Post by amberlyrose on Sept 19, 2018 19:30:29 GMT -5
I know how you feel, gerder3. I had to get out because I just couldn't mentally do it. I was good at my job, I killed everyone in my shop when it came to cardio and other parts of PT. But I got terrible shin splints on runs and all anyone mentioned was my weight when it came to solutions. It just seeped into everything mentally and made me not want to go in each day.
I went on zoloft, mirena, and developed PCOS all at the same time 10 years ago so impossible to pinpoint what caused 100lbs of weight gain. Maybe all 3? But I went off zoloft a year ago and mirena 6 months ago and no change in weight. At this point I would rather be medicated than miserable but going to try a different med this time.
After having DS, I was down to my lowest weight in years. Then I got Mirena. I ballooned up 30 pounds. No one suggested it could possibly be that, because there was no 'evidence' or 'research'. Well, go on any message board and you'll see hundreds of women talking about how they gained (and struggled to lose) so much weight after getting Mirena.
Only liking your post out of commiseration. I got my Mirena out and greatly reduced the stress in my life and quickly lost a bunch of weight. Can I pinpoint the cause of the gain to the Mirena? It was either that or the ADs or massive stress. No doctor I had would EVER recognize that a Mirena, ADs, or stress caused my weight gain. It had to be MY fault.
After having DS, I was down to my lowest weight in years. Then I got Mirena. I ballooned up 30 pounds. No one suggested it could possibly be that, because there was no 'evidence' or 'research'. Well, go on any message board and you'll see hundreds of women talking about how they gained (and struggled to lose) so much weight after getting Mirena.
Only liking your post out of commiseration. I got my Mirena out and greatly reduced the stress in my life and quickly lost a bunch of weight. Can I pinpoint the cause of the gain to the Mirena? It was either that or the ADs or massive stress. No doctor I had would EVER recognize that a Mirena, ADs, or stress caused my weight gain. It had to be MY fault.
Ugh, I'm going in for Mirena tomorrow. I'm really nervous.
As someone who has been morbidly obese (twice, derp) as well as bordering on anorexic BUT STILL IN THE OVERWEIGHT BMI CATEGORY, this is an extremely triggering article. I know, for a fact, that even though I'm only 5'3", my healthy happy body weight is about 175, when I'm in good fitness. It's about a size 6-10 (depending on the pants). The least I've ever weighed is 141 pounds. At that weight, my hair was falling out, my clavicles stuck out like a famine victim, and I could EASILY zip a size 0 pair of pants. That weight is also clinically overweight by BMI.
This right here is why BMI doesn’t make sense. Bodies are different and weird. I’m 5’7” and currently 141 lbs and I couldn’t get a size 0 past my knees.
I am still trying to figure out and process how my own experiences relate to many of the points in the article. My worst doctor’s office experience of being condescendingly called morbidly obese did not end well for the orthopedic doctor. In my loudest (non-shouting voice - I’m sure was heard down the hall to the waiting room) I told him “you WILL not talk to me ever again in that tone. You WILL not disrespect me without getting a proper medical history (I had osteoarthritis since I was super skinny and 12 years old). Your oath was DO NO HARM and your words and attitude are the opposite. (Sorry M. Obama... I couldn’t go high... I feel bad for going low with my next line). I feel sorry for your wife should she ever gain weight for any reason. I came to you for help with healing. If you are able, I would like to retract that statement and start clean with my medical history.” Silence ensued. But he apologized and has been an excellent doctor since.
That day I snapped. I don’t know if I’m proud for standing up or was just fed up.
I do not that we all come in different shapes, colors and sizes and that none are better than the rest. So, I try my best to not be guilty of shaming too.
PS - on another article point, I do think the childhood obesity commercials are horrible.
I am proud of you. I've made a lot of headway in my life with being assertive and speaking up for myself, but when it comes to anything weight related I shut down. What you did was amazing and benefitted not only yourself, but hopefully the other overweight patients on that doctor's caseload.
This article hit home in many ways. At my highest weight I was about 110 lbs overweight (so basically an entire extra person). Some doctors addressed it respectfully and others shamefully. Right now I'm about halfway to my goal of a "healthy" weight, but it's an ongoing struggle. Although I'm still obese, the fact that I am having some success has definitely helped my self-esteem and self-confidence and I was able to read this article without crying.
Thank you for the kind words. I still have many doubts and moments like being laid off and after having many, many interviews and wondering if I wasn’t getting offers due to my size. I’d give myself pep talks before interviews on how I had the credentials and experience and knowledge and deserved the seat. Not always brave or assertive but a work in progress.
Congratulations on your renewed confidence and getting through the article.
Not done yet, but the irony in what this one physician who studies obesity is crazy.
Not all physicians set out to denigrate their fat patients, of course; some of them do damage because of subtler, more unconscious biases. Most doctors, for example, are fit — “If you go to an obesity conference, good luck trying to get a treadmill at 5 a.m.,” Dushay says—and have spent more than a decade of their lives in the high-stakes, high - stress bubble of medical schools.
I disagree most doctors are fit. Often they have a weight issue from working long hours with little or no time for breaks. It's why I usually don't listen to their advice because if they're following it then it's obviously not working
Post by minionkevin on Sept 20, 2018 5:50:24 GMT -5
Another thing is the overarching belief that fat = lazy or sloppy. I think this is worse for women who are moderately overweight and above and only starts to hit for men once they are really big. Both of my bosses are largely built, overweight guys (~300 lb and +/-6’) and they don’t seem affected by this. I am obese per BMI but close to being “only” overweight. Besides the managers, everyone else is what I would call a normal weight. In my office, I dress the nicest 9 days out of 10, wear the most makeup, my hair is always neat, because I don’t want to play into that “sloppy” stereotype. I completely overcompensate. Every time I use the restroom I adjust my undergarments (most especially my bra bc I have a large chest) to make sure everything is smooth and covered. I’ve been asked why I’m so “fidgety” and always checking my clothes or my hair, etc., when “I look fine” and the simple answer is, despite being overweight for close to 25 years (far longer than I wasn’t), I’m not comfortable in my skin and therefore everything over top of it just doesn’t feel right.
Not done yet, but the irony in what this one physician who studies obesity is crazy.
I disagree most doctors are fit. Often they have a weight issue from working long hours with little or no time for breaks. It's why I usually don't listen to their advice because if they're following it then it's obviously not working
Interesting. I can only recall having maybe two overweight - and only one obese - doctor ever. All my providers right now are super skinny and they have no fucking clue.
I disagree most doctors are fit. Often they have a weight issue from working long hours with little or no time for breaks. It's why I usually don't listen to their advice because if they're following it then it's obviously not working
Interesting. I can only recall having maybe two overweight - and only one obese - doctor ever. All my providers right now are super skinny and they have no fucking clue.
My endocrinologist wasn't satisfied until i listed stats for my workouts. Heart rate for cardio, pounds lifted for a variety of lifts like back squat and bench press.
Then she asked if i had a personal trainer, because, you know, they can really push you to your limit.
DH was between jobs at the time, so our only income was my part time job. Let's just say that fell on frustrated ears. Affording a personal trainer is still out of reach for me, even with DH back at work.
This was a great article, but to echo what VillainV said earlier, fat people know this shit, it is skinny people who don't. My sister works in healthcare and is pretty big in the body positivity movement. We have talks all the time about how she feels shamed by her thin doctors and makes sure she only sees other fat doctors. I have learned so much from her over the last few years while her area of study has been on body positivity in healthcare. It is really eye opening.
For those in the greater Philly area who would like some support or more discussion on this, my sister and her center are hosting a body positivity workshop this weekend that looks fantastic: www.facebook.com/events/214844969171799/
Only liking your post out of commiseration. I got my Mirena out and greatly reduced the stress in my life and quickly lost a bunch of weight. Can I pinpoint the cause of the gain to the Mirena? It was either that or the ADs or massive stress. No doctor I had would EVER recognize that a Mirena, ADs, or stress caused my weight gain. It had to be MY fault.
Ugh, I'm going in for Mirena tomorrow. I'm really nervous.
I understand it's not for everyone, but it's also not guaranteed to be problematic. I have gained about 5 pounds over 8 years of Mirena... Could be related, could be just getting older. I love not having a period and not getting pregnant. The only side effect I blame on it it's increased skin sensitivity - for example, tags on clothes drive me batty and I have to cut them all off. Weird, but tolerable for avoiding pregnancy.
I'm obese. I'm also a Nutritional Therapist. So much of what was said in the article about conventional medicine is what triggered me to go back to school. I often hear conventional medicine referred to as "Sick Care" instead of "Health Care" and in my own experience I find that to be very true. I've been sick for years going from doctor to doctor trying to get a diagnosis, I finally did and the doctor just wanted to prescribe me pills and told me to lose weight. I ignored medical advice and started making dietary changes based on my training. When I went back for a follow up I had lost 35lbs and the biopsies came back that I was healing. What did my doctor say? I still think that you should take this medicine and lose weight. Nothing about the 35lbs that I had lost, just pointing out that I am still in fact obese.
Only liking your post out of commiseration. I got my Mirena out and greatly reduced the stress in my life and quickly lost a bunch of weight. Can I pinpoint the cause of the gain to the Mirena? It was either that or the ADs or massive stress. No doctor I had would EVER recognize that a Mirena, ADs, or stress caused my weight gain. It had to be MY fault.
Ugh, I'm going in for Mirena tomorrow. I'm really nervous.
I hope it works well for you, but if it doesn't you'll know what's going on regardless of what your doctors tell you. I've always wondered if there's a correlation between issues with Mirena if you have a under active thyroid.
So, my last job involved training 1st and 2nd year medical students about communication skills, through use of simulated patients (basically, people who pretend to have some sort of medical issue that they act out so that students can practice interviewing and diagnosing patients). One thing that bugged me then, and has been bugging me since reading this article, is that any of the cases involving an overweight character involved a really shitty diet. Fast food several times a week, salads loaded with heavy dressing and cheese, snacking on cookies and chips. And they were always pretty clueless about how to eat properly - "oh, ranch dressing on a salad isn't healthy? You don't say!" They also either didn't exercise, or did a small amount of walking here and there and that's it. It always bothered me because often the BMI listed was around what my BMI is, and guess how often I eat fast food and entire bags of chips? Almost never. Obviously my diet is not perfect, but I think it's pretty normal or even on the healthy side of normal, and I'm overweight anyway. I also am no athlete, but I exercise regularly.
I know I expressed frustration with this to my (thin) coworker, and I would try to soften some of it with the simulated patients, but I wonder if I should have pushed harder on this with my supervisor or the doctors who designed the cases. I feel like we were inadvertently teaching young med students that all patients are fat because they eat crap and don't work out. The point of the exercises was usually motivational interviewing sorts of things, and being brand new med students, I know the cases had to be simple in order for them to be successful (they likely wouldn't have the knowledge to be able to counsel a patient on hormones, thyroid, or even macros or other more complicated dietary adjustments yet, for example) but I still wonder if there was a better way of providing an example than reinforcing the "fat because of your behaviors" stereotype.
And honestly - I know some of why I never pushed hard was that I am overweight myself and I felt like it would come off as defensive. My supervisor was super into fitness and weight management herself and I can just imagine her judging me.
Like you said, my diet could be better. But I'm scratching my head and trying to figure out when the last time I got fast food was - I think it was the day we moved into our house, about 2 months ago. And is it really such a sin to pick up McDonald's instead of cooking from scratch on MOVING DAY? I'd say that we get takeout about once per week for dinner and buy our lunches about once per week. But our other 19 meals are almost always homemade. I drink soda about 3 times per year. When I buy ice cream, I buy one pint per person, and that's all you get for the week, no matter how big or little of servings you dish out. I won't deny that some of my snacks could be better and I could cut back on my treats a little bit, but my lunch for today is pretty typical - 3 oz. Polish sausage, roasted sweet potatoes, green bean salad with homemade vinaigrette, diced fresh fruit. Sure, the sausage is higher in fat and salt than grilled chicken breast, but that's why it's limited to 3 ounces and balanced out with plant-based foods.
Working out has been admittedly not as great while I adjust to mom life, but at various times, I've done lifting, running, swimming, step aerobics, or even just massive amounts of walking. When I lived in DC, I was routinely going on 3- and 4-mile walks on my lunch break - one day I got up and walked 4 miles to the Lincoln Memorial and 4 miles home BEFORE BREAKFAST.
So yeah, the assumption that fat people don't know how to roast a fucking vegetable or go for a walk is infuriating. It would be nice if they would do these simulations with a "patient" whose diet is like 80 percent good and maybe has one too many cocktails or an extra serving of ice cream instead of just nonstop garbage.
Post by PatBenatar on Sept 20, 2018 8:40:58 GMT -5
Regarding diet, some people are thin no matter what they eat, yet I don't think doctors are even asking them about their diet and they certainly don't get shamed or judged for eating fast food.
I dunno. I try to eat healthy most of the time, but once in a while I'm going to have beer or ice cream or pizza. And I'm not going to eat 1200 calories a day because that's not enough for me. I am trying hard to not care about being thin, just feeling better/stronger. Sometimes it's easier said than done.
If I'm being completely honest, one of the reasons I'm hesitant to start taking antidepressants and/or antianxiety meds is because I'm afraid of weight gain.
HOW FUCKED UP IS THAT?!?!
This reminded me that one of my very first thoughts after my positive pregnancy test was "Now I'll never be skinny." That's how deep that was ingrained - my first thought wasn't even excitement or fear about being pregnant and becoming a mom.
In weird twists, I read this on the subway yesterday, got out, and on my way to my destination, walked passed a We Work (the place that brought us the food shaming meat eating employees thread).
Anyway, this was good and I agree it needs to be read by thin people. Of course I won’t share it on my Facebook page because I’m fat and don’t want to look like I’m making excuses. Interesting (as in not surprising) that few or no thin/“normal” weight people seem to be reading and commenting here though. Which just tells me it’s only a matter of time before another We Work-like thread where people are clueless and insensitive despite the fact that we talk about this shit we deal with all the time here.
I’m fortunate that I found a doctor that isn’t a weight shamer. I think Kaiser may be trying to make improvements in this area. When I went to the ER in January with a sharp pain in my side and got tested for kidney, liver, and gallbladder problems, I laid around panicking over both the results and the fat lecture that I thought would be coming. My test results were completely healthy. I got no fat lecture, which shocked me. On the other, I also got no diagnosis and it took another month of pain and more appointments for one, probably because they just silently diagnosed my problem as fatness.
I still however without fail get the nurse or PA asking me each time I go in what sort of exercise I get. And it’s usually not even “how much exercise” but “how much physical activity do you get, even just walking?” As if I’m some rascal bound invalid.
I joined CrossFit a while back because after trying literally everything, I figured I should give strength training a go. My weight loss has been slow but it’s actually done some good things for my brain in terms of body acceptance. I’m finding it far more enjoyable to work out with the goal of getting stronger as opposed to the goal of getting thinner.
I think a big part of the challenge with weight loss is feeling like you are doing it because society wants you to do it. Sure we do it for ourselves but really, there’s usually a strong “I want to fit into the clothes sizes that society put in a mall” current running through our personal motivations. And that’s why the “just lose weight! Cut your calories” lines just mean nothing.
The unhealthy thing that needs to be fixed isn’t a person’s weight, it’s the obsession with it. Society needs to stop seeing waist size as a commentary on a person’s entire self. And medical professionals need to help people who want to change to set goals that aren’t weight related.
If I'm being completely honest, one of the reasons I'm hesitant to start taking antidepressants and/or antianxiety meds is because I'm afraid of weight gain.
HOW FUCKED UP IS THAT?!?!
This reminded me that one of my very first thoughts after my positive pregnancy test was "Now I'll never be skinny." That's how deep that was ingrained - my first thought wasn't even excitement or fear about being pregnant and becoming a mom.
Same. I got a BFP this morning. I weigh less than I did when I was 22 years old and I am terrified of losing all of my progress and have already started to wonder how much I am going to blow up.
Interesting (as in not surprising) that few or no thin/“normal” weight people seem to be reading and commenting here though. Which just tells me it’s only a matter of time before another We Work-like thread where people are clueless and insensitive despite the fact that we talk about this shit we deal with all the time here.
I sometimes shy away from commenting on weight threads because I’m not overweight and I don’t want to sound patronizing or anything. Because I don’t know what it’s like to personally deal with it, but I do feel like I have a fairly good sense of what it’s like because my mom has been overweight/obese since childhood and I’ve watched her struggle my whole life and I hate the shame she’s felt because of it. I try to be an advocate for body positivity, but sometimes I worry it comes off as insincere because to look at me you wouldn’t know I have any experience with those feelings, you know?
Not done yet, but the irony in what this one physician who studies obesity is crazy.
I disagree most doctors are fit. Often they have a weight issue from working long hours with little or no time for breaks. It's why I usually don't listen to their advice because if they're following it then it's obviously not working
One thing I thought was well done in the article in the OP was that it pointed out that weight issues are often linked to socioeconomic issues. So doctors, who tend to be on one end of that scale, often can’t relate to the experience of living in a food desert, for instance.
Doctors are just people. With their own body image issues and weight problems and health challenges. But they tend to view things from their privileged lens. Like if you go to a conference for any high earning profession, you’ll see attendees in the gym of their nicely appointed hotel or doing a $30 drop-in yoga class or putting on their Brooks sneakers to go for a run. I don’t think any of those things are limited to physicians.
If I'm being completely honest, one of the reasons I'm hesitant to start taking antidepressants and/or antianxiety meds is because I'm afraid of weight gain.
HOW FUCKED UP IS THAT?!?!
This reminded me that one of my very first thoughts after my positive pregnancy test was "Now I'll never be skinny." That's how deep that was ingrained - my first thought wasn't even excitement or fear about being pregnant and becoming a mom.
Man, we have been conditioned to some really messed up stuff.
I find it so frustrating that people are not getting the care they need because every problem is assigned to their weight and not real medical issues that cause suffering. One of my closest friends has experienced this and I rant about it with her every time. There are a few diamond doctors in the rough, but they are hard to find.
How accessible is counseling with an RD via insurance?
This reminded me that one of my very first thoughts after my positive pregnancy test was "Now I'll never be skinny." That's how deep that was ingrained - my first thought wasn't even excitement or fear about being pregnant and becoming a mom.
Same. I got a BFP this morning. I weigh less than I did when I was 22 years old and I am terrified of losing all of my progress and have already started to wonder how much I am going to blow up.
This article was so eye opening for me in so many ways. I transferred from an extremely stressful job last September. A job I had been doing for 5 years while slowing gaining 5-10 lbs a year. I actually got shingles two months before I transferred with the only risk factor being stress. The transfer was a difficilt/stressful too, so I gained another 5 lbs in 3 months (+ it was the holiday season). By January, I was at my highest personal weight (same as post-baby, late 30’s), so over-weight/obese category. I was 40 lbs over a healthy weight for my height (on that stupid height/weight chart).
So, in January, I was feeling much less stress in the new job and comfortably with new co-workers. When a group of us decided to make weight-loss a New Years resolution, we all joined Weight Watchers online and supported each other with seeking “healthy lifestyle” choices. Slowly, slowly over the next eight months I lost 35 lbs, got active and joined weekly meeting at a WW center to kick-up my support (because my work friends quit). It was slow, but healthy and “working”.
By August I had an annual OB/GYN appointment and felt like a rock star because I could “report” a good weight loss. I was close to goal, so this was going to be the one and only appointment were I could dance-in with a big loss. The nurse and doctor were nice about it. I would have liked a little more enthusiasm but it was okay. When the doctor (female, thin, fit) asked me how I did it, I proudly reported WW for food and YMCA for exercise that led to my first completion of a triathlon- Iron Girl. She knodded and then told me all about her multiple marathon runs and “personal best” at the Boston Marathon with a goal doing the NYC marathon. I was like, “Okay?”. Yeah, I’m not running the Boston Marathon. But thanks? Was the doctor trying to be relatable? I just felt “meh” about myself after my appointment.
The whole time I’ve been reflecting on my weigh-loss journey, I thought in terms of more time as the reason I could tackle it with healthy eating and moving. Yes, my new job gave me a little more time. But this article really struck me that my weight gain and then loss coincided exactly with my stress level. My very real stress levels in my life for the past 6 years. Holy shit. I think about my stress the last time it went up - post pregnancy and newborn/baby years.
This reminded me that one of my very first thoughts after my positive pregnancy test was "Now I'll never be skinny." That's how deep that was ingrained - my first thought wasn't even excitement or fear about being pregnant and becoming a mom.
Same. I got a BFP this morning. I weigh less than I did when I was 22 years old and I am terrified of losing all of my progress and have already started to wonder how much I am going to blow up.
Interesting (as in not surprising) that few or no thin/“normal” weight people seem to be reading and commenting here though. Which just tells me it’s only a matter of time before another We Work-like thread where people are clueless and insensitive despite the fact that we talk about this shit we deal with all the time here.
I sometimes shy away from commenting on weight threads because I’m not overweight and I don’t want to sound patronizing or anything. Because I don’t know what it’s like to personally deal with it, but I do feel like I have a fairly good sense of what it’s like because my mom has been overweight/obese since childhood and I’ve watched her struggle my whole life and I hate the shame she’s felt because of it. I try to be an advocate for body positivity, but sometimes I worry it comes off as insincere because to look at me you wouldn’t know I have any experience with those feelings, you know?
Please for the love of god if this thread turns into one where people make a string of defensive posts as to why people aren’t participating. Or worse, a list of people who sign the guestbook.
I don’t keep a spreadsheet. I don’t really care if at an individual level someone feels like they need to sit out, nor am I any sort of arbiter of whether any one person’s reasons for not participating are good or bad.
I’m just observing as a general matter. I find it hard to believe the reason everyone here appears to have weight problems because there are tons of thin people respectfully listening and learning.
How accessible is counseling with an RD via insurance?
I saw one in December. I think I had a standard $30 copay, but I can't recall.
But honestly, it was not a particularly helpful appointment. I was breastfeeding, and my problem is that I was legitimately HUNGRY all the fucking time. I was easily putting away 3,000 calories per day - I was not losing weight, but I also was not gaining weight. I was trying to make healthy choices, but when I tried to limit my calories below 2600, I was STARVING.
I would often eat a bowl of cereal with milk for a snack. Yes, absolutely I needed to have more protein and less sugar than is in a bowl of Honey Nut Cheerios with milk. I fully cop to that. BUT she suggested instead that I have Carnation Instant Breakfast for a snack. First, compare the sugar content of that and Honey Nut Cheerios. Second, this was after I told her that I do not like things like smoothies and protein shakes because they do not make me feel full and make me have to pee constantly.
It was a seriously frustrating appointment. She looked at my food log and really the only advice she had was to sub my cereal for a higher protein snack and to eat even more vegetables. Those are both things that are worth doing, but if that's her only real advice, I think it shows that I am doing the right thing 80 percent of the time. I've since given up cereal, and I haven't seen any real results. The only real answer is to cut my portions and be hungry - I just have to find a manageable level of hunger that I can sustain.
Anyway - I guess I am considered "normal weight" like ESF mentioned but I haven't commented yet because I wasn't sure I had anything to add. But I'll give it a shot.
I do think it is really frustrating when weight is the number one marker of health. I think part of that is because it is something the average person can track at home as long as you have a scale, but the bigger part of it is obviously that our entire society is conditioned to think of skinny as healthy. I don't think of myself as especially healthy, but a doctor never questions it beyond the scale. I went to my OB last month due to another issue and the nurse congratulated me on my weight loss. That was the only thing in my file she looked at, the fact that I had lost 30 pounds since my last visit. and I had....because my last visit was my 6 week post partum visit after DS2. She didnt even see that part of it. The weight was the important factor.
Anyway my brother is an obese doctor (since they were mentioned upthread lol) and it is interesting to talk to him, because he cant keep up with what is healthy and what isn't, or what is the best way to lose weight - the information is always changing. I don't think he ever mentions weight to his patients, but he still has to sometimes verify that he did "discuss obesity" or something for some insurance companies (maybe its Medicare? BCBS?) so he usually just checks the box. But it comes down from the insurance company that obesity needs to be discussed regardless of the reason for the visit, which I know he finds super annoying.
How accessible is counseling with an RD via insurance?
I saw one in December. I think I had a standard $30 copay, but I can't recall.
But honestly, it was not a particularly helpful appointment. I was breastfeeding, and my problem is that I was legitimately HUNGRY all the fucking time. I was easily putting away 3,000 calories per day - I was not losing weight, but I also was not gaining weight. I was trying to make healthy choices, but when I tried to limit my calories below 2600, I was STARVING.
I would often eat a bowl of cereal with milk for a snack. Yes, absolutely I needed to have more protein and less sugar than is in a bowl of Honey Nut Cheerios with milk. I fully cop to that. BUT she suggested instead that I have Carnation Instant Breakfast for a snack. First, compare the sugar content of that and Honey Nut Cheerios. Second, this was after I told her that I do not like things like smoothies and protein shakes because they do not make me feel full and make me have to pee constantly.
It was a seriously frustrating appointment. She looked at my food log and really the only advice she had was to sub my cereal for a higher protein snack and to eat even more vegetables. Those are both things that are worth doing, but if that's her only real advice, I think it shows that I am doing the right thing 80 percent of the time. I've since given up cereal, and I haven't seen any real results. The only real answer is to cut my portions and be hungry - I just have to find a manageable level of hunger that I can sustain.
Yeah, that does not sound helpful at all. I don't know what the answer is, but clearly doctors can't/won't/don't know how to help.
And WTF to the carnation instant breakfast. Is she paid by them or something?