Category: Health

  • San Francisco Anniversary

    San Francisco Anniversary

    A year ago, I moved to San Francisco on a whim. I felt like I was spinning my wheels in Los Angeles and I knew something needed to change. It was terrifying to walk away and start over, but it was also exhilarating because I knew in my heart it was what I was meant to do. I never could have imagined how amazing the last year would be. Like truly amazing, and it’s only because I continued to say “yes” to things that scared the heck out of me. Obesity, disordered eating, body image – the solution is ultimately about learning to show up, love ourselves, put down the food, and trust the still, small voice that continually nudges us to face our fears and chase our dreams.

  • Obesity Hypothesis experiment

    I hypothesize that foods containing starch and sugar create an addictive response and that overconsumption of these foods creates an an inflammatory response in the body. This inflammation manifests differently across populations, is almost certainly influenced by genetics, and remains the root of all major modern disease and epidemics, particuarly obesity.

    The elephant in the room here is that ‘Obesity’ is simply a fancy name for food addiction. We don’t really want to see it or believe it. We want to find a way to have our cake and look good too. But we can’t. I mean, I know I can’t. I have been trying to find a way to moderate these substances for years, but it’s too much work and I’m not very good at it. Science shows that we are able to regulate our energy intake and expenditure naturally without thought or struggle. If we aren’t already doing this naturally – which, let’s be honest. why would you be reading this if you could – you are addicted and any attempts to moderate will only stress your willpower and abilities further.

    I personally would rather be using my mind to think of cool solutions to help myself and others change their behavior to be happier, healthier, and more productive. I think it’s important to have a creative and empowered population and that means finding ways to overcome the everyday addictions that make us miserable.

    My Obesity Hypothesis experiment is as follows:

    My attempt to adhere to strong dietary changes to support my recovery from food addiction and cure my lifelong struggle with obesity will be documented to for the period of 1 year – from August 26, 2015 through August 25, 2016.

    This includes the following food-related changes:

    • Completely abstain from sugars (simple carbohydrates) and starches (complex carbohydrates).
    • Replace with copious non-starchy vegetables at every meal. This should be primarily from the leaves, stems and flowers, and fruit categories. Root vegetables contain excess starch and will be excluded for this period to assist in physiological addiction recovery.

    I enjoy desserts or starchy meals in the same way that I used to enjoy a cigarette. Sure, it tastes delicious and that gives me a hit of dopamine, serotonin,and delight, but in the end, I feel bad – physically and mentally. It upsets my digestion and I carry around shame and feelings of failure. I want to be free from the battle with food choices and obesity. I know from experience that the most effective way to overcome addiction is complete abstinence.

     

  • Rising Strong by Brene Brown: Summary, Key Ideas & Review

    Book in one sentence: When you fall, the story your brain tells you about the fall does more damage than the fall itself.



    What Is Rising Strong About? {#what-is-rising-strong-about}

    You were doing well. You had a plan. Then one night the food just happened, and now you’re in the loop, and the voice in your head has already written the verdict: I knew I couldn’t do this. I always end up here. What is wrong with me.

    Brene Brown calls that the arena floor. Rising Strong is about what to do when you’re down there.

    Published in 2015, this is the third book in Brown’s vulnerability trilogy (after The Gifts of Imperfection and Daring Greatly). The first two made the case for showing up and being seen. This one answers the question her readers kept sending her: “I was brave. I tried. I fell hard. Now what?” Brown is a research professor at the University of Houston who spent years interviewing people who had genuinely failed and found their way back. The pattern she found was consistent: the people who rose weren’t the ones who fell less. They processed their falls differently.

    The book centers on a three-part process: The Reckoning (recognizing you’re in an emotional reaction), The Rumble (getting honest about the story you’re telling yourself), and The Revolution (writing a new ending). That framework sounds clean on paper. The middle stage is where most people quietly give up, and it’s the one that matters most for anyone caught in a cycle of trying, falling, and trying again.


    What Is the “Story I’m Telling Myself” and Why Does It Matter? {#what-is-the-story-im-telling-myself}

    After a food-related fall, something happens in your brain before you even realize it. A story gets written. Brown draws on neurologist Robert Burton and science writer Jonathan Gottschall to explain why: the brain is a story-generating machine, and it fills in gaps whether it has enough information or not.

    When data is incomplete (which is always, in emotional experience), the brain reaches for the most familiar pattern and runs with it. Brown calls this confabulation: “lies, honestly told.” Her example involves a study where shoppers explained their sock preferences in confident detail about texture, quality, and feel. Every sock was identical. The brain generates a coherent, emotionally satisfying story regardless of whether that story reflects reality.

    After a binge, your brain does exactly this. It reaches for the most familiar story in the filing cabinet.

    The SFD (Shitty First Draft, or Stormy First Draft if you need the gentler version) is the tool Brown offers for catching this process mid-run. Borrowed from Anne Lamott’s Bird by Bird, the SFD is the unfiltered, uncensored story your brain generates in the immediate aftermath. Write it down without editing. After a binge, an SFD might read: I’m hopeless. I’ve been trying for years and I always end up here. I have no willpower. Why do I even try.

    The SFD is not the truth. It is not even a reasonable assessment of the situation. But it is diagnostic: it shows you the go-to narratives your psyche reaches for when you’re hurt. Brown’s personal go-to is “I’m not enough.” These are not facts. They are habits of mind, assembled from old experiences and moments of shame that landed and stayed.

    “The most dangerous stories we make up are the narratives that diminish our inherent worthiness.”

    Audit questions worth keeping somewhere visible:

    • What data am I actually working with?
    • What did I add?
    • Whose voice is this story in?
    • Is this a fact, or is this a habit of mind?

    How Do You Actually Use the Rising Strong Process? {#how-to-use-the-rising-strong-process}

    The three stages work as a sequence, but they loop back on each other. Most people skip the middle one.

    Stage 1: The Reckoning

    Just the noticing. Not the explanation for why you’re hooked. Brown gives the example of recognizing “I want Oreos, lots of them” as a signal that something emotional is happening. That recognition is the reckoning: I’m reaching for food. Something is going on. What is it? Most emotional eating happens because this stage never takes place.

    “I don’t know what’s happening, but something is happening, and I want to understand it” is enough. That’s the whole stage.

    Stage 2: The Rumble

    Write the SFD. Then sit with it and audit it. Brown spends most of the book here.

    The rumble means getting honest about things that usually stay underground:

    • Invisible expectations. Disappointment is always unmet expectations, and most expectations are invisible even to yourself. The expectation that this time it will click and stay clicked. The expectation that the scale will validate the effort on the timeline the effort “deserves.” Find them before the fall: “What am I actually expecting here? Is this realistic? Have I said this out loud to anyone?”
    • Resentment as a boundary signal. Brown is direct that persistent resentment usually traces to a boundary that was never clearly set because asking felt too risky. The food doesn’t cause the resentment. The resentment absolutely fuels the eating.
    • What “under the rock” looks like. When shame hijacks the brain, reasoning goes with it. From under the shame rock, the only options your brain offers are fight, flight, or freeze. The restrictive promises you make at midnight, the punishing rules that feel urgently necessary the morning after, the “starting over” vows that require the fall to be complete before they feel earned: all of it is under-the-rock thinking. You cannot make good decisions from this place. Name it (“I’m under the rock right now”), find one person who can witness it without judgment, and wait before deciding anything.

    Stage 3: The Revolution

    The revolution is not a single event. It’s what happens when the rising strong process moves from something you do in a crisis to something you do reflexively. Brown describes it as the shift from “Why am I so pissed?” to “What story am I making up right now, and is it true?”

    “Rising strong after a fall is how we cultivate wholeheartedness in our lives; it’s the process that teaches us the most about who we are.”


    Why the Shame Spiral After a Binge Is Not a Willpower Problem {#why-the-shame-spiral-is-not-a-willpower-problem}

    Here is where Brown gets most directly useful for anyone working on their relationship with food.

    The “what the hell effect” (one deviation becoming permission for a full spiral) maps onto the shame neuroscience Brown presents: when you collapse from “I made a mistake” to “I am a mistake,” you’ve entered a limbic state where the thinking brain is no longer driving. The choices that follow feel logical. They are not.

    The restrictive promises you make from under the shame rock are not plans. They are symptoms. Food rules that feel necessary at midnight, the vow to “start completely over” on Monday, the all-or-nothing framing that requires the fall to be total before the restart can begin: these are shame-driven, not value-driven. They perpetuate the cycle rather than interrupt it.

    Brown also names the confabulations most common in the food and weight context: “I have no willpower.” “I’ll never be able to do this.” “I’m the kind of person who always fails.” None of these are assessments. They are patterns the brain reaches for because they’re familiar, because they explain the fall, because completing the story releases a dopamine reward even when the story is false.

    Writing the SFD and auditing it against actual evidence is what interrupts these long-running confabulations. The cycle breaks when you catch the story in the act.

    One thing Brown doesn’t make explicit but the evidence supports: for people whose relationship with food is rooted in significant trauma or a diagnosable eating disorder, this framework is a companion to treatment, not a substitute for it. Brown includes this in her appendix on complex trauma. It’s worth taking seriously.


    Is Rising Strong Worth Reading? {#is-rising-strong-worth-reading}

    Read this if you’ve tried to change your relationship with food, have a history of starting strong and collapsing into shame after a setback, and suspect the story you’re telling yourself in the aftermath is doing more damage than the actual eating did. Also genuinely useful for anyone doing behavior change work who wants a framework for the inevitable difficult middle.

    Skip it if you’ve already read Daring Greatly and found Brown’s approach too repetitive or too focused on a particular cultural lens. The vulnerability framework doesn’t change much between books. The overlap is real.

    One caveat: Brown’s cases are drawn almost entirely from professional, relatively privileged contexts. The framework is robustly applicable, but readers navigating falls that include food insecurity, systemic discrimination, or the specific shame load delivered by anti-fat culture may find it useful but partial. The rumble she describes is harder when the story isn’t just internal. Sometimes the culture is actively writing it for you.


    Books Like Rising Strong {#books-like-rising-strong}

    BookAuthorBest For
    The Gifts of ImperfectionBrene BrownThe prequel: building the courage to show up before the fall
    MindsetCarol DweckUnderstanding why “I failed” becomes “I’m a failure” and how to interrupt it
    The Willpower InstinctKelly McGonigalThe neuroscience behind the shame-binge cycle and what actually helps
    Breaking Free from Emotional EatingGeneen RothDeeper on the food-emotion connection specifically; where Brown gestures, Roth lands
    Psycho-CyberneticsMaxwell MaltzThe self-image underpinning Brown’s “worthiness” claims, with a practical how-to
  • It’s Not You, It’s Your Hormones by Nicki Williams: Summary, Key Ideas & Review

    Book in one sentence: A UK nutritional therapist walks women through the four hormones wrecking their health after 40, and shows how food and lifestyle can actually fix them.



    What Is It’s Not You, It’s Your Hormones! About?

    Picture this: you’re standing at the kitchen sink, too depleted to think, and your seven-year-old comes in to show you a drawing she made at school. You snap at her. Her face falls. She says, “Why are you always so grumpy, Mummy?” That moment happened to Nicki Williams in January 2007. She was 42, exhausted, gaining weight around her middle despite trying every diet, and had just left her GP’s office holding a Prozac prescription she didn’t want.

    Williams sat in her car and cried. Then she called her father (also a doctor, one who had long since moved toward functional medicine) and he said: “Don’t worry, Nick. It’ll be your hormones.” That conversation sent her back to school, through a four-year qualification at the Institute of Optimum Nutrition, and eventually into a clinical practice built around the population she had become: women over 40 who feel terrible and keep being told their bloodwork is fine.

    It’s Not You, It’s Your Hormones! is the book that came out of that journey. Williams is not an academic, and she writes like a practitioner, not a researcher. What she offers is a clear, accessible framework for understanding why perimenopause-era symptoms (fatigue, abdominal weight gain, brain fog, mood swings, broken sleep) happen at a physiological level, and what food and lifestyle changes can do about them. The UK origin means NHS references and British supplement brands appear throughout, but the underlying physiology translates cleanly anywhere.


    Why Am I Gaining Weight When Nothing Has Changed?

    That question drives most of the women who pick up this book. They haven’t changed what they eat. They’re not sedentary. They’re doing all the things that used to work, and the scale is still creeping up, specifically around the middle, in a way it never used to.

    Williams’s answer centers on cortisol and insulin working together against you. Cortisol, the stress hormone, has a direct effect on abdominal fat storage: abdominal fat contains four times more cortisol receptors than fat anywhere else in the body. When cortisol is chronically elevated (from any form of stress, including poor sleep, refined carbohydrates, or skipped meals), it mobilizes blood glucose. That glucose spike triggers insulin. Insulin is the fat-storage signal, and with blood sugar elevated, it’s chronically activated regardless of how little you’re eating.

    “Not only do we have four times more cortisol receptors in our abdominal fat than any other part of the body, but cortisol also stimulates appetite — sugar and carbs are vital when you need energy to run from that lion.”

    The practical consequence is brutal: calorie restriction often makes this worse. A severe cut signals famine to the brain, which triggers more cortisol, which slows metabolism and breaks down muscle for glucose, which produces powerful cravings for sugar and refined carbohydrates. Williams draws on Zoe Harcombe’s work to note that 98% of people either fail to lose weight on a calorie-controlled diet or regain what they lost. The mechanism itself produces those outcomes.

    The loop she describes is also behind the 3am wake-up and the afternoon crash. Blood sugar drops overnight, cortisol surges to correct it, and you’re wide awake. The morning exhaustion that follows sends you to coffee and carbohydrates, blood sugar spikes and crashes again, and the cycle restarts. Understanding that this is a physiological cascade, not a willpower failure, is the orientation shift the book is built around.


    What Is the Happy Hormone Code?

    Williams organizes her intervention into four steps: Eat, Rest, Cleanse, Move. Each maps to a specific hormonal lever. The whole system is built around what she calls the “Feisty Four”: cortisol, insulin, thyroid, and estrogen/progesterone. These four hormones interact so tightly that dysfunction in one tends to cascade into the others.

    A few things worth knowing from each step:

    Eat reframes food as hormonal information rather than calories. The practical targets are protein at every meal, low-glycemic-load carbohydrates, cruciferous vegetables (which contain indole-3-carbinol to support estrogen metabolism through the liver), healthy fats, and 35 grams of fiber daily. Ground flaxseeds get specific attention: two tablespoons a day, because flaxseeds contain lignans at roughly 100 times the concentration of any other food source, and lignans bind excess estrogen for elimination via the gut. A minimum 12-hour overnight fast is also recommended for insulin management.

    Rest addresses cortisol directly. Williams is clear that stress management isn’t optional, it’s the foundational intervention. Consistent sleep before 11pm, diaphragmatic breathing (five-count rhythm, ten repetitions), and screens off one hour before bed are her baseline. Adaptogenic herbs like ashwagandha and rhodiola get a mention as cortisol modulators, and magnesium glycinate at bedtime comes up repeatedly as a first-line supplement because magnesium is rapidly depleted by stress and supports both cortisol regulation and sleep.

    Cleanse focuses on xenoestrogens, the environmental chemicals from plastics, pesticides, and personal care products that mimic estrogen in the body. Williams recommends switching to glass and stainless steel where possible, choosing organic produce for high-pesticide items, and supporting the liver and gut as the main clearance routes for excess estrogen. The cruciferous vegetable recommendation reappears here.

    Move reframes the exercise question for cortisol-depleted women. More cardio is not better. Williams advocates 30-minute daily walks, brief HIIT sessions (15 minutes, two or three times a week, because short HIIT raises growth hormone and improves insulin sensitivity without adding significant cortisol load), resistance training, and yoga or Pilates for their cortisol-lowering effects specifically.

    One of the more useful distinctions in the book is Williams’s separation of estrogen dominance from low estrogen. These are two different perimenopausal states that require different responses. Estrogen dominance (too much estrogen relative to declining progesterone, common from the mid-30s onward) produces heavy or painful periods, breast tenderness, PMS, bloating, and conditions like fibroids. Low estrogen (the later perimenopausal and menopausal state) produces hot flushes, night sweats, dry skin, and memory changes. Using phytoestrogen support for the dominance phase can worsen it. The framework to tell them apart is one of the book’s more distinctive contributions.


    What Does “Normal” Lab Work Actually Miss?

    A significant portion of Williams’s readership has already been to their GP, had blood drawn, been told everything looks fine, and left no closer to understanding why they feel awful. The testing chapter is written for them.

    Williams draws a sharp line between “normal” (anywhere within a reference range) and “optimal” (in the range where symptoms actually resolve). The thyroid example is the clearest illustration. The NHS upper limit for TSH is 5.0 mU/L. Many integrative practitioners treat 2.5 mU/L as the functional upper limit. A result of 4.2 is entirely “normal” by conventional standards and may prompt nothing further, while a patient at that level could be functionally hypothyroid.

    “There is often a huge difference between someone with optimal TSH and someone with a level that is just within range. It will most often show up in their symptoms. If you ask me, I’d be wanting OPTIMAL levels not ‘normal’ levels.”

    Standard thyroid panels measure only TSH, which is the pituitary’s signal to produce thyroid hormone, not whether the body is converting that hormone into its active form (T3) or whether the cells can receive it. Williams recommends requesting TSH, free T4, free T3, Reverse T3, and TPO antibodies (the last one for Hashimoto’s autoimmune thyroiditis, which she notes accounts for roughly 80% of hypothyroid cases). She also introduces the Barnes Basal Temperature Test, six consecutive mornings of underarm temperature readings before getting up, as a low-cost screen: consistent readings below 36.6°C suggest low thyroid function even with normal labs.

    For adrenal function, she recommends saliva cortisol testing over serum testing, because saliva captures cortisol at multiple points through the day (including the critical morning cortisol awakening response) rather than a single snapshot. For sex hormones, she specifies timing: days 19-20 of the cycle, when progesterone should be at its peak and the estrogen-to-progesterone ratio is most informative. A woman tested on day 5 or day 28 gets a picture that tells a very different story.


    Is It’s Not You, It’s Your Hormones! Worth Reading?

    Read this if you’re between roughly 35 and 55, experiencing the cluster of symptoms Williams describes (fatigue that doesn’t resolve with sleep, abdominal weight gain, worsening PMS or cycle changes, mood instability, brain fog), and especially if you’ve had normal labs and been told there’s nothing wrong. Also useful if you’re a health coach or practitioner working with this population and want a clear client-education framework.

    Skip it if you want a heavily cited research text or if you’re primarily post-menopausal and focused on HRT decisions. The HRT chapter is balanced and honest about the limits of Williams’s expertise in that area, but it’s thin coverage for someone who needs it to be the main event.

    One caveat: the book was published in 2017, the research base for several claims (especially around HIIT for women over 40 and some of the adrenal fatigue framing) has evolved since then, and the UK-specific medical references require translation for anyone outside the NHS. Williams does not always distinguish clearly between interventions with strong evidence and those with more preliminary or clinical-observation-only support. Take the supplement protocols as a starting point for a conversation with a practitioner, not a prescription.


    Books Like It’s Not You, It’s Your Hormones!

    BookAuthorBest For
    Happy HormonesAngelique VermeulenWomen who want a broader hormonal overview beyond perimenopause
    The Hormone ShiftTasneem BhatiaDeeper clinical detail with a heavier research base
    Hormone IntelligenceAviva RommIntegrative MD perspective with stronger evidence citations
    The Perimenopause SolutionDr. Shahzadi HarperUK-based GP who covers HRT and lifestyle together
    Is It Me or My Hormones?Marcelle PickSimilar audience, more emphasis on the emotional and relational side
  • Make It Stick by Peter Brown: Summary, Key Ideas & Review

    Book in one sentence: The study methods that feel most productive (rereading, highlighting, cramming) are among the least effective, and the strategies that feel hardest are the ones that actually build lasting skill.



    What Is Make It Stick About?

    You’ve read the nutrition advice. You’ve taken the notes. You’ve highlighted the key passages. Then Tuesday comes around and you’re standing in the kitchen doing exactly what you always do, the book still sitting on the counter. Not because you’re lazy or unmotivated. Because rereading is not learning.

    That’s the central claim of Make It Stick, written by cognitive scientists Henry Roediger and Mark McDaniel (both at Washington University in St. Louis, both with decades of published memory research) alongside narrative writer Peter Brown. The book pulls from a decade-long research collaboration funded by the James S. McDonnell Foundation, covering how the brain encodes, consolidates, and retrieves knowledge. It’s not pop psychology. It’s a translation of serious experimental science into something you can actually use.

    The book’s argument is blunt: the strategies most people rely on create an illusion of learning without the real thing. And the strategies that actually work feel slower, harder, and less satisfying. This gap, between what feels productive and what produces results, explains why so many change efforts fail despite real effort and good intentions.

    Why Do Our Go-To Learning Methods Fail?

    Picture a UCLA professor who had been in the same building for 25 years. Researchers asked him to locate the nearest fire extinguisher. He walked right past it. It was inches from his office door. He’d seen it hundreds of times and retained nothing.

    Repetition without retrieval is largely wasted effort. The brain needs more than exposure. It needs to actively reconstruct what it knows, and the struggle of that reconstruction is precisely what makes memory durable. As the authors write: “Learning is deeper and more durable when it’s effortful. Learning that’s easy is like writing in sand, here today and gone tomorrow.”

    The deeper problem is that ineffective strategies generate a feeling of competence. Rereading the same passage until it sounds familiar, highlighting whole paragraphs because they feel important, watching the same demo video twice because it went smoothly the second time. All of this produces what researchers call the fluency illusion, where recognition masquerades as mastery. The material feels known. Until the moment you actually need it.

    This is why more than 80 percent of college students cite rereading as their primary study strategy, and why it persists: it feels like work. It feels like progress. The brain’s System 1 (fast, automatic, pattern-matching) generates a comfortable sense of knowing based on mere familiarity, while System 2 (the slow, deliberate evaluator) accepts that verdict without checking. The result is a learner who feels prepared and isn’t.

    What Actually Works: The Core Strategies

    The research points to four strategies that consistently produce durable, flexible learning. None of them feel as smooth as rereading.

    1. Retrieval Practice

    Testing yourself (rather than reviewing material) is the single most powerful thing you can do. In a study at a Columbia, Illinois middle school, students who were quizzed on material three times across a semester scored A- on that content eight months later. Students who reviewed the same material without quizzes scored C+. The gap wasn’t time spent. It was the act of pulling knowledge out of memory rather than pushing it back in.

    A quiz does two things at once: it tells you what you actually know (calibration), and it strengthens the memory trace by forcing reconstruction. Flashcards, practice tests, covering your notes and trying to recall the main points, closing the book and writing down everything you remember. These feel harder than rereading. They are harder. That friction is the mechanism, not a sign you’re doing it wrong.

    2. Spaced Repetition

    Cramming consolidates information in short-term memory, where it evaporates quickly. Spreading practice across time, with gaps between sessions, forces the brain to reconstruct from long-term memory. That reconstruction strengthens the learning each time it happens.

    Surgical residents in one study who spaced their microsurgery lessons across four weeks dramatically outperformed residents who completed all four lessons in a single day. Sixteen percent of the massed-practice group permanently damaged their subjects during the test. The spaced group didn’t. The difference was not talent. It was timing.

    3. Interleaving

    Blocked practice means doing all of one type of problem before moving to the next. Interleaved practice means mixing them up. Students who practiced computing different geometric volumes in mixed order scored 63 percent on the final test. Students who practiced each type in a block scored 20 percent, despite averaging 89 percent during practice. The group that looked better during practice performed worse when it mattered.

    Interleaving builds the discrimination skill that blocked practice never develops: the ability to identify what kind of problem you’re facing before choosing a response. In blocked practice, the next problem type is always the same as the last. In real life, it isn’t. Interleaving trains you for the world as it actually arrives.

    4. Generation and Desirable Difficulty

    “Trying to solve a problem before being taught the solution leads to better learning, even when errors are made in the attempt.”

    This is the generation effect, and it runs counter to how most instruction is designed. The standard model: teach first, then practice. The research-backed model: attempt first, struggle, then receive instruction. The struggle primes the brain to absorb the answer more deeply because relevant prior knowledge has already been activated. Errors aren’t setbacks. They’re scaffolding.

    Elizabeth and Robert Bjork coined the term “desirable difficulties” for this principle: certain obstacles during learning are not signs that the method is failing. They are the mechanism by which deep learning occurs. The difficulty is the point.

    How Does This Apply to Changing Eating Behavior?

    Every behavior change you attempt is a learning problem. And most people approach it the same way they approach ineffective studying: by reading more, reviewing more, reminding themselves of what they already know. This produces the same illusion of progress without the same transfer to real behavior.

    Rereading a meal plan is not the same as building eating skills. Reading about hunger signals doesn’t build the ability to recognize them in the moment. Reviewing a list of emotional triggers doesn’t build the capacity to catch one in real time. Recognition under calm conditions is not the same as recall under pressure.

    Here’s what the science would suggest instead. Before your next meal, close whatever you’ve been reading and ask yourself: what am I actually supposed to be doing differently right now? If you can’t answer without looking, the retrieval practice starts there. The struggle to remember is not a failure. It’s the learning.

    Practicing in varied situations builds more flexible skill than practicing in one controlled context. Mastering your eating habits at home before trying restaurants before tackling social events is blocked practice. Real life doesn’t sequence challenges that neatly. Mixing the contexts (lunch at your desk, dinner with family, holiday party, stressful Tuesday) builds the discrimination skill you’ll need when Thursday arrives with a problem you didn’t rehearse for.

    The generation effect matters here too. Every time you try a new behavior before you’ve fully figured it out, and stumble, and adjust, you are building stronger skill than if you had waited until you felt ready. Waiting until you feel ready is the rereading strategy. It produces fluency without durability.

    As the authors put it: “It’s not the failure that’s desirable, it’s the dauntless effort despite the risks, the discovery of what works and what doesn’t that sometimes only failure can reveal.” Worth reading that twice. It’s a description of how the brain learns, backed by controlled experiments, not a poster on someone’s wall.

    One more thing worth holding onto from Chapter 7: the brain is plastic throughout life. Effortful learning creates new neural connections, thickens myelin sheaths, and generates new neurons in the hippocampus. The capacity to change isn’t a belief system or a mindset. It’s biology. Your intellectual abilities, including the ability to build new behavioral habits, lie to a surprising extent within your own control. The book says this plainly, backed by decades of research, and it belongs near the top of anything you read this year.

    Is Make It Stick Worth Reading?

    Read this if you’re about to embark on any sustained behavior change and want to understand why previous attempts didn’t stick. Also for anyone who works with clients, patients, or students and wants to design learning experiences that actually produce durable results rather than temporary performance.

    Skip it if you’re looking for subject-specific guidance on eating, weight, or nutrition. This book doesn’t teach you what to change. It teaches you how to make any change stick. Pair it with a domain-specific book and use these strategies to actually retain and apply what you read from it.

    One caveat: the book is thorough about the science and light on the motivational challenge. Knowing that retrieval practice works and consistently doing it when it feels harder and slower are different problems. The authors acknowledge the gap but don’t close it. For the knowing-doing bridge, you’ll want something like Atomic Habits alongside this.

    Books Like Make It Stick

    BookAuthorBest For
    Atomic HabitsJames ClearBuilding the systems that make behavior change automatic
    Tiny HabitsBJ FoggStarting smaller than you think you need to
    UltralearningScott YoungApplying retrieval practice to self-directed skill projects
    GritAngela DuckworthSustaining effort through the discomfort desirable difficulties create
    MindsetCarol DweckThe belief system that makes it possible to embrace hard learning
  • Happy Hormones by Kristy Vermeulen: Summary, Key Ideas & Review

    Book in one sentence: A nutritionist’s practical, hormone-by-hormone guide to understanding why you feel off and what food and lifestyle changes can actually help.



    What Is Happy Hormones About?

    You go to your doctor exhausted, puffy, irritable, and stuck at the same weight despite doing everything right. The labs come back normal. Nothing is wrong. Here, maybe try an antidepressant.

    Kristy Vermeulen wrote Happy Hormones for exactly that moment. She is a nutritionist who specializes in women’s hormonal health and who has been through her own version of the frustrating cycle: high cortisol, estrogen excess, progesterone deficiency, the whole cascade. The book is organized around a core premise she states plainly in the introduction: “Though these symptoms may be common, they are not normal.” That distinction, common versus normal, is doing a lot of work. It is the moral center of everything that follows.

    The book covers six major hormones (estrogen, progesterone, cortisol, thyroid, DHEA, and testosterone) and gives each a dedicated chapter with its own symptom list, food recommendations, and lifestyle changes. There is a self-assessment questionnaire up front that routes you to whichever chapters apply to you. You do not need to read it cover to cover to get something useful out of it.

    Where does it sit on the crowded shelf of hormone books? Less clinical than Aviva Romm’s work, less protocol-heavy than Sara Gottfried’s. Think of it as the book you read before those books, the one that gives you a map and vocabulary before you go deeper. For anyone who suspects hormones are involved in their weight struggles but does not know where to start, this is a reasonable first stop.


    How Does Vermeulen Organize Hormone Advice?

    Most hormone books give you a program. Vermeulen gives you a ladder.

    Every chapter in the book follows the same six-step hierarchy, ordered from least to most interventional: (1) diet modification, (2) lifestyle changes, (3) nutritional supplements, (4) herbal support, (5) homeopathic remedies, and (6) bioidentical hormone replacement. The order is intentional. The idea is that you work through the foundational steps before reaching for anything more involved, and many women improve substantially at steps one through three.

    This is actually a useful corrective to both conventional medicine (which often skips to pharmaceuticals) and the wellness industry (which often skips to supplements). The framework implies that your body is trying to regulate itself and will do so if you remove obstacles and provide the raw materials it needs. That is a reasonable place to start.

    One honest caveat: step five is homeopathy, which has no plausible mechanism and does not perform above placebo in controlled research. Its inclusion, presented without any caveats, is the book’s main credibility problem. Skip that step. Everything around it, the dietary foundations, the herbal support, and the bioidentical hormone discussion, is on much firmer ground.

    The six-step structure is also what makes this book modular. A woman dealing primarily with thyroid symptoms can read the relevant chapters and leave with something concrete. Someone in perimenopause can go straight to the estrogen and progesterone chapters. The questionnaire at the front tells you where to go.


    Which Hormones Does the Book Cover?

    Estrogen and the Environmental Load

    Vermeulen’s estrogen chapter does something most books in this space do not: it makes the environmental argument concrete. Xenoestrogens (synthetic chemicals in plastics, pesticides, conventional cosmetics, and cleaning products) accumulate in the body and add to the total estrogenic load. The chapter gives a workable reduction protocol:

    • Swap plastic food containers and water bottles for glass or stainless steel
    • Check cosmetics and personal care products for phthalates and parabens (the EWG Skin Deep database is her recommended tool)
    • Choose organic, hormone-free meat and dairy when possible
    • Switch to green cleaning products
    • Filter tap water rather than relying on plastic-bottled water

    This matters because estrogen excess is not just about what your ovaries are doing. It is also about what your liver is metabolizing and what your environment is contributing. That is a more complete picture than most women receive from a standard gynecology appointment.

    Cortisol and Why Stress Affects Everything

    The cortisol chapter is where the cascade logic becomes clearest. Chronic cortisol elevation does not stay in its lane. It competes with progesterone for the same upstream building block (pregnenolone), suppresses thyroid production, and accelerates DHEA depletion. What shows up as PMS, thyroid sluggishness, or total burnout may all be downstream of the same driver: sustained stress.

    Vermeulen’s symptom picture for high cortisol reads like a description of a significant portion of working-age women: anxiety, insomnia, abdominal weight gain, wired-but-tired sensation, and cravings for sugar and carbohydrates (the body seeking fast fuel in a perceived state of threat). The herbs she recommends for this pattern, ashwagandha chief among them, have accumulated a solid evidence base since the book’s original publication. Multiple controlled trials have shown ashwagandha reduces salivary cortisol and self-reported stress, which places it in a different category from most of the herbal recommendations in the book.

    “Cortisol is designed to be a short-term process, not for the days, months, and years that chronic stress is today.”

    Thyroid and the TSH Problem

    This section is pointed and, for many women, the most practically useful part of the book. The current conventional reference range for TSH runs from 0.45 to 4.5 uIU/mL. Vermeulen argues that this range is too wide and that hypothyroid symptoms often appear when TSH exceeds 2.0. A woman with a TSH of 3.8 who is exhausted, cold, constipated, and stuck at her weight is told her thyroid is normal. She is not getting the full picture.

    “The reference range for TSH is currently set from 0.450–4.500 uIU/mL. This range is too wide, and anyone with a TSH greater than 2 uIU/mL can be experiencing hypothyroid symptoms.”

    She also addresses the T4-only treatment problem. Standard levothyroxine provides only T4, which the body must convert to active T3, and that conversion requires zinc, selenium, and a functioning liver. When conversion is impaired, T4-only treatment does not resolve symptoms. Desiccated thyroid (which provides both T3 and T4 directly) is her clinical preference for most confirmed cases.


    Why Do Hormones Make Weight Loss So Hard?

    For anyone who has followed the rules, reduced calories, exercised consistently, and still not lost weight, this book offers a few useful lenses.

    Estrogen excess and fat distribution. High estrogen relative to progesterone promotes fat storage in hips, thighs, and belly, increases water retention, and can make weight loss resistant to calorie restriction alone. Addressing the root cause (xenoestrogen load, liver metabolism, stress-driven progesterone depletion) targets the mechanism rather than just the symptom.

    The cortisol-food loop. Elevated cortisol raises blood glucose, drives insulin resistance, and creates cravings for fast carbohydrates. It also disrupts sleep, which then compounds hunger hormone dysregulation through a separate pathway. Vermeulen does not use emotional eating language, but the physiology she describes is one of the most common underlying drivers of it.

    Subclinical hypothyroidism. A slowed metabolism is real and measurable at TSH levels that conventional labs consider normal. Women who eat cleanly, exercise, and still cannot lose weight are sometimes dealing with this without knowing it. It is worth asking harder questions at your next lab appointment.

    Routine as metabolism. This one is underrated and shows up consistently across every chapter. Vermeulen recommends a fixed wake time, consistent meal timing, and a regular movement window for every hormonal imbalance, because the circadian rhythm governs cortisol, insulin, melatonin, and growth hormone. Irregular scheduling is a stressor on its own. Chronobiology research since publication has reinforced this point considerably.

    One of her case examples ends with a patient saying the supplement protocol was fine but the thing that actually moved the needle was establishing a consistent daily schedule. That kind of quiet finding, buried in a case example rather than on the cover, is worth paying attention to.


    Is Happy Hormones Worth Reading?

    Read this if you suspect hormones are affecting your weight, energy, or mood and want a readable, organized starting point before working with a practitioner. Also useful if you are in perimenopause, navigating PMS that feels out of proportion, or curious about bioidentical hormones and want a balanced, non-scary introduction.

    Skip it if you need citations and want to evaluate the evidence yourself (Sara Gottfried’s work is better suited for that), or if you want a single authoritative protocol rather than a flexible framework.

    One caveat: The supplement dosages should not be self-prescribed from the printed pages. Some are well-supported, some are extrapolated from small studies, and the book does not signal which is which. Take the framework to a practitioner who can run actual labs and dose accordingly.


    Books Like Happy Hormones

    BookAuthorBest For
    Hormone IntelligenceAviva RommMore clinical depth, stronger citations, good for PCOS and perimenopause
    Healthy HormonesMagdalena WszelakiPractical food-first approach with meal plans
    The Happy Hormone GuideShannon LeparskiPlant-based angle, cycle-syncing focus
    The Hormone FixAnna CabecaKeto-alkaline diet meets hormone balance
    Women Food and HormonesSara GottfriedResearch-heavy, best for readers who want clinical detail
  • Slim by Design by Brian Wansink: Summary, Key Ideas & Review

    The book in one sentence: Your kitchen, your restaurant booth, and your grocery cart are doing more diet work than your willpower ever will.



    What Is Slim by Design About?

    Picture a person you know who seems to eat whatever they want and stays slim. You’ve probably spent some mental energy resenting them. Wansink spent two months watching people like that eat at Chinese buffets, quietly cataloging exactly what they did differently from everyone else. The answer had nothing to do with willpower or calorie counting. Slim diners walked the buffet before picking up a plate. They sat farther from the food. They faced away from the trays. None of them could explain why when asked.

    Slim by Design is the follow-up to Mindless Eating, Wansink’s first book on the hidden forces that drive how much we eat. Where Mindless Eating focused on diagnosing the problem, this book is about fixing it. The core argument is stated plainly in the introduction: “Becoming slim by design works better than trying to become slim by willpower. It’s easier to change your eating environment than to change your mind.”

    The book works through five specific environments where most of our eating happens: home, restaurants, grocery stores, workplaces, and school lunchrooms. Each chapter offers concrete, research-backed changes you can make (or ask others to make) in each space. Most are one-time adjustments that then work passively. No meal planning, no tracking, no willpower required after the initial setup.

    Wansink was a Cornell University food psychologist and former executive director of the USDA agency that oversaw the 2010 Dietary Guidelines. His credentials matter for context, though the research controversy (covered below) matters equally. Come for the framework; hold the specific statistics loosely.


    What Does Your Food Environment Actually Control?

    More than you think. We make over 200 food decisions a day, Wansink argues, and almost none of them feel like decisions. You’re not choosing to grab a handful of chips; you’re responding to a bowl that’s sitting on the counter, in sight, within arm’s reach. Change the bowl’s location and you make a different choice, often without noticing anything changed.

    The concept that runs through the whole book is what he calls the “In Sight, In Stomach” rule: the food you can see, you eat. The food you have to look for, you eat less. This sounds obvious until you audit your own kitchen and realize that your eating habits are basically a map of what’s visible.

    Three mechanisms drive most of the environmental effects Wansink documents:

    • Convenience. The easier something is to reach, the more of it gets consumed. Proximity is a calorie.
    • Visibility. Food in your line of sight acts as a passive invitation. Every glance is a small pull.
    • Social norms. We eat what we see others eating. Sitting at a table facing the buffet means watching everyone take a second and third lap, which registers as “that’s what people do here.”

    These aren’t character flaws. They’re the operating system. The question is whether you’ve designed your environments intentionally or just absorbed whatever defaults you landed in.


    How Does Wansink Recommend Changing Each Environment?

    1. Your Kitchen

    The Syracuse Study (an audit of real kitchens) found that visible food on counters predicted weight. Women with any cereal visible in the kitchen weighed more than neighbors with bare counters. Wansink’s prescriptions are simple and one-time:

    • Clear all food from counters except a fruit bowl
    • Move the cereal, crackers, and snacks behind closed cabinet doors
    • Reorganize the refrigerator so cut fruit and vegetables sit at eye level, not buried in the crisper
    • Swap 11-12 inch dinner plates for 9-10 inch versions (a smaller plate makes a moderate portion look generous; a larger plate makes the same portion look inadequate, so you serve more)

    None of these changes require you to stop wanting the food. They just add a pause, a small amount of friction, that interrupts the automatic grab.

    2. Restaurants

    Observational data from 27 restaurants found that where you sit shapes what you order. People near windows in well-lit areas ordered more salads. People in dark back booths were 73% more likely to order dessert. Wansink’s three practical moves:

    Choose your table deliberately. Ask for a window seat or a table near natural light. The request takes ten seconds.

    Use the Restaurant Rule of Two. Order any entrée, but cap yourself at two additional items total (choose from bread, a starter, dessert, or a drink). People who do this report eating less without feeling deprived, because they chose what they actually wanted most rather than accumulating everything.

    Ask for the to-go box before the food arrives. Deciding to take half home before you’re looking at a full, hot plate is a different decision than making it after. Pre-commitment removes the in-the-moment battle.

    “The solution to mindless eating is not mindful eating — our lives are just too crazy and our willpower’s too wimpy. Instead, the solution is to tweak small things in our homes, favorite restaurants, supermarkets, workplaces, and schools so we mindlessly eat less and better instead of more.”

    3. Grocery Stores

    A study of real grocery shoppers (using what Wansink calls the “Kleenex Cam”) found that shoppers become more selective as their cart fills. The produce section, usually at the entrance, gets the most generous selection. By mid-store, people are grabbing and tossing without much thought.

    Two interventions worth adopting:

    • Use a physical divider in the cart to reserve the front half for produce before entering the store. The pre-commitment happens at the cart, not at the chips aisle.
    • Chew gum while shopping. This sounds strange until you understand why it works. Shopping hungry makes people buy worse food, not more food. Gum disrupts the imagined taste experience that drives snack cravings.

    4. Workplace

    People with visible candy on or near their desk weigh more than those who don’t. Moving a candy dish from the desktop to inside a drawer reduced consumption by 74 calories per day per person, which adds up to several pounds over a year. Again: not willpower. Just distance.

    5. School Lunchrooms

    The school chapter is the sleeper hit of the book. Moving a salad bar ten feet from the wall and rotating it perpendicular to the lunch line increased salad sales 200-300%. Displaying fruit in a bowl under direct light (rather than tucked behind a steam tray) doubled fruit sales. Renaming a bean burrito “Big Bad Bean Burrito” sold it out for the first time.

    The policy principle that emerges: bans reliably backfire, but inconvenience works. When schools removed chocolate milk, fewer students drank any milk. When they moved chocolate milk to the back of the cooler, white milk sales increased with no complaints. The food was still there. It was just slightly less convenient.


    What About the Research Controversy?

    This section is not optional. Brian Wansink’s research program was extensively investigated starting around 2016, when independent researchers identified statistical anomalies across dozens of his published studies. Over 40 papers were retracted or corrected. Wansink resigned from Cornell in 2018 following a university finding of academic misconduct.

    The specific numbers in this book, including the exact pounds tied to visible cereal, the precise calorie reductions from dish swaps, and the percentage increases from furniture placement, come from a body of work that can no longer be taken at face value. Treat them as rough illustrations of a direction, not as precise facts.

    What this doesn’t mean: the environmental design framework is wrong. The broader scientific literature on choice architecture and eating behavior, from researchers like Richard Thaler (who won a Nobel Prize for his work on decision environments) and neuroscientist Stephan Guyenet, independently supports the core idea. Defaults, friction, and visibility do shape our choices far more than we realize. The direction of Wansink’s effects is consistent with that independent research even where his specific numbers are not reliable.

    Think of it this way: the principles are worth acting on. The statistics are illustrations, not evidence.


    Is Slim by Design Worth Reading?

    Read this if you’ve spent years trying harder and failing, and you’re ready to stop treating the problem as a character defect. The environmental design framework is genuinely different from diet book thinking, and the specific interventions (counter clearing, plate swapping, the restaurant Rule of Two, the pre-emptive to-go box) are low-cost, low-friction, and require no ongoing maintenance. Anyone who wants to stop fighting their own kitchen will find practical ideas here.

    Skip it if you’ve already read Mindless Eating and found it convincing. Slim by Design covers much of the same conceptual ground and can feel repetitive if you’re familiar with the predecessor. The additional value is in the environmental-specific prescriptions, not new theory.

    One caveat: these are behavioral nudges, not therapeutic interventions. If your eating is deeply tied to emotional patterns, restriction cycles, trauma, or compulsive eating, rearranging your plate size will not address the root. The environmental layer still matters even for people doing deeper work (you can be building better self-awareness and still be eating off a 12-inch plate that makes every portion look inadequate). But don’t expect this book to do the work that therapy does.


    Books Like Slim by Design

    BookAuthorBest For
    Mindless EatingBrian WansinkThe “why we overeat” companion; read before or after
    NudgeThaler & SunsteinThe validated theoretical foundation for choice architecture
    Atomic HabitsJames ClearBehavior change through environment design and identity
    The End of OvereatingDavid KesslerThe systemic food industry forces this book is pushing against
    Food RulesMichael PollanSimple, practical heuristics for everyday food decisions
  • Eat What You Love, Love What You Eat for Binge Eating by Michelle May: Summary, Key Ideas & Review

    The book in one sentence: A physician and an eating disorder therapist, both in personal recovery from binge eating, teach you the mindfulness-based skills to break the eat-repent-repeat cycle without another diet.



    What Is Eat What You Love, Love What You Eat for Binge Eating About?

    Picture Connie, the book’s opening case study. She starts Monday with steel-cut oats, a packed salad, and gym clothes in her bag. By noon, she’s had a rough meeting with her boss and eaten a burger with her coworkers. By evening, her family is out at a ball game and there is a large pizza and no one watching. She eats all of it. She hides the box in a neighbor’s trash can and is in bed with the lights out, crying, when her husband comes home. She is already planning the new diet that will fix everything on Tuesday.

    That specific loop, with minor variations, is what millions of people are living. Not just overeating. The secrecy, the trance-like eating, the hiding evidence, the shame, the next diet that launches the whole thing again. Binge Eating Disorder is the most common eating disorder in the U.S., affecting 3.5% of women and 2% of men over their lifetimes. Far more people than have anorexia or bulimia. And for decades, the most common “treatment” offered was another diet, which makes the cycle worse, not better.

    Michelle May is a physician who built the Am I Hungry? Mindful Eating framework after her own history of yo-yo dieting. Kari Anderson is a licensed counselor with a doctorate in behavioral health who went through inpatient treatment for binge eating herself, then spent twenty years treating others in clinical practice. Together, they designed a ten-week group program, ran a pilot study that showed statistically significant reductions in binge eating severity, and wrote this book to make the program accessible outside a clinical setting. What they offer is practical, researched, and personal in a way that distinguishes this book from most of what’s available for binge eating recovery.


    What Is the Mindful Eating Cycle and How Does It Help?

    The core tool in this book is the Mindful Eating Cycle, a six-question framework that maps every eating decision:

    • Why? What is driving the urge to eat, physically or emotionally?
    • When? Is this genuine hunger, a habit, a trigger, or a rule saying it’s time?
    • What? Are food choices based on body wisdom and real preference, or “allowed/forbidden” categories?
    • How? Is eating happening with attention and intention, or fast, secret, and disconnected?
    • How much? Is the amount guided by hunger and fullness, or by external cues like the package running out or feeling numb enough to stop?
    • Where? After eating, does energy go toward living your life, or into hiding, shame, and lethargy?

    The reason this framework matters is that binge eating doesn’t begin with food. It begins somewhere in that sequence, well before the first bite. A binge triggered by a stressful work situation looks different at its root than one triggered by a diet rule finally snapping. Knowing which entry point drives your specific pattern is what makes it possible to interrupt the cycle at the right place.

    May applies the same six questions to four different eating patterns (instinctive eating, overeating, binge eating, and restrictive eating) so readers can see what each pattern is actually accomplishing and where it breaks down. The binge eating cycle, traced through all six questions, makes visible what the binge is actually doing: it is an attempt to regulate a physical, emotional, or mental state when no other tool is available. That framing is not a moral judgment. Bingeing works, temporarily. The problem is the aftermath, and the cycle it reinforces.


    Why Does Binge Eating Keep Coming Back After You Diet?

    Here is the central argument of the book: the eat-repent-repeat cycle is not a willpower failure. It is a structural problem. Any system built on external rules will eventually break, because no one can be in control indefinitely. And when control breaks, if there is nothing else in place, binge eating fills the void completely.

    May describes this as the difference between being “in control” and being “in charge.”

    Being in control is the diet mindset. Rules determine what you eat, when, and how much. You follow the rules until something cracks, then you have blown it, and the binge follows almost automatically. There is no middle position in this system: either in control or out of it.

    Being in charge is different. It means having the awareness and skills to make conscious choices in any situation, not because a rule allows it but because you understand your own body and needs well enough to decide. A person who is in charge can eat something off-plan without triggering a binge, because the choice was made consciously rather than reactively. Nothing was violated. No rules exist to break.

    May uses a pendulum metaphor throughout the book that captures this cleanly. The restrict-binge cycle is a pendulum swinging hard between two extremes, powered by the energy each extreme feeds it. Mindful eating, gradually and over time, removes energy from the extremes until the pendulum slows and finds center. The goal is not to lock the pendulum in place, just to stop the violent swinging.

    “Instead of trying to stay in control, then subsequently losing control, mindfulness helps you pause so you are in charge.”

    The book does not suggest the restrict-binge cycle is your fault. It points out that the system cannot work, which is meaningfully different from being told you lack discipline. More restriction won’t help. What’s needed is a different relationship with eating altogether, built on self-knowledge and actual coping skills rather than compliance and willpower.


    What Are the Practical Tools in This Program?

    1. The Body-Mind-Heart Scan

    Before any practical skill can work, you have to be able to identify what you’re actually experiencing. For many people who have been dieting and bingeing for years, this basic capacity has eroded. The Body-Mind-Heart Scan is the foundational practice for rebuilding it.

    When the urge to eat arises, pause and check in across three layers:

    • Body: Are there actual physical hunger signals? Where are you on a 1-10 hunger scale?
    • Mind: What thoughts are running? Rationalizing (“I deserve this”), catastrophizing (“I’ve already blown it”), or old diet rules?
    • Heart: What emotion is present, specifically? Not “I feel fat” (a thought), but the actual feeling: lonely, anxious, bored, overwhelmed, ashamed.

    The scan is brief, done away from food, and creates just enough pause to receive real information before making the next decision. May recommends practicing it throughout the day, not only when hungry, because body awareness built in calm moments is what becomes available in high-urge moments.

    2. The Three-Option Framework

    When you want to eat but you’re not hungry, you have exactly three options. May presents each one without prescribing which to choose, which itself is part of the healing:

    • Eat anyway, consciously. Choosing deliberately to eat when not hungry is not a binge. It’s a decision. Made with awareness, it produces a finite amount of eating and possibly some regret, but not the shame spiral that triggers the next round.
    • Redirect your attention. Do something incompatible with eating: hands occupied, focus engaged. Build a list in advance, in a calm moment, so it’s available when needed.
    • Meet your true need. Identify what the eating urge is actually signaling and address that directly. This is the hardest option and the most lasting one.

    The framework matters because it eliminates the “I’ve already blown it” trap. There is no moment in this system where blowing it makes sense. Every moment is a new decision point.

    3. Peeling the Onion: The “What Else?” Question

    Surface-level emotional awareness (“I’m eating because I’m stressed”) rarely helps much on its own. May’s approach is to keep asking “What else?” until the real driver surfaces.

    A craving for holiday cookies might start as “they taste good.” One layer down: they remind you of childhood. Another layer: of simpler times, comfort, belonging. The final layer: you feel overwhelmed by adult obligations, and the holidays are adding pressure instead of delivering the magic you remember. That final layer, something food genuinely cannot fix, is where the real work begins. Rest could help. Setting a limit on holiday plans could. A conversation about what you actually want the season to feel like could.

    4. The Three Voices

    May names three internal voices that govern the binge-restrict cycle:

    • The binge voice: rationalizes, gives permission, escalates (“you’ve already blown it, may as well finish the whole thing”), then condemns.
    • The restrictive voice: demands perfection, measures self-worth in food compliance, promises that strict control will eventually produce the life you want.
    • The self-care voice: unconditionally compassionate, realistic, invested in actual well-being rather than temporary relief.

    The self-care voice says things like: “Of course you want to eat. You’re exhausted and it looks good. The downside is you know how you feel after. What do you actually need tonight?”

    The entry point for cultivating this voice is the phrase “Of course!” Validation before pivot. “Of course I want this. Of course I feel this way.” Validation opens the door for honest reflection. Condemnation closes it immediately.

    5. Fearless Eating

    Food should be chosen by answering three questions honestly: What do I want? What do I need? What do I have? A decision that satisfies all three produces eating that is both pleasurable and nourishing. A decision driven only by “what do I want?” produces the temporary pleasure and subsequent regret of mindless indulgence. A decision driven only by “what do I need?” produces the deprivation and resentment of dieting.

    No foods are forbidden in this framework. May’s argument is that forbidden foods hold disproportionate psychological power. Any exposure threatens the “control” and activates the binge voice. Making food charge-neutral, over time, is what removes the urgency.

    “When a craving doesn’t come from hunger, eating will never satisfy it.”


    Is Eat What You Love, Love What You Eat for Binge Eating Worth Reading?

    Read this if you’ve been through the restrict-binge cycle enough times to know that dieting isn’t solving it, you’re ready to try something structurally different, and you’re willing to do the inner work alongside the practical skill-building. It’s also a strong companion to therapy if you’re already working with someone on binge eating.

    Skip it if you’re in an acute phase of BED that needs professional clinical assessment first, or if your eating patterns are rooted in trauma that requires specialized therapeutic support. May and Anderson are clear in the book itself: the group program with a trained facilitator produces better outcomes than the book alone. For moderate to severe BED, this is a primer and a companion, not a replacement for professional care.

    One caveat: the program was designed as a ten-week group experience. The peer validation, shared stories, and therapeutic group process are not replaceable by reading alone. The book is excellent. It is still a book.


    Books Like Eat What You Love, Love What You Eat for Binge Eating

    BookAuthorBest For
    Overcoming Binge EatingChristopher FairburnClinical CBT approach; more structured and research-intensive
    Breaking Free from Emotional EatingGeneen RothDeeper emotional and relational layer; more philosophical than practical
    Intuitive Eating WorkbookEvelyn TriboleThe foundational non-diet framework; May draws on these principles
    The Hunger HabitJudson BrewerNeuroscience of habit loops and mindfulness for overeating
    Eating MindfullySusan AlbersAccessible mindful eating primer; good starting point if May feels intensive
  • Eat Q by Susan Albers: Summary, Key Ideas & Review

    The book in one sentence: Emotional eating is not a food problem or a willpower problem. It is an emotional intelligence gap, and the skills to close it can be learned.



    What Is Eat Q About?

    Picture someone you know who is smart, informed, and health-conscious. They can tell you the calorie count of a fast-food sandwich. They know whole grains are better than refined ones. And every Sunday night they find themselves finishing a bag of chips in front of the TV, genuinely confused about why they keep doing this.

    Susan Albers spent a decade as a clinical psychologist at the Cleveland Clinic watching that scenario play out. Her clients were not confused about what to eat. They were trapped in the gap between knowing and doing, and that gap, she came to believe, had almost nothing to do with food. Every eating decision begins with a feeling. When you lack the skills to manage that feeling, the feeling manages you, and usually it manages you toward the pantry.

    Her book, Eat Q, applies Daniel Goleman’s emotional intelligence framework to eating behavior. The same four skills that predict success in leadership and relationships, Albers argues, also predict success in the kitchen: the ability to perceive your emotions, use them as information, understand your patterns, and manage your reactions before they become regrettable snacking. The “Eat.Q.” she describes is not a score. It is a trainable set of capacities, and the book is essentially a training manual.

    One note before going further: the subtitle promises “the weight-loss power” of emotional intelligence, and Albers does occasionally frame outcomes around weight. The actual content is about emotional regulation around food. Weight loss may or may not follow. For readers already skeptical of weight-centric framing, that tension is worth knowing about before you buy.


    How Does the EAT Method Actually Work?

    The EAT method is Albers’s core framework, and it maps onto the book’s three-part structure. Each letter represents a phase of working with the emotion that is driving you toward food.

    E: Embrace

    Notice the feeling before you name it as hunger. The E phase asks you to recognize, with precision, what emotion is actually present. Not “stressed” as a vague catch-all, but whether you are resentful, overwhelmed, deflated, or lonely, since each of those calls for a different response.

    The neuroscience here matters. UCLA research found that labeling an emotion with a specific word reduces activity in the amygdala (the brain’s alarm system) and increases activity in the prefrontal cortex (where deliberate decisions get made). Naming the feeling is not just descriptive. It is neurologically regulatory. You are turning down the emotional volume enough to make a real choice.

    A: Accept

    Understand your personal emotional eating map. The A phase is where self-knowledge gets applied: learning that you reach for sweet foods when lonely, salty foods when angry, or that social situations triple your portions when you are anxious. The point is not self-blame. It is about building what Albers calls the Triple-P plan (Perceive, Predict, Prepare): designing your responses to emotional triggers during calm moments, before the cortisol hits and the prefrontal cortex goes offline.

    T: Turn

    Choose something that addresses the actual need. The T phase is where vague advice like “go for a walk” gets replaced with specific, pre-chosen alternatives. Albers builds a non-food coping menu with three categories: body-calming (breathing, cold water, movement), mind-distracting (a specific podcast, a puzzle, a particular game), and emotional-processing (journaling, calling a specific person). The specificity matters. “Do something else” fails at 9pm when you’re exhausted and anxious. A concrete, rehearsed plan has a real chance.


    Why Does More Nutrition Knowledge Sometimes Make Things Worse?

    This is the research finding in the book that most people never expect: in a study of 120 college students, among those with low emotional intelligence, as their nutrition knowledge increased, their BMI increased too. More knowledge correlated with worse outcomes for people who could not manage their emotional responses.

    Only in the high-EI group did nutritional literacy translate into healthier eating.

    Sit with that for a moment. Public health has built an enormous infrastructure around educating people about food. Calorie counts on menus. Food pyramids. Documentaries about processed food. All of it is built on the assumption that knowing better leads to doing better. For people who eat emotionally, that assumption fails. Knowledge is not the bottleneck. Feelings are. Giving a stress eater more nutritional information is roughly equivalent to giving a person with anxiety-driven insomnia a better mattress guide.

    Albers does not dismiss nutrition knowledge. She says explicitly that you need both Eat.Q. and food literacy for the best outcomes. But the emotional intelligence layer is what most people are missing, and the one that determines whether the knowledge you already have actually gets to drive the fork.

    This reframe is useful because it takes the word “willpower” off the table. Emotional eating is not a character failure. It is a skills gap, and skills can be learned.


    What Is the PAUSE Method and How Do You Use It?

    The PAUSE formula is Albers’s most immediately deployable tool: a five-step protocol for the specific moment before you eat.

    P: Perceive. Stop. Recognize this as a decision point, not a foregone conclusion.

    A: Allow. Give yourself at least ten seconds. Let the awareness of the moment register before moving.

    U: Understand. Name what you are feeling in two or three words. Check your body: Is there clenched tension, shallow breathing, a slumped posture? Is this physical hunger or emotional hunger?

    S: Stay. Do not push the emotion away. The companion tool here is Q-TIPP (Quiet, Touch, Inhale, Pucker, Pause), a focused breathing sequence that takes under fifteen minutes and has research support for reducing negative emotion and increasing discomfort tolerance. Ten breath cycles before a charged food decision is Albers’s clinical recommendation.

    E: Entertain options. Give yourself at least two paths. One may involve food; another may not. Then choose.

    PAUSE works not because it redirects rational thought but because it interrupts the fight-or-flight physiology. When stress hormones are running high, the prefrontal cortex’s decision-making capacity is actively impaired. You are, at that moment, neurologically the least equipped to make a sound food choice. The PAUSE buys the nervous system time to downshift before the decision happens.

    One related idea in the book that catches people off guard: you can strengthen your impulse control capacity in situations that have nothing to do with food. Letting your phone ring twice before answering. Counting to three before replying to something annoying. Pausing one beat before clicking a notification. Dutch research on inhibitory training found that people who practiced “not pressing a button” in low-stakes scenarios subsequently ate less of a target food than those who hadn’t. The stop muscle gets stronger with use. Build it throughout the day, and it is more available when you’re standing at the open refrigerator at 10pm.

    “You can’t decide how you feel. You can decide what you’ll eat.”

    That line from Albers is probably worth writing on something.


    Is Eat Q Worth Reading?

    Read this if you understand your emotional eating intellectually but cannot seem to use that understanding in the actual moment. If you can articulate exactly why you overeat and keep doing it anyway, this book addresses that specific gap. People who find “just be mindful” too vague and want something more operationalized will appreciate the specificity of PAUSE, Q-TIPP, and the Triple-P plan.

    Skip it if you are dealing with a clinical eating disorder at diagnostic severity. Eat Q is a strong self-help resource built on solid clinical psychology, but it is not a substitute for evidence-based treatment.

    One caveat: the subtitle sells weight loss, and the book quietly delivers something more valuable: a different relationship with food and emotion. If you open it expecting a weight-loss program, you may feel misled. If you open it expecting a practical emotional intelligence framework applied to eating, you will find exactly that.


    Books Like Eat Q

    BookAuthorBest For
    50 Ways to Soothe Yourself Without FoodSusan AlbersThe companion toolkit: 50 sensory alternatives to eating when emotions run high
    Hanger ManagementSusan AlbersSame author, narrower focus on hunger-anger as an emotional eating trigger
    The Emotional Eating WorkbookCarolyn Costin & Gwen Schubert GrabbStructured exercises for the deeper therapeutic work Eat Q points toward but does not do
    Breaking Free from Emotional EatingGeneen RothMore narrative and experiential; less tool-focused, more depth-focused
    Eating MindfullySusan AlbersDevelops the mindfulness dimension of Eat Q’s E and A phases with more practice depth
  • Is It Me or My Hormones by Marcelle Pick: Summary, Key Ideas & Review

    Book in one sentence: A functional medicine nurse-practitioner explains why your hormone labs can look completely normal while you feel completely terrible, and what to do about it.



    What Is Is It Me or My Hormones? About? {#what-is-it-about}

    Picture a woman who has seen ten doctors. Her labs keep coming back normal. She keeps getting offered antidepressants. She’s not depressed, she says. Or maybe she is, but only for one week out of every four, which seems like a different problem entirely. Nobody has a satisfying answer for her.

    Marcelle Pick built her career treating that woman. She co-founded Women to Women, a Maine clinic she started alongside Christiane Northrup, and spent decades in clinical practice before writing this book. Her argument, built from patient case after patient case, is that conventional medicine keeps looking at the wrong hormones. It tests estrogen and progesterone, finds them in the “normal range,” and calls it a day. Meanwhile, cortisol and insulin (the hormones that actually run the show) are never checked, never addressed, and never implicated.

    Pick is an OB/GYN nurse-practitioner writing from a functional medicine framework. Her tone is warm and direct without being breathless. The book opens with her own story: sitting in a car outside a pottery shop at age 20, too numb to feel anything, unable to understand why her exciting life wasn’t landing. Only later did she recognize it as PMS. That personal grounding gives the book something most hormone guides don’t have: the writer has actually been in the body she’s describing.

    The book covers estrogen dominance, adrenal dysregulation, thyroid, mood, weight, cravings, libido, and perimenopause, then delivers a graduated four-week plan for fixing it. What makes it useful for anyone thinking about eating and emotions is that Pick connects the mood-hormone link directly to food behavior: cravings, stress eating, comfort eating, loss of motivation, and the particular misery of doing everything “right” and still gaining weight.


    Why Your Mood, Your Eating, and Your Hormones Are Running the Same Loop {#the-loop}

    Here’s the pattern Pick describes over and over: a woman’s hormone levels look fine on paper, but two weeks of every month she’s snapping at everyone, craving sugar, gaining weight, and barely sleeping. Her doctor shrugs. She wonders if she’s losing her mind.

    She’s not. The cravings aren’t weakness. The mood swings aren’t character flaws. They’re downstream effects of a system running out of balance upstream.

    Pick’s central framework is the hormonal cascade. Your body has more than 100 hormones, and they talk to each other constantly. Cortisol and insulin are the dominant voices. When cortisol stays elevated from chronic stress (or poor sleep, or skipping meals, or a life that runs too hot), it suppresses thyroid function, disrupts leptin and ghrelin (your hunger and fullness signals), and depletes the precursors your body needs to make progesterone. Dysregulated insulin causes blood sugar spikes and crashes that trigger more cortisol. Estrogen and progesterone sit downstream of all of this, which is why fixing them directly often doesn’t work.

    The mood-eating connection runs right through this cascade. When cortisol is high, your brain craves fast fuel (sugar, refined carbs). Low progesterone pulls serotonin down with it, making cravings worse and emotional regulation harder. Blood sugar crashes after the granola bar you had for breakfast, and your body reads it as an emergency and reaches for the nearest quick fix. This isn’t psychological weakness. It’s biology.

    “If you crave sugar, sweets, and starches, that’s partly because of the ways hormones affect your brain’s response to serotonin. Anxiety, depression, and mood swings can likewise result from imbalanced levels of stress hormones, serotonin, and other neurotransmitters, including dopamine.”

    Pick’s most useful reframe: you cannot diet your way out of hormonal eating patterns. Restricting calories when cortisol is elevated and insulin is dysregulated tends to make things worse (more cortisol, more cravings, more fat storage). The tractable entry point is blood sugar stabilization, not restriction.

    One caveat worth naming: Pick uses the term “adrenal fatigue” throughout the book. Conventional endocrinologists don’t recognize it as a diagnosis, and the evidence base is genuinely thin. The underlying concept (that chronic stress dysregulates cortisol patterns) has real clinical support. The specific term is contested. Read it as “chronic HPA axis dysregulation” if you prefer language with harder evidence behind it.


    What Is Estrogen Dominance and Why Isn’t Anyone Testing for It? {#estrogen-dominance}

    Estrogen dominance is probably the most practically useful concept in this book. It’s also the one most likely to explain what’s happening when your labs come back fine and you still feel terrible.

    Estrogen dominance doesn’t mean your estrogen is high. It means your estrogen is high relative to your progesterone. Both values can sit comfortably inside the reference range while the ratio between them is badly off. High-normal estrogen plus low-normal progesterone produces a recognizable symptom picture: bloating, breast tenderness, weight gain in hips and thighs, cyclical mood instability, heavy or irregular bleeding, and a general sense of feeling overwhelmed that gets worse in the week before your period. Two “normal” numbers on a blood test won’t flag it.

    Pick identifies the main drivers:

    • Chronic stress steals progesterone precursors (cortisol and progesterone share a biosynthetic pathway)
    • Insulin resistance promotes estrogen production in fat cells
    • Excess body fat is itself a source of estrogen, which creates a self-reinforcing loop
    • Xenoestrogens from plastics, pesticides, and synthetic fragrances mimic estrogen and add to the total burden
    • Poor liver detoxification means spent estrogen isn’t being cleared properly

    One thing Pick says that most books in this genre miss: estrogen dominance tends to get worse in perimenopause, not better. Progesterone drops first and faster as the transition begins, so the ratio tips further toward dominance even as absolute estrogen levels fall. This is why many women in their 40s feel more hormonally chaotic than they did at 35, not less.

    The practical answer isn’t necessarily prescription hormones. Daily cruciferous vegetables, ground flaxseed, adequate fiber, and regular bowel movements all support the liver’s ability to clear spent estrogen. Reducing xenoestrogen exposure (glass containers over plastic, filtered water, unscented personal care products) reduces the incoming burden. These aren’t dramatic interventions, but they work on the actual mechanism.


    What Pick Actually Recommends You Do {#what-to-do}

    The second half of the book is a graduated four-week plan. Pick adds one or two changes per week deliberately, because asking for a complete overhaul on day one is how most plans fail. The core of it:

    Dietary foundations first:

    • Half the plate is nonstarchy vegetables, one quarter protein, one quarter low-glycemic carbohydrate
    • Never eat a carbohydrate alone (always paired with protein and fat)
    • Three meals and two snacks, eating within 30-60 minutes of waking
    • Daily cruciferous vegetables for estrogen detox support
    • Two tablespoons of ground flaxseed or chia daily for estrogen metabolism
    • Eliminate sugar, refined flour, gluten, and cow’s milk dairy (at minimum initially)

    Lifestyle anchors:

    • Seven to nine hours of sleep consistently (Pick frames sleep as a hormonal intervention, not just rest)
    • Moderate interval exercise four days a week, not long steady-state cardio (which raises cortisol)
    • A daily parasympathetic practice that starts at five minutes of belly breathing and scales to 30 minutes by week four

    Supplement foundations for everyone:

    • Methylated multivitamin (with 5-MTHF, not just folic acid)
    • Fish oil for hormone synthesis and inflammation
    • Magnesium (depleted by stress, supports sleep and muscle function)
    • Ground flaxseed (lignans for estrogen metabolism)

    Targeted additions (for PMS, perimenopause, mood, or cravings) layer on after the foundation is established. Pick is firm about sequence: you can’t supplement your way out of a destabilized foundation.

    The most actionable single change: stabilize blood sugar first. Protein and fat at every meal, starting at breakfast, is the intervention with the most downstream hormonal benefit. It quiets cortisol, reduces cravings, and begins to let progesterone normalize. Everything else builds on top of it.


    Is Is It Me or My Hormones? Worth Reading? {#worth-reading}

    Read this if you’ve been told your labs are normal but you don’t feel normal, especially if mood, cravings, or weight are involved in a way that feels cyclical. If you’ve tried restricting and exercising your way through it and it isn’t working, Pick’s upstream-first framework is a useful reorientation. She’s warmer and more emotionally attuned than most hormone books, and more clinically grounded than most wellness books.

    Skip it if you’ve already read Sara Gottfried’s The Hormone Cure or Brain Body Diet, which cover the same framework with more granular testing protocols. Also skip if you’re looking for heavily cited research; Pick gestures at evidence without pointing to specific papers, which is a fair criticism.

    One caveat: the book is built on Pick’s clinical practice at Women to Women, a patient population that sought out functional medicine practitioners. Women with severe hormonal disorders, autoimmune conditions, or complex psychiatric histories may need more than this framework offers. Pick acknowledges this, but the book’s optimism about what’s achievable through diet and lifestyle alone can sometimes outrun what the evidence supports.

    The reader rating reflects the niche audience more than the book’s quality. For its intended reader, it’s one of the better hormone guides available.


    Books Like Is It Me or My Hormones? {#books-like}

    BookAuthorBest For
    It’s Not You It’s Your HormonesNicki WilliamsUK-based companion; covers similar ground with a sharper tone
    The Hormone ShiftTasneem BhatiaMore clinical; useful if you want deeper testing context
    Hormone IntelligenceAviva RommBroader scope, more research-forward, integrative medicine angle
    The Perimenopause SolutionEmma Ellice-Flint & Shahzadi HarperUK clinical focus; strong on perimenopause specifically
    Rising StrongBrené BrownPairs well if the emotional side of hormonal shifts is what you’re working through