why don't the low carb folks believe in CICO?
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So no, it's not the only way to lose, and it doesn't trump CICO (although I think it does help regulate hormones).
This is the issue for many on LCHF. There are stories upon stories of ppl who ate a SAD, say 1500 calories a day and exercised and didnt lose weight or gained. Then they ate 1500 calories a day and exercised but ate LCHF and they lost weight in the short and long terms. Insulin is a hormone, if you have high insulin like IR or hormonal weirdness like PCOS, hormones play a HUGE roll in how you process what you eat and the types of food you eat.
So 1500 is a deficit yes, but what you eat, for many, is more important that how much you eat when it comes to weightloss.
wouldn't medicine for said medical conditions affect the "out" side of CO so at the end of the day, barring a medical condition, they would lose the same as the other person if they were both on 1500….
Sometimes Yes I would think so. But if you've ever been on Metformin, which is what the most popular IR med is, the more carbs you eat the more things 'run' thru you. Being on the potty all day with LBS (leaky butt syndrome) is horrid. And even then, the meds only control so much insulin production, doesnt fix it. So eating a SAD is still going to cause some insulin problems and spikes even if you are on the max dose of Met.
IR and PCOS and Metabolic Syndrome are not curable, anymore than diabetes is. You can get rid of some or all of the symptoms if you eat correctly for your condition and keep the weight off. But if you go back to eating carbs, the symptoms come back.
And I am not sure there are many who would rather medicate themselves on things that 1.quit working with few backup meds to turn to or 2. be on meds the rest of their lives instead of helping their medical condition thru food.
So yes, the Met changes the CO but you have to know you have that medical condition in the first place, which often comes AFTER you've come here to the mfp or other forums complaining you are weighing and measuring correctly, you are eating (insert low amount of calories here) and you arent losing weight and then get ridiculed by those who firmly believe CICO is the beginning and end of the discussion.
As i stated before, the LCHF boards have repeatedly confirmed that the majority, but not all, who do LCHF have some sort of medical problem that LCHF helps tremendously.
thankfully, I have never had to take meds for any kind of insulin or metabolic syndrome..
usually, when people come back and say they are logging accurately and use a food scale, my next round of advice is to go to DR and get tested for medical condition ….
Many on here will basically call the person who said this that they were lying and to open their diary for more inspection, etc long BEFORE they are given suggestions on what to ask for from the Doctor. Not saying you do, as I dont know you or your posting history really. But Ive seen that scenario often and some come to the 'haven' of the LCHF boards after being berated here.
General doctors often dont know what to look for. They run the standard simple thyroid test and usually and A1C and if they are normal, which for IR, PCOS and metabolic syndrome tey usually are, tell to eat less and move more and send you on your way. You have to actually know to ask for a fasting insulin test. With IR and Metabolic syndrome at least, your A1C and glucose levels are almost always dead set normal, it is the insulin that is very high and that's the problem.
So a little understanding that ppl dont know to ask for these things or are aware of these issues before the SAD fails them helps all of us be more mentally and physically healthy.
I think a lot of people ask peole to open their diary so they can see how consistent their logging is….
A lot of times people open there diary and there is like two days with no logging, one day with 700 calories, then 7 days with every day filled in, then more blank days, etc etc…
I guess there is some of the "you are lying, you are not in a deficit" but I think those are outliers…I could be wrong though ...0 -
stevencloser wrote: »So no, it's not the only way to lose, and it doesn't trump CICO (although I think it does help regulate hormones).
This is the issue for many on LCHF. There are stories upon stories of ppl who ate a SAD, say 1500 calories a day and exercised and didnt lose weight or gained. Then they ate 1500 calories a day and exercised but ate LCHF and they lost weight in the short and long terms. Insulin is a hormone, if you have high insulin like IR or hormonal weirdness like PCOS, hormones play a HUGE roll in how you process what you eat and the types of food you eat.
So 1500 is a deficit yes, but what you eat, for many, is more important that how much you eat when it comes to weightloss.
So are you saying hormones can somehow significantly change one's calorie expenditure? Because that's kinda the only way this would make any sense.
Hormones can (and do - it's kind of why they're there) regulate and change pretty much everything in the body.
Energy expenditure slows way down with a hypoactive thyroid for example. There could be, and almost certainly are, other hormones and glands that affect CO too.
ETA: the little buggers are also as a whole extremely hard to supplement/substitute synthetically in the correct doses so a simple medication for the condition might not be enough. I don't know how and if a specific diet would help but it's quite possible it might.0 -
I do LCHF but certainly count calories as much as the next person on here :-).0
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So no, it's not the only way to lose, and it doesn't trump CICO (although I think it does help regulate hormones).
This is the issue for many on LCHF. There are stories upon stories of ppl who ate a SAD, say 1500 calories a day and exercised and didnt lose weight or gained. Then they ate 1500 calories a day and exercised but ate LCHF and they lost weight in the short and long terms. Insulin is a hormone, if you have high insulin like IR or hormonal weirdness like PCOS, hormones play a HUGE roll in how you process what you eat and the types of food you eat.
So 1500 is a deficit yes, but what you eat, for many, is more important that how much you eat when it comes to weightloss.
wouldn't medicine for said medical conditions affect the "out" side of CO so at the end of the day, barring a medical condition, they would lose the same as the other person if they were both on 1500….
Sometimes Yes I would think so. But if you've ever been on Metformin, which is what the most popular IR med is, the more carbs you eat the more things 'run' thru you. Being on the potty all day with LBS (leaky butt syndrome) is horrid. And even then, the meds only control so much insulin production, doesnt fix it. So eating a SAD is still going to cause some insulin problems and spikes even if you are on the max dose of Met.
IR and PCOS and Metabolic Syndrome are not curable, anymore than diabetes is. You can get rid of some or all of the symptoms if you eat correctly for your condition and keep the weight off. But if you go back to eating carbs, the symptoms come back.
And I am not sure there are many who would rather medicate themselves on things that 1.quit working with few backup meds to turn to or 2. be on meds the rest of their lives instead of helping their medical condition thru food.
So yes, the Met changes the CO but you have to know you have that medical condition in the first place, which often comes AFTER you've come here to the mfp or other forums complaining you are weighing and measuring correctly, you are eating (insert low amount of calories here) and you arent losing weight and then get ridiculed by those who firmly believe CICO is the beginning and end of the discussion.
As i stated before, the LCHF boards have repeatedly confirmed that the majority, but not all, who do LCHF have some sort of medical problem that LCHF helps tremendously.
thankfully, I have never had to take meds for any kind of insulin or metabolic syndrome..
usually, when people come back and say they are logging accurately and use a food scale, my next round of advice is to go to DR and get tested for medical condition ….
Many on here will basically call the person who said this that they were lying and to open their diary for more inspection, etc long BEFORE they are given suggestions on what to ask for from the Doctor. Not saying you do, as I dont know you or your posting history really. But Ive seen that scenario often and some come to the 'haven' of the LCHF boards after being berated here.
General doctors often dont know what to look for. They run the standard simple thyroid test and usually and A1C and if they are normal, which for IR, PCOS and metabolic syndrome tey usually are, tell to eat less and move more and send you on your way. You have to actually know to ask for a fasting insulin test. With IR and Metabolic syndrome at least, your A1C and glucose levels are almost always dead set normal, it is the insulin that is very high and that's the problem.
So a little understanding that ppl dont know to ask for these things or are aware of these issues before the SAD fails them helps all of us be more mentally and physically healthy.
If you have a good endocrinologist, you won't have to ask for anything. Especially not something as simple as a fasting insulin test. .0 -
So no, it's not the only way to lose, and it doesn't trump CICO (although I think it does help regulate hormones).
This is the issue for many on LCHF. There are stories upon stories of ppl who ate a SAD, say 1500 calories a day and exercised and didnt lose weight or gained. Then they ate 1500 calories a day and exercised but ate LCHF and they lost weight in the short and long terms. Insulin is a hormone, if you have high insulin like IR or hormonal weirdness like PCOS, hormones play a HUGE roll in how you process what you eat and the types of food you eat.
So 1500 is a deficit yes, but what you eat, for many, is more important that how much you eat when it comes to weightloss.
Most likely because they were not logging or simply not logging accurately.
Also have someone on my friends list with PCOS and her carbs are often pretty high... she's lost 30lbs iirc.
The 'joy' of pcos is no one has the same as anyone else. That is why it is called a syndrome. So there are thin pcos women and fat pcos women. There are women with cysts on their ovaries and those that dont. There are women that lose hair on their head and grow manly hair and some that dont. There are some who have IR also and some that dont. There are some with periods that are dead set regular and some who go months or years without one. Some are estrogen dominant, some are testosterone dominant, some are progesterone dominant and some have some combination of those hormones.
So I am excited when I see a PCOS women who can eat the carbs, and I know a few also. But there are women who cant, especially those that are estrogen dominant as insulin affects estrogen in a large way. So some or many PCOS women find that LCHF really does make a significant different in their ability to lose weight.0 -
Alatariel75 wrote: »Alatariel75 wrote: »I love carbs. But when I was younger and more willing to spend stupid amounts of money on unneccesary weight loss things, I signed up to a place called 'Healthy Inspirations', basically a Curves type gym that also gave you a Weight Watchers type meal plan. Their week one was a "healthy kickstart" where for 7 days straight where you can eat unlimited amounts of:
Meat - any type including bacon, seafood, eggs etc.
Veges - anything but the starchy ones
Dairy - Cheese, cream, butter but not milk
Nuts and olives
Knowing nothing of calories, I was easily packing away a couple hundred grams of cheese and the same in nuts a day for 7 days along with a crapload of bacon, steak, eggs etc all cooked in butter, and lost 5kg.
I know nothing of the science, and I wasn't tracking any calories but I've often thought about that, since I know so much more now and wonder how the hell I didn't GAIN 5kg that week.
Virtually no carbs so losing water weight, plus fat and protein tend to be filling so you easily could have eaten fewer calories that you'd think would be in what you ate. Let's say 4-5 servings of 30g slices of cheese (were you really eating that much cheese every day?) for ~600 calories, let's say another 600 calories in nuts, then maybe 600 in dairy, veggies ,and meat together. That's only 1800 calories, which would allow plenty of people to lose weight. I'm in the 150s now and I can lose on 1800 calories despite only working out ~4, max 5hrs a week (mostly weight lifting).
yeah. Yeah, I was haahaa. I pretty much used it as an excuse to go buy 3-4 different types and just devour them. King Island smoked cheddar, feta, brie... I put it in my eggs for breakfast, added swathes to my salads for lunch, and melted it over my meat for dinner. It was disgusting. So gorgeously disgusting...
Well I used to shred probably upwards of 100g of cheese, melt it in a bowl.... and just eat melted cheese LOL.
But I also way over-ate on calorie-dense food and still ate plenty of carbs, so I know why I gained
I gained because I would house down two Philly cheesesteaks and an order of mozzarella sticks in one sitting…and that was just dinner….
I use to eat this in about 2 days on my birthday weekend
So like 2000 calories in two days just for dessert lol. On top of 2-3 servings of dinner and lots of snacking on high calorie foods. YUUM0 -
Liftng4Lis wrote: »
I cheated to much as well. I used to eat loads of homemade parmasian <<< I can't use spell check on my hubbies mac. Still waiting on my hp to return from repair>> Chips. Oh and loads of shredded cheese on pork rinds, Parm and cauliflower crust pizzas, oh, and this was bad, but at the time I ate too much of it and now it sounds hideous, butter, no sugar peanut butter, diet sweetener (although if I remember correctly I think I was not suppose to use artificial sweeteners) and just ate it straight. I did not do it right and for me I guess I found it quite restrictive, cuz' I just started craving the stuff I could not have.0 -
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FatFreeFrolicking wrote: »So no, it's not the only way to lose, and it doesn't trump CICO (although I think it does help regulate hormones).
This is the issue for many on LCHF. There are stories upon stories of ppl who ate a SAD, say 1500 calories a day and exercised and didnt lose weight or gained. Then they ate 1500 calories a day and exercised but ate LCHF and they lost weight in the short and long terms. Insulin is a hormone, if you have high insulin like IR or hormonal weirdness like PCOS, hormones play a HUGE roll in how you process what you eat and the types of food you eat.
So 1500 is a deficit yes, but what you eat, for many, is more important that how much you eat when it comes to weightloss.
wouldn't medicine for said medical conditions affect the "out" side of CO so at the end of the day, barring a medical condition, they would lose the same as the other person if they were both on 1500….
Sometimes Yes I would think so. But if you've ever been on Metformin, which is what the most popular IR med is, the more carbs you eat the more things 'run' thru you. Being on the potty all day with LBS (leaky butt syndrome) is horrid. And even then, the meds only control so much insulin production, doesnt fix it. So eating a SAD is still going to cause some insulin problems and spikes even if you are on the max dose of Met.
IR and PCOS and Metabolic Syndrome are not curable, anymore than diabetes is. You can get rid of some or all of the symptoms if you eat correctly for your condition and keep the weight off. But if you go back to eating carbs, the symptoms come back.
And I am not sure there are many who would rather medicate themselves on things that 1.quit working with few backup meds to turn to or 2. be on meds the rest of their lives instead of helping their medical condition thru food.
So yes, the Met changes the CO but you have to know you have that medical condition in the first place, which often comes AFTER you've come here to the mfp or other forums complaining you are weighing and measuring correctly, you are eating (insert low amount of calories here) and you arent losing weight and then get ridiculed by those who firmly believe CICO is the beginning and end of the discussion.
As i stated before, the LCHF boards have repeatedly confirmed that the majority, but not all, who do LCHF have some sort of medical problem that LCHF helps tremendously.
thankfully, I have never had to take meds for any kind of insulin or metabolic syndrome..
usually, when people come back and say they are logging accurately and use a food scale, my next round of advice is to go to DR and get tested for medical condition ….
Many on here will basically call the person who said this that they were lying and to open their diary for more inspection, etc long BEFORE they are given suggestions on what to ask for from the Doctor. Not saying you do, as I dont know you or your posting history really. But Ive seen that scenario often and some come to the 'haven' of the LCHF boards after being berated here.
General doctors often dont know what to look for. They run the standard simple thyroid test and usually and A1C and if they are normal, which for IR, PCOS and metabolic syndrome tey usually are, tell to eat less and move more and send you on your way. You have to actually know to ask for a fasting insulin test. With IR and Metabolic syndrome at least, your A1C and glucose levels are almost always dead set normal, it is the insulin that is very high and that's the problem.
So a little understanding that ppl dont know to ask for these things or are aware of these issues before the SAD fails them helps all of us be more mentally and physically healthy.
If you have a good endocrinologist, you won't have to ask for anything. Especially not something as simple as a fasting insulin test. .
Only if you know you need an endorcrinologist to begin with. Who randomly asks to see one unless they know there is a problem first? That can often be the problem they ask their regular doctor and he doesnt know enough to send them to an endocrinologist and their numbers are normal so he figures, like many here, they are lying about what they eat and how much they move and send them home.0 -
christinev297 wrote: »Alatariel75 wrote: »Alatariel75 wrote: »I love carbs. But when I was younger and more willing to spend stupid amounts of money on unneccesary weight loss things, I signed up to a place called 'Healthy Inspirations', basically a Curves type gym that also gave you a Weight Watchers type meal plan. Their week one was a "healthy kickstart" where for 7 days straight where you can eat unlimited amounts of:
Meat - any type including bacon, seafood, eggs etc.
Veges - anything but the starchy ones
Dairy - Cheese, cream, butter but not milk
Nuts and olives
Knowing nothing of calories, I was easily packing away a couple hundred grams of cheese and the same in nuts a day for 7 days along with a crapload of bacon, steak, eggs etc all cooked in butter, and lost 5kg.
I know nothing of the science, and I wasn't tracking any calories but I've often thought about that, since I know so much more now and wonder how the hell I didn't GAIN 5kg that week.
Virtually no carbs so losing water weight, plus fat and protein tend to be filling so you easily could have eaten fewer calories that you'd think would be in what you ate. Let's say 4-5 servings of 30g slices of cheese (were you really eating that much cheese every day?) for ~600 calories, let's say another 600 calories in nuts, then maybe 600 in dairy, veggies ,and meat together. That's only 1800 calories, which would allow plenty of people to lose weight. I'm in the 150s now and I can lose on 1800 calories despite only working out ~4, max 5hrs a week (mostly weight lifting). yeah. Yeah, I was haahaa. I pretty much used it as an excuse to go buy 3-4 different types and just devour them. King Island smoked cheddar, feta, brie... I put it in my eggs for breakfast, added swathes to my salads for lunch, and melted it over my meat for dinner. It was disgusting. So gorgeously disgusting...
Well I used to shred probably upwards of 100g of cheese, melt it in a bowl.... and just eat melted cheese LOL.
But I also way over-ate on calorie-dense food and still ate plenty of carbs, so I know why I gained
omg I can't keep up with this thread!! Everytime I reply to something, 20 odd posts are typed at the same time!
As for the melted cheese thing, yum!! I melt cheese in the fry pan, add a bit of soya sauce and then dunk rye bread in to scoop out the cheese. No bowl required, eat straight out the pan
my brain is no understanding this lol.
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So no, it's not the only way to lose, and it doesn't trump CICO (although I think it does help regulate hormones).
This is the issue for many on LCHF. There are stories upon stories of ppl who ate a SAD, say 1500 calories a day and exercised and didnt lose weight or gained. Then they ate 1500 calories a day and exercised but ate LCHF and they lost weight in the short and long terms. Insulin is a hormone, if you have high insulin like IR or hormonal weirdness like PCOS, hormones play a HUGE roll in how you process what you eat and the types of food you eat.
So 1500 is a deficit yes, but what you eat, for many, is more important that how much you eat when it comes to weightloss.
wouldn't medicine for said medical conditions affect the "out" side of CO so at the end of the day, barring a medical condition, they would lose the same as the other person if they were both on 1500….
Sometimes Yes I would think so. But if you've ever been on Metformin, which is what the most popular IR med is, the more carbs you eat the more things 'run' thru you. Being on the potty all day with LBS (leaky butt syndrome) is horrid. And even then, the meds only control so much insulin production, doesnt fix it. So eating a SAD is still going to cause some insulin problems and spikes even if you are on the max dose of Met.
IR and PCOS and Metabolic Syndrome are not curable, anymore than diabetes is. You can get rid of some or all of the symptoms if you eat correctly for your condition and keep the weight off. But if you go back to eating carbs, the symptoms come back.
And I am not sure there are many who would rather medicate themselves on things that 1.quit working with few backup meds to turn to or 2. be on meds the rest of their lives instead of helping their medical condition thru food.
So yes, the Met changes the CO but you have to know you have that medical condition in the first place, which often comes AFTER you've come here to the mfp or other forums complaining you are weighing and measuring correctly, you are eating (insert low amount of calories here) and you arent losing weight and then get ridiculed by those who firmly believe CICO is the beginning and end of the discussion.
As i stated before, the LCHF boards have repeatedly confirmed that the majority, but not all, who do LCHF have some sort of medical problem that LCHF helps tremendously.
thankfully, I have never had to take meds for any kind of insulin or metabolic syndrome..
usually, when people come back and say they are logging accurately and use a food scale, my next round of advice is to go to DR and get tested for medical condition ….
Many on here will basically call the person who said this that they were lying and to open their diary for more inspection, etc long BEFORE they are given suggestions on what to ask for from the Doctor. Not saying you do, as I dont know you or your posting history really. But Ive seen that scenario often and some come to the 'haven' of the LCHF boards after being berated here.
General doctors often dont know what to look for. They run the standard simple thyroid test and usually and A1C and if they are normal, which for IR, PCOS and metabolic syndrome tey usually are, tell to eat less and move more and send you on your way. You have to actually know to ask for a fasting insulin test. With IR and Metabolic syndrome at least, your A1C and glucose levels are almost always dead set normal, it is the insulin that is very high and that's the problem.
So a little understanding that ppl dont know to ask for these things or are aware of these issues before the SAD fails them helps all of us be more mentally and physically healthy.
I think a lot of people ask peole to open their diary so they can see how consistent their logging is….
A lot of times people open there diary and there is like two days with no logging, one day with 700 calories, then 7 days with every day filled in, then more blank days, etc etc…
I guess there is some of the "you are lying, you are not in a deficit" but I think those are outliers…I could be wrong though ...
And i can understand that too. I know there are some who are called out and have lots of excuses as to why they didnt log or they forgot to log or w/e. But there are others who do open their diary and get chewed out for weighing in ounces instead of grams, etc. It is nice when thread like this get information out there so EVERYONE can learn from each other. So thank you for the thread!0 -
Weight loss surgery apparently requires a very strict diet. And lower calories than is ideal. So this could be why you failed to lose while tracking. Or you were using incorrect entries, or your calculated deficit happened to not fit for your body because the deficits are based on averages.... so that goes back to the first two points re: surgery and low cal.jessicajules wrote: »So no, it's not the only way to lose, and it doesn't trump CICO (although I think it does help regulate hormones).
This is the issue for many on LCHF. There are stories upon stories of ppl who ate a SAD, say 1500 calories a day and exercised and didnt lose weight or gained. Then they ate 1500 calories a day and exercised but ate LCHF and they lost weight in the short and long terms. Insulin is a hormone, if you have high insulin like IR or hormonal weirdness like PCOS, hormones play a HUGE roll in how you process what you eat and the types of food you eat.
So 1500 is a deficit yes, but what you eat, for many, is more important that how much you eat when it comes to weightloss.
Most likely because they were not logging or simply not logging accurately.
Also have someone on my friends list with PCOS and her carbs are often pretty high... she's lost 30lbs iirc.
Not always. I measured, digitally weighed, and logged everything for three months with little loss (with a properly calculated deficit, yes).
I've also had two kinds of weight loss surgery without much success.
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FatFreeFrolicking wrote: »So no, it's not the only way to lose, and it doesn't trump CICO (although I think it does help regulate hormones).
This is the issue for many on LCHF. There are stories upon stories of ppl who ate a SAD, say 1500 calories a day and exercised and didnt lose weight or gained. Then they ate 1500 calories a day and exercised but ate LCHF and they lost weight in the short and long terms. Insulin is a hormone, if you have high insulin like IR or hormonal weirdness like PCOS, hormones play a HUGE roll in how you process what you eat and the types of food you eat.
So 1500 is a deficit yes, but what you eat, for many, is more important that how much you eat when it comes to weightloss.
wouldn't medicine for said medical conditions affect the "out" side of CO so at the end of the day, barring a medical condition, they would lose the same as the other person if they were both on 1500….
Sometimes Yes I would think so. But if you've ever been on Metformin, which is what the most popular IR med is, the more carbs you eat the more things 'run' thru you. Being on the potty all day with LBS (leaky butt syndrome) is horrid. And even then, the meds only control so much insulin production, doesnt fix it. So eating a SAD is still going to cause some insulin problems and spikes even if you are on the max dose of Met.
IR and PCOS and Metabolic Syndrome are not curable, anymore than diabetes is. You can get rid of some or all of the symptoms if you eat correctly for your condition and keep the weight off. But if you go back to eating carbs, the symptoms come back.
And I am not sure there are many who would rather medicate themselves on things that 1.quit working with few backup meds to turn to or 2. be on meds the rest of their lives instead of helping their medical condition thru food.
So yes, the Met changes the CO but you have to know you have that medical condition in the first place, which often comes AFTER you've come here to the mfp or other forums complaining you are weighing and measuring correctly, you are eating (insert low amount of calories here) and you arent losing weight and then get ridiculed by those who firmly believe CICO is the beginning and end of the discussion.
As i stated before, the LCHF boards have repeatedly confirmed that the majority, but not all, who do LCHF have some sort of medical problem that LCHF helps tremendously.
thankfully, I have never had to take meds for any kind of insulin or metabolic syndrome..
usually, when people come back and say they are logging accurately and use a food scale, my next round of advice is to go to DR and get tested for medical condition ….
Many on here will basically call the person who said this that they were lying and to open their diary for more inspection, etc long BEFORE they are given suggestions on what to ask for from the Doctor. Not saying you do, as I dont know you or your posting history really. But Ive seen that scenario often and some come to the 'haven' of the LCHF boards after being berated here.
General doctors often dont know what to look for. They run the standard simple thyroid test and usually and A1C and if they are normal, which for IR, PCOS and metabolic syndrome tey usually are, tell to eat less and move more and send you on your way. You have to actually know to ask for a fasting insulin test. With IR and Metabolic syndrome at least, your A1C and glucose levels are almost always dead set normal, it is the insulin that is very high and that's the problem.
So a little understanding that ppl dont know to ask for these things or are aware of these issues before the SAD fails them helps all of us be more mentally and physically healthy.
If you have a good endocrinologist, you won't have to ask for anything. Especially not something as simple as a fasting insulin test. .
Only if you know you need an endorcrinologist to begin with. Who randomly asks to see one unless they know there is a problem first? That can often be the problem they ask their regular doctor and he doesnt know enough to send them to an endocrinologist and their numbers are normal so he figures, like many here, they are lying about what they eat and how much they move and send them home.
A person who is in-tune with their body typically knows when something is up.
If a person is eating frequently, ravenously hungry, gaining weight, etc., it's usually pretty apparent that something is going on with their endocrine system.
A person has to see their PCP for a referral anyways. If a person continues to suffer, most PCP's will refer them to an endo.0 -
It's still that same terminology issue you had in the other thread. You equate deficit to proactively restricting calories. Other people equate deficit to less calories, whether you put effort into it or not.
In other words, with your definition, someone who is done eating for the day, and their car breaks down in the middle of nowhere and has to walk 3 miles before they get a cell signal has restricted their calories for the day. Others would say they were at a deficit, but it wasn't something they set out to do. Similarly, someone who has the flu and can't keep any food down for 3 days is in a deficit, you insist they are "restricting," where others would say they're at a deficit without trying. I'f I'm broke, don't get paid til Friday, and have nothing to live on but 2 packs of ramen and a bottle of ketchup, that's not actively restricting, but it's definitely a deficit.
The other hot button phrase people keep twisting is "eat all you want," which does not and has never meant "eat everything in the kitchen" or "eat like it's Thanksgiving." It means eat until satiety.
A subset of people on LC, especially on keto, naturally eat at a deficit by eating to satiety, and do not need to count calories or log their food. Some have been on it long enough, they don't even have to count carbs, similar to anyone else on maintenance 5+ years out who can accurately eyeball portion sizes. At the other extreme are people like me. As long as I'm in keto, I'm in a constant state of satiety. If I go a day or more without eating, I'll get shaky and dizzy, but I don't get the other signals that normally come with hunger like a growling stomach or feeling of emptiness. If I ate "to satiety" I simply wouldn't eat at all, so instead I eat a prescribed number of calories spread across the day, divided up into portions that don't make me feel uncomfortably full when I'm done. There is no universal truth that people on LC don't count calories, or that everyone on LC must count calories, any more than there's a universal rule that everyone who practices moderation must eat gelato every week. If you took a poll, I suspect you'd find, at least here, that most LC do count, because they are either working on weight loss or lifting or both. You'll find some who go without counting for a variety of reasons, they're on maintenance, or they're dealing with the aftermath of an ED, and not counting eases the pressure on them.
Aside from that you can get into the whole host of issues that change the CO portion of the CICO equation, but which seem to be inconvenient to your (generic you) arguments when you insist someone who didn't lose on carbs and did lose without carbs must have been eating too much. That's disingenuous, especially considering a large majority of people on LC have contributing medical issues (whether they feel like sharing them publicly or not). There are also plenty of people who have isolated a medical condition by trying it without intentionally trying to find one, and the results they get are the clues they and their doctor need to figure out that something was wrong all along. It's possible they weren't measuring, but it's also possible they're IR. Since nobody here is qualified to diagnose them, they really aren't qualified to insist they must be lying and it can't possibly be anything else, either.
A few other things to point out, since you started the conversation, even though I know OP is already familiar with them - LC does not mean no fruit or vegetables, unless you choose to. Most people choose to eat them. It doesn't mean no desserts or no treats or that you constantly feel deprived and tortured. The difference is your treats usually come in the form of prime rib and lobster instead of a Big Mac or a Hershey bar. When you eat chocolate, you eat good chocolate and appreciate it, every day if you want. Food will taste different, and there's nothing wrong with that. It's no different than when you try something you loved when you were 6 and can't believe how disgusting it is now.
Perhaps the LC threads wouldn't be so quick to be hijacked if people quit treating it like a cult, and just acknowledged that it will get its share of misinformed newbies like every other WOE represented on this board. It's not a reason to shout them down like they killed your kitten when they use a word you disagree with.
i am just going to reply to the bolded part for now.
If you are in a calorie deficit then you are restricting something. In your case, you choose to restrict carbs, which puts you into ketosis, which puts you in a calorie deficit. In my case, I do not restrict any foods groups; however, when cutting I do restrict calories so that I am in a deficit.
so are you saying that less calories does not equal restriction? I guess people don't like the word restriction because it has a negative connotation but if you are in a deficit that is what you are doing ….
I don't think it's negative, only that it implies an action. I restrict carbs, but that does not equate to a calorie deficit. That's why I'm here in the first place. I threw a blood clot, got a nice vacation in the hospital, and spent the next 2 years basically not giving a damn because I was stoned out of my mind on painkillers and stressed out from not working. I was still in keto, that's the easy part. I was sedentary+ and no longer at a deficit (see the part above about how I don't get hunger signals on keto). In that time, I gained a lot of weight, some is lymphatic fluid, but at least half is plain fat.
If you want to expand on the other discussion going in that thread, you can also restrict carbs while intentionally gaining (the ketogains community), or restrict carb and stay at maintenance. Actively restricting carbs is not an action that guarantees a deficit, but a deficit is a natural possible side effect of restricting carbs and increasing satiety.
I agree that you could be at maintenance or a surplus via doing low carb; however, I am not sure that one would want to bulk on low carb ….
if you are restricting carbs and losing weight, you have to be in a deficit though, right?
My experience is that it is hard to eat low(er) carb while trying to reverse diet and bulk and I can't imagine doing it unless it was medically necessary. I'm working on it now. I have PCOS so I try to eat a lower level of carbs (but I've never gone super low so I think that most low carbers wouldn't even consider me low enough to be called low carb) to deal with that. Everything I read says to eat carbs to fuel muscle building so I'm trying to add some with my increased calories but I have to not add too many, which means that in order to increase overall calories I end up adding more fat and protein and, frankly, that gets boring. I just checked my reports and the lowest number of fat grams I've had in the past week was 87 and my average was 113 per day. My protein is actually kind of low, averaging 106, because I was tired of eating so much meat/eggs/yogurt and needed a break for a few days. Anyway, I wouldn't go low carb unless I really needed to.0 -
christinev297 wrote: »Alatariel75 wrote: »Alatariel75 wrote: »I love carbs. But when I was younger and more willing to spend stupid amounts of money on unneccesary weight loss things, I signed up to a place called 'Healthy Inspirations', basically a Curves type gym that also gave you a Weight Watchers type meal plan. Their week one was a "healthy kickstart" where for 7 days straight where you can eat unlimited amounts of:
Meat - any type including bacon, seafood, eggs etc.
Veges - anything but the starchy ones
Dairy - Cheese, cream, butter but not milk
Nuts and olives
Knowing nothing of calories, I was easily packing away a couple hundred grams of cheese and the same in nuts a day for 7 days along with a crapload of bacon, steak, eggs etc all cooked in butter, and lost 5kg.
I know nothing of the science, and I wasn't tracking any calories but I've often thought about that, since I know so much more now and wonder how the hell I didn't GAIN 5kg that week.
Virtually no carbs so losing water weight, plus fat and protein tend to be filling so you easily could have eaten fewer calories that you'd think would be in what you ate. Let's say 4-5 servings of 30g slices of cheese (were you really eating that much cheese every day?) for ~600 calories, let's say another 600 calories in nuts, then maybe 600 in dairy, veggies ,and meat together. That's only 1800 calories, which would allow plenty of people to lose weight. I'm in the 150s now and I can lose on 1800 calories despite only working out ~4, max 5hrs a week (mostly weight lifting). yeah. Yeah, I was haahaa. I pretty much used it as an excuse to go buy 3-4 different types and just devour them. King Island smoked cheddar, feta, brie... I put it in my eggs for breakfast, added swathes to my salads for lunch, and melted it over my meat for dinner. It was disgusting. So gorgeously disgusting...
Well I used to shred probably upwards of 100g of cheese, melt it in a bowl.... and just eat melted cheese LOL.
But I also way over-ate on calorie-dense food and still ate plenty of carbs, so I know why I gained
omg I can't keep up with this thread!! Everytime I reply to something, 20 odd posts are typed at the same time!
As for the melted cheese thing, yum!! I melt cheese in the fry pan, add a bit of soya sauce and then dunk rye bread in to scoop out the cheese. No bowl required, eat straight out the pan
Oh cheese heavenly cheese. I was going to have a treat day on March 4, but i had one too early and it lasted 3 days, double oops, cuz i was going to make a cheesy homemade pizza. That will come next time when I have stayed on track for a good amount of time!
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FatFreeFrolicking wrote: »FatFreeFrolicking wrote: »So no, it's not the only way to lose, and it doesn't trump CICO (although I think it does help regulate hormones).
This is the issue for many on LCHF. There are stories upon stories of ppl who ate a SAD, say 1500 calories a day and exercised and didnt lose weight or gained. Then they ate 1500 calories a day and exercised but ate LCHF and they lost weight in the short and long terms. Insulin is a hormone, if you have high insulin like IR or hormonal weirdness like PCOS, hormones play a HUGE roll in how you process what you eat and the types of food you eat.
So 1500 is a deficit yes, but what you eat, for many, is more important that how much you eat when it comes to weightloss.
wouldn't medicine for said medical conditions affect the "out" side of CO so at the end of the day, barring a medical condition, they would lose the same as the other person if they were both on 1500….
Sometimes Yes I would think so. But if you've ever been on Metformin, which is what the most popular IR med is, the more carbs you eat the more things 'run' thru you. Being on the potty all day with LBS (leaky butt syndrome) is horrid. And even then, the meds only control so much insulin production, doesnt fix it. So eating a SAD is still going to cause some insulin problems and spikes even if you are on the max dose of Met.
IR and PCOS and Metabolic Syndrome are not curable, anymore than diabetes is. You can get rid of some or all of the symptoms if you eat correctly for your condition and keep the weight off. But if you go back to eating carbs, the symptoms come back.
And I am not sure there are many who would rather medicate themselves on things that 1.quit working with few backup meds to turn to or 2. be on meds the rest of their lives instead of helping their medical condition thru food.
So yes, the Met changes the CO but you have to know you have that medical condition in the first place, which often comes AFTER you've come here to the mfp or other forums complaining you are weighing and measuring correctly, you are eating (insert low amount of calories here) and you arent losing weight and then get ridiculed by those who firmly believe CICO is the beginning and end of the discussion.
As i stated before, the LCHF boards have repeatedly confirmed that the majority, but not all, who do LCHF have some sort of medical problem that LCHF helps tremendously.
thankfully, I have never had to take meds for any kind of insulin or metabolic syndrome..
usually, when people come back and say they are logging accurately and use a food scale, my next round of advice is to go to DR and get tested for medical condition ….
Many on here will basically call the person who said this that they were lying and to open their diary for more inspection, etc long BEFORE they are given suggestions on what to ask for from the Doctor. Not saying you do, as I dont know you or your posting history really. But Ive seen that scenario often and some come to the 'haven' of the LCHF boards after being berated here.
General doctors often dont know what to look for. They run the standard simple thyroid test and usually and A1C and if they are normal, which for IR, PCOS and metabolic syndrome tey usually are, tell to eat less and move more and send you on your way. You have to actually know to ask for a fasting insulin test. With IR and Metabolic syndrome at least, your A1C and glucose levels are almost always dead set normal, it is the insulin that is very high and that's the problem.
So a little understanding that ppl dont know to ask for these things or are aware of these issues before the SAD fails them helps all of us be more mentally and physically healthy.
If you have a good endocrinologist, you won't have to ask for anything. Especially not something as simple as a fasting insulin test. .
Only if you know you need an endorcrinologist to begin with. Who randomly asks to see one unless they know there is a problem first? That can often be the problem they ask their regular doctor and he doesnt know enough to send them to an endocrinologist and their numbers are normal so he figures, like many here, they are lying about what they eat and how much they move and send them home.
A person who is in-tune with their body typically knows when something is up.
If a person is eating frequently, ravenously hungry, gaining weight, etc., it's usually pretty apparent that something is going on with their endocrine system.
A person has to see their PCP for a referral anyways. If a person continues to suffer, most PCP's will refer them to an endo.
I agree, but knowing something is wrong and getting a doctor to acknowledge that is often two different time lines. Some women on my friends list have had it take over 10 months before the PCP finally understood she wasnt lying about her CI or CO and send her a referral to an endocrinologist who specialized in her problem.
0 -
Weight loss surgery apparently requires a very strict diet. And lower calories than is ideal. So this could be why you failed to lose while tracking. Or you were using incorrect entries, or your calculated deficit happened to not fit for your body because the deficits are based on averages.... so that goes back to the first two points re: surgery and low cal.jessicajules wrote: »So no, it's not the only way to lose, and it doesn't trump CICO (although I think it does help regulate hormones).
This is the issue for many on LCHF. There are stories upon stories of ppl who ate a SAD, say 1500 calories a day and exercised and didnt lose weight or gained. Then they ate 1500 calories a day and exercised but ate LCHF and they lost weight in the short and long terms. Insulin is a hormone, if you have high insulin like IR or hormonal weirdness like PCOS, hormones play a HUGE roll in how you process what you eat and the types of food you eat.
So 1500 is a deficit yes, but what you eat, for many, is more important that how much you eat when it comes to weightloss.
Most likely because they were not logging or simply not logging accurately.
Also have someone on my friends list with PCOS and her carbs are often pretty high... she's lost 30lbs iirc.
Not always. I measured, digitally weighed, and logged everything for three months with little loss (with a properly calculated deficit, yes).
I've also had two kinds of weight loss surgery without much success.
I was tracking prior to the WLS without success as well.
My post-surgery deficit was calculated using my body-fat percentage and TDEE.
I don't know what more I could have done, to be honest!
I now do LCHF and eat on average 1500-1800 calories. I've lost almost 30lbs in the last three months.
Anyways, I just wanted to say I track my calories like everyone else here. I just use a different tool; you use moderation, I use keto.0 -
FatFreeFrolicking wrote: »FatFreeFrolicking wrote: »So no, it's not the only way to lose, and it doesn't trump CICO (although I think it does help regulate hormones).
This is the issue for many on LCHF. There are stories upon stories of ppl who ate a SAD, say 1500 calories a day and exercised and didnt lose weight or gained. Then they ate 1500 calories a day and exercised but ate LCHF and they lost weight in the short and long terms. Insulin is a hormone, if you have high insulin like IR or hormonal weirdness like PCOS, hormones play a HUGE roll in how you process what you eat and the types of food you eat.
So 1500 is a deficit yes, but what you eat, for many, is more important that how much you eat when it comes to weightloss.
wouldn't medicine for said medical conditions affect the "out" side of CO so at the end of the day, barring a medical condition, they would lose the same as the other person if they were both on 1500….
Sometimes Yes I would think so. But if you've ever been on Metformin, which is what the most popular IR med is, the more carbs you eat the more things 'run' thru you. Being on the potty all day with LBS (leaky butt syndrome) is horrid. And even then, the meds only control so much insulin production, doesnt fix it. So eating a SAD is still going to cause some insulin problems and spikes even if you are on the max dose of Met.
IR and PCOS and Metabolic Syndrome are not curable, anymore than diabetes is. You can get rid of some or all of the symptoms if you eat correctly for your condition and keep the weight off. But if you go back to eating carbs, the symptoms come back.
And I am not sure there are many who would rather medicate themselves on things that 1.quit working with few backup meds to turn to or 2. be on meds the rest of their lives instead of helping their medical condition thru food.
So yes, the Met changes the CO but you have to know you have that medical condition in the first place, which often comes AFTER you've come here to the mfp or other forums complaining you are weighing and measuring correctly, you are eating (insert low amount of calories here) and you arent losing weight and then get ridiculed by those who firmly believe CICO is the beginning and end of the discussion.
As i stated before, the LCHF boards have repeatedly confirmed that the majority, but not all, who do LCHF have some sort of medical problem that LCHF helps tremendously.
thankfully, I have never had to take meds for any kind of insulin or metabolic syndrome..
usually, when people come back and say they are logging accurately and use a food scale, my next round of advice is to go to DR and get tested for medical condition ….
Many on here will basically call the person who said this that they were lying and to open their diary for more inspection, etc long BEFORE they are given suggestions on what to ask for from the Doctor. Not saying you do, as I dont know you or your posting history really. But Ive seen that scenario often and some come to the 'haven' of the LCHF boards after being berated here.
General doctors often dont know what to look for. They run the standard simple thyroid test and usually and A1C and if they are normal, which for IR, PCOS and metabolic syndrome tey usually are, tell to eat less and move more and send you on your way. You have to actually know to ask for a fasting insulin test. With IR and Metabolic syndrome at least, your A1C and glucose levels are almost always dead set normal, it is the insulin that is very high and that's the problem.
So a little understanding that ppl dont know to ask for these things or are aware of these issues before the SAD fails them helps all of us be more mentally and physically healthy.
If you have a good endocrinologist, you won't have to ask for anything. Especially not something as simple as a fasting insulin test. .
Only if you know you need an endorcrinologist to begin with. Who randomly asks to see one unless they know there is a problem first? That can often be the problem they ask their regular doctor and he doesnt know enough to send them to an endocrinologist and their numbers are normal so he figures, like many here, they are lying about what they eat and how much they move and send them home.
A person who is in-tune with their body typically knows when something is up.
If a person is eating frequently, ravenously hungry, gaining weight, etc., it's usually pretty apparent that something is going on with their endocrine system.
A person has to see their PCP for a referral anyways. If a person continues to suffer, most PCP's will refer them to an endo.
I agree, but knowing something is wrong and getting a doctor to acknowledge that is often two different times. Some women on my friends list have had it take over 10 months before the PCP finally understood she wasnt lying about her CI or CO and send her a referral to an endocrinologist who specialized in her problem.
It took me 2 years to get a referral to an endocrinologist. That was after gaining over 100 lbs in less than 3 years and after printing out my food diary's for every single day for over 6 months so the doc knew I wasn't overeating.0 -
FatFreeFrolicking wrote: »FatFreeFrolicking wrote: »So no, it's not the only way to lose, and it doesn't trump CICO (although I think it does help regulate hormones).
This is the issue for many on LCHF. There are stories upon stories of ppl who ate a SAD, say 1500 calories a day and exercised and didnt lose weight or gained. Then they ate 1500 calories a day and exercised but ate LCHF and they lost weight in the short and long terms. Insulin is a hormone, if you have high insulin like IR or hormonal weirdness like PCOS, hormones play a HUGE roll in how you process what you eat and the types of food you eat.
So 1500 is a deficit yes, but what you eat, for many, is more important that how much you eat when it comes to weightloss.
wouldn't medicine for said medical conditions affect the "out" side of CO so at the end of the day, barring a medical condition, they would lose the same as the other person if they were both on 1500….
Sometimes Yes I would think so. But if you've ever been on Metformin, which is what the most popular IR med is, the more carbs you eat the more things 'run' thru you. Being on the potty all day with LBS (leaky butt syndrome) is horrid. And even then, the meds only control so much insulin production, doesnt fix it. So eating a SAD is still going to cause some insulin problems and spikes even if you are on the max dose of Met.
IR and PCOS and Metabolic Syndrome are not curable, anymore than diabetes is. You can get rid of some or all of the symptoms if you eat correctly for your condition and keep the weight off. But if you go back to eating carbs, the symptoms come back.
And I am not sure there are many who would rather medicate themselves on things that 1.quit working with few backup meds to turn to or 2. be on meds the rest of their lives instead of helping their medical condition thru food.
So yes, the Met changes the CO but you have to know you have that medical condition in the first place, which often comes AFTER you've come here to the mfp or other forums complaining you are weighing and measuring correctly, you are eating (insert low amount of calories here) and you arent losing weight and then get ridiculed by those who firmly believe CICO is the beginning and end of the discussion.
As i stated before, the LCHF boards have repeatedly confirmed that the majority, but not all, who do LCHF have some sort of medical problem that LCHF helps tremendously.
thankfully, I have never had to take meds for any kind of insulin or metabolic syndrome..
usually, when people come back and say they are logging accurately and use a food scale, my next round of advice is to go to DR and get tested for medical condition ….
Many on here will basically call the person who said this that they were lying and to open their diary for more inspection, etc long BEFORE they are given suggestions on what to ask for from the Doctor. Not saying you do, as I dont know you or your posting history really. But Ive seen that scenario often and some come to the 'haven' of the LCHF boards after being berated here.
General doctors often dont know what to look for. They run the standard simple thyroid test and usually and A1C and if they are normal, which for IR, PCOS and metabolic syndrome tey usually are, tell to eat less and move more and send you on your way. You have to actually know to ask for a fasting insulin test. With IR and Metabolic syndrome at least, your A1C and glucose levels are almost always dead set normal, it is the insulin that is very high and that's the problem.
So a little understanding that ppl dont know to ask for these things or are aware of these issues before the SAD fails them helps all of us be more mentally and physically healthy.
If you have a good endocrinologist, you won't have to ask for anything. Especially not something as simple as a fasting insulin test. .
Only if you know you need an endorcrinologist to begin with. Who randomly asks to see one unless they know there is a problem first? That can often be the problem they ask their regular doctor and he doesnt know enough to send them to an endocrinologist and their numbers are normal so he figures, like many here, they are lying about what they eat and how much they move and send them home.
A person who is in-tune with their body typically knows when something is up.
If a person is eating frequently, ravenously hungry, gaining weight, etc., it's usually pretty apparent that something is going on with their endocrine system.
A person has to see their PCP for a referral anyways. If a person continues to suffer, most PCP's will refer them to an endo.
Unless they've never known what it's like not to feel the way they do. They might well take it for granted that that's their normal. Or sure, they may wonder, "why do I feel so bad", but find themselves told "hey, you're good, see look at these numbers [perhaps not the relevant ones], it's all in your head".0 -
FatFreeFrolicking wrote: »FatFreeFrolicking wrote: »So no, it's not the only way to lose, and it doesn't trump CICO (although I think it does help regulate hormones).
This is the issue for many on LCHF. There are stories upon stories of ppl who ate a SAD, say 1500 calories a day and exercised and didnt lose weight or gained. Then they ate 1500 calories a day and exercised but ate LCHF and they lost weight in the short and long terms. Insulin is a hormone, if you have high insulin like IR or hormonal weirdness like PCOS, hormones play a HUGE roll in how you process what you eat and the types of food you eat.
So 1500 is a deficit yes, but what you eat, for many, is more important that how much you eat when it comes to weightloss.
wouldn't medicine for said medical conditions affect the "out" side of CO so at the end of the day, barring a medical condition, they would lose the same as the other person if they were both on 1500….
Sometimes Yes I would think so. But if you've ever been on Metformin, which is what the most popular IR med is, the more carbs you eat the more things 'run' thru you. Being on the potty all day with LBS (leaky butt syndrome) is horrid. And even then, the meds only control so much insulin production, doesnt fix it. So eating a SAD is still going to cause some insulin problems and spikes even if you are on the max dose of Met.
IR and PCOS and Metabolic Syndrome are not curable, anymore than diabetes is. You can get rid of some or all of the symptoms if you eat correctly for your condition and keep the weight off. But if you go back to eating carbs, the symptoms come back.
And I am not sure there are many who would rather medicate themselves on things that 1.quit working with few backup meds to turn to or 2. be on meds the rest of their lives instead of helping their medical condition thru food.
So yes, the Met changes the CO but you have to know you have that medical condition in the first place, which often comes AFTER you've come here to the mfp or other forums complaining you are weighing and measuring correctly, you are eating (insert low amount of calories here) and you arent losing weight and then get ridiculed by those who firmly believe CICO is the beginning and end of the discussion.
As i stated before, the LCHF boards have repeatedly confirmed that the majority, but not all, who do LCHF have some sort of medical problem that LCHF helps tremendously.
thankfully, I have never had to take meds for any kind of insulin or metabolic syndrome..
usually, when people come back and say they are logging accurately and use a food scale, my next round of advice is to go to DR and get tested for medical condition ….
Many on here will basically call the person who said this that they were lying and to open their diary for more inspection, etc long BEFORE they are given suggestions on what to ask for from the Doctor. Not saying you do, as I dont know you or your posting history really. But Ive seen that scenario often and some come to the 'haven' of the LCHF boards after being berated here.
General doctors often dont know what to look for. They run the standard simple thyroid test and usually and A1C and if they are normal, which for IR, PCOS and metabolic syndrome tey usually are, tell to eat less and move more and send you on your way. You have to actually know to ask for a fasting insulin test. With IR and Metabolic syndrome at least, your A1C and glucose levels are almost always dead set normal, it is the insulin that is very high and that's the problem.
So a little understanding that ppl dont know to ask for these things or are aware of these issues before the SAD fails them helps all of us be more mentally and physically healthy.
If you have a good endocrinologist, you won't have to ask for anything. Especially not something as simple as a fasting insulin test. .
Only if you know you need an endorcrinologist to begin with. Who randomly asks to see one unless they know there is a problem first? That can often be the problem they ask their regular doctor and he doesnt know enough to send them to an endocrinologist and their numbers are normal so he figures, like many here, they are lying about what they eat and how much they move and send them home.
A person who is in-tune with their body typically knows when something is up.
If a person is eating frequently, ravenously hungry, gaining weight, etc., it's usually pretty apparent that something is going on with their endocrine system.
A person has to see their PCP for a referral anyways. If a person continues to suffer, most PCP's will refer them to an endo.
Unless they've never known what it's like not to feel the way they do. They might well take it for granted that that's their normal. Or sure, they may wonder, "why do I feel so bad", but find themselves told "hey, you're good, see look at these numbers [perhaps not the relevant ones], it's all in your head".
Great point
:
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