Working as a private practice dietitian for almost 10 years, I have found it to be more effective to focus on adding in more nourishing options into the diet, not restricting what we believe is bad food.  The focus is always on achieving all your health outcomes, not just the number on the scale. We set small, sustainable goals every session to build confidence and consistently see progress. Balance and real life goals are incredibly important to me, as I believe consistency will always pay off more than perfection.