Ef039d1b8123cf1841a15b18d7f0be9b
0

Seeing a nutritionist tomorrow...?

by (0)
Updated about 2 hours ago
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?

F291857fa12a0291688ea994343156dc
690 · November 15, 2013 at 3:54 PM

If a doctor or nutritionist is too close minded, rooted in the past, unable to assimilate new information or just plain "not very smart"...... they need to "work on another patient".

These "professionals" work for us, they can be replaced. They put their pants on one leg at a time and some probably need help.

You know what you call a person who graduated in the bottom 10% of their med school class? Doctor. :(

32f5749fa6cf7adbeb0b0b031ba82b46
41544 · November 15, 2013 at 1:24 PM

Exactly, it's all in how you spin it. Paleo cliches get doctor and nutritionist hackles up.

F291857fa12a0291688ea994343156dc
690 · November 15, 2013 at 7:44 AM

Jaminet not an athlete, probably never was and probably has no desire to be ripped. :) Based on Attia's work I think Jaminet is wrong about the body's minimum carb needs. Attia was VLC for a LONG time and at very high levels of exertion.. his brain seems to function just fine. I think that being educated & intelligent is very important. But being able to serve as one's own laboratory / exercise experimental guinea pig takes things to the next level. Attia is a cross between Sisson & Jaminet....he's rigorous scientist, an athlete, a curious individual AND an MD.

Cf08ad26759fdd206a2c9f9385080a57
1005 · November 15, 2013 at 7:18 AM

I do like attia's heavy science backed info and diagrams. (Volek is another good one to read through.) It's a bad sign when your nutritionist isn't in fit shape. Jaminet's another one with good credentials, dude's a rocket scientist (I wish he was as ripped as sisson though, haha.)

F291857fa12a0291688ea994343156dc
690 · November 15, 2013 at 7:07 AM

I agree... the "in your face" approach is not advisable unless one is planning on charging doctors & nutritionists BUT Peter Attia has the credentials AND the data... hard to argue with. When my wife was having blood sugar issues (misdiagnosed autoimmune problem that played hell with her pancreas), the hospital nutritionist gave her the "standard" T2D diet... it lead to no improvement. That nutritionist was grossly overweight. When we switched to an MD who put her on a VLC AIP protocol her condition greatly improved.

Cf08ad26759fdd206a2c9f9385080a57
1005 · November 15, 2013 at 6:51 AM

In the context of a 4400 kcal day, I'd call that 40g putting the V in VLC. That's drinking butter for snacks territory.

Cf08ad26759fdd206a2c9f9385080a57
1005 · November 15, 2013 at 6:28 AM

Oh, I know! I've been consistently adding more NaCl to my diet. (In fact, I just got back from the grocery store pissed they only had "low-sodium fat-free" organic broth. wth?.. they were out of og. OJ / og. potatoes too.) I couldn't get 1 paleo thing I wanted. /vent.

I was thinking if you show a USDA nutritionist a guy who doesn't eat carbs, limits his proteins, eating mostly fat with a ton of salt it'll be the polar opposite of what they learned / paid to be accredited for and it might not go over too smooth.

I think a JERF site might go over better.

Cf08ad26759fdd206a2c9f9385080a57
1005 · November 15, 2013 at 4:53 AM

Wasn't peter attia doing a 90% fat diet for a while with like 6 grams of salt a day? I'm not sure a food-pyramid nutritionalist is going to "get it."

Medium avatar
598 · November 14, 2013 at 11:33 PM

I'm actually trying to switch my doc right now because from my very first visit I could sense that I would get nothing but CW drivel and big-money prescriptions from her. Unfortunately, I have Kaiser so all I can do is hope that one of the other few docs at my facility accepts new patients soon and just happens to be more enlightened. Sometimes it pays to just avoid the doctor and do your own research, time consuming and frustrating as it may be.

Be157308a0438e382b88d9db4c12ab30
612 · November 14, 2013 at 11:18 PM

She must really like you because if she's telling you to eat according to the USDA (btw, wtf does agriculture have to do with health, but I digress) food pyramid that guarantees that you will become nice and fat, probably obese, and develop some kind of chronic illness which she will then attribute to either you being a fat slob or a genetic fail, thereby forcing you to spend a lot more time(=money) with her in her lovely clinic, where she will be able to prescribe you statins/insulin/metformin/beta-blockers/anti-acids/anti-depressants/anti-acne for the rest of you life.

B0efffcd9794dc302d4873ca39bd8634
0 · November 14, 2013 at 4:38 AM

If you are healthy/well and able to do everything you need/want to do, why are you so concerned about your calorie intake? I think listening to your body and honouring how you feel is much more sensible than worrying if a particular "doctor's opinion" is valid if it goes against what you are instinctively feeling is the correct way for you.

B0efffcd9794dc302d4873ca39bd8634
0 · November 14, 2013 at 4:36 AM

I agree totally.

  • Total Views
    924
  • Recent Activity
    F291857fa12a0291688ea994343156dc
  • Last Activity
    376D AGO
  • Followers
    9

Get Free Paleo Recipes Instantly

11 Answers

F291857fa12a0291688ea994343156dc
0
690 · November 15, 2013 at 6:16 AM

@paleot

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.

http://eatingacademy.com/how-i-lost-weight

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.

Cf08ad26759fdd206a2c9f9385080a57
1005 · November 15, 2013 at 6:28 AM

Oh, I know! I've been consistently adding more NaCl to my diet. (In fact, I just got back from the grocery store pissed they only had "low-sodium fat-free" organic broth. wth?.. they were out of og. OJ / og. potatoes too.) I couldn't get 1 paleo thing I wanted. /vent.

I was thinking if you show a USDA nutritionist a guy who doesn't eat carbs, limits his proteins, eating mostly fat with a ton of salt it'll be the polar opposite of what they learned / paid to be accredited for and it might not go over too smooth.

I think a JERF site might go over better.

Cf08ad26759fdd206a2c9f9385080a57
1005 · November 15, 2013 at 6:51 AM

In the context of a 4400 kcal day, I'd call that 40g putting the V in VLC. That's drinking butter for snacks territory.

F291857fa12a0291688ea994343156dc
0
690 · November 15, 2013 at 4:28 AM

@jenbunjen

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?

Cf08ad26759fdd206a2c9f9385080a57
1005 · November 15, 2013 at 4:53 AM

Wasn't peter attia doing a 90% fat diet for a while with like 6 grams of salt a day? I'm not sure a food-pyramid nutritionalist is going to "get it."

3fc95bca9e723edfbbb72b172798ab49
0
1356 · 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.

3ce6a0d24be025e2f2af534545bdd1d7
0
26182 · 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...

32f5749fa6cf7adbeb0b0b031ba82b46
41544 · November 15, 2013 at 1:24 PM

Exactly, it's all in how you spin it. Paleo cliches get doctor and nutritionist hackles up.

32f5749fa6cf7adbeb0b0b031ba82b46
0
41544 · November 14, 2013 at 11:53 PM

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

47b7669a74390612f0390449aef3bf50
0
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.

6498694060d879a7960b35913539b75f
0
1307 · November 14, 2013 at 3:58 AM

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

3491e51730101b18724dc57c86601173
0
8150 · 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?

Medium avatar
598 · November 14, 2013 at 11:33 PM

I'm actually trying to switch my doc right now because from my very first visit I could sense that I would get nothing but CW drivel and big-money prescriptions from her. Unfortunately, I have Kaiser so all I can do is hope that one of the other few docs at my facility accepts new patients soon and just happens to be more enlightened. Sometimes it pays to just avoid the doctor and do your own research, time consuming and frustrating as it may be.

B0efffcd9794dc302d4873ca39bd8634
0 · November 14, 2013 at 4:36 AM

I agree totally.

089dd41b18fbb95ebb5347cded708d98
0
5650 · 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.

Medium avatar
0
1097 · 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.

9a3e588924139a744a5a77cb43ee6a7f
0
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

Answer Question

Login to Your PaleoHacks Account

Get Free Paleo Recipes