My Doctor is an idiot!
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Um maybe you should read what she wrote first! She wrote that HER MOM was NOT encouragin that behavior!RUN!!!
My mom is a doctor, and she's been giving me advice on weight loss, and my best friend is going to school to become a nutritionist. Neither of them have recommended such extreme measures, and when I dipped into an extreme measure (something like what your doctor recommended) I was severely scolded by both parties!
What your doctor is suggesting is to put your body into starvation mode, which would make you lose muscle and fat. That's a big no-no. > ^ <
I am not trying to be rude but if your mother is a doctor and she is referencing starvation mode for anyone over 10% body fat, she needs to go back to school or read up some more on the medical study that started this whole mania. I do forgive my adopted (almost) home state of Minnesota for starting that nonsense even though it bugs the crap out of me how people abuse the study and are too lazy to read the facts. Rant over, carry on.0 -
He must be related to my last doc. The one that tried to take my blood pressure reading manually, and put the cuff on inside out ( with the gauge against my arm). Twice.
I fired his *kitten* on the spot.0 -
I'm gonna be the naysayer here but my Dr. who does specialize in nutrition and weight loss says that a women (especially a shorter one) can get along just fine on 1000 calories without eating any exercise calories back. He is a board certified bariatric Doctor and with his help I have lost 105 lbs in less than 8 months so I'm gonna vote for mine at least knowing what he is talking about.
I agree that some people can do ok on 1000 calories. . Very obese or short people. I am average height 5'4. 40 pounds to lose. So, yes, I vote 100% yours knows what he is talking about!
I am also being follwed by a bariatric doctor and I am doing fine on an average of 1000 cal/day. Of course, I am short and obese (but losing!) but it is fine for me. I rarely eat back exercise calories.0 -
When you think about it, asking a Gyn about nutrition is like asking a tire salesman how to replace a head gasket. (Though I'm not trying to dissuade you from putting in a complaint if you feel it's the right thing to do.)
We've been lied to and conditioned for such a long time in the thinking that and corn oil and supposed "good carbs" such as whole grains are good for us and that animal fats are bad. Many people (including some doctors) are not ready to hear that it's been incorrect information all along and that the nutritional pyramid is upside-down. As long as your doctor is qualified to take care of the gyn subjects, leave him to that and continue to do exactly what you're doing. I know it's frustrating to know that he may be giving bad nutritional advice to expectant moms, but when you think about it, so are the rest of the...ehem.... "nutritional experts".
I agree. But who are the nutritional experts? It seems if there is not an underying condition (diabetes/PCOS/obesity/HBP) than there really isn't an authorrityThe RD I went to didn't seem concerned with my extra weight as I am otherwise very healthy. It seems that I need to find a RD with a specialty in vanity. lol.. I have no medical issues that I know of, I really want to lose 40lbs, it's really not budging, can you help me? The answer seems to be "no" in the medical world. It's no wonder Jenny Craig, Nutrisystem, ect are so damn popular.0 -
Lol well your dr. did a little bit better than mine yours had you netting around 500. Mine said its all about calories in vs calories out (which I understood) then proceeded with so if you run for an hour that's only 600 or so calories . And you need to burn off everything you eat . Summery lol he wanted me to net 0 haha no0
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I went to the doctors (OB/GYN) today to get my test results. The results were perfect. I asked him what he would reccomend for diet. I was being tested for PCOS, cysts, ect. He asked me what I was currently eating. I told him that I was eating 1500 calories a day, working out 5-6 days week. I assured him that I made sure I netted 1200 calories and that I recently dropped my carb intake to 100g sticking to mostly clean eating.
He then went on to tell me that I could easily eat 1000 calories and work out. I told him that I believed that would make me net 500-600 calories most days. He that was fine. He then went on to ask me how often I weigh myself. I told him probably 2x/week. He then reccommends that I weigh myself everyday to see the gains/losses. He told me that when he sees a gain from the day before he will not allow himself a treat such as ice cream that night.
What the eff!! I think I was just perscribed anorexia!! I have 40 pounds to lose, not that much. The medical student behind him was stunned and shaking her head, "no" to me as he was speaking.
I am horrifed. Not just for me, but what about a younger, less knowledgable girl? He just green lighted an eating disorder. I think I am going to call the office manager on Monday. I had just switched OB's as my private practice provider retired.
The search is on again.
Is this crazy? What would you do?
This is the third story I've heard in the past few days stemming from a PCOS consult and diagnosis. Nutrition is important in woman with PCOS and an OBGYN should be able to give appropriate and correct advice to patients with the condition. In a word... Yes! Find another doctor if you've been diagnosed cause it's important to get great medical advice and treatment. Good luck to you!0 -
I went to the doctors (OB/GYN) today to get my test results. The results were perfect. I asked him what he would reccomend for diet. I was being tested for PCOS, cysts, ect. He asked me what I was currently eating. I told him that I was eating 1500 calories a day, working out 5-6 days week. I assured him that I made sure I netted 1200 calories and that I recently dropped my carb intake to 100g sticking to mostly clean eating.
He then went on to tell me that I could easily eat 1000 calories and work out. I told him that I believed that would make me net 500-600 calories most days. He that was fine. He then went on to ask me how often I weigh myself. I told him probably 2x/week. He then reccommends that I weigh myself everyday to see the gains/losses. He told me that when he sees a gain from the day before he will not allow himself a treat such as ice cream that night.
What the eff!! I think I was just perscribed anorexia!! I have 40 pounds to lose, not that much. The medical student behind him was stunned and shaking her head, "no" to me as he was speaking.
I am horrifed. Not just for me, but what about a younger, less knowledgable girl? He just green lighted an eating disorder. I think I am going to call the office manager on Monday. I had just switched OB's as my private practice provider retired.
The search is on again.
Is this crazy? What would you do?
This is the third story I've heard in the past few days stemming from a PCOS consult and diagnosis. Nutrition is important in woman with COS and an OBGYN should be able to give appropriate and correct advice to patients with the condition. In a word... Yes! Find another doctor if you've been diagnosed cause it's important to get great medical advice and treatment. Good luck to you!
Thank you.
I will say it again. OBGYN's do much more than babies, birth control, and paps.0 -
When you think about it, asking a Gyn about nutrition is like asking a tire salesman how to replace a head gasket. (Though I'm not trying to dissuade you from putting in a complaint if you feel it's the right thing to do.)
We've been lied to and conditioned for such a long time in the thinking that and corn oil and supposed "good carbs" such as whole grains are good for us and that animal fats are bad. Many people (including some doctors) are not ready to hear that it's been incorrect information all along and that the nutritional pyramid is upside-down. As long as your doctor is qualified to take care of the gyn subjects, leave him to that and continue to do exactly what you're doing. I know it's frustrating to know that he may be giving bad nutritional advice to expectant moms, but when you think about it, so are the rest of the...ehem.... "nutritional experts".
I agree. But who are the nutritional experts? It seems if there is not an underying condition (diabetes/PCOS/obesity/HBP) than there really isn't an authorrityThe RD I went to didn't seem concerned with my extra weight as I am otherwise very healthy. It seems that I need to find a RD with a specialty in vanity. lol.. I have no medical issues that I know of, I really want to lose 40lbs, it's really not budging, can you help me? The answer seems to be "no" in the medical world. It's no wonder Jenny Craig, Nutrisystem, ect are so damn popular.
Seriously... it must have just been that woman you went to. I know plenty of RDs who do weight loss counseling without any other medical conditions present. Overweight should be and IS a medical issue in my opinion. If it's not controlled it can lead to heart disease, diabetes, hyperlipidemia, etc. Is it possible you could find another dietitian to consult with?0 -
When you think about it, asking a Gyn about nutrition is like asking a tire salesman how to replace a head gasket. (Though I'm not trying to dissuade you from putting in a complaint if you feel it's the right thing to do.)
We've been lied to and conditioned for such a long time in the thinking that and corn oil and supposed "good carbs" such as whole grains are good for us and that animal fats are bad. Many people (including some doctors) are not ready to hear that it's been incorrect information all along and that the nutritional pyramid is upside-down. As long as your doctor is qualified to take care of the gyn subjects, leave him to that and continue to do exactly what you're doing. I know it's frustrating to know that he may be giving bad nutritional advice to expectant moms, but when you think about it, so are the rest of the...ehem.... "nutritional experts".
I agree. But who are the nutritional experts? It seems if there is not an underying condition (diabetes/PCOS/obesity/HBP) than there really isn't an authorrityThe RD I went to didn't seem concerned with my extra weight as I am otherwise very healthy. It seems that I need to find a RD with a specialty in vanity. lol.. I have no medical issues that I know of, I really want to lose 40lbs, it's really not budging, can you help me? The answer seems to be "no" in the medical world. It's no wonder Jenny Craig, Nutrisystem, ect are so damn popular.
Seriously... it must have just been that woman you went to. I know plenty of RDs who do weight loss counseling without any other medical conditions present. Overweight should be and IS a medical issue in my opinion. If it's not controlled it can lead to heart disease, diabetes, hyperlipidemia, etc. Is it possible you could find another dietitian to consult with?
Yes, I am looking for one. It is surprisingly hard to find one! You should come open a practice in NH when you graduate! lol.0 -
he should have referred you to a dietician or specialist. I personally think you're over reacting, you don't have to follow his advice on weight loss, but I doubt hes going to kill you during a pap smear.0
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Check this link to search for RDs in your area, maybe it will be helpful. http://www.eatright.org/programs/rdfinder/0
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he should have referred you to a dietician or specialist. I personally think you're over reacting, you don't have to follow his advice on weight loss, but I doubt hes going to kill you during a pap smear.
I certainly won't follow his plan. However, I sat through his anorexic eating instructions for 40 minutes. He took no verbal or physical cues that I was all set. He really thought he knew what he was talking about.
I am not worried that he eff up my pap but you know what..I am worried that someone more impressionable than me will follow his advice. There are many issues that involve diet and the OB. They are not mutually exclusive.0 -
Check this link to search for RDs in your area, maybe it will be helpful. http://www.eatright.org/programs/rdfinder/
Thanks!0 -
I'd trust any MD over any dietitian or nutritionist.
I've never in many years of reading about weight loss heard of 'net calories', before landing here last month. Sorry but I agree with your doctors. 1000 calories plus exercise really is nothing extreme or dangerous.
I sometimes wonder what all the WLS patients who must read here and are on doctor supervised low-cal diets must be thinking of all the eating disorder/starvation fears here, based on diets much less aggressive than their own.
I know, here comes the pile-on of the internet dieters who know more than the medical profession, thanks to all the great stuff they've read on MFP.0 -
That is like asking your foot doctor to check out your heart. Ignore him and get referral to the proper professional.
Btw my regular doctor was clueless to weight loss, she told me go to MyFitnessPal.com and not to exercise b/c Im too fat LOL She wouldnt even tell me how many calories I should have LOL
I went in b/c my ankle hurt she told me i dont walk right on my foot, gave me no pain meds just told me she should put me on crutches but wont. wtf.
So after 6 weeks of hobbling I ask her for a referral to a orthopedic dr they do xrays and cant believe im walking around on my foot. I have a bone spur and severe Achilles tendonitis.
Moral of the Story: Doctors do not know all, u have to be proactive for yourself.0 -
That is seriously messed up. regarding what everyone says about him being OBGYN and not knowing nutrition -- that may be true, but it doesn't stop him from spewing b*llsh*t to his patients. I would also worry about any impressionable person or someone recovering from ED.
I've had unsolicited advice from doctors. What I've done is say thanks but no thanks or politely shift the conversation toward the concerns I came to see them for. I want to be more firm and direct next time, though.0 -
I went to the doctors (OB/GYN) today to get my test results. The results were perfect. I asked him what he would reccomend for diet. I was being tested for PCOS, cysts, ect. He asked me what I was currently eating. I told him that I was eating 1500 calories a day, working out 5-6 days week. I assured him that I made sure I netted 1200 calories and that I recently dropped my carb intake to 100g sticking to mostly clean eating.
He then went on to tell me that I could easily eat 1000 calories and work out. I told him that I believed that would make me net 500-600 calories most days. He that was fine. He then went on to ask me how often I weigh myself. I told him probably 2x/week. He then reccommends that I weigh myself everyday to see the gains/losses. He told me that when he sees a gain from the day before he will not allow himself a treat such as ice cream that night.
What the eff!! I think I was just perscribed anorexia!! I have 40 pounds to lose, not that much. The medical student behind him was stunned and shaking her head, "no" to me as he was speaking.
I am horrifed. Not just for me, but what about a younger, less knowledgable girl? He just green lighted an eating disorder. I think I am going to call the office manager on Monday. I had just switched OB's as my private practice provider retired.
The search is on again.
Is this crazy? What would you do?
Why didn't you ask the doctor more questions?...Like for instance......WHY did he think that you could drop down to 1000 calories? It was your dime (meaning that he/the doctor got paid with your money)....but you lost a perfectly good opportunity to pick the man's brain....If he completed med school...he still has more medical knowledge than most of the posters on the board. As a matter of fact....you should have also asked the med student her opinion,too. I think that it is insane to play mind reader in a doctor's office...ASK QUESTIONS!0 -
I would book an appointment with the medical student.
I am actually also in the helping field, though not medical...more counselling. If I am "not qualified" to deal with a person with PTS, or TRAUMA...i need to refer the client to someone who does have the proper knowledge and qualifications to help effectively. SOME people (including doctors..believe it or not)...pretend to know more than they actually do. I think the idea that "drs know everything" is bs - and people need to realize that.
He really should have referred you to a qualified person. We all like to act like know-it-alls at times, which can be incredibly unhealthy and damaging to people who don't have the mental capacity to apply critical thinking.0 -
I'm really sorry when I read such story. If he does not know about nutrition, then he send you to somebody who knows more about it.
Reminds me this horrible ob/gyn I had in France. She made me cry one time with my weight, gave me such a restrictive regime that I lost 10 pounds quickly but gained 20 back (because it was impossible to follow this non sens diet).
She never explained me that it might have been related with diagnosed PCOS (I did not know waht it was anyway, at the time (10 years ago)) and never refered me to a dietetician....0 -
I went to the doctors (OB/GYN) today to get my test results. The results were perfect. I asked him what he would reccomend for diet. I was being tested for PCOS, cysts, ect. He asked me what I was currently eating. I told him that I was eating 1500 calories a day, working out 5-6 days week. I assured him that I made sure I netted 1200 calories and that I recently dropped my carb intake to 100g sticking to mostly clean eating.
He then went on to tell me that I could easily eat 1000 calories and work out. I told him that I believed that would make me net 500-600 calories most days. He that was fine. He then went on to ask me how often I weigh myself. I told him probably 2x/week. He then reccommends that I weigh myself everyday to see the gains/losses. He told me that when he sees a gain from the day before he will not allow himself a treat such as ice cream that night.
What the eff!! I think I was just perscribed anorexia!! I have 40 pounds to lose, not that much. The medical student behind him was stunned and shaking her head, "no" to me as he was speaking.
I am horrifed. Not just for me, but what about a younger, less knowledgable girl? He just green lighted an eating disorder. I think I am going to call the office manager on Monday. I had just switched OB's as my private practice provider retired.
The search is on again.
Is this crazy? What would you do?
Okay, let me try and be constructive here. I am not an OBGYN but I am a physician and I have some nutrition background.
The only thing you should probably ask your OBGYN (who is not a registered dietician - do you know there was not one book on nutrition in an entire Medical Book Store I looked in) is what foods are off limits in PCOS (see below).
http://www.3fatchicks.com/living-with-pcos-4-foods-to-avoid/
Otherwise you should speak to a RD. I'm not going to get into the 1200 calorie limit (which is set mainly to make sure most people get the macro and micro nutrients they need). I have patients that will not lose weight unless they get a diet of 900 calories a day becasue their RMR (resting metabolic rate) is so slow (quadraplegic). You're RMR can slow to 30 percent of what it should be when you get your calorie counts down to 900 (in the average person) but you still lose weight, just at a much slower pace.
IF you don't have PCOS then I based on available knowledge and scientific study you are taking in too few carbs. There are specific requirements for the average athelete - women and men - but diet plans need to be taylored to your build (how much muscle you have, etc).
The general recommendations (see Sports Nutrition: A Manual for professionals 5th edition for a summary) as follows:
Protein 1.0 grams per kilo per day (kilo = 2.2 lbs - ie 22 lbs = 10 kilos), moderately active aerobic 1.2 - 1.4 grams per kilo, resistance training 1.4 - 1.7 grams per kilo per day with some bodybuilders doing 2.0 grams protein per kilo per day. There is no evidence that numbers over this amount are useful).
Carbs: Less than 60 min of activity a day - 2 grams per kilo per day.
60 minutes of moderate activity 3-5 grams of carbs per kilo per day
1-3 hours of exercise per day 5-7 grams of carbs per kilo per day
4-5 hours of exercise per day (ie training for tour de France) - 8-12 grams of carbs per kilo per day.
The problem with consuming less carbs than this is that you will not be able to optimize performance or endurance at lower levels. The "percentage" of your diet that is made up of carbs is not as important as the absolute number.
Having said this...you can see why dieting and exercising for prolonged periods can cause a perceived problem - especially amoung women atheletes trying to maintain lean body mass while gaining stength and stamina.
Remember: Eat too many carbs and you get fat stored. However, this is about optimizing the right amount of carb for you so that you can exercise hard, get stronger, but still lose weight. Muscular builds have higher requirements than lean. So keep this in mind. The reason your question is too vague to answer appropriately is I'd have to know a lot of specifics such as what your diet consists of, not just how many calories. I'd tell you to eat heart healthy fats high in Omega 3/low in omega 6 and after exercise make sure to take in carbs with both high and low GI (Glycemic Index / and glycemic loads). I'd also need to know what kind of exercise you do and how long.
It gets more complicated too. Just as an example...rebuilding glycogen stores is what helps you recover. To do that you need carbs and protein. Did you know that Fructose (sugar found in fruit) is the least effective at helping rebuilding glycogen stores? In addition it helps to have a mix (ie sucrose, maltose, fructose, glucose) because the "carriers" that help carry these building blocks into the cell are speciific for each type of sugar. So if you take in a lot of glucose you can't use it all because the carrier is full like too many people trying to get into the elevator. If you add three different sugars they get carried in by three different carriers and that helps get glycogen synthesis done quicker aiding in recovery.
Sports drinks that combine carbs and protein and different kinds of carb sugars are preferred and convienent...but not always necessary. If you are exercising less than 90 min a day you might not need to know any of this.
For the OP or any of you that might have questions, feel free to ask. If I don't know the answer, I'll try to find out from a licensed source. These are not specific recommendations for anyone out there....just general knowledge in sports medicine. You should ask your physician and a dietician for specific advice that pertains to you!
Created by MyFitnessPal.com - Free Calorie Counter0 -
Well I will b honest. If u do have PCOS , the specialists will tell u similar to what the ob doc told u. It's super hard for us to lose weight and all the research and specialists ( I have seen) say u hav to severly reduce calories and especially carbs. The doc wasn't an idiot. However u should ask a doctor versed in nutrition. Or better yet
just ask a nutritionist.0 -
HaHaHa!
He's an idiot! His medical student had more sense than him. Good thing you had more common sense and basic knowledge than him! But like the others, I'd be questioning his knowledge & practice on other things medically related. Most physicians have very little knowledge regarding nutrition. I ought to know I'm a Registered Nurse. Many of the physicians I work for have asked me how I'v lost the amount of weight I have and nutritional advise. I would rather have had your doctor or any doctor tell me, 'I don't know, that is not my area of expertise, let me refer you to someone who IS a specialist in that area', than to pretend he is an expert and give negligent information.
One time a male OB/GYN told me: "PMS was something that most women over exaggerate; yes, there is physiological & biological changes in the body but women magnify the symptoms in their head".......Umm....Doctor your fired and your male ego is bloated!!!! He obviously didn't know what he was talking about!
Find a new Doc STAT
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Obviously he believes that "a calorie is a calorie" and "fat loss = calories out - calories in"0
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It's true that an OB/GYN is not likely to be an expert in nutrition. However a physician ought to know better than to give advice that he isn't qualified to give, and has no backing for. General practitioners know how to consult a dietitian, he should too!0
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I like your doctor.... if you forgo a lot of meat (That incidently causes a LOT of the main problems in society!) You will see a drastic drop in daily calories and still feel full.
You guys saying blah blah I can eat 2400c so I WILL is stupid...
Sure you can, but should you? I don't think so, I mean, maybe if you are an uninteresting no going out type of person!
I can drink and get drunk every night of the week and will be lower than what you guys recommend or just below...
Had a 6 pack 2 nights ago with pizza etc and barely had 2000 calories! Actually... I didn't! I also had a nice sandwhich before, had eggs and toast for breakfast and potato chips
And that amount wasn't even the NET amount, it was the total...
I agree with the doc.... it's about choices, you can make healthier choices, we as a society eat as much as we do, because you my friends are gluttons, you were raised as gluttons, meat eating meat loving gluttons that will always I'm guessing see more as better.
Did you know if one or two farms for cattle were closed you could food pretty much the rest of the world with what was being fed for such a tiny amount of meat?
Society is to blame for everything including this gluttony, we do not need as much food as people think, how do you think the caveman survived? He didn't eat meat everyday that is for sure, he likely didn't eat much compared to the work he had to do, but he was fine and survived longer than the other human species..... That is why we are here today, because we as the remaining human species has a system that adapts very well for survival and has been for generations, you can eat as much as you want and claim your body is not used to eating less... well... generations of adaptation and genetic mutations etc ha changed our bodies for survival, what you can do in a lifetime wont even dent how we were genetically made up...
So yea, I agree with that doctor... being overweight you can claim you are healthy, but that is very rare, more rare than finding a burger king in a desert.
Just suck it up, lose the weight and eat NORMALLY, you do not eat to eat like pigs... seriously.... I barely post because of this communities stupid ideas towards body chemistry and physiology....
I like this site, but the people need to learn to study and not be sheep! I want to know who the piper is that is leading everyone so can take the idiot down lol...
Have your own ideas, experiment with your body to find what works for YOU, we are all different, however we weren't made to be consuming the excess society has us believe we need to... I've never seen a healthy old body builder (Who would eat back calories) I've seen lean ultra-distance runners who are old however...0 -
Jack Lalaine. old healthy bodybuilder. he had a great diet though.0
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Jack Lalaine. old healthy bodybuilder. he had a great diet though.
Exactly
Good diet, that works for him. We all need to find the same thing for us 0 -
I went to the doctors (OB/GYN) today to get my test results. The results were perfect. I asked him what he would reccomend for diet. I was being tested for PCOS, cysts, ect. He asked me what I was currently eating. I told him that I was eating 1500 calories a day, working out 5-6 days week. I assured him that I made sure I netted 1200 calories and that I recently dropped my carb intake to 100g sticking to mostly clean eating.
He then went on to tell me that I could easily eat 1000 calories and work out. I told him that I believed that would make me net 500-600 calories most days. He that was fine. He then went on to ask me how often I weigh myself. I told him probably 2x/week. He then reccommends that I weigh myself everyday to see the gains/losses. He told me that when he sees a gain from the day before he will not allow himself a treat such as ice cream that night.
What the eff!! I think I was just perscribed anorexia!! I have 40 pounds to lose, not that much. The medical student behind him was stunned and shaking her head, "no" to me as he was speaking.
I am horrifed. Not just for me, but what about a younger, less knowledgable girl? He just green lighted an eating disorder. I think I am going to call the office manager on Monday. I had just switched OB's as my private practice provider retired.
The search is on again.
Is this crazy? What would you do?
I would definitely consider a discussion with the Practice Manager where an OBGYN without any formal RD-related education is prescribing/advising of an extreme low caloric intake. It is definitely out of their licensure - they are supposed to discuss things with the PCP (holder of the record), and the PCP would make a referral to an RD (if you have an HMO)...
I speak on experience working within healthcare - 30+ specialties/sub-specialties... About the limit to which they can advise would be common foods associated with said-medical problem, but thats about it.
Unless you have willingly signed up for a case study or analysis group, I would definitely agree that the PM needs to be informed. And make sure you let the PM know about the Intern's reaction. Clearly the Intern has their act together!!!!0 -
You know exception are always there and I read your comment and you know what every doctor doesn't same.0
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Yep - Doctor Retard.....just say...
You're FIRED!
Anybody that daft has no business practicing medicine.
Good Luck!0
This discussion has been closed.
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