When I was a health conscious teenager drinking skim milk, I remember I used to look at my grandmother drinking whole milk with a bit of self righteousness.

“Doesn’t she know any better?” I would wonder. “Whole milk is full of saturated fat and cholesterol!”

My, how times have changed! These days, I enjoy full-fat dairy, and I’m much more likely to tell my clients to drink whole milk, rather than skim or 1%. Especially my fertility clients!

Why the 180? Eating full-fat dairy fits into my “eat real food” philosophy. This philosophy has been cultivated year after year, the more I study food and nutrition. And it’s reinforced year after year, as new research emerges that shows the foods my grandmother ate may be healthiest for us after all. Butter and whole eggs have both seen a healthy renaissance recently. Now it looks like whole milk may see a similar revival.

Consider two recent studies that conclude the consumption of whole-fat dairy is associated with reduced body fat. In a study published last year in the Scandinavian Journal of Primary Health Care, middle-aged men who consumed high-fat milk, butter, and cream were significantly less likely to become obese over a period of 12 years compared with men who never or rarely ate high-fat dairy. (1)

In another paper, published last year in the European Journal of Nutrition, researchers reviewed 16 other studies and concluded that the evidence does not show that high-fat dairy foods contribute to obesity or heart disease. In most of the studies, high-fat dairy was actually associated with a lower risk of obesity! (2)

Moreover, full-fat dairy has been a recommendation for women trying to get pregnant since 2007, when research from the Nurses Health Study showed intake of high-fat dairy foods may decrease the risk of anovulatory infertility.

How can this be? Well, the fat in whole milk can curb appetite and slow the release of sugar into the bloodstream, reducing the amount that can be stored as fat. Also, fat-free dairy products can potentially disrupt hormone balance, an important factor in fertility and weight. The process of removing fat from whole milk removes estrogen and progesterone, which are bound to the fat. This leaves behind higher portions of androgens, insulin-like growth factor one (IGF-1), prolactin, and male hormones in the watery layer, therefore causing an imbalance. (3)

So does that mean you can go on an ice cream and cheese-eating bender? Not quite! It means you can stop feeling guilty if you keep whole milk in the house for the kids and you drink it too. It means you can enjoy the 2% Greek yogurt, instead of the 0%. It means cheddar and apples can be a balanced afternoon snack. Incorporate modest amounts, 1-2 servings, of full-fat dairy into your diet, even if you’re trying to lose weight. And let your grandmother tell you, “I told you so!”

1. http://www.ncbi.nlm.nih.gov/pubmed/23320900

2. http://www.ncbi.nlm.nih.gov/pubmed/22810464

3. Victoria Maizes, “Be Fruitful.”

In case you didn’t know/don’t remember, I veered off on a newish career path ten months ago when we moved. I went from working in nutrition policy and communications to counseling people on nutrition at an integrative health clinic. Integrative medicine and nutrition (also called functional medicine/nutrition), addresses the underlying causes of disease. It focuses on the whole person, not just an isolated set of symptoms. The doctors I work with are more interested in finding the ‘why’, rather than covering up symptoms with prescriptions.

I have been interested in integrative health since I became an RD in 2007. I even started this blog as an outlet for my musings in 2009, so it seems funny to me that I waited so long to explore this type of nutrition career. I really am loving it. It’s very rewarding and satisfying to talk to people about nutrition and their diet. Most days, I feel like I really make a difference.

I’ve learned so much in the past months, but the most significant, surprising thing I’ve learned is in regards to weight loss. The mainstream approach to overweight and obesity emphasizes energy balance – calories in/calories out. Cutting calories equals weight loss, right? Well, I’m going to tell you that 8 out of 10 of my overweight/obese patients don’t eat enough.

Patients think they’re being so “good” when they tell me that they had yogurt for breakfast, a “healthy” frozen meal for lunch, and a grilled chicken salad with light dressing for dinner. “Why am I always hungry? Why am I not losing weight?” Patients are always flabbergasted when I tell them to eat more.

Not eating enough means the body isn’t getting enough fuel to function properly. Think about this – function properly. Your body needs fuel in the form of calories to do anything – make hormones, fight disease, grow hair, digest food properly, build muscle, etc. The list is endless. The body will do whatever it can to burn fewer calories, including burning muscle for fuel, because muscle requires more calories to maintain than fat. That’s a double whammy for those trying to lose weight.

Most people can realistically consume 2000 calories a day. Sound like a lot? Plug in your info into these calculators:

Track your calories with MyFitnessPal or LoseIt for two weeks and then tell me you don’t feel better all around. Some people can naturally and instinctively consume the number of calories that will support a healthy weight, but most people need a little retraining. That’s why I recommend calorie counting, if only for a short amount of time. People need to see how much food 2000 calories looks like.

Stop eating the puny breakfast. Stop binging at night or eating massive restaurant meals. Eat three squares a day, a healthy snack or two, and fuel your body!