Disease Management

Disease Management


Hey there it’s Susan Peirce Thompson and
welcome to the weekly vlog. The topic this week is Diet vs. Disease Management
and this is a timely vlog because this time of year is the prime time of year
where how you think about your Bright Line Eating journey as a diet or as a
case of disease management makes all the difference in the world. So I want to
thank Emily August Bright Lifer Extraordinaire for this topic she is in
my Boo Crew, just sayin’. I know I keep talking about my current Gideon Games
team but I love them and Emily August is quickly becoming one of my favorite
human beings on earth. She is so wise and so thoughtful and
someone in our Boo Crew Gideon Games team early early early on he was asking, you know to be honest I don’t even remember the question, but it was um you
know, he was restarting recommitting I invited him to be in this Gideon Games
team and I think he was a little bit like what do I do
Susan Peirce Thompson just asked me to be on her Gideon Games team and I’m not
even keeping my Bright Lines right now. Like can I say yes, so he asked to think
about it. He reached back out and he said yes. But, in the first week, I believe, of
our team as everyone was keeping their Bright Lines, including him, he posed to
the group in our Marco Polo thread so this is on video now to everybody he
said something like I don’t even remember the question but something like
it was a newbie question like how does this lead to freedom or how does this
ever become manageable or feel good or like not feel restrictive essentially
right. And I feel like this is a question that everybody grapples with at some
point in their Bright Line Eating journey right. Some version of this feels
like being squeezed in a box that’s getting narrower like I feel the
opposite of free. So whatever the question was he posed,
Emily August said something like this she said, “I don’t think of Bright Line
Eating as a diet in any way, shape, or form. For me this is an issue of managing
my food addiction. This is an issue of managing an eating disorder. So this is
disease management and everything I do around my food has that awareness in
mind.” And I want to talk about that right now because this time of year is the
classic time of year where a symptom of the disease of food addiction tends to
be especially problematic and the symptom is the brain whispering for
exceptions for if you have a real diet mentality for “cheats.” We don’t use that
word around here but I know they do out there in the world. For a little like
Winnie the Pooh would say a little something, a little something would be
nice about now right. So I want to get scientific with you for a second because
I know that not everybody who watches this vlog or considers themself in the
Bright Line Eating ecosphere considers themself a food addict and I know that
not everybody would consider themselves to have a disease. So let’s talk about
those terms for a second. Addiction now to have really prepped for this vlog I
should have looked in the DSM about the criteria and so forth but let’s just
just say and I have enough background with addiction on my own to talk about
the subject freehand for a second right. Because as you know in my late teens I
was sitting in a crack house smoking crack day after day after day and then
going out on the streets and selling my body for more money to go back to the
crack house and sit there in smoke and so I have an opinion about addiction and
it’s as follows. Not everybody is addicted to something you’ll hear people
say that right everybody’s into something. And I say, “Um no.”Lots of
people have bad habits that feel a little out of control not the same thing.
Addiction is when you’re using and you don’t want to and you can’t stop. So food
addiction would be, for example, being diagnosed with diabetes and having your
doctor look you in the eye and say here’s what happens if you keep going
down this path:you go blind, you get a limb amputated, almost guaranteed death
from heart attack way too young, and you say, “I hear you doctor,” and within the
week you’re eating a doughnut. “That’s
addiction.” And 63% of us or going are going to die
going to die 63% of us going to die in pain from some disease caused by the
excess food that we didn’t need that’s going into our mouths. And along the way
we’re thinking I should probably be eating differently than I am. I’m not
taking care of myself with food and we’re sitting there putting something in
our mouth thinking I don’t even really need this, or want this, this doesn’t even
taste that good anymore as we’re watching in some kind of stupor as the
elbow bends again and the food goes into our mouth. Just saying, that’s addiction. Second point: Is addiction a disease? So
the definition of a disease is roughly as follows: it’s some kind of condition
or state in which some pinpointable aspect of our physiology, some tissue or
organ or system or brain area is hijacked or malfunctioning in a
predictable way and there are specific harmful or deleterious symptoms that are
being caused. That’s what a disease is and it gets worse over time. Just saying
food addiction is a disease. I can tell you exactly where it’s happening in the
brain and I have: nucleus accumbens basal ganglia right. I can tell you exactly the
neurotransmitters that are affected and the hormones and I have: leptin, dopamine.
It gets worse with time, predictably. Dopamine down regulation increases.
Leptin resistance goes up. The inability to stop eating after a normal amount of
food goes haywire. Cravings get worse and worse.
Suddenly you’re leaving the house in a snowstorm to go get something from the
convenience store late at night when you should be sleeping.
Predictable symptoms. And in case you hadn’t thought about it like this, the
whispering of your brain to eat something off your plan when you have
previously suffered with anything remotely akin to overweight, obesity
needing to take medications to manage said conditions, hypertension, heart
disease, diabetes, joint pain, neuropathy sleep apnea, and you now have a brain
that’s saying, “You know we’ve had a good run with this Bright Line Eating thing
but wouldn’t it be nice to have a little something-something because it’s a
certain time of year.” That’s a symptom, that whispering read the book again,
Bright Line Eating, read the book the whispering of The Saboteur is a symptom
of a part of the brain that is hijacked. It’s an area of the brain that is now
creating a condition in which you have an idea in your head that is potentially
leading you down a path to harming yourself again with food. Food addiction
is a disease and just saying way more people in this world have it then think
they do. I am right now sixteen and a half years down the path of no sugar, no
flour, three meals a day, weighing and measuring my food as you well know, I
have not done that perfectly every day of those 16 and a half years but I have
perfectly I don’t know 94% of the days or something like that of those 16 and a
half years. Lots of experience doing this and in particular my foundation in this
way of life was so strong at the beginning that I can look you in the
eyes and say holiday time is not a time when my brain proposes to me that I make
exceptions and that’s not because I’m less of an addict, because you know
that’s not true. And that’s not become I’m any more because I’m any more
virtuous, because that’s not true. it’s because early on I laid a lot of fiber
tracks in my brain for maintaining solid Bright Lines, especially at this time of
year. So in this vlog at this particular time of year I want to invite you again
really to consider the notion of addiction and food addiction in
particular and to think of the possibility that addiction might be a
disease, a condition or a particular part of the brain has gone awry and is
producing predictable symptoms and they show up in behavioral terms that can be
measured. We have data that measure them in Bright Line Eating. For example, on
weekends when people are exposed to more not my food and not my drink their
hunger and cravings go up predictably literally there is a sine-wave
of hunger and cravings throughout the week, our data show. That is a measurement
of the disease of addiction taking root in people’s physiology and at this time
of year I invite you to consider not listening to those whisperings because
they are not coming from you. They are coming from a hijacked brain and if you
ignore them or use tools to not follow through on them holidays
will become easier and easier and easier as time goes on and that is the
foundation of really living happy, thin, and free. Not restarting after every
holiday, special occasion, cruise, wedding, anniversary and so on. I don’t want you
to have to restart on January 1st I want you doing this with me now. If you
need to restart on January 1st that’s fine, I love you all the same you know I
do. But this is an invitation to think about those whisperings as the
manifestation of the disease of food addiction if that feels congruent to you.
I know it does to me. I love you. That’s the weekly vlog. I’ll see you next week

13 thoughts on “Disease Management

  1. I love love love this! I have been needing this motivational talk from Susan. I have been feeling like this why fight the addiction. The diseases is why I keep fighting. I don't want type 2 or anything else. I have a friend whose son just went into surgery this week to remove his calf because of type 2. And hes 36. Wake up call to me. Thank you for this! I'm sharing this with my family. Cuz I've got them doing bright line.

  2. Thank you Susan… God bless you… I'm so thankful, I can't find words to express that, maybe because English isn't my mother tongue☺….

  3. Hi Doc, I’m new to BLE (along with my husband) and I’m feeling conflicted about this topic because though I am absolutely loving how I feel on three meals a day, no sugar or flour, etc. I feel deeply sad about never having birthday cake with my sons, or a truffle at Yuletide, etc.

    I didn’t have a problem with my weight until I was pregnant with my first son (he’s 6 now) and I had hyperemesis gravidarum, I had it again, worse, with my second pregnancy.

    My docs kept telling me to “eat frequent smaller meals,” but nothing stayed down, and nothing helped during pregnancy.

    After my babies were born (each time) I gained 30 pounds, because while nursing, I was told again, “smaller meals, more food.”

    I’ve realised that the entire four year total experience from my first pregnancy, until my babies weaned, I had been teaching myself to overeat… because that’s what the medical professionals in my life told me to do!

    I did not have a history of overeating before my babies were born, and my hope for myself, is that I will find my way, and if moderation is possible down the road— sharing 1/2 a truffle twice a year, etc. Then great. If not, if that leads to negative/disordered eating and snacking, then at least I already know I have the safety and consistency of Bright Lines to return to.

    I am currently trying to take things one day at a time; no “forever,” anything, but though I have deep gratitude (and am consulting both of your books daily, which is enjoyable) sometimes I feel like a freak, as though I am broken, and abnormal.

    I want to thank you for all you do, and the time you spend helping people. I e-mailed your team about that, and I felt compelled to share and reach out again.

  4. Hi, I just went to see a new endocrinologist this past week. She was the first professional I've seen that knew about Bright Line Eating and suggested that I commit to it. Of course, I told her I had read the book earlier this year and just bought the cookbook recently, but I hadn't really committed to trying BLE. The description of food addiction being a disease speaks to me. It fits with my experience thus far. After watching this vlog, I think this is a sign that I really need to try it, give it a 100% effort, and start thinking about my health in a different way. I don't want to be one of those people that dies too young from the consequences of my bad choices.

  5. Wow, woman! You’re in my head again. Self-disclosure/confession: this past week has been a cluster! I have eaten off plan and indulged in a bit of everything. Today, ONE WEEK after Thanksgiving, I finally threw the last of the refrigerated leftovers away, but decided to pack the last of the sausage stuffing with some gravy on top for my lunch tomorrow. I mean, why not? It still looked okay. It tasted fine when I slammed a couple bites in my mouth. Oh, I was going to bring a apple too, because that’s virtuous, right? And as you were talking, or rather, as I was hearing what you were saying here in this chat with me, I was convicted of the disgusting choice I had made. I was choosing to make my body the garbage can for that food. That NMF! So, half way through watching this vlog, I paused you (I hope you weren’t offended 😉) and pushed that stuff into the garbage disposal! My body isn’t a garbage can!!! Thank you. I may not execute my plan perfectly 100% of the time, but I will celebrate every victory. And this was definitely one. I love you too!💖💐

  6. Your example of the doctor conversation is a reality for me. This was a great vlog and a whack aside the head for me. (Better I listen because I know from experience the next whack is made with a bigger stick) Thanks again for holding up a mirror. For all who read this the part of starting over is soooo true. I second what Susan says about difficulty of resetting BLE. Been there and done that. Gratefully I have been able to get up after falling off. I haven't gone back even close to October 2015 weight. Thanks again Susan.

  7. I love you too Suzan, this video is brilliant! Such a wisdom .. Thanks for holding my hand through these cold and temptating days ..

  8. When you eat the doughnut, that might just be denial. or habit or rebelling or just plain tiredness or addiction. The culture in this country that promotes the standard American diet and judging others' behavior is hard to deal with if you're sensitive to outside influences or others' opinions.

  9. The Holidays Sparkle So Much BRIGHTER✨with BLE
    Love Emily August💖Beautiful Soul Beautiful Journey💖
    Wonderful Vlog the Science always amazes me🤩
    Definitely Addicted definitely a Disease!
    BLE continues to change my life since 8/17
    So thrilled to be HAPPY THIN AND FREE💖⭐️💫

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