Smorgasbord Health Column – Size Matters: The Sequel – #Morbid Obesity – Delicious foods you can eat on a healthy #weightloss programme by Sally Cronin


This is the updated and fifth edition of Size Matters and I had intended to release in 2021 for the 25th anniversary of my initial weight loss. However, with everything else going on in the world it did not seem appropriate to celebrate when people’s minds were fixed on survival in lockdown. Although this serialisation ontains much of the original material in relation to my own personal story, the programme has evolved over the last 25 years.

Although I studied nutritional therapy back in the mid-1990s, I have continued my studies and developed new programmes for healthy eating that are tailor made for the individual rather than a one size fits all. I still believe that the key elements of this basic weight loss programme I will share with you in this updated version works. Even when I work with clients who have arthritis or diabetes, I still approach their programmes from the three dimensions that I outline in this book.

Last week I shared how you can determine how much weight you should lose to be healthy

You can read the previous post: HERE

Our physical approach, our mental attitude and our emotions are all factors in how we overcome disease and obesity, and should all be addressed when looking for the right programme that will work for each individual.

Delicious foods you can eat on a healthy #weightloss programme

Most eating programmes to lose weight will emphasise all the foods that you cannot eat.

This to me is crazy as in fact they are far outweighed by the number of foods that you can eat. This is why we head into a weight loss programme already feeling deprived.

As a rule of thumb when preparing your menu for the week and a shopping list; select anything that has been taken from the ground, picked from a tree, allowed to roam free and graze naturally and comes from a cold sea environment rather than a fish farm.

Anything that is wrapped in plastic or cardboard should be treated with suspicion as should the really cheap options. Also whilst it is convenient to buy your vegetables ready chopped they will have lost up to 50% of their nutritional value in the first week after being chopped and more as the days go by. Think about what an apple looks like after only a few minutes being exposed to the air. Usually good quality frozen food is chopped and prepared immediately so you can use that as an alternative.

I know what it is like to work on a budget but I do believe that a little of the good stuff goes a long way in flavour, nutritional content and your health. The few pounds that you might save on your weekly shopping is a great deal less significant than the impact on your health by eating industrialised foods.

Tailor making your own eating programme to suit your tastes and requirements.

This chapter shows how to go about designing your own program. It will be more effective if you make the choices for your meals based on the foods you most enjoy. In this way, you are more likely to stick to the program and learn what foods make you feel, and look, healthier and fitter.

Before you even look at the food side of the program, you must sit down and think out your strategy for losing weight. You already have some tools. For instance, you now know how to establish the ideal weight for your height, frame, age and activity level. You should have completed your ‘compelling reasons for losing weight’ sheet and you should also have set yourself realistic goals for the weeks ahead. Having established your targets, you now need to design a food program to achieve that result.

There is no one dietary program that suits everyone. We are all different and our likes and dislikes have been shaped by childhood experiences and habits we have acquired over the years. I could suggest a balanced and nutritious program to follow seven days a week. However, if half the foods on the program are ones you dislike or have never tried, then you will be bored within a few days and fed up with trying to find something to eat. You will be likely to give up.

The purpose of this program is to find a dietary regime that you can live with for life. This is not just a means of getting into that outfit for a wedding or birthday, it is about fitting your diet to your lifestyle and personal preferences so that you can live with it forever.
Before you begin designing your program, you need to establish the tools you need to put the program together. Later in the book you will find some detailed lists from which you can choose.

There are three main food groups: fruit and vegetables, carbohydrates and proteins. These are the building blocks for your program. There are also the incidentals, which can be added sparingly, such as alcohol.

I really do not mind what you eat as long as it is not out of a packet. If it is natural, unprocessed and only seasoned with what you choose to add then you are on the right track.

Group one foods – Fruit & Vegetables

This group consists of fruit and vegetables, and I have included as many as I can think of. Mark your preferences a, b and c;

a) For those fruit and vegetables that you eat on a regular basis;
b) For those that you might eat if you are out or if someone cooks for you;
c) For those that you have never tried or that you dislike.

It is important to eat from preferences b) and c) as well as preference a). You need the widest possible variety in your diet. Sticking to one or two favourite vegetables or fruit would mean that you could well be missing out on some important vitamins and minerals. It is also easy to get bored with a diet that is too limited.

Cook the same vegetable in many different ways, so look at the list as an exciting adventure into taste and texture. This is not a recipe book, so get hold of a good one. Vegetarian cookery books tend to have the most interesting ways to cook vegetables, but adjust the fat content where necessary.

The best approach is to eat from your preference a) foods every day and try one from your preference b) and c) once or twice a week. You will find, that as your sweet tooth disappears, many vegetables you once thought were too bitter now taste much nicer. I am sure this is why children do not like vegetables when they come off semi-solids. The sugar in the food they have been eating has conditioned their taste buds so that fresh foods taste bitter. This can flavour our opinion about a particular vegetable into adulthood.

Here is a list of fruits and vegetables to form your preferred list for daily and then a list for once or twice a week. Do not be afraid to try new varieties and this will increase your opportunity to obtain the widest possible range of nutrients. This list is not all inclusive as you will have different fruits and vegetables in your neck of the woods and eating seasonally and locally is always a good thing.

You will find that I have mixed the fruit and vegetables and some herbs into this list and left you to put into the lists. One of the reasons is I think you will be surprised how few varieties of fruit and vegetables you are currently consuming. It is so easy to get into a rut!

Apple, artichoke, asparagus, aubergine (eggplant)avocado, banana, beetroot, blackberry, blueberry, Bok Choy (Chinese Cabbage) broccoli, cabbage, cantaloupe melon, capers, carrots, cauliflower, celeriac, celery, chard, chicory, chives, cilantro, coconut, corn, cucumber, danelion, dill, endive, fennel, figs, garlic, gherkins, ginger, grapes, guava, Kale, leeks, lettuce, lychee, macadamia nuts, mango, melon, mushrooms, nectarines, Papaya, parsley, parsnip, passion fruit, peach, plum, peas, pears, pecans, peppers, pineapple, pomegranate, potato, pumpkin, radish, raspberry, rhubarb, saffron, sea kale, shallot, soybeans, spinach, squash, strawberries, sweet corn, sweet potatoes, Swiss chard, tomato, turnip, water chestnuts, watercress, watermelon, Yams.

Group two foods – Carbohydrates

This is the carbohydrate group. Do not fall into the trap of thinking, that because foods in this group are low in fat, they will help you to be slim. Also, whole grains in moderation are a super addition to any healthy eating plan but you need to manage your intake to balance with the amount of your daily activity. Couch potatoes do not need that much energy.

Pasta, for instance, has 350 calories per 100 gm dry weight. It is very easy to eat 200 gm of pasta, which is 700 calories, and this is before you put a sauce on top. You could easily consume your entire 1,500 calorie allowance in one go if you were not careful. In comparison, potatoes have only 86 calories per 100 gm. However, the problem with potatoes is that they taste so much better with fats or sauces! A drizzle of olive oil or a small knob of butter with some herbs is fine.

Breakfast cereals are also in this group. Unfortunately, most of the processed products contain quite high concentrations of sugar. Avoid the frosted variety and be aware that muesli can also contain large amounts of nuts and dried fruit, which are high in calories and fats. A small serving is fine and the nuts have great nutritional value.

I prefer to make my own muesli with nuts but leaving out the dried fruit and adding some fresh berries instead. I also use porridge oats in the winter months and a couple of dried tablespoons go a long way.

Get into the habit of looking at labels. You should buy the cereals that show the lowest concentration of sugar. You can find this on the label in the part marked ‘Carbohydrate content of which sugars …’You will often find that there is more than a teaspoon of sugar – 6gms per serving.. that adds up over the day to overload you with sugar.

Bread usually contains yeast and sugar. You can buy yeast and sugar-free bread in supermarkets and health food shops. Remember to check the label. Use wholegrain bread, granary and avoid anything wrapped in plastic.

There are some starchy vegetables that should be eaten in moderation. Parsnips, a personal favourite of mine, are fairly high in calories but lower than potatoes. I often use them as a substitute for potatoes and serve them mashed with carrot or roasted, using a little bit of butter and seasoning.

Here is a list of the carbohydrates that I recommend.

Wholegrain rice, pasta, oats and store baked or home baked multigrain bread. You can also use corn or wholewheat tortillas and pitta breads etc. Occasionally you can enjoy fresh baked white bread made with strong flour. Avoid anything that is white flour and wrapped in plastic. Beans are carbohydrates but also contain proteins and nutrients such as B vitamins and essential minerals. I suggest using once or twice a week as a substitute for meat based proteins and casseroles with tomato, onions and mushrooms with herbs and spices is a delicious autumn or winter dish. You can also add to homemade soups.

Group three foods – Proteins

This is the protein group. I was a vegetarian for four years, but it didn’t really suit me. I did not give up meat on ethical grounds, but in order to reduce my fat intake to moderate levels. I now eat meat in moderation. I thoroughly enjoy a steak from time to time and feel that my program is easier to live with now that it includes meat. However, I prefer to eat fish three or four times a week, and I am very partial to salmon – 100 different ways!

Protein in animal form usually has a higher fat content. Remember, though, that we need some fats for our central nervous system and that they should be included in our diet in moderation. It is better to grill or oven-bake meat. If you are going to fry food or seal meat before roasting you only need a little oil in the pan. Research is indicating that you can use Extra Virgin Olive Oil as it is not as sensitive to the higher heat as once thought.. But fat is fat is fat. Yes, certain fats are better for you, such as olive oil and coconut oil., but they will all increase your weight if used excessively.

Proteins to choose from.

All lean cuts of beef, pork, lamb including offal such as liver if you enjoy. Once a week will give you a great nutritional boost. Poultry but duck can be fatty so eat once in a while and grill. Oily fish such as salmon, tuna, sardines, white fish which is high in protein and low on fats. Dairy such as milk, butter and cheese. Better to have a scrape of real butter than pile on commercially produced spreads. A stronger cheese can be used sparingly but will give great flavour. If you wish to use semi-skimmed or skimmed milk that is okay but to be honest I use full fat milk and just less of it. Eggs are very important for our health. Always eat well cooked and having one a day is not a problem. Once of the greatest myths about cholesterol was that eating eggs caused it!

If you are vegetarian then it is important that you include whole grains to obtain your B vitamins but you can also eat fermented soy products. Vegetables also contain protein including peas, sprouted beans, lentils, lima beans, corn, kale, broccoli, mushrooms, mange tout, artichokes, spinach etc.

Last but not least Fats….

We must not cut fats out of our diet – they have an essential role to play in our health and without fats and cholesterol our bodies will be open to infections, poor function in areas such as the brain, heart, reproductive system and our eyesight.

I use the 80/20 rule because of my past weight issues and 20% of my diet comprises healthy fats – sometimes I will have more because I am out for a meal etc but basically my everyday diet comprises mainly seasonal vegetables and fruit, wholegrain rice, fish, chicken, red meat once a week, eggs, olive oil, moderate dairy.

No one person’s diet is the same and you have to find the perfect balance for you and this includes your fat intake – as long as it is not harmful fats………..

Briefly, a quick look at the fats you are likely to encounter in your daily diet.

One fat to avoid all together, is not naturally occurring at all, and that is manufactured Trans Fats. Liquid oil is hydrogenated to extend its shelf life, but in the process Trans fatty acids are formed – found in most industrially produced foods including margarines -snacks such as microwave popcorn, cakes, biscuits, cookies, pies etc.

The other fat which in large quantities is not helpful in maintaining cholesterol levels is saturated fats – if there is too much in your diet it will raise your total Cholesterol as well as the LDL (low density lipoprotein – the kind that can block arteries). Mainly found in animal products but also some seafood. However, provided you are not eating the rich fat around a steak or roast every day, or eating a block of cheese three times a week, or a pound of butter on your spuds, you can enjoy what is very tasty component of your diet in moderation.

olives

The fats classified as healthy fats are Monounsaturated fats – which lower total cholesterol and at the same time lower LDL and increase HDL – this is contained in nuts, such as walnuts and olive oil.

Polyunsaturated fats also lower total cholesterol and LDL and these are found in salmon, soya, sunflower oils etc and have an important component; Omega-3 fatty acids. These can not only reduce your LDL and support HDL but are also very helpful in reducing blood pressure and the risk of developing blood clots. Even with people who have already suffered a heart attack including Omega-3 fatty acids in their diet reduces their risk of a fatal attack.

salmon

I love fish and it is very easy to include oily fish at least twice a week, although I do avoid farmed salmon and opt for frozen wild salmon (usually frozen). Some of the best for Omega-3 fatty acids are salmon, halibut, mackerel, sardines and Albacore Tuna.

Oils and cooking.

Grilling food or steaming and then adding a drizzle of oil is healthier than frying

Use extra virgin olive oil for cooking (latest research indicates that this can be used at a higher temperature than first identified), and you can combine with some sunflower oil and a small amount of butter for a slightly different flavour. Recently coconut oil has come into focus as an oil to use in the kitchen and I have been using for over two years now and love the flavour it brings to salmon and other fish.

You should not burn any oil, but maintain a temperature that cooks your meat, chicken of fish evenly. I tend to brown the meat in the pan and then transfer to the oven or microwave to finish cooking

For salads, vegetables and on toast drizzle Extra Virgin Olive oil which has not been over processed – do not be tempted to use the light versions on offer as these have been industrialised. Just use the real stuff but a little less. You can now also buy Walnut oil and my favourite which is Avocado oil. Buy organic and whilst more expensive you do find a little goes a long way.

I hope you now see the amazing range of foods that you can enjoy whilst still losing weight. Of course you cannot eat platefuls of even healthy foods it you are not putting the effort in to work it off… more about that later.

©sally cronin Just Food for Health 1998 – 2022

 Next time – Putting your eating plan together to nourish your body as it loses weight.

A little bit about me nutritionally. .

About Sally Cronin

I am a qualified nutritional therapist with twenty-four years experience working with clients in Ireland and the UK as well as being a health consultant on radio in Spain.

Although I write a lot of fiction, I actually wrote my first two books on health, the first one, Size Matters, a weight loss programme 21 years ago, based on my own weight loss of 154lbs. My first clinic was in Ireland, the Cronin Diet Advisory Centre and my second book, Just Food for Health was written as my client’s workbook. Since then I have written a men’s health manual, and anti-aging programme, articles for magazines, radio programmes and posts here on Smorgasbord.

You can buy my books from: Amazon US – and: Amazon UK – Follow me :Goodreads – Twitter: @sgc58 – Facebook: Sally Cronin – LinkedIn: Sally Cronin

Smorgasbord Health Column – Size Matters: The Sequel – #Morbid Obesity – #Weightloss – The Project Plan for Success by Sally Cronin


This is the updated and fifth edition of Size Matters and I had intended to release in 2021 for the 25th anniversary of my initial weight loss. However, with everything else going on in the world it did not seem appropriate to celebrate when people’s minds were fixed on survival in lockdown. Although this serialisation ontains much of the original material in relation to my own personal story, the programme has evolved over the last 25 years.

Although I studied nutritional therapy back in the mid-1990s, I have continued my studies and developed new programmes for healthy eating that are tailor made for the individual rather than a one size fits all. I still believe that the key elements of this basic weight loss programme I will share with you in this updated version works. Even when I work with clients who have arthritis or diabetes, I still approach their programmes from the three dimensions that I outline in this book.

Last week I explored how we need to manage other people and our own expectations

You can read the previous post: HERE

Our physical approach, our mental attitude and our emotions are all factors in how we overcome disease and obesity, and should all be addressed when looking for the right programme that will work for each individual.

Weightloss – The Project Plan for Success

So far we have explored how you got to this phase in your life where you are uncomfortable with the extra weight you are carrying. Now it is time for you to tailor make your eating programme for the next phase, which is achieving optimum health for your age. Let’s face it, if like me you are 69 years old, with a wonky knee and a love of more sedate sports such as walking and swimming, throwing yourself into rock climbing, triathlons and training for the Olympics is probably not on the cards.

Having said that, it is amazing what you can do once you lose a few of those pounds and you begin to feel lighter. Suddenly more active sports do not seem so out of the question, and there is many a silver surfer who has taken to the waves rather than the Internet. A great deal of this is down to attitude, determination and willpower. All of which is usually fixed by getting a dog who demands walks three times a day and won’t take no for an answer! Whatever the weather!

I know that there are mantras and inspiring quotes out there which encourage you to embrace your body shape and to get out there in swimsuits and lycra….but trust me once you have been the size of a small bell tent.. it is not that easy.

Even now I shudder at the thought of exposing my body to the public gaze and chlorine of a public swimming pool and I do have a pretty good body image. I admire those of the more voluptuous body shape to take it all in their stride and certainly the younger generation are better at this. Possibly, forgive me, because there are a great many more younger people who are obese and it is less of an issue of standing out from the crowd.

When you tailor make your eating and exercise programme to lose weight it is not a question of diving in and cutting out all suspect foods and trying to run three times a week.

I have already shared how important it is to keep your body supplied with nutritionally dense foods whilst reducing those foods that are not just suspect but sabotaging to your health and waistline.

Such as sugar, white flour and industrially produced foods.

Before you begin your program, it is important to set some ground rules.

There are not many to remember, but they will assist you in becoming successful at sensible and healthy eating.

Vegetable Skewer, Paprika, Tomato, Mushrooms, Onion

Do not skip snacks or meals. Remember – you must eat something every two or three hours so that you stimulate your metabolism and keep your blood sugar levels stable. This will help prevent cravings later in the day and will stop that nagging feeling of hunger. It will also be easier for your body to absorb and process these smaller meals rather than one very large meal. That process begins in the mouth where you should chew the food well and mix with saliva, which will then slip down the oesophagus, into the stomach where the acid will form it into a liquid before it gets mixed with bile and other enzymes to ease it into the intestines where the goodness can be extracted.

There are a lot of articles about Intermittent Fasting and leaving a long gap between your last meal at night and eating in the morning, preferably between 14 and 16 hours. But if you are very overweight and have been dipping into the cookie jar every time you felt the need; it will be much more difficult to stick to the programme.

I recommend very strongly that you do not fast completely as your body will react negatively to being starved and will only store any food you do then eat as it counteracts the famine.

Despite the operating systems of your body continuing to work overnight, it does so on standby mode using up approximately half the calories per hour as it does during the day. It needs to be given a boost when you wake up to get it back into gear..

You should not go to bed with a full stomach, and I recommend that you allow at least three hours after eating, and you will get a better night’s sleep. If you finish eating by 7pm and eat your breakfast at 8am. You will have given your body thirteen hours to recover, digest and use up some fat before you begin eating again.

If you can get in 30 minutes of moderate exercise before breakfast that would be even better. Then for the next eight hours or so eat moderate main meals with healthy snacks between. I will give you some ideas for those meals later in the series.

Notebook, Glasses, Pen, Write, Notepad, Raspberries

Keeping a food diary is essential for the first few weeks of your program. Not only will it encourage you to be honest about your daily intake, but you should make the effort to learn from it.

For example, apart from Candida Albicans there are other food related issues to consider. Although not as common as the ‘Gluten Free’ multi-billion food industry would have you believe, there are a percentage of people who are allergic to gluten or react to it in a milder form. It is estimated that around 1 in 5,000 people have celiac disease and cannot digest gluten, but that around 1 in 200 may have an intolerance or sensitivity to gluten.

By keeping a food diary you can establish a base line of which foods may cause you certain symptoms when eaten. Usually in the last 12 to 24 hours.

For example bloating, wind, cramps associated with IBS (irritable bowel syndrome) and also NCP (not chewing your food properly!). You cannot swallow large chunks of food, especially the high fibre variety such as vegetables and expect them to miraculous become a smooth addition to your guts.

Another benefit of a food diary is finding the right fuel mix for you as an individual. If in one week you met your weight loss target, felt energetic and looked great, what were you eating to achieve that?

By reviewing your diary, you gain insight into the fuel mix that works for you.

Likewise if you find you have reached a plateau and have not lost weight. It can be easy to skip snacks, thinking that you are not hungry, but you will soon see that gaps in your food diary can lead to hunger or picking at food later in the day.

The diary is your basic tool to help you establish a pattern of healthy eating that one-day you will automatically keep to.

Make sure that you keep your food program varied. Not only do you need the full spectrum of nutrients, but you should also avoid boredom.

Get out the recipe books and be creative, especially in substituting other products for fat and sugar. I have compiled a list of possible substitutes later in the series, but if you look around you will find many more.

One of the boons of my early days dieting was my old crockpot, now upgraded to a large slow cooker. I would make a chicken stew with loads of vegetables that would last the two of us three nights. I would serve with a small portion of rice (a tablespoon) or a small amount of potato, and it was really filling. Usually by the time we had taken the solids out there was enough each for a rich and nutritious soup for supper. As all the vegetables were cooked with the chopped chicken in a vegetable stock, none of the goodness was lost.

We lose around two litres of water each day, not just as wee, but as we breath and through our skin…and this has to be replaced in order to remain hydrated, and to prevent our bodies from taking fluid from sources that may contain a high percentage of sugars. If you feel tired, and/or suffer from headaches and irritability, it could well be that you are dehydrated. Start the day with a large glass of water and then drink regularly throughout the day. It is better to drink a glass of room temperature water 30 minutes before your meal and then leave an hour before having another.

Avoid drinking large amounts of water with your main meal,(something it seems every restaurant in America provides even if you don’t ask for it) since this can drown the gastric juices that process your meal and cause wind and bloating.

Drink a glass of water 30 minutes before your main meal and then about an hour afterwards.

There are some fluids that aid digestion – a glass of red wine occasionally, or a peppermint tea after a meal out. All fluids count, although I don’t recommend 8 cups of coffee a day as you will be wired, but certainly both coffee and green tea in particular have antioxidants that are good for you. And also coffee, green tea, ginger, cayenne pepper, black pepper and funnily enough coconut oil….can have a thermogenic effect and aid fat burning!

Only weigh yourself once a fortnight to begin with, but never more than once a week – always at the same time and on the same scales. Your weight will fluctuate during the week, so hopping on and off the scales can be demoralising. Some people swear by daily weigh-ins, and that if that is what you wish to do then leave it until you have lost most of your weight and are getting down to the last couple of stone.

Control your portion sizes. Just because a food is good for you does not mean that you can eat huge amounts of it. Remember, if you eat more than your body requires, you will put on weight.

A bowl of chopped salad is great but do remember that adding even low fat mayonnaise comes at a price…100gm of low fat mayonnaise can contain between 6gm to 10gm of sugar.

There are hundreds of recipes online for sugar free dressings that are still low in fat. I have a mix of balsamic vinegar with one teaspoon of coconut oil some black pepper and a pinch of salt for one very large fresh salad and it coats it deliciously. Remember, moderate main meals, and small snacks.

Alcohol may be low in fat but it is high in carbohydrates and sugars, and therefore calories. One large glass of wine a day, seven days a week, can add up to 30 lbs (14 kg) of body fat a year.

Try to limit drinking alcohol to special occasions, and then have only two or three drinks at a time. Drinking more than this can put additional stress on your liver which has to deal with the alcohol in your system. There are so many articles online about the benefits of alcohol and how one glass a night is better for you than having no alcohol at all… not sure who sponsors them but I can tell you that when I stopped drinking completely for the first six months of my weight loss 27 years ago I lost considerably more than I had previously when I had attempted to lose weight.

Previously we used to share a bottle of wine most nights and that adds up to 60lbs (28kg) per year!

Stop thinking like a fat person and start thinking like a slim one. Start talking about ‘when’, not ‘if’, I lose weight. Also there is a six letter word that is your nemesis…‘Should’.

We use it blatantly when we want to avoid doing anything. I should lose weight, I should stop smoking, I should save money!…Very wishy, washy and not going to get you over the finish line. Start using the word ‘MUST’ instead. Put some muscle behind it and get it done.

Also stop eating for the size you are. I cannot count the number of times I was told ‘take two you are a big girl’ or ‘have a second helping you need all the energy you can get’… no actually you need to eat for the person you are going to become, not the one you have become!

Find an incentive that will be achieved when you have reached certain weights.

When I had lost about 40lbs, I bought a black velvet dress designed for someone with an hour glass figure. The dress hung in a clear plastic bag, on the front of my wardrobe for the 18 months it took for me to get into it.

When I bought the dress I was wearing size 28UK and it was a size 16. You need to find something that is in your face every day that reminds you of why you are doing this.

Remember – this is not a diet! It is a healthy eating program. It must become integrated into your life, so it needs to be interesting, stimulating and non-restrictive in order to work. And as they say. A little of what you fancy does you good!

©sally cronin Just Food for Health 1998 – 2022

Next time – a realistic approach to how much you should weigh and identifying how many lbs you need to shift to achieve that.

A little bit about me nutritionally. .

About Sally Cronin

I am a qualified nutritional therapist with twenty-four years experience working with clients in Ireland and the UK as well as being a health consultant on radio in Spain.

Although I write a lot of fiction, I actually wrote my first two books on health, the first one, Size Matters, a weight loss programme 21 years ago, based on my own weight loss of 154lbs. My first clinic was in Ireland, the Cronin Diet Advisory Centre and my second book, Just Food for Health was written as my client’s workbook. Since then I have written a men’s health manual, and anti-aging programme, articles for magazines, radio programmes and posts here on Smorgasbord.

You can buy my books from: Amazon US – and: Amazon UK – Follow me :Goodreads – Twitter: @sgc58 – Facebook: Sally Cronin – LinkedIn: Sally Cronin

Smorgasbord Health Column – Size Matters: The Sequel – #Morbid Obesity, #anti-biotics,#Candida #hormones #yo-yo dieting by Sally Cronin


This is the updated and fifth edition of Size Matters and I had intended to release in 2021 for the 25th anniversary of my initial weight loss. However, with everything else going on in the world it did not seem appropriate to celebrate when people’s minds were fixed on survival in lockdown. Although this serialisation ontains much of the original material in relation to my own personal story, the programme has evolved over the last 25 years.

Although I studied nutritional therapy back in the mid-1990s, I have continued my studies and developed new programmes for healthy eating that are tailor made for the individual rather than a one size fits all. I still believe that the key elements of this basic weight loss programme I will share with you in this updated version works. Even when I work with clients who have arthritis or diabetes, I still approach their programmes from the three dimensions that I outline in this book.

You can read the previous post: HERE

Our physical approach, our mental attitude and our emotions are all factors in how we overcome disease and obesity, and should all be addressed when looking for the right programme that will work for each individual.

This is a longer chapter but because of the links that combined to impact my physical health and weight gain please feel free to cut and paste or bookmark to read when you can.

 The Accumulative Factor – Candida Albicans, hormones and yo-yo dieting

Looking for physical significance in the pattern of weight loss and gain in my life has been a complicated process. The first step was to look at all the times when I was overweight and see if there was in fact a physical event that activated that particular phase.

Age 10 in South Africa at a normal weight

I have been overweight, in a significant way, at least five times in my life. Up to the age of ten I seemed to have been tall and well built, but not particularly heavy. As I mentioned earlier, photographs, taken after this time, show that I had gained a considerable amount of weight over a relatively short period. I was looking for a physical trigger for this change, apart from the stress caused by moving to another country and another school?

To answer this, I have to fast-forward to when I was forty five and living in Ireland in 1998. I had worked really hard and managed to get my weight down by 120lbs to about 210 lbs. (15 st, 95 kg), but from that point on I seemed to hit a brick wall.

I was walking for a couple of hours a day, I ate sensibly on a low-fat, moderate carbohydrate regime, but I could not seem to shed any more weight. Despite this, I was experiencing some disturbing symptoms that worried me sufficiently that I had blood test done to see if that would uncover the source of my problem.

I was feeling very tired and had watery and itchy eyes, my ears constantly felt irritated and I was having mild dizzy spells. I had also developed an overwhelming urge for sweet food and bread. Having spent three years learning to control the urge for chocolate and sweets, it was frustrating and a little frightening to be in this position. At that time, a new range of biscuits and cakes came on the market which were low in fat and supposedly sugar free. I had being eating these for several weeks and it was not unusual for me to eat a packet a day. My weight started to creep up again and I became increasingly concerned that all my hard work was going to be for nothing.

The blood test showed that I was not suffering from diabetes. However, I still needed to find some answers. My husband got on the Internet and searched for some of the symptoms that I was experiencing. We got back some very interesting information, some of which could have been relevant to the problem. However, it was the data that we obtained on something called Candida Albicans that set alarm bells ringing. In the next chapterf there is more information on Candida, and a questionnaire that everyone who is overweight should complete.

What is Candida Albicans

Candida is a fungal infection of the intestine. There is a delicate balance of bacteria in our gut and it works very much like a waste-disposal unit. However, certain conditions can activate changes in the balance between healthy flora and this opportunistic fungus, and this can result in Candida taking control of the intestine. Candida is a yeast that thrives on sugar. Among the many symptoms of this condition is an irrational craving for sweet foods including high sugar savoury foods such as pasta sauces.

The list of symptoms attributable to Candida seemed endless, but when I completed the questionnaire, my score was so high that there was no doubt at all that I was indeed suffering from an overgrowth in its most chronic form. While it was an enormous relief to have identified what had been causing my problems, it was devastating to realise that Candida had been a part of my life since childhood and was likely to be one of the main reasons for my weight problems. It was not just a childhood event that had triggered Candida, but its fire had been fuelled several times since.

You will not be surprised to learn that one of the prime causes for this condition is the over use of antibiotics, and also some other medications prescribed for conditions such as asthma. Once I realised this, I put together a chart showing the periods in my life when I had experienced weight gain. Bingo! In every instance the weight gain followed heavy doses of antibiotics prescribed for a variety of reasons. In one way this discovery was reassuring.

Overweight people often look for a physical problem to blame for their condition, such as their glands, so it was a revelation to learn that there might indeed be a physical reason for my excessive weight gain.

The start of the anti-biotic affect on my health.

Tracking back through my history, I saw that until I reached the age of ten, I did not have a weight problem. When we lived in Cape Town, I suddenly developed chronic tonsillitis and was sick every few weeks, until I had my tonsils removed. Each bout of tonsillitis was treated with antibiotics and, within a few months, I had gained 30 or 40 lbs. (14 to 18 kg). The photographs taken of me leaving Cape Town, and on the ship coming home, have always been a source of embarrassment to me, including the one of me in a bright yellow dress and red shoes which made me look like a little barrage balloon!

Puberty and hormones

I was also entering puberty and hormonally, all kinds of havoc was going on in my body which were contributing to the physical turmoil that all of us go through at that age.

When I was going through puberty, we rarely ate industrially manufactured foods. Most meals were cooked from scratch.Today however, it is a different story with the prevalence of foods in the modern diet that are manufactured, containing additives, chemicals and high levels of sugar. These chemical enhancers to the food that many children and teenagers are eating, are contributing to the stress placed on the body and its operating systems, including the adrenal glands.

Even the chronic stress that I was experiencing (despite seemingly putting a good face on things) resulted in my adrenal glands producing cortisol consistently, rather than when needed in a flight or fight situation. This upset the balance between progesterone, and estrogen which led to the storage of fat.

Once you get into this imbalance between progesterone and estrogen, you may find that you experience the following symptoms throughout your reproductive years, unless it is diagnosed and treated. As you will see later in the post the hormonal changes during puberty combined with stress, is reinforced by yo-yo dieting in adulthood.

  • Irregular periods
  • Heavy periods
  • Hair thinning, loss or loss of colour
  • Fertility problems including higher risk of miscarriage
  • Moderate to severe PMS symptoms such as mood swings and bloating.
  • Insomnia
  • Fatigue
  • Breast health issues including swelling and tenderness
  • Low testosterone in men
  • Thyroid disease
  • And a key factor in weight gain – damage to the metabolism resulting in consistent weight gain without necessarily overeating.

Finally my hormones began to settle down as we settled down for the last two years of my schooling and my first full time jobs. Photographs show me as chubby until I was about fourteen (never to see the light of day), when there was a marked change. Remember that it was the 1960s and we had some pretty skinny role models then, such as Twiggy and Jean Shrimpton. The mini-skirt was the ultimate fashion item of the day and podgy thighs looked horrendous in them.

This began another cycle of yo-yo dieting as I started skipping meals and hiding the fact from my parents. They naturally assumed that the money they gave me for my school lunch was being spent on just that, and not on cigarettes! I walked to school a mile each way and the same over the weekend to my part-time job along the seafront. I was on my feet all day and would be out in the evenings with friends, and of course as boys came on the scene. I was on the go all the time.

We always ate well at the weekends when my father cooked and I certainly made up for the starvation during the week eating steamed suet steak and kidney puddings and apple pies and custard, but it was not sufficient to make up for the very low calorie and therefore nutritional value of food during the week.

I married at twenty years old and at twenty-one I was pregnant. I stopped smoking and ate well and put on the normal amount of weight and it was a reasonably happy time in my marriage. I miscarried at 24 weeks and there were complications that would have long term affects on both my physical health and stress levels. I was put on anti-biotics for the resulting infection and it was also the beginning of a difficult time in my marriage.

Between the ages of twenty one and twenty five, I gained and lost 30 to 50 lbs two or three times a year, until by the time my marriage broke up at 25 years old, I was four stone (56lbs) overweight, suffering from shingles and in a very bad place. I am sure that some of you reading this will know exactly what depths that takes you to. I am not going to go into details of my marriage or the three years of legal wrangling involved,as it is over forty years ago, but suffice to say the physical and mental scars stay with you for a lifetime.

Thankfully I managed to pull things together, and got a fantastic job at a boarding school where I was the caterer/housekeeper cooking from scratch for 140 three times a day. A year of good wholesome food, combined with an active working day, helped bring my weight down to healthier levels.

Unfortunately it was more difficult to cope with the chronic stress as my former husband made it impossible for me to remain safely at the school, and I had to move as a far as I possibly could within the UK. I started working as the assistant manager of a hotel in Wales and until my divorce came through on April 1st 1980, I existed on one meal a day and a packet of cigarettes, which did not do my health any good at all. In retrospect, and having worked with clients with eating disorders, I recognise that I was creating rituals about food, eating very little, and at one point existed on a handful of roasted parsnips each night for my one meal of the day. I was becoming anorexic, if not already fully fledged.

I met my second husband David when I was twenty seven and had been officially, and blessedly divorced for six months.. I was at my lowest weight ever, and thought I looked the bee’s knees. Unfortunately, I was also very unhealthy. I repeatedly suffered from chest infections and was put on several courses of antibiotics. I always had the feeling that I was just about to come down with an illness: colds, coughs, and any infection that was about.

We married in November 1980. My eating habits improved and my exercise level increased, because I began helping out on the sheep farm where we were living. After about six months we moved to Liverpool and I started work in the city centre. We were saving for a house and working hard. There were little treats, however, which began to take their toll. Sunday morning breakfast in bed, for instance. Two rounds of bacon, tomato and mayonnaise sandwiches and a family packet of those tasty chocolates with the less fattening centres – that was just my portion!

After about a year I developed an abscess under a tooth. This was not unusual for me, because I had suffered several in the past, but on this occasion it nearly cost me my life. Since we were fairly broke, I attended the Liverpool Dental Hospital and was treated by senior students that ‘needed the practice’, which is not to imply that they were in any way at fault. However, as is normal practice, I was prescribed more antibiotics. Eventually, after several weeks of root-canal treatment and medication, the dental students were not able to save the tooth and so had to extract it. The infection was so bad that I was given an injection of penicillin. We flew to Ireland that weekend for my brother-in-law’s wedding and I became ill and was rushed into hospital in Cork. We now know that not only had the infection spread throughout my entire system, but I had developed a blood clot after the tooth extraction that had spread to my lung. So it was blood thinner and more antibiotics!

After this episode, my weight ballooned to over 220 lbs. (15 st 10 lbs., 100 kg) and I didn’t manage to lose any weight until we were living in Texas in 1986. We lived in the United States for two amazing years. While there, I led a healthy, active life, with a diet which consisted of lots of fish, salads and vegetables, and I was not sick once. By the time we returned to England in 1987, I weighed about 180 lbs. (12 st 12 lbs., 82 kg), which was not hugely overweight, given my height. Encouraged by the fact that 40 lbs. (18 kg) had stayed off for about two years, I decided to lose another 30 lbs. (14 kg) and really get my life in gear.

A new diet of 600 calories per day was in fashion in 1987: a diet bar for breakfast and lunch and then vegetables in the evening. The promoters promised a weight loss of 30 lbs. (14 kg) per month and I achieved that very easily. I was hungry but triumphant at less than 150 lbs. (10.7st, 68 kg). Unfortunately, within two months 40 lbs. (18 kg) had leapt back on to me from ‘nowhere’. My diet was good: three meals a day, no fried food, chocolate or alcohol. A normal, everyday eating program. So how did the weight gain occur?

Over the next few years I would swap between very restrictive calorie intake of around 800 calories a day for weeks on end, followed by binge eating. And one day at age forty -two years old I was 330lbs (150kilo, 24 stone)

What was worse is that I would not eat fresh food when I was restricting my calories. I relied on the magic diet shakes and bars providing my body with its daily dose of sugar.

When I was tracking all this at the age of forty three, I was simply writing down the sequence of events. Clearly, the use of antibiotics was a primary cause, but this was not the only factor. It was also obvious that I had been suffering from Candida from the age of ten. When I had reached puberty underlying chronic stress had affected my adrenal glands, resulting in a hormonal imbalance leading to fat storage. And, what was also becoming clear was that after each extended crash diet, I would put on more weight than before and a pattern was emerging.

I now had several avenues of research to follow, and with the newly available Internet, I was able to find a certain amount of information about continuous restrictive dieting. I discovered that I had compounded the original weight problem by starving my body into protecting me. Every time I starved myself, my body, in its will to survive, stopped processing food and stored it instead.

How the body reacts to a cycle of restrictive calories and binge eating.

When our body perceives there to be a food shortage, it will take matters into its own hands. It is now a medically proven fact that such a condition exists; you will find details of the research into this condition on the Internet and in professional fitness publications. It is often called ‘Starvation Response’, or ‘Famine Response Syndrome’. These terms do not however adequately describe the condition for me.

The body appears to detect both calorie restrictions and nutritional deficiency. A person could be taking in 3,000 calories per day, but if the food is very high in fats and sugars and has little nutritional value, the body will consider this to be a form of starvation. I have therefore changed the name of this response by the body to ‘Nutritional Deficiency Syndrome’.

This is a condition that goes back to our very origins. It is more prevalent in women, because we were always the child-bearers and had to be able to nourish the unborn child. The female body’s response to famine was to store fat on the hips and thighs. This is the source from which the foetus would have taken its nourishment.

Nutritional Deficiency Syndrome and the reproductive system

The Hypothalamus

The other name of the hypothalamus is actually the word homeostasis, which means balance, which is very appropriate. It is located in the middle of the base of the brain and is connected to the pituitary lobes, which form the most important gland in the body and is often referred to as the Master Gland.

The hypothalamus regulates body temperature, blood sugar, water balance, fat metabolism, appetite, body weight, sensory input like taste and smell and sight, sleep, sexual behaviour, emotions, hormone productions, menstrual cycle regulation and the automatic nervous system that controls automatic functions such as breathing and the heart muscle.

The Pituitary gland

The pituitary gland has an anterior and posterior lobe. The anterior lobe regulates the activity of the thyroid, adrenals and the reproductive glands producing a number of hormones.

  • Growth hormone stimulates the growth of bone and body tissues and plays a part in the metabolism of nutrients and minerals.
  • Prolactin, which activates milk production in mothers who are breast-feeding.
  • Thyrotropin which stimulates the thyroid to produce hormones.
  • Corticotrophin which stimulates the adrenal glands to produce its hormones.
  • Gonadotrophs are cells that secret the two hormones that stimulate hormone production in the ovaries and testes. These are called luteinising hormone (LH) and follicle stimulating hormone (FSH) and whilst not essential to life are essential to reproduction.

The pituitary gland also secretes endorphins, which act as natural pain relief within the nervous system. It is also the gland that releases hormones that signal the ovaries and testes to make the sex hormones and controls the ovulation and menstrual cycle.

Amenorrhea (irregular or absence of periods)occurs when the normal secretion of Gonadotropin-releasing Hormone from the hypothalamus is interrupted.

Something that I suffered from most of my reproductive years between 14 and 54.

So now I had acquired two important pieces of information. Not only did I have chronic Candida, but I was also suffering from ‘Nutritional Deficiency Syndrome’.

So I had now established that several factors that had contributed to my obesity. I say contributed, since I was still the one who had been putting food into my mouth, or not depending on where I was in my dieting cycle.

  1. Chronic stress leads to the hormone cortisol to be secreted leading to fat storage and to comfort eating, particularly in children and young adults who do not have other coping mechanisms.
  2. The overuse of antibiotics in childhood is decimating the healthy gut bacteria needed to process food effectively, and to maintain a healthy balance of Candida Albicans.
  3. Repeated yo-yo dieting, alternating between starvation and binging results in a calorific and nutritional deficiency. This forces the body into survival mode and whilst you could clearly keep starving to an extreme, leading to anorexia, most of us will start to eat normally after six to eight weeks and the body will put the weight back on, plus an extra stone every time.
  4. This cycle repeated two or three times a year can lead to an overall weight gain of three to four stone a year. You will find that the starvation phase gets shorter and the binging last longer. Until you might lose four or five pounds over six weeks but put back double that within a couple of weeks.
  5. The body does not like change, it likes to get its nutrients regularly and in a form that it understands and can process. If that does not take place certain functions within the body will cease.
  6. The body does not like to lose weight quickly, especially when it is given shakes and bars that have little relation to real food. It will work hard to refill the fat cells once real food in quantity is consumed, as storage ready for the next famine that it has been trained to expect every six to eight weeks.
  7. It is estimated that at least 70% of all people suffer from an overgrowth of Candida. And as our diet becomes increasingly industrially produced and sugar laden, this fungal infection will continue to have a part in the obesity epidemic.

Extract from an article The Largely Unknown Health Epidemic Affecting almost all Americans (and likely UK population as well).

Research from Rice University shows that 70 percent of all people have Candida, a systemic fungal infection, in their bodies. According to the molecular biologists at Rice University, Candida is common in humans and is often found in colonies in their intestines, mouths, or on their skin. When researchers delved deeper into how Candida albicans moved throughout the body, with findings published in the journal PLOS One, they noted that the “remarkable pathogen” Candida can cause infection in the body that is both superficial and systemic by penetrating epithelial barriers.

If you have a strong immune system, you could still unknowingly have a fungal/yeast infection. It most likely is low-grade and chronic.

A Harvard University fellow in infectious disease, Julia Koehler, found that Candida is the predominant fungal infection behind human disease. According to Koehler, Candida was responsible for 60 percent of the fungal infections acquired in hospitals, killing one in three people with a bloodstream infection. Comparing Candida’s shape-shifting ability to Dr. Jekyll and Mr. Hyde, Koehler considered the fungus particularly dangerous because of its ability to change forms. When immunity is low, Candida can take over, and a systemic infection can quickly become lethal.

Source: Body Ecology

Since Candida Albicans, is in my opinion, one of the major causes of our current obesity epidemic, the next two chapters will deal with it in more detail and provide the strategies needed to bring the overgrowth back under control. And the eating programme to limit its access to the food it thrives on; Sugar.

 ©sally cronin Just Food for Health 1998 – 2022

Next time…more about how Candida can cause health issues.

A little bit about me nutritionally. .

About Sally Cronin

I am a qualified nutritional therapist with twenty-four years experience working with clients in Ireland and the UK as well as being a health consultant on radio in Spain.

Although I write a lot of fiction, I actually wrote my first two books on health, the first one, Size Matters, a weight loss programme 21 years ago, based on my own weight loss of 154lbs. My first clinic was in Ireland, the Cronin Diet Advisory Centre and my second book, Just Food for Health was written as my client’s workbook. Since then I have written a men’s health manual, and anti-aging programme, articles for magazines, radio programmes and posts here on Smorgasbord.

You can buy my books from: Amazon US – and: Amazon UK – Follow me :Goodreads – Twitter: @sgc58 – Facebook: Sally Cronin – LinkedIn: Sally Cronin