Page 16 - Healthy food
P. 16

‘I HAD A LIGHTBULB MOMENT’



          DR MICHELLE BRAUDE trained            I GREW UP IN SOUTH AFRICA, where   episode finally gave me the conviction
          as a medical doctor at UCL London    healthy food and an outdoor lifestyle  to practise what I already knew: that
          and completed a BSc in Nutrition     are the norm. I had a passion for both.  expert nutritional advice from a doctor
                      at King’s College        When I studied medicine in London we  would not only be helpful but essential
                      London. She now          had just a couple of hours on nutrition,  in future healthcare. Moreover, I knew
                      runs her own private     which didn’t seem nearly enough. On  I had to build on this idea.
                      nutrition practice, The  a placement in a GP practice in 2011,  I could see advice about nutrition was
                      Food Effect, in London.   I saw so many people coming in with  a neglected area – people can, of course,
                      Her new book is          high blood pressure, raised cholesterol  get to see dietitians in hospital but the
                      The Food Effect Diet     and type 2 diabetes and the GPs would   average person who is just overweight
                      (Piatkus, £13.99).       just write them a prescription.     or has slightly raised blood pressure
                                                My lightbulb moment came when I    doesn’t, so a preventive opportunity is
                                               saw a 15-year-old girl who had multiple  missed. In the short term, it may seem
                                               health problems, including shortness of  cheaper for the NHS to medicate
                                               breath and exhaustion. She was severely  people than discuss their diet with
                                               anaemic and was being prescribed iron  them, but they need advice about their
                                               pills – but no one had told her about the  diet much earlier on to prevent these
                                               importance of eating iron-rich foods.  problems developing. Even healthy
                                               Her diet seemed to consist almost   people need advice about helping to
                                                entirely of white bread, pasta and  prevent cancer – the slim people who
                                                  crisps and she never ate any fruit,  eat too much meat, for instance.
                                                   vegetables, dairy or protein. This  I decided to set up my own nutrition
                                                                                   practice to help people improve their
                                                      ^ It’s cheaper in the        health through diet. I don’t believe in
                                                      short term for the NHS       quick fixes, where you drop 5lb in a
                                                                                   week, but my patients definitely feel
                                                      to medicate people           better within three to four weeks – they
                                                                                   have so much more energy, for a start.
                                                      than to address diet   _       I find my patients are very confused
                                                                                   about diet – I’ll ask them what they have
                                                                                   tried before and they mention the
                                                                                   Cabbage Soup Diet, Atkins, Dukan, etc,
                                                                                   which they found unsustainable as these
                                                                                   are all about cutting out food groups.
                                                                                     People are confused by information
                                                                                   put out on social media, too – such as
                                                                                   the Instagram users who swear by
                                                                                   spoonfuls of coconut oil in their
                                                                                   porridge (yes, it’s healthy in small
                                                                                   amounts but it also contains lots of
                                                                                   calories). There is just so much
                                                                                   conflicting advice out there.
                                                                                     The weight-loss advice I give is simple.
                                                                                   It’s not about cutting out any one food
                                                                                   group, but eating the right carbs, fat
                                                                                   and protein, avoiding processed foods
                                                                                   and teaching about portion sizes.
                                                                                     I’ve got hundreds of clients who have
                                                                                   achieved big weight losses, improved
                                                                                   their cholesterol and blood pressure
                                                                                   and even managed to come off their
                                                                                   type 2 diabetes medication. For me,
                                                                                   nutrition is more satisfying than medicine
                                                                                   – it combines all my passions.
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