Completely lost in this maze of weight loss
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Are you logging here? Open your diary.0
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...I am definitely looking for another PCP/doctor. I am a science educator and can't abide by someone telling me to do things like follow a 500 calorie diet, get hcg shots at a quick weight loss facility, don't count calories because it is too stressful (I did anyway because I was afraid of not knowing how "far off" I might be), and to pray about my weight loss. Yes, she did all of that...
What the...?
Time for a new doctor.
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Even with a thyroid issue at your height weight and activity level it should be impossible not to be losing weight when you eat between 1000 and 1200 calories... is that your total for the day or do you also eat exercise calories?
If you eat exercise calories back maybe you are drastically over estimating how much you burn?
Or maybe you USUALLY eat between 1000 and 1200 but then occasionally go out to eat and have a large indulgent meal and don't track? Or sometimes have binge days? Or sleep eat??
There has to be more calories going in than you've stated for you not to be losing weight.
Also are you sure you're not losing weight over all? You said you dropped weight when you were on 500 cals a day- so you're capable of losing. Do you gain it back when you go back to eating 1000? Maybe you are losing weight but you're just expecting faster weight loss than the rate you're actually losing at?? It's going to be slower than you expect, but any weight loss is still progress.0 -
Also 4 weeks is not really long enough to judge wether weight loss is happening. Day to day fluctuations will be greater than your actual loss rate so you can't really tell how much you've lost until you're a few months in and tracked your weight and the general trend is going down. 1 month is too short a time frame. I'd say keep counting calories, stay consistent, and be prepared for the fact that getting to a normal weight is going to take a WHILE. Like maybe a year or more. It's not going to happen in 4 weeks.1
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She said this was acceptable and that 500 calories is sufficient for obese people as they are losing weight. She told me that I should have continued the Contrave and remained on 500 calories only per day to lose the weight. When I said that I felt this was unhealthy, she disagreed and told me I was closed minded. She then recommended I go to one of the Quick Weight Loss type centers for guidance and to look into the hcg injections. Not to offend anyone here, but I am unconvinced that hcg injections are effective
"FDA advises consumers who are using “homeopathic” HCG for weight loss to stop using the product, to stop following any labeled dieting instructions, and to discard the product.
HCG has not been demonstrated to be effective adjunctive therapy in the treatment of obesity. There is no substantial evidence that it increases weight loss beyond that resulting from caloric restriction, that it causes a more attractive or ‘normal’ distribution of fat, or that it decreases the hunger and discomfort associated with calorie-restricted diets.”
Assuming you're in the US, the above message was brought to you by your tax dollars at work:
https://www.fda.gov/Drugs/ResourcesForYou/Consumers/BuyingUsingMedicineSafely/MedicationHealthFraud/ucm281834.htm
I can see one situation where your doctor "justifiably" advised "500 Cal":
If in your doctor's educated opinion you are counting your calories so incorrectly that you're eating 2400 Calories while thinking that you eat 1000, then their advice to eat "500", i.e. by analogy 1200 real Calories, would be "appropriate". Assuming they think you're an idiot who cannot be trusted with full information about your own care.
Fire their sorry kitten to the curb and consider complaining to your local doctor police/ethics board/whatever the crap body regulates your local sawbones for unprofessional conduct, or bad advice, or both.
And, since they don't seem to know which side of their body they use to pass gas and which one to talk with, ask them to refer you to a registered dietitian who might be aware as to which bodily orifice is customarily used for what.6 -
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1) Yes, I weigh my food with an accurate, digital food scale.
2) Yes, I exercise. I walk 3-4 times per week and do weight training about twice per week. I hiked this past Saturday up and down a mountain a total of 7.5 miles.
3) I have seen an endocrinologist against my doctor's wishes. He said my thyroid was trending toward an issue and that he would like to try me on medication once it hits the magical TSH of 4.0. Wasn't a great fan of him, but at least he sort of listened a little.
4) I am definitely looking for another PCP/doctor. I am a science educator and can't abide by someone telling me to do things like follow a 500 calorie diet, get hcg shots at a quick weight loss facility, don't count calories because it is too stressful (I did anyway because I was afraid of not knowing how "far off" I might be), and to pray about my weight loss. Yes, she did all of that.
5) I gave up 80% of my carbs this past month with little to no results. My breakfast is typically 2 eggs and an apple or with spinach (no cheese) omelette.
Thank you for all of the help. I am going to try some of the things you mentioned. It's just hard to know where to start when I've pretty much never been successful. I was 200 lbs by age 14, so I've never been thin since age 8.
Good! Stick around and take note of the "stickied" threads in the new user forums. These are goldmines of great simple information. Open up your diary and have someone with experience review this. Mine is open by the way if you care to review.
Definitely go with an endocrinologist. This is far too specific for a general practitioner to tackle. The good news is with hormonal issues is that these will often improve with weight loss.0 -
You mentioned one doc gave you a realistic diet plan that you liked but she left after 3 months. Why are you not following the plan that doc gave you? Why don't you post the plan here so we can see it.0
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@clh1228 , You seem to be fixated on blaming your thyroid for your obesity. As has already been pointed out, your thyroid is not the responsible party, you are. Get your thyroid issues treated, by all medical means, but your obesity is a separate problem with separate solutions.2
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A quick fix won't do you any good in the long run. First of all reset your mindset - you can lose weight with a healthy lifestyle. Eat healthy clean foods - how about giving up all processed foods for lent (even if you aren't Catholic)? Move as much as possible. Stop the excuses. Set your calorie goals to what MFP says for a 1-1.5 lb loss per week. See where you are in a month - and then adjust. A couple of things I've learned on this journey (lost just over 150 lbs), if you have an oops - get right back on track. Don't wait until Monday or even tomorrow. Get back on track now! I set my weight loss goals at 25 per quarter - 2 lbs. per week. I come close to that. It's just too daunting to think "I have 100 lbs to lose". Good luck!
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1) Yes, I weigh my food with an accurate, digital food scale.
2) Yes, I exercise. I walk 3-4 times per week and do weight training about twice per week. I hiked this past Saturday up and down a mountain a total of 7.5 miles.
3) I have seen an endocrinologist against my doctor's wishes. He said my thyroid was trending toward an issue and that he would like to try me on medication once it hits the magical TSH of 4.0. Wasn't a great fan of him, but at least he sort of listened a little.
4) I am definitely looking for another PCP/doctor. I am a science educator and can't abide by someone telling me to do things like follow a 500 calorie diet, get hcg shots at a quick weight loss facility, don't count calories because it is too stressful (I did anyway because I was afraid of not knowing how "far off" I might be), and to pray about my weight loss. Yes, she did all of that.
5) I gave up 80% of my carbs this past month with little to no results. My breakfast is typically 2 eggs and an apple or with spinach (no cheese) omelette.
Thank you for all of the help. I am going to try some of the things you mentioned. It's just hard to know where to start when I've pretty much never been successful. I was 200 lbs by age 14, so I've never been thin since age 8.
Bit of a long shot and I am no expert, but...do you have any food intolerances? Could it be possible that inflammation is playing a role here?
Have you tried an allergist or doing a food elimination?
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You should be losing weight as you are doing everything right. I agree, don't fixate on your thyroid there are other medical causes of obesity. For example scientists have discovered three viruses that cause obesity and 30% of obese people test positive for it. Normal weight people test positive for it too but it's unknown if they've just been infected or if they're just working harder to stay at a healthy weight. but I guess you could look into it for answers. http://www.webmd.com/diet/news/20070820/obesity-virus-more-bigger-fat-cells.
Also have you been evaluated for Cushings or PCOS?
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I still think you just need to stick to it longer and be consistent. Appropriate macros can help too- do you meet your protein goals? How about carbs and fats? I would increase calories slightly or at least stick to 1200 (not 1000). Keep going another month or 2 and let us know how it goes. You don't need the weight loss drugs- but maybe some medication for your thyroid if it's not functioning properly.0
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