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I have always said, follow your Doctor's Advice, but...

2Bgoddess
2Bgoddess Posts: 1,096 Member
edited December 2024 in Motivation and Support
My doctor wants me on maintenance now! um, I am not even in the healthy weight range category yet. She says, "you're active enough. You'll still lose." WTF does she not get about maintenance? Root word, MAINTAIN? As in, stay the same, hold your ground...

This was the result of my appointment today, where we discovered that I only lost 2 pounds in the last 3 weeks. She says that probably means that I don't have much left to lose, and should just be toning now. I think it means I should not have had salty fries or yummy brownies last week.

but but but....

what would you do?
for reverence, I weigh 164, 5'7", healthy weight range is 118 to 159. my BMI is 25.7.

Replies

  • HeidiMightyRawr
    HeidiMightyRawr Posts: 3,343 Member
    She obviously doesn't know the full meaning of the word "maintain"

    \What she probably meant to say was, since you are becoming quite close to your goal now, the focus should be less on weight loss, and more on staying active, toning up etc Of course you will carry on losing, but probably at a slightly lower rate than you were previously, when you had a lot more to lose. This would mean that your deficit would gradually get smaller, instead of just upping the calories by a good few hundred when you want to maintain (which can be a bit of a shock)

    You look great btw, I'd mainly I'd just focus on what YOU want to do, as long as you are still healthy in the meantime :smile:
  • LizKurz
    LizKurz Posts: 340 Member
    My doctor wants me on maintenance now! um, I am not even in the healthy weight range category yet. She says, "you're active enough. You'll still lose." WTF does she not get about maintenance? Root word, MAINTAIN? As in, stay the same, hold your ground...

    This was the result of my appointment today, where we discovered that I only lost 2 pounds in the last 3 weeks. She says that probably means that I don't have much left to lose, and should just be toning now. I think it means I should not have had salty fries or yummy brownies last week.

    but but but....

    what would you do?
    for reverence, I weigh 164, 5'7", healthy weight range is 118 to 159. my BMI is 25.7.

    You know, even if you maintain, and eat more, you will probably still lose weight, and maybe even a bit faster if you up the cals just a bit too. I hit 155 and decided it was fine, bought 1200 bucks of clothes, and continued to work out. I upped my cals by 600 a day and within four moths lost another 10 lbs without trying.

    But yes, I agree, I'd want to be a healthy weight too.
  • truecountrygirl
    truecountrygirl Posts: 100 Member
    if you are going to be doing toning then you will still burn fat and lose weight so i would say that she is right in telling you that. i doesnt mean that you should become less active or anything like that. most people when they get that close to their goal weight they start to tone and still see a weight loss. plus maybe your doctor thinks that for your body that weight range is just not for you. everyone is made differently and should be treated as such.
  • sleepytexan
    sleepytexan Posts: 3,138 Member
    perhaps she means you're not eating enough. Do you know about BMR? TDEE? Sometimes bumping your calories up to maintenance actually increase your weight loss.

    This may or may not apply to you:

    Here's one of my old posts from a similar topic:

    OK. I'm gonna give this a shot. I am an avid lifelong athlete. I have never been overweight, however, I used to eat too few calories (without knowing it), and a couple years ago, I actually GAINED weight bc of having slowed my metabolism to the point that every little extra treat I ate caused a weight gain, even though overall my calories were too low. THIS DOES HAPPEN.

    It is also the reason so many fat people stay fat. They restrict their calories so low, slow their metabolisms, binge (even a little), gain weight, restrict more . . . . and so on and so on. But they are still fat.

    It is also the reason most people can't lose that last 10-20 lbs. For real.

    1. MFP has a deficit built in. Let's say you're trying to lose 1 lb/ week. That is a 500/day deficit from your BMR (the amount of calories your body needs to complete basic functions.

    2. You exercise and burn 500 calories. Now you are at a 1000 deficit. If you eat back those 500 exercise calories, you refuel your body and you still have a 500 deficit for that 1 lb loss. If you DON'T eat back those calories, you have too little fuel. This is bad. This is too much of a deficit for basic functions. If you do this for a long time, you will STOP LOSING WEIGHT. Why? bc your metabolism will slow down -- it's like a brownout--not quite enough electricity to make the whole city (your body) run, so it has to slow down some things. You will probably start being tired a lot, your skin and hair might start to look worse, and you might even gain weight. But you might NOT be hungry -- your body is getting used to fewer calories. That's bad.


    That's when you start to gain weight. Let's say you're running along, eating 1200 calories a day, and exercising 400 calories a day, so net is 800. You're losing, you think this is great. You keep doing it, but after a while you stop losing. hmmmmm. One weekend you go out to a special event and have a slice of pizza and a beer. 1 slice of pizza and 1 beer. So you ate maybe 2000 calories that day and exercised off 400, so net 1600. BOOM! You gain 3 lbs! What?!

    Next, you freak out and restrict yourself down to 1000 calories a day and work out extra hard, burning 500 calories. Great, netting 500 now. You don't lose any weight, but you sure feel tired. Better get some red bull.

    Are you getting the picture?

    EDIT: When you work out, you need fuel. Food is fuel. If you don't eat back those exercise calories, you will not only have a big calorie deficit, you will have an ENERGY deficit. Remember, the calorie deficit for weight loss is built in when you use MFP. Exercising basically earns you more calories because you must refuel.
    --

    There are many people who will tell you not to eat exercise calories. Before you take their advice, you might want to see whether they are at goal, have EVER been at goal, or have ever been able to maintain at goal. If anyone says to you 'THE LAST TIME I LOST WEIGHT", just stop listening right there.

    Ask some athletes whether or not they replenish their bodies with food equal to the calories they burn. Ask people who are fit and have achieved and maintained a healthy weight for some years. Don't ask people who count walking across a parking lot as exercise.

    Here's an interesting case study about how to stay fat while consuming only 700 calories a day. Take a moment, you'll be glad you did:

    http://www.myfitnesspal.com/topics/show/3047-700-calories-a-day-and-not-losing

    blessings.
  • CoderGal
    CoderGal Posts: 6,800 Member
    My doctor wants me on maintenance now! um, I am not even in the healthy weight range category yet. She says, "you're active enough. You'll still lose." WTF does she not get about maintenance? Root word, MAINTAIN? As in, stay the same, hold your ground...

    This was the result of my appointment today, where we discovered that I only lost 2 pounds in the last 3 weeks. She says that probably means that I don't have much left to lose, and should just be toning now. I think it means I should not have had salty fries or yummy brownies last week.

    but but but....

    what would you do?
    for reverence, I weigh 164, 5'7", healthy weight range is 118 to 159. my BMI is 25.7.
    Is there a chance he was talking about sedentary maintenance? Because you'd still loose weight at that. Now, don't get me wrong, you look pretty healthy at the size you are. It's not like it looks like you need to loose weight...but I see nothing wrong with it IF you're eating a sensible amount of calories every day (2000 is what most nutritional guide recommend). Good-luck! Don't start eating more fries and brownies just because of what your doctor said lol.
  • CoderGal
    CoderGal Posts: 6,800 Member
    ps...sleepytexan, I don't see your ticker :P (kidding)

    Lots of good advice, you can eat plenty of food and lose weight. EATING ENOUGH IS SO IMPORTANT. If not for you for me. When I see people who aren't eating enough I tend to want to eat a sandwich, and then you're just putting my calories up, and I'm already at 1,902, and haven't eaten supper and I'm sedentary...and I don't want to make a sandwich. :(
  • kelsully
    kelsully Posts: 1,008 Member
    A good way to work it is to eat at the maintenance level for you ideal weight. So if you want to be 145 set your target for maintenance for 145 and then shoot for that....
  • AZKristi
    AZKristi Posts: 1,801 Member
    Try being open to suggestion and see what happens. Perhaps try eating maintenance calories and not eating back exercise calories.
  • sleepytexan
    sleepytexan Posts: 3,138 Member
    Try being open to suggestion and see what happens. Perhaps try eating maintenance calories and not eating back exercise calories.

    Um. depends. If you're at MFP maintenance, then you still need the exercise calories. If you use TDEE, which incorporates your activity level and already includes exercise, then no.
  • BeautyFromPain
    BeautyFromPain Posts: 4,952 Member
    in all honesty, BMI doesn't mean anything anyway. stop when you are ready.
  • embersfallen
    embersfallen Posts: 534 Member
    To be honest... all the dr's i have seen have been nice, but completely useless as far as weight loss. Saw nutritionists as well...and was extremelly dissapointed that the cumulative advice consisted of it being ok to eat yellow corn tortillas...and to eat more veggies. Seriously. I paid 2 copays for that???? :grumble:

    I think a lot of times, they simply do not believe you are doing what you say you are doing... so *the person must be cheating or not working out like they say*....and not really willing to look deeper...

    So my opinion is...if you still want to lose, and don't feel your maintainance cals will do it... don't go there... research like crazy..try new methods of nutrition, workouts etc. Keep working until YOU feel at peace. If simply slow or no loss meant your body was gonna lose all it was going to and to you to maintainance... i would not be a happy camper...because I have wound up there a few times! LOL. That being said, maybe you could switch it up...add a few higher cal days because your body might just be too used to it's current intake?

    For my stubborn body, the only times I've been able to break stubborn plateaus or stalls...is when I let go of the strict numbers for a day or so, and then got right back to it. Different things work for different people. I am currently trying the spiking method...but just started so not sure of the outcome just yet...it just seems like it might be the thing for MY body due to how it's broken through before. Crossing fingers. ;)

    Best of luck to you, you have done AMAZING thus far!!! :)
  • neverstray
    neverstray Posts: 3,845 Member
    Doctors don't know jack squat about nutrition and exercise. It's like a contractor telling you how to build a car. IGNORE!

    HUGE PET PEEVE: When things say, check with your doctor before doing this. ...like a doctor knows anything about exercise or nutrition. Stupid.
  • Livingbalanced
    Livingbalanced Posts: 84 Member
    in all honesty, BMI doesn't mean anything anyway. stop when you are ready.

    Exactly - the BMI was created in the 1800s to determine the average lifespan of a man to determine insurance rates etc... http://www.xojane.com/issues/bmi-pointless-unscientific-garbage (here's one of MANY articles debunking it).

    So, do what YOU have to do but base it on what makes sense for your body - at some point, it COULD be telling you that losing more just isn't realistic and that you're perfect just as you are :)
  • dmpizza
    dmpizza Posts: 3,321 Member
    Unless you have other reasons to see this particular doctor, then find another one.
  • 2Bgoddess
    2Bgoddess Posts: 1,096 Member
    Unless you have other reasons to see this particular doctor, then find another one.

    I should probably have been a little more clear, this doctor is the physician at the weight loss clinic I attend. I see the doctor, am checked (vitals) with the nurse, and have a session with the dietician every two weeks. They are supposed to be the experts in their field....but I guess no one knows everything.

    I'm gonna go over my foods a little more closely, see if I have been slipping as far as not getting enough of the right stuff, and tracking all my exercise, not just bike rides and zumba. After talking with my husband, he's reminded me that I have been dozing off earlier than usual, hitting the snooze more often, complaining of head aches and a bit of muscle cramps and spasms after exercise. I need to do a little inventory.
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