Doctor advice conflicts with MFP

So basically, because your doctor didn't tell you what you wanted to hear, and her advice conflicts with the advice you get on a message board full of mostly people who have very little actual knowledge of metabolic processes, aging, and nutrition science, you think she sucks and you should find a new doctor? Her job isn't to "encourage" you. I'm sorry to disagree with just about everyone, but I think you're writing your doc off a little too quickly. Why not actually try what she advised you to do, and see what happens?

This isn't too far fetched. Instead of completely disregarding this Doctor, why not just seek out a second opinion and compare? I am not siding in either direction, but logic would suggest a person should investigate further when comparing a Doctor's advice to a fitness/food website message board. Internet research is so all over the board, it would be better to ask for an additional opinion, or simply as for a referal to a nutritionist who can get to the nuts and bolts of your health. It's true that many people can eat a lot of calories and still lose. It is also true that tons cannot, and maintain on very low calories. Everyone's body is different, so it is just ignorant to assume this Doctor is a quack and blow him off. In short: Get educated from valid souces in a variety of viewpoints before deciding what is or is not the best method for you.

So basically, because your doctor didn't tell you what you wanted to hear, and her advice conflicts with the advice you get on a message board full of mostly people who have very little actual knowledge of metabolic processes, aging, and nutrition science, you think she sucks and you should find a new doctor? Her job isn't to "encourage" you. I'm sorry to disagree with just about everyone, but I think you're writing your doc off a little too quickly. Why not actually try what she advised you to do, and see what happens?

No, the doctor gave bad advice based on false assumptions. You can't burn 400 to 900 calories in a day unless you are young or very athletic? No md required, that is patently false! I am surrounded by friends who disprove that daily as do I. That is plain ignorance and is offensive to the dedicated folks who are out there daily running, riding, etc. I can blast past those numbers easily on a bike ride or longer run. No one needs a 100% accurate heart rate monitor to prove that they burn 400 to 900 calories in a day. I have a friend here at MFP that is still 350 lbs (not an athlete!) and burns 1,500 to 3,000 calories daily on bike rides and several friends have burned 4,500 to 6,000 in a day on century rides. I am 59 and routinely burn 1,500 on bike rides and close to that on long runs and I have never been a called an athlete! This md is scary giving horrible advice speaking to areas in which they are not knowledgeable. I have had two md's who are also trained nutritionist tell me the opposite of what this md says with regard to nutrition. And yes, I do expect my md to encourage me with good, sound advice. I agree that MFP is full of untrained people giving bad advice; her md would be right at home here. I would find another md today.

For me, I have a hard time with the doctor saying that the only way to lose weight is to eat 1200 (or any other number) calories and that the amount of exercise is not relevant. That goes beyond the doctor not telling you what you want to hear, or saying that the doctor's advice conflicts with the opinions from a chat board where not everyone knows what they are talking about. While both of those are true, how can anyone conclude that exercise will not impact weight loss? I'm certainly not an expert, but some of this is common sense. If you exercise and burn more calories you will lose more weight than if you don't (all other things remaining constant).

Presupposing your version is true and correct, I'd have fired that doctor on the spot.
Any professional blanket advising caloric intake is incompetent.

This. Everybody is different, if you don't take it into account you're either lazy or incompetent. Neither of these things would I want as a character trait of my doctor.

So I went to my Internist last week for my 6-month checkup, and just about everything she told me was against what I’ve learned and what I’ve read on MFP. I think I need to find a new doctor!

I was frustrated because I hadn’t lost any weight in over 3 weeks, but I’d started eating healthy (from eating whatever I wanted) and had added a 2nd round of exercising several days/week. When I mentioned I burn between 400 - 900 calories in a day through exercise, she said there is no way I could burn that many unless I was a younger, very athletic person. When I told her I used a heart rate monitor, she informed me those aren’t a reliable measure of caloric burn.

She also said the only way for me to lose weight is to eat 1200 calories per day, regardless of how much I exercise. And that if I don’t lose the weight now, I will really balloon up once I hit menopause (I’m 45). How’s that for encouragement?

So I think I’ll find a new doctor before my next checkup!

Doctor's are human. They bring with them the same preconceived notions that we all have about certain subjects. She may not have any problem with her weight and may not have any personal experience with being overweight and possibly that includes her family too. (I'm just guessing) The feedback she gave you seems to be straight textbook recitation. As everyone (including any doctor) should know, there is no "perfect diet"! If there was, anyone could follow that diet and lose or gain weight to reach their ideal weight.

That being said, if you are not comfortable with a doctor, for ANY reason, you should find another one that you feel comfortable discussing your issues and concerns. If you are not comfortable, the doctor/patient relationship doesn't function right especially since you should share info with your doctor that you may not share with anyone else! Everyone has different needs when it comes to doctors. I personally like a doctor that will listen to my concerns, address my questions and tends to be positive (I'm thinking this is the type you would like), but I've met other people that expect a certain level of distance from their doctors as "professionals" and don't ask questions because the doctor knows more.

I'm in a bit of quandary here. I've lost weight the past year by following pretty much what your doctor told you: I've been gradually decreasing my caloric intake (as my weight dropped) and for the most part not eating back my exercise calories. I do have cheat days where I blow out my calories so that my body doesn't become too accustomed to the amount I'm feeding it, but those are the exception not the rule. It works for me right now, but I had a lot to lose, so things may need to change as I gradually move into a lower range.

Regarding HRMs, I've been using one since mid-September. I had been exercising steadily for a few months before that. I was initially absolutely appalled by what my HRM estimated I was burning. It was much less than I thought I was burning (And no, I'm not taking into account MFP's inflated numbers; I don't know where it comes up with its ridiculously high burns for ellipticals.) I went through a period of trying to find someone who agreed with me that my HRM was "cheating" me out of the calories I was really burning. Most people told me that it was probably reasonably accurate. I finally accepted that maybe I hadn't been working as hard as I thought I had and used it to motivate me into working even harder. I've dropped more than 50 pounds since that time and my cardiovascular fitness is better than it ever has been in my life. So my point is that an HRM should be considered a tool, not a fountain of truth.

Your doctor may not be crazy but if her statement was as dogmatic as you indicate, it sounds like she is not a particularly flexible person. It's clear that you are not in sync with her and it would probably serve you best if you found a different doctor or at least sought a reliable (i.e., professional) opinion.

yes, when in doubt ALWAYS go with the internet over a medical professional.

I understand your reason for going to the doctor was for your 6 month checkup. Is that just for blood work? Were you there specifically for nutritional advice? I personally wouldn't get rid of her just because she said what she said. I have had doctor friends and they knew less about nutrition and healthy eating than I did. I would never ask my doctor about such things. I stick to why I am there and that is it. If something pops up in my blood work, then I might make mention of what is going on in my life.

To be honest, some doctors are not all that bright and don't educate themselves about new things.

You know what they call the person last in their class at med school? Doctor.

I wouldn't listen to anything you read on the internet or in a message forum. Take the advice of your DR. he/she is a professional with a degree.

What do you call a med student who graduates at the bottom of his class? "Doctor"

That being said, obtaining a medical degree does not necessarily mean that one will be a good medical practitioner. Patients have every right to advocate for themselves, in fact, they should. Patients would do well to educate themselves and work as partners with their medical providers. A doctor that doesn't listen would be hard to partner-up with, moving on might be a necessary option to take. And in all fairness, a patient who is unreasonablle isn't a good partner either.

Yes. the lowest worst doctor in the world did graduate. Someplace their is the worst Dr. They still have that degree.
Your Dr would also have a working knowledge of your health history and what may be right for the patient. Yes. If you are not happy with your DR, then you should go find another one. I would go by what they say, before I went with some internet forum post.

So I went to my Internist last week for my 6-month checkup, and just about everything she told me was against what I’ve learned and what I’ve read on MFP. I think I need to find a new doctor!

I was frustrated because I hadn’t lost any weight in over 3 weeks, but I’d started eating healthy (from eating whatever I wanted) and had added a 2nd round of exercising several days/week. When I mentioned I burn between 400 - 900 calories in a day through exercise, she said there is no way I could burn that many unless I was a younger, very athletic person. When I told her I used a heart rate monitor, she informed me those aren’t a reliable measure of caloric burn.

She also said the only way for me to lose weight is to eat 1200 calories per day, regardless of how much I exercise. And that if I don’t lose the weight now, I will really balloon up once I hit menopause (I’m 45). How’s that for encouragement?

So I think I’ll find a new doctor before my next checkup!

I had a PAC tell me that I was lying about my weight loss, that I couldn't possibly have lost the weight I said I had. When I offered to step on the scale, she said, "That won't be necessary--you couldn't have lost that much weight in that amount of time." In other words, she called me a liar, and then told me NO, she didn't want to see the actual proof. I walked over to the scale and weighed myself, and she REFUSED TO LOOK. Can you BELIEVE that?

Your doctor's coming across like an idiot. You're right to move on.

Kris

I agree with your findings...find a new doc asap. I have learned the hard way that the dr. is not always right and you should go with your gut instincts. Good Luck!!

MFP advice conflicts with MFP advice.

I wouldn't ask a doctor for weight-loss advice any more than I would go to a dietician for a migraine. While both might offer input on either subject, I'm more inclined to listen to a fitness professional about fitness and a doctor about medical ephemera.

They'd both better be prepared to back up any advice with empirical data and research. I don't tolerate quackery.

So I went to my Internist last week for my 6-month checkup, and just about everything she told me was against what I’ve learned and what I’ve read on MFP. I think I need to find a new doctor!

I was frustrated because I hadn’t lost any weight in over 3 weeks, but I’d started eating healthy (from eating whatever I wanted) and had added a 2nd round of exercising several days/week. When I mentioned I burn between 400 - 900 calories in a day through exercise, she said there is no way I could burn that many unless I was a younger, very athletic person. When I told her I used a heart rate monitor, she informed me those aren’t a reliable measure of caloric burn.

She also said the only way for me to lose weight is to eat 1200 calories per day, regardless of how much I exercise. And that if I don’t lose the weight now, I will really balloon up once I hit menopause (I’m 45). How’s that for encouragement?

So I think I’ll find a new doctor before my next checkup!

internist aren't specialized in weight loss- i would not trust her advice really. maybe you should see a nutritionist or start with a pt?

So basically, because your doctor didn't tell you what you wanted to hear, and her advice conflicts with the advice you get on a message board full of mostly people who have very little actual knowledge of metabolic processes, aging, and nutrition science, you think she sucks and you should find a new doctor? Her job isn't to "encourage" you. I'm sorry to disagree with just about everyone, but I think you're writing your doc off a little too quickly. Why not actually try what she advised you to do, and see what happens?

I agree! Not that doctors are the all knowing, but MFP gives a general calculations with exercise and caloric intake, or you could always get a second opinion and see what another doctor has to say

Most importantly, you need to have a doctor that you trust. You've lost trust in this doctor so it's time to move on.