Ditching the Diet Culture: Why Survivors Need Nourishment, Not Restriction

sliced bananas, peanut butter and coconut on toast

Many survivors feel a sudden pressure to “get healthy” as quickly as possible after finishing cancer treatment. Often, this leads straight into the trap of diet culture. You might see advertisements for restrictive cleanses, lists of “forbidden” foods, and high-pressure weight loss challenges. For many survivors, the overwhelming amount of information often leaves them feeling more stressed than supported.

At Survivor Fitness, we see this every day. Participants start our programs because they want to feel healthy again, but they also carry fear around food. They worry about eating the wrong thing and managing their weight. They worry about their cancer coming back. Those fears are real. But restriction is not the answer.

In this article, we’ve gathered the best advice from our nutrition partners to clear up some of the confusion around managing weight after cancer treatment. Our hope is that these insights will help you move away from restrictive habits and toward a way of eating that truly fuels your recovery.

Why Diet Culture Falls Apart After Cancer

Diet culture tells us to control our bodies. It pushes rigid rules and frames food as something to fear.

Cancer turns that upside down. Treatment changes taste, digestion, and energy levels. Some people struggle to eat at all. Others find comfort in food after months of nausea. Many feel disconnected from their bodies.

That is why a one-size-fits-all diet never works. Jill Merkel, one of our nutrition partners, sees this often. “There’s so much misinformation and confusion about what to eat or not eat with a cancer diagnosis that people are afraid to eat,” Jill says. “Helping them to realize that there’s no perfect way of eating and helping them find what is right for them is my main goal.”

When someone finishes treatment, their body needs repair. Muscles need protein, and the immune system needs support. This requires finding a nutrition plan that works with your unique needs, preferences, and goals. 

Nourishment Supports Real Healing

Research continues to show that nutrient-rich eating patterns help survivors recover and thrive. Diets rich in fruits, vegetables, whole grains, lean proteins, and healthy fats support immune function, reduce inflammation, and protect long-term health. These foods also help manage fatigue, which remains one of the most common challenges after treatment.

Lori Halton explains it well: “Nutrient-dense foods help manage chronic inflammation, support the immune system, and align perfectly with what survivors need to stay healthy after treatment.”

That shift removes fear and brings back freedom. It’s not about perfection. It’s about consistency. Small choices establish habits that create the energy survivors need to keep moving and living fully.

Ashley Teltow adds, “Food truly is medicine, especially for survivors whose immune systems are already compromised from treatment. We focus on what we can add to your plate to make meals more nutritious rather than listing off foods you should avoid.”

Intuitive Eating Builds Trust Again

Many survivors lose trust in their bodies during cancer. Treatments push the body to its limits, and they don’t feel in control.

This is where intuitive eating plays a powerful role in cancer recovery. It helps people reconnect with hunger, fullness, and satisfaction. It invites curiosity instead of judgment.

Chelsea Johnson shares, “Healing the relationship with food makes everything else more sustainable. We focus on listening to the body and adding nourishing foods instead of restricting. That supports both the body and the mind.”

When survivors stop fighting their bodies, they start hearing what they need. Some days that means a big, balanced meal. Other days it means small snacks and gentle nourishment. Both are part of healing.

Intuitive eating also helps people step away from guilt. No single meal will undo health. Finding peace with your approach to nutrition creates space for better habits to grow.

Energy Comes From Eating Enough

One of the most common struggles we hear from survivors is fatigue. Even after treatment ends, low energy can linger for months or even years. Many people assume the answer is to push harder or eat less to “get back in shape.” In reality, the opposite is often true.

Your body cannot rebuild on empty.

When you eat enough calories and the right mix of nutrients, you give your muscles what they need to recover. This is especially important for survivors who are getting back into exercise after treatment or rebuilding strength through programs like Survivor Fitness.

Carbohydrates matter. Protein matters. Staying hydrated matters. Each one plays a role in helping the body feel steady and strong.

Ellen Smartt puts it simply: “The process of making changes with nutrition needs to be enjoyable for it to last. So identifying foods and flavors you enjoy and creating healthy options with these choices can be a great place to start.”

If you love pasta, there are ways to incorporate healthy options into your meal plan. If you enjoy fruit, lean into it. If soups or smoothies feel easier on your stomach, start there. Sustainable nutrition begins with finding healthy, nutrient-rich foods you like and can eat consistently.

A Personalized Approach Changes Everything

Cancer does not look the same for anyone. Side effects vary. So do goals, preferences, and medical histories. 

Allison Tallman reminds us, “Every cancer journey, and how it’s impacted a person’s diet, is different. Because each person’s cancer journey is so unique, it’s important to tailor their recovery plan, too.”

That is why working with experienced dietitians matters so much. Our partners do not hand out generic meal plans. They listen. They consider treatment history. They adjust plans as the body changes. That level of care helps survivors feel seen. It also helps them avoid extreme diets that can do more harm than good.

Find a Healthier Way Forward After Cancer Treatment 

Moving away from diet culture is not about giving up on health. It is about choosing a better path to it.

At Survivor Fitness, we see this transformation every day. When survivors learn to fuel their bodies, healing becomes more than possible. It becomes sustainable.

If you are ready to build strength, support your immune system, and feel more confident around food, we are here to help. Our fitness, nutrition, and mental health programs work together to support every part of your recovery.

Learn more about our approach or apply to become a participant when you’re ready.  

Participant Spotlight: Elizabeth Lindsay

Elizabeth Lindsay survivor fitness participant

Cancer has a way of shifting the ground under your feet. One week, you think you’re heading in a certain direction, and the next week, everything changes. A treatment works, then suddenly it doesn’t. A plan feels clear, then it has to be rewritten. Many survivors describe it as living with “moving goalposts.” It’s confusing and exhausting. At times, it can feel like everything is happening faster than you can process it.

For many years, this was Elizabeth Lindsay’s reality. But through Survivor Fitness, she found something she hadn’t felt in a long time: steadiness and a sense of control returning to her life. 

Facing a Fast-Moving Diagnosis

Elizabeth’s cancer journey began in July 2023 during what she expected to be a routine mammogram. When something looked unclear, she was called back for an ultrasound and then a biopsy. Within three weeks, she had walked in and out of the same imaging center multiple times, and deep down she sensed what was coming.

When her doctor’s office called and asked her to come in, she already knew. The confirmation came that afternoon: invasive ductal carcinoma, Stage 1A, triple positive.

Everything moved quickly after that. At her first oncology appointment, Elizabeth’s doctor took the time to explain everything — from her diagnosis and treatment plan to recurrence rates and things to consider around vitamins, nutrition, and exercise.

“My mind was absolutely spinning, and I almost missed her discussing losing my hair,” she recalled.

The long months that followed were filled with unexpected changes, drug reactions, schedule shifts, and physical challenges she never anticipated. She often describes that time with a phrase many survivors will recognize: “the goalposts kept moving.”

But through it all, she made it to each milestone: chemotherapy, lumpectomy, radiation, and immunotherapy were all completed by Christmas Eve the next year. Soon after treatment concluded, Elizabeth stepped into the next chapter of her healing.

Finding Survivor Fitness

During treatment, Elizabeth worked closely with an oncology counselor and an integrative oncology nurse practitioner who helped her manage the emotional and physical stress of cancer care. Her healthcare team suggested she look into Survivor Fitness as she neared the end of her immunotherapy. 

She did. And during her first call with Survivor Fitness staff, she mentioned—almost offhand—her partner MJ’s own history with kidney cancer. Immediately, she was asked something she didn’t expect:

“Would he like to do the program as well?” The answer was an easy yes.

In January 2025, just before her birthday, both Elizabeth and MJ began their 12-week programs. They were paired with trainers at Chadwick’s Fitness in Franklin and committed to two sessions a week. They had different trainers, different goals, and different paths for recovering from cancer, but they got to do it side by side.

Rebuilding Strength, Confidence, and Balance

Within a few weeks, Elizabeth began regaining muscle strength she’d lost during treatment, and she then surpassed her pre-cancer fitness levels. She became stronger, more flexible, and more confident in her body’s ability to move again. She lost body fat, built muscle, and felt herself returning—not just physically, but emotionally.

“The personal training has been outstanding,” she shared. “I’m more fit than I have been in too long to name.”

Elizabeth also participated in the nutrition coaching program, which added another layer of support. She learned how to fuel herself before and after workouts, found new sources of important nutrients, and gained clarity from a fresh set of eyes reviewing her lab work. 

“The nutrition coaching paired well with the training to help me with foods to eat before and after sessions,” she shared. 

Both her trainer and nutritionist helped her reshape her mindset to pursue progress, not perfection or unrealistic expectations.

“If you focus on progress, you get to keep stepping forward,” she said. “Even if you occasionally take a step back.”

Having people walk alongside Elizabeth on every step of her recovery journey made a world-changing difference. She felt seen, understood, and supported—not judged.

“Not all of my friends or family knew how to accept or support me,” she shared. “I appreciated my nutritionist celebrating my wins. Paige, my personal trainer, is my strongest cheerleader.”

Paying It Forward and Supporting Others

As strong as she feels today, Elizabeth hasn’t forgotten what those early days felt like. Her hope is to use her experience to help others navigate that same uncertainty. She’s even started writing what she jokingly calls her “Cancer 101 Procedural Manual.” Until that’s published, she shared a few pieces of encouragement for anyone beginning this journey:

  • The goalposts will move. Sometimes for the better, sometimes not. It’s okay.
  • Your relationships may shift. Some friends will pull closer. Others may step back. It’s okay.
  • Use every resource available—financial, physical, emotional.
  • And finally, “You are not fighting cancer. You are the battleground for the fight. The doctor is the warrior. The drugs are the weapon.”

Elizabeth’s strength is quiet but powerful, and her story reminds us that healing is not a straight line. It twists and turns. It changes direction. But it also leads to new chapters filled with hope, resilience, and growth.

For Elizabeth, Survivor Fitness became the bridge between what she had endured and the stronger, steadier version of herself she is today.

Whether you’re a cancer survivor ready to take your next step or someone looking to support this mission, we invite you to learn more about our programs or get involved today.