Is My Nutritionist Wrong?

badwolf4
badwolf4 Posts: 49 Member
edited November 14 in Food and Nutrition
Short story: I have a restrictive ED. I am currently trying to lose weight in a healthy way. With clearance from this particularly professional. Let's call her Gail. I have lost 50+ lbs in various methods, not all healthy, but I'm really focused on recovery and weight loss right now.

Yesterday I had an appiontment with her and she recommended I should eat no more than 1000 to 1200 calories a day and run/walk 5-6 miles per day to burn ~600 calories off. Specifically she said 500 calories net. She said this is the only way I can lose weight and I SHOULD do it.

I am 18, 5'9, 155lbs (BMI 22.9) with a large bone structure. I exercise regularly and drink plenty of water. I do not eat meat, dairy, or sugar. I don't eat packaged foods or foods that come from bags (chips, commercial popcorn, etc).

My BMR (Mifflin-St. Jeor)
BMR = 10 x weight (kg) + 6.25 x height (cm) – 5 x age (years) – 161
BMR = 10 x 70.3068 + 6.25 x 175.26 - 5 x 18 - 161 = 1547.443

So my TDEE, I'll say moderately active, is BMR x 1.55 = 2398.53665

Minus 1,000 for a two pound weight loss deficit is 1398.53665

I am SO confused right now! Please help, I tried to aid by doing the math. What am I missing? Should I even be deficient this much?

Thanks for your input :)

Replies

  • galgenstrick
    galgenstrick Posts: 2,086 Member
    Find a dietitian, not a nutritionist. The one you have should be fired if that is indeed what she said.
  • JoRocka
    JoRocka Posts: 17,525 Member
    edited March 2015
    Why would you want a 2 pound weight loss?

    Why are you trying to lose weight at all honestly?

    You're almost 10 pounds lighter than me- and I'm 5'8".

    That sounds REALLY REALLY off and wrong.

    And to answer your last question- "should I even be at this much of a deficit?" My instant and first rather visceral reaction is ABSOLUTELY NOT.
  • KHaverstick
    KHaverstick Posts: 308 Member
    It sounds to me like she's way off. You've done the math--even at an aggressive 2 lb/week goal, 1400 NET calories would be a minimum. And depending on how much you have left to lose, you might need a less aggressive goal (= smaller deficit = higher net calorie goal). Did she have a reason for suggesting such a low net?
  • ahamm002
    ahamm002 Posts: 1,690 Member
    Your calculations look fine, and that's being aggressive with a goal of two pounds per week of weight loss. Most people would eat even more calories and aim for 1 pound per week.

    It's definitely time to find a new nutritionist.
  • badwolf4
    badwolf4 Posts: 49 Member
    Quotes: "I'm not going to lie to you. If you eat 1200 net you won't lose weight"
    So you're recommending I eat 500 net? "If you want to lose weight"

    Yeah, I'll be reporting her tomorrow to another member of my team. Thank you guys for the reassurance. That's my other point! Like, okay, when I was obese two lbs was appropriate, but now you're recommending it when I've got like 10lbs left to lose?
  • levitateme
    levitateme Posts: 999 Member
    Based on the numbers you came up with, it seems like you know how much you can eat and still lose weight. I am a long time recovering restrictive eater (600-900 while walking 10 miles daily at my worst) and I can tell you, if I go below 1400 for a few days I'm close to the "danger zone" for my own mental health. You really don't need to pay a nutritionist to figure out what works for you, especially one who tells you 1000 calories a day is a good idea.
  • shreddedtrooper
    shreddedtrooper Posts: 107 Member
    Definitely find a new :) Best of luck, be sure to ask what they anticipate etc so you will have an idea and realize if you are headed in the right direction.
  • badwolf4
    badwolf4 Posts: 49 Member
    Problem is she's the only one available within the ED program. I'm going to try and transfer to a different center perhaps. It's a longer drive, but it's probably worth it.
  • ahamm002
    ahamm002 Posts: 1,690 Member
    badwolf4 wrote: »
    Problem is she's the only one available within the ED program. I'm going to try and transfer to a different center perhaps. It's a longer drive, but it's probably worth it.

    WTF??? A nutritionist in an ED center is recommending eating that little?? This is bad humor! Are you sure she's not actually a patient pretending to be a nutritionist?
  • badwolf4 wrote: »
    Problem is she's the only one available within the ED program. I'm going to try and transfer to a different center perhaps. It's a longer drive, but it's probably worth it.

    Wow. Please report her for the benefit of all the patients.
  • esjones12
    esjones12 Posts: 1,363 Member
    ahamm002 wrote: »
    badwolf4 wrote: »
    Problem is she's the only one available within the ED program. I'm going to try and transfer to a different center perhaps. It's a longer drive, but it's probably worth it.

    WTF??? A nutritionist in an ED center is recommending eating that little?? This is bad humor! Are you sure she's not actually a patient pretending to be a nutritionist?

    I agree.

    With your stats you are in the healthy weight range and shouldn't be anywhere close to a -2lb per week rate. Please do report her and find a new dietitian and/or program....that advice seriously is just whack. Props for realizing that :)

    Best of luck on your recovery and goals!!!
  • 4legsRbetterthan2
    4legsRbetterthan2 Posts: 19,590 MFP Moderator
    edited March 2015
    YESSSS SHE IS WRONGGGGGG!

    Also, she should go to jail, she is seriously going to encourage someone to slowly starve themselves to death?
  • SoDamnHungry
    SoDamnHungry Posts: 6,998 Member
    She's an idiot. Go get another one, and I agree with reporting what she said. That's horrible for anyone, and seriously damaging for an ED person.
  • Need2Exerc1se
    Need2Exerc1se Posts: 13,575 Member
    edited March 2015
    If it were me, I'd look into having my BMR checked. If you've been on a very low calorie diet for a while, it's possible, likely even, that generic online calculators will not be correct for you. By finding your correct BMR, you can form a plan that fits your needs.

    If that is not practical for you, then I'd simply tell your nutritionist that you aren't comfortable with such a large deficit and you'd like to try eating more at first. If you really aren't losing, then you can adjust.
  • jenluvsushi
    jenluvsushi Posts: 933 Member
    Oh I am sorry OP that you dealt with this moron. To tell ED patients to basically starve yourself is well...asinine! You are not overweight. I would not try to lose weight but concentrate on becoming more fit. You are at a perfectly healthy weight. If you wanted to do a recomp., that would be fine. To recommend an aggressive weight loss plan to someone like you is ridiculous! Two words....registered dietician!
  • michellemybelll
    michellemybelll Posts: 2,228 Member
    good god. hell no she's way off and unprofessional and should be fired and fined and sued. get far far away from her, but first report her and make sure she isn't ever allowed to doll out her ridiculous dogma to anyone else.
  • FatFreeFrolicking
    FatFreeFrolicking Posts: 4,252 Member
    edited March 2015
    badwolf4 wrote: »
    Short story: I have a restrictive ED. I am currently trying to lose weight in a healthy way. With clearance from this particularly professional. Let's call her Gail. I have lost 50+ lbs in various methods, not all healthy, but I'm really focused on recovery and weight loss right now.

    Yesterday I had an appiontment with her and she recommended I should eat no more than 1000 to 1200 calories a day and run/walk 5-6 miles per day to burn ~600 calories off. Specifically she said 500 calories net. She said this is the only way I can lose weight and I SHOULD do it.

    I am 18, 5'9, 155lbs (BMI 22.9) with a large bone structure. I exercise regularly and drink plenty of water. I do not eat meat, dairy, or sugar. I don't eat packaged foods or foods that come from bags (chips, commercial popcorn, etc).

    My BMR (Mifflin-St. Jeor)
    BMR = 10 x weight (kg) + 6.25 x height (cm) – 5 x age (years) – 161
    BMR = 10 x 70.3068 + 6.25 x 175.26 - 5 x 18 - 161 = 1547.443

    So my TDEE, I'll say moderately active, is BMR x 1.55 = 2398.53665

    Minus 1,000 for a two pound weight loss deficit is 1398.53665

    I am SO confused right now! Please help, I tried to aid by doing the math. What am I missing? Should I even be deficient this much?

    Thanks for your input :)

    She's an absolute idiot and I would report her to HR.

    Individuals with ED's in recovery are advised to eat well over 2000 calories a day... Usually closer to 3000 cals.

    At 5'9" and 155 lbs, I don't know any reputable psychologist or psychiatrist who would support you losing weight because you are already at a healthy weight.

    If you don't like the way your body looks, look into body recomp. But losing weight is NOT in your best interest.

    FYI, NEVER take nutrition advice from anyone but a registered dietitian.
  • r5d5
    r5d5 Posts: 219 Member
    This is a sensitive area of course because as you have mentioned, you have a history of disordered eating. I would like to first tell you that you're very brave for sharing that, I know it can be hard to talk about. So thank you for that.
    I also appreciate your attitude of wanting to do this healthily. It's very hard to change our thinking once we've been down that dark road of disordered eating, but of course it is possible!
    I think you should tell your "professional" Gail to go piss off. She sounds soooo helpful..... A nutritionist is NOT a dietitian. A nutritionist is NOT a professional. Anyone can be a nutritionist.
    A dietitian on the other hand IS a professional, as that is someone who has a 4 year degree at an undergraduate university and also holds a Master degree. You should speak with a dietitian. A dietitian will be able to give you much more beneficial and useful advice and meal plans. A dietitian will also be able to give you guidance for managing your eating disorder. An eating disorder is not something you should try to tackle on your own. There are many places to reach out to, and I suggest that you do. You don't have to face recovery alone!

    All that said, in the meantime while you schedule appointments for a DIETICIAN and reach out to either a guidance counselor, counseling, therapy, what have you, I would say please, please, IGNORE GAIL!! Do not follow that horrid advice. You're math appears correct to me, but again, I would verify this all with a PROFESSIONAL. I would say eat at 1547 calories. That's a less aggressive goal than 1398, so probably 1 lbs loss a week.
    Considering that you do have a disordered eating history, I would suggest that for you, working on sustainable, healthy eating habits and thinking patterns towards food in general will be more helpful than trying to lose 2lbs a week. Slow and steady wins the race :) It's far better to be in a healthy state of mind than to lose yourself again to disordered thinking!


  • Dragn77
    Dragn77 Posts: 810 Member
    I completely agree with reporting her. It sounds like you are on an amazing track and have progressed to the point that you are able to see that something is not quite right with her advice, which Im going to say is amazing considering you are in recovery.

    Someone who is not as far along as you are could, and will take her advice, which would do nothing more than confirm and propagate their issues. You are within a healthy weight range and have only 10lbs to go, definitely no need to be so aggressive.

    BTW, I'm super proud of you that you were able to see that and taking control over your body to work out the math for yourself and see the truth instead of blindly following her recommendation!
  • r5d5
    r5d5 Posts: 219 Member
    i apologize for the super long response! I just want you to know that mental health is just as important as physical health and you don't need to be alone to find a balance between the two! Please reach out to health care providers!

    Best of luck to you, and I hope you find a balance and reach a healthy mental state!
  • StaciMarie1974
    StaciMarie1974 Posts: 4,138 Member
    Generally speaking, if something seems wrong to you - trust your instincts. I agree with reporting her - there must be someone overseeing the center, yes?
  • EmilyTwist1
    EmilyTwist1 Posts: 206 Member
    On a side note, in some countries, nutritionist is the term for the regulated, certified professional. If the OP is outside the US, the advice to seek a dietician may not be accurate. That said, what ever certification this nutritionist may have, she's clearly not qualified for her job.
  • Hey there, it sounds like this women, Gail is a quack. Even this app will tell you that as a women we should NOT go under 1000-1200 calories a day. And I agree, I am no expert, meaning I have no degree or such but I have studied a lot of nutrition and food and I think you are probably at your goal weight. Basically, if you are 5 feet 9 inches, at even 100 poounds for the first 5 feet and 5 pounds for every inch after you should weigh =100+9*5) = 145 pounds at the least. Also, as you mentioned you are large boned here is a good website to calculate what bone structure you have.

    http://health.bizcalcs.com/Calculator.asp?Calc=Frame-Size-Wrist

    So you would be large boned if the circumference of your wrist is at least 6.75 inches. And you should weigh between 149-170 pounds. So at 155 you are at a perfect weight. I would recommend doing toning exercises and eating around 1600-1800 calories at day focusing on clean eating. No white bread, no refined carbs and good protein. Hit your protein requirements every day and your muscles will have what they need to look their best. Drink water but not too much. And use this app to guide you. I love this app. Preplan your meals and focus on healthy eating and exercise that you enjoy. Swim, bike, jazzercise. Do Youtube exercise videos. I love this one:

    https://www.youtube.com/watch?v=iaLm_UTF9aA

    This video actually works. I saw a difference in 2 workouts. It's only 10ish minutes. Do a few of these a day and you will be on the road to looking your best. Focus on your accomplishments. You've already come so far. Keep working at it. Best of Luck to you.
  • Mr_Knight
    Mr_Knight Posts: 9,532 Member
    badwolf4 wrote: »
    Yesterday I had an appiontment with her and she recommended I should eat no more than 1000 to 1200 calories a day and run/walk 5-6 miles per day to burn ~600 calories off. Specifically she said 500 calories net.

    I am extremely not comfortable with this. Heavy exercise loads + low calorie intake is a guaranteed way to strip away lean body mass.

    *Guaranteed* - there's no room for discussion - it *will* happen.



  • badwolf4
    badwolf4 Posts: 49 Member
    Again, thank you for the support everyone. I've left a voicemail for the head of the team.
  • down_ell_beez
    down_ell_beez Posts: 23 Member
    500 net calories sounds very similar to the quackery that people call the HCG diet. Where they ridiculously restrict calorie intake, give you some bunk supplement, then tout how much weight you lose. Of course people lose weight at 500 calories...you're hair also falls out from nutrient deficiency after a while. Not healthy at all!

    I'll second someone else's recommendation to see a certified dietitian, they have actual degrees and have to have ongoing training and licensing.
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