Weight Loss, Fitness & Health

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miss_lisa
Went to the doctor... questioning his advice.
February 9, 2013 at 9:59 AM

I usually see a nurse practitioner but because I had a mild injury to my knee the office decided to have me see a new doctor. I've been counting calories, exercising, changed my diet, etc. for 6 months and have lost 6 pounds. While I've lost inches, it's mostly been in my chest and I've only dropped one pant size. It's frustrating because I am working hard and doing everything right. Based on my weight my calories should be around 1,700 a day, I'm often at about 1,600-1,700. Well, this doctor concluded that I need to drop down to 1,200 calories in order to lose weight.

I had some blood tests run just over a year ago to check for hypothyroidism but the results came back showing that my gland was actually creating too much of the thyroid hormone. He said it was probably a lab error but didn't want to retest me. He said he could prescribe me metformin but just didn't think I was a good candidate for it... whereas the nurse practitioner I've seen before thinks I likely have PCOS. I haven't used birth control in 4 years and I'm not pregnant, I've had hair loss, and more. She once considered prescribing it to me but we decided to wait.

Should I really be dropping my calories down to 1,200 a day? I'm 208 and 5'6"... my friend who is 165 and 5'2" is eating that many calories and it just doesn't seem right to me.

Replies

  • stacey1103
    February 9, 2013 at 10:01 AM
    If u think u have PCOS, try limiting ur carbs. I had that and when I ate a low carb diet I lost 60 lbs in 6 months.
  • shimmifairy
    February 9, 2013 at 10:09 AM

    You always have the right to go to a different doctor....Metformin is a diebetes drug, not a weight loss drug so if they were talking about putting you on it, it may be your glucose levels that need to be checked...

    The calorie count you looked up was for someone who wants to maintain their weight, if you wan to lose weight, you need to cut 500 calories a day which would put you at 1200...

  • miss_lisa
    February 9, 2013 at 10:15 AM

    I actually had a woman in this group calculate how many calories I should be eating to lose weight, it was 1,700. The calorie count I got was to lose weight, to maintain I'd have to be eating over 2,000 calories.

    Quoting shimmifairy:

    You always have the right to go to a different doctor....Metformin is a diebetes drug, not a weight loss drug so if they were talking about putting you on it, it may be your glucose levels that need to be checked...

    The calorie count you looked up was for someone who wants to maintain their weight, if you wan to lose weight, you need to cut 500 calories a day which would put you at 1200...


  • Mortiferouslatt
    February 9, 2013 at 10:19 AM
    I'm not saying doctors are always right but if what you're doing isn't working I would give dropping the calories a try.
  • charlotsomtimes
    February 9, 2013 at 10:26 AM

    I'm 5ft 7 or 8 and right now I'm eating about 1800/1850 average... (the last few weeks- before that it was a bit more) and I'm 191 at the moment (and losing)

    I would think it is something else beside your calorie intake. I would not drop down to 1200

  • OliviasMommy611
    February 9, 2013 at 10:48 AM
    Metformin is used off label for weight loss.

    Quoting shimmifairy:

    You always have the right to go to a different doctor....Metformin is a diebetes drug, not a weight loss drug so if they were talking about putting you on it, it may be your glucose levels that need to be checked...

    The calorie count you looked up was for someone who wants to maintain their weight, if you wan to lose weight, you need to cut 500 calories a day which would put you at 1200...

  • cherylmoore
    February 9, 2013 at 10:50 AM
    I have pcos and everyone that has it has a different story. depends on your hormonal levels as to how it will affect you. you need to see a reproductive specialist to get diagnosed. Check with ur insurance but mine did not require a referral. Pp is correct. If it is pcos lowering your carbs will help. Also make sure u get enough water and cut out all aspartame. Since I have done this my weight loss has doubled. I was losing about 2 1/2 to 3 pounds a month and this last month I lost 5. If it is pcos you will have to face reality that the hormone fluctuations will cause the weight to come off slower. You work twice as hard for every pound as someone without pcos. Metformin will help. I did take it while I was ttc but chose not to take it anymore cause it makes me sick on my stomach
  • miss_lisa
    February 9, 2013 at 11:25 AM
    Thanks! I'm going to give the 1,200 calorie thing a try but if it doesn't work then I think I'm going to go back and see my normal person. I've done a lot of the other stuff already, I've cut out a lot of carbs and only drink water. I eat a ton of fresh fruits and veggies.

    Quoting cherylmoore:

    I have pcos and everyone that has it has a different story. depends on your hormonal levels as to how it will affect you. you need to see a reproductive specialist to get diagnosed. Check with ur insurance but mine did not require a referral. Pp is correct. If it is pcos lowering your carbs will help. Also make sure u get enough water and cut out all aspartame. Since I have done this my weight loss has doubled. I was losing about 2 1/2 to 3 pounds a month and this last month I lost 5. If it is pcos you will have to face reality that the hormone fluctuations will cause the weight to come off slower. You work twice as hard for every pound as someone without pcos. Metformin will help. I did take it while I was ttc but chose not to take it anymore cause it makes me sick on my stomach
  • jendawn1
    February 9, 2013 at 11:41 AM
    Ugh 1200 is not a healthy calorie intake for you. I'm 5 feet nothing and my calories intake 1360. Did you get your bmr done?
  • musicpisces
    February 9, 2013 at 11:54 AM

    I agree that 1200 calories is too low, PCOS or not.  I'd also follow up with an endocrinologist or even your NP on this. Insist on having your thyroid hormones retested, because if the doctor doesn't trust the results, there's no reason they shouldn't be run again.  They should also be checking your other hormones, and doing a metabolic panel on you.

    Doctors aren't nutrition experts (though they will never say that).  A nutritionist might be a good way to go once you have more definitive answers.  But I would strongly advise you against cutting down to 1200 calories.  You might see results for a few weeks, but your metabolsim will slow to a crawl, and you'll have a really hard time getting it going again.

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