How Much Should We Really Be Eating, with Priya Tew

Today we had the pleasure of welcoming Priya Tew* to the pod.  If you are in recovery from an eating disorder, have ever experienced disordered eating or just struggle to know what you should be eating, this episode is for you.

Ela and I are confirmed anti-dieters but this chat reinforced for us the need for nuanced conversations. conversations that explore the messy middle.

We learned so much from Priya in this short episode and know you will too.

*Priya Tew is an award winning registered dietitian and leading expert in eating disorders and irritable bowel syndrome (IBS). With nearly two decades of experience, she is passionate about helping people build a healthier relationship with food. Priya runs her own practice, Dietitian UK, and an eating disorder recovery community called the Recovery Tribe. She is also the author of two books (the DASH diet and the complete low FODMAP Diet plan), sharing her knowledge and expertise to support those struggling with food and gut health. Alongside her clinical work, Priya collaborates with food brands, contributes to the media, and balances life as a mum of six.

Visit Priya's website.

Follow Priya on Instagram

Check out Priya's Facebook account

Please reach out if you would like some support with your relationship to food OR movement. Ela currently has limited spaces for Intuitive Eating coaching and if you'd like to reconnect with movement, contact Christine.

AND if you enjoyed this episode, please share and follow the 'Find Your Strong podcast' and if you have time, write us a short review. It would honestly mean the world. Love to you all, Ela & Christine x

Transcript

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Ela Law: Hello, Hello, we've got a treat for you today. We've got the amazing Priya Chu on our podcast Priya is a very well-known dietitian with extensive experience in eating disorder recovery. She's an Ibs and gut health expert. She has been loads on TV and in the media. You might recognize her from several TV programs.

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Ela Law: She is also a Pilates teacher. And to top it all off, she has 6 kids to look after. So there's quite a lot of stuff going on in her life, and she had time to speak to us today, and we talked about loads of different things, didn't we, Christine?

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Christine Chessman: Yeah, I mean, it was, it were lots of tangents which is unusual for this podcast I'm joking.

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Christine Chessman: And so we talked about eating disorder recovery. We talked about. How the hell do you know what to eat, how much to eat? And we broke down some sort of well-known myths, nutrition myths, such as

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Christine Chessman: intermittent fasting. What else are there.

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Ela Law: We do?

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Christine Chessman: Sugar! Oh, so.

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Ela Law: Glucose, monitoring.

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Christine Chessman: Glucose, continuous, glucose, monitoring. We talked about a lot which is really important. We also talked about Pts handing out nutrition advice.

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Ela Law: And how to spot a quack.

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Christine Chessman: To spot a quack. So you will not want to miss this episode. And yeah, if you like, the episode, leave us a little bit of feedback, or follow, subscribe, share whatever works for you.

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Ela Law: Thank you.

WEBVTT

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Ela Law: Hello and welcome back to another episode of the find your strong. Podcast

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Ela Law: we have the pleasure of welcoming Priya Chu today. Priya is a dietician. She's very, very experienced in eating disorders, ibs, and gut health. She's been on Telly in the media loads and loads and loads. You might recognize her. If you watch our Youtube video, she's also a Pilates instructor. And I think, mother, to 6 kids now. So you've got your hands full, Priya. Thank you for finding time to speak to us today.

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Priya Tew: Thank you so much for having me. It's certainly busy in my, but lots of fun, too.

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Ela Law: Oh, I bet I bet! So we thought we'd do a few slightly different things today in terms of what we're going to talk about. We really are interested in your expertise in eating disorder, recovery, but also in general, how do we actually know how much we should or shouldn't be eating. And then I thought, maybe towards the end, we can do a little bit of myth busting because there's a huge amount of misinformation and new

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Ela Law: bollocks out there, and you're very, very good at sort of dispelling the myths around food and nutrition.

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Ela Law: So Christine had, before we went on on the recording had some really interesting

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Ela Law: questions in particular, with regards to eating, disorder, recovery, and sort of how do we know how much we we should be eating? So do you want to lead with that Christine.

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Christine Chessman: Sure, Priya, I always stalk my guests before they come on. So I was listening to a few of your podcasts. I'm, really interested in eating sort of recovery and disordered eating recovery. So I've been there. A number of my clients have been there. My daughter was there. It's it's you know it's obviously the eating disorders are growing in numbers and have been since Covid

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Christine Chessman: and I just I've got a few clients who are kind of post recovery, but just don't really know or trying intuitive eating.

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Christine Chessman: but really struggling with this hold on meal plan. Strict, strict. Now it's like you can have whatever you want. It's like, I don't know what I'm supposed to do. I don't know how much I'm supposed to eat, and you know you might get more full than you would normally, and you might just. You have no idea about your hunger and fullness signals, because you're so out of touch with those.

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Christine Chessman: I mean, this is a massive question. So apologies. But just

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Christine Chessman: how would you talk to somebody who's in that situation, really struggling with bridging that gap.

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Priya Tew: It's such a hard one. So I think the 1st thing is loads and loads of self-compassion, you know, being able to talk to yourself and to go. Do you know what this is? Hard.

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Christine Chessman: I'm guessing.

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Priya Tew: Through right now, I've got to basically relearn the whole process of how do I connect into my hunger some fullness signals, and from my experience for some people that doesn't always happen anyway. So it's knowing that actually, for some people that intuitive eating isn't going to work longer. Term. Yeah, sure it's a great aim to have, and I completely agree with that. But what I do find is that sometimes it just isn't what ends up working.

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Priya Tew: So knowing that there can be many different approaches, and it's finding the one that really works for you. But

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Priya Tew: you may well have a meal plan that you followed for weight restoration, and whilst it in you know it kind of makes sense. Oh, well, that's not going to be my long term meal plan. That was for weight restoration. There is a period where you're still going to need to stick to that whilst you are working on maintenance. So just because you hit the word maintenance doesn't mean that suddenly you cut back on a whole load of food.

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Priya Tew: because when we think about what the body's doing when you get to weight maintenance. We don't know what's still happening inside the body. It's likely that there's still going to be a number of months and a period of time, where the body is still needing to do things like heal bones and

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Priya Tew: sort out hormones and repair everything that needs repairing inside. So there's still going to be this increased need.

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Priya Tew: What we also know

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Priya Tew: is that when you're working on recovery alongside your weight, restoring your metabolism is restoring as well, which means you end up using more energy, sat in a chair than you would have done previously, which is quite magical. I always think so

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Priya Tew: when you get to weight maintenance. You are using more energy. Blood has got to be pumped around a larger surface volume. Your heart, your organs. They all have to work a little bit harder. Your temperature, all of those things

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Priya Tew: have to be working harder. So therefore you're going to use more energy. So whilst on the one hand, it feels like common sense to say, well, I'm at maintenance now. How much do I cut down by? I would say, give yourself a period of time. Give yourself minimum 3 months, maybe 6 months, and just test the waters and go well, actually.

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Priya Tew: how do I feel about this? What are my hunger and fullness levels like, how much energy does it feel like my body is now using, knowing that it's probably going to be using quite a lot still, and we also know from eating disorder, recovery, that for some people long term and forevermore, their bodies always need more energy than they did previously.

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Ela Law: Wow! So that is a really a long term thing that I'm not sure people are necessarily aware of that requirement. Would you? Would you agree.

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Priya Tew: Yeah, I think so. I think it's not something that's necessarily wildly talked about, and I don't think it

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Priya Tew: necessarily needs to be widely talked about because we want to be individual with people. We don't want to be prescriptive and say, right once you get here, you're going to need X amount. We don't know. Everyone's bodies are unique and different. And that's why, you know, when I work with someone I'm like, okay, well, let's look at

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Priya Tew: what activity. Are you going to be doing? What do you want your life to be like? What do you want? Your energy levels to be like? What's your body gone through. What healing processes are there still to do? But it makes sense that once your body has had that story of, I had restriction. Perhaps if we think about restrictive eating disorder specifically, it's always going to want to go. Do you know what

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Priya Tew: I might just want to keep a little extra? I might want to just make sure there's there's enough coming in each time. So I would say, rather than thinking about cutting down. Think about how much

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Priya Tew: can I keep in my diet comfortably, knowing that the body has these excess needs? And definitely, that's going to mean still eating very, very regularly, so sticking to your 3 meals, and you're still going to want some snacks in there. So I think lots of the people I work with they go right. When do I get to cut out this snack?

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Priya Tew: Probably not going to cut it out. But maybe we're going to change it.

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Priya Tew: and maybe we're going to alter it. And we're going to move away from what you're currently having. And we might find something else that you can have there. That isn't quite the same size in terms of the nutrients that are coming from it.

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Christine Chessman: You mentioned Priya. This is all fascinating to me. You mentioned that some people for some people intuitive eating just doesn't work, and this, this is interesting to me because

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Christine Chessman: I sort of struggle with it. To me hunger and fullness is such a great gauge of

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Christine Chessman: satisfaction around food, or how you should be eating generally, and I know those signals. It's much harder for some people to get back there, especially if they've suppressed their appetite for so so many years, but coming from the knowledge of seeing my daughter, who is kind of, you know, weight restored, but still expected to eat this massive plate of food that, and you know, shoving it in her when she's not hungry anymore. And she's so admit it just broke my heart because it was this, you know.

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Christine Chessman: that's not her tuning into her body in any way. You know, she's just thinking I've got to eat this. And at some point surely it would benefit most people to try and tune in

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Christine Chessman: to. Would you agree or.

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Priya Tew: I would agree that when I say it doesn't work for all people, I think I'm saying that with that caveat that you know, if it doesn't work for you. That's okay.

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Christine Chessman: Okay.

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Priya Tew: People who are more on the neurodiverse spectrum. So I've got someone at the minute with Adhd, for example, she can't tune into her hunger and fullness signals. Very well, there's a massive overlap between autism and anorexia. So sometimes for those people. Again, it's going to be really hard to use those signals. And that's okay. It doesn't have to be for everybody.

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Christine Chessman: Yeah, yeah.

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Priya Tew: This, this intuitive eating space?

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Priya Tew: I do also think that

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Priya Tew: personally, the way I work is, I try and bring in some of this hunger and fullness work and this interoceptive awareness, which is where we're just trying to tune into what's our body saying? What does it feel like to actually try and tune into my body and feel what's going on. I try and bring that in earlier in terms of recovery. So we're not doing intuitive eating.

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Christine Chessman: Yeah.

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Priya Tew: We are using some of those skills, and that could be, you know, the heart rate, exercise or.

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Christine Chessman: Yeah.

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Priya Tew: Using the feelings, wheel and tuning into those feelings and using techniques like urge surfing, which is where we might actually focus in on a feeling, think about the thoughts that are going on around that, and try and connect some of the dots, but then actually be able to ride it out rather than try and ignore it or bury it.

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Priya Tew: And I think that for me personally all comes within the realm of intuitive eating. So for some people. They might not get to the hunger fullness, able to know exactly what their body's telling them for food. But maybe they can do some of this other side of work, and that's still all really valid and amazing work to do.

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Ela Law: Yeah, that I love hearing that because I often have to remind people that intuitive eating, as we've all learned it in our training is a framework, and it's got loads of different aspects. And only if if one thing doesn't work for you, for example, if you can't tune into fullness or hunger. There's loads of. There's 8 other things that we could we can use and utilize to work on. So that's really. And it's also really interesting to hear that you use

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Ela Law: sort of interceptive awareness quite early on in the recovery process, which is encouraging, because I suppose it gives

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Ela Law: it gives your clients a huge amount of agency because they are in charge of. They are the ones that can tell you. This is how I'm feeling. This is what's going on for me rather than you telling them. Or you need to do this this and this because they actually experience what's going on in their bodies. And they're learning to reconnect to that. Is that fair to say.

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Priya Tew: Yeah. And when we think about one of the things we know really helps people in terms of recovery, it's mindfulness, meditation, breath work. Now, that's really hard stuff to do. So, you know, quite often I get someone who's very disconnected, and when I say, you know, go away and do some breathing exercises they're like, no, thanks.

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Priya Tew: I'm not going to do that right now. I'll go away and do meditation. They're not going to do that. But if I can find a way of making it more purposeful.

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Priya Tew: you know. So let's do some counting associated with that. Or do you know what if you do this breath work. What it helps you do is it helps you to later on be able to sense more about your hunger and your fullness cues, and that's the purpose of it, and I find that can be a little bit more helpful. It kind of opens the doors, so I like to bring not just the interoceptive awareness in, but also this process of embodiment, which is where we're trying to kind of get back into our bodies and connect.

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Priya Tew: What does it feel like all these grounding techniques? And actually, you know, using our senses? I think that for me can be sometimes the pathway towards intuitive eating. If that makes sense.

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Christine Chessman: This. This really resonates with me because I think you're a Pilates teacher, and as am I? But I also did a whole mentorship on applied neurology of movement, and it's my every session that I take with clients. Some of my clients do not want to be. Still, they do not want to do the breath work. They do not want to go near that, and aren't ready to do that, but

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Christine Chessman: they want to move. So every time we move, I say right, have a think, how do you feel? How does your left shoulder feel? How does your right shoulder feel? You've got a pain in your back? Which side is the pain? Is it low down the back, and just trying to sort of, you know, feel into their bodies and kind of that proprioception. Where are you in space? All of that for me feeds into that interoceptive awareness, and just getting to know yourself and your body a little bit more

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Christine Chessman: and.

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Priya Tew: It sounds a bit woo, doesn't it? It sounds a bit out there when you.

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Christine Chessman: Not, move.

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Priya Tew: With people. I think it does with people, but one of the things I do in my recovery work. I work once one with people. But I also run group coaching. So I run a 12 week course called the Recovery Tribe, where we do group coaching calls, and I love those calls because I start every call with an exercise like this. So we do some kind of embodiment mindfulness, exercise, and you'll see right at the start, like people can't connect. They're darting around all over the place which I fully get. I am one of those people myself.

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Priya Tew: but you notice, as they go through that they start connecting more, and then I'll get feedback on. Do you know, actually, it's quite helpful. And my favorite bit that we did in the entirety of this 12 weeks

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Priya Tew: was the breath and the nervous system work. I think when we can try and calm our nervous systems down and really connect into our bodies. That's when we are actually going to start to know. Well, how much do I need to eat?

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Priya Tew: Oh, actually, I get it now I can sense what my body is trying to tell me, because I've done all of this previous work. First.st

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Ela Law: And it's important to explain that, isn't it? Because initially, you think, well, that has nothing to do with my eating issues, does it? It's just like, yeah, wait and see how it works. It's like flexing a muscle that you need to train to.

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Priya Tew: Yeah.

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Ela Law: To be useful to you.

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Priya Tew: Yeah, I didn't understand it to start with, and I'm somebody who very much, you know. I'm very driven. I kind of go at a right pace in life at times, and then crash! And I hadn't connected in with my own nervous system, and I was very much living in fight or flight for years, and I now know how to recognize that, and that I have to put in place systems in order to help me down regulate. I hadn't got a clue. That that's what Pilates did for me.

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Ela Law: Wow!

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Priya Tew: Well, at some point I made that link I was like, oh, this is why I like so much

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Priya Tew: kills me the heck out, and then I'm able to actually think clearer and connect to my body better.

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Priya Tew: And so I love bringing in, you know, kind of like stories and explanations in order to help people go to. You know what the purpose of breathing is. Not so you know how to breathe.

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Priya Tew: It's so you're actually able to feel where that breath goes in your body, calm your whole mind and body down, and then you're able to sense what's my body telling me right now?

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Christine Chessman: Oh!

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Ela Law: That makes so much sense. And it's really interesting to hear that you have sort of

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Ela Law: almost retrospectively connected the dots. You probably have been doing Pilates for a lot longer

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Ela Law: before you actually had that. Oh, hang on a minute! That's why it chills me out, and maybe intuitively, you've chosen Pilates as something that you wanted to do and to teach and to instruct people on. That's really cool.

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Priya Tew: Hmm.

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Ela Law: Brilliant.

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Christine Chessman: And it's also the intuitive eating. It's not, it is within the 10 principles. So you've got movement feeling the difference. And it's all about how you feel in your body. So that's all. As a bang on to clients about all the timers. How do you want to feel when you move. How do you feel now? How do you feel when you're moving? How do you feel afterwards? Not? How do you want to look? How do you want to feel, and that, you know. So it is for me. It sort of all ties in, doesn't it?

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Christine Chessman: No, and.

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Priya Tew: And it's magical, isn't it? When it all comes together like that.

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Priya Tew: and you get just all the benefits of I'm calmer. I'm more rational. I'm a nicer person. I know that I go into my studio to teach, and I've just done dinner for 6 children, and it's all quite stressful.

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Priya Tew: So all I really want to do is have a bit of a scream, and I go in and

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Priya Tew: teach, and by the end of the session I'm lovely.

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Christine Chessman: I don't understand.

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Christine Chessman: Don't understand how you can be so calm with 6.

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Christine Chessman: I'm not

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Christine Chessman: I. You know I this weekend. I have teenagers who are amazing, amazing kids. I'm very lucky. But we've got Gcses and a levels going on. And I'm I was like so close to just losing it yesterday a hundred times over. I don't know. I'm just in awe of you.

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Priya Tew: Oh, don't be I I drop the balls constantly.

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Christine Chessman: Hey!

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Priya Tew: It's just we've got to be real about life. So I know it's a strategy in our household that mummy has to go outside and see trees preferably, or the beach pretty much every weekend. So we have to go out somewhere. So that specifically, I say, it's for me to connect to nature. Now, what does that do? It helps the teenagers as well.

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Priya Tew: Yes, tell them that.

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Ela Law: No.

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Priya Tew: Unless they notice, because they don't always like to be told we're going out for your mental health. We're going out for our mental health walk. I don't remember, if you remember, that there is that whole trend on.

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Ela Law: Yeah. There was a trend.

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Priya Tew: Yeah, I love that

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Priya Tew: natural daylight, making sure you get a big chunk of time. So at some point in your week outside, like I was gardening this weekend. It all just really helps. And I think it's knowing that.

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Priya Tew: you know, if that is so important for me as a dietician, as a clinician, also as a busy mom. It is so important for my clients and the people that I work with. So I love having these frank conversations about like when we're building coping skills, it doesn't have to be that you're sat there coloring. If that's what you hate, yeah, about, we find what does work for you in order to help bring you into this space where you're more connected

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Priya Tew: and to grow and learn we think about. You know the window of tolerance being in your growth zone. How do we bring someone into their growth zone? It's through using a whole range of different activities, and mine are not meditation.

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Priya Tew: Is Pilates going outside? Natural daylight being creative? Those are mine. So I think we've all got to find. What's your jam? What's the thing that works for you?

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Ela Law: Absolutely. And you're also at the same time in particular, for your children. You're role modeling like I need this.

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Ela Law: and I'm taking it. I'm getting it, and I'm showing you how to do that, because there's mums in particular. We're very good at sacrificing all of us for everybody else, but showing them. Actually. No, we're going up for me.

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Ela Law: and you're coming. I love that.

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Priya Tew: What happens if we don't go out for mummy's mental health.

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Ela Law: Yeah.

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Ela Law: You don't wanna go back.

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Christine Chessman: It's it's a really interesting one, because my brother has got little kids. He's older than me, but he's got little kids, bless him

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Christine Chessman: and he! He said. I said, why don't you go for a run every Saturday? Just. He's a doctor, you know. He needs the de-stressing. And he said, Oh, I'm not. I wouldn't be that selfish to go out and leave the kids for an hour. And I was like.

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Christine Chessman: but that's it. And to me. That's the opposite of selfish, actually. Well, I am much nicer to my kids. When I run

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Christine Chessman: after I run. I'm a much nicer person, or after I do a workout, or after I box something, and they will be thankful for that.

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Christine Chessman: But it's also good to to sort of model, not being the martyr, mum, all the time, and actually saying, I need this time for myself. And it's okay for me. You know, I'm a person in my own right? And it's it's showing them that when their parents.

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Ela Law: That they don't have to be the murder, mom, and burn themselves out and.

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Christine Chessman: Yeah. Sorry. I've gone on a tangent, you see.

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Ela Law: Yeah, we love a tangent, but I'm just thinking of. I can probably name you 5 clients right now, who who were almost in tears when they had. When I said, You have permission to take time out for yourself. It was just like, what

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Ela Law: what do you mean? I can make a decision. What I want to cook for tea. I'm allowed to go outside when my family is doing stuff in that. And it was just like, it's amazing to see, but also quite scary, how how much we put ourselves, not even on the list.

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Priya Tew: Yeah.

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Ela Law: Yeah.

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Ela Law: talking of tangents, this is my little segue into something that I'm inching forward towards, sort of misinformation and nutribolics. But I've got a little sort of in between that I was going to ask you about, and that is, we're hearing a lot about people doing intermittent fasting at the moment. Now I probably have quite a sort of

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Ela Law: not not a very positive thought process for any kind of fasting, but

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Ela Law: you know people keep it keeps popping up, and people sort of swear by it. And people, you know

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Ela Law: say, how beneficial it has been for them and all sorts of things. I personally see more of a dangerous kind of

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Ela Law: path. If you, if you start restricting, and if you start letting the clock dictate when to eat and when not to eat. I'd just really love to hear your view on on the whole thing.

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Priya Tew: I think it can work for a certain type of person.

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Priya Tew: And if that's you, then

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Priya Tew: right like, if it is not impacting your mood, your energy levels and what you do in life and your relationship with food feels like it's absolutely on point. Then, you know, it can work for some people. I don't think that's that many people, though.

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Priya Tew: Group. And we've got to think with all of these

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Priya Tew: bad diets and all of this information that's out here, whether there's evidence behind it or not. A lot of it is aimed at a small population group. It's not aimed at the global population. So I don't think intermittent fasting is something that's aimed at everybody.

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Priya Tew: If somebody has got any history of disordered eating, or an eating disorder, or anything like that, then I would instantly say, No, don't go there. There's other ways to get to whatever place you're trying to get to. Potentially.

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Priya Tew: we do know that there is some evidence that intermittent fasting can be helpful, and it can help with some health benefits. But again, I think it's only aimed at a group of people for whom that works, and they're okay with it.

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Priya Tew: For me, it wouldn't be particularly helpful for most of the people I work with, it wouldn't be very helpful. Tool. Yeah, it's just knowing that. Actually, that's okay. If it doesn't work, that's all right. It's.

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Priya Tew: It's work for everybody out there.

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Christine Chessman: Does. How does it tie in with intuitive eating? Because, you know, we all know that Gwyneth Paltrow put out the book. Intuitive fasting.

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Christine Chessman: I'm sorry I didn't mean to roll my eyes. That's not okay. Sorry. But it's.

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Ela Law: Apologize.

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Christine Chessman: For me. It's fasting. You can't intuitively fast.

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Christine Chessman: because you're basically saying, Oh, my body's hungry. So I'm going to push it down. So I think maybe that's just my eating disorder heads.

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Christine Chessman: But but for me, that's not listening to your body signals.

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Priya Tew: I don't know. I know that there are some people who are quite disconnected from their body signals, so perhaps, therefore, it works better for them with their lifestyle better in terms of their work hours, or something like that. But I think if you're doing something like intermittent fasting, then

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Priya Tew: you do have to plan like it's not just. I don't eat today, and I don't think about anything else. It's actually you've got to plan. Well, what is it. You're going to eat. How are you going to break that fast? How are you going to make sure you get all of these amazing nutrients in your diet in the space that you are eating, and if you've got somebody who's really switched on and has that knowledge and is able to do it, then great.

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Priya Tew: That's that's you know, that's their thing. Yeah, like, we've got all different types of exercise in the world. I think there are all different

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Priya Tew: ways of doing eating as well, but I do think it requires that level of of planning. It's like, if somebody was to say to me, I'm going to go, Vegan tomorrow, I'd be saying, no, let's not nothing. When we're going, Vegan. However.

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Priya Tew: you need to plan it. You need to have the research done. You need to have tried some recipes out. You've got to have stuff in your cupboard. You need to know how your body works and whether potentially you're going to end up being deficient in iron or something like this. And therefore how are you going to top yourself up? And if you've done all that research, and you've really gone deep into it. Then it could be the right approach for you. But.

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Priya Tew: It's not going to be the right approach for so many people.

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Ela Law: No! And are you not confusing your body with the whole fasting? Are you not telling your body? Oh, there's a famine! Oh, no, no, there's a glut. No, there's a famine again, and there's another glut, because you're eating in a very constrained time period, and you're fasting for quite a long period of time longer than you would think. Your body needs to be refueled regularly, so don't you confuse your body with that sort of.

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Priya Tew: Potentially you could. I do know that there are some studies that have shown benefits to doing it.

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Priya Tew: So I think it can work for some.

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Priya Tew: Yes, it certainly does run the risk of it being confusing for your body, especially if you only do it for let's say 6 weeks, and then you just gotta move on to the next thing, and then the next thing, if it becomes part of a lifestyle, and it's your framework.

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Priya Tew: All of this time and effort into it.

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Priya Tew: Then I think your body could potentially adapt. And you know, realize what's happening. But it's certainly a risk, isn't it? And I don't think it's 1 i would be willing to take.

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Ela Law: Interesting. Yeah, I think I think that makes sense, because if it's just another fad for 6 weeks, then that certainly will be confusing in some way or other, definitely.

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Christine Chessman: You know? What about faster training, Priya.

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Christine Chessman: how do you feel about that?

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Priya Tew: I'm not a sports dietitian, so I don't know a whole heap about that. It's not something I recommend from my limited knowledge. From what I understand. You know, our bodies need some carbohydrate

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Priya Tew: in order to give us that initial bit of energy that then helps us to utilize our fat stores when we're exercising, so you may not want a whole meal before you go, if you're going in the morning to the gym, but certainly having something small to bring yourself up when you think about, even when you watch athletes doing

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Priya Tew: long events. You know I'm thinking about Wimbledon, where they're having.

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Christine Chessman: Phenomenon.

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Priya Tew: Bananas and things like that. We know that it's good to keep giving your body some energy so that it can keep utilizing the stores that you've got. Certainly someone who has

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Priya Tew: an eating disorder or history of disordered eating wouldn't be encouraging fasted training at all, and it's always obviously important to make sure you refuel after you do that. So I've got a couple of people at the minute who actually are working on recovery, and they're long distance runners.

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Priya Tew: and whilst that might sound a bit strange, they are putting in the work around their eating to support that

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Priya Tew: the food you're eating before the food you're eating during the food you're eating afterwards all of those things, and it can be quite beneficial for them. So I think if you're doing any form of exercise I would certainly recommend. You have your snack before, and you make sure you refuel during and after depending on how long your session is.

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Christine Chessman: I mean, it's actually been an amazing thing in terms of my daughter's recovery, because she's she loves dancing, and she loves theater, workshop and all of the acting, all of that drama. And we've always sort of said to be able to keep to have the energy to do all of this, you need to fuel your body, and it's actually been a brilliant tool for her, because she is her passion for acting, and all of that is so great that

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Christine Chessman: it always keeps her going with food, because she knows actually that she has to do that to keep herself healthy. So she can do that. So I think it's a really good tool.

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Priya Tew: Yeah.

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Christine Chessman: For a lot of people.

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Ela Law: And an incentive, for sure.

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Christine Chessman: Yeah.

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Ela Law: Brilliant.

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Ela Law: Should we move on to what I promised at the beginning? I do. I love a bit of myth busting, and I know you're the queen of Myth busting Priya. So no, you're very good. I just want to know, because you're in the know, what is the most ridiculous diet fad that riled you up recently that you feel like. Actually.

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Ela Law: I need to shout about this because this is ridiculous. I mean, there's so many to choose from. I'm putting you on the spot here, but.

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Priya Tew: I'm not sure I could choose one. I sometimes am sat scrolling on social media, and I next to my husband, and I squawk at something, and he'll be like, what? What is it this time? It's just. I've seen something so utterly ridiculous that I start shouting about it next to him, and yes, I think

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Priya Tew: there just have been so many. I'm particularly finding the contents that you know about glucose spikes just.

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Priya Tew: Constant at the minute.

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Priya Tew: And just the information that's saying we need to eat our foods in a specific order, or that, you know there's right or wrong foods that we should be eating. I think that can be really triggering for people, and certainly what I'm seeing is it's causing some people to cut

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Priya Tew: quite a lot of foods out of their diet.

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Ela Law: Hmm.

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Priya Tew: So I think that's quite worrying. I think the carnivore diet is very big right now. There's lots of information about that. There's lots of influencers who are saying, this is the way to eat, and there's lots of people trying it. And if you read the comments they're like trying it. Going

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Priya Tew: meant to have really low energy and be constipated.

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Priya Tew: And people go. Yeah.

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Priya Tew: just keep going with it. Keep going. So that's quite a worrying one as well, and I don't think we know the long term impacts of that.

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Christine Chessman: Can. Can I ask you specifically about

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Christine Chessman: like a there's other brands but Zoe, and so you know the sugar, the sugar to me. All I hear from clients is sugar. I'm cutting sugar. I'm you know. I'm monitoring sugar, and you're talking about sugar spikes and stuff.

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Christine Chessman: How do you feel about people wearing monitors who are not diabetic or pre-diabetic.

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Priya Tew: There was a study that I read last week on this. So some new research has come out that actually shows that CGI, so continuous sorry cgms. Continuous glucose monitors are not very accurate all of the time.

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Priya Tew: which I was like. Oh.

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Ela Law: You know.

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Priya Tew: This is good to know. I can't remember the exact figures, but it was basically saying that they had compared the ones that you wear to doing fingerprint tests, and that the fingerprint tests were so much more accurate.

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Priya Tew: and they were getting like a fourfold difference in readings between some of them.

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Ela Law: Wow!

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Christine Chessman: So I think.

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Priya Tew: Getting quite a large difference

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Priya Tew: between. You know. What we know is the gold standard of of pricking the finger, and between wearing the monitors that

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Priya Tew: rings alarm bells for me. We also know that there's some difference between how you wear them. So there is an optimal way of placing them, for example, and if you haven't been shown that by a medical professional, and you're just doing at home, then who's to say that you're getting that spot on, and therefore you're getting an accurate reading. So I, personally don't think that it's something that just the general public need to be doing.

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Priya Tew: I've never worn one. Do I have an interest in it? Yeah, actually, I do. I would be quite interested. Because, you know, I'm interested in all these things because of.

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Priya Tew: Do I think it would be helpful for me? No, I actually don't. I have a history with my own eating, and I don't think it would be useful for me to do potentially make me want to cut some food groups out.

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Priya Tew: Bye.

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Priya Tew: I think we've always got to think. What are your reasons for doing this. If you've got diabetes, then you should be under a team and be working with them in that. Anyway, if there's another health condition for which you feel it could be useful. Then that's something to again take to your medical team.

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Priya Tew: I don't think we should be taking all of these things into our own hands without having that support and guidance. That's my personal opinion. And when I read this study last week, I was like, oh, wow! This really shows that the reports and the information that you're getting from these continuous glucose monitors just are not always to be relied upon. They're not 100% accurate.

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Christine Chessman: It's huge.

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Priya Tew: Like that, you know, it's not a hundred percent accurate. There can be quite big differences

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Priya Tew: then. And this research was done on non diabetic people. By the way, this wasn't for diabetes. When we look at it like that, it's like, well, actually, kind of what's the point? Because we have gone and had for years information on how foods impact our blood sugars.

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Priya Tew: I was taught this back in. I qualified in 2,005. So you know, all the way back there I was taught about the glycemic index and glycemic load, and how foods impact our blood sugars. That is not new.

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Priya Tew: And I wonder whether that information is always out there, whether it comes across as some brand new thing that we know that certain foods impact our blood sugars more than others, because it's not new information. What is new is giving anybody the technology to track that.

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Christine Chessman: Hmm.

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Priya Tew: So where that technology is quite new and is still almost being tested.

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Priya Tew: It's not accurate.

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Ela Law: And the other thing I was going to say when you said it's not new. The other thing that is new is social media. And all these influences that pick up a particular thing and blow it out to any kind of recognition, and then tell you about it, and because we are so intent on finding a solution to all of our problems, we follow them blindly into the abyss. And I'm just wondering.

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Ela Law: how can we tell the quack from the legitimate nutrition professional, really, because there is just so much information out there, and a lot of it sounds very logical. I mean, they package it really well. And then, if someone has a gadget.

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Ela Law: you know, buying into that, it's really hard for someone who's not from that kind of arena to understand? Well, this is quackery, and this has actually got some substance behind it. What would you say to someone who's like completely lost.

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Priya Tew: I think it is hard. It's hard for us as professional.

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Priya Tew: Sometimes I have a little group of dietitians, and we quite often discuss these things around all about this

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Priya Tew: across this before do we have any evidence for it, because some of these things that are coming out, they're new in terms of the way they're described. So I think if you are not sure. Then, firstly, be kind to yourself, because it doesn't mean that you're stupid or you've missed something. It's just that's what social media is doing right now.

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Priya Tew: Obviously look at someone's qualifications. Do they have a qualification to start with? If it's nutrition, then you want to be looking somebody who's at least got a nutrition degree.

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Priya Tew: and that, specifically, is nutrition. I would say, not necessarily anything else that might have lots of things on the end of it.

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Ela Law: There's lots of different modifications that are coming out. But we want like nutritional sciences

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Priya Tew: Biotechs that should mean that that person is regulated. So if I put something up on social media, that is a load of quackery, I can get struck off for it.

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Priya Tew: That's the difference. Therefore I have to be ethical about sharing. And then also looking at someone's other content. So flick through. What else do they share? Do they seem to be authentic? Are they sharing lots of different?

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Priya Tew: you know, slightly dodgy content? Are they selling things?

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Priya Tew: Are they selling lots of supplements, and I don't know

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Priya Tew: powders and pills and things like that, in which case, perhaps, this is a money making.

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Priya Tew: Hmm pocket that's in

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Priya Tew: but also think about the words that they're using. So if they're saying, this is like a gut booster, or this is an immunity fixer, you know if they're being quite specific with their language.

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Priya Tew: I hate to say it, but a lot of us healthcare professionals are not very good at marketing.

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Priya Tew: We don't tend to use those terms. And actually, we're not always allowed to, because they're held.

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Priya Tew: We have to be a lot more careful with how we describe things. If you've got someone being very black and white going, this is going to fix everything.

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Priya Tew: Then.

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Priya Tew: Instantly gonna be a turn off for me, and I'm gonna go red flag, red flag.

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Christine Chessman: And you know, I really respect that because a lot of our conversation today you've been like, actually, globally, this is not, you know. And I think the nuance is not always there in these social media posts. But for me, my huge, biggest bugbear in the entire world. Well, actually, it's probably not true is Pts doing meal plans, and all of that when they have 0 nutritional.

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Ela Law: Yeah.

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Christine Chessman: Qualifications, and it really really upsets me. I get quite upset, you know I'm like, Oh, my! Pt. Told me to eat this this and this and cut out this? Do they have a degree in nutrition? Are they a dietician? If they are not, I don't believe you should be listening to them.

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Priya Tew: Is that is that too much, Priya.

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Priya Tew: That's too much. Obviously, I'm training Pilates. And actually, as one of my roles, I actually taught a nutrition course to personal trainers.

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Priya Tew: Okay? So I know the level of training that was in that specific course. It was run by a big provider. It's still a big provider today, and that was a weekend course in nutrition and weight management.

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Priya Tew: The information was great. It was all put together by a nutritionist.

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Ela Law: So it was good good information, but it was a weekend.

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Priya Tew: And I think that therefore qualify someone to give, you know, some very basic.

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Christine Chessman: Yeah.

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Priya Tew: It's probably the same advice that somebody reading lots of websites will be able to pull out, though.

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Ela Law: I was going to say, and they will have everything clouded by their own nutrition

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Ela Law: food issues. You know that everyone has their own ideas. Everyone is a nutritionist. If you ask someone, if you ask your neighbor, you know, what would you? Oh, I know everything about it because I read it on one website. So it's really yeah, it's very common. I think that people think they know everything there is. And, as you said, as a nutrition professional. We know that there is not an awful lot of evidence for an awful lot of things, and there's an awful lot we don't

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Ela Law: know yet, and we don't know any causative relationships. We know that there are maybe correlations. But saying That is so, not sexy, is it? It? So? Doesn't draw anyone in. It's just the black and white kind of this is the fix.

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Ela Law: That's what people want. And I like that as a red flag to kind of look out, for if someone speaks in absolutes and says, this is going to sort you out. That's a massive red flag waving right in your face. There.

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Christine Chessman: And but it's it's also the same in fitness. 4 week body transformation.

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Christine Chessman: Oh, yeah.

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Christine Chessman: you know, it's it's actually no, no, it's like the the non-sexy thing. It's really you got to do it for life.

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Christine Chessman: Build it for life.

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Christine Chessman: Yeah, it's not you.

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Christine Chessman: No, it's not a 4 week thing. It's yeah. It's not sexy, is it?

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Ela Law: No, not really.

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Christine Chessman: But, Priya, we have taken up a lot of your time today with our many, many tangents, Ellie, you were as good as me at tangents today. So well.

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Ela Law: Thank you. I'm trying. I'm working hard on it.

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Christine Chessman: I got an awful lot from that conversation, Priya. That's almost like I have to rein myself in, because I can be judgmental against things like fasting, intermittent fasting. I can take the absolute opposite opinion, which isn't

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Christine Chessman: beneficial either, because it is everybody is an individual. And really we've got to see the nuance and all of this. So I do appreciate our chat today very much. And, Ella, any closing words.

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Ela Law: No, absolutely the same. I mean, you're such a fountain of knowledge. I could just ask you tons and tons and tons more questions, so we might have to have you on for a part 2 at some stage. But thank you so so much for giving up some of your time, and I suppose you've got to go on the school run soon, so we'll let you go.

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Priya Tew: I do, indeed, and my voice is not great today, so I'm glad it's held out for this. So

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Priya Tew: perfect done. Well, we've done well.

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Ela Law: Absolutely.

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Christine Chessman: Thank you so much, Priya.

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Priya Tew: Okay. Then.

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Ela Law: Take care bye.