Eating Healthier When Dining Out

Today my wife Laurice and I are going to talk about healthy eating on the go and specifically one of our favorite smoothie places. Certainly one of the things that we enjoy is going out to eat. We also want to make it a part of the way we live a healthy lifestyle. So, it’s important for us to understand how we make the decisions about what to eat when we go out and how we develop the healthier habits when we are out and on the go.

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The first thing we do is look at the menu. What’s nice about Tropical Smoothie is that they break down everything on the menu, including what’s in all the different dishes and they even give you the calories, but you still need to be a little bit careful because there can be hidden things. For example, there are strawberries but are they fresh or are they preserved with added sugar.  You can really order a lot of calories in a smoothie if you’re not careful.

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At another location we visit from time-to-time, they have a smoothie called a “Hulk Strawberry”.  That smoothie has more calories than a Burger King double cheeseburger with fries.  Now, if I look at the menu here at Tropical Smoothie and check out something like the Detox Island Green smoothie with spinach, kale, mango, pineapple and bananas, and ginger, at 180 calories, I’d be hungry before I walked out the door.

I like the Health Nut, the blueberries (a lot of antioxidants), I’ll probably add some peanut butter just to give me even a few more calories which are okay for me, I had a good workout this morning.

When I go out to eat I recommend you limit sugar, refined grains, like white bread and processed foods in general. I also recommend adding more fiber, as I have done with adding kale to the Health Nut smoothie that I ordered.  You should also eliminate juices that are meant to sweeten for taste (like apple juice) but add too much sugar.

Substitutions really don’t make much of a price difference either. Just makes your meal a little healthier, not more expensive.

People are often challenged with how to eat healthy on the go. Science suggests limiting sugar, refined grains, processed foods while adding more vegetables and fruits and more whole foods.

It’s also a good idea to get something in a bowl, as opposed to having it in a wrap if you are trying to lose weight.

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Some will tell you to order smaller portions when dining out (if you are on a weight loss program). There is some recent research that explains why the quality of food you order maybe more important. This study, published in JAMA, found that people who cut back on added sugar, refined grains, and highly processed foods while concentrating on eating plenty of vegetables and whole foods — without worrying about counting calories or limiting portion sizes — lost significant amounts of weight over the course of a year.

This is even when scientists are looking at genetic testing to understand if we are more sensitive to a low-carb diet vs a low-fat diet.

What matters is the quality of food choices you make.  You can read more about the study here @nytimes The Key to Weight Loss Is Diet Quality, Not Quantity, a New Study Finds.

Finding Your Purpose, One Moment at a Time

So many people think “okay I want more purpose and meaning in my life”.  They say, “I heard this was important and it was mentioned on this podcast. . .” So, what do they do? They go out and buy the Dalai Lama’s book or the biography of Gandhi and they make it all seem so overwhelming.

A smarter approach is to ask yourself, how can I bring more purpose and meaning to this next moment in my life. To this encounter, task or meeting. It really often starts these seemingly small moments we have in our day. The better question is, “What purpose do I serve in this moment?”

You know I have been into exercising for a long time and I practiced martial arts when I was younger but we didn’t eat well. At one point I finally decided that I wanted to begin to eat more healthfully. I started really small. I use to put three sugars in my coffee and the first thing I did was to cut it down to two. I can almost remember the day. I would go to Dunkin Donuts and almost order three sugars and stop myself and say “nope, I’ll take two sugars” in my coffee today, please. I kinda worked my way back down. I just kept going from there. It has been those seemingly small changes that brought me to building healthy habits.

It is the small changes and small habits that we evolve over time and then we begin to string together these series of behaviors that hopefully leads to this life that we want for ourselves that is consistent with our purpose or goals or whatever feels meaningful in our lives.

 

But it starts small and builds from there.

Join Me on a Journey of True Health & Well-Being

Hi, I’m Dr. Adam Perlman. I am the former Associate Vice President of Health & Wellness for The Duke University Health System as well as Executive Director of Duke Integrative Medicine.  I currently hold the position of Director of the Leadership Program in Integrative Healthcare.  As a practitioner of functional medicine, I have spent my entire career trying to help people take a more comprehensive, holistic approach as they address their health concerns while optimizing their vitality and living their best life.

You see, the world of medicine and the healthcare system, in general, is moving from a disease-centric approach to a systems biology that addresses the individual as a whole.

I believe, like many, that the healthcare model of tomorrow will be very different. It will be equally predictive, preventative, personalized and participatory. 

  • Predictive meaning medicine will incorporate genomics to determine the probability of disease.
  • Preventative allowing people to know their individual risk profile, which will motivate them to make changes before they get sick.
  • They will receive personalized recommendations, namely targeted and specific interventions and treatment.
  • Finally, people will feel empowered and encouraged to engage in personal choices that are participatory, meaning patients will finally team up with the physicians to get to the root of their health problems. 

In the meantime, I urge all of us to become experts about our own health and wellness.

Why?

I think you will agree that there’s a lot of confusing information out there about how to care for your health and well-being. What are we confused about? Well, some of the things I find confusing are simple, like what kind of eggs do I need to buy nowadays? There are at least ten choices out there.

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What about probiotics and the microbiota? What about all of this bacteria in my gut? Should I take a probiotic? If so, what kind? How many strains? How many colony forming units?

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All of the information out there can be very confusing and very misleading.

So what do I personally do? Well, I use my medical training and knowledge try to sift through the information while looking for the evidence. This enables me to make the best decisions for myself while helping inform my family and friends and frankly, I want to do the same for you, and help you become an expert on you.

Information Empowers You with Freedom of Choice

Ultimately, it is about our freedom of choice, because if we’re operating with incomplete information or misinformation, perhaps because it was put on the internet by the company that makes the product, then we don’t truly have freedom of choice.

I believe that with reliable information, we can make reasonable decisions about our health and well being and as I have said earlier, live our best life, while optimizing our vitality.

I am curious about anything that makes us look and feel great, including complementary and alternative treatments like cryotherapy, acupuncture, isolation float tanks, elimination diets and more.

I intend to report about my experiences here and invite you to join me on this health and well-being journey.

If you’re interested, follow me for some Perlz of Healthy Wisdom.

Pura Vida,

Adam