Help, I lied...to myself. I am full of issues!

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moral-support

(Amanda) #1

So, I have been eating reasonably strict Keto for about eight months now and am down about 76 lbs (SW 335, LW 250, CW 259, GW 150). I had lost more but, my weight has been slowly creeping up… and it leads me to my issues. I am 39 yo 5’5" f. I am not very active, just a community yoga class once a week and whenever the mood strikes for some exercise at home (usually about 15 min of yoga once a week).

To the point: I lied! I lied to myself.:hushed: I told myself that I was going to try eating Keto to reduce the risk of diabetes. I wasn’t told that I was at risk, it was just a fear that I have. I thought it was about time to become healthier and Keto seemed like a reasonable and delicious. I know I need to lose weight, I am not kidding myself there, but that wasn’t a goal I admitted to myself when I started. I was secretly thrilled when I saw the number on the scale get smaller and smaller each day. (I started out weighing myself once a week, but that caused too much stress and dangerous thinking… So, I switched to weighing every morning, less stress for me, personally). Seeing my clothes get bigger and bigger, needing to purchase some items was fun as was seeing the looks on peoples faces when they did a double take.

But now, I feel defeated. Like I said my weight is slowly creeping up, over the past month or so. I have kept it pretty tight Keto during the break. I made a choice not to measure my food as much over the school break (guessing the amount of cheese ball I ate at a party, and not knowing EXACTLY how much of what ingredients are in it), but only eating keto friendly foods, and accurately measuring amounts of my greatest weaknesses foods (in Homer Simpson’s voice: mmmm…pecans). For example, my Macros for the last week were Protein 91g, Total Carb 22g, Net Carb 12g, Fat 149g Cal 1748. I was able to pass, without blinking, on the homemade sweets, party mix, and the boxes of chocolates that I received. (I get gifted a lot of these, as I am a teacher). But again, all I wanted to eat was meat, cheese, and nuts. I think this is my downfall. The boundless energy I had over the summer has depleted, but I’m not sure if this is due to work, adjusting to keto as a lifestyle, or a seasonal thing.

Another issue I have is my doctor. I am not a fan of his, but he is the only doctor I get when I call the clinic. I have heard of 3 other good doctors there, but I am never able to book with them. Anyway, when I was there in November I asked for some bloodwork, I wanted to make sure that I was on the right track, no BG concerns, and to check on my hormones (TMI Alert: my cycles have never been even close to regular), etc. When I went back to get the results, he gave me the “you need to lose weight” (duh! I have been working on it), LFHC schpeel. I asked about Keto, and he said that he did not agree with it. I asked on what basis, and he just dismissed my question. He said that my blood work came back normal, possibly a little underactive thyroid, but to get it tested again in 3-6 months. I asked him for the numbers, BG level, cholesterol, that sort of thing so that I had an idea of where I am. He said I didn’t need the numbers, that everything was within normal range. I have been dealing with numbness and tingling in my feet and legs for a while; I was hoping this would clear up with Keto (wishful thinking, I know Keto is not magic, but it has improved/ moved lower down my legs). He is very dismissive and does not seem to think it is a reason for concern. I am frustrated with him and am thinking of going to another clinic, to possibly get a second opinion, but I don’t want to be seen as “doctor shopping.”

I am recommitting to eating “clean” keto; I think this is the term. To limit dairy and nuts and nut flour, as I have read that these may cause stalls.

Thanks for taking the time to read this. Apparently writing this post was more pressing than doing the mound of prep work sitting beside me. :blush:


(Cindy) #2

So he didn’t acknowledge how much weight you’ve lost? I’m thinking you might not be in the US since you’re said you’re going to a clinic, but no matter where you are, you’re entitled to your records. If a doctor told me I didn’t need the numbers, I’d probably hit the roof. They’re MY tests, MY reports, MY numbers, etc…they [spoiler]damn[/spoiler] well will give me those results.

Sometimes, you have to be your own advocate. You’ve said you don’t like this doctor. Find a new one. It’s not doctor shopping. Doctor shopping is when you intentionally go to multiple doctors trying to get prescription meds (usually pain meds). Finding a new doctor because you don’t care for this one is perfectly reasonable!


(William B Fenton) #3

I think if your Dr is not effectively communication with you that a change is good, Dr Shopping is not a negative thing, in fact its a positively positive thing.

Congratulations on your current success btw.

I would recommend more exercise though, try to build some lean body mass while introducing yourself to some form of cardio (kettlebell swings to accomplish both?)

But I would definitely consider a change of Dr if you feel your concerns are being belittled


(karen) #4

Go doctor shopping. Seriously, Doctor Father does not always know best, and who needs a doctor who won’t give them data to work with. :rage:


(Chris) #5

Be seen as doctor shopping. Vote with your wallet.


(Running from stupidity) #6

Because she’s in Alberta? Me too :slight_smile:


(Amanda) #7

Do you mean that you are in Alberta, Canada, or Alberta Australia? I am in Canada.


(Ellen) #8

Ok, 1st off your Dr sounds like a dick, it might be different in Canada but being told you don’t need/can’t have your actual results sounds like bollocks. 2nd definitely look for a new Dr.
Maybe a period of tracking to confirm your carb levels?
Hope you get yourself mentally sorted, don’t beat yourself up just kcko.


(Amanda) #9

Nope, I explained that I had lost about 80 lbs since the beginning of May, and he went straight into LFHC. :frowning_face:


(Banting & Yudkin & Atkins & Eadeses & Cordain & Taubes & Volek & Naiman & Bikman ) #10

Time to shop for another, less patronizing doctor.

I think you have the answer, right here. Some folks can do lazy keto. Other folks (like folks who like nuts and cheese) need a bit of discipline.


(Ellen) #11

80lbs is a lot, any Dr that doesn’t acknowlege that is not worth your time, definitely time to find a new one.


(Carl Keller) #12

Can a doctor withold your test results when you request them? This sounds outrageous actually. I would probably talk to his superiors about his behvavior and definitely try to see one of the other doctors in the clinic, no matter how long of a wait.

This kind of jumps out as a lot of fat if you are fat adapted. The less fat we put in our belly, the more fat that comes off our bones.Have you adjusted your macros according to your current body weight since you started doing keto?


(Amanda) #13

I was wondering about this. If I lower my fat, then the percentages go wonky. Do I still need to keep it at 20:5:75? Do I just lower my calories across the board? Is it okay to keep carbs under 20gs and have protein at a higher percentage due to limiting fat? Did this make sense?


(Running from stupidity) #14

Yes and no. You did, but the mechanisms don’t always.

Percentages are a lie, mostly. Hard numbers, like <20g carbs, are the truth.

And for most people, yes, protein can go up with no issues. But it’s one of the N=1 things - gotta suck it and see.


#15

Hi @Daisytoad! You’re doing great, just breathe! Don’t forget that there are other factors that go into our bodies responses and systems besides our macros. How is your sleep? How are you managing your stress? Your job is an especially challenging and stressful one, AND we’ve just come off the most stressful time of year. How much sunlight are you getting? I live in the Midwest US and that can definitely be a factor in my energy levels and processes.

Be nice to yourself, eat lots of whole foods and maybe measure out your nuts…that’s what I have to do with all keto snacks otherwise I will mindlessly chomp. Most importantly, be nice! When we are stressed and anxious our animal brains don’t know that we’re not really under threat and can kind of shut everything down just like it would if we were in jeopardy from outside factors. So, I would echo everyone who has said please try to find a more supportive practitioner. Also, I trust that you know what’s best for your mental health, but daily weighing seems like a recipe for disaster. Our weights can fluctuate and stall for no discernable reason, and the more we fret the worse it can get. Slow and steady wins the race – make this something that you love, feel good about the changes you’re making, think about the ways this will be your lifestyle now, and BE KIND AND PATIENT, like you would with a student who is struggling. We got this :smiley:


(The amazing autoimmune 🦄) #16

I have had several doctors in my life who were sexist and had a clear bias against fat people. I even one time ended up with a woman doctor who was prejudice against fat women. I would suggest that you go back to the clinic fill out the paper work for your blood work and get a copy. I would also guess that the reason why that particular doctor is always available is because nobody else likes him.

As women we are trained culturally to not want to upset the apple cart. It can really hurt us in a variety of ways such as being unwilling to stick up for ourselves medically and ask pertinent questions and demand answers. This has directly caused women to get poor health care and in some instances caused permanent damage and even death(this has been documented look it up in the web).

Any doctor that is refusing to give you your blood work either didn’t look at it or is subtlety putting you down as a lay person.

Please find someone else, you deserve a doctor who will answer your questions and treat you with kindness and compassion.


(squirrel-kissing paper tamer) #17

I had a doctor once who wouldn’t give me a referral for an IUD because it was against HER religion. They are human, just like us. Please find yourself someone who you can have a good working relationship with.

I think the holidays and, like you said, not counting carbs as closely may cause the gain. I also think it’s normal for our bodies to handle weight loss differently during the short winter days. Maybe the combination of the two are the reason.

Get back on the horse and get serious about looking at your macros and maybe consider switching up the foods you eat. You’ve done great so far! Best wishes.


(Amanda) #18

Thank you so much for this!


(Todd Allen) #19

80 lbs in 8 months is a brutally fast rate of weight loss. Most consider 1 lb/week a fast but sustainable weight loss. As one goes faster it gets increasingly difficult as it tends to trigger survival mechanisms like metabolic slowdown to get through the period of limited food without starving to death. Also it is EXTREMELY common for weight loss diets to falter around 6 months.

Accept a period of plateau or modest rebound. Give your body time to adjust to the fact that you aren’t food deprived and aren’t starving. Focus on other aspects to maximize health such as sleep, stress management and pursuit of joy.

Hopefully find pleasure or at least satisfaction in your increased capacity for movement. Your long term goal should not be focused on weight but rather body composition, losing fat while hanging on to your muscle or increasing muscle. Muscles even when you aren’t using them burn a lot more calories than your fat tissues do and maintaining muscle while slowing weight loss in the short term will make it easier in the long term.


(Sharon S ) #20

Get rid of that doc! He works for you and should give you a copy of your labs if you ask! There is nothing wrong with doctor shopping if you are not getting the care and support you need!