Halikini: Yes
I took a food science/nutrition class back in college, and I've used a nutritionist in my local area to get me on the "healthy" track, so I'm really conscious of what I eat - however, I may not be conscious enough. Need to find the balance like you say.
I wish there was a way to spot manage though because I'm about 115/120lbs and am 5'5", which is skinny and I've been that way my whole life (thyroid has been checked). Losing weight really isn't an option.