Fitness Minutes: (90,409)
12/9/11 6:51 P
I would encourage you to see a new doctor. It sounds as if your questions aren't being answered and your issues remain unaddressed. Perhaps you need a new RD as well. Maybe some who specializes in more complicated cases with more experience.
That being said, personally I don't think drugs fix the weight issue for the long term. Have you ever checked in to working out with a personal trainer? I mean one that is Master Certified and who specializes in complex issues, not just some young guy at the gym.
I ask this because I have a Master Trainer I have worked out with for two years. Over the last three years I lost 95 lbs and kept it off. I'm in my late 40's, take two types of thyroid meds a day, have reflux issues, etc. I have a pin in my knee, and one in my thumb, and herniated discs. I am a mess. But he worked with me on everything until we found ways to make it work. I also follow the Clean Eating Diet - magazines at walmart or check them out at www.cleaneatingmag.com.
I found that it is not just the calories you eat, but the type of calories and that the cleaner I eat, the easier it is for me to lose and maintain.
Check out all your options and don't think that one pill will make things better for you.
That sounds very frustrating. It might be helpful to have some questions listed before going to the doctor. I know that a lot of times when I go to the doctor I follow their lead and end up leaving with more questions than I had before I went in. I finally have a doctor that takes her time and really listens and doesn't act rushed when she comes in to see me. It creates a natural environment for me to open up and talk about some issues I'm having (regardless of how minor). In the past I would hold back and not ask any questions because I felt guilty taking up their time. There is always a really long wait to see her because of that personalized service, but it is worth the wait. I just make sure I plan for an extra hour or so when I make my appointment.
If that is the case, then maybe you should try a different doctor. Otherwise, I think that you have a right to ask the doctor why he doesn't think the medication is appropriate for you. He might have a valid reason which would be helpful for you to know. Why he won't refer to you t weight management clinic is confusing to me. I don't really know what they do at those clinics, but it is my assumption that they provide counseling, nutrition support, and fitness programs. I don't see why any doctor would be against that, but again, I think you have a right to ask why he doesn't think that is the correct path for you. Same with the hormone therapy. The fact that he originally felt it was right, then changed his mind means that there is a reason why he thinks it is not appropriate for you and you have the right to find out why.
If you don't feel comfortable asking him these questions then you should probably find another doctor (honestly, any doctor who says "that doesn't make any sense" and leaves it at that without any further information or investigation would be crossed off my list). I don't mean to sound sexist or anything, but I find female doctors are much more likely to listen to you and not seem dismissive. That is a gross generalization and there is a male doctor in my family who is the type who really takes his time with patients, so I know male doctors like that do exist, but if you are choosing doctors knowing very little about them, choosing a female will give you better odds of finding one who won't blow you off.
I'm not sure how a messed up metabolism could be corrected, but I'm sure it can be. Did the nutritionist mention if it is possible to correct it and how to go about it? I would listen to her, or see if you can find a nutritionist who specializes in correcting metabolisms (maybe someone with a background in eating disorders). It seems as if you will need to take care of that piece before you will see weight loss results. Either way, if you focus on getting healthy rather than on seeing results on the scale it might not seem so frustrating. It is a very different way of looking at things, I'm sure. We have all fallen victim of the crash diet and I clearly remember the days when I would want to lose 10 pounds in 2 weeks and some fad diet would get me there (of course the weight always returned almost as quickly as it came off).
Maybe stay away from the scale for a while. Follow the guidelines given to you by a nutritionist or Doctor you trust, and do whatever fitness routines you can without causing you pain (crunches are not the best for ab work anyway), and see how you feel in a few months.
Edited by: CASSIQUE at: 12/9/2011 (17:27)
Fitness Minutes: (301,028)
12/9/11 1:03 P
Hi, Rose ! It sounds like you're being much too hard on yourself. Don't assume something must be wrong because the weight isn't coming off as fast as you'd like it. This isn't the Biggest Loser. those types of losses are just not typical. If your metabolism is messed up because of previous diets, then you might consider taking up your doctor's off of a weight management clinic. They may be able to help you regain your health.
One thing I would suggest is that you add some strength training into your exercise routine. Adding more lean muscle could (can) make a big difference. Lean muscle burns fat and the more lean muscle you carry, the more efficient your body will be at burning fat. Muscle is metabolic. By increasing your lean muscle, you will increase your metabolism. It won't happen overnight, but a good strength training program could help.
Check out the SP fitness section. Coach Nicole has several short 10-15 minute strength workouts you can do at home. all you'd need is a set of resistance bands and some hand weights.
Trust me, strength training really does make a big difference. Don't worry, you will not look like a body builder if you life a weight a couple of times a week. that's a misconception.
Also, I know this is going to sound strange, but a person does have to eat in order to lose weight. Women have been spoon fed (pardon the pun) the notion that they have to starve themselves to lose weight. Well, to paraphrase Dr Phil,"how's that working for you?" It hasn't. eating too little can hinder a person's weight loss, not help it.
Because I have no idea what you're eating, one thing I would ask you is whether or not you're eating 6-9 servings of fresh fruit and veggies. If I were to go back in time and give myself one piece of advice that would help me lose weight, it would be to do my best to eat 6-9 servings of fresh fruit and veggies each and every day.
So, if you're not eating enough veggies, try adding a couple extra servings when you can.
Fitness Minutes: (686)
12/9/11 12:30 P
Thank you. However, I do all those things already. I use a different tracker on my phone. I drink plenty. I use my Wii Fit, I park as far from the doors as I can, I make a loop around the store before I do my shopping ect. Eventually these things will work. Its a matter of how many years of doing them it seems.
Fitness Minutes: (11,672)
12/9/11 12:23 P
Take small steps. Use the Nutrition tracker, drink 8 glasses of water every day. I found the water to be the key to my success so far. The tracker does help by showing you what you need to eat to stay in a specific range, I wasn't eating enough & was eating the wrong foods. Don't try to do it all at once, start slow and work up. Take a walk, however far you go, tomorrow go a little further, then each day add a little.
Fitness Minutes: (686)
12/9/11 11:44 A
I've struggled with my weight since my last child 7 years ago. I exercise, eat reasonably and nothing. I'm seeing a nutritionist who says I don't eat enough calories so my metabolism is shot. To focus on upping my iron intake and eating enough calories, then we will focus on weight loss. I'm at least 70 pounds overweight, I gained 10 pounds eating what the nutritionist said I should the last time I saw one a year ago. I have other health issues I'm fighting to get fixed. I took phentermine 3 years ago with results, I lost 30 pounds, I was half way there! I gained it all back. Now my new doctor refuses to give me the medication or offer a referral to a weight management clinic. My neighbor however who has not ever visited the Dr for her weigh, hasn't gone to the nutritionist ect went yesterday and got a script for phentermine first time she asked, and he offered her a referral to see the weight management clinic. We have the same doctor. I had a biopsy a few weeks ago, got the call 2 days ago I don't have cancer thankfully but he apparently decided I don't need the hormone therapy that will "fix" the issue I have after he told me that was what would happen. His nurse said come back in 3 years. Really?! The general surgeon I went to for a hernia said my "story makes no sense" and said he won't treat me. I can't do a sit up because this spot pops out every time! The gastro thinks its a dislocated rib by the way. How is a girl supposed to keep her spirits up and not just give up with so much going wrong!!