I just got back from the DR. I gave her my food log. They checked my urine, and of course I was in ketosis. Duh- I have been nearly every day since I started two months ago. Initially, she tried to tell me I was eating too much protein. She told me I may be eating too many calories. But by the end of the visit, I think she realized that was superficial advice.
A few minutes after her initial assessment, I started to let her know how incredibly fed up with dieting, exercising, supplement taking and not losing any weight. Since I'm always on a diet, this is my lifestyle. I started crying. I told her about yesterday with ditching my friends because I was too embarassed to see them, and then I think it clicked with her that something is seriously wrong. I can do anything I set my mind to. I went to law school, I own a house, I friggin ran a half marathon. If I want something, I'm disciplined and I accomplish it.
She finally TRULY reviewed my dieting history with me when I mentioned that I am tired of accounting for every single thing I eat. I obsess over it. It's not healthy. I reiterated that I never lost weight with the 13 or 14 or so tries in the last 13 years. She apologized for not listening more closely during our first visit when I told her about this.
Doctors have accused me of lying or accused me of being stressed. When she say my cortisol levels as normal (they were tested), she realized, something is seriously wrong. Also, my female hormones were pre-menopausal again, but she said that doesn't mean anything until we retest while I'm off birth control.
I could tell she felt bad. She honestly thought I would come in today 15-20 pounds lighter (she literally said that she was shocked I didn't). She admitted that she was stumped.
She didn't get the results for some of my blood tests yet. She decided that it'd be best that she reach out to her colleagues to brain storm about what our next step is. She'll call me about when to make an appointment once she had a game plan.
She said she has no doubt that I have PCOS. She said she doesn't want to put me on metaformin (spelling?) just yet. She thinks there is more investigating to be done first.
In the mean time, she suggested I a) eat less protein; b) eat more fat (protein fat ratio should be equal); c) take more fish oil; and d) take an appetite suppressant for immediate results.
I don't think the advice she gave me was the best advice. Especially because her theory about protein turning to glycogen and preventing weight loss is flawed-- I'm in ketosis. I wouldn't be if I was eating too much protein. I also don't really believe in taking appetite suppressants. I am disciplined enough to not need them. I think she thought I just needed her to do SOMETHING until she asks around to find out what we should do next.
I was in there with her for about 45 minutes. She seemed really sympathic especially after I started crying. She asked me to be patient with her, and that she's learning too.
So, for now, I'm no better off than I was before I saw her. I'm thinking about filling the persciption for the phentermine because I'm desperate. I really need to see a loss on the scale. I really need the mental boost.
I personally think it's my hormones. I'm hopeful that as she reaches out to people, they tell her to stop focusing on my diet and to dig deeper. I told her money is no object- to test away. I pray that she and her colleagues come up with something fast.
In the mean time, it guess it's bad to eating much less. She said she doesn't want to give me a specific amount of calories to eat, but it should be somewhere in the range of 1200-1600 (not entirely too off from what I'm consuming). Also, she said that my protein should be between 70-90 grams. (Also, not THAT much different than what I've done). So, my biggest change will be eating more healthy fat.
Sorry for the long post- I think I covered everything that happened. I don't feel great about it, but I have to have faith that she will do her homework to find out what's going on with me.
"The unexamined life is not worth living." -Socrates
|341 Days since: Refined sugar