Doctor vs nutritionist vs dietitian

alexistexas33
alexistexas33 Posts: 121 Member
edited November 21 in Health and Weight Loss
Would I first have to go through a doctor to speak with someone? Is it even worth going?

Long story short – after I stopped taking Prozac I have not lost a single pound in over 3 months. I am still 40 lbs over weight. I am vegan (lactose intolerant, meat makes me feel ill), eat 1,500 a day plus cardio + strength training 5x a week

I already lost almost 100 but gained 25 back on Prozac. I had my thyroid checked before starting Prozac which came back negative but no blood tests thereafter.

Maybe I am not giving it enough time to see weight loss but it has been 3 months and I do not know what else to do because I am still slowly gaining weight? What would they find in my diet? They would just tell me to eat less, right? Calories in calories out? But I am not eating over 1,500.....I weight everything. How could I be gaining weight still?

What do you guys think? Have any of you had the same issues?

Also, 23 F, 5’ 5” 215 currently goal is 160.

Replies

  • Need2Exerc1se
    Need2Exerc1se Posts: 13,575 Member
    I'd start with a doctor to rule out a medical problem. Of course, it's calories in (CI) calories out (CO) but there are various medical conditions that affect CO, which in turn affects how much CI you can have without gaining.

    Whether you need a referral from your doctor depends on whether your insurance requires it or not. But a nutritionist/dietitian can't diagnose medical problems so I'd at least rule that out first.
  • OliveGirl128
    OliveGirl128 Posts: 801 Member
    Need2Exerc1se wrote: »
    I'd start with a doctor to rule out a medical problem. Of course, it's calories in (CI) calories out (CO) but there are various medical conditions that affect CO, which in turn affects how much CI you can have without gaining.

    Whether you need a referral from your doctor depends on whether your insurance requires it or not. But a nutritionist/dietitian can't diagnose medical problems so I'd at least rule that out first.

    This is where I'd start too. And then your doctor can give you a referral to a registered dietician if need be.
  • NorthCascades
    NorthCascades Posts: 10,968 Member
    Even if you don't need a referral for insurance reasons, it night be easier to see your doctor about this anyway. Your doctor's advice on weight loss isn't much better than anyone else's, but your doctor is on your side and should help you find a good person, tell you what to expect, and just make the whole process easier.
  • Old_Cat_Lady
    Old_Cat_Lady Posts: 1,193 Member
    Be ready to show this food log diary to a nutritionist/doctor since it looks like you might go. Log everything.
  • AnnPT77
    AnnPT77 Posts: 34,638 Member
    Is there any possibility that your non-exercise activity levels have changed since stopping Prozac? Some research has found up to a few hundred calories difference daily just between fidgety people and non-fidgety ones, let alone differences that might come from changes in more macro-level activity/energy.

    I agree with those recommending consulting your doctor as the primary strategy; this is just a side issue I didn't see mentioned above, that I've seen affect me and others to a surprising degree.
  • MichelleSilverleaf
    MichelleSilverleaf Posts: 2,027 Member
    See your doc to rule out any medical issues. Get a recommendation to a dietician, one visit will tell you whether you can benefit from seeing one or not. Don't bother with a nutritionist.
  • alexistexas33
    alexistexas33 Posts: 121 Member
    Thanks all, I did not know if anyone besides a doctor could take blood work. I am not sure what a doctor could test for.

    Also no, I do not eye ball food. I have a nice scale I use at home to weight things. I meal prep for the week so everything is always accurate.
  • yweight1969
    yweight1969 Posts: 64 Member
    It's not always calorie in calorie out when you have a medical condition or conditions or medications that completely make your weight loss stop and or gain weight. Start with your doctor and or specialist doctor then the nutrition professionals. Good luck.
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