100 lb. Club - Consulting a doctor.

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04-03-2007, 04:03 AM
How many of you have consulted a doctor, and asked for dieting advice before starting on your weight loss journey?

I feel as though alot of misunderstandings between members asking for advice on the website could be fixed with a simple, "I have consulted with my doctor, and I am sticking to the plan that we outlined for me."

Do any of you believe that it is necessary to see a doctor before you start some sort of weightloss plan? As I understand it, everyone's body is different... having your metabolism tested, and knowing whether or not you have certain dieting restrictions you should follow is probably very beneficial.

I know that doctors don't know everything, and sometimes they can make mistakes, but, it just makes more sense to me that one would try and be safe and get proper advice from someone who knows what they're talking about.

Just curious, I guess.

04-03-2007, 04:13 AM
I definitely talk to my doctors, about any changes in diet or exercise I make. I am on multiple medications, and I think for me and others on lost of meds, it's very important. For example, two of my medications have specific food interactions, so I can have only very small amounts of grapefruit or liver. I am also on high blood pressure medications that mean I should not drink too much or too little water, and I am on several meds that interact with alcohol, so I can have no more than an occasional small glass of wine.

Even so, my doctor's advice on the subject has been pretty minimal, though I am now requesting a referral to the Weight Management Clinic at our hospital, run by a doctor who has lost 90 lbs herself.

I think if you are young and in good health, you may be able to do without, but I think it's a really smart precaution, especially if you have a lot of weight to lose, or have other health conditions.

04-03-2007, 04:31 AM
Currently, the number of calories I'm eating was a diet plan that my doctor had made for me long ago, that I never followed until now. I haven't been to a doctor in a while though, but do plan on asking my gynecologist in May if she would change anything about what I'm currently doing when I go to see her, considering she handles matters concerning my PCOS. I plan on having ALL of my blood work done to make sure that I don't need to adjust anything for that, and would ideally like to undergo different tests to see what my metabolism is like, but I'll have to check into what all is involved with that.

Really, everyone SHOULD check with a doctor before changing their eating habits and exercise, but in reality, many people can't afford to go to doctors unless they absolutely have to, and for them, if they're in good health, not on any medications, and young, I'd say just as long as they follow what's generally accepted as being a nutritionally sound diet, then it's probably okay. Better to err on the side of caution, though.

04-03-2007, 08:23 AM
I started my plan on September 4, 2006. In may of 06' is when I decided that I wanted to lose the weight once and for all. After not seeing a doctor and having a check up for many years I took the plunge and went to my doctor in May. I was terrified. But I thought if I was serious about really changing my lifestyle it was totally and completely necessary. I had a full exam, ekg, blood work, everything. When I finally decided to put my plan into play in September, I again went back to the doctor. I wanted everything stated and on the books again. I spoke to her about exercise and calorie intake and vitamins and all that stuff. I just wanted to run it by her and get her take on it and I suppose her "permission". She basically didn't tell me what to do, I just told her what I was going to do. I did want her approval though. For me, it was an important step. Afterall, in my head anyway, that's what healthy people do - they visit their doctors for check ups and talk to them about any concerns they may have.

Goddess Jessica
04-03-2007, 02:12 PM
Hmmm... I won't say I disagree with you but more of my personal experience.

I have had two fabulous physicians - neither of whom have ever been fat. Ever.

Although the told me to lose weight, their advice has ranged from "Well... I don't know... eat some more carrots." to "The nurse loves South Beach plan." Not exactly experts. However, I do check with them on my blood pressure, cholestrol, etc.

I think, in general, Primary Care Physicians aren't equipped to handle obesity. Which is pretty sad considering the epidemic of it in the US. However, I could always ask to be referred to a dietician or nutritionist if I had a question. The problem for me, is not the lack of knowledge. It's the lack of application of that knowledge!

04-03-2007, 02:18 PM
When I was in high school, I went to a doctor every week to talk about my weight. I also had been through various nutritionists and what not. I do make sure that I get a health checkup. I did not go to my doctor and say "hey I want to lose weight" though. I agree with Jessica in that most PCPs are inadequately equipped to handle the obesity problem in the US.

04-03-2007, 02:30 PM
Hmmm... I won't say I disagree with you but more of my personal experience.

I have had two fabulous physicians - neither of whom have ever been fat. Ever.

Although the told me to lose weight, their advice has ranged from "Well... I don't know... eat some more carrots." to "The nurse loves South Beach plan." Not exactly experts. However, I do check with them on my blood pressure, cholestrol, etc.

I think, in general, Primary Care Physicians aren't equipped to handle obesity. Which is pretty sad considering the epidemic of it in the US. However, I could always ask to be referred to a dietician or nutritionist if I had a question. The problem for me, is not the lack of knowledge. It's the lack of application of that knowledge!

I'm surprised we don't see more PCP that are obesity experts.
I'm due to go for a check up... better get on that. It's been a year.

My doctor has not said ANYTHING about my weight.. ever! I think always been slim doctors are afraid of how to touch the subject.

Maybe we should all be seeing a nutritionist as well as our pcp.

04-03-2007, 02:42 PM
Uh ... here I am butting in again. The doc's in the hospital where I work asked me what I did. I told them all calorie counting and walking. They congratulate me and bemoan the fact that people don't want to be told to eat less and get some physical activity.
They send them to a dietitian.

04-03-2007, 02:57 PM
I agree that too many doctors aren't very well educated on obesity. I had a doctor who was great at telling me what NOT to eat (mac n cheese in a can, cookies, regular sooda--DUH!), but that's not particularly helpful. I had another doctor simply ask me, "So, why don't you belong to Weight Watchers?" I told her I would go if she paid for it :p

But yeah, I do go for checking on things like my blood pressure and cholesterol and all that good stuff, and I did have to go to a doctor to get a "goal slip" when I joined TOPS, so they knew I would be trying to lose weight. They didn't seem to care to offer any advice beyond that losing weight is a good idea :dizzy:

04-03-2007, 03:05 PM
Yeah, I've had the same problem with doctors not really knowing what I SHOULD eat, as opposed to what I shouldn't. I don't need someone to tell me to not eat McDonald's everyday. My pediatrician (that I went to until I was 14) basically printed out the Diet Exchange sheet from the American Diabetes Association and told me to follow their plan, working me down from 1800 to 1200 calories a day. Here, that's pretty easy to follow, but I lived in Europe at the time (visited my doctor when I went back to the states twice a year) and the exchanges weren't printed on the nutrition labels, so it was pretty difficult for me to figure things out. He then sent me to the dietitian at the hospital, and all she told me was "make X amount of your plate veggies, X amount starch, and X amount meat". Not exactly the detail I was needing. My current GP just told me that I needed to "lose weight". Bah, if I decide to go to medical school and become a doctor, you can bet I'm going to become an expert on obesity (the scientific part, I already know everything else :D) so that I can actually HELP people if they ask me for advice. :)

04-03-2007, 03:07 PM
Take it from me....just because somebody has an MD behind their name doesnt mean they know diddly about dieting! It all depends on the doctor. Three years ago, I went to my primary doctor because I couldnt lose weight. I had been on WW, Dr. Phil's and Slim fast and nothing worked. Her answer.....weight loss pills! @%@$%@ Last year, my OBGYN wanted to put me on a diet....a diet he promotes that costs mega bucks! A couple of months ago, my new alternative medicine doctor tells me that he has a perfect diet for me...yep, another mega bucks plan with "special" supplements!

As in my other health issues...ie, hormones, fibroids, sarcoidosis and insulin resistance, I've learned that I have to be my own best advocate and "doctor." Sometimes, it take a lot of research and a lot of questions before I can finally put together the facts.

04-03-2007, 09:32 PM
When I talked to my doctor about specific plans - she told me that as long as the diet was kept balanced and was not eliminating an entire food group - it would be fine. She said that anything that was going to have me eating healthier and exercising more was what I needed. Then once my blood tests came in she was like okay - you need to make sure that you avoiding (you can just insert all high fat, unhealthy foods here.)

If I have a question about something that a diet plan is suggesting - she is willing to answer it, but what it comes down to is that she says pretty much what I have read so many times on the board here, that I had to find something that was going to work for me and that I needed to make it a lifetime commitment.

04-03-2007, 11:49 PM
Nope. Other than my weight, I'm in great health. I'm lucky that it hasn't really started to affect me much (health-wise), yet. But I'm young!

I'm just doing a simple 'eat less, move more' weight loss program, so it's nothing restrictive or intensive that I feel I need to discuss with a doctor. If I were doing something drastic (I consider even something like Atkins to be drastic), I'd probably discuss it with a medical professional. But frankly, I feel like this is something I can take care of myself.

04-04-2007, 12:24 AM
In the past, I didn't consult a doctor, but recently I had some bloodwork done, and my doctor informed me that I was prediabetic and recommended the South Beach eating plan for me. I've followed that, and modified it slightly by counting WW points, too, as a way of keeping my calories in check. So far it's working for me, and I go back to the doctor in a couple months to get my glucose (as well as cholesterol, etc.) checked.

04-04-2007, 07:40 AM
Well as I said in my earlier post, that I did go to the doctor upon starting my journey. But it was for my own benefit. I wanted the ekg and the blood work up and all. ANd like I said I had to tell HER what I was doing. She just basically kind of listened to me. She did say to me, how very supportive of her, "It's a lot of weight to lose without surgery." Well yes indeedy it is. I can't argue with her. But nevertheless, it is DOABLE. I kinda just kept my mouth shut, who would've thunk that? She did what I needed her to do, my tests and such and that was that. I've basically had to figure everything out on my own.

04-04-2007, 10:14 AM
My doctor has always just told me I'm young & basically healthy - he says to watch portions and to exercise regularly. He readily admits he doesn't know much about nutrition. He basically said the most important thing is that it (my plan) works for me and it's something I can do forever.

I agree with Jessica, it's not that I don't know what to do, it's a lack of actually doing it! I think we all know that we shouldn't be eating fast food everyday...yet I did it for years.

04-04-2007, 10:26 AM
This reminds me of something that always cracks me up.

I believe it was two summers ago I was "having trouble losing weight" aka being a whiny brat that it was coming off so slowly. In reality I know it was completely my fault, but I was whining about it so much that my mom was convinced there might be something physically wrong with me (she's got all sorts of health problems so in retrospect it was a good idea to get checked out). They did blood tests for pretty much everything, and everything was fine.

The doctor, who was incidentally a very nice man, suggested that I see a "nutritionalist." Yeah that's right, nutritionalist. When I got home I looked it up in the dictionary to make sure I wasn't saying "nutritionist" all these years incorrectly. But he definitely said it five or six times. Cracks me up.

Other than that, I haven't consulted a doctor about my plan. I've been very lucky to be healthy thus far, but then I'm pretty young, and my plan relies heavily on exercise and I definitely eat plenty. If I were considering a more drastic plan I'd be sure it were supervised.

becoming wisdom
04-04-2007, 11:00 AM
The more I read, the more I'm astounded at how hard it is for Americans to get ACCESS to reasonable medical care. (We in Canada constantly natter to ourselves about the quality of care here, but at least we can get in the door....)

Anyway, it sounds as if many of you have a history of being your own care managers, and when it's time for the responsible use of real medical procedures, you camp on your designated medic's steps and then take no prisoners! My hat's off to all of you - it's another angle on why weight loss can be so arduous, and an emotional tug-of-war and informational no man's land. Yes, a few of you (and myself) have lucked into more-or-less well informed professional help, but quite a few of you have had to learn enough about advanced nutrition, fitness programs for the joint-challenged, and motivational skill equivalent to doing self-directed cold-turkey detox.... You people are nearly Amazons, and certainly accomplished warriors! I know that partly it's because of the nurture, protection and support that we can all find here, and maybe military metaphors might feel a little too aggressive! But the way so many of you have met the challenge of mediocre medical support, is just awesome!

Oh, and lovelypurple, I do agree that we should try to get an educated second opinion when starting on a weight loss program for life, and you have hit the nail on the head. We each have some health idiosyncracies, and if we all did due diligence before picking a specific program, some of the finer points of certain discussions on this forum would go more smoothly. And we could support each other even better. And we'd be saddled with less personal heartache. And less of us would need those uncommon well-educated doctors!

Who knows, maybe we need to invest a lot of our resources in finding our own right path, before we're ready to do the required changes; the "what doesn't kill you makes you stronger" ethic. Or, maybe, this forum points to a model for a future powerful resource, whenever certain problems become so widespread that the old remedies don't cut it anymore. A sort of "information with heart and soul" kind of thing. Or maybe I should just admit I've been up all night, apologize for talking like an old tripped-out hippy, and glug down some more coffee:coffee: before my weigh-in, huh?

Anyway -- I'm absolutely blown away by the raw determination & success of so many of you! And I WON'T take that back, so there!;)

:carrot: :cb: :broc:

04-04-2007, 01:31 PM
I did not consult my doctor, because I honestly didn't think she could tell me anything I didn't know. She does mention my weight, but when she does, she say, "What are you going to do about it?" Me? Aren't you the one who should be telling ME what I need to do? LOL. And then, all she would probably do is recommend me to something like South Beach (which I'd already read) or refer me to a specialist. I mean, I've known how to lose weight for years. I've been actually doing it for 3 months.

wanna b thin
04-04-2007, 02:39 PM
I go to my doctor regularly for blood pressure check ups. He has been telling me for years that I need to get the weight off. When I finally ask what he suggested (this was before my first round of WW back in 2000), he suggested WW, Atkins or Jenny Craig. He offered nothing about nutrition. He does blood work ups about every year or two, and almost acts dissapointed that they all come back good and he has nothing else to complain about. When I lost 70 pounds the first time he lowered my blood pressure medicine but warned me that if I gain it back he'll have to increase it agian. I gained it back. Not the most supportive person in the world, he didn't say much the last time I was in and was 55 pounds lighter than I was at the previous visit. I've considered a new doctor, but he really is pretty good about everything else.