Big breakfasts.
When things are good, I eat huge gigantic breakfasts and the rest of my meals tend to be smaller. I feel great, my weight goes down to the 145 zone.
I started a new job a few months ago, which requires me to leave my house earlier. I've not been eating my normal huge breakfasts. I've gained weight around my middle (scarey for the heart health) and my butt (not scarey, but not pretty).
Even though I've been eating a lot more fruits and veges than before, I've missed the jumpstart my metabolism seems to like from the big breakfasts.
When you talk to your nutritionist, ask her if the timing of your meals can be tweaked for greater efficiency.
"If Americans want to live the American Dream, they should go to Denmark." - Richard Wilkinson