My appointment with the Nutritionist

UPDATE: Just to avoid confusion my appointment was with a dietitian registered at the hospital in the big city nearest us.

So I had my first appointment with my nutritionist yesterday. I thought I would share what she said since the questions I had tend to come up here also a lot.

DISCLOSURE: Keep in my this is advice she gave to me for my current situation. This advice may not pertain to everyone's situation. Also, she is just one woman. These are her opinions based on what she learned in school and what the medical board suggests. Not everyone may agree.

Q: Is starvation mode real and at what point does it kick in?
A: Yes, it will kick in at around 1200 calories. Meaning if you don't eat that many each day you body could go into starvation mode.

Q: Does this apply the same way if I don't NET 1200 calories.
A: Net calories mean nothing. If you eat your recommend calorie intake for the day then exercise off a good portion, your body still got those calories. Your body still got the nutrients. Don't pay attention to net calories.

Q: Do you recommend eating exercise calories?
A: No. We recommend you aim to eat the same amount each day. So if you start eating your exercise calories your body might adjust to the higher calorie intakes. Plus you might not see as many pounds lost.

Q: What if I'm really hungry after a hard workout?
A: It's okay in moderation but try to avoid eating exercise calories as it promotes overeating.

Q: Do you promote calorie cycling?
A: No.

Q: Well, I've noticed that when I do calorie cycling I lose more that week.
A: Hmm.....well if it works for you then maybe your lucky.

Q: Why am I more hungry some days than others?
A: Means your body is working hard on something else. Recovering from a workout or maybe fighting off illness. Can be hormonal also.

Q: What is your opinion on juicing?
A: Is has a lot of nutrients in it but it can also have a lot of calories. If you juice make sure to track it also.

Q: What is the recommended weight loss rate?
A: 1-2lbs a week max. Anymore than that you will be losing muscle also and that can slow your metabolism down.

Q: How much exercise is enough?
A: To lose weight without a calorie deficit then you must workout 1 hour 6 days a week. So you must find a balance between a calorie deficit and exercise.

Q: I'm kinda all over the place with exercise. Haven't found anything I love so I mix it up. Is this ok?
A: Since you are already doing cardio three times a week and strength training three times a week this is a good amount. So many people don't do strength training. But the more muscle you have the faster your metabolism will run.

I asked other questions also but these were the big ones. Hopes this helps some people.
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Replies

  • peachyxoxoxo
    peachyxoxoxo Posts: 1,178 Member
    Did you see a "nutritionist" or a registered dietitian?
  • IronSmasher
    IronSmasher Posts: 3,908 Member
    You really should check people's qualifications before parting with money.
  • IronSmasher
    IronSmasher Posts: 3,908 Member
    Did you see a "nutritionist" or a registered dietitian?

    There's absolutely, positively, no way a dietician wrote those replies.
  • savageman69
    savageman69 Posts: 339 Member
    what a joke lol i would demand my money back
  • peachyxoxoxo
    peachyxoxoxo Posts: 1,178 Member
    Did you see a "nutritionist" or a registered dietitian?

    There's absolutely, positively, no way a dietician wrote those replies.

    Yeah that's what I thought too lol but I just wanted to clarify.
  • Brooke1076
    Brooke1076 Posts: 51 Member
    Q: Does this apply the same way if I don't NET 1200 calories.
    A: Net calories mean nothing. If you eat your recommend calorie intake for the day then exercise off a good portion, your body still got those calories. Your body still got the nutrients. Don't pay attention to net calories.

    Q: Do you recommend eating exercise calories?
    A: No. We recommend you aim to eat the same amount each day. So if you start eating your exercise calories your body might adjust to the higher calorie intakes. Plus you might not see as many pounds lost.

    As a newbie, I am now extra confused, wahh :'( - I just barely figured out what net calories are and how they work! (I know, I'm slow, ha ha). So now I am thinking maybe I shouldn't be eating them back? Maybe I need to experiment more..hmmm
  • Mistyblu08
    Mistyblu08 Posts: 580 Member
    still,,,everyone opinion is interesting ...even if we dont agree with them :) thank you for sharing what she had to say!
  • Rambo313
    Rambo313 Posts: 179 Member
    Thanks for sharing.
  • taylor5877
    taylor5877 Posts: 1,792 Member
    Even experts (like say the FDA, USDA) tell people information that THEY think the individual needs to hear to better themselves.

    Nobody really wants the truth, because no one wants to admit how truly incompetent our available knowledge base is on mosts subjects.
  • Rambo313
    Rambo313 Posts: 179 Member
    Q: Does this apply the same way if I don't NET 1200 calories.
    A: Net calories mean nothing. If you eat your recommend calorie intake for the day then exercise off a good portion, your body still got those calories. Your body still got the nutrients. Don't pay attention to net calories.

    Q: Do you recommend eating exercise calories?
    A: No. We recommend you aim to eat the same amount each day. So if you start eating your exercise calories your body might adjust to the higher calorie intakes. Plus you might not see as many pounds lost.

    As a newbie, I am now extra confused, wahh :'( - I just barely figured out what net calories are and how they work! (I know, I'm slow, ha ha). So now I am thinking maybe I shouldn't be eating them back? Maybe I need to experiment more..hmmm

    So am I, here I am trying to eat extra calories to net at least my BMR which is over 1200, and eating exercise calories back. I am totally lost, and about to give up :( Maybe I should not eat my exercise calories back either. I have been at a plateau for 4 months now.
  • Sorry, but she's a moron.

    Starvation mode is different for everyone. It can happen for some at 1800 calories. It all depends on your individual metabolism.
  • jenichenny
    jenichenny Posts: 73 Member
    Did you see a "nutritionist" or a registered dietitian?

    There's absolutely, positively, no way a dietician wrote those replies.

    Yeah that's what I thought too lol but I just wanted to clarify.

    My insurance covered it because it was with a registered dietitian at the hospital. So she's legit.

    Curious as to what made you say she wasn't. Not trying to start trouble just a friendly conversation : )
  • xoMeaghan
    xoMeaghan Posts: 175
    still,,,everyone opinion is interesting ...even if we dont agree with them :) thank you for sharing what she had to say!

    Yup! Very true, you gotta find what works for YOU and everyone hits a plateu, also, then you switch it up!! =) But, that's my opinion.
    Thanks for sharing! I probably won't follow this, and probably not most of the people on here. Good to know different views.
  • taylor5877
    taylor5877 Posts: 1,792 Member
    Q: Do you recommend eating exercise calories?
    A: No. We recommend you aim to eat the same amount each day. So if you start eating your exercise calories your body might adjust to the higher calorie intakes. Plus you might not see as many pounds lost.

    I would almost guarantee that she didn't answer question knowing you track your calories with a 500 or 1000 calorie deficit planned in.

    I would answer no if someone outside of MFP was interested in weight loss and asked if they needed to eat back calories burned during excercise.
  • jenichenny
    jenichenny Posts: 73 Member
    Q: Do you recommend eating exercise calories?
    A: No. We recommend you aim to eat the same amount each day. So if you start eating your exercise calories your body might adjust to the higher calorie intakes. Plus you might not see as many pounds lost.

    I would almost guarantee that she didn't answer question knowing you track your calories with a 500 or 1000 calorie deficit planned in.

    I would answer no if someone outside of MFP was interested in weight loss and asked if they needed to eat back calories burned during excercise.

    Actually she did know. I showed her my MFP plan and told her what I eat each day and what my deficit was.
  • lin7604
    lin7604 Posts: 2,951 Member
    hummm interesting about the eating exercise calories back and the 1200 cal thing..... i just don't know what to think.... i know some that eat 1200 cals and will burn 1000 cals a day, how can that be healthy?
  • Q: Does this apply the same way if I don't NET 1200 calories.
    A: Net calories mean nothing. If you eat your recommend calorie intake for the day then exercise off a good portion, your body still got those calories. Your body still got the nutrients. Don't pay attention to net calories.

    Q: Do you recommend eating exercise calories?
    A: No. We recommend you aim to eat the same amount each day. So if you start eating your exercise calories your body might adjust to the higher calorie intakes. Plus you might not see as many pounds lost.

    As a newbie, I am now extra confused, wahh :'( - I just barely figured out what net calories are and how they work! (I know, I'm slow, ha ha). So now I am thinking maybe I shouldn't be eating them back? Maybe I need to experiment more..hmmm

    So am I, here I am trying to eat extra calories to net at least my BMR which is over 1200, and eating exercise calories back. I am totally lost, and about to give up :( Maybe I should not eat my exercise calories back either. I have been at a plateau for 4 months now.

    Listen to what others say but...

    pay attention to your own body!!

    You have GOT to pay attention to your body and to how you feel. You cannot blindly just follow others because no one else lives your life but you.

    Take these things as guidelines, try them if you wish, but do not give up on yourself because what worked for someone else isn't working for you. You've got to give YOU more attention that you give these boards or any doctor or trainer or dietician.

    >>>And there was a big disclaimer where at the start of the OPs post.>>>

    NOTE: I must say, there seemed to be some condtradictory stuff in there.... "don't pay attention to net calories... then a balance between calories and exercise" hmmm...
  • Camille0502
    Camille0502 Posts: 311 Member
    I think it all sounds very reasonable to me. Maybe the people saying she is a moron are actually morons themselves.
  • taylor5877
    taylor5877 Posts: 1,792 Member
    Q: Do you recommend eating exercise calories?
    A: No. We recommend you aim to eat the same amount each day. So if you start eating your exercise calories your body might adjust to the higher calorie intakes. Plus you might not see as many pounds lost.

    I would almost guarantee that she didn't answer question knowing you track your calories with a 500 or 1000 calorie deficit planned in.

    I would answer no if someone outside of MFP was interested in weight loss and asked if they needed to eat back calories burned during excercise.

    Actually she did know. I showed her my MFP plan and told her what I eat each day and what my deficit was.


    I guess I could understand what she was saying about keeping calories constant more or less day to day, but excercise calories definitely move what you can/should eat IMO.

    I'm just going to say "interesting" here and leave it at that.
  • peachyxoxoxo
    peachyxoxoxo Posts: 1,178 Member
    Did you see a "nutritionist" or a registered dietitian?

    There's absolutely, positively, no way a dietician wrote those replies.

    Yeah that's what I thought too lol but I just wanted to clarify.

    My insurance covered it because it was with a registered dietitian at the hospital. So she's legit.

    Curious as to what made you say she wasn't. Not trying to start trouble just a friendly conversation : )

    I'm in school to be a dietitian and I've observed a number of different dietitians counseling clients. I've just never heard RDs give advice like that, and I probably would have answered all those questions very differently.
  • IronSmasher
    IronSmasher Posts: 3,908 Member
    Q: Do you recommend eating exercise calories?
    A: No. We recommend you aim to eat the same amount each day. So if you start eating your exercise calories your body might adjust to the higher calorie intakes. Plus you might not see as many pounds lost.

    I would almost guarantee that she didn't answer question knowing you track your calories with a 500 or 1000 calorie deficit planned in.

    I would answer no if someone outside of MFP was interested in weight loss and asked if they needed to eat back calories burned during excercise.

    Actually she did know. I showed her my MFP plan and told her what I eat each day and what my deficit was.

    I'm not surprised she knows, she's using terms and beliefs that are only held on MFP, and no dietician would ever say.
  • peachyxoxoxo
    peachyxoxoxo Posts: 1,178 Member
    Like, it's ridiculous to tell someone you MUST workout for an hour a day, six days a week. That is a flat-out lie.
  • Mistyblu08
    Mistyblu08 Posts: 580 Member
    still,,,everyone opinion is interesting ...even if we dont agree with them :) thank you for sharing what she had to say!

    Yup! Very true, you gotta find what works for YOU and everyone hits a plateu, also, then you switch it up!! =) But, that's my opinion.
    Thanks for sharing! I probably won't follow this, and probably not most of the people on here. Good to know different views.

    it is good to hear different views and I found it interesting....hell i just started figuring out well trying to and its always good to get ideas to try if what you are doing doesnt work so we share the same opinion lol :) everyone is real quick to hang someone on MFP if it doesnt jive with what they "know" ...I just find it funny cuz I thought we were all on here for the same thing....help and bouncing ideas off of each other ...to feel better about ourselves and helping others to feel good about themselves too.... :)
  • Linda_Darlene
    Linda_Darlene Posts: 453 Member
    Did you see a "nutritionist" or a registered dietitian?

    There's absolutely, positively, no way a dietician wrote those replies.

    Why do you say that?
  • nowakkk
    nowakkk Posts: 38 Member
    They really said that the body could survive on say a net of 500 calories? For example, you ate 1,200 and burned 700 with excercise? That's somewhat frightening to me.
  • RainHoward
    RainHoward Posts: 1,599 Member
    I think it all sounds very reasonable to me. Maybe the people saying she is a moron are actually morons themselves.

    Hey now, I'm not a doctor but I play one on MFP. And a dietitian, and a personal trainer, and a sports injury expert. I read a couple books and webpages and I KNOW I'm right. Now back in the corner with you troll. How dare you question my wisdom.
  • Linda_Darlene
    Linda_Darlene Posts: 453 Member
    Did you see a "nutritionist" or a registered dietitian?

    There's absolutely, positively, no way a dietician wrote those replies.

    Yeah that's what I thought too lol but I just wanted to clarify.

    My insurance covered it because it was with a registered dietitian at the hospital. So she's legit.

    Curious as to what made you say she wasn't. Not trying to start trouble just a friendly conversation : )

    I'm in school to be a dietitian and I've observed a number of different dietitians counseling clients. I've just never heard RDs give advice like that, and I probably would have answered all those questions very differently.

    Just curious, how would you have answered them?
  • peachyxoxoxo
    peachyxoxoxo Posts: 1,178 Member
    So how would you have answered them?

    I'm only a student but if I were meeting with a client in my supervised practice, this is how I would have addressed the questions.

    Q: Is starvation mode real and at what point does it kick in?
    A: "Starvation mode" is how the body responds to prolonged periods of reduced caloric intake. True physiological starvation (demonstrated in the Minnesota starvation study, look this up for more info) may be seen during famines for example, or other times of several restricted caloric intake. The body isn't getting the energy or nutrients it needs, and in addition to using it's own fat for energy, the body will start to break down lean body mass as well. It does NOT "kick in" at 1200 calories

    Q: Does this apply the same way if I don't NET 1200 calories.
    A: Yes. If you eat 1200 calories but then you burn 1200 calories through exercise, you are not providing your body adequate energy to maintain all the other vital functions.

    Q: Do you recommend eating exercise calories?
    A: It depends upon how you've calculated your calorie needs. If you determined needs based on a sedentary activity level, yes, eat those back. If you set your goal based upon a higher activity level, no, don't eat them back, because that activity is already accounted for in your calorie allotment.

    Q: What if I'm really hungry after a hard workout?
    A: Eat! Choose a snack that provides both carbs and protein.

    Q: Do you promote calorie cycling?
    A: I don't promote it but I don't have a problem with it. It can help some people break through a plateau.

    Q: Well, I've noticed that when I do calorie cycling I lose more that week.
    A: I'm glad you've found something that works for you.

    Q: Why am I more hungry some days than others?
    A: Day to day changes in the body. I do mostly agree with what your nutritionist said on this question.

    Q: What is your opinion on juicing?
    A: It's a good way to get a lot of nutrients, but it doesn't have the benefit of fiber that you get from eating whole fruits and vegetables.

    Q: What is the recommended weight loss rate?
    A: In general I'd say 1 lb a week. For someone who is very obese, it can be more. For someone who is very close to their goal weight I'd only aim for 0.5 lb a week.

    Q: How much exercise is enough?
    A: General recommendations are 30 minutes a day, five days a week. But it is very dependent upon your own personal goals. Whether you're trying to lose weight, build muscle, etc. The type of exercise factors is too. 30 minutes of running is gonna be different than 30 minutes of walking. Or 30 minutes of yoga.

    Q: I'm kinda all over the place with exercise. Haven't found anything I love so I mix it up. Is this ok?
    A: That's fine. I am glad to hear you're doing strength training. Just be sure you are doing a strength training routine written by a professional, at this point in your fitness journey. Order and type of exercises is important. Going into the weight room and just doing whatever you feel like isn't going to be quite as beneficial.

    Let me know if you want me to elaborate on anything and I'd be happy to.
  • Greenrun99
    Greenrun99 Posts: 2,065 Member

    Q: Does this apply the same way if I don't NET 1200 calories.
    A: Net calories mean nothing. If you eat your recommend calorie intake for the day then exercise off a good portion, your body still got those calories. Your body still got the nutrients. Don't pay attention to net calories.

    Q: Do you recommend eating exercise calories?
    A: No. We recommend you aim to eat the same amount each day. So if you start eating your exercise calories your body might adjust to the higher calorie intakes. Plus you might not see as many pounds lost.

    Q: How much exercise is enough?
    A: To lose weight without a calorie deficit then you must workout 1 hour 6 days a week. So you must find a balance between a calorie deficit and exercise.

    I am going to quote these because I think she made these specific to you, if you have alot to lose I think she was trying to get you into a habit of eating the same amount of calories and exercising daily to get into the rhythm of weight loss and healthy eating.
  • nowakkk
    nowakkk Posts: 38 Member
    Oak Creek, WI represent