My Doctor is an idiot!

peachyxoxoxo

When did I give that advice to someone who'd had a one week plateau? Thanks for assuming I'm retarded and know nothing about nutrition. Weight loss IS calories in vs calories out, did I somewhere state otherwise? All I was trying to suggest is that a very low calorie diet can depress the metabolism and result in lean body mass as opposed to the fat loss that's probably desired. My professors and preceptors are very big on evidence-based practice as am I, and I wouldn't offer advice if I didn't believe it to be sound and true. I'm not just talking out of my *kitten* here.

In this thread below, today. Though her plateau was two weeks. Is 1350 calories for a small woman so low her metabolism is depressed and she should 'eat above her BMR' and 'check out Eat More to Weigh Less'?

http://www.myfitnesspal.com/topics/show/659248-should-i-change-my-calories

Haha you stalking me girl? All I agree with is that it's a good method to estimate caloric intake. In her case it could be too soon to see any weight loss. But longterm its probably better that she use a formula that has been shown by science to work. One that is used by nutrition professionals everywhere. Especially for a person who is active. You can lose weight eating so little but again, probably not the kind of weight you want to lose.

mcarter99

Ha, no, I'm not stalking you. I happened to notice you rubber-stamped the standard MFP advice to 'eat more' is all.

I do agree that TDEE minus a % makes a lot more sense. But minus 15% is so slow for many of us without a lot to lose. If people are in a panic after two weeks with no scale loss, how are they going to react to losing 2 lbs/month indefinitely? That's what TDEE minus 15% would put me at. But that's a whole other thread.

gomisskellygo

It it absolutely AMAZING to me how many of you think you know more than a doctor. I am seeing my doctor once a month AND a dietitian once a week for weight loss. I eat 1200 calories a day, and I never even asked about exercise calories until I started using this site to log calories instead of the old one. When I asked my dietitian if I should eat them back, she laughed and said, "The people who said that simply want a reason to eat more food, you are eating plenty for your activity level.". I thought I was doing it wrong, thanks to these forums. I'll take the advice of a doctor over the random advice given in a forum any day of the week. I am the same height as you (5'4") and my calorie intake is not going to increase until I hit goal weight, which then I'll go to maintenance.

I work out 7 days a week, 1.5-2 hrs a day. I haven't fainted once. I don't feel weak or dizzy. When I'm hungry, I eat. I am not "starving". A balanced diet (and deficit) is the key, and not consuming empty calories.

p.s. I don't think my plan is the only way to go. I think if you are doing something and it's working (and healthy) keep doing it. I'm rather tired of the starving/starvation mode comments though. The words "starvation mode" have never been uttered by my doctor or dietitian.

Do you have any other health issues?

Nothing that affects my weight.

.


Right but any that are affected by your weight? I ask because as of now I have no other medical issues. If I had high blood pressure, diabetes, edema, ect..I would understand rapid weight loss to be prescribed. In my case, it is not neccessary.

jagonthedestroyr

Doctors are pretty clueless when it comes to nutrition. You should really ask a dietician.

Most Old School doctors are not up to date and don't have the firm grasps that MOST, of us do now. With the current strain of time constraints, even though we are suppose to do consults on weight, I can not stress enough you will not get the best time spent with us until insurance changes billing so that we can spend more time with patients. You would be best served with a weight specialist.

Now, most doctors should be able to get basics, but your OB-GYN is not even trying to hide their glaring lack of knowledge in basic nutrition and physiology.

gomisskellygo

Doctors are pretty clueless when it comes to nutrition. You should really ask a dietician.

Most Old School doctors are not up to date and don't have the firm grasps that MOST, of us do now. With the current strain of time constraints, even though we are suppose to do consults on weight, I can not stress enough you will not get the best time spent with us until insurance changes billing so that we can spend more time with patients. You would be best served with a weight specialist.

Now, most doctors should be able to get basics, but your OB-GYN is not even trying to hide their glaring lack of knowledge in basic nutrition and physiology.

Congrats to you! And I love anesthesiologists (sp?)!! After having my babies! Thanks, I know the OB was trying to look knowledgeable in front of the medical student but jeez, my skin was crawling.

And to everybody who is all for 1000 calories or less: I know how to lose weight rapidly. It is the ONLY way I have done it in the past.I know I can do cardio for hours at a time, followed by a run and some lettuce. I am tryng to take a slow healthy approach. I am trying to take care of myself now that I am in my thirties. It's 30's it seems when you begin to regret the mistakes you made in your 20's. (smoking, tanning, drinking to much,ect.)

freckledrats

Hate to say it, but I know a few people who are licensed dieticians who know less about diets than you would think. I tried to talk to one about eating for thyroid problems and used the word "goitrogen" which is a pretty common term for foods that suppress thyroid function. If *I* know it, a dietician who just got her license should definitely know it, right? Nerp. She didn't. In the end, she had very little advice and kinda derped her way through the conversation.

Sure, maybe that was just her, but maybe the docs with bad advice, that's just them, too, eh?

Listen to your body. Do what you think sounds healthiest and adjust based on what your body is telling you. If you eat too little, you will start to feel tired and run down for no obvious reason. Eat more if this happens. If you eat too much, you won't feel hungry and you won't see a loss. Eat less if this happens.

Eat cleaner where you can. Most people don't or can't eat clean all the time, and i think that's fine. Just introduce cleaner foods where you can and go from there.

mrsjennifermaffei

WOW, definitely contact the office about his behavior and recommendations!

chocolateandvodka

I have plenty of experience with changing doctors. And not heeding their advice simply because they are doctors. One such decision saved my sons life.

There's the issue.

ONE decision may have saved your son's life, so now we must always run from those who challenge our theories?

Incorrect. Sometimes, you really DON'T know it all.

ShrinkingShawna

You are obviously set in your ways and attitude, good luck.

As for me, I'm not on a rapid weightloss program, otherwise I'd be losing weight rapidly and I'm not. I lose between 1-2 lbs a week, I had a couple of big weeks (one I lost 7 and last week I lost 5). Those happen.

You really think you have what's healthy and what's not pegged, so I'm curious why you aren't doing something about it, and why you need a referal to anyone at all.

NoxDineen

Why he recommended is what I did when I was almost hospitalized for anorexia. Good fort you for recognizing bad advice, a new doctor sounds like a great plan.