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Q. I have a BIG sweet tooth, which is my downfall. I need to lose about 60 pounds. What can I do?

A. Generally those who say they have a "sweet tooth" really mean that they find eating sweets so rewarding that they can't resist any temptation that comes their way. Often, they give in and have something high in sugar (and usually high in fat as well) such as candy, cookies, cake, and so forth, only to discover in short order that they are "hungry" again. They then start fantasizing about what they would like to eat next, which inevitably is something else sweet. Eating sweets leads to eating more sweets. Pretty soon, a healthy diet that includes lots of whole grains, vegetables, and fruits, with adequate protein falls by the wayside, and they find themselves eating more and more sugary foods and gaining weight. Before long, the person with the sweet tooth falls prey to some new diet fad or starts restricting on their own, usually ending up sooner or later in an eating binge.

Strange as it may sound, the solution is not to eliminate all sweets. That just sets up deprivation and a return in due time to overeating sweets. Rather, the solution is to focus on following a healthy diet and planning in regular treats. The key is to plan ahead and use moderation. For example, plan to have a nice dessert after dinner each day, if that is your thing, but be sure to exercise portion control. Make it your only sweet for the day. When you get tempted to have a handful of the M&Ms that are in the dish on your coworker's desk, ask yourself, "Which do I really want-the M&Ms or tonight's dessert?" Make it one or the other, not both.

Keep a calendar that shows a month at a time. Put a gold star or fun sticker on each calendar day that you have only one sweet to mark your success. Strive to get a star or sticker a day. The calendar provides not only a visual reward of your progress but also feedback when you aren't doing so well.

Of course, you probably aren't going to lose weight if you are eating a dessert a day, depending on how many calories you are consuming in the first place. If you want to get your sweet tooth even further under control (and reduce calories), work toward limiting sweets to only so many days per week-say one or two. Start by declaring one day in the forthcoming week (say Thursday) a "Sweets Out Day" (sort of like the Great American Smoke Out day). Plan ahead what you will eat and how you will handle temptation that day. (Hint: Tell yourself, "It's just one day; I can make it through just one day," and then get focused on something other than eating.) Be sure to give yourself lots of mental pats on the back for succeeding. After you are comfortably able to go without sweets one day a week, try adding a second "Sweets Out Day." The idea here is to include sweets sparingly in a healthy diet as reflected in the Food Guide Pyramid.

It will also be important for you to stop telling yourself you have a sweet tooth, because doing so implies that you can't do anything to overcome a compulsion to eat sweets. Rather, tell yourself over and over again that you enjoy sweets now and then and eat them in moderation. Start thinking of yourself as a person who eats a healthy diet, rather than as someone with a sweet tooth.


Dr. Joyce Nash is a clinical psychologist providing therapy to adults, adolescents, and couples for a variety of problems and issues. She is the author of several publications, including Maximize Your Body Potential, The New Maximize Your Body Potential and Now That You've Lost It, one of the first publications to focus on maintaining a weight loss. Over the past 20 years, Dr. Nash has appeared on a number of radio and TV programs discussing various topics such as eating disorders, weight management, body image, anger, cosmetic surgery, and health psychology issues. In addition, she is frequently interviewed by reporters and writers on these and other psychological topics. Dr. Nash practices in San Francisco and Menlo Park, California.

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