Exploring the landscape of eating behaviour
The Confident Clinician Podcast
Release Date: 01/14/2023
The Confident Clinician Podcast
In this episode, our founder, Dr. Jordan Robertson ND, shares a key paper in the nutritional management of Graves' disease that explains why patients experience rapid weight gain after treatment. She discusses the metabolic rate changes that happen at diagnosis, 1 and 6 months after treatment, and how patients can be euthyroid but experience weight gain after ADT. This episode is a snapshot of our full Graves' medical topic that supports clinicians with decision-making around supplementation, exercise and conventional treatments. The Confident Clinician membership supports...
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In this episode, Dr. Stephanie Bayliss, a Naturopathic Doctor based in British Columbia, reviews how we assess and manage sexual side effects from SSRI’s. Up to 80% of SSRI treated patients can experience sexual side effects. This may include changes to desire, arousal or satisfaction. Dr. Bayliss explores both the conventional care guidelines on managing these sexual side effects, and promising up and coming integrative solutions, including Saffron and Probiotics. References: Hashemi-Mohammadabad, N., Taghavi, S.-A., Lambert, N., Moshtaghi, R., Bazarganipour, F. & Sharifi,...
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In this episode, Dr. Sylvi Martin, a naturopathic doctor and registered nurse psychotherapist based in Ontario, delves into the often overlooked realm of body image and eating disorders in men. Despite common misconceptions, a significant portion of individuals affected by eating disorders are men, comprising 10 to 25% of those affected. Dr. Martin highlights the challenges in identifying and addressing eating disorders in men, citing gaps in research and diagnostic tools that fail to capture the unique experiences and concerns of male individuals. Drawing from a qualitative study, Dr. Martin...
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In this podcast, Antonella Aguilera-Ruiz, ND discusses the most evidence based way to talk about depression with our patients. And what can be the implications of attributing causation to the chemical imbalance theory. We take a look at two trials that give insight on why complexity is likely the name of the game and how causal attribution affects patient outcomes. References:
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In this episode, our founder, Dr. Jordan Robertson, uses chronic pancreatitis as an example to show why we need to read standards of care with a critical eye, especially when they make nutrition recommendations. Nutrition recommendations in SOC guidelines are often aged (old studies), small studies or singular studies, or studies that look at an adjacent audience, not the audience in question. We discuss the single study that has been the reference for not using a "high fibre" diet in patients with chronic pancreatitis and why we need to be critical of this recommendation, given...
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In today's podcast, we have Dr. Kim Bretz, ND, our GI fellowship facilitator, joining us to share the significant updates in the field of SIBO testing that will shape how we diagnose patients with this condition in the future. She calls out one particular paper (referenced below) that calls into question many of the standard SIBO tests that practitioners use and explains where we go from here as practitioners who have relied on these outdated forms of testing in their practices. Dr. Bretz is running a 1-day Advanced Training, which is an essential training for practitioners...
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We don’t want your patients to be satisfied. What do your patients expect when they see you? Do they expect a diet plan and a supplement? Probably. When people see a Naturopathic Doctor or an Integrative Doctor they expect to leave with a nutrition plan and a supplement. So when they get that, they are satisfied. But satisfied people rarely refer, rarely come back and rarely write reviews. We want your patients to be ecstatic. In today’s special podcast episode, our founder, Dr. Jordan Robertson shows you 3 ways to stop meeting patient’s expectations, and how to start...
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Today's podcast episode is broadcast on both of our podcast platforms, Women's Health Unplugged, which is our public-facing podcast. It has over 500,000 downloads and has covered many women's health topics over the last few years. Our clinician-facing podcast, The Confident Clinician Podcast, focuses on clinical topics and studies that are changing our practices in integrative care. Today's topic is for everyone. We're talking about the term "hormone imbalance" and how damaging this term can actually be. We cover concepts such as Why accurate diagnosis is the first step towards...
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In today's podcast, we cover a brand new study by Dev (2023) on using low-dose thyroid hormone in patients with subclinical hypothyroidism (TSH between 4.5-10 mIU/L). We've seen the connection between slightly elevated TSH and migraine in a few populations, but this is the first clinical trial that attempts to lower headache frequency, intensity and duration with thyroid hormone replacement. Have a listen to the episode, and be sure to , our new integrative medicine magazine that's free for subscribers. We'll help you stay up to date, without having to do the research...
info_outlineEverybody eats, but when is it concerning? How do we define “healthy eating behaviour”? What’s the opposite of disordered eating? This episode with Dr. Sylvi Martin RN & ND opens up the conversation about the landscape of eating behaviour in general, exploring eating disorders, disordered eating behaviour, “normal” eating and introduces evidence-based intuitive eating and mindful eating.
Dr. Sylvi Martin, ND is offering an Eating Behaviours Workshop on February 10, 2023, inside the Confident Clinician. Make sure you are on our mailing list to be the first to know when registration opens at the end of January.
Dr. Sylvi Martin BScN RN ND (she/her)
Sylvi is a naturopathic doctor, registered nurse psychotherapist, Certified Intuitive Eating Counsellor and Mindfulness Based Eating Awareness Training (MB-EAT) facilitator based in Toronto. Sylvi applies a weight-inclusive approach to helping individuals experiencing mental health related challenges and disordered eating behaviour.
Sylvi maintains dual practises in nursing and naturopathic medicine. After completing her Bachelor of Science in Nursing at Laurentian University in 2004, she practised acute care psychiatric nursing at St. Michael’s Hospital in Toronto where she also completed a nursing research fellowship. She went on to graduate from the Canadian College of Naturopathic Medicine in 2009 after which she began her private naturopathic practice in Toronto. In addition to her naturopathic practise, Sylvi maintained her nursing practise by working on a mental health team for an Ontario health regulator where she was also part of a mental health response team for individuals in crisis. She has also completed additional training in Cognitive Behavioural Therapy for Eating Disorders.
When she’s not furthering her training or working on her latest workshop or course, she can be found perfecting her chocolate-savouring skills, feeding her “trust fund squirrels” at the cottage in between dips in the lake, or on the hunt for more scarves in some corner of the world with her partner Dave.
References
- American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). https://doi.org/10.1176/appi.books.9780890425596
- Bergner, L., Himmerich, H., Kirkby, K. C., & Steinberg, H. (2021). Descriptions of Disordered Eating in German Psychiatric Textbooks, 1803–2017. Frontiers in Psychiatry, 11, 504157. Retrieved from https://doi.org/10.3389/fpsyt.2020.504157
- Kristeller, J. L., & Hallett, C. B. (1999). An Exploratory Study of a Meditation-based Intervention for Binge Eating Disorder. Journal of Health Psychology, 4(3), 357–363. Retrieved from https://doi.org/10.1177/135910539900400305
- Mason, A. E., Epel, E. S., Kristeller, J., Moran, P. J., Dallman, M., Lustig, R. H., … Daubenmier, J. (2016). Effects of a mindfulness-based intervention on mindful eating, sweets consumption, and fasting glucose levels in obese adults: data from the SHINE randomized controlled trial. Journal of Behavioral Medicine, 39(2), 201–213. Retrieved from https://doi.org/10.1007/s10865-015-9692-8
- Ralph, A. F., Brennan, L., Byrne, S., Caldwell, B., Farmer, J., Hart, L. M., … Hay, P. (2022). Management of eating disorders for people with higher weight: clinical practice guideline. Journal of Eating Disorders, 10(1), 121. Retrieved from https://doi.org/10.1186/s40337-022-00622-w
- Satter, E. (2021). Normal Eating. Available at: https://www.ellynsatterinstitute.org/wp-content/uploads/2021/01/Normal-Eating-1-up-with-EC-2021-secure.pdf
- Tribole, E. & Resch, E. (2020). Intuitive Eating, 4th Edition. St. Martin’s.
- Tylka, T. L., & Diest, A. M. K. V. (2013). The Intuitive Eating Scale–2: Item Refinement and Psychometric Evaluation With College Women and Men. Journal of Counseling Psychology, 60(1), 137–153. Retrieved from https://doi.org/10.1037/a0030893