Dietician

A few weeks ago I had a breakdown in front of my physiotherapist that I was sick of being fat and plateauing in my weight loss (lost 10kg, have completely stagnated). I had been trying lowering carbs but I was so lost and didn’t know where to start. He sent me right away to his best friend who is an incredible dietician.

I should note that in Australia, a dietician is the one that’s registered etc. I said if she tells me low carb is my only option I’m gonna lose my mind. He laughed and said she won’t.

So I went to see her and she was AMAZING. I would recommend going if you can because even though everything she told me I logically knew, I couldn’t put it into a plan. I told her I have ADHD and struggle with executive function and she came up with all kinds of amazing ways to make food that don’t drain my brain limit.

She told me I was eating too little and not eating enough protein to build some good skeletal muscle to increase muscle mass. She calculated my intake to get to my goal weight and it was a good 180 calories higher. Keep in mind I do 30 minutes of exercise a day at least non-negotiable as I have a dog 😂

It’s been almost two weeks and I have so much ENERGY. I have a convenient meal plan THATS flexible and works with my ADHD. She even gave me a list of takeaway orders that are kind of the least bad if I am too tired to cook.

I’m not saying I’m loading the carbs or anything, just eating a normal amount with double the protein. I don’t really eat processed sugar or junk food on a regular basis but feel no guilt in having a treat and I love a glass of wine in the evening.

I’ve started to lose weight again, I’m fuller for longer and I don’t feel starved and tired like I was before.

For clarity, I’m on 1000mg Metformin and take Berberine.

The best diet is the one that works for you. If you can’t do low carb, don’t give yourself a mental breakdown trying.

I only know of abbey sharp, thanks!

I’m currently in hospital getting treatment for my double depression and OCD and a dietician has been coming to see me once a week. She says she’s worked with ARFID patients before, but the way she talks to me makes me feel like she doesn’t understand the condition at all.

She is constantly questioning the validity of my food fears and asking if I’m ‘really’ avoid the food for sensory reasons/fear of consequences or because I want to lose weight. She over simplifies everything as well, like ‘if you just start eating the sandwich, your body will naturally continue eating it!’ Uhhhh, no it won’t. It’s going to dissect every minuscule particular of each bite and decide whether I can swallow that mouthful or not or if I’m going to gag. I’m having a massive block with the hospital food because I’m not the one who prepared it, and both my doctor and psychologist have said that we’re not attempting to tackle ARFID in hospital and I’ve got enough other stuff to deal with, so if all I can manage is supplement drinks and toast, just have the supplement drinks and toast. But the dietician is riding my ass about it and it’s making me so anxious and I feel so out of my window of tolerance around meal times.

Has anyone else dealt with a dietician like this before? I tend to avoid them at all costs because I’ve only ever had negative experiences.

It sucks having to pay for it myself, but at the same time this feels like such a victory. I can't help but laugh about it.

10kg ago I would've gotten compensation. But my BMI is well under 30 now, so according to my insurance there is no medical reason to go to a dietician.

I feel very doublesided. It feels a bit unfair that people with obesity do get compensation, when someone like me who just got out of obesity and wants to maintain a healthy diet doesn't get that. It's like, you only get compensated when your situation has crossed the border (basically, when it's already too late, as in your weight is already unhealthy). But people who want to prevent it from happening have to figure it out by themselves.

At the same time, this feels like a huge victory and a testament of my progress. That my actions actually caused my situation to change, that my body is not considered unhealthy anymore. I guess "suffering from succes" would be a good way to put it, hahaha.

On mobile; apologies for any weird formatting.

This is gonna be a bit of a ramble and with pregnancy brain being full force these days, it’s gonna be a rough read, just as heads up. If you make it all the way through and have any thoughts/advice to share, thank you so much in advance.

Before pregnancy I was dabbling with a keto-geared diet. Not exclusively but with the mind of higher-fat, lower carb is preferable to the alternative. So with that, I’m not completely ignorant of what a low-carb diet can entail however I am no professional. Just a chick with access to google and methods learned through trial and error.

Now that I’ve been diagnosed and have seen the dietician for how to manage my diet-controlled GD, I am confused by their recommendation of “when in doubt, always go with fat free” and the seemingly lax recommendations they’ve had for carb limits.

I’ve been allotted 180g carbs in a day, always paired with a protein, broken down into the following meals:

• Breakfast: 30g carbs (NO fruit)

• Morning Snack: 15g carbs

• Lunch: 45g carbs

• Afternoon Snack: 30g carbs

• Dinner: 45g carbs

• Evening Snack: 15g carbs

I have never even come close to 45g carbs in a single meal and did an experiment yesterday to try and find what my limit is since I’ve never had a “spike” (37g carbs with no exercise after meal got me a 146 result so I think I’ma stick with my >30g a meal). For the most part, I’ve been sticking with a 15g-10g-25g-10g-25g-5g pattern that works for me. I just eat a lot veggies and meat.

Getting back to the fat-free thing, I have been under the assumption for some time that its common knowledge that the majority of fat-free items replace the fat with sugar. So it seems weird that the person charged with teaching me how to manage my sugars is essentially saying “always choose the thing with more sugar in it”?! Reminds me of the extremely out of date food pyramids that scream “Fat is BAD! Make sure you are only eating GRAINS all the time. What even is a protein?” Just the whole “you must be low-carb but also when presented with the option, go with the higher carb choice...” makes literally no sense.

In my post-dietician appointment pregnancy brain haze I grabbed a fat free half&half for my coffee as apposed to my go-to of regular and the difference there specifically is the fat-free is 3 carbs more per serving (and also hella gross. Don’t do this to yourselves, y’all) so this flawed perspective c

Because yay US healthcare!

I was just diagnosed at 30 weeks, but honestly I should have been expecting it because I have a history of PCOS. A nurse called me after my test, told me to pick up my testing supplies at the pharmacy, and they put in a consult to a dietician.

Here's the thing- I have a high deductible insurance plan, and I'm not likely to meet my deductible because I'm due in late January. So the diabetes education course is going to cost me about $500. For a virtual, 3-hour group class and one 30-min follow-up. $500!!

I was handling my PCOS just fine with diet and exercise- I recognize I got lax in my pregnancy because I felt so horrible in the first tri, carbs were the only thing that stayed down and I let myself get carried away. I'm pretty sure I know what to do to get back on track. I'm good about reading books and doing leg work to figure out patterns.

My question is 1) did anyone else (in the US) have to pay this much to go to one education class, and 2) do you feel like what you learned from your dietician was worth the cost?

What are the legal differences between someone who is just a weight loss-focused life coach without a college degree in Nutrition or is a Registered Dietician, and someone who does have those degrees/certifications? They coach can't legally call themselves a Dietician officially, but in terms of the actual practices, what are the other legal differences? What are they legally prevented from doing? If someone wants to just help people lose weight by giving advice/encouragement and giving out diet programs, but doesn't care about the finer details and doesn't want to help patients with medical issues, is a degree/certification legally required to do something like that?

Can they counsel people on weight loss and offer diet programs as long as they're not claiming the programs are science-based/medical in nature or if the person has any relevant medical issues? Do they have to tell the person to get approval from their doctor for each diet program?

Does anyone have a recommendation for binge eating specialists? I'd like to finally get professional help.

Hi everyone. I got sleeved in January 2019, and I’m not going to lie, I’ve lost a significant amount of weight but I just ate less of the same garbage I used to eat. My living situation has changed and now I’m eating way healthier in general, however a recent visit to the doctor brought to light some issues. My nutrition is all out of wack, I’m not getting nearly enough protein (which was shocking to me), and in general I need to explore options for my diet. I thought about going to see a dietician so I can get professional help balancing my meals, but I don’t think I can afford it, my insurance kind of sucks. Has anyone else seen a dietician? Did it help you? What other options have you explored?

I’ve been calling around and researching dietitians to help me with intuitive eating. I used to be obese, I lost weight and maintained my loss by calorie counting, but what once was genuine healthy change has become obsessive and has pushed me further away from real healthy habits. I’ve expressed to each of these professionals that maintaining my weight loss is important and the responses have felt really dismissive. I know I can’t be healthy at every size. My diet was decently balanced when I was obese but I ate too much, and I was a teenager who couldn’t stand up somedays because my back pain was so severe. I understand where they’re coming from, and I don’t want to spend my whole life obsessing over my weight, but I don’t want someone who’s going to ignore it’s importance in my well being. It feels like I’m not being heard. I want to gain the trust in my body that I could stay at a healthy weight by eating mindfully and intuitively, but it feels like these nutritionists don’t even want to have that conversation with me. Any advice?

I am currently in therapy and on medications for anxiety and depression, but my therapist does not have much experience working with food related issues so she is encouraging me (and helping me to) to seek help elsewhere. The problem is that I'm not sure where to turn.

I saw a dietician for a while, but her solution was to promote intuitive eating, which meant that she was encouraging me to drive to CVS every night to pick up chocolate, because that's what I was craving. While I know this approach might be successful for some, I feel like my cravings and my binge eating are out of control, and the last thing I need to do is give myself what I'm craving. (In the same way that you wouldn't give a 5 year old unlimited ice cream). I am also not interested in HAES.

I also met with therapist who focused on eating disorders, but her approach was to help me accept and love myself rather than helping me change habits. I recognize this is important, but that's not what I'm looking for right now. Maybe in the future.

I think I am really looking for a coach to check in with me weekly, kind of like a therapist, but who just focuses on my relationship with food. I want help understanding why I eat the way I do, I want accountability and someone to call me on my bullshit, and I want strategies to eat things that are going to make my body feel good. Yes, I'd also like weight loss.

I just feel like I am in a whirlwind of self destruction and I need a serious food intervention. Does anyone have any ideas?

Since being diagnosed with Crohn’s (ileitis style) in April I have trying to get referred to a dietician. But when I finally got the referral my insurance said they don’t cover for anything but diabetes (yay American healthcare). I’m trying to decide whether to just pay for a couple visits out of pocket at $200 a pop or just go the food journals and online support route. Anyone think it’s worth the money to see a dietician once or twice?

There are dietitians who specialize in plant based diets and practice telemedicine. I think the idea is not everyone lives somewhere they can access a dietitian who is knowledgeable in vegan diets. I am looking for one of these who specializes in children, or a pediatrician who specializes in plant based diets who practices telemedicine. Anyone have experience with one of these, or even just knowledge of one? Thanks for the help!

Edit: Apparently I can't edit my misspelled title!

I'm trying to get my social media feed more informative in terms of nutrition, any recommendations?

Anybody else get nervous by ed dietitians that are clearly overweight? I feel like a bitch for even thinking that but my logic is if they cant take care of themselves enough to be a normal weight why would i trust them to tell me what to eat?

I have my first appointment next week at an actual eating disorder clinic. Wondering if anyone here has received treatment at an ed clinic or ed department of your hospital?

Thank you!

I just had the most upsetting appointment with my dietician about statistics and complications. I was just trying to be more prepared and ask questions about post op and she gives me this 20 min speech about how many people develop complications and how it’s a serious life change and “most people regain anyway”. Why would she say that? I am scheduled to have surgery in 5 days. Just looking for a little support.

This is my first reddit post so sorry if I break any norms/rules!

I was diagnosed with ARFID when I entered residential treatment in October this year. I've had ARFID for 16 years, (I'm 22F) but I only recently got a diagnosis (long story). I also have generalized anxiety disorder with panic and depression. I transferred to outpatient care three weeks ago. I'm seeing the same therapist I had before res, but I'm seeing a dietician for the first time ever. I love my dietician; she only works with people with eating disorders and herself has recovered. Her approach is providing structure with some flexibility so that I don't continue eating rituals and rules.

Because I've never had a dietician before, I'm not sure how to best utilize her. What do you rely on a dietician for? What do you talk about in an appointment? I've had two appointments so far, but at this point I'm not sure what to talk about in our next appointment.

Has anyone else seen that one tiktok dietician who analyzes her clients’ metabolisms and how she raised their TDEE to some amount and constantly says (tw number) that even 1200 calories is way too little for any person, even if you’re short and skinny? She talks about restoring their metabolism by upping their daily intake and seeing them LOSE weight and i’m thinking of maybe trying the same thing because i’m sick of not losing weight at ridiculously low amounts of food. Does anyone have thoughts on this lol

Has anyone used any of the VHI offerings for well-being? Specifically the dietician and physio. I’m interested to hear what they are offering

I honestly love my dietician she is so supportive, even when I don’t make progress or I take a few steps back. I can see that her disappointment also comes from a place of sadness which also kind of makes me sad.

Today in our appointment she just looked at me and said, “what’s going on at home/in your life, please tell me how I can help you”. This literally made me want to cry because my mum is so tired of my bullshit and rarely/never says this to me. As well as the fact that my family rarely relates my food issues to my home situation because then they would have to admit their parenting isn’t always ideal for me instead they always relate it to vanity.

What a great thing to say to someone with an eating disorder. So smart. Would you like a medal, miss? Dissociated the remaining 20 minutes ♡♡

Hey UC'ers. I was just wondering if any of you got anything out of seeing a dietician? Or would that be a waste of time and money because UC is so different for different people? I feel like i always go to low FODMAP when in a flare. But will a dietician be able to help manage foods that i may react to, and foods to better manage UC?

Does anyone know a dietician that has experience with brain injuries and/or brain health?

I've made a few changes in my life and I wanted an opinion...

Thank you!

22yo - SW: 242 lbs - CW: 172 lbs - GW: around 142 - 154 lbs

So I had a meeting with a dietician today. I had been looking for a dietician for some time, to help me break my plateau and lose the final 18 lbs I need to lose to get to a healthy BMI.

I was looking at her instagram posts before consulting her, and I really liked what I saw. I liked her approach to healthy eating as "not a diet" and saying that you could definitely eat pleasurable/unhealthy food AND healthy stuff, balancing both together, which is something I definitely agree with and I can relate, so I decided to arrange a meeting.

I'm pretty confused at how it went and the recommendations she made, which is why I wanted to have you guys' opinion on this.

So she already knows my goals and everything, and I told her about my alimentation regime. I aim to eat around 1500 calories a day. I don't really track absolutely everything I eat, in fact I only know the exact amount of calories of my breakfast and afternoon tea (That's right, we have 4 meals a day in here) which are about 300 combined, but roughly know the calories of everything else, to get around 1500. This is basically how my meals go every day:

• Breakfast: Artificial sweetened coffee with 2 slices of home-made whole-grain bread with low-calorie jam spreaded on them. A banana, an apple or a cereal bar for dessert.
• Lunch: Usually some kind of low-fat meat with salad, which I also include rice with once a week or so. I also have spinach or pumpkin pies once a week. Occasionally some other stuff, but always within the 400-600 cal range.
• Afternoon tea: Artificial sweetened tea or coffee with a 130 to 170 calorie portion of different low-calorie cookies.
• Dinner: A knorr cup soup with whatever leftovers I have from lunch. If pie, then a small slice. If salad, then I make a sandwich with the same home-made bread, the salad, and some cream cheese. If neither, just a cream cheese and ham sandwich, or small mini-sandwiches made with crackers. Banana, apple or cereal bar for dessert.
• I also have a snack at 3 am, which is usually a cereal bar.

I also mentioned her I love Coke Zero and I drink it twice a month to keep it relatively healthy. Some of her suggestions made sense; she told me to double my daily amount of exercise and to fix my sleep schedule (I usually fall asleep at 4-5 am, wake up at 11, and then take a nap from 4-7 pm). She also suggested me to stop having bread in the mornings and replace that with ham and cheese, and t