Why I got fired from working as a clinical nutritionist
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- Опубликовано: 12 мар 2024
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The one thing I really like about you Miles is your complete Honesty and your transparency about what who you are and how you live your life. Very inspiring. Thank you.
this honestly means so much to me! thank you ❤
keep going, we stand with you@@HealthyCrazyCool
After over a decade of living with an eating disorder , multiple admissions and therapy this short video has helped more than any of that ,no one has ever presented it in this way or explained , all I can say is thank you miles for your continued honesty
As a person who overcame eating disorder on my own.. these kind of mindset that sugar is a drug were the ones stopping me the most. Thank you for speaking up for all of us involved 🫶🏻
What is the other channel he is talking about?
I've recovered from an eating disorder myself and am now a certified recovery coach and I cannot thank you enough for how well spoken you are about the topic. This video made me love, respect and admire you even more Miles. I don't know how anybody could recover from an eating disorder in that environment! So good on you for knowing the mindset of the people you are working with and putting the clients' individual needs firt. Thank you for sharing this! ☺✊❤
What qualifies someone as a 'certified recovery coach'?
I completed the Carolyn Costin Institue program and am now a CCI Certified Recovery Coach. I also have a Bachelor's Degree in Psychology and a Masters degree in Counseling@@katewinter6037
Oh this is such a good video. This message has so much weight coming from you and the way you are delivering it. I bet you will be helping a lot of people here. You have a lot of authority with this topic and people trust you and should trust you. Well done!
Thank you for sharing this. I was treated with the “no sugar/sugar is your drug of choice” theory and relapsed on and off for many years because of it. Once I learned how animals become food my relationship with food shifted. I’ve had a sustained healthy relationship with food and my body for over a decade now. I have real food freedom and genuine healing. I wish this for everyone that struggles with ED. Sugar was never the problem. It was a flimsy bandaid slapped on a deep infected wound.
I'm a 35-year-old male who struggled to recover from a binge eating disorder for 10 years. I agree with you, and I don't believe that avoiding foods is the right answer. It was only after I learned moderation that I was truly able to move forward with my recovery and stop the restricting/binge cycle. When I removed certain foods from my house entirely it made me crave them even more. Thank you for sharing your story.
That is really surprising about sugar not being allowed there, as nowadays eating disorder treatment is all about no restriction
Very good point
As i dietitian myself I do think they should feed more healthy foods in those clinics. Some people who come from restriction have something called glucose intolerance. Or temporarily pre diabetes.
Yeah I was surprised about that too! Every eating disorder clinic I know of is so anti-restriction that they don't even allow their patients to go vegetarian or vegan, since it's a "restrictive diet". One reason I could never work in that field
I'm inspired by you because standing up for what you believe in is right, and I agree a life of restriction and anxiety over food doesn't sound as good as having a healthy relationship with food where you occasionally can have a cookie or whatever. Especially if you're already "restrictive" by being vegan or don' t eat fast food and such.
Cheers to you and your new chapter, Miles! I may send my hubby your way someday so he can reach his health goals :D.
Thank you so much for sharing this story. This just shows that the topic surrounding EDs is so so nuanced and the way anyone approaches it matters a lot, especially in a clinical setting. I‘m 100% sure, even though you left that clinic, you had a lasting impact on it’s structure by sticking to your thruth and your understanding of this matter. Hope to see more videos coxo
Thanks Miles. You’ve helped me move forward into more truth, I’ve been free for a bit over 2 yrs now. I struggled for over 30 yrs. Being honest and letting go of even little things in life is what helps me feel at ease. I eat all kinds of healthy foods mostly. But I love having treats sometimes. It’s like a hug…truly. I look back at all the years of my struggle and it breaks my heart. But I too am so so proud of myself. I can’t bring those years back but I can keep moving forward and strive to love and be real. I sure do love you for just being you. 💗
I love the fact you've work through a lot yourself and now feel comfortable enough to help other again!
Sending you lots and lots of love
Yess Miles! when it comes to going against your values, you should be stubborn! But equally, you can always change your mind and revisit stuff when you gain wisdom & a fresh perspective.
Thank you for being vulnerable and sharing your story
I am so proud of you for standing up for what was right for these patients. My struggle with Anorexia began at age 15. I did not receive the proper care to heal my relationship with food, but instead was forced to eat a bunch or processed crap because my mom believed that was the only way for me to gain weight and be "healthy". I hated every minute of it and the end result was that I began to binge on these foods, and developed more of an issue around food and control than before. It took years for me to heal my mind after being told I needed to eat a bunch of crap in order to get better. You are right when you say that people with eating disorders are best understood by those who have experienced this for themselves. Thank you for this video❤
I agree with you, Miles. I studied Nutrition too. Hope you will be able to genuinely help people. Integrity is very important. If the gap between the company's and your values are too big, both parties will eventually part ways. Wish you all the success. 😊
That was a really brilliant video Miles…everything you said is SO important and core to recovery. Thanking you 🙏👍😊💕
You’re most welcome ❤️
It means a lot to me personally that you've made this video. I suffered a very severe eating disorder as of the age of 14 years old and nearly lost my life. I'm now 31 and have spent the last few years having complete food freedom, I eat what I want when i want and thats purely because I've finally become happy in myself. I've recently suffered a bit of a relapse because I've had a lot of things in life that have become difficult and made me feel insecure in myself. It really doesn't have anything to do with what you eat, it's about how you feel about yourself.
This video has really really saved my day. Honestly you have no idea how positive your impact is. I needed this so bad and you delivered. I think you are one of the most educated and qualified people to offer help!!! Please please check your DM❤❤
I struggle with my health and my size but I haven't had the courage to do much about it in years because I used to have a very disordered relationship with food and exercise since I was a teenager. I've been terrified of becoming that controlling person who only allows X, Y, Z foods and doesn't feel worthy unless she exercises 2-3 hours each day. Every time I start to track calories I can hear in my head the unhealthy mantras coming back, the judgments, the obsession creeping in. Food and exercise are good for us and choosing mostly good options is good for our health but it's so difficult when it feels like achieving balance is akin to walking on a tight rope over a chasm.
We have missed you, can’t buy and pick tahini without thinking of your criteria. Also this was amazing. Really made me reflect on my time with my therapist, this was really freeing
Amazing to hear someone talk about this. With my own experience, I have to say that as long as a person has a restrictive eating, he/she can’t fully have a mental freedom from ed. Even as little as “this is not my favorite dessert, so I don’t eat it”, doesn’t sound serious, but for ed-past person it usually means that you want to save the cals for the best food, and restrict the “normal/average tasting foods”. Restricting can be done in many ways, each person has their own individual behaviors. But as long as a person keeps overthinking about eating/food, as long will also the mental burden continue.
This 68 yr old woman says, "Yes Miles, so much wisdom for your age. You get what freedom is."
Amazing video. One of the best nutrition advice, honestly
I like that you're stubborn... Keep putting out honest stuff like this. I have zero doubts about your sincerity when you speak so passionately. Thank you!
❤️❤️ thank you means a lot
Bruh yes sugar is not cocaine! Thank you for telling us your stories. You just refuse to be brainwashed and I love it
I am so optimistic that a creator with your reach is getting the message out about orthorexia (eating disorder characterized by an excessive preoccupation with eating healthy food). Whoever wrote that rule for that private eating disorder clinic probably suffered from this themselves. Great job Miles. 👏👏👏
You are way smarter than that clinic where you've worked. 👏🏻
Sugar is psychologically addictive like things such as gambling or sex. It's not a biological dependency that's going to trigger a heart attack like a recreational drug. So it's not an all or nothing proposition if moderation can be maintained. If you are calorie counting, that's a way to manage not over indulging. I'm also sure there are other methods if counting isn't your thing.
Wow, that's so great you are offering sessions now! Congrats! Also, would you ever considering going back to working in eating disorder treatment centers now that things have changed since back then?
As someone who is going through ED recovery for a second time (actually the first time for real for real) this is so true. Like I couldn't recovery before because I had do much trauma that was causing me to need control. I worked through that and this go around, while not easy, is not that hard food-wise. The weight gain is hard, the exercising less is hard, threading enough consistently is hard, but you know what? I have never been this happy or fulfilled. For once I feel safe in my body and open to life, love, and happiness. And that is because I spent a lot of time working through some things I went through at a very young age. If you are suffering right now you can do this, you can recover and no matter what happens to what you eat or how you look- it will be so so worth it 💚
So true! So glad you stood for your truth. It would actually be tremendously helpful for a lot of people here if you would share insights about recovering from an ED, not as medical advice, but as take aways from what you have learned whilst working with your clients.
Ups, sorry, I haven't watched the full video yet and I guess you are offering 1:1 coaching, but maye some general hints for the ones that are not (yet) working with you ...? ;-)
The whole past 4 years in this world has all been about standing in our TRUTH and not succumbing to particular pharmaceutical injections! Thanks for speaking on this. This applies to all aspects of our lives. Standing up for your truth is most HONORABLE 🙏🏼🙌🏼👏🏼🙏🏼🙌🏼👏🏼🙏🏼🙌🏼👏🏼🙏🏼
100% ! lots of love
This video really really means a lot to someone who's been through this. would love to have your "services" hehe but serious. bless you for not wavering
I love everything you stand for ❤
Miles you are AMAZING. You need to reach out to creators like Chef AJ and do a debate! Also Nutmeg Notebook, who are friends with her, eat the same way. The level of restriction is insane. People watch these channels (including myself) and feel like they are failing because they didn't have a salad for dinner for 14 years straight! PLEASE continue to get your message out!
I made a whole video on her lol linked in bio xx
I’d listen to your podcast 24/7 if you had one. Truuuth always
and you are 100% spot on
Thank you Miles ❤
Thanks for sharing!
I eat oil-free WFPB & I cheap about once a month, when I am not home. When I travel, I cannot take, buy nor prepare all the oil-free wfpb foods I usually eat. I try. Thus, my choice when traveling is either not eat at all, or eat foods off my plan.
I really really appreciate this video as someone who's been through this. huge respect! I'd love your "services" hehe but serious
it really annoys me how some people force people with eds to eat a load of junk food like ultra processed food and animal products when really what you need to recover is balance, obviously if you’re underweight you need to be in a calorie surplus but this can be achieved without all the processed and animal-based foods, i recovered from my ed by eating mainly whole food plant-based but also eating processed food and refined carbs and oils in moderation, pastry was one of my biggest fear foods and avoiding it would be extremely unhealthy so i had to eat it to overcome it and more than once ofc and now i can enjoy pastry from time to time, but equally if i would’ve had to eat pastry multiple times a day and no veg, i would’ve been more scared of pastry bc i wouldn’t enjoy it at all and would associate it with weight gain, but bc i gained weight eating a massive variety i don’t associate any foods in particular with weight gain, i just associate being in a calorie surplus with weight gain
Thank you so much for sharing this with everyone! 🙏🏽 I wanted to ask if you have any books on nutrition (can be about any area of nutrition) that you would recommend?
I am interested in learning about what kind of advice you had/have for people with liver issues. I keep hearing that we should not eat carbs, but as a plant based person I can't imagine that. Are there certain plant based foods that someone with NAFLD should avoid? Or eat more of?
I was in the first eating disorder program at the university of Minnesota in 1980! I didn’t know the word bulimia back then. We were instructed to look at food labels. If sugar was at least the fifth ingredient listed, we could eat it, if desired. Kind of weird idk
Hm! It depends...I know myself and I know situations...once it would meen nothing to eat suger and on the other hand there are times when it would start road downhill...So I agree that its not neccessary to say never eat sugar. But be honest to yourself and know certain foods that are trigering you (not others) because its different for everyone.
You sound extremely reasonable in my opinion. I think your attitude could potentially be more healing to patients, than eating only whole foods, in the scenario that they are completely taken over by fear towards food. Omg are you in Sweden? I’m happy to hear it. It’s my home country. 😊😊 I lived in Italy for two years, and eating only veg, oats, fruit..basically the wfpb. Meaning I never once enjoyed thé delicious Italian food. No pizza, pasta, no gelato, chocolate or wine. None. I regret it!!
I am in complete agreement with you on this Miles. It's fascinating how so many institutions have a set of rules/guidelines that are either their mandate or some legality that they must stick to that is totally useless. The goal should be to help the patient or participant become their nest selves, yet these guidelines only serve to support the institutional body, not the individual who is seeking help/guidance. It's mucked up, but that is how western institutions function in our modern, corrupt society.
I agree with you and respect you even more for the reason you left/was let go
I'm one who struggles so maybe I don't know what is the best thing, but freedom sounds pretty nice to me.
Wow! I totally agree with you. I wonder if this facility still has this view?
it does lol! it's brilliant otherwise :)
It's so crazy how different clinics can be. When I was a child I was treated in an outpatient clinic, and it was exactly the opposite. It was like the ONLY meals and snacks offered were processed, refined, and high in sugar. Now don't get me wrong, I completely agree with balance and including all things, but every sandwich was served with white bread, every snack a choice between something like pop tarts or ice cream, etc. I was like, I get that people need to know it's ok to consume these foods and to not fear them, but like, can I please have something that provides more nutrients to my body too? lol it sucked
For me avoiding super processed foods makes eating healthy at home easier. When i eat processed vegan foods at a restaurant it makes my typical home meals taste worse. I end up wanting to order more doordash instead of cooking.
orthorexia goes hand in hand with eating disorders, I completely agree with you on the approach
…a key factor is just feeling. Addictive behavior and disorder would have roots in avoidance as well. So many people just don’t even Feeeeeel to start with. Crazy…you know what I mean?
You sometimes let your humour cloud your extreme intellect. Although maybe that’s intentionally smart 🤨. Love you love the message
Eating disorder, for me anyways, was a way of handling the feelings of being controlled by others despite being a capable adult. Also, trying to control health things that I was born with and had no control over.
But I found that I lost control and jeopardized my health for a few years. 😢 It did not help in the long run. I agree.
Eating fats that were on my “no touch list” like sausage sometimes actually helped heal my mental health not make it worse. … again for me anyway.
well said, thank you.
That’s so strange. I’ve been in ED treatment multiple times and had the opposite extreme: they made us eat sugar every day.
We weren’t allowed to refer to any food as “unhealthy.” And they often taught health at every size rhetoric.
I kid you not when I say they wouldn’t let me eat lower glycemic foods despite having PCOS. They had a breakfast of donuts and juice. And they refused accommodations for gastroparesis.
Love it !!!
also another thing that really annoys me is when ‘medical professionals’ try to force ppl with eds to eat dairy despite 70% of the population being lactose intolerant and it being one of the top 14 allergies, a camhs worker told me it was impossible to gain weight without consuming dairy which is an insane statement as weight gain is simply achieved by a calorie surplus regardless of whether it’s animal or plant-based foods, i never ate dairy thankfully and weight restored on a fully plant-based diet which consisted of around 80% wholefoods :)) i gained 25kg which sounds like sm and old me would’ve been terrified if she would’ve known that😭 but now i’m in the normal weight range and can think much more rationally so i needed to gain the weight
Thank you for sharing :)
This is so suprising! When i was admitted to an ed clinic i wasn’t allowed to stay vegan and was forced to eat sugar, cake, butter, chocolate, drink full fat milk etc. in extreme amounts.
I was in a ED clinic 2015. We had sweet lunch once a week and nobody was allowed to skip it 😶
Interesting to know that there are clinics that make sugar something forbidden :0…
This sounds like the exact opposite of health clinics, hospitals, treatment centers etc. in the United States. I am very confused
I’ve never known of an eating disordered recovery method that encourages restriction. This is absurd.
I went to an outpatient clinic for bulimia and anorexia. You were treated holistically by their team. Every patient saw the treating dietician, who’s methodology was non restriction based.
Telling people you can’t eat a, b, c and e, especially from health professionals, just drills in further disordered eating and perpetuates obsessive mindset around food. It justifies restriction for the anorexic and orthorexic and leads to binge eating because too often restriction leads to bingeing on what you restrict.
To me, this philosophy doesn’t set patients up for successful recovery because it presents another (imo, substantial) barrier to sober living and a balanced state of emotional and physical health. If *consuming* *sugar* is *equated* to the *addiction* one is seeking treatment to eliminate, then consumption of that fairly ubiquitous substance also equates to failure and thus *relapse* (?!?)
I truly can’t imagine being in a state of recovery from something and then feeling the crushing weight of relapse because I ate a candy bar.
In sum: Harm reduction is nuanced but- in the scope of what these patients are seeking treatment for-the relative risk of sugar consumption feels absurd to consider, let alone elevate to the degree of sobriety.
I dont think its one size fits all in recovery. When I was at the height of my bulimia I had to stop eating sugar otherwise it would trigger more bingeing. In fact I went raw vegan for awhile and it was the only thing that got me out of my extreme bulimia anorexia and heroin addiction. I can handle sugar now in
I'm in my clinical rotation for nutrition internship right now LOL but ya I don't want to work in it either
Sugar will not rapidly damage your body and health the way hard drugs would, but there are tons of studies that show how damaging is if overindulged long term. But like you said, it's not about the food itself, addiction is to the feeling the thing we're addicted to gives, or the parts of brain it stimulates. So if someone is severely addicted to sugar, perhaps it's a really slippery slope for them to have ’just a cookie’. They are trying to free themselves from not only the physical effects, but most importantly, from relying on needing that thing to feel good or filling whatever the addiction makes them crave. So until a person is fully free from the dependency, they should absolutely avoid it. To you it's just a teaspoon of sugar in coffee, not a hit of heroin, so it seems harmless, but to them it shows they gave in to their need they so badly try to be free from. A person who is trying to control their sugar addiction absolutely cannot have ’just a cookie’. Perhaps only AFTER they recoved when they don't feel like they need it anymore. You don't seem to take food or sugar addictions on same level of seriousness as hard drug addictions because the thing itself doesn't harm the body as severely, but the addiction aspect works same way. You don't give ’just a beer’ to an alcoholic same way you don't give ’just a chocolatel to a person who wants to be rid of sweets addiction. I am not an alcoholic so I can say ”I don't want to have these fears, I want to be free....’’ and have a cocktail with friends and have a good time this way. Of course, I'm not addicted nor am I trying to be rid of a habit. It's more psychological than physical, and control is definitely needed UNTIL the person can trust themselves to be more free and not let the need take over their minds.
Miles’ main point is: restricting sugar is not beneficial to those in recovery for anorexia and orthorexia. The continued restriction of certain foods will only exacerbate the illness and encourages further restriction. In order to fully recover, from extreme control and restrictive habits, letting go of food control and thus eating ‘prohibited foods’ that contain sugar is necessary for psychological healing. An anorexic eating a cookie would be frightening and cause extreme anxiety. That is not healthy nor normal. Anorexics need to overcome that fear and the only way is through exposure therapy; eating the fear food, not bingeing on it and realising it is okay to eat a treat every so often, and that they will continue to be okay.
@emilyjayde6564 I understand your point. What I meant was there are those who rely on food as a (sometimes) main source to improve mood, they crave the dopamine hit, and in order to be rid of this dependency and finding other ways to get that good feeling is to not give in to 'just a cookie' cravings since that is exactly the addiction a person is trying to get rid of, so it would count as a 'relapse'. Once they no longer they feel like they NEED it and trust themselves to not depend on it, once the habit is fully gone, then they can start incorporating in their lives again. Anorexia and drug addictions are completely different and I agree those shouldn't restrict sugar so extremely or demonise it, but I was talking about a different type of addiction, which is sugar or just food in general.
Bam! ❤
wtf did you do Miles?
Wow you were right that’s exactly what I was thinking!
maybe we Americans have a love for sugar that is simply on another level, but I don't think "No Sugar" as a rule would fly at any eating disorder clinic in the States
Where have you been
@HealthyCrazyCool Don't you think that veganism is also a kind of eating disorder? How do you become a vegan/vegetarian? by talking about the meat so badly and disgustingly that you don't want to eat it anymore. Because let's be honest, most people grew up eating meat and would say that it tasted good too. I still remember the taste of yellow sausage that I always got from the butcher as a child. It doesn't make sense to me to exclude such an important source of protein from a healthy diet and instead prefer highly processed pea protein. Surely there has to be a form of nutrition that is healthy and completely without restrictions? I don't eat meat myself, but I couldn't say I don't eat it because I don't like it.
That was odd, heard from someone that would rather die than eat a cheeseburger...
Miles is okay not Vegan. I’m a vegetarian I love dairy’s Greek yogurt I have anorexia? ❤❤❤
Agree
Sugar is cocaine for me. I try allowing myself to just have a bit every day but it snowballs every time. lol
My rule now is:
1)Only sweet things at breakfast
2)Only sweet things if it’s an insane dessert at a restaurant or birthday etc
That seems to be working for me.
Otherwise I can just drive to the local bakery and get 3000 calories of sweet things and eat them in one sitting. Hahaha
DR. WALTER KEMPNER- SUGAR
Wow how cute are you!❤️
DR. WALTER KEMPNER- WHITE RICE
Hey mate iv been watching your channel for years and always enjoy your videos, I’m also a tennis coach and would love to have a friendly hit with you one day if you have the time and are In the uk
im afraid. how many patients have been there? they probably joined because of an ED and may had left with another one: orthorexia. it is ironic, isnt it? they pretend to solve an ED by implementing another one. its crazy. thanks for sharing. im proud of you!
Are you losing weight? Please get plenty of calories! I know you're going through a lot right now, and your condition makes it difficult for you. Hope everything works out for you.
Is ok Not Vegan Eating i have anorexia, I’m a vegetarian ❤
People be eating 100 grams of fat per day and then blame table sugar and call it "cocaine"
Miles is legit sitting here like he is in his 20s. Meanwhile he is like 38 👀 aging like fine wine
38 is still very young
Even Dr. Esselstyn himself has said he gorges on Oreos once a year on his birthday.
once a year hah? don't agree with any of his stuff in general but glad he enjoys his oreos
@@HealthyCrazyCool I've completely reversed my angina post heart-attack on his diet.
Constructive feedback 😜 For such a nice looking mic, the sound is 💩. Can hardly hear you and I have it on full blast. 🤷♀️
Must be an issue on your end, as sound is perfect for me.
@@klimtkahlo Hmmm - that is really odd - all the other videos are fine. Thanks for letting me know, tho.
And are you going to work with people that aren't vegans in your new practice?
yes, anyone x
But did you have binge eating disorder
yes
I'm sorry - I just googled you and found out you're 38 !!!! WHAT?? I thought you were a lot younger, lol!
I don't need nutritionist LOL. I just need real food from the source.
Hallllloooooooo 👋
I check on him every few months to see how veganism is destroying his health further and further.
So you’re not a dietitian? Hmmm
hmmm no I trained about actual health for 4 years in college - not just macros and government guideline pushing :)
@@HealthyCrazyCool 🤣 you’re such a joke. You’re really hating on dietitians?? 🚩
@@HealthyCrazyCool If you really think that dietitians just push macros then idk what to say. You’re so lost. You couldn’t prescribe a TPN is you tried.
@@HealthyCrazyCool This is such a bad look for you, to anyone who has any actual reputation in nutrition. You’re a joke.
Eating disorders emerge from so much dysfunction in a family often. Emotion and programming and overload.
Reflecting on my past self who has healed and can have perspective… bulimia a response to over emotion and tired from performing from school…. To start. Therapy goes a short way… but too mentally confusing…I wound up malnutrtioned from lack of support in my life and purely living too hard and neglecting my Full care. Master oneself… meditation and humility are big healers. Also… a plant based fresh foods diet…
Those who are in controls… eventually want to be the controlling one… in whatever manifestation.
Lots of love and comfort and self awareness to us all.
This is either a BS story, or the place you were working was totally BS and unserious. You’re not even a dietitian.
You're not even a boss 🙄
@@Parmesito lol
I’ve never heard of such an approach in an ED clinic, rather the opposite 🤨
Haha I’m pretty sure I know who you’re referring to, ordering boiled potatoes and broccoli at every restaurant 🫣🤭