Disappointing drs appointment - advised 1200 cals

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Replies

  • leggup
    leggup Posts: 2,942 Member
    A few things...
    In the 9 months post pregnancy, I have dieted, like proper dieted, no fads. I did Slimming world, I didn't lose, I went off gluten and sugar - I didn't lose... I exercised - I didn't lose.
    Those are all fads. You didn't lose weight because, when you went off gluten or sugar or whatever else.. you ate more of other foods. You ate at your maintenance calories, whether you realized it or not. I don't believe anyone has asked this, but how are you measuring your calorie intake? In the past 30 days you have only logged 2 on myfitnesspal. Do you keep a separate journal/use a difference site? Do you use a food scale, eyeball, or only eat pre-packaged things?

    My guess is that you've been eating more than you realize. Hormonal and genetic issues aside, it's not sustainable to eat 1,200 a day at 5'7.

    Also, what exercise were you doing that your HRM said you burned 800 + calories? If it was anything other than steady state cardio (jogging, walking, cycling), that number is outright wrong. Even high intensity workouts like zumba and HIITs can only get someone at your height and weight up to maybe 450-600 calories, depending on intensity. Those activities cannot be logged via a heart rate monitor.
  • Synchronicity
    Synchronicity Posts: 82 Member
    Ask to be put on metformin and oristat. Both will help with the weight loss. (promise!)

    i'm sorry, but... no. hell no.

    metformin is for people who are insulin resistant. unless you've been properly tested and diagnosed, taking a drug meant to alleviate a problem you don't have is just stupid. people on metformin have been known to lose weight as a side-effect, but only when insulin levels are too high and are inhibiting the body's natural ability to burn fat.

    That's an uneducated reply. The OP knows that she has PCOS, which is strongly linked to insulin resistance. That's why the lower carb diets are so important for losing weight with that condition. And it also means that women with PCOS are often put on Metformin to help with losing weight even if their bloodwork doesn't show insulin resistance outright.

    Strongly linked does NOT mean causation nor does it guarantee that the OP is insulin resistant. Before anyone on MFP starts doling out prescriptions, they should really consider the consequences of their advice. Suggesting a drug that improves insulin responsiveness (and coincidently aids in weight lose for SOME, not all, individuals) is dangerous if the OP heeds the suggestion but is not actually insulin resistant. Low blood sugar (the effect of improving insulin response in non-insulin-resistant patients) can be dangerous too.
  • LernRach
    LernRach Posts: 286 Member
    AAAAHHHH just wrote the longest post and it got deleted....

    anyway, thanks for all your replies, I will attempt to explain all!!

    1) dr is awesome!! He knows me well, knows my dieting/eating habits and knows that I know a lot about food... He was merely saying that I clearly need a calorie in vs calorie approach as Im not intolerant or allergic to any food. He knows how hard it is for me to lose weight, and therefore suggested I start with 1200 and continue from there. He did not say I should eat 600, but that there are people who need to...

    2) I was doing SW and before that other stuff, and those diets don't necessitate writing down (although I realise its always good to write down) now that he told me all this on Friday, I immediately started recording on Sunday.

    3) I Was wearing a HRM, not using MFP to calculate exercise. I jogged for 40min HIIT, and then weights, but my BP was already raised, hence the high calorie burn. I was contemplating eating up to half back, not more....

    4) MEdication/MEtformin Incidentally, my husband is a research scientist, studying.... PCOS, obesity and infertility!!!!!!!!!!! In a nutshell, when "Normal" ppl eat, their body gets hotter then normal, speeding up digestion, PCOS people don't have this and therefore retain their food for longer/as fat. It is as though they are eating an extra KitKat a day as a result... However, recent papers suggest that Metformin does not help at all... Either way, I am already taking other meds and don't want to add more to my pill box.

    5) Unfortunately, losing weight will not help the MCTD, but perhaps if I was lighter, it wouldn't cause so much stress on my knees etc.