Doctor's advice doesn't seem right...

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2

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  • ekat120
    ekat120 Posts: 407 Member
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    M.D.s have very little training in nutrition. If what you're doing is working and sustainable for you, I say stick with it!
  • elsinora
    elsinora Posts: 398 Member
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    None of us know your health and medical history the way your doctor knows your situation. Therefore, whether you should or shouldn’t follow your doctor’s advice is something that should be determined after you do a better job in engaging with your doctor. You shouldn’t be so quick to accept or dismiss your doctor’s advice until you get a reasonable explanation for that advice. If you have to get a second or third opinion along with a referral to a qualified nutrition and/or dietitian then so be it. The main point is that you should never walk away from a doctor until you feel confident that he/she is helping you and leading you in the correct direction.

    This
  • rbiss
    rbiss Posts: 422 Member
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    M.D.s have very little training in nutrition. If what you're doing is working and sustainable for you, I say stick with it!

    ^ This. It's ridiculous how little they know. I told mine I was a vegetarian and they tried to talk me out of it and gave me a pamphlet for the food pyramid. Insane!
  • rowlandsw
    rowlandsw Posts: 1,166 Member
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    I think your doctor is a quack like 90 percent of them in the world. If what you're doing works keep with it.
  • krawhitham
    krawhitham Posts: 831 Member
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    I've worked in the medical field for 5 years and that's enough time to know that medical doctors DO NOT understand nutrition. Please, trust me, unless your doctor is a specialist in nutrition or weight maintenance, this person is simply human just like the rest of us on this message board.

    I'd trust a nutritionist or dietician over a medical doctor when it comes to weight loss strategies. It's all about the knowledge they've gained from repeated experiences helping people with these issues.

    The best thing your doctor could do is give you a valid referral to a good nutritionist or dietician to help you along your journey, if you need help.
  • stephanieluvspb
    stephanieluvspb Posts: 997 Member
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    A lot of people think just bc they are a MD they know everything. You would be surprised how many doctors call other professionals and look on the internet berfore diagnosing and treating. If your doing well and have no health concerns just keep doing what your doing, if its not broke, don't fix it :)
  • Siobhan108
    Siobhan108 Posts: 80 Member
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    Doctors have what is known as a "PRACTICE " because that's what they are doing. Anyone that is involved in weight loss for any length of time will tell you to never go below 1200 calories a day or you will loose weight but also muscles. My doctor, who I see every 4 months , told me to stay at 1200 the last time I say him and to never go under. Fruits and veggies are like everything else, in moderation.
  • StacyPhillipsTSFLcoach
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    I think that if you are not doing a program that heavily supplements you with vitamins, minerals AND fiber and you try to keep your calories under 1200 you will not be getting all the essential nutrients that your body needs. I'm coming off the heels of an awesome program where I DID lose over 150 pounds on 800-1000 calories but it was a SPECIFIC plan which was HIGHLY SUPPLEMENTED with the RDA of all my vitamins and minerals AND FIBER (people often forget about the fiber....DON'T LOL!) and it was a commercially available weight-loss plan that has been recommended by over 20,000 physicians nationwide since 1980, so I trusted it and yes it did work. But again, it was highly supplemented and a Meal Replacement program with 1 "Lean and Green" meal that I would make myself daily. When I say "coming off the heels" I really mean in actuality I've been maintaining my weight loss for about 2 years now, so I guess it's not really "coming off the heels" in a strict sense. But NOW I DO keep my calories around 1200-1400 and I am maintaining. I'm a little person, about 5 foot 3 and very petite so perhaps your Doctor is factoring in your height, and your weight loss goals overall? If I am able to MAINTAIN at 1200 calories with light to moderate activity, then yes I'd need to create a further calorie deficit if I had any more weight to lose and wanted to lose it, and I could do that either by INCREASING my output (exercise) OR by decreasing my intake (food) or a combination of BOTH, but I would never want to drop BELOW 1200 calories of WHOLE FOODS or I wouldn't be getting in my basic nutrients without supplementation. I hope that helped!

    PS I do have a 4-year degree in Human Nutrition and am enrolled in a Masters Program for Obesity Prevention and Management so while I am still learning a great deal I do have a good basis of Nutrition Info already.
  • elyelyse
    elyelyse Posts: 1,454 Member
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    and my Dr told me I must eat breakfast and that I must eat several times a day to keep my metabolism going in order to lose weight. I actually do better when I don't eat early in the day. After I lost a bunch while often waiting until mid-afternoon to eat, she started asking me what I was doing, so that she could better help her other patients.

    As someone else said, general practitioners have very little education in nutrition. My sister is a GP, and she will be the first to admit that she doesn't have extensive knowledge of everything health related.
  • 1princesswarrior
    1princesswarrior Posts: 1,242 Member
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    I went to my doctor for a six month weigh in and check up yesterday. She asked me for nutritional advice. She also said she's never seed any other patient take such a common sense approach to weight loss.

    Most doctors only have one or two classes or semesters in nutrition and have no time to keep up with the latest research and guidelines.
  • TLContheGulfCoast
    TLContheGulfCoast Posts: 36 Member
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    What do you call the person who graduates at the bottom of his/her medical school class?

    "Doctor."

    Find another doctor. I'm pretty damn picky about who I take advice from and if their advice doesn't match up to my understanding in areas that I'm comfortable with what I know, I start to question their expertise in areas I don't. Trust is vital when it comes to experts.

    ^^^This!!!
  • LiminalAscendance
    LiminalAscendance Posts: 489 Member
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    So is this just a "doctors aren't always right" post? Do people even exist, in this day and age, that feel they are infallible?

    That being said, given your current goals, you would still lose weight faster (1200 < 1380, yes?) following this "poor" advice.

    Of course, you can eat fruit (or twinkies, or doughnuts, et cetera, ad nauseum), and still lose weight. It doesn't change the fact that fruit is loaded with sugar, and has little to no protein, and is not the wisest staple, when one desires to lose weight.

    But yes, there is no school which teaches someone to become "perfect."
  • sunburntgalaxy
    sunburntgalaxy Posts: 455 Member
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    Ok I agree that maybe you need a new doctor - here is my story of when I realized that doctors aren't always correct (not weight related but gets my point across).

    For years I had horrible stomach pains and my doctor kept wanting to say it was an ulcer. Did an upper GI - nothing - took meds - nothing, still had problems (so bad I thought I was having a heart attack at times, and I was in my 20's). Finally I mentioned it to a friend at work who was a nurse (she worked part time in the shop I worked in) and she said "it sounds like your gallbladder - you should ask about that" so I did and my doctor said there was absolutely no way it could possibly be my gallbladder because of my age, no kids, no way, won't check for it, totally wrong, never could be that. So she sent me to a gastroenterologist and I told him what she said, and he said, well, I disagree with her, so lets check - and it turned out it was my gallbladder, full of stones, and I needed to get it taken care of asap. So that is the day I figured out that not all doctors are good and that sometimes they aren't doing things in your best interest - luckily for me the doctor she sent me to was good and did listen. That is when I decided to find a new doctor (they called to say I had to have surgery from her office and I told them off something fierce). I asked around and found a good doctor that had good recommendations from people I knew and that is when I found my previous doctor (who retired) and then my current doctor, who listens to me and makes recommendations that are good and make sense.

    To me, it sounds like your doctor is like my old doctor - trying to use a one size fits all option. You need a doctor who will listen to you (you are making progress which is awesome - why change what is working) and make recommendations based on what is good for you. I always question when someone says to avoid a whole group of foods, but especially fruit - fruit is awesome! Unless you have a specific medical condition that is a reason to avoid it (and if that is the case your doctor should have mentioned that) it is just not reasonable. You need to have a lifestyle change, not a temporary fix. Cutting stuff out (again, unless there is a medical reason) sounds like a temporary fix to me.
  • whitebalance
    whitebalance Posts: 1,655 Member
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    I'm female, average height. I lost over 40 pounds between November 2012 and June 2013, and I've kept it off for a year. I never ate as your doctor recommended. The only times my caloric intake dipped that low were related to ultrasound testing and a hysterectomy (things which of course required fasting) and occasional migraines (during which eating is simply not an option). My go-to foods included (among other things) apples, raisins, peaches, melon, and that awesome Panera Bread salad with four kinds of fruit in it. And I often had a cookie with that salad, because, you know, cookie. According to your doctor, OP, I should be El Tubbo right now.

    Now, at my present weight, if I net (repeat, net, at a "sedentary" activity level) 1500 calories a day, I lose weight. In practice, I'm actually eating somewhere between 1,600 and 2,200 calories a day, depending on my activities for the day.

    So now, OP, there are at least two of us whose weight loss your doctor can't explain. You and me.

    Edited because basic math evades me... wrong years posted...
  • WalkingAlong
    WalkingAlong Posts: 4,926 Member
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    I went to the doctor yesterday for a physical, and the visit basically turned into a weight loss consultation. I told her what I've been doing and that I've lost almost five pounds in the past month (I'm at 166, trying to get down to 140).

    Despite my "success" she gave me a series of guidelines that I HAVE to follow or I will "NOT" lose weight. The primary one being that I should only eat 1000 calories per day, absolutely NEVER going over 1200...

    I'm currently set at 1380 per day by MFP and it seems to be working just fine. The doctor also told me that I should eat very little fruit and carbs because of the sugar (which in and of itself is an issue because I'm a vegetarian/almost vegan and eat a lot of fruit and whole grains).

    She's a medical doctor, so I feel like I should listen to what she says, but it seems crazy and impossible to follow. Am I being stubborn?
    I wonder if the advice to eat 1000 was because maybe you told her you weren't happy with your 5 lbs. loss in a month at 1380? Because 5 lbs. in their first month makes a lot of people disappointed, especially at 1380. She might figure you're overestimating intake and subtracting from your 1380 value to speed up your losses, like someone else mentioned.

    The fruit sugar thing--- Do you have issues with sugar? Prediabetes or anything? Did you tell her 1380 is hard to limit yourself to? Because adding more protein and fat and less sugar might help with that.

    I don't know, it just seems like usually there's a lot of things that were probably said over a whole appointment and maybe it wasn't all out of the blue. Maybe it was, though. Once an ob/gyn (that was a fabulous doctor who'd been practicing for decades) told me low carb was the only way.
  • SLLRunner
    SLLRunner Posts: 12,943 Member
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    I went to the doctor yesterday for a physical, and the visit basically turned into a weight loss consultation. I told her what I've been doing and that I've lost almost five pounds in the past month (I'm at 166, trying to get down to 140).

    Despite my "success" she gave me a series of guidelines that I HAVE to follow or I will "NOT" lose weight. The primary one being that I should only eat 1000 calories per day, absolutely NEVER going over 1200...

    I'm currently set at 1380 per day by MFP and it seems to be working just fine. The doctor also told me that I should eat very little fruit and carbs because of the sugar (which in and of itself is an issue because I'm a vegetarian/almost vegan and eat a lot of fruit and whole grains).

    She's a medical doctor, so I feel like I should listen to what she says, but it seems crazy and impossible to follow. Am I being stubborn?
    Is it possible that you need to look for another doctor? It sounds like she is grossly misinformed on weight loss issues.
  • AllOutof_Bubblegum
    AllOutof_Bubblegum Posts: 3,646 Member
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    The thing to remember is, doctors only have to take an alarmingly small amount of schooling in nutrition to earn their degree. It's sort of like asking a lawnmower guy advice on how to take apart a carburetor on a mustang. They may have a vague idea, but than again it's not their specialty, so what the hell would he know? Talk to a registered dietitian, they'll have a much better idea of what they're talking about, and how to help you. You were right to trust your gut.
  • SLLRunner
    SLLRunner Posts: 12,943 Member
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    So is this just a "doctors aren't always right" post? Do people even exist, in this day and age, that feel they are infallible?

    That being said, given your current goals, you would still lose weight faster (1200 < 1380, yes?) following this "poor" advice.

    Of course, you can eat fruit (or twinkies, or doughnuts, et cetera, ad nauseum), and still lose weight. It doesn't change the fact that fruit is loaded with sugar, and has little to no protein, and is not the wisest staple, when one desires to lose weight.

    But yes, there is no school which teaches someone to become "perfect."
    Well, that particular doctor is wrong.

    However, my doctor would never deliver such advice. In fact, I've never had a doctor who didn't say the key to weight loss is to eat in moderation and eat less calories than you burn.
  • megsmom2
    megsmom2 Posts: 2,362 Member
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    Most doctors don't get a lot of training in nutrition or weight loss. They really don't understand the mechanics of it much better than the rest of us. So what this doctor is doing is pretty much what a lot of us would do....going by anecdotal or popular culture stories and somewhat outdated information.
    I think sticking with something that works...like MFP...is the way to go UNLESS there is a specific medical issue that would require adjustment...like diabetes or another metabolic issue. So...stick with what you're doing...lose the weight..and when you check back with your doctor in a few months, educate him or her about MFP, so they can help the next patient do things the right way.
  • njitaliana
    njitaliana Posts: 814 Member
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    Unfortunately, doctors don't learn much of anything about nutrition in medical school. They learn about diseases instead. Since you're doing well at the calorie amount you are presently at, I'd just keep doing what you are doing.