Opinions on Nutritionists
Candibar520
Posts: 29 Member
What are your opinions on seeing a nutritionist vs. doing it on your own? Besides insurance and out of pocket cost of course.
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Replies
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Skip the nutritionist and see a registered dietitian. Anyone could basically get a nutrition certification and not have a clue how weight loss works.18
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I've consulted with a dietitian several times. Make sure you hit it off and have a similar outlook. I made it very clear that I am very conservative when it comes to my health. I don't stray very far from the Canada Food Guide.
When there is a good foundation of trust it can be great. I treated it like any other professional consultation.1 -
Just like the others have said- if you see someone, see a registered dietitian.
If I had the money I'd like to talk to one, I have medical issues that make my diet complicated.0 -
How about seeing your doctor first before you spend your money0
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I've been seeing an RD since April 2016. The first 3 months we checked in every couple weeks, and now we have a monthly check in. I've lost 56 lbs since then. I like her approach - definitely more along the lines of intuitive eating and SLOW SLOW SLOW weight loss. She never makes me feel bad when I admit I trip up and always encourages me, especially pointing out my progress each visit (I've never gained!) and how far I've come. Thankfully, RD visits in-network are covered by my insurance, or I probably would have stopped after the first year. I like having the accountability of checking in, and hearing her perspective and ideas for meals/snacks/ exercise as my goals evolve.1
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I don't have any medical issues so I just winged it. I honestly don't think I could have done it with someone telling me what to do.6
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Because you're asking, I gather you don't have any medical issuses that warrants a special diet. If you do, see a dietician, not a nutritionist. Anyway, this is for you to decide, not randoms on the net. But:
Nutrition is extremely complex, but not especially complicated. You can read up on the basics, or even immerse yourself in the details. Much is still debated. Most is up to personal preferences and values.
You have to eat, several times per day, every day, for the rest of your life. In the end's it's up to you what to eat and not to eat.
Losing weight is about consistently eating less than you burn. Nobody can do that for you. You are "doing it on your own".5 -
HarlemNY17 wrote: »How about seeing your doctor first before you spend your money
Because Dr's know very little, if anything, about diet.
OP, I think it depends on whether you have any specific reasons or concerns that would warrant seeing a professional (certain health issues, performance based goals etc). If so, I'd see a dietician over a nutritionist.7 -
In case the others haven't made it clear enough, "nutritionist" is not a real profession. I could call myself one if I wanted, without doing anything or gaining any qualification. Steer clear of people calling themselves "nutritionists". The qualified professionals are called registered dietitians (or dieticians - that's just a Transatlantic spelling difference).
I saw a dietitian once and found it helpful.1 -
vespiquenn wrote: »Skip the nutritionist and see a registered dietitian. Anyone could basically get a nutrition certification and not have a clue how weight loss works.
Or she could get herself a nutritionist who specialises in weightloss- or even better, has actually been through losing over 100lbs. Ive become a nutritionist to help people lose weight and most of all I have the empathy as I've been there. All of my clients are smashing their targets and they are on MORE calories than they have been before.
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If I was spending my time and money for a consultation with a nutritional specialist, I would most definitely choose to see a registered dietician because of the educational standards involved in becoming one. With a nutritionist, it's just too much of a crapshoot.9
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Yes, I'm sure there are decent honest knowledgeable people trading as nutritionists. I'm also sure there are far more quacks, con artists and people with delusions of competence. There's just no way to know when there's no agreed standard for the term. It can mean literally anything.7
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I have managed my own weight loss efforts successfully for several years. Recently, as I tried to get leaner to support my performance goals, I was not having the success I wanted. So this past spring, I decided to get help from a registered dietician.
My goal was to get help in balancing weight loss while meeting the energy requirements of a heavy training schedule leading up to an endurance race in June. The RD created a plan to tailor my calorie intake during high volume training days where my calorie burn often exceeded 1500/day. His eating plan also factored in my need to consume liquid fuels (as directed by my coach) to provide me with sustained energy during the 3-4 hour training sessions.
I was very happy with my results. If you are considering using an RD, my suggestion is to talk to several RDs to find a person who understands your goals and can provide a specific plan to help you meet those goals.
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Yes - if you're going to see somebody, see somebody who actually had to fulfill some sort of standard established by an independent accrediting body. Anybody can become a nutritionist.
RE: their value. It's totally up to you. If you are thinking about doing something to limit your diet choices but have no idea what proper nutrition should look like under those limitations (e.g., vegetarian or even just a large calorie deficit) or if you find that you have issues with certain food types but can't figure out how to work with those issues in your daily diet then it might not be the worst idea to see a RD. Otherwise, it's not absolutely necessary.
Of course, if you are pre-diabetic or something like that, then absolutely see a doctor and and RD.2 -
I would recommend a Registered Dietitian over a nutritionist, from my experience. Where I live they are regulated by the province so they need certain educational and professional requirements.
Outside of that, though, it depends on what you want and if you see value in it. Also it depends on their approach. The RD I've been working with for 2+ years doesn't always focus on food. For example, I've dealt (privately - oh so privately) with a binge eating disorder for many years. I have worked with her for over 2 years and I just told her about a month ago that this is why my progress is hindered. I knew the whole time, did I tell her? No.
So she has me working with a counsellor who specializes in eating disorders to help me get through and deal with the emotional reasons this is happening. She knows food - she's sooooo good at what she does and I love her for how she handles tough situations but she also knows people who struggle with weight loss it's often not just about the food. We know what we shouldn't eat, we know we should portion but there's sometimes emotional issues we also need to deal with.
In my case, it's binge eating brought on by depression I don't want to deal with so I eat to feel some kinda normal. Is it working? No. I know it's not . . . I know I've been struggling. Until I want to fix the problem there's nothing anyone can do.
My point is - if you find someone whose approach/coaching style fits with what you want then it's a great investment. If you aren't going to work with what they say or try the approaches or what have you, it's a waste of money and time, on both sides. Also as some others have said, even if you see a professional much of the work is on your own. They're going to coach you, give you advice and make suggestions based on lifestyle or exercising or what have you but they aren't going to walk around saying "Susan, don't eat that" or "Carol, you know you need to portion that properly". All the "work" will be done by you . . . so are you doing this for guidance, or for hand holding?3 -
Lou_trition wrote: »vespiquenn wrote: »Skip the nutritionist and see a registered dietitian. Anyone could basically get a nutrition certification and not have a clue how weight loss works.
Or she could get herself a nutritionist who specialises in weightloss- or even better, has actually been through losing over 100lbs. Ive become a nutritionist to help people lose weight and most of all I have the empathy as I've been there. All of my clients are smashing their targets and they are on MORE calories than they have been before.
Ah. So I see you're one of those nutritionists/dietitians who also fails at the reading comprehension and listening bit.
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CattOfTheGarage wrote: »In case the others haven't made it clear enough, "nutritionist" is not a real profession. I could call myself one if I wanted, without doing anything or gaining any qualification. Steer clear of people calling themselves "nutritionists". The qualified professionals are called registered dietitians (or dieticians - that's just a Transatlantic spelling difference).
I saw a dietitian once and found it helpful.
As a point of information, the language in the industry is changing and a Registered Dietician can also be called a Registered Dietician Nutritionist. Same program, some schools are just adding "Nutritionist" to the certification.
Before you make an appointment, remember that all RD and RDN are nutritionists, but not all nutritionists are dieticians.
Registered Dietitians (RD)* or Registered Dietitian Nutritionists (RDN)* are individuals who have- completed the minimum of a Baccalaureate degree granted by a U.S. regionally accredited college or university, or foreign equivalent;
- met current minimum academic requirements (Didactic Program in Dietetics) as approved by the Accreditation Council for Education in Nutrition and Dietetics (ACEND) of the Academy of Nutrition and Dietetics;
- completed a supervised practice program accredited by the Accreditation Council for Education in Nutrition and Dietetics (ACEND) of the Academy of Nutrition and Dietetics;
- successfully completed the Registration Examination for Dietitians;
- remitted the annual registration fee;
- complied with the Professional Development Portfolio (PDP) recertification requirements
Look for the credentials.10 -
I saw a RD about 4 months after I was diagnosed with T2Dm and began eating better and losing weight (no insurance so I couldn't see one right away). Basically, she told me I already had all the knowledge I needed (I opened up my MFP diary and 90 day reports for her to look at). She gave me some ideas for more variety in my protein snacks and essentially confirmed that what I was doing was right. It was not a waste because the confirmation was good to hear. Continuing to see her would have been a waste.
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If you do not have a medical condition I think it is a waste of money to pay someone to tell you what to eat. It isn't that hard to use something like MFP and log your food. Stick to your calorie goal. See that you get the suggested amount of protein, fats, fiber. Eat a variety of vegetables and fruits. Try whole grains. Not that complicated and it is free.
If you do have a medical condition that needs a special diet then a registered dietician could be helpful.6 -
Where I live near Tampa, FL, USA. Publix grocery stores has dieticians on staff. It is $150 for 8 sessions plus 2 HGBA1C blood tests for diabetics. The 150 is worth just the blood tests.4
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I don't have any experience with it, but I think it would make sense in two cases:
1. You have terrible eating habits.
2. You have a medical condition.1 -
When I saw a dietitian, I didn't even know I was obese. I was referred by my midwife in early pregnancy. The dietitian explained a lot of the basics, corrected some of my misconceptions and gave me some invaluable tips that I still use (eg use a smaller plate, keep a food diary). I think I'm fine flying solo now, but it gave me a good start.0
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I work with RD's to tailor my nutrition to optimal for endurance athletics - but I know on their clientele they have folks who are everything from Olympic lifters to sedentary with T2D - so I think it can work for everyone, if you can afford it (or if its covered by insurance)1
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I think it depends on how much you currently know about nutrition and your goals.2
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If you do not have a medical condition I think it is a waste of money to pay someone to tell you what to eat. It isn't that hard to use something like MFP and log your food. Stick to your calorie goal. See that you get the suggested amount of protein, fats, fiber. Eat a variety of vegetables and fruits. Try whole grains. Not that complicated and it is free.
If you do have a medical condition that needs a special diet then a registered dietician could be helpful.
Some people just do not know where to start. They grew up or fell into poor diets and really have no inkling as to what constitutes balanced. An RD is a good place to get started with an understanding in basic nutrition. I agree that using a database and food diary like MFP is extremely helpful but for those with no nutrition understanding they need to start with the basics and THEN the logging will help.3 -
If you do not have a medical condition I think it is a waste of money to pay someone to tell you what to eat. It isn't that hard to use something like MFP and log your food. Stick to your calorie goal. See that you get the suggested amount of protein, fats, fiber. Eat a variety of vegetables and fruits. Try whole grains. Not that complicated and it is free.
If you do have a medical condition that needs a special diet then a registered dietician could be helpful.
But if you don't have the food knowledge then it's a great place to start. If you need help, guidance, or coaching to achieve your goals then it can be really valuable.
It's like home renovations - some you can do yourself, some you need professional advice and some you should never attempt yourself even though you get what needs to be done. She probably won't go forever, but if she needs a starting point it can be useful especially if she is going to be open to advice.4 -
Lou_trition wrote: »vespiquenn wrote: »Skip the nutritionist and see a registered dietitian. Anyone could basically get a nutrition certification and not have a clue how weight loss works.
Or she could get herself a nutritionist who specialises in weightloss- or even better, has actually been through losing over 100lbs. Ive become a nutritionist to help people lose weight and most of all I have the empathy as I've been there. All of my clients are smashing their targets and they are on MORE calories than they have been before.
This is the exact reason I'm studying to be an RD. I feel like my patients will be so much more successful because I can totally relate (my personal total loss is 140lbs).4 -
HarlemNY17 wrote: »How about seeing your doctor first before you spend your money
GPs have very little in the way of training/education on nutrition unless they go out of their way to get that education...the only reason to see a doctor would be to get a referral to see an RD.4 -
Lou_trition wrote: »vespiquenn wrote: »Skip the nutritionist and see a registered dietitian. Anyone could basically get a nutrition certification and not have a clue how weight loss works.
Or she could get herself a nutritionist who specialises in weightloss- or even better, has actually been through losing over 100lbs. Ive become a nutritionist to help people lose weight and most of all I have the empathy as I've been there. All of my clients are smashing their targets and they are on MORE calories than they have been before.
This is the exact reason I'm studying to be an RD. I feel like my patients will be so much more successful because I can totally relate (my personal total loss is 140lbs).
Congrats--and you are doing it the right way to make the commitment and do the work to become a legitimate professional.
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