At 7am this morning, I had an appointment with a dietician. She is well-known in the DC celiac community as *our* RD. She is the dietician-in-residence for the all-volunteer DC Celiacs Support Group, writes for all of the gluten-free themed magazines, and is often quoted in the Washington Post on all things nutrition. That said, I really trust her experience and expertise. I went to see her 2x after I was first diagnosed with celiac disease. And though she can be a bit scattered, I enjoy the sessions and the learning that takes place while talking to her.
I started off by saying that I wanted to talk about weight gain in general. She agreed that gaining 9 pounds in 13 months was a lot -- nearly 100 extra calories a day. She had asked me to keep a food diary for 3 days, and thought that I had too many simple carbs and not enough fiber, fruits or vegetables.
I've been noticing that I eat great up until the time I get home from work. Sometimes when I get home I am so hungry I overeat on snacks. I have been trying to incorporate a snack before leaving work -- usually almonds. Dinner is my biggest meal of the day and I feel like I blow all the good I do while at work. And I can blame my boyfriend for always wanting to eat dessert.
(He does! I say no sometimes!)
What I liked the best about the visit was that she asked me questions about my behavior.
* "Looking at the list [what I ate for 3 days], what stands out for you?"
* "What kinds of desserts did you eat before you moved in with your boyfriend?"
* "How do you think you can incorporate more veggies onto your plate at dinner?"
She gave me a list of 32 suggestions to reduce portion size/calories. She had me mark which things I already do and which seem reasonable for me to try. She did not provide meal plans or say anything was restricted, just provided thoughtful ways I can improve my diet.
Here's a basic overview of what she told me to do:
* Include a piece of fruit with the almonds as my post-lunch snack (protein + fiber) -- for this, she gave me a list of fruits and proteins to consider
* Pay close attention to my thyroid levels each year; women with celiac disease have a greater chance with thyroid issues. Even without celiac disease, the thyroid can cause weight gain as we age
* If I want to continue tracking my food intake, measure everything 1-2x a week. Estimate the rest.
* Calorie range should be 1600-2000 calories a day.
Have you ever been to a dietician? What was your experience?