In this episode, Nate and Justin discuss ways that Tina could modify her food environment to keep moving toward her health goals. They also discuss the tricky aspect of social determinants of health and how that may (or may not?) hamper our efforts to help patients achieve healthy lifestyles.

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=== Outline ===
1. Introduction
2. Chapter 1:  Food Environment
3. Chapter 2: Social Determinants of Health
4. Chapter 3: Concluding the Nutrition Series
5. Conclusion

=== Learning Points ===

1. Setting up an environment for success and encouraging new habits are the most important strategies for success in changing eating patterns. 
2. While it’s important to understand the effects of social determinants of health, our patients are resilient in enacting change and should not be underestimated. 
3. Many fad diets and trends exist within mainstream cultures. At the end of the day: point patients to an evidence-based lifestyle (such as eating a whole food, predominantly plant-based diet).
4. Time within the office is limited. Provide patients with brief, targeted teaching while they are within the office, and additional resources for patients to explore after the visit.

=== Our Expert(s) ===

Dr. Justin Charles is a graduate of the Yale Primary Care Internal Medicine Residency Program.

His clinical interests are in Lifestyle Medicine, the use of evidence-based lifestyle interventions to not only prevent, but treat and reverse chronic disease from a root cause perspective. He has received training in Plant-Based Nutrition through the T. Colin Campbell Center for Nutrition Studies and eCornell, as well as Dr. John McDougall's Starch Solution Certification Course. 

=== References ===

Re: similarities between processed foods and “illicit” drugs:  https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4334652/  

Re: our environment being obesogenic: https://www.sciencedirect.com/science/article/abs/pii/S0091743599905856 

Structures being a fundamental cause of disease:
https://www.jstor.org/stable/2626958 

Re: systemic solutions mentioend at the White House Conference: https://www.whitehouse.gov/briefing-room/statements-releases/2022/09/28/fact-sheet-the-biden-harris-administration-announces-more-than-8-billion-in-new-commitments-as-part-of-call-to-action-for-white-house-conference-on-hunger-nutrition-and-health/ 

*For additional resources discussed in the episode, check out our transcript!

=== About Us ===

The Primary Care Pearls (PCP) Podcast is created in collaboration with faculty, residents, and students from the Department of Internal Medicine at the Yale School of Medicine. The project aims to create accessible and informative podcasts about core primary care topics centered around real patient stories.

Hosts: Nate Wood
Producers: Nate Wood, Helen Cai, August Allocco
Logo and name: Eva Zimmerman
Theme music and Editing: Josh Onyango
Other background music: Dan Henig, Bobby Richards, Asher Fulero, Jesse Gallagher, VYEN

Instagram: @pcpearls
Twitter: @PCarePearls
Listen on most podcast platforms: linktr.ee/pcpearls