My Doctor is an idiot!
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It it absolutely AMAZING to me how many of you think you know more than a doctor. I am seeing my doctor once a month AND a dietitian once a week for weight loss. I eat 1200 calories a day, and I never even asked about exercise calories until I started using this site to log calories instead of the old one. When I asked my dietitian if I should eat them back, she laughed and said, "The people who said that simply want a reason to eat more food, you are eating plenty for your activity level.". I thought I was doing it wrong, thanks to these forums. I'll take the advice of a doctor over the random advice given in a forum any day of the week. I am the same height as you (5'4") and my calorie intake is not going to increase until I hit goal weight, which then I'll go to maintenance.
I work out 7 days a week, 1.5-2 hrs a day. I haven't fainted once. I don't feel weak or dizzy. When I'm hungry, I eat. I am not "starving". A balanced diet (and deficit) is the key, and not consuming empty calories.
p.s. I don't think my plan is the only way to go. I think if you are doing something and it's working (and healthy) keep doing it. I'm rather tired of the starving/starvation mode comments though. The words "starvation mode" have never been uttered by my doctor or dietitian.
Do you have any other health issues?0 -
It it absolutely AMAZING to me how many of you think you know more than a doctor. I am seeing my doctor once a month AND a dietitian once a week for weight loss. I eat 1200 calories a day, and I never even asked about exercise calories until I started using this site to log calories instead of the old one. When I asked my dietitian if I should eat them back, she laughed and said, "The people who said that simply want a reason to eat more food, you are eating plenty for your activity level.". I thought I was doing it wrong, thanks to these forums. I'll take the advice of a doctor over the random advice given in a forum any day of the week. I am the same height as you (5'4") and my calorie intake is not going to increase until I hit goal weight, which then I'll go to maintenance.
I work out 7 days a week, 1.5-2 hrs a day. I haven't fainted once. I don't feel weak or dizzy. When I'm hungry, I eat. I am not "starving". A balanced diet (and deficit) is the key, and not consuming empty calories.
p.s. I don't think my plan is the only way to go. I think if you are doing something and it's working (and healthy) keep doing it. I'm rather tired of the starving/starvation mode comments though. The words "starvation mode" have never been uttered by my doctor or dietitian.
Do you have any other health issues?
Nothing that affects my weight.0 -
report that quack0
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I've heard it said more than once that the only thing your doctor knows is their specialty. An obgyn wouldnt know what a liver was. Case in point. I went to my obgyn telling him how bad my ears hurt and he said there was nothing wrong after checking. The next day I went to my general dr and BOTH my ears had full blown infections. Drs don't know everything. I'm not being disrespectful but they're human. They read one thing once and a text book and if they remember it it's the written word.0
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I had a dentist try & tell me how to eat. LOL, Some people just think they know everything...0
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Ouch. I've taken an entire year of in depth nutrition classes, plus I've taken all the same prerequisite classes an MD would have taken - chem, bio, physics, organic chemistry, anatomy, physiology. I'm currently in the midst of supervised practice - 1280 hours worth of internship experience in longterm care, clinical settings, foodservice, community, and schools. There is no denying doctors spend more time working towards achieiving their degree but let's be real, they have nowhere near the amount of specialized nutrition training as what an RD gets. Your post sorta offended me to be honest. But if you don't think dietitians have any use, that's fine, I would rather spend my time counseling someone who actually cares about what I have to say and doesn't disregard my knowledge simply because I've spent fewer years in school than an MD. My mom didn't even finish college and she's one of the brightest people I know, just saying.
In those classes did they teach you "you can't eat below your BMR" and "you need to eat more (like BMR plus exercise) to lose weight"? I've been asking for one reputable source of that for 5 weeks. It seems to be the standard advice here for anyone in a 1-week plateau, including from you. Did they not teach you in school that weight loss is calories in vs. out?
I'm sorry you're offended but this sort of advice is a prime example of why I wouldn't see an RD.0 -
Ouch. I've taken an entire year of in depth nutrition classes, plus I've taken all the same prerequisite classes an MD would have taken - chem, bio, physics, organic chemistry, anatomy, physiology. I'm currently in the midst of supervised practice - 1280 hours worth of internship experience in longterm care, clinical settings, foodservice, community, and schools. There is no denying doctors spend more time working towards achieiving their degree but let's be real, they have nowhere near the amount of specialized nutrition training as what an RD gets. Your post sorta offended me to be honest. But if you don't think dietitians have any use, that's fine, I would rather spend my time counseling someone who actually cares about what I have to say and doesn't disregard my knowledge simply because I've spent fewer years in school than an MD. My mom didn't even finish college and she's one of the brightest people I know, just saying.
In those classes did they teach you "you can't eat below your BMR" and "you need to eat more (like BMR plus exercise) to lose weight"? I've been asking for one reputable source of that for 5 weeks. It seems to be the standard advice here for anyone in a 1-week plateau, including from you. Did they not teach you in school that weight loss is calories in vs. out?
I'm sorry you're offended but this sort of advice is a prime example of why I wouldn't see an RD.
When did I give that advice to someone who'd had a one week plateau? Thanks for assuming I'm retarded and know nothing about nutrition. Weight loss IS calories in vs calories out, did I somewhere state otherwise? All I was trying to suggest is that a very low calorie diet can depress the metabolism and result in lean body mass as opposed to the fat loss that's probably desired. My professors and preceptors are very big on evidence-based practice as am I, and I wouldn't offer advice if I didn't believe it to be sound and true. I'm not just talking out of my *kitten* here.0 -
:laugh:was his name Dr. Oz?
Seriously, that was some bad advice.
It's a good thing that you know better!0 -
When did I give that advice to someone who'd had a one week plateau? Thanks for assuming I'm retarded and know nothing about nutrition. Weight loss IS calories in vs calories out, did I somewhere state otherwise? All I was trying to suggest is that a very low calorie diet can depress the metabolism and result in lean body mass as opposed to the fat loss that's probably desired. My professors and preceptors are very big on evidence-based practice as am I, and I wouldn't offer advice if I didn't believe it to be sound and true. I'm not just talking out of my *kitten* here.
In this thread below, today. Though her plateau was two weeks. Is 1350 calories for a small woman so low her metabolism is depressed and she should 'eat above her BMR' and 'check out Eat More to Weigh Less'?
http://www.myfitnesspal.com/topics/show/659248-should-i-change-my-calories0 -
WLS people have simply had their anatomy altered a bit to offer a restrictive tool to help in weight loss. Sure, as an RNY patient I have additional nutritional considerations such as the need for more protein and daily vitamin supplements. But I still have to lose the weight the same way everyone else does. Watch what I am eating and exercise regularly. That part doesn't change.
Well of course but your caloric needs are different and therefore not comparable. Just saying....0 -
When did I give that advice to someone who'd had a one week plateau? Thanks for assuming I'm retarded and know nothing about nutrition. Weight loss IS calories in vs calories out, did I somewhere state otherwise? All I was trying to suggest is that a very low calorie diet can depress the metabolism and result in lean body mass as opposed to the fat loss that's probably desired. My professors and preceptors are very big on evidence-based practice as am I, and I wouldn't offer advice if I didn't believe it to be sound and true. I'm not just talking out of my *kitten* here.
In this thread below, today. Though her plateau was two weeks. Is 1350 calories for a small woman so low her metabolism is depressed and she should 'eat above her BMR' and 'check out Eat More to Weigh Less'?
http://www.myfitnesspal.com/topics/show/659248-should-i-change-my-calories
Haha you stalking me girl? All I agree with is that it's a good method to estimate caloric intake. In her case it could be too soon to see any weight loss. But longterm its probably better that she use a formula that has been shown by science to work. One that is used by nutrition professionals everywhere. Especially for a person who is active. You can lose weight eating so little but again, probably not the kind of weight you want to lose.0 -
Ha, no, I'm not stalking you. I happened to notice you rubber-stamped the standard MFP advice to 'eat more' is all.
I do agree that TDEE minus a % makes a lot more sense. But minus 15% is so slow for many of us without a lot to lose. If people are in a panic after two weeks with no scale loss, how are they going to react to losing 2 lbs/month indefinitely? That's what TDEE minus 15% would put me at. But that's a whole other thread.0 -
.It it absolutely AMAZING to me how many of you think you know more than a doctor. I am seeing my doctor once a month AND a dietitian once a week for weight loss. I eat 1200 calories a day, and I never even asked about exercise calories until I started using this site to log calories instead of the old one. When I asked my dietitian if I should eat them back, she laughed and said, "The people who said that simply want a reason to eat more food, you are eating plenty for your activity level.". I thought I was doing it wrong, thanks to these forums. I'll take the advice of a doctor over the random advice given in a forum any day of the week. I am the same height as you (5'4") and my calorie intake is not going to increase until I hit goal weight, which then I'll go to maintenance.
I work out 7 days a week, 1.5-2 hrs a day. I haven't fainted once. I don't feel weak or dizzy. When I'm hungry, I eat. I am not "starving". A balanced diet (and deficit) is the key, and not consuming empty calories.
p.s. I don't think my plan is the only way to go. I think if you are doing something and it's working (and healthy) keep doing it. I'm rather tired of the starving/starvation mode comments though. The words "starvation mode" have never been uttered by my doctor or dietitian.
Do you have any other health issues?
Nothing that affects my weight.
Right but any that are affected by your weight? I ask because as of now I have no other medical issues. If I had high blood pressure, diabetes, edema, ect..I would understand rapid weight loss to be prescribed. In my case, it is not neccessary.0 -
Doctors are pretty clueless when it comes to nutrition. You should really ask a dietician.
Most Old School doctors are not up to date and don't have the firm grasps that MOST, of us do now. With the current strain of time constraints, even though we are suppose to do consults on weight, I can not stress enough you will not get the best time spent with us until insurance changes billing so that we can spend more time with patients. You would be best served with a weight specialist.
Now, most doctors should be able to get basics, but your OB-GYN is not even trying to hide their glaring lack of knowledge in basic nutrition and physiology.0 -
Doctors are pretty clueless when it comes to nutrition. You should really ask a dietician.
Most Old School doctors are not up to date and don't have the firm grasps that MOST, of us do now. With the current strain of time constraints, even though we are suppose to do consults on weight, I can not stress enough you will not get the best time spent with us until insurance changes billing so that we can spend more time with patients. You would be best served with a weight specialist.
Now, most doctors should be able to get basics, but your OB-GYN is not even trying to hide their glaring lack of knowledge in basic nutrition and physiology.
Congrats to you! And I love anesthesiologists (sp?)!! After having my babies! Thanks, I know the OB was trying to look knowledgeable in front of the medical student but jeez, my skin was crawling.
And to everybody who is all for 1000 calories or less: I know how to lose weight rapidly. It is the ONLY way I have done it in the past.I know I can do cardio for hours at a time, followed by a run and some lettuce. I am tryng to take a slow healthy approach. I am trying to take care of myself now that I am in my thirties. It's 30's it seems when you begin to regret the mistakes you made in your 20's. (smoking, tanning, drinking to much,ect.)0 -
Hate to say it, but I know a few people who are licensed dieticians who know less about diets than you would think. I tried to talk to one about eating for thyroid problems and used the word "goitrogen" which is a pretty common term for foods that suppress thyroid function. If *I* know it, a dietician who just got her license should definitely know it, right? Nerp. She didn't. In the end, she had very little advice and kinda derped her way through the conversation.
Sure, maybe that was just her, but maybe the docs with bad advice, that's just them, too, eh?
Listen to your body. Do what you think sounds healthiest and adjust based on what your body is telling you. If you eat too little, you will start to feel tired and run down for no obvious reason. Eat more if this happens. If you eat too much, you won't feel hungry and you won't see a loss. Eat less if this happens.
Eat cleaner where you can. Most people don't or can't eat clean all the time, and i think that's fine. Just introduce cleaner foods where you can and go from there.0 -
WOW, definitely contact the office about his behavior and recommendations!0
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I have plenty of experience with changing doctors. And not heeding their advice simply because they are doctors. One such decision saved my sons life.
There's the issue.
ONE decision may have saved your son's life, so now we must always run from those who challenge our theories?
Incorrect. Sometimes, you really DON'T know it all.0 -
You are obviously set in your ways and attitude, good luck.
As for me, I'm not on a rapid weightloss program, otherwise I'd be losing weight rapidly and I'm not. I lose between 1-2 lbs a week, I had a couple of big weeks (one I lost 7 and last week I lost 5). Those happen.
You really think you have what's healthy and what's not pegged, so I'm curious why you aren't doing something about it, and why you need a referal to anyone at all.0 -
Why he recommended is what I did when I was almost hospitalized for anorexia. Good fort you for recognizing bad advice, a new doctor sounds like a great plan.0
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