Strange things are afoot at the Circle K. -Ted Theodore Logan
Question #92735 posted on 10/29/2019 2:30 p.m.
Q:

Dear 100 Hour Board (primarily Sheebs, if available),

I find myself in need of weight loss. I've had one doctor with signs all over his office offer his expensive program involving some kind of hormones. He seemed more interested in selling his program than my overall physical or mental health and pain. But no doctors have ever offered to refer me to a dietitian (or my diabetic spouse, for that matter). I'm extremely skeptical of the whole industry. I'm ok with my looks, but I'm tired of the joint pain and lack of stamina that is interfering with my quality of life. What legitimate help is available, and who should I trust? What red flags should I watch out for?

-100, +100, (-135?)

A:

Dear 100%,

You don't need a referral to visit a dietitian, as far as I am aware. Weight loss is a tricky subject, and if you feel your healthcare provider is not helping you, choose a different doctor. When you have chosen one, consider asking them about gastric bypass surgery, which may or may not be a good option for you.

We're really not experts, just faces somewhere else behind a screen. And kidneys too, I suppose, though I like to keep mine in a jar, next to my dentures.

Suerte,

--Ardilla Feroz

posted on 10/29/2019 11:18 p.m.
I know you’re not professionals... but gastric bypass surgery is only for SEVERELY obese patients after all other options have failed.

If you are interested in seeing a dietitian, just ask your doctor! Make sure they send you to a Registered Dietician, not a “nutritionist” - the first requires an advanced degree, the second requires you calling yourself a “nutritionist”.
posted on 10/30/2019 12:14 a.m.
I approve of the above correction, and just wanted to add a few more thoughts to answer some of your specific questions.
First, don't trust anyone promising you can lose the weight quickly, nor anyone promising you'll be able to lose more than about 7% of your current weight. Losing real weight (not just water, and keeping it off) takes significant amounts of time, and furthermore it's unhealthy to lose more than 2 lbs a week.
Multiple approaches are more effective than any one. Joint pain and lack of stamina, interfering with quality of life, may well be worth a visit to a physical or occupational therapist to help outline an exercise regimen to reduce pain and improve QOL. There again, significant improvement will require significant amounts of time. I say that to warn you against discouragement when you don't see progress week to week, and to keep at it.
More on a personal note than a clinical one: whatever your diet, whatever your exercise regimen, make them something you like and enjoy (or at least don't hate/dread), or sticking with them for the long term will be that much harder.
-C.S.