As an #RD who works in education, and actively throughout the whole of the profession, I’ve a few thoughts to share after reading this.
Please read @kevinnbass’s piece
before you go through my
/1 #RDchat #Dietitian https://twitter.com/kevinnbass/status/1335768487512465410
Please read @kevinnbass’s piece


The vast majority of dietitians find common ground in broadly applied values, principles, and competencies in professional practice. But, like any profession, differences arise as you focus in on minutia of practice or philosophical approach to treatment. #RDchat /2
How do I know this? Because the second I read this highlighted quote, I knew Kevin was actually talking about #HAES dietitians, and not dietitians as a collective (even if he didn’t realize it). /3
Calorie tracking, meal plan and prep, esteem born out of learning to identify progress, personalized applications to control and improve your food environment - there are few dietitians who would raise an eyebrow at any of this. /4
Well thanks, and in turn, some of the smartest people I learn from nutritionally on this website (including the George Micheal of nutrition himself @kevinnbass) are not RDs. People like @The_Nutrivore, @TamarHaspel, @EmilyDhurandhar @MichaelAlbertMD, but there plenty more /5
Kevin nails it w/ this quote. I was in college the first time I heard a #HAES dietitian say that attempts to track calories would lead to ED.
Even at the time, I remember thinking, “that sounds like a projection, lady.” /6
Even at the time, I remember thinking, “that sounds like a projection, lady.” /6
But, it’s naive to dismiss all dieting practices as completely innocuous. Fixated obsession on a specific food or foods, yo-yo dieting, usurping the role of food with something it should not do - if fostered and given affirmation, these practices can bear bad fruit over time. /7
It’s not an indication. There are ~102K active dietitians in the US, and thousands in Canada (whatup @langernutrition?). Best guess, maybe <2% active on Twitter (more on other platforms), and it’s a fraction of those who espouse the type of view Kevin is describing. #RDchat /9
This is pretty on point 
. While l think #dietitians being discredited goes far beyond what he describes here, he is correct in how we continuously shoot ourselves in the foot when it comes to advancement as a profession. #RDchat /10


Lastly, this study about prevalence of ON risk among dietitians. I’m familiar w/ this study, and my feelings on the results are mixed. In summary, Im not concerned b/c impetus for entry into most professions is usually personal, for both good or bad experiences. /11
But more often than not, the bad experiences serve as building blocks into strengths for many dietitians. Personal experience is the vessel for empathy, and often times, the ability to empathize with another person may be the make or break in what helps. #RDchat /12
As a final thought, while I strongly disagree with much of #HAES (like attempting to decentralize the role of obesity in causing dz), I do see value in some of its concepts that can ultimately benefit patients.
Alright. I’m done. Read Kevin’s piece #RDchat /13
Alright. I’m done. Read Kevin’s piece #RDchat /13