what does your doctor say?
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My doctor seems more interested in sticking her finger in my butt then my weight. She is young and attractive and yet I am having an issue with this.0
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I went to my lady doc for my yearly and found out I'd put on 10 pounds, when I acted apologetic she said, "you're fine". Then I went to a different doc for blood tests and practically the first thing she said was, 'you're so overweight you're probably diabetic". (which I'm not, numbers are basically perfect).0
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I had set up with a new PCP at my highest weight when I started counting calories. Came back a year later and 30 pounds lighter and my PCP was so excited! Told me to keep up the good work lol0
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I get weighed and measured once a year when I got to see my GP for my annual physical, but nothing is ever really said about my weight, even though I'm definitely quite heavy for someone my height (4'11). All my labs and vitals are great (eg. super low cholesterol & blood glucose, BP 95/65, RHR 52), and last time I was told that I was probably one of the healthiest patients he has ever seen and to keep on doing whatever it was I was doing since it was obviously keeping me in good shape.0
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My doctors always just say to lose weight. Sometime organising a dietician or other specialist. I haven't actually been to a doctor in a few years I think.
One time I was told I should eat more fish for the good fats etc cause they were low.
Might be a good idea for a check up maybe?0 -
TheVirgoddess wrote: »Before starting this whole thing, on my first visit with him, he told me "you need to lose weight" - and we discussed ways to go about that.
Now he tells me that I can stop losing weight and that he's proud of me.
I think doctors that don't address obesity with their patients are doing them a real disservice.
100% this. I think they feel awkward but in all honesty, being obese is a health risk. If my doctors had said something sooner, I would have gone something sooner. My PCP that I have now sat me down in her office in July and didn't sugar coat it. She is very happy with my progress so far.
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Interesting phenomena here. I see a practice which has a lot of turnover. One year I said I was concerned about my sore knees and the (ultra-thin) doctor snapped "lose the weight". No advice how to do it. Next time I saw a chubby doctor who admitted he had no idea how to lose weight himself. This past time I brought it up with yet another doctor, a nice woman, who gave me some fresh insights into the situation. She is at a healthy weight.0
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Started with a new one this week since my old one isn't on my insurance. Told her I switched from LC to full keto again since I got sick again last year, she said good. Asked how much I was trying to lose a week, and told me to go easy on saltier stuff to try and get the fluid down more. Told me to let her know if there's another drastic drop before my next appt in case she has to adjust my meds to a new weight.
Honestly, I can't wrap my head around the idea of a GP who doesn't get involved. Urgent Care or E/R doc, sure, but someone who is in charge of keeping straight all the different things involved, I don't think I'd trust them.0 -
Doctors dont bring up weight that often because our society is PC as hell and you can't bring it up. I will only bring it up on certain occasions and if the person seems receptive and even then I sugar coat the hell out of it0
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Mine just usually mentioned it along with other healthful suggestions, "try to lose some weight." When I returned and had lost 27 pounds at the time, she praised the loss and encouraged me to continue.0
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Mine asked what I was doing to lose weight and when I said WW, then MFP, she said, "Yeah, that's what all my successful patients say. It's the tracking, isn't it?" Then she bumped me down from 2 checkups a year to 1, removed the pre-diabetic diagnosis from my chart and told me to keep up the good work.0
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Started with a new one this week since my old one isn't on my insurance. Told her I switched from LC to full keto again since I got sick again last year, she said good. Asked how much I was trying to lose a week, and told me to go easy on saltier stuff to try and get the fluid down more. Told me to let her know if there's another drastic drop before my next appt in case she has to adjust my meds to a new weight.
Honestly, I can't wrap my head around the idea of a GP who doesn't get involved. Urgent Care or E/R doc, sure, but someone who is in charge of keeping straight all the different things involved, I don't think I'd trust them.
Sounds like you found a great doctor. That is, sadly, rare.0 -
My husband asked his doctor about losing weight. His doctor said "Your blood work looks great, and you get 10-15 hours of exercise a week - you're good." He's been slowly losing weight anyway.
My doctor looked at me last time I went in for a sinus infection "You've lost 12lb since I saw you last - is that ok?" I always love it when my doctor asks me if something is of medical concern.
That seems a logical question. 12 lb loss is great if you are trying to lose weight. It could be a sign of trouble if you aren't.0 -
The thing that drives me crazy is that for years and years I had signs of insulin resistance, many signs of it including the dark skin patches, but because my A1C was always normal, they said I had no problem there.
This is basic stuff here! A1C can be normal with insulin resistance because you are still regulating blood sugar it's just that it takes a crapload of insulin to do it!
It took me about 8 years to get this diagnosed. Knowing that I have IR explains a lot about my eating problems and points very clearly to dietary and activity adjustments that are crucial to managing this condition and my weight.0 -
I'm 5'6 and weighed 11st 5ibs. My doctor said to me that "I've been having too much fun and need to put a stop to it" - she's right as I'm just over the healthy BMI range but seems bit of an overreaction. But hey I'm here to put things right again.
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I've had over a decade of unhelpful doctors, most of which I felt just barked at me to lose weight, without any help on how. Some of the very special ones even insinuated I was liar and made me feel like a hypochondriac, but that's besides the point. It didn't matter what I was there for either: physical to play sports- "you need to lose weight and exercise more"; depression - "you need to lose weight and exercise more"; hair loss - "lose weight, exercise more". Every time.
Recently though I went to a new doctor to get my thyroid script updated and she hasn't fallen in to the old dr. stand by. She's made me schedule appointments a month or two in advance for checkup (as I'm leaving so I don't forget), done all sorts of blood tests (testing cholesterol to vitamin deficiencies to thyroid), helping me with an asthma plan, sent me to a exercise physiotherapist, dietitian, and a specialist for a unrelated issue due to family history not my own health. I seriously feel like she's thought of nearly everything, taken into account my own history as well as my family history and done all of it without lecturing me, talking down to me, or brushing me off. I had a 2 month appointment with her a few days ago and she was obviously happy at my results and interested in how I was doing with diet, exercise, and asthma. I don't think I've ever had a doctor who actually cared before; it's a nice change.0 -
My doctor never said anything specifically about losing weight...but he did pretty much tell me I needed to get my *kitten* together or I was going to be in for some not so pleasant health complications at a pretty young age.0
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Mine now uses me an an example for her other patients. She says if I can lost 83 pounds in a year with Fibromyalgia and Diabetes AND vertigo, then what is your excuse! She has even told them to get the MFP app and a fitbit. Apparently I am her current poster child. She usually in the middle of the waiting room each time says 'How much have you lost now, Karen', it's embarrassing but kinda cool to have someone pumping you up lol0
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sounds to me like you ARE an inspiration! 0
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My first appointment with my doctor was in December 2012, when I was 213 pounds. She just told me 'you probably already know this, but you're obese' and just told me what I was at higher risk for, but with a very 'matter of fact' way, with no judgement. I really appreciated. Then she started ordering an EKG because I was at risk for heart issues with my weight. That's where I started freaking out, lol. She never once told me 'you have to lose weight'. It was more like 'it's your choice to be big, but just know that these are the risks'. I loved her for it.
Ok she hasn't given me the best advice since (telling me to eat low fat because of my cholesterol), but otherwise she's been very thrilled with my weight loss.0 -
I haven't been to see a doctor in a few years because I'm never ill, but my nurse mentioned my weight because the type of contraceptive pill I'm on is less effective and riskier if you pass a certain weight (which I had). But instead of just saying, 'you need to lose weight,' she referred me to the weight management nurse who has been very helpful. I'm almost looking forward to the next time I got to get my repeat prescription for the pill with the original nurse, as slowly but surely I have been making a difference in the right direction.0
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In another thread the OP mentioned being measured by a nurse and told her waist measurement was too high. I was struck by this because my doctors NEVER bring up my weight unless I talk about it first. And I have a good 60-70 lbs to lose to be in decent shape. Including the kind of belly fat that is very unhealthy.
It was me - as I have asthma we have to have yearly check ups here in the UK. At the same time the nurse conducts a well woman check - blood pressure, weight, waist, basic questions on smoking, exercise and alcohol. She noticed how much weight I had lost from the last one ( 28 lb) and was very interested as she was overweight herself and was curious how I'd done it. Then the waist measurement and the brief discussion Me - "it's still not good is it?" Her - "you've got a bit more to go". But no more detail than that.
That was last year and I've lost 14 lb since then. Hence posting that thread. But I know she still won't be happy.
As for the doctors.... they never once told me I was overweight. Even as I was going in for major surgery and I was apologising to my surgeon for my belly fat at 5.1ft and 175 lb, he said "you're OK" - he was trying to keep me calm I think!
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Need2Exerc1se wrote: »My husband asked his doctor about losing weight. His doctor said "Your blood work looks great, and you get 10-15 hours of exercise a week - you're good." He's been slowly losing weight anyway.
My doctor looked at me last time I went in for a sinus infection "You've lost 12lb since I saw you last - is that ok?" I always love it when my doctor asks me if something is of medical concern.
That seems a logical question. 12 lb loss is great if you are trying to lose weight. It could be a sign of trouble if you aren't.
She knows that I'm trying to maintain weight, and am clearly struggling with it. We have a diagnosis that explains the weight loss, but it doesn't keep it from happening. I'm not sure what I was expecting, but to be asked if the loss was ok - wasn't it.
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I don't have a regular doctor so I don't really know. The only time that I go in to see anyone is when I go to an urgent care facility for antibiotics. I can't recall the last time I went in just for a check-up0
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My doc always mentions my weight when I go in for my yearly physical, I think it's just a part of the whole process. Although last time when he mentioned my weight he said, "you're perfect - I don't want that number to change at all" I could have kissed him
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It was me - as I have asthma we have to have yearly check ups here in the UK. At the same time the nurse conducts a well woman check - blood pressure, weight, waist, basic questions on smoking, exercise and alcohol. She noticed how much weight I had lost from the last one ( 28 lb) and was very interested as she was overweight herself and was curious how I'd done it. Then the waist measurement and the brief discussion Me - "it's still not good is it?" Her - "you've got a bit more to go". But no more detail than that.
That was last year and I've lost 14 lb since then. Hence posting that thread. But I know she still won't be happy.
As for the doctors.... they never once told me I was overweight. Even as I was going in for major surgery and I was apologising to my surgeon for my belly fat at 5.1ft and 175 lb, he said "you're OK" - he was trying to keep me calm I think!
That's interesting. I was actually wondering if one of the differences was the UK (because of the NHS) perhaps having more of a focus on preventative care and risk assessment than here in the US, but that seems not to be the case with this example. Probably it's just how the doctor is personally for the most part, wherever one is.
As I mentioned either here or in the other thread, my insurance company has a risk assessment program that focuses on stuff like BMI and waist measurements and all that, whereas my doctor just seems to be more focused on individual specifics.0 -
In another thread the OP mentioned being measured by a nurse and told her waist measurement was too high. I was struck by this because my doctors NEVER bring up my weight unless I talk about it first. And I have a good 60-70 lbs to lose to be in decent shape. Including the kind of belly fat that is very unhealthy.
It was me - as I have asthma we have to have yearly check ups here in the UK. At the same time the nurse conducts a well woman check - blood pressure, weight, waist, basic questions on smoking, exercise and alcohol. She noticed how much weight I had lost from the last one ( 28 lb) and was very interested as she was overweight herself and was curious how I'd done it. Then the waist measurement and the brief discussion Me - "it's still not good is it?" Her - "you've got a bit more to go". But no more detail than that.
That was last year and I've lost 14 lb since then. Hence posting that thread. But I know she still won't be happy.
As for the doctors.... they never once told me I was overweight. Even as I was going in for major surgery and I was apologising to my surgeon for my belly fat at 5.1ft and 175 lb, he said "you're OK" - he was trying to keep me calm I think!
As a surgeon he could also have meant 'you're okay, it shouldn't affect the surgery or healing'.0 -
Before I started working on my weight I was at an appointment with my GYN and he was so excited about the fact that I had maintained my weight within a 5-10 range for 15 years. While I understand yo-yoing is bad for your body I could not get into his enthusiasm being that I was so overweight (244 @ 5'2"). His example was how many people can attend a high school reunion 10 years later at the same weight
The more reasonable conversation was with my medical Dr. and we discussed a weight goal for me based on 'me' my age, race and body type. This was probably the best conversation ever, not one based on a chart that was made 60 years ago. I suggest that anyone engaging a conversation with their doctor make it clear that the goal should be addressed to them specifically in that it is reasonable, attainable and maintainable.0 -
lemurcat12 wrote: »
That's interesting. I was actually wondering if one of the differences was the UK (because of the NHS) perhaps having more of a focus on preventative care and risk assessment than here in the US, but that seems not to be the case with this example. Probably it's just how the doctor is personally for the most part, wherever one is.
The NHS has a fantastic website with a lot of weight loss advice, tools and menu planners. It's been really well thought out. I'd imagine that if you went to your GP for advice on how to lose weight you would be referred to the website. There is, in some areas, a budget to send people to weight loss clubs as well.
However I have never heard of a GP giving strong advice to lose weight, when going in with possibly weight related issues, though your weight is likely to be brought up by nurses in checks for things like asthma, diabetes, and even at smear tests. Once the nurse has got you in she does seem to have a few boxes to tick off. My friend who had a heart attack last week (age 43) has been asked to present himself to the nurse and dietician next week. But all last year when he was seeing the GP with dizziness and migraines he was never given any general advice on his diet or obesity.
I wouldn't say preventative health care is very strong in the UK, yet.
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