If you’ve ever had a patient training for a marathon (or you are that patient) this episode will change how you think about fueling, injury risk, and longevity in running.

In this episode, you’ll learn:

• Why runners over 35 are uniquely vulnerable to injury, even when they "eat healthy"
• Why so many runners under-consume carbohydrates (and how to explain carbs without triggering fear)
• How inadequate fat intake may increase injury risk
• High-yield screening questions clinicians can ask runners in a short visit
• What RED-S (Relative Energy Deficiency in Sport) really is and why it’s often missed in older athletes
• When sugar and ultra-processed foods actually make sense for endurance athletes

Connect with Erin

Ultra Appetites

Resources Mentioned:

Australian Institute of Sport

International Olympic Committee – RED-S Consensus Statement (2023)

RED-S Clinical Assessment Tool

American College of Sports Medicine Joint Position Statement

Any Questions? Send Me a Message

Support the show

Connect with Colleen:
Instagram
LinkedIn
Sign up for my FREE Newsletter - Nutrition hot-topics delivered to your inbox each week.

Disclaimer: This podcast is a collection of ideas, strategies, and opinions of the author(s). Its goal is to provide useful information on each of the topics shared within. It is not intended to provide medical, health, or professional consultation or to diagnosis-specific weight or feeding challenges. The author(s) advises the reader to always consult with appropriate health, medical, and professional consultants for support for individual children and family situations. The author(s) do not take responsibility for the personal or other risks, loss, or liability incurred as a direct or indirect consequence of the application or use of information provided. All opinions stated in this podcast are my own and do not reflect the opinions of my employer.

Patient-Centered Weight Management | Dr. Robert Kushner on the Six-Factor Questionnaire, GLP-1s, and Lifestyle Counseling

“Eat less, move more” might be the fastest way to lose your patient’s trust, according my my guest Dr. Robert Kushner, a passionate doctor, educator, and researcher who has spent more than four decades improving care for people living with overweight and obesity.

Dr. Kushner shares the framework from his new book, Patient-Centered Weight Management: The Six-Factor Professional Program and Toolkit, including his 27-item Six-Factor Questionnaire designed to quickly identify what’s really driving a patient’s struggles (food environment, time, mindset, movement, self-talk and more). You’ll also hear how lifestyle counseling fits alongside today’s anti-obesity medications, including GLP-1 receptor agonists.

If you counsel patients on weight, obesity, nutrition, or behavior change, and you want a time-efficient system you can use in real clinic visits, you'll love this framework.

Resources:

Buy the book! Patient-Centered Weight Management

Connect with Dr Kushner

Any Questions? Send Me a Message

Support the show

Connect with Colleen:
Instagram
LinkedIn
Sign up for my FREE Newsletter - Nutrition hot-topics delivered to your inbox each week.

Disclaimer: This podcast is a collection of ideas, strategies, and opinions of the author(s). Its goal is to provide useful information on each of the topics shared within. It is not intended to provide medical, health, or professional consultation or to diagnosis-specific weight or feeding challenges. The author(s) advises the reader to always consult with appropriate health, medical, and professional consultants for support for individual children and family situations. The author(s) do not take responsibility for the personal or other risks, loss, or liability incurred as a direct or indirect consequence of the application or use of information provided. All opinions stated in this podcast are my own and do not reflect the opinions of my employer.

What’s missing in obesity care? It’s not another diet plan or more willpower.

In this episode Colleen is joined by Dr. Robyn Pashby, clinical health psychologist and co-author of The New Food Fight, to unpack the mental and emotional side of obesity care (the part most clinicians were never trained to address)

Together, they break down why shame, stigma, and oversimplified “just eat less and move more” messaging continue to derail patient progress, even in the era of GLP-1 medications. Dr. Pashby introduces the powerful concept of food noise vs. shame noise, explains why some patients feel safer seeking care from pop-up prescribing clinics, and shares practical, trauma-informed strategies clinicians can use, even in short visits.

In this episode, you’ll learn:

• Why willpower is the wrong framework for behavior change and weight management
• How to talk about weight without triggering shame or damaging trust
• The difference between food noise and shame noise and why medications don’t fix both
• Language clinicians should avoid (and what to say instead) in weight conversations
• How to support patients on GLP-1 and anti-obesity medications beyond the prescription
• What Health at Every Size gets right and how to practice health at many sizes
• Red flags for disordered eating in patients of all body sizes

If you want patients to stay engaged in care, feel safe coming back, and make sustainable progress, this conversation will give you a new lens

Resources:

Obesity Medicine Nutrition Course - use code POD15 for 15% off!

Connect with Dr Pashby

Any Questions? Send Me a Message

Support the show

Connect with Colleen:
Instagram
LinkedIn
Sign up for my FREE Newsletter - Nutrition hot-topics delivered to your inbox each week.

Disclaimer: This podcast is a collection of ideas, strategies, and opinions of the author(s). Its goal is to provide useful information on each of the topics shared within. It is not intended to provide medical, health, or professional consultation or to diagnosis-specific weight or feeding challenges. The author(s) advises the reader to always consult with appropriate health, medical, and professional consultants for support for individual children and family situations. The author(s) do not take responsibility for the personal or other risks, loss, or liability incurred as a direct or indirect consequence of the application or use of information provided. All opinions stated in this podcast are my own and do not reflect the opinions of my employer.