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Weight Loss, Fitness & Health Weight Loss, Fitness & Health

Doctor Assisted Weight Loss

Posted by on Jan. 29, 2014 at 3:42 PM
  • 10 Replies

So I bit the bullet yesterday and made a doc appointment with a weight loss specialist.   I've been trying to lose 40 lbs. for the last 5 years and can't ever seem to get ANYWHERE.  I've tried it all.  Have already been to primary care docs three times over those 5 years with disappointing results. 

The first doc, without any discussion of my existing diet/exercise/lifestyle, told me to eat more vegetables.  Wanted to put me on anti-depressants, with the logic that if I'm happy (I wasn't depressed) the weight loss would follow.  She was always the type to medicate the problem instead of looking for the cause.  I pushed for blood work, which she gave in to reluctantly- thyroid came out 'normal' but I never saw the results.

The last time I went was to a new doc... she did so many tests on me that I was still paying them off months later.  Wanted me gluten free and on about $80 of herbal supplements per month.  And if that didn't work, her backup plan was HCG.  Which she said she'd tried herself, lost 14 lbs and admitted she felt horrible while she did it.  No thanks.

I still firmly believe that given how I live and have been treating my body these past 5 years, there's no reason why I should be unable to lose even 5 lbs.  It's like everything that I do is JUST ENOUGH to keep me from gaining, but my body doesn't want to lose fat for anything.  It's making me nuts. 

The quick run-down they gave me while making the appointment worries me.  Weekly appointments, a strict diet, possible medication.  I'm really against any pre-packaged diet food and don't really feel like I NEED appetite suppression help with drugs.  I eat a totally reasonable amount and I don't obsess over food, I went vegetarian last year.  I barely drink, try to stay away from refined grains/gluten even though I'm not 100% free from it, hardly ever touch fast food or go out to restaurants.  I've been reading and working at this the better part of my adult life and I feel like I know what I should be doing, and yet it still makes no difference.  My next door neighbor dropped dead at 36, she was taking both diet pills and birth control and was a smoker- but still.  I don't like the idea of taking a pill that has an effect on my blood pressure, migraines, sleep quality, etc.

So anyway... hate going into it feeling defensive already, but I am.  I'm just hoping they can help pinpoint where I'm going wrong and help me see some progress... without taking phentermine and drinking medifast shakes.  I'm sick of doctors assuming that I'm eating badly and not working out.  There's something else holding me back, I just don't know what it is. 

Anyone have any experiences to share with me about this process or the prescription diet drugs out there right now?

by on Jan. 29, 2014 at 3:42 PM
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Replies (1-10):
amandalavoie13
by on Jan. 29, 2014 at 4:05 PM
Don't do it! I have had so many of my clients get sick or not have any results from Dr assisted weight loss. Its sad cause we trust drs with out health but a lot of times they aren't doing it for the right reasons. Shoot me an email and let me give you some tips and ideas and we can chat. I have a client who went to a nutritionist for a year and lost 40lbs, but once I started working with him and gave him meal plans and tips he lost another 40lbs in only 4months! I would love to try and get you some awesome results. Amanda.lavoie1314@gmail.com. s
MCA23
by Member on Jan. 29, 2014 at 4:15 PM
1 mom liked this

 

Quoting amandalavoie13: Don't do it! I have had so many of my clients get sick or not have any results from Dr assisted weight loss. Its sad cause we trust drs with out health but a lot of times they aren't doing it for the right reasons. Shoot me an email and let me give you some tips and ideas and we can chat. I have a client who went to a nutritionist for a year and lost 40lbs, but once I started working with him and gave him meal plans and tips he lost another 40lbs in only 4months! I would love to try and get you some awesome results. Amanda.lavoie1314@gmail.com. s

Thank you Amanda.  I'm going to keep the initial appointment regardless, since I need an insurance physical I'd rather talk to a weight loss specialist about it than some random NP at Walgreens.  Figure if I go in there armed with my food/exericise journals and past bloodwork results, maybe it'll be useful and will get more help than just "your BMI is ____, consider losing weight".  I'd like to hand it all over and let the doc tell me what HER plan for me will be.  Maybe my bloodwork will finally show that I have an underactive thyroid or some other hormone outta whack.  Appt is on 2/10... I'll check in with you and let you know what she tells me. 

 

darbyakeep45
by Darby on Jan. 29, 2014 at 6:31 PM

Hugs and welcome to the group!  Please keep us posted:)

amandalavoie13
by on Jan. 30, 2014 at 8:49 AM

Yes! Please let me know what she says I would be interested to hear how it works for you :) Best of luck!

Quoting MCA23:


Quoting amandalavoie13: Don't do it! I have had so many of my clients get sick or not have any results from Dr assisted weight loss. Its sad cause we trust drs with out health but a lot of times they aren't doing it for the right reasons. Shoot me an email and let me give you some tips and ideas and we can chat. I have a client who went to a nutritionist for a year and lost 40lbs, but once I started working with him and gave him meal plans and tips he lost another 40lbs in only 4months! I would love to try and get you some awesome results. Amanda.lavoie1314@gmail.com. s

Thank you Amanda.  I'm going to keep the initial appointment regardless, since I need an insurance physical I'd rather talk to a weight loss specialist about it than some random NP at Walgreens.  Figure if I go in there armed with my food/exericise journals and past bloodwork results, maybe it'll be useful and will get more help than just "your BMI is ____, consider losing weight".  I'd like to hand it all over and let the doc tell me what HER plan for me will be.  Maybe my bloodwork will finally show that I have an underactive thyroid or some other hormone outta whack.  Appt is on 2/10... I'll check in with you and let you know what she tells me. 



amberlynn1218
by on Jan. 30, 2014 at 8:27 PM
Your thyroid seems like the probable cause! I hope they figure out what it is!!!
srehman
by Bronze Member on Jan. 30, 2014 at 10:11 PM
1 mom liked this
Soooo, I did this many years ago. My situation was I had a just had a baby, she was about 4 months old and she was my first. I wanted to lose weight so bad. So, they put me on adipex and told me to eat 6 eggs for breakfast and have protein at every meal. And eat veggies. While I did this. And exercised, I lost. I then went to a family practitioner because I felt like I was going crazy. I was then diagnosed with post pardom depression and anxiety. The physician didn't tell me to stop the adipex he told me to cut my calories in half! (I was lucky if ate 800-1000 calories!) so , when I went back to the WL DR they took me off everything (when I spoke to him about my feelings he changed my medication to phynline) and put me on the "monitored" program which is I go and weigh in and keep in check like that.

Anyway, point in all this, since you are going to do it anyway, be careful. Make sure you listen to your body and anything that doesn't feel right, tell them.

Good luck on your journey!!!
MCA23
by Member on Jan. 31, 2014 at 2:14 PM

 

Quoting amberlynn1218: Your thyroid seems like the probable cause! I hope they figure out what it is!!!

 I just wish I had some sort of answer, other than the million of other things that I can't do much to change.. I have an hour long commute each way and then a sedentary but stressful job.  My husband works nights so by the time I get the kids home and all the things we need to accomplish in the evening done, it's usually 9:30 or so before I get to sit down.  I don't sleep enough, but I can't lay down immediately after I'm done running around all day and fall asleep.  I need that 45 mins of wind-down time.  I work out on my lunch hour, but there are days that the job prevents it from happening.  Any other time I work out, it's coming directly out of my sleep that I already don't get enough of.  Add in the fact that I'm just getting older and my hormones are a significant force to reckon with already, and I'd just be shocked if none of that mattered.  It honestly amazes me when they tell me my thyroid is fine.  They did cortisol saliva tests on me a couple of years back and it came back through the roof, but again.. what can I do about that? 

In a perfect world I'd be at the gym 5 days a week and sleeping 8 hours a night, but it just doesn't always work out that way.  And what I'm able to accomplish alongside real life just doesn't seem to be enough to make me lose.  I'm a machine when it comes to staying the same though... I know without a doubt I'm more fit than I was 40 lbs ago.  I get in better shape under the fat, the fat just never wants to give it up and leave.  I don't want to wish for a lifetime on thyroid meds but some sort of change would sure be nice.  I'm spinning my wheels here.

Thank you very much.

audmom1218
by Bronze Member on Feb. 2, 2014 at 9:37 AM

What have you actually tried in the past on your own to lose weight?  What is your motivation for wanting to lose those 40lbs?  Where do you want to be at the end of this? 

The biggest turning point in my weight loss journey was finidng a podcast called "fat2fit radio"  It's two guys talking about healthy weight loss, busting myths, helping callers figure out what is stalling out their fat loss, etc.  (I should emphasize they focus on FAT loss, not weight loss.  Their methods ensure you don't lose lean muscle mass, and that you are focused only on losing fat).  They really opened up my eyes about how much I DIDN'T know about human biology.  That jump-started my research and I have learned SO MUCH about exercise, eating clean and finding motivation.  When I started listening to them I was 3 months post-partum recovering from having my gallbladder removed, and weighed 212lbs.  I've hit some plateaus and fallen off the wagon a few times along the way but each time the "bounce back" was easier and easier since I knew exactly what I needed to do.  I've lost 37lbs in 2 years.  I still have 40lbs to go.  If that takes me another 2 years, I'm perfectly OK with that because I know I am living the lifestlye I need to maintain that goal weight in the future.  So when I hit my goal weight I won't need to change anything, just keep living and I can stay a fit and healthy person for the rest of my life.  

I hope talking about these guys isn't against the TOS, I am not affiliated with them in any capacity other than a huge fan.  It's completely free to download all but hte first 10 episodes of the podcasts, but they truly were a turning poiint for me.  

This is what i really learned from them(and the ladies around here): 

1.) YOU NEED TO EAT TO LOSE WEIGHT! And how much you need to eat is probably more than you would guess. (their website has tons of tools to calculate goal weight, BMR, body fat %, etc.  It's very fun to play around).

2.) Strength training is huge in weight loss, it takes more calories per day to maintain muscle than to maintainf at, so by building muscle you can eat more and weigh less inthe long run. 

3.) Motivation, these guys are so much fun to listen to and got me started on my focus of health instead of weight. 

4.) Clean eating gives you more energy and I rarely feel hungry when I follow the clean lifestyle.  Some days it' feels like a challenge to eat ENOUGH! 


Good luck mama. I don't think meds are needed, I think if you start doing your own research you can do this!

MCA23
by Member on Feb. 11, 2014 at 9:33 AM

Alright.  So I had my appointment yesterday.  Interesting experience.

My husband fell in a snow storm last week and broke his ankle.  It's been a really stressful week and I'm literally doing EVERYTHING right now, and will be for the forseeable future.  He's also unable to work for 6 weeks, which means no paycheck, and I stress about money even on a good day.  So I went in there pretty wound up.

Filled out a packet of about 15 forms before I went in about my history, they asked for 2 days of food journals and I gave them 4. Total and complete honesty on those forms.  They pulled 5 vials of blood, did an EKG, measured and weighed me every which way.  Hell, I even got a breast exam.  I can't figure out if I liked the doctor or not.  She was very friendly and outgoing, but led the conversation and didn't ask me many questions.  I barely got a word in so that it felt like when I'd try to clarify something, I felt like it sounded more like me making excuses.  I felt like she should know what my days look like, how I exercise, eat, sleep etc.  to help determine what I need to change.  The main information I took away was that the exercise I'm able to fit into my day now isn't doing me any good, so I should immediately work out when I walk in the door with my kids at 5:45 every night.  Considering my husband generally works evenings and is currently now laid up, my kids are starving for dinner and have homework and baths to get done, I simply CANNOT walk in the door and claim the first hour for myself.  Period.  She told me I should eat more fish... again, without examining my current diet at all.  I went vegetarian last year and I don't even care for fish.  She told me vegetarians gain weight because they each too much starch.  Well lady, how do YOU know I eat too much starch without even looking at what I eat?  I don't know... I don't mean to be defensive, I just get tired of doctors making assumptions about what I'm doing without really asking me.  She was also a SUPER close talker, very intense.  She had me lay down and was doing a breast exam on me before I even knew it was coming, and then stood over me about 8 inches from my face talking to me so I couldn't sit up.  Eventually I had to, she was freaking me out and I felt trapped and panicky.  I told her stress is a major issue for me, and she started telling me that I need to make a conscious decision to not be stressed.   Well shit.  I kinda lost it at that point.  I notice that I have a racing mind, it never shuts up, it keeps me awake at night, I worry about EVERYTHING.  I do my absolute best to let it go, exercise, keep my head clear and not worry about things I can't change.  I do my absolute best, and yet, I still have a problem with it.  I told her if it were that easy, to just decide not to be stressed anymore, I would have done it by now.  That I needed help figuring out a way to take the edge off without turning to booze all the time.  Which I don't do, by the way... I'll have a drink or two on the weekends but outlaw it for myself during the week.  I just feel the pull towards it every single evening and I don't want to give in.   She put me on Prozac, and left.  Literally didn't know the appointment was over, was still in tears, still had a question about my migraines for her, and she was already with someone else.

So I dropped off the script and waited for it, and the pharmacist gave me a funky look when I went to pay for it.  "Is this a new medication for you?"  Told her yes.  Went to leave, and she stopped me again- same funky look.  "If you'd like to talk about this medication, I'd like to talk with you."  So I agreed, she had me weirded out.  Pulled me aside and told me that when she started taking it, her brain went on overdrive for about 3 days.  Said she was hearing voices all the time and couldn't sleep and she literally thought she was going crazy.  Said it passes, and after that- it's calm and wonderful, but those first few days can be pretty weird.  Advised me to wait and start it on Friday, so the weirdness hits me over the weekend instead of during work.  Told me to come back and talk to her again if I needed someone.  It was so bizarre and I was so spooled up from my appointment (and the fact that I'd been fasting for 22 hours and just gave 5 vials of blood) that SHE made me cry, too.  Left feeling more fucked up than I've ever felt.

So I have this bottle of pills now, lots of questions.  Seriously worried about the effects on libido, but hell- with all that's going on right now with us, it's not like we're swinging from chandeliers anyway.  I've had a doctor suggest antidepressants to me before and I always pushed it away immediately, but having it handed to me again makes me wonder if I need them.  I do know that I have some weird stress/anxiety issues that are getting worse with age and my PMS is outta control.  Fire breathing succubus for the week before shark week, usually kicked off with a raging migraine.  Something is going on with me chemically and I'm curious to know if this is what I need.

So anyway... sorry for the lengthy update.  Was a really weird afternoon.  Looks doubtful that my insurance will be covering this entire program, so worse comes to worse, I'm going to these first few appointments where she lays out her plans for me and goes over their bloodwork findings, and see what's next for me.  I don't know if the answer lies in a closely monitored diet plan or if we'll find something else going on hormonally.  I do know that I already don't sleep enough and I already exercise as much as I can when I can.   I try to eat as many vegetables as possible, go for whole foods and try to avoid grains and sugar.  Try to eat to keep my blood sugar stable.  Drink lots of water and green tea, hardly any diet soda and never the regular stuff.  Hardly any eating out.  Don't know what the next step is going to be.

 

MCA23
by Member on Feb. 11, 2014 at 9:48 AM

 

Quoting audmom1218:

What have you actually tried in the past on your own to lose weight?  What is your motivation for wanting to lose those 40lbs?  Where do you want to be at the end of this? 

The biggest turning point in my weight loss journey was finidng a podcast called "fat2fit radio"  It's two guys talking about healthy weight loss, busting myths, helping callers figure out what is stalling out their fat loss, etc.  (I should emphasize they focus on FAT loss, not weight loss.  Their methods ensure you don't lose lean muscle mass, and that you are focused only on losing fat).  They really opened up my eyes about how much I DIDN'T know about human biology.  That jump-started my research and I have learned SO MUCH about exercise, eating clean and finding motivation.  When I started listening to them I was 3 months post-partum recovering from having my gallbladder removed, and weighed 212lbs.  I've hit some plateaus and fallen off the wagon a few times along the way but each time the "bounce back" was easier and easier since I knew exactly what I needed to do.  I've lost 37lbs in 2 years.  I still have 40lbs to go.  If that takes me another 2 years, I'm perfectly OK with that because I know I am living the lifestlye I need to maintain that goal weight in the future.  So when I hit my goal weight I won't need to change anything, just keep living and I can stay a fit and healthy person for the rest of my life.  

I hope talking about these guys isn't against the TOS, I am not affiliated with them in any capacity other than a huge fan.  It's completely free to download all but hte first 10 episodes of the podcasts, but they truly were a turning poiint for me.  

This is what i really learned from them(and the ladies around here): 

1.) YOU NEED TO EAT TO LOSE WEIGHT! And how much you need to eat is probably more than you would guess. (their website has tons of tools to calculate goal weight, BMR, body fat %, etc.  It's very fun to play around).

2.) Strength training is huge in weight loss, it takes more calories per day to maintain muscle than to maintainf at, so by building muscle you can eat more and weigh less inthe long run. 

3.) Motivation, these guys are so much fun to listen to and got me started on my focus of health instead of weight. 

4.) Clean eating gives you more energy and I rarely feel hungry when I follow the clean lifestyle.  Some days it' feels like a challenge to eat ENOUGH! 

 

Good luck mama. I don't think meds are needed, I think if you start doing your own research you can do this!

 

Thanks for the advice.  I love podcasts during my drive home.  I'll check that out for sure.

I've tried 1200 calories, I've tried 1600-1800, I've gone paleo, vegetarian, have weights at home and do go to the gym... lately I've been running intervals on the elliptical just to take care of my plantar fasciitis and because the cardio high has been a big help combating these winter blues and giving me energy.  I recognize though that I need to get back to weights.  I definitely try to eat as clean and whole food as possible, and calorie intake never seems to make a difference.  I'm literally the exact same weight I was a year ago (have been working at it for 5 years with no results).  The harder I work out, the more fit I get, I build muscle, but the fat never leaves.  Maybe the key for now is to keep up the intervals midday, and then add in some free weights/body weight exercises in the evening.  I find that I have trouble doing too much cardio in the evening because it affects my sleep, and getting up earlier than I already do to work out a second time causes the same problem.  I already don't sleep enough... so what's a smarter way to use that time?  Give up sleep for more exercise?  Or try to get as much quality sleep as I can?  I'm currently running on about 6 hours of broken sleep every night and lately, always feel on the verge of getting a cold.  I struggle to figure out my priority.  That's where I'm at yet again today.  Achy, sore throat, wiped out.  Have my gym clothes in the car ready to go run at lunch time.  Is that workout going to tip me over the edge and let the cold take me over so I feel like crap for a week, or do I take a day off and take Zicam and hope that I can beat it.  With the husband out of commission and literally being in charge of EVERYTHING, a cold is the last thing I need.  Feel like I'm barely hanging on as it is. 

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