Seeing a nutritionist tomorrow...?

by (0) Updated November 15, 2013 at 3:54 PM Created November 14, 2013 at 12:50 AM

I went to my doctor (not my regular doc) today to get some basic blood work done, when asked about my diet regime and informed her on my paleo lifestyle, i literally got scolded on my eating habits. All i could do was sit there and get preached about how i need to incorporate grains and wheat and all the paleo no no's. She was unbelievably rude and told me all these USDA guidelines and calorie intake bla bla.. now im getting sent to a nutritionist for free tomorrow but im afraid of the same scolding all over again. The reason why I'm at the doctor at the first place is because i was worried about my low calorie intake. On a good day i make it to 1200-1300. I eat when im hungry, stop when im full and snack in-between. I cannot eat more, i cannot help it. I decide to listen to my body and not worry so much about calorie numbers... but apparently im ALL wrong from my doctors perspective. What should i do/say to my nutritionist tomorrow? should i even bother going?

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11 Replies

665 · November 15, 2013 at 6:16 AM


Not sure about the salt but if you're really working out, the body uses it no problem.

I'm not a huge fan of gross macro percentages...they can distort the picture for people burning tons of energy. Peter was doing ~4400 kcal per day 88% fat, 3% carb & 9% protein, seems pretty weird BUT that's 40g carb (low carb), 120g protein (reasonable) and a lot of fat.


I'm biased, I'm an ME and a went to school with a number of future MD's who definitely weren't a sharpest thinkers. Peter has intellectual curiosity & the numbers......

If the nutritionist cannot read & understand Peter's work, then they need to put down their clipboard.

665 · November 15, 2013 at 4:28 AM


Tell your doctor to checkout http://eatingacademy.com/dr-peter-attia and point the nutritionist that way as well.

Oh, and before your doctor poo poo's "non-traditional" diets....

ask her if she's got a mechanical engineering / applied math undergrad degree, if she went to med school at Stanford & did her residency at Johns Hopkins

probably not

I wonder..... is your doctor trim & fit? Let us know about the nutritionist as well. How are are those USDA guidelines working for them?

1321 · November 15, 2013 at 1:59 AM

You can keep this clip queued on your phone.

But really, you gotta look at this from their angle. They're thinking the exact same thing. That is, "they're going to say 'x', how do I convince them that they're wrong and save their life?". A paleoist going to a CW nutritionist is like a Muslim going to a Catholic confessional - all you're going to get is a broken box and two people convinced that their answers are the right ones.

26354 · November 15, 2013 at 1:54 AM

Honestly it's all how you say it. If you tell the nutritionist,

"Primarily I eat lots of organic vegetables, some organic meat, and some fruit. I try to stay away of any processed or manufactured foods"

There isn't a nutritionist in the world that would disagree with that.

If instead you say,

"I eat like a caveman. Lots of meat and saturated fats. In fact I eat fat straight out of the jar with a spoon. Oh yeah, I stay away from "heart healthy" (with the obligatory air quotes) whole grains...."

There isn't a nutritionist in the world who would consider that healthy.

Explain the diet as it really is, and ignore the shock value crap...

40652 · November 14, 2013 at 11:53 PM

Be happy you're neither force fed or force medicated. (Yet.)

10 · November 14, 2013 at 4:28 PM

I would print out flash cards with counters for everything they are going to hit you with. Don't talk just hand them the appropriate flash card. Flash cards should have facts, references and links. Seems like a lot of work but I would love to see the nutritionist face when everyone of their points is countered.

1248 · November 14, 2013 at 3:58 AM

Personally, I wouldn't go. And I would try to find a better doctor if you can.

7989 · November 14, 2013 at 1:50 AM

You may luck out and get an enlightened nutritionist who is not afraid of saturated fat and who doesn't think you need multiple servings of whole grains daily or that meat is evil. BUT, most likely you will get one who spouts the conventional wisdom and isn't going to respect your beliefs in the Paleo approach at all.

If you don't have the patience to listen politely to the CW drivel (there's NO use arguing as you would be challenging the nutritionist's cherished beliefs on which he or she bases his or her entire career) then I wouldn't bother going. But if you're willing to take the chance that you might get a nutritionist who actually knows something beyond the tip of his or her nose and can actually impart some useful advice, go for it. An open-minded nutritionist can look at your diet and see if you might be missing something essential (NOT grains) that might be helpful.

Meanwhile I'd fire your doctor. She's a close-minded bully--why subject yourself to HER?

5584 · November 14, 2013 at 1:36 AM

i've never gotten along with the nutritonists i have seen. do you have to pay to see the nutritionist? if so, it will probably be a waste of money for you to hear things you don't want to hear.

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1032 · November 14, 2013 at 1:30 AM

Your doctor is simply following what government run (the same government who funds wheat, corn, and soy in massive subsidies) studies tell them is right and healthy. The nutritionist will do the same.

I say find a paleo-friendly doctor in your area if there is one. And also, in terms of calorie amount: add in some more starches. Bam more calories, slightly higher hunger signals as your satiety levels drop a bit.

15 · November 14, 2013 at 1:20 AM

I think you should look for a different nutritionist - if you do not agree with them from the start it is doubtful you can agree to do what they recommend

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