Calorie Deficit Question

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Replies

  • AnnPT77
    AnnPT77 Posts: 34,160 Member
    edited April 2022
    Thank you for replying, @kallen771991, and in such an understanding, conflict-soothing manner. A couple of comments/questions.
    @musicfan68
    musicfan68 @PAV8888 @AnnPT77 @paperpudding @glassyo @Cluelessmama1979 @lynn_glenmont @emmamcgarity

    I think i got everyone tagged that replied here over the last few days.

    So i have to address a few things.

    First thing is, i didn't meant to worry or upset anyone. I realize i'm not very good at writing these posts well. I was never cross with responses either.

    second, I don't know if many of you understand that having a dignosis of PCOS changes the game pretty drastically in terms of calorie counting. Granted i'm still learning about it all but i know calorie counting isn't the preferred method now. We with PCOS have a slew of factors that make the calorie calculators wrong for us.. i've read a ton of literature in the last couple days trying to find answers.

    Not so much aimed at you, but a general comment: So many people consider that "calorie counting doesn't work" (a thing you didn't say!) because they find that the so-called "calculators" don't produce a calorie estimate that works for them.

    There are really 2 different things: Getting a valid calorie estimate, and whether (once having one), calorie counting is a useful tool. (It sounds like you've internalized this distinction, and are using that knowledge in a sensible way, which is great.)

    All the "calculators" do, essentially, is spit out an average calorie-needs value for people who are similar in terms of the variables the calculator knows about: The things like height, weight, age, activity level, etc. Actual people vary around that average. Most are close, a rare few are surprisingly far away. (Loosely, the further from average, the fewer people who fall in that range.)

    Certainly, medical conditions, like your PCOS, can contribute to being "non-average", and finding the calculators not accurate for an individual. Lots of factors can make a person non-average in that way, some not obvious at all. (That "non-average-ness" is what the common "try it for a month then adjust" advice is about.)

    For the majority of people, logging accurately, calorie counting can work as mechanics, once they have that adjusted, personalized estimate. (For some people, calorie counting is psychologically unsuitable for various reasons.) There are a few medical conditions I'm aware of that can cause calorie needs to be unstable enough for an individual that counting doesn't work as mechanics. Those are rare things, but possible.

    (For example, one of my friends had an unusual cycling thyroid condition - not normal hypo/hyperthyroidism, but cycling wildly anywhere between extremes of each. When her thyroid was overactive, it was like taking stimulants: High heart rate, high energy, twitchy - burning many calories. When thyroid was underactive, she barely moved, was cold, slept/rested more - burning much lower calories. It could be one of those extremes, or anywhere in between, quite unpredictably. Calorie counting mechanics are less viable as a tool, in some rare case like that.)
    Soooo... i finally asked my doctor about all of this. She said to aim for 1500 a day, which i now understand is with exercise. so basically i could eat 2000 cal in a day if i try to burn off 500 of it. I had told her my overall plan before, the staying between 1200 and 1700 calories and she never told me i was wrong for that at all or seemed concerned i was doing things that way.. so thats a reason why i was confused over reactions.

    To give an update though. this week i've added turkey into my lunch meal, which boosts my protein and i also got some plant protein powder to go in my oatmeal in the morning. PCOS can make things difficult so they say to aim for plant proteins vs animal proteins because of insulin resistance. I take metformin for mind and also inositol for it.

    That seems odd to me, speaking as a long term vegetarian. Protein can indeed raise insulin, but once broken down in the body, amino acids are amino acids, regardless of food source. Plant proteins can have a different protein profile (relative values of different amino acids), but plants tend (if anything) to be less complete in essential amino acids than animal proteins. Also, plant proteins in whole foods are more likely to bring carbs along with them, because many plant protein foods are less protein-dense, and often not high in fats, so a fair chunk of calorie content coming from carbs.

    I'm not saying your doctor is wrong, and I admittedly know little about PCOS, but that advice seems strange, at least in terms of the explanation.

    That said, the average person would be better off (according to most mainstream nutrition experts) getting more plant-source foods in general, for the micros, fiber, and prebiotics (loosely, certain types of fiber that help support a diverse gut microbiome).
    So i promise i'm being healthy, and i'm paying closer attention. I understand why so many of you responded the way you did and i appreciate the concern. i will try to be better at giving the right information in the future. :)

    Thank you for the reassurance - I think most people here really do care, really do want to help. We do have a range of different communication styles (most of us probably using a style that would work if the OP were us!). Some are warm'n'fuzzy, touchy-feely; others are science-nerd-y, maybe super blunt in ways that can come across to harsh. Also, we sometimes argue among ourselves!

    Wishing you excellent results, going forward!
  • PAV8888
    PAV8888 Posts: 14,227 Member
    edited April 2022
    @kallen771991 I think that few of us take things too personally and I certainly don't think anyone even remotely blamed you for asking OR for being unclear--and even if you were unclear in terms of a point or two, you took the time to come back and respond, while so many other people don't.

    It is common in a forum for people to sometimes talk past each other. Or to latch on to something that is important to them while it may have been less important to the person who first wrote it. Or for one to not catch the shade of meaning the other one intended. Or for them to just disagree as to the importance of something. I mean... a forum is a free-for-all interaction and **kitten** happens!

    Heck, we may sometimes even be wrong and instead of just admitting that we had a reading comprehension fail or flubbed it we end up entrenched in our position because the world is against us today! It happens! And I am in no way saying this thread is an example... I am just thinking of a thread related to weight fluctuations is all! :innocent:

    But, I think you will find that most of us who post here often are not even necessarily JUST responding to the thread we are posting in. It is fairly obvious that there is a good sized "unheard from" audience and often what is written is directed just as much to that audience as to anyone else.

    Out of the people you've called out to I would bet that a clear majority is fully aware that people with PCOS may be "low level outliers" in terms of matching the expectation of caloric needs based on activity, height, weight, age, etc, because their BMR may be depressed relative to non PCOS women.

    I don't know if the others are more aware than myself as to how much BMR could be depressed with PCOS.

    I did a quick search earlier and I was very surprised to see a SIGNIFICANT drop between "control" "PCOS" and "PCOS with Insulin Resistance". Presumably it would depend on the level of insulin resistance cut off since many women with PCOS have some increase in IR. That was the Greek women study. We're talking 15% and 40% drops in BMR. I note that the controls were normal weight and the PCOS participants were low overweight. The BMR was "corrected" but I was just looking at summaries so I have now idea how.

    HOWEVER. and this is important....

    I also run just as many studies (I mean it was two in total so that's 50-50!) that flat out suggest that once corrected for age and BMI BMR was NOT different between PCOS and non-PCOS controls: https://www.healio.com/news/endocrinology/20131025/bmi-may-be-most-vital-determinant-of-basal-metabolic-rate-in-pcos

    SO WE GET BACK TO --PCOS women **MAY** exhibit depressed BMR and MAY be low level outliers-- BUT **INDIVIDUAL RESULTS MAY VARY**.

    And I think you will find most of us are aware that individual results may vary which is why many suggest that people should set-up a sane plan and then monitor their weight trend reaction over a 4 to 6 week period and evaluate how close their results are mirroring expectations based on averages... and adjust. (I note that this requires good record keeping. Optimally for EVERY day of the complete time period!)

    There are many reasons why calorie counting may or may not work and why it may or may not be appropriate for an individual's mindset. But neither PCOS (nor any other reason for being an outlier) makes calorie counting something exotic or impossible to perform. All that being an outlier does is require some diligence to discover the DEGREE of "outlying" that you have to cope with. As you can then correct for it using your own data.
  • Cluelessmama1979
    Cluelessmama1979 Posts: 129 Member
    @kallen771991 yay!!!! I'm glad you talked to your doctor and understand your exercise and intake calories better now! I was pretty concerned.

    I don't think anyone was upset with you!!

    I'm very familiar with how pcos works, but there are certain biological processes which use a set number or calories (energy) regardless of weight. It's the same even in tiny babies!

    That's why there are minimums. Even an 18 year old girl at 4'10 and 99lbs has a bmr of ~1210

    That's just basic life functions.

    So yes, pcos affects tdee, and there's some studies to show certain types of pcos affect even bmr to an extent. But too many people overestimate how extreme that difference is and damage their health without realizing it. 😕

    I think 1500 after exercise calories sounds good for you. But keep in mind that's a minimum too. On non-exercise days staying between 1500-1600 should still let you lose weight safely.

    I'm a little confused by the protein stuff being debated here. I'm not sure why your doctor is discussing your protein choices. I know many people with pcos who are entirely vegan and others doing keto, lol. Not sure how that's coming up, but I am sure your doctor knows more about your medical stuff than we do, obviously. :p

    Anyway, I am glad you got it sorted out, and I do appreciate the update!

    Don't feel bad, either. It's a long process. If we just keep doing a lil better than we were before, we will get through it!
  • kallen771991
    kallen771991 Posts: 54 Member
    AnnPT77 wrote: »
    Thank you for replying, @kallen771991, and in such an understanding, conflict-soothing manner. A couple of comments/questions.
    @musicfan68
    musicfan68 @PAV8888 @AnnPT77 @paperpudding @glassyo @Cluelessmama1979 @lynn_glenmont @emmamcgarity

    I think i got everyone tagged that replied here over the last few days.

    So i have to address a few things.

    First thing is, i didn't meant to worry or upset anyone. I realize i'm not very good at writing these posts well. I was never cross with responses either.

    second, I don't know if many of you understand that having a dignosis of PCOS changes the game pretty drastically in terms of calorie counting. Granted i'm still learning about it all but i know calorie counting isn't the preferred method now. We with PCOS have a slew of factors that make the calorie calculators wrong for us.. i've read a ton of literature in the last couple days trying to find answers.

    Not so much aimed at you, but a general comment: So many people consider that "calorie counting doesn't work" (a thing you didn't say!) because they find that the so-called "calculators" don't produce a calorie estimate that works for them.

    There are really 2 different things: Getting a valid calorie estimate, and whether (once having one), calorie counting is a useful tool. (It sounds like you've internalized this distinction, and are using that knowledge in a sensible way, which is great.)

    All the "calculators" do, essentially, is spit out an average calorie-needs value for people who are similar in terms of the variables the calculator knows about: The things like height, weight, age, activity level, etc. Actual people vary around that average. Most are close, a rare few are surprisingly far away. (Loosely, the further from average, the fewer people who fall in that range.)

    Certainly, medical conditions, like your PCOS, can contribute to being "non-average", and finding the calculators not accurate for an individual. Lots of factors can make a person non-average in that way, some not obvious at all. (That "non-average-ness" is what the common "try it for a month then adjust" advice is about.)

    For the majority of people, logging accurately, calorie counting can work as mechanics, once they have that adjusted, personalized estimate. (For some people, calorie counting is psychologically unsuitable for various reasons.) There are a few medical conditions I'm aware of that can cause calorie needs to be unstable enough for an individual that counting doesn't work as mechanics. Those are rare things, but possible.

    (For example, one of my friends had an unusual cycling thyroid condition - not normal hypo/hyperthyroidism, but cycling wildly anywhere between extremes of each. When her thyroid was overactive, it was like taking stimulants: High heart rate, high energy, twitchy - burning many calories. When thyroid was underactive, she barely moved, was cold, slept/rested more - burning much lower calories. It could be one of those extremes, or anywhere in between, quite unpredictably. Calorie counting mechanics are less viable as a tool, in some rare case like that.)
    Soooo... i finally asked my doctor about all of this. She said to aim for 1500 a day, which i now understand is with exercise. so basically i could eat 2000 cal in a day if i try to burn off 500 of it. I had told her my overall plan before, the staying between 1200 and 1700 calories and she never told me i was wrong for that at all or seemed concerned i was doing things that way.. so thats a reason why i was confused over reactions.

    To give an update though. this week i've added turkey into my lunch meal, which boosts my protein and i also got some plant protein powder to go in my oatmeal in the morning. PCOS can make things difficult so they say to aim for plant proteins vs animal proteins because of insulin resistance. I take metformin for mind and also inositol for it.

    That seems odd to me, speaking as a long term vegetarian. Protein can indeed raise insulin, but once broken down in the body, amino acids are amino acids, regardless of food source. Plant proteins can have a different protein profile (relative values of different amino acids), but plants tend (if anything) to be less complete in essential amino acids than animal proteins. Also, plant proteins in whole foods are more likely to bring carbs along with them, because many plant protein foods are less protein-dense, and often not high in fats, so a fair chunk of calorie content coming from carbs.

    I'm not saying your doctor is wrong, and I admittedly know little about PCOS, but that advice seems strange, at least in terms of the explanation.

    That said, the average person would be better off (according to most mainstream nutrition experts) getting more plant-source foods in general, for the micros, fiber, and prebiotics (loosely, certain types of fiber that help support a diverse gut microbiome).
    So i promise i'm being healthy, and i'm paying closer attention. I understand why so many of you responded the way you did and i appreciate the concern. i will try to be better at giving the right information in the future. :)

    Thank you for the reassurance - I think most people here really do care, really do want to help. We do have a range of different communication styles (most of us probably using a style that would work if the OP were us!). Some are warm'n'fuzzy, touchy-feely; others are science-nerd-y, maybe super blunt in ways that can come across to harsh. Also, we sometimes argue among ourselves!

    Wishing you excellent results, going forward!

    Ty :) to clarify on the plant vs animal protein, my doctor didn't tell me that bit. But if you look into protein intake for pcos they advise to do more plant based proteins. If memory serves it has more to do with the fat in meat but its also because factory meats usually aren't as clean as like deer for instance( thats my dinner meat, my hubby hunts and we process ourselves). I'm still trying to figure things out though. I know dropping all dairy but plain greek yogurt and cheese helped majorly but gluten doesnt bother me as much, tho i avoid it because its so high in calories. Those two things are main ones to figure out if you have pcos because they mess with hormones. Anyway, i'm gunna keep at it, did my workouts every day so far. Burned over a thousand calories mowing my back yard today so taco night was awesome :)
  • kallen771991
    kallen771991 Posts: 54 Member
    @kallen771991 yay!!!! I'm glad you talked to your doctor and understand your exercise and intake calories better now! I was pretty concerned.

    I don't think anyone was upset with you!!

    I'm very familiar with how pcos works, but there are certain biological processes which use a set number or calories (energy) regardless of weight. It's the same even in tiny babies!

    That's why there are minimums. Even an 18 year old girl at 4'10 and 99lbs has a bmr of ~1210

    That's just basic life functions.

    So yes, pcos affects tdee, and there's some studies to show certain types of pcos affect even bmr to an extent. But too many people overestimate how extreme that difference is and damage their health without realizing it. 😕

    I think 1500 after exercise calories sounds good for you. But keep in mind that's a minimum too. On non-exercise days staying between 1500-1600 should still let you lose weight safely.

    I'm a little confused by the protein stuff being debated here. I'm not sure why your doctor is discussing your protein choices. I know many people with pcos who are entirely vegan and others doing keto, lol. Not sure how that's coming up, but I am sure your doctor knows more about your medical stuff than we do, obviously. :p

    Anyway, I am glad you got it sorted out, and I do appreciate the update!

    Don't feel bad, either. It's a long process. If we just keep doing a lil better than we were before, we will get through it!

    Ty :) and as i told ann, i didn't get the protein debate from my doctor, i got it from research, it has less to do with the protein and more with the types of fats in relation to their effects on the insulin resistance. I eat lean meats for this reason :) the plant protein i got is to make sure i get my intake at the right level :)
  • Cluelessmama1979
    Cluelessmama1979 Posts: 129 Member
    Ahhh that makes more sense, lol

    Glad you have it sorted out now!