Doctor says 1200, trainer says 3800, what do you say??
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amusedmonkey wrote: »tippettbrian78 wrote: »
You may end up with loose skin regardless of your weight loss speed. Don't think too much about it, you're either lucky or unlucky in this this regard and not much can be done about it. Focus on getting healthier first and foremost.
That doesn't bother me at all. I just want to get back into shape and feel better overall.0 -
tippettbrian78 wrote: »What's a safe weight loss goal to set? Trainer says I should average 5lbs a week, doc says 2. Which is actually "safe"?
So your dr suggests 2lbs but gives you a bigger deficit?0 -
tippettbrian78 wrote: »What's a safe weight loss goal to set? Trainer says I should average 5lbs a week, doc says 2. Which is actually "safe"?
So your dr suggests 2lbs but gives you a bigger deficit?
Doctor went to East Carolina before getting his PHD, if that means anything...
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teagirlmedium wrote: »Safe wise 2 pounds, but you said your trainer said to average 5 pounds. If the person is actually your trainer then you should do what they say. If you are going to pay a trainer you should follow their program. That or tell your trainer what your doctor said and tell them to adjust their plans for you to fit the weight loss goal your doctor said to aim for.
Excuse me?
So someone should follow the advice of a person who has potentially no qualifications as opposed to a qualified medical professional who has her medical records to hand
My trainer would never give me dietary advice ...he just pointed me to MFP
What qualifications does your trainer have in nutrition by the way OP?0 -
That said at morbidly obese you can lose more than 2lbs a week healthily ...0
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1200 is super low for you. It counts as a very low calorie diet (VLCD). Does your doctor have experience implementing these types of diets? Sadly, many doctors really don't know much about weight loss so it is a good idea to ask many questions. If you decide to do a VLCD make sure you have appropriate medical care. That means working with a doctor or dietitian (not nutritionist) with experience with this type of diet. Alternatively, you could try a less aggressive approach, such as the amount MFP recommends.0
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I'm thinking we're not getting the whole story.girlviernes wrote: »1200 is super low for you. It counts as a very low calorie diet (VLCD). Does your doctor have experience implementing these types of diets? Sadly, many doctors really don't know much about weight loss so it is a good idea to ask many questions. If you decide to do a VLCD make sure you have appropriate medical care. That means working with a doctor or dietitian (not nutritionist) with experience with this type of diet. Alternatively, you could try a less aggressive approach, such as the amount MFP recommends.
I would also add that the most trainers are even more clueless about nutrition. f you're doctor is recommending such an aggressive approach i'd ask hi to refer you to a dietician,
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teagirlmedium wrote: »Safe wise 2 pounds, but you said your trainer said to average 5 pounds. If the person is actually your trainer then you should do what they say. If you are going to pay a trainer you should follow their program. That or tell your trainer what your doctor said and tell them to adjust their plans for you to fit the weight loss goal your doctor said to aim for.
Excuse me?
So someone should follow the advice of a person who has potentially no qualifications as opposed to a qualified medical professional who has her medical records to hand
My trainer would never give me dietary advice ...he just pointed me to MFP
What qualifications does your trainer have in nutrition by the way OP?
Yes, the OP said the person was their trainer. To me that means the OP has chosen to pay this person per hour for the trainer to help them lose weight. Which means the OP should stick to what the trainer says, because they have chosen to pay a bunch of money for the trainer to give them advice and help them work out every time they see the trainer. If the OP does not listen to the trainer then the OP is just wasting money on someone they are not really going to listen to. If you finished reading my post you would have seen that I also said the OP could just tell the trainer to adjust their plan to fit what the doctor said the OP's weight loss goal should be.
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tippettbrian78 wrote: »Thanks for the advice everyone. I scheduled an appointment with the company nutritionist on Monday. I'm 6'4" and MFP recommends 2680 a day. Maybe MFP is smarter than either of them!
I don't see how you can make it on 1200 being that tall and overweight. I'm 6' female and my suggested calories is close to 2000 and I'm losing just fine. I would crash hard, pass out, have no energy, etc. on 1200 daily.
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My question is: is the doctor taking in to account the exercise? The trainer is probably suggesting that you "eat back" at least a portion of the calories you burn while exercising. In my opinion (and I am not a dr or trainer), 1200 seems too low; 3800 seems to high. The MFP suggestion of 2600 (or whatever), seems more reasonable for a 6'4 male (I think I read that) who is exercising.
My husband is 6'3 and about 200lbs (he is not trying to lose/gain); he maintains (while working out) at around 2500 cals.0 -
Trainers are never supposed to go against doctors orders! I'm shocked. You can however have them in the same page with everything if you sign the right papers so they can speak together about your weight loss. Also, depending on circumstances and insurance, your doctor might be able to write s script for personal training.0
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Most people don't realize most doctors are not qualified to give weight loss advice because they are not required to take nutrition classes while attending medical school.
My doctor sent me to qualified nutritionist when I needed advice on weight loss. I was very happy with the guidance I received from my nutritionist.0 -
personally i would go by the scooby workshop calculators and set your goal from there. take into consideration that a vlcd is not long term sustainable and you could be not getting enough nutrients from food. i was on 1200 calories for 4 months and i lost 2 stone but it was not sustainable when especially since i only have 17-20lbs to go now so i have set the goal at a slower loss and slowly increased calories. i couldnt even get through a workout at 1200 calories any more. certainly take a look at http://scoobysworkshop.com/0
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Ask your doctor why he says 1200 calories?
That's crazy low for a man, and would be hard to stick to for anyone.
Maybe ask him to refer you to a registered Dietician.
As for the trainer - I wouldn't listen to any trainer for nutritional advice.
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Unless you have some urgent chronic health issue where you MUST lose as much weight as possible NOW then 1200 is really quite unnecessary. Of course losing weight will improve your health drastically, but a person your size will lose weight just fine eating more than that.
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tippettbrian78 wrote: »What is your dr's reason? If for example he/she has concerns about your health that need your weight to drop fast, then this is different than just giving you a random number. But this is something to discuss with the dr, not the trainer.
I'm just too fat! That plus my family history has about every bad thing know to man in it.
I think you should invest some time into learning about weight gain/loss and how it works. Seeing how your life is going to be devoted to it for quite some time it's clear you don't know anything about it just by the numbers you put out there. You can't lose 2lbs per week eating 1200 calories and 5lbs per week eating 3800. It makes no sense and with a little knowledge you would have known this. The more you learn about it the more you can control it yourself.0 -
I don't know if you're a man or a woman. But for either, 1200 is not nearly enough and 3800 sounds way too high. I do not count calories myself. But in general, you need to consider your height and the bodyfat you want to get to and your build (small, med or large frame) and your age. Then decide for yourself using some reliable online tools. Like fat2fit. In general, if you're female, somewhere between 1500 and 1700 and a male somewhat more. The amount of weight you lost seems excessive to me but it was probably water. It comes off quickly at first and then slows down as you take off fat. But trainers are salespeople. They are really not qualified to advise you on nutrition. At the same time, most doctors are clueless about nutrition. You are on your own in this area.0
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I'd ask for a referral to a specialist. If your doctor is so concerned that he thinks you should be eating so little, I would want a complete plan not just a seemingly random number.0
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teagirlmedium wrote: »teagirlmedium wrote: »Safe wise 2 pounds, but you said your trainer said to average 5 pounds. If the person is actually your trainer then you should do what they say. If you are going to pay a trainer you should follow their program. That or tell your trainer what your doctor said and tell them to adjust their plans for you to fit the weight loss goal your doctor said to aim for.
Excuse me?
So someone should follow the advice of a person who has potentially no qualifications as opposed to a qualified medical professional who has her medical records to hand
My trainer would never give me dietary advice ...he just pointed me to MFP
What qualifications does your trainer have in nutrition by the way OP?
Yes, the OP said the person was their trainer. To me that means the OP has chosen to pay this person per hour for the trainer to help them lose weight. Which means the OP should stick to what the trainer says, because they have chosen to pay a bunch of money for the trainer to give them advice and help them work out every time they see the trainer. If the OP does not listen to the trainer then the OP is just wasting money on someone they are not really going to listen to. If you finished reading my post you would have seen that I also said the OP could just tell the trainer to adjust their plan to fit what the doctor said the OP's weight loss goal should be.
So because he's giving someone money he should take their advice on areas they are not qualified to advise on? ...I'm sorry but I find that a dangerous viewpoint...there is a reason the weight loss, health and fitness industry is a multi-million pound industry with snake oil salesmen, fads and gimmicks that rarely work long term
A trainer is supposed to be qualified for fitness advice, but again they vary and finding the right one with the right knowledge can be tricky
I think the OP should either educate himself or consult a professional dietician0
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