Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking

Reimagining diet: Why cheating brings the win

Michelle Housel, MD
Conditions
March 15, 2021
Share
Tweet
Share

Keto, Mediterranean, Paleo, intermittent fasting. How many times have you or your patients been sucked into the latest diet trend only to crash and burn just a few weeks later? I have tried every diet in the books and every single time, draw the same conclusion: extreme dietary restrictions are not sustainable. So many of us lose weight with the newest trending diet only to gain it back months later after we “fail.” Many people say, “I can’t diet,” but that statement is wrong. We can diet. What we can’t figure out is how to cheat on our diet, and therein lies our dieting demise.

As a physician and health coach, I do not advocate a specific restrictive diet program. Different nutrition methods work for different people. JAMA agrees: the best diet is the one you can actually stick to. For this reason, I encourage a reimagined diet: one that mandates a cheat factor. Find what diet philosophy works for you, and then be focused, flexible, and forgiving. Making healthy nutritional choices most of the time is the winning plan. Master the cheat and allow grace on the journey.

Cheating is not bad; it is our friend (in the diet world, at least!) The problem is when we get in our own way after a splurge and throw in the towel. We have all done it. Let’s face it; restrictive diets can be boring! And how about all those times we’ve gone on vacation and have actually … GASP … enjoyed ourselves while indulging in a few too many fries or poolside drinks? Regardless of the cause, the end result of cheating on our diet is often surrender. The irony: surrender is not necessary, but cheating is! Surrendering from healthy lifestyle choices does not bring joy. It brings frustration and disappointment. We need to splurge on occasion to enjoy life.

The importance of cheating is supported by the numerous strategies for a “cheat factor” across so many diets. Have you ever wondered why diets allow for wiggle room or time off? It’s all about pumping up the pleasure center. Some diets allow for an entire day of unrestricted eating, while others confine the feast to a single meal. Then some programs allow for weekly “points” to be dispersed for splurges throughout the week. Another tactic is the 3-bite rule, which allows eating three bites of any binge-worthy food before stopping. The theory is that we savor the first three bites of food the most, so this rule helps maximize enjoyment and minimize remorse. Cheat factors are the key to making healthy eating sustainable by allowing us to satisfy cravings without derailing our progress. Of course, self-sabotage is always a possibility, so how do we splurge successfully?

A good cheat factor is infrequent, limited, and 100 percent guilt-free. A successful cheat factor will require planning and preparation. Are you going to a birthday celebration? Set an agreement with yourself in advance about appetizer and cake limits and stick to it! We can also make compensations in advance. Consider eating a lighter lunch or boosting a workout for the day. If we set limitations ahead of time, we will have a better shot at sticking to them. Of course, indulging in our cheat factor daily or going overboard on any given occasion can backtrack goals, so it’s best to limit the splurge. When we honor our commitment to healthy lifestyle choices, keep the splurge in check, but give ourselves grace to socialize and celebrate, we set ourselves up for long-term healthy eating success.

Cheat factors are like vacations. The joy of a vacation is not just the vacation itself. Have you ever found yourself sitting at your desk, daydreaming about your upcoming trip to the beach? Just as we anticipate and look forward to a well-deserved vacation, a cheat factor makes healthy eating more doable when we know a splurge is just around the corner. We can eat cucumbers and tomatoes with grilled chicken for lunch because a piece of dark chocolate awaits us after work. Our focus and determination are much improved when our brains have something pleasurable on the horizon.

“Why did I have that extra glass of wine last night?” “How come I didn’t skip the truffle fries at our girls’ night out?” Do you ever find yourself asking these questions after a splurge? Well, it’s time to stop and drop the guilt! By definition, a cheat factor needs to be 100 percent guilt-free. Healthy eating is wonderful. It gives us energy and vitality with both physical and psychological benefits. But let’s be honest, sometimes we just want a scoop of ice cream or a drink with our pals. Reframe the cheat factor and lose the guilt. Skip the shame spiral and embrace the joy of living in the moment. A good diet absolutely allows for an evening with friends or an indulgent meal or dessert once in a while. Understand that when we spurge, it has purpose. Cheat factors, when planned and structured, help us savor life, so don’t skimp on them.

Life is lived at the dinner table. We are social beings. We gather, eat, and drink as we celebrate friendships, milestones, and embrace life’s pits and peaks. A sustainable diet needs wiggle room for life. Is date night on the calendar? Did you just get a promotion? Is it your birthday? Plan a spurge, keep it in check, and skip the guilt. A good diet always allows for celebration. You deserve it!

Michelle Housel is an internal medicine physician and a physician health coach.

Image credit: Shutterstock.com

Prev

A physician deals with uncertainty during the pandemic [PODCAST]

March 14, 2021 Kevin 0
…
Next

Where does science end and where do politics begin? 

March 15, 2021 Kevin 0
…

Tagged as: Nutrition

Post navigation

< Previous Post
A physician deals with uncertainty during the pandemic [PODCAST]
Next Post >
Where does science end and where do politics begin? 

ADVERTISEMENT

ADVERTISEMENT

ADVERTISEMENT

More by Michelle Housel, MD

  • 3 New Year’s resolutions that always get results

    Michelle Housel, MD
  • Celebrating everyday Olympians: The “average” among us who always show up

    Michelle Housel, MD
  • 4 questions that made me become a health coach

    Michelle Housel, MD

Related Posts

  • Ethical humanism: life after #medbikini and an approach to reimagining professionalism

    Jay Wong
  • Reimagining medical education from within a pandemic

    Kasey Johnson, DO
  • Did diet pills kill my co-worker and friend?

    Jennifer Bradley, FNP-C
  • Here’s how to win the opioid war

    Dr. Leonard A. Sowah
  • How grit in the face of hopelessness brings out the best of the medical profession

    Claire Brown
  • Qualifying conditions for medical marijuana

    Patricia Frye

More in Conditions

  • Why ADHD in women is finally getting the attention it deserves

    Arti Lal, MD
  • Why ruling out sepsis in emergency departments can be lifesaving

    Claude M. D'Antonio, Jr., MD
  • The hidden cost of delaying back surgery

    Gbolahan Okubadejo, MD
  • Venous leak syndrome: a silent challenge faced by all men

    Elliot Justin, MD
  • Make cognitive testing as routine as a blood pressure check

    Joshua Baker and James Jackson, PsyD
  • Reimagining diabetes care with nutrition, not prescriptions

    William Hsu, MD
  • Most Popular

  • Past Week

    • What’s driving medical students away from primary care?

      ​​Vineeth Amba, MPH, Archita Goyal, and Wayne Altman, MD | Education
    • A faster path to becoming a doctor is possible—here’s how

      Ankit Jain | Education
    • Make cognitive testing as routine as a blood pressure check

      Joshua Baker and James Jackson, PsyD | Conditions
    • The dreaded question: Do you have boys or girls?

      Pamela Adelstein, MD | Physician
    • A world without antidepressants: What could possibly go wrong?

      Tomi Mitchell, MD | Meds
    • Rethinking patient payments: Why billing is the new frontline of patient care [PODCAST]

      The Podcast by KevinMD | Podcast
  • Past 6 Months

    • What’s driving medical students away from primary care?

      ​​Vineeth Amba, MPH, Archita Goyal, and Wayne Altman, MD | Education
    • The silent crisis hurting pain patients and their doctors

      Kayvan Haddadan, MD | Physician
    • Internal Medicine 2025: inspiration at the annual meeting

      American College of Physicians | Physician
    • What happened to real care in health care?

      Christopher H. Foster, PhD, MPA | Policy
    • Are quotas a solution to physician shortages?

      Jacob Murphy | Education
    • The hidden bias in how we treat chronic pain

      Richard A. Lawhern, PhD | Meds
  • Recent Posts

    • Why fearing AI is really about fearing ourselves

      Bhargav Raman, MD, MBA | Tech
    • The broken health care system doesn’t have to break you

      Jessie Mahoney, MD | Physician
    • Why great patient outcomes don’t protect female doctors from burnout [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why ADHD in women is finally getting the attention it deserves

      Arti Lal, MD | Conditions
    • How a $75 million jet brought down America’s boldest doctor

      Arthur Lazarus, MD, MBA | Physician
    • Why ruling out sepsis in emergency departments can be lifesaving

      Claude M. D'Antonio, Jr., MD | Conditions

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

Leave a Comment

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

ADVERTISEMENT

ADVERTISEMENT

ADVERTISEMENT

  • Most Popular

  • Past Week

    • What’s driving medical students away from primary care?

      ​​Vineeth Amba, MPH, Archita Goyal, and Wayne Altman, MD | Education
    • A faster path to becoming a doctor is possible—here’s how

      Ankit Jain | Education
    • Make cognitive testing as routine as a blood pressure check

      Joshua Baker and James Jackson, PsyD | Conditions
    • The dreaded question: Do you have boys or girls?

      Pamela Adelstein, MD | Physician
    • A world without antidepressants: What could possibly go wrong?

      Tomi Mitchell, MD | Meds
    • Rethinking patient payments: Why billing is the new frontline of patient care [PODCAST]

      The Podcast by KevinMD | Podcast
  • Past 6 Months

    • What’s driving medical students away from primary care?

      ​​Vineeth Amba, MPH, Archita Goyal, and Wayne Altman, MD | Education
    • The silent crisis hurting pain patients and their doctors

      Kayvan Haddadan, MD | Physician
    • Internal Medicine 2025: inspiration at the annual meeting

      American College of Physicians | Physician
    • What happened to real care in health care?

      Christopher H. Foster, PhD, MPA | Policy
    • Are quotas a solution to physician shortages?

      Jacob Murphy | Education
    • The hidden bias in how we treat chronic pain

      Richard A. Lawhern, PhD | Meds
  • Recent Posts

    • Why fearing AI is really about fearing ourselves

      Bhargav Raman, MD, MBA | Tech
    • The broken health care system doesn’t have to break you

      Jessie Mahoney, MD | Physician
    • Why great patient outcomes don’t protect female doctors from burnout [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why ADHD in women is finally getting the attention it deserves

      Arti Lal, MD | Conditions
    • How a $75 million jet brought down America’s boldest doctor

      Arthur Lazarus, MD, MBA | Physician
    • Why ruling out sepsis in emergency departments can be lifesaving

      Claude M. D'Antonio, Jr., MD | Conditions

MedPage Today Professional

An Everyday Health Property Medpage Today
  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

Leave a Comment

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...