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dietician

 

I feel like my dietitian is starving me...


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#1 young goddess

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Posted 25 February 2022 - 07:18 PM

I recently went to a dietitian and im a hypothyroid so losing weight the past few years has been so extremely difficult and gaining weight so easy, my mother convinced me maybe its a good idea to just have a dietitian create a custom diet for me and my condition and put me on meds so weight loss becomes easier and I stop letting myself go since im only 20 and it will cause me great health risks as I get older... 

 

I agreed even though I have really bad anxiety when it comes to hospitals/doctors but went anyway and my dietitian asked me to do blood tests so she can create a custom diet plan but for the mean time until the results of the tests are out, she put me on a diet for a week...

 

 

the diet is so extremely difficult, im literally only allowed meat fish chicken that is grilled or boiled, only boiled vegetables and salad with no dressing, only 1 piece of toast daily and only boiled eggs, yogurt, fruits ... thats literally the only food im allowed.. im not allowed to eat cheese, rice, pasta, anything with oil, potatoes (not to mention the obvious junk food), jam, etc..

 

 

Now, I understand that to some this seems like a pretty simple thing to give up but the portions Im allowed to have barely allow me to get in 1000 calories, with breakfast only being 250 calories (boiled egg and apple and slice of toast or yogurt and honey and slice of toast or lunch meat and a slice of toast) and lunch probably being the biggest meal (where I can eat any grilled or boiled meat(fish-meat-chicken) + salad+ boiled vegetables) around 400 calories, and dinner being a tuna salad (half a can of tuna) or one of the breakfast meals.(250-300) and thats being generous with my calories.

 

 

I cant keep going with this diet, im so hungry all the time and after only 4 days I binged ! I just feel like cutting out so many foods and having such a limited diet with only certain ways for food to be cooked maybe wouldn't work on someone who is 1- big 2- has been eating so many other foods 3- has an ED!

 

am I just being crazy or is this a super strict first diet for a dietitian to put you on? or is this how it just normally is and im spoiling myself for thinking its too hard? I just thought going to a dietitian she would slowly cut out food and it will be a smooth NON-ED path but this diet literally is something I read online when I was doing diets and starving myself... also less than 1000 calories a day? thats what I do when I restrict!! even logging this into my fitness pal it told me that is should be eating at least 1000...

 

 

I just want to recover and thought a professional could help... I dont see her til next Tuesday and I am scared my wight won't go down because I binged today and over-ate yesterday.. can I please get advice/ opinions? 


#2 smolfawn

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Posted 25 February 2022 - 07:53 PM

you should probably look for a different dietician, thats quite low for anyone honestly and if you have thyroid problems it likely won't help your  hormones restricting so many food groups like that, I can't give better advice other than find a new dietician. 


  

  

                                   

#3 Sugarcoated

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    Posted 25 February 2022 - 07:55 PM

    I really don't think a dietician should be restricting you that much (Or at all tbh). The foods you listed are a lot of ed staple foods too. I mean salad with no dressing? Like plain lettuce? I'm not sure, but if hypothyroidism is similar to extreme hunger, this diet sounds like a nightmare. Especially if you want to recover, this could be really harmful. You might want to find a new dietitian or at least explain to them what would work better for you. 


    #4 stonescold

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    Posted 25 February 2022 - 08:14 PM

    I would def talk to your dietician about this or find a new one who could help you better. This meal plan honestly sounds triggering

    #5 surrealicity

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      Posted 25 February 2022 - 09:01 PM

      But she only put you on this diet for one week? Maybe it has diagnostic value. She's getting your blood work results, but it could be helpful to see how you physically respond to pretty traditional dietary restriction, and if you do have low thyroid function, you need less calories to maintain weight and therefore less calories to lose weight. If healthy thyroids generally warrant 1200 calories to lose weight short-term, a low functioning thyroid will need less than that.

      My parents went on a medically-supervised diet where they were allowed 400 calories a day for the first two weeks. Gradually, that was increased to 800, then 1000. They were obese (~BMI 30-32 I'd say?) And had fat stores to provide additional energy, so as long as their micronutrient needs were met and vitals were stable, the restricted calorie intake was warranted and safe. They actually maintained the weight loss (which was accompanied by mandatory group counseling and biweekly check ups) for over a year until a family emergency fucked us all up. They also were encouraged to exercise throughtout, and were in their best shape that they'd been in over a decade. My mom started running (slowly, but still) 5ks.

      So definitely doesn't seem unusual for normal weight loss diets, especially since she wants to get your blood work in before continuing. Idk how heavy or active you are, but often the first goal is start losing weight, then add in exercise as your body can handle it more (depends on how much excess weight you carry of course). If you have concerns, tell her and be honest. Tell her you binged too since that is important knowledge for her. Maybe you should be seeing a therapist in addition to a dietician if you aren't already, that can help keep you from falling back into disordered patterns and also may lead to sustainable healthy weight loss.

      I hope your blood work gives you some helpful results and you can get the help you need from your dietician! Good luck

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      #6 jackalyvia

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      Posted 25 February 2022 - 09:09 PM

      It kinda sounds like the diet Dr now gives on 600lb life
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      #7 rendingplumage

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        Posted 25 February 2022 - 11:11 PM

        holy shit wtf. You need thyroid meds and like 1500-1800 cals + moderate exercise not this fuckery.


        #8 Mitsy

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        Posted 25 February 2022 - 11:48 PM

        No no no. Not every dietitian is like that. This is not a good match for you.  Try a different dietitian. Find one who specializes in EDs. You may have better luck with one who has a more intuitive eating approach, HAES, body inclusive.  

         

        You could go back to her and say what didn't work for you and maybe she will work with you to find something approchabke, but I recommend you drop her and find a new dietitian 


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        #9 Elfin

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        Posted 26 February 2022 - 12:03 AM

        That is effing insane and seriously dangerous!! I *have* low thyroid function and my last relapse was while I was undiagnosed. My self set daily limit was 1200 and I regularly failed to keep below that and binged regularly because I was unmedicated. I’m currently medicated and my levels are great (just had a consult with my endocrinologist yesterday and she’s so happy with my levels I don’t need to see her for a whole year) and my disordered allowance is 900 (with two high intake days a week) and that’s easy to maintain on my meds. I couldn’t even imagine trying to do it unmedicated, especially with such a bland restricted diet. The body needs fats and salts too, even in small amounts and that’s one reason so many diets fail. Your dietitian is an effing moron. An unmedicated low thyroid person can lose on 1200-1800 no matter what you eat and if your body is craving something, there might be a reason. Get your bloods done asap and talk to your go. They can help you while you wait for an appointment with the specialist.

        #10 Nullivorous

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          Posted 26 February 2022 - 03:29 AM

          There is method and logic behind the dietitian's approach, but if it isn't working for you, then you need to voice it or get a different dietitian. A lot of those "you have to eat at least 1200 kcal" statements floating around diet websites like MFP is an arbitrarily selected number. Different people with varying sizes and health situations have different thresholds of what's risky and what's safe. Generally dietitians and doctors take this into consideration when doing close monitoring of weight loss regimens.

           

          It's crucial to talk about the struggles, concerns, and side effects (like the binge) to the diet. It may even be worth sending the dietitian a message so see if there's a need for 'emergency change' in the diet plan before your next visit. I generally give my members of care team about 3-4 visits before I determine if it's a good fit or not, and there's definitely times where I've quit doctors of dietitians because their approach just wasn't working for me and causing more distress overall.

           

          I also wonder about the mentioned portion sizes? like I get the tiny tuna cans, so half a can is only 30 calories and a stupid small amount. But the bigger more common sized cans are 180 to 240 kcal per can, with some even bigger cans being 400 kcal each. A 'piece' of chicken for lunch could range from a large full chicken breast to a single chicken wing/drumstick. A 'piece' of fish could be as small as 60g or as big as a dinner plate. Slice of toast could be as small as 25 kcal (super thin diet bread) or as big as 180 kcal each (wide loaf bread). Even an apple can range from 50 calories to 200 calories depending on its diameter.

           

          Unless meal plans list a concrete, measurable size like a weight or volume, I'm skeptical on the validity of the meal plan. I *never* trust ED folx to know what a standard serving looks like and always include an indisputable measurement unit when making meal plans for others.


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          #11 kitn

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            Posted 26 February 2022 - 06:26 AM

            yeah you need to talk to her about this and ask her to explain if she intends you to eat so little and if so why..you should be open about the binging and feeling hungry because those are potential signs you aren't getting what you need. 


            #12 hide-yourself

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              Posted 26 February 2022 - 10:01 AM

              surrealicity, on 25 Feb 2022 - 9:01 PM, said:

              But she only put you on this diet for one week? Maybe it has diagnostic value. She's getting your blood work results, but it could be helpful to see how you physically respond to pretty traditional dietary restriction, and if you do have low thyroid function, you need less calories to maintain weight and therefore less calories to lose weight. If healthy thyroids generally warrant 1200 calories to lose weight short-term, a low functioning thyroid will need less than that.
              My parents went on a medically-supervised diet where they were allowed 400 calories a day for the first two weeks. Gradually, that was increased to 800, then 1000. They were obese (~BMI 30-32 I'd say?) And had fat stores to provide additional energy, so as long as their micronutrient needs were met and vitals were stable, the restricted calorie intake was warranted and safe. They actually maintained the weight loss (which was accompanied by mandatory group counseling and biweekly check ups) for over a year until a family emergency fucked us all up. They also were encouraged to exercise throughtout, and were in their best shape that they'd been in over a decade. My mom started running (slowly, but still) 5ks.
              So definitely doesn't seem unusual for normal weight loss diets, especially since she wants to get your blood work in before continuing. Idk how heavy or active you are, but often the first goal is start losing weight, then add in exercise as your body can handle it more (depends on how much excess weight you carry of course). If you have concerns, tell her and be honest. Tell her you binged too since that is important knowledge for her. Maybe you should be seeing a therapist in addition to a dietician if you aren't already, that can help keep you from falling back into disordered patterns and also may lead to sustainable healthy weight loss.
              I hope your blood work gives you some helpful results and you can get the help you need from your dietician! Good luck


              Took the words right out of my mouth. Weird how many people here are lynching the dietitian, the medical professional, in this topic, meanwhile not having any access to OP's medical records/bloodwork/other stats, which the dietitian would?? Like maybe don't tell OP to just ignore what their medical team is telling them to do as if you know better? /srs lmao what

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              #13 BoredBibliophile

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              Posted 26 February 2022 - 11:14 AM

              As ppl are saying I would definitely talk to her! Tell her about binging, feeling hungry/unsatisfied, etc. If you find her methods don’t work for you/she doesn’t listen and adjust to suit your needs then you should try changing dieticians—maybe ask your gp or even her for a name

               

              but also it has been a week—I don’t think she’s intentionally starving you as low cal diets in the short term aren’t super harmful. It could be needed (maybe she will take more bloods? Maybe how you react is a baseline for treatment?). I would for sure talk to her about this because it obviously isn’t going to work going forward but don’t write her off unless you don’t feel heard/respected 


              #14 young goddess

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              Posted 27 February 2022 - 09:47 AM

              surrealicity, on 25 Feb 2022 - 9:01 PM, said:

              But she only put you on this diet for one week? Maybe it has diagnostic value. She's getting your blood work results, but it could be helpful to see how you physically respond to pretty traditional dietary restriction, and if you do have low thyroid function, you need less calories to maintain weight and therefore less calories to lose weight. If healthy thyroids generally warrant 1200 calories to lose weight short-term, a low functioning thyroid will need less than that.

              My parents went on a medically-supervised diet where they were allowed 400 calories a day for the first two weeks. Gradually, that was increased to 800, then 1000. They were obese (~BMI 30-32 I'd say?) And had fat stores to provide additional energy, so as long as their micronutrient needs were met and vitals were stable, the restricted calorie intake was warranted and safe. They actually maintained the weight loss (which was accompanied by mandatory group counseling and biweekly check ups) for over a year until a family emergency fucked us all up. They also were encouraged to exercise throughtout, and were in their best shape that they'd been in over a decade. My mom started running (slowly, but still) 5ks.

              So definitely doesn't seem unusual for normal weight loss diets, especially since she wants to get your blood work in before continuing. Idk how heavy or active you are, but often the first goal is start losing weight, then add in exercise as your body can handle it more (depends on how much excess weight you carry of course). If you have concerns, tell her and be honest. Tell her you binged too since that is important knowledge for her. Maybe you should be seeing a therapist in addition to a dietician if you aren't already, that can help keep you from falling back into disordered patterns and also may lead to sustainable healthy weight loss.

              I hope your blood work gives you some helpful results and you can get the help you need from your dietician! Good luck

              Yeah, ive also thought about that maybe she's putting me on a strict diet for a week just so I can feel better after I lose a lot of weight?


              #15 young goddess

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              Posted 27 February 2022 - 09:48 AM

              jackalyvia, on 25 Feb 2022 - 9:09 PM, said:

              It kinda sounds like the diet Dr now gives on 600lb life

              well im 250 lbs so 


              #16 young goddess

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              Posted 27 February 2022 - 09:50 AM

              Mitsy, on 25 Feb 2022 - 11:48 PM, said:

              No no no. Not every dietitian is like that. This is not a good match for you.  Try a different dietitian. Find one who specializes in EDs. You may have better luck with one who has a more intuitive eating approach, HAES, body inclusive.  

               

              You could go back to her and say what didn't work for you and maybe she will work with you to find something approchabke, but I recommend you drop her and find a new dietitian 

              yeah I will definitely tell her it didnt work for me, ive upped my calories since the binge eating around 1500 calories which I can easily manage so I will just let her know if she's planning to put me on less than 1000 calories for fast weight loss that it will probably backfire. I should also mention she told me that she wants to put me on a diet after my tests are out that will cause me (and I quote) "rapid weightloss" which felt like a red flag to me but I see her in 2 days so ill see how it goes and let you know


              #17 young goddess

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              Posted 27 February 2022 - 10:00 AM

              Nullivorous, on 26 Feb 2022 - 03:29 AM, said:

              There is method and logic behind the dietitian's approach, but if it isn't working for you, then you need to voice it or get a different dietitian. A lot of those "you have to eat at least 1200 kcal" statements floating around diet websites like MFP is an arbitrarily selected number. Different people with varying sizes and health situations have different thresholds of what's risky and what's safe. Generally dietitians and doctors take this into consideration when doing close monitoring of weight loss regimens.

               

              It's crucial to talk about the struggles, concerns, and side effects (like the binge) to the diet. It may even be worth sending the dietitian a message so see if there's a need for 'emergency change' in the diet plan before your next visit. I generally give my members of care team about 3-4 visits before I determine if it's a good fit or not, and there's definitely times where I've quit doctors of dietitians because their approach just wasn't working for me and causing more distress overall.

               

              I also wonder about the mentioned portion sizes? like I get the tiny tuna cans, so half a can is only 30 calories and a stupid small amount. But the bigger more common sized cans are 180 to 240 kcal per can, with some even bigger cans being 400 kcal each. A 'piece' of chicken for lunch could range from a large full chicken breast to a single chicken wing/drumstick. A 'piece' of fish could be as small as 60g or as big as a dinner plate. Slice of toast could be as small as 25 kcal (super thin diet bread) or as big as 180 kcal each (wide loaf bread). Even an apple can range from 50 calories to 200 calories depending on its diameter.

               

              Unless meal plans list a concrete, measurable size like a weight or volume, I'm skeptical on the validity of the meal plan. I *never* trust ED folx to know what a standard serving looks like and always include an indisputable measurement unit when making meal plans for others.

              She's never mentioned portion sizes and yeah the tuna can is around 300 calories so half would be 150, for chicken I eat like a half a chicken breast and read meat like 250 calories worth and thats what it takes for me to get full so I calculated based off of that, but it doesn't specify portion sizes with the meat or salads, anything else its like 1x (thing) but after day 2 I started feeling really dizzy and so I counted calories and it was 910 calories (and I was being pretty generous with the calories). my main problem isn't the portions but its 1) a small breakfast which I cant deal with because I always have had large breakfasts and I also leave after breakfast to go about my day (uni) so its annoying that what I consider to be the most important meal is also the smallest meal. another thing I dislike is the limited meal options which really annoy me because food gets boring really quickly when you're only allowed to eat like 8 things and cooked a certain way. I am also constantly hungry even though she recommends me drinking 500 ml of water before every meal to make me feel fuller which it does temporarily then I get extremely hungry like an hour after and after very little I ended up binging which makes me feel absolutely horrible because the one thing keeping my from binging is knowing shed weigh me on our next meeting and I dont want o have gained/not lost enough weight and also I saw this dietitian with a goal to stop binging. there's no way for me to contact her because she never gave me her number, I should mention our meeting was like less than 5 minutes, she didnt explain anything to me which I found odd but hopefully after my tests are out she will have a different opinion 


              #18 TPWLMST

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                Posted 27 February 2022 - 10:01 AM

                young goddess, on 27 Feb 2022 - 09:50 AM, said:

                yeah I will definitely tell her it didnt work for me, ive upped my calories since the binge eating around 1500 calories which I can easily manage so I will just let her know if she's planning to put me on less than 1000 calories for fast weight loss that it will probably backfire. I should also mention she told me that she wants to put me on a diet after my tests are out that will cause me (and I quote) "rapid weightloss" which felt like a red flag to me but I see her in 2 days so ill see how it goes and let you know

                yeah a 1 week restrictive diet to test blood levels or whatever is one thing but that definitely sounds red flaggy to me. as much as it might suck to hear (but from someone at a higher weight than you) it's going to be a lot more sustainable and safe to lose weight slowly. people can suffer complications from malnourishment at any weight and i'd be cautious if she recommends you continue following something similarly restrictive rather than giving you something realistic and telling you to get a few walks or something in per week

                edit: i just saw your recent comment and the fact that she saw you for five minutes, gave you that diet, and said 'see you in a week' is setting off kill bill sirens
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                #19 young goddess

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                Posted 27 February 2022 - 10:08 AM

                TPWLMST, on 27 Feb 2022 - 10:01 AM, said:

                yeah a 1 week restrictive diet to test blood levels or whatever is one thing but that definitely sounds red flaggy to me. as much as it might suck to hear (but from someone at a higher weight than you) it's going to be a lot more sustainable and safe to lose weight slowly. people can suffer complications from malnourishment at any weight and i'd be cautious if they recommend you continue following something similarly restrictive rather than giving you something realistic and telling you to get a few walks or something in per week

                the last dr I was with (a few months ago) never gave me a meal plan but he told me what I cant eat (which was junk food and white bread) and told me how much I should walk daily. he was super rude though and I ended up not wanting to see him after a few weeks and he never actually gave me a meal plan to stick to. I enjoyed his diet anyway and it was fairly easy to follow and I was losing weight slow and steady but he was super rude all the time and would make annoying jokes (told me to stop storing chocolates underneath my bed, stop stealing candy.. etc.) and just was overall super rude... so this is the first time since I was like 14 that I had someone give me like a custom plan. I also wanted it to be a woman after the experience I had with the male one since I just didnt feel comfortable with him ( I know not all male doctors are like this but a female one makes me feel more comfortable)

                 

                edit: the first time I saw a dietitian was at 14 (start of my ED) and it was forced by my mom and I ended up not following her plan and starving instead, the 2nd one was a few months ago and this is the 3rd one in case the timeline is confusing


                #20 TPWLMST

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                  Posted 27 February 2022 - 10:17 AM

                  young goddess, on 27 Feb 2022 - 10:08 AM, said:

                  the last dr I was with (a few months ago) never gave me a meal plan but he told me what I cant eat (which was junk food and white bread) and told me how much I should walk daily. he was super rude though and I ended up not wanting to see him after a few weeks and he never actually gave me a meal plan to stick to. I enjoyed his diet anyway and it was fairly easy to follow and I was losing weight slow and steady but he was super rude all the time and would make annoying jokes (told me to stop storing chocolates underneath my bed, stop stealing candy.. etc.) and just was overall super rude... so this is the first time since I was like 14 that I had someone give me like a custom plan. I also wanted it to be a woman after the experience I had with the male one since I just didnt feel comfortable with him ( I know not all male doctors are like this but a female one makes me feel more comfortable)

                  oh that sounds super sketchy too, i'm sorry to hear. also hard and fast 'no junk food' rules are bound to fail anyways because it being off limits is going to make people want it/fixate on them further and is a recipe for disaster if people struggle with binging :/ it's wack how many medical professionals in my experience (and it sounds like yours too) just suck at their jobs

                  also honestly, as someone who enjoys exercising/working out who is arguably pretty in shape despite my weight: being told a firm number of daily exercises rather than a general goal to try and hit would've made me resent it as a teenager. even moreso if the person doing it insulted me the whole time. i hope this current dietician is tripping false alarms or you're able to find someone who is able to help with your binge eating

                  edit: just saw your edit. either way being insulted and told what i Had to do per day would've made me stick my heels in the ground lol. i'm working towards being able to run a 30 minute 5k, work on my feet, and can lift over half my body weight but everyone needs rest days or doesn't always have the time to slot in x steps

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                  I feel like my dietitian is starving me...


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                  #21 tinysighs

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                  Posted 27 February 2022 - 10:20 AM

                  Perhaps i'm playing devil's advocate but that sounds like a relatively healthy and balanced diet plan to me. I would suggest voicing your concerns directly to your dietitian, I assume what you're experiencing are psychological symptoms of withdrawal.

                   

                  Consider this: It takes about a month to establish new routines and habits for anything, this might just be the pains of adapting to something new. I would speak to her about all your symptoms (including the binge episodes) before giving up or disregarding her advice. I would also ask her for a referral to a psychotherapist, because it seems to be a psychological issue beyond what a diet can address. 


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                  #22 young goddess

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                  Posted 27 February 2022 - 10:22 AM

                  TPWLMST, on 27 Feb 2022 - 10:17 AM, said:

                  oh that sounds super sketchy too, i'm sorry to hear. also hard and fast 'no junk food' rules are bound to fail anyways because it being off limits is going to make people want it/fixate further even more and is a recipe for disaster if people struggle with binging :/ it's wack how many medical professionals in my experience (and it sounds like yours too) just suck at their jobs

                  also honestly, as someone who enjoys exercising/working out who is arguably pretty in shape despite my weight: being told a firm number of daily exercises rather than a general goal to try and hit would've made me resent it as a teenager. even moreso if the person doing it insulted me the whole time. i hope this current dietician is tripping false alarms or you're able to find someone who is able to help with your binge eating

                  edit: just saw your edit. either way being insulted and told what i Had to do per day would've made me stick my heels in the ground lol. i'm working towards being able to run a 30 minute 5k, work on my feet, and can lift over half my body weight but everyone needs rest days or doesn't always have the time to slot in x steps

                  yeah it just stuns me she cut of foods so quickly like I said originally I just thought it would be slow and steady, and its not like she cut off unreasonable foods too she cut off things like cheese, jam, potatoes all things that are fattening yes but can be consumed at a small amount to satisfy any cravings it just felt like it was bound to be a fail but im scared shed be rude to me next time if I tell her It didnt work but I just have to be honest If I want this to be a success


                  #23 young goddess

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                  Posted 27 February 2022 - 10:24 AM

                  tinysighs, on 27 Feb 2022 - 10:20 AM, said:

                  Perhaps i'm playing devil's advocate but that sounds like a relatively healthy and balanced diet plan to me. I would suggest voicing your concerns directly to your dietitian, I assume what you're experiencing are psychological symptoms of withdrawal.

                   

                  Consider this: It takes about a month to establish new routines and habits for anything, this might just be the pains of adapting to something new. I would speak to her about all your symptoms (including the binge episodes) before giving up or disregarding her advice. I would also ask her for a referral to a psychotherapist, because it seems to be a psychological issue beyond what a diet can address. 

                  I think it is healthy as well its just too strict and im hungry all the time which is why I said I feel like she's starving me, and also I cant afford therapy 


                  #24 TPWLMST

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                    Posted 27 February 2022 - 10:33 AM

                    young goddess, on 27 Feb 2022 - 10:22 AM, said:

                    yeah it just stuns me she cut of foods so quickly like I said originally I just thought it would be slow and steady, and its not like she cut off unreasonable foods too she cut off things like cheese, jam, potatoes all things that are fattening yes but can be consumed at a small amount to satisfy any cravings it just felt like it was bound to be a fail but im scared shed be rude to me next time if I tell her It didnt work but I just have to be honest If I want this to be a success


                    potatoes are actually fairly nutrient dense when baked, boiled, or stewed tbh. i would definitely raise your concerns about continuing with a strict diet to her, if she tries to berate you for it there are plenty of other dieticians out there. also mention that for your personal schedule a meal plan that favors breakfast over lunch/dinner is ideal, the whole point is to find something that works for you


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                    #25 fired

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                    Posted 27 February 2022 - 02:09 PM

                    I'd say you should discuss it with your dietitian, and if that doesn't help, maybe go back to your doctor and ask to be referred to someone else.  Presumably the dietitian has reasons, and when you know them you may or may not agree.


                    #26 Mitsy

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                    Posted 27 February 2022 - 02:27 PM

                    young goddess, on 27 Feb 2022 - 09:50 AM, said:

                    yeah I will definitely tell her it didnt work for me, ive upped my calories since the binge eating around 1500 calories which I can easily manage so I will just let her know if she's planning to put me on less than 1000 calories for fast weight loss that it will probably backfire. I should also mention she told me that she wants to put me on a diet after my tests are out that will cause me (and I quote) "rapid weightloss" which felt like a red flag to me but I see her in 2 days so ill see how it goes and let you know

                    Does she know about your ED? 

                    Def seems like a red flag. The first goal should be stabilizing your eating and developing a sustainable, healthy relationship with food. Weight should be secondary. And encouraging rapid weight loss seems irresponsible as this could worsen the ED behaviors. And even if your overweight, rapid weight loss is unhealthy. Atypical anorexia is much the same as anorexia as far as physically consequences. 

                    Get a really open line of communication with her. Be totally honest about your ED. Ask as many questions about her recommendations as you need to. Share any concerns you have about her methods. 


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                    #27 young goddess

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                    Posted 28 February 2022 - 05:30 AM

                    Mitsy, on 27 Feb 2022 - 2:27 PM, said:

                    Does she know about your ED? 

                    Def seems like a red flag. The first goal should be stabilizing your eating and developing a sustainable, healthy relationship with food. Weight should be secondary. And encouraging rapid weight loss seems irresponsible as this could worsen the ED behaviors. And even if your overweight, rapid weight loss is unhealthy. Atypical anorexia is much the same as anorexia as far as physically consequences. 

                    Get a really open line of communication with her. Be totally honest about your ED. Ask as many questions about her recommendations as you need to. Share any concerns you have about her methods. 

                    no, she does know about my hypothyroidism but thats it, I didnt really have the time to get into telling her about my ED but tomorrow I will let her know I struggle with binging and then starving on and off 


                    #28 young goddess

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                    Posted 01 March 2022 - 05:46 AM

                    Update: I ended up making the decision to leave this dietitian and went to an entirely different one. This one took all my measurements, weight, used a smart scale and asked me about any triggers I have or foods I cant give up. Our meeting was over an hour long and she explained to me everything and answered all my questions. She told me that 800 calories was way too low for me and instead put me on 1800-2000 calories daily for now and told me it will be a slow steady process and I should expect to lose 70 lbs within 6-7 months, ideally I should lose 105 lbs overall within a year or more to be at a healthy weight. I feel really good about this and thank you all for validating my feelings about the previous dietitian. please wish me luck in my recovery from BED <3 its been a rough horrible struggle 


                    #29 I.AM.A.Fatphobic.ANA

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                      Posted 01 March 2022 - 07:54 AM

                      So sorry that your dietitian is doing this. It sounds like quit a low cal diet to just put someone who is just starting out at.

                      I’d def phone her and see if she could review your diet. Maybe up the cals a bit until you get used to the restriction.

                      You can do this! Working towards a healthy lifestyle and wanting to do it is something that should be applauded. You have come so far just by trying. Just hang there and communicate with your dietitian. You got this x

                      #30 TPWLMST

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                        Posted 01 March 2022 - 08:07 AM

                        young goddess, on 01 Mar 2022 - 05:46 AM, said:

                        Update: I ended up making the decision to leave this dietitian and went to an entirely different one. This one took all my measurements, weight, used a smart scale and asked me about any triggers I have or foods I cant give up. Our meeting was over an hour long and she explained to me everything and answered all my questions. She told me that 800 calories was way too low for me and instead put me on 1800-2000 calories daily for now and told me it will be a slow steady process and I should expect to lose 70 lbs within 6-7 months, ideally I should lose 105 lbs overall within a year or more to be at a healthy weight. I feel really good about this and thank you all for validating my feelings about the previous dietitian. please wish me luck in my recovery from BED <3 its been a rough horrible struggle


                        congratulations on finding someone who is actually looking at your case and taking you seriously :)
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