KatrinaUbell,MD: Welcomeback,everybody.Welcometoepisodefive.I'msoexcitedtobeherewith youtoday.Ijustwantedtosharewithyouhowwehavebeensufferinginour house.Thestomachfluhashitus.Noteveryoneinthehouse,butmosteverybody nowhasbeenaffected,unfortunately.We'rejustworkingthroughthat.It'salways funwhenyouhaveakidwhohastostayhomefromschool.Thatwasmethis wholelastweek,isjusttryingtofigureitout.Workingmoms,wearemakingit happen.Iswear,itissosadwhenyouhavejustlikealittletoddlerwhohasthe stomachflu,isjustatthemercyoftheirbody.It'sjusttheworst.Myfriend, seriouslytheotherdaywaslike,"Whydoesthestomachflualwayshitatnight? Whyaretheyalwayspukingintheirbed?"Iwaslike,"Youknow,that'ssuchagood question.Whyisthat?"Iwaslike,"Idon'tknow,maybebecauseweeatalldayand thenwethrowitup?Idon'tknowtheanswer."Ifyouareaninfectiousdisease specialistandyouknowtheanswertothat,pleaseputsomethingupontheshow notespageandletusallknow,likefillusallinonwhyitislikethat.It'salwaysjust theworsttobewokenuptothatsituation. Heyyouguys,somelistenerstothispodcasthavebeenaskingmeabouthowthey canworkwithmeone-on-one,andIhaven'ttalkedaboutthat.Ijustwantedto makesurethatIanswerthatquestionhereforanyofyouwhoarealsointerested inthat.ThewayIhavepeoplestarttoworkwithmeisIhavethemsetup somethingcalledaminisession.Aminisessionisjustashort20-minutephonecall betweenthetwoofusandwhatIdoonthereisIcoachyouononespecificissue thatyou'rehaving.Itcanbeaboutyoureating,yourexercise,stresseating.Itcan berelationshipstressthatmaybecausesyoutoovereat. Noteverybodyisevenoverweight.Somepeoplearejustlike,look,Ijustwantto stopthinkingaboutfoodallthetime.Myweightisgood,butIjusthavesomuch brainchatteraboutthefoodconstantlyandI'dlovetoworkonthat.Icoachyoua littlebitonthatandthen,onlyifyou'reinterested,attheendofthat,thenIcantell youaboutmyprogram,ifitseemslikewe'reagoodfit,andhowtoworkwithme one-on-one.Thiscallistotallyfree.There'snoobligationatall.It'sactuallyreally nice.Wejustgettoknoweachother.Thelinktosetthatupwillbeintheshow notesforthisepisodeandyoucanfindthoseatKatrinaUbellMD.com/5. Let'sgettosomegreatcontenttoday.Todaywe'regoingtotalkaboutconfusion becauseit'ssocommon.We'reallsoconfusedbecausethere'ssomuch informationoutthere.Imean,theinternetisjustoverwhelming,justfactsand factsandthensometimesthere'salternativefactsandthenit'slikewhatdowedo? It'ssooverwhelming.Thisisthething:wehateitwhenourpatientsfindthingson theinternetandthenletthatinformationderailtheminwhethertheytakeour adviceornotorwhattheydecidetodofortheirparentingorthewaytheydecide totakecareofthemselves.Thenweturnaroundtodotheexactsamething ourselves.It'ssointeresting.Likeourfriendoffersustotrythisnewfaddiet,sowe decideokay,we'regoingtotrythat,orwedecidetodoaWhole30challengeand wegetsomeresults,butthenattheendofthe30dayswegorightoffofitand thenjustgainthatweightthatwelostrightbackagain. What'ssointerestingaboutchallengeslikethatarethatwe'rereallyonly committedforashortamountoftime,like21daysor30days.Wemightseesome results,butthenweimmediatelygobacktoeatingtheoldwaywhenthechallenge isover.Andthenit'ssofascinatingbecausebydoingthatwe'rebasicallythinking thatifwelosesomeweightonthechallenge,thenwecangobacktoouroldway ofeatingwhichisovereatingandexpectdifferentresults.Weexpecttonotgain thatweightback.Thensometimes,Ihearthisfrommyweightlossclientssooften, thenwesay,"Oh,thechallengedidn'twork.IlostweightandthenIgaineditback again."Weblametheprograminsteadofrecognizingthattheprogramtotally worksifyoudoitandyoukeepondoingit,butonceyoustopdoingitofcourseit doesn'tworkanymore.Itwasreallythechoicetostopdoingitthatgaveusthe resultsthatwedon'twant. Anotherthingthatwegetsoconfusedaboutiswhichfoodsweshouldeatandin whichcombination:fiveorsixsmallmealsaday,highfat/lowcarb,lowfat/calorie restricted,vegan,vegetarian,paleo,5/2orsomeotherkindofintermittentfasting, andthenaddingalltherecommendationsallovertheplaceaboutthesuperfoods thataremostimportantthataregoingtokeepusthehealthiestandprevent cancer,tryingtofigureoutawaytofitthosein.Anothermajorconfusionareais howtoexercise.Shouldweevenexercisewhilewe'retryingtoloseweight?Ifso, whichexerciseandforhowlong?Thenwhattimeadayisbest?ShouldIeatbefore orafterexercising?Howdoesthissmoothieplayintothat?There'ssomany differentdecisionstomake. ButwhatIfindsointerestingaboutthewholeprocessishowwedon'ttapintoour innerwisdomatallhere.Wepretendlikeweknownothingaboutourbodiesorour lives.It'slikelearnedhelplessness.“There'snowayIcouldpossiblybeableto figureouthowtoloseweight,soIneedsomebodytotellmeexactlywhattodo.” ThisresonateswithmesomuchbecausethisisprettymuchwhereIwaswhenI foundtheworkthathelpedmetoloseweight,whichiswhatIteachnow.Iwas approaching40yearsold,IhadaboutayearandahalfpriordecidedthatIwanted tobetotallyfitandhealthyenteringintomy40s,butofcourseIhadactually gottenheavierduringthattime.IhadallkindsofevidenceforwhyIcouldn'tlose weightorexerciseregularly.SomeofthemwerelikeIhavetoomanykids.Mywork istoodemanding.Idon'thaveenoughflexibilityatmyjob.Ialreadydon'tsleep enough.NowI'msupposedtogetupearlytoexercise?Howisthatevergoingto happen?Justtotallyindulginginconfusion.ThenIstartedtowonderifthiswasjust partoftheagingprocessandthatIshouldjustmaybenotfightit.Insteadof fightingit,Ijustmaybeneededtoworkonacceptingitasjustinevitableasyouage. Thethingis,whenwehavesomanyoptions,it'ssoeasytogetreallyconfusedand tonotknowwhotobelieveandtotrysomethingforacoupleofdaysandthen whenthatseemsuncomfortableorwedon'tseeinstantresults,thenwequit,go backtotheoldwaysofeatingordecidemaybetotrysomethingelse,butusually wequit.ThinkaboutgoingonPinterest.Theoptionsforrecipesareendless,like literallyendless.Youhavenoideawhichonesaregood,whichonesyoushouldtry. Theyalllookamazing.IhavedefinitelyhadPinterestduds.Idon'tknowifyouguys havewhereyouarelike“thatlooksamazing”andyoumakeitandyou'relike“oh mygod,disgusting.”WhatIwouldbasicallydoiscollectalltheserecipesonmy Pinterestboard,atthetimetellingmyselfthatI'dtrythemoneday.AndIamgoing togetmyacttogetheronceIhaveenoughrecipes,thenIcandothis.ThenI'd neveractuallydoit. Thisistheironicthing,ifIhadusedthetimethatIspentsearchingforrecipesina differentway,Itotallycouldhavegotteninagoodworkoutorgonetobedearlier tocatchuponsleepbecausemybigstorylinetomyselfwasthatIwastootired.I couldhavecaughtuponsomehouseworkthatIalwaysfeltbehindon.It'sjustso importanttolookatthatconfusionandseehowitpermeatesourlivesand paralyzesus. Confusionisoneoftheindulgentemotions.WhatImeanbythatisthatweliketo indulgeinit.WhenIsaythat,youmightbethinking,“Actuallyno.Idon'tlike feelingconfusedatall.Howisthatindulgent?”Butitreallyisbecausetheonlyway youcanbeconfusedisifyoudon'tmakeadecision.Onceadecisionismade,itcan bereallyscaryandmoreuncomfortablebecausethatmeansweactuallyhavetodo somethingnow.Wehavetodosomethingnew,somethingoutoftheordinary, somethingthatprobablyisgoingtocauseussomediscomfort.Itactuallycanbe morecomfortabletojuststayinconfusionbecausethenweneveractuallyhaveto takeaction.ThethingaboutconfusionthatIwantyoutoknowisthatit'salwaysa lie. ThisishowIknowit'salie.Sayyouwereconfusedaboutwhicheatingplanyou're goingtofollowandthenItellyouthatifyoudon'tmakeadecisionandcommitto oneeatingplanforthenextthreemonthsI'mgoingtocutyourthumboff.You knowyou'dbemakingadecisionimmediatelyandstickingtoit.Youweren'treally confused,youwerejustindulginginconfusionsoyoudidn'thavetotakeaction andmoveaheadwithanything.Therearetimes,likesometimesweareactually confusedbecausewetrulyneedmoreinformationorweneedsomething explainedtousmoreclearly,butifyoureachoutandgettheinformationorthe explanation,thenyou'releavingconfusionbecauseyounowknowwhatyou neededtoknow.Thenyouhavetotakesomeaction,butifyouindulgein confusionanddon'tmoveaheadwithobtainingthatinformation,thenyoudon't havetodoanything,butyou'realsonotgoingtoseeresults.Ifyouneedthat informationorexplanation,youdon'thavetogetconfused.Whatyouneedisto getmotivatedsoyoucangoaheadandaskforwhatyouneedsoyoucanmove aheadandmoveforwardwithyourgoals. Ifyoufindyourselfinconfusionandyoudon'tknowhowtogetyourselfoutofit, askyourselfthisquestion:ifIdidknowwhatIwassupposedtodo,whatwouldit be?Thefirstthingthatmightcomeupis:no,butIdon'tknow.Thenyoujustask yourselfagain,butifyoudidknow,whatwoulditbe?It'samazinghowoftenwe cancomeupwithananswer.It'slikeonceyouopenupthedoorinyourbraintoa possibilityofasolutionratherthanbeingjustlockeddownandblockedwithIdon't knowandconfusion,thenyourbraincomesupwithreallygoodsolutionspretty muchrightaway. Often,theconfusionweexperienceisadistractionfromdeeperemotionsthatwe don'twanttofeel.Wedon'twanttofeellikeafailureifwedecidetostartan eatingplanandthenquit.Wedon'twanttofeelhumiliatedifwepickanexercise andthencan'tdoitorendupbeingtheheaviestpersonintheclass.Wedon'twant tofeeldeprivedwhenwewanttoovereattoneutralizeourothernegative emotions,butaren'tallowedtoonoureatingplan.Asmuchasconfusioncanbe uncomfortable,mostofuswouldagreethatfailure,humiliation,anddeprivation feelworse.Wedon'twanttotakeachanceonfeelingthosefeelings,sowe'lljust indulgeinthediscomfortofconfusion. Anotherwaythatconfusionshowsupinourlivesisthroughindecisiveness.Ihear thatallthetime.Somanypeopleidentifywithbeingindecisive.I'mjustan indecisiveperson,likeit'sinnatelyinyourgeneticcodeorsomething.Orpeople say,"I'mfromanindecisivefamily,"buttheonlyreasonyou'reanindecisiveperson isbecauseyouhavethehabitofbeingindecisive.You'vebasicallyallowedyourself tobeconfusedaboutdecision-makingforsolongandsooftenthatyou'veadapted itintoyourpersonalityaskindofjusthowyouroll.Allofthatisindulgence.Itreally feelsprotective.It'spartofyouridentity.Ifyoucan'tdecideonsomething,then youdon'thavetofindoutthatyoumadethewrongdecision.Ratherthanknowing thatatleastsomeofthetimeyou'llmaketherightdecisionandactuallybenefit fromthat,youjustletyourselfdownaheadoftimebystayinginconfusion.Then, nothingbadorgoodcanhappen.Doyouseethat?You'reactuallypreventing yourselffromhavingsomegoodexperiencesorgoodresults. Whenyounoticeyourselfspinninginindecisionorconfusion,that'sagreat opportunityforathoughtdownload.Whatyoudoforthat,justareminder,you writeortypeoutallthereasonswhyyou'reconfusedandwhyyoucan'tmakea decisionsothatyoucanmoveforward.Thenyoulookateachreason.Youcanask yourself,"Isitreallytrue?WhatwillitcostmeifIcontinuetoindulgein confusion?"IfindsooftenthatonceIgetoutallthethoughtsthatarebouncing aroundinmyheadlikeapinballontothepaperorontomycomputerscreen,Ican usemybraininadifferentwaytoproblemsolve.Thisisthething:asdoctors,we arehighlyskilledatsolvingproblems.Wedoitalldaylong.Whatwe'redoinghere iswe'rethenutilizingthatskilltohelpusmoveforwardsothatwefeeldrivento taketheactionsweneedtotaketostartlosingweight. Ijustwanttomakesureyouguysknowthatyoucanabsolutelydoallofthiswork onyourown.Thisisforsuresomethingthatyou,withenougheffortand persistenceandperseverance,canmakegreatstrideswith.Thismightbejustall youneedtojustgetyououtofthatconfusionandgetyougoing,doingthatplan thatyou'vealreadydecidedthatyouwanttodo.Butifyou'renotquitethereyet,it reallyissomucheasiertodothisworkwhenyouworkwithsomeoneelsewho's objectiveandskilledatfacilitatingtheprocess.It'ssomeonewhodoesn'tletyou useyourexcuses,kindofcallsyouonyourBSalittlebit.That'swhatIdoasa coach.Ihelpyoutodevelopthisskillforyourselfsothatoncewe'redoneworking together,youknowhowtoalwaysbringyourselfoutofconfusionandindecision andmoveforwardonyourgoals. OneofthebestpartsIpersonallythinkaboutthisisthatonceyouknowtheseskills andyou'veappliedthemandreallyincorporatedthemintothewayyoushowupin theworld,thenifyouhavekids,youcaneventeachtheseskillstoyourkidssothey don'thavetosufferfordecadesuntiltheyfigureitoutforthemselvesorsomeone teachesittothembecausenobody'steachingusthisstuffwhenwe'reyoungerand learninghowtoadult.It'sreallyatotalwin-win. Ijustwanttoencourageyoutoconsiderthatminisessionwithme.Wecanjustget toknoweachotheralittlebitandI'llmakesureyougetsomegoodhelp.There's neveranyobligationtosignupforanythingelseifit'snotforyou.Youguyshavea wonderful,wonderfulhealthyweek.Ihopenobodyelseisstrugglingtogethealthy likeweare.I'lltalktoyouguysnexttime.Takecare,bye-bye.
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