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RENAHF's Photo RENAHF Posts: 39
7/15/19 5:55 P

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I am a naturopath so I set a high bar for what I would expect from a dietician/nutritionist. When I went to a coach to get my weight loss started, part of his "package" was a number of appointments with his nutritionist. She really wasn't very good, but I didn't really need her to help me create a diet in any case; I just needed the coaching support to get myself back on track.

A good nutritionist can help you to create a food plan (not a diet, but a food plan for living) that fits YOUR needs - with an eye to your health issues as well as just incorporating things that you like to eat - and no food group should be cut out. Minimized, yes, but not cut out.



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ENGINEERMOM's Photo ENGINEERMOM Posts: 1,156
6/25/19 5:10 P

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I worked with a registered dietitian in Seattle who was very helpful in identifying ways to tweak my diet to address some health concerns. She was well-versed in the local food movement, in addition to dealing with endocrin disorders via diet (I have genetically high cholesterol).

1. Be very clear what your ultimate goal is, what is "non-negotiable" for you right now, and that you are willing to put in the work (recording diet, learning new cooking methods, etc.). For example, my "non-negotiable" was I won't eliminate entire food groups from my diet. Period. I'm perfectly willing to limit items, or learn to make swaps that will help my health, but you are not going to talk this cheese-loving omnivore into becoming a vegan. I'm also not willing to cook against the seasons - no salads in January, no winter squash in June. In addition to everything being shipped ridiculous distances, stuff just tastes better in season!

2. Don't be afraid to "fire" your provider if things aren't working out. Sometimes there are personality clashes, or your provider just isn't as educated in a particular area as you need. If possible, keep things civil and ask for a referral to another provider who can better serve your needs.

Take life one day at a time - enjoy today before you worry about tomorrow.


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MCFLUBBER1 Posts: 2
6/24/19 4:28 P

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I've enjoyed this conversation. It's been helpful. Thanks for sharing.



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SLIMMERKIWI's Photo SLIMMERKIWI SparkPoints: (300,279)
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6/21/19 5:09 A



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@LADIASTER If you manually enter in your ingredients AND you track trans fats, you will see what you are wanting to know. You can do this by going to "Tools and Settings" in your Nutrition tracker and selecting Fatty Acids. Remember to save this before you leave.

Kris

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I am not a Dr - please check with your qualified Health Professional for a diagnosis and treatment plan


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LADIASTER SparkPoints: (254)
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6/20/19 11:16 A

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What I need from a dietician is the formula for figuring the amount of sat fat in a recipe. I cut out a recipe from the newspaper and it has all of the nutrition except for sat fat. Help.

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TRUEPEACENIK's Photo TRUEPEACENIK Posts: 972
6/20/19 10:43 A

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I think “what you want/what are your expectations” is a question to be answered before any appointment.
Massage, nutritionist, therapist, etc.

So what do you want?
What do you expect the professional to do?
And mind reading isn’t an answer.

Wake up every day knowing you make the decision to begin your journey anew.

This choice in this moment defines now.
What is your now?

Making do or saving every cent you can? Join us on team LIVING LIFE ON A SHOESTRING teams.sparkpeople.com/LLife


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FOXGLOVE999 SparkPoints: (30,594)
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6/20/19 9:56 A

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To everyone who has gotten help from nutritionist/dieticians, I'm happy for you, I wish it was that way for everyone.

But I'm tired of being told that I should import a large portion of my calories from tropical regions because coconut everything. I live in Oregon, I shouldn't "need" to import anything. I'm okay with importing spices, seasoning, small indulgences, but not most of my diet.

Thanks to all encouraging me with my endeavors. I get so discouraged.

Nobody can have it all, you can only have what you love most.


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INTOTHENEW's Photo INTOTHENEW Posts: 646
6/19/19 6:12 P

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“I have 80 acres and the desire to produce most of my food from this land, so that is what I'm going to do.”

That is really refreshing to hear.

Well over 50% of my diet comes from my property, my hands, when I am at home. That is upwards of 75% this time of year.

Work has me traveling a bit, I’ve learned to navigate that rather well.

Step away from the barcode. Lol

There is no bad food, only bad cooks.
JEANKNEE's Photo JEANKNEE Posts: 21,944
6/19/19 12:43 P

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For me, I am looking for someone to help me learn to recognize which foods do and do not support my health and well-being. Elimination diets have been a part of that process.

I would also like assistance in identifying any nutrient gaps and learning what I can do to rectify the situation.

I have worked with a couple of nutritionists during the course of my life. Both of them have supported my process well.


Jeanne
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"Believe me, your body has the ability to restore itself to perfect health, once you eliminate the foods and other forces that prevent it from healing." ~ Steven R. Gundry, MD

"I'd like to dispel once and for all the myth that any single diet approach works for every individual." ~ Peter J. D'Adamo, ND


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6/18/19 8:44 A

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URBANREDNEK - your response is pretty similar to how I feel and what I was looking for, instead all that I have been offered are cookie cutter approaches not taking into account any personal issues or preferences.

I am tired of medical professionals that just don't help. I keep trying and am forever disappointed and upset by them.

I am fortunate as well to have the time to figure things out myself, and I guess that is going to have to be enough. I have 80 acres and the desire to produce most of my food from this land, so that is what I'm going to do.

Nobody can have it all, you can only have what you love most.


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SLIMMERKIWI's Photo SLIMMERKIWI SparkPoints: (300,279)
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6/18/19 7:18 A



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Sometimes we NEED a Registered Dietitian in person, rather than online. I had a Registered Dietitian for a few years and saw her regularly for monitoring.

After taking into account my medical situation including weight, height and blood results, AND the severe pain, AND after looking a some of my Nutrition Tracker printouts, she was able to identify WHY I was having great difficulty in even maintaining weight (very gradually creeping up). She initially gave me a calorie to aim for (not a range)

I started to lose weight. When I went back about a month later and took the printouts for every day. I found she didn't really need to ask any questions, but was able to make a couple suggestions re tweaking. Mind you, she also stated that she had never had a patient who had been able to provide very accurate information that she needed and it made it a lot easier for her. She also stated that she wished her other patients did the same.

If I were you at that initial appointment I would state:

* I want to lose weight but need help

* I would like to be able to enjoy the foods I like without having to cut them totally out, so help me find ways to accommodate this.

* What calorie range is best for me

If you have multiple health issues, ensure that your Dietitian is taking ALL of them into account. My sister is a Diabetic and was referred to a Registered Dietitian. She was told to NOT count calories, but she was told to eat x amount of carbs. She also wouldn't take into account her other health issues, such as the low fat diet she had been recommended to eat re Gall Bladder issues and Pancreatitis.

Some Dietitians are excellent, such as the one I had, but some ..... well, there is good and not so good in every profession.

Good luck,
Kris

Co-Moderator Dealing with Depression
www.sparkpeople.com/myspark/groups_i
ndividual.asp?gid=953


Team Leader Essential Tremors :-) (Benign and Familial) www.sparkpeople.com/myspark/groups_i
ndividual.asp?gid=30225


Co-Leader Crohn's Can't Stop Me
www.sparkpeople.com/myspark/groups_i
ndividual.asp?gid=17464


I am not a Dr - please check with your qualified Health Professional for a diagnosis and treatment plan


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NITEMAN3D's Photo NITEMAN3D Posts: 18,725
6/18/19 4:11 A

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Becky Hand is my nutritionist. I study her writings and videos right here on SparkPeople and put them into action (for free). I do this because when I came here I quickly recognized the Spark Method as a balanced eating plan that made logical sense to me. There are times I don't agree with Becky or one of the other advisors here, but I stick with it and make compromises and do workarounds that keep me on point and that point is to maintain a calorie deficit to lose weight and maintain a good balance of macro and micronutrients. I never miss an appointment.

@URBANREDNEK makes a great case for the futility of finding that perfect advisor. I'm argumentative at best and do better on my own, so I'm not saying you should avoid going, but rather just a cautionary thought that what you've already discovered in your search for a great dietician may be that the search is unending?

I have presented some of the SparkPeople reports to various health professionals and the consensus seems uniformly positive. I guess my point is this... if you still feel the need, keep searching, but in the meantime, the tools you'll find here are pretty amazing and the program works if you do. Best of luck with your goals!

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"Never argue with stupid people, they will drag you down to their level and then beat you with experience." - Mark Twain


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URBANREDNEK Posts: 8,557
6/18/19 1:44 A

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Unfortunately, I haven't been able to find a dietitian with an approach that I would appreciate (but, fortunately, I have been able to figure it out for myself).

I would appreciate a dietitian who started out by requesting two weeks worth of tracking of my "normal" way of eating - with no attempt to change anything - to be sent in just prior to first appointment. Tracking could be digital or just notes on paper of what was eaten, in rough portions, at what time, and with notes on hunger level prior to eating, fullness level afterwards, hunger level 2 hours later, and a note or two on emotions / focus / situation with each eating episode. It would be great to start out by basing my "new normal" on the flavour / timing / satiation preferences that I've developed over my lifetime --- so that new additions aren't such massively jarring changes.

I would appreciate a dietitian asking for a copy of my most recent blood work, and reviewing my health status and history.

I would appreciate a dietitian asking what my health goals are, what is my definition of "healthy enough", what part food plays in my family / friends / social life / emotion life, what areas I am open to change in and which ones I'm not, what food allergies / restrictions / intolerance / dislikes I am aware of, and how much time I truly can commit each day to planning and preparing foods.

I would appreciate a dietitian who doesn't automatically focus on body weight over and above everything else, and dictate "going on a diet", or pay lip-service to the idea of gradual and permanent changes but pushes severe calorie restriction dieting regardless (with the apparently sincere belief that 1200 calories per day is the most important part of "nutrition").

I would appreciate a dietitian who is interested in working with me to choose foods that provide necessary amounts of all nutrients: vitamins and minerals and essential fatty acids --- and doesn't just focus on the calories and suggest taking a supplement. Bonus points for one who actually has read and can cite some of the research showing that supplements do not provide the equivalent health benefit of ingesting nutrients as natural parts of whole foods.

I would appreciate a dietitian who understands the local food supply systems, what is available, what limitations there are, and asks what importance various attributes of the system have in my choices (sustainable soil practices, pasturing of meat, local sourcing, seasonal supply, home storage abilities / space).

I would appreciate a dietitian who can take the information gathered, and come up with suggestions suited for my individual needs and preferences --- based on what would be a "healthy enough" approach for me in the long term (years - not weeks).

So far, dietitians I've met with have been strongly against the idea of NOT severely restricting calories (I was flat-out told that I was an idiot for suggesting gradually working my way down to a reasonable maintenance calorie range for what would be a healthy BMI --- and that only dropping to "dieting" range could be useful for getting healthier). I haven't found one yet who could come up with suggestions besides supplements to deal with my personal health issues (yet I have managed to correct deficiencies and maintain healthy levels purely with foods). I haven't found one who was conversant with food supply systems / agricultural innovation / soil limitations --- or thought that it was important to know about when trying to understand the actual nutrition of foods.

I am extremely fortunate in having enough time to devote to learning about my nutritional needs and the various aspects of food that are important to me and my personal health. If I did not have the time and the access to information - as well as a very supportive medical team - and had just attempted to follow the instructions from the Registered Dietitians... well, I strongly suspect that I would maybe have starved myself down a few pounds, but would have gone back to my "old normal" within a short period of time due to feeling basically like crap and loathing the restrictions. I would likely be still taking the supplements though - since they are "essential due to the health issues".

I do realize that what I would appreciate from a Registered Dietitian is time consuming and far beyond the scope of what insurance companies would be willing to pay for - so can understand why those I have met with are limited in what they provide in a "typical" appointment. Those I have met with truly did try their best to give a solid overview of the generic "dieting for better health" approach, with as much personalization as they had time to give.

Sir Terry Pratchett: "Science is not about building a body of known 'facts'. It is a method for asking awkward questions and subjecting them to a reality-check, thus avoiding the human tendency to believe whatever makes us feel good."

"The Inuit Paradox" ( discovermagazine.com/2004/oct/inuit-
paradox
): "...there are no essential foods—only essential nutrients. And humans can get those nutrients from diverse and eye-opening sources. "

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FOXGLOVE999 SparkPoints: (30,594)
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6/17/19 11:34 P

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So, I have had my share of appointments with each and the last one I spoke to asked me what I wanted from him. I wasn't prepared for that. His question wasn't sincere, it was a response to my unwillingness to exclude large food groups from my diet. But, it has caused me to evaluate that question.

If I was a dietician/nutritionist, my first question would be "what do you like to eat, how can we tweak that to make it healthier?

I am a big fan of harm reduction, and believe that perfection is the enemy of good.

What are you looking for in a dietician/nutritionist?

Nobody can have it all, you can only have what you love most.


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