Pumpkin---also a dietician. I'm a little worried that the dietician is going to try to make me follow a diet that I don't want to follow. What if I get someone who thinks low-carb is "wrong"? Or they can only agree with the government-recommended guidelines…….

Please be prepared to face all of this..BUT the night before re read Dietdoctor.com 16 points of LCHF dieting..you will find ALL conventional trained RDs will promote grains..they have NO OTHER frame of reference.

They will say LOW CARB is fine, but attack fats. If you say Mediterranian you will get far less argument,
always say Healthy fats..never high.

In my case VVL protein, non-meat is proven safest. High fats are good for me, not bad! but the RD pushed 50 carbs per meal (600 calories) , and only 70 gr fats a day (630 calories) on 1500 calories and she thought was too high!!! but wanted me to "stick to it"….slowly they will ask me to reduce fats, I know it, they always do,

What you will hear is " some carbs are good, keep you from falling off the diet"…when we know carbs will leave you hungry every 4 hours when they deplete..so the RD will want you to eat carbs.

Worst is they will point to all the studies that PROVE high fat is not good long term. especially saturated fats,
NONE of my "medical team" has read/trusted anything in the last decade, or they read these poor studies as truth.

EVERY study is based on 40-50% carbs BUT is TESTING the fats!!! .the BEST one to show the idiocy of this thinking is this one: ( I am a kidney patient..this diet was testing mainly FATS for kidney disease)

In this diet SATURATED fats are only 6.6%..while poly/mono are 25% of the BAD diet…. but saturated get all the blame…because they tested 50-60 carbs TOO-- you can't do that!!! The inflammation and problems come from the high carbs AND trans/poly fats. the other diet has a small fats % but 60% carbs…..

http://ajprenal.physiology.org/content/301/5/F919.long
The Western-style diet: a major risk factor for impaired kidney function and chronic kidney disease

Good luck..sometimes it is best to just smile and say yes, and not try to educate them and challenge their 'expertise'

I would just smile and nod to the dietitian. At some point studies mean next to nothing, as a single person you're at that level. You are you, and you are great, and you do best on LC. Just don't tell them that

Do some research. It isn't likely, but just maybe there is a dietician in your area who has room in his/her mindset for low carb for some people. Then request that dietician instead of whoever you are referred to if at all possible given insurance and budget issues.

I can't think what else you can do. The problem with going to see a dietician who knows you have BED is that everything you say will probably be countered with, 'that's your disorder talking' so it will even be hard to educate him/her away from the cult of heart healthy whole grains. Blech, what a situation to be in!

minties82 wrote: »

Just keep in mind that advice from a health professional isn't the law, you can take on their ideas, go home and think about them, and decide if they apply to you or not. Don't be afraid to say no to them.

This. I strongly advise that everyone do this with ALL their professional helpers (doctors, counselors, dietitians, and so on). And get a second, third, and fourth opinion if something doesn't sit well with you about your diagnoses or treatment recommendations. Shop around if you and your medical professional(s) don't see eye to eye legitimately (not just because of you being hard-headed--if that happens--which, though it's hard to admit it, happens sometimes with almost everyone).

Ditto- "Shop around if you and your medical professional(s) don't see eye to eye legitimately."
You haven't met this person yet, so wait and see if they are open to your ideas and your idea of proceeding ahead. This is about you, not pleasing someone else. Who knows, this may be really great! If not, just be frank. You may be pleasantly surprised. (Think good thoughts.)

The key is to find someone you trust, who understands what is working for you, understands what you are comfortable doing and is willing to work within your parameters. I'm getting too old to just smile and nod at this stage of my life. It's a waste of time and money to check-in with someone and you internally are thinking, "yea, right, I'll get right on that. - not."

Low carb has been the ONLY thing that has ever really helped me fight BED. I am 32 and have always had a funny relationship with food, that turned into BED some time during my teenage-hood. This year has been the best time of my life. I still fight it, and still have the odd time where I will binge, but it's more like once every few months rather than every day or two.

The second best thing was to find a counsellor that I got along well with. I haven't seen my counsellor for a long time and felt myself slipping into old habits, sadly he doesn't live in the area now.

I find it hard to get people to understand BED if they haven't experienced it themselves, a dietician advising me on what foods to eat for good health would not stop binging urges, any more than telling a dog how to wag his tale will stop him from barking.

minties82 wrote: »

The second best thing was to find a counsellor that I got along well with. I haven't seen my counsellor for a long time and felt myself slipping into old habits, sadly he doesn't live in the area now.

Could you reach out and ask for a referral from him? It would be well worth the call or email, because if he used to be in that area, I imagine he still knows professionals of similar mindset...or might be willing to do email/phone consults! Good luck.