Behavior Change, Lifestyle, Transformation

Getting Started


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A question I seem to get a lot is, Where do I start? With all of the information that is available and all of the “changes” that may or may not need to be made it can become overwhelming. Starting with an all or nothing approach can be for you if you are that person. Most of us are not, and we need to pick one item and ease into the changes.

I am an advocate of the minimum effective dose (MED) to make a positive change. The MED for week one is only becoming aware of the behaviors that you currently have. I am not saying you obsess over these items, but merely become informed. An example would be with food and meal frequency. I recommend that you write down everything you eat and drink and the time for one week, you do not need to count macronutrients or calories, this is just to become aware of the choices and decisions we make. If carrying a notebook is too much, use the camera on your smartphone and before anything enters your mouth snap a picture. The phone will time stamp and show quantity, and it is simple. This is a MED to become aware of one habit. After we have been able to bring awareness to the meal timing, and content we can then begin to work on making the positive changes.
Typically the next step would be to purge the pantry of any processed food, vegetable oils, sugars, and other simple carbohydrates and to go grocery shopping for real, whole foods. I emphasize green leafy vegetables, some fruit in season that is fresh for a sweet tooth, healthy meats and fats. We work on merely eating these foods over processed foods. Timing, quantity, and frequency will come next. Again each approach is tailored to the individual and what they can take on. For some, it may be easier to go all in and attack all aspects in one step. Understanding how much to change to take on at one time is something you need to play with to determine what the MED is for you. I don’t want clients to be starving or hungry at first. I want them to start focussing on better food choices. As quality foods become a natural part of their lifestyle, then we can start working on the MED for other aspects of health. These would be meal timing, quantity, understanding the difference between satiated and stuffed. After food, we focus on sleep, movement, exercise and stress resiliency. Regaining our health does not happen overnight, in a week or a month. It is a process that takes time. The time required is different for each person, and it has a lot to do with how long a person has been living in a way that was opposed to health. My journey back to health took over a year to get to a healthy weight and as my knowledge expanded so did the time it took. My weight loss and return to health were non-linear, and I am still working on making consistent changes as my goals and understanding progress. The principle of MED has not changed and is still there.

So where do we start? With becoming aware of what needs to change and then taking the minimum effective dose to start making that change.

By: Nathan Marsala

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