NHS very low calorie diet help

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  • joshpass
    joshpass Posts: 82 Member
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    that's a dumb *kitten* dietitian...
  • TavistockToad
    TavistockToad Posts: 35,719 Member
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    Could you explain what you mean by stats please?

    height, weight, age etc etc

    Height: 5 foot 2 inches
    Age: 24
    BMI: 43.9
    Weight: 109kg

    are you on medication for your depression?

    ETA if you've been 'on a diet' since you were 16 then theres a good chance you've messed up your metabolism.
  • Meikakiri
    Meikakiri Posts: 44
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    Do you use this site to log? If you weren't losing on the 1200 diet, you may have been eating more than you thought? If you weren't weighing EVERYTHING start doing it now and log every tiny morsel (I find if I have a few weeks not losing, I've been making too many trips to the Nutella jar or pinching crisps here and there and not logging it).

    I don't see the issue with the 1000 cal diet if you're being supervised by your doctor, having regular blood tests etc. the easiest way to make the most of the diet would be to eat as 'clean' as possible (not something I do myself but if you've got that little to work with best to steer clear of empty calories).

    First, I would try logging everything you were eating before and see if it's more than you thought as 1000 cals is going to be pretty miserable.

    I put everything into the diet diary on this site :p no point in trying to lose weight if I lie to my diet diary.
  • 3laine75
    3laine75 Posts: 3,070 Member
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    I doubt that this "dietitian" is truly a certified nutrition expert. Twelve weeks is a long time to subsist on such low calories. You simply won't be healthy.

    NHS referred dietician here, is a qualified person. I have heard of them giving questionable advice, granted.
  • Fit_Housewife
    Fit_Housewife Posts: 168 Member
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    Most people on here are going to tell you to up your calories despite the fact that you are working with a professional. I hAve been on every diet you can think of and even the ones that come with pre packaged measured food I have difficulty loosing weight.
    For me to lose weight I have to either
    1) cut calories to 1000-1200 a day or
    2) exercise 90-120 minutes a day and eat approx 1500 calories a day or
    3) do Atkins or a low carb diet

    I have meticulously counted my calories over the past month measure everything and using a food scale. For the last 30 days I averaged 1496 calories a day. I have done moderate exercise about 30 min 4x a week of which twice is with a trainer. also I have a 3 month old a two year old and a twelve year old whom I would say keep me pretty active. I lost 11 pds in the first 10 days when I averaged 1236 calories and have stayed the same since then. So I have decided to stick to 1200 calories for the next month and track my progress. Every body is different, I'm guessing my bmr is lower than the average person my age/weight and I may have underling medical issue but haven't figure that out yet.

    Here is one recipe I find helpful when Im hungry and don't have a lot of calories to spare:

    low cal cream of broccoli soup in my vitamix.
    I just threw in about a cup of leftover broccoli
    3 baby carrots
    1 cup unsweetened almond milk
    1 cup water
    1 bouillon cube
    Dash of chili powder
    ( I usually add a chunk of tofu for creaminess and protein but ran out and it was awesome anyway)
    Threw in the vitamix and put it on soup setting. Or you can throw in a regular blender then heat on the stove or microwave.
  • Meikakiri
    Meikakiri Posts: 44
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    are you on medication for your depression?

    ETA if you've been 'on a diet' since you were 16 then theres a good chance you've messed up your metabolism.

    I'm on Fluoxetine but the weight gain is an ongoing issue around before my diagnosis.
  • melodiarentsen
    melodiarentsen Posts: 20 Member
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    There is no way I would do this. It is not healthy. You will starve your body and your brain. If you feel you need a doctor's help, I would get a second opinion.
  • Shari_Lynn_Wallace
    Shari_Lynn_Wallace Posts: 10 Member
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    My physician has me on a 1000 cal diet as well, in preparation for surgery. However, your dietitian is a bit off on the "rules" of it. Their are no limitations to mine, for the exception of my diet must still come from 20% protein, 50% Carb and 30% fat. If you deny your body anything in this very delicate time you run the risk of sending your body into a metabolic state of turmoil causing problems such as hyper or hypoglycemia (high or low blood sugars) as well as a rise in vitamins such as potassium or calcium which could cause electrolyte imbalances leading to heart arrhythmia. I meet with my dietitian twice a week, weigh and have to meet my doctor once a week to make sure things look okay. If your dietitian isn't meeting with you twice a week to monitor you, get another one. They don't know what they are doing placing you on a diet this low. Not that they are crazy to do so, but that they aren't familiar enough with a diet of this magnitude to actually maintain your health.
  • 3laine75
    3laine75 Posts: 3,070 Member
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    Do you use this site to log? If you weren't losing on the 1200 diet, you may have been eating more than you thought? If you weren't weighing EVERYTHING start doing it now and log every tiny morsel (I find if I have a few weeks not losing, I've been making too many trips to the Nutella jar or pinching crisps here and there and not logging it).

    I don't see the issue with the 1000 cal diet if you're being supervised by your doctor, having regular blood tests etc. the easiest way to make the most of the diet would be to eat as 'clean' as possible (not something I do myself but if you've got that little to work with best to steer clear of empty calories).

    First, I would try logging everything you were eating before and see if it's more than you thought as 1000 cals is going to be pretty miserable.

    I put everything into the diet diary on this site :p no point in trying to lose weight if I lie to my diet diary.

    Well, if you're putting everything in (accurately weighed) you should be losing weight. I asked if you were logging because your diary's private - some people use the site just for the forum - no offence intended, just a question.

    If you're logging accurately, I'd go back to the doctor and demand more tests as a medical condition is the only way you wouldn't be losing on that diet.
  • Meikakiri
    Meikakiri Posts: 44
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    Thank you for the recipe meredithcoupo I'll substitute the almond milk for my skimmed allowance milk :)
  • Meikakiri
    Meikakiri Posts: 44
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    Thought I had it public will change that setting.
  • TavistockToad
    TavistockToad Posts: 35,719 Member
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    Height: 5 foot 2 inches
    Age: 24
    BMI: 43.9
    Weight: 109kg
    Activity: 30 minutes a day total aerobic and strength exercises, moderate activity rest of day.

    did you forget your age when you filled out your profile!?
  • Dragonwolf
    Dragonwolf Posts: 5,600 Member
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    Find a new dietician.
    With 65lbs to lose, there is no reason to eat that little.

    this!

    did a doctor actually give you this as a diet plan to follow?

    I've been trying to lose weight for 8 years and all I do is gain more....My doctors have given up on me because:
    Diet diary given every appointment,
    I've been on their healthy eating course= no results
    Gym membership 3 times a week, use 1 hour+ sessions = no results
    Many Blood tests = no results
    Tried Slimming World, Weight Watchers, Fasting Diets, Low calorie, low meat, high protein, low carb = no results
    Orlistat = no results.

    Have you had your fasting insulin checked? Not glucose, insulin. If so, what was it? Have you had your estrogen and testosterone checked?

    Do you have issues with your hair? Either falling out (from head) or growing where women don't normally get it (namely, face)?

    What are your periods like? Do you have skin tags or odd patches of skin? Acne issues?

    You don't have to answer these questions here, I ask them, because you sound a lot like myself. I was tracking, eating good foods, and working out pretty intensely and didn't get anywhere at all, even though I should have seen inches lost even if the scale didn't move.

    The list above is for PCOS (polycystic ovarian syndrome, and no, having cysts on the ovaries is not a requirement for diagnosis, but does also include easy weight gain/inability to lose weight, and depression), but it could be another hormonal/endocrine issue. It might be worth getting a referral to an endocrinologist and get the related tests done.
  • TavistockToad
    TavistockToad Posts: 35,719 Member
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    i looked at your diary for april and you hadnt logged?
  • cheripugh1
    cheripugh1 Posts: 357 Member
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    I've been given a diet by my dietitian for twelve weeks, I was hoping people could help me find ways to makes this diet less of a strain, e.g. vegetable recipes i.e. soups/stews/roasted etc.

    -Can add spices/herbs/stock
    -1000 Calories max per day.
    - 2 Fruit portions 50 calories max each
    -Skimmed milk allowance = 1/2 pint
    -2 Portions of veg [no potatoes] = 75 calories max
    -No other foods allowed.


    The diet:
    Breakfast: 1 meal replacement + Tea/coffee with skimmed milk allowance

    Mid-Morning: Tea/Coffee or low calorie drink

    Lunch: Serving of salad/vegetables + 1 portion of fruit.

    Mid-Afternoon: 1 meal replacement

    Evening Meal: Serving of vegetables/ Salad

    Bed-Time: 1 meal replacement.

    OK bad dietitian! I was put on this diet 800-1000 calories by my specialist (a DOCTOR) and my food diary is open if you want to look (check out the week of the 7th)... I eat normal foods, high protein is the key to keep your hair and body health up. This person has taken away your protein and these meal replacements are crazy! Even if you lose the weight you will not keep it off when you go back to real food. Plus I'm sure they are getting a $ kickback for the replacements. you need a new dietitian! As for soups you can buy them, Campbell's makes some great ones for low calorie that are great.
  • 3laine75
    3laine75 Posts: 3,070 Member
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    I hadn't heard of the NHS recommending slimfast. If they are doing so, it seems a bit counterproductive advice for someone with food/weight issues.

    I've got nothing else. I'm out.
  • Fit_Housewife
    Fit_Housewife Posts: 168 Member
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    What works for you may not work for all. 1200 calories seems to work for me. Who are you to judge? What certifications do you hold?
    Most people on here are going to tell you to up your calories despite the fact that you are working with a professional. I hAve been on every diet you can think of and even the ones that come with pre packaged measured food I have difficulty loosing weight.
    For me to lose weight I have to either
    1) cut calories to 1000-1200 a day or
    2) exercise 90-120 minutes a day and eat approx 1500 calories a day or
    3) do Atkins or a low carb diet

    I have meticulously counted my calories over the past month measure everything and using a food scale. For the last 30 days I averaged 1496 calories a day. I have done moderate exercise about 30 min 4x a week of which twice is with a trainer. also I have a 3 month old a two year old and a twelve year old whom I would say keep me pretty active. I lost 11 pds in the first 10 days when I averaged 1236 calories and have stayed the same since then. So I have decided to stick to 1200 calories for the next month and track my progress. Every body is different, I'm guessing my bmr is lower than the average person my age/weight and I may have underling medical issue but haven't figure that out yet.

    Here is one recipe I find helpful when Im hungry and don't have a lot of calories to spare:

    low cal cream of broccoli soup in my vitamix.
    I just threw in about a cup of leftover broccoli
    3 baby carrots
    1 cup unsweetened almond milk
    1 cup water
    1 bouillon cube
    Dash of chili powder
    ( I usually add a chunk of tofu for creaminess and protein but ran out and it was awesome anyway)
    Threw in the vitamix and put it on soup setting. Or you can throw in a regular blender then heat on the stove or microwave.
    Advice like yours is just as bad as the OP'S dietician.
  • Missjulesdid
    Missjulesdid Posts: 1,444 Member
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    I did a doctor supervised 800 calorie VLCD for 11 weeks. It was very difficult but I got through it and so will you. Mine allowed me more autonomy with food choices as long as I met protein goals and stayed under with sugar. I was able to eat fish and lean meats and chicken along with 1/2 of a piece of fruit and the occasional tablespoon of nuts or egg.. but I also enjoyed my share of zero carb protein shakes because it made it easier for me to meet my protein goals.

    Soups are your friend. Cabbage soup made with beef stock is delicious when it's loaded up with vegetables. I also like shredded cabbage with carrots an onions mixed with some vinegar and a bit of artificial sweetener. weird combo but it kind of reminds me of coleslaw.

    A nice salad with romaine and spinach with half of a diced granny smith apple was HEAVEN during my VLCD. I was also allowed an egg or tablespoon of nuts so I'd put that on my salad and dig in.

    Best wishes to you.