Ali Novitsky, MD Ali Novitsky, MD

Chief Complaint: “I Lose All My Progress On The Weekends”

I hear this complaint all the time: “I lose all my progress on the weekends.”

So, let’s talk about it. Why do the weekends become so powerful? How can we make them work for us when we’re trying to achieve goals? 

Take a moment and think about the weekend. What comes up for you? For most of us, weekends are sacred. It’s time for fun, time to let loose. It’s parties and soccer games and coffee with friends. Time to relax.

We might think, “I deserve this weekend.” I’ve worked so hard, stuck to my plan all week, and now it’s time to treat myself. And maybe this is the only time during the week that we get to see our partner, friends, and families. A major social component is at play.

With all of that, we’re trained to consider that weekends are different from weekdays. And here’s a pretty typical way that that plays out. You’re trying to lose a couple of pounds. During the week, you have an intense exercise routine and a stringent nutrition plan. You’re powering through the week just to get to the weekend knowing that you’ll be able to let your guard down and exhale. 

Here are some ways to handle it so the weekend no longer throws you off track. 

Evening Out the Playing Field

Step one is evening out the playing field. We have to start thinking about how to make the weekends less relatively powerful. And we do that by making the weekdays equally as powerful. 

There are so many ways to uplevel our weekdays to meet our weekends and adopt a uniform lifestyle that doesn’t rely on extra alcohol and food on the weekends. 

So think about the power of the weekends. What do they bring? Relaxation, food, parties, fun, wine, pizza, brunch. A lot of the time, we plan these things because we’re lacking excitement, pleasure, and community in our lives. 

That means that we’re going to have to even off the playing field by creating more community, pleasure, and excitement in our life every day.

Community

Especially lately, a lot of the community we’re relying on is on the internet: social media, zoom, phone calls, and that’s great. It’s just about finding that consistent community where you feel that you have a place and support and people around you that want to see you succeed. 

That is one of the ways that you can start to even everything out. If on a Monday you’re looking forward to a Zoom call with your best friend at 4 pm, then Saturday doesn't seem like so much of a big deal. So take advantage of online communication to use any day of the week to create communication and community.

Pleasure

Some people get pleasure from having a clean, clutter-free space. They love the clean countertops, the flowers, the candles, the high-quality sheets, and the best bubble bath. So what brings pleasure to you? A workout and a long meditation? Shining your silver? It may not seem like a big deal but finding ways to incorporate pleasure into your daily life is a game-changer. 

Excitement

Excitement brings on dopamine and all of the feel-good feeling that come with it. So how can you get more of it in your life?

You can get ideas from other people and see how they are creating excitement in their daily lives. For example, in my life coaching society group there are some Peloton riders who get a lot of excitement from joining each other and doing a ride together. It’s something cool for them to look forward to, move their bodies, feel good, and have community and excitement. 

Another option is intimacy with another person, which can bring a lot of excitement. It doesn’t necessarily have to be physical; deep conversation is also so wonderfully intimate. We often don’t make time for intimacy because we are so overwhelmed, stressed, and tired. So if we can breathe and take the time to create intimacy, it’s usually pretty exciting. 

Willpower

One of the reasons the weekends are so powerful is that we’re using a lot of willpower to get through the week. We segue from a place of “don’t do it, don’t do it, don’t do it” to “let loose, baby!”. 

For example, if you follow a plan in which you abstain from sugar, flour, and dairy throughout the week, but you like those things, you’ll struggle to stay away from them during the weekend. You’ll think, “I waited all week. I deserve this. I worked really hard and I earned this.” You lose your defenses and take part in all of that sugar, flour, and dairy. Weekends become a free-for-all and then you have that Monday morning hangover. 

The beauty of creating a food plan that is uniquely perfect for you is that it fits into your every day; from Monday to Sunday, every day should feel like the same day. It’s another way to even out the playing field. 

Because when your brain spends all week saying, “don’t do it, don’t eat it,” you get a lot of decision fatigue. You’re overwhelmed and tired and the minute you let down your upper brain, your lower brain takes over and - boom - you have your all-out weekend. To work on this, you have to learn to sit with an urge. Because when you give into urges, like a slice of chocolate cake, you get the positive reward of a dopamine rush and your brain learns that this is a way to feel better and it becomes a habit and pattern. But you can take the power back by learning to sit with your urges. 

To do so, you have to allow uncomfortable feelings. If you can do that and even out the playing field, you won’t have the problem of weekends derailing you. 

Owning It

And maybe you’re okay with letting weekends be your pop-off valve. That’s all right! Own it. Whether you choose to level out the playing field throughout the week or accept that weekends will be a bit extra, just don’t beat yourself up. Make your decision. But don’t live in negativity, confusion, and self-doubt. 

And when you understand your unique body type and set realistic goals for it, you learn that there are a hundred goals you can pick that don’t involve your weight. And if you do choose to focus on weight, you learn to find a realistic number that is unique to you.

This is a whole new way to look at it. Because it’s not okay to go through life not loving your body. You deserve to love your body. It won’t happen overnight. You won’t be able to just flip a switch. It’s going to take work.

The truth is that if you can take one minute today to close your eyes and adore your body the way it is now, you’ll generate amazing feelings that will allow you to act in a way that honors your body. It really works. 

The pressure to never let go or let up will hurt you every time. Acceptance, love, and compassion will help you every time. 

Power Meals

When you think about your body type as part of the process of setting goals, you may realize that weight loss isn’t the best focus for you. Maybe you’re a mesomorph who puts on muscle easily. If that’s the case, when you eat healthfully and move your body, you’re not likely to lose much weight. In fact, you may even put on a pound or two. 

Or maybe you do choose to lose some weight because it is indicated for your health. Often, as part of the process, you get to a point in which your weight stops decreasing and you have to reevaluate whether you’ve arrived at your natural healthy weight or you’re just plateauing. 

An option that works for both of these scenarios is instituting a power meal, which is a meal that tastes amazing and we look forward to. It’s not only psychologically welcome for people who have been following a deficit meal plan, but it’s also capable of helping you stay on track for your goal. Because eating at a deficit for an extended time decreases your leptin levels, which tells your body to stop dropping fat. Your power meal will then give your body the signal to increase its leptin and allow you to drop more weight once you go back to your meal plan and deficit. 

Just a word of caution: don’t start doing this until you have everything else dialed in. And don’t do it alone. It’s so important to have support because if you throw a power meal in and don’t work on the urges, you’ll set yourself up for the willpower cycle. We don’t want that. What we want is for it to be a part of your plan so that you can think of things in a balanced way and eat something decadent every so often without thinking so much about it. 

It’s the mental work, the urge work, being in touch with your emotions and thoughts and feelings, understanding willpower, and navigating urges so you don't have to use willpower that will allow you to be successful.

Know your body. Love your body. Set realistic goals. Create pleasure, community, and excitement in every day. Take time. Slow down. All of this will feed into how you show up. You got this. 

Read More
Ali Novitsky, MD Ali Novitsky, MD

The Chief Complaint: I’m Confused About Which Food Plan to Follow

For years, I spent my time worrying about this: what should I be eating? What’s the best meal plan out there? Should I do low-carb? Should I do high-fat/low-carb? How about intermittent fasting? How about the Zone diet? Should I just use moderation? Maybe I should divide up my carbs at breakfast, protein at lunch, and fat for dinner? There’s just so much out there.

If you’re reading this thinking, “Yeah, this is me. I still don’t know what to eat, what food plan to follow,” then you’re in the right place.

I’ve seen so many smart, amazing men and women with so much to give to the world struggle with feelings of needing to stick to a diet because they want to reach a certain goal. And I, myself, have had an obsession with food and weight gain. From an early age, I was confused about food, my body, exercise, and my worth. I feel so privileged now to be able to share my experience and how I got through it. 

One of the first things we need to do when we start the process of picking out a food plan is evaluating who you are as a unique individual. It’s not as simple as, “If you’re diabetic or pre-diabetic, you should be low-carb and if you’re fine, then anything goes.”

There are so many wonderful books about food plans out there that sound like they make sense. But the truth is that what is going to work for you isn’t necessarily going to be written in a book. That’s why it’s so important to know your body type and set realistic goals. When our goals are unrealistic and we’ll stop at nothing to get them, we put pressure on ourselves and end up living in a way that we don’t enjoy. 

Going Slow

I once had a client who had a hemoglobin A1C close to 10. She’d been trying low-carb and fasting, but it wasn’t working for her, and she was desperate. So we looked for the one change we could make to take her in a positive direction. What we landed on was allowing her one serving of sugar, a small can of coke, every day. That’s what worked for her. Over the course of the year we worked together, she lost 35 pounds, got her hemoglobin A1C into the normal range, and was happier than ever. The idea is dialing in on the one thing that you can change to get you further to your goal - and maintain it.

Because if your eating plan isn’t going to balance with your goal, then it’s either not a good eating plan or not a good goal. Your food plan has to fit into your lifestyle. 

The best way to do that is to make one change at a time. Wait. Be patient. You’ll arrive at the right food plan for you after you do this work. 

Instead of diving in to make a million changes at once, start with one that will take you closer to your optimal health. Once you make that change and own it, don’t make another one until that change becomes a part of what you do.

This is very much a process. But the beauty is that when you go slowly, two things happen.

First, your plan becomes a forever plan. You learn how to live this way and it becomes a part of your lifestyle. You can stop trying to mold your life around your food. The whole idea is that your food plan should fit into your lifestyle; you should not be trying to fit your life into food. 

Second, you’ll be able to practice that all-important body love. Because when you decide you want to weigh a certain number or wear a certain size, and you want to do it immediately, you’ll usually find the thing that will get you there the quickest, which is often a crash diet. But if you don’t have the time to work on loving your body right where it is right now, when you get to your new goal, you’re not just going to magically love your body. True body love with unconditional self-acceptance doesn’t happen through crash dieting. 

To achieve these great things and make a forever food plan, you need to know:

  1. Your body type

  2. Your goals

  3. That your goals are realistic

  4. That you are committed to going all in

From there, you’re able to work slowly. In the grand scheme of things, if it takes you six months to make really good progress, that’s not so much time. Instead of thinking about how to get to your goal in a month or two weeks, think of it in the long term. 

The right food plan to pick is the one that’s going to be absolutely customized to you. If you like eating low carb, have gotten good results and made huge health strides doing so - great. Maybe you’re a person for whom keto works. Maybe a balanced approach works for you. Maybe you’re more about fasting. The idea is to choose one thing and then go from there. 

Intuitive Eating

Now, let’s talk about intuitive eating. It’s a term that gets thrown around a lot and we often don’t really know what it means. So think of what intuitive eating means for you. For me, it makes me think of my mom, who always taught me that my body knows what it wants. 

Over time, we can learn what foods feel good in our body. When we do, our body starts to crave them. I love roasted veggies so much that I crave them now, which I never thought I would.

Intuitive eating is tapping into your body and first asking, “Am I hungry?”. That’s it. Simple question. With my clients, we use a hunger scale, where +10 is Vegas buffet-full and -10 is so hungry you’ll eat your friend. The goal is to live somewhere in the middle. 

Of course, the hunger scale can be adjusted for your goal. If you’re looking for fat loss, you may choose a lower number on the scale. If you’re trying to increase muscle mass or change your body composition, it might be a little higher on the scale to account for your extra exercise and protein needs. Knowing your body type will help direct you. 

And you can train your body to be hungry when you want it to be. If you fast continually, you get good at not being hungry. And if you eat every three hours, you can also train your body to be hungry every three hours. 

The next piece of intuitive eating is that when you’re not hungry anymore, don’t eat. When we’re eating when we’re not hungry, it’s usually emotional. Now, that’s not a negative thing. When you go to a party and you’re excited and celebrating and eat a bit more, that’s part of life. Realize that it will happen and that's okay. If you like to celebrate and enjoy and experience life with food and drinks and you’re not willing to give that up all the time, be honest with yourself. 

Sometimes and All-The-Time Foods

I don’t like to call foods bad. Instead, I refer to them as sometimes foods and all-the-time foods. Our goal is to figure out what we’re going to eat sometimes and what we’re going to eat all the time. You’re going to have to come up with that list because it’s going to be very individualized to you. What feels good in your body will be on your all-the-time list and the foods that cause you to bloat or retain water or feel low in energy will probably be on your sometimes food list. 

Some people can do dairy without a problem. Others have a huge issue. That’s why it’s so important to take the time to notice how foods really feel in your bodies instead of going by what works for somebody else. 

This and the hunger scale will allow you to go on vacation and not allow food to be your primary focus in ruling your life. Instead, you’ll enjoy every part of your vacation and food will just get to be there, too. We don’t get that many vacations. Why waste them worried about food? Eat when you’re hungry, stop when you’re full, and you’ll come out of that vacation just fine. 

As toddlers, we are intuitive eaters. But then so much happens: society, learning, habits. But we can get back to that place. You don’t have to be confused about what your food plan is. You can decide what it is. It all goes back to your body type, goals, and lifestyle. 

Think about how you want your next ten years to go. What do you want? For me, it was important that food wasn’t the number one concern in my life anymore. I wanted to eat the same meals as my family. I wanted to go on vacation without freaking out. I wanted to be in the best shape of my life without restricting.

All of that is possible and starts with knowing who you are. There is no one perfect food plan for everyone. All of us will have a slight variation that will work for us - our unique self - in the long term. 

Read More
Ali Novitsky, MD Ali Novitsky, MD

A Client Interview: I Can't Meet My Weight Loss Goals

I recently interviewed a close friend, a female physician (let’s call her Doc), about a topic that I know affects many of us: weight loss difficulties. After struggling with her weight her entire life, Doc started an exercise routine and lost 80 pounds - incredible, right? 

But now, Doc finds herself in a plateau, stuck for the past year, and not seeing a change in the number on the scale. She’s frustrated that her efforts aren’t leading to results, and that frustration leads to self-destructive behaviors. To Doc, it feels like it doesn’t matter what she does because the scale just won’t budge.

This is a super common problem. Women work so hard and nothing happens. 

This is Doc’s story. She lifts weight three times a week with a personal trainer, and she’s the strongest she’s ever been. She eats healthy, practices portion control, and limits eating out. But here’s the struggle: Doc will go for a couple of weeks sticking to her routine, see no change on the scale, and get so frustrated that she’ll go out to eat five times in one week. 

Doc has committed the time and money to go to the gym, get a trainer, plan what she eats - what else can she do to be successful? She is working hard, sacrificing a lot, and getting no return on her investment, if you will.

“I know that there is more to health than the number on the scale, but for somebody who has fought weight their entire life, that is the epitome, the judgment, the objective standard by which all of us judge each other,” says Doc. 

So, let’s talk about evidence and facts, because that’s what will allow us to generate new thoughts. 

Fact one: Doc is dedicated and committed to her eating and workout plan. 

Fact two: The number on the scale is exactly the same. 

Fact three: Doc’s blood work is favorable, despite her BMI falling into the obese category. 

Fact four: Doc can do a plank for more than three minutes and bench press 200 pounds - the best it’s ever been in her life. 

I asked Doc, “Let’s say the scale did not exist. Would your view on your progress be any different?”. Her answer? “Probably.” She’s reached amazing goals, bench pressing 200 pounds! “The idea that I can do that blows my mind,” says Doc, “But what’s frustrating is that when other women look at me they see a woman that is overweight and short and curvy. In my mind, I have that I will never be a single-digit side. I have to shop in the women’s plus section.”

Doc is torn in what feels like a trade-off. She’s performing well in the gym, but her size isn’t going down. In fact, it may be going up. She knows she shouldn’t care what society thinks, but she can’t help it. 

In order for Doc to make changes and reach goals, she has to examine her thoughts.

The main thought she’s dealing with is that not getting positive reinforcement from the scale makes Doc feels like what she does and how she eats doesn’t matter, because nothing changes. 

And this one seemingly innocent thought triggers a lot of negative feelings and thoughts for Doc. It makes Doc feel frustrated, upset with herself, and guilty. She feels like a loser, like she hasn’t succeeded. She worries that she’s sabotaging her husband, too, when her frustration leads her to stray from her eating plan. 

Out of these feelings comes eating more, eating out, making unhealthy food choices, coming up with excuses not to go to the gym, and a lack of excitement about working out. 

See what’s happening here? Doc’s The thought leads to feelings that lead to actions that make the thought come true.

So, then, Doc and I examined her expectations. Her main expectation is that if she commits to diligent exercise and an eating plan, she should be able to make the scale move. And that’s fine. But I encouraged her to think about timing. Because so often, we want immediate results, which can be a barrier to making change. 

She admits it herself, saying “I’m definitely into instant gratification.” So what if Doc changed her expectation, believing that it will take a long time for the scale to move. Does that change anything? Doc says, “Potentially. It gives me a longer time to reach a goal and it might promote me to not fall down, so to speak, as often, because instead of seeing it week to week I’d be looking at months or even longer.” 

I asked Doc, “What if we threw the scale away and the only goal were to be really strong? Does that change anything for you?”. Doc didn’t hesitate to say yes. “It took me a year to be able to bench 200… I know that it’s not going to happen overnight but I know someday I will reach that goal.”

Does the fact that Doc’s actively getting stronger change the feeling that eating well and exercising are a sacrifice? Says Doc, “I know all those things that I’m doing are contributing to my success. I know when I’m not eating healthy that it hurts my ability to weightlift or that it hurts my recovery.” 

When Doc thinks the thought, “Everything that I’m doing right now is changing me,” it makes her happy. When she’s happy, she sticks to her plan because she knows she’s succeeding. There’s that positive reinforcement she was looking for. And the result will be more success. 

Wanting to be consistent will eventually buy her time, and the scale will move down. Instead of using willpower and sacrificing, Doc will want to be doing what she’s doing. She’ll exceed her goals and remain happy and satisfied.

I asked Doc, “Are you willing today to adopt the thought, ‘this is all worth it’?”. Doc agreed, saying “It’s totally a different outlook. I can succeed and just change the focus of my goal.”

By shifting focus from the scale to her strength, the weight loss will be an added bonus because of Doc’s consistency. She’ll reach every goal she wants to because she’ll be operating from a place of happiness. 

Once Doc buys into the thought that her commitment to her healthy lifestyle is worth it, she’ll stick with her plan and not feel the need to overeat. Says Doc, “I’m just gonna take the scale and toss it in the closet.” It’s not a bad idea. Intuition can guide her. 

Before our conversation, Doc placed herself on a 2 or 3 on a satisfaction scale out of 10. Afterward, she was at an 8 or a 9, feeling motivated to move forward with her plan. 

Read More
Ali Novitsky, MD Ali Novitsky, MD

Setting Realistic Goals for Your Body Type

Before you can set health goals, you have to understand your body type. Because we are all so incredibly unique. Embracing your individual body, no matter how it looks, is the first step to setting goals that help us work toward optimal health. 

The first thing you should do is take this body type quiz. It will help you understand which you have of the three main body types: ectomorph, mesomorph, and endomorph. Ectomorphs tend to be naturally thin, like the kind of people who can eat whatever they want and stay slim. Mesomorphs tend to easily build and hold on to muscle. And endomorphs tend to hold on to a little bit of additional body fat. 

The important thing to know is that no body type is better than any other. They can all achieve optimal health. This system is just a tool for helping us create lifestyle plans that will maximize our success.

So let’s talk about setting GOALS. No, my caps lock button didn’t just malfunction; GOALS is an acronym. Each letter represents a principle that helps you get closer to optimal health. No matter your body type, these will apply. 

Whether you’re trying to lose weight, gain weight, or you’re already at your natural, healthy weight, GOALS will allow you to arrive where you’re supposed to be naturally. Instead of the stress of setting numeric goals, committing to these five principles, practicing patience, and getting the help of coaching will allow you to easily arrive at your goal over time. When you do it this way, you can sustain your results forever. 

If you’re not reaching the goal that you chose toward your optimal health, then one of these five principles is most likely off. This system can allow you to reflect and optimize, helping you meet your goal.

So let’s get into it. 

Our first principle is G - Get hungry first. Because the first step in becoming an intuitive eater is understanding your hunger cues. You learn when you have true hunger and when you are full. Instead of focusing on what foods you “should” be eating, you tap into your hunger scale and listen to your body, which tells you what you need. It’s worth keeping in mind that this can vary from day to day, especially when you exercise. 

Next is O - Omit two bites. The idea is that when we’re eating and can take about two more bites of our food, that’s a good time to stop. It’s fighting our programming that tells us to clear our plates. Because food is good and we should enjoy it, sometimes we will take more than those two bites, and that’s okay, too. But if you can get G and O down, you’ll have a really good handle on becoming an intuitive eater. 

You’ll understand what your unique body feels like when it’s hungry and when it’s full. Then you can play around with how long it takes you to get hungry again. That’s how you’ll determine how often you should eat. Of course, everybody is different and it’s important to create a plan that fits with your lifestyle. This takes having an honest conversation and deciding what you really want, as well as adjusting your hunger scale for whether you’re trying to maintain, lose, or gain weight. 

A stands for Allowing our feelings. Because sometimes, when we have stressful, overwhelming, or anxiety-inducing feelings, we’re more likely to partake in unhealthy habits such as eating too much when we're not hungry. That’s called emotional eating. 

But if we can allow our feelings and sit with them, we’ll be in a good position to avoid emotional eating. And though it may sound simple, it actually takes a lot of practice. Because feelings like boredom and restlessness are uncomfortable. They require slowing down and working through our thoughts, which doesn't come easily in our fast-paced world. So we use something external, like online shopping, alcohol, and food, to slow us down. That’s called buffering - not allowing your feelings. But on the flip side, learning how to allow your feelings will make you less likely to emotionally eat.

This takes practice and often requires breaking old patterns and habits. You may have unintentionally conditioned yourself to include emotional eating into your routine, like using a snack and a glass of wine to help you relax after work. Trying to avoid that requires using willpower, which leads to decision fatigue over time and giving in to the old habits.

Instead, you have to practice sitting with your urges and realizing you don’t have to act on them - or push them away, either. Instead, you allow your feelings to be there. If you can commit to this, you don’t have to force yourself to live by any other rules. That’s what leads to long term success, even in the face of vacations and parties and restaurants. You’ll only have to rely on yourself and your intuition. Trusting and understanding your thoughts and feelings will set you free. 

The next piece is L - Loving to move. This is referring to exercise to love how you feel, not how you look. Exercise has so many amazing benefits and everybody needs it in their life, especially as they get older. The best exercise for your body type is the one you’ll do consistently. So find an activity you love. 

I also urge you to make strength training a priority. Unfortunately, women face a lot of barriers to strength training: intimidation, lack of education, fear of getting hurt. These are all valid concerns. But there is something so powerful about connecting your mind and body to be your best. 

It’s worth addressing that if your main goal is to see the number on the scale go down, exercise may not help. If you’re like most people who are concerned with their weight, a mesomorph/endomorph combination, you won’t necessarily see a huge drop on the scale when you strength train. You’ll add muscle, but you’ll also be hungrier, which will lead to eating more. But instead of losing weight, your body composition will shift, transforming your body completely. 

So find an activity you love and commit to it, even if it’s just five to ten minutes a week. You’ll feel better and will probably want to keep doing more and more. 

Our last principle is S - Stop perfectionism. Because a lot of people seem to take the all or nothing approach, thinking that if they can’t do something perfectly, there’s no point to doing it. If they mess up on their diet, or if they don’t have time to exercise an hour a day, they think they might as well not do it at all. But this type of thinking just sets us up for disappointment. And when you feel disappointed in yourself, you’re not very likely to follow a healthy routine. 

But it’s important to know that all you can do is your best. The intuitive approach is geared toward long term sustainability. Success isn’t about the day to day, but the overall trajectory to achieving our goals. 

So become aware of your unique body. Set realistic goals. To start, pick one realistic goal that will bring you closer to optimal health. From there, use the GOALS system, which encompasses nutrition, exercise, and the mind work required to succeed. I hope this makes you feel amazing about yourself, because you deserve to live your best life.

Read More
Ali Novitsky, MD Ali Novitsky, MD

No Matter What I Do, I Cannot Achieve a Normal BMI

A complaint that I often hear is, “I can’t achieve a normal BMI no matter what I do.” A lot of ladies have heard that the mid-range of the BMI chart is the healthiest, and are concerned that they’re not there.

If this has been a concern of yours, I want to let you know that there is another way, and the first step is to understand how your body works. It will change and enrich your life.

What BMI Is Before we decide how much attention and value we’re going to put on the BMI scale, we need to understand where it comes from. In the early 19th century, a Belgian mathematician - not a physician - created the BMI scale as a quick, easy way to measure the degree of obesity in a general population.

The chart came about as a jumping-off point for physicians, who see a lot of people, but when it comes to our health, it may be best to evaluate a little differently. The BMI Chart is Flawed See, falling in the normal range of the BMI chart does not guarantee health.

A 2016 study in the International Journal of Obesity showed that more than 30% of people in a normal BMI range were not healthy in terms of cardiovascular and metabolic health markers like cholesterol and hemoglobin A1C levels. On the flip side, 50% of overweight people and 30% of obese people were considered healthy in terms of their labs and studies.

Another major flaw of the BMI scale is that it doesn’t account for fat versus muscle. Many athletes with 8% body fat register as obese on the BMI chart. What this tells us that maybe we should be focusing less on the number on the scale or the BMI chart. Alternatives to BMI Because, sure, there is a place for BMI as a jumping-off point for the general population, but you have to decide what’s best for you, too. Because maybe you were never meant to be in the low-to-mid BMI range.

Once you can release that and realize that it is okay, you can open your eyes to opportunities for different goals. So what other types of goals can you set? First, there’s body composition. You can measure your body fat with a DEXA scan or calipers. Your result might surprise you. Many people in the mid or low BMI range, especially those who aren’t exercising, may have higher body fat.

Another option is waist-to-hip ratio. Studies show that women who hold their fat in their lower body tend to have better health. Waist circumference is another marker. For women, less than 35 inches is considered favorable, with studies showing that people in that range have better cardiovascular health.

Where Do We Go From Here? Letting go of BMI and weight doesn’t mean giving up. In fact, just the opposite. So what can you do instead? The first step is awareness. Knowing your body type will help you to set realistic goals. Realize that no one body type is better than another. When you take care of your health, any body type can find fitness and pure health and look amazing. When you embrace body acceptance, understanding how you are different and unique, that’s where the magic happens.

The next step is intuitive eating. All of us can arrive at a natural, healthy body weight when we learn to become intuitive eaters. If you can be patient and take the time to slowly become an intuitive eater, you’ll find a weight that is natural and healthy for you. Trusting yourself will allow you to know how to feed your body when it’s hungry and how to stop eating when it’s full.

Then, find an exercise routine that works for you. Because there are hundreds of proven benefits to exercise. Note that if you put on muscle easily, it’s possible that exercise may increase your weight. You may have to choose to sacrifice BMI for healthier body composition. But I urge you not to stop exercising, especially strength training. Many women avoid strength training for different reasons: we’re intimidated, overwhelmed, we don’t know what to do.

But even if you go with an easy, basic plan, strength training will keep you healthy and strong well into old age. When you take the time to exercise, you’re saying “I’m worth it.” You build an amazing relationship with your body. If you’ve shied away from it, now is the time to start. It’s never too late. None of this is elaborate or fancy or new. Maybe you’ve heard it all before. But now, it’s time to embrace yourself for your unique being and put it into practice.

Read More