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Most people know what they should do to be healthy, yet still struggle to follow through. What if the real barrier is not discipline or knowledge, but the relationship we have with ourselves. In this episode of Extend, we sit down with Sarah Ann Macklin, nutritionist, health educator, and host of the Live Well podcast. We explore how mindset, self-compassion, and nutrition psychology shape long-term health behaviors, and why restriction, perfectionism, and comparison often undermine even the best health strategies. We discuss why health changes fail when driven by scarcity, how ultra-processed foods and chronic stress affect both mental and physical health, and why sustainable wellness starts with treating yourself the way you would treat someone you love. This conversation reframes health as a compassionate, sustainable process that supports longevity, resilience, and overall wellbeing. ✅ We Also Discuss: ➡️ Why knowing what to do is not enough to change health outcomes ➡️ Self-compassion as the foundation of lasting behavior change ➡️ Abundance vs scarcity mindset in nutrition and lifestyle choices ➡️ Sarah’s journey from high fashion modeling to nutrition after a major health crisis ➡️ Dyslexia, neurodiversity, and the link between food and brain health ➡️ Nutrition and mental health, including insights from the SMILES trial ➡️ Body image, thinness myths, and the long-term impact of comparison culture ➡️ Social media, stress, and rising body dissatisfaction in men and women ➡️ Optimizers vs lapsers and why both struggle with feeling “not good enough” ➡️ Practical tools like mindful food journaling and self-awareness exercises Subscribe for science-backed conversations on longevity, mindset, nutrition, and performance to help you build health that actually lasts. Learn more about Dr. Shah: Website: https://www.drshah.com/ Clinic: https://www.next-health.com/ Instagram: / darshanshahmd Learn more about Sarah Ann Macklin: Instagram: / sarahannmacklin Facebook: / sarahannofficial Linkedin: / sarah-macklin-3498a193 Hashtags: #SelfCompassion #SustainableHealth #MindsetMatters #BehaviorChange #NutritionPsychology #MentalHealth #UltraProcessedFoods #AbundanceMindset #StressManagement #BodyImage #ComparisonCulture #MindBodyConnection #LongevityMindset #PreventiveHealth #HolisticHealth #SarahAnnMacklin #DrDarshanShah #ExtendPodcast #Healthspan #LifestyleMedicine