What is the difference between dietician, dietician and nutritionist?
There are 3 professionals who can operate in the nutritional field and this often leaves the customer confused! The DIETOLOGIST is a doctor with a degree in Medicine and Surgery, with a subsequent specialization in Food Science. In reality, even without specialization, a doctor can legally prescribe diets: for this reason it is important to check on the curriculum that he has followed a specific course of study and therefore has the skills to do so (in medicine there are no nutrition exams!). The dietician, being a doctor, can prescribe drugs and often works mostly in hospitals with subjects suffering from important metabolic diseases or large obese who need bariatric surgery. The Dietitian must be registered in the register of doctors (https://portale.fnomceo.it/cerca-prof/). The DIETIST has a three-year degree in dietetics and can prescribe diets under the advice of a doctor: in fact, a medical prescription is required to book a dietitian visit. The Dietitian must be registered in the register of dieticians (https://webiscritti.tsrmweb.it/public/ricercaiscritti.aspx)
The NUTRITIONIST is a Biologist, with a three-year degree and specialist degree and registered in the register of biologists (https://www.onb.it/servizi/list-iscritti/). The nutritionist may have a specialist degree in Food Science, but may also not have followed any specific course in nutrition as any member of the register of biologists can proclaim himself as a Nutritionist Biologist.
Also in this case it is therefore important to check the curriculum and verify that the professional is competent.
The nutritionist biologist can prescribe diets in conditions of health and pathologies if ascertained by a doctor; she cannot prescribe drugs.
It is therefore important to rely on one of these three professional figures and not on other figures who CANNOT prescribe diets such as: personal trainers, pharmacists, osteopaths, naturopaths … in these cases we speak of professional abuse (Article 348 of the Criminal Code).

How to educate yourself at the table especially in times of stress such as the current one?
The best way if you have a very disordered diet is to ask for help from a
professional who knows how to guide you in daily food choices, based on specific personal needs. If, on the other hand, where nutrition becomes an outlet for negative emotions and you suspect that you are suffering from an eating disorder, it is instead good to contact a psychotherapist, and start a path that has the aim of understanding the reasons behind this behavior and solve them.
Nutrition management is different in a difficult moment like this, where stress and nervousness given by the numerous restrictions we are forced to (for our health) can make it difficult to follow a healthy diet, partly due to lack of motivation. a little because episodes of “rash” on food can occur.
It is therefore essential to try to maintain normality in everyday life as much as possible and even take advantage of the more time available to devote more to yourself, even through cooking and discover new recipes.
An excellent idea, and a good habit to maintain, is the creation of a weekly menu in which to mark all the dishes that will be prepared during the week. Putting a weekly menu in writing allows us to evaluate how our diet is in the space of a week and above all to correct it, perhaps trying to vary the foods as much as possible by following the frequencies recommended by the Guidelines, without falling into the very dangerous meal “without last minute ideas!

Does eating little help you lose weight?
To lose weight you need a calorie deficit, that is to introduce fewer calories than we consume. One way to do this is to decrease the portions of what we eat, so in the short term by eating less we will lose weight… until our body adjusts to the lower calorie quota! Adaptation is a survival mechanism: as we introduce less energy, our body begins to consume less to survive. So what used to be an energy deficit now becomes our maintenance calorie quota. What often happens is that people (especially women) start cutting calories more and more until they eat very little and no longer lose weight!
This is why it is important not to do do-it-yourself diets but to rely on a professional who can guide you in a structured dietary path, based on food education, without eliminating any category of foods, another frequent mistake.

Carbohydrates yes or no?
Carbohydrates absolutely YES! According to the Guidelines and the Mediterranean Diet model, carbohydrates should represent about 50% of the energy introduced daily!
The preferred sources should be mainly cereals, preferably whole grains, legumes, vegetables and fruit, while sweets and added sugars should be limited to sporadic consumption.
In fact, even if they are not an essential nutrient, carbohydrates are the preferred energy source for our cells! Eliminating carbohydrates not only does not lead to greater weight loss than a diet that includes them in the recommended quotas, but can lead to episodes of “craving” or uncontrollable craving for foods with high energy density and often rich in fats, sugars and salt (eg biscuits, cakes, pizzas …) which often result in real binges with a consequent sense of guilt. The risk is therefore not only of not losing weight but of entering a vicious cycle of restriction-bingeing from which it is difficult to escape.
By assuming instead the correct quantities and in the right sources, we will feel more satiated and satisfied at meals, and maybe we will also be happier since carbohydrates stimulate the secretion of
tryptophan a precursor of serotonin, the happiness hormone, especially if eaten in the EVENING!

What are your future projects and passions?
Having recently started the profession, currently my project is certainly to carry it out in the most profitable way possible, also following training courses in different areas in order to better follow my patients.
A great dream would be to reconcile my already great passion, cooking, with work: I would like to make people understand that eating well does not mean eating sadly, unseasonably and without salt .. quite the opposite!

How do online consultations work? How can patients contact you?
For Nutrition Biologists, online consultations were granted in an extraordinary way in this period, given the difficulties in travel and social contacts; however, we do not yet know if the emergency situation will be formalized even after the end.
For those wishing to contact me, I receive all the contacts in Milan and on my website (www.ariannamandelli.com).

Dr. Arianna Mandelli
Nutritionist Biologist

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