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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!

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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.

INTRO

Laura: 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 EPISODE

Laura: 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...