Not all food needs to look restaurant worthy to be beneficial for your health.
The above tuna salad used what was in the pantry and fridge, and made two sandwiches.
Ingredients:
2x Sirena Tuna cans (Basil infused flavour)
1x handful of diced red onion
1x handful of diced cucumber
Nandos hot perinaise (1/3 the calories of mayonnaise)
Use the desired amount of perinaise, mix it all together, cover and leave in the fridge. Use it the next day to make a sandwich. I like to add some lettuce/spinach + tomato to add more vegetables to the sandwich. Additionally, this could be eaten just as a salad with additional greens or eaten with rice. The take home point is, this took under five minutes to prepare, and has sorted out two meals!
‘Veganism’. A word which is the catalyst for many debates and let’s face it, some pretty hilarious memes. However, as you have probably all noticed, the vegan lifestyle is becoming more and more popular and there seems to be an increased awareness across the board. Hopefully what follows will give you a brief insight into my life as a vegan and the effect it’s had on me, physically and mentally.
My Transition
I became vegan on the 11th of August, 2015, and I have to say it all happened pretty organically. My partner had been a vegetarian for approximately two years so my consumption of animal products had naturally reduced over that duration – but meat, eggs and dairy still made up a fair bit of my diet. She asked if I would be interested in watching a documentary called ‘Earthlings’ which looking back, was probably what started the transitioning process. I’m not going to go into the discussion of ethics – we’ve all seen the videos and anyone with an ounce of compassion can appreciate the moral justification behind veganism. Instead, I’d more like to focus on the health benefits of a plant-based diet, as this was a huge driving factor with me wanting to becoming one of those crazy extreme vegans. After viewing the documentary, I immediately dove into researching the health benefits of a vegan diet and that was “all she wrote”.
Current Diet Now fast-forward almost 3 years and I couldn’t be happier. Now, I don’t want this article to turn into a solo episode of “This Is Your Life”, because to be honest I could talk about this stuff all day. Instead, I’ll choose three of the more significant diet-related points regarding my experience thus far with veganism.
Micronutrients – the bottom line is that plant-based diets, when done correctly, will always result in eating a larger variety of foods. More experimentation takes part in the kitchen, more enjoyment is had with cooking, and as well as being very tasty, the meals are more colourful – and more colour means more nutrients! For example, when you’re meeting your protein requirements with foods such as beans, legumes, grains, nuts, seeds and vegetables rather than beef, chicken or fish, it’s pretty safe to say that you’re meeting many other nutrient requirements as well. Long-term, this sets you up for a far healthier and problem-free life, as you reduce your risk of chronic disease. For example, 28% of deaths in the year 2016 in Australia were a result of heart disease. A very significant factor of heart disease is atherosclerosis – the thickening and hardening of vessel walls – and a major cause of this is high cholesterol. But how many people know that dietary cholesterol solely comes from animal products, and that your liver produces enough cholesterol alone for normal bodily function? For me, the proof was in the pudding when, out of curiosity, I had a blood test in February of this year. My results were perfect, and my doctor was pretty impressed. Also, another fantastic change is that I haven’t been sick since becoming vegan, at all.
‘Feeling healthier’ – I have a very clear memory of 2014. I was in a ‘bulking’ phase and was consuming around 4000 calories each day. I have always strived to be the healthiest I can be, so even during this phase I was still eating plenty of vegetables and wholefoods. However, I still felt so crap. Every meal was a bigger struggle than leg day, and I was pretty lethargic the entire day. It was hard! Fast-forward to now and eating that same number of calories is entirely different. There is a noticeable difference with bloating and lethargy, and I’m generally more energetic. It’s hard to explain, but I honestly just feel healthier.
Travelling and eating out – this is something a lot of vegan’s struggle with, but I’ve never really had a problem. Since being vegan, I’ve travelled to over 20 countries with my partner and we’ve never had an issue (thanks to wonderful apps such as HappyCow). Also, almost every restaurant has vegetarian options, and it’s never a difficult task to make these choices vegan-friendly – such as swapping out an egg or dairy product for a suitable alternative. What upsets me is hearing of complaints from the vegan community about restaurants NOT having enough vegan options. At the end of the day, veganism is in it’s infancy, and recognition on a menu in the form of a meal labelled as “Vegan” or “Vg” is a total win in my books. Recognition = awareness, and that’s the beautiful thing.
Current Training and Physical Changes
Training progress, body composition and my style of exercise have also all changed quite considerably. In addition to continuing compound strength training, I now incorporate a lot more gymnastics movements and bodyweight training into my regime and am thoroughly enjoying it. All of my personal bests for bench press, deadlifts and barbell squats have improved considerably, and I have learnt new skills such as handstands and ring muscle-ups. Could I have still achieved this as a meat eater? Probably. But, nothing feels better than going to the gym full of energy (which I didn’t always experience as a meat eater) and feeling like you can conquer anything. Also, it feels great to somewhat prove people wrong. Vegans cop a lot of flak and are always being targeted as ‘protein deficient’ or ‘malnourished’, but I’ve experienced more strength and muscle gain than ever before.
I would like to point out that I am not an expert on veganism and don’t claim to be. As I said, I strive to be well-educated and due to this point, my knowledge on diet and training is forever expanding. Also, my journey with veganism and the positive results I have experienced are just that – mine. Any diet can be done incorrectly, and individuals need to be well-educated with whatever it is they choose to consume.
Thanks so much for reading,
Matt
For information on training with Matt, contact us info@js-pt.com.au or PM us through our socials (Facebook, Instagram). For great content including vegan recipes and training videos, Matt can also be found on Facebook and Instagram.
Following a recommendation from a JS-PT client, we thought we would share something different this month. Homemade vegan Easter eggs, from Jamie Oliver himself:
“For most of us, Easter has become a chocolate-filled, sugar-fuelled holiday, full of chocolate eggs, bunny-shaped treats and colourful Easter baskets.
For many parents, the prospect of endless sweet treats coming their children’s way can be daunting, so to help out, we’ve got a refined sugar-free, vegan chocolate egg for you to try.
These eggs are great fun to make with the kids, and while you’re at it, you could make some Easter baskets, which you can then fill with your homemade treats! You’ll need an egg mould, which you can buy online or at some large supermarkets – depending on the size of your mould, this recipe will make around six to eight small eggs or one bigger one.
To make 1 large egg or 6 to 8 smaller eggs, you’ll need 200g coconut oil, 6 tablespoons agave syrup and 120g raw cacao powder. You could also add 2 to 3 tablespoons of peanut butter.
Method:
1. Melt the oil in a bowl set over a pan of simmering water. Once melted, carefully transfer the bowl to your work surface.
2. Add the agave syrup (you could use maple syrup or even honey for a non-vegan version) to the melted coconut oil and mix together.
3. Add the cacao powder and stir until you have a smooth, liquid chocolate.
4. Reserving a little of the chocolate mixture, pour the rest into your moulds of choice, tilting the moulds so the mixture covers the surface.
5. Leave the moulds in your fridge or freezer for around 20 minutes, or until the chocolate has set.
6. Take the moulds out of the fridge and carefully remove the chocolate egg halves. Spoon in the peanut butter (if using) for a surprise filling.
7. Brush the rim of each mould with the leftover liquid chocolate, then stick the egg halves together.
8. Leave to set in the fridge for a further 10 minutes, then enjoy!
9. If you’re planning on buying traditional shop-bought chocolate eggs, it’s best to get good quality, dark chocolate with a high cacao content, as these will contain less sugar.”
Mindful Eating – I’m sure you’ve heard the term, but do you feel like you’ve really grasped the concept? These days the term ‘Mindful Eating’ has somehow found its way into diet and weight loss programs around the world. Yet using mindful eating as as weight loss tool actually goes against what the practice of what mindful eating is truly about. Let’s break this down. So what is Mindfulness?
Mindfulness is all about deliberately paying attention, non – judgmentally to your thoughts, emotions and physical sensations in the present moment. It’is purpose is to help free yourself of reactive, habitual patterns of thinking, feeling and acting. It is about balance, choice, wisdom and acceptance of what is. Ok, so how does Mindful Eating fit in?
Mindful eating involves the act of non-judgmentally acknowledging your hunger and fullness cues to guide your decisions of when to begin and finish eating foods, and eating with awareness of all of your senses – sight, sound, touch, taste and smell. It helps to develop non-judgemental responses to food (likes, dislikes, neutral) while allowing yourself to become aware of the positive and nurturing opportunities available through food selection and preparation. It is a tool to learn which foods will best satisfy your hunger. Why is it not for weight loss?
As you can see, the core purpose of mindful eating is to eat without judgement guided by your internal hunger and fullness cues. Practicing mindful eating with the intention to lose weight means that you are entering the eating occasion with expectation and judgement – to lose weight. If those expectations aren’t met, generally feelings of failure arise – which more often than not lead back to partaking in another behaviour for weight loss – which is a classic example of the diet cycle. So how can Mindful eating help?
Eating is a behaviour and behaviour change is hard! You can follow a meal plan or pay someone to dictate to you what to eat until they are blue in the face, but at the end of day you have to learn to eat for YOU. Improving your eating behaviours is not about weighing less for a moment in time, but about learning to eat well for the rest of your life. Mindful eating can assist this in this in a number of ways:
• Reconnecting with internal physical hunger and fullness cues: We were all born with the ability to regulate our hunger and fullness internally, but as we get older and life gets busier these cues get interrupted by our environment (i.e. increased stress, working shift work, designated eating times, being preoccupied with work,). By bringing awareness to your body’s sensations around hunger and fullness, mindful eating can help you reconnect with this innate ability we are all born with.
• Reduce Non – Hungry Eating: As natural cues to hunger and fullness are explored mindful eating can help you to identify any instances of non hungry eating (i.e. eating because you are bored, stressed, depressed, lonely, procrastinating or just because it is there). Recognising these occasions is the first step to behaviour change and allows you to explore other remedies for non-hungry eating than food.
• Reduce Overeating: Awareness during eating is also key to mindfulness practice. Combined with hunger-fullness awareness this allows us to notice when a food ceases to be as palatable or as enjoyable, helping to determine when satisfaction has been reached. This is called the ‘Law of Diminishing Pleasure’.
• Increase confidence around foods we feel powerless around: We all have them, those foods that we don’t keep in the house because we don’t trust ourselves around them. Avoidance is a short term solution but long term it’s important to feel confident that you can be around certain foods without going crazy. When eating for ‘pleasure’ over ‘fuel’ – which is totally ok to do, practicing mindful eating can help us to determine when our pleasure/sensory needs have been fulfilled. For example you may buy a chocolate bar because you genuinely feel like it – in the past you might eat the whole bar because it is there, using mindful eating you may find that just half the bar satisfies you – or you may not! Only you can determine this.
How can I be a more a mindful eater? Here are 5 ways you can start with now:
Write a definition of your hunger as if you were to put it in a dictionary- i.e. I feel… an empty feeling, gnawing and… fatigued, moody.
Keep a hunger diary- Note down times you get hungry and any relevant circumstances around your hunger. Are you hungrier on days you exercise? Or perhaps days you have a larger workload? Less hungry on days you are stressed? Identifying patterns can help you to pack, prepare and choose foods that are more likely to satisfy your hunger.
Give your hunger and fullness a score / 10- this is best practiced around meals you feel your overeat at (See scale below). Try to identify how much you need to stay in the comfort zone (i.e not getting so hungry you bite someone’s head off, and not getting so full that you feel unwell).
Eat without distractions- Turn off the TV and put down the phone. Save your attention for the eating experience!
Be curious with food, even if you have had it a million times- Before taking the first bite, ask yourself; What is the colour, texture and shape of your food like? Does it feel warm, cold or neutral? What does it smell like? Does it smell as you expected? Do different parts of it look, feel or smell different? Take a bite, but don’t chew yet! Is it cold, warm or hot on your tongue? How does the texture feel? Is it soft, smooth, dry or hard? Is it a combination? Chew slowly…How does it taste? Is is sweet, salty, or a mixture of both? Does the texture change as you chew? Does the flavour change as you chew? How does it feel on your tongue as you move it around your mouth? Now swallow…Has the taste changed again? Are there bits in your teeth? What is the aftertaste like? How is it similar or different from your first chew? Do you need more or are you satisfied?
I hope you enjoy these tips on mindful eating and remember – mindful eating is about eating without judgement and is a skill that takes practice. Start small – if you can only practise mindfulness at one meal this week that’s ok, be patient with yourself – remember behaviour change is hard.
For more on mindful eating, why not visit the Centre for Mindful Eating at www.tcme.org
Serena Sullivan
I: @gathernutrition
F: Gather Nutrition and Dietetics
W: www.gathernutritionaustralia.com
2018 is now in full swing – school holidays are officially over, the Australia Day long weekend has passed and everyone is now full steam ahead into the working year. Welcome back to a more consistent routine! With that in mind, now is the time to establish some healthy habits to get you moving towards your health and fitness goals fast. Whilst the following this isn’t rocket science, being on top of these few steps will ensure you are moving forward efficiently. Here are 5 habits to master to transform your body.
1. Moving more outside of your gym sessions
Whilst everyone’s new year goal tends to be to go to the gym more, or to eat better, when it comes to getting back in shape, something that’s often overlooked, but that is so simple to do, is to just move more in general. Aiming for 30-60 minutes of activity each day in addition to your gym or boot camp sessions ensures you are more active more often. This goal is especially beneficial for people who sit down at a desk all day. Options to move more could include going for a walk when you wake up or during your lunch break, parking further away, or simply just taking the stairs. Walking also aids in your recovery and digestion. Taking up a social sport or activity to mix things up with your normal gym routine is beneficial too given you can catch up with friends while being active.
2. Sleeping 7-9 hours per night
Sleeping more is one of the most overlooked aspects of fat loss, muscle gain and improved performance. Your body recovers primarily when sleeping, so getting some shut eye for 7-9 hours each night will give the body time to rebuild the torn muscle tissues which occur during training and ensure you are recovered adequately for whichever physical activities you may do the following day. Lack of sleep causes a drop in certain hormones (leptin) which play a key role in how ‘full’ you feel, making you more likely to consume more calories through snacking and cravings. Remember, quality counts, so limit the phone and Netflix before bedtime!
3. Controlling your portion sizes
Whilst we’ve recommended the approximate counting of calories through apps such as ‘My Fitness Pal’ in the past (which we still maintain is a useful tool to educate people on the macronutrient and calorie breakdown of different foods), calorie counting can be flawed due to the inaccuracy of food labels and the potential negative and obsessive effect it can have on your eating behaviours. So, with that in mind, try measuring portion sizes using the palm of your hand as a simple and flexible guide – this idea stems from our friends at Precision Nutrition. Aim for 80-90% of your diet coming from whole foods, with the remaining 10-20% spent on whatever you like, assuming you are eating adequate amounts of protein.
4. Increasing water intake and limiting liquid calories
Maybe you’ve read that increased water intake assists with fat loss, but it is not water per se that achieves this, but rather the effect that it may have on your drinking habits, in particular, by replacing ‘liquid calories’ you may have – such as juices, soft drinks or alcohol – with water intake. Drinking enough water per day (2-3L per day) has major health benefits. Studies have shown adequate water intake assists in the transfer of nutrients throughout the body, flushes out toxins, lubricates your joints and digestive tract, and regulates your body temperature through sweating. One particular study which was conducted a few years back showed that drinking 500ml of water increases your energy expenditure (calories burnt) by 24% (1). With this in mind, drink plenty of water before exercise and before meals as this is likely to increase your metabolism for the following hour and make you feel more full before eating.
5. Being mindful of recovery and managing stress
Being mindful of recovery is often something that is overlooked when people increase their activity levels. Above we mentioned the importance of sleep for recovery, but don’t forget that stretches and foam rolling maintains and improves your flexibility and mobility (recovery) too. Yoga is an obvious option here given you focus on not only stretching, but also the calmness of your mind through controlled breathing. Yoga also helps you mix up your exercise routine – lower intensity activities such as yoga, walking, pilates and meditation, combined with higher intensity exercises such as resistance training, conditioning and cardio provides a good mix of endorphin releasing and mindfulness exercises. Another very simple technique to help deal with stress is spending time in nature. Whether that is just by eating lunch in a park, or adding more greenery to your household or office, nature helps lower your stress hormones and heart rate, and improves your mood.
References
1. Boschmann M, Steiniger J, Franke G, Birkenfeld AL, Luft FC, Jordan J. Water drinking induces thermogenesis through osmosensitive mechanisms. J Clin Endocrinol Metab. 2007 Aug;92(8):3334-7.
Making sense of what exactly is good and bad nutrition is a tough gig for most people. You could bet your bottom dollar that for every piece of information you find on what you should do, there will be a counter argument somewhere as to why you shouldn’t do it. Thankfully, Nutrition Australia finally released it’s new and revised food pyramid last month which aims to clear things up. Let’s take a closer look:
1. Vegetables take centre stage
The bottom layer of the food pyramid is now predominantly vegetables as well as legumes and fruit. With the high amounts of vitamins and minerals present in these foods, they have been linked to a reduced risk of a number of serious diseases such as cancer, heart disease, and type 2 diabetes.. Vegetables and fruit are also high in fibre which helps with weight control. Given an estimated (and shocking) 7% of Australians reach the recommended daily intake of vegetables, this is a good start to the new pyramid.
On a side note, while both are good options, still aim to eat more vegetables than fruit.
2. Include healthy grains
The renamed carbohydrates group has shifted up from the bottom of the pyramid to put more emphasis on Australians eating more vegetables. Carbohydrates, even with their bad reputation these days, are essential in a healthy diet and the new pyramid encourages (whole)grains such as quinoa, brown rice, multigrain breads, and oats which are also all rich in fibre. That being said, other carbohydrate options such as white rice are not poor options and can easily be included in a well balanced diet.
3. Have a mix of different sources of protein
The second top layer emphasises consuming a variety of protein sources from dairy, meat, and non meat products. While red and white meats are the obvious choices of protein, people often forget dairy products (such as cottage cheese and greek yoghurt; whey protein powder also falls in this category) are also rich in protein as well as being high in calcium.
Consuming a mixture of fish, nuts, and seeds will not only give you variety in your protein, but will also help you reach your recommended intake of healthy fats.
4. Fat is good
Fats are often neglected but they have major roles in the body which include manufacturing and balancing hormones and improving brain and nervous system health. A mix of monounsaturated and polyunsaturated fats are ideal for optimal health. They can be found in oils, avocados, nuts and seeds, fish, and eggs.
5. Junk food has been canned
The previous food pyramids had junk food at the top in the ‘eat in small amounts’ category, and whilst I think the amended food pyramid is much better, I will say that eating a small percentage (under 10% of your daily intake) on whatever you wish will not have an effect on your overall body composition and will also help you control cravings. For the average person though, not having the junk food option on the pyramid is the correct stance.
All in all, Nutrition Australia has done well with the updated version of the food pyramid. For the average person, it is a good starting point to refer to and if followed consistently would definitely improve the current eating habits of Australians unfamiliar with good nutrition practices. Putting more emphasis on vegetable intake is a much needed addition to the pyramid, and is definitely one aspect of nutrition which is hard to disagree on, regardless of what your good and bad nutrition stance is.
You can have the best nutrition plan in the world, but if your compliance to the plan is low, your results will be minimal. Those that travel for work often know all about the challenge of remaining compliant with their plan, and even those that travel occasionally can relate. If you fall into this category, then the following strategies will help you increase your adherence to a nutrition plan.
Choosing the best location
Whether you’re away for a conference for a couple of nights or working in an interstate office for the week, your first priority should be location. Not just in relation to where your work commitments are, but how close are you to supermarkets/gyms/restaurants from your hotel? Are you within walking distance? Without these type of places being close, it’s easy to make poor selections.
Choosing a room with kitchenette
Price is an obvious factor here, but a room with a kitchenette or even just a fridge, you can stock the room with healthy snacks/meals such as fresh fruit and vegetables, yoghurts, breads, sliced chicken/turkey, milk, bottled water etc.
Research restaurant menus in advance
If you intend on eating out, hop onto the websites of the possible restaurants where you intend on eating so you know what could potentially fit into your plan.
Bring protein supplements
Often the biggest challenge for people who travel often (even those who don’t) is maintaining adequate amounts of protein. If you are using the above strategies then you should be doing well to maintain sensible eating patterns, but bringing your own protein powder down is a good and quick fall back option if you aren’t able to eat as well as you would like.
While these are pretty simple steps to take when travelling, sometimes it is easier said than done to be compliant with a good eating plan. Put into place these strategies and help increase the likelihood of you remaining on track with your nutrition goals.
Step 1: Heat the oil in a wok or frying pan over medium-high heat. Add the curry paste and cook, stirring, for 1 minute or until aromatic. Add the coconut milk and water and bring to the boil.
Step 2: Reduce heat to low. Add the chicken, pumpkin and lime leaves and cook, stirring occasionally, for 20 minutes or until pumpkin is tender. Add the beans, peas, lime juice, sugar and fish sauce and cook, stirring occasionally, for 3-4 minutes or until the beans are bright green and tender crisp.
Step 3: Serve with rice. Top with Thai basil leaves.
Kebabs, couscous, haloumi, and chilli. Four things I love! An easy recipe with a good amount of protein and flavour which doesn’t keep you in the kitchen for very long. Check it out below.
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For the Couscous salad:
Method:
1. Bring stock to boil in a saucepan over high heat. Place couscous in a large bowl and pour the boiling stock over. Stir through with a fork. Leave covered for 5 minutes and stir through with a fork again to separate the grains.
2. Cut up haloumi into smaller pieces. Heat saucepan with oil over medium heat, and add haloumi. Cook for approximately 1-2 minutes each side or until golden brown.
3. Add haloumi to couscous along with spring onions, chilli, and chickpeas.
4. Make the dressing: whisk lemon rind, 1/4 cup lemon juice, paprika and oil in a bowl until properly combined.
5. Pour dressing over salad. Serve!
For the chicken kebabs:
Method:
1. Preheat a BBQ or pan on medium high, cook the kebabs while turning until properly cooked through.
It’s all the craze lately isn’t it? 30 Day cleanses, celebrity endorsements, sugar free this, paleo that. It’s hard not to be a little curious and question whether one diet is right for you. The question of which one is best for weight loss is certainly something that has been brought up in conversation with me in the last month or so. My answer has remained the same though: whichever diet or plan you can sustain for the long term is the diet that is right for you.
Those who follow the Facebook page must think I sound like a broken record, but the fact of the matter is, all health related goals should be made with a long term view. It should fit your lifestyle, and it definitely should take into account your personal preferences if you want to succeed, because what Pete Evans (Chef from My Kitchen Rules) may eat may not be what you want on your plate every day. Each person’s individual needs are different.
Be consistent with your plan, be flexible enough to enjoy a variety of foods, and be patient! I can’t stress that last point enough. Ups and downs are inevitable, so don’t beat yourself up and instead remain focus on the overall goal.
This breakfast/dessert idea is so simple a recipe is hardly needed. Here’s how it was done anyway.
Serves 1
1 ripe banana, peeled
1/2 cup Greek yogurt
2 tablespoons fruit jam or preserves
2 tablespoons sliced almonds or other nuts OR granola as is in the photo
1/4 cup fresh berries or other fresh fruit
Split the banana lengthwise and lay the two halves in a shallow bowl. Scoop out the yogurt and put it on top of the banana. Warm the jam in the microwave for 15 to 30 seconds or until it is very runny.
Use a spoon to drizzle the jam over the yogurt, and sprinkle the granola/nuts over everything. Top with raspberries/blueberries and dig in!
Strict ‘all or nothing’ approaches to food plans for clients are common amongst personal trainers and nutritionists. Often they result in failure due to their lack of flexibility. I’m all for being fit, healthy, and looking the part, but if a diet doesn’t have variety or allow me to indulge in foods I love, I’m not interested. Nonetheless, there is a diet option where you can literally, ‘have your cake and eat it too,’ and that’s by applying the moderation guideline. The moderation guideline is the 10-20% rule which is outlined in greater detail by leading nutritionist Alan Aragon.
In essence, the 10-20% rule allows you to eat whatever you want but still look great naked! Well, not quite, but with all things in life, everything should be in moderation. The basis of your diet should still come from whole and minimally refined foods. Reaching your minimum daily protein and fat intake (which varies for each individual) is still vital. If you are ticking these boxes, then consuming your go to indulgence foods is perfectly fine, as long as they are in moderation (10-20% of your daily Calorie target). Often dieting is too much of a psychological battle to stay within the parameters of a food plan because of lack of flexibility and variety, but with the 10-20% rule, this allows for indulgences more often than just the common ‘cheat meal.’ Of course, if someone chooses to have 0% of their food coming from sweets or processed food, that’s also perfectly fine.
As Alan Aragon has said, “Honouring personal preference is one of the most powerful yet underrated tactics for achieving optimal health and body composition.” Remember though, greater dietary flexibility is achieved by how high or low your physical activity levels are. So basically, consistent exercise is very important.