Crappy Dietician

[Guest]

9 hours ago, summerset said:

You already answered your own question: you're getting marketing e-mails. Maybe do a quick search on him on this board. There was some talk about a pyramid scheme scam or something like that.

How disappointing.

[summerset 5,261]

6 minutes ago, Keatsy said:

How disappointing.

Indeed. It undermines his credibility which is a shame since he has some good video material out there.

[Sophie7713 3,238]

On 9/11/2020 at 4:55 AM, Kaki68 said:

Congrats on reaching “the penthouse!” My Dad always says “ Hitch your wagon to a star!” And that’s what I’m trying to do. I’m just in the pre-op phase and feeling a bit frustrated with my weight loss. I eat about 750 calories a day (or less) and it’s mostly Protein. No sugar, no dairy, lots of Water. In the past if I wanted to drop some weight I would follow the same plan but now the weight just won’t come off. Went through menopause recently so I’m wondering if that has something to do with it. I’m seeing a hormone specialist and have an implant. Another reason?? I’m feeling a bit bummed since I’m trying sooo hard! I weigh and measure everything and I plan my meals and follow it; no cheating. Since you’re already in the penthouse, Any advice you can give would be appreciated!

Hi Kaki68 - You are definitely a STAR at any weight or stage! Please excuse my delay in reply here. I have a project deadline by the end of the month, but will definitely follow-up with the mindset + strategies that helped me make it to the penthouse as Dr. V refers. Meanwhile, the books I've posted here are a worthy read and a wealth of information on food science that may just apply to your current situation... Keeping in mind, each body is unique to one's self and one size plan does not fit all. Productive efforts, positive changes and advances internally do not always show up on the scale or inches, at first glance. Your body will sense your frustration and shut down. Give to yourself grace body, soul and mind. Looking into possible hormone issues is great step towards self care and self love. And, remember when our parents use to say, Rome was not built in a day! Hugs.

[Dogmom68 135]

41 minutes ago, Sophie7713 said:

Hi Kaki68 - You are definitely a STAR at any weight or stage! Please excuse my delay in reply here. I have a project deadline by the end of the month, but will definitely follow-up with the mindset + strategies that helped me make it to the penthouse as Dr. V refers. Meanwhile, the books I've posted here are a worthy read and a wealth of information on food science that may just apply to your current situation... Keeping in mind, each body is unique to one's self and one size plan does not fit all. Productive efforts, positive changes and advances internally do not always show up on the scale or inches, at first glance. Your body will sense your frustration and shut down. Give to yourself grace body, soul and mind. Looking into possible hormone issues is great step towards self care and self love. And, remember when our parents use to say, Rome was not built in a day! Hugs.

Thank you for your advice! I will definitely read those books you recommended. I have noticed a slight change even though the scale isn’t really showing it. I see my hormone specialist next week so I’ll ask him about the weight issue. My primary care doctor said I should just keep trying even if my weight isn’t dropping. He says if I can just keep focusing on eating healthy and lose some before my surgery then that will be helpful.
Thank you again for your words of encouragement. I really needed it. 😊

[Darktowerdream 419]

6 hours ago, Sophie7713 said:

On 9/11/2020 at 4:55 AM, Kaki68 said:

Congrats on reaching “the penthouse!” My Dad always says “ Hitch your wagon to a star!” And that’s what I’m trying to do. I’m just in the pre-op phase and feeling a bit frustrated with my weight loss. I eat about 750 calories a day (or less) and it’s mostly Protein. No sugar, no dairy, lots of Water. In the past if I wanted to drop some weight I would follow the same plan but now the weight just won’t come off. Went through menopause recently so I’m wondering if that has something to do with it. I’m seeing a hormone specialist and have an implant. Another reason?? I’m feeling a bit bummed since I’m trying sooo hard! I weigh and measure everything and I plan my meals and follow it; no cheating. Since you’re already in the penthouse, Any advice you can give would be appreciated!

Hi Kaki68 - You are definitely a STAR at any weight or stage! Please excuse my delay in reply here. I have a project deadline by the end of the month, but will definitely follow-up with the mindset + strategies that helped me make it to the penthouse as Dr. V refers. Meanwhile, the books I've posted here are a worthy read and a wealth of information on food science that may just apply to your current situation... Keeping in mind, each body is unique to one's self and one size plan does not fit all. Productive efforts, positive changes and advances internally do not always show up on the scale or inches, at first glance. Your body will sense your frustration and shut down. Give to yourself grace body, soul and mind. Looking into possible hormone issues is great step towards self care and self love. And, remember when our parents use to say, Rome was not built in a day! Hugs.

@Kaki68 I’m not very good at this but hormones play a very big role. I’ve fought my weight far too long. Changes in body chemistry can send things spiraling. I found out the hard way. Diagnosed with lifelong chronic illness and disability along with multiple medical conditions. I was diagnosed late onset congenital adrenal hyperplasia, pcos in my 20s that was the only explanation they could give as to why my weight skyrocketed from nowhere. I was so distraught it went over 215lbs at the time. I fought hard with strict low carb and low calorie and i slowly lost weight got to 124lbs. Didn’t stay but a few weeks and settled at 134lbs. Fast forward through surgeries including hysterectomy and some stressful stuff and moving to a new state and it was climbing. I tried to “batten down the hatches” because I was on beta blockers and needed to reduce calories and carbs. Got it to that higher baseline. But then out of nowhere it skyrocketed again despite 800 calories and eating healthy foods. I looked for help, my gallbladder was tanking (turned out to be chronic inflammation) I fought for gastric bypass surgery.

long story short it wasn’t until I had gastric bypass surgery and gallbladder surgery that I was able to reduce calories and Actually lose weight, still low carb not exactly counting but counting Protein (I calculate my protein based on my weight 0.36 grams protein per 1lb body weight) and calories and logging my daily food and weight. I reached a goal I never thought I could.

i think the surgery does help with hitting the calorie goals and also altering the hormonal balance to your favor.

ended up needing my ovary taken out in pelvic surgery I had before my gastric bypass and then the other one had to come out in a second surgery after my gastric bypass ... so now I’m in menopause. It still scares me that I could gain again despite all my efforts. but I do my best to keep up the work. Because it’s a lifetime change ...

[Dogmom68 135]

15 minutes ago, Darktowerdream said:

@Kaki68 I’m not very good at this but hormones play a very big role. I’ve fought my weight far too long. Changes in body chemistry can send things spiraling. I found out the hard way. Diagnosed with lifelong chronic illness and disability along with multiple medical conditions. I was diagnosed late onset congenital adrenal hyperplasia, pcos in my 20s that was the only explanation they could give as to why my weight skyrocketed from nowhere. I was so distraught it went over 215lbs at the time. I fought hard with strict low carb and low calorie and i slowly lost weight got to 124lbs. Didn’t stay but a few weeks and settled at 134lbs. Fast forward through surgeries including hysterectomy and some stressful stuff and moving to a new state and it was climbing. I tried to “batten down the hatches” because I was on beta blockers and needed to reduce calories and carbs. Got it to that higher baseline. But then out of nowhere it skyrocketed again despite 800 calories and eating healthy foods. I looked for help, my gallbladder was tanking (turned out to be chronic inflammation) I fought for gastric bypass surgery.

long story short it wasn’t until I had gastric bypass surgery and gallbladder surgery that I was able to reduce calories and Actually lose weight, still low carb not exactly counting but counting Protein (I calculate my Protein based on my weight 0.36 grams protein per 1lb body weight) and calories and logging my daily food and weight. I reached a goal I never thought I could.

i think the surgery does help with hitting the calorie goals and also altering the hormonal balance to your favor.

ended up needing my ovary taken out in pelvic surgery I had before my gastric bypass and then the other one had to come out in a second surgery after my gastric bypass ... so now I’m in menopause. It still scares me that I could gain again despite all my efforts. but I do my best to keep up the work. Because it’s a lifetime change ...

Oh my gosh! You HAVE been through it, haven’t you!!!! I’m currently struggling with chronic inflammation in my spine and this year I had to leave my job that I loved because of it. My gallbladder was taken out two years ago and had a hysterectomy, as well. I still have one ovary that kept me out of menopause until this year. That’s when a lot of my weight started piling on. I got a hormone implant about a month ago and since then I can’t get any weight off at all! I was eating (mainly protein) about 750 calories a day until about a week ago. Now I’m only eating about 500. I’m really struggling. I’m supposed to lose about 15 lbs prior to my surgery and I’m trying so hard. I lose two lbs then gain a lb. Up and down, up and down. Frustrating!!!
I really appreciate you letting me know about your issues with hormones. Sophie7713 recommended a book called The Obesity Code and how insulin’s affect on weight loss. I ordered it today. I plan to talk to my doctor about all of this so I’ll let you know what he says. 👍🏻😊

[Darktowerdream 419]

2 hours ago, Kaki68 said:

Oh my gosh! You HAVE been through it, haven’t you!!!! I’m currently struggling with chronic inflammation in my spine and this year I had to leave my job that I loved because of it. My gallbladder was taken out two years ago and had a hysterectomy, as well. I still have one ovary that kept me out of menopause until this year. That’s when a lot of my weight started piling on. I got a hormone implant about a month ago and since then I can’t get any weight off at all! I was eating (mainly protein) about 750 calories a day until about a week ago. Now I’m only eating about 500. I’m really struggling. I’m supposed to lose about 15 lbs prior to my surgery and I’m trying so hard. I lose two lbs then gain a lb. Up and down, up and down. Frustrating!!!
I really appreciate you letting me know about your issues with hormones. Sophie7713 recommended a book called The Obesity Code and how insulin’s affect on weight loss. I ordered it today. I plan to talk to my doctor about all of this so I’ll let you know what he says. 👍🏻😊

It’s tough, I hit a lot of walls because I was diagnosed with Myalgic Encephalomyelitis from age 9, it’s lifelong and is one of few medical conditions that exertion and exercise are damaging. I found out the hard way and the medical community didn’t call it post exertional malaise until recently. So I ended up with many other medical conditions. I’d hoped to not get over 200 Lbs again but before my gastric bypass surgery I did. My BMI was over 40 which helped qualify me for my insurance but it was hard. Eating similar healthy foods to my mom, maybe even less calories yet gained weight.

I was At a point that I knew what to do, I had studied holistic health and nutrition. I knew how to eat low carb. Holy heck I let loose and ate a kale salad with Gardein crab-less crab cakes that was my version of cheating 🤣 or Gardein Fishless fish filets with a few veggie tots. I just couldn’t be quite as strict low carb with my gallbladder acting up. But the rate my weight was going up was crazy.

so I was on the verge of giving up. It was all or nothing. I knew that I needed the tool of gastric bypass surgery to help me reduce calories, the bypass would help as well with the hormones. At least that’s what I hoped. I kept to extremely strict low calorie after surgery and my main goal was Protein. And I was grateful when I finally saw results.

I think RNY might have more of a hormone impact but I don’t remember the exact science of it. I know I wouldn’t have gotten here without it. I’m struggling with a few issues but that’s the life with chronic illness.

I hope you have. A good doctor. Mine hasn’t a clue. I had to do my own work. I begged for help as I gained. And her response oh your weight is fine, even at my heaviest. I’m only 5’ 208lbs is a lot to carry on a already exhausted body with severe muscle weakness and fatigue and chronic pain.

I didnt have any hormone therapy because I had surgery for endometriosis and the hormones would just cause it to grow.

i think you can succeed because you know the right tools to get there and along with the tool of bariatric surgery It’s another tool in the box to get ahead. It helps to find the right balance of protein and calories. I have log of my protein and calories and weight not quite from the start but as soon as I realized it was beneficial.

all the best to you

[Arabesque 6,439]

Damn hormones! The first time I started to put on weight was when I was 12 & began puberty. Every year till I was about 18 I put on more but was eating way less & was pretty active. Up & down (60-75kg) after that but the last time I put on a large amount (15kg), in what felt like overnight, was when I hit menopause. It pushed me to my surgical weight. Again no change of diet or activity levels. The two years previous to this I had slowly put on weight too (about 10kg) without reason except I was perimenopausal. So yep I think hormones, for me at least, contributed to my weight problems. And now I weigh about 4kg more than I did when I was 12 when the hormone merry go round started.

[Darktowerdream 419]

11 minutes ago, Arabesque said:

Damn hormones! The first time I started to put on weight was when I was 12 & began puberty. Every year till I was about 18 I put on more but was eating way less & was pretty active. Up & down (60-75kg) after that but the last time I put on a large amount (15kg), in what felt like overnight, was when I hit menopause. It pushed me to my surgical weight. Again no change of diet or activity levels. The two years previous to this I had slowly put on weight too (about 10kg) without reason except I was perimenopausal. So yep I think hormones, for me at least, contributed to my weight problems. And now I weigh about 4kg more than I did when I was 12 when the hormone merry go round started.

Wow. Really made me think. But my memory is Swiss cheese more holes than cheese since my childhood was (hell) but I do remember it seemed my chest grew overnight to enormous size at puberty, being bullied, even by the school calling me mildly obese, I think I recall the one time I stepped on a scale it said 135lbs it was my aunts house I think. I fought for so long, So I can’t even remember being at the weight that I am today. Still scares me that I could backslide despite constantly working at it.

[Arabesque 6,439]

I clearly remember being 7stone at the end of yr 7, 8 stone at the end of yr 8, 9 stone at the end of yr 9 .... you get the picture. I couldn’t understand why my weight kept increasing when I was eating one meal & one snack a day.

I wonder about the contradictory messages our medical teams provide. Just spent a weekend with a girlfriend who’s about 3 months out. She told me she’s hardly losing any weight now (less than a pound a week) & says she has hunger pains. I was very surprised by how much & what she’s eating.

For Breakfast I barely managed to eat two scrambled eggs. She’d eat two poached eggs, two bacon rashes, 1/2 croissant & jam & some fruit. She was even eating dessert at dinner. After some subtle questioning about her progress & experiences, I discovered this is what her dietician recommended she could eat. As well as English muffins & regular muffins. WTF?

Her surgeon told her she could stop the over the counter 10mg Nexium so I think the hunger pain is really acid pain. She’d feel better after eating because the acid would be absorbed. One afternoon, I gave her one of my prescription 20mg & she said she the hunger pain went.

How do I tell her she’s eating too much & not making good food choices if this is what her dietician has told her? I encouraged her to speak to her her surgeon about the pain & Nexium but nothing else. Even our other friend whose daughter had wls too commented to me on how much & what our friend was eating. I know this is her journey but ... Sorry it’s just I’m upset for her.

[Guest]

13 hours ago, Darktowerdream said:

@Kaki68 I’m not very good at this but hormones play a very big role. I’ve fought my weight far too long. Changes in body chemistry can send things spiraling. I found out the hard way. Diagnosed with lifelong chronic illness and disability along with multiple medical conditions. I was diagnosed late onset congenital adrenal hyperplasia, pcos in my 20s that was the only explanation they could give as to why my weight skyrocketed from nowhere. I was so distraught it went over 215lbs at the time. I fought hard with strict low carb and low calorie and i slowly lost weight got to 124lbs. Didn’t stay but a few weeks and settled at 134lbs. Fast forward through surgeries including hysterectomy and some stressful stuff and moving to a new state and it was climbing. I tried to “batten down the hatches” because I was on beta blockers and needed to reduce calories and carbs. Got it to that higher baseline. But then out of nowhere it skyrocketed again despite 800 calories and eating healthy foods. I looked for help, my gallbladder was tanking (turned out to be chronic inflammation) I fought for gastric bypass surgery.

long story short it wasn’t until I had gastric bypass surgery and gallbladder surgery that I was able to reduce calories and Actually lose weight, still low carb not exactly counting but counting Protein (I calculate my Protein based on my weight 0.36 grams protein per 1lb body weight) and calories and logging my daily food and weight. I reached a goal I never thought I could.

i think the surgery does help with hitting the calorie goals and also altering the hormonal balance to your favor.

ended up needing my ovary taken out in pelvic surgery I had before my gastric bypass and then the other one had to come out in a second surgery after my gastric bypass ... so now I’m in menopause. It still scares me that I could gain again despite all my efforts. but I do my best to keep up the work. Because it’s a lifetime change ...

Dude. You need the biggest hug ever. I admire you for battling through these difficulties.

[WishMeSmaller 1,270]

39 minutes ago, Arabesque said:

I clearly remember being 7stone at the end of yr 7, 8 stone at the end of yr 8, 9 stone at the end of yr 9 .... you get the picture. I couldn’t understand why my weight kept increasing when I was eating one meal & one snack a day.

I wonder about the contradictory messages our medical teams provide. Just spent a weekend with a girlfriend who’s about 3 months out. She told me she’s hardly losing any weight now (less than a pound a week) & says she has hunger pains. I was very surprised by how much & what she’s eating.

For Breakfast I barely managed to eat two scrambled eggs. She’d eat two poached eggs, two bacon rashes, 1/2 croissant & jam & some fruit. She was even eating dessert at dinner. After some subtle questioning about her progress & experiences, I discovered this is what her dietician recommended she could eat. As well as English muffins & regular muffins. WTF?

Her surgeon told her she could stop the over the counter 10mg Nexium so I think the hunger pain is really acid pain. She’d feel better after eating because the acid would be absorbed. One afternoon, I gave her one of my prescription 20mg & she said she the hunger pain went.

How do I tell her she’s eating too much & not making good food choices if this is what her dietician has told her? I encouraged her to speak to her her surgeon about the pain & Nexium but nothing else. Even our other friend whose daughter had wls too commented to me on how much & what our friend was eating. I know this is her journey but ... Sorry it’s just I’m upset for her.

That would be so hard to watch and say nothing. I am fortunate to not only have a medical background and education, but my dietician is great. She is all about balance with some healthy carbs, watching fat, and mostly about getting Protein first. For the record, she is a co-worker in the clinic where I work.

I wish I could let your friend and @Keatsy have a session with her. She is my food therapist 😂😂

[Darktowerdream 419]

22 hours ago, Keatsy said:

Dude. You need the biggest hug ever. I admire you for battling through these difficulties.

@Keatsy honestly needed that. Not in a good place right now. But i get up and deal with the day the best I can. One step at a time even if my limitations don’t let me get too far ...

reading these posts we all need to learn to be our own nutritionist on our journey. Each have our differences especially how our bodies process foods. I was trying some meals with beef and cauliflower rice and am not sure what caused a spike in my weight. I rarely if ever eat beef. Perhaps it was that it was a frozen meal (real good foods Mongolian beef bowl) guess I’ll stick to doing it my way. I’m still testing the waters with cauliflower rice. At least post gastric bypass that is. I ate it often before.

22 hours ago, WishMeSmaller said:

How do I tell her she’s eating too much & not making good food choices if this is what her dietician has told her? I encouraged her to speak to her her surgeon about the pain & Nexium but nothing else.

I’m wondering what surgery your friend had that she is having reflux. And that she can eat so much without pains. Did she have sleeve? A lot of times with sleeve maybe the nutritionist guidelines can be more lax. Some nutritionists think carbs are ok even early on. But my nutritionist guidelines save complex, healthy carbs for maintenance and then only after having Protein first so very minimal carbs. And usually from vegetables and healthy sources. It is strange how different they can be. And it can be very damaging to the success of the bariatric patient’s success. Also with sleeve that’s usually what causes eventual reflux or GERd. And then people usually end up getting revision to RNY.

it’s hard to know what to say even to a friend. I was in similar position years ago a friend eating herself sick, literally but I couldn’t confront her about it. But that was a very difficult situation. If this is a close friend and she trusts you gently ask about her nutritionist and why she approves of so much carbs and sugar. Especially during the weight loss phase. Maybe just curious to compare to yours. I would think mot nutritionist guidelines would say very little if any sugar. I don’t know if it’s different for sleeve.

[sillykitty 10,704]

11 minutes ago, Darktowerdream said:

I’m wondering what surgery your friend had that she is having reflux. And that she can eat so much without pains. Did she have sleeve? A lot of times with sleeve maybe the nutritionist guidelines can be more lax. Some nutritionists think carbs are ok even early on. But my nutritionist guidelines save complex, healthy carbs for maintenance and then only after having Protein first so very minimal carbs. And usually from vegetables and healthy sources. It is strange how different they can be. And it can be very damaging to the success of the bariatric patient’s success. Also with sleeve that’s usually what causes eventual reflux or GERd. And then people usually end up getting revision to RNY.

it’s hard to know what to say even to a friend. I was in similar position years ago a friend eating herself sick, literally but I couldn’t confront her about it. But that was a very difficult situation. If this is a close friend and she trusts you gently ask about her nutritionist and why she approves of so much carbs and sugar. Especially during the weight loss phase. Maybe just curious to compare to yours. I would think mot nutritionist guidelines would say very little if any sugar. I don’t know if it’s different for sleeve.

I'm not sure where that info is coming from, but there is no link between carbs and reflux, and certainly not to RNY revision. GERD is a complication of the sleeve due to the new stomach anatomy creating a high pressure upper GI system.

There are many different post surgical diet programs, all prioritize Protein, hydration and calorie deficits. But they are not all strictly low carb. There is more than one path to weight loss success.

[Arabesque 6,439]

She had sleeve surgery just like me. I understand that some dieticians do allow carbs but I hope chocolate muffins & croissant were not what the dietician meant. The high fat high sugar aspect concerned me more as well as the sheer volume of food she consumed at each meal.

She is a good friend, wishmesmaller, & had the surgery because of the success I’ve had. I’m hoping that her seeing what I ate over the weekend might get her thinking. I’ve also suggested she watch Dr Vuong’s maximise your weight loss & the fat brain. You’re so fortunate to have a great dietician (who is also a wonderful friend).

As Silkykitty said, gerd (or reflux) said can be a complication of sleeve surgery which was why I think my friend’s ‘hunger pain’ is acid related & she may have developed reflux. Especially when the Nexium relieved the pain.

I know she has to find her own path but I just want her to be successful.