boy’, or the sporty one. Just a heads up that we talk about some distressing statistics around sexual harassment, suicide, and violence towards women and girls, but not in explicit detail.This is without a doubt one of my favourite episodes we’ve done on the CIHAS pod - if you’ve never listened before then this is a great place to start, even if you don’t have kids. Don’t forget to leave a review in your podcast player if you enjoy this episode - or let me know what you think in the comments below. Find out more about Kirstie’s work here.Follow her on Instagram here.Follow Laura on Instagram here.Subscribe to Laura’s newsletter here.Enrol in the Raising Embodied Eaters course here.Here’s the transcript in full:INTROKirstie: That's one of the things I really want to do, is just gently point out the things that we take for granted that we say are normal or natural, but they're not. They're totally constructed. Many of the things that we just take for…oh yeah, pink and blue. Pink is a girls’ colour, blue is a boys’ colour. We think of that as completely normal and it's totally made up and it's so recent.Laura: Hey, and welcome to the Can I Have Another Snack? podcast, where we talk about appetite, bodies, and identity, especially through the lens of parenting. I'm Laura Thomas, I'm an anti diet registered nutritionist, and I also write the Can I Have Another Snack? newsletter. Today I'm talking to Kirstie Beavan.Kirstie is the founder and editor of Sonshine Magazine, raising boys for a more equal world. Sonshine is a print and digital quarterly, as well as a social profile for parents who want to change the way we talk to and about our sons, to create a better society for all children.I've been so excited to share this episode. We recorded it a while back and I'm really glad that you're able to finally listen to it. It's such a great discussion about gender inequality and why seemingly innocuous things like how we dress our kids have really long term implications for their emotional development and the roles that they learn to occupy in society. Kirstie is a wealth of knowledge about the gendered history of kids clothing, which you won't be surprised to hear is entirely rooted in capitalism, rather than any real biological or physical differences between sexes. I can't wait for you to hear this conversation, and if you don't already, you need to get your hands on a copy of Sonshine Magazine, which is available in print and digitally. I'll link to it in the show notes so you can order yours. It would make a really lovely holiday gift for your co-parent or some other parents that you have in your life, maybe even for yourself. But before we get to today's episode, I'd love to tell you all about the benefits of becoming a paid subscriber to the Can I Have Another Snack? Newsletter. And of course there are cool perks like being able to comment on posts, our Thursday threads, Snacky Bits, and exclusive posts on intuitive eating, weight inclusive health, and responsive feeding. But more than all of that, being reader and listener supported means I can better control who comes into this space. In other words, we can keep the trolls and the fatphobes out. And if they do sneak in, at least they've had to pay for the privilege, and I can still boot them out. Having control over who comes into the space is essential for creating a safe, nurturing space away from diet culture where we can discuss difficult topics like how we deal with diet-y friends, gender division of labour, and body shame. All the way through to more light hearted stuff like the weird shit that mummy influencers say. If you're still not convinced, then here's a recent testimonial from someone in the CIHAS community. So they wrote: “I wish I had access to the advice and information you share when my kids were little, but it's still valuable now that they're nearly adults for a couple of reasons at least. Firstly, having only been diagnosed as autistic in middle age, I have had a complicated relationship with food for most of my life. From childhood fussy eating, through stigma over my higher body weight and internalised fat phobia, to temporary success with dieting, followed by the inevitable return to my previous size. Your writing has helped me cast off many of my own hang ups about food, weight, and health, making me a better role model for my kids. Secondly, your advice helps me to support and advise my kids with their own food, health, and body image issues, and to advocate for them to family and friends. I believe in showing my appreciation for people who provide me with help and support, at least by saying thank you, and where possible, with feedback and or financially. I can't financially support everyone I'd like to all of the time. But I do what I can when I can. Thank you for all you do Laura.”So what are you waiting for? You can sign up today at laurathomas.substack.com or find the link in your show notes. It's £5 a month or £5 for the year and if you can't stretch that right now just email hello@laurathomasphd.co.uk with the word “Snacks” in the subject line and we'll hook you up with a comp subscription. No questions asked. You can also gift a subscription to a friend for the holidays to give them unfettered access to the CIHAS community. I can even send you a gift certificate. Just email hello@laurathomasphd.co.uk and we'll hook you up.  Can I Have Another Snack? is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber.All right team, let's get to today's conversation with Kirstie Beavan from Sonshine Magazine. MAIN EPISODEAll right, Kirstie, to start with, can you tell us a little bit about yourself and what you do?Kirstie: I'm Kirstie and I run Sonshine Magazine, which is a quarterly print and digital magazine and a social profile and community looking at raising.Laura: You said that with sort of like eyes rolled so we'll come back to that!Kirstie: I'm looking at raising boys for a more equal world so specifically it's parenting, thinking about parenting through the lens really of how we talk to and about our boys.Laura: Okay, and I'm curious to know, like, where this interest in gender equality comes from and like what spurred you to start a magazine about it?Kirstie: I think…so I've got two children and when my daughter was born, I think I felt more confident about how I was going to break down gender stereotypes for…I felt like, you know, I grew up in the 80s and 90s, which is a time of real flux in terms of how women were portrayed and expected to behave. It's a real…there's lots of progress and lots of backlash. And I think I felt – by the time I had my first child who happened to be a daughter – I felt quite confident about the things that I wasn't going to do and the stereotypes that I wasn't going to inflict on her and how I was going to help her navigate the world that I had already grown into womanhood through. And then two years later I had my son and I started to see that there were a lot of negative stereotypes associated with raising boys. And I felt like I had absolutely no model for managing that as a mother, not as a father, obviously. I just felt like, Oh, this is something I hadn't really considered or thought about. So I went to look for…where are the resources to help me parent a boy who I want to be able to grow up in a way that's free of the strictures of sort of gender stereotyping, but also who is going to be what we might now call a good man? You know, where are the resources for that? And I couldn't find any.Laura: Right. There wasn't a playbook.Kirstie: No, there's really few and far between. There weren't websites talking about it at the time. There weren't Facebook groups dedicated to this. There wasn't something that sort of scratched the itch that I had.And I had been working in content. I work mainly in the museums and gallery sector, working on the stuff that you see on the walls when you go into a gallery, like labels. Laura: I always wondered who wrote that stuff!Kirstie: Yeah, it was me. So that sort of stuff. So like presenting information for a general audience, that's been my job for a long time.So I was like, well, I'm a writer. I'm going to write one. I'm going to write the things that people needed, or that I needed really. And that's how I started.Laura: So you found that there weren't the resources that you as a new parent to a boy needed to help you navigate parenting that child in, so that they didn't grow up to be an asshole, basically. I think?Kirstie: Yes, exactly. I mean, yeah, partly that, but also partly because I noticed a lot of things about how my children interacted. Having an elder daughter and a younger son, I mean, I think it's the same if you…for many children, if you have an older sibling and a younger sibling quite close in age, that the younger one, is desperate to do all the things that the older ones do.So they're like, because, and I get it, like there's this person who's so close to you, but they're just b
Today on the podcast I’m joined by Dr. Molly Moffat - A GP who practices medicine from a weight inclusive, neurodiversity affirming lens, celebrating both diversity of bodies and of minds. In this episode, we are talking about how Molly moved away from recommending diets and weight loss to her patients, towards an anti-diet, weight-inclusive approach, focused on treating individuals with care and compassion. We get into what exactly medical anti-fat bias is and why it's so harmful, and she has some really lovely suggestions for how to talk to patients who come in with the idea that they have to lose weight for medical reasons. Find out more about Molly’s work here.Follow Laura on Instagram here.Subscribe to Laura’s newsletter here.Enrol in the Raising Embodied Eaters course here.Here’s the transcript in full:INTRO:Molly: Fat folk don't go and see their doctor when they need to. And you know, I don't need to explain why that is a concern. That is a concern. It means that diagnoses are missed, diagnoses are made late, and it absolutely contributes to stress, mental health, physical health and health inequity in an already marginalised group of people.Laura: Hey, and welcome to the Can I Have Another Snack? podcast, where we talk all about appetite, bodies and identity, especially through the lens of parenting. I'm Laura Thomas, I'm an anti diet registered nutritionist, and I also write the Can I Have Another Snack? newsletter. Today I'm talking to Dr. Molly Moffat. Molly is a GP with a special interest in learning disability and autism. She practices medicine from a weight inclusive, neurodiversity affirming lens, celebrating both diversity of bodies and of minds. She's neurodivergent herself and has three children. In this episode, Molly and I are talking about how she moved away from recommending diets and weight loss to her patients towards an anti diet, weight inclusive approach, focused on treating individuals with care and compassion. We get into what exactly medical anti-fat bias is and why it's so harmful, and she has some really lovely suggestions for how to talk to patients who come in with the idea that they have to lose weight for medical reasons. I really loved talking to Molly and I think you're going to enjoy this episode.But before we get to today's conversation, I want to tell you real quick about the benefits of becoming a paid subscriber to the Can I Have Another Snack? newsletter and community. Now, I know we're not used to having to pay for content on the internet. and why would you pay for something where 85% of the content is free anyway?Well, because without paying supporters, this work just wouldn't be possible. None of the newsletter, not the podcast. As well as supporting me in the time it takes to research, interview contributors, and write articles, your support goes towards paying guests for their time and their labour, as well as a podcast and a newsletter editor, so it's a whole team effort.You also help me keep the space ad and sponsor free, so I don't have to sell out to advertisers or exploit my kid for freebies. Plus, keeping the community closed to paying subscribers only means that we keep the trolls and the fatphobes out. I recently asked the CIHAS community why they support the newsletter, and this is what one reader had to say:“I'm a mum of one fairly adventurous, self proclaimed vegetarian and one theoretical omnivore. The latter survives almost exclusively on added sugar and butter, but mostly sugar. I consumed all the picky eating advice, some of it really well meaning and pretty mellow, but by seven years in, I was more frustrated, confused, and full of self doubt than ever.Enter CIHAS. The no nonsense, cut through the bullshit, science backed content is exceptional. The content about sugar is especially helpful to me, and the anti diet lens is an antidote to my extremely anti fat/diet culture conditioning. And as an American, the British references are just an added bonus. To say your work is actively changing my life is not an understatement. Thank you.”Well, thank you to the reader who sent that really lovely review. Becoming a paid subscriber is a fiver a month or £50 for the year. And you get loads of cool perks as well as just my undying gratitude for supporting my work. Head to laurathomas.substack.com to subscribe now.  All right, team, here's my conversation with Dr. Molly Moffatt. MAIN EPISODE:Hey Molly, can you start by telling us a little bit about you and the work that you do? Molly: Sure, yes. So I'm a GP, although I actually only do one day of general practice at the moment. I have a special interest in learning disability and autism. I've been working in that field for a few years, and I've recently started working in paediatrics, doing some neurodevelopmental assessments, and I also do some teaching for medical students. The reason I'm here is because I do my very best to practice in a weight inclusive manner, so I'm not worried about fat bodies, but I'm really worried about the way fat bodies are treated, particularly when they're trying to seek healthcare.Laura: Yeah, that's what you're here to talk about today, but I feel like we could probably have a whole other conversation about neurodivergence and feeding differences and all of that stuff, but I will try and rein myself in because, yeah, like you said, I really wanted to talk to you about how fat bodies are perceived and how they're treated in medical settings.So I'm wondering if you could kind of take us on a bit of a journey with you. Can you set the scene for us? You're a medic, straight out of training, going into your GP specialisation. At that point, what do you believe to be true about the relationship between weight and health?Molly: Okay. So I mean, all of my medical school teaching, all of my junior doctor training, and my GP training was absolutely based in this weight normative approach.So the idea that weight was a marker of health, and that we should be pursuing weight management for our fat patients. And there was never any discussion around where that came from. So, you know, it was just stated as a fact that ‘ob*sity’ came with all of these comorbidities and put people at increased risk of X, Y, and Z.And, like I say, I never remember – and I'm really confident it didn't happen – any discussion around where the evidence behind those statements came from, and the fact that actually...it was really complex and that maybe there were some other factors at play that cause that association between body size and certain diseases.And I also never remember any conversation about weight stigma and the impact that that can have on people's health.Laura: Okay. Well, there's so much that I could kind of, like, tease out of what you just said there, but I think the sort of headline for me is just how this information was presented to you as complete certainty. I think if I'm kind of reading between the lines, or what I've even learned in my own training, that as weight goes up, the worse the health outcomes, right? Like in this linear sort of fashion. It sounds as though you learned something similar, but the evidence behind that was never really presented or unpacked or challenged in any way.And that's the part that I find most, like, terrifying because as medics you should be, like, challenging the evidence and not just, like, swallowing it whole and, you know, swallowing information whole and not kind of having any critical thought around it.Molly: I know, I agree. And of course there were things that we critically appraised and we were taught how to critically appraise, but the world of ‘ob*sity’ was just something that was presented as a fact.And I feel so sad that I kind of missed out on all of those years of a greater understanding of how complex it was.Laura: You also mentioned weight stigma, which we'll come back to in a second, but coming back to this idea of how complex it is. So what were some of those messages that you received that oversimplified the relationship between weight and health?You know, I've kind of mentioned this idea that as weight goes up, that health invariably goes down. I'm wondering what other kinds of things that you picked up on that sort of reinforced those ideas.Molly: Yeah, I mean, absolutely kind of ‘eat less and move more’ was something that we spouted. And, you know, when we were kind of practicing role play scenarios, one of the tick boxes was ‘give lifestyle advice’.Part of that was, you know, absolutely eat less and move more. And, you know, assumptions around a person's lifestyle and diet again was very much part of that message. That people were fat because they didn't exercise and they ate too much.Laura: And then they also lie to you, right, about how much they've eaten?That's…at least, that's the thread that we got in nutrition training, is that people who are higher weight, they're almost always lying about their dietary intake. And so you are already…I mean, think about how problematic that is, that you're already going in with the assumption that this person is lying to you about, you know, their lived experience, like, what does that do from the perspective of forming any kind of therapeutic relationship to go in with that understanding and assumption?Molly: Yeah, no, I agree entirely and, you know, let's think about when people are presenting to a healthcare setting, they're generally a bit nervous and anxious and feeling quite vulnerable and they are essentially quite powerless in that situation. And then imagine that they're also giving you information and telling you about their lifestyle and that's being doubted. It's horrible, isn't it?Laura: Yeah, it's really, really messed up when you slow it down and think about it. I'm wondering if there were any particular moments or specific patients that you remember that started to change that understanding a bit for you? That kind of threw a kink in that really simple narrative of ‘weight e
In today’s CIHAS episode, I’m speaking to online personal trainer and performance nutritionist, Michael Ulloa. Michael is on a mission to make the fitness industry a more welcoming and accepting space for all, which is exactly what we dive into in this ‘sode. We are unpacking some toxic myths about exercise, Michael spills the beans on his feelings about Joe Wicks, and we discuss what really goes into professional fitness models’ photo shoots. Plus we answer loads of your questions like how to find a more joyful relationship with movement after a lifetime of using it as punishment for eating. Find out more about Michael’s work here.Follow his work on Instagram here.Follow Laura on Instagram here.Subscribe to Laura’s newsletter here.Enrol in the Raising Embodied Eaters course here.Here’s the transcript in full:INTRO:Michael: The way that we're being sold health and fitness just isn't sustainable or achievable in any way and then people blame themselves and feel worse and then therefore they're more likely to spend money on all these other programs repeatedly and it's just a vicious cycle that just doesn't ever end.Laura: Hey, and welcome to the Can I Have Another Snack? Podcast, where we talk about appetite, bodies, and identity, especially through the lens of parenting. I'm Laura Thomas. I'm an anti diet registered nutritionist, and I also write the Can I Have Another Snack? Newsletter. Today, I'm talking to Michael Ulloa.Michael is an online personal trainer and performance nutritionist who is on a mission to make the fitness industry a more welcoming and accepting space for all. In today's episode, Michael and I are shooting the shit about the fitness industry, unpacking some toxic myths about exercise, and answering loads of your questions: like how to find a more joyful relationship with movement after a lifetime of using it as punishment for eating.Some of you have been asking for more episodes on movement and fitness, so I think you're going to enjoy this conversation. We'll get to Michael in just a second, but first, I want to tell you real quick about the benefits of becoming a paid subscriber to the Can I Have Another Snack? Newsletter and community.For just £5 a month, or £50 a year, you get access to the extended CIHAS universe. That means exclusive weekly discussion threads, links and recommendations, you get commenting privileges and access to my monthly Dear Laura column, as well as the whole CIHAS archive and a few other sweet perks, but more than anything, you're supporting independent evidence based nutrition information free from diet culture and anti fatness. I can't do this work without the help of paying subscribers. So if you get something out of being here, then please consider upgrading your subscription today. And if you're still not convinced, then check out this recent review I received from a reader. They said: "Laura's podcast and newsletter are always thought provoking, filled with care and compassion, and a respite from one size fits all health and nutrition advice."So if that sounds good to you, then head to laurathomas.substack.com and become a paying subscriber today. Alright team, let's get to today's episode, here's Michael. MAIN EPISODE:All right, Michael, I need to know what the deal is. Because you're like one of maybe five PTs who isn't pushing aesthetic or weight loss goals on us.Has that always been your deal? Or is this more of an evolution for you? Michael: Yeah, it's definitely an evolution and it's funny you mentioned that because I get a lot of angry messages from personal trainers that don't think that my approach is right, which is always quite funny to me. I don't know, it's, I definitely, when I first started off in the fitness industry... I've been a personal trainer now for nearly 10 years.And in terms of personal training, that kind of makes you a bit of a veteran because a lot of trainers are quite short lived on average. When I first started off, I definitely did have your typical, like, mainstream slightly bro approach to fitness and nutrition. And I know most people that maybe work in the kind of space that, like, you operate in, for example, there tends to usually be a reason or a thing that caused them to go down that path.But I didn't have that at all. It really has just been a really slow evolution of just actually reading the research, working with people on a day to day basis, getting feedback from clients about what is working and what isn't, and then just really tweaking things over a very long period of time. I've also had some very honest clients, which have been great too, who kind of really follow my content on social media and they would message me like, oh, that's not very helpful. How about approaching it like this? And i'm always open to feedback, I always want to improve my practice and my messaging and I was always just quite receptive to that and I don't know... 10 years later I now finally feel like i'm working with people in a way that genuinely helps them long term and i'm actually creating content that is useful for people rather than just almost creating content for other personal trainers, which seems to be what a lot of fitness professionals do.Laura: Tell me about the angry messages. Why are other PTs up in your shit about...? Michael: I really don't know. I wish I knew the answer. I think... I guess if you're attacking someone's entire being and their work and their ethos that they've believed in for so many years, then I guess that a lot of people will react to that in quite a negative way.I really don't understand it at all either. Usually male coaches too, are very angry in the way that I approach social media and some of the names and things I've been called are pretty grim, but I only... I wish I knew the answer to that, but some, for some reason people get very angry in the way that I am approaching fitness and nutrition.But yeah, I really don't mind. Like I, as I said, I feel like I'm really helping people now and I'm happy to keep championing that message. Laura: I mean, I'm just wondering if part of it is because that myth, certain myth of no pain, no gain. And that you need to like, basically punish yourself with exercise in order to achieve a particular body type.You're saying, actually, we don't need to do that. It's okay if you don't kill yourself with exercise. We shouldn't be weaponising it against ourselves. For me, it speaks to how deeply internalised people's anti fat bias is. You're challenging the fundamental sort of premise that their beliefs are resting on, which is that, you can't be fit and fat.Or you...yeah, like I said before, that you have to punish yourself with exercise or like that... it's somehow okay to exist in a body that isn't fulfilling this ideal that we have been told that we should not strive for. Michael: Completely. And I mean, if we're completely honest about it, the way that the fitness industry is set up now is way more profitable for these people too.So if you do start attacking the way that they're approaching their lives or their businesses too, then they're probably going to be a little bit grumpy about that. It's so much easier for me as a personal trainer to make money saying, here we go, come sign up for the six week program and we'll strip body fat off you in such a short space of time, rather than me saying, cool, let's work together for three, six, 12 months. And let's really work on those habits and have you feeling and performing better. Like it's just such a hard sell. I mean, especially for, as I mentioned, like, personal training tends to be quite a short lived career for a lot of people. And I appreciate that when people first start off, the best way to get clients is shock and awe, like showing before and after photos, like having the secrets or whatever it is. And the best way to get clients at the start is by doing that. So people are going to follow that path rather than doing it the right way. That is a bit of a slow burner. I know that a lot of coaches aren't really up for that, sadly. Laura: Yeah, no, I think you make a really good point when you're talking about... the financial aspect of things, because, yeah, there's no money to be made in being like, yeah, take a rest day or go for a gentle walk and look at the sky. Yeah, those like making huge promises of around body transformations and then making people sign up for some sort of like intensive bootcamp situation. Of course, that makes sense from like a business model perspective, but as so often is the case, anything that involves capitalism is probably not great for our health overall. Okay, so I am absolutely not in the fitness space at all. I've purged my social media account. I think I follow you and maybe a couple of other personal trainers, because I find it really annoying, honestly, watching fitness content.Michael: I strongly relate to that. And first of all, thank you for following me, but yeah, I honestly, I feel exactly the same way.  Laura: And I think, especially since having had a baby and because I have some enduring physical stuff going on as a result of my pregnancy in terms of, like, pelvic health, even the stuff that is like geared towards women who have had babies and like postpartum stuff.It's just anyway, so I've just checked out of it. So I have no idea. What is going on in that space, really? So I need you to like, translate it all for me. What are some of the most pervasive and toxic fitness myths that you're seeing at the moment? Michael: Everything. Honestly, every topic is so toxic at the moment.It's really frustrating. And I speak to... There's a few coaches that I'm really good friends with, who I think you probably know as well, that I tend to follow their content, I like engaging with them and talking about the fitness industry, but I have also removed myself from a lot of the mainstream approach because...I don't find it motivating or helpful in any way. Like I think a
Today I’m speaking to Sarah Sproule (she/them), a sex educator, an occupational therapist, as well as a mother of three teens. Sarah uses their skills to ensure that every parent and caring adult knows how to build a deeper connection with their growing kids, and believes that no child should ever feel alone and unable to reach out for help with their body, their boundaries, or their needs. Or their knowledge about sexuality.In this episode, we are talking about ‘sensitive things’ with our kids, plus reclaiming the ‘C word’. We dive into the following topics;* The ‘invisible influence of normal’* Showing kids we’re a trusted person to talk to about sensitive things* Why we don’t want to wait until sex ed classes to start talking about sex* Teaching kids about body boundaries* Answering your Qs about: * How to explain to kids why you do some things in private?* 4 year olds asking BIG questions you’re not sure they’re ready for* 3 year olds who are resistant to challenging gender stereotypes* How to support your child when someone is asking invasive questions* Plus Sarah shares the unknown history of the C word!Find out more about Sarah’s work here.Follow her work on Instagram here.Follow Laura on Instagram here.Subscribe to my newsletter here.Enrol in the Raising Embodied Eaters course here.Here’s the transcript in full:Sarah Sproule: I drew analogies between talking about sensitive things and other parts of parenting. So, I don't know a single other parent who waited for their child to ask them for a stem of broccoli before they gave it to them. Right? And we know that broccoli's really great. I don't know a parent who waited for their child to ask them, Can you please show me how to cross the road? Because I want to stay safe. Like, there are so many things we do, we take initiative for, because we know it's important for the health and safety and joy of our child. INTROLaura Thomas: Welcome to the Can I Have Another Snack? podcast, where we are talking about appetite, bodies, and identity, especially through the lens of parenting. I'm Laura Thomas, I'm an anti-diet registered nutritionist, and I also write the Can I Have Another Snack? newsletter. Today, I'm talking to Sarah Sproule. Sarah, who uses she/them pronouns, is a sex educator, an occupational therapist, as well as a mother of three teens.Sarah uses their skills to ensure that every parent and caring adult knows how to build a deeper connection with their growing kids. She believes that no child should ever feel alone and unable to reach out for help with their body, their boundaries, or their needs. Or their knowledge about sexuality.In this conversation, we talk about what Sarah calls the ‘invisible influence of normal’; all the things, spoken and unspoken, that shape how we think about bodies, sex, pleasure, periods, and more. And we talk about why it's important to approach these conversations with our kids early and in a non-judgmental way that prioritises connection and helps inoculate them against body shame.We talk about supporting kids to trust their body boundaries and how that can help them use their voice when something doesn't feel right. Plus we answer your questions like how to teach kids that maybe it's best not to touch their penis at the dinner table, without inadvertently shrouding them in shame.Obviously this is a conversation about sensitive topics to do with sex, and at one point we do mention rape and other forms of violence. We also use the C word quite liberally towards the end, which Sarah and I are comfortable with, but we understand that it may not be for everyone. So all of that is to say, listen at your discretion and take care of yourself. I will say, though, that Sarah is extremely compassionate and thoughtful in how she approaches these topics. So I hope you'll find this to be a safe and nourishing conversation. Just before we get to Sarah, I wanted to tell you real quick about the benefits of becoming a paid subscriber to the Can I Have Another Snack? newsletter and community and whole wider universe.So until the end of September, I'm running a 15% off sale on the cost of annual memberships. So instead of paying £50 a year, you would pay £42.50 and that gets you access to the monthly Dear Laura columns where I answer your questions. It gets you access to the whole CIHAS archive, it gives you commenting privileges, plus weekly discussion threads tackling the big issues like…how clean is your fridge? And who are you dressing for on the school run? It's a really welcoming space where we learn from each other, share with folks who have a similar world view to us, and we have a lot of fun. And of course it's a completely diet, body shame-free space.  I wanted to quickly share what one CIHAS reader said recently. They shared this review saying: “Laura's Substack is a lifeline in a world where diet culture and fatphobia is pervasive in all aspects of our lives including how we feed our children. Every time I start to worry about my toddlers eating and that internalised diet culture mentality starts bubbling up, it's Laura's voice telling me that it's all going to be okay. Through her invaluable work on CIHAS, she's genuinely keeping me sane and empowering me to navigate feeding my child and making the right decisions for my family. The paid subscription is more than worth it. Thanks, Laura.” Well, thank you for that really sweet review. And like I said, we're running a sale for the rest of September and you can sign up at laurathomas.substack.com and I'll drop the link in the show notes so you can find it really easily. And by becoming a paid subscriber, not only do you get the sweet perks that I mentioned earlier, but more importantly, your contributions help make this work sustainable. All right, team, let's get to today's guest. Here's Sarah.  MAIN EPISODEHey, Sarah, can you start by telling us a little bit about you and the work that you do, please? Sarah: I support parents and other adults who are raising children to speak about sensitive things. So that's a euphemism for puberty, genitals, babies, growing up, sex, relationships, all that sort of stuff that might seem a little bit like…eeeeh!...when you think about having conversations about that with kids.And that work is important to me. I'm an occupational therapist, but I do that work because I was one of the kids that would have really benefited from way more open and sort of practical conversations about all that sort of stuff. My mum and dad were missionaries and we grew up in Nigeria for most of my teens, but yeah, even though mum was a nurse and she would have told me how my brother was born and all the bits and bobs and… Laura: Yeah, the gory details.Sarah: Yeah. I think because I had undiagnosed ADHD particularly, it meant that if things weren't repeated and part of everyday life, I just forgot. So I got to be nine years old and I thought sperm flew through the air to get to the egg. So I didn't want the children that I was raising to have that same experience.And so here we are now, Masters in Sexuality Studies. I've been doing this now for a few years, and it just feels like the more I do it, the more I realised that this is the exact sort of work that…all my experiences growing up and being a neurodiverse person…it's all set me up for this. So that's a great sense of joy to feel so aligned with work and with who I am as a person.Laura: For sure. And thank you for sort of walking us through that transition from OT to sexuality studies to what you're doing now. And I think it's so interesting that your background is in OT because – and that's occupational therapy for anyone who isn't familiar with that acronym – because it really shines through in the work that you do.And I think that's the only other allied health professionals, I think, would see that, but definitely you can see the echoes of that. And I think it's such a great foundation for the more coaching-centered work that you're doing. So you sort of alluded to this in what you were saying there, but you talk a lot about this concept of the ‘invisible influence of normal’. Can you unpack that a bit more for us and tell us what that is? Sarah: Yeah, absolutely. So wherever we live, in whatever sort of country or city or family, there are influences on us from those cultures, whether it's family culture, city culture, farm culture, Irish culture, Australian culture, whatever. Those influences or those…the messages we're given subtly show us what normal is.So normal could be being married with children, for example, and not that anyone might have ever said that to us, what's normal is to get married and have kids, but maybe it's an assumption in the way people ask young children or growing people questions about what they want to do in the future, how many kids they want. Like if someone asked someone how many kids you want, there's an invisible assumption there that they want children. So this invisible influence of normal impacts us, not just when we're growing up, but it impacts adults who are raising children as well, because if we lived in a family that didn't use penis and vulva or clitoris as words for genitals with children, then we're going to grow up into adults who…the invisible influence of normal will have said, sort of shaped, you don't use those words with kids. And that's just normal. That's what sort of we grew up to expect. And that's just one example. There are lots of other ways like what is normal just gets sort of embedded into our consciousness, maybe without even our own awareness. So a lot of the times this “normal idea of normal” – and I'm using my fingers in air quotes – we might not realise that it's impacting how we speak to the small people in our life until we have a particular experience. Like it could be something like having a conversation with another parent at the school gate or in childcare, where they speak about, say, walking around nude in their home and all o
Alright team, after a little hiatus from the CIHAS pod for a month, we’re coming back hard with Molly Forbes. Molly joined me back in May 2022 on the Don’t Salt My Game pod where we discussed how to stomp out diet culture in schools, and I’m so excited to have her join us in today’s episode.This time around, we discuss what the NCMP is, what it looks like in different schools, why you might want to opt your kid out, how you even go about doing that, and what you can do if you're worried about your child feeling left out if they're the ones who are left in the classroom while everyone else goes to get weighed.Find out more about Molly’s work here.Follow her work on Instagram here.Follow Laura on Instagram here.Subscribe to my newsletter here.Read more about the history of and evidence behind the NCMP here:Here’s the transcript in full:INTRO:Laura Thomas: Hey and welcome to the Can I Have Another Snack? podcast, where we talk about appetite, bodies and identity, especially through the lens of parenting. I'm Laura Thomas, I'm an anti-diet registered nutritionist and I also write the Can I Have Another Snack newsletter. Today I'm talking to Molly Forbes.Molly is a journalist, campaigner and non profit founder. She's the author of the book Body Happy Kids: How to Help Children and Teens Love the Skin They're In and she's the founding director of the Body Happy Organisation CIC a social enterprise dedicated to promoting positive body image in children. I asked Molly to come on during the back to school season because we need to talk about the National Weight Measurement Programme, or the NCMP.This is the programme where children in England have their height and weight taken in schools at age 4-5, so in reception and then again in year six, which is ages 10 or 11. My understanding is that this happens in various forms throughout the UK. So in Scotland, Wales and Northern Ireland too. Although let me know in the comments how it's different for you or, you know, what the similarities are if you're in one of those countries. The UK government have taken the position that this is an innocuous practice. But, as I discussed with Molly, this is not reflected in the body image research. The programme is associated with poorer body image, which in turn is linked to disordered eating, body preoccupation, and lower overall sense of well being.So Molly and I, in this episode, go on to discuss what the NCMP is, what it looks like in different schools, why you might want to opt your kid out, how you even go about doing that, and what you can do if you're worried about your child feeling left out if they're the ones who are left in the classroom while everyone else goes to get weighed.I really hope you will share this episode with your school WhatsApp group, your friend group, with the teachers in your school, and help end the tyranny of the NCMP. You can also share Body Happy Org and Any Body UK's Informed Decision Making Pack and my writing on the NCMP, all of which I'll link to in the show notes for you.All right, before we get to Molly, I want to tell you real quick about the benefits of becoming a paid subscriber to the Can I Have Another Snack? newsletter and community. Now, I know we're not used to having to pay for content on the internet, and why would you pay for something where 85% of the content is free? Well, that's a great question. I'd love to answer it for you. Well, because without paying supporters, this work just wouldn't be possible. As well as supporting me in the time it takes to research, interview contributors and write articles, your support goes towards paying guests for their time and their labour, as well as a podcast and newsletter editor. You also help keep this space ad and sponsor free so I don't have to sell out to advertisers or exploit my kid for freebies. Plus keeping the community closed to paying subscribers only means that we keep the trolls and the fatphobes out.I recently asked the CIHAS community why they support the newsletter, and this is what they had to say: “I am a mum of one, fairly adventurous, self-proclaimed vegetarian and one theoretical omnivore. The latter survives almost exclusively on added sugar and butter, but mostly sugar. I consumed all the picky eating advice, some of it really well-meaning, and pretty mellow. But by seven years in, I was more frustrated, confused, and full of self-doubt than ever. Enter CIHAS. The no-nonsense, cut through the bullshit, science-backed content is exceptional. The content about sugar is especially helpful to me, and the anti diet lens is an anecdote to my extremely anti-fat slash diet-culture conditioning. And as an American, the British references are just an added bonus to say your work is actively changing. My life is not an understatement. Thank you.” Well, thank you to the reader who shared that lovely testimonial, and if that hasn't inspired you to become a paid subscriber, I don't know what will. It's just a fiver a month or £50 for the entire year, and you get loads of cool perks, as well as just my undying gratitude for supporting my work.Head to laurathomas.substack.com to subscribe now.  All right team, here's Molly. MAIN EPISODE:Laura Thomas: Hey Molly, can you start by telling us a bit about you and the work that you do? Molly Forbes: Yeah. So I run an organisation called the Body Happy Organisation. We're a CIC, so a Community Interest Company, or a social enterprise. Or if you're in the US, you might know that model is like a non profit. And essentially what we're all about is trying to create environments that allow children's body image to thrive.So we're really looking at prevention and we're looking at how we can create, kind of, culture change in schools and youth clubs and anywhere that children hang out and are to help, kind of, create an environment that just allows kids to just be at peace and friends with their body. And then all the other benefits that come with that, including how they treat other children with bodies that don't look or function like their own.And I also wrote a book called Body Happy Kids, which is for adults,  teachers, parents…I'm not a nutritionist. I'm not a dietitian. I'm not a psychologist. But I'm a journalist by trade. So I've really interested in that kind of media and culture angle when it comes to this subject. And that kind of informs, I guess, the lens that I come to this through. But in our organisation, we do have lots of different people from a range of different disciplines, which I think is also what makes us kind of special because we're not at it just from like a body image researcher lens, for example, or just from a nutritional food lens.We're looking at it from, like, a range of different perspectives.Laura Thomas: Yeah, the work that you do is really important. And one sort of thread of the work that you're doing is around the National Child Measurement Programme or the NCMP, which is what I wanted to ask you about today. So when this goes out, it's September, it's back to school time. And I know there's a lot going on on parents’ radars at point in time, but I don't think that the NCMP registers as like something that's high up parents list, you know, in that back to school period.And in fact, I think a lot of parents don't even know what that is, or the fact that their kids will automatically be enrolled in it. So I wondered if you could start by explaining what the NCMP is and why do schools do this?Molly Forbes: Okay, so the NCMP, it stands for National Child Measurement Programme.  it was brought in to schools in 2006. And then in 2012, they started including the feedback element of the programme. And essentially what it is, it's exactly what it says on the tin. It's a national child measurement programme.So what happens is if your child goes to a state funded school,  and they're in reception or year six, then they will be weighed and they will have their height and their weight measured in school, as part of that programme, unless you opt them out.So in 2018, when the GDPR rules changed around GDPR, they kind of changed the way that, like, the logistics will work. So what you really need to know is if your child's in reception or your child's in year six from September, like in this next academic year, they will be weighed in school, unless you actively opt out.It's a way for the government to collect data on kids' height and weight. across the UK. But it's been reframed as this sort of health intervention over recent years as the, you know, the rhetoric around, you know, the O word, obesity, which I don't use that word in my work, but that's the word that we'll see, we'll see in here in the media.As that kind of rhetoric has really got more aggressive then the argument for the NCMP has been that, like, this is a positive thing for our children's health and it's really important and…it's a totally politicised programme.Laura Thomas: Yeah, and so for people who aren't in England, reception is, sort of, I guess the equivalent of like kindergarten or primary one if you're in Scotland, where those kids are four turning five years old. So they're really little still. And then the other thing that I think is important to point out is that year six kids are sort of around that 10,11 mark and their bodies might be preparing for and getting ready to go through puberty or might already be starting the process of puberty. And that is something that is not factored into the sort of the BMI equation and the feedback that is given to parents. And that, that's kind of another piece of this story as well, isn't it, Molly, that the introduction in 2012 of what is colloquially known as the obesity report. And of course, I don't use that word either, but that's the terminology that families will hear. And so basically, the NCMP transitioned from being just a very objective measure of, you know, population changes over time to something that that offers direct feedback, but also in a
Today, I’m joined by Dr. Colleen Reichmann - licensed clinical psychologist and eating disorder specialist with lived experience with anorexia, founder of Wildflower Therapy, and author of The Inside Scoop on Eating Disorder Recovery: Advice From Two Therapists Who Have Been There. Colleen is also an advocate for intersectional feminism, body liberation, and HAES, and she's also a passionate advocate for maternal mental health, and an IVF mom times two. Can I Have Another Snack? is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber.In this episode, Colleen and I talk about a lot of pretty difficult themes. She discusses her journey to parenthood through IVF and through multiple miscarriages. We talk about grief, ambiguous loss, and being really angry and mad at your body and why it's important to allow all of that to be there. We talk about these topics as sensitively as we can, but if it's not for you right now, then just give this one a miss. There are loads more episodes that you can go back and listen to and just come and join us in the next episode. Find out more about Colleen’s work here.Follow her work on Instagram here.Subscribe to her Substack here.Follow Laura on Instagram here.Subscribe to my newsletter here.Here’s the transcript in full: Colleen Reichmann: But I felt like my body did let me down.I wanted those babies. Like, so much, and it didn't do what I wanted it to do. I can't imagine anything more important in my life than that, and it let me down, like, repeatedly. I had such rage. Like, I am at this point, just like any relationship we have with like a spouse, for example, your points where you're going to be just so angry and need space from your spouse or your partner. And that's how I felt during that period.  I didn't want to be, like, pushed to, like, reunite at that time, I was like, no, I want to sleep in different bedrooms.INTROLaura Thomas: Hey, and welcome to Can I Have Another Snack? podcast, where we talk about food, bodies, and identity, especially through the lens of parenting. I'm Laura Thomas, I'm an anti-diet registered nutritionist, and I also write the Can I Have Another Snack? newsletter. Today I'm talking to Dr. Colleen Reichmann.Colleen is a licensed clinical psychologist practicing in Philadelphia, Pennsylvania. She works at her group practice, Wildflower Therapy. She has lived experience with anorexia and this experience sparked her passion for spreading knowledge and awareness that recovery is possible. She is now an eating disorder specialist and has worked at various treatment facilities as well as authored a book, The Inside Scoop on Eating Disorder Recovery, advised from two therapists who have been there.She's an advocate for intersectional feminism, body liberation, and health at every size, and she's also a passionate advocate for maternal mental health, and an IVF mom times two. So in this episode, Colleen and I talk about a lot of pretty difficult themes. She discusses her journey to parenthood through IVF and through multiple miscarriages.We talk about grief, ambiguous loss, and being really angry and mad at your body and why it's important to allow all of that to be there. We talk about these topics as sensitively as we can, but if it's not for you right now, then just give this one a miss. There are loads more episodes that you can go back and listen to and just come and join us in the next episode.We're also going to be talking about raising embodied kiddos towards the end of the episode, so you can also just skip forward and listen to that part. And Colleen shares some of her really great advice as a mother and an eating disorder specialist psychologist about how we can help protect our kids’ embodiment.But before we get to Colleen, I really wanted to remind you that the Can I Have Another Snack? universe is entirely listener and reader supported. If you get something out of the work that we do here, please help support us by becoming a paid subscriber. It's £5 a month or £50 for the year and as well as getting you loads of cool perks, you help guarantee the sustainability of this newsletter and have a say in the work that we do here as well as ensure that I can keep delivering deeply researched pieces that provide a diet culture-free take on hot nutrition topics like ultra processed foods, the Zoe app and a deep dive on helping kids have a good relationship with sugar..  All of those articles I've already written and you can read at laurathomas.substack.com. And if you're not yet totally convinced, then maybe this lovely review that I got recently will help. So this reader and listener wrote: “I want to support the work you're doing as I think it's really important and I believe that you should be paid for your work.” I agree! “I value the model of subscriber direct support rather than ad revenue. I really like all your comments and interviews on the podcast about internalised capitalism and how it affects our views of things without us even realising. Thank you for spending your valuable time and skills to do all this research and writing it up.I would love to see you talking about all of this in mainstream newspapers, TVs, magazines, and other media. It's such an important topic and I really hope you get more and more moment  for your work. Also on a personal note, you are helping me change my children's lives for the better by educating me about all of this. Really appreciate all that you're doing.” Such a kind review, thank you to the person who emailed that in, you know who you are. So yeah, it's £5 a month, or £50 for the year, and you can sign up at laurathomas.substack.com. Or check out the show notes for this episode. And if you can't stretch to a paid subscription right now, you can email hello@laurathomasphd.co.uk for a comp subscription. No questions asked, just put ‘Snacks’ in the subject line. All right gang, here's Colleen.MAIN EPISODE Colleen, can you start by letting everyone know a little bit about you and the work that you do?Colleen Reichmann: Sure. So my name is Dr. Colleen Reichmann, and I'm a licensed clinical psychologist and an eating disorders and body image specialist with a small group practice in Philadelphia. We see people virtually and in person, there's 5 of us, we all focus on body image and eating disorders and then sort of sub-niches within that community and and one of mine is also perinatal mental health. That's me professionally. I'm also the co-author of the book The Inside Scoop on Eating Disorder Recovery and a speaker and a writer of other things, and then just a mom, somebody with lived experience of an eating disorder, as well as infertility and IVF. And I have two IVF babies, Ezra and Marigold, who live with me, and two, like, very chaotic dogs, and I live with all of them, and my partner, outside of Philadelphia.Laura Thomas: Wow, there's, yeah, loads of different parts of your identity, I suppose, that I'd love to dig into and talk to you about, but I'd love to start by talking about your journey to parenthood. You mentioned there that you had your babies through IVF and I know you talk really openly about this, uh, on your social media platforms and on your Substack. And I'd love just to help orient the listeners a little bit to some of your experiences, if you could share what that journey has been like for you. Colleen Reichmann: For some reason for me the piece about having both of my babies through IVF feels really important to share. It almost just feels like a lot of my parenthood, like my identity hinges on, it just feels so integral to who I am as a mother at this point and a parent, so I feel compelled to make it like, I have it in bios and even my partner at one point is like, why do you have like your professional psychologist and then also IVF mom?And I was like, I don't know. It just, it feels like it factors so much into the whole lens that I view perinatal mental health at this point. So I was somebody who went through about 5 years of infertility. Once you launch into the process of  digging into what's going on with infertility, there's like a cascade of interventions that happens, and mine was pretty standard,. And looking back, I just kind of, like, fell into the cascade and did what everybody said to do.I have, like, just different questions now about the process.  But essentially, I did rounds of medication, medicated cycles, and then IUI is kind of, like, the next part of the process. And we had multiple failed IUIs, which is interuterine insemination. And then when you have enough of those, you know, failures, the next step is IVF. Which I would joke with my partner and call it the…what did I call it? What's like the team, you know, in high school, there's like the…varsity! I was like, well, I'm varsity and fertility now because I'm in the IVF process. Laura Thomas: You've graduated on to the next step. Yeah, I guess that you need some sort of like levity in amongst what sounds to me to be like a, an extraordinarily heavy process otherwise..Colleen Reichmann: Yeah. I think infertility and especially, I think IVF is its own specific form of trauma, but infertility is very traumatic in my opinion. And for me, there was like this specific part of it that felt traumatic that I had this whole history of an eating disorder, like a decade long and part of the reason I had…just reasons to recover or reasons to get into a more stable place and having children was one of them.And so it felt like a slap in the face, like I did all the work that I didn't want to do for many years. And I just felt like, I was promised something by professionals, even though that's not true. Like, it was just, it was discussed a lot in sessions.Laura Thomas: No, but I am, I'm just sitting here reflecting on how many times I've…you know, I, I'm not sure that, like, leveraged that is quite the right phrase, but you know when, when people ask me abo
In this episode of the Can I Have Another Snack? pod, I’m speaking to Kevin Jarvis about Avoidant Restrictive Food Intake Disorder, or ARFID - a feeding difference that presents differently for different folks but might be characterised by a relatively limited number of preferred foods, sensory processing differences, and fear of eating. It also often intersects with OCD, Autism and other divergent neurotypes. Today we’re discussing the things Kevin wished more caregivers knew about ARFID. Feeding differences are so often framed as ‘picky’ or ‘fussy’ eating and we are handed strategies to ‘fix’ the so-called problems. These feeding therapies — rooted in the medical model of health — can often be traumatic and lead to masking. But what if we viewed feeding differences through the lens of acceptance? How might we be able to better support and accomadate feeding differences? Kevin shares some insight based on their own lived experience - I hope it helps parents and carers of kids with ARFID better understand their experiences. Can I Have Another Snack? is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber.We touch on some distressing experiences around ED treatment and trauma in this episode, so please look after yourself and skip this episode if you’re not feeling up to it.Follow Kevin’s work on Instagram here.Join Kevin’s ARFID Peer Support Space on Facebook here.Follow Laura on Instagram here.Subscribe to my newsletter here.Here’s the transcript in full:Kevin Jarvis: And I got a dietician and within 20 minutes of talking to her, she's like, have you ever heard of ARFID? I was like, no. So we like went on a deep dive about that, what that was. I was like, holy shit, like there's a name for something i've been experiencing my whole fucking life. What?INTROLaura Thomas: Hey, and welcome to the Can I Have Another Snack? podcast, where we talk about food, bodies, and identity, especially through the lens of parenting. I'm Laura Thomas, I'm an anti-diet registered nutritionist, and I also write the Can I Have Another Snack newsletter. Today I'm talking to Kevin Jarvis. Kevin, who uses they/them pronouns, is a mad, disabled, and queer artist from so-called Western Massachusetts, located on the Pocomtuc People's Land.Kevin's art and activism speaks to their lived experience with mental health in an unfiltered way. They exhibit a passionate effort towards making the world a more accessible place for everyone, and their lifelong struggle with things like ARFID, chronic illness, and mental illness fuels this passion. When they're not painting, sculpting, making, or building something, they enjoy being at the Nubble Lighthouse, hanging with their cats, Tucker and Potato, which is potentially the best name I've ever heard for a cat, cooking, and getting lost in the woods. So I asked Kevin to come onto the podcast to speak about Avoidant Restrictive Food Intake Disorder, or ARFID. A lot of you have been asking me for more content around feeding neurodivergent kids, and there's a huge overlap between ARFID and various sensory sensitivities and divergent neurotypes. So I wanted to speak to someone who had some lived experience to talk about the things that they wished more caregivers knew about this feeding difference. We touch on some distressing experiences around eating disorder treatment and trauma so please look after yourself and skip this episode if you're not feeling up to it. Before we get to Kevin, I want to remind you that the Can I Have Another Snack? universe is entirely listener and reader supported. If you get something out of the work we do here, please consider supporting us by becoming a paid subscriber.It's £5 a month or £50 for the year, and as well as getting you loads of cool perks, you help guarantee the sustainability of the newsletter and the podcast. You have a say in the work that we do here, and you help ensure I can keep delivering deeply researched pieces that provide a diet culture-free take on hot nutrition topics like ultra processed foods, the Zoe app and a deep dive on helping kids have a good relationship with sugar. All of those you can find at laurathomas.substack.com and I'll link to them in the show transcript as well so you can find them. And if you're not totally sold yet, then maybe this lovely little review that I got recently will help convince you. So this reader wrote, “I feel so lucky that I found your work around the same time I started feeding my kid real, in inverted commas, food. They mean solid foods! It saved me so much angst and has allowed me to relax and really enjoy seeing him explore eating. Your essay on sugar especially was a game changer. I'm sure it won't always be plain sailing, but I feel much more prepared to ride the waves of his changing appetite and taste as he grows, accepting them as a feature and not a bug. So hopefully he can have a much more relaxed relationship to food than I had for a long time. And I pay my £5 a month because I so value the work you put into your writing and think it's worth paying for. There's loads of free advice out there, but I never really know what I can trust. This is such a safe haven.”So thank you for that really lovely review. And yeah, it's £5 a month or £50 for the year. You can sign up at laurathomas.substack.com or check out the show notes for this episode for all the links. And if you can't stretch to a paid subscription right now, you can email hello@laurathomasphd.co.uk for a comp subscription, no questions asked, and just put the word ‘Snacks’ in the subject line. And those comp subscriptions are also made possible by supporting subscribers. So thank you if you are a fully paid up member of the community. Alright team, here's Kevin.MAIN EPISODELaura Thomas: Hey, Kevin, thank you so much for joining us. I was wondering if we could start by saying a little bit about yourself and the work that you do.Kevin Jarvis: Yeah, so I'm Kevin. I'm from Western Massachusetts. I use they/them pronouns. Yeah, I'm just like a disabled queer content creator and chef and peer mentor. I do a lot of work around eating disorders in the trans community and like neurodiversity and eating disorders. More specifically talking a lot about ARFID. And what that is and what it means to be a fidder, which is a term I coined for people with ARFID. People have enjoyed it. So yeah, just like what it's like being a fidder and like how the world, and providers specifically, can do better. Yeah, and i'm also a cat dad which feels important to always add.. Yeah, like I also have a wonderful fiancé but also…cat dad.Laura Thomas: I love that's where you derive your identity. And I also love that you were the person that coined the term fidder, I think, for lots of other kind of neurotypes…there's like a cute little name for them. ARFID didn't have one until you came along, so thank you for that.Let's maybe start by explaining what exactly ARFID is, because I think my audience might have heard me use that term or use the term 'feeding differences', but they may never have had it properly defined. So do you want to start by explaining to us what exactly ARFID is?Kevin Jarvis: Yeah, I would first say to get rid of the DSM definition and don't go by that if you've never heard of it because it's all a lie. But ARFID stands for Avoidant Restrictive Food Intake Disorder, so it's this fear of eating or the concept, like the fear of the concept of eating, due to like textures and tastes and fear of choking.So when I talk about ARFID, I break it into two categories. There's a few different categories, but like the two main ones are like having it from birth and like connecting that to your neurotype. So for me, I'm autistic and I think ARFID has just forever been in my life because of that. Not saying every autistic person has ARFID, but the crossover between the two is really large. And then there's folks that like might have had a fear... like might have choked or swallowed something wrong or gotten really sick from eating and they developed ARFID later in life. So those are like, the first two ways I like to think about it.And then I also think about it as like people that are avoiding certain foods, but still getting nutrition where that avoiding part comes in. And then the restrictive part... people are restricting a lot and not taking in a lot of food for the same fears, fear of choking, fear of all the textures.Yeah, and there's also a large crossover of ARFID and OCD and anxiety and queerness and neurodiversity. Yeah, it's all one big population of things, but I would also add that in the DSM and in treatment centres, but I’ll also add that you can't have, quote, can't have body dissatisfaction with ARFID, and that's complete bullshit and it definitely can exist, especially if the crossover between queerness is there and neurodivergence is there. Like it's just unreal to say that you can't have body distress and a lot of people get misdiagnosed for that. So that would be my very short answer of what ARFID is.Laura Thomas: Yeah, there's so much to unpack just in what you said there, but I think that point that you made at the end is that...often if we're looking at it purely through the lens of the DSM, we sometimes label people incorrectly with anorexia nervosa or another eating or feeding disorder because they have the body image component because that's how the DSM kind of pigeonholes people. Basically the DSM says that folks who have ARFID do not have body image disturbances, is the vernacular that they use. So it must be anorexia because... that has a weight and shape concerns component to it, but what you're saying is that you can have ARFID, you can have body image disturbances, and it's not anorexia or another feeding or eating disorder. It's still ARFID. Those two things can coexist together. People get misdiagnosed and then that has like huge implications for the support that they
Today, I’m speaking with Zoë Bisbing - mother of three and licensed psychotherapist at Body Positive Therapy NYC, and creator of Body Positive Home. Zoë works with families of youth struggling with eating disorders, and works to raise awareness about prevention, early detection, and immediate intervention. Zoë is also the host of The Full Bloom Podcast. Today we’re talking about how to build a Body-Positive Home, and how we can build buffering skills right into the foundation of the homes and schools we nurture our children in.Find out more about Zoë’s work here.Follow her work on Instagram here.Follow Laura on Instagram here.Subscribe to my newsletter here.Here’s the transcript in full:Zoë Bisbing: I do think that if you're like, “Yeah, I totally want to build a body positive home, show me how”, I think you're actually embarking on some micro-activism. Because if you can commit to building a body positive home, you're going to potentially raise a body positive kid who's going to maybe then go out into the world and make the world a more body positive place.INTROLaura Thomas: Hey, and welcome to the Can I Have Another Snack? podcast where we talk about food, bodies and identity, especially through the lens of parenting. I'm Laura Thomas. I'm an anti-diet registered nutritionist, and I also write the Can I Have Another Snack? Newsletter.Today I'm talking to Zoë Bisbing. Zoë, who uses she/her pronouns, is a licensed psychotherapist, mother of three and creator of Body Positive Home, a learning and healing hub for humans who want to nurture a more embodied and inclusive next generation. Zoë directs a group therapy practice in New York City, where she and her team treat folks across the age, gender and disordered eating spectrum. A certified family based treatment practitioner, Zoë's work with families of youth struggling with eating disorders fuels her passion to raise awareness about prevention, early detection, and immediate intervention for eating disorders. Today, we're going to be talking about how to build a body positive home, and this is Zoë’s idea of how we can build buffering skills right into the foundations of the homes and schools that we nurture our children in. But first, I'd love to tell you about the benefits of becoming a paid subscriber to the Can I Have Another Snack? newsletter and whole universe. And of course, there are cool perks like being able to comment on posts, our Thursday threads, Snacky Bits, and exclusive posts on intuitive eating, weight-inclusive health, and responsive feeding. But more than all of that, being reader and listener supported means that I can better control who comes into the space. In other words, we keep the trolls and the fatphobes out. And if they do sneak in, at least it's cost them and I can still boot them out. Having control over who comes into the space is essential for creating a safe nurturing space away from diet culture, where we can discuss the both and of why it's hard to have a body and how we deserve to feel safe in them, or why it's okay for your kids to eat sweets, without the food police breathing down our neck. So if you're still not convinced, here's a recent testimonial from someone in the CIHAS community: “I wish I had access to the advice and information you shared when my kids were little, but it's still valuable now they're nearly adults for a couple of reasons, at least. Firstly, having only been diagnosed as autistic in middle age, I have had a complicated relationship with food for most of my life. From childhood fussy eating through stigma over my higher body weight, and internalised fat phobia, to temporary success with dieting, followed by the inevitable return to my previous size. Your writing has helped me to cast off many of my own hang ups about food, weight and health, making me a better role model for my kids. Secondly, your advice helps me to support and advise my kids with their own food, health and body image issues and to advocate for them to my family and friends. I believe in showing my appreciation for people who provide me with help and support at least by saying thank you and, where possible, with feedback and or financially. I can't financially support everyone I'd like to all of the time, but I do what I can when I can. Thank you for all you do, Laura.”Well, thank you for that lovely review. And I guess the question is, what are you waiting for? You can sign up today at laurathomas.substack.com or find the link in your show notes. It's £5 a month or £50 for the year. And if you can't stretch that right now just email hello@laurathomasphd.co.uk with the word ‘Snacks’ in the subject line and we will hook you up with a comp subscription, no questions asked and no need to explain yourself. Alright team, here's ZoëMAIN EPISODEZoë Bisbing: I am Zoe Bisbing. I'm a licensed clinical social worker and a licensed psychotherapist here in New York City. I run a group therapy practice, that's sort of, I guess my day job, a practice called Body Positive Therapy NYC. And I have a group of really wonderful clinicians that work there with me and we, we treat folks across the age and gender spectrum struggling with all kinds of disordered eating, eating disorders.And I do specialise in working with children and adolescents and their families with eating disorders, which actually is sort of how I got into my other.Laura Thomas: Your side hustle!Zoë Bisbing: My side hustle, yeah. My side hustle / baby / passion project, which is now called Body Positive Home, once was the Full Bloom Project, but it's sort of evolved into Body Positive Home.That work, I guess you could call it, I'd be curious to hear what you call it, but I think of it as advocacy, education and most importantly, prevention. It's my best attempt at disordered eating prevention, body image disturbance prevention, eating disorder prevention as far as we can, cos of course we can't entirely prevent eating disorders, but all of the work, my social media presence and speaking and all of it, it, it comes from a deep concern that I have for all of us. Laura Thomas: Just as you were speaking there, I would add activism into the mix, and this may be foreshadowing a little bit, but definitely there's, there's a thread of activism there and body politics, which I know we're gonna come back to in a minute. We're gonna get into what we need to run a body positive home in just a second. But I would love it if you could tell me…why do we need this? Like, you kind of alluded to it a little bit there, but maybe ground that in a bit more context for us.Zoë Bisbing: As a human being that lives in this world, but most importantly, as someone who's worked, uh, in a variety of treatment centres, working with people with like full blown eating disorders, I have been blown away by how eating disorder treatment, right, interventions….How we help people relearn how to essentially claim a healthier relationship with food and body. That a lot of the interventions don't look a lot like the way, like the culture we grow up in. So it's almost like, even though there is a difference between someone that struggles with disordered eating versus a full-blown eating disorder. There's a difference between having kind of body discontent versus like body dysmorphia. There's a difference. But I was struck when I started my career on like eating disorders, in inpatient treatment units, outpatient treatment programmes. How the way we treat eating disorders is to essentially help people become unafraid of eating, and not just eating, but like eating robustly, right? Like that's sort of what treatment looks like. Robust meals, multiple components at meals, multiple times a day, right? It's like the opposite of the diet messages that we get in our culture. And so I think prevention is, I think we're all, we all need recovery because we all have grown up in this very disturbed culture where I think it's fair to say our culture has a disorder of its own in terms of bodies that are valued and devalued, and foods that are bad and good in all of this that we all know, right?Laura Thomas: Yeah.Zoë Bisbing: But when you go into an eating disorder treatment centre, you start to get these, you know, these messages that you'd think would be helping us get back to where we once were. But a lot of us were never there.Laura Thomas: We never had that baseline in the first place.Zoë Bisbing: Yeah. We never had that baseline. And it's not necessarily one person's fault. Like I'm mindful that my mom is present over here. She's getting ready to go, but…Laura Thomas: Hi, Zoe's mom!Zoë Bisbing: Yeah, you got a shout out, mom. She's, she's a product of a very toxic culture. It's not her fault that she suffered at the hands of terrible messages about what women are supposed to look like or what she should eat or what she shouldn't eat. And then how does that not trickle into the next generation and, you know, and so on and so on.And so I think that prevention and making “eating disorder prevention” more accessible and more like just every day, right? I think eating disorder prevention, as you know, it's sort of siloed in like academia. There's like research that shows us…this kind of talk is helpful, this kind of language is unhelpful. This kind of feeding dynamics are helpful for prevention, but nobody is really talking about it in a way that makes it accessible and makes you feel like, oh, I could actually build a preventative environment for the kids that are either in my home or in my school. And so that's the thinking behind a body, positive home.It's really taking elements of all of these different disciplines, right? It's, it's pediatric feeding, responsive feeding, it's health at every size, or maybe more importantly, weight neutral health care. And there is a social justice piece to it, which is maybe when you, when you use the word activism, and I do think that if you are like, “yeah, I totally wanna build a body positive h
Hey Team and welcome back to the Can I Have Another Snack? podcast. We’ve been on hiatus but we’re back with a new fortnightly pod. Today I’m talking to Dr. Asher Larmie, AKA The Fat Doctor. Asher is a transgender, non-binary GP who uses they/them pronouns. They are a fat activist and founder of the #NoWeigh campaign. Asher joined me on the Don’t Salt My Game Podcast back in May last year, and we had such a great conversation that I just had to have them back for the CIHAS pod.This episode is in response to the news that the NHS/NICE in the UK are contemplating offering weight-loss injectables to kids. These drugs have already been approved in the US (which I discuss here) - it was only a matter of time before we started talking about it here too. In this episode, we talk about the evidence behind semaglutide, or lack thereof, potential side effects and unintended consequences, and of course, we talk about the company behind this drug, Novo Nordisk, who are set to make bank off of fat kids. So yeah, the first episode back is kind of a bummer - but I wanted to make sure we had a good grasp of the science before the media shitstorm kicks off. We also have a new podcast editor - the lovely from - welcome Lucy! (see if you can find the Avery Easter eggs she planted in the new episode format).Can I Have Another Snack? is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber.Find out more about Asher’s work here.Follow their work on Instagram here and Twitter here. Listen to The Fat Doctor Podcast here.Follow Laura on Instagram here.Subscribe to my newsletter here.Sign up to my upcoming webinar with - ‘Substack for Nutrition Professionals: Launching & Growing Your Email Newsletter’. Here’s the transcript in full:Asher Larmie: We had 180 teenagers for a year, and that's it. It's not enough time to understand what is going to happen to that teenager long term. We need studies that have looked back after 20 years. We need to know what's gonna happen to these kids when they become adults, when they become older adults, but not the first year. It's so dangerous. These drugs haven't existed for long enough. We've never used them in children before. It's terrifying to me. Absolutely terrifying.Laura Thomas: Hey, welcome to the Can I Have Another Snack? podcast where we talk about food, bodies and identity, especially through the lens of parenting. I'm Laura Thomas. I'm an anti-diet registered nutritionist, and I also write the Can I Have Another Snack? newsletter. Today I'm talking to Dr. Asher Larmie. Asher, who uses they/them pronouns, is a transgender non-binary GP and fat activist who is campaigning for an end to medical weight stigma.They're the founder of the #NoWeigh campaign and they have over 20 years of medical experience and have been fat for even longer than thatLaura Thomas: As the self-styled Fat Doctor, Asher started a blog in June 2020. They now also host a successful podcast and run a number of training courses, as well as monthly webinars for people who are interested in learning about weight inclusivity.Today I'm gonna be talking to Asher about the news that came out of the UK that the National Institute for Clinical Excellence, or NICE, is considering approving the weight loss injectable Semaglutide for kids. Asher is here to explain to us why this is catastrophic for kids' sense of safety in their bodies and their wellbeing.We talk about the evidence behind Semaglutide, or I suppose the lack thereof, the potential side effects and unintended consequences. And of course, we talk about the company behind this drug, Novo Nordisk, who are set to make bank off of fat kids.Just before we get to Asher though, I wanna tell you real quick about the benefits of becoming a paid subscriber to the, Can I Have Another Snack newsletter community, whole universe.Now, I know we're not used to having to pay for content on the internet, and why would you pay for something where 85% of the content is free? Well, that's a great question. I'd love to answer it for you. Well, because without paying supporters, this work just wouldn't be possible. As well as supporting me in the time it takes to research, interview contributors and write articles, your support goes towards paying guests for their time and their labour, as well as a podcast and newsletter editor. You also help keep this space ad and sponsor free so I don't have to sell out to advertisers or exploit my kid for freebies. Plus keeping the community closed to paying subscribers only means that we keep the trolls and the fatphobes out.I recently asked the CIHAS community why they support the newsletter, and this is what they had to say: “I am a mum of one, fairly adventurous, self-proclaimed vegetarian and one theoretical omnivore. The latter survives almost exclusively on added sugar and butter, but mostly sugar. I consumed all the picky eating advice, some of it really well-meaning, and pretty mellow. But by seven years in, I was more frustrated, confused, and full of self-doubt than ever. Enter CIHAS. The no-nonsense, cut through the bullshit, science-backed content is exceptional. The content about sugar is especially helpful to me, and the anti diet lens is an anecdote to my extremely anti-fat slash diet-culture conditioning. And as an American, the British references are just an added bonus to say your work is actively changing. My life is not an understatement. Thank you.” Well, thank you to the reader who shared that lovely testimonial, and if that hasn't inspired you to become a paid subscriber, I don't know what will. It's just a fiver a month or £50 for the entire year, and you get loads of cool perks, as well as just my undying gratitude for supporting my work. Head to laurathomas.substack.com to subscribe now. All right, team. Over to Asher.  Laura Thomas: So Asher, last month, the news broke that the Department of Health have recently asked the Medical Watchdog NICE. Which stands for the National Institute of Clinical Excellence to review the so-called benefits of using weight loss injectables for kids aged between 12 and 17 years old. Specifically, they're looking at the drug Semaglutide. Which has been in the news a lot recently, which I'm sure we'll get to. But I wondered if we could start by talking about what exactly Semaglutide is, how it works and what the evidence says about it. Asher Larmie: You sort of put it in air quotations, or you said so-called benefits, didn't you? I like that, yeah. Cause that, that was a really good way to start. Yeah. So Semaglutide, it's a incretin mimetic. It mimics a hormone called inncretin or one of the hormones, GLP1, which is an incretin, and, and these hormones are released by the gut in everybody's body and in response to eating. So look, you have a meal, your gut releases these hormones and they impact several parts of the body. The main thing they do is they impact the insulin pathway. So they impact the pancreas, but they also have various other effects. And one of them is they sort of decrease appetite and increase a feeling of satiety, of fullness, which makes sense, right? Because when you start eating, after a while, your body sort of wants to tell you, okay, you've been eating now like it's time to stop eating cos you can't eat forever. And when we talk about intuitive eating, we're always talking about, like, picking up our hunger cues and picking up our fullness cues. Well, there's a reason we have hunger cues and fullness cues. It's nothing to do with the size of your stomach or anything like that. It's because of these hormones acting on the appetite sensors in the brain. So this drug Semaglutide was designed for diabetics because of the way that it works on the pancreas and the insulin pathway. But they found very quickly that it causes suppression. And so people were losing weight on this drug. Their diabetics were losing weight.Laura Thomas: And to this point, just to clarify, you are talking about in adults, right?Asher Larmie: Absolutely. Laura Thomas: This research was initially done in diabetic adults?Asher Larmie: In diabetic adults. And we're talking…when they probably started working on this drug, this would've been early 2000s, I think the first one of its…the first drug in this group - and it wasn't Semaglutide, by the way, it was a completely different drug - would've come out in the sort of early 2000s. Semaglutide for diabetics, which is Ozempic, Ozempic is the brand name for the drug. Semaglutide one milligram weekly subcutaneous injection. So it comes like a little pen and you inject it into your stomach, usually. One milligram is the maximum dose for diabetics and the brand is Ozempic. I can't remember, I don't wanna say for sure, but it was definitely after 2010, somewhere around that time that we started using it in diabetics or it was approved, and more recently we've been using it in diabetics more and more and more. It's a very expensive drug, it's the most expensive diabetic drug…I dunno how it compares to insulin, but certainly compared to all the other diabetic drugs.Laura Thomas: Yeah, I saw that for like a month's supply of Wegovy, which is the, the weight loss version of Ozempic, that it costs something like $1,300 a month in the US. I don't know what it is in the UK, but in the US, $1,300 a month, that is an astounding amount of money.Asher Larmie: Sure. And that's the private prescription. But when you look in the NHS, it's how much it costs the NHS per month, right? So that's always like then.. sale price, it's, you know, it's…Laura Thomas: That's the wholesale. Asher Larmie: The wholesale, the Costco price. Laura Thomas: The Costco price! Asher Larmie: And I can't remember what it is, but it's at least twice as much. Laura Thomas: It's expensive. Asher Larmie: It's expensive. Compared to Metformin, which is probably like £1 a month. You know, in terms of diabetic drugs, it's much more expensive
This week on the CIHAS pod, we’re switching things up. I’m joined by Jeanette Thompson Wesson (AKA The Mindset Nutritionist), a fat positive nutritionist who supports people to heal their relationship with food and their body. Jeanette and I will be answering some listener questions, and you lot really came through and asked some great questions, so let’s get into it! Can I Have Another Snack? is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber.Find out more about Jeanette’s work here.Follow her work on Instagram here.Follow Laura on Instagram here.Subscribe to my newsletter here. And I think that's where fat liberation really can come in because, you know, everyone's trying to carve out their own space for them. Whereas actually body liberation and, and fat liberation is all about widening that lens to other people. We are not just trying to carve out the space for ourselves individually.We're trying to carve out spaces and take up space in a way that honors other people's space that they're taking up as well and uplifting the bodies that are the most marginalized and going, okay, these are the people who need this space and we want them to have this space. They deserve unconditionally to have this space as well.INTROLaura: Hey, and welcome back to Can I Have Another Snack podcast where I'm asking my guests who or what they're nourishing right now and who or what is nourishing them. I'm Laura Thomas, an Anti Diet registered nutritionist, an author of the Can I Have Another snack newsletter. Just a very quick reminder before we get to today's episode that for the month of March I'm running a sale on Can I Have Another Snack paid subscribers to celebrate our half birthday.If you sign up now, you get 20% off, either a monthly or annual subscription. This is a really good deal and I won't be offering it again this year. So head to laurathomas.substack.com to sign up. You get to join in our weekly community discussion threads plus bonus podcast episodes, twice monthly essays, including my Dear Laura column, and more importantly, you're helping making this work possible. And if for any reason you can't afford a subscription right now, you can email hello@laurathomasphd.co.uk and put the word “snax” in the header and we'll hook you up with a comp subscription. No questions asked. So today I am joined by the wonderful Jeanette Thompson Wesson, and we are gonna be answering listener questions that you've sent in, and there are some really great questions, but if you don't already know Jeanette, she is a fat positive nutritionist who supports people to heal their relationship with food and their body.And if you want to know more about Jeanette, then I really recommend listening to the episode of Don't Salt My Game that we did together last summer, I'll link to it in the show notes. So go check that out. And how this is gonna work is that we're gonna take it in turns to ask questions and then kind of bounce off of each other to come up with answers.All right, Jeanette, are you ready?Jeanette: I am ready. Should we get into it?Laura: Let's do it. MAIN EPISODELaura: So you're gonna start off with the first question and yeah, let's see where it goes.Jeanette: So here is your first question from Ger. I'd love to hear your thoughts on the connection between diet mentality and gut problems with constipation.Laura: Okay, so Janette and I just had a little back and forth about what exactly this question was getting at, because I think what they're asking is if there is a physiological response in terms of our digestion based on the way we think about food and our relationship with food.Jeanette: Yeah.Laura: And so I think that's my understanding of the question, but just in case, and maybe wanna take a step back and think about what happens.To our gastrointestinal tract when we go on a diet, right? So whether it is, you know, your run of the mill, everyday diet, like a Slimming World or Weight Watchers or whatever, or whether it's, you know, more severe disordered eating or an eating disorder, basically the same thing happens in all of those cases.It's just the degree to which it happens gets more intense, gets worse, the more severe the problems around eating are. So what we could expect to happen is because the total amount of energy available to the body is not enough to support all its basic functioning. A lot of those basic processes like menstruation, like digestion, all of these things that are considered inverted commas non-essential, they slow down so that there's enough energy to divert towards essential functions like primarily your brain. Right? So what happens in our digestive tract is that we have, Jeanette's gonna love how nerdy I'm gonna get, we have what's called delayed gastric emptying. So the contents of our stomach literally emptying, slows down. It's sometimes called, when it gets really severe, it's called gastroparesis, where it's almost like this partial paralysis of the stomach so that contents don't, from the stomach, don't get properly turned around in the stomach.And then when the, and then it's the release into our small, our small intestine is a lot slower. So you get, you have this feeling of fullness for a lot longer after eating a meal. And you might also fill up relatively quickly or feel, feel full quite quickly after eating. What happens in our guts, so in our small, in our small intestine primarily is we have slowed peristalsis.So peristalsis is the action of, um, the muscles along our gastrointestinal tract contracting and pushing food through our guts, right? And basically because there's less, there's less energy available to the body, that process slows down.That's why you get constipated or you might get mixed i b s type symptoms where you alternate between constipation and diarrhea. So that is effectively what is going on in your gastrointestinal tract when you restrict. And it's also why we say a lot in eating disorder recovery and, and when we're working with people with disorder eating, is that the best way to heal your gut is not through going on some sort of low FODMAP diet or some leaky gut protocol or whatever other bullshit is out there, is it's actually having regular, consistent, adequate nutrition and nourishing your body. That's what heals any gut related issues. Now, I'm not saying that there aren't in some cases where people maybe have intolerances or other, you know, have to be mindful of, of what they're eating for other medical reasons, but that broadly speaking, that unless we have enough energy on board and we're eating regularly, then it just sends our guts kind of haywire.Right. Would you have anything to add to that, Jeanette?Jeanette: I mean, have a lot of clients who have experienced that and also I have a lot of personal experience with that. When I did Slimming World, I was, I mean, too much information, I'm gonna say anyway, I was really badly, like really badly constipated, and I knew exactly what was going on in my body. Even as a nutritionist, I was like, I know what's happening.I know exactly why I am constipated right now, and still chose to obviously do what I was doing because of my own internalised fatphobia, because I was working from a place where I thought I had to be thinner.Laura: Mm-hmm.Jeanette: And what it was at the time. And it's, it's really quite, it's really quite horrible to be in that place where you are like, oh my goodness, my body should be doing this. And it doesn't feel comfortable. And but when you really think about it and you tear everything, like you strip everything back, how amazing is our body to basically put ourselves in these like survival modes really?Laura: Mm-hmm.Jeanette: Because actually if we didn't have that delay within our body, um, how would we actually be feeling within ourselves without, with our hunger hormones and stuff, if we didn't have that delay, we'd actually be feeling probably quite ill, reallyLaura: Mm-hmm.Jeanette: Even worse, even more miserable than what we've been, we would, would be feeling.And I think that's the thing that kind of blows my mind with all of these biological processes that go, goes on, is that we forget that when we're actually dieting, we are putting our body in that place of restriction, which our body doesn't actually realize that that's intentional. I mean, it's clever, but it doesn't realize that we are actually choosing to do that.It just goes, oh my goodness, like, what is happening? We are not getting, you know, what, we, we should be getting into our body and these things happen. So it just blows my mind. It's, it's, I always love it. I'm a science nerd myself. So , it's enjoyable.Laura: There's something else that I wanna talk about here, which is what I wonder if the question was kind of getting at, so I've, I feel like I've maybe answered a different question, but I just wanted to give that context because I'm sure a lot of people will wonder like, okay, well what is actually happening inside my body as I'm restricting?Right. Whether it's, like you say through, you know, like legitimate food scarcity in, you know, if someone is food insecure, or you know, from a evolutionary perspective, if there just wasn't enough food around, right? That's why this, this process is there in, in the first place, right? Conservation of the species.But then there's the other side of things, which is this voluntary, and we could argue if it's voluntary or not under diet culture, but you know, like putting ourselves on a diet. What is that doing, both from a physiological perspective, but what is the diet mentality? So just the kind of mindset of restricting ourselves.What does that do to our digestion? And I think this is, I don't know specifically of any literature that connects both of those dots quite as clearly, but I do know that there is something called the nocebo effect. So the effect is essentially the inve
Welcome to this week’s episode of Can I Have Another Snack? Podcast. This week is a solo episode. I released one of these back in season 1 of the pod, where I read one of my essays to you. And it seems to be something you all really enjoyed so I’m bringing it back this week by reading probably the most popular essay I’ve published here on my Substack - “The Kids Standing in Clean Eating's Long Shadow”.I published this essay back in January this year, after seeing one of Ella Mills’ (AKA Deliciously Ella) posts over Halloween. In the post in question, Mills went on the attack about Halloween sweets and candies, labelling them as ‘poisonous’, ‘non-foods’ that are ‘addictive’ and ‘full of shit’. And I really wanted to unpack the judgement and all too familiar moralisation of clean eating that diet culture creates. No transcript today because the full piece is published here.And don’t forget, for the month of March you can get 20% off paid subscription to celebrate CIHAS turning 6 months old! This is a public episode. If you’d like to discuss this with other subscribers or get access to bonus episodes, visit laurathomas.substack.com/subscribe
Today I'm talking with Dr. Scott Griffiths. Scott is a senior lecturer in the School of Psychological Sciences at the University of Melbourne. He leads the Physical Appearance Research Team, a multidisciplinary group of researchers and health professionals who investigate body image, appearance related stigmas and discrimination, appearance enhancing substances, appearance enhancement and appearance related psychological disorders such as eating disorders and body dysmorphic disorder.I wanted to talk to Scott about the phenomenon of muscle dysmorphia, a disorder that sits somewhere between a body dysmorphic disorder and an eating disorder that tends to impact cis boys and men. It's sometimes characterised as the male anorexia. Of course cis boys and men get anorexia too, but muscle dysmorphia is a bit different. It's sometimes known as Bigorexia. It's when an individual doesn't believe that they're big enough or sufficiently muscular to the point that they devote their lives to gains and progress in the gym. They might follow extremely strict diets which prioritise protein and cut out a lot of carbohydrates, and in some cases men can turn to using anabolic steroids, which have some really serious long-term effects for both physical and mental health as you'll hear us talking about. A lot of Scott's research is about the ways that social media, and particularly TikTok feeds people who are vulnerable to eating disorders or muscle dysmorphia, more and more content that upholds unrealistic body and image based ideals, and actually fuels eating disorders.It's really interesting research to hear about, but as a parent and as someone who works with eating disorders, it's really terrifying.Find out more about Scott’s work here.Follow his work on Twitter here.Follow Laura on Instagram here.Subscribe to my newsletter here.Here’s the transcript in full:Scott: When you're on your feed and TikTok is delivering videos for you to consume, all of the reference points you are getting from content that it’s popular and influential and that people are responding to it. It's so divorced from reality that you've got a greater pool of people comparing and feeling poorly about themselves and now investing in the general necessity of looking better.INTROLaura: Hey, and welcome to Can I Have Another Snack? I'm Laura Thomas, an anti-diet, registered nutritionist, and author of the Can I Have Another Snack newsletter. We're having conversations about how we nourish ourselves and our kids in all senses of the word in the hellscape that is diet culture.Today I'm talking with Dr. Scott Griffiths. Scott is a senior lecturer in the School of Psychological Sciences at the University of Melbourne. He leads the Physical Appearance Research Team, a multidisciplinary group of researchers and health professionals who investigate body image, appearance related stigmas and discrimination, appearance enhancing substances, appearance enhancement and appearance related psychological disorders such as eating disorders and body dysmorphic disorder.I wanted to talk to Scott about the phenomenon of muscle dysmorphia, a disorder that sits somewhere between a body dysmorphic disorder and an eating disorder that tends to impact cis boys and men. It's sometimes characterized as the male anorexia, which of course cis boys and men get anorexia too. But muscle dysmorphia is a bit different. It's sometimes known as bigorexia. It's when an individual doesn't believe that they're big enough or sufficiently muscular to the point that they devote their lives to gains and progress in the gym. They might follow extremely strict diets which prioritize protein and cut out a lot of carbohydrates. And in some cases men can turn to using anabolic steroids, which have some really serious long-term effects for both physical and mental health as you'll hear us talking about. A lot of Scott's research is about the ways that social media, and particularly TikTok feeds people who are vulnerable to eating disorders or muscle dysmorphia, more and more content that upholds unrealistic body and image based ideals and actually fuels eating disorders.It's really interesting research to hear about, but as a parent and as someone who works with eating disorders, it's. Really terrifying. So you'll notice that this episode has a slightly different vibe to some of the other episodes this season. I'm asking Scott more about his research on muscle dysmorphia rather than his, you know, personal story. And I'm curious to hear what you think of this episode and get some feedback from you as to whether you'd like more interviews with academics, researchers and practitioners with a particular kind of expertise or on a particular topic like this, in addition to hearing people's lived experience. So if you want, you can drop me a comment over on Substack underneath this episode, um, which you can find at laurathomas.substack.com.And while I have you here, just a reminder that Can I Have Another Snack? is entirely listener and reader supported, but in order to be able to cover the costs of admin and people and pay guests and contributors. A lot of my time is devoted to other work outside of the newsletter. That means I have less time to bring deeply researched essays as well as thoughtful interviews here on the podcast. I'd love to be able to devote most of my time to the work and the community that we're building here, but that means I need a lot more of you to consider becoming a paid subscriber. I also know that that's a big ask right now. So for the month of March, I'm running a one off spring sale on Can I Have another Snack subscriptions. They are 20% off, so for this month only, if you subscribe, you'll pay four pounds a month or 40 pounds for the year instead of five pounds a month or 50 pounds for the year, which is a bargain. I'm not going to be running this good a deal for the rest of the year, so now is the time to cash in. If you've been sitting on the fence it's time to make a move. I'll put a subscription link in the show notes. You can also gift a subscription to a friend or family member or a coworker and get that same deal. And remember that if you want to sign up with some pals or like your NCT group from five years ago, you always get 20% off of group subscriptions. So I will also link to group subscriptions in the show notes.Okay, team, I appreciate your support and hopefully one day we can make this work more sustainable, so I can give up my side hustles. Thank you so much for being here. Here is my interview with Scott Griffiths.MAIN EPISODELaura: All right, Scott, I would love it if you could start by telling us a little bit about how you got interested in studying appearance related psychological disorders like body dysmorphic disorder and eating disorders.Scott: When I was a teenager, I worked at a cinema and someone who worked there who was kind of a friend of mine, a young woman, she had anorexia, and I remember at the time being completely mystified by her ailment and predicament. And it's probably quite stigmatizing in retrospect because it seemed to me as a, you know, kind of a fool, that the solution to her problem was readily at hand.Like she was really thin and, and just needed to eat. And that kind of set my thinking in motion about the really complex feelings and beliefs that folks can have about their body and their eating, et cetera. And it was when I was in undergraduate doing a, a Bachelor of Psychology that I had a couple of friends, both young men who would say things to me that would remind me of that young woman who had anorexia in the cinema and things they would say were similar, but the manifestations of them were different. The kinds of eating and, and training and the bodies that they wanted for themselves were all different, but it's core, it seemed like the same kind of issue and disorder. So I think that was what got me interested. And it's developed a lot since then.Laura: Yeah, it's so interesting. I think you know that I work with people with eating disorders and something I often hear from them is like, well, it just, how misunderstood that the disorder is, and from the outside, especially to anyone who knows nothing about eating disorders, it seems like, yeah, it's really simple just to eat more food.But I think you've been on your own learning journey with that and, and come through the other side and realized it's, it's a lot more complicated than that. These people would, you know, if, if it was just, just as easy as eating food, they would do it. But unfortunately that's, that's not the case.Sorry, that was a little tangent cuz I think you were touching on something that I know is really important to those with lived experience of eating disorders. And then kind of moving further along, it's really interesting that you saw the parallels between anorexia nervosa and then what I think you would probably characterize as body dysmorphic disorder. Which is the same but different. And maybe the same is too much of a stretch. But it's similar, but also different. So I'm wondering for people who are unfamiliar with body dysmorphic disorder, can you tell us what exactly it is and maybe some of the, the des describing more of the parallels between something like anorexia nervosa or what we would consider to be a more traditional in inverted commas eating disorder versus what we see in the BDD presentation.Scott: When I was talking with those, those friends, those young men when I was at university the disorder that would best capture what was going on for them is something we call muscle dysmorphia, which is a subtype of body dysmorphia disorder, which kind of sits alongside eating disorders. They are distinct, but they're often comorbid.They both have body image often as a central element. So body dysmorphic disorder, the cardinal symptom is you believing there is a defect in your appearance. It can be completely imaginary or it can be real, but the
Today I’m talking to Dr. Hillary McBride. Hillary is a psychologist, a researcher, and podcaster, with expertise that includes working with trauma and trauma therapies, and embodiment. She’s the author of two books - ‘Mothers, Daughters, and Body Image: Learning to Love Ourselves as We Are’, and ‘The Wisdom of Your Body: Finding Wholeness, Healing and Connection through Embodied Living’. She is on the teaching faculty at the University of British Columbia and hosts the podcast Other People’s Problems. Today, we’re speaking about embodiment, healing from trauma and loads of other really cool things!Find out more about Hillary’s work here.Follow her work on Instagram here.Order Hillary’s books here.Follow Laura on Instagram here.Sign up to the Raising Embodied Eaters workshop here.Subscribe to my newsletter here.Here’s the transcript in full:Hillary: We could look at how convenient it is to assume that we are an image and then try to control that image when it causes us to forfeit the information that might say, no, I don't wanna participate in the system, or yes, I am hungry and I wanna eat that food even if it means that my body is not gonna appear the way that so and so expects it to. That the information on the inside is costly to stay connected to in a culture that is asking us to forfeit it, in order to belong in this kind of flattened, disembodied, two-dimensional version of, of being an image.INTROLaura: Hey, and welcome back to Can I Have Another Snack podcast where I'm asking my guests who or what they are nourishing right now, and who or what is nourishing them. I'm Laura Thomas, an anti diet registered nutritionist, and author of the Can I Have Another Snack newsletter. Today I'm talking to Dr. Hillary McBride. Hillary is a psychologist, a researcher, and a podcaster with expertise that includes working with trauma and trauma therapies and embodiment. She's the author of two books: ‘Mothers, Daughters, and Body Image: Learning to Love Ourselves as We Are’, and that was published in 2017 and her latest book, ‘The Wisdom of Your Body: Finding Wholeness, Healing and Connection Through Embodied Living’ came out in Fall 2021.Hillary is on the teaching faculty at the University of British Columbia, and she hosts the podcast, Other People's Problems. Today I'm talking to Hillary about embodiment, healing from trauma, and loads of other really cool things. So stay tuned.Before we get to our conversation with Hillary, just a reminder that Can I Have Another Snack? is entirely reader and listener supported. We don't have sponsors or do adverts or anything like that. I don't make money from affiliate links. I'm not trying to sell you anything you don't need. All I ask is that if you value the space and the community that we're building, then please consider becoming a paid subscriber. Yes, you get perks and bonuses, but more than that, you make this work sustainable and accessible for everyone. It's £5 a month or £50 for the year. And if that's unaffordable for you just now, please email hello@laurathomasphd.co uk with the word ‘Snax’ in the subject line, and we will hook you up with a comp subscription, no questions asked. You don't need to justify yourself or give any explain. And don't forget that you can get 20% off of a group subscription with, you know, your book club or your friend group, or your co-workers, or even just your family if you roll like that. You need a minimum of two people. And if someone sort of like say, leaves your book club or your office moves on to a new job, you can swap the subscription for whoever joins instead. I'll drop the link to the group subscriptions in the show notes so you can check that out if you and some pals have been on the fence, then this is a great option and it's go time.And last thing if you enjoy this episode or any of the episodes in this season, then please head over to iTunes and drop five stars. And I see in my statistics that you're all listening on Apple Podcasts anyway, so while you're over there, I would really appreciate it if you could leave a review. I might even read some of them out on the show. It just really helps more people find these conversations and become part of the Can I Have Another Snack community.All right, team. Thank you so much for your support. Here's my conversation with Hillary McBride.MAIN EPISODELaura: All right, Hillary, I'd love it if you could start by telling us who or what you are nourishing right now.Hillary: Well, I am nourishing myself and my toddler, and I am so much more attuned to what that means because, I am breastfeeding and I am always ferociously hungry all the time, and there is something about nourishing and kind of the, the literal transmutation of all the food as it comes into my body, out of my body, into her body, that, uh, shows me how deeply connected those two are, both the nourishing and the being nourished.Laura: Yeah, I haven't thought about it in that way that, I like that word that you use transmutation, um, and also breastfeeding a toddler I can relate to that. And yeah, just having to be really in tune with yourself, but also to a toddler and their needs.Hillary: Yes,Laura: It could be a lot.Hillary: You know, it can be a lot. It's wonderful. And I feel so privileged to, through motherhood, see and experience that connection of how much my attunement and my self care to my body actually literally supports her to thrive and be well. And there's something about that, even just the way you pose the question that highlights for me, the, the interdependence between us as bodies that I think we sometimes forget when we're just mulling about our days, thinking of ourselves as individuals. There's actually this inherent connection between all of us as bodies, and I think parenthood really, really brings that right up close to your face.Laura: Mm, yeah. I think a lot about interdependence in parenting. You know, from the perspective that that capitalism keeps us so sort of separate from one another. And prioritizes independence and, you know, trying to parent under late stage capitalism without family and community around is so fucking hard. So really, really hard that, yeah, like it just really for me has hammered home how interdependent we are.Hillary: Uh-huh. Yeah. You said it. That's exactly it.Laura: So Hillary, this is somewhat related, but your area of expertise is in embodiment, and embodiment is a term I've noticed recently, it's kind of buzzy. I'm seeing it show up everywhere, but I'm wondering if you could tell us how you understand and define embodiment.Hillary: Yes, I would be so privileged. So there's a couple different ways of defining it, and I'll give you a couple different definitions and then I'll, I'll tell you what I think is salient about them, but I really like the Merleau-Ponty definition, which is that embodiment is the perceptual experience of engagement of the body in the world. Or another way of describing it is the lived experience of engaging in the world as a body.Laura: Hm.Hillary: What both of those definitions have in common is that there is both a felt sense, experiential kind of body, you know, as it's known and lived and encountered and understood and sensed by me and a sociopolitical, contextual, cultural piece.It is, you know, how is all of that shaped by the landscape that I'm in, by the people that I'm in, by the stories of power and privilege that I encounter? So there's a dialectic between what felt sense is like in and through me, and then the world that I'm in. You know, it's really interesting to look at it through that lens as having both kind of this material, individual quality and a sociocultural and interpersonal quality, because I think it really breaks down the assumptions that we have, that our bodies are in a way, uniquely ours.We can have autonomy and agency over our bodies, but, but we also are in a world that is constantly saying things to us about what bodies are good and how to be, and how to shape movement and how to feed ourselves and what is desirable in terms of our appearance. And those things really get, you know, lodged inside of us in such a way that sometimes we forget that those stories come from culture and they feel like they're our own thoughts or our own identities.So I love thinking about embodiment as including these two pieces and in, in a way actually being the conversation between them.Laura: I love that, that kind of reciprocal relationship between our bodies and the, the context of our bodies. And I love the quote that you use in your book. I think it's, is it Teresa Silo? Is that how you,Hillary: ah-huh.Laura: Is that how you pronounce her name? Where you quote her as saying, or them as saying the body is not a thing we have, but an experience we are. And I always think there's kind of an irony in talking about and trying to define embodiment because as soon as we kind of put words to it, we're sort of, I don't know, what's the word that I'm looking for? Hillary: Like in an abstraction or we're losing something about the felt sense or the quality of it by trying to talk about it or think aboutLaura: Yeah, yeah. No, that's exactly it. We're turning it into this like, academic thing when it's really, like you've said, it's a felt sense, it's an experience, so I just wanted to highlight the sort of, the irony in us talking about embodiment.Hillary: Oh, I'm so glad that you said that because it reminds me of something else that I often say when I'm talking about embodiment, which is to say, you know, instead of me describing it, how about I tell you about, you know, that time 30 minutes ago or two hours ago, when you really knew that you needed a drink of water. And the quality of the sensation and your awareness of that sensation, and then your action to go meet that need to go get yourself a glass of water or not. And all of the stories around you that impacted why you knew what that sensation was like or didn't know and why
Joining me on the CIHAS pod this week is writer and poet, Amy Key. Amy has a new book coming out in April called Arrangements in Blue, which explores living in the absence of romantic love. She also wrote this incredible essay for the Vittles Substack called In Praise of Cravings which I was a little skeptical of at first, as you’ll hear us talk about, but which ended up transforming the way I thought about cravings. Amy subverts the idea that we should pathologise our cravings and invites us to explore how food can be a gateway to satisfying non-food cravings as well. Amy also talks really openly about her own relationship with food and how she experienced an eating disorder as a teen, and how part of that healing now is trying on the word fat and noticing how that feels. Can I Have Another Snack? is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber.Find out more about Amy’s work here.Follow her work on Instagram here.Pre-order Amy’s book here.Follow Laura on Instagram here.Sign up to the Raising Embodied Eaters workshop here.Subscribe to my newsletter here.Here’s the transcript in full:Amy: And you're sort of doing all this mental gymnastics that, um, for me just became a huge waste of intellectual effort. And I thought to myself, I'm just not prepared give food that bit of my brain anymore and that much time.I'd rather focus it on making delicious food that I enjoy to eat, that I enjoy preparing, that I want to share with other people. And also I'm not prepared to be hungry because if I am hungry, I'm thinking about food all the time. And I, you know, I find that I don't really, don't really have like much snacking type habits because I'm satisfied in a way that I don't think I'd previously been. And it was, that was really liberating for me. Just saying, ah, I'm gonna let, just let all that bit of my brain go, cuz let you know, life's too short for me to devote all this brain power to it and I've got other things I could be doing.INTROLaura: Hey, and welcome to another episode of the Can I Have Another Snack podcast where I'm asking my guests who or what they're nourishing right now, and who or what is nourishing them. I'm Laura Thomas. I'm an anti diet registered nutritionist and author of the Can I Have Another Snack newsletter. Today I'm talking to the writer and poet Amy Key.Amy wrote this incredible essay for the Vittles Substack called In Praise of Cravings, and as you'll hear us talk about, when I first read the essay, I was kind of skeptical about it, but there was this moment in it that transformed the way that I thought about what Amy was saying, and now I can't get the idea of trusting cravings and leaning into cravings out of my head.Amy subverts the idea that we should pathologise our cravings and invites us to explore how food can be a gateway to satisfying non-food cravings as well. So like how creating someone's favourite dish can help us feel connected to someone we miss, and someone who we're longing. Amy also talks really openly about her own relationship with food and how she experienced an eating disorder as a teen, and how part of that healing now is trying on the word fat and noticing how that feels.So we'll get to Amy in just a minute, but first of all, a couple of notes. This is your last shout for my Raising Embodied Eater's Workshop on the 21st of February. It's a 90 minute workshop where we're going to be reflecting on your own relationship with food and your body growing up and thinking about how you want to parent your kids around food and around their bodies.We'll talk about how food rules pressure restriction and trying to micromanage how much and what our kids eat can backfire and harm the relationship with food, and it could also make picky and fussy eating worse. We'll talk about how to support kids innate hunger and fullness cues with flexible structure. We'll think about how to let go of the pressure to feed kids perfectly. We'll talk a lot about embodiment and supporting body autonomy, and also think about ways to respond to food and body shaming comments from family and friends, plus loads and loads more. I'm actually not sure I'm gonna fit it all in. We'll figure it out and there will be some time in the end to ask questions too. So if we don't get to cover absolutely everything we can, you know, answer it in the q and a at the end. And if that sounds good to you, the link to sign up is in the show notes and transcript. Um, it's also on my Instagram bio, so if you're, I don't know, on Instagram, then click click through the link in the bio. It's 15 pounds and the recording will be available for a week after to catch up. You'll also get a copy of my Raising Embodied Eaters download, which is like a 10 page PDF with loads of helpful things that you can share with family and friends. And, um, like I said, there will be some time at the end to answer your questions, so all the links are in the notes, in the transcript and in my Instagram bio.And just before we get to Amy, I wanted to ask a quick favour. If you've been enjoying these episodes, then please think about leaving a review on Apple Podcasts. It lets people who are on the fence about listening know that it's worth their time. Just a few sentences would really mean a lot and help us grow the Can I Have Another Snack family. So thank you if you do that. I super appreciate it. It's a really low-key, we low-key way that you can support the podcast and the newsletter without becoming a paid subscriber, if that's not something that's available to you right now.All right, team, I think you're gonna really love this episode. So let's get to today's guest, poet, and writer Amy Key.MAIN EPISODELaura: Amy, I'd love it if you could share with us who or what you're nourishing right now.Amy: So, I am nourishing my garden by planting all the bulbs that I did not manage to plant before Christmas, because I had a really bad case of flu. And one of the things that makes me so happy in the spring is seeing all the spring bulbs come up, and I hate, hate, hate winter, so it's kind of like a little present to myself that says the future has hope and bright colours in it.Um, so I've been doing that and also I've moved some of the plants that were not flourishing in the places I'd originally placed them. I've moved them into the communal spaces of the garden and I really hope that they'll take root there. So that's what I'm nourishing right now.Laura: Oh, I love that. First of all, I'm slightly relieved that I'm not the only person who is only just thinking in January about my bulbs. I literally overwintered my tomatoes this weekend and we're like almost at the end of January. SoAmy: That's amazing. Are they still doing their business?Laura: Yeah. So I discovered that. So I live in a flat in London. My balcony for whatever reason, I think because it's almost like an internal balcony. So like only one side is exposed and it has like a little microclimate going on, which I think is because I'm losing all the heat through my patio door, but it's like five degrees warmer than like what the weather app is telling me the weather is, right.So, um, yeah, I've got like eight strawberry plants. They're not producing anything, but like, they were like runners from last year and I've got a couple of tomato plants that I think I can salvage. I mean, they're looking a bit ropey, but I think I can salvage. But you know what, the best thing that happened to me at the weekend was I found a little like potted plant that I got from M&S last year that was full of daffodils. And I like tied a knot in the dead daffodils, threw them in a Sainsbury's bag. And then this past weekend I saw the little, the little bulbs sprouting so I've replanted those. Happy days,Amy: I love it.Laura: And I've got a whole bunch of bulbs as well. I spent way too much money at the Garden Center, but that's, that's, this is how we get our kicks. Right.Amy: I love that idea that things are just like waiting under the surface to surprise you. We don’t know where they're gonna come up.Laura: And this is such a perfect segue because you alluded well, you didn't allude, you outright said , I hate winter. And that you're waiting for that hope, that promise that that spring offers of a new life and activity. And, and I think that's something that you also alluded to in your essay that you wrote for Vittles called In Praise of Cravings.Amy: Yes,Laura: I wonder if you could tell us a bit about that essay and really what you were trying to communicate through idea of cravings.Amy: Yeah. So, um, maybe I'll talk a little bit about where it came from. So I was at a family member's house and there were little prompts posted about their flat on cupboards and on the fridge that interrupted the person before they opened the fridge door or opened the cupboard and said, stop, think about it. Are you depressed? Are you thirsty? Are you angry? Are you bored? And I found, I found these prompts so depressing because they were, you know, basically trying to interrupt this desire from a kind of moral point of view, you know, that the tone of it felt a bit cruel to me. And I thought, oh, I wish those things weren't there.I wish those things, I wish that everyone could just be in their kitchen. You know, might, they might wanna snack, they might want to eat a stick of celery. They might want to open the cupboards and think about something they'd really like to make for dinner. And I feel like if I was always interrupted in this way, it would make me feel very bad about myself.So I, that's why I wanted to write about cravings from the perspective of thinking about it in like much more colourful, pleasurable ways, you know that you can follow an impulse and you can trust your body to tell you what you might need in that moment, and that that should be free of any judgment. Laura: Yeah. Oh, I can imagine the scene like it sounds like this per
*Content warning* - in this episode, we are talking about pregnancy loss and baby loss as well as experiences in the NICU and breastfeeding challenges. So if you’re not in the headspace for that right now then please take care of yourself and do whatever you need to to look after yourself.In this episode, journalist, author and fellow Substacker Jennie Agg is joining me on the pod. Jennie has just published her first book, ‘Life, Almost: Miscarriage Misconceptions and a Search for Answers from the Brink of Motherhood’ - an exceptional book which brings together her own experiences, along with expert interviews and reports on why we know so little about fertility and reproductive health. In our conversation, we focus on the erosion of trust that can happen in your body as a result of losing a pregnancy, and all the difficult emotions that can get stored in our bodies with nowhere to go to be held safely. We also talk a lot about body image and what has been healing for Jenny as she navigates a new relationship with her body post-partum. Can I Have Another Snack? is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber.Find out more about Jennie’s work here.Follow her work on Instagram here.Order Jennie’s new book here.Follow Laura on Instagram here.Sign up to the Raising Embodied Eaters workshop here.Subscribe to my newsletter here.Here’s the transcript in full:Jennie: And piece of that experience is it's, I remember, I mean, it's very difficult to not feel, I remember feeling very angry and very let down by my body. And it's very hard to, to reframe it. I think like I would, this is language that I used internally. It's not language I would use to somebody else or, you know, but you feel like your body has failed you. And I think it's very hard to reframe that as like you, it's very difficult to put a positive spin on that in any way, in the way that sometimes we're encouraged to you with things that are difficult, difficult experiences to do with our, our physical body. INTROLaura: Hey, and welcome to another episode of the Can I Have Another Snack? podcast where I'm asking my guests who or what they're nourishing right now, and who or what is nourishing them. I'm Laura Thomas, an anti-diet registered nutritionist, and author of the Can I Have Another Snack newsletter? Today I'm talking to author and fellow Subtacker Jennie Agg, who has just written an exceptional book called ‘Life, Almost’.It weaves together Jennie's own experience with miscarriage and pregnancy loss with expert interviews and impeccable reporting on why we know so very little about fertility and reproductive health. In our conversation today, we're really focused on the erosion of trust that can happen in your body as a result of losing a pregnancy and all the difficult emotions that can get stored in our bodies with nowhere to go to be held safely.And this is in part because of how isolating the experience can be and how the healthcare system is not at all set up to adequately support people who experience baby loss either in the moment or going forward into a new pregnancy after loss. We also talk a lot about body image and what has been healing for Jennie as she navigates a new relationship with her body postpartum.I think it's a really lovely conversation and a really important one, but it goes with the content warning that we are talking about pregnancy loss and baby loss as well experiences in the NICU and breastfeeding challenges. So if you're not in the head space for this right now, then please take care of yourself and do whatever you need to to look after yourself.I know we've had a few authors promoting their books back to back recently. I promise that not all the guests this season will be promoting books. I think maybe we have one more. We will also be hearing from some clinicians and researchers later in the season. Just the way that it worked out with books coming out it ended up that some of those authors are appearing earlier in the season. But I also really wanted to support Jennie because she's been a really supportive cheerleader for me and my work. Some of you might already know that Jennie helps edit some of my essays on the newsletter, and her input is really valuable, and it means that there aren't as many spelling or grammatical mistakes on the copy that Jennie has edited.So even if trying to conceive or miscarriage aren't on your radar at the moment, I think this is a really important book for anyone who cares about reproductive rights and why we know so little about the health of women and folks with a uterus. It's not just about having a baby, but it's also connected to our autonomy and our collective body liberation.So again, that's why I wanted to share Jennie's work. It's really, really important and I hope you will check out the book.We'll get to Jennie in just a minute, but first I wanted to remind you that my Raising Embodied Eaters workshop is on Tuesday, the 21st of February. It's pancake day. Don't worry.It's not going to be just me giving you a bunch of useless tips and tricks. You know, that's not what I'm about. But we will explore your relationship with food a little bit and think about how you can support your kids to have a positive relationship with food and their body. I will give you some practical tools. Um, we will talk about developmental milestones and things like that, but my intention is really to help. You take the pressure off of feeding your kids and help you create a home that supports a healthy relationship to food and bodies. I've linked to the full description in the show notes. So you can check it out. It's 15 pounds, it will be on Zoom, and I'll have the recording available for a week after. So if you can't watch it live, you can watch it on playback. Plus you'll also get a copy of my Raising Embodied Eater's Guide to share it with family, friends, childcare, schools, whoever is responsible for feeding your kids.And the last thing before we get to the episode. Just a quick reminder that Can I Have Another Snack is a reader supported publication. I'd love to bring you more deeply research pieces, but it requires a significant investment in my time, plus the support of an editor, aka Jennie, and behind the scenes admin support, and a podcast editor as well.So if you are in a position to become a paid subscriber, then please consider it is five pounds or 50 pounds for the year, and if that's not accessible for you right now, you can email  hello@laurathomasphd.co uk, putting the word snacks in the subject line, and we'll hook you up with a comp subscription, no questions asked. Please do not feel like you have to explain yourself or your situation. I trust that if you have the means to pay for a subscription and you value my work, then you will. And if you can't afford it right now, then um, maybe some point in the future you will be able to become a fully paid subscriber. But for now, just put snacks in the subject line and we'll hook you up with that comp subscription.All right, everyone. Here is my conversation with Jennie Agg.MAIN EPISODELaura: Jennie, can you start by telling us who or what you're nourishing right now?Jennie: Yeah, I can. So I'm Jennie. I'm a journalist and author, and I am nourishing myself, my husband, my two and a half year old Edward and three cats. And in nourishing, in the, the non-literal sense I am nourishing a writing career and specifically kind of branching out into writing books.Laura: I think you're being extremely modest right now, Jennie, I'm gonna be your, I'm gonna be your hype person for a sec.Jennie: Okay.Laura: So Jennie has a book as we're recording, Jennie's book is coming out in two weeks. Her first book. It's your first book, right?Jennie: Yeah, it's my first book. It's my first book.Laura: And. Yeah. By the time that everyone is listening to this, it will have just come out into the world. I wanna know how you, you know, where are we finding you? How are you feeling about it all? You've, you've been writing and putting your words out into the world for a long time. You've been writing very vulnerably for a long time, but does this feel different or are you just kind of like, oh, it's, it's more words going out into the world?Jennie: It definitely feels different. I mean, I never feel like cavalier or like comfortable with putting anything out, like even like sending out my newsletter, which I do every week. And before that, you know, I was writing a blog every week and I still, you know, pressing send still feels incredibly sort of panic inducing. But yeah, this does feel different. I mean it's a very personal book. And it feels, I guess it feels like the culmination as you said, I've been writing about pregnancy loss and my own experience with recurrent miscarriage and going on to have a baby. Like I've been writing about that for five years, six years now. Laura: I was thinking about this the other day, like way before you interviewed me for my first book, I'd come across your writing, maybe like in The Pool, RIP, or you know, some, something along those lines. And, and it was, it was one of the first pieces I'd ever read about miscarriage. And I remember being kind of like struck by it, obviously, because it's very personal and vulnerable, but also just thinking like, we don't, we don't talk about this.And so I remember, you know, even though babies weren't even on my radar at that point, thinking wow, what you're doing is really, really important work, and it feels like you've taken everything from the past, I dunno, five or six or however many years and you've put it into this new book.Jennie: Yeah. I mean that, and I guess that's what I've, I tried to do. I dunno if this is a really cliche thing to say but I, I wrote the book that I wanted to exist, like when I had my first miscarriage. And like, I wish I could say that the book answers all the questions that I had b
Hey team! Welcome to episode three of the CIHAS pod, season 2. This week, I’m joined by Dr. Emma Svanberg - clinical psychologist, speaker and campaigner with expertise in attachment and perinatal psychology - AKA Mumologist on IG. In this episode, we focus on some of the stories that we bring to parenting, and the socially constructed ideas we have about parenting. We talk about how sometimes looking for all the advice and answers actually takes us farther away from what we’re looking for, and I ask Emma why she thinks we’re so drawn to advice from so-called parenting experts. Finally, we talk about how we can sift through all the noise of parenting advice, and find what’s best for us and for our kids and learn to leave the rest. Can I Have Another Snack? is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber.Find out more about Emma’s here.Follow her work on Instagram here.Follow Laura on Instagram here.Sign up to the Raising Embodied Eaters workshop here.Subscribe to my newsletter here.Here’s the transcript in full:Emma: If we are stuck on that idea that this is, you know, the kinda cognitive, that intellectual idea that this is what should happen, it becomes so hard to see our child's experience of what it is that we're trying to do. So again, you know, being able to base those things on the relationship. You know what, what did it feel like when I have prepared this food for my child and they have refused it, or actually they're disgusted by it? How does that make me feel? what does that touch on for me as a parent? And often there are such complex issues with that.INTROLaura: Hey, and welcome to another episode of Can I Have Another Snack podcast, where I'm asking my guests who or what they're nourishing right now, and who or what is nourishing them. I'm Laura Thomas, an anti diet registered nutritionist, and author of the Can I Have Another Snack newsletter. Today I'm talking to Dr. Emma Svanberg. You may know her better as Mumologist on Instagram. Emma is a clinical psychologist, speaker and campaigner with expertise in attachment and perinatal psychology. She's co-founder of Make Birth Better and founded the Psychology Collective in 2019, which is a team of practitioners offering psychological support and guidance for the whole family.Today we are gonna be talking about Emma's new book, Parenting for Humans, which is out next month and is available to pre-order now. Now, before you get totally freaked out, this book isn't a book that tells you how to be a better parent or to set up new standards or expectations for how you should parent. Rather, the point of the book is to understand how you were parented and all the experiences that you bring to your parenting with the hope of getting to know yourself better and therefore understand what you are bringing to your relationship with your kid. So Emma and I discuss what some of the stories are that we bring to parenting about what we've learned, about what a parent should be from our own experiences, but also what are socially constructed ideas about parenting.We talk about how sometimes looking for all the advice and answers actually takes us further away from what we're looking for. And I ask Emma why she thinks we're so drawn to advice from so-called parenting experts. Finally, we talk about how we can sift through all the noise of parenting advice and find what's best for us and our kids, and learn to just leave the rest.So we'll get to Emma in just a minute, but first I wanted to remind you that my Raising Embodied Eaters workshop is on Tuesday, the 21st of February. Don't worry, it's not going to be me giving you a bunch of useless tips and tricks, but we will explore your relationship with food and think about how you can support your kids to have a positive relationship with food and their body. I will also give you some practical tools, but my intention is to help you take the pressure off of feeding your kids and help you create a home that supports a healthy relationship to food and bodies. I've linked to the full description in the show notes, so you can check it out. It's 15 pounds. It will be, um, all on Zoom, and I'll have the recording available for a week afterwards that you can watch on catch up if you like. Plus you'll also get a copy of my Raising Embodied Eaters Guide to share with friends, family, childcare, and schools. So click the link in the show notes and you'll get the full details of what we're gonna talk about in that workshop. And lastly, before we get to Emma, just a quick reminder that Can I Have Another Snack? is a reader supported publication. I'd love to bring you more deeply researched pieces, but it requires a significant investment in my time, plus the support of an editor and behind the scenes. Admin support. So if you are in a position to become a paid subscriber, then please consider it. It's five pounds a month or 50 pounds for the year. It works out at something like 50 p an article. And if that's not accessible for you right now, you can email hello@laurathomasphd.co.uk, putting the word ‘snacks’ in the subject line, and we'll hook you up with a comp subscription, no questions asked. You don't have to explain yourself. I trust that if you are able to afford a subscription right now, you will, and if not, then just get in touch. All right, team. Here's my conversation with Dr. Emma Svanberg.MAIN EPISODELaura: All right, Emma, I'd love it if you could start by letting us know who or what you are nourishing right now.Emma: Well, at the moment I am just in the process of nourishing the, I suppose, the next few weeks that are coming up for me, which are all about my new book, that is coming out in March called Parenting for Humans, which is a funny process, right? Because you sort of just dated over a long period of time. And then, uh, you know, as you know yourself, as we get closer to launch date, there are lots of different kinda angles to think about. So at the moment I'm both nourishing trying to, uh, talk about my book, trying to really kind of get to grips with understanding how it's going to resonate with people. I think that's the kinda key thing for me thinking about the ideas that I really want to kind of get out there into the world while at the same time still nourishing myself and my family as best I can.Laura: Yeah. I mean, I remember when I published my first book, I didn't have that same, I didn't have any responsibilities to anyone else except myself. and then when the second book came along, I had a six month old at that point, and it was just a completely different experience and it was such a fine balance to kind of, you know, preserve myself in amongst the chaos of book publishing. So I hope that you're managing to, to find pockets and moments to relax and decompress and, and yeah, tend to yourself because it can be a lot. I don't think people realize that writing the book, editing, fact checking, copy editing, all of the, that whole lengthy, lengthy process is like 50% publishing a book. Maybe? Like there's all of the publicity and everything surrounding that is like, is a huge piece of it.Emma: Yeah, absolutely. I think that what makes it easier is that I'm really excited about this book. I mean, I've also written a previous book that was a very niche specialist book about birth trauma and was also very excited about that one of course, but this book kind of really brings in all of the therapeutic ideas that I've worked with with clients and have done so for many years. So in some ways I think that, you know, in itself, kinda talking about the ideas of the book, um, is something that I'm really enjoying doing and kind trying to figure out, you know, which has always been something that's been really important to me, how do we turn what can feel like really inaccessible, complex psychological concepts into ideas that will make sense to people so that they can very quickly then apply them to their own lives.Laura: So, and you've kind of, you've kind of touched on it a little bit in terms of kind of the, um, maybe more how the book functions, but can you tell us a little bit more about what you are covering in the book, what is the message you're trying to get across?Emma: Um, I think that it started off, the idea came from my experience of working with parents. Um, you know I kind of qualified back in 2009, I qualified but, and the experience that I see parents having over that time has changed so much. So back when I first qualified my role was very much about helping parents, most usually mothers within the NHS and I was seeing people to, you know, kinda really value their role and think about kinda getting support in place, you know, very kinda clear difficulties around, for example, birth trauma or anxiety about bonding with a baby or postnatal depression would be a very common, um, difficulty that I'd see. What's shifted in that time is that there is a whole added layer that has been added on top of that for parents, which is around pressure to do things a certain way, to be a certain way. To parent in a particular way, and that is pressure that is felt by parents, but it's also pressure that then is experienced by children. And what we have then seen kind of come up in, particularly in the last five years or so, is so much advice, so much information about how you can tackle that. You know, try doing it like this. This is a really useful strategy that you could have. These are some really useful words that you can say to your child, but what I then see is parents who've tried that, it's not working for a reason, and then they end up feeling like there's something really wrong with me. I'm a terrible parent, or I'm not doing this well enough, or there's something wrong with my child. My child is broken. Because all of these beautiful strategies are not working. Where we-Laura: I never, sorry. Just that, just like really, t
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