Part III of my Trouble losing weight? Lose weight series
I went to the dietician yesterday and was pleasantly surprised to speak to someone who was intelligent and knowledgeable. It’s funny how what a supposed doctor can tell you about weight loss while they’re looking at your blood work is very different from what a dietician can tell you about how to take better care of yourself.
Here’s some of the differences between doctor/PA and dietician:
PA: Cut bread out of your diet
Dietician: Eat two slices of whole grain bread with breakfast and lunch. You need carbs in your diet.
PA: Insulin resistance will turn into diabetes, you must lose weight.
Dietician: Insulin resistance doesn’t always turn into diabetes. You can improve insulin resistance.
PA: Keep a food diary.
Dietician: You don’t need to keep a food diary.
PA: Cut out snacks between meals.
Dietician: You must eat a morning, afternoon and evening snack.
PA: Avoid cheese.
Dietician: With your low cholesterol you can certainly have cheese.
PA: Switch to skim milk.
Dietician: Drink 1% milk, it has less sugar than skim milk.
PA: Change your life to accommodate your diet.
Dietician: Let’s create a food plan that fits into your life.
Now, armed with some sensible and doable ideas to tweak my eating habits, I hope to improve my health, not just drop pounds while I starve myself in order to fit into an ‘ideal’ weight category.
My ultimate advice: Trouble losing weight? Lose your doctor, and find a medical professional who understands health.
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Hmmmmmm, someone isn't being entirely honest here. Lets look at your articles:
ReplyDelete> PA: Cut bread out of your diet
> Dietician: Eat two slices of whole grain bread with breakfast and lunch. You need carbs in your diet.
In part one the PA told you to cut out white bread, not all bread. So which is it? If its just white bread then this is the same advice the Dietician gave you.
> PA: Insulin resistance will turn into diabetes, you must lose weight.
> Dietician: Insulin resistance doesn’t always turn into diabetes. You can improve insulin resistance.
Minor difference really. Both are saying that Insulin resistance can become diabetes and both suggest that it can be reversed. The PA explicitly states this is done via diet but then I assume the dietician is suggesting exactly the same thing.
> PA: Keep a food diary.
> Dietician: You don’t need to keep a food diary.
Food diaries have been shown to be effective, far more effective than not tracking your food intake. This is not to say they are a MUST and you CANNOT lose without one but a far higher majority of people succeed with them than without. Either way this isn't conflicting advice, the Dietician says you don't need it but doesn't say they are a terrible idea. The difference here is entirely in what you want to hear.
> PA: Cut out snacks between meals.
> Dietician: You must eat a morning, afternoon and evening snack.
There is a lot of conflicting advice in this area and it tends to come down to the person. If you like eating 3 big meals then it is better to cut out the snacks and stick to 3 large (600 calorie meals) then again some people are grazers and for them eating 6 meals of 300 calories works better. Either way the PA's advice is understandable as for most people cutting snacks and keeping there current meals plans would be the easiest fix they could make.
> PA: Avoid cheese.
> Dietician: With your low cholesterol you can certainly have cheese.
Cheese is almost entirely fat (excluding cottage cheese) fat is more calorie dense than protein of carb for most people if they have a lot of cheese in there diets cutting out cheese is a big and easy win. The dietician says you can have cheese and be healthy (very true) but you will have to compensate in other areas in order to allow this. The PAs advice is entirely sensible for people who do not have the expert advice of a dietician to help them plan a specific diet plan.
> PA: Switch to skim milk.
> Dietician: Drink 1% milk, it has less sugar than skim milk.
This is where your Dietician is ENTIRELY wrong. Sugar in milk is from lactose it is not table sugar it is not added to the milk it is part of the milk. Skim milk has 0.2g of fat per 8oz serving and 12.47g of sugar. 1% milk has 2g of fat and 12.69g of sugar.
> PA: Change your life to accommodate your diet.
> Dietician: Let’s create a food plan that fits into your life.
This is complete and total BS your PA gave you advice on dietary change almost identical to the advice from your dietician, the only differences are in your own mind and on at least 1 occasion the dietician is dead wrong. Your last statement is pure hyperbole and you know it.
All in all an article full of unadulterated dishonesty.