Doc put me on 800 calories a day

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  • rsclause
    rsclause Posts: 3,103 Member
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    Me, I would immediately attempt a balanced 1200 calories diet while I was seeking more information regarding the 800 calorie target. You should start to see significant weight loss and if you get started now you will be ahead of the game. If the loss is going well you may not need to be more restrictive. this is going to be tough on you buts it is important, no cheating. The weight loss will also help ease stress on your back too.
  • jennylynne77
    jennylynne77 Posts: 6 Member
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    Like everyone else, 800 sounds low but if you have 150 pounds to lose, then it's probably not unhealthy. However, mentally that seems hard to sustain. Another factor is what is making up those 800 calories. 800 calories of lean protein, healthy fats, and veggies is a lot different than 800 calories of pasta, bread, potatoes even though technically they are both 800 cals.

    I came across this last week. Hope it can be of some help.
    http://fourhourworkweek.com/2012/07/12/how-to-lose-100-pounds/

    Best of luck to you with the weight loss and surgery.
  • Michael190lbs
    Michael190lbs Posts: 1,510 Member
    edited September 2015
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    If you have to lose 150lbs to do it right your looking at a minimum of 18 months at a 1000 calorie daily deficit. Diet is such a horrible word you need to make a life decision soon a healthy weight or more surgeries and other health issues.. I'm assuming your surgeon told you 800 calories because of your caloric choices to this point in your life. Personally I would never plan to go under 1200 calories and from what I have read its not healthy either..

    Funny story My X wife (doctor) had a alcoholic patient and she informed him he needed to slow down on his drinking.. He said you know doc I see a lot of old drunks but not a lot of old doctors.. True story..
  • yarwell
    yarwell Posts: 10,477 Member
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    tabi_berry wrote: »
    Okay. I know I really need to lose weight so that I can have back surgery. But, does 800 calories a day seem healthy? I need to loose about 150lbs. I pretty much have a sedentary life due to deteriorating disk and bulging disk in my back.

    Did they prescribe a specific diet, or product or just a number ? 800 cal VLCDs are a recognised medical intervention for obesity, typically using products that ensure full nutrition.
  • amusedmonkey
    amusedmonkey Posts: 10,330 Member
    edited September 2015
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    800 calories is very low and not as healthy as 1200 calories, which is not as healthy as 1500 or 1800 etc.. The thing is that sometimes doctors need to make a less healthy choice to get out of a more dangerous situation as soon as possible. In your case, treating your back may be the priority. Just make sure to consume as many calories from nutrient dense food as possible and ask your doctor if you need to supplement with a multivitamin or some other supplement. Since you have quite a bit to lose, chances are you will be able to handle a very low calorie diet with less complications and side effects than a regular weight person, but keep watch regardless and have regular checkups.

    This is also a situation where you may be on a certain schedule for the operation. I don't know the specifics of your condition, but I believe talking to your doctor about it asking them if it's really urgent to lose the weight fast or if it's okay to take your time is a wiser thing to do than to listen to random people on the internet, me included, after that you could make your own choice.

    I was put on a 800 calorie diet at first. The goal was get out of the "super obese" BMI range as soon as possible because I was very close to being diagnosed a diabetic. It was very hard and it lasted 10 weeks, but you do adapt after a while. Thankfully it had no ill effects on me and I was able to comfortably increase my intake by as much as I wanted as soon as I was out of the danger zone.
  • starryphoenix
    starryphoenix Posts: 381 Member
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    Unless if you have some sort of special illness that makes it so you have an extremely low metabolism I wouldn't go below 1200. There are people that can eat 600 calories safely, but they have special diseases.
  • besee_2000
    besee_2000 Posts: 365 Member
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    Those that under go the band to shrink their stomach probably eat about this amount in a day. If morbidly obese, 800 is commonly prescribed for a quick and fast weight loss. It's not sustainable but that's because it doesn't have to be. Surgery through layers of fat lengthens the procedure. Also figuring out anesthetics is more complicated. If your chances of a successful surgery go up significantly for a difference of every 20lbs I think it would be a simple answer. Just do it. It will suck but its short term and surgery is a scary thing. You don't want to go into think you could die. You can worry about a slower and easier to maintain "diet" once the healing is over.

    Stick to lots of green veggies and good luck.
  • Qskim
    Qskim Posts: 1,145 Member
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    tabi_berry wrote: »
    Okay. I know I really need to lose weight so that I can have back surgery. But, does 800 calories a day seem healthy? I need to loose about 150lbs. I pretty much have a sedentary life due to deteriorating disk and bulging disk in my back.

    Talk to your doctor or get a second opinion. Nobody here has any idea what you'll do to your back or your ability to walk if you fail to follow the medical advice you are getting.

    Osric

    Yes, 800 cals suggests an urgency. Rapid weight loss in this instance would be seen as the lesser evil vs complications before, during and after surgery.
    besee_2000 wrote: »
    Those that under go the band to shrink their stomach probably eat about this amount in a day. If morbidly obese, 800 is commonly prescribed for a quick and fast weight loss. It's not sustainable but that's because it doesn't have to be. Surgery through layers of fat lengthens the procedure. Also figuring out anesthetics is more complicated. If your chances of a successful surgery go up significantly for a difference of every 20lbs I think it would be a simple answer. Just do it. It will suck but its short term and surgery is a scary thing. You don't want to go into think you could die. You can worry about a slower and easier to maintain "diet" once the healing is over.

    Right, short term sprint. I doubt the expectation is to lose every single pound.
    Also, added to decreasing risks associated with the level of anethesia requires, is positioning of the body during surgery...face down. The larger you are the more pressure you have on internal organs, breathing and other nerves which could create other side issues.

    There's also recovery to consider. Physiotherapy etc. Less weight the better for it.
  • a_1000_teardrops
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    My goal is to lose 150 lbs also but not for surgery. Thinking that you may also be close to 300lbs, your body is using up about 2000 calories just for existing. Having restricted myself to 1000 calories at one time, yes I lost some weight fast but in return I was always hungry, and miserable. Needless to say I fell off the horse and gained the weight back and then some. I now consume about 1600-1700 calories/day (my daily goal is 1900) and hike in the woods at least 3 times a week (gyms and machines are not my thing, too monotonous). I can feel the weight coming off slowly but surely and I am happier. As a Registered Nurse I can tell you that anyone who tells you to eat 800 calories a day is insane so I am hoping that he really meant 1800 calories, if not, you are setting yourself for failure. To lose that much weight do it safely and enjoy exploring new healthier food options and activities that you might enjoy.
  • beastmode2718
    beastmode2718 Posts: 108 Member
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    I would see a nutritionist. Cdc.gov says as a rule women should not eat less than 1200 calories a day. That's the center for desiese control and prevention. I ate 1200 to loose weight and it's barely any food at all so I can't even imagine how you would do that without starving or having dizzy spells so yeah for sure get a second opinion
  • Yi5hedr3
    Yi5hedr3 Posts: 2,696 Member
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    For that much weight loss in a short time, yes, 800 about right. Be sure to take vitamins!!!
  • Lorleee
    Lorleee Posts: 369 Member
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    Your doctor should have referred you to a Dietitian (not a Nutritionist, a Registered Dietitian). I would seek one out, pronto, and get yourself on a healthy plan.
  • michelle7673
    michelle7673 Posts: 370 Member
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    I agree with the recommendation that you start on 1200 (high in lean protein and vegetables) plus a good basic multivitamin while you consult further with your doctor. The difference between 800 and 1200 is less than a pound a week and that's with 100% tight logging compliance at the 800 level. You'll be losing several pounds a week either way. And if you adjust to 800 after consulting with the doc great -- it won't be as much of an adjustment from there. Good luck! The people on this site are a great source of info and support, so I would encourage you to use this as a resource.
  • Verdenal
    Verdenal Posts: 625 Member
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    tabi_berry wrote: »
    Okay. I know I really need to lose weight so that I can have back surgery. But, does 800 calories a day seem healthy? I need to loose about 150lbs. I pretty much have a sedentary life due to deteriorating disk and bulging disk in my back.

    If the diet is nutritionally balanced, yes, it is healthy. I assume the doctor gave you a low calorie maximum because you need to lose a lot of weight fairly quickly. Consult a nutritionist if you need help in putting together a meal plan.

  • Verdenal
    Verdenal Posts: 625 Member
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    Francl27 wrote: »
    RodaRose wrote: »
    I know someone who had weight loss surgery. She was put on 800 calories a day for a certain number of weeks and told to get lots of protein.

    I know someone who had to have heart surgery. He was put on a 800 calorie diet as well but only for 2 months. Needless to say, he gained it all back plus more after.

    Not "needless to say". He made choices that put all the weight back on.
  • RuNaRoUnDaFiEld
    RuNaRoUnDaFiEld Posts: 5,864 Member
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    Has the Dr put you on an ADCAL or similar? I have a degenerative bone condition that mainly effects my spine due to blood flow. It just seems mad to me that they would get you to restrict so low when your bones need the help.

    I was told to take Vit D, Calcium and reduce caffeine and increase exercise and start running. These are to help with the bone mineral density.
    What was your Dextra scan results like? Beware just taking a multi vit as most are very low in calcium. Ask questions OP, ask why 800 and what it should be made up from. Good luck x
  • sympha01
    sympha01 Posts: 942 Member
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    There is, quite frankly, a difference between healthy dieting to lose weight for good, versus losing weight really fast because you are either impatient (most people) OR because of a medical emergency.

    Doctors are generally NOT particularly knowledgeable about healthy, sustainable weight loss. They are not required to receive much training on weightloss or nutrition for their degree or to maintain their medical credentials. However, the what little training on the subject they are actually required to have is usually on the subject of fast very low calorie diet (VLCD) "emergency" plans to prepare patients for surgery. While 800 calories per day is way too low for healthy, normal, permanent weightloss, your doctor may have chosen this plan specifically in order to prepare you quickly for surgery. (On the other hand, the doctor may have recommended this diet out of ignorance. It happens. Given that it's the only kind of weight loss many doctors are trained on, it's understandably "prescribed" in far too many situations.)

    Always be prepared to ask your doctor lots of questions about why they give you the recommendations they do, and what your alternatives are. Be clear about the timeline. Does the surgery need to happen soon for medical reasons? Do you have so much weight to lose before surgery is safe that the doctor thinks that you will give up and not achieve the goal (and thus, NEVER qualify for the surgery) unless weight loss proceeds at a really unhealthy fast speed? Ask for a referral to a qualified nutritionist or dietician to achieve the goals that you both agree on in a timeframe that you both agree on.
  • JillStepanik
    JillStepanik Posts: 13 Member
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    I'm a Registered Dietitian and 800 calories is too low. Shoot for 1200 and up your activity to whatever you are comfortable with. Unless you are in the hospital being supervised for malnution or failure to thrive, you should not consume that few calories.

    Sadly most doctors only take 1 nutrition course in their whole educational career. Very frustrating!